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https://www.readbyqxmd.com/read/30322431/how-consultant-pharmacists-gained-access-to-maryland-s-health-information-exchange
#1
Daniel Z Mansour, Joseph G Marek, Rachelle Shelly Spiro, Nicole J Brandt
The Chesapeake Regional Information System for our Patients (CRISP) is a health information exchange in Maryland that is designed to improve communication among members of the health care team including physicians, nurses, and other health professionals. Senior care pharmacists gained access to CRISP through successful collaborative efforts at both the state and national levels. This involved efforts to address medication-related problems that continue to be a concern during transitions of care, especially for older, vulnerable adults...
October 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/30321895/futility-and-patients-who-insist-on-medically-ineffective-therapy
#2
Laura Cifrese, Fred Rincon
As medical decisions fall under more scrutiny and society demands increasing transparency of care, it is likely that more opportunities for conflicts will emerge. Similarly, with increasing demand and a static supply, the issue of who receives treatment and for how long naturally will arise. This mismatch leads to discussions of resource utilization and limitation of care in light of patients' values and rights. Clinicians should always be forthcoming with the uncertainty of prognostication while also articulating the severity of a patient's disease in relation to the risk and benefits of an intervention...
October 2018: Seminars in Neurology
https://www.readbyqxmd.com/read/30321887/medical-ethics-education-for-neurology-residents-where-do-we-go-from-here
#3
Christopher B Traner, Dorothy W Tolchin, Benjamin Tolchin
Neurologists regularly confront complex clinical scenarios that require the application of ethical principles to achieve a respectful and fair resolution. In this article, we describe the types of ethically precarious scenarios neurologists encounter, the current status of standards for ethics and communication training for neurology residents, and the present practice of ethics training in neurology residency programs. We make recommendations for optimizing bioethics training for neurology residents and suggest methods for assessing the efficacy of these training initiatives...
October 2018: Seminars in Neurology
https://www.readbyqxmd.com/read/30321581/dermoscopy-dermatoscopy-and-dermatopathology-correlates-of-cutaneous-neoplasms
#4
REVIEW
Oriol Yélamos, Ralph P Braun, Konstantinos Liopyris, Zachary J Wolner, Katrin Kerl, Pedram Gerami, Ashfaq A Marghoob
Dermoscopy is increasingly used by clinicians (dermatologists, family physicians, podiatrists, doctors of osteopathic medicine, etc.) to inform clinical management decisions. Dermoscopic findings and/or images provided to pathologists offer an important insight into the clinician's diagnostic and management thought process. However, with limited dermoscopic training in dermatopathology, dermoscopic descriptions and images provided in the requisition form will provide little value to pathologists. Since most dermoscopic structures have direct histopathological correlates, dermoscopy can act as an excellent communication bridge between the clinician and the pathologist...
October 12, 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/30321556/diabesity-and-brain-disturbances-a-metabolic-perspective
#5
REVIEW
Susana Cardoso, Paula I Moreira
The last decades have been marked by an increased prevalence in non-communicable diseases such as obesity and type 2 diabetes (T2D) as well as by population aging and age-related (brain) diseases. The current notion that the brain and the body are interrelated units is gaining the attention of the scientific and medical community. Growing evidence demonstrates that there is a significant overlap in risk, comorbidity, and pathophysiological mechanisms across obesity, T2D and brain disturbances; settings that seem to be worsened when both obesity and T2D occur simultaneously, the so-called diabesity...
October 12, 2018: Molecular Aspects of Medicine
https://www.readbyqxmd.com/read/30320626/video-messaging-as-an-innovative-practice-for-cno-communication
#6
Sherry Stone, Edgar LaMotte Welch, Linda Hofler
In an effort to meet the challenge of facilitating communication between the chief nursing officer (CNO) and the nursing staff in a large academic medical center, an innovative approach was developed. Brainstorming with the Media Services Team, a plan was devised that created an avenue for sustained connection between the CNO and the nursing staff and a vehicle for staff to connect with one another: video segments known as Nurses Notebook.
October 12, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/30320053/basic-accountability-to-stop-ill-treatment-basi-study-protocol-for-a-cluster-randomized-controlled-trial-in-rural-tanzania
#7
Redempta Mbatia, Jessica Cohen, Martin Zuakulu, Appolinary Bukuku, Shikha Chandarana, Eliudi Eliakimu, Sisty Moshi, Elysia Larson
Background: Poor health system experiences negatively affect the lives of poor people throughout the world. In East Africa, there is a growing body of evidence of poor quality care that in some cases is so poor that it is disrespectful or abusive. This study will assess whether community feedback through report cards (with and without non-financial rewards) can improve patient experience, which includes aspects of patient dignity, autonomy, confidentiality, communication, timely attention, quality of basic amenities, and social support...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/30318860/how-i-approach-expressing-condolences-and-longitudinal-remembering-to-a-family-after-the-death-of-a-child
#8
Meaghann S Weaver, Wendy G Lichtenthal, Kara Larson, Lori Wiener
Bereaved families fear their child being forgotten by those who knew their loved child, including their child's oncology team. Thoughtfully timed, family-centric condolences shared by pediatric oncology team members have the potential to extend our compassion and kindness toward a family during the darkness of grief. Well-intended medical teams sometimes feel "at a loss" in terms of what to say to a grieving family and how or when to say it. This paper provides a tangible overview of written or verbal condolence communication in a format that can be personalized to the provider and the patient's family...
October 14, 2018: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/30318384/monitoring-communication-skills-progress-of-medical-students-establishing-a-baseline-has-value-predicting-the-future-is-difficult
#9
Kathleen Hanley, Colleen Gillespie, Sondra Zabar, Jennifer Adams, Adina Kalet
OBJECTIVE: To provide evidence for the validity of an Introductory Clinical Experience (ICE) that was implemented as a baseline assessment of medical students' clinical communication skills to support progression of skills over time. METHODS: In this longitudinal study of communication skills, medical students completed the ICE, then a Practice of Medicine (POM) Objective Structured Clinical Exam 8 months later, and the Comprehensive Clinical Skills Exam (CCSE) 25 months later...
September 13, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/30318301/mistreatment-and-the-learning-environment-a-mixed-methods-approach-to-assess-knowledge-and-raise-awareness-amongst-residents
#10
Manuel Castillo-Angeles, Rodrigo Calvillo-Ortiz, Danilo Acosta, Ammara A Watkins, Amy Evenson, Katharyn M Atkins, Tara S Kent
OBJECTIVE: Trainee mistreatment, either intentional or unintentional, negatively affects the learning environment. This study was undertaken to evaluate the impact of an educational intervention about mistreatment and the learning environment on general surgery residents. DESIGN: Video-based modules were developed and added to the residency curriculum. Modules provided definitions and examples of active and passive mistreatment and components of positive and negative learning environments...
October 11, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/30317542/information-provision-for-people-with-multiple-sclerosis
#11
REVIEW
Sascha Köpke, Alessandra Solari, Anne Rahn, Fary Khan, Christoph Heesen, Andrea Giordano
BACKGROUND: People with multiple sclerosis (MS) are confronted with a number of important uncertainties concerning many aspects of the disease. These include diagnosis, prognosis, disease course, disease-modifying therapies, symptomatic therapies, and non-pharmacological interventions, among others. While people with MS demand adequate information to be able to actively participate in medical decision making and to self manage their disease, it has been shown that patients' disease-related knowledge is poor, therefore guidelines recommend clear and concise high-quality information at all stages of the disease...
October 14, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/30317263/learning-to-cure-with-care-awareness-of-faculty-and-medical-students-about-student-s-roles-related-to-patient-safety
#12
Ayesha Ayub, Rehan Ahmed Khan
OBJECTIVE: To explore the awareness of faculty and medical students about students' roles with respect to patient safety and to define the domains that should be made a part of undergraduate curriculum. METHODS: The descriptive exploratory qualitative research was conducted from December 2016 to March 2017 at Islamic International Medical College, Rawalpindi, Pakistan, and comprised faculty members and final year medical students. World Health Organisation patient safety curriculum guideline for undergraduate medical schools was taken as the reference...
September 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/30316733/assessing-the-discharge-instructing-in-the-emergency-department-patient-perspective
#13
M Mäkinen, M Castrén, K Huttunen, S Sundell, J Kaartinen, M Ben-Meir, M Renholm
OBJECTIVE: The objective of the study is to assess how well the emergency department (ED) personnel succeed in instructing the patient at discharge. METHODS: In November and December 2016 at Peijas Hospital ED, Finland, a structured questionnaire was conducted during a phone interview on patients the day after discharge. RESULTS: A total of 132 patients interviewed. Ninety percent had received discharge instructions from the ED staff, most of them (75%) about medication...
October 10, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30314497/emotion-recognition-and-extraversion-of-medical-students-interact-to-predict-their-empathic-communication-perceived-by-simulated-patients
#14
Teresa Schreckenbach, Falk Ochsendorf, Jasmina Sterz, Miriam Rüsseler, Wolf Otto Bechstein, Bernd Bender, Myriam N Bechtoldt
BACKGROUND: This study assessed the impact of medical students' emotion recognition ability and extraversion on their empathic communication, as perceived by simulated patients in a training context. METHODS: This study used a crossed-effect data structure and examined 245 students in their fourth year of medical school. The students' personality traits were assessed based on a self-assessment questionnaire of the short form of the Big Five Inventory; their emotion recognition ability was measured using a performance test (Diagnostic Analysis of Nonverbal Accuracy-2, Adult Facial Expressions)...
October 11, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/30312520/the-experience-of-medical-communication-in-adults-with-acute-leukemia-impact-of-age-and-attachment-security
#15
Brooke Fraser, Chana Korenblum, Kenneth Mah, Sarah Watt, Carmine Malfitano, Anne Rydall, Aaron Schimmer, Camilla Zimmermann, Gary Rodin
BACKGROUND: Healthcare providers' (HCPs) communication with cancer patients provides both information and support. Younger patient age and greater difficulty accepting support (attachment security) have been linked to poorer communication experiences with HCPs. The present secondary data analysis examined the impact of age group and attachment security on perceived communication problems with HCPs in adults with acute leukemia (AL). METHODS: The sample included 95 younger (age <40 years) and 225 older (age >40 years) patients with newly-diagnosed or relapsed AL...
October 12, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/30311428/mandatory-medication-content-in-the-curricula-of-six-healthcare-personnel-types-with-patient-contact-in-denmark
#16
Louise C Druedahl, Johanne Mølby Hansen, Ellen Linnea Freese, Anna Birna Almarsdóttir, Janine M Traulsen
Medication use is a complex process involving different types of healthcare personnel. This study investigated and compared mandatory medication content in the curricula of six types of healthcare personnel with patient contact. Using content analysis, three independent raters analysed the mandatory medication content for physicians, pharmacists, pharmaconomists, nurses, healthcare assistants, and support workers in the Capital Region of Denmark. Three dimensions were analysed: communication with patients about medication, medication use or pharmacology, and medication formulation and production...
October 12, 2018: Basic & Clinical Pharmacology & Toxicology
https://www.readbyqxmd.com/read/30311376/genetic-database-software-as-medical-devices
#17
Adrian Thorogood, Seydina B Touré, Johan Ordish, Alison Hall, Bartha Knoppers
This article provides a primer on medical device regulations in the United States, Europe, and Canada. Software tools are being developed and shared globally to enhance the accessibility and usefulness of genomic databases. Interactive software tools, such as email or mobile alert systems providing variant classification updates, are opportunities to democratize access to genomic data beyond laboratories and clinicians. Uncertainty over the reliability of outputs, however, raises concerns about potential harms to patients, especially where software is accessible to lay users...
November 2018: Human Mutation
https://www.readbyqxmd.com/read/30311064/patient-monitoring-system-using-cognitive-internet-of-things
#18
B Lakshmi Dhevi, K S Vishvaksenan, K Senthamil Selvan, A Rajalakshmi
In this article, we ponder multi-user medical image transmission using Cognitive Multiple-input Multiple-output (MIMO) Multi-carrier Code-division-multiple-access (MC-CDMA) system to monitor patient information. We investigate the performance of such system in the communication layer and application layer of internet of things (IOT). Patient monitoring system plays vital role in the hospital particularly in the emergency ward to resolve certain problems such as maintaining glucose level in the body, maintaining minimum sugar levels under emergency conditions...
October 11, 2018: Journal of Medical Systems
https://www.readbyqxmd.com/read/30310345/current-perspectives-on-the-role-of-body-painting-in-medical-education
#19
REVIEW
Gabrielle M Finn
Body painting is a popular teaching and learning tool within medical education. Art-based approaches, such as body painting, allow students to learn in a fun and engaging manner. They are particularly useful for students who struggle with cadaveric study of anatomy. Body painting is not only limited to use for anatomical study, but it can also be beneficial as a mechanism for introducing clinical examination and associated communication skills. The use of vibrant color adds to its appeal and is often cited as the mechanism through which students effectively learn...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/30310338/online-information-and-support-needs-of-young-people-with-cancer-a-participatory-action-research-study
#20
Sarah Lea, Ana Martins, Sue Morgan, Jamie Cargill, Rachel M Taylor, Lorna A Fern
Purpose: The Internet is a fully integrated part of young people's life and it is pivotal that online resources are developed to maximize the potential of the Internet to support those living with and beyond cancer. We sought to understand how young people with a cancer diagnosis use the Internet and to what extent information and support needs are met by existing online resources. Patients and methods: This was a participatory action research study involving 21 young people participating in workshops and individual interviews...
2018: Adolescent Health, Medicine and Therapeutics
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