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https://www.readbyqxmd.com/read/29325440/case-mix-adjustment-of-the-bereaved-family-survey
#1
Ann Kutney-Lee, Joan Carpenter, Dawn Smith, Joshua Thorpe, Alina Tudose, Mary Ersek
Surveys of bereaved family members are increasingly being used to evaluate end-of-life (EOL) care and to measure organizational performance in EOL care quality. The Bereaved Family Survey (BFS) is used to monitor EOL care quality and benchmark performance in the Veterans Affairs (VA) health-care system. The objective of this study was to develop a case-mix adjustment model for the BFS and to examine changes in facility-level scores following adjustment, in order to provide fair comparisons across facilities...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29323604/preconception-health-indicators-for-public-health-surveillance
#2
Cheryl L Robbins, Denise D'Angelo, Lauren Zapata, Sheree L Boulet, Andrea J Sharma, Alys Adamski, Jennifer Farfalla, Caroline Stampfel, Sarah Verbiest, Charlan Kroelinger
OBJECTIVES: In response to an expressed need for more focused measurement of preconception health (PCH), we identify a condensed set of PCH indicators for state and national surveillance. METHODS: We used a systematic process to evaluate, prioritize, and select 10 PCH indicators that maternal and child health programs can use for surveillance. For each indicator, we assessed prevalence, whether it was addressed by professional recommendations, Healthy People 2020 objectives, or Centers for Disease Control and Prevention winnable battles, measurement simplicity, data completeness, and stakeholders' input...
January 11, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29320531/integrating-community-pharmacy-into-community-based-anti-retroviral-therapy-program-a-pilot-implementation-in-abuja-nigeria
#3
Yohanna Kambai Avong, Gambo Gumel Aliyu, Bolajoko Jatau, Ritmwa Gurumnaan, Nanfwang Danat, Gbenga Ayodele Kayode, Victor Adekanmbi, Patrick Dakum
BACKGROUND: The landscape of Human Immunodeficiency Virus (HIV) epidemic control is shifting with the United Nations Programme on HIV/AIDS (UNAIDS) 90-90-90 benchmarks for epidemic control. Community-based Antiretroviral Therapy (CART) models have improved treatment uptake and demonstrated good clinical outcomes. We assessed the feasibility of integrating community pharmacy as a task shift structure for differentiated community ART in Abuja-Nigeria. METHODS: Stable patients on first line ART regimens from public health facilities were referred to community pharmacies in different locations within the Federal Capital Territory, Abuja for prescription refills and treatment maintenance...
2018: PloS One
https://www.readbyqxmd.com/read/29306332/world-wide-research-architecture-of-vitamin-d-research-density-equalizing-mapping-studies-and-socio-economic-analysis
#4
Dörthe Brüggmann, Annahita Alafi, Jenny Jaque, Doris Klingelhöfer, Michael H Bendels, Daniela Ohlendorf, David Quarcoo, Frank Louwen, Sue A Ingles, Eileen M Wanke, David A Groneberg
BACKGROUND: Despite the numerous associations of vitamin D with health and disease, vitamin D deficiency is still common from a global perspective. While basic research, clinical and preventive activities grow constantly in vitamin D research, there is no in-depth analysis of the related global scientific productivity available so far. METHODS: Density equalizing mapping procedures (DEMP) were combined with socioeconomic benchmarks using the NewQIS platform. RESULTS: A total of 25,992 vitamin D-related research articles were identified between 1900 to 2014 with a significant increase (r2 = ...
January 6, 2018: Nutrition Journal
https://www.readbyqxmd.com/read/29301726/evaluation-of-the-relative-citation-ratio-a%C3%A2-new%C3%A2-national-institutes-of-health-supported-bibliometric-measure-of-research-productivity-among-academic-radiation-oncologists
#5
Calvin B Rock, Arpan V Prabhu, C David Fuller, Charles R Thomas, Emma B Holliday
PURPOSE: Publication metrics are useful in evaluating academic faculty for awarding grants, recruitment, and promotion. A new metric, the relative citation ratio (RCR), was recently released by the National Institutes of Health (NIH); however, no benchmark data yet exist. We sought to create benchmark data for physician faculty in academic radiation oncology (RO) and analyze correlations associated with increased academic productivity. METHODS: Citation database searches were performed for all US radiation oncologists affiliated with academic RO programs...
January 2, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29294587/-effect-of-laboratory-referencing-on-data-analysis-of-community-viral-load-in-hiv-positive-msm-from-15-cities-china
#6
Z Dou, Z Jiang, P L Pan, W L Song, J Xu, Z Y Wu
Objective: To compare the community viral load (CVL) among MSM in 15 cities in China using standardized national reference sources. Methods: The study analyzed the existing database of National Major Science and Technology Project of China. The database was established with serial random survey of MSM HIV CVL among MSM in 15 cities from 2013 to 2015. VL tests were conducted in 15 laboratories with different equipment and methods, including RT-PCR, nucleic acid sequence based amplification (NASBA), branched DNA testing (bDNA) and Abbott M2000 RealTime system (M2000)...
December 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/29290744/antimicrobial-stewardship-program-using-plan-do-study-act-cycles-to-reduce-unjustified-antibiotic-prescribing-in-children-admitted-with-an-asthma-exacerbation
#7
Sasha E Dorzin, Claudia Halaby, Maria Lyn Quintos, Asif Noor, Gladys El-Chaar
OBJECTIVE: Antimicrobial stewardship programs (ASPs) ensure appropriate antibiotic use, reduce health care costs, and minimize antibiotic resistance. National asthma guidelines do not recommend antibiotics during an exacerbation unless the child has an infection or comorbidities. The American Academy of Pediatrics (AAP) established a benchmark for unjustified antibiotic use at 6.6%.9 A retrospective study at our institution showed that 7.8% of antibiotics were prescribed without justification in children admitted for asthma...
November 2017: Journal of Pediatric Pharmacology and Therapeutics: JPPT: the Official Journal of PPAG
https://www.readbyqxmd.com/read/29282994/hierarchical-clustering-analysis-framework-of-mutually-exclusive-crash-causation-parameters-for-regional-road-safety-strategies
#8
Avijit Maji, Nagendra R Velaga, Yohan Urie
Hierarchical clustering analysis framework is developed to identify benchmark and critical regions for effective road safety strategies. The regions are grouped based on agglomeration coefficient of mutually exclusive crash causation parameters. Subsequently, regions from groups with lower than a threshold index value are selected as benchmark for the poorly performing critical counterparts. Euclidean distance-based Ward's, median and centroid clustering techniques are explored through a case study of Indian states and Union Territories...
December 28, 2017: International Journal of Injury Control and Safety Promotion
https://www.readbyqxmd.com/read/29276481/is-8-30-a-m-still-too-early-to-start-school-a-10-00-a-m-school-start-time-improves-health-and-performance-of-students-aged-13-16
#9
Paul Kelley, Steven W Lockley, Jonathan Kelley, Mariah D R Evans
While many studies have shown the benefits of later school starts, including better student attendance, higher test scores, and improved sleep duration, few have used starting times later than 9:00 a.m. Here we report on the implementation and impact of a 10 a.m. school start time for 13 to 16-year-old students. A 4-year observational study using a before-after-before (A-B-A) design was carried out in an English state-funded high school. School start times were changed from 8:50 a.m. in study year 0, to 10 a...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29274835/underestimation-of-unplanned-readmission-after-colorectal-surgery-a-national-analysis
#10
Rishi Rattan, Joshua Parreco, Laurence B Lindenmaier, Daniel Dante Yeh, Tanya L Zakrison, Gerd D Pust, Laurence R Sands, Nicholas Namias
BACKGROUND: A significant proportion of postoperative readmission occurs at a different hospital and is thus missed by current benchmarking. There are no national studies tracking readmission at different hospitals after colorectal surgery. This study aimed to determine the national burden of postoperative colorectal readmission, including readmission to a different hospital. STUDY DESIGN: The 2013-2014 Nationwide Readmissions Database was queried for adults undergoing colorectal surgery...
December 21, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29258629/aspects-of-the-history-of-twin-research-statistical-congresses-in-the-19th-century-and-hellin-s-law
#11
Johan Fellman
In the 19th century, a series of international statistical congresses began that were important for population studies, including twin research. The introduction of common rules for the national demographic registers enabled scientists to contribute to the genesis of statistical research. The congress in St. Petersburg in 1872, in particular, focused on the movements of the population, and how they should be registered. Among the facts to be recorded were in multiple births, the sex and number of children born alive or still-born, whether legitimate or illegitimate, and the age of the mother at the date of the births...
December 20, 2017: Twin Research and Human Genetics: the Official Journal of the International Society for Twin Studies
https://www.readbyqxmd.com/read/29249050/a-fuzzy-logic-expert-system-for-evaluating-policy-progress-towards-sustainability-goals
#12
Andrés M Cisneros-Montemayor, Gerald G Singh, William W L Cheung
Evaluating progress towards environmental sustainability goals can be difficult due to a lack of measurable benchmarks and insufficient or uncertain data. Marine settings are particularly challenging, as stakeholders and objectives tend to be less well defined and ecosystem components have high natural variability and are difficult to observe directly. Fuzzy logic expert systems are useful analytical frameworks to evaluate such systems, and we develop such a model here to formally evaluate progress towards sustainability targets based on diverse sets of indicators...
December 16, 2017: Ambio
https://www.readbyqxmd.com/read/29239978/picu-length-of-stay-factors-associated-with-bed-utilization-and-development-of-a-benchmarking-model
#13
Murray M Pollack, Richard Holubkov, Ron Reeder, J Michael Dean, Kathleen L Meert, Robert A Berg, Christopher J L Newth, John T Berger, Rick E Harrison, Joseph Carcillo, Heidi Dalton, David L Wessel, Tammara L Jenkins, Robert Tamburro
OBJECTIVES: ICU length of stay is an important measure of resource use and economic performance. Our primary aims were to characterize the utilization of PICU beds and to develop a new model for PICU length of stay. DESIGN: Prospective cohort. The main outcomes were factors associated with PICU length of stay and the performance of a regression model for length of stay. SETTING: Eight PICUs. PATIENTS: Randomly selected patients (newborn to 18 yr) from eight PICUs were enrolled from December 4, 2011, to April 7, 2013...
December 12, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29233331/the-society-of-thoracic-surgeons-adult-cardiac-surgery-database-2018-update-on-outcomes-and-quality
#14
Richard S D'Agostino, Jeffrey P Jacobs, Vinay Badhwar, Felix G Fernandez, Gaetano Paone, David W Wormuth, David M Shahian
Through nearly 3 decades of iterative refinement, The Society of Thoracic Surgeons Adult Cardiac Surgery Database has evolved into one of the most comprehensive and respected clinical data registries in health care. It is a widely acknowledged exemplar for accurately benchmarking risk-adjusted outcomes in cardiac surgery and underpins all quality measurement and improvement activities of The Society of Thoracic Surgeons. This is the latest in a series of annual reports that outlines current national aggregate outcomes and volume trends in cardiac surgery and summarizes database-related work in quality measurement and performance improvement during the past year...
January 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29226448/better-measurement-for-performance-improvement-in-low-and-middle-income-countries-the-primary-health-care-performance-initiative-phcpi-experience-of-conceptual-framework-development-and-indicator-selection
#15
Jeremy Veillard, Krycia Cowling, Asaf Bitton, Hannah Ratcliffe, Meredith Kimball, Shannon Barkley, Laure Mercereau, Ethan Wong, Chelsea Taylor, Lisa R Hirschhorn, Hong Wang
Policy Points: Strengthening accountability through better measurement and reporting is vital to ensure progress in improving quality primary health care (PHC) systems and achieving universal health coverage (UHC). The Primary Health Care Performance Initiative (PHCPI) provides national decision makers and global stakeholders with opportunities to benchmark and accelerate performance improvement through better performance measurement. Results from the initial PHC performance assessments in low- and middle-income countries (LMICs) are helping guide PHC reforms and investments and improve the PHCPI's instruments and indicators...
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29225124/time-delays-in-the-diagnosis-and-treatment-of-malaria-in-non-endemic-countries-a-systematic-review
#16
REVIEW
Hamad Bastaki, Jessica Carter, Louise Marston, Jackie Cassell, Greta Rait
BACKGROUND: Delays in diagnosis and treatment for malaria are associated with an increased risk for severe disease and mortality. Identifying the extent of patient and health system delay can provide a benchmark against which interventions to reduce delays can be measured. METHODS: We performed an electronic search in PubMed, EMBASE, Web of Science and LILACS for studies reporting time to diagnosis and treatment after return from travel, onset of symptoms and seeking healthcare in non-endemic countries...
December 7, 2017: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/29220078/using-the-seven-bridges-cancer-genomics-cloud-to-access-and-analyze-petabytes-of-cancer-data
#17
Raunaq Malhotra, Isheeta Seth, Erik Lehnert, Jing Zhao, Gaurav Kaushik, Elizabeth H Williams, Anurag Sethi, Brandi N Davis-Dusenbery
Next-generation sequencing has produced petabytes of data, but accessing and analyzing these data remain challenging. Traditionally, researchers investigating public datasets like The Cancer Genome Atlas (TCGA) would download the data to a high-performance cluster, which could take several weeks even with a highly optimized network connection. The National Cancer Institute (NCI) initiated the Cancer Genomics Cloud Pilots program to provide researchers with the resources to process data with cloud computational resources...
December 8, 2017: Current Protocols in Bioinformatics
https://www.readbyqxmd.com/read/29218467/antibiotic-prescription-and-clinical-management-of-common-infections-among-general-practitioners-in-latvia-lithuania-and-sweden-a-pilot-survey-with-a-simple-protocol
#18
Uga Dumpis, Annika Hahlin, Sonata Varvuolyte, Stephan Stenmark, Sarmīte Veide, Rolanda Valinteliene, Asta Jurkeviciene, Johan Struwe
Comparative information on diagnosis-related antibiotic prescribing patterns are scarce from primary care within and between countries. To describe and compare antibiotic prescription and routine management of infections in primary care in Latvia (LV), Lithuania (LT) and two study sites in Sweden (SE), a cross-sectional observational study on patients who consulted due to sypmtoms compatible with infection was undetraken. Infection and treatment was detected and recorded by physicians only. Data was collected from altogether 8786 consecutive patients with infections in the three countries...
December 7, 2017: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/29211187/the-epimed-monitor-icu-database%C3%A2-a-cloud-based-national-registry-for-adult-intensive-care-unit-patients-in-brazil
#19
Fernando Godinho Zampieri, Márcio Soares, Lunna Perdigão Borges, Jorge Ibrain Figueira Salluh, Otávio Tavares Ranzani
OBJECTIVE: To describe the Epimed Monitor Database®, a Brazilian intensive care unit quality improvement database. METHODS: We described the Epimed Monitor® Database, including its structure and core data. We presented aggregated informative data from intensive care unit admissions from 2010 to 2016 using descriptive statistics. We also described the expansion and growth of the database along with the geographical distribution of participating units in Brazil...
November 30, 2017: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/29210258/genetic-discrimination-a-case-for-a-european-legislative-response
#20
Aisling de Paor
With rapid scientific and technological advances, a new genetic era is emerging. However, these advances raise ethical and legal issues, particularly genetic discrimination, that may threaten advancing science in the absence of appropriate regulation. There is currently no concrete legislative position in this area at EU level, but rather a patchwork of diverging legislative approaches amongst Member States. Genetic discrimination has been singled out as an area of reform in Europe as evidenced, for example in EU Charter of Fundamental Rights, Article 21...
April 2017: European Journal of Health Law
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