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https://www.readbyqxmd.com/read/29668786/user-embracement-with-risk-classification-in-an-emergency-care-unit-an-evaluative-study
#1
Patrícia Madalena Vieira Hermida, Eliane Regina Pereira do Nascimento, Maria Elena Echevarría-Guanilo, Odaléa Maria Brüggemann, Luciana Bihain Hagemann de Malfussi
Objective Describing the evaluation of the Structure, Process and Outcome of User Embracement with Risk Classification of an Emergency Care Unit from the perspective of physicians and nurses. Method An evaluative, descriptive, quantitative study developed in Santa Catarina. Data were collected using a validated and adapted instrument consisting of 21 items distributed in the dimensions of Structure (facilities), Process (activities and relationships in providing care) and Outcome (care effects). In the analysis, descriptive statistics and the Mean Ranking and Mean Score calculations were applied...
2018: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/29666686/evaluation-of-a-clinical-pharmacist-intervention-on-clinical-and-drug-related-problems-among-coronary-heart-disease-inpatients-a-pre-experimental-prospective-study-at-a-general-hospital-in-indonesia
#2
Vina A Sagita, Anton Bahtiar, Retnosari Andrajati
Objectives: This study aimed to evaluate the role of a clinical pharmacist intervention in decreasing subsequent clinical and drug-related problems (DRPs) among coronary heart disease (CHD) inpatients with at least one previous DRP. Methods: This pre-experimental study with a pre-post design was carried out from January to April 2017 among inpatients with at least one previous DRP at a general hospital in Tangerang District, Banten, Indonesia. Clinical and DRPs were documented prospectively by a clinical pharmacist, with DRPs classified using Version 6...
February 2018: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/29665103/health-and-care-related-risk-factors-for-suicide-among-nursing-home-residents-a-data-linkage-study
#3
Briony Murphy, Briohny Kennedy, Catherine Martin, Lyndal Bugeja, Melissa Willoughby, Joseph E Ibrahim
This study aimed to examine associations between health status and care needs of nursing home residents and risk of death from suicide compared to other causes through a retrospective data linkage cohort study examining nursing home resident deaths in Australia between 2000 and 2013. Data linkage was performed between aged care assessment tools-Resident Classification System and Aged Care Funding Instrument-and the National Coronial Information System. A competing risks survival analysis was performed to determine the association between care assessment variables (activities of daily living (ADL), behavior, and complex health care) and the risk of death from suicide and any other cause...
April 17, 2018: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/29659868/automatic-population-of-emeasurements-from-ehr-systems-for-inpatient-falls
#4
Insook Cho, Eun-Hee Boo, Soo-Youn Lee, Patricia C Dykes
Objective: Representing nursing data sets in a standard way will help to facilitate sharing relevant information across settings. We aimed to populate nursing process and outcome metrics with electronic health record (EHR) data and then compare the results with event reporting systems. Methods: We used the "eMeasure" development process of the National Quality Forum adopted by the American Nurses Association. We used operational definitions of quality measures from the American Nurses Association and the US Institute for Healthcare Improvement and employed concept mapping of local data elements to 2 controlled vocabularies to define a standard data dictionary: (1) Logical Observation Identifiers Names and Codes and (2) International Classification for Nursing Practice...
April 6, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29659186/nursing-outcomes-for-patients-with-risk-of-perioperative-positioning-injury
#5
Luciana Bjorklund de Lima, Michelle Cardoso E Cardozo, Daniela de Souza Bernardes, Eneida Rejane Rabelo-Silva
PURPOSE: To select and refine the outcomes and indicators of Nursing Outcomes Classification for the diagnosis of risk for perioperative positioning injury. METHOD: Validation study on expert consensus and refinement through pilot study. FINDINGS: Eight outcomes and 35 indicators were selected in consensus. After clinical testing was performed, in which 10 patients were assessed at five different times. Eight outcomes and 33 indicators remained in the protocol...
April 16, 2018: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/29652736/recommendations-and-extraction-of-clinical-variables-of-pediatric-multiple-sclerosis-using-common-data-elements
#6
Pamela Newland, John M Newland, Verna L Hendricks-Ferguson, Judith M Smith, Brant J Oliver
PURPOSE: The purpose of this article was to demonstrate the feasibility of using common data elements (CDEs) to search for information on the pediatric patient with multiple sclerosis (MS) and provide recommendations for future quality improvement and research in the use of CDEs for pediatric MS symptom management strategies Methods: The St. Louis Children's Hospital (SLCH), Washington University (WU) pediatrics data network was evaluated for use of CDEs identified from a database to identify variables in pediatric MS, including the key clinical features from the disease course of MS...
April 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29652165/exploring-the-predictors-of-emergency-department-triage-acuity-assignment-in-patients-with-sepsis
#7
Leon Petruniak, Maher El-Masri, Susan Fox-Wasylyshyn
Background and purpose Evidence suggests that septic patients, who require prompt medical attention, may be undertriaged, resulting in delayed treatment. The purpose of this study was to examine patient and contextual variables that contribute to high- versus low-acuity triage classification of patients with sepsis. Methods Data were abstracted from the medical records of 154 adult patients with sepsis admitted to hospital through a Canadian Emergency Department. Logistic regression was used to explore the predictors of triage classification...
January 1, 2018: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/29651437/questions-frequently-asked-of-healthcare-professionals-a-2-year-data-survey-conducted-at-a-medical-center
#8
Chi-Lien Hou, Ying-Hao Lu, Shun-Ching Chien, Hsu-Hui Chen, Chung-Yu Chen
In this descriptive, retrospective study, we analyzed the types of questions posed by healthcare professionals to drug counselors at a medical center and the types of provision of pharmaceutical advice solicited to improve pharmaceutical care quality and establish clear directions for clinical pharmacist training. We collected 8,558 questions posed by healthcare professionals (physicians, 38%; pharmacists, 39%; nurses, 23%) from the electronic drug information record system from May 2013 to April 2015 in one medical center...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29622004/redefining-diagnosis-related-groups-drgs-for-palliative-care-a-cross-sectional-study-in-two-german-centres
#9
Matthias Vogl, Eva Schildmann, Reiner Leidl, Farina Hodiamont, Helen Kalies, Bernd Oliver Maier, Marcus Schlemmer, Susanne Roller, Claudia Bausewein
BACKGROUND: Hospital costs and cost drivers in palliative care are poorly analysed. It remains unknown whether current German Diagnosis-Related Groups, mainly relying on main diagnosis or procedure, reproduce costs adequately. The aim of this study was therefore to analyse costs and reimbursement for inpatient palliative care and to identify relevant cost drivers. METHODS: Two-center, standardised micro-costing approach with patient-level cost calculations and analysis of the reimbursement situation for patients receiving palliative care at two German hospitals (7/2012-12/2013)...
April 5, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29620013/the-2017-ilae-classification-of-seizure-types-and-the-epilepsies-what-do-people-with-epilepsy-and-their-caregivers-need-to-know
#10
Martin J Brodie, Sameer M Zuberi, Ingrid E Scheffer, Robert S Fisher
The International League against Epilepsy (ILAE) published in the April 2017 edition of Epilepsia three companion articles on the classification of seizures and the epilepsies. These represent a long-awaited update on the original 1981 and 1989 publications and provide a modern descriptive template. The new classification presents three levels of terminology, involving seizure types, epilepsy types, and syndromes. In this fourth paper, we present an interpretation of these new concepts for people with epilepsy and those who care for them, as well as for young medical doctors not specialized in epilepsy and nurses...
April 5, 2018: Epileptic Disorders: International Epilepsy Journal with Videotape
https://www.readbyqxmd.com/read/29618194/quality-improvement-activity-for-improving-pain-management-in-acute-extremity-injuries-in-the-emergency-department
#11
Hyung Lan Chang, Jin Hee Jung, Young Ho Kwak, Do Kyun Kim, Jin Hee Lee, Jae Yun Jung, Hyuksool Kwon, So Hyun Paek, Joong Wan Park, Jonghwan Shin
OBJECTIVE: The aim of this study was to investigate the effectiveness of a quality improvement activity for pain management in patients with extremity injury in the emergency department (ED). METHODS: This was a retrospective interventional study. The patient group consisted of those at least 19 years of age who visited the ED and were diagnosed with International Classification of Diseases codes S40-S99 (extremity injuries). The quality improvement activity consisted of three measures: a survey regarding activities, education, and the triage nurse's pain assessment, including change of pain documentation on electronic medical records...
March 2018: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/29615022/job-satisfaction-of-nurses-with-master-of-nursing-degrees-in-poland-quantitative-and-qualitative-analysis
#12
Aneta Brayer, Ludmila Marcinowicz
BACKGROUND: Understanding the issue of job satisfaction of nurses with master of nursing degrees may help develop organisational changes necessary for better functioning of health care institutions. This study aimed to evaluate the level of job satisfaction among holders of Masters of Nursing degrees employed at health care institutions and to ascertain its determinants. METHODS: The cross-sectional study was carried out in randomly selected health care institutions in Poland using the Misener Nurse Practitioner Job Satisfaction Survey and an original survey questionnaire with two open-ended questions...
April 3, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29613879/the-relationship-between-nursing-workload-quality-of-care-and-nursing-payment-in-intensive-care-units
#13
Li-Yin Chang, Hsiu-Hui Yu, Yann-Fen C Chao
BACKGROUND: Nursing workload is highly associated with patient safety. It has been argued that the imbalance between nursing payment and nursing workload in Taiwan National Health Insurance (NHI)-covered intensive care units (ICUs) has resulted in the inadequate allocation of nursing manpower. However, limited empirical data are currently available to support this argument. PURPOSE: The aim of this study was to investigate the correlation between nursing workload, quality of care, and NHI-covered nursing payments in ICU settings...
April 3, 2018: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29607949/risk-factors-for-death-from-psychiatric-hospital-acquired-pneumonia
#14
Takahiro Haga, Kae Ito, Kentaro Sakashita, Mari Iguchi, Masahiro Ono, Koichiro Tatsumi
Objectives Pneumonia is a major cause of death among inpatients at psychiatric hospitals. Psychiatric hospital-acquired pneumonia (PHAP) is defined as pneumonia developed in inpatients at psychiatric hospitals. PHAP is a type of nursing and healthcare-associated pneumonia (NHCAP). The purpose of this study was to clarify the risk factors for mortality among PHAP patients. Methods We retrospectively reviewed the clinical files of patients transferred to Tokyo Metropolitan Matsuzawa Hospital from psychiatric hospitals for PHAP treatment during the 10-year period from September 2007 to August 2017...
March 30, 2018: Internal Medicine
https://www.readbyqxmd.com/read/29601083/analysis-of-episodes-of-care-in-medicare-beneficiaries-newly-diagnosed-with-alzheimer-s-disease
#15
Rezaul K Khandker, Christopher M Black, Lin Xie, M Furaha Kariburyo, Baishali M Ambegaonkar, Onur Baser, Huseyin Yuce, Howard Fillit
OBJECTIVES: To study transitions between healthcare settings and quantify the cost burdens associated with different combinations of transitions during a 6-month period before initial Alzheimer's disease (AD) diagnosis so as to investigate how using an episode-of-care approach to payment for specific disease states might apply in AD. DESIGN: A retrospective observational cohort study. SETTING: United States. PARTICIPANTS: A random sample of 8,995 individuals aged 65 to 100 with a diagnosis of AD (International Classification of Diseases, Ninth Revision, Clinical Modification code 331...
March 30, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29599018/sex-and-race-or-ethnicity-disparities-in-opioid-prescriptions-for-dental-diagnoses-among-patients-receiving-medicaid
#16
Chandrashekar Janakiram, Natalia I Chalmers, Paul Fontelo, Vojtech Huser, Gabriela Lopez Mitnik, Timothy J Iafolla, Avery R Brow, Bruce A Dye
BACKGROUND: The objective of this study was to identify specific factors (sex, race or ethnicity, and health care provider type) associated with patient receipt of an opioid prescription after a dental diagnosis. METHODS: The authors used Medicaid claims dated from January 1, 2013, through September 30, 2015, for 13 US states in this study. The authors identified oral health-related conditions by using International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes 520...
April 2018: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29562000/nursing-diagnoses-from-icnp%C3%A2-for-people-with-metabolic-syndrome
#17
Nuno Damácio de Carvalho Félix, Natana de Morais Ramos, Maria Naiane Rolim Nascimento, Thereza Maria Magalhães Moreira, Célida Juliana de Oliveira
OBJECTIVE: To construct nursing diagnosis statements based on the International Classification for Nursing Practice (ICNP®) for people with metabolic syndrome, settled on the theoretical framework of Basic Human Needs. METHOD: Descriptive study developed in four stages: 1) Identification and validation of terms relevant to care with health priority; 2) Cross-mapping of the terms identified with ICNP® terms; 3) Construction of the nursing diagnosis statements; and 4) Cross-mapping of constructed statements with the ones in ICNP®...
2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29561349/pressure-injury-prevention-knowledge-and-attitudes-of-iranian-intensive-care-nurses
#18
Batool Tirgari, Leili Mirshekari, Mansooreh Azzizadeh Forouzi
BACKGROUND: Pressure injuries are the third most expensive condition after cancer and cardiovascular disease. Nurses are responsible for the direct and continuous care, treatment, and prevention of pressure injuries. To achieve optimal quality care, nursing knowledge and attitudes must be based on the best scientific evidence. This study aimed to examine the knowledge and attitudes of nurses working in intensive care units of hospitals affiliated with Zahedan Medical Sciences University regarding the prevention of pressure injuries...
April 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29558570/vascular-access-specialist-teams-for-device-insertion-and-prevention-of-failure
#19
REVIEW
Peter J Carr, Niall S Higgins, Marie L Cooke, Gabor Mihala, Claire M Rickard
BACKGROUND: Most people admitted to hospitals worldwide require a vascular access device (VAD). Hundreds of millions of VADs are inserted annually in the USA with reports of over a billion peripheral intravenous catheters used annually worldwide. Numerous reports suggest that a team approach for the assessment, insertion, and maintenance of VADs improves clinical outcomes, the patient experience, and healthcare processes. OBJECTIVES: To compare the use of the vascular access specialist team (VAST) for VAD insertion and care to a generalist model approach for hospital or community participants requiring a VAD in terms of insertion success, device failure, and cost-effectiveness...
March 20, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29557860/increasing-burden-of-total-hip-arthroplasty-revisions-in-patients-between-45-and-64-years-of-age
#20
Sean S Rajaee, Joshua C Campbell, James Mirocha, Guy D Paiement
BACKGROUND: This study provides a comprehensive analysis of total hip arthroplasty (THA) revisions in the U.S. from 2007 to 2013. METHODS: International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes were used to identify all THA revisions in the Nationwide Inpatient Sample (NIS) from 2007 to 2013. The diagnoses leading to the revisions, types of revisions, major inpatient complications, and hospital and patient characteristics were compared between 2007 and 2013...
March 21, 2018: Journal of Bone and Joint Surgery. American Volume
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