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https://www.readbyqxmd.com/read/29349217/the-mothers-on-respect-mor-index-measuring-quality-safety-and-human-rights-in-childbirth
#1
Saraswathi Vedam, Kathrin Stoll, Nicholas Rubashkin, Kelsey Martin, Zoe Miller-Vedam, Hermine Hayes-Klein, Ganga Jolicoeur
Background: Abuse of human rights in childbirth are documented in low, middle and high resource countries. A systematic review across 34 countries by the WHO Research Group on the Treatment of Women During Childbirth concluded that there is no consensus at a global level on how disrespectful maternity care is measured. In British Columbia, a community-led participatory action research team developed a survey tool that assesses women's experiences with maternity care, including disrespect and discrimination...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29315375/improving-patient-safety-for-older-people-in-acute-admissions-implementation-of-the-frailsafe-checklist-in-12-hospitals-across-the-uk
#2
Chrysanthi Papoutsi, Alan Poots, Jake Clements, Zoe Wyrko, Natalie Offord, Julie E Reed
Background: checklists are increasingly proposed as a means to enhance safety and quality of care. However, their use has been met with variable levels of success. The Frailsafe project focused on introducing a checklist with the aim to increase completion of key clinical assessments and to facilitate communication for the care of older patients in acute admissions. Objectives: to examine the use of the Frailsafe checklist, including potential to contribute to improved safety, quality and reliability of care...
January 5, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29300992/learning-from-high-risk-industries-may-not-be-straightforward-a-qualitative-study-of-the-hierarchy-of-risk-controls-approach-in-healthcare
#3
Elisa G Liberati, Mohammad Farhad Peerally, Mary Dixon-Woods
Objective: Though healthcare is often exhorted to learn from 'high-reliability' industries, adopting tools and techniques from those sectors may not be straightforward. We sought to examine the hierarchies of risk controls approach, used in high-risk industries to rank interventions according to supposed effectiveness in reducing risk, and widely advocated as appropriate for healthcare. Design: Classification of risk controls proposed by clinical teams following proactive detection of hazards in their clinical systems...
December 27, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29287747/teaching-nurses-teamwork-integrative-review-of-competency-based-team-training-in-nursing-education
#4
REVIEW
Glenn Barton, Anne Bruce, Rita Schreiber
Widespread demands for high reliability healthcare teamwork have given rise to many educational initiatives aimed at building team competence. Most effort has focused on interprofessional team training however; Registered Nursing teams comprise the largest human resource delivering direct patient care in hospitals. Nurses also influence many other health team outcomes, yet little is known about the team training curricula they receive, and furthermore what specific factors help translate teamwork competency to nursing practice...
December 20, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/29287677/fidelity-or-flexibility-an-ethnographic-study-of-the-implementation-and-use-of-the-patient-activation-measure
#5
Sarah Chew, Liz Brewster, Carolyn Tarrant, Graham Martin, Natalie Armstrong
OBJECTIVE: To evaluate the use of the PAM in the English National Health service. The PAM is a validated scale that measures 'activation' (people's knowledge, skills, and confidence in managing their health) and assigns patients to four categories of activation (low-to-high). Some evidence suggests that higher activation levels correlate to better clinical outcomes and patient experiences, and lower healthcare costs. Empirical studies of implementing the PAM are scarce. METHODS: An ethnographic study of six healthcare organisations' PAM implementation focused on 'core-teams' who designed projects, and frontline staff and patients' experiences of those...
December 19, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29287490/bayesian-analysis-improves-pulse-secretion-characterization-in-reproductive-hormones
#6
Huayu Liu, Alex J Polotsky, Gary K Grunwald, Nichole E Carlson
Pulsatile secretion of hormones in the hypothalamic-pituitary-gonadal axis is critical for normal functioning of the reproductive system. Thus, appropriate characterization of pulsatile secretion is important for identifying the (patho)physiology of reproductive conditions. Existing analysis methods often fail to adequately characterize pulsatility, especially when the signal-to-noise ratio is low. Newer Bayesian analysis methods for pulsatile hormones may offer improved secretion quantification in noisier data...
December 29, 2017: Systems Biology in Reproductive Medicine
https://www.readbyqxmd.com/read/29282200/is-youtube-useful-as-a-source-of-health-information-for-adults-with-type-2-diabetes-a-south-asian-perspective
#7
Amanda Y Leong, Ravina Sanghera, Jaspreet Jhajj, Nandini Desai, Bikramjit Singh Jammu, Mark J Makowsky
OBJECTIVES: To investigate the content, quality and popularity of information about type 2 diabetes available on YouTube. METHODS: We searched YouTube with the terms Diabetes, Diabetes type 2, Diabetes South Asians, Diabetes Punjabi and Diabetes Hindi to identify videos concerning type 2 diabetes. A team of health-care providers independently classified the first 20 videos from each search as useful, misleading, or personal experience, rated them on a 5-point global quality scale (GQS) and categorized their content on a 26-point scale in duplicate...
December 25, 2017: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/29243506/macrocognition-in-the-healthcare-built-environment-mhcbe-a-focused-ethnographic-study-of-neighborhoods-in-a-pediatric-intensive-care-unit
#8
Susan O'Hara, Robin Toft Klar, Emily S Patterson, Nancy Morris, Judy Ascenzi, James C Fackler, Donna J Perry
OBJECTIVES: The objectives of this research were to describe the interactions (formal and informal), in which macrocognitive functions occur and their location on a pediatric intensive care unit, to describe challenges and facilitators of macrocognition using space syntax constructs (openness, connectivity, and visibility), and to analyze the healthcare built environment (HCBE) using those constructs to explicate influences on macrocognition. BACKGROUND: In high reliability, complex industries, macrocognition is an approach to develop new knowledge among interprofessional team members...
January 1, 2017: HERD
https://www.readbyqxmd.com/read/29216903/evaluation-of-clinical-practice-guidelines-using-the-agree-instrument-comparison-between-data-obtained-from-agree-i-and-agree-ii
#9
Kanako Seto, Kunichika Matsumoto, Takefumi Kitazawa, Shigeru Fujita, Shimpei Hanaoka, Tomonori Hasegawa
OBJECTIVE: The Appraisal of Guidelines for Research and Evaluation (AGREE) is a representative, quantitative evaluation tool for evidence-based clinical practice guidelines (CPGs). Recently, AGREE was revised (AGREE II). The continuity of evaluation data obtained from the original version (AGREE I) has not yet been demonstrated. The present study investigated the relationship between data obtained from AGREE I and AGREE II to evaluate the continuity between the two measurement tools. RESULTS: An evaluation team consisting of three trained librarians evaluated 68 CPGs issued in 2011-2012 in Japan using AGREE I and AGREE II...
December 8, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29210958/the-reliability-and-validity-of-a-submaximal-warm-up-test-for-monitoring-training-status-in-professional-soccer-players
#10
Alireza Rabbani, Mehdi Kargarfard, Craig Twist
Two studies were conducted to assess the reliability and validity of a submaximal warm-up test (SWT) in professional soccer players. For the reliability study, 12 male players performed SWT over three trials, with one week between trials. For the validity study, 14 players of the same team performed SWT and 30-15 Intermittent Fitness Test (30-15IFT) 7 days apart. Week-to-week reliability in selected heart rate (HR) responses [exercise HR (HRex), HR recovery (HRR) expressed as the number of beats recovered within 1 min (HRR60s) and expressed as the mean HR during 1 min (HRpost1)], were determined using intraclass correlation coefficient (ICC) and typical error of measurement expressed as coefficient of variation (CV)...
November 27, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29210762/decentralization-the-corridor-is-the-problem-not-the-alcove
#11
D Kirk Hamilton, Sandra M Swoboda, Jin-Ting Lee, Diana C Anderson
There is controversy today about whether decentralized intensive care unit (ICU) designs featuring alcoves and multiple sites for charting are effective. There are issues relating to travel distance, visibility of patients, visibility of staff colleagues, and communications among caregivers, along with concerns about safety risk. When these designs became possible and popular, many ICU designs moved away from the high-visibility circular, semicircular, or box-like shapes and began to feature units with more linear shapes and footprints similar to acute bed units...
January 2018: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/29189626/organizational-learning-in-an-orthopaedic-unit-a-learning-history
#12
Bret Lyman, Lindsey Shaw, Carly Moore
The purpose of this study was to explore organizational learning in an orthopaedic hospital unit. Skill in organizational learning is necessary to achieve high reliability in a dynamic healthcare environment, yet organizational learning in hospital units is not well understood. A learning history was conducted with a high-performing orthopaedic unit. Findings were interpreted in the context of a previous learning history conducted with a critical care unit. Despite contextual differences, each unit progressed through the same four developmental stages to achieve its current state of high reliability...
November 2017: Orthopaedic Nursing
https://www.readbyqxmd.com/read/29167033/nursing-perceptions-of-the-emergency-severity-index-as-a-triage-tool-in-the-united-arab-emirates-a-qualitative-analysis
#13
Binoy Mistry, Kamna S Balhara, Jeremiah S Hinson, Xavier Anton, Iman Yassin Othman, Maysoon Abdel Latif E'nouz, Norman Agustin Avila, Sophia Henry, Scott Levin, Sarah Stewart De Ramirez
INTRODUCTION: With emergency department crowding becoming an increasing problem across the globe, nursing triage to prioritize patients receiving care is ever more important. ESI is the most common triage system used in the United States and is increasingly used worldwide. This qualitative study that explores emergency nursing perceptions of the ESI identifies strengths, weaknesses, and barriers to implementation of the ESI internationally. METHODS: We conducted a cross-sectional qualitative analysis using semistructured interviews of 27 emergency triage nurses...
November 19, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29162089/patient-perspectives-on-continuity-of-care-adaption-and-preliminary-psychometric-assessment-of-a-norwegian-version-of-the-nijmegen-continuity-questionnaire-ncq-n
#14
Øystein Hetlevik, Merethe Hustoft, Annemarie Uijen, Jörg Aßmus, Sturla Gjesdal
BACKGROUND: Continuity of care is regarded as a core quality element in healthcare. Continuity can be related to one or more specific caregivers but also applies to collaboration within a team or across boundaries of healthcare. Measuring continuity is important to identify problems and evaluate quality improvement of interventions. This study aimed to assess the feasibility and psychometric properties of a Norwegian version of the Nijmegen Continuity Questionnaire (NCQ). METHODS: The NCQ was developed in The Netherlands...
November 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29125120/canal-to-diaphysis-ratio-as-a-risk-factor-for-hip-fractures-and-hip-fracture-pattern
#15
Prasad Ellanti, Kunal Mohan, Andrew Moriarity, Niall Hogan, Tom McCarthy
INTRODUCTION: Osteoporosis and related fractures constitute a significant burden on modern healthcare. The standard method of diagnosing osteoporosis with a dual-energy X-ray absorptiometry (DXA) scan is limited by accessibility and expense. The thickness of the cortex of the proximal femur on plain radiographs has been suggested to be a method for indicating osteoporosis and as a risk factor of hip fractures in the elderly. METHODS: A retrospective study was undertaken to assess the usefulness of the canal-diaphysis ratio (CDR) as a risk factor for developing a hip fracture, excluding patients presenting under 50 years old, following high-energy trauma or pathological fractures...
2017: SICOT-J
https://www.readbyqxmd.com/read/29117092/the-development-and-validation-of-a-concise-instrument-for-formative-assessment-of-team-leader-performance-during-simulated-pediatric-resuscitations
#16
Lindsay D Nadkarni, Cindy G Roskind, Marc A Auerbach, Aaron W Calhoun, Mark D Adler, David O Kessler
AIM: The aim of this study was to assess the validity of a formative feedback instrument for leaders of simulated resuscitations. METHODS: This is a prospective validation study with a fully crossed (person × scenario × rater) study design. The Concise Assessment of Leader Management (CALM) instrument was designed by pediatric emergency medicine and graduate medical education experts to be used off the shelf to evaluate and provide formative feedback to resuscitation leaders...
November 8, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29112630/a-measure-of-team-resilience-developing-the-resilience-at-work-team-scale
#17
Kathryn McEwen, Carolyn M Boyd
OBJECTIVE: This study develops, and initial evaluates, a new measure of team-based resilience for use in research and practice. METHODS: We conducted preliminary analyses, based on a cross-sectional sample of 344 employees nested within 31 teams. RESULTS: Seven dimensions were identified through exploratory and confirmatory factor analyses. The measure had high reliability and significant discrimination to indicate the presence of a unique team-based aspect of resilience that contributed to higher work engagement and higher self-rated team performance, over and above the effects of individual resilience...
November 6, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29110186/patient-safety-ward-round-checklist-via-an-electronic-app-implications-for-harm-prevention
#18
C Keller, S Arsenault, M Lamothe, S R Bostan, R O'Donnell, J Harbison, C P Doherty
INTRODUCTION: Patient safety is a value at the core of modern healthcare. Though awareness in the medical community is growing, implementing systematic approaches similar to those used in other high reliability industries is proving difficult. The aim of this research was twofold, to establish a baseline for patient safety practices on routine ward rounds and to test the feasibility of implementing an electronic patient safety checklist application. METHODS: Two research teams were formed; one auditing a medical team to establish a procedural baseline of "usual care" practice and an intervention team concurrently was enforcing the implementation of the checklist...
November 6, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29105074/common-data-elements-for-preclinical-epilepsy-research-standards-for-data-collection-and-reporting-a-task3-report-of-the-aes-ilae-translational-task-force-of-the-ilae
#19
Lauren C Harte-Hargrove, Jacqueline A French, Asla Pitkänen, Aristea S Galanopoulou, Vicky Whittemore, Helen E Scharfman
The major objective of preclinical translational epilepsy research is to advance laboratory findings toward clinical application by testing potential treatments in animal models of seizures and epilepsy. Recently there has been a focus on the failure of preclinical discoveries to translate reliably, or even to be reproduced in different laboratories. One potential cause is a lack of standardization in preclinical data collection. The resulting difficulties in comparing data across studies have led to high cost and missed opportunity, which in turn impede clinical trials and advances in medical care...
November 2017: Epilepsia
https://www.readbyqxmd.com/read/29103832/-detection-of-adverse-events-using-ihi-global-trigger-tool-during-the-adoption-of-a-risk-management-system-a-retrospective-study-over-three-years-at-a-department-for-cardiovascular-surgery-in-vienna
#20
Gerda Hoffmann-Völkl, Thomas Kästenbauer, Ursula Mück, Manfred Zottl, Wolfgang Huf, Brigitte Ettl
BACKGROUND: Several studies point in the direction that the Global Trigger Tool for Measuring Adverse Events (GTT) published by the Institute for Healthcare Improvement (IHI) is an appropriate method to detect adverse events with high specificity, sufficient sensitivity and adequate interrater and intrarater reliability. After passing a certain training period, rating teams in healthcare institutions can successfully detect and reliably compare adverse event rates on local and national levels...
November 2, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
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