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https://www.readbyqxmd.com/read/29239595/explaining-the-absence-of-surgical-procedure-regulation
#1
Jonathan J Darrow
Each year in the United States, surgeons perform approximately 64 million surgical procedures, ranging from tooth extraction to open heart surgery. Yet, notwithstanding the frequency of surgical procedures and their often critical importance to patient health, no state or federal agency either approves the use of new surgical procedures or directly regulates existing procedures. The absence of surgical procedure regulation differs from the regulation of new pharmaceutical products, which can be introduced into interstate commerce only after the Food and Drug Administration (FDA) has reviewed "adequate and well-controlled [clinical] investigations" and concluded the data from those studies sufficiently establish the drug's safety and efficacy...
2017: Cornell Journal of Law and Public Policy
https://www.readbyqxmd.com/read/29233378/a-team-based-interprofessional-education-course-for-first-year-health-professions-students
#2
Michael J Peeters, Martha Sexton, Alexia E Metz, Carol S Hasbrouck
BACKGROUND AND PURPOSE: Interprofessional education (IPE) is required within pharmacy education, and should include classroom-based education along with experiential interprofessional collaboration. For classroom-based education, small-group learning environments may create a better platform for engaging students in the essential domain of interprofessional collaboration towards meaningful learning within IPE sub-domains (interprofessional communication, teams and teamwork, roles and responsibilities, and values and ethics)...
November 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233313/pharmacy-student-involvement-in-a-transition-of-care-program
#3
Raquel Hertig, Rina Ackerman, Brenda Zagar, Serina Tart
BACKGROUND AND PURPOSE: Cape Fear Valley Medical Center (CFVMC) implemented a Community Paramedic Program (CPP) to improve the transition of hospitalized patients to the home setting. In this program, paramedics conduct home visits for 30 days after qualifying patients are discharged. This article describes pharmacy services provided to CPP patients by fourth-year pharmacy students on Advanced Pharmacy Practice Experiences (APPE) that assisted with home visits. EDUCATIONAL ACTIVITY AND SETTING: Students were oriented to the CPP and patient interview technique was assessed through a role-play scenario...
September 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29223767/evaluation-of-a-national-pediatric-subinternship-curriculum-implemented-through-individual-learning-plans
#4
Linda R Tewksbury, Cristina Carter, Lyuba Konopasek, Sandra M Sanguino, Janice L Hanson
OBJECTIVE: The Council on Medical Student Education in Pediatrics and Association of Pediatric Program Directors developed a Pediatric Subinternship (CAPS) Curriculum for use with an individualized learning plan (ILP). The authors determined which learning objectives (LOs) pediatric subinterns selected when provided the CAPS Curriculum, summarized students' self-reported progress, and determined feasibility of ILPs in subinternship. METHODS: Students from 10 medical schools completed a standardized ILP during pediatric subinternship...
December 6, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29217855/effect-of-nasal-oxygen-supplementation-during-apnoea-of-intubation-on-arterial-oxygen-levels-a-prospective-randomised-controlled-trial
#5
Nishant Sahay, Shalini Sharma, Umesh K Bhadani, Chandni Sinha, Amarjeet Kumar, Alok Ranjan
Background and Aims: Apnoeic oxygenation during laryngoscopy has been emphasised in recent recommendations for airway management. We aimed to compare the effect of nasal oxygen supplementation on time for pulse oximeter oxygen saturation (SpO2) to fall from 100% to 92% (desaturation safety time), to assess the arterial oxygen partial pressures (PaO2) with and without nasal oxygen supplementation and the time for SpO2 to recover from 92% to 100% after initiation of ventilation. Methods: This is a prospective randomised placebo-controlled trial involving sixty patients, where nasal oxygen supplementation given at 10 L/min during apnoea of laryngoscopy in one group of patients (Group O2) was compared to no oxygen supplementation in other group (Group NoO2)...
November 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29214014/influence-of-perceived-difficulty-of-cases-on-student-osteopaths-diagnostic-reasoning-a-cross-sectional-study
#6
Aurelien L Noyer, Jorge E Esteves, Oliver P Thomson
Background: Diagnostic reasoning refers to the cognitive processes by which clinicians formulate diagnoses. Despite the implications for patient safety and professional identity, research on diagnostic reasoning in osteopathy remains largely theoretical. The aim of this study was to investigate the influence of perceived task difficulty on the diagnostic reasoning of students osteopaths. Methods: Using a single-blinded, cross sectional study design, sixteen final year pre-registration osteopathy students diagnosed two standardized cases under two context conditions (complex versus control)...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29207751/does-azithromycin-and-cetirizine-combination-given-for-upper-respiratory-tract-infections-has-any-significant-effect-on-qtc
#7
Kishor Kumar Rajasekaran, Jayakumar Jeganathan, Pavan Manibettu Raghuram
Introduction: Azithromycin usage in patients with baseline cardiovascular risk is associated with increased risk of cardiovascular mortality, following which Food and Drug Administration (FDA) issued a black box warning regarding safety of azithromycin in patients with cardiovascular morbidity particularly with prolonged QTc. Cetirizine is a second generation anti histaminic and is found to be commonly used for Upper Respiratory Tract Infections (URIs) along with azithromycin on outpatient basis...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/29206264/rn-to-bsn-students-quality-improvement-knowledge-skills-confidence-and-systems-thinking
#8
Peggy Trent, Mary A Dolansky, Jacqueline Kayler DeBrew, Gayle M Petty
BACKGROUND: Little evidence demonstrates that RN-to-baccalaureate nursing (BSN) graduates have met The Essentials of Baccalaureate Education for Professional Nursing Practice-specifically, evidence of the graduates' organizational and systems leadership related to quality care and patient safety. This BSN Essentials reflects the QSEN quality improvement (QI) competency. The purpose of this pilot study was to develop and test an assessment strategy to measure RN-to BSN students' QI competence and their perception of QI knowledge and skills...
December 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29206260/faculty-and-student-incivility-in-undergraduate-nursing-education-an-integrative-review
#9
Latoya Rawlins
BACKGROUND: Incivility is a critical issue in undergraduate nursing education. Uncivil acts in academia are increasing and have the potential to affect future nursing practice and patient safety outcomes. METHOD: An integrative literature review was completed to describe faculty-to-student and student-to-faculty incivility in undergraduate nursing education. RESULTS: Seventeen studies were included in the review. Four themes emerged from the data: (a) Detrimental to Health and Well-Being, (b) Disruption to the Teaching-Learning Environment, (c) Stress as a Catalyst, and (d) Incivility Incites Incivility...
December 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29205782/the-graduating-european-dentist-a-new-undergraduate-curriculum-framework
#10
J C Field, J G Cowpe, A D Walmsley
With "The Graduating European Dentist", ADEE provides a new approach that reflects best academic practice for European undergraduate dental education. The new suite of documents sees increased emphasis on important curriculum components such as patient safety, working as a team and patient-centred care. There is also an increased emphasis on teaching excellence, student satisfaction and student preparedness and support. Guidance relating to methods of teaching and learning, and assessment (educational measurement), is also provided...
December 2017: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29202840/patient-targeted-googling-and-social-media-a-cross-sectional-study-of-senior-medical-students
#11
Aaron N Chester, Susan E Walthert, Stephen J Gallagher, Lynley C Anderson, Michael L Stitely
BACKGROUND: Social media and Internet technologies present several emerging and ill-explored issues for a modern healthcare workforce. One issue is patient-targeted Googling (PTG), which involves a healthcare professional using a social networking site (SNS) or publicly available search engine to find patient information online. The study's aim was to address a deficit in data and knowledge regarding PTG, and to investigate medical student use of SNSs due to a close association with PTG...
December 4, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29194309/care-of-the-older-adult-with-postoperative-delirium-an-interprofessional-simulation-for-undergraduate-nursing-students
#12
Kimberly D Davis, Carla Nye
Because of the expanding older adult population, undergraduate nursing students need to be introduced to the unique challenges of taking care of older adults. Using simulation to demonstrate some of these challenges allows these entry-level students to learn in a nonthreatening environment. By focusing on an older adult patient who is experiencing postoperative delirium in a simulation, students can practice not only how to complete a safety assessment but also effective communication skills with the patient, family, and members of the interprofessional health care team...
March 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29194305/impact-of-a-simulated-clinical-day-with-peer-coaching-and-deliberate-practice-promoting-a-culture-of-safety
#13
Donna M Badowski, Kimberly J Oosterhouse
Nursing education is challenged to shift from task-based proficiencies to higher level competencies with patient safety as a priority. Using a quasi-experimental pretest/posttest design, a simulation-based, peer-coached, deliberate practice clinical substitution was implemented to compare nursing students' knowledge, skills, and attitudes for promoting safety. Our findings demonstrated improved knowledge and skill acquisition in the intervention and control groups. The former trended toward improved team communication attitudes and enteral medication skill performance...
March 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29193513/formalizing-the-precepting-process-a-concept-analysis-of-preceptorship
#14
Amanda E Ward, Sara McComb
AIMS AND OBJECTIVES: The aims of this concept analysis are to elucidate the terminology associated with preceptorships, articulate an operational description of preceptorship that may be useful in formalizing the precepting process, and provide guidance for constructing a clinical environment where precepting can thrive. BACKGROUND: Precepting facilitates the transition of nurses into new roles. Precepting may improve patient outcomes and safety, as well as enhance nursing satisfaction...
November 30, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29178625/ileus-management-international-imagine-protocol-for-a-multicentre-observational-study-of-ileus-after-colorectal-surgery
#15
(no author information available yet)
AIM: The management of postoperative ileus (POI) following colorectal surgery remains controversial. It is the commonest complication after elective colorectal resection and is associated with an increased incidence of postoperative adverse events. The prevention and management of POI remains unstandardised. This study aims to describe an international profile of gastrointestinal recovery after colorectal surgery and will assess the role of non-steroidal anti-inflammatory drugs (NSAIDs), when used as postoperative analgesia, in expediting the return of gastrointestinal function...
November 25, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29170327/30%C3%A2-do-nice-guys-finish-last
#16
Chris Turner, Jake Turner
: Emergency medicine is widely recognised as an intense specialty. Interruptions are known to derail thoughts, increasing cognitive load and result in longer periods before deep thought is re-established. Although approachability and warmth are regarded as important factors in clinicians we wondered what impact these characteristics had on the number of interruptions. METHODOLOGY: A team of 6 medical students were trained in the use of abespoke tool to record shop floor activities. Over 4 months we conducted 100 hours of minute by minute time and motion study of emergency medicine consultants during their clinical shifts, and noted how often they were interrupted...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29159006/the-sound-games-introducing-gamification-into-stanford-s-orientation-on-emergency-ultrasound
#17
Viveta Lobo, Andrew Q Stromberg, Peter Rosston
Point-of-care ultrasound is a critical component of graduate medical training in emergency medicine. Innovation in ultrasound teaching methods is greatly needed to keep up with a changing medical landscape. A field-wide trend promoting simulation and technology-enhanced learning is underway in an effort to improve patient care, as well as patient safety. In an effort to both motivate students and increase their skill retention, training methods are shifting towards a friendly competition model and are gaining popularity nationwide...
September 18, 2017: Curēus
https://www.readbyqxmd.com/read/29148607/the-art-of-oral-handovers-a-participant-observational-study-by-undergraduate-students-in-a-hospital-setting
#18
Tove Giske, Sunniva Nese Melås, Kari Anne Einarsen
AIMS AND OBJECTIVES: This study explores the conditions for oral handovers between shifts in a hospital setting, and how these impact patient safety and quality of care. BACKGROUND: Oral handovers transfer patient information and nursing responsibilities between shifts. Short written summaries of patients can complement an oral handover. How to find the balance between a standardised protocol for handovers and tailoring variations to specific patients and situations is debated in the literature...
November 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29142538/patient-safety-awareness-among-postgraduate-students-and-nurses-in-a-tertiary-health-care-facility
#19
Attia Bari, Uzma Jabeen, Iqbal Bano, Ahsan Waheed Rathore
Objective: To determine the knowledge of patient safety among postgraduate residents (PGR) and nurses in a tertiary care hospital. Methods: This casual comparative study was conducted among the postgraduate residents and nurses working at The Children's Hospital Lahore in the month of July, August 2017. Both PGR and nurses were asked to complete APSQ-IV questionnaire about patient safety on 7 point Likert scale. Data was analyzed using SPSS version 20 and t-test was used to compare the mean score between two groups...
September 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29141737/nursing-students-and-medication-errors-why-don-t-they-question
#20
Tonya Schneidereith
In health care, efforts have been aimed at reducing medication errors rates; yet, medication errors continue to affect approximately 5% of hospitalized patients. In health care education, simulation provides nursing students a safe opportunity for hands-on medication administration, often including dosage calculation. However, the safety checks associated with medication administration-including the Five Rights-are frequently overlooked. Although the efforts aimed toward increasing medication safety include external factors (such as environmental measures and electronic resources), recent observations in simulation suggest a different problem...
November 1, 2017: Creative Nursing
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