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https://www.readbyqxmd.com/read/28156196/the-potential-for-political-leadership-in-hiv-aids-communication-campaigns-in-sub-saharan-africa
#1
Abraar Karan, Emily Hartford, Thomas J Coates
BACKGROUND: The HIV/AIDS epidemic has become a point of important political concern for governments especially in Sub-Saharan Africa. Clinical and public health interventions to curb the epidemic can be greatly enhanced with the strategic support of political leaders. OBJECTIVE: We analyzed the role of national political leadership in large-scale HIV/AIDS communications campaigns in 14 countries in Sub-Saharan Africa. METHODS: We primarily reviewed grey and white literature published from 2005-2014...
2017: Global Health Action
https://www.readbyqxmd.com/read/28152967/enhancing-a-culture-of-patient-safety-in-an-oncologic-hospital-setting
#2
Shannon Bristow
: 135 Background: Patient safety is a priority for all hospitals and staff members. With approx. 1:10 hospitalized patients experiencing an adverse event(1), healthcare lags behind other industries with regards to safety. Oncology patients have an increased risk of adverse events due to an immunocompromised status, coupled with complex treatments. Cancer Treatment Centers of America at Eastern Regional Medical Center (ERMC) recognized the need to heighten patient safety while maintaining a positive patient experience...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28139256/reimagining-who-leadership-and-action-for-a-new-director-general
#3
Lawrence O Gostin, Eric A Friedman
Three candidates to be the next WHO Director-General remain: Tedros Adhanom Ghebreyesus, David Nabarro, and Sania Nishtar. The World Health Assembly's ultimate choice will lead an organisation facing daunting internal and external challenges, from its own funding shortfalls to antimicrobial resistance and immense health inequities. The new Director-General must transform WHO into a 21st century institution guided by the right to health. Topping the incoming Director-General's agenda will be a host of growing threats-risks to global health security, antimicrobial resistance, non-communicable diseases, and climate change-but also the transformative potential of the Sustainable Development Goals, including their universal health coverage target...
January 27, 2017: Lancet
https://www.readbyqxmd.com/read/28034565/to-create-a-consensus-on-malnutrition-diagnostic-criteria-a-report-from-the-global-leadership-initiative-on-malnutrition-glim-meeting-at-the-espen-congress-2016
#4
EDITORIAL
Tommy Cederholm, Gordon L Jensen
During the ESPEN Congress in Copenhagen, Denmark (September 2016) representatives of the 4 largest global PEN-societies from Europe (ESPEN), USA (ASPEN), Asia (PENSA) and Latin America (FELANPE), and from national PEN-societies around the world met to continue the conversation on how to diagnose malnutrition that started during the Clinical Nutrition Week, Austin, USA (February 2016). Current thinking on diagnostic approaches was shared; ESPEN suggested a grading approach that could encompass various types of signs, symptoms and etiologies to support diagnosis...
December 16, 2016: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/27925422/preventing-hospital-acquired-venous-thromboembolism-improving-patient-safety-with-interdisciplinary-teamwork-quality-improvement-analytics-and-data-transparency
#5
REVIEW
Anneliese M Schleyer, Ellen Robinson, Roxana Dumitru, Mark Taylor, Kimberly Hayes, Ronald Pergamit, Daphne M Beingessner, Mark C Zaros, Joseph Cuschieri
BACKGROUND: Hospital-acquired venous thromboembolism (HA-VTE) is a potentially preventable cause of morbidity and mortality. Despite high rates of venous thromboembolism (VTE) prophylaxis in accordance with an institutional guideline, VTE remains the most common hospital-acquired condition in our institution. OBJECTIVE: To improve the safety of all hospitalized patients, examine current VTE prevention practices, identify opportunities for improvement, and decrease rates of HA-VTE...
December 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/27884133/recovering-disrupted-social-capital-insights-from-lao-dpr-rural-villagers-perceptions-of-local-leadership
#6
Jinho Kim, Ji-Hye Kim, Vanphanom Sychareun, Minah Kang
BACKGROUND: Social capital is often believed to be one of the key prerequisites for successful implementation of community-based health programs. In less-developed countries, local leaders are positioned as major players in broad community health strategies and interventions, and their capacities and roles are expected to increase in prominence in future community-health-care promotions. In this study, we examined how local leaders' capacities could be related to social capital in rural villages in Lao PDR, and thus to villagers' willingness to participate in community-based health efforts...
November 25, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27882502/institutional-responsibility-and-the-flawed-genomic-biomarkers-at-duke-university-a-missed-opportunity-for-transparency-and-accountability
#7
David L DeMets, Thomas R Fleming, Gail Geller, David F Ransohoff
When there have been substantial failures by institutional leadership in their oversight responsibility to protect research integrity, the public should demand that these be recognized and addressed by the institution itself, or the funding bodies. This commentary discusses a case of research failures in developing genomic predictors for cancer risk assessment and treatment at a leading university. In its review of this case, the Office of Research Integrity, an agency within the US Department of Health and Human Services, focused their report entirely on one individual faculty member and made no comment on the institution's responsibility and its failure to provide adequate oversight and investigation...
November 23, 2016: Science and Engineering Ethics
https://www.readbyqxmd.com/read/27798226/development-of-a-high-value-care-culture-survey-a-modified-delphi-process-and-psychometric-evaluation
#8
Reshma Gupta, Christopher Moriates, James D Harrison, Victoria Valencia, Michael Ong, Robin Clarke, Neil Steers, Ron D Hays, Clarence H Braddock, Robert Wachter
BACKGROUND: Organisational culture affects physician behaviours. Patient safety culture surveys have previously been used to drive care improvements, but no comparable survey of high-value care culture currently exists. We aimed to develop a High-Value Care Culture Survey (HVCCS) for use by healthcare leaders and training programmes to target future improvements in value-based care. METHODS: We conducted a two-phase national modified Delphi process among 28 physicians and nurse experts with diverse backgrounds...
October 26, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27707151/addressing-current-and-future-challenges-for-the-nhs-the-role-of-good-leadership
#9
Lotte Elton
Purpose This paper aims to describe and analyse some of the ways in which good leadership can enable those working within the National Health Service (NHS) to weather the changes and difficulties likely to arise in the coming years, and takes the format of an essay written by the prize-winner of the Faculty of Medical Leadership and Management's Student Prize. The Faculty of Medical Leadership and Management ran its inaugural Student Prize in 2015-2016, which aimed at medical students with an interest in medical leadership...
October 3, 2016: Leadership in Health Services
https://www.readbyqxmd.com/read/27707150/the-need-for-leadership-training-in-long-term-care-settings
#10
Jullet A Davis
Purpose Globally, in 1980, approximately 5.8 per cent of the world population was 65 years old and older. By 2050, this number will more than triple to 16 per cent. From a leadership perspective, there is at least one challenge (among many others challenges) to consider. This paper (viewpoint) aims to provide support for the growing need for academically prepared managers. Design/methodology/approach This paper is a viewpoint which presents several characteristics of the long-term care (LTC) field that support the need for academically trained leaders...
October 3, 2016: Leadership in Health Services
https://www.readbyqxmd.com/read/27706398/sharing-regulatory-data-as-tools-for-strengthening-health-systems-in-the-region-of-the-americas
#11
Varley Dias Sousa, Pedro I Ramalho, Dâmaris Silveira
Regulatory transparency is an imperative characteristic of a reliable National Regulatory Authority. In the region of the Americas, the process of building an open government is still fragile and fragmented across various Health Regulatory Agencies (HRAs) and Regional Reference Authorities (RRAs). This study assessed the transparency status of RRAs, focusing on various medicine life-cycle documents (the Medicine Dossier, Clinical Trial Report, and Inspection Report) as tools for strengthening health systems...
May 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/27703543/health-care-reforms
#12
REVIEW
Dorjan Marušič, Valentina Prevolnik Rupel
In large systems, such as health care, reforms are underway constantly. The article presents a definition of health care reform and factors that influence its success. The factors being discussed range from knowledgeable personnel, the role of involvement of international experts and all stakeholders in the country, the importance of electoral mandate and governmental support, leadership and clear and transparent communication. The goals set need to be clear, and it is helpful to have good data and analytical support in the process...
September 1, 2016: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/27681517/applied-statistical-training-to-strengthen-analysis-and-health-research-capacity-in-rwanda
#13
Dana R Thomson, Muhammed Semakula, Lisa R Hirschhorn, Megan Murray, Vedaste Ndahindwa, Anatole Manzi, Assumpta Mukabutera, Corine Karema, Jeanine Condo, Bethany Hedt-Gauthier
BACKGROUND: To guide efficient investment of limited health resources in sub-Saharan Africa, local researchers need to be involved in, and guide, health system and policy research. While extensive survey and census data are available to health researchers and program officers in resource-limited countries, local involvement and leadership in research is limited due to inadequate experience, lack of dedicated research time and weak interagency connections, among other challenges. Many research-strengthening initiatives host prolonged fellowships out-of-country, yet their approaches have not been evaluated for effectiveness in involvement and development of local leadership in research...
September 29, 2016: Health Research Policy and Systems
https://www.readbyqxmd.com/read/27578196/central-intake-to-improve-access-to-physiotherapy-for-children-with-complex-needs-a-mixed-methods-case-report
#14
Kristy D M Wittmeier, Gayle Restall, Kathy Mulder, Brenden Dufault, Marie Paterson, Matthew Thiessen, Lisa M Lix
BACKGROUND: Children with complex needs can face barriers to system access and navigation related to their need for multiple services and healthcare providers. Central intake for pediatric rehabilitation was developed and implemented in 2008 in Winnipeg Manitoba Canada as a means to enhance service coordination and access for children and their families. This study evaluates the process and impact of implementing a central intake system, using pediatric physiotherapy as a case example...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27530439/obstacles-to-implementation-of-an-intervention-to-improve-surgical-services-in-an-ethiopian-hospital-a-qualitative-study-of-an-international-health-partnership-project
#15
Emma-Louise Aveling, Desalegn Tegabu Zegeye, Michael Silverman
BACKGROUND: Access to safe surgical care represents a critical gap in healthcare delivery and development in many low- and middle-income countries, including Ethiopia. Quality improvement (QI) initiatives at hospital level may contribute to closing this gap. Many such quality improvement initiatives are carried out through international health partnerships. Better understanding of how to optimise quality improvement in low-income settings is needed, including through partnership-based approaches...
August 17, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27276008/an-integrated-framework-for-gender-equity-in-academic-medicine
#16
Alyssa Westring, Jennifer M McDonald, Phyllis Carr, Jeane Ann Grisso
In 2008, the National Institutes of Health funded 14 R01 grants to study causal factors that promote and support women's biomedical careers. The Research Partnership on Women in Biomedical Careers, a multi-institutional collaboration of the investigators, is one product of this initiative.A comprehensive framework is needed to address change at many levels-department, institution, academic community, and beyond-and enable gender equity in the development of successful biomedical careers. The authors suggest four distinct but interrelated aspects of culture conducive to gender equity: equal access to resources and opportunities, minimizing unconscious gender bias, enhancing work-life balance, and leadership engagement...
August 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27232060/organizational-resilience-nonprofit-organizations-response-to-change
#17
Hope Witmer, Marcela Sarmiento Mellinger
BACKGROUND: Organizational resilience refers to the ability to respond productively to significant disruptive change and transform challenges into opportunities. There is a gap in the literature about resilient nonprofit organizations and its application for identifying organizational conditions for successful adaption to external variables that threaten their existence. OBJECTIVE: The aim of this study was to identify organizational characteristics that point to the resilience of nonprofit behavioral healthcare organizations as they successfully adapt to funding changes...
May 24, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/27173738/making-comfort-count-using-quality-improvement-to-promote-pediatric-procedural-pain-management
#18
Rebecca E Rosenberg, Liana Klejmont, Meghan Gallen, Jackie Fuller, Christina Dugan, Wendy Budin, Ingrid Olsen-Gallagher
BACKGROUND AND OBJECTIVES: Pediatric procedural pain management (PPPM) is best practice but was inconsistent in our large multisite general academic medical center. We hypothesized that quality improvement (QI) methods would improve and standardize PPPM in our health system within inpatient pediatric units. We aimed to increase topical anesthetic use from 10% to 40%, improve nursing pediatric pain knowledge, and increase parent satisfaction around procedures for children admitted to a general tertiary academic medical center...
June 2016: Hospital Pediatrics
https://www.readbyqxmd.com/read/27078794/embracing-value-co-creation-in-primary-care-services-research-a-framework-for-success
#19
Tina Janamian, Lisa Crossland, Claire L Jackson
Value co-creation redresses a key criticism of researcher-driven approaches to research - that researchers may lack insight into the end users' needs and values across the research journey. Value co-creation creates, in a step-wise way, value with, and for, multiple stakeholders through regular, ongoing interactions leading to innovation, increased productivity and co-created outcomes of value to all parties - thus creating a "win more-win more" environment. The Centre of Research Excellence (CRE) in Building Primary Care Quality, Performance and Sustainability has co-created outcomes of value that have included robust and enduring partnerships, research findings that have value to end users (such as the Primary Care Practice Improvement Tool and the best-practice governance framework), an International Implementation Research Network in Primary Care and the International Primary Health Reform Conference...
April 18, 2016: Medical Journal of Australia
https://www.readbyqxmd.com/read/27044399/curriculum-reform-for-residency-training-competence-change-and-opportunities-for-leadership
#20
Amy B Fraser, Emma J Stodel, Alan J Chaput
PURPOSE: Certain pressures stemming from within the medical community and from society in general, such as the need for increased accountability in resident training and restricted resident duty hours, have prompted a re-examination of methods for training physicians. Leaders in medical education in North America and around the world champion competency-based medical education (CBME) as a solution. The Department of Anesthesiology at the University of Ottawa launched Canada's first CBME program for anesthesiology residents on July 1, 2015...
July 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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