keyword
https://read.qxmd.com/read/38252250/implementation-of-direct-to-patient-mobile-teledermatology-in-va
#21
JOURNAL ARTICLE
Sara B Peracca, Olevie Lachica, Rebecca P Lamkin, George L Jackson, David C Mohr, Heather A King, John D Whited, Allene S Fonseca, Isis J Morris, Allen L Gifford, Martin A Weinstock, Dennis H Oh
BACKGROUND: Innovative technology can enhance patient access to healthcare but must be successfully implemented to be effective. OBJECTIVE: We evaluated Department of Veterans Affairs' (VA's) implementation of My VA Images, a direct-to-patient asynchronous teledermatology mobile application enabling established dermatology patients to receive follow-up care remotely instead of in-person. DESIGN /PARTICIPANTS/APPROACH: Following pilot testing at 3 facilities, the app was introduced to 28 facilities (4 groups of 7) every 3 months using a stepped-wedge cluster-randomized design...
January 22, 2024: Journal of General Internal Medicine
https://read.qxmd.com/read/38249685/the-clinical-impact-and-good-practices-of-remote-patient-monitoring-for-chronic-heart-failure-a-french-case-report
#22
Sonia Creton, Malika Saadi, Hélène Monfort, Sarina Yaghobian, Nicolas Pages, Sophie Nisse-Durgeat, Benoit Diebold
PURPOSE: Remote patient monitoring (RPM) can improve the management of chronic diseases. Since 2019, RPM in chronic heart failure (CHF) management has been internationally supported. However, evidence on the clinical impact and good practices of RPM is scarce. We present a case of a patient with CHF that used RPM in France. PATIENTS AND METHODS: A 74-year-old male was diagnosed with CHF (NYHA I) at the AP-HP Cochin Hospital in January 2020. He faced repetitive hospitalizations for acute heart failure and acute kidney injury...
2024: Patient Preference and Adherence
https://read.qxmd.com/read/38224109/operating-room-supply-cost-and-value-of-care-after-implementing-a-sustainable-quality-intervention
#23
JOURNAL ARTICLE
Amanda C Filiberto, Tyler J Loftus, Cristina J Crippen, Die Hu, Jeremy A Balch, Philip A Efron, George A Sarosi, Gilbert R Upchurch
BACKGROUND: Variability in operating room supply cost is a modifiable cause of suboptimal resource use and low value of care (outcomes/costs). This study describes implementation of a quality improvement intervention to decrease operating room supply costs. STUDY DESIGN: An automated electronic health record data pipeline harmonized operating room supply cost data with patient and case characteristics and outcomes. For inpatient procedures, predicted mortality and length of stay were used to calculate observed-to-expected ratios and value of care using validated equations...
January 15, 2024: Journal of the American College of Surgeons
https://read.qxmd.com/read/38222797/enhancing-nurses-disaster-management-and-preparedness-evaluating-the-effectiveness-of-an-online-educational-program-through-a-quasi-experimental-study
#24
JOURNAL ARTICLE
Sarah Saad AlOtaibi, Hessa Abdulrahman Almutairi, Mutlaq Khalid Alotaibi, Kholoud Alharbi, Ghareeb Bahari
BACKGROUND: Disaster management is an ongoing international concern, and nurses play essential roles in minimizing negative impacts on the health of communities. However, many nurses have limited knowledge and skills on how to respond to disasters effectively. Therefore, this study was conducted to determine the effectiveness of a newly developed educational program on improving nurses' disaster management and preparedness. METHODS AND DESIGN: A quasi-experimental study was conducted on 88 nurses working at a public hospital...
2024: Risk Management and Healthcare Policy
https://read.qxmd.com/read/38187936/the-effect-of-a-sip-til-send-policy-on-patient-satisfaction-a-quality-improvement-project
#25
JOURNAL ARTICLE
M D Wiles, A Macdonald
Patients often are nil by mouth for prolonged periods pre-operatively, which is associated with adverse effects including discomfort, anxiety, thirst and nausea. As a result, several hospitals have introduced a more liberal regimen of pre-operative drinking, with patients encouraged to sip small volumes of water until transfer to the operating theatre ('Sip til Send'). The impact of 'Sip til Send' on patient satisfaction is still to be determined. We hypothesised that the introduction of a 'Sip til Send' policy would increase patient's satisfaction with their pre-operative fluid management regimen...
2024: Anaesthesia reports
https://read.qxmd.com/read/38185641/nurses-experiences-of-providing-medical-services-during-the-kermanshah-earthquake-in-iran-a-qualitative-study
#26
JOURNAL ARTICLE
Khadijeh Akbari, Arezoo Yari, Abbas Ostadtaghizadeh
BACKGROUND: Nurses have always been at the forefront of providing services for victims of disasters. Using nurses' experiences in disaster planning can play an important role in improving their readiness to provide healthcare during disasters. The objective of this study is not only to understand the challenges but also to explore and document the broader spectrum of experiences encountered by nurses in these critical situations. By focusing on their experiences, we aim to contribute valuable insights to enhance disaster preparedness and healthcare delivery strategies...
January 7, 2024: BMC Emergency Medicine
https://read.qxmd.com/read/38154214/exploring-the-effects-of-extended-reality-head-mounted-display-nervous-system-assessment-training-for-nursing-students-a-pilot-feasibility-study
#27
JOURNAL ARTICLE
Jiyoung Kim, Hyunjung Shin
BACKGROUND: Health assessment is crucial for planning nursing interventions. Specifically, cerebrovascular diseases involve rapid neurological changes that necessitate precise hands-on assessment skills training. OBJECTIVES: This study developed and implemented an extended reality head-mounted display (HMD) nervous system assessment training program for nursing students to identify the usability and effectiveness of the system by analyzing their experiences. DESIGN: This was a mixed-methods study that combined the quantitative element of a one-group pre-post-test design with the qualitative element of qualitative content analysis...
December 26, 2023: Nurse Education Today
https://read.qxmd.com/read/38146628/tracheostomy-tube-changes-in-patients-with-tracheostomy-a-quality-improvement-project
#28
JOURNAL ARTICLE
Yu Liu, Chunlan Zhou, Yanni Wu, Shuijuan Deng, Ying Chen, Jungui Zhou
BACKGROUND: Tracheostomy tube changes are a considerable part of the management of patients with tracheostomy and are necessary for preventing aspiration pneumonia, especially in patients with long-term tracheostomy. The process of tracheostomy tube changes in many patients may not be timely, safe or efficient. OBJECTIVE: The objectives were to implement a quality improvement intervention that reduces the incidence of aspiration pneumonia in patients with tracheostomy, improve staff knowledge about tracheostomy tube changes and improve staff adherence to documentation...
December 26, 2023: Nursing in Critical Care
https://read.qxmd.com/read/38134756/indication-as-a-predictor-for-outcomes-in-anterior-cervical-discectomy-and-fusion-the-impact-of-myelopathy-on-disposition
#29
JOURNAL ARTICLE
Ansh Desai, Jeffrey Butke, Eric Z Herring, Collin M Labak, Rohit Mauria, Uma V Mahajan, Andrew Ronald, Christina Gerges, Martha Sajatovic, Manish K Kasliwal
BACKGROUND: While the indication for Anterior Cervical Discectomy and Fusion (ACDF) may influence the expected postoperative course, there is limited data comparing how length of stay (LOS) and disposition for patients with myelopathy differ from those with radiculopathy. This study aimed to compare LOS and discharge disposition, in patients undergoing ACDF for cervical radiculopathy versus those for myelopathy. METHODS: A retrospective review of all adult ACDF cases between 2013 and 2019 was conducted analyzing sex, age, race, comorbidities, level of surgery, myelopathy measures when applicable, complications, dysphagia, hospital LOS, and discharge disposition...
December 19, 2023: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38131430/practice-patterns-role-and-impact-of-advanced-practice-nurses-in-stroke-care-a-mixed-methods-systematic-review
#30
REVIEW
Brigitte Fong Yeong Woo, Wai May Ng, Il Fan Tan, Wentao Zhou
AIM(S): To undertake a systematic review of the practice patterns and roles of advanced practice nurses (APNs) in inpatient and outpatient stroke-care services; and to evaluate the impact of APN-led inpatient and outpatient stroke-care services on clinical and patient-reported outcomes. DESIGN: A mixed-methods systematic review. METHODS: A systematic search was conducted across six electronic databases for primary studies. Data were synthesised using a convergent integrated approach...
December 22, 2023: Journal of Clinical Nursing
https://read.qxmd.com/read/38118301/oxidative-stress-responses-of-virtual-reality-use-in-refugee-children-undergoing-elective-surgery-a-randomized-controlled-trial
#31
JOURNAL ARTICLE
Emel Demir, Vesile Duzguner, Ahmet Atici, Erhan Yengil
BACKGROUND: With the Virtual Reality (VR) technique, 3D movies can be made for refugee children for pre-operative stress. The study aims to reveal the oxidative responses of the VR technique in pre-operative anxiety in elective surgery in children aged 5-12 years. METHODS: The Study was designed according to the CONSORT checklist with a randomized controlled parallel design. The whole sample (n = 23), VR experimental group (n = 12), and control group (n = 11) were determined according to the total count method prospectively in 6 months...
December 19, 2023: Journal of Pediatric Nursing
https://read.qxmd.com/read/38110122/improving-the-outcomes-for-people-with-diabetes-undergoing-surgery-an-observational-study-of-the-improving-the-peri-operative-pathway-of-people-with-diabetes-ip3d-intervention
#32
JOURNAL ARTICLE
Gerry Rayman, Emma Page, Steve Hodgson, William Henley, Tim Wr Briggs, William K Gray
AIMS: We evaluated the effectiveness of an intervention to improve the care of people with diabetes undergoing surgery when implemented across multiple organisations. METHODS: This was an observational study using routinely collected data. Eight hospitals in England implemented the Improving the Peri-operative Pathway of People with Diabetes (IP3D), with pre-implementation data collected from 1st February to 31st July 2019 and post-implementation data collection within the period 1st February to 31st October 2021...
December 16, 2023: Diabetes Research and Clinical Practice
https://read.qxmd.com/read/38088708/early-ambulation-and-dhikr-complementary-therapies-effect-on-intestinal-peristaltic-in-post-open-cholecystectomy-patients
#33
JOURNAL ARTICLE
Angga Wilandika, Nina Gartika, Ernawati Nurfarida
OBJECTIVES: to analyze and determine the effect of a combination intervention of early ambulation and dhikr therapy on intestinal peristaltic recovery in post-open cholecystectomy patients. METHODS: a pre-experimental design with one group pre and post-test design was used. The samples were 15 post-open cholecystectomy patients which were selected using the purposive sampling technique. The data were collected using the instrument observation sheet and analyzed using the Wilcoxon test...
2023: Revista Brasileira de Enfermagem
https://read.qxmd.com/read/38042252/development-feasibility-and-knowledge-impact-of-a-massive-open-online-course-on-radiation-safety-a-multicentric-prospective-cohort-study
#34
JOURNAL ARTICLE
Gilles Soenens, Bart Doyen, Peter Vlerick, Adrien Hertault, Blandine Maurel, Pieter-Jan Kellens, Klaus Bacher, Isabelle Van Herzeele
OBJECTIVE: This study reports the development of an innovative, interactive Massive Open Online Course (MOOC) teaching radiation safety principles in the vascular workplace, using stepwise e-learning with multiple choice question tests (MCQs), educational videos, and a serious game. The aim was to study the MOOC impact on radiation safety knowledge and assess its feasibility and acceptability. METHODS: An international multicentre prospective study included team members active in the hybrid operating room...
November 30, 2023: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/38035286/comprehensive-assessment-of-emergency-departments-in-county-level-public-hospitals-a-multicenter-descriptive-cross-sectional-study-in-henan-province-china
#35
JOURNAL ARTICLE
Yanwei Cheng, Xue Cao, Jiange Zhang, Lijun Xu, Lijie Qin
BACKGROUND: Emergency Departments (EDs) play a crucial role in providing immediate medical care, particularly in densely populated countries like China. While previous research has predominantly focused on well-funded urban hospitals, this study offers a comprehensive evaluation of EDs in county-level public hospitals in Henan province, China, aiming to identify disparities and challenges. METHODS: A descriptive cross-sectional survey was conducted in 382 public hospitals across Henan province, China, from July 1, 2023, to August 1, 2023...
2023: Frontiers in Public Health
https://read.qxmd.com/read/38034591/current-trends-and-future-perspectives-of-stroke-management-through-integrating-health-care-team-and-nanodrug-delivery-strategy
#36
REVIEW
Xuelu Han, Yingxin Qin, Chunli Mei, Feitong Jiao, Sanaz Khademolqorani, Seyedeh Nooshin Banitaba
Stroke is accounted as the second-most mortality and adult disability factor in worldwide, while causes the bleeding promptly and lifetime consequences. The employed functional recovery after stroke is highly variable, allowing to deliver proper interventions to the right stroke patient at a specific time. Accordingly, the multidisciplinary nursing team, and the administrated drugs are major key-building-blocks to enhance stroke treatment efficiency. Regarding the healthcare team, adequate continuum of care have been declared as an integral part of the treatment process from the pre-hospital, in-hospital, to acute post-discharge phases...
2023: Frontiers in Cellular Neuroscience
https://read.qxmd.com/read/38024025/an-audit-on-the-pre-operative-fasting-time-of-trauma-list-orthopaedic-patients-at-a-district-general-hospital-in-chichester-united-kingdom
#37
JOURNAL ARTICLE
Hector Perera, Adedoyin Wusu, Alhashash Mohammad, Mahdi Z Qulaghassi, Ali Abdulkarim
INTRODUCTION: Pre-operative fasting of patients awaiting non-emergency surgeries has been a common practice to minimise the risk of vomiting and aspiration at the time of induction of anaesthesia. Current standard guidelines recommend that this fasting time be limited to two hours for clear fluids and six hours for solids and semi-solids, as prolonged fasting has been shown to be harmful to the patient. METHODS: A descriptive cross-sectional study of the fasting times of all adult trauma orthopaedic patients who were operated on under anaesthesia between June 1 and 30, 2023...
November 2023: Curēus
https://read.qxmd.com/read/38020351/patient-satisfaction-with-post-operative-surgical-services-and-associated-factors-at-addis-ababa-city-government-tertiary-hospitals-surgical-ward-cross-sectional-study-2022
#38
JOURNAL ARTICLE
Ermias Algawork Kibru, Yidnekachew Girma Mogessie, Abel Alemayehu Regassa, Kirubel Tesfaye Hailu
INTRODUCTION: patient satisfaction is an attitude resulting from a person's general orientation towards the total experience of health care. The study was done with the aim of evaluating post-operative patient satisfaction level with the quality of service provided at the surgical wards; determining how much factors related to physicians, nursing, laboratory, and information provision service influence satisfaction level; and determining factors impacting patient satisfaction level. METHODS: a hospital-based quantitative cross-sectional study design was conducted in six Addis Ababa City Government tertiary hospitals from November 4th to December 13th , 2022...
2023: Pan African Medical Journal
https://read.qxmd.com/read/38013202/effect-of-motion-graphic-video-based-training-on-the-performance-of-operating-room-nurse-students-in-cataract-surgery-in-iran-a-randomized-controlled-study
#39
JOURNAL ARTICLE
Behnaz Fatahi, Samira Fatahi, Sohrab Nosrati, Masood Bagheri
PURPOSE: The present study was conducted to determine the effect of motion-graphic video-based training on the performance of operating room nurse students in cataract surgery using phacoemulsification at Kermanshah University of Medical Sciences in Iran. METHODS: This was a randomized controlled study conducted among 36 students training to become operating room nurses. The control group only received routine training, and the intervention group received motion-graphic video-based training on the scrub nurse's performance in cataract surgery in addition to the educator's training...
2023: Journal of Educational Evaluation for Health Professions
https://read.qxmd.com/read/38012761/analgesic-effect-of-nitrous-oxide-during-manual-therapy-after-anterior-cruciate-ligament-reconstruction-a-study-protocol-for-a-randomized-controlled-trial
#40
JOURNAL ARTICLE
Ziyang Wang, Fei Wang, Yuxiang Li, Yihui Xing, Xiaochen Jiang, Cui Li, Zhiguo Ding, Lu Tang
BACKGROUND: Many patients during manual therapy after anterior ligament reconstruction will experience severe pain, which has a negative impact on their rehabilitation. However, there is rarely an analgesic method for these patients during rehabilitation. Nitrous oxide with rapid analgesic and sedative effects is often used to relieve pain in minor procedures. The purpose of this study is to determine whether or not nitrous oxide analgesia decreases pain compared to oxygen during manual therapy after anterior ligament reconstruction...
November 27, 2023: Trials
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