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https://www.readbyqxmd.com/read/27907072/carers-medication-administration-errors-in-the-domiciliary-setting-a-systematic-review
#1
Anam Parand, Sara Garfield, Charles Vincent, Bryony Dean Franklin
PURPOSE: Medications are mostly taken in patients' own homes, increasingly administered by carers, yet studies of medication safety have been largely conducted in the hospital setting. We aimed to review studies of how carers cause and/or prevent medication administration errors (MAEs) within the patient's home; to identify types, prevalence and causes of these MAEs and any interventions to prevent them. METHODS: A narrative systematic review of literature published between 1 Jan 1946 and 23 Sep 2013 was carried out across the databases EMBASE, MEDLINE, PSYCHINFO, COCHRANE and CINAHL...
2016: PloS One
https://www.readbyqxmd.com/read/27906716/infants-with-technology-dependence-facilitating-the-road-to-home
#2
Jennifer D Bowles, Amy J Jnah, Desi M Newberry, Carol A Hubbard, Tracey Roberston
BACKGROUND: The incidence of premature infants with complex medical needs, dependent upon medical technology at discharge, is on the rise in the United States. PURPOSE: Preparing the family for the hospital-to-home transition can be challenging due to the complex medical and emotional needs of the vulnerable infant and the volume of subspecialty services and equipment required. METHODS/SEARCH STRATEGY: Relevant articles from PubMed, Google Scholar, CINAHLFINDINGS/RESULTS:: There is an increasing incidence of technology dependent infants discharged from neonatal intensive care units in the United States...
December 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27884029/-preclinical-birth-of-an-extremely-premature-infant-a-case-report
#3
Tobias Pöhlmann, Armin Schmidt, Wolfgang Pohl
Obstetrical emergencies requiring emergency medical service are very rare. An extremely premature birth in a preclinical setting is certainly exceptional. In the following case report, the emergency medical team was unexpectedly faced with the home birth of a fetus at the 23(rd) week of gestation. Prematurity at the edge of viability poses a challenge to first care, equipment, infrastructure, expertise and clinical ethics. To the authors' knowledge, there is no comparable case report published so far.
November 2016: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/27875834/medical-social-and-supportive-services-for-older-adults-with-hiv
#4
Lisa E Cox, Mark Brennan-Ing
Older people living with HIV are increasingly requiring formal supportive community-based services. Supportive services are essential to medical care and treatment for older people living with HIV/AIDS. This chapter considers Andersen's behavioral model of health services, and explores the predisposing, enabling, and need factors that affect service utilization among the older HIV population. The Andersen model provides a lens to understand the need for supportive services to go beyond primary medical care...
2017: Interdisciplinary Topics in Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27853919/care-coordination-for-community-transitions-for-individuals-post-stroke-returning-to-low-resource-rural-communities
#5
Patrick Kitzman, Keisha Hudson, Violet Sylvia, Frances Feltner, Johnnie Lovins
High rates of hospital readmissions have been shown within 12 months post-discharge from inpatient rehabilitation following stroke. Multiple studies coupled with our previous work indicate a need for care support for stroke survivors' transitions to the community. The Kentucky Care Coordination for Community Transitions (KC(3)T) program was developed to provide access to medical, social, and environmental services to support community transitions for individuals with neurological conditions and their caregivers living in Kentucky...
November 16, 2016: Journal of Community Health
https://www.readbyqxmd.com/read/27815418/poison-prevention-practices-and-medically-attended-poisoning-in-young-children-multicentre-case-control-study
#6
Denise Kendrick, Gosia Majsak-Newman, Penny Benford, Carol Coupland, Clare Timblin, Mike Hayes, Trudy Goodenough, Adrian Hawkins, Richard Reading
INTRODUCTION: Childhood poisonings are common, placing a substantial burden on health services. Case-control studies have found inconsistent evidence about modifiable risk factors for poisonings among children aged 0-4 years. This study quantifies associations between poison prevention practices and medically attended poisonings in children aged 0-4 years. METHODS: Multicentre case-control study conducted at hospitals, minor injury units and family practices from four study centres in England between 2010 and 2013...
November 4, 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/27796554/multicenter-prospective-micro-costing-study-evaluating-mandibular-free-flap-reconstruction
#7
Olivier Dassonville, Alexandre Bozec, Yann Château, Emile Reyt, Bernard Devauchelle, Marie-Yolande Louis, Pierre Breton, Morbize Julieron, Jacques Yachouh, Yann Mallet, Jérôme Sarini, Gilles Dolivet, Renaud Schiappa, Jocelyn Gal, Marie-Helene Orlanducci, Gilles Poissonnet, Emmanuel Chamorey
Free-flap mandibular reconstruction is a highly specialized procedure associated with severe complications necessitating re-interventions and re-hospitalizations. This surgery is expensive in terms of health workers' time, equipment, medical devices and drugs. Our main objective was to assess the direct hospital cost generated by osseocutaneous free-flap surgery in a multicentric prospective micro-costing study. Direct medical costs evaluated from a hospital perspective were assessed using a micro-costing method from the first consultation with the surgeon until the patient returns home, thus confirming the success or failure of the free-flap procedure...
October 27, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27790347/comparison-quality-of-health-services-between-public-and-private-providers-the-iranian-people-s-perspective
#8
Mehran Alijanzadeh, Seyed Ali Moosaniaye Zare, Roya Rajaee, Seyed Mohammad Ali Mousavi Fard, Saeed Asefzadeh, Mahnaz Alijanzadeh, Soheyla Gholami
INTRODUCTION: Health services quality has been the most important criteria of judging, and its improvement causes people's satisfaction of health systems. In a health system, public and private sectors provide services and typically have been effective in promoting health services quality of community. The aim of this study was to compare the quality of health services in both public and private sectors from the perspective of residents in Qazvin (Iran). METHODS: This cross-sectional study was conducted in 2014...
September 2016: Electronic Physician
https://www.readbyqxmd.com/read/27753948/os-07-04-home-blood-pressure-monitoring-improved-safety-in-patients-with-severe-hypertension
#9
Ruixin Ma, Qiongying Wang, Ningyin Li, Yang Zhao, Xu Zhao, Heng Yu, Jing Yu
OBJECTIVE: Home blood pressure monitoring (HBPM) is more likely to reflect the patient's underlying blood pressure (BP), than measurements in the clinic. HBPM coupled with titration of medications under the guidance of doctors, is a viable intervention to control hypertension. The purpose of this study is to evaluate whether HBPM can increase the safety of the combination therapy of three or more different classes of antihypertensive drugs. DESIGN AND METHOD: We enrolled patients with severe (grade 3) hypertension, whose BP remain uncontrolled under combination treatment with standard doze of an angiotensin II receptor blocker and hydrochlorothiazide...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27749088/factors-related-to-evacuation-intentions-of-power-dependent-home-care-patients-in-japan
#10
Hisao Nakai, Keiko Tsukasaki, Kaoru Kyota, Tomoya Itatani, Reiko Nihonyanagi, Yasuko Shinmei, Shizuka Yasuoka
This study investigated factors affecting disaster preparedness and evacuation intentions among home-care patients dependent on electrical power for life support. Health professionals interviewed 53 home-care patients using the Kanazawa and Kochi Disaster Preparedness Checklist. About half of the participants requiring continuous artificial ventilation or aspiration indicated that they would not or could not evacuate following a disaster-even though their lives could be at risk. The availability of emergency medical equipment for use during a power outage was positively associated with the desire to evacuate...
October 2016: Journal of Community Health Nursing
https://www.readbyqxmd.com/read/27725393/development-of-the-virtual-physical-assessment-learning-material-that-allows-the-learners-to-check-drug-efficacy-and-early-detection-of-adverse-effects-through-virtual-experience
#11
Jin Tokunaga, Norito Takamura, Yasuyuki Kourogi, Misato Imada, Ayaka Kozasa, Kanako Komori, Chisa Ono, Akie Nishimura, Kenji Ogata, Nao Setoguchi, Toshikazu Matsuoka, Mitsuhiro Kai, Keizo Sato, Kazuhiko Arimori
 We utilized the information and communication technology to develop the physical assessment (PA) learning materials in the virtual experience type. This learning material consists of two parts which include case learning and basic learning. We created example scenarios about various conditions that a pharmacist may experience in medical scenes such as in a hospital ward, community pharmacy, home, and drugstore. Illustrations of a virtual patient's avatar before and after taking the medicines were incorporated in the learning materials...
2016: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/27712049/thirteen-years-of-invasive-and-noninvasive-home-ventilation-for-children-in-a-developing-country-a-retrospective-study
#12
Anna Marie Nathan, Hui Yan Loo, Jessie Anne de Bruyne, Kah Peng Eg, Sze Ying Kee, Surendran Thavagnanam, Marilyn Bouniu, Jiat Earn Wong, Chin Seng Gan, Lucy Chai See Lum
INTRODUCTION: Home ventilation (HV) for children is growing rapidly worldwide. The aim was to describe (1) the sociodemographic characteristics of children on HV and (2) the indications for, means and outcome of initiating HV in children from a developing country. METHODOLOGY: This retrospective study included patients sent home on noninvasive or invasive ventilation, over 13 years, by the pediatric respiratory unit in a single center. Children who declined treatment were excluded...
October 6, 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27643343/os-07-04-home-blood-pressure-monitoring-improved-safety-in-patients-with-severe-hypertension
#13
Ruixin Ma, Qiongying Wang, Ningyin Li, Yang Zhao, Xu Zhao, Heng Yu, Jing Yu
OBJECTIVE: Home blood pressure monitoring (HBPM) is more likely to reflect the patient's underlying blood pressure (BP), than measurements in the clinic. HBPM coupled with titration of medications under the guidance of doctors, is a viable intervention to control hypertension. The purpose of this study is to evaluate whether HBPM can increase the safety of the combination therapy of three or more different classes of antihypertensive drugs. DESIGN AND METHOD: We enrolled patients with severe (grade 3) hypertension, whose BP remain uncontrolled under combination treatment with standard doze of an angiotensin II receptor blocker and hydrochlorothiazide...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27638439/portable-home-phototherapy-for-vitiligo
#14
Viktoria Eleftheriadou, Khaled Ezzedine
Vitiligo is the most common depigmentation disorder, affecting around 1% of population worldwide. There is no cure, and no firm clinical recommendations can be made for the treatment of vitiligo. A European guideline suggests early treatment of small lesions of recent onset and childhood vitiligo with combination of phototherapy and topical agents. Suitable facilities and equipment, such as hand-held portable phototherapy devices, are needed, if this new guideline is to be implemented. Hand-held units are suitable for small lesions, making phototherapy available for patients with limited and/or early vitiligo...
September 2016: Clinics in Dermatology
https://www.readbyqxmd.com/read/27603152/occupational-therapy-predischarge-home-visits-in-acute-hospital-care-a-randomized-trial
#15
Lindy Clemson, Natasha A Lannin, Kylie Wales, Glenn Salkeld, Laurence Rubenstein, Laura Gitlin, Sarah Barris, Lynette Mackenzie, Ian D Cameron
OBJECTIVES: To determine whether an enhanced occupational therapy discharge planning intervention that involved pre- and postdischarge home visits, goal setting, and follow-up (the HOME program) would be superior to a usual care intervention in which an occupational therapy in-hospital consultation for planning and supporting discharge to home is provided to individuals receiving acute care. DESIGN: Randomized controlled trial. SETTING: Acute and medical wards...
October 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27576925/modifiable-risk-factors-for-scald-injury-in-children-under-5-years-of-age-a-multi-centre-case-control-study
#16
Jane Stewart, Penny Benford, Persephone Wynn, Michael Craig Watson, Carol Coupland, Toity Deave, Paul Hindmarch, Gosia Majsak-Newman, Denise Kendrick
OBJECTIVE: To determine the relationship between a range of modifiable risk factors and medically attended scalds in children under the age of 5 years. METHODS: Multicentre matched case-control study in acute hospitals, minor injury units and GP practices in four study centres in England. Cases comprised 338 children under 5 presenting with a scald, and 1438 control participants matched on age, gender, date of event and study centre. Parents/caregivers completed questionnaires on safety practices, safety equipment use, home hazards and potential confounders...
August 28, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27412640/improving-discharge-efficiency-in-medically-complex-pediatric-patients
#17
Angela M Statile, Amanda C Schondelmeyer, Joanna E Thomson, Laura H Brower, Blair Davis, Jacob Redel, Julie Hausfeld, Karen Tucker, Denise L White, Christine M White
BACKGROUND AND OBJECTIVE: Children with medical complexity have unique needs when facilitating transitions from hospital to home. Defining readiness for discharge is challenging, and preparation requires coordination of family, education, equipment, and medications. Our multidisciplinary team aimed to increase the percentage of medically complex hospital medicine patients discharged within 2 hours of meeting medical discharge goals from 50% to 80%. METHODS: We used quality improvement methods to identify key drivers and inform interventions...
August 2016: Pediatrics
https://www.readbyqxmd.com/read/27381423/an-interactive-ict-platform-for-early-assessment-and-management-of-patient-reported-concerns-among-older-adults-living-in-ordinary-housing-development-and-feasibility
#18
Samal Algilani, Ann Langius-Eklöf, Annica Kihlgren, Karin Blomberg
AIM AND OBJECTIVES: To develop and test feasibility and acceptability of an interactive ICT-platform integrated in a tablet for collecting and managing patient reported concerns of older adults in home care. BACKGROUND: Using different ICT-applications, e.g. interactive tablets for self-assessment of health and health issues, based on health monitoring as well as other somatic and psychiatric monitoring systems may improve quality of life, staff and patient communication and feelings of being reassured...
July 6, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27355905/the-evolving-role-of-subspecialties-in-population-health-management-and-new-healthcare-delivery-models
#19
Dhruv Khullar, Sandhya K Rao, Sreekanth K Chaguturu, Rahul Rajkumar
New healthcare delivery models, including accountable care organizations (ACOs) and patient-centered medical homes, emphasize a more robust role for primary care. However, it is less clear how the roles and responsibilities of subspecialists should change as we enter a new paradigm of alternative payment models. Health systems seeking to better manage population health and control costs will need a clearer understanding of how best to incorporate subspecialty practitioners: What is a subspecialist's role? How does it vary by subspecialty? How should they be compensated? We argue that subspecialist compensation in ACOs and other new care delivery models should recognize the range of ways in which specialists can provide value to patients across a population-which varies depending on the provider's role in a patient's care...
2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/27346536/administration-of-oral-medication-by-parents-at-home
#20
Handan Boztepe, Handan Özdemir, Çiğdem Karababa, Özlem Yıldız
AIM: The objective of this study was to determine parents' experiences and problems with administering medication to their children at home. BACKGROUND: Parents' experiences and access to information for the treatment of their children's illnesses at home is necessary for their children's safety. DESIGN: A descriptive cross-sectional study. METHODS: Four hundred parents from children's hospital outpatient clinics were included...
June 27, 2016: Journal of Clinical Nursing
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