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Quality in health management

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https://www.readbyqxmd.com/read/29677381/technology-innovations-for-better-fall-risk-management-in-home-care
#1
Güneş Koru, Dari Alhuwail, Onimi Jademi, Uchenna Uchidiuno, Robert J Rosati
Achieving better fall risk management is an integral component of quality home care. The current qualitative study uncovers the challenges and opportunities of home health agencies (HHAs) in achieving better fall risk management. A secondary document analysis was adopted to learn from rich contextual information in fall incident reports recorded in a HHA. Poor engagement of patients and caregivers was a contributing factor in many fall incidents. Patients often fell as a result of not understanding or accepting their physical limitations...
April 19, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29676584/current-practice-of-ototoxicity-management-across-the-united-kingdom-uk
#2
Devina Maru, Ghada-Al Malky
OBJECTIVE: Effective management of patients diagnosed with ototoxicity is needed to reduce hearing and balance damage which affects communication and life quality. Despite widespread recommendations to monitor and manage ototoxicity in an early and effective manner, there is limited evidence to support the actual implementation of these recommendations for affected patient groups in healthcare services across the UK with limited publications available. In this study, an online questionnaire analysed the current practice of ototoxicity management and patient pathways across the UK once the diagnosis of ototoxicity was confirmed, targeting Audiologists, ENTs/AVPs and GPs...
April 20, 2018: International Journal of Audiology
https://www.readbyqxmd.com/read/29676527/undergraduate-nursing-assistant-employment-in-aged-care-has-benefits-for-new-graduates
#3
Maricris Algoso, Lucie Ramjan, Leah East, Kath Peters
AIMS: To determine how undergraduate assistant in nursing employment in aged care helps to prepare new graduates for clinical work as a registered nurse. BACKGROUND: The amount and quality of clinical experience afforded by university programs has been the subject of constant debate in the nursing profession. New graduate nurses are often deemed inadequately prepared for clinical practice and so many nursing students seek employment as assistants in nursing whilst studying to increase their clinical experience...
April 20, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29675867/patient-perspectives-of-cataract-surgery-protocol-and-baseline-findings-of-a-cohort-study
#4
Vu Quang Do, Peter McCluskey, Anna Palagyi, Andrew White, Fiona J Stapleton, Nicole Carnt, Lisa Keay
BACKGROUND: Patient-reported outcome measures (PROMs) are becoming increasingly recognised as a key component in assessing the relative effectiveness of cataract surgery. This manuscript presents the protocol methodology and baseline characteristics of a prospective cohort study investigating patient-centred predictors of cataract surgery outcomes. METHODS: Patients with bilateral cataract (aged ≥ 50 years) scheduled for their first eye cataract surgery were recruited at four public hospitals and three private ophthalmology clinics in Sydney, Australia...
April 19, 2018: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/29674362/implementation-of-an-evidence-based-model-of-care-for-low-back-pain-in-emergency-departments-protocol-for-the-sydney-health-partners-emergency-department-shaped-trial
#5
Gustavo C Machado, Bethan Richards, Chris Needs, Rachelle Buchbinder, Ian A Harris, Kirsten Howard, Kirsten McCaffery, Laurent Billot, James Edwards, Eileen Rogan, Rochelle Facer, David Lord Cowell, Chris G Maher
INTRODUCTION: Patients with low back pain often seek care in emergency departments, but the problem is that many patients receive unnecessary or ineffective interventions and at the same time miss out on the basics of care, such as advice on self-management. This pattern of care has important consequences for the healthcare system (expensive and inefficient) and for patients (poor health outcomes). We hypothesised that the implementation of an evidence-based model of care for low back pain will improve emergency care by reducing inappropriate overuse of tests and treatments and improving patient outcomes...
April 19, 2018: BMJ Open
https://www.readbyqxmd.com/read/29674312/characterization-of-patient-interest-in-provider-based-consumer-health-information-technology-survey-study
#6
Joseph Featherall, Brittany Lapin, Alexander Chaitoff, Sonia A Havele, Nicolas Thompson, Irene Katzan
BACKGROUND: Consumer health information technology can improve patient engagement in their health care and assist in navigating the complexities of health care delivery. However, the consumer health information technology offerings of health systems are often driven by provider rather than patient perspectives and inadequately address patient needs, thus limiting their adoption by patients. Consideration given to patients as stakeholders in the development of such technologies may improve adoption, efficacy, and consumer health information technology resource allocation...
April 19, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29673346/elements-for-harnessing-participatory-action-research-to-strengthen-health-managers-capacity-a-critical-interpretative-synthesis
#7
REVIEW
Moses Tetui, Joseph Mumba Zulu, Anna-Karin Hurtig, Elizabeth Ekirapa-Kiracho, Suzanne N Kiwanuka, Anna-Britt Coe
BACKGROUND: Health managers play a key role in ensuring that health services are responsive to the needs of the population. Participatory action research (PAR) is one of the approaches that have been used to strengthen managers' capacity. However, collated knowledge on elements for harnessing PAR to strengthen managers' capacity is missing. This paper bridges this gap by reviewing existing literature on the subject matter. METHODS: A critical interpretive synthesis method was used to interrogate eight selected articles...
April 19, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29673147/the-effects-of-health-coverage-schemes-on-length-of-stay-and-preventable-hospitalization-in-seoul
#8
Jungah Kim, Changwoo Shon
The Medical Aid program is government’s medical benefit program to secure the minimum livelihood and medical services for low-income Korean households. In Seoul, the number of Medical Aid beneficiaries has grown, driving an increases in the length of stay (LOS) and healthcare cost. Until now, studies have focused on quantity indicators, such as LOS, but only a few studies have been conducted on the service quality. We investigated both LOS and the preventable hospitalization (PH) rate as proxy indicators for the quantity and quality of services provided to Medical Aid beneficiaries in Seoul...
April 17, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29673134/evaluation-of-patient-and-medical-staff-satisfaction-regarding-healthcare-services-in-wuhan-public-hospitals
#9
Runtang Meng, Jingjing Li, Yunquan Zhang, Yong Yu, Yi Luo, Xiaohan Liu, Yanxia Zhao, Yuantao Hao, Ying Hu, Chuanhua Yu
Satisfaction evaluation is widely used in healthcare systems to improve healthcare service quality to obtain better health outcomes. The aim of this study was to measure employee work satisfaction and patient satisfaction status in Wuhan, China. A cross-sectional study was conducted in 14 medical institutions. The final valid sample comprised a total of 696 medical staff and 668 patients. The overall satisfaction levels of medical staff and patients were 58.28 ± 14.60 (10.47–100.00) and 65...
April 17, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29672843/challenges-faced-in-rural-hospitals-the-experiences-of-nurse-managers-in-uganda
#10
T A Kakyo, L D Xiao
AIM: The aim of this study was to understand nurse ward managers perceived challenges in the rural healthcare setting in Uganda. BACKGROUND: The health workforce, essential medicines and equipment and political unrest are the main factors affecting the international community in addressing the hefty disease burden in World Health Organization African regions. Nurse ward managers have an important role to play to mitigate these factors in health facilities in these regions through leadership, supervision and support for staff...
April 19, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29672567/costs-and-effectiveness-of-pharmacist-led-group-medical-visits-for-type-2-diabetes-a-multi-center-randomized-controlled-trial
#11
Wen-Chih Wu, Tracey H Taveira, Sean Jeffery, Lan Jiang, Lisa Tokuda, Joanna Musial, Lisa B Cohen, Fred Uhrle
OBJECTIVES: The effectiveness and costs associated with addition of pharmacist-led group medical visits to standard care for patients with Type-2 Diabetes Mellitus (T2DM) is unknown. METHODS: Randomized-controlled-trial in three US Veteran Health Administration (VHA) Hospitals, where 250 patients with T2DM, HbA1c >7% and either hypertension, active smoking or hyperlipidemia were randomized to either (1) addition of pharmacist-led group-medical-visits or (2) standard care alone for 13 months...
2018: PloS One
https://www.readbyqxmd.com/read/29672474/active-epilepsy-and-seizure-control-in-adults-united-states-2013-and-2015
#12
Niu Tian, Michael Boring, Rosemarie Kobau, Matthew M Zack, Janet B Croft
Approximately 3 million American adults reported active epilepsy* in 2015 (1). Active epilepsy, especially when seizures are uncontrolled, poses substantial burdens because of somatic, neurologic, and mental health comorbidity; cognitive and physical dysfunction; side effects of antiseizure medications; higher injury and mortality rates; poorer quality of life; and increased financial cost (2). Thus, prompt diagnosis and seizure control (i.e., seizure-free in the 12 months preceding the survey) confers numerous clinical and social advantages to persons with active epilepsy...
April 20, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29672218/evaluating-an-electronic-health-record-intervention-for-management-of-heart-failure-among-veterans
#13
Stuti Dang, Kris Siddharthan, Diana I Ruiz, Carlos A Gómez-Orozco, Remberto Rodriguez, Orlando Gómez-Marín
BACKGROUND: We studied the feasibility of using the Veteran Health Administration's electronic health record (EHR), My HealtheVet, as an educational and monitoring tool for veterans with heart failure (HF). METHODS: We enrolled 120 HF patients with a mean age (±standard deviation): 64.8 ± 9.6, range: 41-91 years. There were 105 (87.5%) non-Hispanics, 15 (12.5%) Hispanics, 91 (75.8%) whites, and 20 (16.5%) blacks, and 62 (51.7%) were married. Study participants received educational material on managing their HF and were monitored on their weight and HF symptoms weekly...
April 19, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29671672/pathophysiological-effect-of-bladder-outlet-obstruction-on-the-urothelium
#14
Grzegorz Niemczyk, Katarzyna Czarzasta, Piotr Radziszewski, Paweł Włodarski, Agnieszka Cudnoch-Jędrzejewska
Bladder outlet obstruction (BOO) and associated lower urinary tract symptoms are major urological issues that significantly affect patient's quality of life and may lead to severe complications. The prevalence of both is increasing each year, raising the burden to health system. Therefore, casual and symptomatic treatment should be of great importance. However, management of symptoms is often difficult as their pathophysiology is multifactorial and not well elucidated. Recently urothelium has gathered much attention as one of the potential causal agents...
April 19, 2018: Ultrastructural Pathology
https://www.readbyqxmd.com/read/29669709/implementing-an-open-source-electronic-health-record-system-in-kenyan-health-care-facilities-case-study
#15
Naomi Muinga, Steve Magare, Jonathan Monda, Onesmus Kamau, Stuart Houston, Hamish Fraser, John Powell, Mike English, Chris Paton
BACKGROUND: The Kenyan government, working with international partners and local organizations, has developed an eHealth strategy, specified standards, and guidelines for electronic health record adoption in public hospitals and implemented two major health information technology projects: District Health Information Software Version 2, for collating national health care indicators and a rollout of the KenyaEMR and International Quality Care Health Management Information Systems, for managing 600 HIV clinics across the country...
April 18, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29669490/quality-of-life-in-symptomatic-anterior-cruciate-ligament-reconstructed-individuals-with-and-without-radiographic-knee-osteoarthritis
#16
Stephanie R Filbay, Ilana N Ackerman, Sanjay Dhupelia, Nigel K Arden, Kay M Crossley
Study Design Clinical measurement, cross-sectional. Background ACL-reconstructed individuals commonly experience impaired longer-term quality of life (QOL) which may be related to persistent knee symptoms or radiographic osteoarthritis (ROA). Understanding the impact of knee symptoms and ROA on QOL after ACL-reconstruction may assist in developing appropriate management strategies. Objectives 1. Compare QOL between ACL-reconstructed groups: i) symptomatic with ROA, ii) symptomatic without ROA, iii) asymptomatic (unknown ROA status); 2...
April 18, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29669470/web-based-rehabilitation-interventions-for-people-with-rheumatoid-arthritis-a-systematic-review
#17
Cynthia Srikesavan, Catherine Bryer, Usama Ali, Esther Williamson
Background Rehabilitation approaches for people with rheumatoid arthritis include joint protection, exercises and self-management strategies. Health interventions delivered via the web have the potential to improve access to health services overcoming time constraints, physical limitations, and socioeconomic and geographic barriers. The objective of this review is to determine the effects of web-based rehabilitation interventions in adults with rheumatoid arthritis. Methods Randomised controlled trials that compared web-based rehabilitation interventions with usual care, waiting list, no treatment or another web-based intervention in adults with rheumatoid arthritis were included...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29669330/diabetes-self-management-a-key-for-better-health-related-quality-of-life-in-patients-with-diabetes
#18
Hanan E Badr, Maha Al-Khaledi, Hussah Al-Dousari, Shaikhah Al-Dhufairi, Taiba Al-Mousawi, Rehab Al-Azemi, Farah Al-Azimi
OBJECTIVE: This study was aimed at assessing health-related quality of life (HRQOL) among adult patients with diabetes attending primary health care diabetes clinics in Kuwait and to examine the factors associated with patients with the HRQOL of patients with diabetes. METHODS: This cross-sectional study was conducted among 503 patients with diabetes attending 26 primary healthcare diabetes clinics in Kuwait. A self-administered questionnaire on participants' socio-demographic and clinical characteristics, in addition to the Diabetes Self-Management Questionnaire (DSMQ) to assess patients' DSM was used...
April 17, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/29669040/improvement-capability-and-performance-a-qualitative-study-of-maternity-services-providers-in-the-uk
#19
Sarah Darley, Kieran Walshe, Ruth Boaden, Nathan Proudlove, Mhorag Goff
Objective: We explore variations in service performance and quality improvement across healthcare organisations using the concept of improvement capability. We draw upon a theoretically informed framework comprising eight dimensions of improvement capability, firstly to describe and compare quality improvement within healthcare organisations and, secondly to investigate the interactions between organisational performance and improvement capability. Design: A multiple qualitative case study using semi-structured interviews guided by the improvement capability framework...
April 16, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29668648/in-data-we-trust-comparison-of-electronic-versus-manual-abstraction-of-antimicrobial-prescribing-quality-metrics-for-hospitalized-veterans-with-pneumonia
#20
Barbara E Jones, Candace Haroldsen, Karl Madaras-Kelly, Matthew B Goetz, Jian Ying, Brian Sauer, Makoto M Jones, Molly Leecaster, Tom Greene, Scott K Fridkin, Melinda M Neuhauser, Matthew H Samore
BACKGROUND: Electronic health records provide the opportunity to assess system-wide quality measures. Veterans Affairs Pharmacy Benefits Management Center for Medication Safety uses medication use evaluation (MUE) through manual review of the electronic health records. OBJECTIVE: To compare an electronic MUE approach versus human/manual review for extraction of antibiotic use (choice and duration) and severity metrics. RESEARCH DESIGN: Retrospective...
April 17, 2018: Medical Care
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