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https://www.readbyqxmd.com/read/28345985/reviewing-the-investigative-landscape-to-move-towards-a-learning-culture
#1
John Tingle
John Tingle, Reader in Health Law at Nottingham Trent University, discusses the Public Administration and Constitutional Affairs Committee follow up to the report, Learning from Mistakes, on the NHS in England.
March 23, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28343734/challenging-hierarchy-in-healthcare-teams-ways-to-flatten-gradients-to-improve-teamwork-and-patient-care
#2
REVIEW
B Green, R S Oeppen, D W Smith, P A Brennan
In healthcare, mistakes that are potentially harmful or fatal to patients are often the result of poor communication between members of a team. This is particularly important in high-risk areas such as operating theatres or during any intervention, and the ability to challenge colleagues who are in authority when something does not seem right or is clearly wrong, is crucial. Colleagues in oral and maxillofacial surgery recognised the importance of this as early as 2004, and it is now well known that failure or reluctance to challenge others who might be wrong can severely compromise a patient's safety...
March 23, 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/28341440/optimization-and-testing-of-dried-antibody-tube-the-euroflow-lst-and-pidot-tubes-as-examples
#3
V H J van der Velden, J Flores-Montero, Martin Perez, Marta Martin-Ayuso, Oliver Crespo, Elena Blanco, Tomas Kalina, Jan Philippé, Carolien Bonroy, Maaike de Bie, Jeroen Te Marvelde, Cristina Teodosio, Alba Corral Mateos, Veronika Kanderová, Mirjam van der Burg, Dennis Van Hoof, Jacques J M van Dongen, Alberto Orfao
Within EuroFlow, we recently developed screening tubes for hematological malignancies and immune deficiencies. Pipetting of antibodies for such 8-color 12-marker tubes however is time-consuming and prone to operational mistakes. We therefore evaluated dried formats of the lymphocytosis screening tube (LST) and of the primary immune deficiency orientation tube (PIDOT). Both tubes were evaluated on normal and/or on patient samples, comparing the mean fluorescence intensity of specific lymphocyte populations. Our data show that the dried tubes and liquid counterparts give highly comparable staining results, particularly when analyzed in multidimensional plots...
March 21, 2017: Journal of Immunological Methods
https://www.readbyqxmd.com/read/28339552/the-effectiveness-of-id-readers-and-remote-age-verification-in-enhancing-compliance-with-the-legal-age-limit-for-alcohol
#4
Joris J Van Hoof
Currently, two different age verification systems (AVS) are implemented to enhance compliance with legal age limits for the sale of alcohol in the Netherlands. In this study, we tested the operational procedures and effectiveness of ID readers and remote age verification technology in supermarkets during the sale of alcohol. Following a trained alcohol purchase protocol, eight mystery shoppers (both underage and in the branch's reference age) conducted 132 alcohol purchase attempts in stores that were equipped with ID readers or remote age verification or were part of a control group...
October 6, 2016: European Journal of Public Health
https://www.readbyqxmd.com/read/28335810/structured-relearning-of-activities-of-daily-living-in-dementia-the-randomized-controlled-redali-dem-trial-on-errorless-learning
#5
Sebastian Voigt-Radloff, Maartje M E de Werd, Rainer Leonhart, Danielle H E Boelen, Marcel G M Olde Rikkert, Klaus Fliessbach, Stefan Klöppel, Bernhard Heimbach, Andreas Fellgiebel, Richard Dodel, Gerhard W Eschweiler, Lucrezia Hausner, Roy P C Kessels, Michael Hüll
BACKGROUND: Errorless learning (EL) is a method for optimizing learning, which uses feed-forward instructions in order to prevent people from making mistakes during the learning process. The majority of previous studies on EL taught patients with dementia artificial tasks of little or no relevance for their daily lives. Furthermore, only a few controlled studies on EL have so far been performed and just a handful of studies have examined the long-term effects of EL. Tasks were not always trained in the patients' natural or home environment, limiting the external validity of these studies...
March 23, 2017: Alzheimer's Research & Therapy
https://www.readbyqxmd.com/read/28333039/corrigendum-to-in-vivo-evaluation-of-copper-release-and-acute-local-tissue-reactions-after-implantation-of-copper-coated-titanium-implants-in-rats
#6
Andreas Hoene, Cornelia Prinz, Uwe Walschus, Silke Lucke, Maciej Patrzyk, Lutz Wilhelm, Hans-Georg Neumann, Michael Schlosser
In the "Materials and methods" chapter of the article given above, in section 2.1 titled "Implant samples and preparation" on page 2 (top paragraph of the right column), an incorrect value of 1 μg mm-2 for the average Cu load of the surface was inadvertently specified. This was due to an accidental mix-up of electronic data sets from examination of different implant series. The correct value is 0.2 μg mm-2. No other data given in the article are affected. The authors kindly apologize for this mistake.
March 23, 2017: Biomedical Materials
https://www.readbyqxmd.com/read/28330970/variation-in-family-experience-of-pediatric-inpatient-care-as-measured-by-child-hcahps
#7
Sara L Toomey, Marc N Elliott, Alan M Zaslavsky, David J Klein, Sifon Ndon, Shannon Hardy, Melody Wu, Mark A Schuster
BACKGROUND: Making national comparisons of family experience of inpatient pediatric care has been limited by the lack of a publicly available survey. The Agency for Healthcare Research and Quality and Centers for Medicare & Medicaid Services commissioned development of the Child Hospital Consumer Assessment of Healthcare Providers and Systems Survey to address this gap. Using Child Hospital Consumer Assessment of Healthcare Providers and Systems Survey, we measured performance of hospitals in a national field test...
March 22, 2017: Pediatrics
https://www.readbyqxmd.com/read/28328958/physician-satisfaction-with-a-multi-platform-digital-scheduling-system
#8
Rodrigo Octávio Deliberato, Leonardo Lima Rocha, Alex Heitor Lima, Caroline Reis Maia Santiago, Jose Cláudio Cyrineu Terra, Alon Dagan, Leo Anthony Celi
OBJECTIVE: Physician shift schedules are regularly created manually, using paper or a shared online spreadsheet. Mistakes are not unusual, leading to last minute scrambles to cover a shift. We developed a web-based shift scheduling system and a mobile application tool to facilitate both the monthly scheduling and shift exchanges between physicians. The primary objective was to compare physician satisfaction before and after the mobile application implementation. METHODS: Over a 9-month period, three surveys, using the 4-point Likert type scale were performed to assess the physician satisfaction...
2017: PloS One
https://www.readbyqxmd.com/read/28327216/the-expressive-rationality-of-inaccurate-perceptions
#9
Dan M Kahan
This commentary uses the dynamic of identity-protective cognition to pose a friendly challenge to Jussim (2012). Like other forms of information processing, this one is too readily characterized as a bias. It is no mistake, however, to view identity-protective cognition as generating inaccurate perceptions. The "bounded rationality" paradigm incorrectly equates rationality with forming accurate beliefs. But so does Jussim's critique.
January 2017: Behavioral and Brain Sciences
https://www.readbyqxmd.com/read/28327030/what-to-do-after-you-have-made-a-mistake
#10
Mandy Day-Calder
All nurses dread making an error, but if it does happen, there are things you can do to rebuild your confidence and reduce the risk of future mistakes.
March 22, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28325964/a-review-of-insect-parasitoids-associated-with-lobesia-botrana-denis-schifferm%C3%A3-ller-1775-in-italy-1-dipteratachinidae-and-hymenopterabraconidae-lepidoptera-tortricidae
#11
Pier Luigi Scaramozzino, Augusto Loni, Andrea Lucchi
This paper is aimed to summarize the information available on the parasitoid complex of the European Grapevine Moth (EGVM), Lobesia botrana (Denis & Schiffermüller, 1775) (Lepidoptera Tortricidae) in Italy. The list is the result of the consultation of a vast bibliography published in Italy for almost two hundred years, from 1828 to date. This allowed the clarification and correction of misunderstandings and mistakes on the taxonomic position of each species listed. In Italy the complex of parasitoids detected on EGVM includes approximately 90 species belonging to ten families of Hymenoptera (Braconidae, Ichneumonidae, Chalcididae, Eulophidae, Eupelmidae, Eurytomidae, Pteromalidae, Torymidae, Trichogrammatidae, and Bethylidae) and one family of Diptera (Tachinidae)...
2017: ZooKeys
https://www.readbyqxmd.com/read/28324066/hippocampal-aromatization-modulates-spatial-memory-and-characteristics-of-the-synaptic-membrane-in-the-male-zebra-finch
#12
David J Bailey, Yekaterina V Makeyeva, Elizabeth R Paitel, Alyssa L Pedersen, Angel T Hon, Jordan A Gunderson, Colin J Saldanha
The estrogen-synthesizing enzyme aromatase is abundant at the synapse in the zebra finch hippocampus (HP) and its inhibition impairs spatial memory function. To more fully test the role of local estradiol (E2) synthesis in memory, the HP of adult male zebra finches was exposed to either control pellets or those containing the aromatase inhibitor ATD, ATD and E2, ATD and the G protein-coupled estrogen receptor (GPER) agonist G1, or the antagonist G15 alone. Birds were tested for spatial memory acquisition and performance, and HP levels of the postsynaptic protein PSD95 were measured...
January 27, 2017: Endocrinology
https://www.readbyqxmd.com/read/28321305/occupational-mercury-vapour-poisoning-with-a-respiratory-failure-pneumomediastinum-and-severe-quadriparesis
#13
Jakub Smiechowicz, Anna Skoczynska, Agata Nieckula-Szwarc, Katarzyna Kulpa, Andrzej Kübler
OBJECTIVES: Despite restrictions, mercury continues to pose a health concern. Mercury has the ability to deposit in most parts of the body and can cause a wide range of unspecific symptoms leading to diagnostic mistakes. METHODS AND RESULTS: We report the case of severe mercury vapour poisoning after occupational exposure in a chloralkali plant worker that resulted in life-threatening respiratory failure, pneumomediastinum and quadriparesis. CONCLUSIONS: Prolonged mechanical ventilation and treatment with penicillamine and spironolactone was used with successful outcome...
2017: SAGE open medical case reports
https://www.readbyqxmd.com/read/28320773/identity-change-and-informed-consent
#14
Karsten Witt
In this paper, I focus on a kind of medical intervention that is at the same time fascinating and disturbing: identity-changing interventions. My guiding question is how such interventions can be ethically justified within the bounds of contemporary bioethical mainstream that places great weight on the patient's informed consent. The answer that is standardly given today is that patients should be informed about the identity effects, thus suggesting that changes in identity can be treated like 'normal' side effects...
March 20, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28306483/preschool-fantasy-reality-discrimination-influences-of-trait-and-primed-fearfulness
#15
Aleksandra V Petkova, Kathleen M Cain
Distinguishing between fantasy and reality is an important developmental milestone, achieved in the preschool years, that has been linked to children's cognitive capabilities and emotional knowledge. The authors examined the influence of both trait and prime fearfulness on preschoolers' ability to differentiate between fantastic and real situations. Forty 3-5-year-old preschoolers were administered a fearfulness assessment, a standard theory-of-mind task, and a fantasy-reality discrimination task (with or without a fear prime)...
March 17, 2017: Journal of Genetic Psychology
https://www.readbyqxmd.com/read/28303702/studies-on-the-quality-nutrition-in-women-with-polycystic-ovary-syndrome-pcos
#16
Małgorzata Szczuko, Patrycja Sankowska, Marta Zapałowska-Chwyć, Paweł Wysokiński
Background: Polycystic ovary syndrome (PCOS) manifests itself with various symptoms, therefore it interests representatives of many medical specializations: general practitioners, gynecologists, endocrinologists, dermatologists, cardiologists and those who deal with metabolic disorders, such as dieticians. Objective: The aim of this study was perform the qualitative assessment of components of diets of women with PCOS as one of the major factor contributing to the disease...
2017: Roczniki Państwowego Zakładu Higieny
https://www.readbyqxmd.com/read/28299848/specimen-identification-errors-in-breast-biopsies-age-matters-report-of-two-near-miss-events-and-review-of-the-literature
#17
Gary Tozbikian, Mary L Gemignani, Edi Brogi
The consequences of patient identification errors due to specimen mislabeling can be deleterious. We describe two near-miss events involving mislabeled breast specimens from two patients who sought treatment at our institution. In both cases, microscopic review of the slides identified inconsistencies between the histologic findings and patient age, unveiling specimen identification errors. By correlating the clinical information with the microscopic findings, we identified mistakes that had occurred at the time of specimen accessioning at the original laboratories...
March 16, 2017: Breast Journal
https://www.readbyqxmd.com/read/28299410/the-power-law-of-movement-an-example-of-a-behavioral-illusion
#18
Richard S Marken, Dennis M Shaffer
The curved movements produced by living organisms follow a power law where the velocity of movement is a power function of the degree of curvature through which the movement is made. The exponent of the power function is close to either 1/3 or 2/3 depending on how velocity and curvature are measured. This power law is thought to reflect biological and/or kinematic constraints on how organisms produce movements. The present paper shows that the power law is actually a statistical artifact that results from mistaking a correlational for a causal relationship between variables...
March 15, 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/28298653/response-to-dr-sabour-prediction-and-prevention-of-hypertensive-disorders-of-pregnancy-a-methodological-mistake
#19
Akihide Ohkuchi, Shigeki Matsubara
No abstract text is available yet for this article.
March 16, 2017: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://www.readbyqxmd.com/read/28294011/we-must-not-repeat-the-mistakes-of-mid-staffs
#20
Sir Stephen Moss
These are exceptionally tough times for everyone providing care and treatment across NHS settings. Colleagues on the front line face unprecedented pressure day in, day out, without any respite and often with limited resources. As a nurse it distresses me greatly to see graphic images of older, frail patients waiting for long periods on trolleys in overcrowded emergency departments.
March 15, 2017: Nursing Standard
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