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What is quality in medical care?

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https://www.readbyqxmd.com/read/29041781/nursing-students-perceptions-of-soft-skills-training-in-ghana
#1
Luke Laari, Barbara M Dube
BACKGROUND: The quality of nursing care rendered today is markedly reducing and the amount of time spent with patients listening to and explaining issues concerning their conditions is gradually diminishing. The therapeutic touch and the listening ear of the nurse are no longer accessible to the patient. Understanding what non-technical skills are and their relevance for healthcare practitioners has become a new area of consideration. Although recent literature has highlighted the necessity of introducing soft skills training and assessment within medical education, nursing education is yet to fully embrace this skills training...
September 22, 2017: Curationis
https://www.readbyqxmd.com/read/29035667/why-doctors-consider-leaving-uk-medicine-qualitative-analysis-of-comments-from-questionnaire-surveys-three-years-after-graduation
#2
Trevor W Lambert, Fay Smith, Michael J Goldacre
Objective To report the reasons why doctors are considering leaving medicine or the UK. Design Questionnaire survey. Setting UK. Participants Questionnaires were sent three years after graduation to all UK medical graduates of 2008 and 2012. Main outcome measures Comments from doctors about their main reasons for considering leaving medicine or the UK (or both). Results The response rate was 46.2% (5291/11,461). Among the 60% of respondents who were not definitely intent on remaining in UK medicine, 50% were considering working in medicine outside the UK and 10% were considering leaving medicine...
January 1, 2017: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/28989858/assessment-of-personal-care-and-medical-robots-from-older-adults-perspective
#3
REVIEW
K M Goher, N Mansouri, S O Fadlallah
Demographic reports indicate that population of older adults is growing significantly over the world and in particular in developed nations. Consequently, there are a noticeable number of demands for certain services such as health-care systems and assistive medical robots and devices. In today's world, different types of robots play substantial roles specifically in medical sector to facilitate human life, especially older adults. Assistive medical robots and devices are created in various designs to fulfill specific needs of older adults...
2017: Robotics and Biomimetics
https://www.readbyqxmd.com/read/28976485/incongruence-in-perceptions-identifying-barriers-to-patient-satisfaction-in-the-intensive-care-unit
#4
Sarah Thomas, Lindsay Quirk, Cheri Blevins, Beth Quatrara, Lisa Letzkus
BACKGROUND: Patient satisfaction is at the forefront of quality care and patient outcomes. The literature identifies the discrepancy between nurse and patient perceptions in a variety of care settings; few studies have investigated the perceptions of care in a critical care unit. Understanding the perceptions in a critical care unit is necessary to optimize organizational performance related to quality, safety, patient-centered care, and efficiency. OBJECTIVE: The purpose of the study was to determine whether a discrepancy exists between what patients and families perceive as satisfaction with their care as compared with the nurses' perception of what constitutes positive patient satisfaction in a medical critical care unit...
November 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28970456/safety-of-people-with-intellectual-disabilities-in-hospital-what-can-the-hospital-pharmacist-do-to-improve-quality-of-care
#5
Bernadette Flood
People with intellectual disabilities are vulnerable in healthcare environments. They experience health and healthcare inequalities, and when admitted to general hospitals are at a greater risk of patient safety incidents. This is well known in specialist services, but less recognized within primary or secondary healthcare. The most significant barriers to safer and better healthcare appear to include 'invisibility' of people with intellectual disabilities within health-care systems, widespread lack of staff understanding of intellectual disability, the vulnerabilities of people with intellectual disabilities, and the reasonable adjustment they may need in order to access health-care services...
August 4, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28958579/-needs-assessment-to-improve-the-applicability-and-methodological-quality-of-a-german-s3-guideline
#6
Marion Burckhardt, Cristina Hoffmann, Brigitte Nink-Grebe, Sylvia Sänger
BACKGROUND: Clinical practice guidelines can change the practice in healthcare only if their recommendations are implemented in a comprehensive way. The German S3 guideline "Local Therapy of Chronic Wounds in Patients with Peripheral Vascular Disease, Chronic Venous Insufficiency, and Diabetes" will be updated in 2017. The emphasis here is on the guideline's validity, user-friendliness and implementation into practice. Therefore, the aim was to identify the improvements required in regard to the guideline's methods and content presentation...
September 25, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28931381/a-qualitative-study-to-identify-parents-perceptions-of-and-barriers-to-asthma-management-in-children-from-south-asian-and-white-british-families
#7
Monica Lakhanpaul, Lorraine Culley, Noelle Robertson, Deborah Bird, Nicky Hudson, Narynder Johal, Melanie McFeeters, Emma Angell, Charlotte Hamlyn-Williams, Nadine Abbas, Logan Manikam, Mark Johnson
BACKGROUND: Over one million children receive treatment for asthma in the UK. South Asian children experience excess morbidity and higher rates of hospitalization than the White population. This study aimed to explore perceptions and experiences of asthma and asthma management in British South Asian and White British families, to identify barriers to optimal management and to inform culturally appropriate interventions to improve management. METHODS: A qualitative methodology, using semi-structured interviews was adopted...
September 20, 2017: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/28923818/what-makes-for-successful-registry-implementation-a-qualitative-comparative-analysis
#8
Jodi Summers Holtrop, Tristen L Hall, Claude Rubinson, L Miriam Dickinson, Russell E Glasgow
PURPOSE: Registry implementation is an important component of successfully achieving patient-centered medical home designation and an important part of population-based health. The purpose of this study was to examine what factors are evident in the successful implementation of a registry in a selection of Colorado practices involved in quality-improvement activities. METHODS: In-depth, small-group interviews occurred at 13 practices. The data were recorded, transcribed, and qualitatively analyzed to identify key themes regarding elements of successful registry implementation...
September 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28920751/distress-due-to-prognostic-uncertainty-in-palliative-care-frequency-distribution-and-outcomes-among-hospitalized-patients-with-advanced-cancer
#9
Robert Gramling, Susan Stanek, Paul K J Han, Paul Duberstein, Tim E Quill, Jennifer S Temel, Stewart C Alexander, Wendy G Anderson, Susan Ladwig, Sally A Norton
BACKGROUND: Prognostic uncertainty is common in advanced cancer and frequently addressed during palliative care consultation, yet we know little about its impact on quality of life (QOL). OBJECTIVE: We describe the prevalence and distribution of distress due to prognostic uncertainty among hospitalized patients with advanced cancer before palliative care consultation. We evaluate the association between this type of distress and overall QOL before and after palliative care consultation...
September 18, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28915811/strategies-for-the-quality-assessment-of-the-health-care-service-providers-in-the-treatment-of-gastric-cancer-in-colombia
#10
María Del Pilar Villamil, David Barrera, Nubia Velasco, Oscar Bernal, Esteban Fajardo, Carlos Urango, Sebastian Buitrago
BACKGROUND: While, at its inception in 1993, the health care system in Colombia was publicized as a paradigm to be copied across the developing world, numerous problems in its implementation have led to, what is now, an inefficient and crisis-ridden health system. Furthermore, as a result of inappropriate tools to measure the quality of the health service providers, several corruption scandals have arisen in the country. This study attempts to tackle this situation by proposing a strategy for the quality assessment of the health service providers (Entidades Promotoras de Salud, EPS) in the Colombian health system...
September 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28912613/is-medicine-losing-its-way-a-firm-foundation-for-medicine-as-a-real-therapeia
#11
Willem Jacobus Cardinal Eijk
Is medicine losing its way? This question may seem to imply a serious warning, one needing a further explanation. What I mean to say by the title of this paper is that we can detect an undeniable shift in medicine in the last forty to fifty years. Medicine used to focus on what we call "health care" in a classical sense, that is, the treatment of people suffering from diseases, injuries or handicaps, or the alleviation of pain and other symptoms. In addition to this, in the last half century, it has begun to offer more and more treatments aiming to perfect the qualities of people who are otherwise healthy...
August 2017: Linacre Quarterly
https://www.readbyqxmd.com/read/28903723/domains-associated-with-successful-quality-improvement-in-healthcare-a-nationwide-case-study
#12
Aleidis Skard Brandrud, Bjørnar Nyen, Per Hjortdahl, Leiv Sandvik, Gro Sævil Helljesen Haldorsen, Maria Bergli, Eugene C Nelson, Michael Bretthauer
BACKGROUND: There is a distinct difference between what we know and what we do in healthcare: a gap that is impairing the quality of the care and increasing the costs. Quality improvement efforts have been made worldwide by learning collaboratives, based on recognized continual improvement theory with limited scientific evidence. The present study of 132 quality improvement projects in Norway explores the conditions for improvement from the perspectives of the frontline healthcare professionals, and evaluates the effectiveness of the continual improvement method...
September 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28890091/-what-does-the-medical-physicist-expect-from-the-radiation-oncologist-and-vice-versa
#13
A Lisbona
The cooperation between radiation oncologist and medical physicist is essential to guarantee the quality and safety of the irradiation of our patients. It would be wrong to consider that the intervention of medical physicists in the patient management process is limited to the provision of calibrated and controlled equipment and to guarantee the validity of the dose distribution and the treatment time, while the radiation oncologist has the complete control of all clinical activities related to irradiation...
October 2017: Cancer Radiothérapie: Journal de la Société Française de Radiothérapie Oncologique
https://www.readbyqxmd.com/read/28885637/-is-there-an-app-for-that-orthopaedic-patient-preferences-for-a-smartphone-application
#14
Jonathan R Datillo, Daniel J Gittings, Matthew Sloan, William M Hardaker, Matthew J Deasey, Neil P Sheth
BACKGROUND: Patients are seeking out medical information on the Internet and utilizing smartphone health applications ("apps"). Smartphone use has exponentially increased among orthopaedic surgeons and patients. Despite this increase, patients are rarely directed to specific apps by physicians. No study exists querying patient preferences for a patient-centered, orthopaedic smartphone application. OBJECTIVES: The purpose of this study is to 1) determine Internet use patterns amongst orthopaedic patients; 2) ascertain access to and use of smartphones; and 3) elucidate what features orthopaedic patients find most important in a smartphone application...
August 16, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28882923/-reframing-healthcare-services-through-the-lens-of-co-production-rhelaunch-a-study-protocol-for-a-mixed-methods-evaluation-of-mechanisms-by-which-healthcare-and-social-services-impact-the-health-and-well-being-of-patients-with-copd-and-chf-in-the-usa-and-the
#15
Gijs Hesselink, Julie Johnson, Paul Batalden, Michelle Carlson, Wytske Geense, Stef Groenewoud, Sylvester Jones, Brita Roy, Christina Sansone, Judith R L M Wolf, Bradley Bart, Hub Wollersheim
INTRODUCTION: The USA lags behind other high-income countries in many health indicators. Outcome differences are associated with differences in the relative spending between healthcare and social services at the national level. The impact of the ratio and delivery of social and healthcare services on the individual patient's health is however unknown. 'Reframing Healthcare Services through the Lens of Co-Production' (RheLaunCh) will be a cross-Atlantic comparative study of the mechanisms by which healthcare and social service delivery may impact patient health with chronic conditions...
September 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28879191/patient-reported-outcomes-in-onychomycosis-a-review-of-psychometrically-evaluated-instruments-in-assessing-treatment-effectiveness
#16
REVIEW
Jenny Wang, Lauren E Wiznia, Evan A Rieder
PURPOSE: Onychomycosis is the most common nail disorder and causes morbidity and impaired quality of life (QOL). Patient-reported outcomes (PRO) are patients' assessment of their health status or treatment response. PROs help assess what is most bothersome to patients to identify targets for intervention. We sought to review the PRO instruments currently used to assess QOL and treatment response in onychomycosis patients. PROCEDURES: A systematic review was performed by searching PubMed, Embase, CINAHL, and PsycINFO databases through December 31, 2016, to identify all English language literature on onychomycosis, PRO, and QOL...
August 2017: Skin Appendage Disorders
https://www.readbyqxmd.com/read/28859254/what-impact-does-nursing-care-left-undone-have-on-patient-outcomes-review-of-the-literature
#17
Alejandra Recio-Saucedo, Chiara Dall'Ora, Antonello Maruotti, Jane Ball, Jim Briggs, Paul Meredith, Oliver C Redfern, Caroline Kovacs, David Prytherch, Gary B Smith, Peter Griffiths
AIMS AND OBJECTIVES: Systematic review of the impact of missed nursing care on outcomes in adults, on acute hospital wards and in nursing homes. BACKGROUND: A considerable body of evidence support the hypothesis that lower levels of registered nurses on duty increases the likelihood of patients dying on hospital wards, and the risk of many aspects of care being either delayed or left undone (missed). However, the direct consequence of missed care remains unclear...
August 31, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28857951/is-there-a-mismatch-between-the-perspectives-of-patients-and-regulators-on-healthcare-quality-a-survey-study
#18
Renée Bouwman, Manja Bomhoff, Paul Robben, Roland Friele
OBJECTIVES: Internationally, healthcare quality regulators are criticized for failing to respond to patients' complaints. Patient involvement is, therefore, an important item on the policy agenda. However, it can be argued that there is a discrepancy between the patients' perspective and current regulatory approaches.This study examines whether a discrepancy exists between the perspectives of patients and regulators on healthcare quality. METHODS: A questionnaire was sent to 996 people who had registered a complaint with the Dutch Healthcare Inspectorate to measure expectations of and experiences with the Inspectorate...
August 30, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28857424/a-cross-cultural-convergent-parallel-mixed-methods-study-of-what-makes-a-cancer-related-symptom-or-functional-health-problem-clinically-important
#19
Johannes M Giesinger, Neil K Aaronson, Juan I Arraras, Fabio Efficace, Mogens Groenvold, Jacobien M Kieffer, Fanny L C Loth, Morten A Petersen, John Ramage, Krzysztof A Tomaszewski, Teresa Young, Bernhard Holzner
OBJECTIVE: In this study we investigated what makes a symptom or functional impairment clinically important, that is, relevant for a patient to discuss with a health care professional (HCP). This is the first part of an EORTC Quality of Life Group project focusing on the development of thresholds for clinical importance for the EORTC QLQ-C30 questionnaire and its corresponding computer-adaptive version. METHODS: We conducted interviews with cancer patients and HCPs in six European countries...
August 30, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28853957/reducing-emergency-department-visits-utilizing-a-primary-care-asthma-specialty-clinic-in-a-high-risk-patient-population
#20
Dane A Snyder, Olivia W Thomas, Sean P Gleeson, David R Stukus, LaQuita M Jones, Christopher Regan, Ashley Shamansky, Elizabeth D Allen
OBJECTIVE: Asthma is a leading cause of pediatric emergency department (ED) use. Optimizing asthma outcomes is a goal of Nationwide Children's Hospital (NCH) and its affiliated Accountable Care Organization. NCH's Primary Care Network, comprised of 12 offices serving a predominantly Medicaid population, sought to determine whether an Asthma Specialty Clinic (ASC) operated within a single primary care office could reduce ED asthma rates and improve quality measures, relative to all other network offices...
August 30, 2017: Journal of Asthma: Official Journal of the Association for the Care of Asthma
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