This document summarizes a randomized controlled trial that evaluated a multicomponent intervention for early detection and treatment of postpartum hemorrhage. The intervention included use of a calibrated blood collection drape to objectively measure blood loss and a treatment bundle including uterine massage, oxytocic drugs, tranexamic acid, IV fluids, and examination. 80 hospitals across 4 countries were randomly assigned to either receive the intervention or continue usual care. Among hospitals that provided data, the primary outcome of severe postpartum hemorrhage, laparotomy for bleeding, or maternal death occurred in 1.6% of patients in the intervention group versus 4.3% in the usual care group, a statistically significant difference. The intervention also
This document provides guidelines for the use of electronic fetal monitoring (EFM) during labor and delivery. It was developed by a multidisciplinary group including representatives from several medical organizations and consumer groups. The guidelines aim to evaluate the impact of EFM, develop standards for its use, improve interpretation of EFM readings, and consider medico-legal and resource implications. The guidelines are based on a review and appraisal of available evidence on EFM.
This document summarizes a study examining surgical site infections following caesarean sections through post-discharge surveillance across multiple hospitals in the UK. The study found that 13.6% of women who had c-sections developed wound problems, with 84% occurring after discharge. Applying standardized definitions, 8.9% met criteria for surgical site infections. However, rates varied significantly between hospitals, from 2.9% to 17.9%. The study identified several risk factors associated with higher infection rates, including BMI, age, blood loss during surgery, wound closure method, and emergency procedures. The results suggest c-section morbidity has been underestimated without post-discharge monitoring, and that antibiotic prescribing after discharge could be reviewed given
Objective: To evaluate the utility of a targeted lecture in improving FP awareness amongst clinicians.
Design: This is a dual institution, prospective survey-based study assessing if an educational lecture can increase the likelihood of FP consideration, discussion, and referral.
This document describes a study that examined practice variation in the diagnosis and treatment of chorioamnionitis among US obstetricians. The study involved distributing a survey to 500 obstetricians querying their demographics, practice setting, and chorioamnionitis management strategies. 212 surveys were analyzed. The results found wide variation in diagnostic criteria, antibiotic regimens, and postpartum treatment duration. Specifically, over 25 different antibiotic regimens were reported, with 30% using a single agent. Postpartum treatment duration ranged from no treatment to 48 hours. No practitioner characteristics were independently associated with diagnostic or treatment strategies. This variation may reflect a lack of high-quality evidence on best practices for chorio
Effect of nursing intervention on clinical outcomes and patient satisfaction ...Alexander Decker
1) The study aimed to determine the effect of nursing intervention on clinical outcomes and patient satisfaction among patients with upper gastrointestinal bleeding.
2) A quasi-experimental study was conducted on 50 patients divided into a study group that received nursing intervention and a control group.
3) Statistically significant differences were found between the groups in clinical outcomes like bleeding, vital signs, and lab tests as well as higher patient satisfaction scores in the study group compared to the control group, showing that nursing intervention improved patients' outcomes and satisfaction.
this is research study conducted in tertiary hospital namely kidney center in KP pakistan to assess the level of knowledge of professional Nurses regarding administrator of parental medication to patient suffering with kidney diseases to ensure and help in safe parental medication to patients in hosptals.
The final protocol (v5.3). Notable changes include:
1) Confirmation of audit standard (Page 6).
2) Refinement of inclusion and exclusion criteria (Page 7)
3) Confirmation of audit status (Appendix C)
4) Refinement of required data fields (Page 19) including definitions (Pages 20-25)
This document describes a study that developed and validated a treatment algorithm and patient information toolkit for managing uremic pruritus (UP) in patients with chronic kidney disease and end-stage kidney disease. The algorithm and tools were created through a literature review and expert input from clinicians. The algorithm and tools then underwent three rounds of validation where clinicians rated their content validity and face validity. The results found high content validity (average CVI of 0.89) and face validity (over 78% of clinicians agreeing or strongly agreeing) for the algorithm. A similar validation process for the patient information tools also found high content validity and face validity. This validation establishes that the developed treatment algorithm and patient information toolkit are relevant and useful according to expert
This document provides guidelines for the use of electronic fetal monitoring (EFM) during labor and delivery. It was developed by a multidisciplinary group including representatives from several medical organizations and consumer groups. The guidelines aim to evaluate the impact of EFM, develop standards for its use, improve interpretation of EFM readings, and consider medico-legal and resource implications. The guidelines are based on a review and appraisal of available evidence on EFM.
This document summarizes a study examining surgical site infections following caesarean sections through post-discharge surveillance across multiple hospitals in the UK. The study found that 13.6% of women who had c-sections developed wound problems, with 84% occurring after discharge. Applying standardized definitions, 8.9% met criteria for surgical site infections. However, rates varied significantly between hospitals, from 2.9% to 17.9%. The study identified several risk factors associated with higher infection rates, including BMI, age, blood loss during surgery, wound closure method, and emergency procedures. The results suggest c-section morbidity has been underestimated without post-discharge monitoring, and that antibiotic prescribing after discharge could be reviewed given
Objective: To evaluate the utility of a targeted lecture in improving FP awareness amongst clinicians.
Design: This is a dual institution, prospective survey-based study assessing if an educational lecture can increase the likelihood of FP consideration, discussion, and referral.
This document describes a study that examined practice variation in the diagnosis and treatment of chorioamnionitis among US obstetricians. The study involved distributing a survey to 500 obstetricians querying their demographics, practice setting, and chorioamnionitis management strategies. 212 surveys were analyzed. The results found wide variation in diagnostic criteria, antibiotic regimens, and postpartum treatment duration. Specifically, over 25 different antibiotic regimens were reported, with 30% using a single agent. Postpartum treatment duration ranged from no treatment to 48 hours. No practitioner characteristics were independently associated with diagnostic or treatment strategies. This variation may reflect a lack of high-quality evidence on best practices for chorio
Effect of nursing intervention on clinical outcomes and patient satisfaction ...Alexander Decker
1) The study aimed to determine the effect of nursing intervention on clinical outcomes and patient satisfaction among patients with upper gastrointestinal bleeding.
2) A quasi-experimental study was conducted on 50 patients divided into a study group that received nursing intervention and a control group.
3) Statistically significant differences were found between the groups in clinical outcomes like bleeding, vital signs, and lab tests as well as higher patient satisfaction scores in the study group compared to the control group, showing that nursing intervention improved patients' outcomes and satisfaction.
this is research study conducted in tertiary hospital namely kidney center in KP pakistan to assess the level of knowledge of professional Nurses regarding administrator of parental medication to patient suffering with kidney diseases to ensure and help in safe parental medication to patients in hosptals.
The final protocol (v5.3). Notable changes include:
1) Confirmation of audit standard (Page 6).
2) Refinement of inclusion and exclusion criteria (Page 7)
3) Confirmation of audit status (Appendix C)
4) Refinement of required data fields (Page 19) including definitions (Pages 20-25)
This document describes a study that developed and validated a treatment algorithm and patient information toolkit for managing uremic pruritus (UP) in patients with chronic kidney disease and end-stage kidney disease. The algorithm and tools were created through a literature review and expert input from clinicians. The algorithm and tools then underwent three rounds of validation where clinicians rated their content validity and face validity. The results found high content validity (average CVI of 0.89) and face validity (over 78% of clinicians agreeing or strongly agreeing) for the algorithm. A similar validation process for the patient information tools also found high content validity and face validity. This validation establishes that the developed treatment algorithm and patient information toolkit are relevant and useful according to expert
This document describes a study protocol to evaluate the effectiveness of a planned teaching program for preventing pressure ulcers among fracture patients in a selected hospital in Bangalore. The study aims to provide patients and their family members with health education to improve knowledge on preventing pressure ulcers. A literature review found that pressure ulcer incidence is high for immobile patients like those with orthopedic fractures. Studies show prevention is better than treatment and nurses play a key role in educating patients and monitoring skin integrity. The planned teaching program aims to reduce pressure ulcer rates by empowering patients with knowledge on prevention.
Delirium in intensive_care_units__perceptions_of.6 (1)Ahmad Ayed
1) Delirium is common in ICU patients and is associated with negative outcomes like longer hospital stays and higher costs, but it often goes underdiagnosed.
2) The study assessed the knowledge, attitudes, and practices of Palestinian healthcare professionals regarding delirium in ICU patients. It found delirium appears to be underrecognized or misdiagnosed in Palestinian ICUs.
3) Educating medical and nursing teams on delirium assessment tools could help reduce the length and costs of hospital stays by improving early diagnosis and management of delirium.
1) The document discusses improving outcomes and endpoints in cancer trials by better defining what is important to measure, making endpoints more understandable for patients, and advancing endpoints to reflect changes in trial design and treatments.
2) It notes that endpoints need to show clinically relevant benefits to patients, and that improvements in trial design should be accompanied by improvements in available endpoints.
3) Stakeholders including clinicians, patients, and regulators must work together to determine the best approach for research that ensures accountability and optimizes the use of resources.
Frequency of Anastomotic Leak in Early Versus Dealyed Oral Feeding after Elec...semualkaira
Intestinal stoma is usually performed as component of other surgical intervention for small and large bowel
pathologies. Of these temporary colostomy are commonest stomas
created for de-functioning of the distal anastomotic site to minimise the chances of leak. Colostomy is usually reversed at 8 to 12
weeks and Ileostomy closure is often considered a minor procedure but it is associated with significant morbidity and mortality
Frequency of Anastomotic Leak in Early Versus Dealyed Oral Feeding after Elec...semualkaira
Intestinal stoma is usually performed as component of other surgical intervention for small and large bowel
pathologies. Of these temporary colostomy are commonest stomas
created for de-functioning of the distal anastomotic site to minimise the chances of leak. Colostomy is usually reversed at 8 to 12
weeks and Ileostomy closure is often considered a minor procedure but it is associated with significant morbidity and mortality
Measuring to Improve Medication Reconciliationin a Large Sub.docxalfredacavx97
Measuring to Improve Medication Reconciliation
in a Large Subspecialty Outpatient Practice
Elizabeth Kern, MD, MS; Meg B. Dingae, MHSA; Esther L. Langmack, MD; Candace Juarez, MT; Gary Cott, MD;
Sarah K. Meadows, MS
Background: To assess performance in medication reconciliation (med rec)—the process of comparing and reconciling
patients’ medication lists at clinical transition points—and demonstrate improvement in an outpatient setting, sustainable
and valid measures are needed.
Methods: An interdisciplinary team at National Jewish Health (Denver) attempted to improve med rec in an ambulatory
practice serving patients with respiratory and related diseases. Interventions, which were aimed at physicians, nurses (RNs),
and medical assistants, involved changes in practice and changes in documentation in the electronic health record (EHR).
New measures designed to assess med rec performance, and to validate the measures, were derived from EHR data.
Results: Across 18 months, electronic attestation that med rec was completed at clinic visits increased from 9.8% to 91.3%
(p < 0.0001). Consistent with this improvement, patients with medication lists missing dose/frequency for at least one prescription-
type medication decreased from 18.1% to 15.8% (p < 0.0001). Patients with duplicate albuterol inhalers on their list decreased
from 4.0% to 2.6% (p < 0.0001). Percentages of patients increased for printing of the medication list at the visit (18.7% to
94.0%; p < 0.0001) and receipt of the printed medication list at the visit (52.3% to 67.0%; p = 0.0074). Documentation
that patient education handouts were offered increased initially then declined to an overall poor performance of 32.4% of
clinic visits. Investigation of this result revealed poor buy-in and a highly redundant process.
Conclusion: Deriving measures reflecting performance and quality of med rec from EHR data is feasible and sustainable
over the time periods necessary to demonstrate change. Concurrent, complementary measures may be used to support the
validity of summary measures.
Medication reconciliation (med rec) is the process of sys-tematically and comprehensively reviewing the
medications a patient is taking, to ensure that medications
added, changed, or discontinued are evaluated for poten-
tial safety concerns. One of the three current Joint
Commission National Patient Safety Goals (NPSGs) on med-
ication safety (Goal 3), concerns medication reconciliation,
which ambulatory care organizations have been expected to
perform since 2005. The current version of the goal
(NPSG.03.06.01), effective July 1, 2011, stipulates that am-
bulatory care organizations maintain and communicate
accurate patient medication information.1 One require-
ment is that the organization obtain the patient’s medication
information at the beginning of an episode of care, with the
information to be updated when the patient’s medications
change. Ideally, med rec should occur at each transition of
care or han.
Transitions of care between healthcare settings like hospitals, primary care, and home present opportunities for errors and safety issues. Medication discrepancies occur for 30-80% of patients during transitions. Improving care coordination through standardized documentation, medication reconciliation, and follow up can help reduce errors and adverse events during these vulnerable periods. Primary care has an important role to play in transition management through activities like timely receipt of discharge information and follow up appointments.
The document summarizes a study that evaluated the use of the antibiotic ceftriaxone at a referral hospital in Ethiopia. The study reviewed 127 patient medical records to assess ceftriaxone use based on World Health Organization criteria. It found that ceftriaxone was inappropriately prescribed in 70% of cases, most often due to short treatment durations. Inappropriate antibiotic use contributes to growing antimicrobial resistance, posing a major public health threat. The study concludes that improved antibiotic stewardship programs are needed to promote more prudent ceftriaxone prescribing and preserve its effectiveness.
Adherence to Antiretroviral Therapy among HIVPositive Patients in Central Hos...Efe Clement Abel
Abstract: Adherence is the quantified level to which an individual follows a prescribed treatment and a low level of adherence to antiretroviral therapy(ART) adversely affects a patient’s treatment outcome and results in a rebound of plasma viraemia, development of resistant strains of HIV, more rapid immune deterioration, development of AIDS and death. This study is aimed at assessing the level of adherence to ART among HIV-positive patients assessing care in Central Hospital, Warri, Delta State, Nigeria. A descriptive cross-sectional study. Data were obtained using a semi-structured, interviewer-administered questionnaire and analysed using SPSS version 23. A total of 303 persons were recruited for the study. The mean age of respondents was 36.2±10.8years. Less than half of the subjects (45.5%) were adherent to their ART. Among the non-adherent subjects, the common reasons reported for missing doses of ART were forgetfulness (50.9%), too busy with other things (43.6%) and away from home (35.8%). This study showed that adherence to ART among the study population was poor. Forgetfulness, too busy with other things and being away from home were the most common reason for non-adherence. It is, therefore, recommended that; regular health education should be organised for HIV patients on ART on the importance of being adherent to their ART, regular assessment of adherence to ART should be carried out and a method of reminding patients who are non-adherent to ART on the need to take their ART as at when due should be considered as part of the routine services provided by ART centres.
2018 ASH guidelines for management of venous thromboembolism prophylaxis fo...Vinh Pham Nguyen
1. The guidelines provide 19 recommendations for preventing venous thromboembolism (VTE) in hospitalized and non-hospitalized medical patients and long-distance travelers.
2. Strong recommendations include providing pharmacological VTE prophylaxis to acutely or critically ill hospitalized patients at low bleeding risk, and using mechanical prophylaxis for those at high bleeding risk.
3. Conditional recommendations suggest not routinely using VTE prophylaxis for long-term care patients, outpatients with minor risk factors, or low-risk long-distance travelers. Prophylaxis may be considered for high-risk groups such as recent surgery or cancer patients.
PICOTIn hospitalized medsurg patients , does med reconciliatio.docxstilliegeorgiana
PICOT:
In hospitalized med/surg patients , does med reconciliation compliance compared to non-compliant medication reconciliation impact 30 day readmission rates?
During Unit 5, you will be working on the following unit outcomes:
· Identify levels of measurement in data collection instruments (CO 2)
· Discuss the implications of levels of measurement for statistical analysis (CO 2)
· Appraise the validity and reliability of data collection methods (CO 4)
· Examine data collection methods in published research studies (C
Here is some more information on variables...
The dependent variable is the variable a researcher is interested in. The changes to the dependent variable are what the researcher is trying to measure with all their fancy techniques. The variable that depends on other factors that are measured.
An independent variable is a variable believed to affect the dependent variable. This is the variable that you, the researcher, will manipulate to see if it makes the dependent variable change. The variable that is stable and unaffected by other variables you are trying to measure. It is the presumed cause.
According to Tappen (2016), the independent variables are defined as the variables that the researcher will manipulate to see if a change occurs in the dependent variables. The independent variable is the presumed cause of change. The dependent variables are what the researcher is attempting to measure.
WEEK 4
Ethical concerns in nursing research often do not have straight forward solutions. Nursing research relies on collaboration and partnerships based on mutual trust. When that trust is breached the damage is irreversible. Honesty, openness, respect and sensitivity to others provide the cornerstones for ethical research. It is important that all nursing research is undertaken from a clear ethical stance, with ethical concerns identified at the outset and reevaluated on an ongoing basis throughout the project.
Take a look at this video about ethical issues and human subjects (9:38)
https://www.youtube.com/watch?v=-O5gsF5oyls (Links to an external site.)
As nurses, our primary observations are of persons thus we need to think about how to ethically collect data from persons.
The National Research Act of 1974 established three ethical principles for research:
· Respect for persons
· Beneficence
· Justice
· Check out this video on Types of Sampling Methods ---
· https://www.youtube.com/watch?v=pTuj57uXWlk
Carmen,
· Probability sampling is the gold standard for ensuring generalizability, as it uses some form of random selection in choosing the sample units. The reason that this sample is called a probability sample is each sampling unit has a known chance (probability) that it will be selected (Houser, 2018). Nonprobability sampling does not use random selection so there is no known chance of being selected (Houser, 2018). Nonprobability samples are selected by nonrandom methods. They are often called convenience samples, as the sel ...
1) The study aimed to determine if using the AIDET communication tool by internal medicine residents and making follow-up phone calls after discharge improved patient satisfaction.
2) Data was collected on 630 patients over 8 months, with residents making follow-up calls within 3 days of discharge.
3) Patient satisfaction scores were higher in the first 3 months at 85.5% and last 2 months at 89.7% compared to the second 3 months at 73.2%, suggesting follow-up calls may improve satisfaction.
This document describes a study that surveyed anesthesiologists about their treatment practices for postoperative nausea and vomiting (PONV) in ambulatory patients. The survey found that:
1) When no prophylaxis is given, 67% of anesthesiologists would treat PONV with a 5-HT3 antagonist like ondansetron.
2) 65% would also use non-pharmacological interventions like IV fluids or oxygen.
3) Treatment choices change depending on the prophylaxis given - only 5% would redose metoclopramide or 3% would redose dexamethasone, but 26% would redose a 5-HT3 antagonist.
Retrospective Review of PONV Practice Patterns at a Large Academic Medical Ce...Alexis Rondon
This study retrospectively reviewed data from over 68,000 surgical procedures from 2010-2015 at a large academic medical center to analyze patterns of preventing postoperative nausea and vomiting (PONV). The review found that about half of patients received at least one preventative medication, but only 14.9% of high-risk patients received multiple medications. The study aims to identify opportunities to improve preventative care for PONV, especially among high-risk patients.
Daily drainage of pleural fluid via an indwelling pleural catheter led to a higher rate of autopleurodesis and faster time to catheter removal compared to every other day drainage in patients with malignant pleural effusions. The rate of autopleurodesis was 47% with daily drainage versus 24% with every other day drainage, and the median time to autopleurodesis was 54 days with daily drainage versus 90 days with every other day drainage. There was no significant difference in adverse event rates, quality of life, or patient satisfaction between the two drainage strategies.
Background: The transition from resident physician to independent practitioner is an important period for young physicians.Optimally, they would feel well prepared to independently care for all patients presenting to them for anesthesia, however, this is unlikely Methods: A survey was emailed to all accredited anesthesiology residency program coordinators in April 2018 for further distribution to their CA3 residents. The survey collected data on the resident’s perception of his or her preparedness to manage a variety of anesthesia cases, patients with comorbid conditions, and ethical issues as well as perform various procedures.
This study compared non-operative management (antibiotics only) to surgical management (appendectomy) for uncomplicated acute appendicitis in children. 102 children were enrolled and allowed to choose their treatment. At 1 year, the success rate of avoiding appendectomy with non-operative management was 75.7%, and children who received non-operative management had fewer disability days and lower healthcare costs compared to those who received surgery. Non-operative management is an effective treatment option for children with uncomplicated appendicitis that results in less morbidity and costs than surgery.
Evaluation of the Inpatient Hospital Experience while on PrecautionsKathryn Cannon
This study assessed patient satisfaction of those under contact/airborne isolation precautions versus those not under precautions at Yale-New Haven Hospital. 87 patients were interviewed using a survey measuring satisfaction with communication, treatment explanations, help from staff, pain control, and overall experience. Small variations were found between groups in nurse communication, timely help, pain control, and overall satisfaction. No significant difference was seen in doctor communication, but those under precautions expressed higher satisfaction with treatment explanations. The study aimed to understand differences to improve hospital processes and performance under new CMS reimbursement policies tied to patient satisfaction.
ISSN 2347-2251
It appears that you're describing the scope of a scientific journal. This journal covers a wide range of topics related to both Pharmaceutical Sciences and Biological Sciences of the scopus database journal.
Indo-American Journal of Pharma and Bio Sciences is an international, online, English-language journal that publishes articles on pharmaceutical and biological sciences of the ugc carelist journals.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
This document describes a study protocol to evaluate the effectiveness of a planned teaching program for preventing pressure ulcers among fracture patients in a selected hospital in Bangalore. The study aims to provide patients and their family members with health education to improve knowledge on preventing pressure ulcers. A literature review found that pressure ulcer incidence is high for immobile patients like those with orthopedic fractures. Studies show prevention is better than treatment and nurses play a key role in educating patients and monitoring skin integrity. The planned teaching program aims to reduce pressure ulcer rates by empowering patients with knowledge on prevention.
Delirium in intensive_care_units__perceptions_of.6 (1)Ahmad Ayed
1) Delirium is common in ICU patients and is associated with negative outcomes like longer hospital stays and higher costs, but it often goes underdiagnosed.
2) The study assessed the knowledge, attitudes, and practices of Palestinian healthcare professionals regarding delirium in ICU patients. It found delirium appears to be underrecognized or misdiagnosed in Palestinian ICUs.
3) Educating medical and nursing teams on delirium assessment tools could help reduce the length and costs of hospital stays by improving early diagnosis and management of delirium.
1) The document discusses improving outcomes and endpoints in cancer trials by better defining what is important to measure, making endpoints more understandable for patients, and advancing endpoints to reflect changes in trial design and treatments.
2) It notes that endpoints need to show clinically relevant benefits to patients, and that improvements in trial design should be accompanied by improvements in available endpoints.
3) Stakeholders including clinicians, patients, and regulators must work together to determine the best approach for research that ensures accountability and optimizes the use of resources.
Frequency of Anastomotic Leak in Early Versus Dealyed Oral Feeding after Elec...semualkaira
Intestinal stoma is usually performed as component of other surgical intervention for small and large bowel
pathologies. Of these temporary colostomy are commonest stomas
created for de-functioning of the distal anastomotic site to minimise the chances of leak. Colostomy is usually reversed at 8 to 12
weeks and Ileostomy closure is often considered a minor procedure but it is associated with significant morbidity and mortality
Frequency of Anastomotic Leak in Early Versus Dealyed Oral Feeding after Elec...semualkaira
Intestinal stoma is usually performed as component of other surgical intervention for small and large bowel
pathologies. Of these temporary colostomy are commonest stomas
created for de-functioning of the distal anastomotic site to minimise the chances of leak. Colostomy is usually reversed at 8 to 12
weeks and Ileostomy closure is often considered a minor procedure but it is associated with significant morbidity and mortality
Measuring to Improve Medication Reconciliationin a Large Sub.docxalfredacavx97
Measuring to Improve Medication Reconciliation
in a Large Subspecialty Outpatient Practice
Elizabeth Kern, MD, MS; Meg B. Dingae, MHSA; Esther L. Langmack, MD; Candace Juarez, MT; Gary Cott, MD;
Sarah K. Meadows, MS
Background: To assess performance in medication reconciliation (med rec)—the process of comparing and reconciling
patients’ medication lists at clinical transition points—and demonstrate improvement in an outpatient setting, sustainable
and valid measures are needed.
Methods: An interdisciplinary team at National Jewish Health (Denver) attempted to improve med rec in an ambulatory
practice serving patients with respiratory and related diseases. Interventions, which were aimed at physicians, nurses (RNs),
and medical assistants, involved changes in practice and changes in documentation in the electronic health record (EHR).
New measures designed to assess med rec performance, and to validate the measures, were derived from EHR data.
Results: Across 18 months, electronic attestation that med rec was completed at clinic visits increased from 9.8% to 91.3%
(p < 0.0001). Consistent with this improvement, patients with medication lists missing dose/frequency for at least one prescription-
type medication decreased from 18.1% to 15.8% (p < 0.0001). Patients with duplicate albuterol inhalers on their list decreased
from 4.0% to 2.6% (p < 0.0001). Percentages of patients increased for printing of the medication list at the visit (18.7% to
94.0%; p < 0.0001) and receipt of the printed medication list at the visit (52.3% to 67.0%; p = 0.0074). Documentation
that patient education handouts were offered increased initially then declined to an overall poor performance of 32.4% of
clinic visits. Investigation of this result revealed poor buy-in and a highly redundant process.
Conclusion: Deriving measures reflecting performance and quality of med rec from EHR data is feasible and sustainable
over the time periods necessary to demonstrate change. Concurrent, complementary measures may be used to support the
validity of summary measures.
Medication reconciliation (med rec) is the process of sys-tematically and comprehensively reviewing the
medications a patient is taking, to ensure that medications
added, changed, or discontinued are evaluated for poten-
tial safety concerns. One of the three current Joint
Commission National Patient Safety Goals (NPSGs) on med-
ication safety (Goal 3), concerns medication reconciliation,
which ambulatory care organizations have been expected to
perform since 2005. The current version of the goal
(NPSG.03.06.01), effective July 1, 2011, stipulates that am-
bulatory care organizations maintain and communicate
accurate patient medication information.1 One require-
ment is that the organization obtain the patient’s medication
information at the beginning of an episode of care, with the
information to be updated when the patient’s medications
change. Ideally, med rec should occur at each transition of
care or han.
Transitions of care between healthcare settings like hospitals, primary care, and home present opportunities for errors and safety issues. Medication discrepancies occur for 30-80% of patients during transitions. Improving care coordination through standardized documentation, medication reconciliation, and follow up can help reduce errors and adverse events during these vulnerable periods. Primary care has an important role to play in transition management through activities like timely receipt of discharge information and follow up appointments.
The document summarizes a study that evaluated the use of the antibiotic ceftriaxone at a referral hospital in Ethiopia. The study reviewed 127 patient medical records to assess ceftriaxone use based on World Health Organization criteria. It found that ceftriaxone was inappropriately prescribed in 70% of cases, most often due to short treatment durations. Inappropriate antibiotic use contributes to growing antimicrobial resistance, posing a major public health threat. The study concludes that improved antibiotic stewardship programs are needed to promote more prudent ceftriaxone prescribing and preserve its effectiveness.
Adherence to Antiretroviral Therapy among HIVPositive Patients in Central Hos...Efe Clement Abel
Abstract: Adherence is the quantified level to which an individual follows a prescribed treatment and a low level of adherence to antiretroviral therapy(ART) adversely affects a patient’s treatment outcome and results in a rebound of plasma viraemia, development of resistant strains of HIV, more rapid immune deterioration, development of AIDS and death. This study is aimed at assessing the level of adherence to ART among HIV-positive patients assessing care in Central Hospital, Warri, Delta State, Nigeria. A descriptive cross-sectional study. Data were obtained using a semi-structured, interviewer-administered questionnaire and analysed using SPSS version 23. A total of 303 persons were recruited for the study. The mean age of respondents was 36.2±10.8years. Less than half of the subjects (45.5%) were adherent to their ART. Among the non-adherent subjects, the common reasons reported for missing doses of ART were forgetfulness (50.9%), too busy with other things (43.6%) and away from home (35.8%). This study showed that adherence to ART among the study population was poor. Forgetfulness, too busy with other things and being away from home were the most common reason for non-adherence. It is, therefore, recommended that; regular health education should be organised for HIV patients on ART on the importance of being adherent to their ART, regular assessment of adherence to ART should be carried out and a method of reminding patients who are non-adherent to ART on the need to take their ART as at when due should be considered as part of the routine services provided by ART centres.
2018 ASH guidelines for management of venous thromboembolism prophylaxis fo...Vinh Pham Nguyen
1. The guidelines provide 19 recommendations for preventing venous thromboembolism (VTE) in hospitalized and non-hospitalized medical patients and long-distance travelers.
2. Strong recommendations include providing pharmacological VTE prophylaxis to acutely or critically ill hospitalized patients at low bleeding risk, and using mechanical prophylaxis for those at high bleeding risk.
3. Conditional recommendations suggest not routinely using VTE prophylaxis for long-term care patients, outpatients with minor risk factors, or low-risk long-distance travelers. Prophylaxis may be considered for high-risk groups such as recent surgery or cancer patients.
PICOTIn hospitalized medsurg patients , does med reconciliatio.docxstilliegeorgiana
PICOT:
In hospitalized med/surg patients , does med reconciliation compliance compared to non-compliant medication reconciliation impact 30 day readmission rates?
During Unit 5, you will be working on the following unit outcomes:
· Identify levels of measurement in data collection instruments (CO 2)
· Discuss the implications of levels of measurement for statistical analysis (CO 2)
· Appraise the validity and reliability of data collection methods (CO 4)
· Examine data collection methods in published research studies (C
Here is some more information on variables...
The dependent variable is the variable a researcher is interested in. The changes to the dependent variable are what the researcher is trying to measure with all their fancy techniques. The variable that depends on other factors that are measured.
An independent variable is a variable believed to affect the dependent variable. This is the variable that you, the researcher, will manipulate to see if it makes the dependent variable change. The variable that is stable and unaffected by other variables you are trying to measure. It is the presumed cause.
According to Tappen (2016), the independent variables are defined as the variables that the researcher will manipulate to see if a change occurs in the dependent variables. The independent variable is the presumed cause of change. The dependent variables are what the researcher is attempting to measure.
WEEK 4
Ethical concerns in nursing research often do not have straight forward solutions. Nursing research relies on collaboration and partnerships based on mutual trust. When that trust is breached the damage is irreversible. Honesty, openness, respect and sensitivity to others provide the cornerstones for ethical research. It is important that all nursing research is undertaken from a clear ethical stance, with ethical concerns identified at the outset and reevaluated on an ongoing basis throughout the project.
Take a look at this video about ethical issues and human subjects (9:38)
https://www.youtube.com/watch?v=-O5gsF5oyls (Links to an external site.)
As nurses, our primary observations are of persons thus we need to think about how to ethically collect data from persons.
The National Research Act of 1974 established three ethical principles for research:
· Respect for persons
· Beneficence
· Justice
· Check out this video on Types of Sampling Methods ---
· https://www.youtube.com/watch?v=pTuj57uXWlk
Carmen,
· Probability sampling is the gold standard for ensuring generalizability, as it uses some form of random selection in choosing the sample units. The reason that this sample is called a probability sample is each sampling unit has a known chance (probability) that it will be selected (Houser, 2018). Nonprobability sampling does not use random selection so there is no known chance of being selected (Houser, 2018). Nonprobability samples are selected by nonrandom methods. They are often called convenience samples, as the sel ...
1) The study aimed to determine if using the AIDET communication tool by internal medicine residents and making follow-up phone calls after discharge improved patient satisfaction.
2) Data was collected on 630 patients over 8 months, with residents making follow-up calls within 3 days of discharge.
3) Patient satisfaction scores were higher in the first 3 months at 85.5% and last 2 months at 89.7% compared to the second 3 months at 73.2%, suggesting follow-up calls may improve satisfaction.
This document describes a study that surveyed anesthesiologists about their treatment practices for postoperative nausea and vomiting (PONV) in ambulatory patients. The survey found that:
1) When no prophylaxis is given, 67% of anesthesiologists would treat PONV with a 5-HT3 antagonist like ondansetron.
2) 65% would also use non-pharmacological interventions like IV fluids or oxygen.
3) Treatment choices change depending on the prophylaxis given - only 5% would redose metoclopramide or 3% would redose dexamethasone, but 26% would redose a 5-HT3 antagonist.
Retrospective Review of PONV Practice Patterns at a Large Academic Medical Ce...Alexis Rondon
This study retrospectively reviewed data from over 68,000 surgical procedures from 2010-2015 at a large academic medical center to analyze patterns of preventing postoperative nausea and vomiting (PONV). The review found that about half of patients received at least one preventative medication, but only 14.9% of high-risk patients received multiple medications. The study aims to identify opportunities to improve preventative care for PONV, especially among high-risk patients.
Daily drainage of pleural fluid via an indwelling pleural catheter led to a higher rate of autopleurodesis and faster time to catheter removal compared to every other day drainage in patients with malignant pleural effusions. The rate of autopleurodesis was 47% with daily drainage versus 24% with every other day drainage, and the median time to autopleurodesis was 54 days with daily drainage versus 90 days with every other day drainage. There was no significant difference in adverse event rates, quality of life, or patient satisfaction between the two drainage strategies.
Background: The transition from resident physician to independent practitioner is an important period for young physicians.Optimally, they would feel well prepared to independently care for all patients presenting to them for anesthesia, however, this is unlikely Methods: A survey was emailed to all accredited anesthesiology residency program coordinators in April 2018 for further distribution to their CA3 residents. The survey collected data on the resident’s perception of his or her preparedness to manage a variety of anesthesia cases, patients with comorbid conditions, and ethical issues as well as perform various procedures.
This study compared non-operative management (antibiotics only) to surgical management (appendectomy) for uncomplicated acute appendicitis in children. 102 children were enrolled and allowed to choose their treatment. At 1 year, the success rate of avoiding appendectomy with non-operative management was 75.7%, and children who received non-operative management had fewer disability days and lower healthcare costs compared to those who received surgery. Non-operative management is an effective treatment option for children with uncomplicated appendicitis that results in less morbidity and costs than surgery.
Evaluation of the Inpatient Hospital Experience while on PrecautionsKathryn Cannon
This study assessed patient satisfaction of those under contact/airborne isolation precautions versus those not under precautions at Yale-New Haven Hospital. 87 patients were interviewed using a survey measuring satisfaction with communication, treatment explanations, help from staff, pain control, and overall experience. Small variations were found between groups in nurse communication, timely help, pain control, and overall satisfaction. No significant difference was seen in doctor communication, but those under precautions expressed higher satisfaction with treatment explanations. The study aimed to understand differences to improve hospital processes and performance under new CMS reimbursement policies tied to patient satisfaction.
ISSN 2347-2251
It appears that you're describing the scope of a scientific journal. This journal covers a wide range of topics related to both Pharmaceutical Sciences and Biological Sciences of the scopus database journal.
Indo-American Journal of Pharma and Bio Sciences is an international, online, English-language journal that publishes articles on pharmaceutical and biological sciences of the ugc carelist journals.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
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MBC Support Group for Black Women – Insights in Genetic Testing.pdfbkling
Christina Spears, breast cancer genetic counselor at the Ohio State University Comprehensive Cancer Center, joined us for the MBC Support Group for Black Women to discuss the importance of genetic testing in communities of color and answer pressing questions.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Healthy Eating Habits:
Understanding Nutrition Labels: Teaches how to read and interpret food labels, focusing on serving sizes, calorie intake, and nutrients to limit or include.
Tips for Healthy Eating: Offers practical advice such as incorporating a variety of foods, practicing moderation, staying hydrated, and eating mindfully.
Benefits of Regular Exercise:
Physical Benefits: Discusses how exercise aids in weight management, muscle and bone health, cardiovascular health, and flexibility.
Mental Benefits: Explains the psychological advantages, including stress reduction, improved mood, and better sleep.
Tips for Staying Active:
Encourages consistency, variety in exercises, setting realistic goals, and finding enjoyable activities to maintain motivation.
Maintaining a Balanced Lifestyle:
Integrating Nutrition and Exercise: Suggests meal planning and incorporating physical activity into daily routines.
Monitoring Progress: Recommends tracking food intake and exercise, regular health check-ups, and provides tips for achieving balance, such as getting sufficient sleep, managing stress, and staying socially active.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.