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https://www.readbyqxmd.com/read/28090230/epidemiology-of-pregnancy-associated-icu-utilization-in-texas-2001-2010
#1
Lavi Oud
BACKGROUND: ICU admission is uncommon among obstetric patients. Nevertheless, the epidemiology of ICU utilization is considered to be a useful proxy for study of severe maternal morbidity and near-miss events. However, there is paucity of population-level studies in obstetric patients in the United States. METHODS: The Texas Inpatient Public Use Data File and state-based reports were used to identify pregnancy-associated hospitalizations and those involving admission to ICU (n = 158,410) for the years 2001 - 2010...
February 2017: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/28011595/problems-with-health-information-technology-and-their-effects-on-care-delivery-and-patient-outcomes-a-systematic-review
#2
Mi Ok Kim, Enrico Coiera, Farah Magrabi
OBJECTIVE: To systematically review studies reporting problems with information technology (IT) in health care and their effects on care delivery and patient outcomes. MATERIALS AND METHODS: We searched bibliographic databases including Scopus, PubMed, and Science Citation Index Expanded from January 2004 to December 2015 for studies reporting problems with IT and their effects. A framework called the information value chain, which connects technology use to final outcome, was used to assess how IT problems affect user interaction, information receipt, decision-making, care processes, and patient outcomes...
December 23, 2016: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/28007750/parent-preferences-for-medical-error-disclosure-a-qualitative-study
#3
Maitreya Coffey, Sherry Espin, Tara Hahmann, Hayyah Clairman, Lisha Lo, Jeremy N Friedman, Anne Matlow
OBJECTIVE: According to disclosure guidelines, patients experiencing adverse events due to medical errors should be offered full disclosure, whereas disclosure of near misses is not traditionally expected. This may conflict with parental expectations; surveys reveal most parents expect full disclosure whether errors resulted in harm or not. Protocols regarding whether to include children in these discussions have not been established. This study explores parent preferences around disclosure and views on including children...
January 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28003436/integrating-transcriptomic-and-proteomic-data-for-accurate-assembly-and-annotation-of-genomes
#4
T S Keshava Prasad, Ajeet Kumar Mohanty, Manish Kumar, Sreelakshmi K Sreenivasamurthy, Gourav Dey, Raja Sekhar Nirujogi, Sneha M Pinto, Anil K Madugundu, Arun H Patil, Jayshree Advani, Srikanth S Manda, Manoj Kumar Gupta, Sutopa B Dwivedi, Dhanashree S Kelkar, Brantley Hall, Xiaofang Jiang, Ashley Peery, Pavithra Rajagopalan, Soujanya D Yelamanchi, Hitendra S Solanki, Remya Raja, Gajanan J Sathe, Sandip Chavan, Renu Verma, Krishna M Patel, Ankit P Jain, Nazia Syed, Keshava K Datta, Aafaque Ahmed Khan, Manjunath Dammalli, Savita Jayaram, Aneesha Radhakrishnan, Christopher J Mitchell, Chan-Hyun Na, Nirbhay Kumar, Photini Sinnis, Igor V Sharakhov, Charles Wang, Harsha Gowda, Zhijian Tu, Ashwani Kumar, Akhilesh Pandey
Complementing genome sequence with deep transcriptome and proteome data could enable more accurate assembly and annotation of newly sequenced genomes. Here, we provide a proof-of-concept of an integrated approach for analysis of the genome and proteome of Anopheles stephensi, which is one of the most important vectors of the malaria parasite. To achieve broad coverage of genes, we carried out transcriptome sequencing and deep proteome profiling of multiple anatomically distinct sites. Based on transcriptomic data alone, we identified and corrected 535 events of incomplete genome assembly involving 1196 scaffolds and 868 protein-coding gene models...
January 2017: Genome Research
https://www.readbyqxmd.com/read/27995700/shot-conference-report-2016-serious-hazards-of%C3%A2-transfusion%C3%A2-%C3%A2-human-factors-continue-to-cause-most%C3%A2-transfusion-related-incidents
#5
P H B Bolton-Maggs
The Annual SHOT Report for incidents reported in 2015 was published on 7 July at the SHOT symposium. Once again, the majority of reports (77·7%) were associated with mistakes ('human factors'). Pressures and stress in the hospital environment contributed to several error reports. There were 26 deaths where transfusion played a part, one due to haemolysis from anti-Wr(a) (units issued electronically). The incidence of haemolysis due to this antibody has increased in recent years. Transfusion-associated circulatory overload is the most common contributor to death and major morbidity...
December 2016: Transfusion Medicine
https://www.readbyqxmd.com/read/27982407/a-study-of-cases-reported-as-incidents-in-a-public-hospital-from-2011-to-2014
#6
Leila Bernarda Donato Göttems, Maria do Livramento Gomes Dos Santos, Paloma Aparecida Carvalho, Fábio Ferreira Amorim
OBJECTIVE: Analyzing incidents reported in a public hospital in the Federal District, Brasilia, according to the characteristics and outcomes involving patients. METHOD: A descriptive and retrospective study of incidents reported between January 2011 and September 2014. RESULTS: 209 reported incidents were categorized as reportable occurrences (n = 22, 10.5%), near misses (n = 16, 7.7%); incident without injury (n = 4, 1.9%) and incident with injury (adverse events) (n = 167, 79...
September 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27965416/a-patient-feedback-reporting-tool-for-opennotes-implications-for-patient-clinician-safety-and-quality-partnerships
#7
Sigall K Bell, Macda Gerard, Alan Fossa, Tom Delbanco, Patricia H Folcarelli, Kenneth E Sands, Barbara Sarnoff Lee, Jan Walker
BACKGROUND: OpenNotes, a national movement inviting patients to read their clinicians' notes online, may enhance safety through patient-reported documentation errors. OBJECTIVE: To test an OpenNotes patient reporting tool focused on safety concerns. METHODS: We invited 6225 patients through a patient portal to provide note feedback in a quality improvement pilot between August 2014 and 2015. A link at the end of the note led to a 9-question survey...
December 13, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27924674/work-load-and-management-in-the-delivery-room-changing-the-direction-of-healthcare-policy
#8
Gianfranco Sfregola, Antonio Simone Laganà, Roberta Granese, Pamela Sfregola, Angela Lopinto, Onofrio Triolo
Nurse staffing, increased workload and unstable nursing unit environments are linked to negative patient outcomes including falls and medication errors on medical/surgical units. Considering this evidence, the aim of our study was to overview midwives' workload and work setting. We created a questionnaire and performed an online survey. We obtained information about the type and level of hospital, workload, the use of standardised procedures, reporting of sentinel and 'near-miss' events. We reported a severe understaffing in midwives' work settings and important underuse of standard protocols according to the international guidelines, especially in the South of Italy...
December 7, 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27915360/patient-safety-organizations-and-emergency-medical-services
#9
William J Leggio, Lee Varner, Kathryn Wire
Providing safe and error-free patient care should resonate well with all healthcare providers including emergency medical technicians. The environments and circumstances in which emergency medical services (EMS) provide patient care inevitably create risks to both the provider and patient. This article explores the concepts of patient safety, errors, near misses, adverse events, and Just Culture. Literature raises concerns about the lack of data collection on both patient and provider safety and research on these safety topics in EMS...
2016: Journal of Allied Health
https://www.readbyqxmd.com/read/27886626/describing-clinical-faculty-experiences-with-patient-safety-and-quality-care-in-acute-care-settings-a-mixed-methods-study
#10
Linda Roney, Catherine Sumpio, Audrey M Beauvais, Eileen R O'Shea
BACKGROUND: A major safety initiative in acute care settings across the United States has been to transform hospitals into High Reliability Organizations. The initiative requires developing cognitive awareness, best practices, and infrastructure so that all healthcare providers including clinical faculty are accountable to deliver quality and safe care. OBJECTIVE: To describe the experience of baccalaureate clinical nursing faculty concerning safety and near miss events, in acute care hospital settings...
February 2017: Nurse Education Today
https://www.readbyqxmd.com/read/27875473/committee-opinion-no-681-disclosure-and-discussion-of-adverse-events
#11
(no author information available yet)
Adverse outcomes, preventable or otherwise, are a reality of medical care. Most importantly, adverse events affect patients, but they also affect health care practitioners. Disclosing information about adverse events has benefits for the patient and the physician and, ideally, strengthens the patient-physician relationship and promotes trust. Studies show that after an adverse outcome, patients expect and want timely and full disclosure of the event, an acknowledgment of responsibility, an understanding of what happened, expressions of sympathy, and a discussion of what is being done to prevent recurrence...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27875470/committee-opinion-no-681-summary-disclosure-and-discussion-of-adverse-events
#12
(no author information available yet)
Adverse outcomes, preventable or otherwise, are a reality of medical care. Most importantly, adverse events affect patients, but they also affect health care practitioners. Disclosing information about adverse events has benefits for the patient and the physician and, ideally, strengthens the patient-physician relationship and promotes trust. Studies show that after an adverse outcome, patients expect and want timely and full disclosure of the event, an acknowledgment of responsibility, an understanding of what happened, expressions of sympathy, and a discussion of what is being done to prevent recurrence...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27833684/use-of-physician-concerns-and-patient-complaints-as-quality-assurance-markers-in-emergency-medicine
#13
Kiersten L Gurley, Richard E Wolfe, Jonathan L Burstein, Jonathan A Edlow, Jason F Hill, Shamai A Grossman
INTRODUCTION: The value of using patient- and physician-identified quality assurance (QA) issues in emergency medicine remains poorly characterized as a marker for emergency department (ED) QA. The objective of this study was to determine whether evaluation of patient and physician concerns is useful for identifying medical errors resulting in either an adverse event or a near-miss event. METHODS: We conducted a retrospective, observational cohort study of consecutive patients presenting between January 2008 and December 2014 to an urban, tertiary care academic medical center ED with an electronic error reporting system that allows physicians to identify QA issues for review...
November 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27825699/implementation-of-a-standardized-electronic-tool-improves-compliance-accuracy-and-efficiency-of-trainee-to-trainee-patient-care-handoffs-after-complex-general-surgical-oncology-procedures
#14
Callisia N Clarke, Sameer H Patel, Ryan W Day, Sobha George, Colin Sweeney, Georgina Avaloa Monetes De Oca, Mohamed Ait Aiss, Elizabeth G Grubbs, Brian K Bednarski, Jeffery E Lee, Diane C Bodurka, John M Skibber, Thomas A Aloia
BACKGROUND: Duty-hour regulations have increased the frequency of trainee-trainee patient handoffs. Each handoff creates a potential source for communication errors that can lead to near-miss and patient-harm events. We investigated the utility, efficacy, and trainee experience associated with implementation of a novel, standardized, electronic handoff system. METHODS: We conducted a prospective intervention study of trainee-trainee handoffs of inpatients undergoing complex general surgical oncology procedures at a large tertiary institution...
November 5, 2016: Surgery
https://www.readbyqxmd.com/read/27820722/a-multilevel-analysis-of-u-s-hospital-patient-safety-culture-relationships-with-perceptions-of-voluntary-event-reporting
#15
Jonathan D Burlison, Rebecca R Quillivan, Lisa M Kath, Yinmei Zhou, Sam C Courtney, Cheng Cheng, James M Hoffman
OBJECTIVES: Patient safety events offer opportunities to improve patient care, but, unfortunately, events often go unreported. Although some barriers to event reporting can be reduced with electronic reporting systems, insight on organizational and cultural factors that influence reporting frequency may help hospitals increase reporting rates and improve patient safety. The purpose of this study was to evaluate the associations between dimensions of patient safety culture and perceived reporting practices of safety events of varying severity...
November 3, 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/27811598/a-patient-reported-approach-to-identify-medical-errors-and-improve-patient-safety-in-the-emergency-department
#16
Seth W Glickman, Abhi Mehrotra, Christopher M Shea, Celeste Mayer, Jeffrey Strickler, Sandra Pabers, James Larson, Brian Goldstein, Larry Mandelkehr, Charles B Cairns, Jesse M Pines, Kevin A Schulman
OBJECTIVE: Medical errors in the emergency department (ED) occur frequently. Yet, common adverse event detection methods, such as voluntary reporting, miss 90% of adverse events. Our objective was to demonstrate the use of patient-reported data in the ED to assess patient safety, including medical errors. METHODS: Analysis of patient-reported survey data collected over a 1-year period in a large, academic emergency department. All patients who provided a valid e-mail or cell phone number received a brief electronic survey within 24 hours of their ED encounter by e-mail or text message with Web link...
November 2, 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/27761173/evaluating-the-reliability-of-expert-evidence-in-compensation-procedures-are-diagnosticians-influenced-by-the-narrative-fallacy-when-assessing-the-psychological-injuries-of-trauma-victims
#17
M J J Kunst, M Van de Wiel
The current study investigated whether mental health practitioners are influenced by the narrative fallacy when assessing the psychological injuries of trauma victims. The narrative fallacy is associated with our tendency to establish logical links between different facts. In psychodiagnostic assessments, this tendency may result in overdiagnosis of mental disorders when psychological symptoms can be attributed to a traumatic event. Consequently, legal decision makers may be at risk of awarding compensation for psychological injuries which are not severe enough to justify financial reimbursement...
2016: Psychological Injury and Law
https://www.readbyqxmd.com/read/27752922/electrophysiological-indices-of-aberrant-error-processing-in-adults-with-adhd-a-new-region-of-interest
#18
Pál Czobor, Brigitta Kakuszi, Kornél Németh, Livia Balogh, Szilvia Papp, László Tombor, István Bitter
Deficits in error-processing are postulated in core symptoms of ADHD. Our goal was to investigate the neurophysiological basis of abnormal error-processing and adaptive adjustments in ADHD, and examine whether error-related alterations extend beyond traditional Regions of Interest (ROIs), particularly to those involved in adaptive adjustments, such as the Salience Network system. We obtained event-related potentials (ERPs) during a Go/NoGo task from 22 adult-ADHD patients and 29 matched healthy controls using a high-density 256-electrode array...
October 17, 2016: Brain Imaging and Behavior
https://www.readbyqxmd.com/read/27693768/the-role-of-intraoperative-cerebral-angiography-in-transorbital-intracranial-penetrating-trauma-a-case-report-and-literature-review
#19
Jonathan P Riley, Andrew B Boucher, Denise S Kim, Daniel L Barrow, Matthew R Reynolds
BACKGROUND: Transorbital intracranial penetrating trauma with a retained intracranial foreign body is a rare event lacking a widely accepted diagnostic and therapeutic algorithm. Intraoperative catheter angiography (IOA) has been advocated by some authorities to rule out cerebrovascular injury before and/or after removal of the object, but no standard of care currently exists. CASE DESCRIPTION: A 19-year-old man was involved in a construction site accident whereby a framing nail penetrated the left globe, traversed the lateral bony orbit, and terminated in the midtemporal lobe...
September 28, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27675864/identifying-risk-factors-for-near-miss-events-in-pediatric-radiation-therapy
#20
N Baig, S M Elnahal, T R McNutt, J L Wright, T L DeWeese, S A Terezakis
No abstract text is available yet for this article.
October 1, 2016: International Journal of Radiation Oncology, Biology, Physics
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