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https://www.readbyqxmd.com/read/29923235/interpersonal-relationships-and-safety-culture-in-brazilian-health-care-organisations
#1
Eliana R Migowski, Nery Oliveira Júnior, Fernando Riegel, Sérgio A Migowski
AIM: To examine the association between interpersonal relationships, nursing leadership and patient safety culture and the impact on the efficiency of hospitals. BACKGROUND: Hospitals are still affected by the increased complexity of the treatments offered and by the diverse knowledge of professionals involved, which has made this assistance model ineffective, expensive and unsustainable over time. METHOD: A qualitative study of 32 professionals from three large hospitals in Southern Brazil was made...
June 20, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29922991/on-becoming-a-medical-school-dean-learning-a-complex-and-complicated-enterprise-the-compleat-dean-a-guide-to-academic-leadership-in-an-age-of-uncertainty-edited-by-ralph-v-clayman-createspace-independent-publishing-platform-amazon-2016-isbn-9781537377132-pp
#2
https://www.readbyqxmd.com/read/29921349/clinical-diagnoses-leading-to-suspension-in-army-aircrew-an-epidemiological-study
#3
Ian P Curry, Amanda M Kelley, Steven J Gaydos
INTRODUCTION: There have been few large-scale epidemiological examinations of military aircrew populations reported in recent literature. This study examined 10 yr of medical records contained in the U.S. Army Aeromedical Electronic Resource Office (AERO) in an effort to identify the most prevalent conditions affecting Army aviator career longevity. METHODS: This study was a retrospective epidemiological review; data were retrieved on 24,568 rated aircrew patients from the AERO database, of whom 5...
July 1, 2018: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/29916937/the-2017-american-orthopaedic-association-north-american-traveling-fellowship
#4
Christina L Goldstein, Scott M Tintle, MaCalus V Hogan, Bheeshma Ravi, Brian R Waterman
Initially established in 1967, the American Orthopaedic Association (AOA) North American Traveling Fellowship was designed to promote leadership development, network creation, and knowledge exchange among emerging leaders in orthopaedic surgery, and it remains one of the AOA's flagship tours. In 2017, the fellows visited 10 academic medical centers on the West Coast of Canada and the United States, participating in leadership, academic, clinical, and team-building activities. On the tour, we formed countless new friendships and collaborations, including exceptionally strong ones with each other...
June 20, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29915640/standardized-review-and-approval-process-for-high-cost-medication-use-promotes-value-based-care-in-a-large-academic-medical-system
#5
REVIEW
Raghu Durvasula, Janet Kelly, Anneliese Schleyer, Bradley D Anawalt, Shabir Somani, Timothy H Dellit
Background: As healthcare costs rise and reimbursements decrease, healthcare organization leadership and clinical providers must collaborate to provide high-value healthcare. Medications are a key driver of the increasing cost of healthcare, largely as a result of the proliferation of expensive specialty drugs, including biologic agents. Such medications contribute significantly to the inpatient diagnosis-related group payment system, often with minimal or unproved benefit over less-expensive therapies...
April 2018: American Health & Drug Benefits
https://www.readbyqxmd.com/read/29913462/curriculum-development-and-implementation-of-a-national-interprofessional-fellowship-in-patient-safety
#6
Bradley V Watts, Linda Williams, Peter D Mills, Douglas E Paull, Jeffrey A Cully, Stuart C Gilman, Robin R Hemphill
OBJECTIVES: Developing a workforce skilled in improving the safety of medical care has often been cited as an important means to achieve safer care. Although some educational programs geared toward patient safety have been developed, few advanced training programs have been described in the literature. We describe the development of a patient safety fellowship program. METHODS: We describe the development and curriculum of an Interprofessional Fellowship in Patient Safety...
June 15, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29912440/predictors-of-wellness-behaviors-in-u-s-army-physicians
#7
Daniel P Hsu, Shana L Hansen, Timothy A Roberts, Clinton K Murray, Vincent Mysliwiec
Introduction: In 2013, the U.S. Army Surgeon General implemented the Performance Triad (P3), an educational initiative to improve health-related behaviors of soldiers throughout the U.S. Army. The components of P3 are Sleep, Activity, and Nutrition with tenet behaviors for each component. This study reports the results of the 2015 U.S. Army Medical Corps survey regarding physician knowledge and adherence to the tenet behaviors of P3. Methods: In 2015, an anonymous survey was sent to all active duty U...
April 18, 2018: Military Medicine
https://www.readbyqxmd.com/read/29901655/organizational-factors-contributing-to-incivility-at-an-academic-medical-center-and-systems-based-solutions-a-qualitative-study
#8
Reena Pattani, Shiphra Ginsburg, Alekhya Mascarenhas Johnson, Julia E Moore, Sabrina Jassemi, Sharon E Straus
PURPOSE: A rise in incivility has been documented in medicine, with implications for patient care, organizational effectiveness, and costs. This study explored organizational factors that may contribute to incivility at one academic medical center and potential systems-level solutions to combat it. METHOD: The authors completed semi-structured individual interviews with full-time faculty members of the department of medicine (DOM) at the University of Toronto Faculty of Medicine, Toronto, Canada, with clinical appointments at six affiliated hospitals, between June and September 2016...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29897473/return-to-duty-practices-of-army-behavioral-health-providers-in-garrison
#9
Coleen Crouch, Justin M Curley, Jamie T Carreno, Joshua E Wilk
Introduction: While combat readiness is a top priority for the U.S. Army, there is concern that behavioral health (BH) return to duty (RTD) practices may under-represent the number of soldiers available for deployment. Profiling, the official administrative process by which medical duty limitations are communicated to commanders, was recently found to be significantly under-reporting BH readiness levels in one Army Division. This is a safety issue in addition to a readiness problem, and underscores the importance of better understanding RTD practices in order to offer solutions...
June 11, 2018: Military Medicine
https://www.readbyqxmd.com/read/29895734/briefing-note-proceedings-of-the-singapore-national-clinical-pharmacy-colloquium-health-manpower-development-planning
#10
Richard H Parrish, Lita Chew
The nation of Singapore highly values its health service as well as the component of healthcare delivery that includes clinical pharmacy and administration. The Ministry of Health (MOH) engaged the services of Dr. Richard Parrish to better understand the relationship between the Singaporean citizenry and its clinical pharmacists. Through a series of five lectures, structured from the national to local unit level, four roundtables, two hands-on sessions, and three workshops, clinical pharmacists and administrative leadership participated in “open-mic” style lectures, discussed the issues facing Singapore pharmacy in its current provision of healthcare services, and deliberated on the future resources required to meet projected healthcare needs...
June 12, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29893469/leadership-and-registered-nurses-rns-working-after-hours-in-residential-aged-care-facilities-racfs-a-structured-literature-review
#11
REVIEW
Dorika Nhongo, Joyce Hendricks, Julie Bradshaw, Kasia Bail
BACKGROUND: Registered nurses (RNs) working in Residential Aged Care Facilities are required to undertake complex management tasks including leading nursing care teams, supervising non-nursing staff, and allocating workloads according to residents' care needs, staff skills and experience. Registered nurses plan, assess, manage medication, evaluate each resident's care, liaise with doctors and allied health professionals and are responsible for evidence-based practice in accordance with the Nursing Standards for Practice (2016)...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29893432/factors-that-have-an-impact-on-knowledge-attitude-and-practice-related-to-kangaroo-care-national-survey-study-among-neonatal-nurses
#12
Qingqi Deng, Yao Zhang, Qiufang Li, Hua Wang, Xinfen Xu
AIMS AND OBJECTIVES: To explore factors that impact nurses' knowledge, perceptions, and practice related to kangaroo care (KC) in neonatal intensive care units (NICUs) in China. BACKGROUND: It is recognized extensively that KC is an effective intervention for improving the outcomes of preterm infants and has been recommended as a routine practice for neonatal care. However, this practice is uncommon in China and little is known about neonatal nurses' knowledge and attitude...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29884172/working-among-the-rural-communities-in-ghana-why-doctors-choose-to-engage-in-rural-practice
#13
Anthony Amalba, Francis A Abantanga, Albert J J A Scherpbier, W N K A van Mook
BACKGROUND: An unequal distribution of health personnel, leading to unfavourable differences in health status between urban and rural populations, is a serious cause for concern globally. Part of the solution to this problem lies in attracting medical doctors to rural, remote communities, which presents a real challenge. The present study therefore explored the factors that influence medical doctors' decision to practise in rural Ghana. METHODS: We conducted a cross-sectional descriptive study based on questionnaires...
June 8, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29882530/improving-perception-attitude-and-interest-in-medical-leadership-and-management-a-novel-model-proposed-by-medical-students
#14
COMMENT
Owais Ali Shah, Mohammed Khalid Aslami, Amir-Humza Tahir Suleman
No abstract text is available yet for this article.
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29879972/refer-to-pharmacy-a-qualitative-study-exploring-the-implementation-of-an-electronic-transfer-of-care-initiative-to-improve-medicines-optimisation-following-hospital-discharge
#15
Jane Ferguson, Liz Seston, Darren M Ashcroft
BACKGROUND: Transition between care settings is a time of high risk for preventable medication errors. Poor communication about medication changes on discharge from hospital can result in adverse drug events and medicines-related readmissions. Refer-to-Pharmacy is a novel electronic referral system that allows hospital pharmacy staff to refer patients from their bedside to their community pharmacist for post-hospital discharge medication support. The aim of this study was to examine factors that promoted or inhibited the implementation of Refer-to-Pharmacy in hospital and community settings...
June 7, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29877915/chief-resident-immersion-training-in-the-care-of-older-adults-a-successful-national-replication-of-an-interspecialty-educational-intervention
#16
Sharon A Levine, Serena H Chao, Lisa B Caruso, Angela H Jackson, Matthew L Russell, Megan E Young, Belle Brett
PURPOSE: Nongeriatricians must acquire skills and knowledge in geriatric medicine to ensure coordinated care of older adults' complex conditions by interspecialty and interprofessional teams. Chief residents (CRs) are an ideal target for an educational intervention. This study examined whether the Boston Medical Center (BMC) Chief Resident Immersion Training (CRIT) in the Care of Older Adults was replicable at diverse medical institutions. METHOD: Between 2008 and 2010, 12 institutions in 11 states received funding, technical support, and a common program model...
June 5, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29875585/medical-leadership-an-important-and-required-competency-for-medical-students
#17
REVIEW
Tsung-Ying Chen
Good medical leadership is the key to building high-quality healthcare. However, in the development of medical careers, the teaching of leadership has traditionally not equaled that of technical and academic competencies. As a result of changes in personal standards, the quality of medical leadership has led to variations between different organizations, as well as occasional catastrophic failure in the standard of care provided for patients. Leaders in the medical profession have called for reform in healthcare in response to challenges in the system and improvements in public health...
April 2018: Ci Ji Yi Xue za Zhi, Tzu-chi Medical Journal
https://www.readbyqxmd.com/read/29872359/what-a-medical-school-chair-wants-from-the-dean
#18
Robert Hromas, Robert Leverence, Lazarus K Mramba, J Larry Jameson, Caryn Lerman, Thomas L Schwenk, Ellen M Zimmermann, Michael L Good
Economic pressure has led the evolution of the role of the medical school dean from a clinician educator to a health care system executive. In addition, other dynamic requirements also have likely led to changes in their leadership characteristics. The most important relationship a dean has is with the chairs, yet in the context of the dean's changing role, little attention has been paid to this relationship. To frame this discussion, we asked medical school chairs what characteristics of a dean's leadership were most beneficial...
2018: Journal of Healthcare Leadership
https://www.readbyqxmd.com/read/29871680/leadership-in-palliative-medicine-moral-ethical-and-educational
#19
Nathan Emmerich
BACKGROUND: Making particular use of Shale's analysis, this paper discusses the notion of leadership in the context of palliative medicine. Whilst offering a critical perspective, I build on the philosophy of palliative care offered by Randall and Downie and suggest that the normative structure of this medical speciality has certain distinctive features, particularly when compared to that of medicine more generally. I discuss this in terms of palliative medicine's distinctive morality or ethos, albeit one that should still be seen in terms of medical morality or the ethos of medicine...
June 5, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29871491/core-components-of-the-rural-nurse-specialist-role-in-new-zealand
#20
Jennie Bell, Ruth Crawford, Kathy Holloway
INTRODUCTION: New Zealand has a rural population with unique healthcare needs. Traditionally, rural health care has been provided by medical general practitioners (GPs); however, as the number of GPs declines, the rural nurse specialist (RNS) role has emerged. The RNS is a registered nurse with advanced nursing skills that enable independent, autonomous practice within rural areas. The health needs of each rural community are specific to that area and the RNS role has been developed according to local healthcare needs...
June 2018: Rural and Remote Health
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