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“Patient safety”

Benson S Chen, Stephen H C Wong, Stewart Hawkins, Linda Huggins
Large volume paracentesis is effective in relieving the symptoms of malignant ascites, but frequent procedures are often required. Permanent peritoneal ports are an alternative to repeated procedures. We describe our experience with the use of peritoneal ports in patients at Middlemore Hospital (Auckland, New Zealand) who had a port inserted for the drainage of malignant ascites. Twenty-eight ports were inserted in 26 patients and accessed a total of 257 times with acceptably low rates of complications including cellulitis, peritonitis and wound dehiscence...
December 2018: Internal Medicine Journal
Melvin Bonilla-Félix, Marta Suárez-Rivera
BACKGROUND: Puerto Rico suffered a major humanitarian -crisis after Hurricane Maria. We describe our experience with patients with renal disease in an academic medical center. SUMMARY: A comprehensive emergency response plan should be developed, shared and discussed with the team and the patients prior to the hurricane. The needs of the staff should not be ignored to ensure their ability to participate as responders. Physical damage to facilities, lack of basic services, shortage of disposable products, and the inability to get to treatment centers are the most common threats...
December 5, 2018: Blood Purification
Maria Alice Dias da Silva Lima, Ana Maria Müller de Magalhães, Nelly Donszelmann Oelke, Giselda Quintana Marques, Elisiane Lorenzini, Luciana Andressa Feil Weber, Iris Fan
OBJECTIVE: To identify and analyze available literature on care transition strategies in Latin American countries. METHODS: Integrative literature review that included studies indexed in PubMed, LILACS, Web of Science Core Collection, CINAHL, SCOPUS databases, and the Scientific Electronic Library Online (SciELO), published in Portuguese, Spanish or English, between 2010 and 2017. RESULTS: Eleven articles were selected and the strategies were grouped into components of care transition: discharge planning, advanced care planning, patient education and promotion of self-management, medication safety, complete communication of information, and outpatient follow-up...
November 29, 2018: Revista Gaúcha de Enfermagem
Adriana Elisa Carcereri de Oliveira, Adrielle Barbosa Machado, Edson Duque Dos Santos, Érika Bicalho de Almeida
OBJECTIVE: To measure the response time of health professionals before sound alarm activation and the implications for patient safety. METHOD: This is a quantitative and observational research conducted in an Adult Intensive Care Unit of a teaching hospital. Three researchers conducted non-participant observations for seven hours. Data collection occurred simultaneously in 20 beds during the morning shift. When listening the alarm activation, the researchers turned on the stopwatches and recorded the motive, the response time and the professional conduct...
November 2018: Revista Brasileira de Enfermagem
Antonio Rahal Junior, Priscila Mina Falsarella, Guilherme Falleiros Mendes, Jairo Tabacow Hidal, Danielle Macellaro Andreoni, José Flávio Ferreira Lúcio, Marcos Roberto Gomes de Queiroz, Rodrigo Gobbo Garcia
OBJECTIVE: To evaluate safety and effectiveness of nodule volume reduction and thyroid function after percutaneous laser ablation treatment in patients with benign nonfunctioning thyroid nodules. METHODS: Prospective single-center study, from January 2011 to October 2012, which evaluated 30 euthyroid and thyroid antibodies negative patients with benign solitary or dominant nodule with indication of treatment due to compressive symptoms and aesthetic disturbances...
November 29, 2018: Einstein
Moara Avila de Jesus Moreira, Paula Pereira de Figueiredo, Rosemary Silva da Silveira, Valdecir Zavarese da Costa, Eliana Cardia de Pinho, Miriã Soares de Bittencourt Coutinho
OBJECTIVE: To identify the profile of drugs prescribed via oral and gastrointestinal catheter in a Walk-in Service of a University Hospital. METHOD: Quantitative cross-sectional study in which data were collected from the medical records of hospitalized patients using medication via oral or gastrointestinal catheter at least once a day between April and October 2015. The analysis was performed through descriptive statistics. RESULTS: Out of 568 prescriptions (total), there were 143 different medications...
December 3, 2018: Revista da Escola de Enfermagem da U S P
Lu He, Ge-Sheng Cheng, Yu-Shun Zhang, Xu-Mei He, Xing-Ye Wang, Ya-Juan Du
OBJECTIVE: Explore the feasibility and safety of transcatheter closure of perimembranous ventricular septal defects using a wire-drifting technique (WT) in children. METHODS: We retrospectively analyzed 121 pediatric patients diagnosed with perimembranous ventricular septal defects who underwent interventional treatment at the First Affiliated Hospital of Xi'an Jiaotong University from Dec 2011 to Dec 2014. Based on the method used for arteriovenous loop establishment during the procedure, the patients were divided into a conventional technique (CT) group and a WT group...
November 29, 2018: Clinics
Michel Pompeu Barros Oliveira Sá, Erik Everton Silva Vieira, Luiz Rafael Pereira Cavalcanti, Roberto Gouveia Silva Diniz, Sérgio da Costa Rayol, Alexandre Motta de Menezes, Ricardo Felipe de Albuquerque Lins, Ricardo Carvalho Lima
OBJECTIVE: We aimed to analyze whether patent foramen ovale (PFO) closure reduces the risk of stroke, assessing also some safety outcomes after the publication of a new trial. INTRODUCTION: The clinical benefit of closing a PFO has been an open question, so it is necessary to review the current state of published medical data in regards to this subject. METHODS: MEDLINE, EMBASE, CENTRAL/CCTR, SciELO, LILACS, Google Scholar and reference lists of relevant articles were used to search for randomized controlled trials (RCTs) that reported any of the following outcomes: stroke, death, major bleeding or atrial fibrillation...
September 2018: Brazilian Journal of Cardiovascular Surgery
Jay Panchal, Gerard Malanga, Mitchell Sheinkop
The aim of this study was to evaluate the safety and efficacy of using autologous, micro-fractured, minimally manipulated adipose tissue in patients with refractory knee osteoarthritis (OA). A total of 17 subjects (26 knees) with a median age of 72 years (range: 54-78 years) and a history of knee OA (Kellgren-Lawrence, grade of 3 or 4) underwent treatment with ultrasound-guided injection of micro-fractured adipose tissue. Micro-fractured fat was obtained using a minimal manipulation technique in a closed system (Lipogems), without the addition of enzymes or any other additives...
November 2018: American Journal of Orthopedics
Meredith L Greene, Judy Y Tan, Sheri D Weiser, Katerina Christopoulos, Mary Shiels, Allison O'Hollaren, Eva Mureithi, Loren Meissner, Diane Havlir, Monica Gandhi
OBJECTIVE: People living with HIV (PLWH) are living longer and developing comorbidities and aging-related syndromes. New care models are needed to address the combined burden and complexity of HIV and its comorbidities in this group. The goal of this study is to describe qualitative data from patients and providers that informed the development of a comprehensive care model for older PLWH. METHODS: Patient and provider perspectives on the clinical care and service needs of patients living and aging with HIV were explored via surveys and focus groups at a safety net HIV clinic in San Francisco...
2018: PloS One
Hasan Yusefzadeh, Alireza Didarloo, Bahram Nabilou
OBJECTIVES: Injection safety during anesthesia is a challenging health care issue in Iranian hospitals. Anesthesia is one of the most medication-intensive procedures in healthcare and injecting patients are an integral part of that care. The present study aimed to assess the status of medication injection safety practice in a teaching center. DESIGN, SETTING, PARTICIPANTS: A prospective cross-sectional study was done in 2014-2015 at a 500-bed secondary level teaching hospital affiliated with Urmia University of Medical Sciences, Iran...
2018: PloS One
Theodor Voiosu, Andrei Voiosu, Andreea Benguş, Bogdan Mateescu
BACKGROUND: Endoscopic retrograde cholangiopancreatography has evolved significantly in recent years. The increase in complexity and range of applications has not been adequately reflected in an improvement of training methods for ERCP, with many endoscopists failing to meet required performance standards during their training period and limited available data on their performance immediately after completing training. We aimed to analyze the performance of an independent operator from a developing country after the completion of formal training with regard to procedure and patient-related outcomes...
November 1, 2018: Romanian Journal of Internal Medicine, Revue Roumaine de Médecine Interne
Enaam Raboei, Yazeed Owiwi, Alaa Ghallab, Ali Zeinelabdeen, Ameen Alsaggaf, Mazen Zaidan, Mohamed Fayez, Ahmad Alawi, Ahmed Atta, Ahmad Al Fageeh, Khalid Al Fifi, Murad Al Sayegh, Abdulaziz Banaja, Amani Haddad, Ziyad Al Nefai, Turki Aloufi, Shaima Alghamdi, Ibrahim Abdulrahim, Aljawhara Al Manea, Ibrahim Alharbi, Atef Sait, Reemah Fallatah
INTRODUCTION: Few centers worldwide have advanced single-incision pediatric endosurgery (SIPES) splenectomy. The safety and feasibility of SIPES performed by trainees were not assessed before. SIPES splenectomy is a demanding technique that needs high level of skills. This is the largest series of 39 SIPES splenectomies performed by 14 trainees in one single center. AIMS: To assess the safety, feasibility, and technical challenges of SIPES splenectomy performed by trainees and to compare it with other published series...
December 5, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Masahide Fujiki, Mine Ozaki, Yuki Iwashina, Akihiko Takushima
BACKGROUND: Arteriovenous malformation (AVM) is a rare vascular lesion that is difficult to treat. Radical surgical resection followed by free flap transfer is currently one of the preferred treatments, and this study aimed to assess the selection of recipient vessels and clinical outcomes for free flap transfer after AVM resection to establish better surgical management. METHODS: Data from 22 consecutive patients who underwent free flap transfer after AVM resection were retrospectively reviewed...
December 5, 2018: Journal of Plastic Surgery and Hand Surgery
Kerstin Rauwolf, Heidi Herbrüggen, Stefan Zöllner, Heike Thorer, Olga Makarova, Thomas Kaiser, Aleksandra Pettke, Claudia Rossig, Birgit Burkhardt, Andreas H Groll
Chronic hepatitis C virus (HCV) infection carries increased risks for morbidity and mortality in patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT) but has become curable through the advent of directly acting antiviral compounds. Current guidelines of the American Society for Blood and Marrow Transplantation (ASBMT) recommend that HCV-infected HSCT candidates preferably start and complete therapy prior to transplant. However, this is often not feasible due to time constraints or treatment limiting comorbidities, conditions and treatments...
December 5, 2018: Journal of Viral Hepatitis
Jeffrey Yates, Iris Perelman, Simonne Khair, Joshua Taylor, Jacinthe Lampron, Alan Tinmouth, Elianna Saidenberg
BACKGROUND: Tranexamic acid (TXA) is an inexpensive therapy effective at minimizing perioperative blood loss and transfusion. However, it remains underutilized due to safety concerns. To date, no evidence-based guidelines exist identifying which patients should not receive TXA therapy. This study determined patient groups for whom safety information regarding TXA is lacking due to common exclusion from perioperative TXA trials. STUDY DESIGN AND METHODS: A systematic review searching the databases Medline, EMBASE, CENTRAL, and Clinicaltrials...
December 5, 2018: Transfusion
Elizabeth R Boskey, Amir H Taghinia, Oren Ganor
Importance: A growing number of transgender patients are receiving gender-affirming hormone treatments. It is unclear whether the evidence supports the current practice of routinely discontinuing these hormones prior to surgery. Objective: To determine how medications used in cross-sex hormone treatment (CSHT) affect perioperative risk. Evidence Review: A series of searches were carried out in PubMed and Excerpta Medica Database to identify articles using each of the terms testosterone, estrogen, estradiol, oral contraceptive, spironolactone, cyproterone acetate, finasteride, dutasteride, leuprolide, goserelin, and histrelin, in combination with the terms surgery, perioperative, thrombosis, thromboembolism, and operative...
December 5, 2018: JAMA Surgery
Ali J Khiabani, Taylan Adademir, Richard B Schuessler, Spencer J Melby, Marc R Moon, Ralph J Damiano
Untreated atrial fibrillation is associated with an increased risk of all-cause mortality and morbidity. Despite the current guidelines recommending surgical ablation of atrial fibrillation at the time of coronary artery bypass surgery, most patients with concomitant atrial fibrillation and coronary artery disease do not receive surgical ablation for their atrial fibrillation. This review reports the efficacy of different surgical ablation techniques used for the treatment of atrial fibrillation during coronary artery bypass...
November 30, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
A Smagulova, Z Ahmedyanova
The purpose of the study is a comparative analysis of the efficacy and safety of the Femto LASIK and ReLEx SMILE technologies in correcting myopic astigmatism. Materials and methods: The study included 1212 results of interventions in patients with myopic astigmatism, incl. 721 (59.5%) using ReLEx SMILE technology and 491 (40.5%) Femto LASIK technology. Visionometry and refraction investigation were performed at the time of 3, 6, 9, 12 months after the operation, as well as an analysis of the incidence of complications...
October 2018: Georgian Medical News
V Gavrysyuk, E Merenkova, G Gumeniuk, M Gumeniuk, Y Dziublyk
Immunosuppressants are traditionally administered in sarcoidosis patients with contraindications for the use of glucocorticosteroids (GCS), or in those with serious adverse reactions on GCS, as well as in the cases of GCS-therapy resistance. Aim - to study the effectiveness and safety of methotrexate monotherapy in pulmonary sarcoidosis patients with either GCS contraindication or adverse reactions. We examined 33 patients with st. II pulmonary sarcoidosis, 20 men and 13 women, 23-67 years of age. In all cases a general physical examination; chest computed tomography and spirometry were performed...
October 2018: Georgian Medical News
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