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https://www.readbyqxmd.com/read/29236103/improving-handoffs-teaching-beyond-watch-one-do-one
#1
Glenn Rosenbluth
No abstract text is available yet for this article.
December 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29233720/a-pragmatic-randomized-comparative-effectiveness-trial-of-transitional-care-for-a-socioeconomically-diverse-population-design-rationale-and-baseline-characteristics
#2
Christine Schaeffer, Caroline Teter, Emily A Finch, Courtney Hurt, Mary Kate Keeter, David T Liss, Angela Rogers, Avani Sheth, Ronald Ackermann
Transitional care programs have been widely used to reduce readmissions and improve the quality and safety of the handoff process between hospital and outpatient providers. Very little is known about effective transitional care interventions among patients who are uninsured or with Medicaid. This paper describes the design and baseline characteristics of a pragmatic randomized comparative effectiveness trial of transitional care. Northwestern Medical Group- Transitional Care (NMG-TC) care model was developed to address the needs of patients with multiple medical problems that required lifestyle changes and were amenable to office-based management...
December 9, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29231687/vital-handoffs-do-we-give-complete-high-quality-reports-when-transferring-care
#3
Keith Wesley, Karen Wesley
No abstract text is available yet for this article.
May 2017: JEMS: a Journal of Emergency Medical Services
https://www.readbyqxmd.com/read/29227336/family-caregivers-experiences-of-within-hospital-handoffs-for-older-adults-in-acute-care
#4
Alycia A Bristol, Janice D Crist, Linda R Phillips, Kimberly D Shea, Cheryl Lacasse
Family caregivers' experiences during within-hospital handoffs between acute care units are not well understood. Qualitative description methodology was employed to describe family caregivers' experiences during their loved ones' handoffs. Semistructured interviews were conducted with 10 caregivers of hospitalized older adults. Three themes emerged: Lack of care coordination, Muddling through handoffs alone, and Wariness toward the care delivery system. Findings can help clinicians shape their interactions with caregivers to maximize their involvement in post-hospital care...
December 8, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29216569/a-randomized-controlled-pilot-study-of-warm-handoff-versus-fax-referral-for-hospital-initiated-smoking-cessation-among-people-living-with-hiv-aids
#5
Laura M Mussulman, Babalola Faseru, Sharon Fitzgerald, Niaman Nazir, Vivek Patel, Kimber P Richter
INTRODUCTION: The prevalence of smoking among people living with HIV/AIDS (PLWHA) remains higher than the general population. Life expectancy among PLWHA has increased over the past decade, however, PLWHA who smoke will die younger than their non-smoking peers. The primary aim of this pilot study was to examine the effects of warm handoff versus fax referral to the quitline for smoking cessation among hospitalized smokers living with HIV/AIDS. METHODS: 25 smokers with a diagnosis of HIV/AIDS hospitalized at a Midwestern academic medical center in 2012-2013 (19 male; mean age=47...
November 26, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/29185783/comparison-of-recidivism-rates-for-a-teenage-trauma-prevention-program-after-the-addition-of-high-fidelity-patient-simulation
#6
Marjorie Lee White, J Lynn Zinkan, Geni Smith, Dawn Taylor Peterson, Amber Q Youngblood, Ashley Dodd, Walter Parker, Samuel Strachan, Peter Sloane, Nancy Tofil
OBJECTIVES: We evaluated benefits of adding high-fidelity simulation to a teenage trauma prevention program to decrease recidivism rates and encourage teens to discuss actionable steps towards safe driving. METHODS: A simulated pediatric trauma scenario was integrated into an established trauma prevention program. Participants were recruited because they were court-ordered to attend this program after misdemeanor convictions for moving violations. The teenage participants viewed this simulation from the Emergency Medical Services (EMS) handoff to complete trauma care...
November 29, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29173746/handoff-editor-s-annual-report-volume-56-2017
#7
EDITORIAL
Andrés Martin
No abstract text is available yet for this article.
December 2017: Journal of the American Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29165939/-importance-of-handoffs-for-patient-safety
#8
Fanny Berlincourt, Dominik Rebell, David Gachoud, Matteo Monti
Handoffs are defined as the transfer of mission specific information and care authority from one healthcare professional to another. Handoffs may create gaps that are especially vulnerable to errors and may have an impact on patient safety. Conceptualising handoffs that are safe gains in importance in medicine with the growing clinical complexity, the reduction of working hours, and a great amount of care fragmentation. Different strategies on the handoff procedure have been identified to improve patient safety...
November 22, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29135848/using-simulation-to-hardwire-bedside-shift-report
#9
Arvis K Connolly
Numerous attempts to move nursing handoff to the bedside failed within our organization. Upon retrospect, previous attempts lacked standardization, coordination, and clear expectations. With emphasis on implementing patient- and family-centered care to increase patient experience scores, we developed a standardized staff training methodology using didactic and simulation to address staff barriers to adoption, a standardized implementation process, and a process to hardwire the practice.
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29109511/ash1l-histone-methyltransferase-regulates-the-handoff-between-damage-recognition-factors-in-global-genome-nucleotide-excision-repair
#10
Chiara Balbo Pogliano, Marco Gatti, Peter Rüthemann, Zuzana Garajovà, Lorenza Penengo, Hanspeter Naegeli
Global-genome nucleotide excision repair (GG-NER) prevents ultraviolet (UV) light-induced skin cancer by removing mutagenic cyclobutane pyrimidine dimers (CPDs). These lesions are formed abundantly on DNA wrapped around histone octamers in nucleosomes, but a specialized damage sensor known as DDB2 ensures that they are accessed by the XPC initiator of GG-NER activity. We report that DDB2 promotes CPD excision by recruiting the histone methyltransferase ASH1L, which methylates lysine 4 of histone H3. In turn, methylated H3 facilitates the docking of the XPC complex to nucleosomal histone octamers...
November 6, 2017: Nature Communications
https://www.readbyqxmd.com/read/29107526/nurse-handoff-communication
#11
REVIEW
Anne Ray Streeter, Nancy Grant Harrington
OBJECTIVE: To describe the communication behaviors identified by nurses as key to a competent patient handoff at change of shift. DATA SOURCES: Qualitative analysis of nurse descriptions of best and worst handoffs from the incoming and outgoing nursing perspective. CONCLUSION: Competent, quality nursing handoffs include specific information exchange and socioemotional (relational) communication behaviors. IMPLICATIONS FOR NURSING PRACTICE: A communication-based perspective may be useful in establishing handoff routines that reduce communication-related patient care errors and foster a positive nursing environment...
October 26, 2017: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29095169/what-every-graduating-resident-needs-to-know-about-quality-improvement-and-patient-safety-a-content-analysis-of-26-sets-of-acgme-milestones
#12
Meghan Lane-Fall, Joshua J Davis, Justin Clapp, Jennifer S Myers, Lee Ann Riesenberg
PURPOSE: Quality improvement (QI) and patient safety (PS) are broadly relevant to the practice of medicine, but specialty-specific milestones demonstrate variable expectations for trainee competency in QI/PS. The purpose of this study was to develop a unifying portrait of QI/ PS expectations for graduating residents irrespective of specialty. METHOD: Milestones from 26 residency programs representing the 24 member boards of the American Board of Medical specialties were downloaded from the Accreditation Council for Graduate Medical Education (ACGME) website in 2015...
October 31, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29075377/program-director-perceptions-of-proficiency-in-the-core-entrustable-professional-activities
#13
R Ellen Pearlman, Melissa Pawelczak, Andrew C Yacht, Salaahuddin Akbar, Gino A Farina
BACKGROUND : The Association of American Medical Colleges describes 13 core entrustable professional activities (EPAs) that every graduating medical student should be expected to perform proficiently on day 1 of residency, regardless of chosen specialty. Studies have shown wide variability in program director (PD) confidence in interns' abilities to perform these core EPAs. Little is known regarding comparison of United States Medical Licensing Examination (USMLE) scores with proficiency in EPAs...
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29056182/a-novel-process-audit-for-standardized-perioperative-handoff-protocols
#14
Vinay Pallekonda, Adam T Scholl, George M McKelvey, Hassan Amhaz, Deanna Essa, Spurthy Narreddy, Jens Tan, Mark Templonuevo, Sasha Ramirez, Michelle A Petrovic
A perioperative handoff protocol provides a standardized delivery of communication during a handoff that occurs from the operating room to the postanestheisa care unit or ICU. The protocol's success is dependent, in part, on its continued proper use over time. A novel process audit was developed to help ensure that a perioperative handoff protocol is used accurately and appropriately over time. The Audit Observation Form is used for the Audit Phase of the process audit, while the Audit Averages Form is used for the Data Analysis Phase...
November 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29033992/patient-safety-culture-in-intensive-care-units-from-the-perspective-of-nurses-a-cross-sectional-study
#15
Sedigheh Farzi, Azam Moladoost, Masoud Bahrami, Saba Farzi, Reza Etminani
BACKGROUND: One of the goals of nursing is providing safe care, prevention of injury, and health promotion of patients. Patient safety in intensive care units is threatened for various reasons. This study aimed to survey patient safety culture from the perspective of nurses in intensive care units. MATERIALS AND METHODS: This cross-sectional study was conducted in 2016. Sampling was done using the convenience method. The sample consisted of 367 nurses working in intensive care units of teaching hospitals affiliated to Isfahan University of Medical Sciences...
September 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/28991946/a-concise-tool-for-measuring-care-coordination-from-the-provider-s-perspective-in-the-hospital-setting
#16
Christine M Weston, Sehyo Yune, Eric B Bass, Scott A Berkowitz, Daniel J Brotman, Amy Deutschendorf, Eric E Howell, Melissa B Richardson, Carol Sylvester, Albert W Wu
BACKGROUND: To support hospital efforts to improve coordination of care, a tool is needed to evaluate care coordination from the perspective of inpatient healthcare professionals. OBJECTIVES: To develop a concise tool for assessing care coordination in hospital units from the perspective of healthcare professionals, and to assess the performance of the tool in measuring dimensions of care coordination in 2 hospitals after implementation of a care coordination initiative...
October 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28989212/collegial-activity-learning-between-heterogeneous-sensors
#17
Kyle D Feuz, Diane J Cook
Activity recognition algorithms have matured and become more ubiquitous in recent years. However, these algorithms are typically customized for a particular sensor platform. In this paper we introduce PECO, a Personalized activity ECOsystem, that transfers learned activity information seamlessly between sensor platforms in real time so that any available sensor can continue to track activities without requiring its own extensive labeled training data. We introduce a multi-view transfer learning algorithm that facilitates this information handoff between sensor platforms and provide theoretical performance bounds for the algorithm...
November 2017: Knowledge and Information Systems
https://www.readbyqxmd.com/read/28985692/comprehensive-blood-conservation-program-in-a-new-congenital-cardiac-surgical-program-allows-bloodless-surgery-for-the-jehovah-witness-and-a-reduction-for-all-patients
#18
Vincent Olshove, Nicole Berndsen, Veena Sivarajan, Pooja Nawathe, Alistair Phillips
BACKGROUND: Cardiac surgery on Jehovah's Witnesses (JW) can be challenging, given the desire to avoid blood products. Establishment of a blood conservation program involving the pre-, intra- and post-operative stages for all patients may lead to a minimized need for blood transfusion in all patients. METHODS: Pre-operatively, all JW patients were treated with high dose erythropoietin 500 IU/kg twice a week. JW patients were compared to matching non-JW patients from the congenital cardiac database, two per JW to serve as control...
October 1, 2017: Perfusion
https://www.readbyqxmd.com/read/28975532/training-psychiatry-residents-in-patient-handoffs-within-the-context-of-the-clinical-learning-environment-review
#19
M Diane Eckert, James Agapoff Iv, Deborah A Goebert, Earl S Hishinuma
No abstract text is available yet for this article.
October 3, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28967578/measuring-safety-culture-application-of-the-hospital-survey-on-patient-safety-culture-to-radiation-therapy-departments-worldwide
#20
Sarah Leonard, Anita O'Donovan
BACKGROUND: Minimizing errors and improving patient safety has gained prominence worldwide in high-risk disciplines such as radiation therapy. Patient safety culture has been identified as an important factor in reducing the incidence of adverse events and improving patient safety in the health care setting. PURPOSE: The aim of distributing the Hospital Survey on Patient Safety Culture (HSPSC) to radiation therapy departments worldwide was to assess the current status of safety culture, identify areas for improvement and areas that excel, examine factors that influence safety culture, and raise staff awareness...
August 16, 2017: Practical Radiation Oncology
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