keyword
https://read.qxmd.com/read/38534003/low-acuity-pediatric-emergency-department-utilization-caregiver-motivations
#1
JOURNAL ARTICLE
Lisa Ziemnik, Noah Parker, Kyra Bufi, Kristen Waters, Jacob Almeda, Adrienne Stolfi
OBJECTIVES: Proper emergency department (ED) utilization is a hallmark of population health. Emergency department overcrowding due to nonurgent visits causes increased stress to healthcare staff, higher costs, and longer wait times for more urgent cases. This study sought to better understand post pandemic reasons caregivers have when bringing in their children for nonurgent visits and devise effective interventions to improve caregiver choice for non-ED care for nonurgent conditions...
March 27, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38516641/the-status-of-immunization-program-and-challenges-in-ethiopia-a-mixed-method-study
#2
JOURNAL ARTICLE
Tariku Nigatu, Loko Abraham, Herman Willems, Mesfin Tilaye, Firew Tiruneh, Fantay Gebru, Zergu Tafesse, Bezawit Getachew, Mulualem Bulcha, Sami Tewfik, Tadesse Alemu
INTRODUCTION: Immunization helps reduce morbidity and mortality attributable to severe vaccine-preventable childhood illnesses. However, vaccination coverage and the quality of immunization data remain challenging in Ethiopia. This has led to poor planning, suboptimal vaccination coverage, and the resurgence of vaccine-preventable disease outbreaks in under-immunized pocket areas. The problem is further compounded by the occurrence of the COVID-19 pandemic and the disruption of the health information system due to recurrent conflict...
2024: SAGE Open Medicine
https://read.qxmd.com/read/38506921/using-a-rapid-learning-health-system-for-stratified-care-in-emerging-adult-mental-health-services-protocol-for-the-implementation-of-patient-reported-outcome-measures
#3
JOURNAL ARTICLE
Gina Dimitropoulos, David Lindenbach, Melissa Potestio, Tom Mogan, Amanda Richardson, Alida Anderson, Madison Heintz, Karen Moskovic, Jason Gondziola, Jessica Bradley, Haley M LaMonica, Frank Iorfino, Ian Hickie, Scott B Patten, Paul D Arnold
BACKGROUND: Mental illness among emerging adults is often difficult to ameliorate due to fluctuating symptoms and heterogeneity. Recently, innovative approaches have been developed to improve mental health care for emerging adults, including (1) implementing patient-reported outcome measures (PROMs) to assess illness severity and inform stratified care to assign emerging adults to a treatment modality commensurate with their level of impairment and (2) implementing a rapid learning health system in which data are continuously collected and analyzed to generate new insights, which are then translated to clinical practice, including collaboration among clients, health care providers, and researchers to co-design and coevaluate assessment and treatment strategies...
March 20, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38451957/acceptability-of-smart-locker-technology-for-dispensing-chronic-disease-medication-among-patients-and-healthcare-providers-in-nigeria
#4
JOURNAL ARTICLE
Ibrahim Bola Gobir, Piring'ar Mercy Niyang, Havilah Onyinyechi Nnadozie, Samson Agboola, Helen Adamu, Fatimah Ohunene Sanni, Angmun Suzzy Otubo, Idris Saliu, Adetiloye Oniyire, Deus Bazira, Ayodotun Olutola
Smart lockers are automated delivery machines. They have been used in dispensing ARVs and Tuberculosis medication to chronically ill patients in South Africa, Kenya, and Eswatini. However, there is no evidence of smart lockers in dispensing chronic disease medication in Nigeria. This study aimed to assess the acceptability of smart lockers in dispensing chronic disease medication and to describe the barriers to accessing care among patients with chronic diseases medication in 5 states in Nigeria. We conducted a cross-sectional study among healthcare workers and patients living with chronic diseases in five Nigerian states of Adamawa, Akwa Ibom, Cross River, Benue, and Niger between November and December 2021...
2024: PloS One
https://read.qxmd.com/read/38451898/overall-time-spent-by-clients-from-entry-to-exit-and-associated-factors-in-out-patient-departments-in-public-hospitals-of-jimma-zone-southwest-ethiopia
#5
JOURNAL ARTICLE
Zebader Walle, Frehiwot Worku, Yibeltal Sraneh, Dejenie Melese, Tilahun Fufa, Elias Ali Yesuf, Gete Berihun
BACKGROUND: The overall time refers to the amount of time a patient spends in a health care facility, from the time he or she enters to the time he or she leaves. As a result of the imbalance between supply and demand, waiting times occur. Ethiopian hospitals are being reformed to improve the quality of care they provide. The time a patient spends in the hospital is one of the most important indicators of quality of care, as it provides insight into customer satisfaction and provider success...
2024: PloS One
https://read.qxmd.com/read/38438686/the-impact-of-sars-cov-2-omicron-infection-on-short-term-outcomes-after-elective-surgery-in-patients-with-gastrointestinal-cancer
#6
JOURNAL ARTICLE
Di Zhang, Yao Yang, Ren-Hao Hu, Xi-Mao Cui, Chi-Ye Ma, Biao Yuan, Dong-Yi Yan, Tao Du, Chun Song, Xiao-Hua Jiang, Shun Zhang
With the emergence of novel variants, Omicron variant caused a different clinical picture than the previous variants and little evidence was reported regarding perioperative outcomes after Omicron variants. The aim of the study was to evaluate the postoperative outcomes of gastrointestinal cancer patients following Omicron variants infection and also to determine the timing of surgery after infection recovery. A total of 124 patients who underwent gastrointestinal cancer surgery with prior SARS-CoV-2 infection between December 2022 and February 2023 were retrospectively reviewed...
March 4, 2024: Updates in Surgery
https://read.qxmd.com/read/38413957/reducing-wait-times-and-avoiding-unnecessary-use-of-high-cost-mental-health-services-through-a-rapid-access-and-stabilization-program-protocol-for-a-program-evaluation-study
#7
JOURNAL ARTICLE
Medard K Adu, Raquel da Luz Dias, Gloria Obuobi-Donkor, Ngozi Ezeanozie, Sanjana Sridharan, Jason Morrison, Patryk Simon, Bryanne Taylor, Monica MacKinnon, Shiloh Gossen, Mahmoud Awara, Mattew White, Reham Shalaby, Belinda Agyapong, Ejemai Eboreime, JianLi Wang, Cindy Feng, Lori Wozney, Prosper Koto, Jordan Warford, Gail Tomblin Murphy, Vincent Israel Opoku Agyapong
BACKGROUND: Emergency psychiatric care, unplanned hospital admissions, and inpatient health care are the costliest forms of mental health care. According to Statistics Canada (2018), almost 18% (5.3 million) of Canadians reported needing mental health support. However, just above half of this figure (56.2%) have reported their needs were fully met. In light of this evidence there is a pressing need to provide accessible mental health services in flexible yet cost-effective ways. To further expand capacity and access to mental health care in the province, Nova Scotia Health has launched a novel mental health initiative for people in need of mental health care without requiring emergency department visits or hospitalization...
February 27, 2024: BMC Health Services Research
https://read.qxmd.com/read/38392628/geriatric-population-triage-the-risk-of-real-life-over-and-under-triage-in-an-overcrowded-ed-4-and-5-level-triage-systems-compared-the-creonte-crowding-and-r-e-organization-national-triage-study
#8
JOURNAL ARTICLE
Gabriele Savioli, Iride Francesca Ceresa, Maria Antonietta Bressan, Gaia Bavestrello Piccini, Viola Novelli, Sara Cutti, Giovanni Ricevuti, Ciro Esposito, Yaroslava Longhitano, Andrea Piccioni, Zoubir Boudi, Alessandro Venturi, Damiano Fuschi, Antonio Voza, Roberto Leo, Abdelouahab Bellou, Enrico Oddone
Elderly patients, when they present to the emergency department (ED) or are admitted to the hospital, are at higher risk of adverse outcomes such as higher mortality and longer hospital stays. This is mainly due to their age and their increased fragility. In order to minimize this already increased risk, adequate triage is of foremost importance for fragile geriatric (>75 years old) patients who present to the ED. The admissions of elderly patients from 1 January 2014 to 31 December 2020 were examined, taking into consideration the presence of two different triage systems, a 4-level (4LT) and a 5-level (5LT) triage system...
February 9, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38384670/enhancing-aclf-prediction-by-integrating-sarcopenia-assessment-and-frailty-in-liver-transplant-candidates-on-the-waiting-list
#9
JOURNAL ARTICLE
Gonzalo Gómez Perdiguero, Juan Carlos Spina, Jorge Martínez, Lorena Savluk, Julia Saidman, Mariano Bonifacio, Sofia Bakken, Marlene Padilla, Elena Gallego-Clemente, Víctor Moreno-González, Martin De Santibañes, Sebastián Marciano, Eduardo De Santibañes, Adrían Gadano, Juan Pekolj, Juan G Abraldes, Ezequiel Mauro
BACKGROUND & AIMS: Malnutrition, sarcopenia, and frailty are prevalent in cirrhosis. We aimed to assess the correlation between assessment tools for malnutrition, sarcopenia, and frailty in patients on the liver transplant (LT) waiting list (WL), and to identify a predictive model for acute-on-chronic liver failure (ACLF) development. METHODS: This prospective single-center study enrolled consecutive patients with cirrhosis on the WL for LT (May 2019-November 2021)...
March 2024: JHEP reports: innovation in hepatology
https://read.qxmd.com/read/38374857/recurrent-rhabdomyolysis-induced-by-a-viral-illness-in-a-young-patient
#10
Zahid Khan, Osman Ahmed, Syed Aun Muhammad, Jonard Carpio
Rhabdomyolysis is a syndrome caused by skeletal muscle disruption that results in the release of muscle proteins into circulation, which can lead to life-threatening systemic complications. These complications include acute kidney injury (AKI), renal failure, compartment syndrome, and disseminated intravascular coagulopathy. Patients commonly present with muscle pain, fatigue, weakness, and dark-colored urine. We present the case of a 37-year-old male who presented to the hospital with pain in the lower limbs and difficulty in mobility for the past two days after returning from Jamaica...
January 2024: Curēus
https://read.qxmd.com/read/38365937/factors-related-to-changes-in-severity-among-adult-and-older-adult-patients-at-an-internal-medicine-department-clinic-an-embedded-mixed-method-study
#11
JOURNAL ARTICLE
Patcharawan Narongsanoi, Samoraphop Banharak, Ladawan Panpanit, Sutin Chanaboon, Jintana Damkliang
The changes in aging plus the pathology of diseases can influence the changes in severity levels. This study aimed to examine the changes in levels of severity in patients while waiting to see a doctor. The study was conducted at an outpatient clinic in northeastern Thailand with a total of 421 patients who were assessed twice for levels of severity using the Emergency Severity Index. The 38 triage nurses screened patients, and 18 were interviewed when severity level changes were observed. Data were collected April 1-30, 2021...
February 16, 2024: Scientific Reports
https://read.qxmd.com/read/38347862/embedding-an-education-intervention-about-shared-decision-making-into-an-rct-ensuring-competency-and-fidelity
#12
JOURNAL ARTICLE
Amy B Zelenski, Karlie Haug, Kyle J Bushaw, Anne Buffington, Taylor Bradley, Kristine L Kwekkeboom, Lily Stalter, Bret M Hanlon, Maureen J Wakeen, Roy A Jhagroo, Laura J Maursetter, Sara K Johnson, Toby C Campbell, Margaret L Schwarze
OBJECTIVE: To describe the outcomes of training nephrology clinicians and clinical research participants, to use the Best Case/Worst Case Communication intervention, for discussions about dialysis initiation for patients with life-limiting illness, during a randomized clinical trial to ensure competency, fidelity to the intervention, and adherence to study protocols and the intervention throughout the trial. METHODS: We enrolled 68 nephrologists at ten study sites and randomized them to receive training or wait-list control...
December 2024: PEC Innov
https://read.qxmd.com/read/38342856/impact-of-virtual-care-on-planned-rechecks-in-a-pediatric-emergency-department-a-quality-improvement-project
#13
JOURNAL ARTICLE
Katie Gardner, Katrina F Hurley
BACKGROUND: In the absence of accessible urgent follow-up options, emergency physicians may use an in-person recheck (planned return visit) to the Emergency Department (ED) as a safety net for discharged patients. In-person rechecks require travel, triage, and waiting time for patients and families and contribute to ED census. Many of these visits do not result in further investigation or changes in management but can provide reassurance for the family and care providers. We aimed to reduce the volume of in-person rechecks to our ED through an urgent virtual follow-up process...
February 12, 2024: CJEM
https://read.qxmd.com/read/38342238/-can-health-forums-dedicated-to-breast-cancer-be-useful-to-caregivers-analysis-of-initial-messages-on-the-national-league-against-cancer-forum-over-a-one-year-period
#14
JOURNAL ARTICLE
Hélène Burgué, Philippe Trensz, Carole Mathelin, Anna Schohn
OBJECTIVES: forums are a source of health information and exchange. They can be studied to determine patients' needs and improve caregivers' practices. The aim of this study was to identify the needs of breast cancer patients based on messages posted on a discussion forum. METHODS: Initial messages posted in 2021 on the Ligue Nationale Contre le Cancer (LNCC) breast cancer forum were analyzed quantitatively. Message content was classified into three categories: testimonial, request for advice or request for medical opinion...
February 9, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/38308652/price-for-waiting-the-adverse-outcomes-of-boarding-critically-ill-elderly-medical-patients-in-the-emergency-department
#15
JOURNAL ARTICLE
Kuang-Wen Huang, Chun-Hao Yin, Renin Chang, Jin-Shuen Chen, Yao-Shen Chen
PURPOSE: Boarding, the period in which a patient spends in the emergency department (ED) before admission, may be hazardous to critically ill patients, particularly the elderly. This study investigated the associations of boarding with hospital course, prognosis, and medical expenditure in older patients. METHODS: From January 2019 to December 2021, the medical records of older patients (age ≥ 65) visiting the ED of a tertiary referral hospital who were admitted to the medical intensive care unit (ICU) were retrospectively reviewed...
February 2, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38305619/osteonecrosis-of-the-jaw-surgical-treatment-results-before-and-during-the-covid-19-pandemic-in-one-of-the-reference-hospitals-in-poland
#16
JOURNAL ARTICLE
A Nowak, Ł Słowik, M Szcześniak, M Okła, K Osmola, M Wyganowska
OBJECTIVE: The COVID-19 pandemic has had a huge impact not only on everyday life but, above all, on the functioning of medical entities. During its duration, there were problems with access to health care, including maxillofacial surgery departments. The aim of the study is to analyze how the pandemic affected the surgical results of the treatment of osteonecrosis of the jaws at the Clinic of Maxillofacial Surgery in Poznań which delivers services in maxillofacial surgery for almost 4...
January 2024: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/38292904/internet-based-psychoeducation-and-support-programme-for-relatives-of-young-people-with-early-psychosis-results-of-the-first-german-language-intervention
#17
JOURNAL ARTICLE
Mar Rus-Calafell, Tobias Teismann, Fine Kullmann, Dilara Alatas, Cristina Ballero-Reque, Julia Holewa, Marilena Rüsberg, Martin Brüne, Mercedes Paino, Silvia Schneider
BACKGROUND: International clinical guidelines recommend Family Interventions (FIs) especially for families of people at early stages of psychosis. The German S3 treatment guideline for schizophrenia gives FIs the highest level of clinical recommendation. However, some family relatives have limited access to these services due to health system constrains. Digital interventions have emerged as a solution to overcome this hindered access to evidence-based family interventions. OBJECTIVE: The present pilot study evaluates the feasibility and potential efficacy of the first German moderated online psychoeducation and support programme (ePSP) for relatives of people with early psychosis, with the additional purpose to improve accessibility and reduce waiting times...
2024: Frontiers in Psychiatry
https://read.qxmd.com/read/38268573/risks-solutions-and-implementation-of-a-participatory-ergonomic-intervention-in-16-day-nurseries-a-process-evaluation-of-the-toy-wait-list-cluster-randomized-controlled-trial
#18
JOURNAL ARTICLE
Maja Schønheyder, Mikala Utzon Dietz, Kathrine Greby Schmidt, Malene Jagd Svendsen, Ole Henning Sørensen, Andreas Holtermann, Charlotte Diana Nørregaard Rasmussen
More evidence-based initiatives to reduce physical work demands during childcare work to prevent ill health and promote the ability to care for the children among childcare workers are needed. In a process evaluation performed alongside a two-arm, cluster-randomized study with a waiting-list control among 16 day nurseries lasting 20-weeks that significantly reduced musculoskeletal pain-related sickness absence we investigated 1) risk factors and solutions perceived by the childcare workers, and 2) implementation of the intervention...
January 15, 2024: Heliyon
https://read.qxmd.com/read/38227360/parent-perceptions-of-telemedicine-for-acute-pediatric-respiratory-tract-infections-sequential-mixed-methods-study
#19
JOURNAL ARTICLE
Sarah K Burns, Tamar Krishnamurti, Tran T Doan, Janel Hanmer, Alejandro Hoberman, Jeremy M Kahn, Kelsey Schweiberger, Kristin N Ray
BACKGROUND: Since 2020, parents have had increasing opportunities to use telemedicine for their children, but how parents decide whether to use telemedicine for acute pediatric care relative to alternative sites of care is not clear. One of the most common reasons parents seek acute care for their children is for acute respiratory tract infections (ARTIs). OBJECTIVE: This study aims to examine parental expectations of care via telemedicine for pediatric ARTIs, contrasting expectations of care delivered via primary care telemedicine and direct-to-consumer (DTC) telemedicine...
January 16, 2024: JMIR Pediatrics and Parenting
https://read.qxmd.com/read/38223394/emergency-department-overcrowding-and-its-associated-factors-at-harme-medical-emergency-center-in-eastern-ethiopia
#20
JOURNAL ARTICLE
Melaku Getachew, Ibsa Musa, Natanim Degefu, Lemlem Beza, Behailu Hawlte, Fekede Asefa
INTRODUCTION: Emergency department (ED) overcrowding has become a significant concern as it can lead to compromised patient care in emergency settings. Various tools have been used to evaluate overcrowding in ED. However, there is a lack of data regarding this issue in resource-limited countries, including Ethiopia. This study aimed to validate NEDOCS, assess level of ED overcrowding and identify associated factors at HARME Medical Emergency Center, located in Hiwot Fana Comprehensive Specialized Hospital, Harar, Ethiopia...
March 2024: African Journal of Emergency Medicine Revue
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