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https://www.readbyqxmd.com/read/29908198/in-hospital-delays-result-in-worse-patient-outcomes-and-higher-cost-after-cardiac-surgery
#1
Diane R M Somlo, Nelson P Repenning, Abeel A Mangi
BACKGROUND: Contemporary reimbursement systems allow hospitals to maintain profitability by offering procedural services. However, increasing procedural volume can be met with structural inefficiencies that in turn cause delays, worse patient outcomes, and increased cost. METHODS: A multidisciplinary team assessed operations and outcomes at the Heart and Vascular Center at Yale New Haven Hospital, a tertiary academic medical center. Data were analyzed retrospectively to assess delays in transferring patients between care environments, patient outcomes, and cost...
June 13, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29907552/beyond-maximum-grade-modernising-the-assessment-and-reporting-of-adverse-events-in-haematological-malignancies
#2
REVIEW
Gita Thanarajasingam, Lori M Minasian, Frederic Baron, Franco Cavalli, R Angelo De Claro, Amylou C Dueck, Tarec C El-Galaly, Neil Everest, Jan Geissler, Christian Gisselbrecht, John Gribben, Mary Horowitz, S Percy Ivy, Caron A Jacobson, Armand Keating, Paul G Kluetz, Aviva Krauss, Yok Lam Kwong, Richard F Little, Francois-Xavier Mahon, Matthew J Matasar, María-Victoria Mateos, Kristen McCullough, Robert S Miller, Mohamad Mohty, Philippe Moreau, Lindsay M Morton, Sumimasa Nagai, Simon Rule, Jeff Sloan, Pieter Sonneveld, Carrie A Thompson, Kyriaki Tzogani, Flora E van Leeuwen, Galina Velikova, Diego Villa, John R Wingard, Sophie Wintrich, John F Seymour, Thomas M Habermann
Tremendous progress in treatment and outcomes has been achieved across the whole range of haematological malignancies in the past two decades. Although cure rates for aggressive malignancies have increased, nowhere has progress been more impactful than in the management of typically incurable forms of haematological cancer. Population-based data have shown that 5-year survival for patients with chronic myelogenous and chronic lymphocytic leukaemia, indolent B-cell lymphomas, and multiple myeloma has improved markedly...
June 12, 2018: Lancet Haematology
https://www.readbyqxmd.com/read/29907508/using-a-real-time-location-system-to-measure-patient-flow-in-a-radiation-oncology-outpatient-clinic
#3
Kevin Conley, Chester Chambers, Shereef Elnahal, Amanda Choflet, Kayode Williams, Theodore DeWeese, Joseph Herman, Maqbool Dada
PURPOSE: Common performance metrics for outpatient clinics define the time between patient arrival and entry into an examination room as "waiting time." Time spent in the room is considered processing time. This characterization systematically ignores time spent in the examination room waiting for service. If these definitions are used, performance will consistently understate total waiting times and overstate processing times. Correcting such errors will provide a better understanding of system behavior...
May 5, 2018: Practical Radiation Oncology
https://www.readbyqxmd.com/read/29907207/utilization-and-effectiveness-of-multimodal-discharge-analgesia-for-postoperative-pain-management
#4
Karishma Desai, Ian Carroll, Steven M Asch, Tina Seto, Kathryn M McDonald, Catherine Curtin, Tina Hernandez-Boussard
BACKGROUND: Although evidence-based guidelines recommend a multimodal approach to pain management, limited information exists on adherence to these guidelines and its association with outcomes in a generalized population. We sought to assess the association between discharge multimodal analgesia and postoperative pain outcomes in two diverse health care settings. METHODS: We evaluated patients undergoing four common surgeries associated with high pain in electronic health records from an academic hospital (AH) and Veterans Health Administration (VHA)...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29905921/pediatric-inpatient-and-emergency-dermatology-consultations-a-5-year-retrospective-analysis
#5
Mariana Cruz-Manzano, Cristina N Brau-Javier, Sheila Valentín-Nogueras, Luz D Figueroa-Guzmán
OBJECTIVE: To characterize and analyze the inpatient and emergency pediatric dermatology consults in our academic hospital center. METHODS: We reviewed 485 consultations that were done by the University of Puerto Rico Department of Dermatology from July 2007 to June 2012. The date, patient age and gender, consulting service, presumptive diagnosis, final diagnosis, and diagnostic procedures performed were documented for each consult. RESULTS: The patients' ages ranged from newborn to 18 years; the 13 to 18 years age group was the most common (29%)...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29904320/facilitators-and-barriers-to-ad-hoc-team-performance
#6
Bobbie Ann A White, Angela Eklund, Tresa McNeal, Angie Hochhalter, Alejandro C Arroliga
Most teams in hospital medicine are ad hoc, meaning that the teams vary in participants. Ad hoc teams can be found in academic teaching hospitals where team members change across shifts and rotations. Due to varying team membership, these teams face significant hurdles, because they lack an opportunity to develop a team identity, shared mental models, and trust. This article discusses facilitators and barriers to effective functioning of ad hoc teams. Communication, conflict management, power, and leadership are areas that either serve as facilitators or barriers to positive team function...
July 2018: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/29903624/outcomes-in-microvascular-head-and-neck-reconstruction-in-the-setting-of-restricted-residency-hours
#7
Richard Chan Woo Park, Amishav Y Bresler, Amy P Bansal, Soly Baredes
BACKGROUND: Resident duty hour restrictions can limit the frequency of resident flap checks at smaller institutions with "home" call. Institutions are compensating with adjuvant nursing flap checks as well as incorporating technology; however, this management remains controversial. METHODS: A prospective cohort of 122 free flaps for reconstruction of the head and neck by a single surgeon. Demographic information, operative details, postoperative care, and flap outcomes were recorded...
June 5, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29903350/acute-limited-intimal-tears-of-the-thoracic-aorta
#8
Anne S Chin, Martin J Willemink, Aya Kino, Virginia Hinostroza, Anna M Sailer, Michael P Fischbein, R Scott Mitchell, Gerald J Berry, D Craig Miller, Dominik Fleischmann
BACKGROUND: Limited intimal tears (LITs) of the aorta (Class 3 dissection variant) are the least common form of aortic pathology in patients presenting with acute aortic syndrome (AAS). LITs are difficult to detect on imaging and may be underappreciated. OBJECTIVES: This study sought to describe the frequency, pathology, treatment, and outcome of LITs compared with other AAS, and to demonstrate that LITs can be detected pre-operatively by contemporary imaging. METHODS: The authors retrospectively reviewed 497 patients admitted for 513 AAS events at a single academic aortic center between 2003 and 2012...
June 19, 2018: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/29903001/assessing-the-predictors-for-training-in-management-amongst-hospital-managers-and-chief-executive-officers-a-cross-sectional-study-of-hospitals-in-abuja-nigeria
#9
Ogbonnia Godfrey Ochonma, Stephen Ikechukwu Nwatu
BACKGROUND: There is a compelling need for management training amongst hospital managers in Nigeria mostly because management was never a part of the curricula in medical schools and this has resulted in their deficiencies in effective policymaking, planning and bottom line management. There has been no study to the best of our knowledge on the need and likely factors that may influence the acquisition of such training by hospital managers and this in effect was the reason for this study...
June 14, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29902821/lithium-clinics-in-berlin-and-dresden-a-50-year-experience
#10
Werner Felber, Michael Bauer, Ute Lewitzka, Bruno Müller-Oerlinghausen
Although lithium's serendipitous discovery as a medication for depression dates back more than 200 years, the first scientific evidence that it prevents mania and depression arose only in the 1960s. However, at that time there was a lack of knowledge about how to administer and monitor lithium therapy safely and properly. The lithium clinics in Dresden and Berlin were remarkably similar in their beginnings in the late 1960s regarding patient numbers and scientific expertise without being aware of one another due to the Iron Curtain separating Germany into a western and eastern part until 1990...
June 14, 2018: Pharmacopsychiatry
https://www.readbyqxmd.com/read/29902538/a-multicentre-observational-study-on-management-of-general-anaesthesia-in-elderly-patients-at-high-risk-of-postoperative-adverse-outcomes
#11
Serge Molliex, Sylvie Passot, Jerome Morel, Emmanuel Futier, Jean Yves Lefrant, Jean Michel Constantin, Yannick Le Manach, Bruno Pereira
INTRODUCTION: in elderly patients, goal directed haemodynamic therapy (GDHT), depth of anaesthesia monitoring and lung-protective ventilation have been shown to improve postoperative outcomes. The aim of this study was to evaluate current practices concerning strategies of anaesthesia optimisation in patients aged ≥ 75 years. PATIENTS AND METHODS: a multicentre observational study was performed from February to May 2015 in 23 French academic centres. On 30 consecutive days in each centre, patients ≥ 75 years with at least one major co-morbidity undergoing elective or emergency procedures (femoral-neck fractures surgery, intraperitoneal abdominal surgery or vascular surgery) were included...
June 11, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29902313/association-of-cardiovascular-comorbidities-with-hearing-loss-in-the-older-old
#12
Kapil Wattamwar, Z Jason Qian, Jenna Otter, Matthew J Leskowitz, Francesco F Caruana, Barbara Siedlecki, Jaclyn B Spitzer, Anil K Lalwani
Importance: In the United States, the population of individuals older than 80 years is expected to double in the next 40 years. Cardiovascular comorbidities are prevalent in this older old population, and their relationship with hearing loss has not been well characterized. Objective: To investigate the association of cardiovascular disease (CVD)-related risk factors with auditory function among the older old (>80 years). Design, Setting, and Participants: Audiological data and medical records from 2001 through 2014 of 433 patients aged 80 to 106 years at an academic medical center were analyzed in 2017...
June 14, 2018: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29902297/automated-quantification-of-nonperfusion-areas-in-3-vascular-plexuses-with-optical-coherence-tomography-angiography-in-eyes-of-patients-with-diabetes
#13
Thomas S Hwang, Ahmed M Hagag, Jie Wang, Miao Zhang, Andrew Smith, David J Wilson, David Huang, Yali Jia
Importance: Diabetic retinopathy (DR) is a leading cause of vision loss that is managed primarily through qualitative clinical examination of the retina. Optical coherence tomography angiography (OCTA) may offer an objective and quantitative method of evaluating DR. Objective: To quantify capillary nonperfusion in 3 vascular plexuses in the macula of eyes patients with diabetes of various retinopathy severity using projection-resolved OCTA (PR-OCTA). Design, Setting, and Participants: Cross-sectional study at a tertiary academic center comprising 1 eye each from healthy control individuals and patients with diabetes at different severity stages of retinopathy...
June 14, 2018: JAMA Ophthalmology
https://www.readbyqxmd.com/read/29900652/challenges-in-preparing-the-dietetics-workforce-of-the-future-an-exploration-of-dietetics-educators-experiences
#14
Kate Morgan, Dianne P Reidlinger, Sally Sargeant, Linda Crane, Katrina L Campbell
AIM: Dietetics educators represent a small but influential workforce group that has experienced significant change in recent years. The workforce development challenges faced by this group have been largely unexplored. The present study aimed to explore the experiences of, and challenges faced by, academic dietetics educators in preparing dietitians for the workforce. METHODS: The approach taken in the present study was informed by qualitative description. Fifteen dietetics educators employed by 13 universities across Australia were purposively sampled...
June 13, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29900196/the-role-of-gender-on-academic-performance-in-stem-related-disciplines-data-from-a-tertiary-institution
#15
Temitope M John, Joke A Badejo, Segun I Popoola, David O Omole, Jonathan A Odukoya, Priscilla O Ajayi, Mary Aboyade, Aderemi A Atayero
This data article presents data of academic performances of undergraduate students in Science, Technology, Engineering and Mathematics (STEM) disciplines in Covenant University, Nigeria. The data shows academic performances of Male and Female students who graduated from 2010 to 2014. The total population of samples in the observation is 3046 undergraduates mined from Biochemistry (BCH), Building technology (BLD), Computer Engineering (CEN), Chemical Engineering (CHE), Industrial Chemistry (CHM), Computer Science (CIS), Civil Engineering (CVE), Electrical and Electronics Engineering (EEE), Information and Communication Engineering (ICE), Mathematics (MAT), Microbiology (MCB), Mechanical Engineering (MCE), Management and Information System (MIS), Petroleum Engineering (PET), Industrial Physics-Electronics and IT Applications (PHYE), Industrial Physics-Applied Geophysics (PHYG) and Industrial Physics-Renewable Energy (PHYR)...
June 2018: Data in Brief
https://www.readbyqxmd.com/read/29900081/orthopaedic-resident-practice-management-and-health-policy-education-evaluation-of-experience-and-expectations
#16
Eugene F Stautberg Iii, Jose Romero, Sean Bender, Marc DeHart
Introduction Practice management and health policy have generally not been considered integral to orthopaedic resident education. Our objective was to evaluate residents' current experience and knowledge, formal training, and desire for further education in practice management and health policy. Methods We developed a 29-question survey that was divided into three sections: practice management, initial employment opportunity, and health policy. Within each section, questions were directed at a resident's current experience and knowledge, formal training, and interest in further education...
April 11, 2018: Curēus
https://www.readbyqxmd.com/read/29899782/neuropsychological-difficulties-associated-with-dopa-responsive-dystonia
#17
Dhinesh Baskaran, Arif Khan, Nahin Hussain
A young girl with L-dopa responsive dystonia showed significant improvements in motor function but had ongoing complaints of neuropsychological difficulties. A neuropsychological evaluation was undertaken to understand the nature of her difficulties. Intellectual function, attention, executive function, and academic attainment were assessed using published psychometric tests. Verbal and non-verbal reasoning was found to be age appropriate. Particular difficulties were identified with working memory, visual selective attention, dual attention, and processing speed which were having a significant impact upon the child and her family...
January 2018: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/29898604/the-district-health-information-system-dhis2-a-literature-review-and-meta-synthesis-of-its-strengths-and-operational-challenges-based-on-the-experiences-of-11-countries
#18
Reza Dehnavieh, AliAkbar Haghdoost, Ardeshir Khosravi, Fahime Hoseinabadi, Hamed Rahimi, Atousa Poursheikhali, Nahid Khajehpour, Zahra Khajeh, Nadia Mirshekari, Marziyeh Hasani, Samera Radmerikhi, Hajar Haghighi, Mohammad Hossain Mehrolhassani, Elaheh Kazemi, Saeide Aghamohamadi
BACKGROUND: Health information systems offer many potential benefits for healthcare, including financial benefits and for improving the quality of patient care. The purpose of District Health Information Systems (DHIS) is to document data that are routinely collected in all public health facilities in a country using the system. OBJECTIVE: The aim of this study was to examine the strengths and operational challenges of DHIS2, with a goal to enable decision makers in different counties to more accurately evaluate the outcomes of introducing DHIS2 into their particular country...
January 1, 2018: Health Information Management: Journal of the Health Information Management Association of Australia
https://www.readbyqxmd.com/read/29893977/effect-of-a-shoulder-movement-intervention-on-joint-mobility-pain-and-disability-in-people-with-diabetes-a-randomized-controlled-trial
#19
Michael J Mueller, Christopher J Sorensen, Janet B McGill, B Ruth Clark, Catherine E Lang, Ling Chen, Kathryn L Bohnert, Mary K Hastings
Background: People with diabetes are at high risk for shoulder pain, limited joint mobility, and adhesive capsulitis. Objective: The objective of this study was to evaluate the effects of a shoulder movement intervention (ShoMo) compared to a wellness intervention on the primary outcomes of active shoulder flexion and reported Shoulder Pain and Disability Index (SPADI) measured after intervention and 9 months later. Design: The design was a prospective, randomized, controlled clinical trial...
June 11, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29892653/survey-datasets-on-the-influence-of-conflict-management-strategies-on-academic-staff-productivity-in-selected-public-universities-in-nigeria
#20
Ebeguki Igbinoba, Hezekiah Falola, Adewale Osibanjo, Olumuyiwa Oludayo
The article presented data on the influence of conflict management strategies on productivity of Academic Staff of selected public universities in Nigeria. A total of 368 copies of questionnaire were administered to the academic staff of selected three (3) Public Universities in the South-West Zone of Nigeria and 325 copies were returned and deemed usable. This represents a response rate of 88.32%. Emphasis was laid on the year of establishment of the selected universities based on the fact that over the years, these universities are likely to have been exposed to conflicts and the strategies for managing them...
August 2018: Data in Brief
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