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https://www.readbyqxmd.com/read/28321302/impact-of-health-portal-enrolment-with-email-reminders-at-an-academic-rheumatology-clinic
#1
Arielle Mendel, Shirley Chow
Missed appointments reduce the quality, safety and efficiency of healthcare delivery. 'No-Shows' (NS) have been identified as a problem within the rheumatology clinic at Sunnybrook Health Sciences Center in Toronto, Ontario. NS were studied through a prospective chart review and telephone interviews. Over 6 months, 110 NS took place (rate 2.5-6.8%). From interviews, 85% of NS were attributed to forgetting, being unaware of the appointment, having the wrong date, or another miscommunication. Fifty-seven percent of patients were interested in an appointment reminder, including electronic reminders (46%)...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28281832/outcomes-of-introducing-early-learners-to-interprofessional-competencies-in-a-classroom-setting
#2
Kelly S Lockeman, Sharon K Lanning, Alan W Dow, Joseph A Zorek, Deborah DiazGranados, Carole K Ivey, Shawne Soper
PROBLEM: Although interprofessional practice is important for improving healthcare delivery, there is little evidence describing interprofessional education (IPE) outcomes beyond changes in attitudes and knowledge of prelicensure learners. More rigorous evaluation of early IPE is needed to determine its impact on teaching interprofessional collaborative practice and providing a solid foundation for applying collaborative skills in the clinical environment. INTERVENTION: First-year students (N = 679) in 7 health professions programs participated in a 4-session series focusing on professional roles and responsibilities, teams and teamwork, and the healthcare system...
March 10, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28264720/improving-and-sustaining-delivery-of-cpt-for-ptsd-in-mental-health-systems-a-cluster-randomized-trial
#3
Shannon Wiltsey Stirman, Erin P Finley, Norman Shields, Joan Cook, Rachel Haine-Schlagel, James F Burgess, Linda Dimeff, Kelly Koerner, Michael Suvak, Cassidy A Gutner, David Gagnon, Tasoula Masina, Matthew Beristianos, Kera Mallard, Vanessa Ramirez, Candice Monson
BACKGROUND: Large-scale implementation of evidence-based psychotherapies (EBPs) such as cognitive processing therapy (CPT) for posttraumatic stress disorder can have a tremendous impact on mental and physical health, healthcare utilization, and quality of life. While many mental health systems (MHS) have invested heavily in programs to implement EBPs, few eligible patients receive EBPs in routine care settings, and clinicians do not appear to deliver the full treatment protocol to many of their patients...
March 6, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28259155/aimd-a-validated-simplified-framework-of-interventions-to-promote-and-integrate-evidence-into-health-practices-systems-and-policies
#4
Peter Bragge, Jeremy M Grimshaw, Cynthia Lokker, Heather Colquhoun
BACKGROUND: Proliferation of terms describing the science of effectively promoting and supporting the use of research evidence in healthcare policy and practice has hampered understanding and development of the field. To address this, an international Terminology Working Group developed and published a simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies. This paper presents results of validation work and a second international workgroup meeting, culminating in the updated AIMD framework [Aims, Ingredients, Mechanism, Delivery]...
March 4, 2017: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/28254835/the-learning-healthcare-system-and-cardiovascular-care-a-scientific-statement-from-the-american-heart-association
#5
REVIEW
Thomas M Maddox, Nancy M Albert, William B Borden, Lesley H Curtis, T Bruce Ferguson, David P Kao, Gregory M Marcus, Eric D Peterson, Rita Redberg, John S Rumsfeld, Nilay D Shah, James E Tcheng
The learning healthcare system uses health information technology and the health data infrastructure to apply scientific evidence at the point of clinical care while simultaneously collecting insights from that care to promote innovation in optimal healthcare delivery and to fuel new scientific discovery. To achieve these goals, the learning healthcare system requires systematic redesign of the current healthcare system, focusing on 4 major domains: science and informatics, patient-clinician partnerships, incentives, and development of a continuous learning culture...
March 2, 2017: Circulation
https://www.readbyqxmd.com/read/28167999/informatics-metrics-and-measures-for-a-smart-public-health-systems-approach-information-science-perspective
#6
REVIEW
Timothy Jay Carney, Christopher Michael Shea
Public health informatics is an evolving domain in which practices constantly change to meet the demands of a highly complex public health and healthcare delivery system. Given the emergence of various concepts, such as learning health systems, smart health systems, and adaptive complex health systems, health informatics professionals would benefit from a common set of measures and capabilities to inform our modeling, measuring, and managing of health system "smartness." Here, we introduce the concepts of organizational complexity, problem/issue complexity, and situational awareness as three codependent drivers of smart public health systems characteristics...
2017: Computational and Mathematical Methods in Medicine
https://www.readbyqxmd.com/read/28152919/asco-pro-workgroup-update-patient-reported-outcome-measures-as-a-quality-indicator
#7
Anne C Chiang, Ethan M Basch
276 Background: Although patient questionnaires are commonly used to assess healthcare experiences (e.g., satisfaction with care), patient-reported outcome (PRO) measures assessing symptoms and physical functioning have not conventionally been used for quality assessment. More typically, quality of care is measured with administrative data, such as hospital readmission rates. There is an opportunity to advance the science of quality measurement by integrating a patient-centered approach. METHODS: ASCO established a multi-stakeholder PRO Workgroup (including extensive patient input) to develop and test PRO-based performance measures (PRO-PMs)...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28150253/-the-role-of-nursing-education-in-the-advancement-of-the-nursing-profession
#8
Mei Chang Yeh
The present article discusses the role of nursing education in the advancement of the nursing profession in the context of the three facets of knowledge: generation, dissemination, and application. Nursing is an applied science and the application of knowledge in practice is the ultimate goal of the nursing profession. The reform of the healthcare delivery model requires that nurses acquire and utilize evidence-based clinical knowledge, critical thinking, effective communication, and team collaboration skills in order to ensure the quality of patient care and safety...
February 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28119163/compassion-fatigue-a-meta-narrative-review-of-the-healthcare-literature
#9
REVIEW
Shane Sinclair, Shelley Raffin-Bouchal, Lorraine Venturato, Jane Mijovic-Kondejewski, Lorraine Smith-MacDonald
BACKGROUND: Compassion fatigue describes a work-related stress response in healthcare providers that is considered a 'cost of caring' and a key contributor to the loss of compassion in healthcare. OBJECTIVE: The purpose of this review was to critically examine the construct of compassion fatigue and to determine if it is an accurate descriptor of work-related stress in healthcare providers and a valid target variable for intervention. DESIGN: Meta-narrative review...
January 12, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28103931/developing-a-framework-to-guide-the-de-adoption-of-low-value-clinical-practices-in-acute-care-medicine-a-study-protocol
#10
Jeanna Parsons Leigh, Daniel J Niven, Jamie M Boyd, Henry T Stelfox
BACKGROUND: Healthcare systems have difficulty incorporating scientific evidence into clinical practice, especially when science suggests that existing clinical practices are of low-value (e.g. ineffective or harmful to patients). While a number of lists outlining low-value practices in acute care medicine currently exist, less is known about how best to initiate and sustain the removal of low-value clinical practices (i.e. de-adoption). This study will develop a comprehensive list of barriers and facilitators to the de-adoption of low-value clinical practices in acute care facilities to inform the development of a framework to guide the de-adoption process...
January 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28026070/cancer-related-pain-management-a-review-of-knowledge-and-attitudes-of-healthcare-professionals
#11
REVIEW
M A M Kasasbeh, C McCabe, S Payne
Cancer-related pain (CRP) is common and many patients continue to experience pain in spite of advances in pain management modalities. The lack of knowledge, inadequate assessment of CRP and/or organisational factors, such as lack of time due to heavy workload, can be a barrier to effective pain management of healthcare professionals. The purpose was to examine the evidence with regard to the knowledge and attitudes towards practice of healthcare professionals in relation to CRP management. A search of the literature (1999-2015) was conducted searching databases and journals including CINAHL, MEDLINE, PsycINFO, PubMed, Science Direct and Wiley-Blackwell...
December 27, 2016: European Journal of Cancer Care
https://www.readbyqxmd.com/read/27996085/supportive-interventions-for-enhancing-dietary-intake-in-malnourished-or-nutritionally-at-risk-adults
#12
REVIEW
Christine Baldwin, Katherine L Kimber, Michelle Gibbs, Christine Elizabeth Weekes
BACKGROUND: Supportive interventions such as serving meals in a dining room environment or the use of assistants to feed patients are frequently recommended for the management of nutritionally vulnerable groups. Such interventions are included in many policy and guideline documents and have implications for staff time but may incur additional costs, yet there appears to be a lack of evidence for their efficacy. OBJECTIVES: To assess the effects of supportive interventions for enhancing dietary intake in malnourished or nutritionally at-risk adults...
December 20, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27990676/updated-competencies-for-the-dental-public-health-specialist-using-the-past-and-present-to-frame-the-future
#13
Jane A Weintraub, R Gary Rozier
OBJECTIVE: A new set of competencies for entry-level specialists in dental public health (DPH) developed in 2016 updates the 1998 version. Our objective is to provide some context and perspective on this update. METHODS: We discuss the evolution of this dental specialty, how it differs from other dental specialties, and its importance for the public's oral health. Some societal trends that provide the rationale for this update are summarized. The ways in which this set of competencies differs from the last version are described...
September 2016: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/27960229/automated-telephone-communication-systems-for-preventive-healthcare-and-management-of-long-term-conditions
#14
REVIEW
Pawel Posadzki, Nikolaos Mastellos, Rebecca Ryan, Laura H Gunn, Lambert M Felix, Yannis Pappas, Marie-Pierre Gagnon, Steven A Julious, Liming Xiang, Brian Oldenburg, Josip Car
BACKGROUND: Automated telephone communication systems (ATCS) can deliver voice messages and collect health-related information from patients using either their telephone's touch-tone keypad or voice recognition software. ATCS can supplement or replace telephone contact between health professionals and patients. There are four different types of ATCS: unidirectional (one-way, non-interactive voice communication), interactive voice response (IVR) systems, ATCS with additional functions such as access to an expert to request advice (ATCS Plus) and multimodal ATCS, where the calls are delivered as part of a multicomponent intervention...
December 14, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27957306/the-impact-of-healthcare-reform-plan-on-the-rate-of-vaginal-delivery-and-cesarean-section-in-shiraz-iran-in-2015
#15
Faranak Rooeintan, Parviz Aghaei Borzabad, Abbas Yazdanpanah
INTRODUCTION: The uncontrolled increase in the rate of cesarean section is one of the most controversial issues, and is a primary challenge among health policy makers. This study was conducted to examine the impact of the Iranian health evolution plan on vaginal delivery rate and cesarean section. METHODS: This cross-sectional study was carried out in 2014. Maternal health data for 2013 and 2014 were used in this study and changes in vaginal delivery and cesarean section were compared before and after the reform, using t-test and Wilkinson test...
October 2016: Electronic Physician
https://www.readbyqxmd.com/read/27931219/influences-on-teleconsultation-project-utilization-rates-the-role-of-dominant-logic
#16
David L Paul, Reuben R McDaniel
BACKGROUND: This research analyzes teleconsultation from both a mechanistic and complex adaptive system (CAS) dominant logic in order to further understand the influence of dominant logic on utilization rates of teleconsultation projects. In both dominant logics, the objective of teleconsultation projects is to increase access to and quality of healthcare delivery in a cost efficient manner. A mechanistic dominant logic perceives teleconsultation as closely resembling the traditional service delivery model, while a CAS dominant logic focuses on the system's emergent behavior of learning resulting from the relationships and interactions of participating healthcare providers...
December 8, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27921257/impact-of-community-health-workers-on-use-of-healthcare-services-in-the-united-states-a-systematic-review
#17
Helen E Jack, Sophia D Arabadjis, Lucy Sun, Erin E Sullivan, Russell S Phillips
BACKGROUND: As the US transitions to value-based healthcare, physicians and payers are incentivized to change healthcare delivery to improve quality of care while controlling costs. By assisting with the management of common chronic conditions, community health workers (CHWs) may improve healthcare quality, but physicians and payers who are making choices about care delivery also need to understand their effects on healthcare spending. METHODS: We searched PubMed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, PsycINFO, Embase, and Web of Science from the inception of each database to 22 June 2015...
March 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27848049/cancer-research-in-low-and-middle-income-countries-consortiums-implementation-science-and-healthcare-delivery
#18
EDITORIAL
Benjamin O Anderson
No abstract text is available yet for this article.
November 15, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27811332/telemedicine-quality-and-outcomes-in-stroke-a-scientific-statement-for-healthcare-professionals-from-the-american-heart-association-american-stroke-association
#19
Lawrence R Wechsler, Bart M Demaerschalk, Lee H Schwamm, Opeolu M Adeoye, Heinrich J Audebert, Christopher V Fanale, David C Hess, Jennifer J Majersik, Karin V Nystrom, Mathew J Reeves, Wayne D Rosamond, Jeffrey A Switzer
PURPOSE: Telestroke is one of the most frequently used and rapidly expanding applications of telemedicine, delivering much-needed stroke expertise to hospitals and patients. This document reviews the current status of telestroke and suggests measures for ongoing quality and outcome monitoring to improve performance and to enhance delivery of care. METHODS: A literature search was undertaken to examine the current status of telestroke and relevant quality indicators...
2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/27808064/use-of-speech-to-text-technology-for-documentation-by-healthcare-providers
#20
REVIEW
Sima Ajami
Medical records are a critical component of a patient's treatment. However, documentation of patient-related information is considered a secondary activity in the provision of healthcare services, often leading to incomplete medical records and patient data of low quality. Advances in information technology (IT) in the health system and registration of information in electronic health records (EHR) using speechto- text conversion software have facilitated service delivery. This narrative review is a literature search with the help of libraries, books, conference proceedings, databases of Science Direct, PubMed, Proquest, Springer, SID (Scientific Information Database), and search engines such as Yahoo, and Google...
May 2016: National Medical Journal of India
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