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medical communications

Jane O Schell, Robert A Cohen, Jamie A Green, Doris Rubio, Julie W Childers, Rene Claxton, Kwonho Jeong, Robert M Arnold
CONTEXT: Nephrologists care for a medically complex population that faces difficult decisions around treatment options and end of life care. Yet communication training within nephrology fellowship is rare. Prior work suggests that communication training in nephrology can improve perceived preparedness to engage in difficult conversations, however it is unclear if this training results in improved clinical skills. OBJECTIVES: The primary aim was to evaluate the efficacy of a three-day curriculum for nephrology fellows (NephroTalk) to improve communication skill acquisition for delivering serious news...
August 14, 2018: Journal of Pain and Symptom Management
Brian D Sumner, Emily A Grimsley, Niall H Cochrane, Ryan R Keane, Alexis B Sandler, Paul C Mullan, Karen J O'Connell
BACKGROUND: The National Association of EMS Physicians emphasizes the importance of high quality communication between emergency medical services (EMS) providers and emergency department (ED) staff for providing safe, effective care. The Joint Commission has identified ineffective handoff communication as a contributing factor in 80% of serious medical errors. The quality of handoff communication from EMS to ED teams for critically ill pediatric patients needs further exploration. OBJECTIVE: This study assessed the quality of handoff communication between EMS and ED staff during pediatric medical resuscitations...
August 17, 2018: Prehospital Emergency Care
Isabel T Gross, Ryan F Coughlin, David C Cone, Sandy Bogucki, Marc Auerbach, Mark X Cicero
OBJECTIVE: The aim of this study was to assess the staff perception of a global positioning system (GPS) as a patient tracking tool at an emergency department (ED) receiving patients from a simulated mass casualty event. METHODS: During a regional airport disaster drill a plane crash with 46 pediatric patients was simulated. Personnel from airport fire, municipal fire, law enforcement, emergency medical services, and emergency medicine departments were present. Twenty of the 46 patient actors required transport for medical evaluation, and we affixed GPS devices to 12 of these actors...
August 17, 2018: Prehospital Emergency Care
Terri Link
The perioperative environment is fast paced and complex. Competing responsibilities, noise and distractions, and reluctance of team members to speak up when they are aware of a potential patient safety issue are all barriers to effective communication in the perioperative setting. Communication breakdowns among health care providers can lead to medical errors and patient harm. Accurate and complete communication about the patient and the patient's care can contribute to improved efficiency, better patient outcomes, and fewer adverse events...
August 2018: AORN Journal
Silas Taylor, Samantha Bobba, Sophie Roome, Marrwah Ahmadzai, Daniel Tran, Dominic Vickers, Mominah Bhatti, Dinuksha De Silva, Lauren Dunstan, Ryan Falconer, Harleen Kaur, Jed Kitson, Jamie Patel, Boaz Shulruf
Background: Educators utilize real patients, simulated patients (SP), and student role play (RP) in communication skills training (CST) in medical curricula. The chosen modality may depend more on resource availability than educational stage and student needs. In this study, we set out to determine whether an inexpensive volunteer SP program offered an educational advantage compared to RP for CST in preclinical medical students. Methods: Students and volunteer SPs participated in interactions across two courses...
January 2018: Education for Health: Change in Training & Practice
Viswanathan Mohan, O Dale Williams, Sundarapandi Chella, Ranjit Unnikrishnan, Ranjit Mohan Anjana, Sudha Vidyasagar, Prasanta Kumar Bhattacharya, Nayanjeet Chaudhury, Anand Krishnan, Stephanie Garcia, Cora E Lewis, Myron Gross, Rajendra Pradeepa
Background.: Non-communicable diseases (NCDs)-a term which includes diabetes, cardiovascular disease, cancers, chronic respiratory diseases, and mental illness-are now the major cause of death in India and pose healthcare and economic challenges. There is an urgent need for enhanced clinical research training and capacity building for NCD prevention and control in India. Methods.: We describe a multi-pronged approach funded in part by the US National Institutes of Health Fogarty International Center, which was initiated in 2001, to train Indian present and future scientists/doctors in NCD prevention and control...
November 2017: National Medical Journal of India
Sathyaraj Venkatesan, Sweetha Saji
Effective doctor patient relationships are predicated on doctors' relational engagement and affective/holistic communication with the patients. On the contrary, the contemporary healthcare and patient-clinician communication are at odds with the desirable professional goals, often resulting in dehumanization and demoralization of patients. Besides denigrating the moral agency of a patient such apathetic interactions and unprofessional approach also affect the treatment and well-being of the sufferer. Foregrounding multifaceted doctor-patient relationships, graphic pathographies are a significant cultural resource which recreate the embodied moment of clinical encounters as they also lay bare qualitative tensions between patient' illness experience with doctor's professional understanding of the same...
August 17, 2018: Journal of Medical Humanities
Mihajlo Jakovljevic, Sanaa Al Ahdab, Milena Jurisevic, Sulaiman Mouselli
Pharmaceutical sector of Syrian Arab Republic before the war was characterized by bold and successful development since the late 1980s. With the beginning of war in the country back in March 2011, momentum has changed significantly. Traumatism, communicable diseases related to morbidity and mortality as well as wound infections became particularly hot public health concern. This relates not only to the direct victims of military conflict but also to the displaced civilians, refugees, and ordinary citizens alike...
2018: Frontiers in Public Health
Jia Li, Minghui Liu, Xiaojun Li, Xuan Liu, Jingfang Liu
BACKGROUND: Web-based physician reviews are invaluable gold mines that merit further investigation. Although many studies have explored the text information of physician reviews, very few have focused on developing a systematic topic taxonomy embedded in physician reviews. The first step toward mining physician reviews is to determine how the natural structure or dimensions is embedded in reviews. Therefore, it is relevant to develop the topic taxonomy rigorously and systematically. OBJECTIVE: This study aims to develop a hierarchical topic taxonomy to uncover the latent structure of physician reviews and illustrate its application for mining patients' interests based on the proposed taxonomy and algorithm...
August 16, 2018: Journal of Medical Internet Research
Louise S Deeks, Mark Naunton, Guan Han Tay, Gregory M Peterson, Gregory Kyle, Rachel Davey, Paresh Dawda, John Goss, Gabrielle M Cooper, Julie Porritt, Sam Kosari
BACKGROUND AND OBJECTIVES: Non-dispensing pharmacists are being suggested as a useful addition to the workforce in general practice. The aim of this study was to describe the activities of three general practice pharmacists over six months in a pilot trial. METHOD: Three general practices integrated a part-time (15.2-16 hours per week) non-dispensing pharmacist to be employed according to their individual skillset and local workplace needs. Each general practice pharmacist maintained a daily activity diary, which was subsequently analysed...
August 2018: Australian journal of general practice
Caroline Lang, Mandy Gottschall, Maik Sauer, Juliane Köberlein-Neu, Antje Bergmann, Karen Voigt
OBJECTIVES: The aim of the study was to identify interface problems between inpatient, GP and outpatient specialist care from the perspective of general practitioners in Dresden, especially in older multimorbid patients. METHODS: The data were collected in the context of the pilot study "Multimedication and its Consequences for the Primary Care of Patients in Saxony" and included guided interviews with 7 general practitioners. The interviews were transcribed and analyzed according to the inductive content analysis of Mayring...
August 16, 2018: Das Gesundheitswesen
Toby M Maher, Jeffrey J Swigris, Michael Kreuter, Marlies Wijsenbeek, Nicola Cassidy, Lucy Ireland, Judit Axmann, Steven D Nathan
BACKGROUND: Antifibrotics are recommended for the treatment of individuals with idiopathic pulmonary fibrosis (IPF), but treatment use remains at ∼60%. OBJECTIVE: To investigate the views of individuals with IPF and pulmonologists on the diagnosis and management of IPF to understand treatment patterns. METHODS: Interviews and/or online surveys were completed by patients and pulmonologists from Canada, France, Germany, Italy, Spain, and the UK...
August 16, 2018: Respiration; International Review of Thoracic Diseases
Bridget R Shaw, Sophie E Heywood, Carolyn J Page, Uyen M Phan, Paula A Harding, Kerrie Walter, Desiree L Terrill, Catherine L Granger
OBJECTIVES: Advanced musculoskeletal physiotherapy (AMP) services are a safe, effective model of care, but without broad-scale healthcare implementation to date. The aim of the present study was to identify the barriers and enablers to implementation of 12 AMP services from the perspective of clinical staff. METHODS: In a qualitative study, 12 participants (physiotherapists), from 12 different healthcare networks (seven metropolitan, three regional, two rural), were included...
August 16, 2018: Musculoskeletal Care
Chiara Santomauro, Madeleine Powell, Chelsea Davis, David Liu, Leanne M Aitken, Penelope Sanderson
OBJECTIVES: Interruptions occur frequently in the intensive care unit (ICU) and are associated with errors. To date, no causal connection has been established between interruptions and errors in healthcare. It is important to know whether interruptions directly cause errors before implementing interventions designed to reduce interruptions in ICUs. The aim of the study was to investigate whether ICU nurses who receive a higher number of workplace interruptions commit more clinical errors and procedural failures than those who receive a lower number of interruptions...
August 14, 2018: Journal of Patient Safety
Caoimhe Madden, Sinéad Lydon, Ciara Curran, Andrew W Murphy, Paul O'Connor
BACKGROUND: There is limited research, and guidance, on how to address safety in general practice proactively. OBJECTIVES: This review aimed to synthesize the literature describing the use of patient record review (PRR) to measure and improve patient safety in primary care. The PRR methodologies utilized and the resulting outcomes were examined. METHODS: Searches were conducted using Medline, Embase, CINAHL and PsycINFO in February 2017. Reference lists of included studies and existing review papers were also screened...
December 2018: European Journal of General Practice
Debbie W Chen, Angela M Gerolamo, Elissa Harmon, Anna Bistline, Shoshana Sicks, Lauren Collins
BACKGROUND: Research on caregivers, defined as designated family members or support persons, in the medical intensive care unit (MICU) has primarily focused on their emotional needs and experiences, thus leaving a gap in knowledge related to their perceptions of team dynamics. OBJECTIVE: To examine caregivers' perceptions of team interactions and competencies for interprofessional collaborative practice (IPCP) and overall satisfaction with the MICU team. METHODS: The Support Person Jefferson Teamwork Observation Guide (JTOG)™ was administered to a convenience sample of caregivers in the MICU at a large urban academic medical center between May 2016 and December 2016...
August 15, 2018: Journal of General Internal Medicine
Kok Wai Kee, Cheryl Wai Teng Char, Anthony Yew Fei Yip
Introduction: Transition of care from hospital to primary care has been associated with increased medication errors. This review article aims to examine the existing evidence on interventions to reduce medication discrepancies or errors in primary or ambulatory care setting during care transition from hospital to primary care. Methods: We systematically reviewed the articles in primary or ambulatory care setting on patients with care transition that involved medication safety, discrepancy, or error as outcome assessment...
May 2018: Journal of Family Medicine and Primary Care
Jung Koo Lee, Hak-Cheol Ko, Jin-Gyu Choi, Youn Soo Lee, Byung-Chul Son
Here we report a rare case of diffuse leptomeningeal glioneuronal tumor (DLGNT) in a 62-year-old male patient misdiagnosed as having tuberculous meningitis. Due to its rarity and radiologic findings of leptomeningeal enhancement in the basal cisterns on magnetic resonance imaging (MRI) similar to tuberculous meningitis, DLGNT in this patient was initially diagnosed as communicating hydrocephalus from tuberculous meningitis despite absence of laboratory findings of tuberculosis. The patient's symptoms and signs promptly improved after a ventriculoperitoneal shunting surgery followed by empirical treatment against tuberculosis...
2018: Case Reports in Neurological Medicine
H Rodriguez-Caro, S A Williams
Non-communicable diseases (NCDs) are a major problem as they are the leading cause of death and represent a substantial economic cost. The 'Developmental Origins of Health and Disease Hypothesis' proposes that adverse stimuli at different life stages can increase the predisposition to these diseases. In fact, adverse in utero programming is a major origin of these diseases due to the high malleability of embryonic development. This review provides a comprehensive analysis of the scientific literature on in utero programming and NCDs highlighting potential medical strategies to prevent these diseases based upon this programming...
August 16, 2018: Journal of Developmental Origins of Health and Disease
Młgorzata Sadkowska-Todys, Andrzej Zieliński, Mirosław P. Czarkowski
OBJECTIVE OF THE ARTICLE: This is for the year 2016 subsequent annual analysis of the situation of infectious and parasitic diseases in Poland as part of the Epidemiological Chronicle of the Epidemiological Review. Its purpose is to summarize the collective incidence of infectious diseases and to indicate potential threats to the health of populations from communicable diseases occurring in Poland. MATERIAL AND METHODS: The basic source of epidemiological information for this summary is a summary of data from reports of the State Sanitary Inspection, contained in the annual bulletins “Infectious diseases and poisoning in Poland in 2016” and “Protective Vaccination in Poland in 2016” (1, 2)...
2018: Przegla̧d Epidemiologiczny
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