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https://read.qxmd.com/read/30900819/holistic-support-coupled-with-prospective-tracking-reduces-abandonment-in-childhood-cancers-a-report-from-india
#1
Shalini Jatia, Maya Prasad, Amey Paradkar, Ameeta Bhatia, Gaurav Narula, Girish Chinnaswamy, Tushar Vora, Sanjay Gomle, Hari Sankaran, Shripad Banavali
BACKGROUND: High cure rates of over 80% in childhood cancers reported from high-income countries (HICs) are not replicated in low- and middle-income countries (LMICs). Treatment abandonment (TxA) is an important reason for this poorer outcome. We assessed the effect of a holistic support group approach coupled with prospective tracking on TxA in children with cancer in a limited-resources environment. METHODS: In 2010, all existing nongovernmental organizations (NGOs) working with childhood cancer at our hospital were brought together to form a pediatric cancer foundation with the aim of providing holistic support to the patient and family, including financial, psychosocial, lodging, educational, and bereavement support...
March 22, 2019: Pediatric Blood & Cancer
https://read.qxmd.com/read/30900043/awareness-and-understanding-of-hiv-non-disclosure-case-law-and-the-role-of-healthcare-providers-in-discussions-about-the-criminalization-of-hiv-non-disclosure-among-women-living-with-hiv-in-canada
#2
Sophie Patterson, Valerie Nicholson, M-J Milloy, Gina Ogilvie, Robert S Hogg, Allison Carter, Tian Li, Erin Ding, Paul Sereda, Saara Greene, Alexandra de Pokomandy, Mona Loutfy, Angela Kaida
In 2012, the Supreme Court of Canada ruled that people with HIV are legally obligated to disclose their serostatus before sex with a "realistic possibility" of HIV transmission, suggesting a legal obligation to disclose unless they use condoms and have a low HIV viral load (< 1500 copies/mL). We measured prevalence and correlates of ruling awareness among 1230 women with HIV enrolled in a community-based cohort study (2015-2017). While 899 (73%) participants had ruling awareness, only 37% were both aware of and understood ruling components...
March 21, 2019: AIDS and Behavior
https://read.qxmd.com/read/30899564/teaching-patient-safety-in-global-health-lessons-from-the-duke-global-health-patient-safety-fellowship
#3
Bria E Johnston, Randall Lou-Meda, Sindy Mendez, Karen Frush, Judy Milne, Tamara Fitzgerald, J Bryan Sexton, Henry Rice
Health systems in low-income and middle-income countries (LMICs) have a high burden of medical errors and complications, and the training of local experts in patient safety is critical to improve the quality of global healthcare. This analysis explores our experience with the Duke Global Health Patient Safety Fellowship, which is designed to train clinicians from LMICs in patient safety, quality improvement and infection control. This intensive fellowship of 3-4 weeks includes (1) didactic training in patient safety and quality improvement, (2) experiential training in patient safety operations, and (3) mentorship of fellows in their home institution as they lead local safety programmes...
2019: BMJ Global Health
https://read.qxmd.com/read/30898827/recognition-and-response-to-life-threatening-situations-among-women-with-perinatal-mental-illness-a-qualitative-study
#4
Abigail Easter, Louise Michelle Howard, Jane Sandall
OBJECTIVE: Mental illness has persistently been found to be a leading cause of death during pregnancy and the year after birth (the perinatal period). This study aims to explore barriers to detection, response and escalation of mental health-related life-threatening near miss events among women with perinatal mental illness. DESIGN: Qualitative study. PARTICIPANTS: Healthcare professionals (HCP) working in psychiatry, maternity and primary care (n=15) across community and hospital maternity and perinatal services within the UK...
March 20, 2019: BMJ Open
https://read.qxmd.com/read/30898824/international-multiphase-mixed-methods-study-protocol-to-develop-a-cross-cultural-patient-reported-outcome-and-experience-measure-for-hand-conditions-hand-q
#5
Kyra Sierakowski, Nicola R Dean, Andrea L Pusic, Stefan J Cano, Philip A Griffin, Gregory I Bain, Anne Klassen, Donald Lalonde
INTRODUCTION: patient-reported outcome measures (PROMs) are instruments used to measure outcomes and experiences of healthcare from the patient perspective. The specific methodology used to develop a PROM should be communicated to establish the quality of the instrument. This mixed methods protocol describes the development of a cross-cultural, internationally applicable PROM for hand conditions, the HAND-Q. METHODS AND ANALYSIS: The multiphase approach used for this study has been previously used with the development of other PROMs by our team (eg, BODY-Q, BREAST-Q, CLEFT-Q, FACE-Q)...
March 20, 2019: BMJ Open
https://read.qxmd.com/read/30898792/-i-decided-not-to-go-into-surgery-due-to-dress-code-a-cross-sectional-study-within-the-uk-investigating-experiences-of-female-muslim-medical-health-professionals-on-bare-below-the-elbows-bbe-policy-and-wearing-headscarves-hijabs-in-theatre
#6
Abida Malik, Hafsah Qureshi, Humayra Abdul-Razakq, Zahra Yaqoob, Fatima Zahra Javaid, Faatima Esmail, Emma Wiley, Asam Latif
OBJECTIVES: The objective of this study is to explore the impact of workplace dress code policies and guidance that may influence inclusivity and opportunities in the workplace. DESIGN: Quantitative, self-completion cross-sectional survey. SETTING: British Islamic Medical Association conference. PARTICIPANTS: Eighty-four female medical healthcare professionals with a range of ethnicities and wide geographical coverage...
March 20, 2019: BMJ Open
https://read.qxmd.com/read/30895417/role-of-the-ambulatory-care-clinical-pharmacist-in-management-of-a-refugee-patient-population-at-a-university-based-refugee-healthcare-clinic
#7
Kristi L Higgins, Fern R Hauck, Kawai Tanabe, Jeffrey Tingen
BACKGROUND: The International Family Medicine Clinic (IFMC) at University of Virginia Health System serves refugees and special immigrants in Virginia. The IFMC comprises an interprofessional team including a clinical pharmacist. METHODS: A retrospective chart review of electronic medical records was performed. Adult refugee patients who attended a scheduled clinical pharmacist visit between October 6, 2015 and December 31, 2016 were included. The primary outcome was to characterize interventions made by a clinical pharmacist...
March 20, 2019: Journal of Immigrant and Minority Health
https://read.qxmd.com/read/30894167/reasons-given-by-pregnant-women-for-participating-in-a-clinical-trial-aimed-at-preventing-premature-delivery-a-qualitative-analysis
#8
Thaís M Monteiro, Leila Katz, Silvana F Bento, Melania M Amorim, Patrícia C Moriel, Rodolfo C Pacagnella
BACKGROUND: In clinical trials, pregnant women are potentially vulnerable, and the fetus is exposed to the intervention. This study aimed to identify the reasons that led pregnant women at a high risk of premature delivery to participate in a randomized clinical trial. METHODS: The women participating in the main trial were contacted by telephone postpartum and invited to answer an open questionnaire in a cross-sectional study. Data were collected by telephone and analyzed using thematic analysis...
March 20, 2019: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/30893094/nicu-graduate-reunion-a-celebration-of-life
#9
Natalie Dweck, Sergio G Golombek
BACKGROUND: Few understand the experience of having an infant in the neonatal intensive care unit (NICU). This article provides a discussion about the importance of an annual reunion for former NICU infants, their families, and neonatal staff. PURPOSE: The purpose of this article is to explain the impact of the NICU reunion on families and neonatal healthcare providers and describe the experience of organizing this reunion over the past 20 years. METHODS: This is a description of how a NICU reunion was organized at a regional neonatal center...
March 19, 2019: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://read.qxmd.com/read/30893093/evaluating-teamwork-in-the-neonatal-intensive-care-unit-a-survey-of-providers-and-parents
#10
Marjorie Masten, Susan Sommerfeldt, Suzanne Gordan, Elizabeth Gruebel, Caroline Canning, Janet Lioy, John Chuo
BACKGROUND: A unified vision of team mission, psychologically safe practice environment, effective communication, and respect among team members are key characteristics of an effective interdisciplinary neonatal intensive care unit (NICU) team. PURPOSE: A quality improvement team in a quaternary NICU surveyed parents, physicians, and nurses on perceptions of teamwork to identify opportunities for improvement. DESIGN/METHODS: Parents and healthcare staff (n = 113) completed an anonymous survey from May to July of 2014 to assess team roles and membership, team qualities, shared mission, psychological safety, hierarchy, communications, and conflict awareness...
March 19, 2019: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://read.qxmd.com/read/30892698/clinical-and-epidemiological-profile-of-patients-attended-in-a-vulvar-clinic-of-the-dermatology-outpatient-unit-of-a-tertiary-hospital-during-a-4-year-period
#11
Daniel Luiz M Goncalves, Raissa L Romero, Paula L Ferreira, Cláudia G Santi
BACKGROUND: Vulvar complaints are among the most frequent causes for a woman to visit a healthcare provider. The diseases of this area of the body may be a challenge to diagnose. In this study, we assess epidemiologic and clinical data of patients in an outpatient vulvar clinic in the dermatology department of a tertiary hospital. METHODS: We performed an observational retrospective study of patients who attended our consultation service for vulvar diseases at the Dermatology Division at Hospital das Clínicas da Faculdade de Medicina da USP during a 4-year period...
March 20, 2019: International Journal of Dermatology
https://read.qxmd.com/read/30892488/teaching-skills-for-medical-residents-are-these-important-a-narrative-review-of-the-literature
#12
Saadallah Azor Fakhouri Filho, Lorena Pinho Feijó, Kristopherson Lustosa Augusto, Maria do Patrocínio Tenório Nunes
BACKGROUND: There is extensive evidence, mainly from the United States and Canada, that points towards the need to train medical residents in teaching skills. Much of the "informal curriculum", including professional values, is taught by residents when consultants are not around. Furthermore, data from the 1960s show the importance of acquiring these skills, not only for residents but also for all doctors. -Teaching moments can be identified in simple daily situations, like discussing a clinical situation with patients and their families, planning patients' care with the healthcare team or teaching peers and medical students...
November 2018: São Paulo Medical Journal
https://read.qxmd.com/read/30891308/ambulatory-toxicity-management-atom-pilot-results-of-a-pilot-study-of-a-pro-active-telephone-based-intervention-to-improve-toxicity-management-during-chemotherapy-for-breast-cancer
#13
Monika K Krzyzanowska, Cassandra MacKay, Heekyung Han, Maria Eberg, Sonal Gandhi, Nicole B Laferriere, Melanie Powis, Doris Howell, Clare L Atzema, Kelvin K W Chan, Vishal Kukreti, Sandra Mitchell, Marla Nayer, Mark Pasetka, Dafna Knittel-Keren, Erin Redwood
Background: Chemotherapy is associated with a significant risk of toxicity, which often peaks between ambulatory visits to the cancer centre. Remote symptom management support is a tool to optimize self-management and healthcare utilization, including emergency department visits and hospitalizations (ED+H) during chemotherapy. We performed a single-arm pilot study to evaluate the feasibility, acceptability, and potential impact of a telephone symptom management intervention on healthcare utilization during chemotherapy for early stage breast cancer (EBC)...
2019: Pilot and Feasibility Studies
https://read.qxmd.com/read/30890926/use-of-a-portable-functional-near-infrared-spectroscopy-fnirs-system-to-examine-team-experience-during-crisis-event-management-in-clinical-simulations
#14
Jie Xu, Jason M Slagle, Arna Banerjee, Bethany Bracken, Matthew B Weinger
Objective: The aim of this study was to investigate the utilization of a portable functional near-infrared spectroscopy (fNIRS) system, the fNIRS PioneerTM , to examine team experience in high-fidelity simulation-based crisis event management (CEM) training for anesthesiologists in operating rooms. Background: Effective evaluation of team performance and experience in CEM simulations is essential for healthcare training and research. Neurophysiological measures with wearable devices can provide useful indicators of team experience to compliment traditional self-report, observer ratings, and behavioral performance measures...
2019: Frontiers in Human Neuroscience
https://read.qxmd.com/read/30890316/what-does-a-pharmacist-do-a-time-and-motion-study
#15
Briana J Negaard, Kyle P Lyons, Corbin L Nichol, Linnea A Polgreen
BACKGROUND: Pharmacists work in many different settings and have various responsibilities. However, pharmacists are expensive and need to be used efficiently. Previous studies have shown that prescription preparation, clinician interaction, and medical record evaluation take a large part of a pharmacist's day. Additionally, it is also estimated that almost half of their time is considered "non-value added," or that their tasks could be performed by a non-pharmacist. OBJECTIVE: To observe pharmacists in multiple practice settings and record their activities to gauge inefficiencies...
March 13, 2019: Research in Social & Administrative Pharmacy: RSAP
https://read.qxmd.com/read/30889049/the-relationship-between-culture-of-safety-and-rate-of-adverse-events-in-long-term-care-facilities
#16
Said Abusalem, Barbara Polivka, Mary-Beth Coty, Timothy N Crawford, Christian D Furman, Maryam Alaradi
OBJECTIVE: The aim of the study was to assess the relationship of culture of safety dimensions and the rate of unanticipated care outcomes in long-term care facilities (LTCFs) using the Agency for Healthcare Research and Quality framework of resident safety culture. METHODS: Cross-sectional survey data were collected on 13 dimensions of culture of safety in five LTCFs from registered nurses, licensed practical nurses (LPNs), nursing assistants, administrators/managers, administrative support, and rehabilitation staff...
March 18, 2019: Journal of Patient Safety
https://read.qxmd.com/read/30888740/patient-and-visitor-aggression-in-healthcare-a-survey-exploring-organizational-safety-culture-and-team-efficacy
#17
Birgit Heckemann, Sabine Hahn, Ruud J G Halfens, Dirk Richter, Jos Mga Schols
AIMS: This study investigates nurse managers' perception of organizational safety culture and team efficacy, in managing patient and visitor aggression (PVA), and determines the predictors of team efficacy. BACKGROUND: PVA is a serious hazard in healthcare. A positive organizational safety culture regarding PVA enhances the safety and staff efficacy in managing PVA. METHODS: A cross-sectional online survey including nurse managers in psychiatric and general hospitals (n=446) was conducted in Switzerland, Austria and Germany (November 2016 to February 2017)...
March 19, 2019: Journal of Nursing Management
https://read.qxmd.com/read/30886704/evaluating-the-impact-of-the-icnet%C3%A2-clinical-decision-support-system-for-antimicrobial-stewardship
#18
Katie L Heard, Stephen Hughes, Nabeela Mughal, Berge S Azadian, Luke S P Moore
Background: Antimicrobial resistance (AMR) is an ecological and economic crisis and stewardship of available antimicrobials is required. Electronic prescribing, where available, enables auditing of practice, yet in order to be efficient and effective in addressing inappropriate antimicrobial prescribing, better use of current and new technological interventions is needed. This retrospective observational evaluation looked at the impact of a commercial clinical decision support system (CDSS) on the workflow of an established antimicrobial stewardship (AMS) team...
2019: Antimicrobial Resistance and Infection Control
https://read.qxmd.com/read/30885062/recently-qualified-general-practitioners-perceptions-and-experiences-of-general-practice-specialty-training-gpst-in-deprived-areas-of-nhs-scotland-a-qualitative-study
#19
David Cunningham, Lynsey Yeoman
NHS Scotland faces significant challenges in delivering the Scottish Government's 2020 Strategy for Healthcare. GP recruitment and retention are problematic for deprived area practices (DAPs). Recently-qualified GPs are more likely to join practices in areas where they have trained and so it is important to encourage GP training in deprived areas. This study aimed to identify the perceptions and experiences of recently-qualified GPs who had trained in DAPs. A grounded theory approach was used with 14 GPs interviewed in focus groups and in-depth interviews...
March 19, 2019: Education for Primary Care
https://read.qxmd.com/read/30879241/anaesthetic-factors-affecting-outcome-after-bariatric-surgery-a-retrospective-levelled-regression-analysis
#20
Jan P Mulier, Bruno Dillemans
BACKGROUND: Deep neuromuscular block (NMB) and opioid-free anaesthesia (OFA) improve surgical workspace and reduce post-operative opioid consumption, but its impact on perioperative outcomes is unknown. This observational study compared complications and healthcare resource utilization after bariatric surgery, with or without continuous deep NMB or OFA. METHODS: We included all 9246 patients who underwent laparoscopic bariatric surgery at our institution from January 2009 to February 2017...
March 16, 2019: Obesity Surgery
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