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https://www.readbyqxmd.com/read/29783270/reducing-alarm-fatigue-in-two-neonatal-intensive-care-units-through-a-quality-improvement-collaboration
#1
Kendall R Johnson, James I Hagadorn, David W Sink
OBJECTIVE:  To reduce nonactionable oximeter alarms by 80% without increasing time infants were hypoxemic (oxygen saturation [SpO2 ] ≤ 80%) or hyperoxemic (SpO2  > 95% while on supplemental oxygen). STUDY DESIGN:  In 2015, a multidisciplinary team at Connecticut Children's Medical Center initiated a quality improvement project to reduce nonactionable oximeter alarms in two referral neonatal intensive care units (NICUs). Changes made through improvement cycles included reduction of the low oximeter alarm limit for specific populations, increased low alarm delay, development of postmenstrual age-based alarm profiles, and updated bedside visual reminders...
May 21, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29781722/survey-of-north-american-multidisciplinary-cleft-palate-and-craniofacial-team-clinic-administration
#2
Kristin D Pfeifauf, Kamlesh B Patel, Alison Snyder-Warwick, Gary B Skolnick, Sibyl Scheve, Sybill D Naidoo
OBJECTIVE: This study aims to provide an understanding of the ways cleft palate (CP) and craniofacial teams address billing, administration, communication of clinical recommendations, appointment scheduling, and diagnosis-specific protocols. DESIGN: An online clinic administration survey was developed using data from an open-ended telephone questionnaire. The online survey was distributed by e-mail to the American Cleft Palate-Craniofacial Association (ACPA) nurse coordinator electronic mailing list, used regularly by the ACPA and its members to communicate with teams...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29773527/acceptability-and-feasibility-of-real-time-antiretroviral-therapy-adherence-interventions-in-rural-uganda-mixed-method-pilot-randomized-controlled-trial
#3
Angella Musiimenta, Esther C Atukunda, Wilson Tumuhimbise, Emily E Pisarski, Melanie Tam, Monique A Wyatt, Norma C Ware, Jessica E Haberer
BACKGROUND: Wireless electronic adherence monitors can detect antiretroviral therapy (ART) adherence lapses and trigger interventions in real time, thus potentially avoiding unnecessary HIV viremia. Evidence about the acceptability and feasibility of these monitors and associated interventions, however, is limited. OBJECTIVE: The aim of this study was to assess the acceptability and feasibility of real-time adherence monitoring linked to text messaging (short message service, SMS) reminders and notifications to support adherence among individuals living with HIV who are taking ART in rural southwestern Uganda...
May 17, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29764963/reducing-missed-opportunities-for-influenza-vaccination-in-patients-with-rheumatoid-arthritis-evaluation-of-a-multisystem-intervention
#4
Rachel Broderick, Iazsmin Ventura, Sunoz Soroosh, Lourdes Franco, Jon T Giles
OBJECTIVE: To assess a multimodal intervention for reducing missed opportunities for outpatient influenza vaccination in individuals with rheumatoid arthritis (RA). METHODS: Patients with RA were enrolled from a single center and each rheumatology outpatient visit was tracked for missed opportunities for influenza vaccination, defined as a visit in which an unvaccinated patient without contraindications remained unvaccinated or lacked documentation of vaccine recommendation in the electronic medical record (EMR)...
May 15, 2018: Journal of Rheumatology
https://www.readbyqxmd.com/read/29743326/reducing-urinary-catheter-use-a-protocol-for-a-mixed-methods-evaluation-of-an-electronic-reminder-system-in-hospitalised-patients-in-australia
#5
Oyebola Fasugba, Allen C Cheng, Philip L Russo, Maria Northcote, Hannah Rosebrock, Brett G Mitchell
INTRODUCTION: Despite advances in infection prevention and control, catheter-associated urinary tract infections (CAUTIs) are common and remain problematic. Prolonged urinary catheterisation is the main risk factor for development of CAUTIs; hence, interventions that target early catheter removal warrant investigation. The study's objectives are to examine the efficacy of an electronic reminder system, the CATH TAG, in reducing urinary catheter use (device utilisation ratio) and to determine the effect of the CATH TAG on nurses' ability to deliver patient care...
May 9, 2018: BMJ Open
https://www.readbyqxmd.com/read/29743032/use-of-an-electronic-partograph-feasibility-and-acceptability-study-in-zanzibar-tanzania
#6
Lindsay Elizabeth Litwin, Christina Maly, Asma Ramadan Khamis, Cyndi Hiner, Jérémie Zoungrana, Khadija Mohamed, Mary Drake, Michael Machaku, Mustafa Njozi, Salhiya Ali Muhsin, Yusuph K Kulindwa, Patricia P Gomez
BACKGROUND: The ePartogram is a tablet-based application developed to improve care for women in labor by addressing documented challenges in partograph use. The application is designed to provide real-time decision support, improve data entry, and increase access to information for appropriate labor management. This study's primary objective was to evaluate the feasibility and acceptability of ePartogram use in resource-constrained clinical settings. METHODS: The ePartogram was introduced at three facilities in Zanzibar, Tanzania...
May 9, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29743026/the-effectiveness-of-an-online-intervention-in-preventing-excessive-gestational-weight-gain-the-e-moms-roc-randomized-controlled-trial
#7
Christine M Olson, Susan W Groth, Meredith L Graham, Jennifer E Reschke, Myla S Strawderman, Isabel Diana Fernandez
BACKGROUND: Excessive gestational weight gain (GWG) is common and contributes to the development of obesity in women and their offspring. Electronic or e-health interventions have the potential to reach large groups of women and prevent excessive GWG, but their effectiveness has not been demonstrated. The purpose of this study was to evaluate, in a real-world setting, the effectiveness of a self-directed, integrated online and mobile phone behavioral intervention in preventing excessive GWG...
May 9, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29704702/simulation-with-standardized-patients-to-prepare-undergraduate-nursing-students-for-mental-health-clinical-practice-an-integrative-literature-review
#8
Anita Øgård-Repål, Åsne Knutson De Presno, Mariann Fossum
OBJECTIVE: To evaluate the available evidence supporting the efficacy of using simulation with standardized patients to prepare nursing students for mental health clinical practice. DESIGN: Integrative literature review. DATA SOURCES: A systematic search of the electronic databases CINAHL (EBSCOhost), Embase, MEDLINE, PsycINFO, and SveMed+ was conducted to identify empirical studies published until November 2016. Multiple search terms were used...
April 22, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29695226/impact-of-agency-receipt-of-incentives-and-reminders-on-engagement-and-continuity-of-care-for-clients-with-co-occurring-disorders
#9
Margaret T Lee, Andrea Acevedo, Deborah W Garnick, Constance M Horgan, Lee Panas, Grant A Ritter, Kevin M Campbell
OBJECTIVE: This study examined whether having co-occurring substance use and mental disorders influenced treatment engagement or continuity of care and whether offering financial incentives, client-specific electronic reminders, or a combination to treatment agencies improved treatment engagement and continuity of care among clients with co-occurring disorders. METHODS: The study used a randomized cluster design to assign agencies (N=196) providing publicly funded substance use disorder treatment in Washington State to a research arm: incentives only, reminders only, incentives and reminders, and a control condition...
April 26, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29682511/preferences-of-older-adults-and-their-families-for-meaningful-use-clinical-summaries
#10
Karen Colorafi, Robert A Greenes, Marc Kates
Background: This study assessed the perceptions of older adults regarding the plan of care (POC) contained in the clinical summary mandated by the Electronic Health Records (EHR) Incentive Program. Methods: A qualitative descriptive design was selected for this study. Older adults (≥65) with chronic cardiac diagnoses were invited to participate. The investigator shadowed the physician during the patient encounter, interviewed the patients following their encounter, and asked patients to complete standard health literacy and cognitive screening tools and the Patient Activation Measure...
2018: MHealth
https://www.readbyqxmd.com/read/29678096/developing-an-ehealth-tool-to-support-patient-empowerment-at-home
#11
Kristina Schildmeijer, Carolina Wannheden, Lina Nilsson, Oscar Frykholm, Amanda Hellström, Maria Flink, Mirjam Ekstedt
In previous research we have learned that patients with chronic or complex diseases often experience difficulties when transitioning from hospital care to self-care in their home. We address these difficulties by developing an eHealth tool for patients - ePATH (electronic Patient Activation in Treatment at Home) - intended to empower each patient to manage their individual situation. We have employed a user-centered design process involving both patients and healthcare personnel to specify the content and functionality of ePATH...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29665099/metal-cluster-electrides-a-new-type-of-molecular-electrides-with-delocalised-polyattractor-character
#12
Ouissam El Bakouri, Verònica Postils, Marc Garcia-Borràs, Miquel Duran, Josep M Luis, Simone Calvello, Alessandro Soncini, Eduard Matito, Ferran Feixas, Miquel Solà
Electrides are ionic substances that present isolated electrons. These confined electrons are topologically characterised by a quasiatom, i.e. a non-nuclear attractor (NNA) of the electron density. The electronic structure of octahedral 4A1g Li6+ and 5A1g Be6 species shows that these species have a large number of NNAs. These NNAs present highly delocalised electron densities and, as a result, the chemical bonding pattern of these systems reminds that of the solid metals where metal cations are surrounded by a "sea" of delocalised valence electrons...
April 17, 2018: Chemistry: a European Journal
https://www.readbyqxmd.com/read/29664334/influence-of-reminder-therapy-for-controlling-bacterial-plaque-in-patients-undergoing-orthodontic-treatment-a-systematic-review-and-meta-analysis
#13
Igor Felipe Pereira Lima, Walbert de Andrade Vieira, Ítalo de Macedo Bernardino, Pedro Augusto Costa, Anderson Paulo Barbosa Lima, Matheus Melo Pithon, Luiz Renato Paranhos
OBJECTIVE: To assess the scientific evidence regarding the influence of reminder therapy on plaque index, gingival index, and white spots in patients subjected to orthodontic treatment. MATERIALS AND METHODS: Randomized clinical trials were searched in the electronic databases LILACS, PubMed, SciELO, Scopus, Web of Science, Embase, LIVIVO, and Cochrane Library. The databases OpenThesis and OpenGrey were used to capture the "gray literature," preventing selection and publication biases...
April 17, 2018: Angle Orthodontist
https://www.readbyqxmd.com/read/29648922/reducing-wait-time-between-admission-and-chemotherapy-initiation
#14
Arjun Gupta, Jenny Li, Bernard Tawfik, Thao Pham, Sudarshan Pathak, Prabhjyot Singh, Esmaeil Porsa, Navid Sadeghi, Hsiao C Li
PURPOSE: Reducing the length of stay is a high-priority objective for all health care institutions. Delays in chemotherapy initiation for planned preadmissions lead to patient dissatisfaction and prolonged length of stay. PATIENTS AND METHODS: A multidisciplinary team was formed as part of the ASCO Quality Training Program. We aimed to reduce the time to initiation of chemotherapy from patient arrival at Parkland Hospital from a median of 6.2 hours at baseline to 4 hours over a 6-month period (35% reduction)...
April 12, 2018: Journal of Oncology Practice
https://www.readbyqxmd.com/read/29619133/development-and-validation-of-a-survey-instrument-to-measure-factors-that-influence-pharmacist-adoption-of-prescribing-in-alberta-canada
#15
Lisa M Guirguis, Christine A Hughes, Mark J Makowsky, Cheryl A Sadowski, Theresa J Schindel, Nese Yuksel, Chowdhury F Faruquee
Objective: Study objectives were to develop a questionnaire to assess factors influencing pharmacists' adoption of prescribing (i.e., continuing, adapting or initiating therapy), describe use of pre-incentive and mixed mode survey, and establish survey psychometric properties. Methods: Questions were developed based on prior qualitative research and Diffusion of Innovation theory. Expert review, cognitive testing, survey pilot, and main survey were used to test the questionnaire...
January 2018: Pharmacy Practice
https://www.readbyqxmd.com/read/29602631/a-randomized-trial-of-a-multicomponent-intervention-to-promote-medication-adherence-the-teen-adherence-in-kidney-transplant-effectiveness-of-intervention-trial-take-it
#16
Bethany J Foster, Ahna L H Pai, Nataliya Zelikovsky, Sandra Amaral, Lorraine Bell, Vikas R Dharnidharka, Diane Hebert, Crystal Holly, Baerbel Knauper, Douglas Matsell, Veronique Phan, Rachel Rogers, Jodi M Smith, Huaqing Zhao, Susan L Furth
BACKGROUND: Poor adherence to immunosuppressive medications is a major cause of premature graft loss among children and young adults. Multicomponent interventions have shown promise but have not been fully evaluated. STUDY DESIGN: Unblinded parallel-arm randomized trial to assess the efficacy of a clinic-based adherence-promoting intervention. SETTING & PARTICIPANTS: Prevalent kidney transplant recipients 11 to 24 years of age and 3 or more months posttransplantation at 8 kidney transplantation centers in Canada and the United States (February 2012 to May 2016) were included...
March 15, 2018: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/29559231/strategies-to-improve-hand-hygiene-compliance-among-health-care-workers-in-adult-intensive-care-units-a-mini-systematic-review
#17
REVIEW
Abdullah Ali Alshehari, Silvia Park, Harunor Rashid
BACKGROUND: Hand hygiene (HH) compliance among health care workers (HCWs) in intensive care units (ICUs) is disconcertingly low. AIM: This mini systematic review aims to identify the effective intervention(s) for increasing HH compliance among HCWs in adult ICUs. METHODS: Two major electronic databases, OVID Medline and CINAHL, were searched by using a combination of MeSH terms and text words (e.g. hand hygiene, hand washing, compliance, adher*, improve*, develop* and intensive care unit) for relevant articles...
March 17, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29553442/factors-affecting-adherence-to-appointment-system-in-the-clinic-for-non-communicable-diseases-in-unrwa-s-khan-younis-health-centre-and-the-role-of-mobile-phone-text-messages-to-improve-adherence-a-descriptive-cross-sectional-study
#18
Sanaa Al Najjar, Tamer Al Shaer
BACKGROUND: To meet the emerging needs of the increasing numbers of patients with non-communicable diseases and to provide optimum care with optimum contact time and minimum waiting time, as stated in UNRWA guidelines, the mobile phone text messaging system was implemented in UNRWA centres to remind patients of upcoming appointments and to thereby improve the quality of care for vulnerable patients and regulate the work load in the clinics for non-communicable diseases. The aim of this study was to assess the causes for lack of adherence to the appointment system at UNRWA centres...
February 21, 2018: Lancet
https://www.readbyqxmd.com/read/29526345/improving-folic-acid-supplementation-rates-in-women-of-childbearing-age-with-epilepsy
#19
Puja Patel, Jules C Beal, Shlomo Shinnar
BACKGROUND: This study aims to improve the rate of folic acid supplementation to adolescent women with epilepsy on an antiepileptic drug (AED) regimen seen by the pediatric neurology providers at the Children's Hospital at Montefiore, in compliance with the 2009 American Academy of Neurology and American Epilepsy Society practice parameter. METHODS: We designed a quality improvement study with implementation of a series of interventions and compared folic acid supplementation rates before and after intervention...
April 2018: Pediatric Neurology
https://www.readbyqxmd.com/read/29525217/completeness-of-human-papilloma-virus-vaccination-a-systematic-review
#20
REVIEW
Hee Sun Kang, Jennie C De Gagne, Ye Dong Son, Sun-Mi Chae
PROBLEM: It has been reported that some adolescents and young women who started taking human papillomavirus (HPV) vaccination are not completing all three doses. The aim of this study was to systematically review intervention studies on HPV vaccination completion. ELIGIBILITY CRITERIA: Intervention studies with a comparison group that assessed HPV vaccination completion rate as the primary outcome variable in adolescents and adults younger than 26years of age, and published in English from 2006 to 2016, were eligible for review...
March 2018: Journal of Pediatric Nursing
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