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Narrative evaluation

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https://www.readbyqxmd.com/read/29444536/optimizing-the-user-experience-identifying-opportunities-to-improve-use-of-an-inpatient-portal
#1
Daniel M Walker, Terri Menser, Po-Yin Yen, Ann Scheck McAlearney
BACKGROUND:  Patient portals specifically designed for the inpatient setting have significant potential to improve patient care. However, little is known about how the users of this technology, the patients, may interact with the inpatient portals. As a result, hospitals have limited ability to design approaches that support patient use of the portal. OBJECTIVES:  This study aims to evaluate the user experience associated with an inpatient portal. METHODS:  We used a Think-Aloud protocol to study user interactions with a commercially available inpatient portal-MyChart Bedside (MCB)...
January 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29444478/detection-of-drug-safety-signals-from-clinical-trials-data-role-of-susars
#2
Christelle Perez, Pascale Olivier, Barbara Lortal, Sophie Duranton, Jean-Louis Montastruc, Anne-Laurène Colin, Emilie Toulza, Madlyne Becker, Laura Hamy, Sabrina Crepin, Caroline Roussillon, Anne Gimbert, Nadine Petitpain, Francesco Salvo
One of the main goals of safety management in clinical trials is to detect suspected unexpected serious adverse reactions (SUSARs). The unexpectedness concerns the nature, frequency or severity of an adverse reaction. Drug safety signals could thus be retrieved, and a study was performed to investigate whether SUSARs allow signal detection in pharmacovigilance. Data from six academic safety units were collected from 2005 to 2016. Characteristics of SUSARs were analysed and signals were identified i) by evaluating the presence of other causes, ii) by assessing the summary of product characteristics (SPC), iii) by searching for specific safety information in Pubmed and health agencies, and iv) by investigating the narrative of each case...
February 11, 2018: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://www.readbyqxmd.com/read/29440940/the-therapeutic-effectiveness-of-using-visual-art-modalities-with-the-bereaved-a-systematic-review
#3
REVIEW
Rachel E Weiskittle, Sandra E Gramling
Bereaved individuals are increasingly considered at risk for negative psychological and physiological outcomes. Visual art modalities are often incorporated into grief therapy interventions, and clinical application of art therapy techniques with the bereaved has been widely documented. Although clinicians and recipients of these interventions advocate for their helpfulness in adapting to bereavement, research investigating the efficacy of visual art modalities has produced equivocal results and has not yet been synthesized to establish empirical support across settings...
2018: Psychology Research and Behavior Management
https://www.readbyqxmd.com/read/29440161/clinician-patient-and-general-public-beliefs-about-diagnostic-imaging-for-low-back-pain-protocol-for-a-qualitative-evidence-synthesis
#4
Adrian C Traeger, Benjamin J Reed, Denise A O'Connor, Tammy C Hoffmann, Gustavo C Machado, Carissa Bonner, Chris G Maher, Rachelle Buchbinder
INTRODUCTION: Little is known about how to reduce unnecessary imaging for low back pain. Understanding clinician, patient and general public beliefs about imaging is critical to developing strategies to reduce overuse. OBJECTIVE: To synthesise qualitative research that has explored clinician, patient or general public beliefs about diagnostic imaging for low back pain. METHODS AND ANALYSIS: We will perform a qualitative evidence synthesis of relevant qualitative research exploring clinician, patient and general public beliefs about diagnostic imaging for low back pain...
February 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29439064/interventions-that-enhance-health-services-for-parents-and-infants-to-improve-child-development-and-social-and-emotional-well-being-in-high-income-countries-a-systematic-review
#5
Lisa Hurt, Shantini Paranjothy, Patricia Jane Lucas, Debbie Watson, Mala Mann, Lucy J Griffiths, Samuel Ginja, Tapio Paljarvi, Jo Williams, Mark A Bellis, Raghu Lingam
BACKGROUND: Experiences in the first 1000 days of life have a critical influence on child development and health. Health services that provide support for families need evidence about how best to improve their provision. METHODS: We systematically reviewed the evidence for interventions in high-income countries to improve child development by enhancing health service contact with parents from the antenatal period to 24 months postpartum. We searched 15 databases and trial registers for studies published in any language between 01 January 1996 and 01 April 2016...
February 8, 2018: BMJ Open
https://www.readbyqxmd.com/read/29438461/backpack-programs-and-the-crisis-narrative-of-child-hunger-a-critical-review-of-the-rationale-targeting-and-potential-benefits-and-harms-of-an-expanding-but-untested-model-of-practice
#6
Maryah S Fram, Edward A Frongillo
In recent years, school-based food backpack programs (BPPs) have come into national prominence as a response to a perceived crisis of child hunger in America. Distributing bags of free food directly to schoolchildren for their own personal consumption each weekend, BPPs bring together private donors, faith communities, and public schools around an intuitively appealing project: children are hungry, and so we give them food. Perhaps because of their intuitive appeal, BPPs have expanded rapidly, without rigorous evaluation to determine their impacts on children, families, and schools...
January 1, 2018: Advances in Nutrition
https://www.readbyqxmd.com/read/29432333/buprenorphine-treatment-for-adolescents-and-young-adults-with-opioid-use-disorders-a-narrative-review
#7
Jacob T Borodovsky, Sharon Levy, Marc Fishman, Lisa A Marsch
: In the past decade, a new cohort of adolescents and young adults with opioid use disorders (OUD) has emerged. While medications and psychosocial treatments are available, few adolescents and young adults with OUD can access and remain in treatment. Effective, practical, and scalable treatment paradigms for this young population are needed. Buprenorphine is a medication with unique pharmacological and regulatory characteristics that make it a promising component of adolescent and young adult OUD treatment models...
February 9, 2018: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29431181/characterizing-performance-improvement-in-primary-care-systems-in-mesoamerica-a-realist-evaluation-protocol
#8
Wolfgang Munar, Syed S Wahid, Leslie Curry
Background. Improving performance of primary care systems in low- and middle-income countries (LMICs) may be a necessary condition for achievement of universal health coverage in the age of Sustainable Development Goals. The Salud Mesoamerica Initiative (SMI), a large-scale, multi-country program that uses supply-side financial incentives directed at the central-level of governments, and continuous, external evaluation of public, health sector performance to induce improvements in primary care performance in eight LMICs...
January 3, 2018: Gates Open Res
https://www.readbyqxmd.com/read/29430809/morbidity-and-mortality-meetings-gold-silver-or-bronze
#9
REVIEW
Thomas D Vreugdenburg, Deanne Forel, Nicholas Marlow, Guy J Maddern, John Quinn, Richard Lander, Stephen Tobin
BACKGROUND: Morbidity and mortality (M&M) meetings contribute to surgical education and improvements in patient care through the review of surgical outcomes; however, they often lack defined structure, objectives and resource support. The aim of this study was to investigate the factors that impact the effective conduct of M&M meetings. METHODS: We conducted a rapid systematic literature review. Three biomedical databases (PubMed, the Cochrane Library and the University of York Centre for Reviews and Dissemination), clinical practice guideline clearinghouses and grey literature sources were searched from May 2009 to September 2016...
February 11, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29427898/psychological-interventions-for-anxiety-in-adult-primary-care-patients-a-review-and-recommendations-for-future-research
#10
REVIEW
Robyn L Shepardson, Laura J Buchholz, Risa B Weisberg, Jennifer S Funderburk
Anxiety symptoms are prevalent in primary care, yet treatment rates are low. The integration of behavioral health providers into primary care via the Primary Care Behavioral Health (PCBH) model offers a promising way to improve treatment options by adding a team member with the necessary skillset to deliver evidence-based psychological interventions for anxiety. We conducted a narrative review of psychological interventions for anxiety applied within adult primary care settings (k = 44) to update the literature and evaluate the fit of existing interventions with the PCBH model...
January 2, 2018: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/29427047/are-personality-characteristics-as-measured-by-the-temperament-and-character-inventory-tci-associated-with-obesity-treatment-outcomes-a-systematic-review
#11
REVIEW
Riccardo Dalle Grave, Simona Calugi, Marwan El Ghoch
PURPOSE OF REVIEW: Some personality traits seem to be associated with obesity, but there is little information available regarding their association with obesity treatment outcomes. The aim of this systematic review was therefore to assess the associations between personality traits-evaluated by means of the Temperament and Character Inventory (TCI)-and outcomes of obesity treatment, including attrition, weight loss, and weight loss maintenance. The PubMed database was searched, and studies were screened as per the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines, and data were collated using a narrative approach...
February 9, 2018: Current Obesity Reports
https://www.readbyqxmd.com/read/29425829/assessment-and-optimization-of-liver-volume-before-major-hepatic-resection-current-guidelines-and-a-narrative-review
#12
REVIEW
Adeel S Khan, Sandra Garcia-Aroz, Mohammad A Ansari, Syed M Atiq, Michael Senter-Zapata, Kathryn Fowler, M B Doyle, W C Chapman
Post hepatectomy liver failure (PHLF) remains a significant cause of morbidity and mortality after major liver resection. Although the etiology of PHLF is multifactorial, an inadequate functional liver remnant (FLR) is felt to be the most important modifiable predictor of PHLF. Pre-operative evaluation of FLR function and volume is of paramount importance before proceeding with any major liver resection. Patients with inadequate or borderline FLR volume must be considered for volume optimization strategies such as portal vein embolization (PVE), two stage hepatectomy with portal vein ligation (PVL), Yttrium-90 radioembolization, and associating liver partition and portal vein ligation for staged hepatectomy (ALPPS)...
February 6, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29424623/interprofessional-education-day-an-evaluation-of-an-introductory-experience-for-first-year-students
#13
Zachary Singer, Kevin Fung, Elaine Lillie, Jennifer McLeod, Grace Scott, Peng You, Krista Helleman
Interprofessional health care teams have been shown to improve patient safety and reduce medical errors, among other benefits. Introducing interprofessional concepts to students in full day events is an established model that allows students to learn together. Our group developed an academic day for first-year students devoted to an introductory interprofessional education (IPE) experience, 'IPE Day'. In total, 438 students representing medicine, dentistry, pharmacy and optometry gathered together, along with 25 facilitators, for IPE Day...
February 9, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29420546/microbubbles-combined-with-ultrasound-therapy-in-ischemic-stroke-a-systematic-review-of-in-vivo-preclinical-studies
#14
Laurent Auboire, Charles A Sennoga, Jean-Marc Hyvelin, Fréderic Ossant, Jean-Michel Escoffre, François Tranquart, Ayache Bouakaz
BACKGROUND: Microbubbles (MBs) combined with ultrasound sonothrombolysis (STL) appears to be an alternative therapeutic strategy for acute ischemic stroke (IS), but clinical results remain controversial. OBJECTIVE: The aim of this systematic review is to identify the parameters tested; to assess evidence on the safety and efficacy on preclinical data on STL; and to assess the validity and publication bias. METHODS: Pubmed® and Web of ScienceTM databases were systematically searched from January 1995 to April 2017 in French and English...
2018: PloS One
https://www.readbyqxmd.com/read/29419621/the-impact-of-transitional-care-programs-on-health-services-utilization-in-community-dwelling-older-adults-a-systematic-review
#15
Lori E Weeks, Marilyn Macdonald, Ruth Martin-Misener, Melissa Helwig, Andrea Bishop, Damilola F Iduye, Elaine Moody
OBJECTIVE: The objective was to identify and synthesize the best available evidence on the impact of transitional care programs on various forms of health services utilization in community-dwelling older adults. INTRODUCTION: There is growing evidence that transitional care programs can help address important challenges facing health care systems and our increasing older adult population in many countries by reducing unnecessary health service utilization. There is a need for a systematic review of the research evaluating the impact of transitional care programs on hospital and other health service usage...
February 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29417829/identifying-characteristics-and-practices-of-multidisciplinary-team-reviews-for-patients-with-severe-mental-illness-a-systematic-review
#16
Charlotte A Woody, Amanda J Baxter, Meredith G Harris, Dan J Siskind, Harvey A Whiteford
OBJECTIVES: Multidisciplinary teams in mental health receive limited guidance, leading to inconsistent practices. We undertook a systematic review of the characteristics and practices of multidisciplinary team reviews for patients with severe mental illness or in relevant mental health service settings. METHODS: Sources published since 2000 were located via academic database and web searches. Results were synthesised narratively. RESULTS: A total of 14 sources were analysed...
February 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29417600/a-critical-narrative-review-of-transfer-of-basic-science-knowledge-in-health-professions-education
#17
REVIEW
Jean-Marie Castillo, Yoon Soo Park, Ilene Harris, Jeffrey J H Cheung, Lonika Sood, Maureen D Clark, Kulamakan Kulasegaram, Ryan Brydges, Geoffrey Norman, Nicole Woods
CONTEXT: 'Transfer' is the application of a previously learned concept to solve a new problem in another context. Transfer is essential for basic science education because, to be valuable, basic science knowledge must be transferred to clinical problem solving. Therefore, better understanding of interventions that enhance the transfer of basic science knowledge to clinical reasoning is essential. This review systematically identifies interventions described in the health professions education (HPE) literature that document the transfer of basic science knowledge to clinical reasoning, and considers teaching and assessment strategies...
February 8, 2018: Medical Education
https://www.readbyqxmd.com/read/29417062/developing-a-pilot-curriculum-to-foster-humanism-among-graduate-medical-trainees
#18
Sarah K Dotters-Katz, Alice Chuang, Amy Weil, Jennifer O Howell
BACKGROUND: Humanism is a central tenant of professionalism, a required competency for all residency programs. Yet, few residencies have formal curriculum for teaching this critical aspect of medicine. Instead, professionalism and humanism are often taught informally through role-modeling. With increased burnout, faculty professionalism may suffer and may compromise resident role-modeling. The objective of this study was to design a pilot curriculum to foster humanism in among residents and assess its ability to do so...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29415720/facilitators-and-barriers-of-implementing-and-delivering-social-prescribing-services-a-systematic-review
#19
Julia Vera Pescheny, Yannis Pappas, Gurch Randhawa
BACKGROUND: Social Prescribing is a service in primary care that involves the referral of patients with non-clinical needs to local services and activities provided by the third sector (community, voluntary, and social enterprise sector). Social Prescribing aims to promote partnership working between the health and the social sector to address the wider determinants of health. To date, there is a weak evidence base for Social Prescribing services. The objective of the review was to identify factors that facilitate and hinder the implementation and delivery of SP services based in general practice involving a navigator...
February 7, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29415229/military-personnel-who-seek-health-and-mental-health-services-outside-the-military
#20
Howard Waitzkin, Mario Cruz, Bryant Shuey, Daniel Smithers, Laura Muncy, Marylou Noble
Background: Although research conducted within the military has assessed the health and mental health problems of military personnel, little information exists about personnel who seek care outside the military. The purpose of this study is to clarify the personal characteristics, mental health diagnoses, and experiences of active duty U.S. military personnel who sought civilian sector services due to unmet needs for care. Materials and Methods: This prospective, multi-method study included 233 clients, based in the United States, Afghanistan, South Korea, and Germany, who obtained care between 2013 and 2016 from a nationwide network of volunteer civilian practitioners...
February 5, 2018: Military Medicine
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