keyword
Keywords (Quality improvement) AND (med...

(Quality improvement) AND (medical education)

https://read.qxmd.com/read/38536566/quality-assurance-of-3d-printed-patient-specific-anatomical-models-a-systematic-review
#1
JOURNAL ARTICLE
Martin Schulze, Lukas Juergensen, Robert Rischen, Max Toennemann, Gregor Reischle, Jan Puetzler, Georg Gosheger, Julian Hasselmann
BACKGROUND: The responsible use of 3D-printing in medicine includes a context-based quality assurance. Considerable literature has been published in this field, yet the quality of assessment varies widely. The limited discriminatory power of some assessment methods challenges the comparison of results. The total error for patient specific anatomical models comprises relevant partial errors of the production process: segmentation error (SegE), digital editing error (DEE), printing error (PrE)...
March 27, 2024: 3D Printing in Medicine
https://read.qxmd.com/read/38536231/assessment-of-the-barriers-and-enablers-of-the-use-of-mhealth-systems-in-sub-saharan-africa-according-to-the-perceptions-of-patients-physicians-and-health-care-executives-in-ethiopia-qualitative-study
#2
JOURNAL ARTICLE
Genet Tadese Aboye, Gizeaddis Lamesgin Simegn, Jean-Marie Aerts
BACKGROUND: Digital technologies are increasingly being used to deliver health care services and promote public health. Mobile wireless technologies or mobile health (mHealth) technologies are particularly relevant owing to their ease of use, broad reach, and wide acceptance. Unlike developed countries, Sub-Saharan Africa experiences more challenges and obstacles when it comes to deploying, using, and expanding mHealth systems. In addition to barriers, there are enabling factors that could be exploited for the design, implementation, and scaling up of mHealth systems...
March 27, 2024: Journal of Medical Internet Research
https://read.qxmd.com/read/38534911/spirituality-quality-of-life-and-health-a-japanese-cross-sectional-study
#3
JOURNAL ARTICLE
Takeshi Yoshizawa, Abdelrahman M Makram, Randa Elsheikh, Sadako Nakamura, Engy Mohamed Makram, Kazumi Kubota, Nguyen Tien Huy, Kazuhiko Moji
BACKGROUND: Current reports suggest a positive association between spirituality and quality of life (QoL) in elders. While most studies are qualitative studies and there has been little validation in quantitative studies using scales to measure spirituality. Hence, we aimed to study the effect of spirituality on mental health and QoL in older people residing in Kumejima Town in Japan. METHODS: An interview-based survey was conducted between September 2010 and 2011 on residents of Kumejima Town aged 65 years or older...
March 21, 2024: European journal of investigation in health, psychology and education
https://read.qxmd.com/read/38533994/mobile-phone-text-messaging-for-medication-adherence-in-secondary-prevention-of-cardiovascular-disease
#4
REVIEW
Julie Redfern, Qiang Tu, Karice Hyun, Matthew A Hollings, Nashid Hafiz, Clara Zwack, Caroline Free, Pablo Perel, Clara K Chow
BACKGROUND: Cardiovascular diseases (CVDs) are the leading cause of death globally, accounting for almost 18 million deaths annually. People with CVDs have a five times greater chance of suffering a recurrent cardiovascular event than people without known CVDs. Although drug interventions have been shown to be cost-effective in reducing the risk of recurrent cardiovascular events, adherence to medication remains suboptimal. As a scalable and cost-effective approach, mobile phone text messaging presents an opportunity to convey health information, deliver electronic reminders, and encourage behaviour change...
March 27, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38533699/business-continuity-plan-in-the-management-and-operations-of-hospitals-first-experience-to-certify-the-pdta-processes-with-the-requirements-defined-by-iso-22301-2019-in-emergency-medical-services
#5
JOURNAL ARTICLE
Lucio Dell'Atti, Roberto Papa, Leonardo Incicchitti, Maria Katia Zanni, Andrea Zampa, Michele Caporossi
BACKGROUND: A business continuity plan (BCP) facilitates the performance of primary functions during emergencies or other situations that can disrupt normal operations. If risk management is done analytically, a business impact analysis (BIA), according to ISO 22301 certification, makes it possible to define the best strategy for supporting the company's assets and image, optimizing the operational efficiency of service recovery and redesigning spaces for health. Since 2015, our healthcare company has embarked on a certification process for all sectors and activities through the implementation and development of diagnostic and therapeutic paths for operational diagnos-tic-therapeutic-assistance pathways (PDTAs)...
2024: Journal of Emergency Management: JEM
https://read.qxmd.com/read/38533571/reducing-time-to-postintubation-sedation-in-a-pediatric-emergency-department
#6
JOURNAL ARTICLE
Claci Ayers, David P Johnson, Lacey Noffsinger, S Barron Frazier
BACKGROUND AND OBJECTIVE: Inadequate postintubation sedation (PIS) can lead to unplanned extubations, conscious paralysis, and overall unsafe care of patients. From 2018 to 2020, we realized at our hospital that ∼25% of children received sedation in an adequate time frame in the pediatric emergency department, with 2 unplanned dislodgements of the endotracheal tube. Our objective was to reduce time to initiating PIS from a mean of 39 minutes to less than 15 minutes in our pediatric emergency department by September 2021...
March 27, 2024: Pediatrics
https://read.qxmd.com/read/38533177/the-impact-of-an-intern-s-clinical-guidebook-on-easing-the-transition-of-new-interns-into-the-united-states-healthcare-system
#7
JOURNAL ARTICLE
Andranik Bedross, Bekure B Siraw, Ayah Alkhidir, Eli A Zaher, Parth Patel, Ashok Kumar, Peter Bostoros, Hasan Sqour, Pardeep Kumar, Shayet Hossain Eshan
This study explores the efficacy of an intern's clinical guidebook in facilitating the transition of categorical internal medicine interns into the United States healthcare system. New interns, particularly foreign medical graduates, face multifaceted challenges during their initial year of residency. The research, conducted at Ascension Saint Joseph Hospital in Chicago, employed a quasi-experimental pre-post design involving 20 interns. Participants were provided with an intern's clinical guidebook, and their knowledge was assessed through pre and post exams...
February 2024: Curēus
https://read.qxmd.com/read/38532680/-experience-of-providing-intensive-rehabilitation-care-to-a-school-aged-child-with-living-donor-lobar-lung-transplantation
#8
JOURNAL ARTICLE
Chiao-Ting Tsai, Fang-Yi Lin
The post-operative intensive care experience of a school-aged child who received living-donor bilateral lobar lung transplantation due to acute respiratory distress syndrome and interstitial pulmonary fibrosis is discussed in this paper. The patient received lungs donated by her parents in a "living-donor bilateral lobar lung transplantation" due to severe lung function impairment. The patient felt anxious due to her long-term hospitalization for preoperative evaluation, various invasive treatments, and postoperative rehabilitation...
April 2024: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/38532677/-improving-the-standby-process-completion-rate-among-nurses-for-high-risk-neonates
#9
JOURNAL ARTICLE
Mo-Fen Wu, Li-Ying Chung
BACKGROUND & PROBLEMS: Readiness process effectiveness significantly impacts the safety of high-risk neonates and requires an immediately responsive and well-trained healthcare team. Analysis of our unit found the high-risk neonatal standby process completion rate among nursing staff to be very low. Reasons for this poor level of performance included absence of standardized procedures for high-risk neonatal standby, lack of an auditing system, inadequate education and training, multiple medical supplies in the standby kits, absence of a checklist for the kits, and failure to regularly inventory the contents of these kits...
April 2023: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/38532670/-the-generative-artificial-intelligence-revolution-in-nursing-a-new-chapter-in-enhancing-care-quality-and-education
#10
JOURNAL ARTICLE
I-Chen Yu, Jing-Ming Guo
Artificial intelligence (AI) represents a recent major breakthrough in technology development and, in recent years, generative AI has emerged as another trendsetter. The application of generative AI technologies in the healthcare sector has not only opened new possibilities for improving the efficiency of medical diagnoses but also provided healthcare professionals with more-accurate patient monitoring capabilities and optimized care processes. Combining generative AI with nursing expertise holds out the potential of creating a more valuable model of nursing care...
April 2024: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/38532412/incorporating-a-situational-judgement-test-in-residency-selections-clinical-educational-and-organizational-outcomes
#11
JOURNAL ARTICLE
Anurag Saxena, Loni Desanghere, Kelly Dore, Harold Reiter
BACKGROUND: Computer-based assessment for sampling personal characteristics (Casper), an online situational judgement test, is a broad measure of personal and professional qualities. We examined the impact of Casper in the residency selection process on professionalism concerns, learning interventions and resource utilization at an institution. METHODS: In 2022, admissions data and information in the files of residents in difficulty (over three years pre- and post- Casper implementation) was used to determine the number of residents in difficulty, CanMEDS roles requiring a learning intervention, types of learning interventions (informal learning plans vs...
March 26, 2024: BMC Medical Education
https://read.qxmd.com/read/38531569/efficacy-and-safety-of-traditional-chinese-manual-therapy-tuina-in-patients-with-non-specific-chronic-low-back-pain-a-study-protocol-for-a-randomised-controlled-trial
#12
JOURNAL ARTICLE
Ben Cao, Sitong Fang, Zhiwei Wu, Xin Zhou, Lingjun Kong, Qingguang Zhu, Bowen Zhu, Cheng Tang, Min Fang
INTRODUCTION: Non-pharmacological interventions play a crucial role in the management of non-specific chronic low back pain (NSCLBP). One prime example is Tuina, a traditional Chinese manual therapy that incorporates pressing, kneading and rubbing techniques to alleviate physical discomfort and enhance overall well-being. It serves as a widely used technique in China and other East Asian countries. However, the effectiveness and safety of Tuina for managing NSCLBP have not been substantiated through rigorous clinical research...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38531074/opportunities-and-challenges-of-lupus-care-in-latin-america-the-middle-east-and-asia-pacific-a-call-to-action
#13
JOURNAL ARTICLE
Eduardo Mysler, Odirlei Andre Monticielo, Ibrahim Abdulrazaq Al-Homood, Chak Sing Lau, Heselynn Hussein, Yi-Hsing Chen
Lupus remains a disease with a low prioritisation in the national agendas of many countries in Latin America, the Middle East, and Asia-Pacific, where there is a dearth of rheumatologists and limited access to new or even standard lupus treatments. There is thus an important need for education, advocacy, and outreach to prioritise lupus in these regions to ensure that patients receive the care they need. This article reviews some of the specific challenges facing the care and management of people with lupus in these regions and suggests strategies for improving patient outcomes...
January 20, 2024: Modern Rheumatology
https://read.qxmd.com/read/38530814/students-experience-of-interpersonal-interactions-quality-in-e-learning-a-qualitative-research
#14
JOURNAL ARTICLE
Rita Mojtahedzadeh, Shirin Hasanvand, Aeen Mohammadi, Sahar Malmir, Mehdi Vatankhah
BACKGROUND: Online Interaction is a critical characteristic of distance learning, and effective online communication models empower students. PURPOSE: This research aimed to explain students' experiences on the quality of interpersonal interactions in e-learning. METHOD: This study was conducted from November 2021 to October 2022. The qualitative descriptive design via conventional content analysis was utilized. Purposeful and maximum variation methods recruited sixteen participants from three medical science universities in Iran...
2024: PloS One
https://read.qxmd.com/read/38529561/improving-accuracy-of-medication-reconciliation-for-hospitalized-children-a-quality-project
#15
JOURNAL ARTICLE
Samantha M Gunkelman, Jennifer Jamerino-Thrush, Katherine Genet, Martha Blackford, Kerwyn Jones, Michael T Bigham
BACKGROUND AND OBJECTIVES: Medication reconciliation is a complex, but necessary, process to prevent patient harm from medication discrepancies. Locally, the steps of medication reconciliation are completed consistently; however, medication errors still occur, which suggest process inaccuracies. We focused on removal of unnecessary medications as a proxy for accuracy. The primary aim was to increase the percentage of patients admitted to the pediatric hospital medicine service with at least 1 medication removed from the home medication list by 10% during the hospital stay by June of 2022...
March 26, 2024: Hospital Pediatrics
https://read.qxmd.com/read/38529458/improving-the-quality-of-operative-notes-in-vascular-surgery-a-retrospective-analysis
#16
JOURNAL ARTICLE
Munzir Akasha, Ahmmad Alfatih, Mohamedali Mohamed, Yogesh Acharya, Mahmoud Alawy
Background and objective Missing information or mistakes in patients' medical records, including those related to intraoperative and postoperative information, in an operative note can have profound clinical, ethical, and medicolegal implications. Operative notes should be informative, clear, and inclusive of the necessary data and should be collated immediately following surgery. In this study, we aimed to determine the ways to improve the quality of operative notes in the field of vascular surgery. Methods In this retrospective analysis, we compared the operative notes of 32 patients in the Department of Vascular and Endovascular Surgery, University Hospital Galway, against the standard set by the Royal College of Surgeons in Ireland (RCSI) (Code of Practice for Surgeons RCSI, 2018) and presented the results to our departmental staff...
February 2024: Curēus
https://read.qxmd.com/read/38528904/perspectives-on-a-virtual-student-led-research-conference-in-ophthalmology
#17
JOURNAL ARTICLE
Daiana R Pur, Andrew Samuel, Amirthan Sothivannan, Stuti M Tanya, Anne X Nguyen
We share our experience of organizing a one-day virtual educational event, the first Canadian national student ophthalmology conference, in response to the need for ophthalmology career exploration. The conference included mentorship with residents, research presentations, keynote speakers, and more. Following the event, students expressed some improvement in accessing ophthalmology mentorship and research opportunities, along with a modest enhancement in their understanding of the specialty. We provide insights into the organizational framework and quality improvement results, aiming to assist students in adapting similar events for various specialities...
February 2024: Canadian Medical Education Journal
https://read.qxmd.com/read/38528903/medical-students-perceptions-on-preparedness-and-care-delivery-for-patients-with-autism-or-intellectual-disability
#18
JOURNAL ARTICLE
E Bitektine, M A Hintermayer, A Chen, A Ko, C Rodriguez
INTRODUCTION: To provide competent care to patients with autism spectrum disorder (ASD) or intellectual developmental disorder (IDD), healthcare professionals must recognize the needs of neurodivergent populations and adapt their clinical approach. We assessed the perceived preparedness of medical students to adapt care delivery for patients with ASD/IDD, as well as their perceptions on neurodiversity education. METHODS: We conducted a sequential explanatory mixed-methods study on undergraduate medical students at McGill University during the academic year 2020-2021...
February 2024: Canadian Medical Education Journal
https://read.qxmd.com/read/38528679/characteristics-differentiating-problem-representation-synthesis-between-novices-and-experts
#19
JOURNAL ARTICLE
Casey N McQuade, Michael G Simonson, Julia Lister, Andrew P J Olson, Laura Zwaan, Scott D Rothenberger, Eliana Bonifacino
BACKGROUND: Formulating a thoughtful problem representation (PR) is fundamental to sound clinical reasoning and an essential component of medical education. Aside from basic structural recommendations, little consensus exists on what characterizes high-quality PRs. OBJECTIVES: To elucidate characteristics that distinguish PRs created by experts and novices. METHODS: Early internal medicine residents (novices) and inpatient teaching faculty (experts) from two academic medical centers were given two written clinical vignettes and were instructed to write a PR and three-item differential diagnosis for each...
March 25, 2024: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/38527918/the-use-of-ultrasonography-in-education-for-undergraduate-nursing-students-a-literature-review
#20
REVIEW
Eri Kubo, Miu Nagata, Naoki Yoshinaga
AIM: The incorporation of ultrasonography into nursing practice is becoming more common, but how ultrasonography is used or applied in nursing student education is still unclear. This study aimed to review and synthesize relevant literature on the use of ultrasonography in education for undergraduate nursing students. METHODS: An electronic literature search was conducted in June 2022 (updated in June 2023) using MEDLINE, CINAHL, Scopus, and Ichushi-Web databases...
March 25, 2024: Japan Journal of Nursing Science: JJNS
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