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junior doctor quality improvement

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https://www.readbyqxmd.com/read/29320310/comparison-of-current-recruitment-process-for-specialty-residency-training-in-uk-and-usa
#1
Ali Sibtain Farooq Sheikh, Mona Adel Mohamed
In the United Kingdom (UK), the medical education system strives to deliver high quality residency training to junior doctors. The same task is achieved in the United States (USA) but with a different approach. Both systems have advantages and disadvantages in their own accord. Some improvements are required in the process of initial recruitment at grass-root level. This article provides a comparison between the two systems, highlights the inefficiencies and gives suggestions to improve postgraduate medical education...
January 10, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29318733/culture-change-and-mandating-quality-improvement
#2
Thomas Bartlett, Edward Hewertson, Michael Vassallo
BACKGROUND: A mandatory programme of quality improvement (QI) education was developed for newly qualified Foundation Year 1 (FY1) doctors to complete their curriculum requirements. Their perceptions were evaluated to refine the programme. METHODS: The programme delivered theoretical and experiential learning. Participants were asked to form groups and to come up with their own projects addressing the areas of need that they had identified. The 9-month group project included formal teaching and a formal presentation to the hospital...
January 10, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29282043/a-one-day-surgical-skill-training-course-for-medical-students-improved-surgical-skills-and-increased-interest-in-surgery-as-a-career
#3
Ho Seok Seo, Yong Hwa Eom, Min Ki Kim, Young-Min Kim, Byung Joo Song, Kyo Young Song
BACKGROUND: Despite many high-quality programs in basic surgical-skill education, the surgical skill of junior doctors varies widely. This, together with the waning interest in surgery as a career among medical students, is a serious issue confronted by hospitals and healthcare systems worldwide. We, therefore, developed and implemented an intensive one-day surgical-skill training course for two purposes; it would improve surgical skills and increase interest in surgery among medical students...
December 28, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29275278/increasing-compliance-with-a-clinical-practice-guideline-for-fetal-fibronectin-testing-and-the-management-of-threatened-preterm-labour-a-quality-improvement-project
#4
Lisa K Dawes, Malini Subramoney, Laura M Miller, Katie M Groom
OBJECTIVE: To increase adherence to a local hospital clinical practice guideline for the use of fetal fibronectin testing in women presenting with symptoms of threatened preterm labour. STUDY DESIGN: A quality improvement project using a multi-faceted implementation strategy. SETTING: National Women's Health, Auckland City Hospital; a tertiary referral maternity unit in Auckland, New Zealand. POPULATION: All obstetricians, junior obstetric doctors and hospital employed midwives...
December 16, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29192430/-clinical-application-evaluation-of-guidelines-for-diagnosis-and-treatment-of-cancer-in-traditional-chinese-medicine
#5
Nan-Nan Shi, Meng-Yu Liu, Yu-Qi Liu, Yue-Xi Wang, Li-Ying Wang, Ya Yuwen, Xue-Yao Zhao, Dong-Feng Wei, Shuang Kou, Xue-Jie Han, Yan-Ping Wang
This study aims to evaluate the adaptability and applicability of Guidelines for the Diagnosis and Treatment of Cancer in Traditional Chinese Medicine. The assessment methods included adaptability assessment and applicability assessment. The adaptability assessment was based on the questionnaire survey to evaluate the familiarity, utilization, quality, and clinical application of the Guidelines; applicability assessment was based on the prospective observation of 853 clinical cases to investigate the applicability and effect of the Guidelines, including effectiveness, economy and safety...
September 2017: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
https://www.readbyqxmd.com/read/29178213/interprofessional-collaboration-between-junior-doctors-and-nurses-in-the-general-ward-setting-a-qualitative-exploratory-study
#6
Charmaine J Tang, Wen T Zhou, Sally W-C Chan, Sok Y Liaw
AIM: To explore the collaboration experiences of junior physicians and nurses in the general ward setting. BACKGROUND: Junior physicians and nurses do not always work collaboratively and this could affect the quality of patient care. The understanding of the issues affecting junior physicians and nurses working together is needed to inform strategies to improve interprofessional collaboration. METHODS: Nineteen junior physicians and nurses were interviewed in 2012 and 2013...
November 27, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29170352/55%C3%A2-mini-sim-innovative-bite-sized-simulation-teaching-in-a-busy-children-s-emergency-department
#7
Rachel Sunley, Karen Moloney, Jessica Parker, Christopher Arrowsmith, Kirsty Brown, Alex Wilson
: Emergency Medicine requires a highly skilled workforce who are passionate about delivering excellent patient care. Shift patterns linked with the ever increasing numbers of patients who attend Emergency Departments puts strain on educating the workforce and fostering team togetherness.Our objective in devising and instigating the 'Mini Sim' programme was to embed regular in-situ simulation training to enhance the learning of all staff within our Emergency Department team, building a highly trained workforce to deliver excellent care within the remit of our busy department...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29148172/quality-of-handwritten-surgical-operative-notes-from-surgical-trainees-a-noteworthy-issue
#8
Tatenda C Nzenza, Todd Manning, Simeon Ngweso, Marlon Perera, Shomik Sengupta, Damien Bolton, Nathan Lawrentschuk
BACKGROUND: Surgical operation notes are crucial for medical record keeping and information flow in continued patient care. In addition to inherent medical implications, the quality of operative notes also has important economic and medico-legal ramifications. Further, well-documented records can also be useful for audit purposes and propagation of research, facilitating the improvement of delivery of care to patients. We aimed to assess the quality of surgical operation notes written by junior doctors and trainees against a set standard, to ascertain whether these standards were met...
November 17, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29132638/impact-of-an-integrated-electronic-handover-tool-on-pediatric-junior-medical-staff-jms-handover
#9
Daryl R Cheng, James Liddle, Emily Mailes, Mike South
BACKGROUND: Clinical medical handover between doctors forms a critical part of the patient care process. However, with the evolution of junior medical staff (JMS) working conditions, time pressure and increasing clinical and administrative loads mean that quality clinical handover is increasingly important yet more challenging to achieve. This study evaluated the impact of a newly integrated electronic handover tool on JMS adoption and usage of the tool, as well as impacts on the quality (accuracy and redundancy) of handover data, JMS perceived workflow (time management and communication) and JMS satisfaction...
December 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29076013/hospital-staff-views-of-prescribing-and-discharge-communication-before-and-after-electronic-prescribing-system-implementation
#10
Pamela Ruth Mills, Anita Elaine Weidmann, Derek Stewart
Background Electronic prescribing system implementation is recommended to improve patient safety and general practitioner's discharge information communication. There is a paucity of information about hospital staff perspectives before and after system implementation. Objective To explore hospital staff views regarding prescribing and discharge communication systems before and after hospital electronic prescribing and medicines administration (HEPMA) system implementation. Setting A 560 bed United Kingdom district general hospital...
December 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29035667/why-doctors-consider-leaving-uk-medicine-qualitative-analysis-of-comments-from-questionnaire-surveys-three-years-after-graduation
#11
Trevor W Lambert, Fay Smith, Michael J Goldacre
Objective To report the reasons why doctors are considering leaving medicine or the UK. Design Questionnaire survey. Setting UK. Participants Questionnaires were sent three years after graduation to all UK medical graduates of 2008 and 2012. Main outcome measures Comments from doctors about their main reasons for considering leaving medicine or the UK (or both). Results The response rate was 46.2% (5291/11,461). Among the 60% of respondents who were not definitely intent on remaining in UK medicine, 50% were considering working in medicine outside the UK and 10% were considering leaving medicine...
January 1, 2017: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/28959777/improving-mrcp-paces-pass-rates-through-the-introduction-of-a-regional-multifaceted-support-framework
#12
Richard Jerrom, Tayeba Roper, Narasimha Murthy
INTRODUCTION: Practical Assessment of Clinical Examination Skills (PACES) constitutes the final part of the mandatory Royal College of Physicians exam series for progression to higher specialty training. Pass rates were lower for core medical trainees (CMTs) in Coventry and Warwickshire in comparison to other regions within the West Midlands and nationally. OBJECTIVES: Our aim was to improve pass rates in the region through the introduction of a stimulating and supportive teaching framework, designed to enhance the quality and frequency of PACES teaching...
2017: BMJ Open Quality
https://www.readbyqxmd.com/read/28959774/reducing-dnacpr-complaints-to-zero-designing-and-implementing-a-treatment-escalation-plan-using-quality-improvement-methodology
#13
Elizabeth Shermon, Laura Munglani, Sarah Oram, Linda William, Julian Abel
INTRODUCTION: Do Not Attempt Resuscitation (DNAR)decisions have traditionally formed the basis of ceiling of care discussions. However, poor quality discussions can lead to high patient and relative dissatisfaction, generating hospital complaints. Treatment escalation plans (TEPs) aim to highlight the wider remit of treatment options with a focus on effective communication. We aimed to improve TEP discussions and documentation at Weston General Hospital by introducing a standardised form...
2017: BMJ Open Quality
https://www.readbyqxmd.com/read/28953813/survey-on-the-knowledge-and-expectations-of-psychiatry-of-intellectual-disability-id-in-junior-doctors-joining-a-nhs-mental-health-trust
#14
Madhusudan Deepak Thalitaya, Claire Reynolds
BACKGROUND: Nationally, there is a drive to rotate more Foundation and GP Trainee Doctors through Psychiatry posts. In East London Foundation Trust (ELFT) in Bedfordshire, doctors from Core Psychiatry, Foundation and GP training programmes come to train in Psychiatry. Many will not have worked in Psychiatry before and have little experience of patients with ID. The prevalence of people with ID is increasing with improved life expectancy. They are a complex and vulnerable group with considerable wider legal, ethical and social issues...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28783394/communication-between-primary-and-secondary-care
#15
Laura Mk Pannell, Jonathan Tyrrell-Price
Background Up to date patient data is a cornerstone of optimal safety and care, so admission to hospital requires transfer of data held in the community to secondary care. Despite the advent of electronic medical record systems such as Connecting Care and EMIS, the telephone remains the mainstay of communication. Methods A prospective cross-sectional quality improvement project was conducted to assess the time taken in telephone communication between primary and secondary care doctors and determine if access to the electronic shared system, Connecting Care, would improve efficiency...
August 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/28728205/-predictability-of-postoperative-pain-and-satisfaction-how-precise-are-we-and-what-is-the-role-of-professional-experience
#16
Ulf Krister Hofmann, Cosima Dobler, Marco Gesicki, Torsten Kluba, Sebastian Scheidt
Background The indication for surgery is justified by an expected improvement for the patient. To evaluate the probability and extent of individual postoperative patient benefit, the surgeon needs to elaborate numerous parameters of potential relevance for the outcome beyond his key competence, that is the technical dimension of the operation. Despite the highest medical standards, individual postoperative satisfaction with surgery is highly variable, even in cases with a technically good result. The aim of the present study was to investigate the individual predictability of postoperative pain and satisfaction in patients with elective musculoskeletal surgery...
October 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28607682/improving-inpatient-care-for-older-adults-implementing-dementia-commissioning-for-quality-and-innovation-cquin
#17
Judith R Harrison
Dementia is a common condition, and people with dementia occupy around 25% of hospital beds. Commissioning for Quality and Innovation (CQUIN) is an NHS payment framework that links part of English healthcare providers' income to quality improvement. The dementia CQUIN goals are designed to encourage the recognition of dementia in hospital. The Royal Surrey County Hospital, Guildford, introduced new procedures to meet the dementia CQUIN targets. Adherence to the changes was a problem. This project aimed to improve hospital's implementation strategy...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28579629/prevalence-and-pattern-of-prescription-errors-in-a-nigerian-kidney-hospital
#18
Kehinde M Babatunde, Akinwumi A Akinbodewa, Ayodele O Akinboye, Ademola O Adejumo
OBJECTIVES: To determine (i) the prevalence and pattern of prescription errors in our Centre and, (ii) appraise pharmacists' intervention and correction of identified prescription errors. DESIGN: A descriptive, single blinded cross-sectional study. SETTING: Kidney Care Centre is a public Specialist hospital. The monthly patient load averages 60 General Out-patient cases and 17.4 in-patients. PARTICIPANTS: A total of 31 medical doctors (comprising of 2 Consultant Nephrologists, 15 Medical Officers, 14 House Officers), 40 nurses and 24 ward assistants participated in the study...
December 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/28562193/mentoring-relationships-between-senior-physicians-and-junior-doctors-and-or-medical-students-a-thematic-review
#19
Julia Huina Sng, Yiying Pei, Ying Pin Toh, Tan Ying Peh, Shirlyn Huishan Neo, Lalit Kumar Radha Krishna
INTRODUCTION: Mentoring relationships are pivotal to the outcome of the mentoring process. This thematic review seeks to study the key aspects of mentoring relationships between senior physicians and junior doctors and/or medical students to inform efforts to improve mentoring programs. METHODS: Literature search was performed on publications across PubMed, ERIC, Cochrane Database of Systematic Reviews, OVID and ScienceDirect databases between 1 January 2000 and 31 December 2015 by three independent reviewers...
May 31, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28466024/an-evaluation-of-emergency-management-of-severe-burn-emsb-course-in-bangladesh-a-strategic-direction
#20
Animesh Biswas, Fazlur Rahman, Peter Maitz, Kamran Ul Baset, Jahangir Hossain, Saidur Rahman Mashreky
BACKGROUND: Burn is one of the major public health problems in Bangladesh. Specialized personnel and technologies are required, however, in many cases they are not readily available. Taking the situation into account, Interplast Australia and New Zealand, Australia & New Zealand Burn Association (ANZBA), and Centre for Injury Prevention and Research, Bangladesh (CIPRB) initiated Emergency Management of Severe Burn (EMSB) training programme for Bangladeshi physicians in 2008 to help improving their burn management skill...
2017: Burns and Trauma
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