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https://www.readbyqxmd.com/read/29452519/patient-engagement-in-clinical-trials-the-clinical-trials-transformation-initiative-s-leadership-from-theory-to-practical-implementation
#1
Bray Patrick-Lake
Patient engagement is an increasingly important aspect of successful clinical trials. Over the past decade, as patient group involvement in clinical trials has continued to increase and diversify, the Clinical Trials Transformation Initiative has not only recognized the crucial role patients play in improving the clinical trial enterprise but also made a deep commitment to help grow and shape the emerging field of patient engagement. This article describes the evolution of patient engagement including the origins of the patient engagement movement; barriers to successful engagement and remaining challenges to full and valuable collaboration between patient groups and trial sponsors; and Clinical Trials Transformation Initiative's role in influencing the field through organizational practices, formal project work and resulting recommendations, and external advocacy efforts...
February 2018: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/29439895/adding-value-to-total-joint-arthroplasty-care-in-an-academic-environment-the-utah-experience
#2
Christopher E Pelt, Mike B Anderson, Jill A Erickson, Jeremy M Gililland, Christopher L Peters
BACKGROUND: Adding value in a university-based academic health care system provides unique challenges when compared to other health care delivery models. Herein, we describe our experience in adding value to joint arthroplasty care at the University of Utah, where the concept of value-based health care reform has become an embraced and driving force. METHODS: To improve the value, new resources were needed for care redesign, physician leadership, and engagement in alternative payment models...
February 10, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29435488/evaluating-nonclinical-performance-of-the-academic-pathologist-a-comprehensive-scalable-and-flexible-system-for-leadership-use
#3
Austin Blackburn Wiles, Michael O Idowu, Charles V Clevenger, Celeste N Powers
Academic pathologists perform clinical duties, as well as valuable nonclinical activities. Nonclinical activities may consist of research, teaching, and administrative management among many other important tasks. While clinical duties have many clear metrics to measure productivity, like the relative value units of Medicare reimbursement, nonclinical performance is often difficult to measure. Despite the difficulty of evaluating nonclinical activities, nonclinical productivity is used to determine promotion, funding, and inform professional evaluations of performance...
January 2018: Academic Pathology
https://www.readbyqxmd.com/read/29433956/hiv-pre-exposure-prophylaxis-program-implementation-using-intervention-mapping
#4
Charlene A Flash, Elizabeth L T Frost, Thomas P Giordano, K Rivet Amico, Jeffrey A Cully, Christine M Markham
INTRODUCTION: HIV pre-exposure prophylaxis has been proven to be an effective tool in HIV prevention. However, numerous barriers still exist in pre-exposure prophylaxis implementation. METHODS: The framework of Intervention Mapping was used from August 2016 to October 2017 to describe the process of adoption, implementation, and maintenance of an HIV prevention program from 2012 through 2017 in Houston, Texas, that is nested within a county health system HIV clinic...
February 9, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29433134/-an-effective-clinical-leadrship-to-strenghten-the-immunization-policies-in-italy
#5
Andrea Silenzi, Andrea Poscia, Maria Rosaria Gualano, Paolo Parente, Flavia Kheiraoui, Carlo Favaretti, Roberta Siliquini, Walter Ricciardi
Effective governance for health is a prerequisite for implementing a transformation in healthcare. Any change, in order to be fully implemented, requires a strong and transparent leadership. The recent drop in vaccine cover has led our National Health Service to implement a number of changes in health prevention and immunization strategies that make vaccination an optimal paradigm of how healthcare leadership should not remain the focus of few scientists and public health specialists, but it should be more and more widespread at all levels...
September 2017: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/29429606/challenges-implementing-lung-cancer-screening-in-federally-qualified-health-centers
#6
Steven B Zeliadt, Richard M Hoffman, Genevieve Birkby, Jan M Eberth, Alison T Brenner, Daniel S Reuland, Susan A Flocke
INTRODUCTION: The purpose of this study is to identify issues faced by Federally Qualified Health Centers (FQHCs) in implementing lung cancer screening in low-resource settings. METHODS: Medical directors of 258 FQHCs serving communities with tobacco use prevalence above the median of all 1,202 FQHCs nationally were sampled to participate in a web-based survey. Data were collected between August and October 2016. Data analysis was completed in June 2017. RESULTS: There were 112 (43%) FQHC medical directors or surrogates who responded to the 2016 survey...
February 8, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29425890/the-top-medical-education-studies-of-2016-a-narrative-review
#7
REVIEW
H Barrett Fromme, Michael S Ryan, Alix Darden, Donna D'Alessandro, Leora Mogilner, Steven Paik, Teri L Turner
Education, like clinical medicine, should be based on the most current evidence in the field. Unfortunately, medical educators can be overwhelmed by the sheer volume and range of resources for this literature. This article provides an overview of 15 articles from 2016 that the authors consider the top articles in the field of pediatric medical education. The seven authors, all medical educators with combined leadership and expertise across the continuum of pediatric medical education, used an interative, three-stage process to review more than 6339 abstracts published in 2016...
February 6, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29425602/rethinking-clinical-workflow
#8
REVIEW
Joseph J Schlesinger, Kendall Burdick, Sarah Baum, Melissa Bellomy, Dorothee Mueller, Alistair MacDonald, Alex Chern, Kristin Chrouser, Christie Burger
The concept of clinical workflow borrows from management and leadership principles outside of medicine. The only way to rethink clinical workflow is to understand the neuroscience principles that underlie attention and vigilance. With any implementation to improve practice, there are human factors that can promote or impede progress. Modulating the environment and working as a team to take care of patients is paramount. Clinicians must continually rethink clinical workflow, evaluate progress, and understand that other industries have something to offer...
March 2018: Anesthesiology Clinics
https://www.readbyqxmd.com/read/29422222/rating-teams-non-technical-skills-in-the-emergency-department-a-qualitative-study-of-nurses-experience
#9
Joanne E Porter, Robyn P Cant, Simon J Cooper
INTRODUCTION: Non-technical skills (NTS) teamwork training can enhance clinicians' understanding of roles and improve communication. We evaluated a quality improvement project rating teams' NTS performance to determine the value of formal rating and debriefing processes. METHODS: In two Australian emergency departments the NTS of resuscitation teams were rated by senior nurses and medical staff. Key measures were leadership, teamwork, and task management using a valid instrument: Team Emergency Assessment Measure (TEAM™)...
February 5, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29422189/a-mindfulness-based-intervention-to-increase-resilience-to-stress-in-university-students-the-mindful-student-study-a-pragmatic-randomised-controlled-trial
#10
Julieta Galante, Géraldine Dufour, Maris Vainre, Adam P Wagner, Jan Stochl, Alice Benton, Neal Lathia, Emma Howarth, Peter B Jones
BACKGROUND: The rising number of young people going to university has led to concerns about an increasing demand for student mental health services. We aimed to assess whether provision of mindfulness courses to university students would improve their resilience to stress. METHODS: We did this pragmatic randomised controlled trial at the University of Cambridge, UK. Students aged 18 years or older with no severe mental illness or crisis (self-assessed) were randomly assigned (1:1), via remote survey software using computer-generated random numbers, to receive either an 8 week mindfulness course adapted for university students (Mindfulness Skills for Students [MSS]) plus mental health support as usual, or mental health support as usual alone...
February 2018: Lancet. Public Health
https://www.readbyqxmd.com/read/29420787/military-health-system-transformation-implications-on-health-information-technology-modernization
#11
Saad Khan
With the recent passage of the National Defense Authorization Act for Fiscal Year 2017, Congress has triggered groundbreaking Military Health System organizational restructuring with the Defense Health Agency assuming responsibility for managing all hospitals and clinics owned by the Army, Navy, and Air Force. This is a major shift toward a modern value-based managed care system, which will require much greater military-civilian health care delivery integration to be in place by October 2018. Just before the National Defense Authorization Act for Fiscal Year 2017 passage, the Department of Defense had already begun a seismic shift and awarded a contract for the new Military Health System-wide electronic health record system...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29417829/identifying-characteristics-and-practices-of-multidisciplinary-team-reviews-for-patients-with-severe-mental-illness-a-systematic-review
#12
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/29417403/implementing-a-program-of-talimogene-laherparepvec
#13
Frances Collichio, Lauren Burke, Amber Proctor, Diana Wallack, Anthony Collichio, Patricia K Long, David W Ollila
BACKGROUND: Oncolytic viruses are genetically engineered or naturally occurring viruses that selectively replicate in cancer cells without harming normal cells. Talimogene laherparepvec (Imlygic®), the first oncolytic viral therapy approved for treatment of cancer, was approved for treatment of locally advanced melanoma in October 2015. PURPOSE: As a biologic product, use of T. laherparepvec in the clinical setting requires pretreatment planning and a unique systematic approach to deliver the therapy...
February 7, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29416942/nurse-designed-care-models-and-culture-of-health-review-of-three-case-studies
#14
Martsolf Grant, Mason Diana J, Sloan Jennifer, Sullivan Cheryl G, Villarruel Antonia M
The Robert Wood Johnson Foundation (RWJF) recently made a commitment to advancing a national culture of health (COH)-an action framework developed by RWJF that focuses on well-being and equity with the goal of empowering and supporting people to lead healthier lives where they live, learn, work, and play, now and in generations to come. Nurses are well positioned to provide care that is consistent with, and contributes to, a COH in their communities. RWJF contracted with the American Academy of Nursing (the Academy) with a subcontract to the RAND Corporation to explore the ways that innovative nurse-designed models of care are currently advancing a COH...
January 2018: Rand Health Quarterly
https://www.readbyqxmd.com/read/29415798/towards-a-strategy-for-clinical-quality-registries-in-australia
#15
Susannah Ahern, Sue Evans, Ingrid Hopper, John Zalcberg
The healthcare value of Australian clinical quality registries (CQRs) has recently been highlighted by the Australian Commission of Safety and Quality in Health Care (ACSQHC) as being similar to the benefits of CQRs reported internationally. However, the development of CQRs in Australia is currently limited by a lack of coordination and strategic planning, leading to governance and funding processes that are varied and non-sustainable. Despite this, Australia has achieved recognised success with exemplar clinical registries where funding has been sustained at least partly by public funds...
February 8, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29415720/facilitators-and-barriers-of-implementing-and-delivering-social-prescribing-services-a-systematic-review
#16
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/29415717/implementing-large-scale-fast-track-diagnostics-in-a-comprehensive-cancer-center-pre-and-post-measurement-data
#17
W H van Harten, N Goedbloed, A H Boekhout, S Heintzbergen
BACKGROUND: In general, patients with a cancer suspicion visit the hospital multiple times before diagnosis is completed. Using various "operations management" techniques a few fast track diagnostic services were implemented in the Netherlands Cancer Institute (NKI) in 2006. Growing patient numbers and increasing process complexity, led to diminished service levels. To decrease the amount of patient visits and to extend these services beyond the (obvious) breast cancer services, fast track diagnostics is now implemented for all 18 cancer types that present with a frequency of minimally one per week...
February 7, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29412099/developing-accreditation-for-community-based-surgery-the-irish-experience
#18
Ailís Ní Riain, Claire Collins, Tony O'Sullivan
Purpose Carrying out minor surgery procedures in the primary care setting is popular with patients, cost effective and delivers at least as good outcomes as those performed in the hospital setting. This paper aims to describe the central role of clinical leadership in developing an accreditation system for general practitioners (GPs) undertaking community-based surgery in the Irish national setting where no mandatory accreditation process currently exists. Design/methodology/approach In all, 24 GPs were recruited to the GP network...
February 5, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29412098/leadership-in-crisis-situations-merging-the-interdisciplinary-silos
#19
Hugo Paquin, Ilana Bank, Meredith Young, Lily H P Nguyen, Rachel Fisher, Peter Nugus
Purpose Complex clinical situations, involving multiple medical specialists, create potential for tension or lack of clarity over leadership roles and may result in miscommunication, errors and poor patient outcomes. Even though copresence has been shown to overcome some differences among team members, the coordination literature provides little guidance on the relationship between coordination and leadership in highly specialized health settings. The purpose of this paper is to determine how different specialties involved in critical medical situations perceive the role of a leader and its contribution to effective crisis management, to better define leadership and improve interdisciplinary leadership and education...
February 5, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29412068/assessing-the-perceptions-and-attitudes-among-geriatric-resource-nurses-evaluating-the-niche-program-at-a-large-academic-medical-center
#20
Peri Rosenfeld, Gary Kwok, Kimberly Glassman
The national Nurses Improving Care for Healthsystem Elders (NICHE) program and the geriatric resource nurse (GRN) model promote training a geriatric nursing workforce to serve in hospitals and elsewhere. Literature exists on the NICHE program but this is the first to study the opinions, attitudes, and perceptions of GRNs in practice. Our organization's hybrid GRN model, first adopted in 1999, combines materials from national NICHE program with homegrown resources and has GRNs practicing in a wide range of clinical specialties...
February 7, 2018: Gerontology & Geriatrics Education
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