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https://www.readbyqxmd.com/read/28231441/risk-behaviours-for-organism-transmission-in-health-care-delivery-a-two-month-unstructured-observational-study
#1
Maria Lindberg, Magnus Lindberg, Bernice Skytt
BACKGROUND: Errors in infection control practices risk patient safety. The probability for errors can increase when care practices become more multifaceted. It is therefore fundamental to track risk behaviours and potential errors in various care situations. OBJECTIVE: The aim of this study was to describe care situations involving risk behaviours for organism transmission that could lead to subsequent healthcare-associated infections. DESIGN & SETTING: Unstructured nonparticipant observations were performed at three medical wards...
February 16, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28230583/evaluating-the-impact-of-radio-frequency-identification-retained-surgical-instruments-tracking-on-patient-safety-literature-review
#2
Kumiko O Schnock, Bonnie Biggs, Anne Fladger, David W Bates, Ronen Rozenblum
BACKGROUND: Retained surgical instruments (RSI) are one of the most serious preventable complications in operating room settings, potentially leading to profound adverse effects for patients, as well as costly legal and financial consequences for hospitals. Safety measures to eliminate RSIs have been widely adopted in the United States and abroad, but despite widespread efforts, medical errors with RSI have not been eliminated. OBJECTIVE: Through a systematic review of recent studies, we aimed to identify the impact of radio frequency identification (RFID) technology on reducing RSI errors and improving patient safety...
February 22, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28230580/the-patient-perspective-on-errors-in-cancer-care-results-of-a-cross-sectional-survey
#3
Mariko Carey, Allison W Boyes, Jamie Bryant, Heidi Turon, Tara Clinton-McHarg, Robert Sanson-Fisher
OBJECTIVE: The objective of this study was to explore medical oncology outpatients' perceived experiences of errors in their cancer care. METHODS: A cross-sectional survey was conducted. English-speaking medical oncology outpatients aged 18 years or older were recruited from 9 Australian cancer treatment centers. Participants completed 2 paper-and-pencil questionnaires: an initial survey on demographic, disease and treatment characteristics upon recruitment; and a second survey on their experiences of errors in cancer care 1 month later...
February 22, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28230579/hospital-outpatient-visits-associated-with-medication-related-problems-in-thailand-a-multicenter-prospective-observational-study
#4
Supinya Dechanont, Arom Jedsadayanmata, Bodin Butthum, Chuenjid Kongkaew
OBJECTIVES: The aims of the study were to investigate the prevalence of hospital visits associated with medication-related problems (MRPs, i.e., adverse drug events [ADEs], adverse drug reactions [ADRs], nonadherence [NA] to medication, and medication error) and to identify the medications involved in hospital visits associated with MRPs in outpatient departments (OPDs). METHODS: A prospective observational study was carried out in OPD of 11 hospitals in the lower northern region of Thailand...
February 22, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28228612/biomechanical-evaluation-of-three-ventral-fixation-methods-for-canine-atlantoaxial-instability-a-cadaveric-study
#5
Fumitaka Takahashi, Takaharu Hakozaki, Nobuo Kanno, Yasuji Harada, Shinya Yamaguchi, Yasushi Hara
Vol. 78, No. 12 (2016), The "received date" year in the manuscript was printed incorrectly. Error: Received 25 March 2015 ↓ Correction: Received 25 March 2016 The Journal of Veterinary Medical Science Editorial Office would like to offer our sincere apologies for this mistake.
2017: Journal of Veterinary Medical Science
https://www.readbyqxmd.com/read/28228230/expanding-professional-pharmacy-services-in-european-community-setting-is-it-cost-effective-a-systematic-review-for-health-policy-considerations
#6
REVIEW
Clémence Perraudin, Olivier Bugnon, Nathalie Pelletier-Fleury
OBJECTIVE: To synthesize cost-effectiveness analyses on professional pharmacy services (PPS) performed in Europe in order to contribute to current debates on their funding and reimbursement. METHODS: Systematic review in PubMed, Embase and the Centre for Reviews and Dissemination databases to identify full economic evaluation studies of PPS in community setting from 2004. FINDINGS: Twenty-one studies were included, conducted in the United-Kingdom (n=13), the Netherlands (n=3), Spain (n=2), Belgium (n=1), France (n=1) and Denmark (n=1)...
December 2016: Health Policy
https://www.readbyqxmd.com/read/28228145/donation-after-brain-circulation-determination-of-death
#7
Anne L Dalle Ave, James L Bernat
BACKGROUND: The fundamental determinant of death in donation after circulatory determination of death is the cessation of brain circulation and function. We therefore propose the term donation after brain circulation determination of death [DBCDD]. RESULTS: In DBCDD, death is determined when the cessation of circulatory function is permanent but before it is irreversible, consistent with medical standards of death determination outside the context of organ donation...
February 23, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28228099/impact-of-adding-additional-providers-to-resident-workload-and-the-resident-experience-on-a-medical-consultation-rotation
#8
Michele Fang, Eric Linson, Manish Suneja, Ethan F Kuperman
BACKGROUND: Excellence in Graduate Medical Education requires the right clinical environment with an appropriate workload where residents have enough patients to gain proficiency in medicine with optimal time for reflection. The Accreditation Council for Graduate Medical Education (ACGME) has focused more on work hours rather than workload; however, high resident workload has been associated with lower resident participation in education and fatigue-related errors. Recognizing the potential risks associated with high resident workload and being mindful of the costs of reducing resident workload, we sought to reduce residents' workload by adding an advanced practice provider (APP) to the surgical comanagement service (SCM) and study its effect on resident satisfaction and perceived educational value of the rotation...
February 22, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28227971/a-feature-exploration-methodology-for-learning-based-cuffless-blood-pressure-measurement-using-photoplethysmography
#9
Kefeng Duan, Zhiliang Qian, Mohamed Atef, Guoxing Wang, Kefeng Duan, Zhiliang Qian, Mohamed Atef, Guoxing Wang, Zhiliang Qian, Kefeng Duan, Guoxing Wang, Mohamed Atef
In this work, we propose a feature exploration method for learning-based cuffless blood pressure measurement. More specifically, to efficiently explore a large feature space from the photoplethysmography signal, we have applied several analytical techniques, including random error elimination, adaptive outlier removal, maximum information coefficient and Pearson's correlation coefficient based feature assessment methods. We evaluate fifty-seven possible feature candidates and propose three separate feature sets with each containing eleven features to predict the systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean blood pressure (MBP), respectively...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227820/evaluating-respiratory-muscle-activity-using-a-wireless-sensor-platform
#10
Luis Estrada, Abel Torres, Leonardo Sarlabous, Raimon Jane, Luis Estrada, Abel Torres, Leonardo Sarlabous, Raimon Jane, Raimon Jane, Luis Estrada, Leonardo Sarlabous, Abel Torres
Wireless sensors are an emerging technology that allows to assist physicians in the monitoring of patients health status. This approach can be used for the non-invasive recording of the electrical respiratory muscle activity of the diaphragm (EMGdi). In this work, we acquired the EMGdi signal of a healthy subject performing an inspiratory load test. To this end, the EMGdi activity was captured from a single channel of electromyography using a wireless platform which was compared with the EMGdi and the inspiratory mouth pressure (Pmouth) recorded with a conventional lab equipment...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227705/an-affordable-cuff-less-blood-pressure-estimation-solution
#11
Monika Jain, Niranjan Kumar, Sujay Deb, Monika Jain, Niranjan Kumar, Sujay Deb, Monika Jain, Sujay Deb, Niranjan Kumar
This paper presents a cuff-less hypertension pre-screening device that non-invasively monitors the Blood Pressure (BP) and Heart Rate (HR) continuously. The proposed device simultaneously records two clinically significant and highly correlated biomedical signals, viz., Electrocardiogram (ECG) and Photoplethysmogram (PPG). The device provides a common data acquisition platform that can interface with PC/laptop, Smart phone/tablet and Raspberry-pi etc. The hardware stores and processes the recorded ECG and PPG in order to extract the real-time BP and HR using kernel regression approach...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227673/colorimetric-determinations-of-lithium-levels-in-drop-volumes-of-human-plasma-for-monitoring-patients-with-bipolar-mood-disorder
#12
M Qassem, M Hickey, P A Kyriacou, M Qassem, M Hickey, P A Kyriacou, M Qassem, M Hickey, P A Kyriacou
Lithium preparations are considered the most reliable form of mood stabilizing medication for patients with Bipolar disorder. Nevertheless, lithium is a toxic element and its therapeutic range is extremely narrow, with levels of 0.61.0 mEq considered normal, whereas levels above 1.5 mEq are toxic. Thus unfortunately, many patients reach toxic levels that lead to unnecessary complications. It is believed that personal monitoring of blood lithium levels would benefit patients taking lithium medication. Therefore, our aim is to develop a personal lithium blood level analyzer for patients with bipolar mood disorder, and we report here our initial results of a colorimetric-based method used to test drop-volumes of human plasma that had been spiked with lithium...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227666/advanced-sensors-placement-for-accurate-3d-needle-shape-reconstruction
#13
Pierre-Loup Schaefer, Gregory Chagnon, Alexandre Moreau-Gaudry, Pierre-Loup Schaefer, Gregory Chagnon, Alexandre Moreau-Gaudry, Pierre-Loup Schaefer, Alexandre Moreau-Gaudry, Gregory Chagnon
Needles are tools widely used in minimally invasive surgery. During such procedures the localization of the needle and its tip is a challenging situation because of the needle deformations due to its interactions with tissues. To tackle this problem, instrumented needles with sensors have been currently developed to allow needle reconstruction and tip localization. In conventional surgery this difficulty is overcome by medical imaging. The interest in using an instrumented needle resides in the possible dispense of medical imaging...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227575/non-invasive-multi-modal-sensing-of-skin-stretch-and-bioimpedance-for-detecting-infiltration-during-intravenous-therapy
#14
Jambu A Jambulingam, Russell McCrory, Leanne West, Omer T Inan, Jambu A Jambulingam, Russell McCrory, Leanne West, Omer T Inan, Leanne West, Omer T Inan, Russell McCrory
Intravenous infiltration is a condition wherein an infused solution leaks inadvertently into soft tissue surrounding a hypodermic needle site. This occurrence affects approximately 6.5% of patients in hospitals worldwide, and can lead to severe tissue damage if not treated immediately. The methods currently used by medical staff to detect an infiltration are subjective and can potentially be prone to error. Infiltration is an even larger concern in pediatric patients, who have smaller veins than adults and have more difficulty in communicating pain or other discomfort associated with the infiltration with medical staff...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227489/technology-adoption-and-prediction-tools-for-everyday-technologies-aimed-at-people-with-dementia
#15
Priyanka Chaurasia, Sally I McClean, Chris D Nugent, Ian Cleland, Shuai Zhang, Mark P Donnelly, Bryan W Scotney, Chelsea Sanders, Ken Smith, Maria C Norton, JoAnn Tschanz, Priyanka Chaurasia, Sally I McClean, Chris D Nugent, Ian Cleland, Shuai Zhang, Mark P Donnelly, Bryan W Scotney, Chelsea Sanders, Ken Smith, Maria C Norton, JoAnn Tschanz, Shuai Zhang, Ian Cleland, Bryan W Scotney, Ken Smith, Maria C Norton, Chris D Nugent, Mark P Donnelly, JoAnn Tschanz, Priyanka Chaurasia, Sally I McClean, Chelsea Sanders
A wide range of assistive technologies have been developed to support the elderly population with the goal of promoting independent living. The adoption of these technology based solutions is, however, critical to their overarching success. In our previous research we addressed the significance of modelling user adoption to reminding technologies based on a range of physical, environmental and social factors. In our current work we build upon our initial modeling through considering a wider range of computational approaches and identify a reduced set of relevant features that can aid the medical professionals to make an informed choice of whether to recommend the technology or not...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227401/mesh-resolution-impacts-the-accuracy-of-inverse-and-forward-ecg-problems
#16
Bing Yao, Shenli Pei, Hui Yang, Bing Yao, Shenli Pei, Hui Yang, Hui Yang, Bing Yao, Shenli Pei
Electrocardiographic imaging (ECGI) has become an important medical diagnosis tool that assists scientists to noninvasively investigate cardiac electric activity. Many previous works have studied the inverse and forward ECG problems to understand how to reconstruct the cardiac electric activity from the body potential distribution. However, the inverse ECG problem is highly ill-conditioned and very sensitive to errors and noises. Thus, there is a need to study the sensitivity of inverse and forward ECG problems...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227242/noninvasive-and-continuous-blood-pressure-measurement-via-superficial-temporal-artery-tonometry
#17
Julia Canning, Kendall Helbert, Grigoriy Iashin, Jonathan Matthews, Jason Yang, Margaret K Delano, Charles G Sodini, Quan Zhang, Julia Canning, Kendall Helbert, Grigoriy Iashin, Jonathan Matthews, Jason Yang, Margaret K Delano, Charles G Sodini, Quan Zhang, Jason Yang, Margaret K Delano, Grigoriy Iashin, Jonathan Matthews, Charles G Sodini, Quan Zhang, Julia Canning, Kendall Helbert
The measurement of blood pressure is an important cardiovascular health assessment, yet the current set of methodologies is limited in resolution, repeatability, accuracy, simplicity, and safety. This paper presents the design and prototype implementation of a novel and easy-to-use medical device for noninvasive and continuous blood pressure monitoring through tonometry at the superficial temporal artery (STA). The device features a stable form factor inspired by over-ear headphones that adjusts easily from person to person using a combination prismatic and rotational joint...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227030/sparse-shape-model-for-fibular-transfer-planning-in-mandibular-reconstruction
#18
Riho Kawasaki, Megumi Nakao, Yuichiro Imai, Nobuhiro Ueda, Toshihide Hatanaka, Mao Shiba, Tadaaki Kirita, Tetsuya Matsuda, Riho Kawasaki, Megumi Nakao, Yuichiro Imai, Nobuhiro Ueda, Toshihide Hatanaka, Mao Shiba, Tadaaki Kirita, Tetsuya Matsuda, Nobuhiro Ueda, Yuichiro Imai, Riho Kawasaki, Toshihide Hatanaka, Megumi Nakao, Tadaaki Kirita, Mao Shiba, Tetsuya Matsuda
In this paper, we propose an automated preoperative planning method that estimates a plan fitted to the data of a new patient using a planned dataset of previous patients. Although mandibular reconstruction with fibular segments needs preoperative planning for the precise placement of segments, recent interactive planning software cannot secure objectivity of the planning and time-consuming trial-and-error processes are required. The proposed method employs sparse shape modeling; in this modeling, we select a subset of the data from a prepared preoperative planning dataset to make an example or instance of reconstruction via a linear combination of the data...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227001/mechanism-for-safe-remote-activation-of-networked-surgical-and-poc-devices-using-dynamic-assignable-controls
#19
Martin Kasparick, Max Rockstroh, Stefan Schlichting, Frank Golatowski, Dirk Timmermann, Martin Kasparick, Max Rockstroh, Stefan Schlichting, Frank Golatowski, Dirk Timmermann, Stefan Schlichting, Martin Kasparick, Max Rockstroh, Frank Golatowski, Dirk Timmermann
The number of devices within an operating room (OR) increases continuously as well as the complexity of the complete system. One key enabler to handle the complexity is an interoperable and vendor independent system of networked medical devices. To build up such an interoperable system we use the proposed IEEE 11073 SDC standards (IEEE P11073-10207, -20701, -20702) for networked point-of-care (PoC) and surgical devices. One of the major problems within the OR is that typically every device has its own control unit...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226715/adaptive-segmentation-and-mask-specific-sobolev-inpainting-of-specular-highlights-for-endoscopic-images
#20
Samar M Alsaleh, Angelica I Aviles, Pilar Sobrevilla, Alicia Casals, James K Hahn, Samar M Alsaleh, Angelica I Aviles, Pilar Sobrevilla, Alicia Casals, James K Hahn, Angelica I Aviles, Samar M Alsaleh, Alicia Casals, Pilar Sobrevilla, James K Hahn
Minimally invasive surgical and diagnostic systems rely on endoscopic images of internal organs to assist medical tasks. Specular highlights are common on those images due to the strong reflectivity of the mucus layer on the organs and the relatively high intensity of the light source. This is a significant source of error that can affect the systems' performance. In this paper, we propose a segmentation method of the specular regions based on an automatic color-adaptive threshold and a gradient-based edge detector...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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