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https://www.readbyqxmd.com/read/27903769/education-for-the-next-frontier-in-patient-safety-a-longitudinal-resident-curriculum-on-diagnostic-error
#1
Emily Ruedinger, Maren Olson, Justin Yee, Emily Borman-Shoap, Andrew P J Olson
Diagnostic error is a common, serious problem that has received increased attention recently for its impact on both patients and providers. Presently, most graduate medical education programs do not formally address this topic. The authors developed and evaluated a longitudinal, multimodule resident curriculum about diagnostic error and medical decision making. Key components of the curriculum include demystifying the medical decision-making process, building skills in critical thinking, and providing strategies for diagnostic error mitigation...
November 29, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27844476/coprescribing-naloxone-for-patients-on-chronic-opioid-therapy-les-sons-learned-from-a-patient-safety-initiative-in-primary-care-training-sites
#2
William Delaney, Jessica Huff, Sandra Mini, Aiswarya Thomas, Ralph Tremaglio
OBJECTIVE: To describe the development and implementation of a resident-led effort to increase coprescription of naloxone in a primary care setting. DESIGN: An exploratory, prospective pilot project to increase coprescription rates of naloxone. SETTING: Four primary care offices in western Connecticut serving as medical home training sites for primary care residents. PATIENTS, PARTICIPANTS: All patients on chronic opioid therapy...
September 2016: Journal of Opioid Management
https://www.readbyqxmd.com/read/27815055/strengths-and-deficiencies-in-the-content%C3%A2-of-us-radiology-private-practices-%C3%A2-websites
#3
Evan J Johnson, Ankur M Doshi, Andrew B Rosenkrantz
PURPOSE: The Internet provides a potentially valuable mechanism for radiology practices to communicate with patients and enhance the patient experience. The aim of this study was to assess the websites of US radiology private practices, with attention to the frequency of content of potential patient interest. METHODS: The 50 largest private practice radiology facilities in the United States were identified from RadiologyBusiness.com. Websites were reviewed for information content and functionality...
November 1, 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27796919/accrediting-graduate-medical-education-in-psychiatry-past-present-and-future
#4
REVIEW
Toni Johnson, Nadyah Janine John, Michael Lang, P G Shelton
The current terminology, goals, and general competency framework systematically utilized in the education of residents regardless of specialty is almost unrecognizable and quite foreign to those who trained before 2010. For example, the clinical and professional expectations for physicians-in-training have been placed onto a developmental framework of milestones. The expectations required during training have been expanded to include leadership and team participation skills, proficiency in the use of information technology, systems-based knowledge including respect of resources and cost of care, patient safety, quality improvement, population health and sensitivity to diversity for both individual and populations of patients...
October 28, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27769319/canadian-ophthalmic-microsurgery-course-an-innovative-spin-on-wet-lab-based-surgical-education
#5
Eddie Y Liu, Bo Li, Cindy M L Hutnik
Wet lab and surgical simulation can reduce the learning curve of difficult surgical techniques, accelerate the rate for trainees to achieve surgical competency, and improve patient safety. To provide the most up-to-date information and hands-on experiences with novel ophthalmic surgical techniques and instruments, the Department of Ophthalmology at Western University has created a wet lab-based, multilevel microsurgery skills transfer course through collaboration with various industry partners. Several elements in the course goal and design differentiate this type of surgical course from typical wet labs: the format is multileveled surgical training, with a beginner level targeting undergraduate medical students, an intermediate level for ophthalmology residents, and an advanced level for trained ophthalmologist...
October 2016: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/27768160/integrating-morbidity-and-mortality-core-competencies-and-quality-improvement-in-otolaryngology
#6
Adrienne M Laury, Sarah N Bowe, Joshua Lospinoso
Importance: To date, an otolaryngology-specific morbidity and mortality (M&M) conference has never been reported or evaluated. Objective: To propose a novel otolaryngology-specific M&M format and to assess its success using a validated assessment tool. Design, Setting, and Participants: Preintervention and postintervention cohort study spanning 14 months (September 2014 to November 2015), with 32 faculty, residents, and medical students attending the department of otolaryngology M&M conference, conducted at the the San Antonio Uniformed Services Health Education Consortium...
October 20, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27733666/the-impacts-of-a-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets-for-monitoring-oral-chemotherapy
#7
Brandon Battis, Linda Clifford, Mostaqul Huq, Edrick Pejoro, Scott Mambourg
OBJECTIVES: Patients treated with oral chemotherapy appear to have less contact with the treating providers. As a result, safety, adherence, medication therapy monitoring, and timely follow-up may be compromised. The trend of treating cancer with oral chemotherapy agents is on the rise. However, standard clinical guidance is still lacking for prescribing, monitoring, patient education, and follow-up of patients on oral chemotherapy across the healthcare settings. The purpose of this project is to establish an oral chemotherapy monitoring clinic, to create drug and lab specific provider order sets for prescribing and lab monitoring, and ultimately to ensure safe and effective treatment of the veterans we serve...
October 12, 2016: Journal of Oncology Pharmacy Practice
https://www.readbyqxmd.com/read/27729822/perceptions-of-final-year-medical-students-towards-the-impact-of-gender-on-their-training-and-future-practice
#8
Jacqueline M Van Wyk, Soornarain S Naidoo, Kogie Moodley, Susan B Higgins-Opitz
INTRODUCTION: Following policy implementations to redress previous racial and gender discrepancies, this study explored how gender impacted on the clinical experiences of final-year medical students during their undergraduate training. It also gathered their perceptions and expectations for the future. METHODS: This cross-sectional, mixed-method study used a purposive sampling method to collect data from the participants (n=94). Each respondent was interviewed by two members of the research team...
2016: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/27669133/prioritizing-cross-disciplinary-teaching-and-learning-and-patient-safety-in-hospital-based-environments
#9
Aimee Milliken
In this case scenario, Darvid is a medical student who perceives that practicing his physical examination of a patient at a specific time conflicts with nursing care. His predicament highlights the importance of interprofessional communication. Darvid is hesitant to communicate with the nurse, and his fear is exacerbated by the hierarchical structure of the academic health care setting, exemplified by the senior resident's dismissive response to his concerns. This paper argues that every opportunity should be made to prioritize students' learning but that the patient's needs must come first...
2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27650758/patient-safety-during-radiological-examinations-a-nationwide-survey-of-residency-training-hospitals-in-taiwan
#10
Yuan-Hao Lee, Clayton Chi-Chang Chen, San-Kan Lee, Cheng-Yu Chen, Yung-Liang Wan, Wan-Yuo Guo, Amy Cheng, Wing P Chan
OBJECTIVES: Variations in radiological examination procedures and patient load lead to variations in standards of care related to patient safety and healthcare quality. To understand the status of safety measures to protect patients undergoing radiological examinations at residency training hospitals in Taiwan, a follow-up survey evaluating the full spectrum of diagnostic radiology procedures was conducted. DESIGN: Questionnaires covering 12 patient safety-related themes throughout the examination procedures were mailed to the departments of diagnostic radiology with residency training programmes in 19 medical centres (with >500 beds) and 17 smaller local institutions in Taiwan...
2016: BMJ Open
https://www.readbyqxmd.com/read/27632944/community-pharmacists-as-educators-in-danish-residential-facilities-a-qualitative-study
#11
Anna Mygind, Mira El-Souri, Kirsten Pultz, Charlotte Rossing, Linda A Thomsen
OBJECTIVES: To explore experiences with engaging community pharmacists in educational programmes on quality and safety in medication handling in residential facilities for the disabled. METHODS: A secondary analysis of data from two Danish intervention studies where community pharmacists were engaged in educational programmes. Data included 10 semi-structured interviews with staff, five semi-structured interviews and three open-ended questionnaires with residential facility managers, and five open-ended questionnaires to community pharmacists...
September 16, 2016: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/27617963/improving-incident-reporting-among-physician-trainees
#12
Mona Krouss, Jumana Alshaikh, Lindsay Croft, Daniel J Morgan
BACKGROUND: Preventable medical harm is a leading cause of death in the United States. Incident reporting systems have been identified as the primary method to capture medical error and harm. Incidents are rarely reported, particularly among physician trainees. METHODS: We conducted a single-center, quasi-experimental study to examine the effect of education on the importance of and how to file an incident report for physician trainees on reporting rates. Trainees were provided laminated plastic instructions, and reporting was reinforced with weekly patient safety rounds...
September 9, 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/27575754/psychiatric-education-in-the-correctional-setting-challenges-and-opportunities
#13
Brian J Holoyda, Charles L Scott
As the need for mental healthcare services within correctional settings in the US increases, so does the need for a mental health workforce that is motivated to work within such systems. One potentially effective method by which to increase the number of psychiatrists working in jails, prisons, and parole clinics is to provide exposure to these environments during their training. Correctional settings can serve as unique training sites for medical students and psychiatric residents and fellows. Such training experiences can provide a host of benefits to both trainees and staff within the correctional mental health system...
August 30, 2016: International Review of Psychiatry
https://www.readbyqxmd.com/read/27547876/impact-of-health-care-adversity-on-providers-lessons-learned-from-a-staff-support-program
#14
Maxine Trent, Kimberly Waldo, Hania Wehbe-Janek, Daniel Williams, Wendy Hegefeld, Lisa Havens
BACKGROUND: Health care providers often experience traumatic events and adversity that can have negative emotional impacts on the profession and on patients. These impacts are typically multifaceted and can result from many different events, such as unanticipated outcomes, licensing board complaints, claims, and litigation. Because health care providers are exposed to diverse situations, they require adequate and timely support, imperative for provider resilience and patient safety. This study evaluated the success of an institution's second victim health care support program and best practices in responding to these traumatic experiences effectively...
August 2016: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/27540198/changing-prescribing-culture-a-focus-on-codeine-postpartum
#15
Noor Al-Adhami, Karen Whitfield, Angela North
AIM: To eliminate the prescribing of codeine and codeine combination products postpartum to improve safety in breast fed infants.Concerns have been raised over the use of codeine and codeine combination products during breast feeding after the death of a neonate whose mother had been prescribed codeine postpartum. High concentrations of morphine were found in the infant's blood and this was attributed to the mother being a CYP2D6 ultrafast metaboliser.1 METHODS: The evidence surrounding the safety of codeine and codeine combination products in children, during the postpartum period and specifically for breast fed infants was collated...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27496242/effect-of-warning-symbols-in-combination-with-education-on-the-frequency-of-erroneously-crushing-medication-in-nursing-homes-an-uncontrolled-before-and-after-study
#16
Steven van Welie, Linda Wijma, Tim Beerden, Jasperien van Doormaal, Katja Taxis
OBJECTIVES: Residents of nursing homes often have difficulty swallowing (dysphagia), which complicates the administration of solid oral dosage formulations. Erroneously crushing medication is common, but few interventions have been tested to improve medication safety. Therefore, we evaluated the effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes. SETTING: This was a prospective uncontrolled intervention study with a preintervention and postintervention measurement...
2016: BMJ Open
https://www.readbyqxmd.com/read/27495348/increasing-resident-utilization-and-recognition-of-the-critical-view-of-safety-during-laparoscopic-cholecystectomy-a-pilot-study-from-an-academic-medical-center
#17
Crystal B Chen, Francesco Palazzo, Stephen M Doane, Jordan M Winter, Harish Lavu, Karen A Chojnacki, Ernest L Rosato, Charles J Yeo, Michael J Pucci
BACKGROUND: Laparoscopic cholecystectomy (LC) is a commonly performed surgical procedure; however, it is associated with an increased rate of bile duct injury (BDI) when compared to the open approach. The critical view of safety (CVS) provides a secure method of ductal identification to help avoid BDI. CVS is not universally utilized by practicing surgeons and/or taught to surgical residents. We aimed to pilot a safe cholecystectomy curriculum to demonstrate that educational interventions could improve resident adherence to and recognition of the CVS during LC...
August 5, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27452336/patient-safety-and-quality-improvement-a-cler-time-to-move-beyond-peripheral-participation
#18
Daniel J Schumacher, John G Frohna
In the United States, the Accreditation Council for Graduate Medical Education (ACGME) has instituted a new program, the Clinical Learning Environment Review (CLER), that places focus in six important areas of the resident and fellow working and learning environment. Two of these areas are patient safety and quality improvement (QI). In their early CLER reviews of institutions housing ACGME-accredited training programs, ACGME has found that despite significant progress in patient safety and QI to date much work remains, especially when it comes to meaningful engagement of medical trainees in this work...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27412109/cohort-profile-the-finnish-medication-and-alzheimer-s-disease-medalz-study
#19
Anna-Maija Tolppanen, Heidi Taipale, Marjaana Koponen, Piia Lavikainen, Antti Tanskanen, Jari Tiihonen, Sirpa Hartikainen
PURPOSE: The aim of the Medicine use and Alzheimer's disease (MEDALZ) study is to investigate the changes in medication and healthcare service use among persons with Alzheimer's disease (AD) and to evaluate the safety and effectiveness of medications in this group. This is important, because the number of persons with AD is rapidly growing and even though they are a particularly vulnerable patient group, the number of representative, large-scale studies with adequate follow-up time is limited...
2016: BMJ Open
https://www.readbyqxmd.com/read/27384109/measuring-moral-courage-for-interns-and-residents-scale-development-and-initial-psychometrics
#20
William Martinez, Sigall K Bell, Jason M Etchegaray, Lisa Soleymani Lehmann
PURPOSE: To develop a practical and psychometrically sound set of survey items that measures moral courage for physicians in the context of patient care. METHOD: In 2013, the 731 internal medicine and surgical interns and residents from two northeastern U.S. academic medical centers were invited to anonymously complete a survey about moral courage, empathy, and speaking up about patient safety breaches. RESULTS: Of the eligible participants, 352 (48%) responded...
July 5, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
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