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https://www.readbyqxmd.com/read/29776901/a-moderated-e-forum-for-adults-with-cardiovascular-disease-usability-study
#1
Rika Tanaka, Anita Banerjee, Jelena Surikova, Jacqueline Tracey, Ada Payne, Heather Ross, Robert Nolan
BACKGROUND: Self-care behaviors are commonly prescribed to manage both cardiovascular disease and hypertension to reduce modifiable risk factors and improve quality of life. Nevertheless, long-term adherence to self-care recommendations for cardiac patients has been problematic. In cardiac patients, moderated online forums have been found to be particularly useful in supporting maintenance of heart-healthy diet and fewer hospital visits. As such, we developed the e-Forum, a Web-based moderated forum designed to promote continued user engagement and long-term self-care adherence...
May 18, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29770474/improving-medication-safety-for-home-nursing-clients-a-prospective-observational-study-of-a-novel-clinical-pharmacy-service-the-visiting-pharmacist-vip-study
#2
C Y Lee, C Beanland, D Goeman, N Petrie, B Petrie, F Vise, J Gray, R A Elliott
WHAT IS KNOWN AND OBJECTIVE: Polypharmacy, medication errors and adverse events are common in older people receiving home nursing medication management support. Access to clinical pharmacists is limited. In Australia, few home nursing clients receive a general practitioner (GP)-initiated pharmacist-led Home Medicines Review, despite their eligibility and community nurses' (CN) efforts to facilitate this. An integrated home nursing clinical pharmacy service, in which CNs directly referred clients to a pharmacist, was therefore developed and piloted...
May 16, 2018: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/29768316/evaluation-of-compliance-with-a-weight-based-nurse-driven-heparin-nomogram-in-a-tertiary-academic-medical-center
#3
James W Schurr, Craig A Stevens, Anne Bane, Sarah E Culbreth, Amy Leigh Miller, Jean M Connors, Katelyn W Sylvester
BACKGROUND: Recently, our institution adopted a weight-based nurse-driven heparin titration protocol that relies on nurses ordering laboratories, adjusting doses, and initiating boluses. Numerous institutions have implemented similar protocols with reported success. METHODS: A single-center retrospective analysis was conducted at the Brigham and Women's Hospital in Boston, Massachusetts that included all patients who were initiated on the weight-based nurse-driven heparin nomogram during a 30-day period...
June 2018: Critical Pathways in Cardiology
https://www.readbyqxmd.com/read/29767226/evaluation-of-the-wear-and-tear-scale-for-therapeutic-footwear-results-of-a-generalizability-study
#4
Rutger Dahmen, Petra C Siemonsma, Sandra Monteiro, Geoffrey R Norman, Maarten Boers, Gustaaf J Lankhorst, Leo D Roorda
OBJECTIVE: Therapeutic footwear is often prescribed at considerable cost. Foot-care specialists normally assess the wear-and-tear of therapeutic footwear in order to monitor the adequacy of the prescribed footwear and to gain an indicator of its use. We developed a simple, rapid, easily applicable indicator of wear-and-tear of therapeutic footwear: the wear-and-tear scale. The aim of this study was to investigate the intra- and inter-rater reliability of the wear-and-tear scale. METHODS: A test set of 100 therapeutic shoes was assembled; 24 raters (6 inexperienced and 6 experienced physiatrists, and 6 inexperienced and 6 experienced orthopaedic shoe technicians) rated the degree of wear-and-tear of the shoes on the scale (range 0-100) twice on 1 day with a 4-h interval (short-term) and twice over a 4-week interval (long-term)...
May 16, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29760941/hip-fracture-in-the-elderly-multidisciplinary-rehabilitation-femur-feasibility-study-testing-the-use-of-routinely-collected-data-for-future-health-economic-evaluations
#5
Nefyn H Williams, Kevin Mawdesley, Jessica L Roberts, Nafees Ud Din, Nicola Totton, Joanna M Charles, Zoe Hoare, Rhiannon T Edwards
Background: Health economic evaluations rely on the accurate measurement of health service resource use in order to calculate costs. These are usually measured with patient completed questionnaires using instruments such as the Client Service Receipt Inventory (CSRI). These rely on participants' recall and can be burdensome to complete. Health service activity data are routinely captured by electronic databases.The aim was to test methods for obtaining these data and compare with those data collected using the CSRI, within a feasibility study of an enhanced rehabilitation intervention following hip fracture (Fracture in the Elderly Multidisciplinary Rehabilitation: FEMuR)...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29757472/technical-note-predicting-dose-distribution-with-replacing-stopping-power-ratio-for-inter-fractional-motion-and-intra-fractional-motion-during-carbon-ion-radiotherapy-with-passive-irradiation-method-for-stage-i-lung-cancer
#6
Yoshiki Kubota, Makoto Sakai, Mutsumi Tashiro, Jun-Ichi Saitoh, Takanori Abe, Tatsuya Ohno, Takashi Nakano
PURPOSE: We designed and evaluated a simple method for predicting the effects of intra-fractional and/or inter-fractional motion on dose distribution during carbon ion radiotherapy (CIRT) for solitary-lesion stage I lung cancer. METHODS: The proposed method uses computed tomography (CT) images from treatment planning and intra-tumoral and/or inter-tumoral displacement. The predicted dose distribution (PDD) was calculated by replacing the current tumor region with the stopping power ratio (SPR) of the lung, and replacing the moved tumor region with the SPR of the tumor...
May 14, 2018: Medical Physics
https://www.readbyqxmd.com/read/29755999/prescribing-pattern-and-prescription-writing-quality-of-antineoplastic-agents-in-the-capital-city-of-a-middle-income-developing-country
#7
Maryam Taghizadeh-Ghehi, Asiyeh Amouei, Ava Mansouri, Aarefeh Jafarzadeh Kohneloo, Molouk Hadjibabaie
Objective: Cancer is a global health concern with growing incidence worldwide. Chemotherapy is the main treatment modality in many malignancies. This study aimed at evaluation of antineoplastic prescribing pattern and prescription-writing quality in the capital city of Iran. Methods: All dispensed chemotherapy prescriptions by four main authorized pharmacies in Tehran during 1 month were targeted. Prescriptions with no antineoplastic medications or written by specialties other than oncology-related fields were excluded from the study...
January 2018: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/29754594/review-of-medication-errors-that-are-new-or-likely-to-occur-more-frequently-with-electronic-medication-management-systems
#8
Melita Van de Vreede, Anne McGrath, Jan de Clifford
Objective. The aim of the present study was to identify and quantify medication errors reportedly related to electronic medication management systems (eMMS) and those considered likely to occur more frequently with eMMS. This included developing a new classification system relevant to eMMS errors. Methods. Eight Victorian hospitals with eMMS participated in a retrospective audit of reported medication incidents from their incident reporting databases between May and July 2014. Site-appointed project officers submitted deidentified incidents they deemed new or likely to occur more frequently due to eMMS, together with the Incident Severity Rating (ISR)...
May 14, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29750822/prediction-equation-to-estimate-heart-rate-at-individual-ventilatory-threshold-in-female-and-male-obese-adults
#9
Gian Pietro Emerenziani, Dafne Ferrari, Maria Grazia Vaccaro, Maria Chiara Gallotta, Silvia Migliaccio, Andrea Lenzi, Carlo Baldari, Laura Guidetti
OBJECTIVE: Prescribing individualized moderate exercise intensity is a useful method to reach positive effects on health status in obese adults. This study aimed to establish a practical reference equation to estimate the heart rate (HR) at individual ventilatory threshold (IVT) (HRIVT). METHODS: One hundred sixty-one obese subjects were clinically evaluated and characterized by anthropometric and body composition. Participants performed the six-minute walking test (6-MWT) and the cardiopulmonary exercise test to assess IVT...
2018: PloS One
https://www.readbyqxmd.com/read/29750289/pharmacogenomic-primer-for-the-pediatrician-what-is-really-important
#10
Shannon Manzi
Safe prescribing of medications has become increasingly challenging with dozens of new drugs and drug classes added each year. Maximizing the ability to find a medication that will work as intended while minimizing side effects can be difficult, particularly when a patient does not respond as expected. Some of the variability in response may be attributed to the patient's genetics. Pharmacogenomics is the science of examining a patient's genotype in the context of medication selection and dosing. Used correctly, the clinical application of pharmacogenomic data can be useful in decreasing the trial and error approach to medication therapy...
May 1, 2018: Pediatric Annals
https://www.readbyqxmd.com/read/29745441/appropriateness-of-oral-anticoagulant-therapy-prescription-and-its-associated-factors-in-hospitalized-older-people-with-atrial-fibrillation
#11
Carlotta Franchi, Stefania Antoniazzi, Marco Proietti, Alessandro Nobili, Pier Mannuccio Mannucci
BACKGROUND: Oral anticoagulants (OACs) are effective in preventing stroke in older people with atrial fibrillation (AF). Despite this, they are often underused in this at particularly high risk population. OBJECTIVES: To assess the appropriateness of OAC prescription and its associated factors in hospitalized patients aged 65 years or older. METHODS: Data were obtained from the retrospective phase of SIM-AF study, held in 32 Italian internal medicine and geriatric wards...
May 10, 2018: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/29737799/identifying-errors-in-meals-provided-to-and-sourced-by-patients-on-therapeutic-diets-in-hospital
#12
Megan Rattray, Ben Desbrow, Shelley Roberts
BACKGROUND AND OBJECTIVES: Patients requiring therapeutic diets in hospital are at risk of exposer to dietary errors that may pose an acute threat to their safety. This study aimed to determine the prevalence of meal-related errors among hospitalised patients prescribed therapeutic diets, following the implementation of an electronic foodservice system (EFS). METHODS AND STUDY DESIGN: This observational study involved six wards in a tertiary metropolitan hospital that used an EFS for meal ordering and plating...
2018: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29730617/what-is-the-epidemiology-of-medication-errors-error-related-adverse-events-and-risk-factors-for-errors-in-adults-managed-in-community-care-contexts-a-systematic-review-of-the-international-literature
#13
Ghadah Asaad Assiri, Nada Atef Shebl, Mansour Adam Mahmoud, Nouf Aloudah, Elizabeth Grant, Hisham Aljadhey, Aziz Sheikh
OBJECTIVE: To investigate the epidemiology of medication errors and error-related adverse events in adults in primary care, ambulatory care and patients' homes. DESIGN: Systematic review. DATA SOURCE: Six international databases were searched for publications between 1 January 2006 and 31 December 2015. DATA EXTRACTION AND ANALYSIS: Two researchers independently extracted data from eligible studies and assessed the quality of these using established instruments...
May 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29724525/opioid-prescribing-where-should-academic-emergency-departments-focus-their-efforts
#14
William A Woods, Mary S Warlaumont, John P Riordan
BACKGROUND: Opioid prescriptions from the emergency department (ED) are being heavily scrutinized. This has resulted in prescribing guidelines and laws. OBJECTIVE: We analyzed the "current state" of opioid prescribing practices by emergency medicine (EM) trainees to gain understanding where operational, educational, or supervisory efforts should be directed to comply with current guidelines and future legislation. METHODS: Our retrospective, observational, study was performed at an academic ED with an annual census of 61,289 visits...
April 30, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29723431/measures-of-drug-prescribing-at-care-transitions-in-an-internal-medicine-unit
#15
Fabrizio Colombo, Pietro Nunnari, Giovanni Ceccarelli, Angelo Valerio Romano, Pietro Barbieri, Francesco Scaglione
Care transitions represent a common source of drug errors and confusions. The purpose of our prospective observational study was to assess the prevalence of medication discrepancies at care transitions, along with potentially inappropriate medications and potential drug-drug interactions, in an internal medicine unit of an Italian hospital. Adverse drug reactions that occurred in the 30-day period after the discharge from the hospital were included. A related-samples McNemar test was performed for evaluating the effects of hospitalization on the above-mentioned measures of drug prescribing...
May 3, 2018: Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/29723424/core-entrustable-professional-activities-in-clinical-pharmacology-for-entering-residency-value-of-interprofessional-health-care-teams-in-medication-prescribing-and-medication-error-prevention
#16
Lawrence J Cohen, Vera S Donnenberg, Peter H Wiernik, William C Newman, Nduka Amankulor
In recent years, health care has been increasingly delivered by interprofessional teams in the inpatient, outpatient, and transition-of-care arenas. For many reasons, effective communication between patient-centered care teams and patients is critically important in order to optimize care, ensure patient safety, and prevent medical and medication misadventures. In rapid-paced, high-stress medical environments, it is especially important to carefully evaluate the causes of all misadventures in a manner that avoids assigning blame and identifies the root causes and, through team activity, leads to development of remedies that reduce the likelihood of future misadventures...
May 3, 2018: Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/29720301/gaps-in-otc-labeling-potentially-inappropriate-medications-for-older-adults
#17
Archana Raghavan, Yoshita Paliwal, Patricia W Slattum
As the number of available over-the-counter (OTC) products increases, many older adults are taking health care into their own hands. It is particularly important that the labeling provided with these products is precise, leading to their effective use, especially by older adults. Suboptimally designed medication labels can increase the risk of consumption errors and adverse drug interactions among seniors. This study evaluated whether the warning labels on potentially inappropriate OTC medications are consistent with evidencebased criteria for potentially inappropriate prescribing in older adults...
March 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29717955/computerised-medical-record-systems-that-guide-and-protect-reflections-on-the-bawa-garba-case
#18
Simon De Lusignan, Harshana Liyanage, Philip Scott
Lawrence Weed proposed we develop computerised, problem orientated medical records that guide and teach.  The Bawa-Garba case outcomes might have been different if care had been supported by computerised medical record (CMR) systems. CMR systems can reduce prescribing errors and could be develop to flag gaps in supervision.   However, CMR systems are not a panacea and need to be fit for purpose.  Our informatics perspective on this case is to call for widespread use of CMR systems - designed to guide and protect...
April 10, 2018: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/29714617/pharmacotherapeutic-reports-as-tools-for-detecting-discrepancies-in-continuity-of-care
#19
Elena Yaiza Romero-Ventosa, Mónica Gayoso-Rey, Marisol Samartín-Ucha, Pablo Lamas-Domínguez, Martín Rubianes-González, David Rodríguez-Lorenzo, María Holanda Rodríguez-Vázquez, Julio García-Comesaña, Guadalupe Piñeiro-Corrales
BACKGROUND: The care transition is the time when more medication errors occur. The aim of this study is to analyze the usefulness of a pharmacotherapeutic report model at hospital discharge to prevent medication errors and to simplify pharmacotherapy during a patient's transition from the hospital to primary care. METHODS: Prospective study including patients diagnosed with chronic obstructive pulmonary disease who were admitted to a short-stay unit or an emergency room...
January 2018: Therapeutic Innovation & Regulatory Science
https://www.readbyqxmd.com/read/29703122/prevalence-of-prescription-errors-in-general-practice-in-jeddah-saudi-arabia
#20
Fatemah O Kamel, Hebah A Alwafi, Mariyyah A Alshaghab, Zahrah M Almutawa, Lana A Alshawwa, Magda M Hagras, Yoon Soo Park, Ara S Tekian
PURPOSE: Prescription errors are a common cause of adverse drug events (ADEs). Recognizing ADEs can significantly contribute to the reduction of morbidity and mortality. This study aims to investigate the type and prevalence of errors in prescription writing, directed toward a needs assessment for developing educational interventions. MATERIALS AND METHODS: A cross-sectional descriptive study was conducted in Jeddah community pharmacies (January-February 2016). A random sample of 117 prescriptions were reviewed and analyzed by community pharmacists for legibility and omission of the information in the prescription...
April 27, 2018: Medical Teacher
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