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https://www.readbyqxmd.com/read/28321296/improving-surgical-and-anaesthesia-practice-review-of-the-use-of-the-who-safe-surgery-checklist-in-felege-hiwot-referral-hospital-ethiopia
#1
Ryan Ellis, Ahmad Izzuddin Mohamad Nor, Iona Pimentil, Zebenaye Bitew, Jolene Moore
Development of surgical and anaesthetic care globally has been consistently reported as being inadequate. The Lancet Commission on Global Surgery highlights the need for action to address this deficit. One such action to improve global surgical safety is the introduction of the WHO Surgical Checklist to Operating Rooms (OR) around the world. The checklist has a growing body of evidence supporting its ability to assist in the delivery of safe anaesthesia and surgical care. Here we report the introduction of the Checklist to a major Ethiopian referral hospital and low-resource setting and highlight the success and challenges of its implementation over a one year period...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28301278/comparison-of-onsite-versus-online-chart-reviews-as-part-of-the-american-college-of-radiation-oncology-accreditation-program
#2
Jaroslaw T Hepel, Dwight E Heron, Arno J Mundt, Catheryn Yashar, Steven Feigenberg, Gordon Koltis, William F Regine, Dheerendra Prasad, Shilpen Patel, Navesh Sharma, Mary Hebert, Norman Wallis, Michael Kuettel
PURPOSE: Accreditation based on peer review of professional standards of care is essential in ensuring quality and safety in administration of radiation therapy. Traditionally, medical chart reviews have been performed by a physical onsite visit. The American College of Radiation Oncology Accreditation Program has remodeled its process whereby electronic charts are reviewed remotely. METHODS: Twenty-eight radiation oncology practices undergoing accreditation had three charts per practice undergo both onsite and online review...
March 16, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28290941/professional-stress-and-burnout-in-u-s-military-medical-personnel-deployed-to-afghanistan
#3
Amy B Adler, Amanda L Adrian, Marla Hemphill, Nicole H Scaro, Maurice L Sipos, Jeffrey L Thomas
BACKGROUND: Studies of medical staff members have consistently documented high levels of burnout compared to those in other professions. Although there are studies of burnout in military medical staff, there are gaps in understanding the experience of medical staff while they are deployed and few occupationally-related factors associated with decreased burnout have been identified in this population. PURPOSE: To assess work-related variables accounting for burnout over and above rank, post-traumatic stress disorder (PTSD) symptoms, and professional stressors in the deployed environment...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28277722/leader-team-complementarity-exploring-the-interactive-effects-of-leader-personality-traits-and-team-power-distance-values-on-team-processes-and-performance
#4
Jia Hu, Timothy A Judge
Integrating the leader trait perspective with dominance complementarity theory, we propose team power distance as an important boundary condition for the indirect impact of leader extraversion, agreeableness, and conscientiousness on team performance through a team's potency beliefs and through relational identification with the leader. Using time-lagged, 3-source data from 71 teams, we found that leader extraversion had a positive indirect impact on team in-role and extrarole performance through relational identification, but only for high power distance teams; leader conscientiousness had a positive influence on team in-role performance through team potency, but only for high power distance teams; and leader agreeableness had a positive effect on team in-role and extrarole performance via relational identification and on team in-role performance via team potency, but only for low power distance teams...
March 9, 2017: Journal of Applied Psychology
https://www.readbyqxmd.com/read/28274987/the-university-of-north-carolina-medical-center-pharmacy-resident-leadership-certificate-program
#5
Kayley Lyons, Danielle Griggs, Rachel Lebovic, Mary E Roth, David A South, Chad Hatfield
PURPOSE: The development and implementation of a certificate program for pharmacy residents are described. SUMMARY: University of North Carolina (UNC) Medical Center met the call for increased efforts in the area of pharmacy residency leadership training through the design, implementation, and evaluation of a leadership certificate program. The purpose of the UNC certificate program is to develop leaders who will serve others, improve their communities, and advance the profession...
March 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28274979/strategies-that-facilitated-expansion-of-a-postgraduate-year-1-pharmacy-residency-program-across-a-community-hospital-based-health-system
#6
Andrew Ticcioni, Diane Erdman, Benjamin Scott, Mike Gillard, Lijian Cai
PURPOSE: Seven strategies used to expand an existing postgraduate year 1 (PGY1) pharmacy residency program and launch 3 new PGY1 residency programs in a multisite community hospital-based health system are described. SUMMARY: The vision of ASHP and other pharmacy organizations of providing advanced training (e.g., residency training) to all pharmacists who plan to be involved in direct patient care has not yet been realized, and the capacity to provide such training has not kept pace with the demand...
March 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28273253/nursing-in-the-mirror-unveiling-transpersonal-leadership-in-team-care
#7
Emanuelle Caires Dias Araújo Nunes, Edla Lobo Muniz
Objective: The aim of this paper was to reveal the individual nurse in the leadership process for transpersonal care of the nursing team. Method: This is a descriptive-exploratory and qualitative study grounded in Transpersonal Care provided at the General Hospital in Vitória da Conquista, Bahia, with 10 nurses who coordinated services at the unit in 2013. Data were collected using a mirror and semi-structured interviews subjected to thematic analysis. Results: The following three categories emerged: Leadership in nursing: potentialities and barriers that permeate intersubjectivity; Transpersonal care of the leader with the team; and transpersonal leadership on balance: critical nodes...
February 23, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28273229/setting-health-priorities-in-a-community-a-case-example
#8
Fábio Alexandre Melo do Rego Sousa, Maria José Garcia Goulart, Antonieta Manuela Dos Santos Braga, Clara Maria Oliveira Medeiros, Débora Cristina Martins Rego, Flávio Garcia Vieira, Helder José Alves da Rocha Pereira, Helena Margarida Correia Vicente Tavares, Marta Maria Puim Loura
OBJECTIVE: To describe the methodology used in the process of setting health priorities for community intervention in a community of older adults. METHODS: Based on the results of a health diagnosis related to active aging, a prioritization process was conceived to select the priority intervention problem. The process comprised four successive phases of problem analysis and classification: (1) grouping by level of similarity, (2) classification according to epidemiological criteria, (3) ordering by experts, and (4) application of the Hanlon method...
March 2, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28263272/the-emotional-well-being-of-nurses-and-nurse-leaders-in-crisis
#9
Karen Livornese, Jena Vedder
In a world after 9/11, Hurricane Katrina, and Sandy Hook, plenty of literature has emerged on the subject of disaster management, but little is specific to the emotional well-being of the health care staff dedicated to serve during a crisis. Disasters, whether natural or man-made, are episodic but becoming more frequent. Nurses may find themselves in hospitals affected by a disaster, awaiting a surge of patients while supplied with only limited resources. Or, they may be deployed to austere environments where they are challenged to operate clinics, surrounded by the rubble of an earthquake...
April 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28260406/reducing-preventable-harm-observations-on-minimizing-bloodstream-infections
#10
Peter J Pronovost, Sally J Weaver, Sean M Berenholtz, Lisa H Lubomski, Lisa L Maragakis, Jill A Marsteller, Julius Cuong Pham, Melinda D Sawyer, David A Thompson, Kristina Weeks, Michael A Rosen
Purpose The purpose of this paper is to provide a practical framework that health care organizations could use to decrease preventable healthcare-acquired harms. Design/methodology/approach An existing theory of how hospitals succeeded in reducing rates of central line-associated bloodstream infections was refined, drawing from the literature and experiences in facilitating improvement efforts in thousands of hospitals in and outside the USA. Findings The following common interventions were implemented by hospitals able to reduce and sustain low infection rates...
March 20, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28259482/accuracy-of-postresuscitation-team-debriefings-in-a-pediatric-emergency-department
#11
Paul C Mullan, Niall H Cochrane, James M Chamberlain, Randall S Burd, Fawn D Brown, Lauren E Zinns, Kristen M Crandall, Karen J O'Connell
STUDY OBJECTIVE: Guideline committees recommend postresuscitation debriefings to improve performance. "Hot" postresuscitation debriefings occur immediately after the event and rely on team recall. We assessed the ability of resuscitation teams to recall their performance in team-based, hot debriefings in a pediatric emergency department (ED), using video review as the criterion standard. We hypothesized that debriefing accuracy will improve during the course of the study. METHODS: Resuscitation physician and nurse leaders cofacilitated debriefings after ED resuscitations involving cardiopulmonary resuscitation (CPR) or intubation...
March 1, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28253848/improved-recognition-of-ineffective-chest-compressions-after-a-brief-crew-resource-management-crm-training-a-prospective-randomised-simulation-study
#12
Leopold Haffner, Moritz Mahling, Alexander Muench, Christoph Castan, Paul Schubert, Aline Naumann, Silke Reddersen, Anne Herrmann-Werner, Jörg Reutershan, Reimer Riessen, Nora Celebi
BACKGROUND: Chest compressions are a core element of cardio-pulmonary resuscitation. Despite periodic training, real-life chest compressions have been reported to be overly shallow and/or fast, very likely affecting patient outcomes. We investigated the effect of a brief Crew Resource Management (CRM) training program on the correction rate of improperly executed chest compressions in a simulated cardiac arrest scenario. METHODS: Final-year medical students (n = 57) were randomised to receive a 10-min computer-based CRM or a control training on ethics...
March 3, 2017: BMC Emergency Medicine
https://www.readbyqxmd.com/read/28253444/development-of-a-self-management-theory-guided-discharge-intervention-for-parents-of-hospitalized-children
#13
Kathleen J Sawin, Marianne E Weiss, Norah Johnson, Karen Gralton, Shelly Malin, Carol Klingbeil, Stacee M Lerret, Jamie J Thompson, Kim Zimmanck, Molly Kaul, Rachel F Schiffman
BACKGROUND: Parents of hospitalized children, especially parents of children with complex and chronic health conditions, report not being adequately prepared for self-management of their child's care at home after discharge. PROBLEM: No theory-based discharge intervention exists to guide pediatric nurses' preparation of parents for discharge. PURPOSE: To develop a theory-based conversation guide to optimize nurses' preparation of parents for discharge and self-management of their child at home following hospitalization...
March 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28248696/the-leadership-case-for-investing-in-continuing-professional-development
#14
Graham T McMahon
Continuing medical education (CME) has the power and capacity to address many challenges in the health care environment, from clinician well-being to national imperatives for better health, better care, and lower cost. Health care leaders who recognize the strategic value of education and engage their people in education can expect a meaningful return on their investment-not only in terms of the quality and safety of their clinicians' work but also in the spirit and cohesiveness of the clinicians who work at their institution...
February 28, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28245704/sustaining-housing-first-after-a-successful-research-demonstration-trial-lessons-learned-in-a-large-urban-center
#15
Nishi Kumar, Erin Plenert, Stephen W Hwang, Patricia O'Campo, Vicky Stergiopoulos
OBJECTIVES: This study aimed to identify challenges and facilitators of sustaining a Housing First intervention at the conclusion of a research demonstration project in Toronto. METHODS: This qualitative study included key informant interviews with organizational leaders (N=13) and focus groups with service team members (N=14) and program participants (N=9) of the At Home/Chez Soi Research Demonstration Project. Thematic analysis was used to identify key themes related to sustainability of Housing First beyond the demonstration phase...
March 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28244949/cross-disciplinary-perceptions-of-structured-interprofessional-rounds-in-promoting-teamwork-within-an-academic-tertiary-care-obstetric-unit
#16
Anthony Chau, Mary A Vijjeswarapu, Margaret Hickey, David Acker, Chuan-Chin Huang, Lawrence C Tsen
BACKGROUND: In 2005, physician and nursing leaders at Brigham and Women's Hospital initiated structured interprofessional rounds (SIPRs) on the labor and delivery (L&D) suite to improve team communication. We performed a cross-sectional analysis of providers' perceptions of SIPRs and their effectiveness in improving teamwork. We hypothesized that on average, providers would perceive SIPRs as being effective in promoting teamwork, but ratings would differ among professional groups. METHODS: After a factor analysis and internal consistency assessment, a 19-item paper-based questionnaire was used to evaluate providers' perceptions using a 5-point Likert scale...
February 24, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28241508/accelerators-sparking-innovation-and-transdisciplinary-team-science-in-disparities-research
#17
Carol R Horowitz, Khader Shameer, Janice Gabrilove, Ashish Atreja, Peggy Shepard, Crispin N Goytia, Geoffrey W Smith, Joel Dudley, Rachel Manning, Nina A Bickell, Maida P Galvez
Development and implementation of effective, sustainable, and scalable interventions that advance equity could be propelled by innovative and inclusive partnerships. Readied catalytic frameworks that foster communication, collaboration, a shared vision, and transformative translational research across scientific and non-scientific divides are needed to foster rapid generation of novel solutions to address and ultimately eliminate disparities. To achieve this, we transformed and expanded a community-academic board into a translational science board with members from public, academic and private sectors...
February 23, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28238586/developing-a-minimum-dataset-for-nursing-team-leader-handover-in-the-intensive-care-unit-a-focus-group-study
#18
Amy J Spooner, Leanne M Aitken, Amanda Corley, Wendy Chaboyer
BACKGROUND: Despite increasing demand for structured processes to guide clinical handover, nursing handover tools are limited in the intensive care unit. OBJECTIVES: The study aim was to identify key items to include in a minimum dataset for intensive care nursing team leader shift-to-shift handover. METHODS: This focus group study was conducted in a 21-bed medical/surgical intensive care unit in Australia. Senior registered nurses involved in team leader handovers were recruited...
February 23, 2017: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/28220097/women-do-not-belong-here-gender-work-identity-conflict-among-female-police-officers
#19
Jenny Veldman, Loes Meeussen, Colette Van Laar, Karen Phalet
The current paper examines antecedents and consequences of perceiving conflict between gender and work identities in male-dominated professions. In a study among 657 employees working in 85 teams in the police force, we investigated the effect of being different from team members in terms of gender on employees' perception that their team members see their gender identity as conflicting with their work identity. As expected in the police force as a male-dominated field, the results showed that gender-dissimilarity in the team was related to perceived gender-work identity conflict for women, and not for men...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28215378/program-sustainability-hearing-loss-and-tinnitus-prevention-in-american-indian-communities
#20
William Hal Martin, Judith L Sobel, Susan E Griest, Linda C Howarth, Thomas M Becker
INTRODUCTION: An important goal of any health promotion effort is to have it maintained in delivery and effectiveness over time. The purpose of this study was to establish a community-based noise-induced hearing loss and tinnitus prevention program in three different types of American Indian communities and evaluate them for evidence of long-term sustainability. METHODS: The target population was fourth- and fifth-grade students from three different models of American Indian communities...
March 2017: American Journal of Preventive Medicine
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