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Keywords Physician assistants and quali...

Physician assistants and quality of care

https://read.qxmd.com/read/38538780/psychosocial-consequences-of-head-and-neck-cancer-symptom-burden-after-chemoradiation-a-mixed-method-study
#1
JOURNAL ARTICLE
Carley Geiss, Aasha I Hoogland, Brandy Arredondo, Yvelise Rodriguez, Crystal Bryant, Christine H Chung, Krupal B Patel, Brian D Gonzalez, Heather S L Jim, Kedar Kirtane, Laura B Oswald
PURPOSE: Patients with head and neck cancer (HNC) experience significant symptom burden from combination chemotherapy and radiation (chemoradiation) that affects acute and long-term health-related quality of life (HRQOL). However, psychosocial impacts of HNC symptom burden are not well understood. This study examined psychosocial consequences of treatment-related symptom burden from the perspectives of survivors of HNC and HNC healthcare providers. METHODS: This was a cross-sectional, mixed-method study conducted at an NCI-designated comprehensive cancer center...
March 27, 2024: Supportive Care in Cancer
https://read.qxmd.com/read/38526928/an-overview-of-the-methodology-used-to-develop-clinical-practice-guidelines-for-the-management-of-acute-and-intraoperative-spinal-cord-injury
#2
JOURNAL ARTICLE
Lindsay A Tetreault, Andrea C Skelly, Mohammed Ali Alvi, Brian K Kwon, Nathan Evaniew, Michael G Fehlings
STUDY DESIGN: An overview of the methods used to develop clinical practice guidelines (CPGs). OBJECTIVES: Acute spinal cord injury (SCI) and intraoperative SCI (ISCI) can have devastating physical and psychological consequences for patients and their families. To date, there are several studies that have discussed the diagnostic and management strategies for both SCI and ISCI. CPGs in SCI help to distill and translate the current evidence into actionable recommendations, standardize care across centers, optimize patient outcomes, and reduce costs and unnecessary interventions...
March 2024: Global Spine Journal
https://read.qxmd.com/read/38518810/an-initiative-to-prevent-surgical-site-infections-after-cesarean-birth-with-a-quality-improvement-care-bundle
#3
JOURNAL ARTICLE
Sheri Walker, Abigail Hebb
OBJECTIVE: To reduce surgical site infections (SSIs) after cesarean birth through a bundled approach. DESIGN: Quality improvement project. SETTING/LOCAL PROBLEM: In a community hospital obstetric unit, an increase in SSIs after cesarean birth was observed. PARTICIPANTS: Nursing leaders, obstetricians, certified nurse-midwives, physician assistants, nurses, scrub technicians, a nursing professional development specialist, and an infection prevention practitioner...
March 19, 2024: Nursing for Women's Health
https://read.qxmd.com/read/38515797/mid-level-health-providers-mlhps-in-delivering-and-improving-access-to-primary-health-care-services-a-narrative-review
#4
REVIEW
Vishal Chauhan, Neha Dumka, Erin Hannah, Tarannum Ahmed, Atul Kotwal
BACKGROUND: For primary healthcare systems to bring care closer to the communities, the availability of appropriate human resources is crucial. The primary care workforce in the world is expanding to include non-physician health workers (NPHWs) to increase its capacity. Also, NPHWs as mid-level health providers (MLHPs) are currently being employed in high- and low-income countries to assist doctors and specialists to make up for the scarcity of health professionals. Given the wide prevalence in the deployment of NPHWs as mid-level health providers, this article collates recent evidence on the role of MLHPs in improving access to primary healthcare services, and their enablers and barriers in integrating them in primary care teams...
December 2023: Dialogues Health
https://read.qxmd.com/read/38512119/integration-of-a-nurse-practitioner-and-physician-associate-leadership-structure-within-an-academic-cancer-center
#5
JOURNAL ARTICLE
Heather J Jackson, Olivia West, Shelton Harrell, Emily Skotte, Karen Hande
BACKGROUND: Nurse practitioners and physician associates are an essential part of the multidisciplinary cancer care team with expanding and evolving roles within cancer specialties. LOCAL PROBLEM: As these clinicians flourish, a parallel need for leadership rises to optimize scope of practice, mentor, and retain this crucial workforce. The purpose of this quality improvement project was to development a nurse practitioner and physician associate leadership structure within an academic cancer center...
March 21, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38506968/leveraging-the-capabilities-of-ai-novice-neurology-trained-operators-performing-cardiac-pocus-in-patients-with-acute-brain-injury
#6
JOURNAL ARTICLE
Jennifer Mears, Safa Kaleem, Rohan Panchamia, Hooman Kamel, Chris Tam, Richard Thalappillil, Santosh Murthy, Alexander E Merkler, Cenai Zhang, Judy H Ch'ang
BACKGROUND: Cardiac point-of-care ultrasound (cPOCUS) can aid in the diagnosis and treatment of cardiac disorders. Such disorders can arise as complications of acute brain injury, but most neurologic intensive care unit (NICU) providers do not receive formal training in cPOCUS. Caption artificial intelligence (AI) uses a novel deep learning (DL) algorithm to guide novice cPOCUS users in obtaining diagnostic-quality cardiac images. The primary objective of this study was to determine how often NICU providers with minimal cPOCUS experience capture quality images using DL-guided cPOCUS as well as the association between DL-guided cPOCUS and change in management and time to formal echocardiograms in the NICU...
March 20, 2024: Neurocritical Care
https://read.qxmd.com/read/38495780/12-tips-for-developing-physician-education
#7
JOURNAL ARTICLE
Kelly McCoy, Lisa Fore-Arcand
The education of a physician is a life-long process. Healthcare is a dynamic field characterized by continuous advancements in medicine, evolving treatment options, changing regulations, care models, and technology. Physicians must keep up-to-date with new practices, procedures, medications, and diseases and fulfill the educational requirements to maintain their medical licensure. Continuing education for physicians serves the essential purpose of nurturing lifelong learning, ensuring that medical practices align with the latest standards, and ultimately enhancing the quality of patient care and outcomes...
2024: MedEdPublish (2016)
https://read.qxmd.com/read/38488792/clinicians-who-practice-primarily-in-nursing-homes-and-the-quality-of-end-of-life-care-among-residents
#8
JOURNAL ARTICLE
Arnab K Ghosh, Mark Aaron Unruh, Hyunkyung Yun, Hye-Young Jung
IMPORTANCE: Clinician specialization in the care of nursing home (NH) residents or patients in skilled nursing facilities (SNFs) has become increasingly common. It is not known whether clinicians focused on NH care, often referred to as SNFists (ie, physicians, nurse practitioners, and physician assistants concentrating their practice in the NH or SNF setting), are associated with a reduced likelihood of burdensome transitions in the last 90 days of life for residents, which are a marker of poor-quality end-of-life (EOL) care...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38484191/artificial-intelligence-based-radiotherapy-contouring-and-planning-to-improve-global-access-to-cancer-care
#9
JOURNAL ARTICLE
Laurence E Court, Ajay Aggarwal, Anuja Jhingran, Komeela Naidoo, Tucker Netherton, Adenike Olanrewaju, Christine Peterson, Jeannette Parkes, Hannah Simonds, Christoph Trauernicht, Lifei Zhang, Beth M Beadle
PURPOSE: Increased automation has been identified as one approach to improving global cancer care. The Radiation Planning Assistant (RPA) is a web-based tool offering automated radiotherapy (RT) contouring and planning to low-resource clinics. In this study, the RPA workflow and clinical acceptability were assessed by physicians around the world. METHODS: The RPA output for 75 cases was reviewed by at least three physicians; 31 radiation oncologists at 16 institutions in six countries on five continents reviewed RPA contours and plans for clinical acceptability using a 5-point Likert scale...
March 2024: JCO global oncology
https://read.qxmd.com/read/38483426/harnessing-the-power-of-generative-ai-for-clinical-summaries-perspectives-from-emergency-physicians
#10
JOURNAL ARTICLE
Yuval Barak-Corren, Rebecca Wolf, Ronen Rozenblum, Jessica K Creedon, Susan C Lipsett, Todd W Lyons, Kenneth A Michelson, Kelsey A Miller, Daniel Shapiro, Ben Y Reis, Andrew M Fine
STUDY OBJECTIVE: The workload of clinical documentation contributes to health care costs and professional burnout. The advent of generative artificial intelligence language models presents a promising solution. The perspective of clinicians may contribute to effective and responsible implementation of such tools. This study sought to evaluate 3 uses for generative artificial intelligence for clinical documentation in pediatric emergency medicine, measuring time savings, effort reduction, and physician attitudes and identifying potential risks and barriers...
March 12, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38466326/improving-cultural-humility-among-pediatric-patients-with-complex-medical-needs
#11
JOURNAL ARTICLE
Kimberly M Tarver
It is not possible for every physician and patient to originate from the exact same circumstances. Because of this impossibility, the dynamics between the patient, caregivers, and physician are extremely important to prevent mistrust, disputes, de-emphasizing the values of others, or miscommunication. Similar to how many diverse groups exist in society so, too, are there numerous factors for influencing how medical care is provided and received. Multiple studies demonstrate the inequalities of access and quality of health care in pediatric primary care as well as increased morbidity and mortality rates...
March 2024: Pediatric Annals
https://read.qxmd.com/read/38465399/can-chatgpt-4-evaluate-whether-a-differential-diagnosis-list-contains-the-correct-diagnosis-as-accurately-as-a-physician
#12
JOURNAL ARTICLE
Kazuya Mizuta, Takanobu Hirosawa, Yukinori Harada, Taro Shimizu
OBJECTIVES: The potential of artificial intelligence (AI) chatbots, particularly the fourth-generation chat generative pretrained transformer (ChatGPT-4), in assisting with medical diagnosis is an emerging research area. While there has been significant emphasis on creating lists of differential diagnoses, it is not yet clear how well AI chatbots can evaluate whether the final diagnosis is included in these lists. This short communication aimed to assess the accuracy of ChatGPT-4 in evaluating lists of differential diagnosis compared to medical professionals' assessments...
March 12, 2024: Diagnosis
https://read.qxmd.com/read/38457828/nurse-practitioner-low-value-care-ordering-practices-an-integrative-review
#13
REVIEW
Sara B Nugent, Roberta P Lavin, Barbara I Holmes Damron
OBJECTIVES: Low-value care (LVC) health services are unsupported by current evidence, are associated with harmful patient outcomes, and equate to more than $100 billion in wasteful spending annually. Nurse practitioner (NP) LVC ordering practices among adult patients in outpatient settings are described and compared with those of other health care clinicians. Factors impacting NP ordering practices are also explored. STUDY DESIGN: Integrative review. METHODS: Electronic databases, including MEDLINE's PubMed, CINAHL, Web of Science, and Business Source Complete, and Google Scholar were searched for original studies published prior to April 2023...
March 1, 2024: American Journal of Managed Care
https://read.qxmd.com/read/38446398/assessment-of-patient-physician-interactions-in-psoriatic-arthritis-national-results-of-the-assist-study
#14
JOURNAL ARTICLE
Fabio Massimo Perrotta, Rossana Scrivo, Salvatore D'Angelo, Silvia Scriffignano, Andrea Delle Sedie, Laura Coates, Ennio Lubrano
INTRODUCTION: An overarching principle for the management of psoriatic arthritis (PsA) is a shared decision-making process between physicians and patients. The aim of this study is to assess the patient-physician relationship in a group of patients with PsA, by using the Perceived Efficacy in Patient-Physician Interactions (PEPPI) and CollaboRATE instruments. METHODS: This is a cross-sectional multicenter study where consecutive patients with PsA were enrolled. For each patient, the main demographic, comorbid conditions, and clinical data were collected, including the assessment of disease activity, function, quality of life, and impact of disease...
March 6, 2024: Rheumatology and Therapy
https://read.qxmd.com/read/38443870/a-qualitative-analysis-of-algorithm-based-decision-support-usability-testing-for-symptom-management-across-the-trajectory-of-cancer-care-one-size-does-not-fit-all
#15
JOURNAL ARTICLE
Hayley Dunnack Yackel, Barbara Halpenny, Janet L Abrahm, Jennifer Ligibel, Andrea Enzinger, David F Lobach, Mary E Cooley
BACKGROUND: Adults with cancer experience symptoms that change across the disease trajectory. Due to the distress and cost associated with uncontrolled symptoms, improving symptom management is an important component of quality cancer care. Clinical decision support (CDS) is a promising strategy to integrate clinical practice guideline (CPG)-based symptom management recommendations at the point of care. METHODS: The objectives of this project were to develop and evaluate the usability of two symptom management algorithms (constipation and fatigue) across the trajectory of cancer care in patients with active disease treated in comprehensive or community cancer care settings to surveillance of cancer survivors in primary care practices...
March 5, 2024: BMC Medical Informatics and Decision Making
https://read.qxmd.com/read/38434791/advancing-equity-in-challenging-times-a-qualitative-study-of-telehealth-expansion-and-changing-patient-provider-relationships-in-primary-care-settings-during-the-covid-19-pandemic
#16
JOURNAL ARTICLE
Monisa Aijaz, Valerie A Lewis, Genevra F Murray
OBJECTIVE: The patient-provider relationship is critical for achieving high-quality care and better health outcomes. During the COVID-19 pandemic, primary care practices rapidly transitioned to telehealth. While telehealth provided critical access to services for many, not all patients could optimally utilize it, raising concerns about its potential to exacerbate inequities in patient-provider relationships. We investigated technical and workforce-related barriers to accessing telehealth and the impacts on patient-provider relationships for vulnerable populations...
2024: Digital Health
https://read.qxmd.com/read/38425612/management-protocol-for-uncomplicated-peritonsillar-abscess-standardizing-care-and-improving-emergency-medicine-resident-confidence
#17
JOURNAL ARTICLE
John Casey, Scott Keidel, Marissa Kudo, Miriam Chan
INTRODUCTION: A peritonsillar abscess (PTA) is a frequent reason for a visit to the emergency department. As there are no current published guidelines for medical versus surgical management, attending physicians vary among management tendencies, generating uncertainty among resident physicians. This project established a standard of care for managing patients with PTA and provided clear management guidelines to the emergency department, in collaboration with the otolaryngology department, at a community academic hospital...
January 2024: Curēus
https://read.qxmd.com/read/38410341/urinary-incontinence-following-robotic-assisted-radical-prostatectomy-a-literature-review
#18
REVIEW
Hamzeh Farraj, Sulieman Alriyalat
Prostate cancer ranks as one of the most prevalent cancers among men in the United States, contributing significantly to cancer-related mortality. Robot-assisted radical prostatectomy (RARP) has become a cornerstone in the management of localized prostate cancer. This literature review delves into the outcomes of RARP, specifically its impact on urinary incontinence (UI) compared to other surgical methods. We also present the importance of patient perception versus medical reports. Recent studies and trials have unveiled that postoperative UI and erectile dysfunction (ED) remain common concerns following prostatectomy...
January 2024: Curēus
https://read.qxmd.com/read/38404651/assessing-efficacy-of-a-web-based-smoking-cessation-tool-quitadvisormd-protocol-for-a-practice-based-clustered-randomized-control-trial
#19
JOURNAL ARTICLE
Scott M Strayer, Austin Barnhardt, Lisa K Rollins, Karen Ingersoll, Guofen Yan, Kurtis S Elward, John B Schorling
BACKGROUND: Smoking remains the leading cause of preventable death, yet physicians inconsistently provide best-practices cessation advice to smokers. Point-of-care digital health tools can prompt and assist physicians to provide improved smoking cessation counseling. QuitAdvisorMD is a comprehensive web-based counseling and management digital health tool designed to guide smoking cessation counseling at the point-of-care. The tool enables clinicians to assess patient readiness to change and then deliver stage-appropriate interventions, while also incorporating Motivational Interviewing techniques...
April 2024: Contemporary Clinical Trials Communications
https://read.qxmd.com/read/38393703/the-impact-of-malnutrition-on-skin-integrity-and-wound-healing
#20
JOURNAL ARTICLE
Mary Demarest-Litchford, Nancy Munoz, Nancy Strange, Amanda Casirati, Emanuele Cereda
GENERAL PURPOSE: To recognize valuable resources from the Malnutrition Quality Improvement Initiative for acute care patients and malnutrition quality improvement measures for postacute care residents. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant will:1...
March 1, 2024: Advances in Skin & Wound Care
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