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https://www.readbyqxmd.com/read/28167999/informatics-metrics-and-measures-for-a-smart-public-health-systems-approach-information-science-perspective
#1
REVIEW
Timothy Jay Carney, Christopher Michael Shea
Public health informatics is an evolving domain in which practices constantly change to meet the demands of a highly complex public health and healthcare delivery system. Given the emergence of various concepts, such as learning health systems, smart health systems, and adaptive complex health systems, health informatics professionals would benefit from a common set of measures and capabilities to inform our modeling, measuring, and managing of health system "smartness." Here, we introduce the concepts of organizational complexity, problem/issue complexity, and situational awareness as three codependent drivers of smart public health systems characteristics...
2017: Computational and Mathematical Methods in Medicine
https://www.readbyqxmd.com/read/28152919/asco-pro-workgroup-update-patient-reported-outcome-measures-as-a-quality-indicator
#2
Anne C Chiang, Ethan M Basch
: 276 Background: Although patient questionnaires are commonly used to assess healthcare experiences (e.g., satisfaction with care), patient-reported outcome (PRO) measures assessing symptoms and physical functioning have not conventionally been used for quality assessment. More typically, quality of care is measured with administrative data, such as hospital readmission rates. There is an opportunity to advance the science of quality measurement by integrating a patient-centered approach...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28150253/-the-role-of-nursing-education-in-the-advancement-of-the-nursing-profession
#3
Mei Chang Yeh
The present article discusses the role of nursing education in the advancement of the nursing profession in the context of the three facets of knowledge: generation, dissemination, and application. Nursing is an applied science and the application of knowledge in practice is the ultimate goal of the nursing profession. The reform of the healthcare delivery model requires that nurses acquire and utilize evidence-based clinical knowledge, critical thinking, effective communication, and team collaboration skills in order to ensure the quality of patient care and safety...
February 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28119163/compassion-fatigue-a-meta-narrative-review-of-the-healthcare-literature
#4
REVIEW
Shane Sinclair, Shelley Raffin-Bouchal, Lorraine Venturato, Jane Mijovic-Kondejewski, Lorraine Smith-MacDonald
BACKGROUND: Compassion fatigue describes a work-related stress response in healthcare providers that is considered a 'cost of caring' and a key contributor to the loss of compassion in healthcare. OBJECTIVE: The purpose of this review was to critically examine the construct of compassion fatigue and to determine if it is an accurate descriptor of work-related stress in healthcare providers and a valid target variable for intervention. DESIGN: Meta-narrative review...
January 12, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28103931/developing-a-framework-to-guide-the-de-adoption-of-low-value-clinical-practices-in-acute-care-medicine-a-study-protocol
#5
Jeanna Parsons Leigh, Daniel J Niven, Jamie M Boyd, Henry T Stelfox
BACKGROUND: Healthcare systems have difficulty incorporating scientific evidence into clinical practice, especially when science suggests that existing clinical practices are of low-value (e.g. ineffective or harmful to patients). While a number of lists outlining low-value practices in acute care medicine currently exist, less is known about how best to initiate and sustain the removal of low-value clinical practices (i.e. de-adoption). This study will develop a comprehensive list of barriers and facilitators to the de-adoption of low-value clinical practices in acute care facilities to inform the development of a framework to guide the de-adoption process...
January 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28026070/cancer-related-pain-management-a-review-of-knowledge-and-attitudes-of-healthcare-professionals
#6
REVIEW
M A M Kasasbeh, C McCabe, S Payne
Cancer-related pain (CRP) is common and many patients continue to experience pain in spite of advances in pain management modalities. The lack of knowledge, inadequate assessment of CRP and/or organisational factors, such as lack of time due to heavy workload, can be a barrier to effective pain management of healthcare professionals. The purpose was to examine the evidence with regard to the knowledge and attitudes towards practice of healthcare professionals in relation to CRP management. A search of the literature (1999-2015) was conducted searching databases and journals including CINAHL, MEDLINE, PsycINFO, PubMed, Science Direct and Wiley-Blackwell...
December 27, 2016: European Journal of Cancer Care
https://www.readbyqxmd.com/read/27996085/supportive-interventions-for-enhancing-dietary-intake-in-malnourished-or-nutritionally-at-risk-adults
#7
REVIEW
Christine Baldwin, Katherine L Kimber, Michelle Gibbs, Christine Elizabeth Weekes
BACKGROUND: Supportive interventions such as serving meals in a dining room environment or the use of assistants to feed patients are frequently recommended for the management of nutritionally vulnerable groups. Such interventions are included in many policy and guideline documents and have implications for staff time but may incur additional costs, yet there appears to be a lack of evidence for their efficacy. OBJECTIVES: To assess the effects of supportive interventions for enhancing dietary intake in malnourished or nutritionally at-risk adults...
20, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27990676/updated-competencies-for-the-dental-public-health-specialist-using-the-past-and-present-to-frame-the-future
#8
Jane A Weintraub, R Gary Rozier
OBJECTIVE: A new set of competencies for entry-level specialists in dental public health (DPH) developed in 2016 updates the 1998 version. Our objective is to provide some context and perspective on this update. METHODS: We discuss the evolution of this dental specialty, how it differs from other dental specialties, and its importance for the public's oral health. Some societal trends that provide the rationale for this update are summarized. The ways in which this set of competencies differs from the last version are described...
September 2016: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/27960229/automated-telephone-communication-systems-for-preventive-healthcare-and-management-of-long-term-conditions
#9
REVIEW
Pawel Posadzki, Nikolaos Mastellos, Rebecca Ryan, Laura H Gunn, Lambert M Felix, Yannis Pappas, Marie-Pierre Gagnon, Steven A Julious, Liming Xiang, Brian Oldenburg, Josip Car
BACKGROUND: Automated telephone communication systems (ATCS) can deliver voice messages and collect health-related information from patients using either their telephone's touch-tone keypad or voice recognition software. ATCS can supplement or replace telephone contact between health professionals and patients. There are four different types of ATCS: unidirectional (one-way, non-interactive voice communication), interactive voice response (IVR) systems, ATCS with additional functions such as access to an expert to request advice (ATCS Plus) and multimodal ATCS, where the calls are delivered as part of a multicomponent intervention...
14, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27957306/the-impact-of-healthcare-reform-plan-on-the-rate-of-vaginal-delivery-and-cesarean-section-in-shiraz-iran-in-2015
#10
Faranak Rooeintan, Parviz Aghaei Borzabad, Abbas Yazdanpanah
INTRODUCTION: The uncontrolled increase in the rate of cesarean section is one of the most controversial issues, and is a primary challenge among health policy makers. This study was conducted to examine the impact of the Iranian health evolution plan on vaginal delivery rate and cesarean section. METHODS: This cross-sectional study was carried out in 2014. Maternal health data for 2013 and 2014 were used in this study and changes in vaginal delivery and cesarean section were compared before and after the reform, using t-test and Wilkinson test...
October 2016: Electronic Physician
https://www.readbyqxmd.com/read/27931219/influences-on-teleconsultation-project-utilization-rates-the-role-of-dominant-logic
#11
David L Paul, Reuben R McDaniel
BACKGROUND: This research analyzes teleconsultation from both a mechanistic and complex adaptive system (CAS) dominant logic in order to further understand the influence of dominant logic on utilization rates of teleconsultation projects. In both dominant logics, the objective of teleconsultation projects is to increase access to and quality of healthcare delivery in a cost efficient manner. A mechanistic dominant logic perceives teleconsultation as closely resembling the traditional service delivery model, while a CAS dominant logic focuses on the system's emergent behavior of learning resulting from the relationships and interactions of participating healthcare providers...
December 8, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27921257/impact-of-community-health-workers-on-use-of-healthcare-services-in-the-united-states-a-systematic-review
#12
Helen E Jack, Sophia D Arabadjis, Lucy Sun, Erin E Sullivan, Russell S Phillips
BACKGROUND: As the US transitions to value-based healthcare, physicians and payers are incentivized to change healthcare delivery to improve quality of care while controlling costs. By assisting with the management of common chronic conditions, community health workers (CHWs) may improve healthcare quality, but physicians and payers who are making choices about care delivery also need to understand their effects on healthcare spending. METHODS: We searched PubMed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, PsycINFO, Embase, and Web of Science from the inception of each database to 22 June 2015...
December 5, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27811332/telemedicine-quality-and-outcomes-in-stroke-a-scientific-statement-for-healthcare-professionals-from-the-american-heart-association-american-stroke-association
#13
Lawrence R Wechsler, Bart M Demaerschalk, Lee H Schwamm, Opeolu M Adeoye, Heinrich J Audebert, Christopher V Fanale, David C Hess, Jennifer J Majersik, Karin V Nystrom, Mathew J Reeves, Wayne D Rosamond, Jeffrey A Switzer
PURPOSE: Telestroke is one of the most frequently used and rapidly expanding applications of telemedicine, delivering much-needed stroke expertise to hospitals and patients. This document reviews the current status of telestroke and suggests measures for ongoing quality and outcome monitoring to improve performance and to enhance delivery of care. METHODS: A literature search was undertaken to examine the current status of telestroke and relevant quality indicators...
2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/27808064/use-of-speech-to-text-technology-for-documentation-by-healthcare-providers
#14
REVIEW
Sima Ajami
Medical records are a critical component of a patient's treatment. However, documentation of patient-related information is considered a secondary activity in the provision of healthcare services, often leading to incomplete medical records and patient data of low quality. Advances in information technology (IT) in the health system and registration of information in electronic health records (EHR) using speechto- text conversion software have facilitated service delivery. This narrative review is a literature search with the help of libraries, books, conference proceedings, databases of Science Direct, PubMed, Proquest, Springer, SID (Scientific Information Database), and search engines such as Yahoo, and Google...
May 2016: National Medical Journal of India
https://www.readbyqxmd.com/read/27807080/dementia-and-imagination-a-mixed-methods-protocol-for-arts-and-science-research
#15
Gill Windle, Andrew Newman, Vanessa Burholt, Bob Woods, Dave O'Brien, Michael Baber, Barry Hounsome, Clive Parkinson, Victoria Tischler
INTRODUCTION: Dementia and Imagination is a multidisciplinary research collaboration bringing together arts and science to address current evidence limitations around the benefits of visual art activities in dementia care. The research questions ask: Can art improve quality of life and well-being? If it does make a difference, how does it do this-and why? Does it have wider social and community benefits? METHODS AND ANALYSIS: This mixed-methods study recruits participants from residential care homes, National Health Service (NHS) wards and communities in England and Wales...
November 2, 2016: BMJ Open
https://www.readbyqxmd.com/read/27805797/data-that-drive-closing-the-loop-in-the-learning-hospital-system
#16
Vincent X Liu, John W Morehouse, Jennifer M Baker, John D Greene, Patricia Kipnis, Gabriel J Escobar
The learning healthcare system describes a vision of US healthcare that capitalizes on science, information technology, incentives, and care culture to drive improvements in the quality of health care. The inpatient setting, one of the most costly and impactful domains of healthcare, is an ideal setting in which to use data and information technology to foster continuous learning and quality improvement. The rapid digitization of inpatient medicine offers incredible new opportunities to use data from routine care to generate new discovery and thus close the virtuous cycle of learning...
November 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/27802517/cataract-surgical-rate-and-socioeconomics-a-global-study
#17
Wei Wang, William Yan, Kathy Fotis, Noela M Prasad, Van Charles Lansingh, Hugh R Taylor, Robert P Finger, Damian Facciolo, Mingguang He
Purpose: Cataract is the leading cause of blindness and cataract surgical rate (CSR) is used as a proxy indicator of access to cataract services in a country. The aim of this study was to explore the associations between the CSR and the economic development of countries in terms of gross domestic product per capital (GDP/P) and gross national income per capita (GNI/P). Methods: We systematically searched OVID (Medline and Embase), Pubmed, Embase.com, ISI Web of Science, and Cochrane Library databases, and retrieved additional data from unpublished reports...
November 1, 2016: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/27797977/realist-synthesis-of-educational-interventions-to-improve-nutrition-care-competencies-and-delivery-by-doctors-and-other-healthcare-professionals
#18
Victor Mogre, Albert J J A Scherpbier, Fred Stevens, Paul Aryee, Mary Gemma Cherry, Tim Dornan
OBJECTIVE: To determine what, how, for whom, why, and in what circumstances educational interventions improve the delivery of nutrition care by doctors and other healthcare professionals work. DESIGN: Realist synthesis following a published protocol and reported following Realist and Meta-narrative Evidence Synthesis: Evolving Standards (RAMESES) guidelines. A multidisciplinary team searched MEDLINE, CINAHL, ERIC, EMBASE, PsyINFO, Sociological Abstracts, Web of Science, Google Scholar and Science Direct for published and unpublished (grey) literature...
October 21, 2016: BMJ Open
https://www.readbyqxmd.com/read/27752193/knowledge-and-use-of-information-and-communication-technology-by-health-sciences-students-of-the-university-of-ghana
#19
Samuel Dery, Frances da-Costa Vroom, Anthony Godi, Seth Afagbedzi, Duah Dwomoh
BACKGROUND: Studies have shown that ICT adoption contributes to productivity and economic growth. It is therefore important that health workers have knowledge in ICT to ensure adoption and uptake of ICT tools to enable efficient health delivery. OBJECTIVE: To determine the knowledge and use of ICT among students of the College of Health Sciences at the University of Ghana. METHODS: This was a cross-sectional study conducted among students in all the five Schools of the College of Health Sciences at the University of Ghana...
September 2016: Ghana Medical Journal
https://www.readbyqxmd.com/read/27742819/on-the-planning-and-design-of-hospital-circulation-zones-a-review-of-the-evidence-based-literature
#20
Shan Jiang, Stephen Verderber
OBJECTIVE: This present literature review explores current issues and research inconsistencies regarding the design of hospital circulation zones and the associated health-related outcomes. BACKGROUND: Large general hospitals are immense, highly sophisticated institutions. Empirical studies have indicated excessively institutional environments in large medical centers are a cause of negative effects to occupants, including stress, anxiety, wayfinding difficulties and spatial disorientation, lack of cognitional control, and stress associated with inadequate access to nature...
October 14, 2016: HERD
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