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https://www.readbyqxmd.com/read/29786947/does-general-experience-affect-self-assessment
#1
Parisa Rezaiefar, Kelly Forse, Joseph K Burns, Sharon Johnston, Elizabeth Muggah, Claire Kendall, Douglas Archibald
BACKGROUND: The assessment of clinical competence is critical in medical education. Understanding the effect of general experience on a physician's self-assessment would help design more effective curricula and evaluations of procedural skills in postgraduate training and continuing professional development (CPD). In this observational study, we assessed the effect of general experience on the correlation between confidence and competence amongst experienced clinicians (ECs) and postgraduate trainees (PGTs) when learning an office-based procedure in pessary care...
May 22, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29764891/developing-a-complex-intervention-to-support-timely-engagement-with-palliative-care-for-patients-with-advanced-cancer-in-primary-and-secondary-care-in-the-uk-a-study-protocol
#2
Julia Hackett, Hilary Bekker, Michael I Bennett, Paul Carder, Jean Gallagher, Claire Henry, Suzanne Kite, Sally Taylor, Galina Velikova, Lucy Ziegler
INTRODUCTION: For patients with advanced cancer, timely access to palliative care can improve quality of life and enable patients to participate in decisions about their end-of-life care. However, in a UK population of 2500 patients who died from cancer, one-third did not receive specialist palliative care, and of those who did, the duration of involvement was too short to maximise the benefits. Initiating a conversation about palliative care is challenging for some health professionals and patients often have unmet information needs and misconceptions about palliative care...
May 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29754650/shared-decision-making-tool-for-thromboprophylaxis-in-atrial-fibrillation-a-feasibility-study
#3
Mark H Eckman, Alexandru Costea, Mehran Attari, Jitender Munjal, Ruth E Wise, Carol Knochelmann, Matthew L Flaherty, Pete Baker, Robert Ireton, Brett M Harnett, Anthony C Leonard, Dylan Steen, Adam Rose, John Kues
BACKGROUND: Appropriate thromboprophylaxis for patients with atrial fibrillation or atrial flutter (AF) remains a national challenge. METHODS: We hypothesized that a shared decision-making interaction facilitated by an Atrial Fibrillation Shared Decision Making Tool (AFSDM) would improve patient knowledge about atrial fibrillation, and the risks and benefits of various treatment options for stroke prevention; increase satisfaction with the decision-making process; improve the therapeutic alliance between patient and the clinical care team; and increase medication adherence...
May 2018: American Heart Journal
https://www.readbyqxmd.com/read/29754594/review-of-medication-errors-that-are-new-or-likely-to-occur-more-frequently-with-electronic-medication-management-systems
#4
Melita Van de Vreede, Anne McGrath, Jan de Clifford
Objective. The aim of the present study was to identify and quantify medication errors reportedly related to electronic medication management systems (eMMS) and those considered likely to occur more frequently with eMMS. This included developing a new classification system relevant to eMMS errors. Methods. Eight Victorian hospitals with eMMS participated in a retrospective audit of reported medication incidents from their incident reporting databases between May and July 2014. Site-appointed project officers submitted deidentified incidents they deemed new or likely to occur more frequently due to eMMS, together with the Incident Severity Rating (ISR)...
May 14, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29746418/reducing-rn-vacancy-rate-a-nursing-recruitment-office-process-improvement-project
#5
Stephanie A Hisgen, Nancy E Page, Deirdre K Thornlow, Elizabeth I Merwin
OBJECTIVE: The aim of this study was to reduce the RN vacancy rate at an academic medical center by improving the hiring process in the Nursing Recruitment Office. BACKGROUND: Inability to fill RN positions can lead to higher vacancy rates and negatively impact staff and patient satisfaction, quality outcomes, and the organization's bottom line. METHODS: The Model for Improvement was used to design and implement a process improvement project to improve the hiring process from time of interview through the position being filled...
May 10, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29737927/in-office-endoscopic-laryngeal-laser-procedures-a-patient-safety-initiative
#6
Jennifer Anderson, Yael Bensoussan, Richard Townsley, Erika Kell
Objective To review complications of in-office endoscopic laryngeal laser procedures after implementation of standardized safety protocol. Methods A retrospective review was conducted of the first 2 years of in-office laser procedures at St Michaels Hospital after the introduction of a standardized safety protocol. The protocol included patient screening, procedure checklist with standardized reporting of processes, medications, and complications. Primary outcomes measured were complication rates of in-office laryngeal laser procedures...
May 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29727478/assessing-physician-patient-dialogues-about-chronic-migraine-during-routine-office-visits
#7
Dawn C Buse, Patrick Gillard, Kaitlyn Arctander, Amy W Kuang, Richard B Lipton
OBJECTIVE: To assess physician-patient communication and identify the frequency of use of specific communication techniques by analyzing recordings of routinely scheduled medical encounters for patients with clinician-identified chronic migraine. BACKGROUND: Chronic migraine is an under-diagnosed, under-treated, and highly burdensome disease. Effective medical communication is integral to optimal medical care, including providing accurate diagnoses, creating effective treatment plans, and enhancing patient adherence...
May 4, 2018: Headache
https://www.readbyqxmd.com/read/29720091/mobility-concepts-and-access-to-health-care-in-a-rural-district-in-germany-a-mixed-methods-approach
#8
Lisa Schröder, Kristina Flägel, Katja Goetz, Jost Steinhäuser
BACKGROUND: Western countries are facing the challenges of an imminent shortage of physicians, especially general practitioners. As a consequence longer travel times to doctors' practices may arise. This study aimed to investigate the mobility behavior of a rural population in terms of medical consultations. METHODS: An exploratory mixed-methods design was conducted in the Waldshut district of the federal state Baden-Württemberg in Germany. Focus groups and a single telephone-interview with representatives, occupationally affiliated with mobility in the district (e...
May 2, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29707247/-fast-pace-train-the-trainer-a-scalable-new-educational-program-to-accelerate-training-in-biomedical-innovation-entrepreneurship-and-commercialization
#9
Jonathan Servoss, Connie Chang, Jonathan Fay, Kanchan Sehgal Lota, George A Mashour, Kevin R Ward
Introduction: The Institute of Medicine recommended the advance of innovation and entrepreneurship training programs within the Clinical & Translational Science Award (CTSA) program; however, there remains a gap in adoption by CTSA institutes. The University of Michigan's Michigan Institute for Clinical & Health Research and Fast Forward Medical Innovation (FFMI) partnered to develop a pilot program designed to teach CTSA hubs how to implement innovation and entrepreneurship programs at their home institutions...
October 2017: Journal of Clinical and Translational Science
https://www.readbyqxmd.com/read/29698772/an-operations-partnered-evaluation-of-care-redesign-for-high-risk-patients-in-the-veterans-health-administration-vha-study-protocol-for-the-pact-intensive-management-pim-randomized-quality-improvement-evaluation
#10
Evelyn T Chang, Donna M Zulman, Steven M Asch, Susan E Stockdale, Jean Yoon, Michael K Ong, Martin Lee, Alissa Simon, David Atkins, Gordon Schectman, Susan R Kirsh, Lisa V Rubenstein
BACKGROUND: Patient-centered medical homes have made great strides providing comprehensive care for patients with chronic conditions, but may not provide sufficient support for patients at highest risk for acute care use. To address this, the Veterans Health Administration (VHA) initiated a five-site demonstration project to evaluate the effectiveness of augmenting the VA's Patient Aligned Care Team (PACT) medical home with PACT Intensive Management (PIM) teams for Veterans at highest risk for hospitalization...
April 23, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29693623/impact-of-the-introduction-of-the-electronic-health-insurance-card-on-the-use-of-medical-services-by-asylum-seekers-in-germany
#11
Kevin Claassen, Pia Jäger
Objectives: Asylum seekers in Germany represent a highly vulnerable group from a health perspective. Furthermore, their access to healthcare is restricted. While the introduction of the Electronic Health Insurance Card (EHIC) for asylum seekers instead of healthcare-vouchers is discussed controversially using politico-economic reasons, there is hardly any empirical evidence regarding its actual impact on the use of medical services. The aim of the study is to examine this impact on the use of medical services by asylum seekers as measured by their consultation rate of ambulant physicians (CR)...
April 25, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29686495/identification-of-early-childhood-caries-in-primary-care-settings
#12
Alexandra Nicolae, Leo Levin, Peter D Wong, Malini G Dave, Jillian Taras, Chetna Mistry, Elizabeth L Ford-Jones, Michele Wong, Robert J Schroth
Early childhood caries (ECC) is the most common chronic disease affecting young children in Canada. ECC may lead to pain and infection, compromised general health, decreased quality of life and increased risk for dental caries in primary and permanent teeth. A multidisciplinary approach to prevent and identify dental disease is recommended by dental and medical national organizations. Young children visit primary care providers at regular intervals from an early age. These encounters provide an ideal opportunity for primary care providers to educate clients about their children's oral health and its importance for general health...
April 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29678805/mobile-health-to-maintain-continuity-of-patient-centered-care-for-chronic-kidney-disease-content-analysis-of-apps
#13
Ying-Li Lee, Yan-Yan Cui, Ming-Hsiang Tu, Yu-Chi Chen, Polun Chang
BACKGROUND: Chronic kidney disease (CKD) is a global health problem with a high economic burden, which is particularly prevalent in Taiwan. Mobile health apps have been widely used to maintain continuity of patient care for various chronic diseases. To slow the progression of CKD, continuity of care is vital for patients' self-management and cooperation with health care professionals. However, the literature provides a limited understanding of the use of mobile health apps to maintain continuity of patient-centered care for CKD...
April 20, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29668645/coverage-of-medications-that-treat-opioid-use-disorder-and-opioids-for-pain-management-in-marketplace-plans-2017
#14
Haiden A Huskamp, Lauren E Riedel, Colleen L Barry, Alisa B Busch
BACKGROUND: Efficacious medications to treat opioid use disorders (OUDs) have been slow to diffuse into practice, and insurance coverage limits may be one important barrier. OBJECTIVES: To compare coverage for medications used to treat OUDs and opioids commonly prescribed for pain management in plans offered on the 2017 Health Insurance Marketplace exchanges. RESEARCH DESIGN: We identified a sample of 100 plans offered in urban and in rural counties on the 2017 Marketplaces, weighting by population...
April 17, 2018: Medical Care
https://www.readbyqxmd.com/read/29665511/advanced-cutaneous-squamous-cell-carcinoma-a-retrospective-analysis-of-patient-profiles-and-treatment-patterns-results-of-a-non-interventional-study-of-the-decog
#15
Uwe Hillen, Ulrike Leiter, Sylvie Haase, Roland Kaufmann, Jürgen Becker, Ralf Gutzmer, Patrick Terheyden, Albrecht Krause-Bergmann, Hans-Joachim Schulze, Jessica Hassel, Nina Lahner, Uwe Wollina, Fabian Ziller, Jochen Utikal, Christine Hafner, Jens Ulrich, Hans-Günther Machens, Carsten Weishaupt, Axel Hauschild, Peter Mohr, Claudia Pföhler, Jan Maurer, Patrick Wolff, Christine Windemuth-Kieselbach, Dirk Schadendorf, Elisabeth Livingstone
BACKGROUND: Advanced cutaneous squamous cell carcinoma (aSCC) is an area of unmet medical need and no treatment standards are established. Recently, an anti-PD-1 inhibitor received FDA breakthrough therapy designation. The aim of the study was to describe the clinical course, therapeutic management and prognosis of aSCC under real-life conditions. PATIENTS AND METHODS: In a retrospective study performed in 24 German and Austrian hospitals and doctor's offices, patient and tumour characteristics of patients diagnosed with aSCC between January 1, 2010 and December 31, 2011 and their disease course was documented...
April 14, 2018: European Journal of Cancer
https://www.readbyqxmd.com/read/29661752/a-novel-information-retrieval-tool-to-find-hospital-care-team-members-development-and-usability-study
#16
Kyle Morawski, Craig Monsen, Sukhjit Takhar, Adam Landman
BACKGROUND: Hospital communication among members of a patient's care team is a central part of clinical workflow and consumes a large amount of a health care provider's time. Oftentimes the complexity of hospital care leads to difficulty in finding the appropriate contact, which can lead to inefficiencies and frustration. Squire is a Web-based information retrieval app created to improve the speed and efficiency in reaching the appropriate team member during the care of a hospitalized patient...
April 16, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29661651/-preferences-of-general-practitioners-in-metropolitan-france-with-regard-to-the-delegation-of-medico-administrative-tasks-to-secretaries-assisting-medico-social-workers-study-in-conjoint-analysis
#17
A Chanu, A Caron, G Ficheur, C Berkhout, A Duhamel, M Rochoy
BACKGROUND: A general practitioner's office is an economic unit where task delegation is an essential component in improving the quality and performance of work. AIM: To classify the preferences of general practitioners regarding the delegation of medical-administrative tasks to assistant medical-social secretaries. METHOD: Conjoint analysis was applied to a random sample of 175 general practitioners working in metropolitan France. Ten scenarios were constructed based on seven attributes: training for medical secretaries, logistical support during the consultation, delegation of management planning, medical records, accounting, maintenance, and taking initiative on the telephone...
April 13, 2018: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/29661178/mobile-health-tool-to-improve-maternal-and-neonatal-health-care-in-bangladesh-a-cluster-randomized-controlled-trial
#18
Ruoyan Gai Tobe, Syed Emdadul Haque, Kiyoko Ikegami, Rintaro Mori
BACKGROUND: In Bangladesh, the targets on reduction of maternal mortality and utilization of related obstetric services provided by skilled health personnel in Millennium Development Goals 5 remains unmet, and the progress in reduction of neonatal mortality lag behind that in the reduction of infant and under-five mortalities, remaining as an essential issue towards the achievement of maternal and neonatal health targets in health related Sustainable Development Goals (SDGs). As access to appropriate perinatal care is crucial to reduce maternal and neonatal deaths, recently several mobile platform-based health programs sponsored by donor countries and Non-Governmental Organizations have targeted to reduce maternal and child mortality...
April 16, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29657683/radiation-protection-knowledge-attitude-and-practice-kap-in-interventional-radiology
#19
Fatemeh Shabani, Hadi Hasanzadeh, Alireza Emadi, Majid Mirmohammadkhani, Ahmad Bitarafan-Rajabi, Ali Abedelahi, Mitra Bokharaeian, Hamed Masoumi, Danial Seifi, Tahereh Khani, Mohamad Sanchooli, Shima Moshfegh, Abbas Ziari
Objectives: Due to increasing cardiac disease and its mortality rate, the frequency of cardiac imaging has grown and, as a result, interventional cardiologists potentially receive high radiation doses in cardiac examinations. This study aimed to assess the knowledge, attitude, and practice (KAP) level of radiation protection (RP) among interventional radiology staff in Iranian health care centers across the country. Methods: We used a validated questionnaire survey consisting of 30 multiple-choice questions to perform a cross-sectional study...
March 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/29629054/health-information-technology-in-ambulatory-care-in-a-developing-country
#20
Ghasem Deimazar, Mehdi Kahouei, Afsane Zamani, Zahra Ganji
Background: Physicians need to apply new technologies in ambulatory care. At present, with regard to the extended use of information technology in other departments in Iran it has yet to be considerably developed by physicians and clinical technicians in the health department. Objective: To determine the rate of use of health information technology in the clinics of specialist- and subspecialist physicians in Semnan city, Iran. Methods: This was a 2016 cross-sectional study conducted in physicians' offices of Semnan city in Iran...
February 2018: Electronic Physician
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