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https://www.readbyqxmd.com/read/27906760/improving-the-quality-of-ward-based-surgical-care-with-a-human-factors-intervention-bundle
#1
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
#2
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
#3
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
https://www.readbyqxmd.com/read/27861212/the-interobserver-and-intraobserver-reliability-of-the-sanders-classification-versus-the-risser-stage
#4
Shaleen Vira, Qasim Husain, Cyrus Jalai, Justin Paul, Gregory W Poorman, Caroline Poorman, Richard S Yoon, Christopher Looze, Baron Lonner, Peter G Passias
BACKGROUND: Estimation of skeletal maturity, classically performed using Risser sign, plays a crucial role in the treatment of AIS. Recent data, however, has shown the simplified Tanner-Whitehouse (Sanders) classification, based on an anteriorposterior (AP) hand radiographs, to correlate more closely to the rapid growth phase and thus curve progression. This study evaluated the interobserver and intraobserver reliability of the Sanders and Risser classifications among clinicians at different levels of training...
November 18, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27828629/dermatoscopic-findings-of-pigmented-purpuric-dermatosis
#5
Dilek Biyik Ozkaya, Nazan Emiroglu, Ozlem Su, Fatma Pelin Cengiz, Anil Gulsel Bahali, Pelin Yildiz, Cuyan Demirkesen, Nahide Onsun
Background: Pigmented purpuric dermatosis is a chronic skin disorder of unknown aetiology characterised by symmetrical petechial and pigmented macules, often confined to the lower limbs. The aetiology of pigmented purpuric dermatosis is unknown. Dermatoscopy is a non-invasive diagnostic technique that allows the visualisation of morphological features invisible to the naked eye; it combines a method that renders the corneal layer of the skin translucent with an optical system that magnifies the image projected onto the retina...
September 2016: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/27777679/attending-rounds-the-humptydumptification-of-medical-discourse
#6
Francis A Neelon
No abstract text is available yet for this article.
October 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27777662/rounds-today-a-qualitative-study-of-internal-medicine-and-pediatrics-resident-perceptions
#7
Raphael Rabinowitz, Jeanne Farnan, Oliver Hulland, Lisa Kearns, Michele Long, Bradley Monash, Priti Bhansali, H Barrett Fromme
BACKGROUND : Attending rounds is a key component of patient care and education at teaching hospitals, yet there is an absence of studies addressing trainees' perceptions of rounds. OBJECTIVE : To determine perceptions of pediatrics and internal medicine residents about the current and ideal purposes of inpatient rounds on hospitalist services. METHODS : In this multi-institutional qualitative study, the authors conducted focus groups with a purposive sample of internal medicine and pediatrics residents at 4 teaching hospitals...
October 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27769740/epico-3-0-management-of-non-neutropenic-patients-in-medical-wards
#8
Ricardo Ferrer, Rafael Zaragoza, Alejandro H Rodríguez, Emilio Maseda, Pedro Llinares, Santiago Grau, Francisco Álvarez-Lerma, Guillermo Quindós, Miguel Salavert, Rafael Huarte
BACKGROUND: Although the management of invasive fungal infection (IFI) has improved, a number of controversies persist regarding the approach to invasive fungal infection in non-neutropenic medical ward patients. AIMS: To identify the essential clinical knowledge to elaborate a set of recommendations with a high level of consensus necessary for the management of IFI in non-neutropenic medical ward patients. METHODS: A prospective, Spanish questionnaire, which measures consensus through the Delphi technique, was anonymously answered and e-mailed by 30 multidisciplinary national experts, all specialists (intensivists, anesthesiologists, microbiologists, pharmacologists and specialists in infectious diseases) in IFI and belonging to six scientific national societies...
October 18, 2016: Revista Iberoamericana de Micología
https://www.readbyqxmd.com/read/27765057/new-classification-of-lunate-fossa-fractures-of-the-distal-radius
#9
Jun Zhang, Xin Ran Ji, Ye Peng, Jian Tao Li, Li Hai Zhang, Pei Fu Tang
BACKGROUND: A die-punch fracture is a depression fracture of the lunate fossa of the distal radius. We propose a morphological classification of die-punch fractures that includes five types: center depression fractures, vertical depression fractures, volar depression fractures, dorsal depression fractures, and double die-punch fractures. METHODS: The radiographs of 112 die-punch fractures treated between January 2005 and January 2015 were retrospectively reviewed...
October 21, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27757740/design-and-%C3%AE-testing-of-an-electronic-rounding-tool-certainp-to-improve-process-of-care-in-pediatric-intensive-care-unit
#10
Manasi Hulyalkar, Stephen J Gleich, Rahul Kashyap, Amelia Barwise, Harsheen Kaur, Yue Dong, Lei Fan, Srinivas Murthy, Grace M Arteaga, Sandeep Tripathi
Increasing process complexity in the pediatric intensive care unit (PICU) can lead to information overload resulting in missing pertinent information and potential errors during morning rounds. An efficient model using a novel electronic rounding tool was designed as part of a broader critical care decision support system-checklist for early recognition and treatment of acute illness and injury in pediatrics (CERTAINp). We aimed to evaluate its impact on improving the process of care during rounding. Prospective pre- and post-interventional data included: team performance baseline assessment, patient safety discussion, guideline adherence, rounding time, and a survey of Residents' and Nurses' perception using a Likert scale...
October 18, 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/27752320/pediatric-intensive-care-unit-rounding-improvements
#11
Kirsten Beck, Elaine Albert, Andrew Johnsen, Courtney Newhouse, John McGuire
Medical rounds in the Pediatric Intensive Care Unit (PICU) took about four hours each day to complete. The length of rounds was affecting the advancement of care of the patients, the engagement of sub-specialty providers who needed to be present on other rounds, and the engagement of the PICU faculty and staff due to overburdening waste created by the long duration of rounds. Specific interventions were identified aimed at reducing the duration of rounds each day, increasing engagement of the rounding team and satisfying the needs of the patients and families...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/27751781/epico-3-0-empirical-antifungal-therapy-in-critically-ill-hematology-patients
#12
Pedro Llinares, Isabel Ruiz, Rafael Zaragoza, Ricard Ferrer, Alejandro H Rodríguez, Emilio Maseda, Santiago Grau
BACKGROUND: Although in the past decade the management of invasive fungal infections has improved, a number of controversies persist regarding empirical antifungal treatment in critically-ill hematology patients. AIMS: To identify key clinical knowledge to elaborate a set of recommendations, with a high level of consensus, necessary for the approach to fungal infections in critically-ill hematology patients. METHODS: A Spanish prospective questionnaire, which measures consensus through the Delphi technique, was anonymously answered and e-mailed by 30 multidisciplinary national experts, all specialists in fungal invasive infections from six scientific national societies; intensivists, anesthesiologists, microbiologists, pharmacologists and specialists in infectious diseases...
October 14, 2016: Revista Iberoamericana de Micología
https://www.readbyqxmd.com/read/27741195/women-s-sexual-function-satisfaction-and-perceptions-after-starting-long-acting-reversible-contraceptives
#13
Jenny A Higgins, Jessica N Sanders, Mari Palta, David K Turok
OBJECTIVE: To document how long-acting reversible contraception (LARC) affects women's sexual outcomes. METHODS: In this prospective, observational cohort study, we enrolled new-start intrauterine device and contraceptive implant users attending four family planning clinics. Data collection occurred at baseline, 1 month, and 3 months. Primary outcomes were the Female Sexual Function Index, New Sexual Satisfaction Scale, and perceived sexual effects of method (positive, negative, or none)...
November 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27728850/effectiveness-of-hpv-vaccination-in-women-reaching-screening-age-in-italy
#14
F M Carozzi, C Ocello, E Burroni, H Faust, M Zappa, E Paci, A Iossa, P Bonanni, M Confortini, C Sani
BACKGROUND AND OBJECTIVES: A randomized trial was conducted in Tuscany, Italy, to evaluate the effectiveness of HPV vaccination for 25year old (yo) women who attend at the first time cervical cancer screening. The trial also evaluated immune response after vaccination, reductions of cytological abnormalities and the impact of vaccination on screening activity. STUDY DESIGN: During 2010-2011, all 25 yo women who were invited to the Florence cervical cancer screening programme were also asked to participate in the trial...
October 3, 2016: Journal of Clinical Virology: the Official Publication of the Pan American Society for Clinical Virology
https://www.readbyqxmd.com/read/27702826/training-programs-on-endoscopic-scoring-systems-for-inflammatory-bowel-disease-lead-to-significant-increase-in-inter-observer-agreement-among-community-gastroenterologists
#15
Daperno Marco, Comberlato Michele, Bossa Fabrizio, Alessandro Armuzzi, Biancone Livia, Bonanomi G Andrea, Cosintino Rocco, Lombardi Giovanni, Mangiarotti Roberto, Papa Alfredo, Pica Roberta, Luca Grassano, Pagana Guido, D'Incà Renata, Orlando Ambrogio, Rizzello Fernando
BACKGROUNDS AND AIMS: Endoscopic outcomes are increasingly used in clinical trials and in routine practice for inflammatory bowel disease (IBD), in order to reach more objective patient evaluations than using only clinical features. However reproducibility of endoscopic scoring systems used to categorize endoscopic activity was reported to be suboptimal.Aim of this study was to analyse the inter-rated agreement of non-dedicated Gastroenterologists on IBD endoscopic scoring systems, and to explore the effects of a dedicated training programme on agreement...
October 4, 2016: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/27695232/nummular-headache-clinico-epidemiological-features-in-south-indian-population
#16
K Rammohan, Shyma M Mundayadan, Robert Mathew
CONTEXT: Nummular headache (NH) is a primary disorder characterized by head pain exclusively felt in a small-rounded area typically 2-6 cm in diameter. AIMS: The aim of this review is to study the clinical and epidemiological features of NH in a patient population of South India and to compare this with that of described in the international literature. SETTINGS AND DESIGN: A prospective, observational study conducted in a tertiary care center...
October 2016: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/27687287/taking-osce-examiner-training-on-the-road-reaching-the-masses
#17
Katharine Reid, David Smallwood, Margo Collins, Ruth Sutherland, Agnes Dodds
BACKGROUND: To ensure the rigour of objective structured clinical examinations (OSCEs) in assessing medical students, medical school educators must educate examiners with a view to standardising examiner assessment behaviour. Delivering OSCE examiner training is a necessary yet challenging part of the OSCE process. A novel approach to implementing training for current and potential OSCE examiners was trialled by delivering large-group education sessions at major teaching hospitals. METHODS: The 'OSCE Roadshow' comprised a short training session delivered in the context of teaching hospital 'Grand Rounds' to current and potential OSCE examiners...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27686204/-attendance-in-the-norwegian-breast-cancer-screening-programme
#18
Sofie Sebuødegård, Silje Sagstad, Solveig Hofvind
BACKGROUND A high rate of attendance among women invited to the Norwegian Breast Cancer Screening Programme (NBCSP) is essential to achieve optimal effect, including reduction in breast cancer mortality. This article describes attendance in the programme by county, period and women's age at invitation.MATERIAL AND METHOD All women in the age group 50 - 69 years who are registered in the National Population Register are invited to attend the NBCSP every second year. In the study period 2007 - 2014, 2 142 369 invitations were sent, and 1 600 293 screening examinations were performed for 710 169 women...
September 2016: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
https://www.readbyqxmd.com/read/27660757/dare-train-the-trainer-pedagogy-development-using-2-round-delphi-methodology
#19
Wei Wei Dayna Yong, Phek Hui Jade Kua, Swee Sung Soon, Pin Pin Maeve Pek, Marcus Eng Hock Ong
The Dispatcher-Assisted first REsponder programme aims to equip the public with skills to perform hands-only cardiopulmonary resuscitation (CPR) and to use an automated external defibrillator (AED). By familiarising them with instructions given by a medical dispatcher during an out-of-hospital cardiac arrest call, they will be prepared and empowered to react in an emergency. We aim to formalise curriculum and standardise the way information is conveyed to the participants. A panel of 20 experts were chosen...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27658454/resilience-of-a-fit-screening-programme-against-screening-fatigue-a-modelling-study
#20
Marjolein J E Greuter, Johannes Berkhof, Karen Canfell, Jie-Bin Lew, Evelien Dekker, Veerle M H Coupé
BACKGROUND: Repeated participation is important in faecal immunochemical testing (FIT) screening for colorectal cancer (CRC). However, a large number of screening invitations over time may lead to screening fatigue and consequently, decreased participation rates. We evaluated the impact of screening fatigue on overall screening programme effectiveness. METHODS: Using the ASCCA model, we simulated the Dutch CRC screening programme consisting of biennial FIT screening in individuals aged 55-75...
2016: BMC Public Health
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