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health and hospital

Hiran Thabrew, Karolina Stasiak, Sarah E Hetrick, Stephen Wong, Jessica H Huss, Sally N Merry
BACKGROUND: Long-term physical conditions affect 10% to 12% of children and adolescents worldwide; these individuals are at greater risk of developing psychological problems, particularly anxiety and depression. Access to face-to-face treatment for such problems is often limited, and available interventions usually have not been tested with this population. As technology improves, e-health interventions (delivered via digital means, such as computers and smart phones and ranging from simple text-based programmes through to multimedia and interactive programmes, serious games, virtual reality and biofeedback programmes) offer a potential solution to address the psychological needs of this group of young people...
August 16, 2018: Cochrane Database of Systematic Reviews
Karen Wambach, Emily Chambers
OBJECTIVE: To investigate the workplace breastfeeding support experiences of registered nurses (RNs) and how these experiences differed by type of unit. DESIGN: A cross-sectional descriptive design. SETTING: A large children's hospital health system in the Midwestern United States. PARTICIPANTS: Seventy-eight RNs who were concurrently breastfeeding and working or who had done so within the past 12 months. METHODS: The Workplace Breastfeeding Support Scale was used to measure the degree of support that breastfeeding RNs experienced at work with four subscales: Break Time, Work Place Policy, Technical Support, and Environment (total Cronbach's α = ...
August 12, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
Peter O'Meara, Gary Wingrove, Michael Nolan
INTRODUCTION: For the past 50 years paramedic services and paramedic roles in high-income nations have evolved in response to changes in community needs and expectations. The aim of this article is to review paramedic models of service delivery, with an emphasis on models that have the potential to improve the health and wellbeing of frontier and remote populations. METHODS: Paramedic models of relevance to rural and frontier settings were identified from searches of CINHAL and Medline, while key paramedic-specific journals were individualy searched in the event that they were not indexed...
August 2018: Rural and Remote Health
Antti Lindgren, Mervyn DI Vergouwen, Irene van der Schaaf, Ale Algra, Marieke Wermer, Mike J Clarke, Gabriel Je Rinkel
BACKGROUND: Around 30% of people who are admitted to hospital with aneurysmal subarachnoid haemorrhage (SAH) will rebleed in the initial month after the haemorrhage if the aneurysm is not treated. The two most commonly used methods to occlude the aneurysm for prevention of rebleeding are microsurgical clipping of the neck of the aneurysm and occlusion of the lumen of the aneurysm by means of endovascular coiling. This is an update of a systematic review that was previously published in 2005...
August 15, 2018: Cochrane Database of Systematic Reviews
Gisèle Carrière, Claudia Sanmartin, Patricia Murison
BACKGROUND: National population information about the surgical treatment rate for primary cancers, including breast cancer, has remained a significant data gap in Canada. This gap has implications for cancer care planning and evaluating health system performance. New linkages between the Canadian Cancer Registry and hospital discharge records were conducted by Statistics Canada in 2016. Using already existing, routinely collected health administrative data, these linkages allow viable reporting of surgical cancer treatment for the first time for all provinces and territories (except Quebec)...
August 15, 2018: Health Reports
Peter Ssebutinde, Imelda T Kyamwanga, Eleanor Turyakira, Stephen Asiimwe, Francis Bajunirwe
BACKGROUND: The prevalence of HIV infection among older persons is increasing yet older age at initiation of antiretroviral therapy (ART) may be associated with poorer treatment outcomes including mortality. However, majority of these studies have been done in the western world and there is limited data in resource limited settings. Our study used routinely collected health facility data to assess trends in age at initiation of ART, the effect of age at ART initiation on mortality and immunological response at a large urban hospital in south western Uganda...
2018: PloS One
Aukje L Kreuger, Rutger A Middelburg, Erik A M Beckers, Karen M K de Vooght, Jaap Jan Zwaginga, Jean-Louis H Kerkhoffs, Johanna G van der Bom
INTRODUCTION: Electronic health care data offers the opportunity to study rare events, although detecting these events in large datasets remains difficult. We aimed to develop a model to identify leukemia patients with major hemorrhages within routinely recorded health records. METHODS: The model was developed using routinely recorded health records of a cohort of leukemia patients admitted to an academic hospital in the Netherlands between June 2011 and December 2015...
2018: PloS One
Maya Aboumrad, Alexander Fuld, Christina Soncrant, Julia Neily, Douglas Paull, Bradley V Watts
PURPOSE: Oncology providers are leaders in patient safety. Despite their efforts, oncology-related medical errors still occur, sometimes resulting in patient injury or death. The Veterans Health Administration (VHA) National Center of Patient Safety used data obtained from root cause analysis (RCA) to determine how and why these adverse events occurred in the VHA, and how to prevent future reoccurrence. This study details the types of oncology adverse events reported in VHA hospitals and their root causes and suggests actions for prevention and improvement...
August 15, 2018: Journal of Oncology Practice
Theresa S Yang, David W Hsia, Dong W Chang
PURPOSE: Readmission after hospitalization for malignant pleural effusion (MPE) may represent gaps in the quality of health care delivery. The goal of this study was to determine the frequency of 30-day readmission for MPE and identify clinical factors associated with rehospitalization. PATIENTS AND METHODS: A retrospective cohort of adults hospitalized for MPE from 2009 to 2011 was analyzed using an administrative database. The primary outcome was all-cause 30-day readmission rate...
August 15, 2018: Journal of Oncology Practice
Kayo Henrique Jardel Feitosa Sousa, Tayane Silva Gonçalves, Marize Barbosa Silva, Elizabeth Camacho Fonseca Soares, Maria Luiza Figueiredo Nogueira, Regina Célia Gollner Zeitoune
OBJECTIVE: To analyze the risks of illnesses related to the work context of nursing workers in a psychiatric hospital. METHOD: Cross-sectional and quantitative study, developed in a psychiatric hospital with 74 nursing workers. The Work Context Assessment Scale was used to measure the risks of illness at work. Descriptive analyzes were performed with mean and standard deviation. To test the reliability of the data, the Cronbach's alpha test was used. The correlation between the factors of the work context was tested using the Spearman correlation coefficient...
August 9, 2018: Revista Latino-americana de Enfermagem
William V Padula, Joyce M Black, Patricia M Davidson, So Yeon Kang, Peter J Pronovost
OBJECTIVE: Health systems are grappling with improving the quality and safety of health care. By setting clear expectations, there is an opportunity to configure care models to decrease the risk of adverse events and promote the quality of care. The US Centers for Medicare and Medicaid Services have used Patient Safety Indicator 90 (PSI90), a composite rate of hospital-acquired conditions (HACs), to adjust payments and score hospitals on quality since 2015. However, PSI90 may be associated with adverse prioritization for preventing some conditions over others...
July 17, 2018: Journal of Patient Safety
M Margariti, M Hadjulis, M Lazaridou, G F Angelidis, V Fotopoulos, L Markaki, F Koulouri
Schizophrenia is one of the most disabling disorders globally, with a significant impact on the professional, social and personal functioning of those affected. Mortality rates are estimated to be 2-2.5 times greater than in the general population attributable to not only suicide but also physical illnesses, such as cardiovascular, metabolic and infectious diseases. Patients with schizophrenia have increased needs for health services which vary according to the stage of the illness and the way the disorder affects the patient...
April 2018: Psychiatrikē, Psychiatriki
Joanne Blair, Andrew McKay, Colin Ridyard, Keith Thornborough, Emma Bedson, Matthew Peak, Mohammed Didi, Francesca Annan, John W Gregory, Dyfrig Hughes, Carrol Gamble
BACKGROUND: The risk of developing long-term complications of type 1 diabetes (T1D) is related to glycaemic control and is reduced by the use of intensive insulin treatment regimens: multiple daily injections (MDI) (≥ 4) and continuous subcutaneous insulin infusion (CSII). Despite a lack of evidence that the more expensive treatment with CSII is superior to MDI, both treatments are used widely within the NHS. OBJECTIVES: (1) To compare glycaemic control during treatment with CSII and MDI and (2) to determine safety and cost-effectiveness of the treatment, and quality of life (QoL) of the patients...
August 2018: Health Technology Assessment: HTA
Xiu-Min Jiang, Qi-Yan Chen, Sheng-Bin Guo, Li-Zhu Jin, Xin-Xin Huang, Xiu-Wu Liu, Jin-Xiu Hong, Hai-Bin Qu, Rong-Fang Hu
BACKGROUND: The high caesarean section rate is a prominent public health problem in China. AIM: This study aimed to determine the effects of midwife-led care during labour on birth outcomes for healthy primiparas. DESIGN: Randomized controlled trial. SETTING: The Obstetrics Department of Fujian Provincial Maternity and Child Health Hospital. METHODS: A total of 666 primiparas in labour were randomly divided into an intervention and control group (333 in each group)...
August 14, 2018: International Journal of Nursing Practice
Derek Milne, Priya Martin
Although optimal clinical supervision has long been thought to include a supportive, pastoral or restorative element (Kadushin, 1992), it has tended to be marginalised by the more business-like components of 'normative' and especially 'formative' supervision (the managerial and development elements). Within the nursing profession in the UK, supervision was first formally highlighted in 1993 and has continued to gather policy momentum, with a recommendation that it should be part of the working life of every nurse (Scottish Government, 2009)...
August 14, 2018: Journal of Advanced Nursing
Lim Siew Hoon, Wai Chi Sally Chan, Jiunn Herng Lai, Hong-Gu He
AIMS: To explore the experiences of patients who underwent a STOMA psychosocial intervention programme for colorectal cancer patients with stoma. BACKGROUND: The STOMA psychosocial intervention programme was developed to improve stoma-related health outcomes for patients with colorectal cancer and stoma. Evaluation was carried out to explore their experiences. DESIGN: A qualitative exploratory approach was adopted. METHODS: A total of 13 colorectal cancer patients, who were: (1) scheduled for surgery that resulted in a surgical formation of stoma at a tertiary public hospital in Singapore; and (2) were allocated to the intervention group and received the STOMA psychosocial intervention programme, were recruited for the qualitative evaluation study (September to November 2016)...
August 14, 2018: Journal of Advanced Nursing
Martina Fiori, Ruth Endacott, Jos M Latour
AIM: To explore the experiences of patients and healthcare professionals regarding patients witnessing resuscitation on another patient in hospital clinical wards. DESIGN: Phenomenological qualitative study. METHODS: Participants will be recruited from nine wards in a university hospital in England. Data collection will include two in-depth interviews with patients who witnessed resuscitation: the first interview one week after witnessing resuscitation and the second interview after one month...
August 14, 2018: Journal of Advanced Nursing
Beatriz Planelles, César Margarit, Raquel Ajo, Yolanda Sastre, Javier Muriel, María-Del-Mar Inda, María D Esteban, Ana M Peiró
BACKGROUND: Safety data from long-term opioid therapy in the real world has been poorly studied in chronic non-cancer pain (CNCP). The aim was to design a pharmacovigilance data recording system and assess whether participation in this recording system improves pain management, enhancing patient's health status. METHODS: A pharmacovigilance data recording system was conducted during 24 months. Data were self-reported by patients (pain, adverse events [AEs] and healthcare resources use) and physicians (morphine equivalent daily dose [MEDD] prescribed and suspected adverse drug reaction [ADRs])...
August 14, 2018: Acta Anaesthesiologica Scandinavica
Andrew McWilliams, Jason Roberge, William E Anderson, Charity G Moore, Whitney Rossman, Stephanie Murphy, Stephannie McCall, Ryan Brown, Shannon Carpenter, Scott Rissmiller, Scott Furney
BACKGROUND: Despite years of intense focus, inpatient and observation readmission rates remain high and largely unchanged. Hospitals have little, robust evidence to guide the selection of interventions effective at reducing 30-day readmissions in real-world settings. OBJECTIVE: To evaluate if implementation of recent recommendations for hospital transition programs is effective at reducing 30-day readmissions in a population discharged to home and at high-risk for readmission...
August 14, 2018: Journal of General Internal Medicine
Amanda Butler, Jesse T Young, Stuart A Kinner, Rohan Borschmann
BACKGROUND: Suicide is the leading cause of death in prisons worldwide. Improved understanding of the factors associated with suicide is necessary to inform targeted suicide prevention and interventions. Here we aim to (a) document the prevalence of suicide attempts, suicidal ideation, self-harm, and mental disorder; and (b) identify demographic, mental health, and criminal justice correlates of suicidal ideation, in a sample of incarcerated adults in Australia. METHODS: Data were obtained from the 2016 Detainee Health and Wellbeing Survey conducted in the Alexander Maconochie Centre, the Australian Capital Territory's only adult prison...
August 14, 2018: Health & Justice
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