keyword
MENU ▼
Read by QxMD icon Read
search

Healthcare transformation

keyword
https://www.readbyqxmd.com/read/28197420/the-challenges-of-electronic-health-records-and-diabetes-electronic-prescribing-implications-for-safety-net-care-for-diverse-populations
#1
REVIEW
Neda Ratanawongsa, Lenny L S Chan, Michelle M Fouts, Elizabeth J Murphy
Widespread electronic health record (EHR) implementation creates new challenges in the diabetes care of complex and diverse populations, including safe medication prescribing for patients with limited health literacy and limited English proficiency. This review highlights how the EHR electronic prescribing transformation has affected diabetes care for vulnerable patients and offers recommendations for improving patient safety through EHR electronic prescribing design, implementation, policy, and research. Specifically, we present evidence for (1) the adoption of RxNorm; (2) standardized naming and picklist options for high alert medications such as insulin; (3) the widespread implementation of universal medication schedule and language-concordant labels, with the expansion of electronic prescription 140-character limit; (4) enhanced bidirectional communication with pharmacy partners; and (5) informatics and implementation research in safety net healthcare systems to examine how EHR tools and practices affect diverse vulnerable populations...
2017: Journal of Diabetes Research
https://www.readbyqxmd.com/read/28194770/clinical-pharmacology-therapeutics-past-present-and-future
#2
EDITORIAL
S A Waldman, A Terzic
Clinical Pharmacology & Therapeutics (CPT), the definitive and timely source for advances in human therapeutics, transcends the drug discovery, development, regulation, and utilization continuum to catalyze, evolve, and disseminate discipline-transformative knowledge. Prioritized themes and multidisciplinary content drive the science and practice of clinical pharmacology, offering a trusted point of reference. An authoritative herald across global communities, CPT is a timeless information vehicle at the vanguard of discovery, translation, and application ushering therapeutic innovation into modern healthcare...
March 2017: Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/28192101/transforming-gastroenterology-care-with-telemedicine
#3
REVIEW
Corey A Siegel
Healthcare is changing rapidly, so we must change with the times to develop more efficient, practical, cost-effective and, importantly, high-quality methods to care for patients. We teach medial students that optimal patient care requires face to face interactions, to collect information on patients' history, and the physical examination. However, management of many patients-especially those with chronic diseases-does not always require physical examination. Telemedicine offers an opportunity to take advantage of technology while leveraging the progressive push towards efficiency and value, but also requires the belief that excellent patient care is not always provided in person...
February 9, 2017: Gastroenterology
https://www.readbyqxmd.com/read/28188943/evaluating-awareness-of-pediatricians-and-general-practitioners-on-transformation-of-the-health-system-in-iran
#4
Sepideh Masoud, Gilda Rajabi, Farnaz Delavari, Nima Rezaei
In orders to promote the level of healthcare in societies, governments try to have different policies to transform the health system. The aim of this study was to measure the level of awareness of practitioners in Iran, after initiating the new transformation of the health system in the country, starting from May 2014. This is a descriptive-cross-sectional study, which was inducted in October 2014. The study population consists of 208 physicians who attended the 26th International Congress of Pediatrics in Tehran, Iran...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28186054/the-role-of-personal-health-record-systems-in-chronic-disease-management
#5
Reshma Prashad
Chronic illnesses account for the largest portion of healthcare spending in Canada; they are the leading cause of premature death. As a result, healthcare organizations are focused on improving both health and financial outcomes. Addressing chronic illnesses involves more frequent and impactful interactions with both current patients and those at risk of developing a chronic condition. This transformation requires that healthcare organizations shift from a system based solely on in-person interactions to one that leverages digital solutions that support interactions regardless of the patients' location...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186045/digital-health-services-and-digital-identity-in-alberta
#6
Aiden McEachern, David Cholewa
The Government of Alberta continues to improve delivery of healthcare by allowing Albertans to access their health information online. Alberta is the only province in Canada with provincial electronic health records for all its citizens. These records are currently made available to medical practitioners, but Alberta Health believes that providing Albertans access to their health records will transform the delivery of healthcare in Alberta. It is important to have a high level of assurance that the health records are provided to the correct Albertan...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186038/interface-usability-across-and-within-ehr-vendors-and-medical-settings-the-often-unexamined-need-for-interface-similarities
#7
Ross Koppel, Craig Kuziemsky
Usability of health information technology (HIT), if considered at all, is usually focused on individual providers, settings and vendors. However, in light of transformative models of healthcare delivery such as collaborative care delivery that crosses providers and settings, we need to think of usability as a collective and constantly emerging process. To address this new reality we develop a matrix of usability that spans several dimensions and contexts, incorporating differing vendors, user, settings, disciplines, and display configurations...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28183417/simulation-mastery-learning-and-healthcare
#8
William Dunn, Yue Dong, Benjamin Zendejas, Raaj Ruparel, David Farley
Healthcare organizations, becoming increasingly complex, need to use simulation techniques as a tool to provide consistently safe care. Mastery learning techniques minimize variation in learner outcome, thus improving the consistency and cost-effectiveness of care. Today׳s organizations (and their teams of decision makers) exist within varying states of transformation. These transformational times afford opportunities to use mastery learning concepts at an organizational level and to affect necessary change(s)...
February 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28182957/heteroagglomeration-of-zinc-oxide-nanoparticles-with-clay-mineral-modulates-the-bioavailability-and-toxicity-of-nanoparticle-in-tetrahymena-pyriformis
#9
Govind Sharan Gupta, Violet Aileen Senapati, Alok Dhawan, Rishi Shanker
The extensive use of zinc oxide nanoparticles (ZnO NPs) in cosmetics, sunscreens and healthcare products increases their release in the aquatic environment. The present study explored the possible interaction of ZnO NPs with montmorillonite clay minerals in aqueous conditions. An addition of ZnO NPs on clay suspension significantly (p<0.05) increases the hydrodymic size of clay particles from 1652±90nm to 2158±13nm due to heteroagglomeration. The electrokinetic measurements showed a significant (p<0...
January 27, 2017: Journal of Colloid and Interface Science
https://www.readbyqxmd.com/read/28177858/evaluation-of-the-veterans-health-administration-s-specialty-care-transformational-initiatives-to-promote-patient-centered-delivery-of-specialty-care-a-mixed-methods-approach
#10
Katherine M Williams, Susan Kirsh, David Aron, David Au, Christian Helfrich, Anne Lambert-Kerzner, Julie Lowery, Catherine Battaglia, Glenn D Graham, Michael Doukas, Rajiv Jain, P Michael Ho
INTRODUCTION: Veteran's Affairs Office of Specialty Care (OSC) launched four national initiatives (Electronic-Consults [e-Consults], Specialty Care Access Networks-Extension for Community Healthcare Outcomes [SCAN-ECHO], Mini-Residencies, and Specialty Care Neighborhood) to improve specialty care delivery and funded a center to evaluate the initiatives. METHODS: The evaluation, guided by two implementation frameworks, provides formative (administrator/provider interviews and surveys) and summative data (quantitative data on patterns of use) about the initiatives to OSC...
February 8, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28161693/nurse-environment-interactions-in-the-development-of-cultural-competence
#11
Amélie Blanchet Garneau, Jacinthe Pepin, Sylvie Gendron
Studies on the development of cultural competence among healthcare providers tend to focus on the clinical encounter, with little attention paid to the environment. In this paper, results from a grounded theory study conducted with nurses and students to understand cultural competence development are presented; with a focus on findings that call particular attention to nurse-environment interactions. Two concurrent processes, as students and nurses develop cultural competence through interactions with their environment, were identified: "dealing with structural constraints" and "mobilizing social resources"...
February 4, 2017: International Journal of Nursing Education Scholarship
https://www.readbyqxmd.com/read/28159007/beyond-patient-care-the-impact-of-healthcare-reform-on-job-satisfaction-in-the-ethiopian-public-healthcare-sector
#12
Tsegahun Manyazewal, Mokgadi C Matlakala
BACKGROUND: While healthcare reform has been a central attention for local governments, its impact on job satisfaction is poorly understood. This study aimed to determine the impact of healthcare reform on job satisfaction in the public healthcare sector in Ethiopia. METHODS: The study was designed as a facility-based cross-sectional survey of healthcare professionals and carried out in all public hospitals in central Ethiopia which have been implementing healthcare reform (n = 5)...
February 3, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28154873/a-low-cost-smartphone-based-platform-for-highly-sensitive-point-of-care-testing-with-persistent-luminescent-phosphors
#13
Andrew S Paterson, Balakrishnan Raja, Vinay Mandadi, Blane Townsend, Miles Lee, Alex Buell, Binh Vu, Jakoah Brgoch, Richard C Willson
Through their computational power and connectivity, smartphones are poised to rapidly expand telemedicine and transform healthcare by enabling better personal health monitoring and rapid diagnostics. Recently, a variety of platforms have been developed to enable smartphone-based point-of-care testing using imaging-based readout with the smartphone camera as the detector. Fluorescent reporters have been shown to improve the sensitivity of assays over colorimetric labels, but fluorescence readout necessitates incorporating optical hardware into the detection system, adding to the cost and complexity of the device...
February 3, 2017: Lab on a Chip
https://www.readbyqxmd.com/read/28150256/-transformative-care-rooted-in-evidence-based-nursing
#14
Li-Chi Chiang, Mei-Nan Liao
As clinical scientists on the interdisciplinary healthcare team, nurses use the art and science of current nursing knowledge to provide evidence-based healthcare to each patient and his/her family. Nurses not only comprise the largest contingent of medical personnel and provide 24-hour patient care but are also professional scientists that develop unique nursing knowledge through reflective practice. Five strategies for expanding the body of current evidence-based nursing scientific knowledge include: (1) reflecting empirically on the practice-service domain, (2) developing nursing knowledge using rigorous methodology, (3) emancipating nursing knowledge using innovative transformation, (4) using collaborative interdisciplinary healthcare that is based in patient-centered care, and (5) initiating innovative transformation in nursing education...
February 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28146453/eye-tracking-a-novel-approach-for-evaluating-and-improving-the-safety-of-healthcare-processes-in-the-simulated-setting
#15
Elizabeth A Henneman, Jenna L Marquard, Donald L Fisher, Anna Gawlinski
INTRODUCTION: Eye tracking, used to evaluate a clinician's eye movements, is an example of an existing technology being used in novel ways by patient safety researchers in the simulated setting. The use of eye-tracking technology has the potential to augment current teaching, evaluation, and research methods in simulated settings by using this quantitative, objective data to better understand why an individual performed as he or she did on a simulated or naturalistic task. METHODS: Selected literature was reviewed with the purpose of explicating how eye tracking can be used by researchers and educators to evaluate error-prone processes...
February 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28146179/toward-advanced-nursing-practice-along-with-people-centered-care-partnership-model-for-sustainable-universal-health-coverage-and-universal-access-to-health
#16
Tomoko Kamei, Keiko Takahashi, Junko Omori, Naoko Arimori, Michiko Hishinuma, Kiyomi Asahara, Yoko Shimpuku, Kumiko Ohashi, Junko Tashiro
Objective: this study developed a people-centered care (PCC) partnership model for the aging society to address the challenges of social changes affecting people's health and the new role of advanced practice nurses to sustain universal health coverage. Method: a people-centered care partnership model was developed on the basis of qualitative meta-synthesis of the literature and assessment of 14 related projects. The ongoing projects resulted in individual and social transformation by improving community health literacy and behaviors using people-centered care and enhancing partnership between healthcare providers and community members through advanced practice nurses...
January 30, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28144769/the-adolescent-health-care-broker-adolescents-interpreting-for-family-members-and-themselves-in-health-care
#17
Jennifer R Banas, James W Ball, Lisa C Wallis, Sarah Gershon
Parents with limited English proficiency might rely on their adolescent children to interpret health information. We call this adolescent healthcare brokering. Using a mixed-methods, transformative research approach rooted in grounded theory, we sought to answer these questions: (a) "What is happening? What are people doing?" and (b) "What do these stories indicate? What might they suggest about social justice?" High school students from a community in which 53.4% speak another language at home were invited to participate in a survey and focus groups...
January 31, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28140691/developing-junior-doctors-prescribing-practices-through-collaborative-practice-sustaining-and-transforming-the-practice-of-communities
#18
Christy Noble, Victoria Brazil, Trudy Teasdale, Mark Forbes, Stephen Billett
Prescribing in acute healthcare settings is a complex interprofessional process with a high incidence of medication errors. Opportunities exist to improve prescribing learning through collaborative practice. This qualitative interview-based study aimed to investigate the development of junior doctors' prescribing capacity and how pharmacists contribute interprofessionally to this development and the prescribing practices of a medical community. The setting for this study was a large teaching hospital in Australia where ethical approval was gained before commencing the study...
January 31, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28138827/improving-receipt-and-preventive-care-delivery-for-adolescents-and-young-adults-initial-lessons-from-top-performing-states
#19
Claire D Brindis, Lauren Twietmeyer, M Jane Park, Sally Adams, Charles E Irwin
Purpose Provisions of the Patient Protection and Affordable Care Act (ACA) of 2010 hold promise for improving access to and receipt of preventive services for adolescents and young adults (AYAs). The Title V Block Grant transformation also includes a focus on improving adolescent preventive care. This brief report describes and discusses an inquiry of promising strategies for improving access and preventive care delivery identified in selected high-performing states. Methods Two data sources were used to identify top-performing states in insurance enrollment and preventive care delivery: National Survey of Children's Health for adolescents (ages 12-17 years) and Behavioral Risk Factors Surveillance System for young adults (ages 18-25 years)...
January 30, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28135594/experiences-of-remote-mood-and-activity-monitoring-in-bipolar-disorder-a-qualitative-study
#20
K E A Saunders, A C Bilderbeck, P Panchal, L Z Atkinson, J R Geddes, G M Goodwin
BACKGROUND: Mobile technology enables high frequency mood monitoring and automated passive collection of data (e.g. actigraphy) from patients more efficiently and less intrusively than has previously been possible. Such techniques are increasingly being deployed in research and clinical settings however little is known about how such approaches are experienced by patients. Here, we explored the experiences of individuals with bipolar disorder engaging in a study involving mood and activity monitoring with a range of portable and wearable technologies...
January 27, 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
keyword
keyword
76676
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"