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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/29790950/the-research-data-management-platform-rdmp-a-novel-process-driven-open-source-tool-for-the-management-of-longitudinal-cohorts-of-clinical-data
#2
Thomas Nind, James Galloway, Gordon McAllister, Donald Scobbie, Wilfred Bonney, Christopher Hall, Leandro Tramma, Parminder Reel, Martin Groves, Philip Appleby, Alex Doney, Bruce Guthrie, Emily Jefferson
Background: The Health Informatics Centre (HIC) at the University of Dundee provides a service to securely host clinical datasets and extract relevant data for anonymised cohorts to researchers to enable them to answer key research questions. As is common in research using routine healthcare data, the service was historically delivered using ad-hoc processes resulting in the slow provision of data whose provenance was often hidden to the researchers using it. This paper describes the development and evaluation of the Research Data Management Platform (RDMP): an open source tool to load, manage, clean, and curate longitudinal healthcare data for research and provide reproducible and updateable datasets for defined cohorts to researchers...
May 22, 2018: GigaScience
https://www.readbyqxmd.com/read/29775387/the-digital-transformation-of-healthcare-technology-management
#3
Anthony Faddis
No abstract text is available yet for this article.
January 2018: Biomedical Instrumentation & Technology
https://www.readbyqxmd.com/read/29772963/simplifying-skin-disease-diagnosis-with-topical-nanotechnology
#4
David C Yeo, Chenjie Xu
A new study published in the journal Nature Biomedical Engineering1 documents a novel diagnostic technology that exploits topically applied nanotechnology to detect skin tissue biomarkers for diagnosis. This concept is demonstrated by noninvasively imaging connective tissue growth factor (CTGF) mRNA in abnormal scar cells, whole tissue, and animal models. In this commentary, we highlight the main findings and discuss their implications. Successful implementation in the clinic could give rise to self-applied, biopsy-free diagnostic technology and significantly reduce healthcare burden...
May 1, 2018: SLAS Technology
https://www.readbyqxmd.com/read/29771987/visualization-of-gender-race-citizenship-and-academic-performance-in-association-with-career-outcomes-of-15-year-biomedical-doctoral-alumni-at-a-public-research-university
#5
Ambika Mathur, Annmarie Cano, Michael Kohl, Nisansala S Muthunayake, Prassanna Vaidyanathan, Mary E Wood, Mustafa Ziyad
It has long been thought that biomedical doctoral students pursue careers primarily as tenure-track/tenured faculty at research institutions. Recent reports showed, however, that the majority of biomedical doctoral alumni engage in a variety of careers. Wayne State University (WSU) undertook a project to understand the career trajectories of its biomedical doctoral alumni to create programs to better prepare its students for careers in multiple pathways. Data were collected on career outcomes of WSU's biomedical doctoral alumni who graduated in a 15-year period from 1999-2014...
2018: PloS One
https://www.readbyqxmd.com/read/29771229/competencies-physicians-need-to-lead-a-canadian-case
#6
Scott Comber, Kyle Clayton Crawford, Lisette Wilson
Purpose Emerging evidence correlates increased physician leadership effectiveness with improved patient and healthcare system outcomes. To maximize this benefit, it is critical to understand current physician leadership needs. The purpose of this study is to understand, through physicians' self-reporting, their own and others' most effective and weakest leadership skills in relation to the LEADS leadership capabilities framework. Design/methodology/approach The authors surveyed 209 Canadian physician leaders about their perceptions of their own and other physicians' leadership abilities...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29769433/medical-imaging-dose-optimization-from-ground-up-expert-opinion-of-an-international-summit
#7
Ehsan Samei, Hannu Jarvinen, Mika Kortesniemi, Georgios Simantirakis, Charles Goh, Anthony Wallace, Eliseo Vano, Adrian Bejan, M M Rehani, J Vassileva
As in any medical intervention, there is either a known or an anticipated benefit to the patient from undergoing a medical imaging procedure. This benefit is generally significant as demonstrated by the manner in which medical imaging has transformed clinical medicine. At the same time, when it comes to imaging that deploys ionizing radiation, there is a potential associated risk from radiation. Radiation risk has been recognized as a key liability in the practice of medical imaging, creating a motivation for radiation dose optimization...
May 17, 2018: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://www.readbyqxmd.com/read/29764294/impact-of-muslim-opinion-leaders-training-of-healthcare-providers-on-the-uptake-of-mnch-services-in-northern-nigeria
#8
Judith-Ann Walker, Yahaya Hashim, Nelson Oranye
Expanding access to maternal, newborn and child health (MNCH) services in traditional societies is a public health challenge, often complicated by cultural and religious beliefs about what is permitted or not permitted within a faith group. This is particularly true in the Muslim majority North of Nigeria, where deep suspicions of Western public health programmes, coupled with failing and underfunded health system, have led to the emergence of a new generation of Muslim Opinion Leaders (MOLs) with counter-narratives against family planning, immunisation and nutrition programmes...
May 15, 2018: Global Public Health
https://www.readbyqxmd.com/read/29762507/m-health-lessons-learned-by-m-experiences
#9
José Bravo, Ramón Hervás, Jesús Fontecha, Iván González
m-Health is an emerging area that is transforming how people take part in the control of their wellness condition. This vision is changing traditional health processes by discharging hospitals from the care of people. Important advantages of continuous monitoring can be reached but, in order to transform this vision into a reality, some factors need to be addressed. m-Health applications should be shared by patients and hospital staff to perform proper supervised health monitoring. Furthermore, the uses of smartphones for health purposes should be transformed to achieve the objectives of this vision...
May 15, 2018: Sensors
https://www.readbyqxmd.com/read/29761708/the-potential-of-interprofessional-education-to-translate-physiology-curricula-effectively-into-future-team-based-healthcare
#10
Scott Edwards, Patricia E Molina, Kathleen H McDonough, Donald E Mercante, Tina Patel Gunaldo
Incorporating active interprofessional education (IPE) opportunities into the classroom setting is a potentially effective mechanism to enhance student learning both in the basic sciences and for future interprofessional collaboration. We integrated an IPE exercise into a graduate-level human physiology course at our health sciences center that enrolled physician assistant (PA), physical therapy (PT), and graduate studies students. Our activity adopted and targeted the four Interprofessional Education Collaborative (IPEC) competency domains of values/ethics (VE), roles/responsibilities, interprofessional communication, and teams and teamwork (TT)...
June 1, 2018: Advances in Physiology Education
https://www.readbyqxmd.com/read/29760661/a-semantic-transformation-methodology-for-the-secondary-use-of-observational-healthcare-data-in-postmarketing-safety-studies
#11
Anil Pacaci, Suat Gonul, A Anil Sinaci, Mustafa Yuksel, Gokce B Laleci Erturkmen
Background: Utilization of the available observational healthcare datasets is key to complement and strengthen the postmarketing safety studies. Use of common data models (CDM) is the predominant approach in order to enable large scale systematic analyses on disparate data models and vocabularies. Current CDM transformation practices depend on proprietarily developed Extract-Transform-Load (ETL) procedures, which require knowledge both on the semantics and technical characteristics of the source datasets and target CDM...
2018: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/29748180/molecular-test-for-chlamydia-and-gonorrhoea-used-at-point-of-care-in-remote-primary-healthcare-settings-a-diagnostic-test-evaluation
#12
Louise M Causer, Rebecca J Guy, Sepehr N Tabrizi, David M Whiley, David John Speers, James Ward, Annie Tangey, Steven G Badman, Belinda Hengel, Lisa Jane Natoli, David A Anderson, Handan Wand, David Wilson, David G Regan, Mark Shephard, Basil Donovan, Christopher K Fairley, John M Kaldor
OBJECTIVES: A new molecular test for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) (GeneXpert CT/NG) has been demonstrated to be as accurate as conventional nucleic acid amplification tests (NAAT), but performance has not been evaluated in routine primary care, performed at the point of care by clinicians. We aimed to examine its diagnostic performance when used by clinicians in remote community health services in Australia with high prevalences of CT and NG infection. The trial was registered with the Australian and New Zealand Clinical Trials Registry (#12613000808741) METHODS: At 12 health services, training was provided to 99 clinicians in the use of the GeneXpert CT/NG assay who tested specimens from all patients undergoing STI screening...
May 10, 2018: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/29743223/practice-facilitator-strategies-for-addressing-electronic-health-record-data-challenges-for-quality-improvement-evidencenow
#13
Jennifer R Hemler, Jennifer D Hall, Raja A Cholan, Benjamin F Crabtree, Laura J Damschroder, Leif I Solberg, Sarah S Ono, Deborah J Cohen
PURPOSE: Practice facilitators ("facilitators") can play an important role in supporting primary care practices in performing quality improvement (QI), but they need complete and accurate clinical performance data from practices' electronic health records (EHR) to help them set improvement priorities, guide clinical change, and monitor progress. Here, we describe the strategies facilitators use to help practices perform QI when complete or accurate performance data are not available...
May 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29735382/evidence-based-nonpharmacologic-strategies-for-comprehensive-pain-care-the-consortium-pain-task-force-white-paper
#14
Heather Tick, Arya Nielsen, Kenneth R Pelletier, Robert Bonakdar, Samantha Simmons, Ronald Glick, Emily Ratner, Russell L Lemmon, Peter Wayne, Veronica Zador
Consortium Pain Taskforce White Paper Summary Evidence-based Nonpharmacologic Strategies for Comprehensive Pain Care Supplementary information can be found in the online version at https://doi.org/10.1016/j.explore.2018.02.001. Medical pain management is in crisis; from the pervasiveness of pain to inadequate pain treatment, from the escalation of prescription opioids to an epidemic in addiction, diversion and overdose deaths. The rising costs of pain care and managing adverse effects of that care have prompted action from state and federal agencies including the DOD, VHA, NIH, FDA and CDC...
March 1, 2018: Explore: the Journal of Science and Healing
https://www.readbyqxmd.com/read/29734887/patient-autonomy-in-home-care-nurses-relational-practices-of-responsibility
#15
Gaby Jacobs
BACKGROUND: Over the last decade, new healthcare policies are transforming healthcare practices towards independent living and self-care of older people and people with a chronic disease or disability within the community. For professional caregivers in home care, such as nurses, this requires a shift from a caring attitude towards the promotion of patient autonomy. AIM: To explore how nurses in home care deal with the transformation towards fostering patient autonomy and self-care...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29731002/healthcare-in-a-carbon-constrained-world
#16
Kate E Charlesworth, Maggie Jamieson
Objective The climate crisis necessitates urgent decarbonisation. The health sector must address its large carbon footprint. In the present study, we sought healthcare thought leaders' views about a future environmentally sustainable health system. Methods The present study was a qualitative exploratory study consisting of semistructured, in-depth interviews with 15 healthcare thought leaders from Australia, the UK, the US and New Zealand. Audio recordings of the interviews were transcribed and analysed by matrix display and thematic analysis...
May 7, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29730132/a-billion-cups-the-diversity-traditional-uses-safety-issues-and-potential-of-chinese-herbal-teas
#17
REVIEW
Yao Fu, Jin-Chao Yang, Antony Balfour Cunningham, Alexandra Maria Towns, Yu Zhang, Hua-Ying Yang, Jian-Wen Li, Xue-Fei Yang
ETHNOPHARMACOLOGICAL RELEVANCE: Herbal teas have long been consumed by Chinese people for preventive and/or therapeutic healthcare. Although herbal teas are widely consumed by many cultural groups in different regions of China, no thorough review has been undertaken to assess the diversity of the country's herbal tea usage. This literature review, complemented by a quantitative survey in an important tea market in Kunming, begins to fill this knowledge gap. AIMS OF THE STUDY: The study aims to summarize the current knowledge of plant species used as herbal teas by different cultural groups in different regions of China, with a focus on the teas' perceived traditional healthcare functions, related phytochemical/pharmaceutical research, and safety issues...
May 3, 2018: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/29729037/using-focused-ethnography-to-explore-and-describe-the-process-of-nurses-shift-reports-in-a-psychiatric-intensive-care-unit
#18
Martin Salzmann-Erikson
AIMS AND OBJECTIVES: To explore and describe the cultural routine of shift reports among nursing staff in a psychiatric intensive care unit, and further to develop a taxonomic, thematic and theoretical understanding of the process. BACKGROUND: Lack of communication among healthcare staff is associated with risks for medical errors. Thus, handovers and shift reports are an essential and integral routine among nurses in order to pass on information about the patients' health status...
May 5, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29723123/re-imagining-the-role-of-the-physiotherapist-when-managing-people-with-long-term-conditions
#19
Sandra Elaine Hartley
The rising prevalence of long-term conditions (LTCs) is placing increasing pressures on healthcare systems. With the future prospect that more individuals will experience multiple comorbidities, LTCs are becoming a growing concern. This article aims to discuss the challenges faced by and the opportunities afforded to physiotherapists when caring for people with LTCs. It highlights the complexity of managing people with LTCs and the demands faced by physiotherapists when working within a transitioning healthcare service that necessitates cost-effective yet, sustainable care...
May 3, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29719467/new-metabolites-from-the-biotransformation-of-ginsenoside-rb1-by-paecilomyces-bainier-sp-229-and-activities-in-inducing-osteogenic-differentiation-by-wnt-%C3%AE-catenin-signaling-activation
#20
Wei Zhou, Hai Huang, Haiyan Zhu, Pei Zhou, Xunlong Shi
Background: Ginseng is a well-known traditional Chinese medicine that has been widely used in a range of therapeutic and healthcare applications in East Asian countries. Microbial transformation is regarded as an effective and useful technology in modification of nature products for finding new chemical derivatives with potent bioactivities. In this study, three minor derivatives of ginsenoside compound K were isolated and the inducing effects in the Wingless-type MMTV integration site (Wnt) signaling pathway were also investigated...
April 2018: Journal of Ginseng Research
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