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https://www.readbyqxmd.com/read/27913106/innovations-in-radiotherapy-technology
#1
I J Feain, L Court, J R Palta, S Beddar, P Keall
Many low- and middle-income countries, together with remote and low socioeconomic populations within high-income countries, lack the resources and services to deal with cancer. The challenges in upgrading or introducing the necessary services are enormous, from screening and diagnosis to radiotherapy planning/treatment and quality assurance. There are severe shortages not only in equipment, but also in the capacity to train, recruit and retain staff as well as in their ongoing professional development via effective international peer-review and collaboration...
November 29, 2016: Clinical Oncology: a Journal of the Royal College of Radiologists
https://www.readbyqxmd.com/read/27820606/survival-rates-following-pediatric-in-hospital-cardiac-arrests-during-nights-and-weekends
#2
Farhan Bhanji, Alexis A Topjian, Vinay M Nadkarni, Amy H Praestgaard, Elizabeth A Hunt, Adam Cheng, Peter A Meaney, Robert A Berg
Importance: Nearly 6000 hospitalized children in the United States receive cardiopulmonary resuscitation (CPR) annually. Little is known about whether the survival of these children is influenced by the time of the event (eg, nighttime or weekends). Differences in survival could have important implications for hospital staffing, training, and resource allocation. Objective: To determine whether outcomes after pediatric in-hospital cardiac arrests differ during nights and weekends compared with days/evenings and weekdays...
November 7, 2016: JAMA Pediatrics
https://www.readbyqxmd.com/read/27818419/relationship-between-hospital-policies-for-labor-induction-and-cesarean-delivery-and-perinatal-care-quality-among-rural-u-s-hospitals
#3
Katy B Kozhimannil, Peiyin Hung, Michelle M Casey, Carrie Henning-Smith, Shailendra Prasad, Ira S Moscovice
Many hospitals are adopting quality improvement strategies in obstetrics. This study characterized rural U.S. hospitals based on their hospital staffing and clinical management policies for labor induction and cesarean delivery, and assessed the relationship between policies and performance on maternity care quality. We surveyed all 306 rural maternity hospitals in nine states and used data from the Healthcare Cost and Utilization Project Statewide Inpatient Database hospital discharge database. We found staffing policies were more prevalent at lower-volume hospitals (92% vs...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27787880/reducing-hospital-readmission-disparities-of-older-black-and-white-adults-after-elective-joint-replacement-the-role-of-nurse-staffing
#4
Karen B Lasater, Matthew D McHugh
OBJECTIVES: To examine racial differences in readmissions of older adults undergoing elective total hip and knee replacement, to determine the relationship between nurse staffing and readmission, and to study whether the relationship between staffing and readmission differs for older black and white adults. DESIGN: Cross-sectional analysis of multiple linked secondary data sources. SETTING: Nonfederal acute care hospitals in California, Florida, New Jersey, and Pennsylvania (n = 483)...
October 27, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27773335/nurse-staffing-and-hospital-characteristics-predictive-of-time-to-diagnostic-evaluation-for-patients-in-the-emergency-department
#5
Judith Shindul-Rothschild, Catherine Y Read, Kelly D Stamp, Jane Flanagan
: In the 2014 Emergency Department Benchmarking Alliance Summit, for the first time, participants recommended tracking nursing and advanced practice nurse hours. Performance data from the Centers for Medicare and Medicaid Services provides an opportunity to analyze factors associated with delays in emergency care. The purpose of this study was to investigate hospital characteristics associated with time to a diagnostic evaluation in 67 Massachusetts emergency departments from 2013 to 2014...
October 20, 2016: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/27772533/assessing-occupancy-and-its-relation-to-healthcare-associated-infections
#6
Neal D Goldstein, Bailey C Ingraham, Stephen C Eppes, Marci Drees, David A Paul
Occupancy has been associated with risk for healthcare-associated infections, yet its definition varies widely. Occupancy can be modeled as a function of census, acuity of the patient care unit, staffing ratio, or some combination. This article discusses the appropriate parameterization of these measures and how to interpret their impact. Infect Control Hosp Epidemiol 2016:1-3.
October 24, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27757362/what-would-women-choose-when-given-a-choice-in-breast-reconstruction
#7
Thomas C Lam, Caleb J Winch
: Reconstruction after mastectomy is an important milestone for many women treated for breast cancer. However, because many surgeons only offer their preferred method of reconstruction, it is not clear which approach women would choose if offered a genuine choice. METHODS: Between 1998 and 2010, the breast reconstruction service at a major Australian teaching hospital was staffed by a single plastic surgeon trained in both prosthetic and autologous breast reconstruction techniques...
September 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27681513/advanced-practice-providers-perceptions-of-patient-workload-results-of-a-multi-institutional-survey
#8
April N Kapu, Carmel A McComiskey, Lacey Buckler, Jennifer Derkazarian, Tammy Goda, Maria A Lofgren, Colleen K McIlvennan, Julie Raaum, Patricia M Selig, Corinna Sicoutris, Barbara Todd, Vicki Turner, Elizabeth Card, Nancy Wells
OBJECTIVE: This study examines data collected from a survey of advanced practice providers' (APPs') perceptions of reasonable versus actual APP-to-patient ratios and other factors that affect workload burden in both inpatient and outpatient clinical settings. BACKGROUND: Advanced practice providers provide accessible, cost-effective, and quality care in a growing number of specialty practices across multiple patient care settings. They are caring for higher volumes of patients and assuming more responsibilities while continuing to navigate highly complex healthcare systems...
October 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27649636/an-international-survey-the-role-of-specialist-nurses-in-adult-respiratory-extracorporeal-membrane-oxygenation
#9
Kathleen Jr Daly, Luigi Camporota, Nicholas A Barrett
BACKGROUND: The last decade has seen an increase in the number of centres able to provide venovenous extracorporeal membrane oxygenation (VV-ECMO) internationally across different health care systems. To support this growth, a variety of staffing arrangements have been adopted depending on local need and availability of resources, both in terms of manpower and finances to safely meet the complex needs of the patient and circuit management. AIM: The aim of the survey was to describe current staffing arrangements of care provision for adult patients on VV-ECMO, with a focus on understanding the professional roles and responsibilities of staff managing the circuit in order to inform further discussion around different approaches to staffing...
September 21, 2016: Nursing in Critical Care
https://www.readbyqxmd.com/read/27644007/the-impact-of-hospital-resources-and-availability-of-professional-lactation-support-on-maternity-care-results-of-breastfeeding-surveys-2009-2014
#10
Barbara A Dennison, Trang Nguyen, Deborah J Gregg, Wei Fan, Changning Xu
BACKGROUND: Breastfeeding provides maternal and infant health benefits. Maternity care practices encompassed in the 10 Steps to Successful Breastfeeding are positively associated with improved breastfeeding outcomes. This study assessed changes in maternity care practices and lactation support. MATERIALS AND METHODS: In 2009, 2011, and 2014, New York (NY) hospitals providing maternity care services were surveyed to assess the implementation of 9 of the 10 Steps to Successful Breastfeeding, professional lactation support, distribution of formula and discharge packs, and patient and hospital barriers to breastfeeding success...
September 19, 2016: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/27637823/value-based-care-and-bundled-payments-anesthesia-care-costs-for-outpatient-oncology-surgery-using-time-driven-activity-based-costing
#11
Katy E French, Alexis B Guzman, Augustin C Rubio, John C Frenzel, Thomas W Feeley
BACKGROUND: With the movement towards bundled payments, stakeholders should know the true cost of the care they deliver. Time-driven activity-based costing (TDABC) can be used to estimate costs for each episode of care. In this analysis, TDABC is used to both estimate the costs of anesthesia care and identify the primary drivers of those costs of 11 common oncologic outpatient surgical procedures. METHODS: Personnel cost were calculated by determining the hourly cost of each provider and the associated process time of the 11 surgical procedures...
September 2016: Healthcare
https://www.readbyqxmd.com/read/27609148/impact-of-the-nursing-home-scale-on-residents-social-engagement-in-south-korea
#12
Ju Young Yoon, Hongsoo Kim, Young-Il Jung, Jung-Hwa Ha
BACKGROUND: This study aimed to describe the levels of social engagement and to examine the relationship between the nursing home scale groups and social engagement in nursing homes in South Korea. METHODS: A total of 314 residents were randomly selected from rosters provided by 10 nursing homes located in three metropolitan areas in South Korea. The outcome variable was social engagement measured by the Revised Index of Social Engagement (RISE), and the key independent variable was the nursing home scale (small, medium, and large)...
September 9, 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/27591021/exploring-experiences-of-cancer-care-in-wales-a-thematic-analysis-of-free-text-responses-to-the-2013-wales-cancer-patient-experience-survey-wcpes
#13
Michael Bracher, Dame Jessica Corner, Richard Wagland
OBJECTIVES: To provide the first systematic analysis of a national (Wales) sample of free-text comments from patients with cancer, to determine emerging themes and insights regarding experiences of cancer care in Wales. DESIGN: Thematic analysis of free-text data from a population-based survey. SETTING AND PARTICIPANTS: Adult patients with a confirmed cancer diagnosis treated within a 3-month period during 2012 in the 7 health boards and 1 trust providing cancer care in Wales...
2016: BMJ Open
https://www.readbyqxmd.com/read/27585973/interprofessional-collaborative-care-characteristics-and-the-occurrence-of-bedside-interprofessional-rounds-a-cross-sectional-analysis
#14
Jed D Gonzalo, Judy Himes, Brian McGillen, Vicki Shifflet, Erik Lehman
BACKGROUND: Interprofessional collaboration improves the quality of medical care, but integration into inpatient workflow has been limited. Identification of systems-based factors promoting or diminishing bedside interprofessional rounds (BIR), one method of interprofessional collaboration, is critical for potential improvements in collaboration in hospital settings. The objective of this study was to determine whether the percentage of bedside interprofessional rounds in 18 hospital-based clinical units is attributable to spatial, staffing, patient, or nursing perception characteristics...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27582573/delivery-fee-exemption-and-subsidy-policies-how-have-they-affected-health-staff-findings-from-a-four-country-evaluation
#15
Sophie Witter, Patrick G Ilboudo, Nadia Cunden, Chakib Boukhalfa, Patrick Makoutode, Zoumana Daou
Many countries, especially in Africa, have in recent years introduced fee exemptions or subsidies targeting deliveries and emergency obstetric care. A number of aspects of these policies have been studied but there are few studies which look at how staff have been affected and how they have responded. This article focuses on this question, comparing data from Benin, Burkina Faso, Mali and Morocco. It is nested in wider evaluation of the policies. The article analyses responses to a health worker survey, carried out in 2012 on 683 health staff (doctors, nurses, midwives and others such as auxiliaries) across the four countries...
August 30, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27566304/staff-empowerment-practices-and-cna-retention-findings-from-a-nationally-representative-nursing-home-culture-change-survey
#16
Clara Berridge, Denise A Tyler, Susan C Miller
This article examines whether staff empowerment practices common to nursing home culture change are associated with certified nursing assistant (CNA) retention. Data from 2,034 nursing home administrators from a 2009/2010 national nursing home survey and ordered logistic regression were used. After adjustment for covariates, a greater staff empowerment practice score was positively associated with greater retention. Compared with the low empowerment category, nursing homes with scores in the medium category had a 44% greater likelihood of having higher CNA retention (odds ratio [OR] = 1...
August 25, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/27495053/the-interplay-between-hospital-and-surgeon-factors-and-the-use-of-sentinel-lymph-node-biopsy-for-breast-cancer
#17
Tina W F Yen, Jianing Li, Rodney A Sparapani, Purushuttom W Laud, Ann B Nattinger
BACKGROUND: Several surgeon characteristics are associated with the use of sentinel lymph node biopsy (SLNB) for breast cancer. No studies have systematically examined the relative contribution of both surgeon and hospital factors on receipt of SLNB. OBJECTIVE: To evaluate the relationship between surgeon and hospital characteristics, including a novel claims-based classification of hospital commitment to cancer care (HC), and receipt of SLNB for breast cancer, a marker of quality care...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27474012/fully-capitated-payment-breakeven-rate-for-a-mid-size-pediatric-practice
#18
Steven A Farmer, Joel Shalowitz, Meaghan George, Frank McStay, Kavita Patel, James Perrin, Ali Moghtaderi, Mark McClellan
BACKGROUND AND OBJECTIVES: Payers are implementing alternative payment models that attempt to align payment with high-value care. This study calculates the breakeven capitated payment rate for a midsize pediatric practice and explores how several different staffing scenarios affect the rate. METHODS: We supplemented a literature review and data from >200 practices with interviews of practice administrators, physicians, and payers to construct an income statement for a hypothetical, independent, midsize pediatric practice in fee-for-service...
August 2016: Pediatrics
https://www.readbyqxmd.com/read/27472441/quantity-and-quality-of-interaction-between-staff-and-older-patients-in-uk-hospital-wards-a-descriptive-study
#19
Hannah Ruth Barker, Peter Griffiths, Ines Mesa-Eguiagaray, Ruth Pickering, Lisa Gould, Jackie Bridges
BACKGROUND: The quality of staff-patient interactions underpins the overall quality of patient experience and can affect other important outcomes. However no studies have been identified that comprehensively explore both the quality and quantity of interactions in general hospital settings. AIMS & OBJECTIVES: To quantify and characterise the quality of staff-patient interactions and to identify factors associated with negative interaction ratings. SETTING: Data were gathered at two acute English NHS hospitals between March and April 2015...
October 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27461316/invest-in-better-staffing-levels
#20
Jenny Kay
NHS Improvement chief executive Jim Mackey says: 'I've met with providers who even went above the 1:8 ratio.' He talks as if one nurse to eight patients is a ceiling when in fact it is the level at which harm to patients starts.
July 27, 2016: Nursing Standard
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