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https://www.readbyqxmd.com/read/29136272/are-you-ready-crisis-leadership-in-a-hyper-vuca-environment
#1
Khaldoon H Alkhaldi, Meredith L Austin, Boris A Cura, Darrell Dantzler, Leslie Holland, David L Maples, Jamie C Quarrelles, Robert K Weinkle, Leonard J Marcus
The current hyper-volatile, -uncertain, -complex, and -ambiguous (VUCA) threat environment demands a more cohesive support structure for crisis leaders who may be faced with crises of increasing magnitude and frequency and, in some instances, multiple crisis events simultaneously. The project team investigates the perceptions of crisis leaders regarding establishing a crisis leader advisor position for crisis leaders to benefit from their experience while prosecuting crisis response activities. The team linked hyper-VUCA crises, crisis response frameworks, meta-leadership, crisis leader attributes, and advisor attributes...
April 2017: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/29130605/community-driven-demand-creation-for-the-use-of-routine-viral-load-testing-a-model-to-scale-up-routine-viral-load-testing
#2
Bactrin M Killingo, Trisa B Taro, Wame N Mosime
INTRODUCTION: HIV treatment outcomes are dependent on the use of viral load measurement. Despite global and national guidelines recommending the use of routine viral load testing, these policies alone have not translated into widespread implementation or sufficiently increased access for people living with HIV (PLHIV). Civil society and communities of PLHIV recognize the need to close this gap and to enable the scale up of routine viral load testing. METHODS: The International Treatment Preparedness Coalition (ITPC) developed an approach to community-led demand creation for the use of routine viral load testing...
November 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/29108136/application-and-optimisation-of-the-comparison-on-extreme-laboratory-tests-cert-algorithm-for-detection-of-adverse-drug-reactions-transferability-across-national-boundaries
#3
Mun Yee Tham, Qing Ye, Pei San Ang, Liza Y Fan, Dukyong Yoon, Rae Woong Park, Zheng Jye Ling, James W Yip, Bee Choo Tai, Stephen Jw Evans, Cynthia Sung
PURPOSE: The Singapore regulatory agency for health products (Health Sciences Authority), in performing active surveillance of medicines and their potential harms, is open to new methods to achieve this goal. Laboratory tests are a potential source of data for this purpose. We have examined the performance of the Comparison on Extreme Laboratory Tests (CERT) algorithm, developed by Ajou University, Korea, as a potential tool for adverse drug reaction detection based on the electronic medical records of the Singapore health care system...
November 6, 2017: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/29105254/reforming-foodservice-in-elderly-care-national-actions-and-local-outcomes
#4
Malin Skinnars Josefsson, Margaretha Nydahl, Inger Persson, Ylva Mattsson Sydner
AIM: The aim was to explore the outcome, on a local level, of steering, organisation and practices of elderly care foodservice by Swedish municipalities, and changes relative to national actions. METHODS: A survey using a web-based questionnaire about elderly care foodservice targeting all Swedish municipalities (n = 290) was conducted in 2006 and 2013/2014. The questionnaire included the topics: organisation of foodservice, its practice in elderly care and steering devices such as guidelines and policies...
November 3, 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29100481/on-the-importance-of-adjusting-for-distorting-factors-in-benchmarking-analysis-as-illustrated-by-a-cost-comparison-of-the-different-forms-of-implementation-of-the-eu-packaging-directive
#5
Heinz-Georg Baum, Dieter Schuch
Benchmarking is a proven and widely used business tool for identifying best practice. To produce robust results, the objects of comparison used in benchmarking analysis need to be structurally comparable and distorting factors need to be eliminated. We focus on a specific example - a benchmark study commissioned by the European Commission's Directorate-General for Environment on the implementation of Extended Producer Responsibility (EPR) for packaging at the national level - to discuss potential distorting factors and take them into account in the calculation...
November 1, 2017: Waste Management & Research
https://www.readbyqxmd.com/read/29098016/modelling-changing-population-distributions-an-example-of-the-kenyan-coast-1979-2009
#6
Catherine Linard, Caroline W Kabaria, Marius Gilbert, Andrew J Tatem, Andrea E Gaughan, Forrest R Stevens, Alessandro Sorichetta, Abdisalan M Noor, Robert W Snow
Large-scale gridded population datasets are usually produced for the year of input census data using a top-down approach and projected backward and forward in time using national growth rates. Such temporal projections do not include any subnational variation in population distribution trends and ignore changes in geographical covariates such as urban land cover changes. Improved predictions of population distribution changes over time require the use of a limited number of covariates that are time-invariant or temporally explicit...
October 3, 2017: Int J Digit Earth
https://www.readbyqxmd.com/read/29092771/development-and-validation-of-a-new-pediatric-resuscitation-and-trauma-outcome-presto-model-using-the-u-s-national-trauma-data-bank
#7
Etienne St-Louis, David Bracco, James Hanley, Tarek Razek, Robert Baird
BACKGROUND: There is a need for a pediatric trauma outcomes benchmarking model that is adapted for Low-and-Middle-Income Countries (LMICs). We used the National-Trauma-Data-Bank (NTDB) and applied constraints specific to resource-poor environments to develop and validate an LMIC-specific pediatric trauma score. METHODS: We selected a sample of pediatric trauma patients aged 0-14years in the NTDB from 2007 to 2012. Primary outcome was in-hospital death. Logistic regression was used to create the Pediatric Resuscitation and Trauma Outcome (PRESTO) score, which includes only low-tech predictor variables - those easily obtainable at point-of-care...
October 12, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29083973/amcp-partnership-forum-advancing-value-based-contracting
#8
(no author information available yet)
During the past decade, payment models for the delivery of health care have undergone a dramatic shift from focusing on volume to focusing on value. This shift began with the Affordable Care Act and was reinforced by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which increased the emphasis on payment for delivery of quality care. Today, value-based care is a primary strategy for improving patient care while managing costs. This shift in payment models is expanding beyond the delivery of health care services to encompass models of compensation between payers and biopharmaceutical manufacturers...
November 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29082013/quantifying-unmet-need-for-hypertension-care-in-south-africa-through-a-care-cascade-evidence-from-the-sanhanes-2011-2012
#9
Kaitlyn M Berry, Whadi-Ah Parker, Zandile J Mchiza, Ronel Sewpaul, Demetre Labadarios, Sydney Rosen, Andrew Stokes
INTRODUCTION: Hypertension has become a major cause of morbidity and premature mortality in South Africa, but population-wide estimates of prevalence and access to care are scarce. Using data from the South African National Health and Nutrition Examination Survey (2011-2012), this analysis evaluates the national prevalence of hypertension and uses a care cascade to examine unmet need for care. METHODS: Hypertension was defined as blood pressure over 140/90 mm Hg or use of antihypertensive medication...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29074516/an-enquiry-based-on-a-standardised-questionnaire-into-knowledge-awareness-and-preferences-concerning-the-care-of-familial-hypercholesterolaemia-among-primary-care-physicians-in-the-asia-pacific-region-the-ten-countries-study
#10
Jing Pang, Miao Hu, Jie Lin, Takashi Miida, Hapizah M Nawawi, Jeong Euy Park, Xue Wu, Anis S Ramli, Ngoc Thanh Kim, See Kwok, Lourdes E Gonzalez-Santos, Ta-Chen Su, Thanh Huong Truong, Handrean Soran, Shizuya Yamashita, Brian Tomlinson, Gerald F Watts
OBJECTIVE: To determine physicians' knowledge, awareness and preferences regarding the care of familial hypercholesterolaemia (FH) in the Asia-Pacific region. SETTING: A formal questionnaire was anonymously completed by physicians from different countries/regions in the Asia-Pacific. The survey sought responses relating to general familiarity, awareness of management guidelines, identification (clinical characteristics and lipid profile), prevalence and inheritance, extent of elevation in risk of cardiovascular disease (CVD) and practice on screening and treatment...
October 25, 2017: BMJ Open
https://www.readbyqxmd.com/read/29069424/development-of-a-national-audit-tool-for-juvenile-idiopathic-arthritis-a-bspar-project-funded-by-the-health-care-quality-improvement-partnership
#11
Flora McErlane, Helen E Foster, Gillian Armitt, Kathryn Bailey, Joanna Cobb, Joyce E Davidson, Sharon Douglas, Andrew Fell, Mark Friswell, Clarissa Pilkington, Helen Strike, Nicola Smith, Wendy Thomson, Gavin Cleary
Objective: Timely access to holistic multidisciplinary care is the core principle underpinning management of juvenile idiopathic arthritis (JIA). Data collected in national clinical audit programmes fundamentally aim to improve health outcomes of disease, ensuring clinical care is equitable, safe and patient-centred. The aim of this study was to develop a tool for national audit of JIA in the UK. Methods: A staged and consultative methodology was used across a broad group of relevant stakeholders to develop a national audit tool, with reference to pre-existing standards of care for JIA...
October 23, 2017: Rheumatology
https://www.readbyqxmd.com/read/29068873/expanding-the-scope-of-quality-measurement-in-surgery-to-include-nonoperative-care-results-from-the-american-college-of-surgeons-national-surgical-quality-improvement-program-emergency-general-surgery-pilot
#12
Michael W Wandling, Clifford Y Ko, Paul E Bankey, Chris Cribari, H Gill Cryer, Jose J Diaz, Therese M Duane, S Morad Hameed, Matthew M Hutter, Michael H Metzler, Justin L Regner, Patrick M Reilly, H David Reines, Jason L Sperry, Kristan L Staudenmayer, Garth H Utter, Marie L Crandall, Karl Y Bilimoria, Avery B Nathens
BACKGROUND: Patients managed nonoperatively have been excluded from risk-adjusted benchmarking programs, including the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP). Consequently, optimal performance evaluation is not possible for specialties like emergency general surgery (EGS) where nonoperative management is common. We developed a multi-institutional EGS clinical data registry within ACS NSQIP that includes patients managed nonoperatively to evaluate variability in nonoperative care across hospitals and identify gaps in performance assessment that occur when only operative cases are considered...
November 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29065057/using-the-cdc-worksite-health-scorecard-to-assess-employer-health-promotion-efforts-a-case-study-at-johns-hopkins-medicine
#13
Richard Safeer, Wendy Bowen, Zaw Maung, Meg Lucik
OBJECTIVES: To determine whether the CDC Worksite Health ScoreCard (ScoreCard) is an effective vehicle for measuring workplace health promotion programs and causing change in a large employer with multiple entities defined by different physical environments and types of workers. METHODS: Johns Hopkins Medicine (JHM) representatives completed a baseline ScoreCard for each of their entities. In the subsequent year, improvement of the ScoreCard was tied to leadership performance evaluation...
October 23, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29064875/perioperative-patient-blood-management-to-improve-outcomes
#14
Neel Desai, Nick Schofield, Toby Richards
Anemia is common in elective surgery and is an independent risk factor for morbidity and mortality. Historical management of anemia has focused on the use of allogeneic blood transfusion but this in itself is not without risk. It too has been independently associated with morbidity and mortality, let alone the costs and relative shortage of this resource. In recognition of this, patient blood management (PBM) shifts the focus from the product to the patient and views the patient's own blood as a resource that should be conserved and managed appropriately as a standard of care...
October 19, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29063208/glucometrics-and-insulinometrics
#15
REVIEW
Bithika M Thompson, Curtiss B Cook
PURPOSE OF REVIEW: Glucometrics is the systematic analysis of inpatient glucose data and is of key interest as hospitals strive to improve inpatient glycemic control. Insulinometrics is the systematic analysis and reporting of inpatient insulin therapy. This paper reviews some of the questions to be resolved before a national benchmarking process can be developed that will allow institutions to track and compare inpatient glucose control performance against established guidelines. RECENT FINDINGS: There remains a lack of standardization on how glucometircs should be measured and reported...
October 23, 2017: Current Diabetes Reports
https://www.readbyqxmd.com/read/29059710/correlation-of-noncancer-benchmark-doses-in-short-and-long-term-rodent-bioassays
#16
Jessica Kratchman, Bing Wang, John Fox, George Gray
This study investigated whether, in the absence of chronic noncancer toxicity data, short-term noncancer toxicity data can be used to predict chronic toxicity effect levels by focusing on the dose-response relationship instead of a critical effect. Data from National Toxicology Program (NTP) technical reports have been extracted and modeled using the Environmental Protection Agency's Benchmark Dose Software. Best-fit, minimum benchmark dose (BMD), and benchmark dose lower limits (BMDLs) have been modeled for all NTP pathologist identified significant nonneoplastic lesions, final mean body weight, and mean organ weight of 41 chemicals tested by NTP between 2000 and 2012...
October 23, 2017: Risk Analysis: An Official Publication of the Society for Risk Analysis
https://www.readbyqxmd.com/read/29054082/ecological-risk-assessment-of-coastal-ecosystems-the-case-of-mangrove-forests-in-hormozgan-province-iran
#17
Saber Ghasemi, Sina Siavash Moghaddam, Amir Rahimi, Christos A Damalas, Abolfazl Naji
Sediment quality of mangrove forests in Hormozgan Province of Iran with a focus on two distinct habitats - the Hara Protected Area and the area of the Azini Bay - was studied. The accumulation of heavy metals in the sediments of the Hara Protected Area in terms of concentration was in the order of Pb > Zn > Cu > Cd and in those of the Azini Bay in the order of Zn > Cu > Pb > Cd. Based on Pearson's correlation coefficient, no significant correlations were found between concentrations of heavy metals in the sediments of the Hara Protected Area, while Zn and Pb concentrations were positively correlated in the sediments of the Azini Bay, implying a common pollution source...
October 9, 2017: Chemosphere
https://www.readbyqxmd.com/read/29046972/quantitative-assessment-of-urmia-lake-water-using-spaceborne-multisensor-data-and-3d-modeling
#18
Mehrdad Jeihouni, Ara Toomanian, Seyed Kazem Alavipanah, Saeid Hamzeh
Preserving aquatic ecosystems and water resources management is crucial in arid and semi-arid regions for anthropogenic reasons and climate change. In recent decades, the water level of the largest lake in Iran, Urmia Lake, has decreased sharply, which has become a major environmental concern in Iran and the region. The efforts to revive the lake concerns the amount of water required for restoration. This study monitored and assessed Urmia Lake status over a period of 30 years (1984 to 2014) using remotely sensed data...
October 18, 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/29045178/harmonizing-breast-cancer-screening-recommendations-metrics-and-accountability
#19
Cindy S Lee, Linda Moy, Sarah M Friedewald, Edward A Sickles, Debra L Monticciolo
OBJECTIVE: The purposes of this article are to summarize breast cancer screening recommendations and discuss their differences and similarities and to explain the differences between two national databases to aid in interpretation of their benchmarks. CONCLUSION: The American College of Radiology, American Cancer Society, and U.S. Preventive Services Task Force all agree that annual mammography beginning at age 40 saves the most lives, and all acknowledge a woman's right to choose when to begin and stop screening...
October 18, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29044462/urgency-of-caesarean-section-grading-alarm-chain-and-intrauterine-resuscitation-a-survey-of-scandinavian-practice
#20
K Wildgaard, M Ismaiel, F Hetmann
BACKGROUND: About 40,000 women have caesarean section in Scandinavia each year. Organizational factors for emergency caesarean section (CS), classification, anaesthetic practice, alarm chain, intrauterine resuscitation has all been investigated in the United Kingdom, but no information from the Scandinavian countries exists. METHODS: Using publicly available data from the National Board of Health, obstetric anaesthetic departments were identified. The heads of the departments provided e-mail contact details of two anaesthesiologists regularly practicing obstetric anaesthesia who were then surveyed...
October 18, 2017: Acta Anaesthesiologica Scandinavica
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