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https://www.readbyqxmd.com/read/28089972/a-preliminary-core-domain-set-for-clinical-trials-of-shoulder-disorders-a-report-from-the-omeract-2016-shoulder-core-outcome-set-special-interest-group
#1
Rachelle Buchbinder, Matthew J Page, Hsiaomin Huang, Arianne P Verhagen, Dorcas Beaton, Christian Kopkow, Mario Lenza, Nitin B Jain, Bethan Richards, Pamela Richards, Marieke Voshaar, Danielle van der Windt, Joel J Gagnier
OBJECTIVE: The Outcome Measures in Rheumatology (OMERACT) Shoulder Core Outcome Set Special Interest Group (SIG) was established to develop a core outcome set (COS) for clinical trials of shoulder disorders. METHODS: In preparation for OMERACT 2016, we systematically examined all outcome domains and measurement instruments reported in 409 randomized trials of interventions for shoulder disorders published between 1954 and 2015. Informed by these data, we conducted an international Delphi consensus study including shoulder trial experts, clinicians, and patients to identify key domains that should be included in a shoulder disorder COS...
January 15, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/28076685/diffusion-of-evidence-based-intensive-care-unit-organizational-practices-a-state-wide-analysis
#2
Rachel Kohn, Vanessa Madden, Jeremy M Kahn, David A Asch, Amber E Barnato, Scott D Halpern, Meeta Prasad Kerlin
RATIONALE: Several intensive care unit (ICU) organizational practices have been associated with improved patient outcomes. However, the uptake of these evidence-based practices is unknown. OBJECTIVE: To assess diffusion of ICU organizational practices across the state of Pennsylvania. METHODS: We conducted two web-based, cross-sectional surveys of ICU organizational practices in Pennsylvania acute care hospitals, in 2005 (chief nursing officer respondents) and 2014 (ICU nurse manager respondents)...
January 11, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28074583/show-code
#3
Daniel Shalev
"Let's get one thing straight: there is no such thing as a show code," my attending asserted, pausing for effect. "You either try to resuscitate, or you don't. None of this halfway junk." He spoke so loudly that the two off-service consultants huddled at computers at the end of the unit looked up… We did four rounds of compressions and pushed epinephrine twice. It was not a long code. We did good, strong compressions and coded this man in earnest until the end. Toward the final round, though, as I stepped up to do compressions, my attending looked at me in a deep way...
January 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28062333/electronic-goals-of-care-alerts-an-innovative-strategy-to-promote-primary-palliative-care
#4
Erin M Haley, Deborah Meisel, Yevgeniy Gitelman, Laura Dingfield, David J Casarett, Nina R O'Connor
CONTEXT: Given the shortage of palliative care specialists, strategies are needed to promote primary palliative care by non-palliative care providers. Electronic reminders are frequently used in medicine to standardize practice, but their effectiveness in encouraging goals of care discussions is not well understood. OBJECTIVES: To determine whether brief education and electronic alerts increase the frequency of goals of care discussions. METHODS: All general medicine services at a large academic medical center were included...
January 3, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28050259/support-for-compassionate-care-quantitative-and-qualitative-evaluation-of-schwartz-center-rounds-in-an-acute-general-hospital
#5
Raymond J Chadwick, Steven J Muncer, Bronagh C Hannon, Joanna Goodrich, Jocelyn Cornwell
OBJECTIVE: To evaluate the impact of Schwartz Center Rounds, a multi-disciplinary forum to reflect on the emotional consequences of working in healthcare, on the staff of a large acute general hospital over a three-year period. DESIGN: Evaluation data following each Round were collected routinely from all staff attending over this period and analysed quantitatively and qualitatively. SETTING: An integrated university teaching trust with both acute hospital and community services in the North East of England...
July 2016: JRSM Open
https://www.readbyqxmd.com/read/28049475/assessing-the-effect-of-indoor-residual-spraying-irs-on-malaria-morbidity-in-northern-uganda-a-before-and-after-study
#6
Betty Bawuba Tukei, Andy Beke, Héctor Lamadrid-Figueroa
BACKGROUND: Indoor residual spraying (IRS) is known to reduce malaria transmission. In northern Uganda, a high endemic area, IRS has been implemented since 2006. Limited data however, exists on the effect of IRS on the malaria burden. This study sought to assess the effect of IRS on malaria morbidity in the high intensity area of northern Uganda. Retrospective routine data from ten health facilities in three districts which had received at least five rounds of IRS in northern Uganda was analysed...
January 3, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28047477/su-g-tep4-06-an-integrated-application-for-radiation-therapy-treatment-plan-directives-management-and-reporting
#7
M Matuszak, C Anderson, C Lee, K Vineberg, M Green, K Younge, J Moran, C Mayo
PURPOSE: With electronic medical records, patient information for the treatment planning process has become disseminated across multiple applications with limited quality control and many associated failure modes. We present the development of a single application with a centralized database to manage the planning process. METHODS: The system was designed to replace current functionalities of (i) static directives representing the physician intent for the prescription and planning goals, localization information for delivery, and other information, (ii) planning objective reports, (iii) localization and image guidance documents and (iv) the official radiation therapy prescription in the medical record...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28032187/using-telemedicine-to-teach-paediatric-surgery-in-resource-limited-countries
#8
REVIEW
Alp Numanoglu
Halstedian method of surgical training has been the mainstay of surgical education for many decades. Onsite knowledge sources in surgery have traditionally been textbooks, which are often a number of years out of date or teaching rounds with a Professor or senior colleague that enables a small number of trainees to benefit from. Congresses have been a good way of learning new developments in the field, but they often require travelling and are very costly. We have identified web-based education as a means of linking experts with trainees, regardless of their geographic location and often without requiring any substantial capital...
December 28, 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/28018539/promoting-resident-autonomy-during-family-centered-rounds-a-qualitative-study-of-resident-hospitalist-and-subspecialty-physicians
#9
Jimmy Beck, Terry Kind, Rebecca Meyer, Priti Bhansali
BACKGROUND : Family-centered rounds (FCR) have become a leading model for pediatric inpatient rounding. Several studies have examined effective teaching strategies during FCR, but none have focused on promoting resident autonomy. OBJECTIVE : The aim of this study was to identify strategies used by attending physicians to promote resident autonomy during FCR. METHODS : We conducted a qualitative study of attending physicians and residents between December 2012 and February 2013 at an academic children's hospital, where FCR is the standard model for inpatient rounds...
December 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28004239/impact-of-team-versus-ward-aligned-clinical-pharmacy-on-unintentional-medication-discrepancies-at-admission
#10
Sharon M Byrne, Tamasine C Grimes, Marie-Claire Jago-Byrne, Mairéad Galvin
Background Medication reconciliation at admission to hospital reduces the prevalence of medication errors. Strategies are needed to ensure timely and efficient delivery of this service. Objective To investigate the effect of aligning clinical pharmacy services with consultant teams, by pharmacists attending post-admission ward rounds, in comparison to a ward-based service, on prevalence of unintentional unresolved discrepancies 48 h into admission. Setting A 243-bed public university teaching hospital in Ireland...
December 22, 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27999063/antibiotic-prescribing-in-patients-with-self-reported-sore-throat
#11
Nishchay Mehta, Anne Schilder, Ellen Fragaszy, Hannah E R Evans, Oliver Dukes, Logan Manikam, Paul Little, Sarah C Smith, Andrew Hayward
OBJECTIVES: To investigate the predictors of general practitioner (GP) consultation and antibiotic use in those developing sore throat. METHODS: We conducted a prospective population-based cohort study on 4461 participants in two rounds (2010-11) from 1897 households. RESULTS: Participants reported 2193 sore throat illnesses, giving a community sore throat incidence of 1.57/ person-year. 13% of sore throat illnesses led to a GP consultation and 56% of these consultations led to antibiotic use...
December 20, 2016: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/27989263/comparison-of-the-ability-to-identify-cardiometabolic-risk-factors-between-two-new-body-indices-and-waist-to-height-ratio-among-chinese-adults-with-normal-bmi-and-waist-circumference
#12
Peng Ju Liu, Fang Ma, Hui Ping Lou, Yan Ning Zhu
OBJECTIVE: Waist-to-height ratio (WHtR) has been reported to be more strongly associated with cardiometabolic risk factors among non-obese individuals than BMI and waist circumference (WC). A body shape index (ABSI) and body roundness index (BRI) have been proposed recently to assess obesity-related disorders or mortalities. Our aim was to compare the ability of ABSI and BRI with that of WHtR to identify cardiometabolic risk factors in Chinese adults with normal BMI and WC. DESIGN: Receiver-operating characteristic curves and areas under the curve (AUC) were employed to evaluate the ability of the indices (WHtR, BRI, ABSI) to identify metabolic risk factors and to determine the indices' optimal cut-off values...
December 19, 2016: Public Health Nutrition
https://www.readbyqxmd.com/read/27984357/perceptions-of-teamwork-in-the-interprofessional-bedside-rounding-process
#13
Genevieve Beaird, John M Dent, Jessica Keim-Malpass, Abigail Guo Jian Muller, Nicole Nelson, Valentina Brashers
Patient perceptions of teamwork have been a relatively undiscovered domain. Our study investigated the use of the Patients' Insights and Views of Teamwork (PIVOT) survey on an acute cardiology unit in an academic teaching hospital with patients receiving Rounding with Heart, an interprofessional bedside rounding initiative, and others receiving traditional rounding processes. Sixty-three subjects were surveyed during their hospital stay. We found a significant difference (p = .006) in PIVOT scores between those receiving interprofessional rounding and those not receiving this rounding structure...
December 9, 2016: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/27979477/maximizing-efficiency-on-trauma-surgeon-rounds
#14
Aliaksandr Ramaniuk, Barbara J Dickson, Sean Mahoney, Michael S O'Mara
BACKGROUND: Rounding by trauma surgeons is a complex multidisciplinary team-based process in the inpatient setting. Implementation of lean methodology aims to increase understanding of the value stream and eliminate nonvalue-added (NVA) components. We hypothesized that analysis of trauma rounds with education and intervention would improve surgeon efficacy. MATERIALS AND METHODS: Level 1 trauma center with 4300 admissions per year. Average non-intensive care unit census was 55...
January 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/27931047/effect-of-population-breast-screening-on-breast-cancer-mortality-up-to-2005-in-england-and-wales-an-individual-level-cohort-study
#15
Louise E Johns, Derek A Coleman, Anthony J Swerdlow, Susan M Moss
BACKGROUND: Population breast screening has been implemented in the UK for over 25 years, but the size of benefit attributable to such programmes remains controversial. We have conducted the first individual-based cohort evaluation of population breast screening in the UK, to estimate the impact of the NHS breast screening programme (NHSBSP) on breast cancer mortality. METHODS: We followed 988 090 women aged 49-64 years in 1991 resident in England and Wales, who because of the staggered implementation of the NHSBSP, included both invited subjects and an uninvited control group...
January 17, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/27923407/nets-1hd-study-protocol-for-development-of-a-core-outcome-set-for-use-in-determining-the-overall-success-of-hirschsprung-s-disease-treatment
#16
Benjamin Allin, Timothy Bradnock, Simon Kenny, Gregor Walker, Marian Knight
BACKGROUND: Use of core outcome sets in research has been proposed as a method for countering the problems caused by heterogeneity of outcome measure reporting. Heterogeneity of outcome measure reporting occurs in Hirschsprung's disease (HD) research and is limiting the development of a robust evidence base to support clinical practice. METHODS: Candidate outcome measures have been identified through a systematic review. These outcome measures will form the starting point for a three-phase online Delphi process to be carried out in parallel by three panels of experts...
December 7, 2016: Trials
https://www.readbyqxmd.com/read/27923037/adherence-to-colorectal-cancer-screening-four-rounds-of-faecal-immunochemical-test-based-screening
#17
Manon van der Vlugt, Esmée J Grobbee, Patrick Mm Bossuyt, Evelien Bongers, Wolfert Spijker, Ernst J Kuipers, Iris Lansdorp-Vogelaar, Marie-Louise Essink-Bot, Manon C W Spaander, Evelien Dekker
BACKGROUND: The effectiveness of faecal immunochemical test (FIT)-based screening programs is highly dependent on consistent participation over multiple rounds. We evaluated adherence to FIT screening over four rounds and aimed to identify determinants of participation behaviour. METHODS: A total of 23 339 randomly selected asymptomatic persons aged 50-74 years were invited for biennial FIT-based colorectal cancer screening between 2006 and 2014. All were invited for every consecutive round, except for those who had moved out of the area, passed the upper age limit, or had tested positive in a previous screening round...
January 3, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/27906760/improving-the-quality-of-ward-based-surgical-care-with-a-human-factors-intervention-bundle
#18
Maximilian J Johnston, Sonal Arora, Dominic King, Ara Darzi
OBJECTIVE: This study aimed to explore the impact of a human factors intervention bundle on the quality of ward-based surgical care in a UK hospital. SUMMARY OF BACKGROUND DATA: Improving the culture of a surgical team is a difficult task. Engagement with stakeholders before intervention is key. Studies have shown that appropriate supervision can enhance surgical ward safety. METHODS: A pre-post intervention study was conducted. The intervention bundle consisted of twice-daily attending ward rounds, a "chief resident of the week" available at all times on the ward, an escalation of care protocol and team contact cards...
November 30, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27892224/good-hand-hygiene-is-essential
#19
Shan Moses
During a second-year placement on a 25-bed medical ward, I attended a ward round with a medical consultant and his team, to observe how they assessed patients and decided on a care plan. The team was made up of seven staff members, including four junior doctors. They saw about 13 patients on our ward before heading to other wards.
November 23, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27888601/key-issues-in-the-infected-patient-care-in-the-emergency-department
#20
F Chiarella, J González-Del Castillo, F J Candel, E J García-Lamberechts, M J Núñez-Orantos, F J Martín-Sánchez
OBJECTIVE: To develop a set of recommendations, by consensus of Emergency Medicine experts, on key aspects related to the care of adult patients with acute infection attended in Spanish emergency departments (ED). METHODS: The study was divided into three phases: 1) To design a questionnaire by a coordinating group; 2) To conduct a survey in ED physicians in order to know their opinion on the issues raised by the coordinating group; 3) To develop a number of recommendations based on the responses to the questionnaire and their subsequent discussion...
December 2016: Revista Española de Quimioterapia: Publicación Oficial de la Sociedad Española de Quimioterapia
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