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Effect of age of healthcare on safety healthcare services

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https://www.readbyqxmd.com/read/27752880/the-effect-of-hospital-isolation-precautions-on-patient-outcomes-and-cost-of-care-a-multi-site-retrospective-propensity-score-matched-cohort-study
#1
Kim Tran, Chaim Bell, Nathan Stall, George Tomlinson, Allison McGeer, Andrew Morris, Michael Gardam, Howard B Abrams
BACKGROUND: Isolation precautions have negative effects on patient safety, psychological well-being, and healthcare worker contact. However, it is not known whether isolation precautions affect certain hospital-related outcomes. OBJECTIVE: To examine the effect of isolation precautions on hospital-related outcomes and cost of care. DESIGN: Retrospective, propensity-score matched cohort study of inpatients admitted to general internal medicine (GIM) services at three academic hospitals in Toronto, Ontario, Canada between January 2010 and December 2012...
October 17, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27711980/interventions-for-patients-and-caregivers-to-improve-knowledge-of-sickle-cell-disease-and-recognition-of-its-related-complications
#2
REVIEW
Monika R Asnani, Kim R Quimby, Nadia R Bennett, Damian K Francis
BACKGROUND: Sickle cell disease is a group of genetic diseases which is especially prevalent in tropical and subtropical regions; however, forced migration and ongoing population movement have spread it throughout the world, with estimated birth rates reaching 0.49 per 1000 in the Americas, 0.07 per 1000 in Europe, 0.68 per 1000 in South and Southeast Asia, and 10.68 per 1000 in Africa. Life for individuals with sickle cell disease can be affected by repeated acute complications and compounded by progressive organ damage...
October 6, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27497887/insurance-status-and-reportable-quality-metrics-in-the-cervical-spine-fusion-population
#3
Joseph E Tanenbaum, Jacob A Miller, Vincent J Alentado, Daniel Lubelski, Benjamin P Rosenbaum, Edward C Benzel, Thomas E Mroz
BACKGROUND CONTEXT: The incidence of adverse care quality events among patients undergoing cervical fusion surgery is unknown using the definition of care quality employed by the Centers for Medicare and Medicaid Services (CMS). The effect of insurance status on the incidence of these adverse quality events is also unknown. PURPOSE: This study determined the incidence of hospital acquired conditions (HAC) and patient safety indicators (PSI) in cervical spine fusion patients and analyzed the association between primary payer status and these adverse events...
August 4, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27412109/cohort-profile-the-finnish-medication-and-alzheimer-s-disease-medalz-study
#4
Anna-Maija Tolppanen, Heidi Taipale, Marjaana Koponen, Piia Lavikainen, Antti Tanskanen, Jari Tiihonen, Sirpa Hartikainen
PURPOSE: The aim of the Medicine use and Alzheimer's disease (MEDALZ) study is to investigate the changes in medication and healthcare service use among persons with Alzheimer's disease (AD) and to evaluate the safety and effectiveness of medications in this group. This is important, because the number of persons with AD is rapidly growing and even though they are a particularly vulnerable patient group, the number of representative, large-scale studies with adequate follow-up time is limited...
2016: BMJ Open
https://www.readbyqxmd.com/read/27364740/older-people-with-chronic-kidney-disease-definition-and-influence-of-biomarkers-and-medications-upon-cardiovascular-and-renal-outcomes
#5
REVIEW
Maharajan Raman, Darren Green, Rachel J Middleton, Philip A Kalra
BACKGROUND: Chronic kidney disease (CKD) is a global problem. With an ageing population the burden on the health services has increased due to the growing number of older people with CKD. This group of individuals is far different to the younger CKD population and their risk of cardiovascular death is far greater than the risk of progressing to end stage kidney disease (ESKD). OBJECTIVE: In this review we explore the role of certain biomarkers and medications in predicting the risk of progression to ESKD and death in old people with CKD...
September 2016: Journal of Renal Care
https://www.readbyqxmd.com/read/27351988/antileukotriene-agents-versus-long-acting-beta-agonists-in-older-adults-with-persistent-asthma-a-comparison-of-add-on-therapies
#6
Shoroq M Altawalbeh, Carolyn T Thorpe, Janice C Zgibor, Sandra Kane-Gill, Yihuang Kang, Joshua M Thorpe
OBJECTIVES: To compare the effectiveness and cardiovascular safety of long-acting beta-agonists (LABAs) with those of leukotriene receptor antagonists (LTRAs) as add-on treatments in older adults with asthma already taking inhaled corticosteroids (ICSs). DESIGN: Retrospective cohort study. SETTING: Medicare fee-for-service (FFS) claims (2009-10) for a 10% random sample of beneficiaries continuously enrolled in Parts A, B, and D in 2009. PARTICIPANTS: Medicare beneficiaries aged 66 and older continuously enrolled in FFS Medicare with Part D coverage with a diagnosis of asthma before 2009 treated exclusively with ICSs plus LABAs or ICSs plus LTRAs (N = 14,702)...
August 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27064443/e-cigarette-use-in-veterans-seeking-mental-health-and-or-substance-use-services
#7
Kathryn Hefner, Robert Rosenheck, Jeremy Merrel, Marcedes Coffman, Gerry Valentine, Mehmet Sofuoglu
OBJECTIVE: Individuals with mental illness and substance use disorders smoke at elevated rates and tend to have greater difficulty quitting smoking as compared to the general population. Some believe that e-cigarettes may reduce harm associated with smoking, but little is known about e-cigarette use, perceptions, and motivations for their use among individuals with mental health and/or substance use disorders. METHODS: Rates and correlates of e-cigarette use, perceptions, and sources of information about e-cigarettes among smokers seeking mental health and/or substance use services (N = 188) at the VA Connecticut Healthcare System were assessed via a brief survey...
April 2016: Journal of Dual Diagnosis
https://www.readbyqxmd.com/read/27023692/effect-of-clinical-and-attitudinal-characteristics-on-obtaining-comprehensive-medication-reviews
#8
Karen B Farris, Teresa M Salgado, Nadia Aneese, Vincent D Marshall, Jane F Pendergast, Jessica Frank, Elizabeth A Chrischilles, William R Doucette
BACKGROUND: Comprehensive medication reviews (CMRs) consist of in-depth reviews of patients' medications to identify effectiveness or safety problems and often generate cost savings for individuals. Despite their advantages, CMRs are not widely obtained. Previous studies found that older age, female sex, and experience of side effects were associated with obtaining a medication review. OBJECTIVE: To quantify the association between attitudinal and clinical factors with intention and predict future behavior to obtain a CMR among Medicare Part D beneficiaries...
April 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/26214844/doctors-or-mid-level-providers-for-abortion
#9
REVIEW
Sharmani Barnard, Caron Kim, Min Hae Park, Thoai D Ngo
BACKGROUND: The World Health Organization recommends that abortion can be provided at the lowest level of the healthcare system. Training mid-level providers, such as midwives, nurses and other non-physician providers, to conduct first trimester aspiration abortions and manage medical abortions has been proposed as a way to increase women's access to safe abortion procedures. OBJECTIVES: To assess the safety and effectiveness of abortion procedures administered by mid-level providers compared to doctors...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26154426/early-discharge-with-home-support-of-gavage-feeding-for-stable-preterm-infants-who-have-not-established-full-oral-feeds
#10
REVIEW
Carmel T Collins, Maria Makrides, Andrew J McPhee
BACKGROUND: Early discharge of stable preterm infants still requiring gavage feeds offers the benefits of uniting families sooner and reducing healthcare and family costs compared with discharge home when on full sucking feeds. Potential disadvantages of early discharge include increased care burden for the family and risk of complications related to gavage feeding. OBJECTIVES: To determine the effects of a policy of early discharge of stable preterm infants with home support of gavage feeding compared with a policy of discharge of such infants when they have reached full sucking feeds...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26042462/technical-guidelines-for-the-application-of-seasonal-influenza-vaccine-in-china-2014-2015
#11
Luzhao Feng, Peng Yang, Tao Zhang, Juan Yang, Chuanxi Fu, Ying Qin, Yi Zhang, Chunna Ma, Zhaoqiu Liu, Quanyi Wang, Genming Zhao, Hongjie Yu
Influenza, caused by the influenza virus, is a respiratory infectious disease that can severely affect human health. Influenza viruses undergo frequent antigenic changes, thus could spread quickly. Influenza causes seasonal epidemics and outbreaks in public gatherings such as schools, kindergartens, and nursing homes. Certain populations are at risk for severe illness from influenza, including pregnant women, young children, the elderly, and people in any ages with certain chronic diseases.
2015: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/25913983/0023%C3%A2-using-the-new-title-v-mch-national-performance-measure-7-to-reduce-injury-related-hospitalizations-among-children-and-adolescents-ages-0-19
#12
Erin Reiney, Jennifer Allison, Rebekah Hunt
STATEMENT OF PURPOSE: Every year, one in nine young people is injured seriously enough to require medical attention, and nearly 320,000 injury-related hospitalizations occur. Injuries are a leading cause of medical spending for children and adolescents, a burden estimated at $4 billion in annual healthcare costs for hospitalizations alone. By focusing on the reduction of injury-related hospitalizations, public health professionals can significantly reduce the toll of injuries in the U...
April 2015: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/25706800/factors-associated-with-the-amount-of-public-home-care-received-by-elderly-and-intellectually-disabled-individuals-in-a-large-norwegian-municipality
#13
Øystein Døhl, Helge Garåsen, Jorid Kalseth, Jon Magnussen
This study reports an analysis of factors associated with home care use in a setting in which long-term care services are provided within a publicly financed welfare system. We considered two groups of home care recipients: elderly individuals and intellectually disabled individuals. Routinely collected data on users of public home care in the municipality of Trondheim in October 2012, including 2493 people aged 67 years or older and 270 intellectually disabled people, were used. Multivariate regression analysis was used to analyse the relationship between the time spent in direct contact with recipients by public healthcare personnel and perceived individual determinants of home care use (i...
May 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/25694848/complementary-and-integrative-healthcare-in-a-long-term-care-facility-a-pilot-project
#14
Roni Evans, Corrie Vihstadt, Kristine Westrom, Lori Baldwin
INTRODUCTION: The world's population is aging quickly, leading to increased challenges of how to care for individuals who can no longer independently care for themselves. With global social and economic pressures leading to declines in family support, increased reliance is being placed on community- and government-based facilities to provide long-term care (LTC) for many of society's older citizens. Complementary and integrative healthcare (CIH) is commonly used by older adults and may offer an opportunity to enhance LTC residents' wellbeing...
January 2015: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://www.readbyqxmd.com/read/25654057/growing-old-is-mandatory-but-growing-up-is-optional-an-explanation-to-geriatrics
#15
REVIEW
Smita R Priyadarshini, Pradyumna Ku Sahoo, Sanat Ku Bhuyan, Satya Ranjan Misra, Abhishek Rajan Pati
Growing old is an inevitable process and aging graciously requires a healthy body where oral cavity occupies an important place. Geriatric dentistry is a specialized multidisciplinary branch of general dentistry designed to provide dental services to elderly patients. The rise in life expectancy has attributed to the substantial reduction in mortality which brought about by improved health care facilities, sanitation, environmental and public health reforms coupled with better hygiene and living conditions...
December 2014: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/25638235/cough-and-cold-medication-in-children-a-public-health-concern
#16
A R Norazida, S Sivasampu, C L Teng
BACKGROUND: The indiscriminate use of cough and cold medicines (CCMs) in children has become a public health concern. The study evaluates the prescription pattern of CCMs in primary care setting. METHODS: Analysis of CCMs prescription data among children aged 12 years and below who had participated in the National Medical Care Survey (NMCS) 2010. Data was extracted from NMCS 2010, a cross-sectional survey on the primary healthcare service which was carried out from December 2009 to April 2010 in public and private primary care clinics in Malaysia...
October 2014: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/25603104/insurance-status-influences-the-rates-of-reportable-quality-metrics-in-brain-tumor-patients-a-nationwide-inpatient-sample-study
#17
Kristopher G Hooten, Dan Neal, Rolando E Lovaton Espadin, Jorge N Gil, Hassan Azari, Maryam Rahman
BACKGROUND: In 2010, the Patient Protection and Affordable Care Act was passed to expand health insurance, narrow health care disparities, and improve health care quality in the United States. As part of this initiative, the Agency for Healthcare Research and Quality and the Centers for Medicare and Medicaid Services are now tracking quality metrics. OBJECTIVE: To analyze the effects of insurance on the incidence of patient safety indicators (PSIs) and hospital-acquired conditions (HACs) using the Nationwide Inpatient Sample for patients who have brain tumors...
March 2015: Neurosurgery
https://www.readbyqxmd.com/read/25541393/the-physiological-response-of-soft-tissue-to-periodic-repositioning-as-a-strategy-for-pressure-ulcer-prevention
#18
Marjolein Woodhouse, Peter R Worsley, David Voegeli, Lisette Schoonhoven, Dan L Bader
BACKGROUND: Individuals who have reduced mobility are at risk of developing pressure ulcers if they are subjected to sustained static postures. To reduce this risk, clinical guidelines advocate healthcare professionals reposition patients regularly. Automated tilting mechanisms have recently been introduced to provide periodic repositioning. This study compared the performance of such a prototype mattress to conventional manual repositioning. METHODS: Ten healthy participants (7 male and 3 female, aged 23-66 years) were recruited to compare the effects of an automated tilting mattress to standard manual repositioning, using the 30° tilt...
February 2015: Clinical Biomechanics
https://www.readbyqxmd.com/read/25476931/progress-toward-universal-health-coverage-in-asean
#19
Hoang Van Minh, Nicola Suyin Pocock, Nathorn Chaiyakunapruk, Chhea Chhorvann, Ha Anh Duc, Piya Hanvoravongchai, Jeremy Lim, Don Eliseo Lucero-Prisno, Nawi Ng, Natalie Phaholyothin, Alay Phonvisay, Kyaw Min Soe, Vanphanom Sychareun
BACKGROUND: The Association of Southeast Asian Nations (ASEAN) is characterized by much diversity in terms of geography, society, economic development, and health outcomes. The health systems as well as healthcare structure and provisions vary considerably. Consequently, the progress toward Universal Health Coverage (UHC) in these countries also varies. This paper aims to describe the progress toward UHC in the ASEAN countries and discuss how regional integration could influence UHC. DESIGN: Data reported in this paper were obtained from published literature, reports, and gray literature available in the ASEAN countries...
2014: Global Health Action
https://www.readbyqxmd.com/read/25371764/vaccination-of-children-with-a-live-attenuated-intranasal-influenza-vaccine-analysis-and-evaluation-through-a-health-technology-assessment
#20
Frank Andersohn, Reinhard Bornemann, Oliver Damm, Martin Frank, Thomas Mittendorf, Ulrike Theidel
BACKGROUND: Influenza is a worldwide prevalent infectious disease of the respiratory tract annually causing high morbidity and mortality in Germany. Influenza is preventable by vaccination and this vaccination is so far recommended by the The German Standing Committee on Vaccination (STIKO) as a standard vaccination for people from the age of 60 onwards. Up to date a parenterally administered trivalent inactivated vaccine (TIV) has been in use almost exclusively. Since 2011 however a live-attenuated vaccine (LAIV) has been approved additionally...
2014: GMS Health Technology Assessment
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