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Physician assistants and quality of care

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https://www.readbyqxmd.com/read/29771222/structure-of-health-care-dyad-leadership-an-organization-s-experience
#1
Anurag Saxena, Maura Davies, Don Philippon
Purpose This study aims to explore the structural aspects (roles, responsibilities and reporting) of dyad leadership in one health-care organization (HCO). Design/methodology/approach The perceptions of 32 leaders (17 physician leaders and 15 dyad co-leaders) in formal leadership positions (six first-level with formal authority limited to teams or divisions, 23 middle-level with wider departmental or program responsibility and three senior-level with institution-wide authority) were obtained through focus groups and surveys...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29760253/deprescribing-benzodiazepine-receptor-agonists-evidence-based-clinical-practice-guideline
#2
Kevin Pottie, Wade Thompson, Simon Davies, Jean Grenier, Cheryl A Sadowski, Vivian Welch, Anne Holbrook, Cynthia Boyd, Robert Swenson, Andy Ma, Barbara Farrell
OBJECTIVE: To develop an evidence-based guideline to help clinicians make decisions about when and how to safely taper and stop benzodiazepine receptor agonists (BZRAs); to focus on the highest level of evidence available and seek input from primary care professionals in the guideline development, review, and endorsement processes. METHODS: The overall team comprised 8 clinicians (1 family physician, 2 psychiatrists, 1 clinical psychologist, 1 clinical pharmacologist, 2 clinical pharmacists, and 1 geriatrician) and a methodologist; members disclosed conflicts of interest...
May 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29754123/psychiatry-trainees-attitudes-towards-euthanasia-and-physician-assisted-suicide
#3
M-I Kontaxaki, K Paplos, M Dasopoulou, V Kontaxakis
We investigated the attitudes towards Euthanasia (EUT) and Physician-Assisted Suicide (PAS) in a sample of Greek Psychiatry trainees (PT), (n=120, mean age 32.01±0.21, male 60.0%) and compared these to those of medical trainees of other specialties (OMT), i.e. internal medicine, surgery, intensive care (n=154, mean age 32.97±1.17, male 57.1%). Most of the responders were for the acceptance of EUT and PAS under some circumstances. More often PT answer "never" in the question regarding the permission to withdraw life-sustaining medical treatment to hasten death, if that requested by a terminally ill patient (p<0...
January 2018: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/29751800/does-exam-targeted-training-help-village-doctors-pass-the-certified-assistant-physician-exam-and-improve-their-practical-skills-a-cross-sectional-analysis-of-village-doctors-perspectives-in-changzhou-in-eastern-china
#4
Xiaohong Li, Jay J Shen, Fang Yao, Chunxin Jiang, Fengshui Chang, Fengfeng Hao, Jun Lu
BACKGROUND: Quality of health care needs to be improved in rural China. The Chinese government, based on the 1999 Law on Physicians, started implementing the Rural Doctor Practice Regulation in 2004 to increase the percentage of certified physicians among village doctors. Special exam-targeted training for rural doctors therefore was launched as a national initiative. This study examined these rural doctors' perceptions of whether that training helps them pass the exam and whether it improves their skills...
May 11, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29742757/evaluation-of-a-novel-system-to-enhance-clinicians-recognition-of-preadmission-adverse-drug-reactions
#5
Joshua C Smith, Qingxia Chen, Joshua C Denny, Dan M Roden, Kevin B Johnson, Randolph A Miller
BACKGROUND:  Often unrecognized by providers, adverse drug reactions (ADRs) diminish patients' quality of life, cause preventable admissions and emergency department visits, and increase health care costs. OBJECTIVE:  This article evaluates whether an automated system, the Adverse Drug Effect Recognizer (ADER), could assist clinicians in detecting and addressing inpatients' ongoing preadmission ADRs. METHODS:  ADER uses natural language processing to extract patients' medications, findings, and past diagnoses from admission notes...
April 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29727431/quality-and-importance-of-health-policy-reform-and-public-health-topics-a-study-in-physician-assistant-education
#6
Frances M Angerer-Fuenzalida
PURPOSE: As key players in a changing US health care system, physician assistants (PAs) must be prepared to act with a clear understanding of health policy as reform changes are enacted. The purpose of this study was to assess the perceptions of graduating PA students about the importance of health policy, reform, and public health and their perception of their preparedness in these areas. The research question was: Do PA students identify these topic areas as important, and, for each topic area, do they feel adequately prepared with sufficient knowledge for clinical practice? METHODS: Participants in the study included 352 PA students from 14 PA programs randomly selected from 4 geographic regions of the continental United States...
April 26, 2018: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29724800/the-importance-of-quality-in-pulmonary-v-q-imaging
#7
April Mann, Mario DiDea, France Fournier, Daniel Tempesta, Jessica Williams, Norman LaFrance
As the healthcare environment continues to change and morph into a system focusing on increased quality and evidence-based outcomes, nuclear medicine technologists must be reminded they play a critical role in achieving high quality interpretable images used to drive patient care, treatments and best possible outcomes. A survey performed by the Quality Committee, Society of Nuclear Medicine and Molecular Imaging-Technologist Section demonstrated a clear knowledge gap exists amongst technologists regarding their understanding of quality, how it is measured, and how it should be achieved throughout all practicing technologists despite role and education level...
May 3, 2018: Journal of Nuclear Medicine Technology
https://www.readbyqxmd.com/read/29720099/skill-mix-change-between-general-practitioners-nurse-practitioners-physician-assistants-and-nurses-in-primary-healthcare-for-older-people-a-qualitative-study
#8
Marleen H Lovink, Anneke J A H van Vught, Anke Persoon, Lisette Schoonhoven, Raymond T C M Koopmans, Miranda G H Laurant
BACKGROUND: More and more older adults desire to and are enabled to grow old in their own home, regardless of their physical and mental capabilities. This change, together with the growing number of older adults, increases the demand for general practitioners (GPs). However, care for older people lacks prestige among medical students and few medical students are interested in a career in care for older people. Innovative solutions are needed to reduce the demand for GPs, to guarantee quality of healthcare and to contain costs...
May 2, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29712627/a-remote-collaborative-care-program-for-patients-with-depression-living-in-rural-areas-open-label-trial
#9
Graciela Rojas, Viviana Guajardo, Pablo Martínez, Ariel Castro, Rosemarie Fritsch, Markus Moessner, Stephanie Bauer
BACKGROUND: In the treatment of depression, primary care teams have an essential role, but they are most effective when inserted into a collaborative care model for disease management. In rural areas, the shortage of specialized mental health resources may hamper management of depressed patients. OBJECTIVE: The aim was to test the feasibility, acceptability, and effectiveness of a remote collaborative care program for patients with depression living in rural areas...
April 30, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29704980/emergency-department-crowding-and-time-at-the-bedside-a-wearable-technology-feasibility-study
#10
Jessica Castner, Heidi Suffoletto
INTRODUCTION: ED crowding is a public health crisis, limiting quality and access to lifesaving care. The purpose of this study was to (1) evaluate the feasibility of radio-frequency identification tags to measure clinician-patient contact and (2) to test the relationship between ED occupancy and clinician-patient contact time. METHODS: In this 4-week observational study, radio-frequency identification tags were worn by emergency clinicians in a 21-bay urban teaching hospital emergency department...
April 25, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29697146/red-blood-cell-specifications-for-patients-with-hemoglobinopathies-a-systematic-review-and-guideline
#11
REVIEW
Veerle Compernolle, Stella T Chou, Susano Tanael, William Savage, Jo Howard, Cassandra D Josephson, Isaac Odame, Christopher Hogan, Gregory Denomme, Nadine Shehata
BACKGROUND: Red blood cell (RBC) transfusions remain essential in the treatment of patients with sickle cell disease (SCD) and β-thalassemia. Alloimmunization, a well-documented complication of transfusion, increases the risk of delayed hemolytic transfusion reactions, complicates crossmatching and identifying compatible units, and delays provision of transfusions. Guidance is required to optimize the RBC product administered to these patients. STUDY DESIGN AND METHODS: An international, multidisciplinary team conducted a systematic review and developed, following the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology, recommendations to assist treating physicians and transfusion specialists in their decision to select RBCs for these patients...
April 26, 2018: Transfusion
https://www.readbyqxmd.com/read/29691658/associations-of-psychosocial-working-conditions-with-health-outcomes-quality-of-care-and-intentions-to-leave-the-profession-results-from-a-cross-sectional-study-among-physician-assistants-in-germany
#12
Patricia Vu-Eickmann, Jian Li, Andreas Müller, Peter Angerer, Adrian Loerbroks
BACKGROUND: Numerous epidemiological studies among health care staff have documented associations of adverse psychosocial working conditions with poorer health-related outcomes, a reduced quality of patient care and intentions to leave the profession. The evidence for physician assistants in Germany remains limited though. METHODS: We surveyed a total of 994 physician assistants between September 2016 and April 2017. Psychosocial working conditions were measured by the established effort-reward imbalance (ERI) questionnaire and by a questionnaire specifically developed to capture psychosocial working conditions among physicians...
April 24, 2018: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/29684230/effective-palliative-care-what-is-involved
#13
REVIEW
Mehak Swami, Amy Allen Case
It is important for oncologists who provide comprehensive cancer care to be familiar with the principles of primary palliative care and interdisciplinary team-based approaches to palliative care. Palliative care is a medical subspecialty that provides specialized care to individuals with serious illnesses, with a primary focus on providing symptom relief, pain management, and relief from psychosocial distress, regardless of diagnosis or prognosis. Ideally, palliative care is provided by a team of physicians, nurses, social workers, psychologists, and chaplains...
April 15, 2018: Oncology (Williston Park, NY)
https://www.readbyqxmd.com/read/29672391/wound-care-center-of-excellence-a-process-for-continuous-monitoring-and-improvement-of-wound-care-quality
#14
Raelina S Howell, Lauren S Kohan, Jon S Woods, Theresa Criscitelli, Brian M Gillette, Virginia Donovan, Scott Gorenstein
To provide information about a study using a new process for continuous monitoring to improve chronic wound care quality.This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.After completing this continuing education activity, you should be better able to:1. Recognize problems associated with chronic wound care.2. Identify methods used in this project to improve care.3. Illustrate the findings from this and similar projects and implications for providing improved wound care...
May 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29664759/characteristics-of-medical-professional-liability-claims-in-pediatric-orthopedics
#15
Jessica Burns, M Wade Shrader, Carla Boan, Mohan Belthur
OBJECTIVES: Medical malpractice is burdensome to the U.S. healthcare system. The following is an epidemiological analysis of the closed medical professional liability (MPL) claims in pediatric orthopedics using data maintained by the Physician Insurers Association of America. METHODS: The Physician Insurers Association of America registry of MPL claims from 1985 to 2013 for all specialties included 286,021 closed claims in the United States. All closed MPL claims for orthopedic surgery in patients younger than 18 years were retrospectively reviewed (N = 2,671)...
April 16, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29662915/patient-perspectives-of-midlevel-providers-in-orthopaedic-sports-medicine
#16
Blaine T Manning, Daniel D Bohl, Charles P Hannon, Michael L Redondo, David R Christian, Brian Forsythe, Shane J Nho, Bernard R Bach
Background: Midlevel providers (eg, nurse practitioners and physician assistants) have been integrated into orthopaedic systems of care in response to the increasing demand for musculoskeletal care. Few studies have examined patient perspectives toward midlevel providers in orthopaedic sports medicine. Purpose: To identify perspectives of orthopaedic sports medicine patients regarding midlevel providers, including optimal scope of practice, reimbursement equity with physicians, and importance of the physician's midlevel provider to patients when initially selecting a physician...
April 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29611865/patient-experience-in-primary-care-association-with-patient-physician-and-practice-characteristics-in-a-fee-for-service-system
#17
Christine Cohidon, Pascal Wild, Nicolas Senn
INTRODUCTION: Nowadays we typically use patient experience as a quality of care indicator, although this has some limitations. The aim of this study was to investigate to what extent patient, physician and practice characteristics were associated with patient-reported experience of care in the major dimensions in family medicine in a fee-for-service system. METHODS: The data came from the Swiss part of the Quality and Costs of Primary Care (QUALICOPC) study, an international cross-sectional survey...
April 3, 2018: Swiss Medical Weekly
https://www.readbyqxmd.com/read/29606132/evaluation-of-the-impact-of-telementoring-using-echo%C3%A2-technology-on-healthcare-professionals-knowledge-and-self-efficacy-in-assessing-and-managing-pain-for-people-with-advanced-dementia-nearing-the-end-of-life
#18
Bannin De Witt Jansen, Kevin Brazil, Peter Passmore, Hilary Buchanan, Doreen Maxwell, Sonja J McIlfatrick, Sharon M Morgan, Max Watson, Carole Parsons
BACKGROUND: Pain assessment and management in advanced and end-stage dementia are challenging; patients are at risk of under-diagnosis, under-assessment and under-treatment. Previous research has highlighted the importance of needs-driven training and development in this area for physicians, nurses and healthcare assistants (HCAs) across specialties, disciplines and care settings. This study used teleconferencing technology to connect healthcare professionals across multiple settings and disciplines in real-time clinics, based on the Project ECHO© model...
April 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29588820/determinant-of-successful-implementation-of-computerized-provider-order-entry-cpoe-system-from-physicians-perspective-feasibility-study-prior-to-implementation
#19
Parasto Amiri, Bahlol Rahimi, Hamid Reza Khalkhali
Background: Health information technology is a solution for medical error reduction through the implementation of Computerized Provider Order Entry (CPOE). Objective: The aim of this study was to determine physicians' attitudes toward the implementation of CPOE. Methods: This cross-sectional study was started in March 2017 and completed in June 2017. The study used a questionnaire to collect data from physicians in hospitals affiliated to Urmia University of Medical Sciences...
January 2018: Electronic Physician
https://www.readbyqxmd.com/read/29580717/national-trends-in-the-utilization-of-skeletal-radiography-from-2003-to-2015
#20
Daniel J Mizrahi, Laurence Parker, Adam M Zoga, David C Levin
PURPOSE: Examine recent trends in the use of skeletal radiography and assess the roles of various nonradiologic specialties in the interpretations. METHODS: Medicare Part B fee-for-service claims data files from 2003 to 2015 were analyzed for all Current Procedural Terminology, version 4 (CPT-4) procedure codes related to skeletal radiography. The files provide examination volume, and we calculated utilization rates per 1,000 Medicare beneficiaries. Medicare's physician specialty codes were used to determine the specialties of the providers...
March 23, 2018: Journal of the American College of Radiology: JACR
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