keyword
https://read.qxmd.com/read/38528658/a-clinical-antiracism-curriculum-for-third-year-medical-students-to-bring-antiracist-principles-to-the-bedside
#1
JOURNAL ARTICLE
Katharina Hayes, John Szymusiak, Andrew McCormick
As medical educators, we have a responsibility to ensure our trainees are exposed to curricula dedicated to Diversity, Equity, and Inclusion (DEI), as illustrated by the Association of American Medical Colleges' recently released DEI Competencies Across the Curriculum. We designed and implemented a curriculum, Social Justice Rounds (SJR), that incorporates teaching on these topics directly into inpatient clinical work. SJR are brief team-based discussions facilitated by Pediatric Hospital Medicine faculty that focus on racism in medicine and other forms of discrimination experienced by patients and the effect it has on their interaction with the healthcare system...
March 25, 2024: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/38493733/diversity-equity-and-inclusion-dei-in-medical-education-dei-at-the-bedside
#2
JOURNAL ARTICLE
Tennyson S Jellins, Tyler L Borko, RayLee Otero-Bell, Kelly Arnett, Scott Saunders, Sharon N Poisson, Karen D Orjuela, Setareh Salehi Omran, William J Jones, Michelle Leppert, Ashley Madera, Aaron Carlson, Daniel M Pastula, Brian M Sauer, Amanda L Piquet, Nicole R Gonzales
BACKGROUND: The ability to recognize and address bias is an important communication skill not typically addressed during training. We describe the design of an educational curriculum that aims to identify and change behavior related to diversity, equity, and inclusion (DEI). "DEI at the Bedside" uses the existing infrastructure of bedside teaching and provides a tool to normalize DEI discussions and develop skills to address bias during a neurology inpatient rotation. METHODS: As part of traditional clinical rounds, team members on an inpatient service shared experiences with DEI topics, including bias...
March 7, 2024: Journal of the Neurological Sciences
https://read.qxmd.com/read/38469366/improving-nurse-physician-bedside-communication-using-a-patient-experience-quality-improvement-pilot-project-at-an-academic-medical-center
#3
JOURNAL ARTICLE
Justin Wang, Vasco Deon Kidd, Brad Giafaglione, Brian Strong, Anuj Ohri, Janice White, Alpesh Amin
Introduction  Patient experience is a crucial aspect of healthcare delivery, and it encompasses various elements that contribute to a patient's perception of the care they receive. Patient satisfaction and patient experience are related but distinct concepts. Patient experience focuses on whether specific aspects of care occurred, while patient satisfaction gauges whether patient expectations were met. It goes beyond mere satisfaction and delves into the broader aspects of how patients interact with the healthcare system and the quality of those interactions, with health plans, doctors, nurses, and staff in various healthcare facilities...
March 2024: Curēus
https://read.qxmd.com/read/38415022/is-1-day-of-focused-training-in-echocardiographic-assessment-using-subxiphoid-only-easy-examination-enough-a-tertiary-hospital-response-to-the-covid-19-crisis-and-the-use-of-the-easy-examination-to-support-unit-wide-image-acquisition
#4
JOURNAL ARTICLE
Nibras F Bughrara, Maegan R Neilson, Stephanie Jones, Lorna Workman, Amit Chopra, Aliaksei Pustavoitau
OBJECTIVES: We assessed the efficacy of 1-day training in echocardiography assessment using subxiphoid-only (EASy) followed by supervised image interpretation and decision-making during patient rounds as a novel approach to scaling up the use of point-of-care ultrasound (POCUS) in critically ill patients. DESIGN: Retrospective analysis of medical records and EASy examination images. SETTING: Tertiary care academic hospital. PATIENTS: A total of 14 adults (> 18 yr old) with COVID-19-associated respiratory failure under the care of Albany Medical Center's surge response team from April 6-17, 2020 who received at least one EASy examination...
March 2024: Critical care explorations
https://read.qxmd.com/read/38393668/-interactive-electronic-visualization-formats-in-student-teaching
#5
JOURNAL ARTICLE
Sara M van Bonn, Jan S Grajek, Stefanie Rettschlag, Sebastian P Schraven, Robert Mlynski
BACKGROUND: In the context of contact restrictions, conventional teaching is currently in need of optimization and expansion. The range of digital teaching formats in student training is very heterogeneous and their effectiveness uncertain. This study aims to investigate the extent to which an electronic ward round can be used as an alternative to the conventional ENT attendance practical course, and whether the use of electronic teaching formats has an influence on the quality of teaching...
February 23, 2024: HNO
https://read.qxmd.com/read/38333471/enhancing-medical-education-a-pathway-to-nurturing-future-healthcare-professionals
#6
JOURNAL ARTICLE
Mahnoor Amir, Natalie Hassan, Usama Khalid
Introduction As medical knowledge, technology, and healthcare delivery continue to evolve, it is critical that upcoming healthcare workers possess the skills and information needed to ensure optimal patient care. Numerous studies indicate that students achieve better learning outcomes through active practice rather than solely relying on theoretical knowledge. The average human attention span is only 8.25 seconds, so an effective teaching program should employ various modes and techniques to ensure that students remain involved and interested...
January 2024: Curēus
https://read.qxmd.com/read/38330523/assessing-the-impact-of-real-time-random-safety-audits-through-full-propensity-score-matching-on-reliable-data-from-the-clinical-information-system
#7
JOURNAL ARTICLE
Maria Bodí, Manuel A Samper, Gonzalo Sirgo, Federico Esteban, Laura Canadell, Julen Berrueta, Josep Gómez, Alejandro Rodríguez
BACKGROUND: Evidence-based care processes are not always applied at the bedside in critically ill patients. Numerous studies have assessed the impact of checklists and related strategies on the process of care and patient outcomes. We aimed to evaluate the effects of real-time random safety audits on process-of-care and outcome variables in critical care patients. METHODS: This prospective study used data from the clinical information system to evaluate the impact of real-time random safety audits targeting 32 safety measures in two intensive care units during a 9-month period...
February 3, 2024: International Journal of Medical Informatics
https://read.qxmd.com/read/38301418/healthcare-professionals-perspective-of-the-facilitators-and-barriers-to-family-engagement-during-patient-and-family-centered-care-interdisciplinary-rounds-in-intensive-care-unit-a-qualitative-exploratory-study
#8
JOURNAL ARTICLE
Brigitte Cypress, Rida Gharzeddine, Mei Rosemary Fu, Melanie Ransom, Farley Villarente, Caitlyn Pitman
OBJECTIVES: Family engagement in care for critically ill patients remains an inconsistent practice and an understudied area of nursing science. Rounds for this study is an interdisciplinary activity conducted at the bedside in partnership with patients, their families, and the health care professionals involved in providing the care. We sought to explore and describe the facilitators and barriers to family engagement during patient and family-centered interdisciplinary rounds in the intensive care unit...
January 31, 2024: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/38230802/-we-re-all-truly-pulling-in-the-exact-same-direction-a-qualitative-study-of-attending-and-resident-physician-impressions-of-structured-bedside-interdisciplinary-rounds
#9
JOURNAL ARTICLE
Katarzyna A Mastalerz, Sarah R Jordan, Nikki Townsley
BACKGROUND: Physicians often hold leadership roles in implementing interdisciplinary rounds (IDR) in clinical settings, thus understanding physician perspectives of bedside IDR is crucial. OBJECTIVE: To understand physicians' perspectives of structured bedside IDR. DESIGN: Qualitative descriptive study. SETTING AND PARTICIPANTS: Medical and transitional year resident and hospitalist physicians participating in structured bedside IDR in a community teaching hospital affiliated with a large academic center...
January 17, 2024: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://read.qxmd.com/read/38180791/a-novel-continuous-real-time-vital-signs-viewer-for-intensive-care-units-design-and-evaluation-study
#10
JOURNAL ARTICLE
Shiming Yang, Samuel Galvagno, Neeraj Badjatia, Deborah Stein, William Teeter, Thomas Scalea, Stacy Shackelford, Raymond Fang, Catriona Miller, Peter Hu
BACKGROUND: Clinicians working in intensive care units (ICUs) are immersed in a cacophony of alarms and a relentless onslaught of data. Within this frenetic environment, clinicians make high-stakes decisions using many data sources and are often oversaturated with information of varying quality. Traditional bedside monitors only depict static vital signs data, and these data are not easily viewable remotely. Clinicians must rely on separate nursing charts-handwritten or electric-to review physiological patterns, including signs of potential clinical deterioration...
January 5, 2024: JMIR Human Factors
https://read.qxmd.com/read/38173995/a-comprehensive-analysis-of-different-types-of-clinical-rounds-in-hospital-medicine
#11
REVIEW
Tanveer Shaik, Kanishk Aggarwal, Bhupinder Singh, Aanchal Sawhney, Riya Naguluri, Rohit Jain, Rahul Jain
Table rounds and bedside rounds are two methods healthcare professionals employ during clinical rounds for patient care and medical education. Bedside rounds involve direct patient engagement and physical examination, thus significantly impacting patient outcomes, such as improving communication and patient satisfaction. Table rounds occur in a conference room without the patient present and involve discussing patient data, which is more effective in fostering structured medical education. Both bedside and table rounds have pros and cons, and healthcare professionals should consider the specific requirements of their patients and medical trainees when deciding which approach to use...
2024: Proceedings of the Baylor University Medical Center
https://read.qxmd.com/read/38164122/implementing-a-family-centered-rounds-intervention-using-novel-mentor-trios
#12
JOURNAL ARTICLE
Alisa Khan, Shilpa J Patel, Michele Anderson, Jennifer D Baird, Tyler M Johnson, Isabella Liss, Dionne A Graham, Sharon Calaman, April E Fegley, Jenna Goldstein, Jennifer K O'Toole, Glenn Rosenbluth, Claire Alminde, Ellen J Bass, Zia Bismilla, Monique Caruth, Sally Coghlan-McDonald, Sharon Cray, Lauren A Destino, Benard P Dreyer, Jennifer L Everhart, Brian P Good, Amy B Guiot, Helen Haskell, Jennifer H Hepps, Andrew J Knighton, Irene Kocolas, Nicholas C Kuzma, Kheyandra Lewis, Katherine P Litterer, Elizabeth Kruvand, Peggy Markle, Dale A Micalizzi, Aarti Patel, Jayne E Rogers, Anupama Subramony, Tiffany Vara, H Shonna Yin, Theodore C Sectish, Rajendu Srivastava, Amy J Starmer, Daniel C West, Nancy D Spector, Christopher P Landrigan
BACKGROUND AND OBJECTIVES: Patient and Family Centered I-PASS (PFC I-PASS) emphasizes family and nurse engagement, health literacy, and structured communication on family-centered rounds organized around the I-PASS framework (Illness severity-Patient summary-Action items-Situational awareness-Synthesis by receiver). We assessed adherence, safety, and experience after implementing PFC I-PASS using a novel "Mentor-Trio" implementation approach with multidisciplinary parent-nurse-physician teams coaching sites...
January 2, 2024: Pediatrics
https://read.qxmd.com/read/38160018/quality-improvement-initiative-to-improve-communication-domains-of-patient-satisfaction-in-a-regional-community-hospital-with-six-sigma-methodology
#13
JOURNAL ARTICLE
Brittan F Carsten, Pawan Bhandari, Benjamin J Fortney, Danielle S Wilmes, Cassandra M Nelson, Amy L Brien, Rachel M Walth, Gokhan Anil
BACKGROUND: Communication gaps, whether incomplete or fragmented communication, have been the cause of many disasters in human civilisation. Coordination of healthcare is directly related to proper communication and handoffs among multidisciplinary teams throughout multiple shifts during a patient's hospitalisation. LOCAL PROBLEM: Patient surveys and direct patient feedback at Mayo Clinic Health System in Mankato, Minnesota, indicated that patient communication with physicians and nurses had declined in 2017 and 2018...
December 30, 2023: BMJ Open Quality
https://read.qxmd.com/read/38155052/sin-barrss-developing-a-mnemonic-to-support-nurses-participation-in-interprofessional-ward-rounds-in-intensive-care-an-appreciative-inquiry-for-quality-improvement
#14
JOURNAL ARTICLE
Clair Merriman, Della Freeth
OBJECTIVES: To develop and pilot a mnemonic to increase the willingness and ability of bedside nurses to contribute to patient reviews in the daily interprofessional ward round. RESEARCH METHODOLOGY/DESIGN: Appreciative inquiry quality improvement study, using ethnographic observations and appreciative inquiry discussions, augmented by quantitative data collection of basic facts. SETTING: Large (44 beds) critical care unit in the United Kingdom...
December 27, 2023: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/38076665/rhabdomyolysis-complicated-with-hyponatremia-due-to-water-intoxication-and-severe-aspiration-pneumonia-description-of-a-patient-with-chronic-schizophrenia-and-literature-review
#15
Shintaro Watanabe, Yoshio Sato, Junya Miyaki, Takefumi Suzuki
Hyponatremia due to water intoxication is frequently observed in patients with chronic schizophrenia. We herein present a 49-year-old man who developed schizophrenia at the age of 23 and had been admitted to the closed ward of our hospital for 7 years. He was found by a round nurse standing at the bedside, covering both ears with his hands and making groaning noises. He was disoriented and immediately after being returned to bed, a general tonic-clonic seizure occurred. Severe hyponatremia (Na 104 mEq/L) was noted and intravenous sodium correction was started...
December 4, 2023: Psychopharmacology Bulletin
https://read.qxmd.com/read/38038890/exploring-ward-team-handoffs-of-overnight-admissions-key-lessons-from-field-observations
#16
JOURNAL ARTICLE
Justin J Choi, Lars G Osterberg, Janet D Record
BACKGROUND: The diagnostic process is a dynamic, team-based activity that is an important aspect of ward rounds in teaching hospitals. However, few studies have examined how academic ward teams operate in areas such as diagnosis in the handoff of overnight admissions during ward rounds. This study draws key lessons from team interactions in the handoff process during ward rounds. OBJECTIVE: To describe how ward teams operate in the handoff of patients admitted overnight during ward rounds, and to characterize the role of the bedside patient evaluation in this context...
December 1, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/37969158/point-of-care-ultrasound-use-for-detection-of-multiple-metallic-foreign-body-ingestion-in-the-pediatric-emergency-department-a-case-report
#17
JOURNAL ARTICLE
Sarah Bella, Joseph Heiney, Amy Patwa
UNLABELLED: Foreign body ingestions are common complaints in the pediatric emergency department that can be difficult to diagnose in patients with vague symptoms. Magnetic foreign body ingestion can cause significant morbidity and mortality in children. Point-of-care ultrasound (POCUS) is an imaging modality that can be used to readily diagnose emergent abdominal pathology in a timely matter at the patient's bedside. In the case described in the report below, a 6-year-old male swallowed multiple round magnets, causing severe abdominal pain...
October 2023: Journal of education & teaching in emergency medicine
https://read.qxmd.com/read/37946386/e-walks-bring-ethics-to-the-bedside-a-nurse-ethicist-s-reflections
#18
REVIEW
Brenda Barnum
The unique role of the nurse ethicist in the clinical setting is one meant to enhance the ethical capacity of nurses, and front-line healthcare providers. As a nurse ethicist, it is also my goal to enhance the ethical climate of each individual work area, patient care unit, and the broader institution by encouraging ethical conversations, navigating ethical dilemmas, and seeking creative solutions to minimize moral distress and burnout. To provide preventive ethics support and education, I began regularly visiting patient care areas for ethics rounds, which I affectionately named "E-walks" (for Ethics Walks)...
August 2023: Nursing Ethics
https://read.qxmd.com/read/37925816/feasibility-acceptability-and-usability-of-implementing-a-medical-device-related-pressure-injury-algorithm-for-critically-ill-patients-using-non-invasive-ventilation
#19
JOURNAL ARTICLE
Jennifer N Miller, Susan A Barnason, Kaitlin A Rogge, Capri R Steinkuhler
OBJECTIVES: Describe the feasibility, acceptability, and usability of implementing a nurse-led intervention to prevent medical device-related pressure injury in critical care patients using non-invasive ventilation during hospitalization. STUDY DESIGN: A quality improvement project, using a descriptive single-arm study design with convenience sampling. SETTING AND PARTICIPANTS: This study was conducted at a Midwestern medical center with 640 beds (two hospital campuses)...
February 2024: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/37916227/understanding-the-impact-of-schwartz-rounds-on-pediatric-clinicians-well-being-using-the-positive-emotion-engagement-relationships-meaning-and-accomplishment-perma-model-for-flourishing-a-qualitative-analysis
#20
JOURNAL ARTICLE
Uchechi Oddiri, Shahriar Islam, Wei-Hsin Lu
Objective Schwartz Rounds (SR) is an interdisciplinary, case-based forum that augments compassionate care at the bedside and promotes discussion of the psycho-emotional aspects of patient care. This pilot study analyzed the perspectives of pediatric SR attendees through the lens of human flourishing , as defined by "PERMA" (positive emotion, engagement, relationships, meaning, and accomplishment). Methods This qualitative study was conducted at our Children's Hospital from September 2023 to October 2023. Focus group questions were developed from the Secure Flourishing Index and Community Workplace Flourishing validated tools...
October 2023: Curēus
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