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Stlukes

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16 papers 100 to 500 followers
By St. Lukes Medical Library Chesterfield
https://www.readbyqxmd.com/read/29331258/clinician-user-involvement-in-the-real-world-designing-an-electronic-tool-to-improve-interprofessional-communication-and-collaboration-in-a-hospital-setting
#1
Terence Tang, Morgan E Lim, Elizabeth Mansfield, Alexander McLachlan, Sherman D Quan
OBJECTIVES: User involvement is vital to the success of health information technology implementation. However, involving clinician users effectively and meaningfully in complex healthcare organizations remains challenging. The objective of this paper is to share our real-world experience of applying a variety of user involvement methods in the design and implementation of a clinical communication and collaboration platform aimed at facilitating care of complex hospitalized patients by an interprofessional team of clinicians...
February 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29329826/gender-differences-in-presentation-treatment-and-in-hospital-outcome-of-patients-admitted-with-heart-failure-complicated-by-atrial-fibrillation-from-the-get-with-the-guidelines-heart-failure-gwtg-hf-registry
#2
Mitra Daneshvar, Nayan Desai, John Andriulli, Matthew Ortman, Eben Eno, Krystal Hunter, Andrea M Russo
Almost 25% of patients with heart failure (HF) have coexisting atrial fibrillation (AF), the latter of which may increase morbidity and mortality. Despite the high prevalence of HF with concomitant AF, this subgroup of patients remains understudied. This study examines gender differences in presentation, treatment and in-hospital outcome of patients with HF and AF. The Get With the Guidelines-Heart Failure (GWTG-HF) database enrolled 6,496 patients with HF who presented to Cooper University Hospital from 2005 to 2012...
January 9, 2018: American Journal of Cardiology
https://www.readbyqxmd.com/read/29314455/association-between-mean-systolic-and-diastolic-blood-pressure-throughout-the-follow-up-and-cardiovascular-events-in-acute-myocardial-infarction-patients-with-systolic-dysfunction-and-or-heart-failure-an-analysis-from-the-high-risk-myocardial-infarction-database
#3
João Pedro Ferreira, Kevin Duarte, Marc A Pfeffer, John J V McMurray, Bertram Pitt, Kenneth Dickstein, Faiez Zannad, Patrick Rossignol
BACKGROUND: Observational data have described the association of blood pressure (BP) with mortality as 'J-shaped', meaning that mortality rates increase below a certain BP threshold. We aimed to analyse the associations between BP and prognosis in a population of acute myocardial infarction (MI) patients with heart failure (HF) and/or systolic dysfunction. METHODS AND RESULTS: The datasets included in this pooling initiative are derived from four trials: CAPRICORN, EPHESUS, OPTIMAAL, and VALIANT...
January 4, 2018: European Journal of Heart Failure
https://www.readbyqxmd.com/read/29327483/hospital-nurses-information-retrieval-behaviours-in-relation-to-evidence-based-nursing-a-literature-review
#4
REVIEW
Berit Elisabeth Alving, Janne Buck Christiansen, Lars Thrysoe
OBJECTIVE: The purpose of this literature review is to provide an overview of the information retrieval behaviour of clinical nurses, in terms of the use of databases and other information resources and their frequency of use. METHODS: Systematic searches carried out in five databases and handsearching were used to identify the studies from 2010 to 2016, with a populations, exposures and outcomes (PEO) search strategy, focusing on the question: In which databases or other information resources do hospital nurses search for evidence based information, and how often? RESULTS: Of 5272 titles retrieved based on the search strategy, only nine studies fulfilled the criteria for inclusion...
January 12, 2018: Health Information and Libraries Journal
https://www.readbyqxmd.com/read/29329118/ce-managing-sepsis-and-septic-shock-current-guidelines-and-definitions
#5
Mary Beth Flynn Makic, Elizabeth Bridges
Recent updates emphasize early recognition and prompt intervention. ABSTRACT: Sepsis is a leading cause of critical illness and hospital mortality. Early recognition and intervention are essential for the survival of patients with this syndrome. In 2002, the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM) launched the Surviving Sepsis Campaign (SSC) to reduce overall patient morbidity and mortality from sepsis and septic shock by driving practice initiatives based on current best evidence...
January 11, 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29320652/multiple-sclerosis
#6
Daniel S Reich, Claudia F Lucchinetti, Peter A Calabresi
New England Journal of Medicine, Volume 378, Issue 2, Page 169-180, January 2018.
January 11, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29315727/considerations-for-optimal-blood-pressure-goals-in-the-elderly-population-a-review-of-emergent-evidence
#7
Diana X Cao, Rebecca J C Tran
Recent hypertension clinical trials and national guideline updates have created a debate on the most appropriate treatment goals in elderly patients with hypertension. In 2014, recommendations by the Eighth Joint National Committee (JNC 8) allowed a more lenient goal for patients 60 years and older compared with previous guidelines. Since then, several large clinical trials and meta-analyses have added more information regarding strict versus lenient treatment goals. Most recently, the American College of Cardiology and American Heart Association Task Force published their highly-anticipated hypertension guideline developed in conjunction with nine additional interdisciplinary organizations...
January 8, 2018: Pharmacotherapy
https://www.readbyqxmd.com/read/29311053/reversing-the-cardiac-effects-of-sedentary-aging-in-middle-age-a-randomized-controlled-trial-implications-for-heart-failure-prevention
#8
Erin J Howden, Satyam Sarma, Justin S Lawley, Mildred Opondo, William Cornwell, Douglas Stoller, Marcus A Urey, Beverley Adams-Huet, Benjamin D Levine
Background - Poor fitness in middle age is a risk factor for heart failure, particularly heart failure with a preserved ejection fraction. The development of heart failure with a preserved ejection fraction is likely mediated through increased left ventricular (LV) stiffness, a consequence of sedentary aging. In a prospective, parallel group, randomized controlled trial, we examined the effect of 2 years of supervised highintensity exercise training on LV stiffness. Methods - Sixty-one (48% male) healthy, sedentary, middle-aged participants (53±5 years) were randomly assigned to either 2 years of exercise training (n=34) or attention control (control; n=27)...
January 8, 2018: Circulation
https://www.readbyqxmd.com/read/29310138/effect-of-physical-activity-on-frailty-secondary-analysis-of-a-randomized-controlled-trial
#9
Andrea Trombetti, Mélany Hars, Fang-Chi Hsu, Kieran F Reid, Timothy S Church, Thomas M Gill, Abby C King, Christine K Liu, Todd M Manini, Mary M McDermott, Anne B Newman, W Jack Rejeski, Jack M Guralnik, Marco Pahor, Roger A Fielding
Background: Limited evidence suggests that physical activity may prevent frailty and associated negative outcomes in older adults. Definitive data from large long-term randomized trials are lacking. Objective: To determine whether a long-term, structured, moderate-intensity physical activity program is associated with a lower risk for frailty and whether frailty status alters the effect of physical activity on the reduction in major mobility disability (MMD) risk...
January 9, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29303821/sustained-hospital-performance-on-hospital-consumer-assessment-of-healthcare-providers-and-systems-survey-measures-what-are-the-determinants
#10
Mona Al-Amin, Melody K Schiaffino, Sinyoung Park, Jeffrey Harman
This study examines hospital characteristics associated with sustained superior performance on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) measures. We classified hospitals as sustainers if they remained in the top 25th percentile of overall patient ratings of inpatient experience from 2009 through 2013. We classified hospital characteristics as modifiable or unmodifiable. Modifiable characteristics are operational measures that hospitals can change to improve performance; these characteristics include registered nurse (RN) staffing levels, presence of hospitalists, and level of physician integration...
January 2018: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/29303815/integrating-high-reliability-principles-to-transform-access-and-throughput-by-creating-a-centralized-operations-center
#11
Paul B Davenport, Kimberly F Carter, Jeffrey M Echternach, Christopher R Tuck
High-reliability organizations (HROs) demonstrate unique and consistent characteristics, including operational sensitivity and control, situational awareness, hyperacute use of technology and data, and actionable process transformation. System complexity and reliance on information-based processes challenge healthcare organizations to replicate HRO processes. This article describes a healthcare organization's 3-year journey to achieve key HRO features to deliver high-quality, patient-centric care via an operations center powered by the principles of high-reliability data and software to impact patient throughput and flow...
January 5, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29297068/prevalence-of-autism-spectrum-disorder-among-us-children-and-adolescents-2014-2016
#12
Guifeng Xu, Lane Strathearn, Buyun Liu, Wei Bao
No abstract text is available yet for this article.
January 2, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29293147/predictors-of-in-hospital-mortality-after-rapid-response-team-calls-in-a-274-hospital-nationwide-sample
#13
Claire Shappell, Ashley Snyder, Dana P Edelson, Matthew M Churpek
OBJECTIVES: Despite wide adoption of rapid response teams across the United States, predictors of in-hospital mortality for patients receiving rapid response team calls are poorly characterized. Identification of patients at high risk of death during hospitalization could improve triage to intensive care units and prompt timely reevaluations of goals of care. We sought to identify predictors of in-hospital mortality in patients who are subjects of rapid response team calls and to develop and validate a predictive model for death after rapid response team call...
January 2, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29293149/determinants-of-health-related-quality-of-life-after-icu-importance-of-patient-demographics-previous-comorbidity-and-severity-of-illness
#14
David M Griffith, Lisa G Salisbury, Robert J Lee, Nazir Lone, Judith L Merriweather, Timothy S Walsh
OBJECTIVES: ICU survivors frequently report reduced health-related quality of life, but the relative importance of preillness versus acute illness factors in survivor populations is not well understood. We aimed to explore health-related quality of life trajectories over 12 months following ICU discharge, patterns of improvement, or deterioration over this period, and the relative importance of demographics (age, gender, social deprivation), preexisting health (Functional Comorbidity Index), and acute illness severity (Acute Physiology and Chronic Health Evaluation II score, ventilation days) as determinants of health-related quality of life and relevant patient-reported symptoms during the year following ICU discharge...
January 2, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29261461/an-imaging-glimpse-into-the-autistic-brain
#15
Nancy K Rollins
No abstract text is available yet for this article.
January 2018: Radiology
https://www.readbyqxmd.com/read/29251636/ce-managing-postoperative-pain
#16
Renee C B Manworren, Debra B Gordon, Robert Montgomery
: Acute postoperative pain remains undertreated despite the dramatic increase in opioid prescribing in the United States over the past 20 years. Inadequately relieved postoperative pain may be a risk factor for persistent postoperative pain, chronic pain, and disability. In an effort to promote evidence-based strategies for optimal postoperative pain management, the American Pain Society published a new postoperative pain management guideline in 2016. Its 32 recommendations for interdisciplinary and multimodal postoperative pain management are stratified according to risks and benefits, based on varying levels of evidence...
January 2018: American Journal of Nursing
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