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https://www.readbyqxmd.com/read/29665585/-outpatient-emergency-care-for-nursing-home-residents-a-status-quo-from-a-nursing-perspective
#1
Markus Bleckwenn, Linnea Bell, Rieke Schnakenberg, Klaus Weckbecker, Manuela Klaschik
AIM OF THE STUDY: At present about 2 million people need care in Germany, about one third of them live in old people's homes or nursing homes. Outpatient emergency care of nursing home residents is ensured by primary care physicians, the medical emergency service and the emergency services. Emergency care has rarely been examined from the perspective of nurses. Therefore, in our study, we investigated how the nurses perceive medical care in medical emergencies and what suggestions for improvements they have...
April 17, 2018: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29661267/comparison-of-electronic-versus-manual-mass-casualty-incident-triage
#2
Claudie Bolduc, Nisreen Maghraby, Patrick Fok, The Minh Luong, Valerie Homier
IntroductionMass-casualty incidents (MCIs) easily overwhelm a health care facility's human and material resources through the extraordinary influx of casualties. Efficient and accurate triage of incoming casualties is a critical step in the hospital disaster response.Hypothesis/ProblemTraditionally, triage during MCIs has been manually performed using paper cards. This study investigated the use of electronic Simple Triage and Rapid Treatment (START) triage as compared to the manual method. METHODS: This observational, crossover study was performed during a live MCI simulation at an urban, Canadian, Level 1 trauma center on May 26, 2016...
April 17, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29659107/knowledge-and-practice-of-healthcare-professionals-relating-to-oral-medicine-use-in-swallowing-impaired-patients-a-scoping-review
#3
REVIEW
Mehrusha Masilamoney, Ros Dowse
OBJECTIVES: Swallowing impairment is a growing problem that affects 16% of the overall population and can significantly affect medicine-taking. However, little is known about the knowledge and practice of healthcare professionals (HCPs) relating to swallowing-impaired (SI) patients. The aim of this scoping review was to investigate the knowledge and practice of HCPs in supporting SI patients with their medicine-taking, to identify their reference sources, and to describe their training and information needs...
April 16, 2018: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29658216/-prevention-of-urinary-tract-infection-in-the-elderly-what-s-new-in-long-term-care-facilities
#4
Sonia Lajoso, Marie Immaculée Nahimana Tessemo, Eve Rubli Truchard, Amel Rodondi, Christiane Petignat
Urinary tract infections are common in the elderly. They are a frequent reason for antibiotic prescription in nursing homes and hospitals. Doctors are confronted daily to the challenge that it is to diagnose urinary tract infections in older patients. The incidence of asymptomatic bacteriuria and the presence of unspecific symptoms and signs in this population transform guidelines for prevention and treatment into some kind of a battle. In this article we will : 1) make a reminder of the particular features of urinary tract infection in the elderly person ; 2) present the recommendations made by the experts and 3) emphasize the prevention of catheter-related urinary tract infection...
April 11, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29656796/-effect-of-influenza-vaccination-in-primary-healthcare-workers-and-the-general-population-in-gran-canaria-a-cross-sectional-study
#5
María Del Mar Martín-Rodríguez, José Antonio Díaz-Berenguer, José Luis Alonso-Bilbao, Antonio Cabeza-Mora, Francisco Navarro-Vázquez, Alberto Espiñeira-Francés, Lidia Nuez-Herrera
OBJECTIVE: To estimate the effect of the influenza vaccination in Primary Healthcare workers and the general population vaccinated during the 2015/2016 campaign. DESIGN: Cross-sectional study. SETTING: All the Primary Healthcare centres within the Gran Canaria healthcare region. PARTICIPANTS: A total of 1,868 Primary Healthcare workers (33.5% men; 66.5% women) and 795,605 individuals from the general population (49.4% men; 50...
April 12, 2018: Atencion Primaria
https://www.readbyqxmd.com/read/29650487/speaking-up-about-hand-hygiene-failures-a-vignette-survey-study-among-healthcare-professionals
#6
David L B Schwappach
BACKGROUND: Speaking up by healthcare professionals (HCPs) is an important resource to reduce risks to patient safety. Due to complex tradeoffs, HCPs are often reluctant to voice their concerns. A survey investigated HCPs' likelihood to speak up. METHODS: A cross-sectional survey study among HCPs in 5 Swiss hospitals addressed speaking-up behaviors, safety climate, and likelihood to speak up about poor hand hygiene practice described in a vignette. Likelihood to speak up was analyzed using a multilevel regression model...
April 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29627818/building-motivation-to-participate-in-a-quality-improvement-collaborative-in-nhs-hospital-trusts-in-southeast-england-a-qualitative-participatory-evaluation
#7
Mirza Lalani, Kate Hall, Mirek Skrypak, Chris Laing, John Welch, Peter Toohey, Sarah Seaholme, Thomas Weijburg, Laura Eyre, Martin Marshall
OBJECTIVES: This study explores the barriers and facilitators that impact on the motivation of practitioners to participate in a quality improvement collaborative. DESIGN: A qualitative and formative evaluation using a participatory approach, the researcher-in-residence model which embraces the concept of 'coproducing' knowledge between researchers and practitioners using a range of research methods such as participant observation, interviews and documentary analysis...
April 7, 2018: BMJ Open
https://www.readbyqxmd.com/read/29623719/standardized-care-by-redesign-of-an-intravitreal-injection-pathway
#8
Joachim Van Calster, Koen Willekens, Deborah Seys, Peter Van Elderen, Werner Spileers, Kris Vanhaecht
PURPOSE: Intravitreal injection of medication is a rapid rising surgical intervention in modern ophthalmological care. With increasing numbers, the caseload of complications follows and the burden on daily clinical organization increases. This study focuses on developing a standardized treatment protocol to improve care and reduce hazard. METHODS: A standardized treatment protocol was designed and educated to the involved medical doctor and registered nurse. An independent observer used this protocol to evaluate the actions performed during the intravitreal injection...
March 1, 2018: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/29623420/cancer-survivors-experiences-of-a-community-based-cancer-specific-exercise-programme-results-of-an-exploratory-survey
#9
Susan Catt, J Sheward, E Sheward, H Harder
PURPOSE: Exercise levels often decline following cancer diagnosis despite growing evidence of its benefits. Treatment side effects, older age, lack of confidence and opportunity to exercise with others in similar circumstances influence this. Our study explored the experiences of people attending a cancer-specific community-based exercise programme (CU Fitter™). METHODS: A survey distributed to those attending the programme gathered demographic/clinical information, self-reported exercise levels, information provision and barriers to/benefits of exercise...
April 5, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29620704/learners-perceptions-during-simulation-based-training-an-interview-study-comparing-remote-versus-locally-facilitated-simulation-based-training
#10
Margrethe Duch Christensen, Doris Oestergaard, Peter Dieckmann, Leonie Watterson
INTRODUCTION: Remotely facilitated simulation-based training (RF-SBT) is less positively appraised than face-to-face, locally facilitated simulation-based training (LF-SBT), despite being considered as an acceptable alternative. This study compared the perceptions of learners after RF-SBT and LF-SBT to explain differences between the two and identify relevant theories that would guide future practice. METHODS: Telephone interviews were conducted with 21 newly graduated doctors and nurses who completed a standardized simulation course delivered in both RF-SBT and LF-SBT formats...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29620013/the-2017-ilae-classification-of-seizure-types-and-the-epilepsies-what-do-people-with-epilepsy-and-their-caregivers-need-to-know
#11
Martin J Brodie, Sameer M Zuberi, Ingrid E Scheffer, Robert S Fisher
The International League against Epilepsy (ILAE) published in the April 2017 edition of Epilepsia three companion articles on the classification of seizures and the epilepsies. These represent a long-awaited update on the original 1981 and 1989 publications and provide a modern descriptive template. The new classification presents three levels of terminology, involving seizure types, epilepsy types, and syndromes. In this fourth paper, we present an interpretation of these new concepts for people with epilepsy and those who care for them, as well as for young medical doctors not specialized in epilepsy and nurses...
April 5, 2018: Epileptic Disorders: International Epilepsy Journal with Videotape
https://www.readbyqxmd.com/read/29616669/the-piper-weekend-study-children-s-and-adults-satisfaction-regarding-paediatric-pain-in-italian-emergency-department
#12
Franca Benini, Sabrina Congedi, Sara Rossin, Angelo Pennella
BACKGROUND: Despite pain being a crucial aspect of urgent-emergency care, the attention of healthcare workers towards this symptom in the Emergency Department (ED) is still inadequate. The aims of this study were to assess children's and their adults accompanier's satisfaction regarding pain management in Italian ED, considering healthcare workers' attention to the symptom as well as the appropriateness and efficacy of treatments received. METHODS: Questionnaires were administered face-to-face by trained interviewers over the period of one weekend in 29 Italian ED...
January 2018: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29615441/a-discrete-choice-experiment-to-determine-facility-based-delivery-services-desired-by-women-and-men-in-rural-ethiopia
#13
Nancy K Beam, Gezehegn Bekele Dadi, Sally H Rankin, Sandra Weiss, Bruce Cooper, Lisa M Thompson
OBJECTIVES: Despite global efforts to increase facility-based delivery (FBD), 90% of women in rural Ethiopia deliver at home without a skilled birth attendant. Men have an important role in increasing FBD due to their decision-making power, but this is largely unexplored. This study aimed to determine the FBD care attributes preferred by women and men, and whether poverty or household decision-making are associated with choice to deliver in a facility. SETTING AND PARTICIPANTS: We conducted a cross-sectional discrete choice experiment in 109 randomly selected households in rural Ethiopia in September-October 2015...
April 3, 2018: BMJ Open
https://www.readbyqxmd.com/read/29615155/the-history-and-state-of-neonatal-nursing-quality-improvement-practice-and-education
#14
Aniko Kukla, Donna A Dowling, Mary A Dolansky
Quality improvement has evolved rapidly in neonatal nursing. This review outlines the history and current state of quality improvement practice and education in neonatal nursing. The future of neonatal nursing includes a stronger emphasis on quality improvement in advanced practice education that promotes doctoral projects that result in clinical improvements. A collective focus will ensure that neonatal nurses not only deliver evidence-based care, but also continually improve the care they deliver.
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29614545/aus-der-geschichte-der-deutschen-gesellschaft-f%C3%A3-r-innere-medizin-dgim
#15
Ralf Forsbach, Hans-Georg Hofer
At the end of the 1960 s, the German Society for Internal Medicine faced a period of intensifying factional struggles. Traditional conservative views increasingly met with critics demanding reform efforts. These debates covered, among other things, the self-definition of the society, doctor-patient relationship, medical studies, hospital regulations, and the relationship between doctors and nursing staff. In 1972/73, these opposing opinions within the society became particularly obvious, when the former NS-Gaustudentenführer Gotthard Schettler, who felt strong resentments towards the members of the 1968 movement, was followed by the reform willing, politically left wing Herbert Begemann in the DGIM presidency...
April 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29611621/perception-attitude-and-satisfaction-of-paediatric-physicians-and-nurses-towards-clinical-practice-guidelines-at-a-university-teaching-hospital
#16
Yasser Sami Amer, Abdulrahman Al Nemri, Mohamed Elfaki Osman, Elshazaly Saeed, Asaad Mohamed Assiri, Sarar Mohamed
RATIONALE, AIMS, AND OBJECTIVES: To explore perception, attitude, and satisfaction of paediatric clinicians, trainees, and nurses at King Khalid University Hospital towards clinical practice guidelines (CPGs) including the locally adapted diabetic ketoacidosis CPG (DKA-CPG). METHODS: A cross-sectional survey was distributed to 260 doctors and nurses working in the paediatrics department. RESULTS: The response rate was 95.4%. The respondents had a positive perception and attitude towards general CPGs and specifically for the DKA-CPG; 98...
April 3, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29610773/are-they-high-on-steroids-tailored-interventions-help-improve-screening-for-steroid-induced-hyperglycaemia-in-hospitalised-patients
#17
Punith Kempegowda, Alana C Livesey, Laura McFarlane-Majeed, Joht Singh Chandan, Theresa Smyth, Martha Stewart, Karen Blackwood, Michelle McMahon, Anitha Vijayan Melapatte, Sofia Salahuddin, Jonathan Webber, Sandip Ghosh
Steroid-induced hyperglycaemia (SIH) is a common adverse effect in patients both with and without diabetes. This project aimed to improve the screening and diagnosis of SIH by improving the knowledge of healthcare professionals who contribute to the management of SIH in hospitalised patients. Monitoring and diagnosis of SIH were measured in areas of high steroid use in our hospital from May 2016 to January 2017. Several interventions were implemented to improve knowledge and screening for SIH including a staff education programme for nurses, healthcare assistants and doctors...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29610770/reducing-the-number-of-invalid-surgical-consents-in-the-day-surgery-unit
#18
Wesley Chong, Allan Chee Yang Fong, Yi Lin Yeo, Angie Puay Hong Ng, Eileen May Lin Neo, Veronica Li Ee Sam, Jessica Kai Jun Ong, Loh Huey Peng
Aim: To reduce the number of invalid surgical consents in the Singapore National Eye Centre Day Surgery Unit over a period of 6 months. Methodology: A multidisciplinary team involving doctors, nurses, day surgery unit, operating theatre, listing and clinical audit staff looked into the listing process and the root causes of the high number of invalid consents. A Pareto chart detailing the top causes of invalid consents was drawn, and with a prioritisation matrix, feasible yet effective changes were identified and effected...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29608456/the-pulmonary-artery-catheter-is-it-still-alive
#19
Daniel De Backer, Jean-Louis Vincent
PURPOSE OF REVIEW: The present review discusses the current role of the pulmonary artery catheter (PAC) in the hemodynamic monitoring of critically ill patients. RECENT FINDINGS: The PAC has an important role in the characterization and management of hemodynamic alterations in critically ill patients. Use of the PAC has decreased in the last 30 years because of recent advances in less invasive hemodynamic monitoring techniques, in particular transpulmonary thermodilution and echocardiography, combined with the publication of the results of several randomized trials that failed to show improvements in outcome with the use of the PAC in various settings...
March 31, 2018: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/29606098/learning-from-errors-assessing-final-year-medical-students-reflection-on-safety-improvement-five-year-cohort-study
#20
Vicki Tully, Douglas Murphy, Evridiki Fioratou, Arun Chaudhuri, James Shaw, Peter Davey
BACKGROUND: Investigation of real incidents has been consistently identified by expert reviews and student surveys as a potentially valuable teaching resource for medical students. The aim of this study was to adapt a published method to measure resident doctors' reflection on quality improvement and evaluate this as an assessment tool for medical students. METHODS: The design is a cohort study. Medical students were prepared with a tutorial in team based learning format and an online Managing Incident Review course...
April 2, 2018: BMC Medical Education
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