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https://www.readbyqxmd.com/read/29229274/team-approach-to-manage-difficult-to-treat-tb-cases-experiences-in-europe-and-beyond
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
https://www.readbyqxmd.com/read/29126825/artificial-intelligence-in-medical-practice-the-question-to-the-answer
#9
REVIEW
D Douglas Miller, Eric W Brown
Computer science advances and ultra-fast computing speeds find artificial intelligence (AI) broadly benefitting modern society - forecasting weather, recognizing faces, detecting fraud, and deciphering genomics. AI's future role in medical practice remains an unanswered question. Machines (computers) learn to detect patterns not decipherable using biostatistics by processing massive datasets (big data) through layered mathematical models (algorithms). Correcting algorithm mistakes (training) adds to AI predictive model confidence...
November 7, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/29121897/differences-between-medical-student-and-faculty-perceptions-of-the-competencies-needed-for-the-first-year-of-residency
#10
Sophie Fürstenberg, Sigrid Harendza
BACKGROUND: Different guidelines and frameworks like the CanMEDs model or entrustable professional activities (EPAs) describe competencies required for successful and professional work of residents. Not all competencies are of equal importance for graduates when they start their residency. The aim of this study was to evaluate the relevance of different competencies for a first year resident from the perspective of physicians and medical students. METHODS: In an online study, 178 of 475 surgeons and internists including residents and attendings and 102 of 728 first and last year undergraduate medical students from the University Medical Center Hamburg-Eppendorf ranked 25 competencies according to their relevance for entrustment decisions in first year residents...
November 9, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29116983/-rising-to-the-level-of-your-incompetence-exploring-what-physicians-self-assessment-of-their-performance-reveals-about-the-impact-of-the-imposter-syndrome-in-medicine
#11
Kori A LaDonna, Shiphra Ginsburg, Christopher Watling
PURPOSE: Mistakes are ubiquitous in medicine; when confronted by error, physicians may experience anxiety, guilt, and self-doubt. Feedback may be useful for navigating these feelings, but only if it matches a physician's self-assessment; self-doubt and the imposter syndrome are examples of inaccurate self-assessments that may affect receptivity to feedback. The impact of real or imagined underperformance on seemingly competent physicians is poorly understood. This study aimed to develop a deeper understanding in order to identify strategies to support all physicians who struggle...
November 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29116586/correction-to-acquisition-of-tn6018-3-cs-regions-increases-colistin-mics-against-acinetobacter-baumannii-isolates-harboring-new-variants-of-abars
#12
Mohammad Savari, Alireza Ekrami, Saeed Shoja, Abbas Bahador
The published online version of this article contained a mistake. The correct affiliation of Alireza Ekrami should have been "Infectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran" . The authors regret this error.
November 7, 2017: Folia Microbiologica
https://www.readbyqxmd.com/read/29115074/adapter-based-safety-injection-system-for-prevention-of-wrong-route-and-wrong-patient-medication-errors
#13
Yong Chan Cho, Seung Ho Lee, Yang Hyun Cho, Young Bin Choy
Wrong-route or -patient medication errors due to human mistakes have been considered difficult to resolve in clinical settings. In this study, we suggest a safety injection system that can help to prevent an injection when a mismatch exists between the drug and route or patient. For this, we prepared two distinct adapters with key and keyhole patterns specifically assigned to a pair of drug and route or patient. When connected to a syringe tip and its counterpart, a catheter injection-port, respectively, the adapters allowed for a seamless connection only with their matching patterns...
December 2017: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/29112024/evaluation-of-patient-safety-culture-in-community-pharmacies
#14
Ephrem A Aboneh, Jamie A Stone, Corey A Lester, Michelle A Chui
OBJECTIVE: Medication errors are common in community pharmacies. Safety culture is considered a factor for medication safety but has not been measured in this setting. The objectives of this study were to describe safety culture measured using the Agency for Healthcare Research and Quality (AHRQ) Community Pharmacy Survey on Patient Safety Culture and to assess predictors of overall patient safety. METHODS: This is a cross-sectional survey of community pharmacists practicing in Wisconsin measuring safety culture...
November 4, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/29099732/error-in-drugs-consumption-among-older-patients
#15
Yosefa Bar-Dayan, Thomas Shotashvily, Mona Boaz, Julio Wainstein
The cost effectiveness of generic drugs has promoted their use worldwide. However, the large variety of bioequivalent generic and brand-name drugs found in the marketplace increases the complexity and frequency of mistakes in drug consumption. This clinical study investigated the prevalence of various mistakes in drug consumption by patients using a hospital setting. This prospective clinical trial used a hospital setting to identify errors in drug consumption. Six hundred patients who were hospitalized for a minimum of 48 hours in the Internal Medicine Departments were checked at various time points...
November 2017: American Journal of Therapeutics
https://www.readbyqxmd.com/read/29069693/-the-image-of-doctors-in-europe-a-comparison-of-countries
#16
Andreas Heinz, Jean Philippe Décieux
Study objective Patients expect a lot from doctors. They expect doctors to be trustworthy and competent, to discuss all treatment options with them, to inform them about mistakes made during the treatment and to put their interests before their own interests. This paper examines how the population of Europe assesses doctors in this respect and whether there are countries where the assessments are similar. Methods In the "International Social Survey Programme - ISSP" the population in 32 countries was asked to assess the doctors in their respective countries...
October 25, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29064804/-giving-medico-legal-opinions-in-cases-with-suspicion-of-medical-mistake-part-2-expert-evidence-in-cases-with-suspicion-of-medical-mistake-expectations-possibilities-threats%C3%A2
#17
Czesław Chowaniec, Małgorzata Chowaniec, Mateusz Wilk
Problems of medical mistake and therapeutic failure are inextricably linked with realization of medical services. In recent years, mostly by the media and increasing demanding attitude, a rapid increase of initiated cases opened by judicial body in conjunction with medical mistake made by medical staff is observed. Making medico-legal opinions is not easy task and often face many difficulties. These consist of lacks in medical documentation, time rigor, formal tightening and need to create team that consist of both forensic medicine specialist and clinicians, who together shall write complex medico-legal opinion...
2017: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29064518/simuleringstr%C3%A3-ning-ger-%C3%A3-kad-kunskap-och-b%C3%A3-ttre-f%C3%A3-rdigheter-men-os%C3%A3-kerhet-r%C3%A3-der-avseende-klinisk-nytta-d%C3%A3-m%C3%A3-nga-studier-brister-i-evidens
#18
Italo Masiello, Anna Mattsson
Medical simulation training - an overview of the evidence Medical simulation training has become an important model for training of technical and non-technical clinical skills, aiming at preventing avoidable mistakes. The evidence for effects of simulation training is increasing, and several systematic reviews on the effect of medical simulation training have been published. This article summarizes the evidence for medical simulation training based on systematic reviews of medical simulation published in the last three years...
October 23, 2017: Läkartidningen
https://www.readbyqxmd.com/read/29064337/david-bowie-and-the-art-of-slow-innovation-a-fast-second-winner-strategy-for-biotechnology-and-precision-medicine-global-development
#19
Vural Özdemir, George P Patrinos
Original ideas and innovation cannot always be ordered like a courier service and delivered fresh to our desk at 9 am. Yet, most creativity-based organizations, careers, and professions, science and biotechnology innovation included, emphasize the speed as the prevailing ideology. But a narrow focus on speed has several and overlooked shortcomings. For example, it does not offer the opportunity to draw from, and stitch together disparate concepts and practices for truly disruptive innovation. Preventing false starts, learning from others' or our own mistakes, and customizing innovations for local community needs are difficult in a speed-hungry innovation ecosystem...
November 2017: Omics: a Journal of Integrative Biology
https://www.readbyqxmd.com/read/29061457/3d-printed-craniosynostosis-model-a-new-simulation-surgical-tool
#20
Enrico Ghizoni, João Paulo Sant Ana Santos de Souza, Cassio Eduardo Raposo-Amaral, Rafael Denadai, Humberto Belém de Aquino, Cesar Augusto Raposo-Amaral, Andrei Fernandes Joaquim, Helder Tedeschi, Luís Fernando Bernardes, André L Jardini
BACKGROUND: Craniosynostosis is a complex disease once it involves deep anatomical perception, and a minor mistake during surgery can be fatal. The objective of this report is to present novel three-dimensional (3D)-printed polyamide craniosynostosis models that can improve the understanding and treatment complex pathologies. METHODS: The software InVesalius was used for segmentation of the anatomy image (from three patients between 6 and 9 months old). Afterward, the file was transferred to a Three-Dimensional Printing (3DP) system and, with the use of an infrared laser, slices of powder PA 2200 were consecutively added to build a polyamide model of cranial bone...
October 20, 2017: World Neurosurgery
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