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https://www.readbyqxmd.com/read/28917619/a-chlorhexidine-solution-reduces-aerobic-organism-growth-in-operative-splash-basins-in-a-randomized-controlled-trial
#1
Kevin E Lindgren, Christopher E Pelt, Mike B Anderson, Christopher L Peters, Emily S Spivak, Jeremy M Gililland
BACKGROUND: Despite recommendations against the use of splash basins, due to the potential of bacterial contamination, our observation has been that they continue to be used in operating theaters. In hopes of decontaminating the splash basin, we sought to determine if the addition of chlorhexidine gluconate (CHG) would eliminate aerobic bacterial growth within the splash basin. METHODS: After Institutional Review Board approval, we began enrollment in a randomized controlled trial comparing 2 splash basin solutions...
August 24, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28916643/new-nhs-safety-watchdog-aims-to-promote-openness-and-avoid-blame-culture
#2
Clare Dyer
No abstract text is available yet for this article.
September 15, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28914621/ce-original-research-exploring-how-nursing-schools-handle-student-errors-and-near-misses
#3
Joanne Disch, Jane Barnsteiner, Susan Connor, Fabiana Brogren
This study, part 1 of a two-part series, reports survey findings that indicate areas for improvement. ABSTRACT: Background: Little attention has been paid to how nursing students learn about quality and safety, and to the tools and policies that guide nursing schools in helping students respond to errors and near misses. PURPOSE: This study sought to determine whether prelicensure nursing programs have a policy for reporting and following up on student clinical errors and near misses, a tool for such reporting, a tool or process (or both) for identifying trends, strategies for follow-up with students after errors and near misses, and strategies for follow-up with clinical agencies and individual faculty members...
September 13, 2017: American Journal of Nursing
https://www.readbyqxmd.com/read/28913498/quality-trends-in-healthcare-and-their-impact-on-anesthesiology
#4
REVIEW
Teodora O Nicolescu
The new approach of a patient-centred, appropriate and timely care that was at the heart of the Institute of Medicine (IOM) initiative is changing the face of the healthcare industry in general and, in particular, of anesthesiology as a speciality. The drivers of this change are better quality and decreased healthcare costs, since despite a large expenditure for healthcare, the quality of care has not changed tremendously. Metrics have been identified, derived from the cybernetic model first described by the quality "parent"...
April 2017: Rom J Anaesth Intensive Care
https://www.readbyqxmd.com/read/28910140/impact-of-clinical-salmonellosis-in-veal-calves-on-the-recovery-of-salmonella-in-lymph-nodes-at-harvest
#5
Lohendy Muñoz-Vargas, Sarah K Finney, Holden Hutchinson, Margaret A Masterson, Greg Habing
The objective of this study was to determine the prevalence, serotypes, antimicrobial resistance phenotypes, and pulsed-field gel electrophoresis (PFGE) patterns of Salmonella recovered in feces and mesenteric and prefemoral lymph nodes (LNs) from cohorts of calves with and without a confirmed outbreak of salmonellosis. In a prospective cohort study, 160 calves from four farms without a reported outbreak (nonoutbreak farms) were sampled at farm and harvest. In addition, harvest samples from 80 calves of two farms with a confirmed outbreak (outbreak farms) were collected...
September 14, 2017: Foodborne Pathogens and Disease
https://www.readbyqxmd.com/read/28906582/mammalian-msc-from-selected-species-features-and-applications
#6
REVIEW
Christiane Uder, Sandra Brückner, Sandra Winkler, Hans-Michael Tautenhahn, Bruno Christ
Mesenchymal stromal/stem cells (MSC) are promising candidates for cellular therapy of different diseases in humans and in animals. Following the guidelines of the International Society for Cell Therapy, human MSC may be identified by expression of a specific panel of cell surface markers (CD105+, CD73+, CD90+, CD34-, CD14-, or CD11b-, CD79- or CD19-, HLA-DR-). In addition, multiple differentiation potential into at least the osteogenic, adipogenic, and chondrogenic lineage is a main criterion for MSC definition...
September 14, 2017: Cytometry. Part A: the Journal of the International Society for Analytical Cytology
https://www.readbyqxmd.com/read/28906047/a-systematic-review-to-explore-influences-on-parental-attitudes-towards-antibiotic-prescribing-in-children
#7
REVIEW
Helen Bosley, Catherine Henshall, Jane V Appleton, Debra Jackson
AIM: To understand the factors influencing parental attitudes towards antibiotic prescribing. BACKGROUND: Overuse of antibiotics and inappropriate prescribing has resulted in rapid development of antimicrobial resistance (AMR), and is significant global threat to patient safety. In Primary Care settings, substantial numbers of antibiotics are prescribed for young children, despite viral nature of illness for which antibiotics are ineffective. Parents, play a vital role in decision making regarding accessing healthcare services and requesting treatment for their children...
September 14, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28904038/facilitated-access-to-an-integrated-model-of-care-for-arthritis-in-an-urban-aboriginal-population
#8
Cheryl Barnabe, Stacy Lockerbie, Elizabeth Erasmus, Lynden Crowshoe
OBJECTIVE: To evaluate a model of care to improve arthritis detection and treatment in an urban Aboriginal population. DESIGN: Cohort study. SETTING: The Elbow River Healing Lodge in Calgary, Alta. PARTICIPANTS: A total of 26 participants with noninflammatory arthritis and 12 with inflammatory arthritis. INTERVENTION: A monthly rheumatology clinic was embedded in the primary health care service and received referrals from primary care providers and allied health care professionals, or self-referrals...
September 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28903832/validation-of-modifications-to-the-ansr-for-listeria-method-for-improved-internal-positive-control-performance
#9
Susan Alles, Evan Meister, Edan Hosking, Eric Tovar, Rebecca Shaulis, Mark Schonfeld, Lei Zhang, Lin Li, Preetha Biswas, Mark Mozola, Robert Donofrio
A study was conducted to validate a minor reagent formulation change to the ANSR for Listeria method, Performance Tested Method(SM) 101202. This change involves increasing the master mix volume prelyophilization by 40% and addition of salmon sperm DNA (nontarget DNA) to the master mix. These changes improve the robustness of the internal positive control response and reduce the possibility of obtaining invalid results due to weak-positive control curves. When three foods (hot dogs, Mexican-style cheese, and cantaloupe) and sponge samples taken from a stainless steel surface were tested, no significant differences in performance between the ANSR and U...
September 14, 2017: Journal of AOAC International
https://www.readbyqxmd.com/read/28901918/enhancing-the-relationship-between-regulators-and-their-profession
#10
Zubin Austin
Regulators face unique pressures to balance competing priorities related to patient safety, public accountability, and practitioners' expectations. Historically, the collegial model of self-regulation has been used as a tool for risk management, to recognize the importance of profession- and context-specific judgment in complex, ambiguous clinical situations. Increasingly, as public accountability concerns have grown dominant within regulatory bodies, this collegial model has shifted toward a more antagonistic relationship between the regulators and the regulated...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28900352/exploring-patient-safety-culture-in-preventive-medicine-settings-an-experience-from-northern-italy
#11
REVIEW
C Tereanu, G Sampietro, F Sarnataro, G Mazzoleni, B Pesenti, L C Sala, R Cecchetti, M Arvati, D Brioschi, M Viscardi, C Prati, G Sala, G G Barbaglio
INTRODUCTION: Patient safety and quality in healthcare are inseparable. Examining patient safety culture in staff members contributes to further develop quality in healthcare. In Italy there has been some experience in assessing patient safety culture in staff working in hospital. In this pilot study we explored patient safety culture in public health staff working in Italian Local Health Authorities. METHODS: We carried out a descriptive cross sectional study in four Italian territorial Prevention facilities in Northern Italy...
June 2017: Journal of Preventive Medicine and Hygiene
https://www.readbyqxmd.com/read/28900055/enriching-a-culture-of-radiation-safety-excellence-using-a-patient-radiation-dose-monitoring-program
#12
Shelia Regan, Jan Clark
No abstract text is available yet for this article.
July 2017: Radiologic Technology
https://www.readbyqxmd.com/read/28899451/hand-hygiene-improvement-and-sustainability-assessing-a-breakthrough-collaborative-in-western-switzerland
#13
Anthony Staines, Isabelle Amherdt, Estelle Lécureux, Christiane Petignat, Philippe Eggimann, Marcos Schwab, Didier Pittet
OBJECTIVE To assess hand hygiene improvement and sustainability associated with a Breakthrough Collaborative. DESIGN Multicenter analysis of hand hygiene compliance through direct observation by trained observers. SETTING A total of 5 publicly funded hospitals in 14 locations, with a total of 1,152 beds, in the County of Vaud, Switzerland. PARTICIPANTS Clinical staff. INTERVENTIONS In total, 59,272 opportunities for hand hygiene were monitored for the duration of the study, for an average of 5,921 per audit (range, 5,449-6,852)...
September 13, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28899444/use-of-implementation-science-for-a-sustained-reduction-of-central-line-associated-bloodstream-infections-in-a-high-volume-regional-burn-unit
#14
Geeta Sood, Julie Caffrey, Kelly Krout, Zeina Khouri-Stevens, Kevin Gerold, Stefan Riedel, Janet McIntyre, Lisa L Maragakis, Renee Blanding, Jonathan Zenilman, Richard Bennett, Peter Pronovost
OBJECTIVE We describe the use of implementation science at the unit level and organizational level to guide an intervention to reduce central-line-associated bloodstream infections (CLABSIs) in a high-volume, regional, burn intensive care unit (BICU). DESIGN A single center observational quasi-experimental study. SETTING A regional BICU in Maryland serving 300-400 burn patients annually. INTERVENTIONS In 2011, an organizational-level and unit-level intervention was implemented to reduce the rates of CLABSI in a high-risk patient population in the BICU...
September 13, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28894737/fmeca-application-to-intraoperative-electron-beam-radiotherapy-procedure-as-a-quality-method-to-prevent-and-reduce-patient-s-risk-in-conservative-surgery-for-breast-cancer
#15
Cristiana Vidali, Mara Severgnini, Monica Urbani, Licia Toscano, Alfredo Perulli, Marina Bortul
INTRODUCTION: Failure Mode Effects and Criticalities Analysis (FMECA) represents a prospective method for risk assessment in complex medical practices. Our objective was to describe the application of FMECA approach to intraoperative electron beam radiotherapy (IOERT), delivered using a mobile linear accelerator, for the treatment of early breast cancer as an anticipated boost. MATERIALS AND METHODS: A multidisciplinary Working Group, including several different professional profiles, was created before the beginning of clinical practice in 2012, with the purpose of writing the Flow Chart and applying the FMECA methodology to IOERT procedure...
2017: Frontiers in Medicine
https://www.readbyqxmd.com/read/28893816/nature-of-blame-in-patient-safety-incident-reports-mixed-methods-analysis-of-a-national-database
#16
Jennifer Cooper, Adrian Edwards, Huw Williams, Aziz Sheikh, Gareth Parry, Peter Hibbert, Amy Butlin, Liam Donaldson, Andrew Carson-Stevens
PURPOSE: A culture of blame and fear of retribution are recognized barriers to reporting patient safety incidents. The extent of blame attribution in safety incident reports, which may reflect the underlying safety culture of health care systems, is unknown. This study set out to explore the nature of blame in family practice safety incident reports. METHODS: We characterized a random sample of family practice patient safety incident reports from the England and Wales National Reporting and Learning System...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893298/learning-from-returnee-ethiopian-migrant-domestic-workers-a-qualitative-assessment-to-reduce-the-risk-of-human-trafficking
#17
Joanna Busza, Sehin Teferra, Serawit Omer, Cathy Zimmerman
BACKGROUND: International migration has become a global political priority, with growing concern about the scale of human trafficking, hazardous work conditions, and resulting psychological and physical morbidity among migrants. Ethiopia remains a significant "source" country for female domestic workers to the Middle East and Gulf States, despite widespread reports of exploitation and abuse. Prior to introduction of a "safe migration" intervention, we conducted formative research to elicit lessons learned by women who had worked as domestic workers abroad...
September 11, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28893242/how-is-success-achieved-by-individuals-innovating-for-patient-safety-and-quality-in-the-nhs
#18
Laura Sheard, Cath Jackson, Rebecca Lawton
BACKGROUND: Innovation in healthcare is said to be notoriously difficult to achieve and sustain yet simultaneously the health service is under intense pressure to innovate given the ever increasing demands placed upon it. Whilst many studies have looked at diffusion of innovation from an organisational perspective, few have sought to understand how individuals working in healthcare innovate successfully. We took a positive deviance approach to understand how innovations are achieved by individuals working in the NHS...
September 11, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28892726/a-safety-culture-training-program-enhanced-the-perceptions-of-patient-safety-culture-of-nurse-managers
#19
Jian-Fei Xie, Si-Qing Ding, Zhu-Qing Zhong, Sai-Nan Zeng, Chun-Xiang Qin, Qi-Feng Yi, Li-Na Gong, Jian-da Zhou
Positive perceptions of patient safety culture are associated with lower rates of adverse events, but they have not been widely established in many health care organizations. The purpose of this study is to examine the impacts of a safety culture training program (SCTP) on enhancing the perceptions of patient safety in nurse managers. This was a quasi-experimental design. 83 nurse managers were recruited from five randomly selected 2nd level hospitals. Sixty-seven nurse managers received training under the educational SCTP...
August 25, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28892329/leadership-is-crucial-to-establishing-safety-culture-reducing-adverse-events
#20
Carlos A Pellegrini
No abstract text is available yet for this article.
May 2017: Bulletin of the American College of Surgeons
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