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https://read.qxmd.com/read/30889080/barriers-and-enablers-to-implementing-a-high-dependency-care-model-in-pediatric-care-a-preimplementation-study
#1
Christine Cassidy, Lauren MacEachern, Jeanne Egar, Shauna Best, Laura Foley, Mary Elizabeth Rowe, Janet Curran
BACKGROUND: As the level of acuity of pediatric hospital admissions continues to increase, additional pressure is being placed on hospital resources and the nursing workforce. LOCAL PROBLEM: Currently, there is no formalized approach to care for high-acuity patients on our pediatric inpatient unit. METHODS: We used a qualitative descriptive design, guided by the Theoretical Domains Framework and Capability, Opportunity, Motivation-Behaviour (COM-B) model, to conduct focus groups and interviews with clinicians and administrators to identify potential barriers and enablers to implementing a high-dependency care (HDC) model...
March 18, 2019: Journal of Nursing Care Quality
https://read.qxmd.com/read/30885629/trends-in-inferior-vena-cava-filter-placement-and-retrieval-at-a-tertiary-care-institution
#2
Nathan Belkin, Benjamin M Jackson, Paul J Foley, Scott M Damrauer, Venkat Kalapatapu, Michael A Golden, Ronald M Fairman, Grace J Wang
OBJECTIVE: The aim of this study was to examine practice patterns of inferior vena cava (IVC) filter insertion and retrieval at a tertiary care institution. METHODS: A retrospective review of all IVC filter procedures performed at the University of Pennsylvania and entered into the Penn cohort of the Vascular Quality Initiative registry between January 2013 and September 2017 was performed. Data collected included demographics, venous thromboembolism risk factors, indications for filter placement, and presence and timing of retrieval...
March 15, 2019: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/30862483/differences-in-respiratory-muscle-strength-measures-in-well-nourished-and-malnourished-hospitalized-patients
#3
Hillary K Zellner, Olivia A Moss, Sarah J Peterson, Stephanie Hicks-McGarry, Ellen Moran, Ellen Becker, Sharon Foley
BACKGROUND: Objective indicators of nutritional status are essential for accurate identification of malnutrition. Previous research has indicated an association between measures of respiratory muscle strength (RMS) and nutritional status. Measurement of RMS-including maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and sniff nasal inspiratory pressure (SNIP)-may provide evidence to support the assessment of nutritional status in hospitalized patients. OBJECTIVE: The purpose of this study was to determine whether there was a difference in MIP, MEP, and SNIP between well-nourished and malnourished hospitalized patients...
March 9, 2019: Journal of the Academy of Nutrition and Dietetics
https://read.qxmd.com/read/30849353/putting-the-m-back-in-maternal-fetal-medicine-a-five-year-report-card-on-a-collaborative-effort-to-address-maternal-morbidity-and-mortality-in-the-u-s
#4
Mary E D'Alton, Alexander M Friedman, Peter S Bernstein, Haywood L Brown, William M Callaghan, Steven L Clark, William A Grobman, Sarah J Kilpatrick, Daniel F O'Keeffe, Douglas M Montgomery, Sindhu K Srinivas, George D Wendel, Katharine D Wenstrom, Michael R Foley
The Centers for Disease Control and Prevention have demonstrated continuous increased risk for maternal mortality and severe morbidity with racial disparities among non-Hispanic black women an important contributing factor. More than 50,000 women experienced severe maternal morbidity in 2014 with a mortality rate of 18.0 per 100,000, higher than many other developed countries. In 2012 the first "Putting the 'M' back in Maternal Fetal Medicine" session was held at the Society for Maternal Fetal Medicine's (SMFM) Annual Meeting...
March 5, 2019: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/30836203/barriers-and-enablers-to-implementing-the-children-s-hospital-early-warning-score-a-pre-and-post-implementation-qualitative-descriptive-study
#5
Christine E Cassidy, Lauren MacEachern, Shauna Best, Laura Foley, Mary Elizabeth Rowe, Katherine Dugas, Jessica L A Mills
PURPOSE: The purpose of this study was to identify and compare barriers and enablers to the implementation of the Children's Hospital Early Warning Score (CHEWS) on a pediatric inpatient unit pre- and post-implementation. DESIGN AND METHODS: A qualitative descriptive design, guided by the Theoretical Domains Framework, was used to conduct semi-structured focus groups and individual interviews with nurses on a pediatric inpatient unit to identify barriers and enablers in the pre- and post- CHEWS implementation phases...
March 2, 2019: Journal of Pediatric Nursing
https://read.qxmd.com/read/30826451/voiding-trial-in-office-after-unsuccessful-voiding-trial-in-postoperative-unit-how-many-more-days-is-enough
#6
Sadikah Behbehani, Tiffany Pham, Katie Kunze, Megan Wasson, Johnny Yi
STUDY OBJECTIVE: Determine the incidence of successful in-office voiding trial after minimally invasive hysterectomy. DESIGN: Retrospective cohort study SETTING: Tertiary care academic center PATIENTS OR PARTICIPANTS: All patients undergoing minimally invasive hysterectomies (vaginal, laparoscopic, or robotic) from January 2013 to July 2018 who have unsuccessful voiding trial in the post-operative unit INTERVENTIONS: Voiding trial MEASUREMENTS AND MAIN RESULTS: Out of 558 outpatient hysterectomies (with same day discharge) performed in the time period of interest, 174 patients were discharged home with a Foley catheter (31%)...
February 28, 2019: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/30819624/community-acquired-pneumonia-in-children-cell-free-plasma-sequencing-for-diagnosis-and-management
#7
Lauge Farnaes, Julianne Wilke, Kathleen Ryan Loker, John S Bradley, Christopher R Cannavino, David K Hong, Alice Pong, Jennifer Foley, Nicole G Coufal
Community-acquired pneumonia (CAP) is a common cause of pediatric hospital admission. Empiric antibiotic therapy for hospitalized children with serious CAP now targets the most likely pathogen(s), including those that may demonstrate significant antibiotic resistance. Cell-free plasma next-generation sequencing (CFPNGS) was first made available for Pediatric Infectious Diseases physicians in June 1, 2017, to supplement standard-of-care diagnostic techniques. A retrospective chart review was performed for children hospitalized with CAP between June 1, 2017, and January 22, 2018, to evaluate the impact of CFPNGS...
February 2, 2019: Diagnostic Microbiology and Infectious Disease
https://read.qxmd.com/read/30814808/current-practices-of-cervical-ripening-and-induction-of-labour-in-intrauterine-foetal-demise-an-observational-study
#8
Kinnari V Amin, Anahita R Chauhan, Anchal Goel
Background: Objectives of the current study were to find the most effective method of induction of labour in case of intrauterine foetal death (IUFD), with efficacy described as least induction-to-delivery time, and the agent with the best safety profile, i.e. least maternal complications. Methods: This was a prospective observational descriptive study carried out between January and November 2015 in a tertiary care centre. Hundred consecutive cases of IUFD after 20 weeks of gestation requiring induction of labour and fulfilling inclusion criteria were selected...
February 2019: Journal of Obstetrics and Gynaecology of India
https://read.qxmd.com/read/30809512/rapid-isolation-and-concentration-of-pathogenic-fungi-using-inertial-focusing-on-a-chip-based-platform
#9
Beth Burgwyn Fuchs, Soraya Eatemadpour, Joseph M Martel-Foley, Shannon Stott, Mehmet Toner, Eleftherios Mylonakis
Systemic Candida infections remain a leading cause of nosocomial infections in the United States and worldwide. Many challenges remain in achieving rapid, direct diagnosis of fungal bloodstream infections due to limitations of conventional diagnostic methods that continue to demonstrate poor sensitivity, prolonged culture times that lead to delayed treatment, and detection variability between tests that compromises result reproducibility. Despite advancements in technology, mortality, and cost of care presented by blood stream infection with Candida spp...
2019: Frontiers in Cellular and Infection Microbiology
https://read.qxmd.com/read/30808509/choosing-wisely-in-infectious-serology-the-merits-of-triaging-send-away-tests
#10
David Anthony Foley, Sarah Burge, Paul Tustin, Timothy Blackmore
Over-utilisation of pathology requests can incur unnecessary costs and be detrimental to patient care. The choosing wisely campaign has helped to reduce the use of tests with limited or no value. This report describes the estimated benefits and costs of implementing a triage process of infectious serology requests in a single mixed hospital and community laboratory. Data analysis of triaging of send away infectious serology was conducted from 1 November 2016 to 31 October 2017. A total of 618 tests were triaged over a 1-year period...
February 23, 2019: Pathology
https://read.qxmd.com/read/30798950/continuous-epidural-infusion-in-gynecologic-oncology-patients-undergoing-exploratory-laparotomy-the-new-standard-for-decreased-postoperative-pain-and-opioid-use
#11
Sarah P Huepenbecker, Sarah E Cusworth, Lindsay M Kuroki, Patricia Lu, Christelle D K Samen, Candice Woolfolk, Rosa Deterding, Leping Wan, Daniel L Helsten, Michael Bottros, David G Mutch, Matthew A Powell, Leslie S Massad, Premal H Thaker
OBJECTIVE: To compare the incidence of postoperative complications and opioid pain medication usage in gynecologic oncology patients who did and did not receive an epidural prior to undergoing exploratory laparotomy. METHODS: Retrospective cohort study of all patients undergoing exploratory laparotomy with the gynecologic oncology division at Washington University in St Louis between January 2012 and October 2015. Data on demographics, pathology, postoperative pain and opioid use, and incidence of postoperative complications were collected...
February 21, 2019: Gynecologic Oncology
https://read.qxmd.com/read/30764858/the-prevalence-of-self-reported-diagnosed-endometriosis-in-the-australian-population-results-from-a-nationally-representative-survey
#12
Rebecca Reid, Amie Steel, Jon Wardle, Erica McIntyre, Joanna Harnett, Hope Foley, Jon Adams
OBJECTIVE: Currently, it is estimated that one in 10 women of reproductive age are affected by the reproductive condition known as endometriosis. However, there has been limited research and policy attention on the prevalence of endometriosis in Australia. Utilising a nationally-representative Australian sample (N = 2025), this study aimed to report on the prevalence of endometriosis in the general population and to examine the sociodemographic factors associated with the condition...
February 14, 2019: BMC Research Notes
https://read.qxmd.com/read/30735341/sacrospinous-hysteropexy-with-a-low-weight-transvaginal-polypropylene-mesh-for-treatment-of-complete-uterovaginal-eversion
#13
Arnold P P Achermann, Éder S Brazão, Cássio L Z Riccetto, Paulo C R Palma
INTRODUCTION: Pelvic Organ Prolapse (POP) is a common condition in elderly resulting from the weakening of the organ suspension elements of multifactorial origin. It compromises significantly the quality of life and can affect more than 50% of multiparous women. Stage IV prolapse or complete uterovaginal eversion corresponds to 10% of the cases and the only form of curative treatment is the surgical correction. The aim of this video is to demonstrate our technique of sacrospinous hysteropexy with a low weight transvaginal polypropylene mesh for treatment of this challenge condition, focusing on technical details in order to prevent mesh related complications...
February 10, 2019: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://read.qxmd.com/read/30735146/blockchain-implementation-in-health-care-protocol-for-a-systematic-review
#14
Edward Meinert, Abrar Alturkistani, Kimberley A Foley, Tasnime Osama, Josip Car, Azeem Majeed, Michelle Van Velthoven, Glenn Wells, David Brindley
BACKGROUND: A blockchain is a digitized, decentralized, distributed public ledger that acts as a shared and synchronized database that records cryptocurrency transactions. Despite the shift toward digital platforms enabled by electronic medical records, demonstrating a will to reform the health care sector, health systems face issues including security, interoperability, data fragmentation, timely access to patient data, and silos. The application of health care blockchains could enable data interoperability, enhancement of precision medicine, and reduction in prescription frauds through implementing novel methods in access and patient consent...
February 8, 2019: JMIR Research Protocols
https://read.qxmd.com/read/30733573/disclosure-of-complementary-medicine-use-to-medical-providers-a-systematic-review-and-meta-analysis
#15
H Foley, A Steel, H Cramer, J Wardle, J Adams
Concomitant complementary medicine (CM) and conventional medicine use is frequent and carries potential risks. Yet, CM users frequently neglect to disclose CM use to medical providers. Our systematic review examines rates of and reasons for CM use disclosure to medical providers. Observational studies published 2003-2016 were searched (AMED, CINAHL, MEDLINE, PsycINFO). Eighty-six papers reporting disclosure rates and/or reasons for disclosure/non-disclosure of CM use to medical providers were reviewed. Fourteen were selected for meta-analysis of disclosure rates of biologically-based CM...
February 7, 2019: Scientific Reports
https://read.qxmd.com/read/30724346/understanding-the-role-of-cutaneous-allergy-testing-in-anogenital-dermatoses-a-retrospective-evaluation-of-contact-sensitization-in-anogenital-dermatoses
#16
Catherine C Foley, Siobhan White, Subha Merry, Una Nolan, Blaithin Moriarty, Brian Kirby, Paul Collins, Aoife Lally
BACKGROUND: Patients with anogenital symptoms may delay before seeking medical attention. Attempted self-treatment with multiple topical preparations and excessive hygiene measures offer ideal conditions for sensitization. The aim of this study was to identify the common allergens detected on cutaneous allergy testing in patients presenting with anogenital symptoms. METHODS: A retrospective chart review of patients who underwent cutaneous allergy testing for perianal and/or genital symptoms over a 3-year period, January 2013 to December 2015, n = 99...
February 6, 2019: International Journal of Dermatology
https://read.qxmd.com/read/30714341/risk-factors-for-postoperative-urinary-retention-among-women-who-underwent-laparoscopic-cholecystectomy
#17
Jae Hwi Choi, Sol Yoon, Sin Woo Lee, Seong Uk Jeh, Jeong Seok Hwa, Jae Seog Hyun, Ky Hyun Chung, Deok Ha Seo, Chunwoo Lee, Sung Chul Kam, See Min Choi
OBJECTIVES: The aim of this study was to investigate the risk factors for postoperative urinary retention (POUR) among female patients by evaluating its occurrence in women who underwent laparoscopic cholecystectomy in Gyeongsang National University Hospital. METHODS: The medical records of female patients who had undergone laparoscopic cholecystectomy for gallbladder stones between March 2014 and February 2018 were reviewed. Information was collected regarding patient age, body mass index (BMI), creatinine, absolute neutrophil count, duration of the operation and anesthesia, the amount of fluid infused, American Society of Anesthesiologists (ASA) classification, and medical comorbidities, such as hypertension, diabetes, and lung, liver, heart, renal, and neurologic disease...
February 3, 2019: Lower Urinary Tract Symptoms
https://read.qxmd.com/read/30693744/incidence-and-predictors-of-postoperative-delirium-in-the-older-acute-care-surgery-population-a-prospective-study
#18
Bianka Saravana-Bawan, Lindsey M. Warkentin, Diana Rucker, Frances Carr, Thomas A. Churchill, Rachel G. Khadaroo
Background: Among older inpatients, the highest incidence of delirium is within the surgical population. Limited data are available regarding postoperative delirium risk in the acute care surgical population. The purpose of our study was to establish the incidence of and risk factors for delirium in an older acute care surgery population. Methods: Patients aged 65 years or more who had undergone acute care surgery between April 2014 and September 2015 at 2 university-affiliated hospitals in Alberta were followed prospectively and screened for delirium by means of a validated chart review method...
February 1, 2019: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://read.qxmd.com/read/30684933/enhanced-recovery-after-elective-spinal-and-peripheral-nerve-surgery-pilot-study-from-a-single-institution
#19
Zarina S Ali, Tracy M Flanders, Ali K Ozturk, Neil R Malhotra, Lena Leszinsky, Brendan J McShane, Diana Gardiner, Kristin Rupich, H Isaac Chen, James Schuster, Paul J Marcotte, Michael J Kallan, M Sean Grady, Lee A Fleisher, William C Welch
OBJECTIVEEnhanced recovery after surgery (ERAS) protocols address pre-, peri-, and postoperative factors of a patient's surgical journey. The authors sought to assess the effects of a novel ERAS protocol on clinical outcomes for patients undergoing elective spine or peripheral nerve surgery.METHODSThe authors conducted a prospective cohort analysis comparing clinical outcomes of patients undergoing elective spine or peripheral nerve surgery after implementation of the ERAS protocol compared to a historical control cohort in a tertiary care academic medical center...
January 25, 2019: Journal of Neurosurgery. Spine
https://read.qxmd.com/read/30674049/foley-catheter-for-outpatient-cervical-ripening-review-of-the-evidence-and-a-proposed-model-of-care
#20
Lisa D Levine, Anthony C Sciscione
No abstract text is available yet for this article.
January 23, 2019: American Journal of Perinatology
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