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https://www.readbyqxmd.com/read/29792259/going-digital-a-checklist-in-preparing-for-hospital-wide-electronic-medical-record-implementation-and-digital-transformation
#1
Ian A Scott, Clair Sullivan, Andrew Staib
Objective In an era of rapid digitisation of Australian hospitals, practical guidance is needed in how to successfully implement electronic medical records (EMRs) as both a technical innovation and a major transformative change in clinical care. The aim of the present study was to develop a checklist that clearly and comprehensively defines the steps that best prepare hospitals for EMR implementation and digital transformation. Methods The checklist was developed using a formal methodological framework comprised of: literature reviews of relevant issues; an interactive workshop involving a multidisciplinary group of digital leads from Queensland hospitals; a draft document based on literature and workshop proceedings; and a review and feedback from senior clinical leads...
May 24, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29792253/genocide-rape-trauma-a-conceptual-framework-for-understanding-the-psychological-suffering-of-rwandan-survivors
#2
Donatilla Mukamana, Anthony Collins, William E Rosa
In 1994, the Rwandan genocide claimed the lives of approximately 1 million Tutsi and moderate Hutu citizens. Systematic rape was a strategic component of the Hutu extremist plan to eradicate the Tutsi minority population. This involved collective and repeated sexual assaults with brutal violence, public humiliation, and torture. This article maps the ongoing psychological impact on Rwandan genocide rape survivors and identifies implications for international nursing practice. The research formalizes their narratives, identifying a number of interconnected elements that combine to produce myriad forms of chronic psychological suffering in the Rwandan context...
May 1, 2018: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/29790442/closing-the-delivery-gap
#3
Kevin Peter Fiori, Jennifer Schechter, Sesso Christophe Gbeleou, Sandra Braganza, Joseph Rhatigan, Spero Houndenou, Andrew Lopez, Emily Bensen, Lisa Hirschhorn
Purpose The purpose of this paper is to describe the authors' experience operationalizing the care delivery value chain (CDVC) as a management and continuous quality improvement (QI) approach to strengthen HIV/AIDS services provided in Northern Togo through addressing gaps across a care continuum. Design/methodology/approach The authors led a series of discussions to develop a CDVC specific to existing HIV/AIDS services in Northern Togo. Using the CDVC framework, 28 specific gaps in service delivery were identified and integrated into a strategic QI plan...
May 14, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29789085/acute-exposure-to-low-to-moderate-carbon-dioxide-levels-and-submariner-decision-making
#4
Christopher D Rodeheffer, Sarah Chabal, John M Clarke, David M Fothergill
BACKGROUND: Submarines routinely operate with higher levels of ambient carbon dioxide (CO2) (i.e., 2000 - 5000 ppm) than what is typically considered normal (i.e., 400 - 600 ppm). Although significant cognitive impairments are rarely reported at these elevated CO2 levels, recent studies using the Strategic Management Simulation (SMS) test have found impairments in decision-making performance during acute CO2 exposure at levels as low as 1000 ppm. This is a potential concern for submarine operations, as personnel regularly make mission-critical decisions that affect the safety and efficiency of the vessel and its crew while exposed to similar levels of CO2...
June 1, 2018: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/29788153/aggregate-analysis-of-sentinel-events-as-a-strategic-tool-in-safety-management-can-contribute-to-the-improvement-of-healthcare-safety
#5
Angelo B Hooker, Anouk Etman, Matthijs Westra, Wouter J Van der Kam
Objective: To examine if clustering of root causes of sentinel events (SEs) can contribute to organisational improvement of healthcare and patient safety by providing insight into organisational risk factors, patterns and trends. Design: Retrospective, cross-sectional review of SEs from a hospital database reported to the Board of directors in 2016. Setting: A regional teaching hospital in the Netherlands. Intervention(s): Clustering of characteristics and variables of SEs to establish vulnerabilities and patterns of failure factors of the organisation...
May 19, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29782586/reflective-practices-at-the-security-council-children-and-armed-conflict-and-the-three-united-nations
#6
Ingvild Bode
The United Nations Security Council passed its first resolution on children in armed conflict in 1999, making it one of the oldest examples of Security Council engagement with a thematic mandate and leading to the creation of a dedicated working group in 2005. Existing theoretical accounts of the Security Council cannot account for the developing substance of the children and armed conflict agenda as they are macro-oriented and focus exclusively on states. I argue that Security Council decision-making on thematic mandates is a productive process whose outcomes are created by and through practices of actors across the three United Nations: member states (the first United Nations), United Nations officials (the second United Nations) and non-governmental organizations (the third United Nations)...
June 2018: European journal of international relations
https://www.readbyqxmd.com/read/29781771/strategies-of-high-performing-teaching-hospitals
#7
James R Langabeer, Karima H Lalani, Rafeek A Yusuf, Jeffrey R Helton, Tiffany Champagne-Langabeer
Teaching hospitals are large and complex, and under constant financial pressure. In this study, we examine the financial performance of 80 large teaching hospitals in the 20 largest cities in the U.S. over the last five years, to identify which strategic and operational management factors separate high-performing hospitals from lower-performing ones. Results suggest that growth strategies should continue to be sought for improving long-term financial condition. Operational efficiency was less important than market share, economic status of surrounding community, hospital size, and teaching intensity...
May 21, 2018: Hospital Topics
https://www.readbyqxmd.com/read/29774765/-staying-safe-a-narrative-review-of-falls-prevention-in-people-with-parkinson-s-pdsafe
#8
Sophia Hulbert, Lynn Rochester, Alice Nieuwboer, Vicki Goodwin, Carolyn Fitton, Kim Chivers-Seymour, Ann Ashburn
BACKGROUND: Parkinson's disease demonstrates a spectrum of motor and non-motor symptoms. Falling is common and disabling. Current medical management shows minimal impact to reduce falls or fall-related risk factors, such as deficits in gait, strength, and postural instability. Despite evidence supporting rehabilitation in reducing fall risk factors, the most appropriate intervention to reduce overall fall rate remains inconclusive. This article aims to 1) synthesise current evidence and conceptual models of falls rehabilitation in Parkinson's in a narrative review; and based on this evidence, 2) introduce the treatment protocol used in the falls prevention and multi-centre clinical trial "PDSAFE"...
May 18, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29762418/emergency-intubation-early-identification-and-strategic-management-can-save-lives
#9
Joshua A Bloomstone, Randal O Dull, William F Eckhardt, William T McGee
No abstract text is available yet for this article.
June 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29760597/application-of-an-incident-taxonomy-for-radiation-therapy-analysis-of-five-years-of-data-from-three-integrated-cancer-centres
#10
Stuart Greenham, Stephen Manley, Kirsty Turnbull, Matthew Hoffmann, Amara Fonseca, Justin Westhuyzen, Andrew Last, Noel J Aherne, Thomas P Shakespeare
Aim: To develop and apply a clinical incident taxonomy for radiation therapy. Background: Capturing clinical incident information that focuses on near-miss events is critical for achieving higher levels of safety and reliability. Methods and materials: A clinical incident taxonomy for radiation therapy was established; coding categories were prescription, consent, simulation, voluming, dosimetry, treatment, bolus, shielding, imaging, quality assurance and coordination of care...
May 2018: Reports of Practical Oncology and Radiotherapy
https://www.readbyqxmd.com/read/29752253/barriers-and-facilitators-affecting-patient-portal-implementation-from-an-organizational-perspective-qualitative-study
#11
Laura Kooij, Wim G Groen, Wim H van Harten
BACKGROUND: The number of patient portals is rising, and although portals can have positive effects, their implementation has major impacts on the providing health care institutions. However, little is known about the organizational factors affecting successful implementation. Knowledge of the specific barriers to and facilitators of various stakeholders is likely to be useful for future implementations. OBJECTIVE: The objective of this study was to identify the barriers to and facilitators of patient portal implementation facing various stakeholders within hospital organizations in the Netherlands...
May 11, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29743129/establishing-a-twin-register-an-invaluable-resource-for-behavior-genetic-epidemiological-biomarker-and-omics-studies
#12
Veronika V Odintsova, Gonneke Willemsen, Conor V Dolan, Jouke-Jan Hottenga, Nicholas G Martin, P Eline Slagboom, Juan R Ordoñana, Dorret I Boomsma
Twin registers are wonderful research resources for research applications in medical and behavioral genetics, epidemiology, psychology, molecular genetics, and other areas of research. New registers continue to be launched all over the world as researchers from different disciplines recognize the potential to boost and widen their research agenda. In this article, we discuss multiple aspects that need to be taken into account when initiating a register, from its preliminary sketch to its actual development...
May 10, 2018: Twin Research and Human Genetics: the Official Journal of the International Society for Twin Studies
https://www.readbyqxmd.com/read/29743083/policy-environment-for-prevention-control-and-management-of-cardiovascular-diseases-in-primary-health-care-in-kenya
#13
Gershim Asiki, Shuai Shao, Carol Wainana, Christopher Khayeka-Wandabwa, Tilahun N Haregu, Pamela A Juma, Shukri Mohammed, David Wambui, Enying Gong, Lijing L Yan, Catherine Kyobutungi
BACKGROUND: In Kenya, cardiovascular diseases (CVDs) accounted for more than 10% of total deaths and 4% of total Disability-Adjusted Life Years (DALYs) in 2015 with a steady increase over the past decade. The main objective of this paper was to review the existing policies and their content in relation to prevention, control and management of CVDs at primary health care (PHC) level in Kenya. METHODS: A targeted document search in Google engine using keywords "Kenya national policy on cardiovascular diseases" and "Kenya national policy on non-communicable diseases (NCDs)" was conducted in addition to key informant interviews with Kenyan policy makers...
May 9, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29742879/radiation-therapy-against-pediatric-malignant-central-nervous-system-tumors-embryonal-tumors-and-proton-beam-therapy
#14
REVIEW
Do Hoon Lim
Radiation therapy is highly effective for the management of pediatric malignant central nervous system (CNS) tumors including embryonal tumors. With the increment of long-term survivors from malignant CNS tumors, the radiation-related toxicities have become a major concern and we need to improve the treatment strategies to reduce the late complications without compromising the treatment outcomes. One of such strategies is to reduce the radiation dose to craniospinal axis or radiation volume and to avoid or defer radiation therapy until after the age of three...
May 2018: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/29739395/exploring-the-networking-behaviors-of-hospital-organizations
#15
Fausto Di Vincenzo
BACKGROUND: Despite an extensive body of knowledge exists on network outcomes and on how hospital network structures may contribute to the creation of outcomes at different levels of analysis, less attention has been paid to understanding how and why hospital organizational networks evolve and change. The aim of this paper is to study the dynamics of networking behaviors of hospital organizations. METHODS: Stochastic actor-based model for network dynamics was used to quantitatively examine data covering six-years of patient transfer relations among 35 hospital organizations...
May 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29736115/developing-a-training-course-for-spiritual-counselors-in-health-care-evidence-from-iran
#16
Behzad Damari, Ahmad Hajebi, Jafar Bolhari, Alireza Heidari
Background: Spiritual health can cause mental health promotion and well-being of the people's lives but it is still neglected in practice so that there is no trace of spiritual training in medical education in Iran. This study was conducted to develop a training course for spiritual counselors in the Iranian health-care system. Methods: In this qualitative study, senior managers of the Ministry of Health (MOH) and experts in the related fields were purposively selected as the participants...
April 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29734570/a-historical-review-of-the-u-s-navy-s-busiest-recompression-chamber-in-the-pacific-theater-with-a-current-perspective-on-caring-for-civilian-divers-within-its-area-of-responsibility-short-communication
#17
Christopher Rendina
On the island Nation of Guam, the United States Department of Defense has stationed military personnel from every service branch. Guam is utilized as a strategic waypoint for the U.S. military in the Pacific theater. As the largest service branch in the region, the Navy has placed a few Diving Medical Officers in Guam to collectively manage and treat patients with recompression therapy. Guam is also a popular tourist destination, with multiple recreational diving companies certifying individuals who are looking to take advantage of the beautiful warm water and exotic marine life...
March 2018: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/29734014/effects-of-agricultural-land-use-on-sediment-and-nutrient-retention-in-valley-bottom-wetlands-of-migina-catchment-southern-rwanda
#18
Abias Uwimana, Anne A van Dam, Gretchen M Gettel, Kenneth Irvine
Factors affecting the retention and export of water, sediments (TSS), nitrogen (TN) and phosphorus (TP) were examined in the Migina river catchment, southern Rwanda from May 2012 to May 2013. Landscape characteristics and seasonal changes in land use and land cover (LULC), rainfall, discharge, and area-specific net stream yields of TSS, TP and TN were measured monthly in 16 reaches of the Munyazi sub-catchment with five valley bottom LULC categories (grass/forest, ponds/reservoirs, ploughed, rice, and vegetables)...
May 4, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29727853/strategic-grazing-management-towards-sustainable-intensification-at-tropical-pasture-based-dairy-systems
#19
Guilhermo F S Congio, Camila D A Batalha, Marília B Chiavegato, Alexandre Berndt, Patrícia P A Oliveira, Rosa T S Frighetto, Thomas M R Maxwell, Pablo Gregorini, Sila C Da Silva
Agricultural systems are responsible for environmental impacts that can be mitigated through the adoption of more sustainable principles. Our objective was to investigate the influence of two pre-grazing targets (95% and maximum canopy light interception during pasture regrowth; LI95% and LIMax , respectively) on sward structure and herbage nutritive value of elephant grass cv. Cameroon, and dry matter intake (DMI), milk yield, stocking rate, enteric methane (CH4 ) emissions by Holstein × Jersey dairy cows...
May 1, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29727836/fish-thermal-habitat-current-use-and-simulation-of-thermal-habitat-availability-in-lakes-of-the-argentine-patagonian-andes-under-climate-change-scenarios-rcp-4-5-and-rcp-8-5
#20
Pablo H Vigliano, Magalí M Rechencq, María V Fernández, Gustavo E Lippolt, Patricio J Macchi
Habitat use in relation to the thermal habitat availability and food source as a forcing factor on habitat selection and use of Percichthys trucha (Creole perch), Oncorhynchus mykiss (rainbow trout), Salmo trutta (brown trout) and Salvelinus fontinalis (brook trout) were determined as well as future potential thermal habitat availability for these species under climate change scenarios Representative Concentration Pathways 4.5 and 8.5. This study was conducted in three interconnected lakes of Northern Patagonia (Moreno Lake system)...
May 1, 2018: Science of the Total Environment
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