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Ambulatory education

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https://www.readbyqxmd.com/read/29241438/realizing-e-prescribing-s-potential-to-reduce-outpatient-psychiatric-medication-errors
#1
Matthew E Hirschtritt, Steven Chan, Wilson O Ly
Preliminary evidence from observational and cohort studies suggests that replacement of paper- and phone-based medication prescriptions with electronic prescribing systems in ambulatory settings is associated with decreased medication errors. However, problems from traditional prescribing also occur with e-prescribing (such as incorrect medication dose and instructions or wrong patient), as do some new problems (a confusing user interface leading to prescribing the wrong medication). The authors present four steps for reducing medication errors in outpatient psychiatric settings: continuing to implement e-prescribing, streamlining user interfaces, improving interoperability among various e-prescribing and retail pharmacy systems, and using education and advocacy to achieve these goals...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29238421/anchoring-vignettes-in-eq-5d-5l-questionnaire-validation-of-a-new-instrument
#2
Danila Azzolina, Clara Minto, Stefania Boschetto, Matteo Martinato, Barbara Bauce, Sabino Iliceto, Dario Gregori
Background: Health Related Quality of Life (HRQoL) is an indicator of patient's physical, psychological and social life. HRQoL is influenced by experience, beliefs, perceptions and expectations, and measures subjective perspective of the patient himself. EQ-5D-5L and SF-12 questionnaires are validated instruments useful to measure HRQoL, increasingly administered in electronic formats. Objective: The main purpose is to evaluate the feasibility of anchoring vignettes for the EQ-5D-5L questionnaire, with the aim to improve intergroup comparability of responses among different subjects...
2017: Open Nursing Journal
https://www.readbyqxmd.com/read/29233446/overview-of-a-pharmacist-anticoagulation-certificate-program
#3
Julienne K Kirk, Rebecca Edwards, Andrew Brewer, Cathey Miller, Bryan Bray, James B Groce
BACKGROUND AND PURPOSE: To describe the design of an ongoing anticoagulation certificate program and annual renewal update for pharmacists. EDUCATIONAL ACTIVITY AND SETTING: Components of the anticoagulation certificate program include home study, pre- and posttest, live sessions, case discussions with evaluation and presentation, an implementation plan, and survey information (program evaluation and use in practice). Clinical reasoning skills were assessed through case work-up and evaluation prior to live presentation...
July 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29226778/a-multicenter-randomized-controlled-trial-of-two-group-education-programs-for-fatigue-in-multiple-sclerosis-short-and-medium-term-benefits
#4
Cinda L Hugos, Zunqiu Chen, Yiyi Chen, Aaron P Turner, Jodie Haselkorn, Toni Chiara, Sean McCoy, Christopher T Bever, Michelle H Cameron, Dennis Bourdette
Background Fatigue occurs in 75%-95% of people with multiple sclerosis (MS) and is frequently reported as the most disabling symptom. A multicomponent group program of six weekly 2-hour sessions, Fatigue: Take Control (FTC), was developed from an international MS fatigue management guideline. Objective To determine whether FTC is associated with greater improvements in fatigue than MS: Take Control (MSTC), a similarly structured general MS education program. Methods This four-site, parallel, single-blind, randomized controlled trial compared FTC and MSTC in 204 ambulatory participants with MS...
December 1, 2017: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/29226221/male-and-female-residents-in-postgraduate-medical-education-a-gender-comparative-analysis-of-differences-in-career-perspectives-and-their-conditions-in-germany
#5
Stine Ziegler, Thomas Zimmermann, Lea Krause-Solberg, Martin Scherer, Hendrik van den Bussche
Aim: This article focuses on the gender-specific career differences of residents in their postgraduate medical education in Germany. In particular the structural obstacles female physicians have to overcome during residency are investigated. Moreover, the study examines the position preferences of male and female physicians in the hospital and in how far occupational self-efficacy corresponds to the interest in a hospital leading position. Methods: The KarMed-Study's database consists of annual postal surveys throughout the entire residency of medical students, who were in their "Practical Year" in 2008/2009...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29224843/evaluation-of-the-impact-of-preoperative-education-in-ambulatory-laparoscopic-cholecystectomy-a-prospective-double-blind-randomized-trial
#6
Helena Subirana Magdaleno, Aleidis Caro Tarragó, Carles Olona Casas, Alba Díaz Padillo, Mario Franco Chacón, Jordi Vadillo Bargalló, Judit Saludes Serra, Rosa Jorba Martín
INTRODUCTION: Outpatient laparoscopic cholecystectomy is a safe procedure and provides a better use of health resources and perceived satisfaction without affecting quality of care. Preoperative education has shown less postoperative stress, pain and nausea in some interventions. The principal objective of this study is to assess the impact of preoperative education on postoperative pain in patients undergoing ambulatory laparoscopic cholecystectomy. Secondary objectives were: to evaluate presence of nausea, morbidity, hospital admissions, readmissions rate, quality of life and satisfaction...
December 7, 2017: Cirugía Española
https://www.readbyqxmd.com/read/29220616/interventions-to-improve-or-maintain-lower-limb-function-among-ambulatory-adolescents-with-cerebral-palsy-a-cross-sectional-survey-of-current-practice-in-the-uk
#7
Gerasimos Taflampas, Cherry Kilbride, Wendy Levin, Grace Lavelle, Jennifer M Ryan
OBJECTIVES: To describe physiotherapy management to improve or maintain lower-limb function among adolescents with cerebral palsy, classified in Gross Motor Function Classification System levels I-III, in the United Kingdom (UK). METHODS: A list of interventions was identified using a nominal group technique and developed into a survey, which was distributed to approximately 2,100 pediatric physiotherapists in the UK through the Association of Pediatric Chartered Physiotherapists and a private physiotherapy clinic in London between April and June 2015...
December 8, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/29215127/midwives-in-england-and-in-italy-two-realities-compared
#8
C Dell'Omodarme, G Bocci, G Troiano, S Rossi, L Kundisova, N Nante, L Alaimo
BACKGROUND: Midwives have the responsibility to provide assistance to pregnant women for non-complicated deliveries. The aim of this study was to identify the distinctive features of midwives in Italy and in England in order to provide interesting comparisons. METHODS: From September to October 2015 we administered an online questionnaire to groups of Italian and English midwives. The questionnaire was composed by a part trying to collect the sociodemographic information and a second part to define the attitudes of care and the type of approach to birth and degree of attained professional autonomy...
January 2018: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/29191229/medical-students-as-health-coaches-and-more-adding-value-to-both-education-and-patient-care
#9
Raymond H Curry
New ways of thinking about medicine and health care demand new methods in medical education. Over the past two decades, as both the practice and the study of medicine have become increasingly concerned with demonstrable outcomes, medical schools have developed new curricula in health systems science and are increasingly emphasizing students' development and demonstration of skills essential to a systems-based, outcomes-oriented practice environment.Polak and colleagues recently reported the development in Israel of one such curriculum, in lifestyle medicine, that includes opportunities for students to adopt the role of health coach...
November 30, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29191140/management-of-common-medical-conditions-by-office-based-psychiatrists
#10
Ramin Mojtabai, Mark Olfson
OBJECTIVE: This study examined the extent of psychiatrists' involvement in general medical management activities for their patients. METHODS: With data from the 2006-2013 U.S. National Ambulatory Medical Survey-an annual cross-sectional survey of visits in a random week to office-based physicians-general medical management activities in 11,046 visits to psychiatrists, 66,267 to general medical physicians (general and family physicians and internists), and 158,933 to other physicians were compared...
December 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29183146/improving-rates-of-screening-for-anemia-in-infancy
#11
Barbara Ha, Deirdre L O'Sullivan, Carol A Diamond, Amy J Plumb, Jeffrey S Sleeth, Frank R Greer, Pamela J Kling
In 2010, the American Academy of Pediatrics recommended universal screening for anemia at approximately 1 year of age. This quality improvement study sought to improve anemia screening in an ambulatory setting. In a large university-based setting, a best practice alert (BPA) was placed within the electronic health record. The primary outcome was overall screening rate in ambulatory family medicine (DFM) and pediatrics (PEDS) clinics. From 2545 pre-BPA clinic visits over a 12-month period, the screening rate was 48...
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29177057/motivation-and-perceived-competence-for-healthy-eating-and-exercise-among-overweight-obese-adolescents-in-comparison-to-normal-weight-adolescents
#12
Suzanne Mokhtari, Benjamin Grace, Youngju Pak, Astrid Reina, Quinn Durand, Jennifer K Yee
Background: The current literature on determinants of behavior change in weight management lacks sufficient studies on type of motivation among children/adolescents, on perceived competence, and in relation to healthy eating. This study aimed to investigate type of motivation and levels of perceived competence for healthy diet and exercise, as well as general self efficacy among adolescents. We hypothesized that overweight/obese adolescents would demonstrate lower autonomous motivation and perceived competence regarding diet and exercise, and lower self-efficacy in general, and that the scores would be influenced by socioeconomic factors...
2017: BMC Obesity
https://www.readbyqxmd.com/read/29167142/creating-a-new-rural-pharmacy-workforce-development-and-implementation-of-the-rural-pharmacy-health-initiative
#13
Mollie Ashe Scott, Stephanie Kiser, Irene Park, Rebecca Grandy, Pamela U Joyner
PURPOSE: An innovative certificate program aimed at expanding the rural pharmacy workforce, increasing the number of pharmacists with expertise in rural practice, and improving healthcare outcomes in rural North Carolina is described. SUMMARY: Predicted shortages of primary care physicians and closures of critical access hospitals are expected to worsen existing health disparities. Experiential education in schools and colleges of pharmacy primarily takes place in academic medical centers and, unlike experiential education in medical schools, rarely emphasizes the provision of patient care in rural U...
December 1, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29157566/is-health-care-payment-reform-impacting-nurses-work-settings-roles-and-education-preparation
#14
Mary Val Palumbo, Betty Rambur, Vicki Hart
This study explores nurses' work settings and educational preparation in the five years before passage of the Affordable Care Act (ACA) and five years after ACA passage, with the aim of identifying areas for nurse educators' attention. The study setting was one small state undergoing rapid transition away from fee-for-service service and thus provided the ideal laboratory to assess the impact of health reform on the nursing workforce. A secondary analysis of data gathered during relicensure compared the nursing workforce at an interval of one decade, with surveys in 2005 (n=4075; 65% response rate) and in 2015 (n=6723; 97% response rate)...
November 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/29157148/implementation-of-clinical-pharmacy-services-in-an-academic-oncology-practice-in-india
#15
Himanshu Patel, Parthasarathi Gurumurthy
Objective This study was conducted to investigate medication-related problems after implementation of clinical pharmacy services at a speciality oncology care setting. Methods It was a prospective interventional study conducted for a period of three years at a private academic oncology care setting. Paper-based medical records and medication orders were reviewed and patients and care givers were interviewed to understand the treatment plan. All the medication-related problems were identified by clinical pharmacists by performing drug therapy review...
January 1, 2017: Journal of Oncology Pharmacy Practice
https://www.readbyqxmd.com/read/29156900/implementation-of-an-advance-directive-focus-in-a-chronic-multi-organ-rare-disease-clinic
#16
Nancy Elorreaga, Deanna Allred, Gloria Ortiz, Constance McNeill, Mary Beth Scholand, Tracy M Frech
BACKGROUND: Education about an advance directive is frequently not addressed in the outpatient, ambulatory care setting. The objective of this study was to identify patients that do not have an advance directive in a Chronic Multi-Organ Rare Disease Clinic model, and define the role of a social worker in providing advance care planning (ACP). METHODS: The Chronic Multi-Organ Rare Disease Clinic in-corporates a multi-disciplinary team to provide outpatient care to over 600 patients...
August 31, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29154055/complementary-and-alternative-medicine-use-among-elderly-patients-living-with-chronic-diseases-in-a-teaching-hospital-in-ethiopia
#17
Asnakew Achaw Ayele, Henok Getachew Tegegn, Kaleab Taye Haile, Sewunet Admasu Belachew, Amanual Getnet Mersha, Daniel Asfaw Erku
BACKGROUND: The use of complementary and alternative medicine (CAM) among patients with chronic diseases has grown rapidly worldwide. Yet, little has been known about CAM use by elderly patients with chronic diseases in Ethiopia. This study aimed at assessing the prevalence and reasons for CAM utilization among elderly patients living with chronic diseases in Ethiopia. METHODS: An institution-based quantitative cross-sectional survey was conducted among elderly patients with chronic disease attending outpatient ambulatory clinics of University of Gondar referral and teaching hospital (UoGRTH)...
December 2017: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/29147964/diabetes-care-in-qatar-a-survey-of-pharmacists-activities-attitudes-and-knowledge
#18
Maguy Saffouh El Hajj, Safae E Abu Yousef, Meena Ali Basri
Background Diabetes mellitus is recognized as a major public health issue and is one of the top ten causes of death in Qatar. Objective To describe the activities, and attitudes of Qatar pharmacists toward diabetes, to measure their diabetes knowledge and to assess their perceived barriers for diabetes care. Setting Community and ambulatory pharmacies in Qatar. Method Study objectives were addressed in a cross sectional survey of community and ambulatory pharmacists in Qatar. A phone call explaining the study was made to all community and ambulatory pharmacists in Qatar...
November 17, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29103861/public-and-private-hospital-care-disparities-of-ischemic-stroke-in-mexico-results-from-the-primer-registro-mexicano-de-isquemia-cerebral-premier-study
#19
José Luis Ruiz-Sandoval, María Eugenia Briseño-Godínez, Erwin Chiquete-Anaya, Antonio Arauz-Góngora, Rogelio Troyo-Sanromán, Juan Didier Parada-Garza, Alma Ramos-Moreno, Fernando Barinagarrementería, Luis Manuel Murillo-Bonilla, Carlos Cantú-Brito
BACKGROUND AND AIMS: Mortality and bad outcome by stroke are higher in developing countries than in industrialized countries. Health-care system efficiency could explain these disparities. Our objective was to identify the impact on short- and middle-term outcomes of patients with acute ischemic stroke (AIS) among public and private Mexican medical care. METHODS: We analyzed data from patients with AIS included in the Primer Registro Mexicano de Isquemia Cerebral (PREMIER) study...
November 2, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29098047/faculty-and-resident-perspectives-on-ambulatory-care-education-a-collective-case-study-of-family-medicine-psychiatry-and-surgery
#20
Paula Veinot, William Lin, Nicole Woods, Stella Ng
Background: Ambulatory care (AC) experiences within medical education are garnering increasing attention. We sought to understand how faculty and residents' describe their experiences of AC and ambulatory care education (ACEduc) within, between, and across disciplinary contexts. Methods: We designed a Stakian collective case study, applying constructivist grounded theory analytic methods. Using purposive and snowball sampling, we interviewed 17 faculty and residents across three instrumental cases: family medicine, psychiatry, surgery...
June 2017: Canadian Medical Education Journal
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