keyword
https://read.qxmd.com/read/38528487/caries-in-orphan-children-prevalence-and-determinants-a-systematic-review-and-meta-analysis
#1
Ayat Gamal-AbdelNaser, Mennat Allah Ashraf A Elsabour, Nagwa Mohamed Ali Khattab
BACKGROUND: Orphan children represent a category of children who lost their family support. Their health status is poorer when compared to their parented counterparts. As the most prevalent disease in the world, dental caries is expected to affect orphans greatly. Being vulnerable, health status of orphan children must be monitored and studied; so that health improvement plans would be formulated. Therefore, this systematic review focuses on the extent of the dental caries problem among institutionalized orphan children and its determinants...
March 25, 2024: BMC Oral Health
https://read.qxmd.com/read/38527822/what-ahrq-learned-while-working-to-transform-primary-care
#2
JOURNAL ARTICLE
David Meyers, Therese Miller, Jan De La Mare, Jessie S Gerteis, Gail Makulowich, Gabrielle H Weber, Chunliu Zhan, Janice Genevro
Building on previous efforts to transform primary care, the Agency for Healthcare Research and Quality (AHRQ) launched EvidenceNOW: Advancing Heart Health in 2015. This 3-year initiative provided external quality improvement support to small and medium-size primary care practices to implement evidence-based cardiovascular care. Despite challenges, results from an independent national evaluation demonstrated that the EvidenceNOW model successfully boosted the capacity of primary care practices to improve quality of care, while helping to advance heart health...
2024: Annals of Family Medicine
https://read.qxmd.com/read/38500591/caucasian-and-african-american-racial-disparity-in-neonatal-hospital-mortality
#3
JOURNAL ARTICLE
Maria Burdjalov, Ibrahim Qattea, Vanishree Nandakumar, Mohamed A Mohamed, Hany Aly
OBJECTIVE: To examine disparity in hospital mortality among Caucasian (C) and African American (AA) neonates born at different gestational ages (GA). METHODS: De-identified national inpatient data were obtained from the Healthcare Cost and Utilization Project (HCUP) from the Agency for Healthcare Research and Quality (AHRQ) for the years 2011-2018. We compared the odds ratio for mortality among C and AA infants by sex and GA category. Analyses were repeated after controlling for multiple maternal and neonatal confounding variables in a logistic regression model...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38455754/summary-of-the-best-evidence-for-the-prevention-of-nasal-injury-in-preterm-infants-with-nasal-noninvasive-ventilation
#4
JOURNAL ARTICLE
Yali Fu, Xiaoqin Li, Youxia Yu, Renfeng Li, Tian Shi
BACKGROUND: Due to immaturity, the nose of preterm infants can easily be injured, by even a short application of a nasal device. However, 20% to 60% of preterm infants suffer nasal damage while using nasal continuous positive airway pressure (NCPAP) due to weak skin tissue, prolonged use of nasal device, and improper nursing practices, leading to increased risk of infection and decreased compliance and tolerance. In this study, we retrieved, obtained and integrated the related evidences of prevention of nasal injury in premature infants with nasal noninvasive ventilation to provide reference for clinical practice...
February 29, 2024: Translational Pediatrics
https://read.qxmd.com/read/38394250/estimates-of-30-day-postoperative-pulmonary-complications-after-gastrointestinal-endoscopic-procedures-a-retrospective-cohort-analysis-of-a-health-system-population
#5
JOURNAL ARTICLE
Zyad J Carr, Judy Li, Daniel Agarkov, Makenzie Gazura, Kunal Karamchandani
The incidence of 30-day postoperative pulmonary complications (PPC) of gastrointestinal endoscopic procedures (GIEP) are not well characterized in the literature. The primary aim of this study was to identify the incidence of 30-day PPC after GIEP within a large healthcare system. We conducted a retrospective cohort study of 5377 patients presenting for GIEP between January 2013 and January 2022. Our primary outcome was the Agency for Healthcare Research and Quality PPC composite (AHRQ-PPC). Secondary outcomes were sub-composites derived from the AHRQ-PPC; including pneumonia (AHRQ-PNA), respiratory failure (AHRQ-RF), aspiration pneumonia/ pneumonitis (AHRQ-ASP) and pulmonary emboli (AHRQ-PE)...
2024: PloS One
https://read.qxmd.com/read/38354680/dynamic-changes-at-high-protein-dietary-pattern-of-major-fatty-acids-in-healthy-lactating-women-a-systematic-review-and-meta-analysis
#6
REVIEW
Weixin Liu, Tianyuan Zeng, Abdul Mueed, Baojun Zhang, Teng Wei, Zeyuan Deng, Qinghua Xi
BACKGROUND: Fatty acids (FAs) in human milk are important nutrients for infants. They play important roles in energy supply, nervous system development, and metabolic function maintenance. However, how the composition of major milk FAs change with lactation stages remains controversial. OBJECTIVES: To systematically review the concentration range of major FAs in human milk at various lactation stages. METHODS: A total of 12 papers involving 50 sets of data with 3507 participants were reviewed according to the PRISMA checklist and flow diagram...
January 23, 2024: Nutrition
https://read.qxmd.com/read/38344495/exploring-patient-safety-culture-a-study-of-community-pharmacies-in-karachi-pakistan
#7
JOURNAL ARTICLE
Shoaib A Khatri, Rabbiya Ahmad, Muhammad Osama, Kamran Khan, Masood Ahmed Khan, Azfar Ishaqui, Narendar Kumar
Background Community pharmacies are integral to the healthcare system, actively contributing to patient safety through accurate dispensing, education, collaboration, monitoring, and the implementation of safety protocols. Their accessibility and role as medication experts make them key partners in promoting positive health outcomes for individuals and communities. Objective The current study will evaluate the patient safety culture (PSC) among community pharmacies in Karachi, Pakistan. Additionally, this study will measure the association between patient safety culture in community pharmacies and the demographic characteristics of the pharmacy staff...
January 2024: Curēus
https://read.qxmd.com/read/38343484/effectiveness-of-the-abcdef-method-for-developing-an-institution-specific-pain-management-clinical-resource
#8
JOURNAL ARTICLE
Emily H Garmon, Alaina Tellson, Angela Straza, Kelsey Kohman, David B Morehead, Judy Embry
INTRODUCTION: Comprehensive treatment strategies improve pain management in hospitalized patients, but no conclusive algorithm is currently available. The Audience, Blueprint, Collaborators, Dissemination, Education, Feedback method for pain management resource development (ABCDEF method) has been proposed as an "executable template" for developing clinical resources customized to local practice environments. METHODS: The ABCDEF method was used to develop a proposal for a pain management pamphlet...
2024: Proceedings of the Baylor University Medical Center
https://read.qxmd.com/read/38328661/burnout-and-patient-safety-culture-assessment-in-a-secondary-care-hospital
#9
JOURNAL ARTICLE
Sharmeen Ziarukh, Aamina Sabir
OBJECTIVES: To identify employee burn-out and assess its impact on patient safety culture. METHODS: This cross-sectional study was carried out amongst healthcare providers (HCP) of Tehsil Head Quarter Manawan Hospital, Lahore from April 1st till 30th , 2023, who had been working for at least one year and directly involved in patient care. Two questionnaires were used; the Maslach Burnout Inventory (MBI) to assess level of burnout, and Agency for Healthcare Research and Quality (AHRQ) patient safety culture survey...
January 2024: Pakistan Journal of Medical Sciences Quarterly
https://read.qxmd.com/read/38316284/differences-in-intracranial-atherosclerosis-plaque-between-posterior-circulation-and-anterior-circulation-on-high-resolution-magnetic-resonance-imaging-a-systematic-review-and-meta-analysis
#10
JOURNAL ARTICLE
Han Yan, Dandan Geng, Wannian Zhao, Shasha Li, Xiaomeng Du, Shijing Zhang, Hebo Wang
OBJECTIVE: The clinical characteristics and mechanisms of stroke caused by anterior circulation atherosclerotic plaques (ACAPs) and posterior circulation atherosclerotic plaques (PCAPs) are distinct. We aims to compare the differences in vulnerability, morphology, and distribution between ACAPs and PCAPs based on hign-resolution magnetic resonance imaging (HR-MRI). MATERIALS AND METHODS: The PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), and Wanfang database were retrieved from inception through May 2023...
February 3, 2024: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/38315675/assessing-the-excess-costs-of-the-in-hospital-adverse-events-covered-by-the-ahrq-s-patient-safety-indicators-in-switzerland
#11
JOURNAL ARTICLE
Alice Giese, Rasheda Khanam, Son Nghiem, Anthony Staines, Thomas Rosemann, Stefan Boes, Michael M Havranek
There currently exists no comprehensive and up-to date overview on the financial impact of the different adverse events covered by the Patient Safety Indicators (PSIs) from the Agency for Healthcare Research and Quality. We conducted a retrospective case-control study using propensity score matching on a national administrative data set of 1 million inpatients in Switzerland to compare excess costs associated with 16 different adverse events both individually and on a nationally aggregated level. After matching 8,986 cases with adverse events across the investigated PSIs to 26,931 controls, we used regression analyses to determine the excess costs associated with the adverse events and to control for other cost-related influences...
2024: PloS One
https://read.qxmd.com/read/38290928/transitional-care-navigation
#12
JOURNAL ARTICLE
Anna Liza Rodriguez, Lauren Cappelletti, Sherry M Kurian, Christina Passio, Susan Rux
OBJECTIVES: This manuscript aims to provide an extensive review of the literature, synthesize findings, and present substantial insights on the current state of transitional care navigation. Additionally, the existing models of care, pertaining to the concept and approach to transitional care navigation, will be highlighted. METHODS: An extensive search was conducted though using multiple search engines, topic-specific key terminology, eligibility of studies, as well as a limitation to only literature of existing relevance...
January 29, 2024: Seminars in Oncology Nursing
https://read.qxmd.com/read/38290171/patients-and-physicians-beliefs-and-attitudes-towards-integrating-personalized-risk-estimates-into-patient-education-about-left-ventricular-assist-device-therapy
#13
JOURNAL ARTICLE
Kristin M Kostick-Quenet, Benjamin Lang, Natalie Dorfman, Jerry Estep, Mandeep R Mehra, Arvind Bhimaraj, Andrew Civitello, Ulrich Jorde, Barry Trachtenberg, Nir Uriel, Holland Kaplan, Eleanor Gilmore-Szott, Robert Volk, Mahwash Kassi, J S Blumenthal-Barby
BACKGROUND: Personalized risk (PR) estimates may enhance clinical decision making and risk communication by providing individualized estimates of patient outcomes. We explored stakeholder attitudes toward the utility, acceptability, usefulness and best-practices for integrating PR estimates into patient education and decision making about Left Ventricular Assist Device (LVAD). METHODS AND RESULTS: As part of a 5-year multi-institutional AHRQ project, we conducted 40 interviews with stakeholders (physicians, nurse coordinators, patients, and caregivers), analyzed using Thematic Content Analysis...
January 24, 2024: Patient Education and Counseling
https://read.qxmd.com/read/38289196/the-effect-of-teach-back-on-readmission-rates-in-rehabilitation-patients
#14
JOURNAL ARTICLE
Kelly Bidlespacher, David C Mulkey
PURPOSE: Thirty-day readmissions often occur in rehabilitation patients and can happen for many reasons. One of those reasons is when patients do not fully understand how to effectively manage their health after discharge. The purpose of this evidence-based quality improvement project was to determine if implementing the teach-back intervention from the Agency for Healthcare Research and Quality's (AHRQ) Health Literacy Universal Precautions Toolkit would impact 30-day readmission rates among adult rehabilitation patients...
January 30, 2024: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://read.qxmd.com/read/38284499/correlates-of-death-anxiety-for-patients-with-cancer-a-systematic-review-and-meta-analysis
#15
REVIEW
Yuanyuan Li, Wanglin Dong, Haishan Tang, Xiajun Guo, Sijia Wu, Guangli Lu, Xia Li, Chaoran Chen
OBJECTIVE: A systematic review and meta-analysis was performed to identify the factors related to cancer death anxiety based on available evidence. DESIGN: This systematic review and meta-analysis followed the PRISMA 2020 guidelines. METHODS: Seven databases were searched to identify studies on the relationships of cancer death anxiety with demographic characteristics, disease factors and psychosocial factors from inception to May 2023. The Agency for Medical Research and Quality (AHRQ) scale was used to evaluate the quality of the included studies...
January 29, 2024: Journal of Clinical Nursing
https://read.qxmd.com/read/38275443/hospital-factors-associated-with-the-survival-of-infants-born-at-periviable-gestation-the-usa-national-database
#16
JOURNAL ARTICLE
Ibrahim Qattea, Amani Quatei, Mohsen A A Farghaly, Alshimaa Abdalla, Mohamed A Mohamed, Hany Aly
Background: Reports on the survival of infants born at periviable gestation (GA of ≤24 weeks and birth weight of <500 gm) vary significantly. We aimed to determine hospital factors associated with their survival and to assess the trend for the timing of postnatal mortality in these periviable infants. Methods: We utilized the de-identified National Inpatient Sample (NIS) dataset of the Healthcare Cost and Utilization Project (HCUP) from the Agency for Healthcare Research and Quality (AHRQ). National data were analyzed for the years 2010-2018...
January 22, 2024: Children
https://read.qxmd.com/read/38249846/assessment-of-learning-health-system-science-competency-in-the-equity-and-justice-domain
#17
JOURNAL ARTICLE
Patricia D Franklin, Denise Drane
Seven knowledge domains were originally defined for the learning health system (LHS) scientist. To assess proficiency in each of these domains, we developed and published an assessment tool for use by emerging LHS scientists and training programs. (LHS, October 2022). In mid-2022, the AHRQ adopted an eighth LHS knowledge domain, Equity and Justice. The addition of this eighth domain emphasizes the importance and centrality of equity in the LHS and improvement science. To extend our prior LHS competency assessment, we developed a proficiency assessment for the new equity and justice domain...
January 2024: Learning Health Systems
https://read.qxmd.com/read/38133523/evidence-based-guideline-for-prehospital-airway-management
#18
JOURNAL ARTICLE
Jeffrey L Jarvis, Ashish R Panchal, John W Lyng, Nichole Bosson, Joelle J Donofrio-Odmann, Darren A Braude, Lorin R Browne, Michael Arinder, Scott Bolleter, Toni Gross, Michael Levy, George Lindbeck, Lauren M Maloney, Connie J Mattera, Cheng-Teng Wang, Remle P Crowe, Christopher B Gage, Eddy S Lang, J Matthew Sholl
Airway management is a cornerstone of emergency medical care. This project aimed to create evidence-based guidelines based on the systematic review recently conducted by the Agency for Healthcare Research and Quality (AHRQ). A technical expert panel was assembled to review the evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. The panel made specific recommendations on the different PICO (population, intervention, comparison, outcome) questions reviewed in the AHRQ review and created good practice statements that summarize and operationalize these recommendations...
December 22, 2023: Prehospital Emergency Care
https://read.qxmd.com/read/38133520/evidence-based-guidelines-for-prehospital-airway-management-methods-and-resources-document
#19
JOURNAL ARTICLE
Christopher B Gage, Jonathan R Powell, Nicole Bosson, Remle Crowe, Kyle Guild, Matthew Yeung, Davis Maclean, Lorin R Browne, Jeffrey L Jarvis, J Matthew Sholl, Eddy S Lang, Ashish R Panchal
INTRODUCTION: Emergency airway management is a common and critical task EMS clinicians perform in the prehospital setting. A new set of evidence-based guidelines (EBG) was developed to assist in prehospital airway management decision-making. We aim to describe the methods used to develop these EBGs. METHODS: The EBG development process leveraged the four key questions from a prior systematic review conducted by the Agency for Healthcare Research and Quality (AHRQ) to develop 22 different population, intervention, comparison, and outcome (PICO) questions...
December 22, 2023: Prehospital Emergency Care
https://read.qxmd.com/read/38130393/association-between-the-triglyceride-glucose-index-and-diabetic-retinopathy-in-type-2-diabetes-a-meta-analysis
#20
Jianlong Zhou, Lv Zhu, Yadi Li
UNLABELLED: The triglyceride-glucose (TyG) index is an accessible and reliable surrogate indicator of insulin resistance and is strongly associated with diabetes. However, its relationship with diabetic retinopathy (DR) remains controversial. This meta-analysis aimed to assess the relationship between the TyG index and the prevalence of DR. Initial studies were searched from PubMed, Embase, Web of Science, and China National Knowledge Infrastructure (CNKI) electronic databases. The retrieval time range was from the establishment of the database to June 2023...
2023: Frontiers in Endocrinology
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