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https://www.readbyqxmd.com/read/29135848/using-simulation-to-hardwire-bedside-shift-report
#1
Arvis K Connolly
Numerous attempts to move nursing handoff to the bedside failed within our organization. Upon retrospect, previous attempts lacked standardization, coordination, and clear expectations. With emphasis on implementing patient- and family-centered care to increase patient experience scores, we developed a standardized staff training methodology using didactic and simulation to address staff barriers to adoption, a standardized implementation process, and a process to hardwire the practice.
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29109511/ash1l-histone-methyltransferase-regulates-the-handoff-between-damage-recognition-factors-in-global-genome-nucleotide-excision-repair
#2
Chiara Balbo Pogliano, Marco Gatti, Peter Rüthemann, Zuzana Garajovà, Lorenza Penengo, Hanspeter Naegeli
Global-genome nucleotide excision repair (GG-NER) prevents ultraviolet (UV) light-induced skin cancer by removing mutagenic cyclobutane pyrimidine dimers (CPDs). These lesions are formed abundantly on DNA wrapped around histone octamers in nucleosomes, but a specialized damage sensor known as DDB2 ensures that they are accessed by the XPC initiator of GG-NER activity. We report that DDB2 promotes CPD excision by recruiting the histone methyltransferase ASH1L, which methylates lysine 4 of histone H3. In turn, methylated H3 facilitates the docking of the XPC complex to nucleosomal histone octamers...
November 6, 2017: Nature Communications
https://www.readbyqxmd.com/read/29107526/nurse-handoff-communication
#3
REVIEW
Anne Ray Streeter, Nancy Grant Harrington
OBJECTIVE: To describe the communication behaviors identified by nurses as key to a competent patient handoff at change of shift. DATA SOURCES: Qualitative analysis of nurse descriptions of best and worst handoffs from the incoming and outgoing nursing perspective. CONCLUSION: Competent, quality nursing handoffs include specific information exchange and socioemotional (relational) communication behaviors. IMPLICATIONS FOR NURSING PRACTICE: A communication-based perspective may be useful in establishing handoff routines that reduce communication-related patient care errors and foster a positive nursing environment...
October 26, 2017: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29095169/what-every-graduating-resident-needs-to-know-about-quality-improvement-and-patient-safety-a-content-analysis-of-26-sets-of-acgme-milestones
#4
Meghan Lane-Fall, Joshua J Davis, Justin Clapp, Jennifer S Myers, Lee Ann Riesenberg
PURPOSE: Quality improvement (QI) and patient safety (PS) are broadly relevant to the practice of medicine, but specialty-specific milestones demonstrate variable expectations for trainee competency in QI/PS. The purpose of this study was to develop a unifying portrait of QI/ PS expectations for graduating residents irrespective of specialty. METHOD: Milestones from 26 residency programs representing the 24 member boards of the American Board of Medical specialties were downloaded from the Accreditation Council for Graduate Medical Education (ACGME) website in 2015...
October 31, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29075377/program-director-perceptions-of-proficiency-in-the-core-entrustable-professional-activities
#5
R Ellen Pearlman, Melissa Pawelczak, Andrew C Yacht, Salaahuddin Akbar, Gino A Farina
BACKGROUND : The Association of American Medical Colleges describes 13 core entrustable professional activities (EPAs) that every graduating medical student should be expected to perform proficiently on day 1 of residency, regardless of chosen specialty. Studies have shown wide variability in program director (PD) confidence in interns' abilities to perform these core EPAs. Little is known regarding comparison of United States Medical Licensing Examination (USMLE) scores with proficiency in EPAs...
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29056182/a-novel-process-audit-for-standardized-perioperative-handoff-protocols
#6
Vinay Pallekonda, Adam T Scholl, George M McKelvey, Hassan Amhaz, Deanna Essa, Spurthy Narreddy, Jens Tan, Mark Templonuevo, Sasha Ramirez, Michelle A Petrovic
A perioperative handoff protocol provides a standardized delivery of communication during a handoff that occurs from the operating room to the postanestheisa care unit or ICU. The protocol's success is dependent, in part, on its continued proper use over time. A novel process audit was developed to help ensure that a perioperative handoff protocol is used accurately and appropriately over time. The Audit Observation Form is used for the Audit Phase of the process audit, while the Audit Averages Form is used for the Data Analysis Phase...
November 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29033992/patient-safety-culture-in-intensive-care-units-from-the-perspective-of-nurses-a-cross-sectional-study
#7
Sedigheh Farzi, Azam Moladoost, Masoud Bahrami, Saba Farzi, Reza Etminani
BACKGROUND: One of the goals of nursing is providing safe care, prevention of injury, and health promotion of patients. Patient safety in intensive care units is threatened for various reasons. This study aimed to survey patient safety culture from the perspective of nurses in intensive care units. MATERIALS AND METHODS: This cross-sectional study was conducted in 2016. Sampling was done using the convenience method. The sample consisted of 367 nurses working in intensive care units of teaching hospitals affiliated to Isfahan University of Medical Sciences...
September 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/28991946/a-concise-tool-for-measuring-care-coordination-from-the-provider-s-perspective-in-the-hospital-setting
#8
Christine M Weston, Sehyo Yune, Eric B Bass, Scott A Berkowitz, Daniel J Brotman, Amy Deutschendorf, Eric E Howell, Melissa B Richardson, Carol Sylvester, Albert W Wu
BACKGROUND: To support hospital efforts to improve coordination of care, a tool is needed to evaluate care coordination from the perspective of inpatient healthcare professionals. OBJECTIVES: To develop a concise tool for assessing care coordination in hospital units from the perspective of healthcare professionals, and to assess the performance of the tool in measuring dimensions of care coordination in 2 hospitals after implementation of a care coordination initiative...
October 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28989212/collegial-activity-learning-between-heterogeneous-sensors
#9
Kyle D Feuz, Diane J Cook
Activity recognition algorithms have matured and become more ubiquitous in recent years. However, these algorithms are typically customized for a particular sensor platform. In this paper we introduce PECO, a Personalized activity ECOsystem, that transfers learned activity information seamlessly between sensor platforms in real time so that any available sensor can continue to track activities without requiring its own extensive labeled training data. We introduce a multi-view transfer learning algorithm that facilitates this information handoff between sensor platforms and provide theoretical performance bounds for the algorithm...
November 2017: Knowledge and Information Systems
https://www.readbyqxmd.com/read/28985692/comprehensive-blood-conservation-program-in-a-new-congenital-cardiac-surgical-program-allows-bloodless-surgery-for-the-jehovah-witness-and-a-reduction-for-all-patients
#10
Vincent Olshove, Nicole Berndsen, Veena Sivarajan, Pooja Nawathe, Alistair Phillips
BACKGROUND: Cardiac surgery on Jehovah's Witnesses (JW) can be challenging, given the desire to avoid blood products. Establishment of a blood conservation program involving the pre-, intra- and post-operative stages for all patients may lead to a minimized need for blood transfusion in all patients. METHODS: Pre-operatively, all JW patients were treated with high dose erythropoietin 500 IU/kg twice a week. JW patients were compared to matching non-JW patients from the congenital cardiac database, two per JW to serve as control...
October 1, 2017: Perfusion
https://www.readbyqxmd.com/read/28975532/training-psychiatry-residents-in-patient-handoffs-within-the-context-of-the-clinical-learning-environment-review
#11
M Diane Eckert, James Agapoff Iv, Deborah A Goebert, Earl S Hishinuma
No abstract text is available yet for this article.
October 3, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28967578/measuring-safety-culture-application-of-the-hospital-survey-on-patient-safety-culture-to-radiation-therapy-departments-worldwide
#12
Sarah Leonard, Anita O'Donovan
BACKGROUND: Minimizing errors and improving patient safety has gained prominence worldwide in high-risk disciplines such as radiation therapy. Patient safety culture has been identified as an important factor in reducing the incidence of adverse events and improving patient safety in the health care setting. PURPOSE: The aim of distributing the Hospital Survey on Patient Safety Culture (HSPSC) to radiation therapy departments worldwide was to assess the current status of safety culture, identify areas for improvement and areas that excel, examine factors that influence safety culture, and raise staff awareness...
August 16, 2017: Practical Radiation Oncology
https://www.readbyqxmd.com/read/28954427/how-does-patient-safety-culture-in-the-surgical-departments-compare-to-the-rest-of-the-county-hospitals-in-xiaogan-city-of-china
#13
Manli Wang, Hongbing Tao
Objectives: Patient safety culture affects patient safety and the performance of hospitals. The Hospital Survey on Patient Safety Culture (HSOPSC) is generally used to assess the safety culture in hospitals and unit levels. However, only a few studies in China have measured surgical settings compared with other units in county hospitals using the HSOPSC. This study aims to assess the strengths and weaknesses of surgical departments compared with all other departments in county hospitals in China with HSOPSC...
September 26, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28952508/so-you-think-you-have-an-idea-a-practical-risk-reduction-conceptual-model-for-academic-translational-research
#14
REVIEW
John Schwartz, Christopher Macomber
Translational research for new drugs, medical devices, and diagnostics encompasses aspects of both basic science and clinical research, requiring multidisciplinary skills and resources that are not all readily available in either a basic laboratory or clinical setting alone. We propose that, to be successful, "translational" research ought to be understood as a defined process from basic science through manufacturing, regulatory, clinical testing all the way to market. The authors outline a process which has worked well for them to identify and commercialize academic innovation...
April 4, 2017: Bioengineering
https://www.readbyqxmd.com/read/28912950/quality-improvement-regarding-handoff
#15
Scott Studeny, Lauren Burley, Kelsey Cowen, Melanie Akers, Kelly O'Neill, Susan L Flesher
BACKGROUND AND OBJECTIVES: Previous studies have emphasized the importance of effectual communication during patient handoffs. The objectives of this study were to (1) implement a resident-driven quality improvement project to improve handoffs by including key elements that are necessary for a safe and effective handoff. We chose to use the IPASS (illness severity, patient summary, action items, situation awareness and contingency planning, synthesis by receiver) mnemonic as our standardized handoff model; (2) Consider balancing measures in an effort to be aware of any negative effects of our interventions on resident satisfaction with the system...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28893849/handoffs-what-s-good-for-residents-is-good-for-nurses%C3%A2-so-what-s-next
#16
EDITORIAL
Rebecca R Kitzmiller, Sim B Sitkin, Arpana R Vidyarthi
No abstract text is available yet for this article.
September 11, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28887445/usb1-controls-u6-snrnp-assembly-through-evolutionarily-divergent-cyclic-phosphodiesterase-activities
#17
Allison L Didychuk, Eric J Montemayor, Tucker J Carrocci, Andrew T DeLaitsch, Stefani E Lucarelli, William M Westler, David A Brow, Aaron A Hoskins, Samuel E Butcher
U6 small nuclear ribonucleoprotein (snRNP) biogenesis is essential for spliceosome assembly, but not well understood. Here, we report structures of the U6 RNA processing enzyme Usb1 from yeast and a substrate analog bound complex from humans. Unlike the human ortholog, we show that yeast Usb1 has cyclic phosphodiesterase activity that leaves a terminal 3' phosphate which prevents overprocessing. Usb1 processing of U6 RNA dramatically alters its affinity for cognate RNA-binding proteins. We reconstitute the post-transcriptional assembly of yeast U6 snRNP in vitro, which occurs through a complex series of handoffs involving 10 proteins (Lhp1, Prp24, Usb1 and Lsm2-8) and anti-cooperative interactions between Prp24 and Lhp1...
September 8, 2017: Nature Communications
https://www.readbyqxmd.com/read/28882207/a-polymerase-with-potential-the-fe-s-cluster-in-human-dna-primase
#18
Marilyn E Holt, Lauren E Salay, Walter J Chazin
Replication of DNA in eukaryotes is primarily executed by the combined action of processive DNA polymerases δ and ɛ. These enzymes cannot initiate synthesis of new DNA without the presence of a primer on the template ssDNA. The primers on both the leading and lagging strands are generated by DNA polymerase α-primase (pol-prim). DNA primase is a DNA-dependent RNA polymerase that synthesizes the first ~10 nucleotides and then transfers the substrate to polymerase α to complete primer synthesis. The mechanisms governing the coordination and handoff between primase and polymerase α are largely unknown...
2017: Methods in Enzymology
https://www.readbyqxmd.com/read/28866583/supporting-handoff-in-asynchronous-collaborative-sensemaking-using-knowledge-transfer-graphs
#19
Jian Zhao, Michael Glueck, Petra Isenberg, Fanny Chevalier, Azam Khan
During asynchronous collaborative analysis, handoff of partial findings is challenging because externalizations produced by analysts may not adequately communicate their investigative process. To address this challenge, we developed techniques to automatically capture and help encode tacit aspects of the investigative process based on an analyst's interactions, and streamline explicit authoring of handoff annotations. We designed our techniques to mediate awareness of analysis coverage, support explicit communication of progress and uncertainty with annotation, and implicit communication through playback of investigation histories...
August 29, 2017: IEEE Transactions on Visualization and Computer Graphics
https://www.readbyqxmd.com/read/28863221/resident-workshop-standardizes-patient-handoff-and-improves-quality-confidence-and-knowledge
#20
Heidi J Murphy, Aryn C Karpinski, Amanda Messer, Julie Gallois, Michelle Mims, Ashley Farge, Lauren Hernandez, Michelle Steinhardt, Chelsey Sandlin
OBJECTIVES: Residency programs are required to instruct residents in handoff; however, a handoff curriculum endorsed by the Accreditation Council for Graduate Medical Education does not exist. Although curricula are available, we preferred to use a curriculum that could be taught quickly, was easy to implement, and used a mnemonic that resembled current practices at our institution. We designed and implemented a novel handoff educational workshop intended to improve resident confidence and performance...
September 2017: Southern Medical Journal
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