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https://www.readbyqxmd.com/read/28086813/information-exchange-networks-of-health-care-providers-and-evidence-based-cardiovascular-risk-management-an-observational-study
#1
Naomi Heijmans, Jan van Lieshout, Michel Wensing
BACKGROUND: Although a wide range of preventive and clinical interventions has targeted cardiovascular risk management (CVRM), outcomes remain suboptimal. Therefore, the question is what additional determinants of CVRM and outcomes can be identified and addressed to optimize CVRM. In this study, we aimed to identify new perspectives for improving healthcare delivery and explored associations between information exchange networks of health care providers and evidence-based CVRM. METHODS: This observational study was performed parallel to a randomized clinical trial which aimed to improve professional performance of practice nurses in the Netherlands...
January 13, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28078745/the-effect-of-structural-empowerment-of-nurses-on-quality-outcomes-in-hospitals-a-scoping-review
#2
Nicole S Goedhart, Catharina J van Oostveen, Hester Vermeulen
AIM: To assess and synthesise studies reporting direct associations between the structural empowerment of frontline nurses and quality outcomes, and to identify gaps in the current literature. BACKGROUND: The empowerment of nurses seems essential for delivering high-quality patient care. Understanding the relationship between empowerment and quality outcomes would enable nurse managers to make informed choices on improving the quality of care. METHODS: A scoping review examining the relationship between the structural empowerment of nurses and the quality, effectiveness, safety, efficiency and patient-centredness of care in hospitals...
January 11, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28066970/implementation-of-a-pharmacist-led-patient-controlled-analgesia-dosing-service
#3
Alen L Dezia, Tim D Baccus, Allycia M Natavio, Sean M Conroy, Levi M Hall
PURPOSE: The development and implementation of a pharmacist-led patient controlled analgesia (PCA) dosing service in a large academic institution is described. SUMMARY: To improve pain management at our institution and expand pharmacy clinical services, a pharmacist-led PCA dosing service was developed and implemented. The service is modeled after established antimicrobial and anticoagulation dosing services at our institution. A core group of pharmacists (service leaders) and a pain physician champion developed a policy and guideline and designed electronic medical record (EMR) tools to support the service...
January 9, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28065833/standardizing-abortion-research-outcomes-star-a-protocol-for-developing-disseminating-and-implementing-a-core-outcome-set-for-medical-and-surgical-abortion
#4
Katherine C Whitehouse, Caron R Kim, Bela Ganatra, James M N Duffy, Jennifer Blum, Dalia Brahmi, Mitchell D Creinin, Teresa DePiñeres, Kristina Gemzell-Danielsson, Daniel Grossman, Beverly Winikoff, A Metin Gülmezoglu
BACKGROUND: Abortion is one of the most common events in women's healthcare worldwide. Currently there is no standardization for the selection and reporting of outcomes in abortion clinical trials. This heterogeneity in clinical trials can make it difficult to draw meaningful conclusions across studies. OBJECTIVE: We aim to develop, disseminate, and implement a core outcome set (COS) for medical and surgical abortion trials. MATERIALS & METHODS: To guide this project, we have assembled a local study management team and an international advisory group including abortion providers, researchers, methodologists, and abortion clients...
January 5, 2017: Contraception
https://www.readbyqxmd.com/read/28062814/from-our-practices-to-yours-key-messages-for-the-journey-to-integrated-behavioral-health
#5
Stephanie B Gold, Larry A Green, C J Peek
BACKGROUND: The historic, cultural separation of primary care and behavioral health has caused the spread of integrated care to lag behind other practice transformation efforts. The Advancing Care Together study was a 3-year evaluation of how practices implemented integrated care in their local contexts; at its culmination, practice leaders ("innovators") identified lessons learned to pass on to others. METHODS: Individual feedback from innovators, key messages created by workgroups of innovators and the study team, and a synthesis of key messages from a facilitated discussion were analyzed for themes via immersion/crystallization...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28062813/the-transition-of-primary-care-group-practices-to-next-generation-models-satisfaction-of-staff-clinicians-and-patients
#6
Therese Zink, John Kralewski, Bryan Dowd
INTRODUCTION: Restructuring primary care is essential to achieve the triple aim. This case study examines the human factors of extensive redesign on 2 midsized primary care clinics (clinics A and B) in the Midwest United States that are owned by a large health care system. The transition occurred when while the principles for patient-centered medical home were being rolled out nationally, and before the Affordable Care Act. METHODS: After the transition, interviews and discussions were conducted with 5 stakeholder groups: health system leaders, clinic managers, clinicians, nurses, and reception staff...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28058517/variation-in-response-to-evidence-based-group-preventive-intervention-for-disruptive-behavior-problems-a-view-from-938-coping-power-sessions
#7
John E Lochman, Thomas J Dishion, Caroline L Boxmeyer, Nicole P Powell, Lixin Qu
Prior research suggests that under some conditions, interventions that aggregate high-risk youth may be less effective, or at worse, iatrogenic. However, group formats have considerable practical utility for delivery of preventive interventions, and thus it is crucial to understand child and therapist factors that predict which aggressive children can profit from group intervention and which do not. To address these questions we video-recorded group Coping Power intervention sessions (938 sessions), coded both leader and participant behavior, and analyzed both leader and children's behaviors in the sessions that predicted changes in teacher and parent, reports of problem behavior at 1-year follow up...
January 5, 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28057956/nontraditional-career-opportunities-for-pharmacists
#8
Sandra Bai, John B Hertig, Robert J Weber
The changing landscape of health care mirrors that of health-system pharmacy, with pharmacists' scope of practice and provider status being the most significant changes. This creates new roles and opportunities; many of these roles are considered to be nontraditional in today's practice. This article reviews some new roles for pharmacy leaders that provide different career options and pathways. Nontraditional career opportunities discussed include expanded consulting roles in pricing analytics and drug pricing programs (contracting, 340B programs), pharmacogenomics patient consult services and clinics, specialty drug pharmacies, and compounding pharmacy services...
December 2016: Hospital Pharmacy
https://www.readbyqxmd.com/read/28044032/overcoming-challenges-to-care-in-the-juvenile-justice-system-a-case-study-and-commentary
#9
Rebekah J Savage, Jasmine M Reese, Stephenie Wallace, Timothy Wang, Traci Jester, Robert Lowe, LaKeshia Hyndman, Nefertiti Durant
Youth in the criminal justice system commonly suffer from multiple medical and psychological health problems. Because they likely live in lower socioeconomic environments, the medical care they receive through the justice system might be their only recent medical care and can result in the discovery of health problems or chronic illnesses that must be managed while in the system and beyond. We describe the case of an adolescent diagnosed with a serious chronic disease during his time in an urban detention center to illustrate how health workers and justice staff must use a team approach in caring for this vulnerable population of children...
January 2017: Pediatrics in Review
https://www.readbyqxmd.com/read/28033210/2016-visionary-leader-bob-dent
#10
Brandon Kit Bredimus
The following manuscript is the winning Richard Hader Visionary Leader 2016 entry submitted to Nursing Management in recognition of Dr. Bob Dent, DNP, MBA, RN, NEA-BC, CENP, FACHE, senior vice president, chief operating officer, and CNO for Midland Memorial Hospital in Midland, Tex. Dr. Dent was formally recognized for his achievements before the Keynote Address at Congress2016, November 8, in Las Vegas, Nev. There, he received the award, sponsored by Hackensack Meridian Health.
January 2017: Nursing Management
https://www.readbyqxmd.com/read/28033092/an-evaluability-assessment-of-the-west-virginia-physical-activity-plan-2015-lessons-learned-for-other-state-physical-activity-plans
#11
Christiaan G Abildso, Samantha Shawley, Sherry Owens, Angela Dyer, Sean M Bulger, Dina L Jones, Emily M Jones, Emily Murphy, Melissa D Olfert, Eloise Elliott
BACKGROUND: The US National Physical Activity Plan (NPAP) was released in 2009 as a national strategic plan to increase physical activity (PA). The NPAP emphasized implementing state and local PA programs. Dissemination of information about NPAP has been limited, however. COMMUNITY CONTEXT: West Virginia is a predominantly rural state with high rates of chronic diseases associated with physical inactivity. In 2015 an evaluability assessment (EA) of the West Virginia Physical Activity Plan (WVPAP) was conducted, and community stakeholders were invited to participate in updating the plan...
December 29, 2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/28032827/designing-integrated-approaches-to-support-people-with-multimorbidity-key-messages-from-systematic-reviews-health-system-leaders-and-citizens
#12
Michael G Wilson, John N Lavis, Francois-Pierre Gauvin
BACKGROUND: Living with multiple chronic conditions (multimorbidity) - and facing complex, uncoordinated and fragmented care - is part of the daily life of a growing number of Canadians. METHODS: We undertook: a knowledge synthesis; a "gap analysis" of existing systematic reviews; an issue brief that synthesized the available evidence about the problem, three options for addressing it and implementation considerations; a stakeholder dialogue involving key health-system leaders; and a citizen panel...
November 2016: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28028126/susan-lindquist-visionary-scientist-and-peerless-mentor
#13
Brooke J Bevis
The science universe is dimmer after one of our brightest stars, Susan Lee Lindquist, was taken by cancer on October 27, 2016. Sue was an innovative, creative, out-of-the-box scientific thinker. She had unique biological intuition-an instinct for both the way things worked and the right questions to ask to uncover new research insights. Her wide-ranging career began with the study of protein folding and molecular chaperones, and she went on to show that protein folding can have profound and unexpected biological effects on such diverse processes as cancer, evolution, and neurodegenerative disease...
January 2, 2017: Journal of Cell Biology
https://www.readbyqxmd.com/read/28012981/the-impact-of-instituting-process-oriented-guided-inquiry-learning-pogil-in-a-fundamental-nursing-course
#14
Maureen C Roller, Susan Zori
BACKGROUND: POGIL, using small groups of students, who assume the roles of leader, manager, recorder, and reflector to complete problem based activities in science courses, has demonstrated significant improvement in students' grades and course satisfaction in science courses and a nursing Fundamentals course. Using POGIL with nursing students in fundamentals nursing courses could help to improve final grades and course satisfaction while promoting active learning, critical thinking, and teamwork...
December 16, 2016: Nurse Education Today
https://www.readbyqxmd.com/read/28011009/early-crisis-nontechnical-skill-teaching-in-residency-leads-to-long-term-skill-retention-and-improved-performance-during-crises-a-prospective-nonrandomized-controlled-study
#15
Aristithes G Doumouras, Paul T Engels
BACKGROUND: Medical error is common in crises, and the majority of observed errors are nontechnical in nature. The long-term impact of teaching crisis nontechnical skills to residents has not been evaluated. The objective of this study was to determine the effect of simulation-based teaching of crisis nontechnical skills compared to controls one year after initial teaching. METHODS: This was a prospective study using both historical controls and a before-and-after methodology to evaluate the effect of a high-fidelity simulation curriculum that used crisis resource management principles to teach nontechnical skills...
December 20, 2016: Surgery
https://www.readbyqxmd.com/read/28007720/robotic-i-v-medication-compounding-recommendations-from-the-international-community-of-apotecachemo-users
#16
Angela W Yaniv, Adam Orsborn, Joseph J Bonkowski, Lita Chew, Irene Krämer, Samuel Calabrese, Maria de la Paz Pacheco Ramos, Alessandro Palombi, Siew Woon Lim, Osama Tabbara, Carla Masini, Rudolf Schierl, Celestino Bufarini, Nate Peaty, Demis Paolucci
PURPOSE: The development of recommendations for advancing automated i.v. medication compounding is described. SUMMARY: Managing the shift from manual to robotic compounding of i.v. therapies requires an awareness of how automation affects practice and how to best implement robotics into current practice. An international panel of pharmacy professionals, researchers, and technology leaders with experience in i.v. robotics collaborated during a two-day meeting in August 2014 to define a general set of principles to broaden the understanding of the fundamental elements of robotic compounding worldwide...
January 1, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28005910/melioidosis-in-malaysia-a-review-of-case-reports
#17
Paul Vijay Kingsley, Mark Leader, Nandika Suranjith Nagodawithana, Meghan Tipre, Nalini Sathiakumar
BACKGROUND: Melioidosis is a tropical infectious disease associated with significant mortality due to early onset of sepsis. OBJECTIVE: We sought to review case reports of melioidosis from Malaysia. METHODS: We conducted a computerized search of literature resources including PubMed, OVID, Scopus, MEDLINE and the COCHRANE database to identify published case reports from 1975 to 2015. We abstracted information on clinical characteristics, exposure history, comorbid conditions, management and outcome...
December 2016: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28001140/cultivating-administrative-support-for-a-clinical-ethics-consultation-service
#18
Courtney R Bruce, Mary A Majumder, Ashley Stephens, Janet Malek, Amy McGuire
Hospital administrators may lack familiarity with what clinical ethicists do (and do not do), and many clinical ethicists report receiving inadequate financial support for their clinical ethics consultation services (CECSs). Ethics consultation is distinct in that it is not reimbursable by third parties, and its financial benefit to the hospital may not be quantifiable. These peculiarities make it difficult for clinical ethicists to resort to tried-and-true outcome-centered evaluative strategies, like cost reduction or shortened length of stay for patients, to show a "need" for ethics consultation...
2016: Journal of Clinical Ethics
https://www.readbyqxmd.com/read/27997482/bringing-healthy-aging-to-scale-a-randomized-trial-of-a-quality-improvement-intervention-to-increase-adoption-of-evidence-based-health-promotion-programs-by-community-partners
#19
James H Ford, Betsy Abramson, Meg Wise, Melissa Dattalo, Jane E Mahoney
OBJECTIVE: To evaluate the effectiveness of a quality improvement intervention to increase delivery of 2 evidence-based health promotion workshops, Stepping On and Chronic Disease Self-Management Program (CDSMP), in rural communities. DESIGN: A cluster-randomized wait-list control group design. SETTING: Rural Wisconsin counties with trained workshop leaders but no workshops in the prior year were eligible to participate. INTERVENTION: Sixteen counties were randomized to receive the NIATx intervention or wait-list control...
December 16, 2016: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/27997477/an-examination-of-the-self-directed-online-leadership-learning-choices-of-public-health-professionals-the-maternal-and-child-health-public-health-leadership-institute-experience
#20
Claudia S P Fernandez, Cheryl C Noble, Elizabeth T Jensen
OBJECTIVES: To assess the self-selected asynchronous leadership module-based learning choices of public health professionals participating in the Maternal and Child Health Public Health Leadership Institute (MCH PHLI). METHODS: Online module completion and evaluation data were used to determine the topics most utilized by the Fellows; whether the topics and mode of training were acceptable, relevant, and practical; and whether participant characteristics explained any usage patterns...
December 16, 2016: Journal of Public Health Management and Practice: JPHMP
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