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https://www.readbyqxmd.com/read/28213145/how-are-you-feeling-a-personalized-methodology-for-predicting-mental-states-from-temporally-observable-physical-and-behavioral-information
#1
Suppawong Tuarob, Conrad S Tucker, Soundar Kumara, C Lee Giles, Aaron L Pincus, David E Conroy, Nilam Ram
It is believed that anomalous mental states such as stress and anxiety not only cause suffering for the individuals, but also lead to tragedies in some extreme cases. The ability to predict the mental state of an individual at both current and future time periods could prove critical to healthcare practitioners. Currently, the practical way to predict an individual's mental state is through mental examinations that involve psychological experts performing the evaluations. However, such methods can be time and resource consuming, mitigating their broad applicability to a wide population...
February 14, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28212606/the-implementation-of-health-promotion-in-primary-and-community-care-a-qualitative-analysis-of-the-prescribe-vida-saludable-strategy
#2
Catalina Martinez, Gonzalo Bacigalupe, Josep M Cortada, Gonzalo Grandes, Alvaro Sanchez, Haizea Pombo, Paola Bully
BACKGROUND: The impact of lifestyle on health is undeniable and effective healthy lifestyle promotion interventions do exist. However, this is not a fundamental part of routine primary care clinical practice. We describe factors that determine changes in performance of primary health care centers involved in piloting the health promotion innovation 'Prescribe Vida Saludable' (PVS) phase II. METHODS: We engaged four primary health care centers of the Basque Healthcare Service in an action research project aimed at changing preventive health practices...
February 17, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28207842/evaluating-evidence-based-health-care-teaching-and-learning-in-the-undergraduate-human-nutrition-occupational-therapy-physiotherapy-and-speech-language-and-hearing-therapy-programs-at-a-sub-saharan-african-academic-institution
#3
Anel Schoonees, Anke Rohwer, Taryn Young
BACKGROUND: It is important that all undergraduate healthcare students are equipped with evidence-based health care (EBHC) knowledge and skills to encourage evidence-informed decision-making after graduation. We assessed EBHC teaching and learning in undergraduate human nutrition (HN); occupational therapy (OT); physiotherapy (PT); and speech, language and hearing therapy (SPLH) programs at a sub-Saharan African university. METHODS: We used methodological triangulation to obtain a comprehensive understanding of EBHC teaching and learning: (1) through a document review of module guides, we identified learning outcomes related to pre-specified EBHC competencies; we conducted (2) focus group discussions and interviews of lecturers to obtain their perspectives on EBHC and on EBHC teaching and learning; and we (3) invited final year students (2013) and 2012 graduates to complete an online survey on EBHC attitudes, self-perceived EBHC competence, and their experience of EBHC teaching and learning...
2017: PloS One
https://www.readbyqxmd.com/read/28198338/an-analysis-of-delegation-styles-among-newly-qualified-nurses
#4
Carin Magnusson, Helen Allan, Khim Horton, Martin Johnson, Karen Evans, Elaine Ball
Aim The aim of this research was to explore how newly qualified nurses learn to organise, delegate and supervise care in hospital wards when working with and supervising healthcare assistants. It was part of a wider UK research project to explore how newly qualified nurses recontextualise the knowledge they have gained during their pre-registration nurse education programmes for use in clinical practice. Method Ethnographic case studies were conducted in three hospital sites in England. Data collection methods included participant observations and semi-structured interviews with newly qualified nurses, healthcare assistants and ward managers...
February 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28198328/peninsula-communications-skills
#5
(no author information available yet)
This app provides healthcare professionals with learning opportunities to improve their communication skills.
February 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28197216/introducing-the-comprehensive-unit-based-safety-program-for-mechanically-ventilated-patients-in-saudi-arabian-intensive-care-units
#6
Raymond M Khan, Maha Aljuaid, Hanan Aqeel, Mohammed M Aboudeif, Shaimaa Elatwey, Rajeh Shehab, Yasser Mandourah, Khalid Maghrabi, Hassan Hawa, Imran Khalid, Ismael Qushmaq, Asad Latif, Bickey Chang, Sean M Berenholtz, Sultan Tayar, Khloud Al-Harbi, Amin Yousef, Anas A Amr, Yaseen M Arabi
Over the past decade, there have been major improvements to the care of mechanically ventilated patients (MVPs). Earlier initiatives used the concept of ventilator care bundles (sets of interventions), with a primary focus on reducing ventilator-associated pneumonia. However, recent evidence has led to a more comprehensive approach: The ABCDE bundle (Awakening and Breathing trial Coordination, Delirium management and Early mobilization). The approach of the Comprehensive Unit-based Safety Program (CUSP) was developed by patient safety researchers at the Johns Hopkins Hospital and is supported by the Agency for Healthcare Research and Quality to improve local safety cultures and to learn from defects by utilizing a validated structured framework...
January 2017: Annals of Thoracic Medicine
https://www.readbyqxmd.com/read/28193376/radiology-research-in-quality-and-safety-current-trends-and-future-needs
#7
REVIEW
Matthew E Zygmont, Jason N Itri, Andrew B Rosenkrantz, Phuong-Anh T Duong, Lori Mankowski Gettle, Mishal Mendiratta-Lala, Elena P Scali, Ronald S Winokur, Linda Probyn, Justin W Kung, Eric Bakow, Nadja Kadom
Promoting quality and safety research is now essential for radiology as reimbursement is increasingly tied to measures of quality, patient safety, efficiency, and appropriateness of imaging. This article provides an overview of key features necessary to promote successful quality improvement efforts in radiology. Emphasis is given to current trends and future opportunities for directing research. Establishing and maintaining a culture of safety is paramount to organizations wishing to improve patient care. The correct culture must be in place to support quality initiatives and create accountability for patient care...
March 2017: Academic Radiology
https://www.readbyqxmd.com/read/28193125/preparation-for-practice-a-novel-role-for-general-practice-in-pre-foundation-assistantships
#8
Peter S J Ryan, Gerard J Gormley, Nigel D Hart
BACKGROUND: Hospital-based undergraduate assistantships are now widely established in medical school curricula. They are considered to improve graduates' preparedness for practice in their role as a foundation doctor. Foundation doctors play a key team role in ensuring patient safety during complex transitions across the hospital/primary care interface, and their self-reported preparedness for practice still varies considerably. AIMS: We sought to explore what spending one week of the pre-foundation assistantship in General Practice might add...
February 13, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28187881/a-clinical-decision-making-mechanism-for-context-aware-and-patient-specific-remote-monitoring-systems-using-the-correlations-of-multiple-vital-signs
#9
Abdur Rahim Mohammad Forkan, Ibrahim Khalil
BACKGROUND AND OBJECTIVES: In home-based context-aware monitoring patient's real-time data of multiple vital signs (e.g. heart rate, blood pressure) are continuously generated from wearable sensors. The changes in such vital parameters are highly correlated. They are also patient-centric and can be either recurrent or can fluctuate. The objective of this study is to develop an intelligent method for personalized monitoring and clinical decision support through early estimation of patient-specific vital sign values, and prediction of anomalies using the interrelation among multiple vital signs...
February 2017: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/28186037/it-for-bending-the-healthcare-cost-curve-the-high-needs-high-cost-approach
#10
Karim Keshavjee, Douglas Morrison, Shams Mohammed, Aziz Guergachi
Health systems around the world are under tremendous fiscal pressures. Health system inflation continues to outpace GDP growth in most countries. Health system inflation has been resistant to policy measures, to traditional interventions such as productivity enhancing technologies and to optimization of performance metrics such as length of stay (LOS) and wait times. Organizations that are solving the issue are using specific information that individualizes costs per patient, rather than using average costs per case, which is misleading in most important, high cost, situations...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186027/expanding-the-reach-of-continuing-educational-offerings-through-a-web-based-virtual-network-the-experience-of-inspirenet
#11
Noreen C Frisch, Pat Atherton, Elizabeth M Borycki, Grace Mickelson, Agnes Black, Helen Novak Lauscher, Jennifer Cordeiro
Virtual platforms using webinars, e-posters, e-newsletters, wikis and blogs connect people who have common interests in new ways. When those individuals are healthcare providers, a professional network that operates on a virtual platform can support their needs for learning, professional development and information currency. The practice of e-learning for continuing professional development is emerging , particularly in nursing where shift work shift inhibits their ability to attend conferences and classes...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28185592/unlocking-community-capabilities-for-improving-maternal-and-newborn-health-participatory-action-research-to-improve-birth-preparedness-health-facility-access-and-newborn-care-in-rural-uganda
#12
Elizabeth Ekirapa-Kiracho, Gertrude Namazzi, Moses Tetui, Aloysius Mutebi, Peter Waiswa, Htet Oo, David H Peters, Asha S George
BACKGROUND: Community capacities and resources must be harnessed to complement supply side initiatives addressing high maternal and neonatal mortality rates in Uganda. This paper reflects on gains, challenges and lessons learnt from working with communities to improve maternal and newborn health in rural Uganda. METHODS: A participatory action research project was supported from 2012 to 2015 in three eastern districts. This project involved working with households, saving groups, sub county and district leaders, transporters and village health teams in diagnosing causes of maternal and neonatal mortality and morbidity, developing action plans to address these issues, taking action and learning from action in a cyclical manner...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/28185075/paediatric-patient-safety-and-the-need-for-aviation-black-box-thinking-to-learn-from-and-prevent-medication-errors
#13
Chi Huynh, Ian C K Wong, Jo Correa-West, David Terry, Suzanne McCarthy
Since the publication of To Err Is Human: Building a Safer Health System in 1999, there has been much research conducted into the epidemiology, nature and causes of medication errors in children, from prescribing and supply to administration. It is reassuring to see growing evidence of improving medication safety in children; however, based on media reports, it can be seen that serious and fatal medication errors still occur. This critical opinion article examines the problem of medication errors in children and provides recommendations for research, training of healthcare professionals and a culture shift towards dealing with medication errors...
February 10, 2017: Paediatric Drugs
https://www.readbyqxmd.com/read/28183417/simulation-mastery-learning-and-healthcare
#14
William Dunn, Yue Dong, Benjamin Zendejas, Raaj Ruparel, David Farley
Healthcare organizations, becoming increasingly complex, need to use simulation techniques as a tool to provide consistently safe care. Mastery learning techniques minimize variation in learner outcome, thus improving the consistency and cost-effectiveness of care. Today׳s organizations (and their teams of decision makers) exist within varying states of transformation. These transformational times afford opportunities to use mastery learning concepts at an organizational level and to affect necessary change(s)...
February 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28183354/protocol-for-the-analysis-of-a-natural-experiment-on-the-impact-of-the-affordable-care-act-on-diabetes-care-in-community-health-centers
#15
Nathalie Huguet, Heather Angier, Miguel Marino, K John McConnell, Megan J Hoopes, Jean P O'Malley, Lewis A Raynor, Sonja Likumahuwa-Ackman, Heather Holderness, Jennifer E DeVoe
BACKGROUND: It is hypothesized that Affordable Care Act (ACA) Medicaid expansions could substantially improve access to health insurance and healthcare services for patients at risk for diabetes mellitus (DM), with pre-DM, or already diagnosed with DM. The ACA called for every state to expand Medicaid coverage by 2014. In a 2012 legal challenge, the US Supreme Court ruled that states were not required to implement Medicaid expansions. This 'natural experiment' presents a unique opportunity to learn whether and to what extent Medicaid expansion can affect healthcare access and services for patients with DM risk, pre-DM, or DM...
February 10, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28181853/identifying-facilitators-and-barriers-for-implementation-of-interprofessional-education-perspectives-from-medical-educators-in-the-netherlands
#16
Joy de Vries-Erich, Kirsten Reuchlin, Paul de Maaijer, J M Monica van de Ridder
Patient care and patient safety can be compromised by the lack of interprofessional collaboration and communication between healthcare providers. Interprofessional education (IPE) should therefore start during medical training and not be postponed until after graduation. This case study explored the current situation in the Dutch context and interviewed experts within medical education and with pioneers of successful best practices to learn more about their experiences with IPE. Data analysis started while new data were still collected, resulting in an iterative, constant comparative process...
March 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28181847/international-service-learning-and-interprofessional-education-in-ecuador-findings-from-a-phenomenology-study-with-students-from-four-professions
#17
Audrey M Johnson, Dana M Howell
Combined international service learning (ISL) and interprofessional education (IPE) experiences can move health professional student learning beyond the traditional confines of the classroom and outside uniprofessional ethos. The purpose of this transcendental phenomenological study was to describe the shared experience of health professional students participating in an ISL trip to a small community in Ecuador. The study focused on the learning and collaboration that occurred among students from multiple health professions during the trip and the cross-cultural exchange between the students and the patients in Ecuador...
March 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28180146/-i-think-we-ve-got-too-many-tests-prenatal-providers-reflections-on-ethical-and-clinical-challenges-in-the-practice-integration-of-cell-free-dna-screening
#18
B L Gammon, S A Kraft, M Michie, M Allyse
BACKGROUND: The recent introduction of cell-free DNA-based non-invasive prenatal screening (cfDNA screening) into clinical practice was expected to revolutionize prenatal testing. cfDNA screening for fetal aneuploidy has demonstrated higher test sensitivity and specificity for some conditions than conventional serum screening and can be conducted early in the pregnancy. However, it is not clear whether and how clinical practices are assimilating this new type of testing into their informed consent and counselling processes...
July 2016: Ethics, Medicine, and Public Health
https://www.readbyqxmd.com/read/28179893/professionalism-and-occupational-well-being-similarities-and-differences-among-latin-american-health-professionals
#19
Montserrat San-Martín, Roberto Delgado-Bolton, Luis Vivanco
Context: Empathy, teamwork, and lifelong learning are described as key elements of professionalism. The first recipients of their benefits are professionals themselves. Paradoxically, scarce studies have reported association between professionalism and occupational well-being. The main purpose of this study was to characterize the influence that empathy, teamwork, and lifelong learning, play in the occupational well-being of physicians and nurses working in Latin American healthcare institutions. Materials and Methods: The Jefferson Scale of Empathy, the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration, the Jefferson Scale of Physicians Lifelong Learning, and the Scale of Collateral Effects (somatization, exhaustion, and work alienation), were administered to 522 physicians and nurses working in institutions of Mexico, Colombia, Ecuador, and Argentina...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28179074/learning-communication-from-erroneous-video-based-examples-a-double-blind-randomised-controlled-trial
#20
Felix Michael Schmitz, Kai Philipp Schnabel, Daniel Stricker, Martin Rudolf Fischer, Sissel Guttormsen
OBJECTIVE: Appropriate training strategies are required to equip undergraduate healthcare students to benefit from communication training with simulated patients. This study examines the learning effects of different formats of video-based worked examples on initial communication skills. METHODS: First-year nursing students (N=36) were randomly assigned to one of two experimental groups (correct v. erroneous examples) or to the control group (no examples). All the groups were provided an identical introduction to learning materials on breaking bad news; the experimental groups also received a set of video-based worked examples...
January 31, 2017: Patient Education and Counseling
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