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Keywords (Quality improvement) AND (med...

(Quality improvement) AND (medical education)

https://read.qxmd.com/read/38527738/-expert-consensus-on-the-whole-course-management-of-implantable-venous-access-port-in-the-upper-arm-of-cancer-patients-2023-edition
#21
JOURNAL ARTICLE
(no author information available yet)
With the widespread application of ultrasound-guided Sedinger puncture techniques and intracardiac electrocardiogram positioning technology, implantable intravenous drug delivery device (IVAP) in the upper arm has been recognized by the majority of medical personnel and cancer patients due to its advantages of hiding scars and completely avoiding the risk of hemothorax and pneumothorax. In order to standardize the clinical application of IVAP via the upper arm approach in cancer patients, improve the success rate of implantation, reduce complications and improve patient satisfaction, the Breast Cancer Expert Committee of the National Cancer Quality Control Center consulted guidelines and the latest evidence-based evidences and established the expert consensus on the whole-course management of implantable venous access port in the upper arm of cancer patients, in order to provide reference for the standard application of IVAP in the upper arm...
March 22, 2024: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://read.qxmd.com/read/38527417/in-epas-we-trust-is-quality-and-safety-a-must-a-cross-specialty-analysis-of-entrustable-professional-activity-guides
#22
JOURNAL ARTICLE
Allison Brown, Julie La, McNiel-Inyani Keri, Chris Hillis, Saleem Razack, Nadine Korah, Jolanta Karpinski, Jason R Frank, Brian Wong, Joanne Goldman
PURPOSE: The inclusion of quality improvement (QI) and patient safety (PS) into CanMEDS reflects an expectation that graduating physicians are competent in these areas upon training completion. To ensure that Canadian postgraduate specialty training achieves this, the translation of QI/PS competencies into training standards as part of the implementation of competency-based medical education requires special attention. METHODS: We conducted a cross-specialty, multi-method analysis to examine how QI/PS was incorporated into the EPA Guides across 11 postgraduate specialties in Canada...
March 25, 2024: Medical Teacher
https://read.qxmd.com/read/38527323/a-peer-to-peer-approach-to-increasing-staff-competency-and-engagement-in-wound-and-ostomy-care-a-quality-improvement-project
#23
JOURNAL ARTICLE
Alexis M Aningalan, Stephanie I Walker, Brittany Ray Gannon
PURPOSE: The purpose of this quality improvement (QI) project was to provide an innovative, participatory approach to the education of staff nurses and nursing support personnel to improve skills and competencies in wound and ostomy care while enhancing staff engagement and empowerment. PARTICIPANTS AND SETTING: Project planning occurred between January and October 2020 and implementation began in November 2020. The project was implemented in 1 intensive care unit and 6 adult medical-surgical units of a 288-bed community hospital in the northeastern United States (Bronxville, New York)...
March 2024: Journal of Wound, Ostomy, and Continence Nursing
https://read.qxmd.com/read/38525727/rational-prescribing-of-pancreatic-enzymes-for-patients-with-pancreatic-cancer
#24
REVIEW
Mary Acelle G Garcia, Syed Imam, Ursula K Braun, Leanne K Jackson
Most patients with pancreatic cancer at some point present with symptoms related to exocrine pancreatic insufficiency (EPI). These include diarrhea, abdominal bloating, indigestion, steatorrhea, weight loss, and anorexia. Even though up to 80% of pancreatic cancer patients eventually present with symptoms related to exocrine pancreatic insufficiency, only 21% are prescribed pancreatic enzyme replacement therapy (PERT). Its effectiveness is also highly dependent on its proper timing of administration, and patients must be thoroughly educated about this...
March 6, 2024: Pharmacy (Basel, Switzerland)
https://read.qxmd.com/read/38525544/supporting-faculty-development-for-obesity-education-a-national-survey-of-united-states-family-medicine-residency-programme-directors
#25
JOURNAL ARTICLE
Jonathan Gabison, Beatrice Palazzolo, Christina Saleh, Olivia Ritchie, Kayla Sheehan, Amal Othman, Diane M Harper, Lauren Oshman
Obesity is the most common chronic condition in the United States (US), yet primary care physicians face barriers in providing obesity treatment. This study examines the prevalence of American Board of Obesity Medicine (ABOM) certified obesity specialists on the faculty of US Family Medicine residency training programmes, the preparedness of graduating resident physicians to treat obesity, and residency training programme director preferences for supporting faculty development to improve residency education in obesity management...
March 25, 2024: Clinical Obesity
https://read.qxmd.com/read/38525099/reflecting-on-experiences-of-senior-medical-students-external-clinical-teaching-visits-in-general-practice-placements-a-pilot-study
#26
JOURNAL ARTICLE
Shaoting Feng, Daya Yang, Kunsong Zhang, Denise Joy Findlay, Ming Kuang, Haipeng Xiao, Dan Xu
PURPOSE: Australian general practice training uses external clinical teaching (ECT) visits for formative work-based assessments. ECT visits appoint senior general-practitioners (GPs) observe trainee GPs' consultations, provide feedback, and make performance-enhancing recommendations. As ECT visits are one of the best assessment tools in Australian GP training, there is limited evidence of its use in undergraduate teaching. This study aims to introduce ECT visits and evaluate assessment tools during senior medical students' GP placement...
2024: Advances in Medical Education and Practice
https://read.qxmd.com/read/38524046/impact-of-an-educational-measure-on-the-quality-of-medical-certificate-of-cause-of-death-at-a-tertiary-care-teaching-hospital-a-pre-post-interventional-study
#27
JOURNAL ARTICLE
Aashish Chaudhary, Gaurav Singh, Abhishek Hooda, Jyoti Garg, Divya Saharan, Surendra Kumar, Karnika Agrawal, Nazir A Pandit
Background A death certificate is an important document that serves as a tool for gathering epidemiological data and as an essential legal document. Although it is a mandatory document to be given for all deaths, the quality of its filling is often an ignored aspect and errors are frequently encountered. This documentation process can be mastered with minimal educational efforts. This study aimed to determine the utility of an educational measure in improving the accuracy of death certificate documentation...
February 2024: Curēus
https://read.qxmd.com/read/38521917/developing-an-innovative-national-acp-osce-program-in-taiwan-a-mixed-method-study
#28
JOURNAL ARTICLE
Yen-Lin Wu, Tsu-Yi Hsieh, Sheau-Feng Hwang, Yi-Yin Lin, Wei-Min Chu
OBJECTIVES: To evaluate the process and the comprehensiveness of advance care planning (ACP), we designed a national ACP-OSCE (Objective Structured Clinical Examination) program. METHODS: The program was designed as a 40-minute OSCE test. Participants were categorized as different ACP team members to illustrate realistic scenarios. Preceptors were asked to observe ACP professionals' actions, responses, and communication skills during ACP with standardized patients (SP) through a one-way mirror...
March 23, 2024: BMC Medical Education
https://read.qxmd.com/read/38520168/facts-to-snacks-evaluating-the-effectiveness-of-bite-sized-animations-in-teaching-palliative-care-to-medical-students
#29
JOURNAL ARTICLE
Kai Lin Megan Chua, Jin Qi Valerie Chan, Laurence Lean Chin Tan, James Alvin Low
BACKGROUND: Current palliative care training in medical school is inadequate in preparing doctors to provide quality palliative care. Little attention is paid to determining effective methods of training. OBJECTIVE: To assess the use of bite-sized animations in improving the confidence, knowledge and attitudes of medical students towards palliative care. METHODS: A mixed methods cohort study was adopted for the study. 50 medical students without prior palliative training completed questionnaires before and after watching a 12-part animated palliative care video series called PowerFacts...
March 23, 2024: American Journal of Hospice & Palliative Care
https://read.qxmd.com/read/38519950/the-evaluation-of-synchronous-and-asynchronous-online-learning-student-experience-learning-outcomes-and-cognitive-load
#30
JOURNAL ARTICLE
Chih-Tsung Hung, Shou-En Wu, Yi-Hsien Chen, Chen-Yeu Soong, Chien-Ping Chiang, Wei-Ming Wang
BACKGROUND: The abrupt onset of the COVID-19 pandemic compelled universities to swiftly establish online teaching and learning environments that were not only immediately deployable but also conducive to high-quality education. This study aimed to compare the effectiveness of the online synchronous and asynchronous teaching formats in the dermatology lecture for undergraduate medical students, including academic performance, self-efficacy, and cognitive load. METHODS: A total of 170 fourth-year undergraduate medical students attending the dermatology lecture were included...
March 22, 2024: BMC Medical Education
https://read.qxmd.com/read/38519931/mapping-student-engagement-in-health-professions-education-policy-and-decision-making-a-scoping-review
#31
JOURNAL ARTICLE
Hanieh Neshastesaz Kashi, Salime Goharinezhad, Samira Soleimanpour, Ali Haji Mohammadi
BACKGROUND: "Student engagement" (SE) is gaining momentum as an approach to improve the performance of health professions education (HPE). Nevertheless, despite the broad studies about the role of students in various areas, little is known about the role of SE in policy and decision-making activities. This study aimed to map SE in policy and decision-making regarding terms and definitions, engagement models, influencing factors, outcomes and achievements, and the interconnection between the influencing factors...
March 22, 2024: BMC Medical Education
https://read.qxmd.com/read/38519900/exploring-clinical-teachers-beliefs-about-teaching-in-a-newly-established-medical-school-in-southern-switzerland
#32
JOURNAL ARTICLE
Marilù Guigli Poretti, Matteo Monti, Marta Fadda
Academic social contexts and educational beliefs may influence teaching practices and teaching intentions. Insight into such beliefs represents an important source of information for medical schools to improve the quality of teaching and to guide content of faculty development programs. The aim of this study was to explore beliefs about teaching among prospective clinical teachers at a newly established medical school in Southern Switzerland and to estimate the relationship between these beliefs and intention to commit to teaching in the newly established medical curriculum using Fishbein's integrative model of behaviour prediction...
March 22, 2024: BMC Medical Education
https://read.qxmd.com/read/38519899/development-of-an-interdisciplinary-training-program-about-chronic-pain-management-with-a-cognitive-behavioural-approach-for-healthcare-professionals-part-of-a-hybrid-effectiveness-implementation-study
#33
JOURNAL ARTICLE
Wouter Munneke, Christophe Demoulin, Jo Nijs, Carine Morin, Emy Kool, Anne Berquin, Mira Meeus, Margot De Kooning
BACKGROUND: Many applied postgraduate pain training programs are monodisciplinary, whereas interdisciplinary training programs potentially improve interdisciplinary collaboration, which is favourable for managing patients with chronic pain. However, limited research exists on the development and impact of interdisciplinary training programs, particularly in the context of chronic pain. METHODS: This study aimed to describe the development and implementation of an interdisciplinary training program regarding the management of patients with chronic pain, which is part of a type 1 hybrid effectiveness-implementation study...
March 22, 2024: BMC Medical Education
https://read.qxmd.com/read/38516698/evaluating-the-domains-of-generalism-and-equity-diversity-and-inclusion-in-preclinical-simulated-cases-for-targeted-curricular-improvements
#34
JOURNAL ARTICLE
Thomas Soroski, Kuda Hove, Lisa Steblecki, Jaime C Yu
BACKGROUND: Simulated cases are widely used in medical education to develop clinical reasoning skills and discuss key topics around patient care. Such cases present an opportunity to demonstrate real world encounters with diverse patient and health provider identities, impacts of social and structural determinants of health, and demonstrate a generalist approach to problems. However, despite many calls-to-action for medical schools to better incorporate equity, diversity and inclusion (EDI) and generalism, it remains difficult to evaluate how well these goals are being met...
December 31, 2024: Medical Education Online
https://read.qxmd.com/read/38515254/evaluation-of-malnutrition-knowledge-among-nursing-staff-in-the-czech-republic-a-cross-sectional-psychometric-study
#35
JOURNAL ARTICLE
Vit Blanar, Jan Pospichal, Doris Eglseer, Zuzana Kala Grofová, Silva Bauer
Construct : The Knowledge of Malnutrition - Geriatric 2.0' (KoM-G 2.0) instrument was designed to quantify nursing staff malnutrition knowledge in inpatient medical and rehabilitation care facilities, as well as home health care. It has been used to assess grasp of current clinical practice guidelines and proficiency in addressing issues related to malnutrition. It provides insight into familiarity with and capacity to tackle issues pertaining to malnutrition in clinical practice. Furthermore, it has been used assess the effectiveness of educational interventions aimed at improving nursing professionals knowledge and awareness of malnutrition...
March 21, 2024: Teaching and Learning in Medicine
https://read.qxmd.com/read/38515196/facilitating-planned-home-death-a-qualitative-study-on-home-care-nurses-experiences-of-enablers-and-barriers
#36
JOURNAL ARTICLE
Anne Kristine Sørstrøm, Mette Spliid Ludvigsen, Ingjerd Gåre Kymre
AIM: The aim of this study was to explore home care nurses' experience of enablers and barriers for planned home death in municipal health care. DESIGN: A focused ethnography. METHODS: This qualitative study collected data from 20 semi-structured interviews of home care nurses and 8.5 h of participant observations. Data was analyzed using thematic analysis. RESULTS: The findings in our study show that home care nurses consider supportive cultures, a commitment to safety and continuity when facilitating planned home deaths and family rotations to be enablers for planned home deaths...
March 21, 2024: Journal of Advanced Nursing
https://read.qxmd.com/read/38515165/exploring-paediatric-rheumatology-care-a-ten-year-retrospective-analysis-of-the-patient-population-in-ghana
#37
JOURNAL ARTICLE
Dzifa Dey, Bright Katso, Afia Baah, Saudatu Isaaka, Emmanuella Amoako
BACKGROUND: Rheumatic diseases can seriously impact children's general health, development, and growth. However, due to a lack of resources, paediatric rheumatology is a largely underdeveloped speciality in many African nations. Children with rheumatic disorders face obstacles in accessing specialized medical care, including lack of specialists, care centres, medication access, and limited research and education to increase understanding of paediatric rheumatic disease among healthcare practitioners...
March 21, 2024: Pediatric Rheumatology Online Journal
https://read.qxmd.com/read/38515122/evaluation-of-patient-health-outcomes-of-a-student-run-free-clinic-in-east-harlem
#38
JOURNAL ARTICLE
Joy J Jiang, Katie Link, George Mellgard, Francesca Silvestri, Daniel Qian, Susmita Chennareddy, Michelle Tran, Yoni Goldstein, Gabriela Frid, Isabelle Band, Alexandra Saali, David C Thomas, Harish Jasti, Yasmin S Meah
BACKGROUND: Most United States medical schools have affiliated student-run free clinics, but the quality of services provided in such contexts compared to national metrics is unknown. This study determines whether a student-run, attending-supervised free clinic servicing a low-income and minority race patient population in New York City can meet national metrics of care. METHODS: Through chart review from January 1, 2020 to December 31, 2020, patient outcomes and service utilization in the Healthcare Effectiveness Data and Information Set were examined and compared to national rates of patients using Medicaid HMO or Medicare...
March 21, 2024: BMC Medical Education
https://read.qxmd.com/read/38514293/impact-of-pharmacist-delivered-interventions-on-pain-related-outcomes-an-umbrella-review-of-systematic-reviews-and-meta-analyses
#39
REVIEW
Sunil Shrestha, Ayesha Iqbal, Siew Li Teoh, Saval Khanal, Siew Hua Gan, Shaun Wen Huey Lee, Vibhu Paudyal
INTRODUCTION: Pain is a significant healthcare challenge, impacting millions worldwide. Pharmacists have increasingly taken on expanded roles in managing pain, particularly in primary and ambulatory care contexts. This umbrella review aims to systematically evaluate evidence from published systematic reviews that explore the impact of pharmacist-delivered interventions on clinical, humanistic, and economic outcomes related to pain. METHODS: A systematic search was conducted across six electronic databases, including Ovid Embase, MEDLINE, CINAHL, Scopus, CENTRAL, APA PsycINFO, and DARE, from inception until June 2023...
March 13, 2024: Research in Social & Administrative Pharmacy: RSAP
https://read.qxmd.com/read/38514285/opioid-prescription-usage-and-disposal-after-provider-education-and-sms-based-parent-education
#40
JOURNAL ARTICLE
Keerthana Mohankumar, Andrea H Rossman, Raymond Yong, Angela Thao, Katie Sheridan, Elizabeth B Roth
INTRODUCTION: Adequate pain control after outpatient pediatric urologic surgery is important for both providers and caregivers; however, opioid pain medications are often prescribed in excess of utilization. The resultant excess opioid medication has potential to be diverted or misused. While families are instructed to dispose of leftover opioids, a significant proportion may not dispose of leftover medication. We performed a quality improvement (QI) initiative within a tertiary academic care center to examine opioid excess, opioid disposal, and whether a two-component QI intervention of provider education and family education via automated SMS messages on opioid disposal could improve excess opioid prescribing and leftover opioid disposal...
March 7, 2024: Journal of Pediatric Urology
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