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https://www.readbyqxmd.com/read/29434543/altered-functional-connectivity-of-fronto-cingulo-striatal-circuits-during-error-monitoring-in-adolescents-with-a-history-of-childhood-abuse
#1
Heledd Hart, Lena Lim, Mitul A Mehta, Charles Curtis, Xiaohui Xu, Gerome Breen, Andrew Simmons, Kah Mirza, Katya Rubia
Childhood maltreatment is associated with error hypersensitivity. We examined the effect of childhood abuse and abuse-by-gene ( 5-HTTLPR, MAOA ) interaction on functional brain connectivity during error processing in medication/drug-free adolescents. Functional connectivity was compared, using generalized psychophysiological interaction (gPPI) analysis of functional magnetic resonance imaging (fMRI) data, between 22 age- and gender-matched medication-naïve and substance abuse-free adolescents exposed to severe childhood abuse and 27 healthy controls, while they performed an individually adjusted tracking stop-signal task, designed to elicit 50% inhibition failures...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29428450/physicians-working-under-the-influence-of-alcohol-an-analysis-of-past-disciplinary-proceedings-and-their-outcomes
#2
Damian Jacob Sendler
INTRODUCTION: The intoxicated person may cause harm to others, often requiring expert evaluation for the determination of guilt. The primary aim of this study was to determine the mechanisms of mistakes that led 17 doctors accused of working under the influence of alcohol to face malpractice. We also wanted to clarify what were the legal, professional, and financial consequences - depending on specific patient outcomes. METHOD: We based analysis on the review and meta-analysis of the past forensic evaluation reports of institution-run forensics programs...
February 5, 2018: Forensic Science International
https://www.readbyqxmd.com/read/29425521/identifiable-risk-factors-and-miscalculations-during-listing-for-pediatric-heart-transplantation
#3
REVIEW
Hugo R Martinez, Samuel Wittekind, Roosevelt Bryant, James S Tweddell, Clifford Chin
The objective of this study is to describe identifiable risk factors, complications, and pitfalls while listing pediatric patients for heart transplantation, which is the standard of care for end-stage heart disease in children. Since the introduction of cyclosporine in the 1980s, the management in pediatric heart transplantation has shown consistent improvement, mainly because of technological advances and the integration of multidisciplinary teams in the field. However, the complexity of this patient population makes medical providers vulnerable to complications as a result of undesirable mistakes...
March 2018: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://www.readbyqxmd.com/read/29410388/reducing-misses-and-near-misses-related-to-multitasking-on-the-electronic-health-record-observational-study-and-qualitative-analysis
#4
Neda Ratanawongsa, George Y Matta, Fuad B Bohsali, Margaret S Chisolm
BACKGROUND: Clinicians' use of electronic health record (EHR) systems while multitasking may increase the risk of making errors, but silent EHR system use may lower patient satisfaction. Delaying EHR system use until after patient visits may increase clinicians' EHR workload, stress, and burnout. OBJECTIVE: We aimed to describe the perspectives of clinicians, educators, administrators, and researchers about misses and near misses that they felt were related to clinician multitasking while using EHR systems...
February 6, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29383079/interprofessional-emergency-training-leads-to-changes-in-the-workplace
#5
Dorothea Eisenmann, Fabian Stroben, Jan D Gerken, Aristomenis K Exadaktylos, Mareen Machner, Wolf E Hautz
Introduction: Preventable mistakes occur frequently and can lead to patient harm and death. The emergency department (ED) is notoriously prone to such errors, and evidence suggests that improving teamwork is a key aspect to reduce the rate of error in acute care settings. Only a few strategies are in place to train team skills and communication in interprofessional situations. Our goal was to conceptualize, implement, and evaluate a training module for students of three professions involved in emergency care...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29366616/suffering-in-silence-medical-error-and-its-impact-on-health-care-providers
#6
Jennifer J Robertson, Brit Long
BACKGROUND: All humans are fallible. Because physicians are human, unintentional errors unfortunately occur. While unintentional medical errors have an impact on patients and their families, they may also contribute to adverse mental and emotional effects on the involved provider(s). These may include burnout, lack of concentration, poor work performance, posttraumatic stress disorder, depression, and even suicidality. OBJECTIVES: The objectives of this article are to 1) discuss the impact medical error has on involved provider(s), 2) provide potential reasons why medical error can have a negative impact on provider mental health, and 3) suggest solutions for providers and health care organizations to recognize and mitigate the adverse effects medical error has on providers...
January 20, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29342485/-driving-ability-in-mild-cognitive-impairment-and-dementia
#7
Klaus Schmidtke
Executive functions, visuo-spatial processing and control of behaviour are pertinent for safe driving. In patients with mild cognitive impairment and dementia, these abilities can be impaired, in addition to age-related impairments, and driving ability can be compromised at an early stage. Neurologists and psychiatrists play an important role in the examination, counseling and, if required, the issuing of a medical driving ban. Mistakes in this process may ensue forensic sequelae for the involved physicians...
January 2018: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/29342241/ipat-intelligent-prediction-and-association-tool-for-genomic-research
#8
Chunpeng James Chen, Zhiwu Zhang
Summary: The ultimate goal of genomic research is to effectively predict phenotypes from genotypes so that medical management can improve human health and molecular breeding can increase agricultural production. Genomic prediction or selection (GS) plays a complementary role to genome-wide association studies (GWAS), which is the primary method to identify genes underlying phenotypes. Unfortunately, most computing tools cannot perform data analyses for both GWAS and GS. Furthermore, the majority of these tools are executed through a command-line interface (CLI), which requires programming skills...
January 11, 2018: Bioinformatics
https://www.readbyqxmd.com/read/29326181/what-are-the-sources-of-stress-and-distress-for-general-practitioners-working-in-england-a-qualitative-study
#9
Ruth Riley, Johanna Spiers, Marta Buszewicz, Anna Kathryn Taylor, Gail Thornton, Carolyn Anne Chew-Graham
OBJECTIVES: This paper reports the sources of stress and distress experienced by general practitioners (GP) as part of a wider study exploring the barriers and facilitators to help-seeking for mental illness and burnout among this medical population. DESIGN: Qualitative study using in-depth interviews with 47 GP participants. The interviews were audio-recorded, transcribed, anonymised and imported into NVivo V.11 to facilitate data management. Data were analysed using a thematic analysis employing the constant comparative method...
January 11, 2018: BMJ Open
https://www.readbyqxmd.com/read/29311174/family-physicians-managing-medical-requests-from-family-and-friends
#10
Esther Giroldi, Robin Freeth, Maurice Hanssen, Jean W M Muris, Margareth Kay, Jochen W L Cals
PURPOSE: Although guidelines generally state that physicians should not treat their family members or friends (nonpatients), physicians regularly receive medical requests from nonpatients. We aimed to explore junior and senior family physicians' experiences with and attitudes toward managing medical requests from nonpatients. METHODS: We conducted a qualitative study with 7 focus groups with junior and senior physicians. We performed a thematic analysis during an iterative cycle of data collection and analysis...
January 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29284217/qualitative-case-study-of-strength-weakness-opportunity-and-threat-analysis-of-integrating-world-health-organization-patient-safety-curriculum-in-undergraduate-medical-education-in-pakistan
#11
Samreen Misbah, Usman Mahboob
Purpose: The purpose of this study was to explore the strengths, weaknesses, opportunities, and threats of integrating the World Health Organization (WHO) patient safety curriculum in medical education in Pakistan. Methods: A qualitative interpretive case study was done at Riphah International University, Islamabad, from October 2016 to June 2017. The study included nine faculty members and one expert on patient safety. The interviews were audio-taped, and a thematic analysis of transcript was done using NVivo software...
December 28, 2017: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/29274950/knowledge-about-epilepsy-in-university-health-students-a-multicenter-study
#12
Priscila Souza, Leslie A Portes, Robert K Thomas, Jorge R Bonito, Marilia Rua, Fabio J Pacheco, Phillip Plaatjes, Natalia C Oliveira
Even with economic development and improvements in health care around the world, it is estimated that nowadays, 50 million people have epilepsy. It is one of the most prevalent neurological diseases, yet it is still surrounded by prejudice, stigma, lack of awareness, and wrong attitudes of the population towards the disease. The aim of this study was to evaluate and compare the knowledge about epilepsy in health students from different countries: Brazil, Argentina, Portugal, United States, and South Africa...
December 21, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29229274/team-approach-to-manage-difficult-to-treat-tb-cases-experiences-in-europe-and-beyond
#13
L D'Ambrosio, G Bothamley, J A Caminero Luna, R Duarte, L Guglielmetti, M Muñoz Torrico, M C Payen, N Saavedra Herrera, M A Salazar Lezama, A Skrahina, M Tadolini, S Tiberi, N Veziris, G B Migliori
As recommended by the World Health Organization (WHO), optimal management of MDR-TB cases can be ensured by a multi-speciality consultation body known as 'TB Consilium'. This body usually includes different medical specialities, competences and perspectives (e.g., clinical expertise both for adults and children; surgical, radiological and public health expertise; psychological background and nursing experience, among others), thus lowering the risk of making mistakes - or managing the patients inappropriately, in order to improve their clinical outcomes...
December 8, 2017: Revista Portuguesa de Pneumologia
https://www.readbyqxmd.com/read/29210756/the-survey-checklist-manifesto
#14
Hunter Gehlbach, Anthony R Artino
Checklists can mitigate a multitude of high-cost mistakes in fields ranging from surgery to aviation. As part of a standard protocol, checklists may provide many benefits, including improved equity and communication among team members and more efficient integration of different processes during complex tasks. Mostly, though, checklists serve as easy, efficient means to remind professionals of what they already know but can easily forget. By improving processes, checklists can reduce procedural errors, miscommunications, and even deaths...
November 28, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29189822/-cognitive-traps-and-clinical-decisions
#15
Matteo Motterlini
We are fallible, we have limited computational capabilities, limited access to information, little memory. Moreover, in everyday life, we feel joy, fear, anger, and other emotions that influence our decisions in a little, "calculated" way. Not everyone, however, is also aware that the mistakes we make are often systematic and therefore, in particular circumstances, are foreseeable. Doctors and patients are constantly called upon to make decisions. They need to identify relevant information (for example, the symptoms or outcome of an examination), formulate a judgment (for example a diagnosis), choose an action course among the various possible ones based on one's own preferences (e...
December 2017: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/29181239/validity-of-principal-diagnoses-in-discharge-summaries-and-icd-10-coding-assessments-based-on-national-health-data-of-thailand
#16
Chongthawonsatid Sukanya
Objectives: This study examined the validity of the principal diagnoses on discharge summaries and coding assessments. Methods: Data were collected from the National Health Security Office (NHSO) of Thailand in 2015. In total, 118,971 medical records were audited. The sample was drawn from government hospitals and private hospitals covered by the Universal Coverage Scheme in Thailand. Hospitals and cases were selected using NHSO criteria. The validity of the principal diagnoses listed in the "Summary and Coding Assessment" forms was established by comparing data from the discharge summaries with data obtained from medical record reviews, and additionally, by comparing data from the coding assessments with data in the computerized ICD (the data base used for reimbursement-purposes)...
October 2017: Healthcare Informatics Research
https://www.readbyqxmd.com/read/29175516/a-lucky-mistake-the-splenic-glands-of-marcello-malpighi
#17
Marco Pizzi, Felicia Chaviano, Massimo Rugge, Attilio Orazi
Marcello Malpighi (1628-1694) is one of the most important anatomists and physicians in the History of Medicine. His contributions to the understanding of human anatomy and physiology span from the first description of capillary circulation to a thorough analysis of the structure and function of body glands. Malpighi believed that most organs consisted of glandular structures, whose distribution and microscopic features determine each organ specific function. He also applied this view to the study of spleen anatomy, which he recognized as composed of two distinct anatomic compartments (i...
November 22, 2017: Human Pathology
https://www.readbyqxmd.com/read/29141983/are-parents-who-feel-the-need-to-watch-over-their-children-s-care-better-patient-safety-partners
#18
Elizabeth D Cox, Kristofer Hansen, Victoria P Rajamanickam, Roger L Brown, Paul J Rathouz, Pascale Carayon, Lori L DuBenske, Linda A Buel, Michelle M Kelly
OBJECTIVES: Many parents report needing to watch over their child's hospital care to prevent mistakes. In this study, we assessed whether needing to watch over care predicts parent performance of recommended safety behaviors to reduce medication errors and health care-associated infections. METHODS: At admission, we surveyed 170 parents about their need to watch over care, demographics, and hospitalization factors. At discharge, parents were surveyed about medication awareness and hand hygiene behaviors...
November 15, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/29141737/nursing-students-and-medication-errors-why-don-t-they-question
#19
Tonya Schneidereith
In health care, efforts have been aimed at reducing medication errors rates; yet, medication errors continue to affect approximately 5% of hospitalized patients. In health care education, simulation provides nursing students a safe opportunity for hands-on medication administration, often including dosage calculation. However, the safety checks associated with medication administration-including the Five Rights-are frequently overlooked. Although the efforts aimed toward increasing medication safety include external factors (such as environmental measures and electronic resources), recent observations in simulation suggest a different problem...
November 1, 2017: Creative Nursing
https://www.readbyqxmd.com/read/29127485/oct-based-deep-learning-algorithm-for-the-evaluation-of-treatment-indication-with-anti-vascular-endothelial-growth-factor-medications
#20
Philipp Prahs, Viola Radeck, Christian Mayer, Yordan Cvetkov, Nadezhda Cvetkova, Horst Helbig, David Märker
PURPOSE: Intravitreal injections with anti-vascular endothelial growth factor (anti-VEGF) medications have become the standard of care for their respective indications. Optical coherence tomography (OCT) scans of the central retina provide detailed anatomical data and are widely used by clinicians in the decision-making process of anti-VEGF indication. In recent years, significant progress has been made in artificial intelligence and computer vision research. We trained a deep convolutional artificial neural network to predict treatment indication based on central retinal OCT scans without human intervention...
November 10, 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
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