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https://www.readbyqxmd.com/read/27905247/consultation-on-changes-to-technology-appraisals
#1
(no author information available yet)
A joint consultation by the National Institute for Health and Care Excellence (NICE) and NHS England sets out changes to the arrangements for evaluating and funding drugs, and for other health technologies appraised through NICE's relevant programmes. The aims of the consultation are to: » Give patients quicker access to the most cost-effective new treatments. » Offer more flexibility in the adoption of cost-effective, high-budget impact technologies in the NHS. » Provide greater clarity for patients and companies about when NICE-appraised treatments for rare conditions will automatically qualify for funding from routine commissioning budgets...
December 1, 2016: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/27899477/mental-health-coverage-in-needs-assessments-and-associated-opportunities
#2
Jonathan Campion, Claire Coombes, Neel Bhaduri
BACKGROUND: Mental disorders account for almost a third of UK disease burden. Cost effective public mental health interventions have broad public health relevant impacts. Since coverage of such interventions is low, assessment of local coverage is important. METHODS: A total of 23 Joint Strategic Needs Assessments (JSNAs) around London were assessed for different mental health intelligence. RESULTS: Mental health was poorly covered and difficult to locate in JSNAs...
November 29, 2016: Journal of Public Health
https://www.readbyqxmd.com/read/27895242/availability-of-endovascular-therapies-for-cerebrovascular-disease-at-primary-stroke-centers
#3
Mark J Alberts, Jean Range, William Spencer, Vicki Cantwell, M J Hampel
BACKGROUND: Endovascular therapies (EVTs) are useful for treating cerebrovascular disease. There are few data about the availability of such services at primary stroke centers (PSCs). Our hypothesis was that some of these services may be available at some PSCs. METHODS: We conducted an internet-based survey of hospitals certified as PSCs by the Joint Commission. The survey inquired about EVTs such as intra-arterial (IA) lytics, IA mechanical clot removal, coiling of aneurysms, and cervical arterial stenting, physician training, coverage models, hospital type, and outcomes...
November 28, 2016: Interventional Neuroradiology
https://www.readbyqxmd.com/read/27878216/quality-of-nursing-documentation-before-and-after-the-hospital-accreditation-in-a-university-hospital
#4
Aline Tsuma Gaedke Nomura, Marcos Barragan da Silva, Miriam de Abreu Almeida
Objective: to analyze the quality of nursing documentation by comparing the periods before and after the preparation for the hospital accreditation, using the Quality of Nursing Diagnoses, Interventions and Outcomes - Brazilian version (Q-DIO- Brazilian version). Method: observational study of interventions conducted in a university hospital. Nursing documentation of 112 medical records for the period before and 112 for the period after the hospital accreditation were compared using the Q-DIO instrument - Brazilian version...
November 21, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27877026/pharmaceutical-interventions-by-collaboration-between-staff-pharmacists-and-clinical-pharmacists-and-implementation-of-joint-commission-international-accreditation-standards-on-medication-use-may-optimize-pharmacotherapy-in-geriatric-patients
#5
COMMENT
https://www.readbyqxmd.com/read/27851710/a-community-hospital-s-evaluation-of-alarm-management-safety-factors
#6
Emma Kurnat-Thoma, Kayuri Shah
BACKGROUND: The Joint Commission's 2014 National Patient Safety Goals required hospitals to evaluate alarm safety in 2014-2015 and implement alarm safety policies. OBJECTIVE: The aim of this study was to assess common alarm management safety factors in our 187-bed community hospital. METHODS: Two weeks' worth of IV pump report data was evaluated to characterize 33 IV pump alarm types. Hospital and IV pump noise was measured, and an alarm management nurse survey was conducted...
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27828006/spectral-design-methods-for-multi-channel-led-light-sources-based-on-differential-evolution
#7
Fuzheng Zhang, Haisong Xu, Zhehong Wang
The methods were proposed to design the spectra of light sources with multi-channel LEDs based on a differential evolution (DE) algorithm. Specifically, to produce a desired illuminance level while matching a specific spectrum, a matching method combining the DE algorithm and photometry was verified by matching the Commission Internationale de l'Eclairage (CIE) standard illuminants A and D65 at the two desired illuminance levels (500 and 1000 lx) with a multi-channel LED array. Furthermore, considering that correlated color temperature (CCT), illuminance, and color rendering are of practical importance to general lighting, on the basis of photometry and colorimetry, the DE algorithm integrating a mechanism dealing with constraints was developed to optimize the CIE general color rendering index of light sources under a joint target of CCT and illuminance...
October 1, 2016: Applied Optics
https://www.readbyqxmd.com/read/27825687/extended-pleurectomy-decortication-based-treatment-for-advanced-stage-epithelial-mesothelioma-yielding-a-median-survival-of-nearly-three-years
#8
Joseph S Friedberg, Charles B Simone, Melissa J Culligan, Andrew R Barsky, Abigail Doucette, Sally McNulty, Stephen M Hahn, Evan Alley, Daniel H Sterman, Eli Glatstein, Keith A Cengel
BACKGROUND: The purpose of this study was to assess survival for patients with malignant pleural mesothelioma (MPM), epithelial subtype, utilizing extended pleurectomy-decortication combined with intraoperative photodynamic therapy (PDT) and adjuvant pemetrexed-based chemotherapy. METHODS: From 2005 to 2013, 90 patients underwent lung-sparing surgery and PDT for MPM. All patients had a preoperative diagnosis of epithelial subtype, of which 17 proved to be of mixed histology...
November 5, 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27824287/interview-with-david-j-brayden
#9
David J Brayden
David Brayden speaks to Hannah Makin, Commissioning Editor: David Brayden is a Full Professor (Advanced Drug Delivery) at the School of Veterinary Medicine, University College Dublin (UCD) and also a Fellow of the UCD Conway Institute. Following a PhD in Pharmacology at the University of Cambridge, UK (1989), and a postdoctoral research fellowship at Stanford University, CA, USA, he set up Elan Biotechnology Research's in vitro pharmacology laboratory in Dublin (1991). At Elan, he became a senior scientist and project manager of several of Elan's joint-venture drug delivery research collaborations with US biotech companies...
November 8, 2016: Therapeutic Delivery
https://www.readbyqxmd.com/read/27822530/moleculo-long-read-sequencing-facilitates-assembly-and-genomic-binning-from-complex-soil-metagenomes
#10
Richard Allen White, Eric M Bottos, Taniya Roy Chowdhury, Jeremy D Zucker, Colin J Brislawn, Carrie D Nicora, Sarah J Fansler, Kurt R Glaesemann, Kevin Glass, Janet K Jansson
Soil metagenomics has been touted as the "grand challenge" for metagenomics, as the high microbial diversity and spatial heterogeneity of soils make them unamenable to current assembly platforms. Here, we aimed to improve soil metagenomic sequence assembly by applying the Moleculo synthetic long-read sequencing technology. In total, we obtained 267 Gbp of raw sequence data from a native prairie soil; these data included 109.7 Gbp of short-read data (~100 bp) from the Joint Genome Institute (JGI), an additional 87...
May 2016: MSystems
https://www.readbyqxmd.com/read/27821676/meta-analyses-of-the-effects-of-standardized-handoff-protocols-on-patient-provider-and-organizational-outcomes
#11
Joseph R Keebler, Elizabeth H Lazzara, Brady S Patzer, Evan M Palmer, John P Plummer, Dustin C Smith, Victoria Lew, Sarah Fouquet, Y Raymond Chan, Robert Riss
OBJECTIVE: The overall purpose was to understand the effects of handoff protocols using meta-analytic approaches. BACKGROUND: Standardized protocols have been required by the Joint Commission, but meta-analytic integration of handoff protocol research has not been conducted. METHOD: The primary outcomes investigated were handoff information passed during transitions of care, patient outcomes, provider outcomes, and organizational outcomes...
December 2016: Human Factors
https://www.readbyqxmd.com/read/27814722/implementation-of-the-tobacco-tactics-intervention-versus-usual-care-in-trinity-health-community-hospitals
#12
Sonia A Duffy, David L Ronis, Lee A Ewing, Andrea H Waltje, Stephanie V Hall, Patricia L Thomas, Christine M Olree, Kimberly A Maguire, Lisa Friedman, Sue Klotz, Neil Jordan, Gay L Landstrom
BACKGROUND: Guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) implementation framework, a National Institutes of Health-sponsored study compared the nurse-administered Tobacco Tactics intervention to usual care. A prior paper describes the effectiveness of the Tobacco Tactics intervention. This subsequent paper provides data describing the remaining constructs of the RE-AIM framework. METHODS: This pragmatic study used a mixed methods, quasi-experimental design in five Michigan community hospitals of which three received the nurse-administered Tobacco Tactics intervention and two received usual care...
November 4, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27810572/how-islam-influences-end-of-life-care-education-for-palliative-care-clinicians
#13
Madeline Leong, Sage Olnick, Tahara Akmal, Amanda Copenhaver, Rab Razzak
CONTEXT: According to the Joint Commission, cultural competency is a core skill required for end-of-life care. Religious and cultural beliefs predominantly influence patients' lives, especially during the dying process. Therefore, palliative care clinicians should have at least a basic understanding of major world religions. Islam is a major world religion with 1.7 billion followers. At our institution, a needs assessment showed a lack of knowledge with Islamic teachings regarding end-of-life care...
October 31, 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27805933/a-home-healthcare-nursing-competency-tool-kit
#14
Ruby M Gabbedon
As a result of the Affordable Care Act, increases in aging populations, and advances in technologies, there is a critical need for highly qualified, competent home healthcare nurses. According to the Joint Commission's Human Resource Standard, home healthcare nurses must demonstrate their competency at least every 3 years by participating in in-service education (). Unfortunately, not all home healthcare agencies (HHA) are accredited by the Joint Commissions. A review of several states healthcare regulatory rules-specifically California, New York, Nevada, and Virginia, reveals no mandates for home healthcare nurses to demonstrate competencies for skills specific for home healthcare nursing...
November 2016: Home Healthcare Now
https://www.readbyqxmd.com/read/27793984/medical-dominance-and-resistance-in-nigeria-s-health-care-system
#15
Ogoh Alubo, Vitalis Hunduh
The health care system in Nigeria remains topical because of concerns over unremitting health outcomes, such as maternal and infant mortalities and frequent epidemic outbreaks, and more recently because of regular strikes by health workers. The strikes arise mostly from disputes between medical doctors and other health workers over a range of issues, including salary levels and emoluments, leadership of teaching hospitals, and appointment of the Minister of Health. Other health workers, who allege that doctors are favored in the system, have formed Joint Health Sector Unions to confront the doctors...
October 28, 2016: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/27775176/the-impact-of-stroke-nurse-navigation-on-patient-compliance-post-discharge
#16
Tonya Deen, Theresa Terna, Elizabeth Kim, Brian Leahy, Wende Fedder
PURPOSE: The purpose of this study was to describe the impact a Stroke Nurse Navigation Program has on concurrent chart reviews and patient compliance post discharge. DESIGN: Phase I: Concurrent chart review of The Joint Commission Primary Stroke Center core measures for ischemic stroke patients. Phase II: Longitudinal study of 100 ischemic stroke patients discharged to home. METHODS: Telephone surveys were conducted at prescribed intervals posthospital discharge (Phase II)...
October 24, 2016: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
https://www.readbyqxmd.com/read/27745537/quality-of-inpatient-psychiatric-care-at-va-other-government-nonprofit-and-for-profit-hospitals-a-comparison
#17
Morgan C Shields, Meredith B Rosenthal
OBJECTIVE: Little is known about the quality of inpatient psychiatric care. This study examined associations between performance on seven measures of inpatient psychiatric quality and hospital ownership. METHODS: The study design was a cross-sectional analysis of The Joint Commission's 2014 inpatient psychiatric hospital quality measures. The measures evaluate admission screening for violence risk, substance use, psychological trauma history, and patient strengths; use of seclusion and restraint; the practice of discharging patients on multiple antipsychotics; providing appropriate justification when patients are discharged on multiple antipsychotics; creation of continuing care plans; and transmission of care plans to the next level of care...
October 17, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27691051/career-advancement-meeting-the-challenges-confronting-the-next-generation-of-endocrinologists-and-endocrine-researchers
#18
Richard J Santen, Anju Joham, Lauren Fishbein, Kristen R Vella, Peter R Ebeling, Melanie Gibson-Helm, Helena Teede
CONTEXT: Challenges and opportunities face the next generation (Next-Gen) of endocrine researchers and clinicians, the lifeblood of the field of endocrinology for the future. A symposium jointly sponsored by the Endocrine Society and the Endocrine Society of Australia was convened to discuss approaches to addressing present and future Next-Gen needs. EVIDENCE ACQUISITION: Data collection by literature review, assessment of previously completed questionnaires, commissioning of a new questionnaire, and summarization of symposium discussions...
October 3, 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27681019/implementation-of-the-affordable-care-act-a-case-study-of-a-service-line-co-management-company
#19
Bethany Lanese
Purpose The purpose of this paper is to test and measure the outcome of a community hospital in implementing the Affordable Care Act (ACA) through a co-management arrangement. RQ1: do the benefits of a co-management arrangement outweigh the costs? RQ2: does physician alignment aid in the effective implementation of the ACA directives set for hospitals? Design/methodology/approach A case study of a 350-bed non-profit community hospital co-management company. The quantitative data are eight quarters of quality metrics prior and eight quarters post establishment of the co-management company...
September 19, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27671418/evaluation-of-patient-wristbands-and-patient-identification-process-in-a-training-hospital-in-turkey
#20
Canan Cengiz, Yusuf Celik, Neset Hikmet
Purpose The purpose of this paper is to evaluate the utilisation of patient wristbands (PWs) and patient identification (PI) process in a training hospital in Ankara, Turkey. Design/methodology/approach This descriptive and cross-sectional study was conducted in a training hospital with 640 beds, accreditied by Joint Commission International. The views of 348 patients and 419 hospital personnel on the implementation of patient wristbands and identification process were evaluated. Findings The results indicated that lack of information among patients about the importance of PWs and the misknowledge among staff participants on when, where, and by whom PWs should be put on and verified were the weakest points in this hospital...
October 10, 2016: International Journal of Health Care Quality Assurance
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