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https://www.readbyqxmd.com/read/29913462/curriculum-development-and-implementation-of-a-national-interprofessional-fellowship-in-patient-safety
#1
Bradley V Watts, Linda Williams, Peter D Mills, Douglas E Paull, Jeffrey A Cully, Stuart C Gilman, Robin R Hemphill
OBJECTIVES: Developing a workforce skilled in improving the safety of medical care has often been cited as an important means to achieve safer care. Although some educational programs geared toward patient safety have been developed, few advanced training programs have been described in the literature. We describe the development of a patient safety fellowship program. METHODS: We describe the development and curriculum of an Interprofessional Fellowship in Patient Safety...
June 15, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29913348/from-linear-care-plan-through-concept-map-to-concepto-plan-the-creation-of-an-innovative-and-holistic-care-plan
#2
M Sherry McDonald, Melanie Neumeier, Mark E Olver
Linear care plans have traditionally been used in nursing education to support nursing students in identifying potential and actual health care problems, and to follow up on those issues with nursing interventions. However, the linear care plan does not support the nursing student with learning in-depth critical thinking, clinical reasoning, creative thinking, and other ways of thinking. Concept mapping was introduced as a way to support the nursing student to improve upon critical thinking and clinical reasoning and to identify relationships among the patient's health care problems...
May 26, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29912815/monitoring-self-reported-adherence-to-antiretroviral-therapy-in-public-hiv-care-facilities-in-brazil-a-national-cross-sectional-study
#3
Maria Altenfelder Santos, Mark Drew Crosland Guimarães, Ernani Tiaraju Santa Helena, Cáritas Relva Basso, Felipe Campos Vale, Wania Maria do Espírito Santo Carvalho, Ana Maroso Alves, Gustavo Machado Rocha, Francisco de Assis Acurcio, Maria das Graças Braga Ceccato, Rogério Ruscitto do Prado, Paulo Rossi Menezes, Maria Ines Batistella Nemes
INTRODUCTION: Patient adherence to antiretroviral therapy (ART) is critical for HIV treatment success. Monitoring rates of adherence in public HIV outpatient care facilities can improve outcomes in Brazil where ART is universally available. METHODS: We conducted a national cross-sectional survey of ART adherence in 2010. Participants were selected using a multistage probability sample. First, HIV outpatient care facilities were stratified according to 7 Organizational Quality Classification (OQC) groups and regions...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29910968/utilization-of-open-source-technology-to-create-cost-effective-microscope-camera-systems-for-teaching
#4
Anil Reddy Konduru, Balasaheb R Yelikar, K V Sathyashree, Ankur Kumar
Background: Open source technologies and mobile innovations have radically changed the way people interact with technology. These innovations and advancements have been used across various disciplines and already have a significant impact. Microscopy, with focus on visually appealing contrasting colors for better appreciation of morphology, forms the core of the disciplines such as Pathology, microbiology, and anatomy. Here, learning happens with the aid of multi-head microscopes and digital camera systems for teaching larger groups and in organizing interactive sessions for students or faculty of other departments...
2018: Journal of Pathology Informatics
https://www.readbyqxmd.com/read/29909494/the-efficacy-and-safety-of-knotless-barbed-sutures-in-total-joint-arthroplasty-a-meta-analysis-of-randomized-controlled-trials
#5
Yanhong Han, Weiyi Yang, Jianke Pan, Lingfeng Zeng, Guihong Liang, Jiongtong Lin, Minghui Luo, Da Guo, Jun Liu
BACKGROUND: The knotless barbed sutures (KBS) are an innovative type of suture that can accelerate the placement of sutures and eliminate knot tying. Whether the KBS are safe and efficient in total joint arthroplasty (TJA) remains controversial. Therefore, we conducted a meta-analysis to evaluate its efficacy and safety. METHODS: Randomized-controlled trials (RCTs) were identified from the PubMed, Embase, and Cochrane Library databases up to October 2017. The Cochrane risk of bias tool was used to assess methodological quality...
June 16, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29909284/lean-methodology-in-healthcare
#6
REVIEW
Rubin I Cohen
To improve the delivery of patient care, governments and healthcare institutions adopted quality improvement methods that had been developed decades earlier in manufacturing industries. Many healthcare practitioners are either unaware or are inexperienced about what these practices entail and whether they are successful in healthcare. This article reviews Lean, an improvement philosophy made famous by the Toyota Motor Company. Lean uses a set of instruments and incorporates a long-term vision aiming for continuous improvement...
June 14, 2018: Chest
https://www.readbyqxmd.com/read/29908022/relationship-between-lean-practices-soft-total-quality-management-and-innovation-skills-in-lebanese-hospitals
#7
Malak Aoun, Norlena Hasnan, Hassan Al-Aaraj
Background: Lean practices are critical to eliminate waste and enhance the quality of healthcare services through different improvement approaches of total quality management (TQM). In particular, the soft side of TQM is used to develop the innovation skills of employees that are essential for the continuous improvement strategies of hospitals. Aim: The main objective was to study the relationship between lean practices, soft TQM and innovation skills in Lebanese hospitals...
June 10, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29907539/serum-trough-level-as-a-postmarketing-quality-measure-of-generic-vancomycin-products
#8
Ya-Wen Tsai, Yu-Chiang Wang, Shian-Sen Shie, Min-Chi Chen, Yhu-Chering Huang, Chih-Jung Chen
BACKGROUND: The vancomycin trough level (VTL) is the most widely used pharmacokinetic parameter for monitoring its clinical efficacy. Whether the VTL is affected in patients receiving different vancomycin products has not previously been determined. METHODS: From 2005 to 2015, five vancomycin products, including the innovator (designated as VAN-Lilly) and four generic versions (designated as VAN-A, VAN-B, VAN-C and VAN-D), were sequentially used in a teaching hospital...
June 2, 2018: Journal of Microbiology, Immunology, and Infection, Wei Mian Yu Gan Ran za Zhi
https://www.readbyqxmd.com/read/29907511/developing-and-assessing-electronic-checklists-for-safety-mindfulness-workload-and-performance
#9
Gregg S Tracton, Lukasz M Mazur, Prithima Mosaly, Lawrence B Marks, Shiva Das
PURPOSE: The aim of this study is to propose a set of innovative principles for the effective design of electronic checklists to enhance safety mindfulness (a specific safety mindful mindset that offers the opportunity to operate more preemptively during routine quality assurance tasks) and discuss some of our preliminary results from testing our proposed electronic checklist with dosimetrists and physicists. METHODS AND MATERIALS: A multidisciplinary team designed, developed, and evaluated the utility of the electronic checklist (vs paper-based checklist) to promote safety mindfulness...
May 16, 2018: Practical Radiation Oncology
https://www.readbyqxmd.com/read/29907272/noninvasive-options
#10
REVIEW
Giuseppe Bello, Alessandra Ionescu Maddalena, Valentina Giammatteo, Massimo Antonelli
Noninvasive ventilation (NIV) has assumed a central role in the treatment of selected patients with acute respiratory failure due to exacerbated chronic obstructive pulmonary disease or acute cardiogenic pulmonary edema. Recent advances in the understanding of physiologic aspects of NIV application through different interfaces and ventilator settings have led to improved patient-machine interaction, enhancing favorable NIV outcome. In recent years, the growing role of NIV in the acute care setting has led to the development of technical innovations to overcome the problems related to gas leakage and dead space, improving the quality of the devices and optimizing ventilation modes...
July 2018: Critical Care Clinics
https://www.readbyqxmd.com/read/29906612/nad-and-sirtuins-in-retinal-degenerative-diseases-a-look-at-future-therapies
#11
REVIEW
Jonathan B Lin, Rajendra S Apte
Retinal degenerative diseases are a major cause of morbidity in modern society because visual impairment significantly decreases the quality of life of patients. A significant challenge in treating retinal degenerative diseases is their genetic and phenotypic heterogeneity. However, despite this diversity, many of these diseases share a common endpoint involving death of light-sensitive photoreceptors. Identifying common pathogenic mechanisms that contribute to photoreceptor death in these diverse diseases may lead to a unifying therapy for multiple retinal diseases that would be highly innovative and address a great clinical need...
June 12, 2018: Progress in Retinal and Eye Research
https://www.readbyqxmd.com/read/29905861/evaluation-of-a-mobile-approach-to-gender-based-violence-service-delivery-among-syrian-refugees-in-lebanon
#12
Pamela Lilleston, Liliane Winograd, Spogmay Ahmed, Dounia Salamé, Dayana Al Alam, Kirsten Stoebenau, Ilaria Michelis, Sunita Palekar Joergensen
As the landscape of humanitarian response shifts from camp-based to urban- and informal-tented settlement-based responses, service providers and policymakers must consider creative modes for delivering health services. Psychosocial support and case management can be life-saving services for refugee women and girls who are at increased risk for physical, sexual and psychological gender-based violence (GBV). However, these services are often unavailable in non-camp refugee settings. We evaluated an innovative mobile service delivery model for GBV response and mitigation implemented by the International Rescue Committee (IRC) in Lebanon...
June 13, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29905790/characterization-of-the-tissue-and-stromal-cell-components-of-micro-superficial-enhanced-fluid-fat-injection-micro-seffi-for-facial-aging-treatment
#13
Martina Rossi, Barbara Roda, Silvia Zia, Ilaria Vigliotta, Chiara Zannini, Francesco Alviano, Laura Bonsi, Andrea Zattoni, Pierluigi Reschiglian, Alessandro Gennai
Background: New microfat preparations provide material suitable for use as a regenerative filler for different facial areas. To support the development of new robust techniques for regenerative purposes, the cellular content of the sample should be considered. Objectives: To evaluate the stromal vascular fraction (SVF) cell components of micro-superficial enhanced fluid fat injection (SEFFI) samples via a technique to harvest re-injectable tissue with minimum manipulation...
June 14, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29905568/model-of-creating-proper-research-environment-in-medical-education-organizations
#14
Bekbergenova Zh Umbetzhanova A, V Koikov, G Derbissalina, G Tuleshova
A good research environment is an environment that effectively stimulates research, attracts productive scientists and ensures the result in the form of scientific knowledge transferred to practical application. The formation of a good research environment depends on a large number of factors. The aim of the study was to identify factors, which influence on the medical universities research performance and on the basis of this forming the model of proper research environment in the medical education organizations...
May 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29904730/surveillance-and-epidemiology-of-drug-resistant-infections-consortium-sedric-supporting-the-transition-from-strategy-to-action
#15
Keiji Fukuda, Direk Limmathurotsakul, Iruka N Okeke, Nandini Shetty, Rogier van Doorn, Nicholas A Feasey, Francesca Chiara, Ghada Zoubiane, Tim Jinks, Julian Parkhill, Jean Patel, Stuart W J Reid, Alison H Holmes, Sharon J Peacock
In recognition of the central importance of surveillance and epidemiology in the control of antimicrobial resistance and the need to strengthen surveillance at all levels, Wellcome has brought together a new international expert group SEDRIC (Surveillance and Epidemiology of Drug Resistant Infections Consortium). SEDRIC aims to advance and transform the ways of tracking, sharing and analysing rates of infection and drug resistance, burden of disease, information on antibiotic use, opportunities for preventative measures such as vaccines, and contamination of the environment...
2018: Wellcome Open Research
https://www.readbyqxmd.com/read/29904243/quality-of-care-in-inflammatory-bowel-diseases-what-is-the-best-way-to-better-outcomes
#16
REVIEW
Matthew Strohl, Lorant Gonczi, Zsuzsanna Kurt, Talat Bessissow, Peter L Lakatos
Inflammatory bowel disease (IBD) is a lifelong, progressive disease that has disabling impacts on patient's lives. Given the complex nature of the diagnosis of IBD and its management there is consequently a large economic burden seen across all health care systems. Quality indicators (QI) have been created to assess the different façades of disease management including structure, process and outcome components. Their development serves to provide a means to target and measure quality of care (QoC). Multiple different QI sets have been published in IBD, but all serve the same purpose of trying to achieve a standard of care that can be attained on a national and international level, since there is still a major variation in clinical practice...
June 14, 2018: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29903043/topolnogical-classifier-for-detecting-the-emergence-of-epileptic-seizures
#17
Marco Piangerelli, Matteo Rucco, Luca Tesei, Emanuela Merelli
OBJECTIVE: An innovative method based on topological data analysis is introduced for classifying EEG recordings of patients affected by epilepsy. We construct a topological space from a collection of EEGs signals using Persistent Homology; then, we analyse the space by Persistent entropy, a global topological feature, in order to classify healthy and epileptic signals. RESULTS: The performance of the resulting one-feature-based linear topological classifier is tested by analysing the Physionet dataset...
June 14, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29898671/a-study-protocol-of-older-person-s-exercise-and-nutrition-study-open-a-sit-to-stand-activity-combined-with-oral-protein-supplement-effects-on-physical-function-and-independence-a-cluster-randomized-clinical-trial
#18
Helena Grönstedt, Sofia Vikström, Tommy Cederholm, Erika Franzén, Åke Seiger, Anders Wimo, Gerd Faxén-Irving, Anne-Marie Boström
BACKGROUND: Poor nutrition and age per see add to the development of sarcopenia, i.e. loss of muscle mass and strength, which contributes to increased risk of impaired activities of daily living (ADL) and reduced independence. Protein deficiency plays an important role in the development of sarcopenia. In order to increase the muscle mass protein intake should be combined with physical exercise. A daily physical activity, the sit-to-stand exercise, has been proven to decrease older persons' dependence in ADL...
June 7, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29898585/outcome-measures-in-the-clinical-evaluation-of-ambulatory-charcot-marie-tooth-1a-subjects
#19
Laura Mori, Valeria Prada, Alessio Signori, Davide Pareyson, Giuseppe Piscosquito, Luca Padua, Costanza Pazzaglia, Gian M Fabrizi, Alessandro Picelli, Angelo Schenone
BACKGROUND: The outcome measures (OMs) in clinical trials for Charcot Marie Tooth disease (CMT) still represent an issue. A recent study highlighted that three additional clinical OMs, the 10 meters walk test (10MWT), 9 hole-peg test, and foot dorsal flexion dynamometry, further improve discrimination between severely and mildly affected patients. Another study recently assess the validity and reliability of the 6 Minutes Walking test (6MWT). AIM: To identify the most useful scales in the clinical evaluation of CMT1A patients...
June 11, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29898547/the-influence-of-biopreparations-on-the-reduction-of-energy-consumption-and-co-2-emissions-in-shallow-and-deep-soil-tillage
#20
Vilma Naujokienė, Egidijus Šarauskis, Kristina Lekavičienė, Aida Adamavičienė, Sidona Buragienė, Zita Kriaučiūnienė
The application of innovation in agriculture technologies is very important for increasing the efficiency of agricultural production, ensuring the high productivity of plants, production quality, farm profitability, the positive balance of used energy, and the requirements of environmental protection. Therefore, it is a scientific problem that solid and soil surfaces covered with plant residue have a negative impact on the work, traction resistance, energy consumption, and environmental pollution of tillage machines...
June 1, 2018: Science of the Total Environment
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