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Best practice error prevention

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https://www.readbyqxmd.com/read/28815132/precision-diagnosis-of-melanoma-and-other-skin-lesions-from-digital-images
#1
Abhishek Bhattacharya, Albert Young, Andrew Wong, Simone Stalling, Maria Wei, Dexter Hadley
Melanoma will affect an estimated 73,000 new cases this year and result in 9,000 deaths, yet precise diagnosis remains a serious problem. Without early detection and preventative care, melanoma can quickly spread to become fatal (Stage IV 5-year survival rate is 20-10%) from a once localized skin lesion (Stage IA 5- year survival rate is 97%). There is no biomarker for melanoma in clinical use, and the current diagnostic criteria for skin lesions remains subjective and imprecise. Accurate diagnosis of melanoma relies on a histopathologic gold standard; thus, aggressive excision of melanocytic skin lesions has been the mainstay of treatment...
2017: AMIA Summits on Translational Science Proceedings
https://www.readbyqxmd.com/read/28739937/why-eyewitnesses-fail
#2
Thomas D Albright
Eyewitness identifications play an important role in the investigation and prosecution of crimes, but it is well known that eyewitnesses make mistakes, often with serious consequences. In light of these concerns, the National Academy of Sciences recently convened a panel of experts to undertake a comprehensive study of current practice and use of eyewitness testimony, with an eye toward understanding why identification errors occur and what can be done to prevent them. The work of this committee led to key findings and recommendations for reform, detailed in a consensus report entitled Identifying the Culprit: Assessing Eyewitness Identification In this review, I focus on the scientific issues that emerged from this study, along with brief discussions of how these issues led to specific recommendations for additional research, best practices for law enforcement, and use of eyewitness evidence by the courts...
July 24, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28715244/small-sample-methods-for-multilevel-modeling-a-colloquial-elucidation-of-reml-and-the-kenward-roger-correction
#3
Daniel McNeish
Studies on small sample properties of multilevel models have become increasingly prominent in the methodological literature in response to the frequency with which small sample data appear in empirical studies. Simulation results generally recommend that empirical researchers employ restricted maximum likelihood estimation (REML) with a Kenward-Roger correction with small samples in frequentist contexts to minimize small sample bias in estimation and to prevent inflation of Type-I error rates. However, simulation studies focus on recommendations for best practice, and there is little to no explanation of why traditional maximum likelihood (ML) breaks down with smaller samples, what differentiates REML from ML, or how the Kenward-Roger correction remedies lingering small sample issues...
July 17, 2017: Multivariate Behavioral Research
https://www.readbyqxmd.com/read/28549789/systematic-approaches-to-adverse-events-in-obstetrics-part-i-event-identification-and-classification
#4
Christian M Pettker
Despite our best intentions to improve health when a patient presents for care, adverse events are ubiquitous in medical practice today. Known complications related to the course of a patient's illness or condition or to the characteristics of the treatment have been an openly stated part of taking care of patients for centuries. However, it is only in the past decade that preventable adverse events, instances of harm related to error and deviations in accepted practice have become a primary part of these conversations...
April 2017: Seminars in Perinatology
https://www.readbyqxmd.com/read/28446084/in-rooting-out-errors-evidence-holds-the-key
#5
Lynn Gallagher-Ford, Bernadette Melnyk
Healthcare is in crisis in the US, where preventable clinical errors are the third leading cause of death. Now is the time to create healthcare cultures where best practice is the standard.
April 27, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/28441215/does-low-dose-methotrexate-deserve-more-respect-from-clinicians
#6
Brent Luu, George W Rodway
Medical errors associated with low-dose methotrexate may be life-threatening. Prescribers should be cognizant of the medication's toxicities and the persistent challenges in preventing adverse events. This article reviews the properties of methotrexate and its common drug-drug interactions. Best practices from the Institute for Safe Medication Practices, aimed at reducing methotrexate errors, are highlighted.
May 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/28391522/development-of-a-method-for-estimating-oesophageal-temperature-by-multi-locational-temperature-measurement-inside-the-external-auditory-canal
#7
Hirofumi Nakada, Seichi Horie, Shoko Kawanami, Jinro Inoue, Yoshinori Iijima, Kiyoharu Sato, Takeshi Abe
We aimed to develop a practical method to estimate oesophageal temperature by measuring multi-locational auditory canal temperatures. This method can be applied to prevent heatstroke by simultaneously and continuously monitoring the core temperatures of people working under hot environments. We asked 11 healthy male volunteers to exercise, generating 80 W for 45 min in a climatic chamber set at 24, 32 and 40 °C, at 50% relative humidity. We also exposed the participants to radiation at 32 °C. We continuously measured temperatures at the oesophagus, rectum and three different locations along the external auditory canal...
April 8, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/28074757/advanced-practice-nurse-transitional-care-model-promotes-healing-in-wound-care
#8
Carole Mackavey
Optimally, transition in health care should be seamless and incorporate a well-thought-out patient-centered discharge plan; yet, many hospitalized patients are unprepared for discharge, thereby compromising patient safety and quality of care. Transition of care should include a broad range of time-limited services designed to ensure health care continuity to avoid poor outcomes among at-risk populations. This case study demonstrates that advanced practice nurses (APNs) are in the perfect position to bridge the existing gap, reduce readmissions, and improve patient health...
September 1, 2016: Care Management Journals: Journal of Case Management ; the Journal of Long Term Home Health Care
https://www.readbyqxmd.com/read/28051282/clinical-pharmacist-led-program-on-medication-reconciliation-implementation-at-hospital-admission-experience-of-a-single-university-hospital-in-croatia
#9
Ivana Marinović, Srećko Marušić, Iva Mucalo, Jasna Mesarić, Vesna Bačić Vrca
AIM: To evaluate the clinical pharmacist-led medication reconciliation process in clinical practice by quantifying and analyzing unintentional medication discrepancies at hospital admission. METHODS: An observational prospective study was conducted at the Clinical Department of Internal Medicine, University Hospital Dubrava, during a 1-year period (October 2014 - September 2015) as a part of the implementation of Safe Clinical Practice, Medication Reconciliation of the European Network for Patient Safety and Quality of Care Joint Action (PASQ JA) project...
December 31, 2016: Croatian Medical Journal
https://www.readbyqxmd.com/read/28039240/medication-safety-in-the-operating-room-literature-and-expert-based-recommendations
#10
J A Wahr, J H Abernathy, E H Lazarra, J R Keebler, M H Wall, I Lynch, R Wolfe, R L Cooper
Human error poses significant risk for hospitalized patients causing an estimated 100,000 to 400,000 deaths in the USA annually. Medication errors contribute, with error occurring in 5.3% of medication administrations during surgery. In this study 70.3% of medication errors were deemed preventable. Given the paucity of randomized controlled studies, we undertook a rigorous review of the literature to identify recommendations supported by expert opinions. An extensive literature search pertaining to medication error, medication safety, operating room, and anaesthesia was performed...
January 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27853969/preventable-medical-errors-driven-modeling-of-medical-best-practice-guidance-systems
#11
Andrew Y-Z Ou, Yu Jiang, Po-Liang Wu, Lui Sha, Richard B Berlin
In a medical environment such as Intensive Care Unit, there are many possible reasons to cause errors, and one important reason is the effect of human intellectual tasks. When designing an interactive healthcare system such as medical Cyber-Physical-Human Systems (CPHSystems), it is important to consider whether the system design can mitigate the errors caused by these tasks or not. In this paper, we first introduce five categories of generic intellectual tasks of humans, where tasks among each category may lead to potential medical errors...
January 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/27581595/analysis-of-the-approach-to-risk-management-in-onco-hematology-centers-results-of-a-survey-in-italy
#12
Massimo Farina, Gianni De Paoli, Monica Canciani
PURPOSE: Raccomandazione 14 (Recommendation 14), issued by the Italian Ministry of Health, is aimed at providing requirements for preventing medication errors with antineoplastic drugs. Raccomandazione 14 covers all steps of the process, from supply to administration of therapies with specific conclusive guidance on tools and methods to be adopted for the assessment and management of clinical risk. METHODS: A form and a score system were designed and provided to healthcare professionals for self-assessment of adherence to Raccomandazione 14...
August 29, 2016: Tumori
https://www.readbyqxmd.com/read/27497698/simulation-as-an-ethical-imperative-and-epistemic-responsibility-for-the-implementation-of-medical-guidelines-in-health-care
#13
Luciana Garbayo, James Stahl
Guidelines orient best practices in medicine, yet, in health care, many real world constraints limit their optimal realization. Since guideline implementation problems are not systematically anticipated, they will be discovered only post facto, in a learning curve period, while the already implemented guideline is tweaked, debugged and adapted. This learning process comes with costs to human health and quality of life. Despite such predictable hazard, the study and modeling of medical guideline implementation is still seldom pursued...
March 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27319102/-current-situation-survey-of-the-measures-to-prevent-medication-errors-in-the-operating-room-report-of-the-japan-society-of-anesthesiologists-safety-commission-working-group-for-consideration-of-recommendations-for-color-coding-of-prepared-syringe-labels-for
#14
Kyoko Shida, Toshiyasu Suzuki, Kazuhiro Sugahara, Kazuya Sobue
BACKGROUND: In the case of medication errors which are among the more frequent adverse events that occur in the hospital, there is a need for effective measures to prevent incidence. According to the Japan Society of Anesthesiologists study "Drug incident investigation 2005-2007 years", "Error of a syringe at the selection stage" was the most frequent (44.2%). The status of current measures and best practices implemented in Japanese hospitals was the focus of a subsequent investigation...
May 2016: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/27292202/management-of-patients-with-venous-leg-ulcers-challenges-and-current-best-practice
#15
Peter J Franks, Judith Barker, Mark Collier, Georgina Gethin, Emily Haesler, Arkadiusz Jawien, Severin Laeuchli, Giovanni Mosti, Sebastian Probst, Carolina Weller
Introduction It is well documented that the prevalence of venous leg ulcers (VLUs) is increasing, coinciding with an ageing population. Accurate global prevalence of VLUs is difficult to estimate due to the range of methodologies used in studies and accuracy of reporting. (1) Venous ulceration is the most common type of leg ulceration and a significant clinical problem, affecting approximately 1% of the population and 3% of people over 80 years of age (2) in westernised countries. Moreover, the global prevalence of VLUs is predicted to escalate dramatically, as people are living longer, often with multiple comorbidities...
June 2016: Journal of Wound Care
https://www.readbyqxmd.com/read/27203284/behavioral-perceptions-of-oakland-university-female-college-students-towards-human-papillomavirus-vaccination
#16
Aishwarya Navalpakam, Mohammed Dany, Inaya Hajj Hussein
Human Papillomavirus (HPV) vaccination decreases the risk for cervical cancer. However, the uptake of HPV vaccine remains low when compared with other recommended vaccines. This study evaluates the knowledge and attitudes towards HPV infection and vaccination, and the readiness for the uptake of HPV vaccine amongst female students attending Oakland University (OU) in Michigan, United States. This is a cross-sectional study targeting a randomized sample of a 1000 female OU students using an online questionnaire...
2016: PloS One
https://www.readbyqxmd.com/read/27142314/vaccination-errors-in-general-practice-creation-of-a-preventive-checklist-based-on-a-multimodal-analysis-of-declared-errors
#17
Rodolphe Charles, Josette Vallée, Claire Tissot, Frédéric Lucht, Elisabeth Botelho-Nevers
BACKGROUND: Vaccination is a common act in general practice in which, as in all procedures in medicine, errors may occur. To our best knowledge, in this area, few tools exist to prevent them. OBJECTIVE: To create a checklist that could be used in general practice in order to avoid the main errors. METHODS: From April to July 2013, we systematically searched for vaccination errors using three sources: a review of literature, individual interviews with 25 health care workers and supervised peer review groups meeting at the Medicine school of Saint-Etienne (France)...
August 2016: Family Practice
https://www.readbyqxmd.com/read/26944547/case-report-the-risks-associated-with-chronic-theophylline-therapy-and-measures-designed-to-improve-monitoring-and-management
#18
Michael E Hopkins, Robert V MacKenzie-Ross
BACKGROUND: Symptoms of theophylline toxicity and factors that augment the risk of developing it are well documented in the literature. However these appear to be poorly considered in clinical practice. This case underlines the challenges in recognising and managing theophylline toxicity; moreover the requirement for improved application of knowledge of its pharmacokinetics to our practice. CASE PRESENTATION: In this case we observe how theophylline toxicity can be overlooked due to the presence of non-specific symptoms and lack of a structured system to mitigate error in detection, in both hospital medicine and general practice...
March 5, 2016: BMC Pharmacology & Toxicology
https://www.readbyqxmd.com/read/26639682/paradoxes-of-evidence-in-russian-addiction-medicine
#19
V D Mendelevich, K Yu Zalmunin
BACKGROUND: For many years, clinical protocols for treatment of drug abuse patients and treatment standards in Russian Federation were not grounded on the principles of evidence-based medicine [1]. Recommendations for use of certain drugs were not accompanied by any indication of the level of credibility of the evidence supporting it. The appearance in 2014 of such indications in clinical recommendations can be considered a significant step forward for the science of addiction medicine [2]...
2015: International Journal of Risk & Safety in Medicine
https://www.readbyqxmd.com/read/26240744/safety-risks-with-investigational-drugs-pharmacy-practices-and-perceptions-in-the-veterans-affairs-health-system
#20
Jennifer L Cruz, Jamie N Brown
OBJECTIVES: Rigorous practices for safe dispensing of investigational drugs are not standardized. This investigation sought to identify error-prevention processes utilized in the provision of investigational drug services (IDS) and to characterize pharmacists' perceptions about safety risks posed by investigational drugs. METHODS: An electronic questionnaire was distributed to an audience of IDS pharmacists within the Veteran Affairs Health System. Multiple facets were examined including demographics, perceptions of medication safety, and standard processes used to support investigational drug protocols...
June 2015: Therapeutic Advances in Drug Safety
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