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https://www.readbyqxmd.com/read/29677580/effects-of-a-skill-demonstration-video-delivered-by-smartphone-on-facilitating-nursing-students-skill-competencies-and-self-confidence-a-randomized-controlled-trial-study
#1
Yeu-Hui Chuang, Fu-Chih Lai, Chia-Chi Chang, Hsu-Tien Wan
BACKGROUND: The correct and appropriate performance of nursing skills by students can ensure patient safety and care quality. However, developing appropriate teaching and learning strategies to enhance nursing students' nursing skills and knowledge are challenging tasks for nursing faculty members. Nowadays, smartphones are popular mobile devices that are used on campuses by students and could be considered a potential tool to deliver learning materials to nursing students. OBJECTIVES: This study aimed to examine the effects of a skill demonstration video delivered by smartphone on facilitating nursing students' nursing skill competency and confidence...
April 7, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29672845/drug-induced-proarrhythmia-and-torsade-de-pointes-a-primer-for-students-and-practitioners-of-medicine-and-pharmacy
#2
REVIEW
J Rick Turner, Ignacio Rodriguez, Emily Mantovani, Gary Gintant, Peter R Kowey, Ralph J Klotzbaugh, Krishna Prasad, Philip T Sager, Norman Stockbridge, Colette Strnadova
Multiple marketing withdrawals due to proarrhythmic concerns occurred in the United States, Canada, and the United Kingdom in the late 1980s to early 2000s. This primer reviews the clinical implications of a drug's identified proarrhythmic liability, the issues associated with these safety-related withdrawals, and the actions taken by the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) and by regulatory agencies in terms of changing drug development practices and introducing new nonclinical and clinical tests to asses proarrhythmic liability...
April 19, 2018: Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/29670992/promotion-of-hand-hygiene-the-experience-of-the-orthopaedic-hospital-gaetano-pini-cto-milan-italy
#3
M Nobile, C Conti, A Bastianelli, A Piscitelli, G M Calori, P Navone
BACKGROUND: Hand hygiene is the primary preventive measure against health care-associated infections in terms of cost-effectiveness. In 2005, the WHO proposed the "Global Patient Safety Challenge" campaign, with the aim of reducing the overall incidence of such infections, through multimodal programs and strategies, interactive training tools and standardised methods for monitoring compliance. STUDY DESIGN: On the basis of project "Rimani", sponsored by the Health and Social Care Authority of Emilia-Romagna, the Istituto Ortopedico Gaetano Pini has implemented a project which seeks to increase healthcare staff's compliance with hand hygiene...
May 2018: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/29669596/misoprostol-administered-sublingually-at-a-dose-of-12-5-%C3%AE-g-versus-vaginally-at-a-dose-of-25-%C3%AE-g-for-the-induction-of-full-term-labor-a-randomized-controlled-trial-protocol
#4
Daniele Sofia Moraes Barros Gattás, José Roberto da Silva Junior, Alex Sandro Rolland Souza, Francisco Edson Feitosa, Melania Maria Ramos de Amorim
BACKGROUND: Various methods are currently used for the induction of labor. Nevertheless, the most effective method with the fewest side effects remains to be established. Misoprostol, administered vaginally, has been routinely used for this purpose; however, other forms of administration are being proposed, including the use of sublingual tablets. No studies have yet compared the effectiveness and safety of 12.5-μg misoprostol administered sublingually compared to a 25-μg vaginal dose of the drug for the induction of labor...
April 18, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29652272/comparison-of-immediate-extubation-versus-ultrafast-tracking-strategy-in-the-management-of-off-pump-coronary-artery-bypass-surgery
#5
Amarja Sachin Nagre, Nagesh P Jambures
Introduction: Ultrafast tracking of anesthesia (UFTA) is practiced routinely, whereas immediate on-table extubation after off-pump coronary artery bypass (OPCAB) grafting surgery has many concerns. The purpose of our study was to evaluate the safety and feasibility of immediate extubation (IE) versus UFTA. Methods: Sixty patients were enrolled who underwent OPCAB surgery. The two groups IE and UFTA had thirty patients each. Inclusion criteria were patients for OPCAB surgery including left main stenosis...
April 2018: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/29652004/factors-associated-with-patients-satisfaction-of-rubber-dam-use-during-root-canal-treatment
#6
Manal Maslamani, Amal K Mitra
Background: The use of rubber dam (RD) has been recommended in dental procedures including root canal treatment. The aim of the study was to identify factors that were associated with patients' satisfaction and acceptance of RD. Setting and Design: This was a cross-sectional study, conducted from January 2015 to December 2016 at Kuwait University School of Dentistry. Materials and Methods: A pretested questionnaire was used by a face-to-face interview of patients after taking informed consent...
March 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/29623287/safe-surgery-checklist-patient-safety-teamwork-and-responsibility-coequal-demands-a-focus-group-study
#7
Elin Thove Willassen, Inger Lise Smith Jacobsen, Sidsel Tveiten
The use of World Health Organization's (WHO's) Safe Surgery checklist is an established practice worldwide and contributes toward ensuring patient safety and collaborative teamwork. The aim of this study was to elucidate operating room nurses' and operating room nursing students' experiences and opinions about execution of and compliance with checklists. We chose a qualitative design with semistructured focus group discussions. Qualitative content analysis was conducted. Two main themes were identified; the Safe Surgery checklists have varied influence on teamwork and patient safety, and taking responsibility for executing the checks on the Safe Surgery checklist entails practical and ethical challenges...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/29620702/electronic-health-records-in-simulation-education-literature-review-and-synthesis
#8
Bryan A Wilbanks, Penni I Watts, Chad A Epps
During the last decade, the use of electronic health records (EHRs) in clinical settings has risen sharply. Many clinical education programs have not incorporated the use of electronic documentation into their curriculum. It is important to incorporate technologies that will be used in real-world settings into educational clinical simulations to better prepare students for clinical practice and promote patient safety. Electronic documentation can be harder to teach to students because it requires a more in-depth orientation on how to use the electronic documentation system and because health care organizations often give students limited or no access to the documentation system...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29618347/undergraduate-medical-students-perceptions-and-intentions-regarding-patient-safety-during-clinical-clerkship
#9
Hoo-Yeon Lee, Myung-Il Hahm, Sang Gyu Lee
BACKGROUND: The purpose of this study was to examine undergraduate medical students' perceptions and intentions regarding patient safety during clinical clerkships. METHODS: Cross-sectional study administered in face-to-face interviews using modified the Medical Student Safety Attitudes and Professionalism Survey (MSSAPS) from three colleges of medicine in Korea. We assessed medical students' perceptions of the cultures ('safety', 'teamwork', and 'error disclosure'), 'behavioural intentions' concerning patient safety issues and 'overall patient safety'...
April 4, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29606802/development-and-validation-of-a-new-assessment-tool-for-suturing-skills-in-medical-students
#10
Henriette Pisani Sundhagen, Stian Kreken Almeland, Emma Hansson
Background: In recent years, emphasis has been put on that medical student should demonstrate pre-practice/pre-registration core procedural skills to ensure patient safety. Nonetheless, the formal teaching and training of basic suturing skills to medical students have received relatively little attention and there is no standard for what should be tested and how. The aim of this study was to develop and validate, using scientific methods, a tool for assessment of medical students' suturing skills, measuring both micro- and macrosurgical qualities...
2018: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/29606704/a-scoping-review-of-peer-led-education-in-patient-safety-training
#11
REVIEW
Ramesh L Walpola, Andrew J McLachlan, Timothy F Chen
Objective. To examine the literature pertaining to the use of peer-led education in patient safety. Findings. Four studies met the inclusion criteria: two were conducted in health care students and two in medical practitioners. Three studies used pre-post evaluation, with one containing a comparator group. One study a post-intervention evaluation only. All studies undertook Kirkpatrick Level 2 evaluations, showing significant improvements in attitudes and knowledge. One study undertook Level 3 and 4 evaluations, showing improvement in self-reported behaviors and engagement in quality improvement initiatives...
March 2018: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/29606098/learning-from-errors-assessing-final-year-medical-students-reflection-on-safety-improvement-five-year-cohort-study
#12
Vicki Tully, Douglas Murphy, Evridiki Fioratou, Arun Chaudhuri, James Shaw, Peter Davey
BACKGROUND: Investigation of real incidents has been consistently identified by expert reviews and student surveys as a potentially valuable teaching resource for medical students. The aim of this study was to adapt a published method to measure resident doctors' reflection on quality improvement and evaluate this as an assessment tool for medical students. METHODS: The design is a cohort study. Medical students were prepared with a tutorial in team based learning format and an online Managing Incident Review course...
April 2, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29601678/interprofessional-education-in-dental-education-an-international-perspective
#13
J M Davis, J Janczukowicz, J Stewart, B Quinn, C A Feldman
Interprofessional collaborative care (IPC) is defined as working within and across healthcare disciplines and is considered essential to achieve a more inclusive, patient-centred care, provide a means to support patient safety and address global healthcare provider shortages. Interprofessional education (IPE) provides the knowledge and experience students need to achieve these goals. ADEE/ADEA held a joint international meeting 8-9 May 2017, with IPE being one of four topic areas discussed. The highly interactive workshop format, where "everyone was an expert," supported discussion, sharing and creative problem-solving of over seventy-one participants from twenty-nine countries...
March 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29596513/bad-manners-in-the-emergency-department-incivility-among-doctors
#14
Karsten Klingberg, Khaled Gadelhak, Sabrina N Jegerlehner, Adam D Brown, Aristomenis K Exadaktylos, David S Srivastava
INTRODUCTION: Negative workplace behaviour, especially negative communication is a recognised problem in many organisations and is known to have serious impact on workplace performance, productivity and personal wellbeing. Emergency Departments (ED) can be high stress environments in which communication and perceptions of respect between physicians and other staff may underlie individual functioning. We conducted a study to estimate the influence of incivility (ICV) among physicians in the ED...
2018: PloS One
https://www.readbyqxmd.com/read/29587730/applying-interprofessional-team-based-learning-in-patient-safety-a-pilot-evaluation-study
#15
Lukas Lochner, Sandra Girardi, Alessandra Pavcovich, Horand Meier, Franco Mantovan, Dietmar Ausserhofer
BACKGROUND: Interprofessional education (IPE) interventions are not always successful in achieving learning outcomes. Team-Based Learning (TBL) would appear to be a suitable pedagogical method for IPE, as it focuses on team performance; however, little is known about interprofessional TBL as an instructional framework for patient safety. In this pilot-study, we aimed to (1) describe participants' reactions to TBL, (2) observe their achievement with respect to interprofessional education learning objectives, and (3) document their attitudinal shifts with regard to patient safety behaviours...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29574394/online-learning-versus-blended-learning-of-clinical-supervisee-skills-with-pre-registration-nursing-students-a-randomised-controlled-trial
#16
Karen McCutcheon, Peter O'Halloran, Maria Lohan
BACKGROUND: The World Health Organisation amongst others recognises the need for the introduction of clinical supervision education in health professional education as a central strategy for improving patient safety and patient care. Online and blended learning methods are growing exponentially in use in higher education and the systematic evaluation of these methods will aid understanding of how best to teach clinical supervision. OBJECTIVE: The purpose of this study was to test whether undergraduate nursing students who received clinical supervisee skills training via a blended learning approach would score higher in terms of motivation and attitudes towards clinical supervision, knowledge of clinical supervision and satisfaction of learning method, when compared to those students who received an online only teaching approach...
March 6, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29553432/general-versus-spinal-anaesthesia-for-caesarean-section-a-quasi-controlled-trial
#17
Raed Tafish, Khaled I Abu El Aish, Walid Madi
BACKGROUND: General anaesthesia and spinal anaesthesia are commonly used for caesarean sections. The aim of this study was to compare the outcomes from caesarean sections with these two types of anaesthesia. METHODS: In this quasi-controlled trial, we enrolled women undergoing caesarean sections at Al-Helal Al-Emirati Hospital, Rafah, Gaza Strip. Women were assigned either to general anaesthesia (20% intravenous propofol for anaesthesia induction followed by atracurium for muscle relaxation, and nitrous oxide and oxygen for anaesthesia maintenance) or to spinal anaesthesia (0·5% hyperbaric solution bupivacaine with 20 μg fentanyl intrathecally)...
February 21, 2018: Lancet
https://www.readbyqxmd.com/read/29550698/safety-of-fascial-therapy-in-adult-patients-with-hemophilic-arthropathy-of-ankle-a-cohort-study
#18
Elena Donoso-Úbeda, Javier Meroño-Gallut, José Antonio López-Pina, Rubén Cuesta-Barriuso
BACKGROUND: Hemophilic arthropathy is characterized by loss of function and chronic pain. Fascial therapy mobilizes the connective tissue, intervening in the state of the injured fascial complex and the surrounding tissues. OBJECTIVES: The aim of this study is to evaluate the safety of a physiotherapy program through fascial therapy in adult patients with hemophilic ankle arthropathy. DESIGN: Prospective cohort study. METHODS: Twenty-three adult patients with hemophilia from 26 to 65 years of age were recruited...
March 12, 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29546612/drug-physiology-interaction-and-its-influence-on-the-qt-prolongation-mechanistic-modeling-study
#19
Barbara Wiśniowska, Sebastian Polak
The current study is an example of drug-disease interaction modeling where a drug induces a condition which can affect the pharmacodynamics of other concomitantly taken drugs. The electrophysiological effects of hypokaliemia and heart rate changes induced by the antiasthmatic drugs were simulated with the use of the cardiac safety simulator. Biophysically detailed model of the human cardiac physiology-ten Tusscher ventricular cardiomyocyte cell model-was employed to generate pseudo-ECG signals and QTc intervals for 44 patients from four clinical studies...
March 15, 2018: Journal of Pharmacokinetics and Pharmacodynamics
https://www.readbyqxmd.com/read/29540413/undergraduate-medical-students-behavioural-intentions-towards-medical-errors-and-how-to-handle-them-a-qualitative-vignette-study
#20
Isabel Kiesewetter, Karen D Könings, Moritz Kager, Jan Kiesewetter
OBJECTIVES: In undergraduate medical education, the topics of errors in medicine and patient safety are under-represented. The aim of this study was to explore undergraduate medical students' behavioural intentions when confronted with an error. DESIGN: A qualitative case vignette survey was conducted including one of six randomly distributed case scenarios in which a hypothetical but realistic medical error occurred. The six scenarios differed regarding (1) who caused the error, (2) the presence of witnesses and (3) the consequences of the error for the patient...
March 14, 2018: BMJ Open
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