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https://www.readbyqxmd.com/read/30317709/-referral-and-coordination-of-healthcare-from-primary-care-to-angiology-and-vascular-surgery-a-center-s-experience
#1
João Rocha Neves, Marta Casal Moura, André Ferreira, Joel Sousa, Luís Gamas, Mário Vieira, Alcídia Pereira, Hélio Alves, José Teixeira
INTRODUCTION: Minimally invasive revascularization of the left anterior descending coronary artery has gained popularity. Recently, the emergence of new surgical instruments and the improvement of the technique, allowed its use by routine. Its use in Heart Team allows excellent results. Our aim is to present the results of patients undergoing this technique in our center. METHODS: Retrospective study of patients submitted to minimally invasive revascularization of the left anterior descending coronary artery at our center...
January 2018: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/30313057/use-of-steroid-and-nonsteroidal-anti-inflammatories-in-the-treatment-of-rheumatoid-arthritis-systematic-review-protocol
#2
Mariana Del Grossi Moura, Luciane Cruz Lopes, Marcus Tolentino Silva, Sílvio Barberato-Filho, Rogério Heládio Lopes Motta, Cristiane de Cássia Bergamaschi
BACKGROUND: Rheumatoid arthritis affects 1% of the world's population and its current treatment options are costly. There are not enough studies that evaluated the efficacy and safety of anti-inflammatory drugs medications used to reduce rheumatoid arthritis's symptoms. This study will evaluate the effectiveness and the safety of steroid and nonsteroidal anti-inflammatory drugs for the treatment of patients with rheumatoid arthritis. METHODS: Randomized clinical trials eligible for our systematic review will enroll adults with rheumatoid arthritis treated with anti-inflammatory drugs compared with a control group (placebo or active control) at any dose, duration, and route of administration and double blind studies...
October 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30312614/risks-and-rewards-of-advanced-practice-providers-in-cardiothoracic-surgery-training-national-survey
#3
David Blitzer, Elizabeth H Stephens, Vakhtang Tchantchaleishvili, Xiaoying Lou, Peter Chen, Greg Pattakos, Panos N Vardas
BACKGROUND: Changes in healthcare have led to increasing utilization of Advanced Practice Providers (APPs), but their role in Cardiothoracic Surgery (CTS) education remains undefined. This study aimed to analyze the extent of APP utilization on the CTS team, their role within the hierarchy of clinical care, and the impact of PEs on CTS training from the resident perspective. METHODS: CTS residents' responses to the 2017 Thoracic Surgery Residents Association (TSRA)/Thoracic Surgery Directors Association (TSDA) In-Service Training Examination (ITE) survey regarding the role of APPs in specific clinical scenarios, and perception of APP contribution to residents' educational environment were analyzed...
October 9, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30309994/is-care-based-on-comprehensive-geriatric-assessment-with-mobile-teams-better-than-usual-care-a-study-protocol-of-a-randomised-controlled-trial-the-germot-study
#4
Anne Wissendorff Ekdahl, Anna Axmon, Magnus Sandberg, Katarina Steen Carlsson
INTRODUCTION: Comprehensive geriatric assessment (CGA) is a multidimensional, interdisciplinary diagnostic process used to determine the medical, psychological and functional capabilities of frail older people. The primary aim of our current study is to confirm whether CGA-based outpatient care is superior than usual care in terms of health-related outcomes, resource use and costs. METHODS AND ANALYSIS: The Geriatric Mobile Team trial is designed as a single-centre randomised, controlled, assessor-blinded (at baseline) trial...
October 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/30309384/new-perspectives-on-substituted-relational-autonomy-for-shared-decision-making-in-critical-care
#5
Nicola Grignoli, Valentina Di Bernardo, Roberto Malacrida
In critical care when unconscious patients are assisted by machines, humanity is mainly ensured by respect for autonomy, realised through advance directives or, mostly, reconstructed by cooperation with relatives. Whereas patient-centred approaches are widely discussed and fostered, managing communication in complex, especially end-of-life, situations in open intensive care units is still a point of debate and a possible source of conflict and moral distress. In particular, healthcare teams are often sceptical about the growing role of families in shared decision-making and their ability to represent patients' preferences...
October 11, 2018: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/30309368/supporting-aboriginal-and-torres-strait-islander-cultural-educators-and-cultural-mentors-in-australian-general-practice-education
#6
Jennifer Reath, Penelope Abbott, Linda Kurti, Ruth Morgan, Mary Martin, Ada Parry, Elaine Gordon, Julian Thomas, Marlene Drysdale
BACKGROUND: Promoting cultural competence of health professionals working with Aboriginal and Torres Strait Islander communities is key to improving health outcomes. Cultural Educators and Cultural Mentors (CE/ CMs) have critical roles in Australian general practice training, yet these are not well understood. METHODS: Guided by a CE/CM Network, our research team including experienced CE/CMs, used surveys and semi-structured interviews to explore these roles and investigate best practice in employment and support...
October 11, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/30308592/examining-medical-office-owners-and-clinicians-perceptions-on-patient-safety-climate
#7
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/30308242/remote-monitoring-of-patients-with-heart-failure-a-white-paper-from-the-heart-failure-society-of-america-scientific-statements-committee
#8
Michael G Dickinson, Larry A Allen, Nancy A Albert, Thomas Di Salvo, Gregory A Ewald, Amanda R Vest, David J Whellan, Michael R Zile, Michael M Givertz
BACKGROUND: After several neutral telehealth trials, the positive findings and subsequent FDA approval of an implantable pulmonary artery pressure monitor (PAPM) led to renewed interest in remote patient monitoring (RPM). Here we seek to provide contemporary guidance on the appropriate use of RPM technology. FINDINGS: Although early trials of external RPM devices suggested benefit, subsequent multicenter trials failed to demonstrate improved outcomes. Monitoring features of cardiac implantable electronic devices (CIEDs) also did not deliver improved HF outcomes; although, newer multi-sensor algorithms may be better...
October 8, 2018: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/30308136/implementing-key-changes-in-the-american-thyroid-association-2015-thyroid-nodules-differentiated-thyroid-cancer-guidelines-across-practice-types
#9
Christine L Twining, Mark A Lupo, R Michael Tuttle
OBJECTIVE: This article provides suggestions to help clinicians implement important changes in the 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Carcinoma ("ATA 2015") across diverse settings. METHODS: Key ATA 2015 changes are summarized regarding: ( 1) thyroid nodule management; ( 2) lobectomy versus thyroidectomy for differentiated thyroid carcinoma (DTC); and ( 3) surveillance following primary treatment of DTC...
September 2018: Endocrine Practice
https://www.readbyqxmd.com/read/30307685/an-integrative-review-on-family-caregivers-involvement-in-care-of-home-dwelling-elderly
#10
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/30307635/orofacial-pain-assessment-and-management-for-patients-with-dementia-a-meta-ethnography
#11
REVIEW
Andrew R Geddis-Regan, Margaret Stewart, Rebecca R Wassall
Delivering dental treatment for patients with dementia can be challenging and the complexity of treatment provision can increase as dementia progresses. Treatment at the later stages of dementia can be associated with ethical challenges and procedural risk meaning that a comprehensive patient assessment is crucial; the presence of orofacial pain is a key indication for active intervention from dental teams. To explore the process of oro-facial pain assessment and management, a comprehensive review of qualitative literature was undertaken by searching six electronic databases...
October 11, 2018: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/30306947/team-competencies-and-educational-threshold-concepts-for-clinical-information-modelling
#12
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/30305058/maternal-mortality-in-the-gaza-strip-a-look-at-causes-and-solutions
#13
Bettina Bӧttcher, Nasser Abu-El-Noor, Belal Aldabbour, Fadel Naim Naim, Yousef Aljeesh
BACKGROUND: Maternal mortality is an important health indicator for the overall health of a population. This study assessed the causes and contributing factors to maternal mortality that occurred in the Gaza-Strip between July 2014 and June 2015. METHODS: This is a retrospective study that used both quantitative and qualitative data. The data were collected from available medical records, investigation reports, death certificates, and field interviews with healthcare professionals as well as families...
October 11, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/30304620/improving-communication-skills-within-the-nephrology-unit
#14
Jennifer Payton
Effective communication skills are critical in nephrology units for patients, staff members, and the organization to decrease errors, work together as an interdisciplinary team, and have smoothly running unit operations. The desire and willingness to communicate are important for maintaining safety in healthcare settings, and the lack of effective communication is the most common patient complaint. Skills needed for successful communication include verbal dialogue, active listening, interpretation of body language, empathy, confidence, charisma, and cooperativeness...
May 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304197/incidents-reporting-barriers-and-strategies-to-promote-safety-culture
#15
Fabiana Rossi Varallo, Aline Cristina Passos, Tales Rubens de Nadai, Patricia de Carvalho Mastroianni
OBJECTIVE: The purpose was to identify the barriers of underreporting, the factors that promote motivation of health professionals to report, and strategies to enhance incidents reporting. METHOD: Group conversations were carried out within a hospital multidisciplinary team. A mediator stimulated reflection among the subjects about the theme. Sixty-five health professionals were enrolled. RESULTS: Complacency and ambition were barriers exceeded...
October 4, 2018: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/30303883/development-of-a-multistep-hypertension-quality-improvement-program-in-an-academic-general-medicine-practice
#16
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/30303853/perioperative-safety-in-coronary-artery-bypass-grafting-the-role-of-the-anesthesiologist
#17
Josh Zimmerman, Linda Shore-Lesserson
PURPOSE OF REVIEW: As our population ages and cardiovascular disease increases in prevalence, a growing number of patients will be candidates for coronary artery bypass grafting (CABG). Outcomes from this common surgery can be improved by a coordinated team approach involving physicians, nurses, and healthcare professionals from multiple specialties. This review will discuss the role cardiovascular anesthesiologists play in the perioperative care of these complex patients. RECENT FINDINGS: Cardiovascular anesthesiologists may play a variety of important roles throughout the entire perioperative period of patients undergoing CABG...
November 2018: Current Opinion in Cardiology
https://www.readbyqxmd.com/read/30303417/psychometric-validation-of-team-experiences-questionnaire-in-preregistration-chinese-health-and-social-care-students-in-hong-kong
#18
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/30299225/darzi-clinical-leadership-fellows-an-activity-theory-perspective
#19
Rebecca Malby, Kieran Mervyn, Terry J Boyle
PURPOSE: The purpose of this paper is to review the impact of the clinical leadership programme, in enabling the Darzi fellows to lead change projects in health and care services, and to secure quality healthcare in the NHS beyond the lifetime of the programme. DESIGN/METHODOLOGY/APPROACH: A longitudinal empirical investigation of clinical leaders ( n=80) over an eight-year period was framed through an activity theory (AT)-driven research methodology using a mixed-methods approach...
September 17, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/30299223/team-based-communication-and-the-healthcare-communication-space
#20
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
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