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https://www.readbyqxmd.com/read/30314960/development-and-management-of-networks-of-care-at-the-end-of-life-the-redcuida-intervention-protocol-for-a-nonrandomized-controlled-trial
#1
Silvia Librada Flores, Emilio Herrera Molina, Fátima Díaz Díez, María José Redondo Moralo, Cristina Castillo Rodríguez, Kathleen McLoughlin, Julian Abel, Tamen Jadad Garcia, Miguel Ángel Lucas Díaz, Inmaculada Trabado Lara, María Dolores Guerra-Martín, María Nabal
BACKGROUND: End-of-life needs can be only partly met by formalized health and palliative care resources. This creates the opportunity for the social support network of family and community to play a crucial role in this stage of life. Compassionate communities can be the missing piece to a complete care model at the end of life. OBJECTIVE: The main objective of this study is to evaluate the REDCUIDA (Redes de Cuidados or Network of Care) intervention for the development and management of networks of care around people with advanced disease or at the end of life...
October 12, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/30313085/impact-of-the-pay-for-performance-program-on-lower-extremity-amputations-in-patients-with-diabetes-in-taiwan
#2
Yi-Jing Sheen, Pei-Tseng Kung, Wei-Yin Kuo, Li-Ting Chiu, Wen-Chen Tsai
Patients with diabetes are at a high risk of lower extremity amputations and may have a reduced life expectancy. Taiwan has implemented a diabetes pay-for-performance (P4P) program providing team care to improve the control of disease and avoid subsequent complications. Few studies investigated the effects of adopting a nationalized policy to decrease amputation risk in diabetes previously. Our study aimed to analyze the impact of the P4P programs on the incidence of lower extremity amputations in Taiwanese patients with diabetes...
October 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30312338/how-primary-health-care-teams-perceive-the-integration-of-oral-health-care-into-their-practice-a-qualitative-study
#3
Hermina Harnagea, Lise Lamothe, Yves Couturier, Elham Emami
Recently, new models for the integration of oral health into primary care have been proposed. However, these models may be adopted by a variety of health care systems, and will reach successful outcomes only if they can be adapted to suit the local context. To this end, the objective of this study was to explore the perceptions of Quebec primary health care teams on the integration of oral health into primary care. A qualitative approach and interpretive description methodology were used to conduct the study within a case-study design...
2018: PloS One
https://www.readbyqxmd.com/read/30309439/crises-and-turnaround-management-lessons-learned-from-recovery-of-new-orleans-and-tulane-university-following-hurricane-katrina
#4
Marc J Kahn, Benjamin P Sachs
By their very nature both man-made and natural disasters are unpredictable, and so we recommend that all health-care institutions be prepared. In this paper, the authors describe and make a number of recommendations, regarding the importance of crisis and turnaround management using as a model the New Orleans public health system and Tulane University Medical School post-Hurricane Katrina. Leadership skills, articulation of vision, nimble decision making, and teamwork are all crucial elements of a successful recovery from disaster...
October 4, 2018: Rambam Maimonides Medical Journal
https://www.readbyqxmd.com/read/30308592/examining-medical-office-owners-and-clinicians-perceptions-on-patient-safety-climate
#5
Olena Mazurenko, Jason Richter, Abby Swanson Kazley, Eric Ford
OBJECTIVE: An essential element of effective medical practice management is having a shared set of beliefs among members regarding patient safety climate. Recognizing the need for improving patient safety, the Agency for Healthcare Research and Quality began a series of surveys to assess medical practice members' attitudes and beliefs on patient safety climate. The aim of the study was to examine owners and clinicians perceptions of their medical practice's patient safety climate. METHODS: We used the 2010-2011 Medical Office Survey on Patient Safety Culture collected by the Agency for Healthcare Research and Quality...
October 10, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/30307685/an-integrative-review-on-family-caregivers-involvement-in-care-of-home-dwelling-elderly
#6
REVIEW
Irène Ris, Wilfried Schnepp, Romy Mahrer Imhof
Often family members provide care-giving, which allows older adults to remain in their homes. With declining health and increasing frailty, care-giving of elderly people becomes a task of family caregivers (FC) in conjunction with home care nurses. It has been shown in both acute care settings and long-term care facilities that family members prefer to be involved in decision-making and care planning for their next of kin. Therefore, an integrative review was conducted to explore the body of knowledge of FCs' involvement in home-care settings from the FCs' perspective...
October 11, 2018: Health & Social Care in the Community
https://www.readbyqxmd.com/read/30306947/team-competencies-and-educational-threshold-concepts-for-clinical-information-modelling
#7
Philip J Scott, Kai U Heitmann
Healthcare interoperability depends upon sound semantic models to support safe and reliable exchange of information. We argue that clinical information modelling requires a collaborative team of healthcare professionals, process and content analysts and terminologists and that 'separation of concerns' is unhelpful. We present six fundamental concepts that participants must understand to collaborate meaningfully in technology-agnostic information modelling.
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/30303883/development-of-a-multistep-hypertension-quality-improvement-program-in-an-academic-general-medicine-practice
#8
Mai-Khanh Bui-Duy, Shirley Wong, Rosemary Lam, Leah S Karliner
Hypertension is a common problem and a major risk factor for cardiovascular disease. It is unclear whether efforts to control blood pressure (BP) known to be effective in integrated healthcare systems can be successfully implemented in an academic setting. We describe our experience implementing a multistep quality improvement program within an academic general medicine practice aimed at improving BP among patients with uncontrolled hypertension. Ensuring medical assistants were correctly measuring BP provided the basis for accurate data entry into the electronic medical record (EMR); our EMR-based registry data allowed us to feedback primary care provider (PCP) level data on BP control for panel management, which resulted in improvements in BP for a substantial proportion of patients, particularly for those with more practice visits...
October 8, 2018: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/30303816/developing-an-inclusive-and-welcoming-lgbtq-clinic
#9
Nicole L Nisly, Katherine L Imborek, Michelle L Miller, Nancy Dole, Jacob B Priest, Leonard Sandler, Matthew D Krasowski, Maia Hightower
People who identify as lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) are underserved and face barriers to knowledgeable health care. Most health systems are ill prepared to provide care that addresses the needs of the LGBTQ community. Basic steps to developing an LGBTQ welcoming health care program are presented. It can be adapted to diverse health care models, from obstetrics and gynecology and other primary care services whether public or private and to hospitals and specialty clinics...
October 9, 2018: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30303417/psychometric-validation-of-team-experiences-questionnaire-in-preregistration-chinese-health-and-social-care-students-in-hong-kong
#10
Fraide A Ganotice, Lap Ki Chan
The complexity of patients' healthcare needs can be addressed more adequately by professionals working as a healthcare team. In view of this, it is important to prepare students for collaborative work when they become professionals through a students' team training at the preregistration level. As intervention programs are implemented to promote students' collaboration, instruments like Team Experiences Questionnaire (TEQ) are needed. In this connection, this study which involved 335 Chinese students enrolled in eight health and social care programs from two universities in Hong Kong investigated the factor structures of the TEQ using construct validation approach...
October 10, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/30303284/paramedicine-in-australia-and-new-zealand-a-comparative-overview
#11
Peter O'Meara, Sharon Duthie
Paramedic services in Australia and New Zealand (Australasia) share many characteristics, with both offering versions of the Anglo-American system of emergency medical response. Their industry and professional bodies are transnational and as a result have similar industry standards and professional expectations. The major difference been the two countries is their sources of funding, with Australian paramedic services generally receiving more government funding than those in New Zealand. Both countries provide a range of services that use a mix of volunteer and professional staff and employ state-of-the-art communications and medical technology to provide high-level clinical services...
October 2018: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/30300153/palliative-care-teaching-shapes-medical-undergraduate-students-professional-development-a-scoping-review
#12
Antonio Noguera, Ramón Robledano, Eduardo Garralda
PURPOSE OF REVIEW: The aim of this review is to understand how palliative care teaching (PCT) as a patient-centered learning model, influences medical undergraduate students' professional development. RECENT FINDINGS: To study PCT medical undergraduate students' learning experiences, we have employed the medical teaching concept, 'hidden curriculum,' as a way of describing attitudes and behavior conveyed implicitly by palliative care educators. Fifteen studies were selected: ten of those studies used a qualitative approach; two are theoretical explanations of the topic explored, one guideline, one review and just one quantitative study, made up the review...
October 8, 2018: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/30299381/ease-of-use-of-electronic-health-records-and-relational-coordination-among-primary-care-team-members
#13
Jessica L Watterson, Hector P Rodriguez, Adrian Aguilera, Stephen M Shortell
BACKGROUND: Electronic health records (EHRs) have potential to improve quality, health outcomes, and efficiency, but little is known about the mechanisms through which these improvements occur. PURPOSE: One potential mechanism could be that EHRs improve care team communication and coordination, leading to better outcomes. To test this hypothesis, we examine whether ease of EHR use is associated with better relational coordination (RC), a measure of team communication and coordination, among primary care team members...
October 5, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/30299223/team-based-communication-and-the-healthcare-communication-space
#14
Janet Alexandra Cornett, Craig Kuziemsky
PURPOSE: While previous studies have described structural, process and social aspects of the healthcare communication space there is no overall model of it. Such a model is an essential first step to improving the operationalization and management of healthcare communication. The paper aims to discuss these issues. DESIGN/METHODOLOGY/APPROACH: This paper used a case study approach to study team-based communication on a palliative care unit. Non-participant observation, interviews and documents were analyzed using qualitative content analysis...
September 17, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/30298168/implementing-frailty-measures-in-the-canadian-healthcare-system
#15
D B Rolfson, G A Heckman, S M Bagshaw, D Robertson, J P Hirdes
Canadian healthcare is changing to include individuals living with frailty, but frailty must be better operationalized and better framed by sound data standards and policy. Frailty results from deficit accumulation in multiple body systems, with exaggerated vulnerability to external stressors. A growing consensus on defining frailty sets the stage for consensus on operationalization and widespread implementation in care settings. Frailty measurement is not yet integrated into daily clinical practice in Canada...
2018: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/30295635/microsimulation-model-using-christiana-care-early-warning-system-cews-to-evaluate-physiological-deterioration
#16
Bin Li, Shengfan Zhang, Stephen Hoover, Ryan Arnold, Muge Capan
While physiological warning signs prior to deterioration events during hospitalization have been widely studied, evaluating clinical interventions, such as Rapid Response Team (RRT) activations, based on scoring systems remains an understudied area. Simulation of physiological deterioration patterns represented by scoring systems can facilitate testing different RRT policies without disturbing care processes. Christiana Care Early Warning System (CEWS) is a scoring system developed at the study hospital to detect the physiological warning signs and inform RRT activations...
October 4, 2018: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/30293741/factors-influencing-seasonal-influenza-vaccination-uptake-among-health-care-workers-in-an-adult-tertiary-care-hospital-in-singapore-a-cross-sectional-survey
#17
Win Mar Kyaw, Angela Chow, Aung Aung Hein, Lay Tin Lee, Yee Sin Leo, Hanley J Ho
BACKGROUND: This study aimed to evaluate the factors influencing seasonal influenza vaccination uptake among different health care professional groups. METHODS: A single-center, cross-sectional survey using a standardized anonymous, self-administered questionnaire to assess knowledge, attitudes, and uptake of seasonal influenza vaccination was used. Associations between respective health care groups and vaccination acceptance were then assessed. RESULTS: In total, 3,873 health care workers completed the questionnaire...
October 4, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/30291004/the-role-of-network-ties-to-support-implementation-of-a-community-pharmacy-enhanced-services-network
#18
Kea Turner, Morris Weinberger, Chelsea Renfro, Stefanie Ferreri, Troy Trygstad, Justin Trogdon, Christopher M Shea
BACKGROUND: Limited evidence exists on how to integrate community pharmacists into team-based care models, as the inclusion of community pharmacy services into alternative payment models is relatively new. To be successful in team-based care models, community pharmacies need to successfully build relationship with diverse stakeholders including providers, care managers, and patients. OBJECTIVES: The aims of this study are to: (1) identify the role of network ties to support implementation of a community pharmacy enhanced services network, (2) describe how these network ties are formed and maintained, and (3) compare the role of network ties among high- and low-performing community pharmacies participating in an enhanced services network...
September 27, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/30290035/team-based-parent-training-by-child-specialists-helps-maltreated-children
#19
Hiroyuki Yokoyama, Yayoi Tomizawa, Yoshinori Satou, Atsuko Kobayashi, Yuriko Katsushima, Fumio Katsushima
BACKGROUND: This study assessed the effects of the Parent Training (PT) technique, in which child specialists (CSs) such as preschool- and school-teachers promote secure attachment in children with aberrant social behavior following maltreatment, using a team approach. METHODS: CSs confirmed the presence of child abuse, according to Japanese Ministry of Health, Labour and Welfare criteria. CSs such as homeroom, special education-related, student guidance-related, nursing teachers and co-workers received a PT course conducted by the authors...
October 5, 2018: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/30289968/increasing-advance-care-planning-using-a-surgical-optimization-program-for-older-adults
#20
Anna Kata, Rebecca Sudore, Emily Finlayson, Jeanette M Broering, Sarah Ngo, Victoria L Tang
OBJECTIVES: To describe an innovative model of care, the Surgery Wellness Program (SWP), that uses a multidisciplinary team to develop and implement preoperative care plans for older adults, and its effect on engagement in advance care planning (ACP). DESIGN: Retrospective analysis of clinical demonstration project. SETTING: Preoperative optimization program for older adults undergoing surgery at a 796-bed academic tertiary hospital. PARTICIPANTS: Older adults (N=131) who participated in the SWP from February 2015 to August 2017...
October 2018: Journal of the American Geriatrics Society
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