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https://www.readbyqxmd.com/read/29792259/going-digital-a-checklist-in-preparing-for-hospital-wide-electronic-medical-record-implementation-and-digital-transformation
#1
Ian A Scott, Clair Sullivan, Andrew Staib
Objective In an era of rapid digitisation of Australian hospitals, practical guidance is needed in how to successfully implement electronic medical records (EMRs) as both a technical innovation and a major transformative change in clinical care. The aim of the present study was to develop a checklist that clearly and comprehensively defines the steps that best prepare hospitals for EMR implementation and digital transformation. Methods The checklist was developed using a formal methodological framework comprised of: literature reviews of relevant issues; an interactive workshop involving a multidisciplinary group of digital leads from Queensland hospitals; a draft document based on literature and workshop proceedings; and a review and feedback from senior clinical leads...
May 24, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29792068/loneliness-life-satisfaction-and-psychological-distress-among-out-of-school-adolescents-in-a-nigerian-urban-city
#2
Friday E Okwaraji, Kenechukwu I Obiechina, Godwin C Onyebueke, Ogechukwu N Udegbunam, Godfrey S Nnadum
Loneliness is the feeling of distress that arises when an individual perceives his or her social relationships as being less satisfying than what is desired. Life satisfaction is a global assessment of an individual's quality of life based on his chosen criteria. This descriptive cross sectional study assessed loneliness, life satisfaction and psychological distress among 480 out of school adolescents using the UCLA loneliness scale, the Satisfaction with life scale (SWLS) and the General Health questionnaire...
May 23, 2018: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/29792036/meeting-the-challenge-for-effective-antimicrobial-stewardship-programs-in-regional-rural-and-remote-hospitals-what-can-we-learn-from-the-published-literature
#3
Jaclyn Bishop, David Cm Kong, Thomas R Schulz, Karin A Thursky, Kirsty L Buising
INTRODUCTION: Antimicrobial resistance (AMR) has been recognised as an urgent health priority, both nationally and internationally. Australian hospitals are required to have an antimicrobial stewardship (AMS) program, yet the necessary resources may not be available in regional, rural or remote hospitals. This review will describe models for AMS programs that have been introduced in regional, rural or remote hospitals internationally and showcase achievements and key considerations that may guide Australian hospitals in establishing or sustaining AMS programs in the regional, rural or remote hospital setting...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29791765/resources-for-work-related-well-being-a-qualitative-study-about-healthcare-employees-experiences-of-relationships-at-work
#4
Sophie Schön Persson, Petra Nilsson Lindström, Pär Pettersson, Marie Nilsson, Kerstin Blomqvist
AIMS AND OBJECTIVES: The aim of this study was to explore municipal healthcare employees' experiences of relationships with care recipients and colleagues. The specific research questions were when do the relationships enhance well-being, and what prerequisites are needed for such relationships to occur?. BACKGROUND: Employees in health and social care for older people often depict their work in negative terms, and they often take a high number of sick leaves. Despite the heavy workload, other employees express well-being at work and highlight social relationships as one reason for this...
May 23, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29791741/diffusing-and-scaling-evidence-based-interventions-eight-lessons-for-early-child-development-from-the-implementation-of-perinatal-home-visiting-in-south-africa
#5
Mark Tomlinson, Xanthe Hunt, Mary Jane Rotheram-Borus
Most low- and middle-income countries lack resources with which to implement public health programs. As such, there is a necessity to facilitate programing that judiciously makes use of what resources there are. However, despite evidence for the efficacy of many interventions, translating these into real-world effectiveness, and then into scalability, is complex and has often been neglected. We draw on a case study of Philani+ (a maternal and child health intervention implemented in South Africa) to distil eight features of health programing that aid intervention effectiveness...
May 2018: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/29791739/what-implementation-evidence-matters-scaling-up-nurturing-interventions-that-promote-early-childhood-development
#6
Pia R Britto, Manpreet Singh, Tarun Dua, Raghbir Kaur, Aisha K Yousafzai
Research in early childhood development (ECD) has established the need for scaling-up multisectoral interventions for nurturing care to promote ECD, for improved socioeconomic outcomes for sustainable societies. However, key elements and processes for implementation and scale-up of such interventions are not well understood. This special series on implementation research and practice for ECD brings together evidence to inform effectiveness, quality, and scale in nurturing care programs; identifies knowledge gaps; and proposes further directions for research and practice...
May 2018: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/29791610/what-do-cochrane-systematic-reviews-say-about-cardiac-arrest-management
#7
Rafael Leite Pacheco, Juliana Trevizo, Caio Augusto de Souza, Gabriel Alves, Bruno Sakaya, Luciana Thiago, Aécio Flávio Teixeira de Góis, Rachel Riera
CONTEXT AND OBJECTIVE: Cardiac arrest is associated with high morbidity and mortality and imposes a significant burden on the healthcare system. Management of cardiac arrest patients is complex and involves approaches with multiple interventions. Here, we aimed to summarize the available evidence regarding the interventions used in cardiac arrest cases. DESIGN AND SETTING: Review of systematic reviews (SRs), conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo...
March 2018: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/29790381/what-do-tsecs-provide-in-the-menopausal-hormone-therapy
#8
Placido Llaneza, Joaquim Calaf, Ana Rosa Jurado, Nicolas Mendoza, Borja Otero, Francisco Quereda, Rafael Sánchez-Borrego, Daniel Lubian
Tissue-selective estrogen complex (TSEC) is projected as a progestogen-free option for the treatment of estrogen deficiency symptoms in postmenopausal, non-hysterectomized women. TSEC combines the benefits of estrogen with a selective estrogen receptor modulator (SERM), in this case bazedoxifene acetate (BZA), which has an antagonistic effect on the endometrium, thus avoiding the use of progestins. The authorized TSEC combination (conjugated estrogens [CE] 0.45 mg/BZA 20 mg) for the alleviation of vasomotor symptoms has been demonstrated in randomized clinical trials compared with placebo or menopausal hormone therapy (MHT)...
May 23, 2018: Gynecological Endocrinology
https://www.readbyqxmd.com/read/29790326/-the-quality-of-life-as-perceived-by-older-people-results-of-a-phenomenological-study
#9
Silvia Grosso, Elisa Ambrosi, Carla Benagli, Luigina Mortari, Federica Canzan
INTRODUCTION: Elderly Quality of life (QoL) is vulnerable because of the decline in physical and mental capacity, discharge from work, rupture of the family and isolation. Many QoL Scales are made for adults: there is little research investigating how older people perceive QOL. AIM: This study aims to explore and understand the perceptions that older people have about their QOL. METHOD: A qualitative research hermeneutics-phenomenological was done...
January 2018: Professioni Infermieristiche
https://www.readbyqxmd.com/read/29789501/differentiation-between-organic-and-non-organic-apples-using-diffraction-grating-and-image-processing-a-cost-effective-approach
#10
Nanfeng Jiang, Weiran Song, Hui Wang, Gongde Guo, Yuanyuan Liu
As the expectation for higher quality of life increases, consumers have higher demands for quality food. Food authentication is the technical means of ensuring food is what it says it is. A popular approach to food authentication is based on spectroscopy, which has been widely used for identifying and quantifying the chemical components of an object. This approach is non-destructive and effective but expensive. This paper presents a computer vision-based sensor system for food authentication, i.e., differentiating organic from non-organic apples...
May 23, 2018: Sensors
https://www.readbyqxmd.com/read/29789406/ranking-hospitals-do-we-gain-reliability-by-using-composite-rather-than-individual-indicators
#11
Stefanie N Hofstede, Iris E Ceyisakar, Hester F Lingsma, Dionne S Kringos, Perla J Marang-van de Mheen
BACKGROUND: Despite widespread use of quality indicators, it remains unclear to what extent they can reliably distinguish hospitals on true differences in performance. Rankability measures what part of variation in performance reflects 'true' hospital differences in outcomes versus random noise. OBJECTIVE: This study sought to assess whether combining data into composites or including data from multiple years improves the reliability of ranking quality indicators for hospital care...
May 22, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29789099/building-capacity-for-change-evaluation-of-an-organisation-wide-leadership-development-program
#12
Tim Schultz, Jodie Shoobridge, Gill Harvey, Libby Carter, Alison Kitson
Objective. This study evaluated Leading 4 Change, a change leadership development program designed to support healthcare middle managers through a period of significant organisational change and enhance workplace resilience. Methods. A mixed methods evaluation was conducted within the program's framework of a quality improvement activity. Quantitative measures were participant responses (n=160) to online questionnaires, which were compared before and after the program, using an uncontrolled pre-post study design...
May 23, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29788956/building-bridges-paediatric-palliative-care-in-belgium-a-secondary-data-analysis-of-annual-paediatric-liaison-team-reports-from-2010-to-2014
#13
Marie Friedel, Bénédicte Brichard, Christine Fonteyne, Marleen Renard, Jean-Paul Misson, Els Vandecruys, Corinne Tonon, Françoise Verfaillie, Georgette Hendrijckx, Nathalie Andersson, Ilse Ruysseveldt, Katrien Moens, Jean-Marie Degryse, Isabelle Aujoulat
BACKGROUND: Although continuity of care in paediatric palliative care (PPC) is considered to be an essential element of quality of care, it's implementation is challenging. In Belgium, five paediatric liaison teams (PLTs) deliver palliative care. A Royal Decree issued in 2010 provides the legal framework that defines the PLTs' missions, as ensuring continuity of curative and palliative care between the hospital and home for children diagnosed with life-limiting conditions. This national study describes how PLTs ensure continuity of care by describing their activities and the characteristics of the children they cared for from 2010 to 2014...
May 22, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29788783/a-mixed-methods-approach-to-understanding-the-palliative-needs-of-parkinson-s-patients
#14
Lindsay P Prizer, Jennifer L Gay, Mark G Wilson, Kerstin G Emerson, Anne P Glass, Janis M Miyasaki, Molly M Perkins
Parkinson's disease (PD) is the second-most common age-related neurodegenerative disorder. Despite recommendations for a palliative approach, little is known about what palliative needs are unmet by standard care. This study aims to (a) identify palliative needs of PD patients, (b) determine the relationship between palliative needs and health-related quality of life (HRQoL), and (c) probe into factors affecting HRQoL. PD patients and neurologists were recruited for a survey on palliative need; a subset of patients was interviewed...
May 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29788313/defining-value-of-cancer-therapeutics-a-health-system-perspective
#15
Christine Leopold, Jeffrey M Peppercorn, S Yousuf Zafar, Anita K Wagner
Because of the rising costs of cancer care and ongoing challenges in ensuring access to quality care, there is an increasing need to prioritize spending and define the benefits of therapy in proportion to costs. The term "value" has gained favor as means to define the relative utility of a medical intervention in terms of benefits, risks, and financial costs, which in turn can help clinicians, patients, and policy makers prioritize "high-value" care. While numerous value concepts have been proposed, a comprehensive discussion of value initiatives along the care continuum is missing...
May 18, 2018: Journal of the National Cancer Institute
https://www.readbyqxmd.com/read/29784366/raman-spectroscopy-for-wine-analyses-a-comparison-with-near-and-mid-infrared-spectroscopy
#16
Cláudia A Teixeira Dos Santos, Ricardo N M J Páscoa, Patrícia A L S Porto, António L Cerdeira, J M González-Sáiz, C Pizarro, João A Lopes
Routine wine analysis are commonly employed to ensure the quality and safety standards, and to meet consumers' demands and legal requirements. In the last decades, efforts have been done in order to replace the traditional analytical techniques by vibrational spectroscopic techniques such as near infrared (NIR) and mid infrared (MIR) spectroscopy. The potential of these techniques has already been proved by several studies that revealed their ability for the determination of several wine parameters with high levels of precision and accuracy...
August 15, 2018: Talanta
https://www.readbyqxmd.com/read/29784144/it-is-important-that-the-process-goes-quickly-isn-t-it-a-qualitative-multi-country-study-of-colorectal-or-lung-cancer-patients-narratives-of-the-timeliness-of-diagnosis-and-quality-of-care
#17
Marlene Malmström, Birgit H Rasmussen, Britt-Marie Bernhardson, Senada Hajdarevic, Lars E Eriksson, Rikke Sand Andersen, John I MacArtney
PURPOSE: The emphasis on early diagnosis to improve cancer survival has been a key factor in the development of cancer pathways across Europe. The aim of this analysis was to explore how the emphasis on early diagnosis and timely treatment is reflected in patient's accounts of care, from the first suspicion of colorectal or lung cancer to their treatment in Denmark, England and Sweden. METHOD: We recruited 155 patients in Denmark, England and Sweden who were within six months of being diagnosed with lung or colorectal cancer...
June 2018: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/29783864/a-logic-model-for-pharmaceutical-care
#18
Carolina Moltó-Puigmartí, Robert Aa Vonk, Gerlise L van Ommeren, Ingrid Hegger
Objectives To develop a logic model for pharmaceutical care that can be used by stakeholders as a tool to support innovation and to monitor the performance of the pharmaceutical care system in the Netherlands and abroad. The ultimate aim of such a system is the responsible provision of drug therapy to improve patients' quality of life. Methods The logic model for pharmaceutical care was created following a process consisting of four steps: (1) a literature review to identify what pharmaceutical care is and what elements it consists of; (2) separate interviews with 10 stakeholder organizations to discuss the results of the literature review; (3) construction of the logic model based on the findings from steps 1 and 2; and (4) separate interviews with three stakeholder organizations to discuss and fine-tune the model...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29781677/community-health-workers-in-lesotho-experiences-of-health-promotion-activities
#19
Thato Seutloali, Lizeka Napoles, Nomonde Bam
BACKGROUND: Lesotho adopted primary health care in 1979, and community health workers (CHWs) were included in the programme to focus on health promotion, particularly to reach people in underserved rural areas. Although the CHW programme has been successful, the heavy burden of disease because of HIV and/or AIDS and tuberculosis shifted resources from health promotion to home-based care. AIM: The study explored the lived experience of CHWs in conducting health promotion activities in Lesotho...
February 27, 2018: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29779542/improving-data-for-behavioral-health-workforce-planning-development-of-a-minimum-data-set
#20
Angela J Beck, Phillip M Singer, Jessica Buche, Ronald W Manderscheid, Peter Buerhaus
The behavioral health workforce, which encompasses a broad range of professions providing prevention, treatment, and rehabilitation services for mental health conditions and substance use disorders, is in the midst of what is considered by many to be a workforce crisis. The workforce shortage can be attributed to both insufficient numbers and maldistribution of workers, leaving some communities with no behavioral health providers. In addition, demand for behavioral health services has increased more rapidly as a result of federal legislation over the past decade supporting mental health and substance use parity and by healthcare reform...
June 2018: American Journal of Preventive Medicine
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