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https://www.readbyqxmd.com/read/29889934/identification-and-characterization-of-failures-in-infectious-agent-transmission-precaution-practices-in-hospitals-a-qualitative-study
#1
Sarah L Krein, Jeanmarie Mayer, Molly Harrod, Lauren E Weston, Lynn Gregory, Laura Petersen, Matthew H Samore, Frank A Drews
Importance: Using personal protective equipment (PPE) and transmission-based precautions are primary strategies for reducing the transmission of infectious agents. Objective: To identify and characterize failures in transmission-based precautions, including PPE use, by health care personnel that could result in self-contamination or transmission during routine, everyday hospital care. Design, Setting, and Participants: This qualitative study involved direct observation inside and outside patient rooms on clinical units from March 1, 2016, to November 30, 2016...
June 11, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/29873052/from-sanctioning-culture-to-safety-culture-let-s-stop-making-errors-on-error
#2
Hatem Ksouri, Amira Bahri Ksouri
The punitive culture continues to prevail in health care organizations that rely primarily on functional systems hierarchies based on conformity. This type of culture is recognized as a major source of an unacceptable number of medical errors. The safety culture has emerged as an imperative to improve the quality and safety of patient care, but also as a shield against the judgments targeted towards the caregivers (doctor and / or nurse) involved in an undesirable event. The safety culture allows a broader view of the error by analyzing both system failures and staff incompetence...
October 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29871006/-safety-culture-in-orthopaedic-surgery-and-trauma-surgery-where-are-we-today
#3
Matthias Münzberg, Miriam Rüsseler, Martin Egerth, Anna Katharina Doepfer, Manuel Mutschler, Richard Stange, Bertil Bouillon, Bernd Kladny, Reinhard Hoffmann
INTRODUCTION: The development of a new safety culture in orthopaedics and trauma surgery needs to be based on the knowledge of the status quo. The objective of this research was therefore to perform a survey of orthopaedic and trauma surgeons to achieve a subjective assessment of the frequency and causes of "insecurities" or errors in daily practice. METHODS: Based on current literature, an online questionnaire was created by a team of experts (26 questions total) and was sent via e-mail to all active members of a medical society (DGOU) in April 2015...
June 5, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29843918/prevalence-and-correlates-of-bleeding-and-emotional-harms-in-a-national-us-sample-of-patients-with-venous-thromboembolism-a-cross-sectional-structural-equation-model
#4
Michael Feehan, Michael Walsh, Heather Van Duker, Jon Godin, Mark A Munger, Ryan Fleming, Stacy A Johnson, Margaux A Morrison, Margaret M DeAngelis, Daniel M Witt
INTRODUCTION: Venous thromboembolism (VTE) including deep vein thrombosis (DVT) or pulmonary embolism (PE) is associated with reduced survival, poorer quality of life, and substantial health-care-costs. Limited research, primarily qualitative, suggests that those with VTE may have elevated fear of recurrence, and associated emotional dysfunction and distress. METHODS: A national online survey was administered to 907 patients who had experienced a VTE event in the past two years...
May 23, 2018: Thrombosis Research
https://www.readbyqxmd.com/read/29750178/consultation-and-citation-rates-for-prior-imaging-studies-and-documents-in-radiology
#5
Tamara Miner Haygood, Barry Mullins, Jia Sun, Behrang Amini, Priya Bhosale, Hyunseon C Kang, Tara Sagebiel, Bilal Mujtaba
Frequently, the consensus conclusion after quality assurance conferences in radiology is that whatever mistake was made could have been avoided if more prior images or documents had been consulted. It is generally assumed that anything that was not specifically cited in the report had not been consulted. Is it actually safe to assume that an image or document that is not cited was also not consulted? It is this question that this investigation addresses. In this Institutional Review Board-approved study, one observer watched the board-certified radiologists while they interpreted imaging studies and issued reports...
July 2018: Journal of Medical Imaging
https://www.readbyqxmd.com/read/29700773/correction-to-transplantation-of-human-chorion-derived-cholinergic-progenitor-cells-a-novel-treatment-for-neurological-disorders
#6
Alireza Mohammadi, Ali Maleki-Jamshid, Davood Sanooghi, Peiman Brouki Milan, Arash Rahmani, Farshid Sefat, Koorosh Shahpasand, Mansoureh Soleimani, Mehrdad Bakhtiari, Rafie Belali, Faezeh Faghihi, Mohammad Taghi Joghataei, George Perry, Masoud Mozafari
The original version of this article unfortunately contained mistake in the affiliation. Affiliation 1 should be read as "Neuroscience Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran". The original article has been corrected.
April 26, 2018: Molecular Neurobiology
https://www.readbyqxmd.com/read/29688645/-the-effect-of-claims-about-medical-adverse-events-on-patients-safety
#7
REVIEW
Yaron Niv
In 1999 the Institute of Medicine (ION) declared that "to err in human" and that our goal is not to "blame and shame" but to investigate and establish processes that will prevent future mistakes. Shortage in manpower, physicians and nurses, may cause a disproportional burden of work and increase mistakes and adverse events. The complexity of patients requires a multidisciplinary team with many participants for achieving goals and saving lives. In the last 2 decades there was an exponential increase in the number of medical negligence claims and a similar increase in the sums given to the plaintiffs, in verdicts, mediation or compromises...
April 2018: Harefuah
https://www.readbyqxmd.com/read/29661734/pathology-resident-perspectives-about-early-autopsy-experiences
#8
Richard A Prayson
The performance of autopsies remains an integral part of residency training in Anatomic Pathology. A number of medical schools no longer require an autopsy experience; therefore, a subset of pathology residents has never seen an autopsy performed prior to commencement of residency training. Although much as been written regarding student's perspectives on their medical school anatomy experiences, practically nothing has been written about resident perspectives on the autopsy experience. Surveys were sent to all Pathology resident trainees (n = 27) in a training program exploring resident perspectives on their early autopsy experiences...
March 14, 2018: Annals of Diagnostic Pathology
https://www.readbyqxmd.com/read/29658327/adherence-to-oral-anticoagulants-in-atrial-fibrillation-an-australian-survey
#9
Kehinde O Obamiro, Leanne Chalmers, Kenneth Lee, Bonnie J Bereznicki, Luke R Bereznicki
BACKGROUND: The aim of this study was to investigate the proportion of patients who have suboptimal adherence to oral anticoagulant (OAC), identify the predictors of adherence, and determine whether patient-related factors vary across adherence levels in Australia. METHODS: Respondents were recruited for an online survey using Facebook. Survey instruments included the Morisky Medication Adherence Scale, the Anticoagulation Knowledge Tool, the Perception of Anticoagulant Treatment Questionnaires, and a modified Cancer Information Overload scale...
July 2018: Journal of Cardiovascular Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/29611527/chemotherapy-medication-errors
#10
REVIEW
Saul N Weingart, Lulu Zhang, Megan Sweeney, Michael Hassett
Although chemotherapy is a well established treatment modality, chemotherapy errors represent a potentially serious risk of patient harm. We reviewed published research from 1980 to 2017 to understand the extent and nature of medication errors in cancer chemotherapy, and to identify effective interventions to help prevent mistakes. Chemotherapy errors occur at a rate of about one to four per 1000 orders, affect at least 1-3% of adult and paediatric oncology patients, and occur at all stages of the medication use process...
April 2018: Lancet Oncology
https://www.readbyqxmd.com/read/29606098/learning-from-errors-assessing-final-year-medical-students-reflection-on-safety-improvement-five-year-cohort-study
#11
Vicki Tully, Douglas Murphy, Evridiki Fioratou, Arun Chaudhuri, James Shaw, Peter Davey
BACKGROUND: Investigation of real incidents has been consistently identified by expert reviews and student surveys as a potentially valuable teaching resource for medical students. The aim of this study was to adapt a published method to measure resident doctors' reflection on quality improvement and evaluate this as an assessment tool for medical students. METHODS: The design is a cohort study. Medical students were prepared with a tutorial in team based learning format and an online Managing Incident Review course...
April 2, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29596538/self-reported-cheating-among-medical-students-an-alarming-finding-in-a-cross-sectional-study-from-saudi-arabia
#12
Hamza Mohammad Abdulghani, Shafiul Haque, Yousef Abdullah Almusalam, Saleh Lafi Alanezi, Yazeed Abdulaziz Alsulaiman, Mohammad Irshad, Shaffi Ahmed Shaik, Nehal Khamis
Academic misconduct/dishonesty has become widespread behavior among many university students across the globe, and medical education is not an exception. Until recently, few efforts have been made to study the dishonest behavior in Middle-Eastern universities. This study examined the prevalence and predisposing factors of cheating among medical students in Saudi Arabia and suggests suitable preventive measures. A cross-sectional survey-based study was conducted at a government medical college during the 2014-2015 academic year...
2018: PloS One
https://www.readbyqxmd.com/read/29575862/dietary-intake-of-antioxidants-and-fats-in-the-context-of-coronary-heart-disease-prevention-among-elderly-people
#13
Emilia Kolarzyk, Agata Skop-Lewandowska, Jagoda Jaworska, Agnieszka Ostachowska-Gąsior, Teresa Krzeszowska-Rosiek
INTRODUCTION: Some literature data indicate that the proper intake of exogenic antioxidants from food and the proper intake of fats can offer significant protection against coronary heart disease. OBJECTIVES: The estimation of total antioxidant capacity of food intake on the basis of Dietary Antioxidant Index (DAI), together with an assessment of the contribution of particular food products in DAI, and the evaluation of consumption of all dietary fats and frequency of consumption of products that are a source of fats among elderly people in Krakow, Poland...
March 14, 2018: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/29574533/correction-to-oxford-house-residents-attitudes-toward-medication-assisted-treatment-use-in-fellow-residents
#14
John M Majer, Christopher Beasley, Emily Stecker, Ted J Bobak, Joshua Norris, Hai Minh Nguyen, Maisie Ogata, Jordana Siegel, Elzbieta Wiedbusch, Isabel Dovale, Noah Gelfman, Sarah Callahan, Leonard A Jason
The original version of this article unfortunately contained a mistake in the author group, where co-authors Isabel Dovale, Noah Gelfman and Sarah Callahan were missed to include and Brandon Isler should be removed from the author group.
March 24, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29560665/esophagitis-dissecans-superficialis-a-case-series-of-7-patients-and-review-of-the-literature
#15
Elias Fiani, François Guisset, Quitterie Fontanges, Jacques Devière, Arnaud Lemmers
INTRODUCTION : Esophagitis dissecans superficialis (EDS) is a rare desquamative disorder of the eso-phagus, characterized by sloughing of the superficial mucosa. It is a benign entity of uncertain etiology. Most cases of EDS are idiopathic but can be caused by medications, hot beverages, chemical irritants, celiac disease and many skin conditions. AIM: Knowing that few case series have described this entity, we decided to review all the cases diagnosed in our center to characterize them...
July 2017: Acta Gastro-enterologica Belgica
https://www.readbyqxmd.com/read/29556886/intravenous-lipid-emulsion-overdose-in-infancy-a-case-report-and-overview-of-opportunities-challenges-and-prevention
#16
REVIEW
Wasim Khasawneh, Salar Bani Hani
Medication errors remain among the major problems seen in hospitals. Such errors can relate to the prescription, dispensation, or administration of drugs. Human factors account for most of these mistakes, but other factors such as infusion pump programming defects should always be considered. Worldwide, medication errors have been reported to affect 2-30% of patients, depending on the institution. Intravenous lipid emulsion (ILE) infusion is frequently used as part of total parenteral nutrition in patients of all ages with feeding and gastrointestinal issues...
March 19, 2018: Drug Safety—Case Reports
https://www.readbyqxmd.com/read/29544780/using-modified-information-delivery-to-enhance-the-traditional-pharmacy-osce-program-at-tmu-a-pilot-study
#17
Che-Wei Lin, Elizabeth H Chang, Daniel L Clinciu, Yun-Ting Peng, Wen-Chen Huang, Chien-Chih Wu, Jen-Chieh Wu, Yu-Chuan Li
BACKGROUND AND OBJECTIVE: Objective Structured Clinical Examination (OSCE) has been used in many areas of healthcare training over the years. However, it constantly needs to be upgraded and enhanced due to technological and teaching changes. We aim at implementing an integrative OSCE method which employs informatics via the virtual patient within the pharmacy education curriculum at Taipei Medical University to enhance the pharmacy students' competence for using and disseminating information and to also improve critical thinking and clinical reasoning...
May 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29541805/correction-to-medical-speciality-medication-or-skills-key-factors-of-prehospital-joint-reduction-a-prospective-multicenter-cohort-study
#18
Georg Siebenbürger, Christian Zeckey, Julian Fürmetz, Ben Ockert, Wolfgang Böcker, Tobias Helfen
The original version of this article unfortunately contained a mistake.
March 14, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29536927/medical-errors-malpractice-and-defensive-medicine-an-ill-fated-triad
#19
Leonard Berlin
For the first 180 years following the founding of the US, physicians occasionally were sued for medical malpractice. Allegations of negligence were errors of commission - i.e. the physician made a mistake by doing something wrong, usually mistreatment of a fracture or dislocation, a complication or death following a surgical procedure, prescribing the wrong medication, and after the discovery of the X-ray by Roentgen in 1895, causing radiation burns. In the mid twentieth century malpractice allegations slowly changed from errors of commission to errors of omission - i...
September 26, 2017: Diagnosis
https://www.readbyqxmd.com/read/29536921/identifying-error-types-in-visual-diagnostic-skill-assessment
#20
Cécile J Ravesloot, Anouk van der Gijp, Marieke F van der Schaaf, Josephine C B M Huige, Olle Ten Cate, Koen L Vincken, Christian P Mol, Jan P J van Schaik
BACKGROUND: Misinterpretation of medical images is an important source of diagnostic error. Errors can occur in different phases of the diagnostic process. Insight in the error types made by learners is crucial for training and giving effective feedback. Most diagnostic skill tests however penalize diagnostic mistakes without an eye for the diagnostic process and the type of error. A radiology test with stepwise reasoning questions was used to distinguish error types in the visual diagnostic process...
June 27, 2017: Diagnosis
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