Leading a busy life with multiple roles, medical consultants need to balance work with rest of the life. Here I discuss GTD principles and applying it to our lives
Portfolio Project - Simple yet versatile mobile friendly portfolio system for...MTD Lakshan
This document describes a portfolio project to create a home-brewed software solution for portfolio management. It aims to develop a minimum burden, reliable, accessible, simple, and multimedia capable portfolio system that is assessment ready and less technical. The system started development in 2010 using Drupal, an open source content management system. It allows data entry for a variety of portfolio elements such as academic qualifications, employment details, logbook entries, research publications, reflections, teaching, and professional commitments. The document demonstrates the mobile data entry features and discusses future plans to add offline data entry, mobile apps, integrated point calculation, categorization, accreditation, and usage data collection.
The document summarizes a study on improving connectivity for clinicians through a wireless infrastructure and mobile devices. It discusses bottlenecks observed for clinicians, results showing time savings from improved access to patient information and communication, and economic modeling showing the investment in wireless technology was cost effective. It concludes that putting individuals at the center of connected care through technology and process changes can improve outcomes when implemented as part of a larger healthcare reform program.
This document summarizes literature on the non-use of assistive technology devices. It defines non-use in various ways and identifies personal, device, environmental, and intervention-related factors that can influence non-use. Personal factors include the user's acceptance of disability and preferences for multiple devices. Device factors include quality, appearance, portability, and adaptability to individual needs. Environmental support from a user's social circle also impacts non-use. Intervention-related factors like involvement in device selection and follow-up support can increase retention and proper use. Strategies to address non-use include improving professional communication skills, recycling systems, and training programs.
Operations Research: Methods, Challenges, Emerging Lessons, and Opportunities...CORE Group
This document discusses operations research (OR) and provides guidance on choosing an OR concept and methodology. It recommends examining large problems in a small focused way and using evidence to scale up successful innovative ideas. When choosing an OR concept, consider how it could increase access to care and impact key health issues, and whether organizational learnings and experience can support the study. The appropriate methodology depends on the study topic and factors like data availability, technical support, and budget. External partners can help refine ideas, and field trips are valuable. Working through uncertainties around security, literacy, staffing, and gender issues is important. Afghanistan's use of mHealth technologies is mentioned.
mHealth and CHW Performance Improvement_LeshCORE Group
This document discusses how mobile health (mHealth) technologies can be used to improve community health worker (CHW) performance through data-driven management. It describes how mHealth platforms can collect various types of performance data from CHWs during service delivery visits, which can then be used by supervisors to provide targeted feedback and incentives to workers. The document also presents a maturity model for mHealth programs with five stages of development, from initial demonstration projects to fully scaled and sustained national programs.
This document discusses co-production in secure settings. It begins with definitions of co-production and how it can be both empowering but also threatening in high secure settings where risk management is a high priority. Examples of co-production are given, such as ward talking groups with no explicit rules. The potential benefits include reinforcing hope, improved understanding, and reducing violent incidents. The project methods involve interviews and focus groups with recovery-oriented staff across secure sites. Early results found that relational security relies on apprenticeship and organizations valuing social therapy see lower assaults and better engagement. The challenge is that organizations unable to co-produce with staff will struggle to facilitate co-production with consumers.
A user based approach to implementation of a maternity electronic health record. Presented by Debra Fenton, Counties Manukau Health, at HINZ 2014, 11 November 2014, 11.15am, Plenary Room 2
The document summarizes an interview with the Patient Care Director (PCD) at the Inova Joint Replacement Center who is responsible for communicating information from various sources to over 50 nursing staff members. The PCD faces challenges in ensuring all staff receive important information given their different schedules, education levels, and the large volume of information from multiple sources. Current communication strategies include staff meetings, a communication book, and safety huddles. Collaborative ideas proposed to improve communication include using email, an intranet page, shared document drives, and an internal blog for tips and resources.
Portfolio Project - Simple yet versatile mobile friendly portfolio system for...MTD Lakshan
This document describes a portfolio project to create a home-brewed software solution for portfolio management. It aims to develop a minimum burden, reliable, accessible, simple, and multimedia capable portfolio system that is assessment ready and less technical. The system started development in 2010 using Drupal, an open source content management system. It allows data entry for a variety of portfolio elements such as academic qualifications, employment details, logbook entries, research publications, reflections, teaching, and professional commitments. The document demonstrates the mobile data entry features and discusses future plans to add offline data entry, mobile apps, integrated point calculation, categorization, accreditation, and usage data collection.
The document summarizes a study on improving connectivity for clinicians through a wireless infrastructure and mobile devices. It discusses bottlenecks observed for clinicians, results showing time savings from improved access to patient information and communication, and economic modeling showing the investment in wireless technology was cost effective. It concludes that putting individuals at the center of connected care through technology and process changes can improve outcomes when implemented as part of a larger healthcare reform program.
This document summarizes literature on the non-use of assistive technology devices. It defines non-use in various ways and identifies personal, device, environmental, and intervention-related factors that can influence non-use. Personal factors include the user's acceptance of disability and preferences for multiple devices. Device factors include quality, appearance, portability, and adaptability to individual needs. Environmental support from a user's social circle also impacts non-use. Intervention-related factors like involvement in device selection and follow-up support can increase retention and proper use. Strategies to address non-use include improving professional communication skills, recycling systems, and training programs.
Operations Research: Methods, Challenges, Emerging Lessons, and Opportunities...CORE Group
This document discusses operations research (OR) and provides guidance on choosing an OR concept and methodology. It recommends examining large problems in a small focused way and using evidence to scale up successful innovative ideas. When choosing an OR concept, consider how it could increase access to care and impact key health issues, and whether organizational learnings and experience can support the study. The appropriate methodology depends on the study topic and factors like data availability, technical support, and budget. External partners can help refine ideas, and field trips are valuable. Working through uncertainties around security, literacy, staffing, and gender issues is important. Afghanistan's use of mHealth technologies is mentioned.
mHealth and CHW Performance Improvement_LeshCORE Group
This document discusses how mobile health (mHealth) technologies can be used to improve community health worker (CHW) performance through data-driven management. It describes how mHealth platforms can collect various types of performance data from CHWs during service delivery visits, which can then be used by supervisors to provide targeted feedback and incentives to workers. The document also presents a maturity model for mHealth programs with five stages of development, from initial demonstration projects to fully scaled and sustained national programs.
This document discusses co-production in secure settings. It begins with definitions of co-production and how it can be both empowering but also threatening in high secure settings where risk management is a high priority. Examples of co-production are given, such as ward talking groups with no explicit rules. The potential benefits include reinforcing hope, improved understanding, and reducing violent incidents. The project methods involve interviews and focus groups with recovery-oriented staff across secure sites. Early results found that relational security relies on apprenticeship and organizations valuing social therapy see lower assaults and better engagement. The challenge is that organizations unable to co-produce with staff will struggle to facilitate co-production with consumers.
A user based approach to implementation of a maternity electronic health record. Presented by Debra Fenton, Counties Manukau Health, at HINZ 2014, 11 November 2014, 11.15am, Plenary Room 2
The document summarizes an interview with the Patient Care Director (PCD) at the Inova Joint Replacement Center who is responsible for communicating information from various sources to over 50 nursing staff members. The PCD faces challenges in ensuring all staff receive important information given their different schedules, education levels, and the large volume of information from multiple sources. Current communication strategies include staff meetings, a communication book, and safety huddles. Collaborative ideas proposed to improve communication include using email, an intranet page, shared document drives, and an internal blog for tips and resources.
Quality improvement, disaster risk reduction, adult education, development, and public health all involve continuous cycles of various phases including planning, action, reflection, data collection, rehabilitation, relief, and more. The key is that the work does not end but rather continuously improves through ongoing cycles and community participation at various levels from local to national.
The document discusses an innovative vision for liaison services in an academic health sciences library. It outlines several areas for innovation, including technologies, services, collections, outreach/marketing, and relationships/collaboration. Some specific innovations proposed are utilizing tools like PubMed, developing subject-specific wikis and readers, building an integrated podcast/video repository, and maintaining visibility through various in-person and virtual channels to foster effective relationships and collaboration. The document emphasizes the importance of both innovative approaches and traditional in-person liaison services.
Dr Jennifer Dixon: Predictive models and risk adjustmentNuffield Trust
1) Predictive models are commonly used as case finding tools to identify at-risk patients and allocate healthcare resources.
2) Current work on a new resource allocation formula for England may increase interest in these predictive tools for broader applications.
3) Risk adjustment is necessary to standardize performance comparisons and ensure any differences are not due to factors outside an organization's control.
Enhancing Code Blue Performance with xAPIWatershed
Providing care to more than 500,000 patients each year, MedStar Health is the largest healthcare provider in the Washington, D.C./Maryland region. As an organization, they’re committed to providing the best care during emergency situations in which patients are in cardiopulmonary arrest (referred to as “Code Blues”).
During a Code Blue, the stakes are literally life and death—which is why it’s vital that MedStar resuscitation team members are well trained. Speed is vital in the seconds and minutes that follow a Code Blue, including the amounts of time for performing chest compressions and defibrillation and administering medications to a patient.
As a result, MedStar’s Code Blue training and learning resources have focused on improving clinician performance to reduce these times. However, MedStar didn’t have extensive information on the effectiveness of various training programs and learning resources.
Using Watershed and xAPI to aggregate and visualize data from multiple data sources, MedStar is now able to answer a range of questions about the usage and effectiveness of their training systems. They also have a better understanding of where they need to target their attention to improve performance. In particular, they can test the “chain of cause and effect” from training to simulations to final results.
David Haggstrom Slides from AHRQ Kick-Off EventShawnHoke
This document discusses colorectal cancer (CRC) screening guidelines and interventions to improve CRC screening rates. It outlines CRC screening tests and intervals recommended by guidelines. It also discusses competing clinical demands, barriers to electronic health records, and factors that facilitate or act as barriers to effective computer reminders and other practice interventions. Studies found that interventions incorporating computer reminders, feedback, and team-based approaches can improve CRC screening rates in practices.
Over nine years, the CRS-led AIDSRelief consortium delivered HIV care and treatment through local partners in ten countries with over $700 million in PEPFAR funding. The program strengthened local health systems by building organizational and technical capacity through ongoing assessments, training, and accompaniment. As a result, partners sustained quality patient services, managed sub-grants, and over 30,000 participants were trained. Upon completion, 14 local partners in 8 countries secured direct PEPFAR funding to continue managing the programs.
Brad Doebbeling Slides for AHRQ Kick-Off EventShawnHoke
This document provides an overview of a project aimed at improving the integration of clinical decision support (CDS) into outpatient clinical workflow for colorectal cancer screening. The project will identify best practices for CDS integration across four health systems, develop and test redesigned CDS alternatives through simulation, and implement and evaluate the redesigned CDS in primary care clinics. The goal is to create CDS designs that improve efficiency, usability and reduce workload for providers.
Heather Woodward Slides from AHRQ Kick-OffShawnHoke
This document outlines the implementation and evaluation plan for a revised clinical decision support (CDS) tool to improve colorectal cancer screening. The plan involves key informant interviews and observation to inform the tool's design. It will undergo rapid prototyping, simulation testing, and implementation in two primary care clinics. The impact will be evaluated based on efficiency, usability, and workload measures compared to existing tools in other clinics. Implementation teams will apply lean process methods like identifying barriers and testing future workflows to integrate the new CDS tool.
This document outlines a 3-phase study to develop and test alternatives to clinical decision support (CDS) systems for colorectal cancer screening in order to better integrate them into clinical workflows. Phase 1 involves identifying best practices through interviews and observations at 4 medical sites. Phase 2 develops prototype alternatives through rapid prototyping and tests them in a simulation study. Phase 3 implements the improved CDS in clinics for evaluation. The goal is to enhance efficiency, usability, and reduce workload for providers.
This document presents a literature review and proposed solution to implement mock code blue training programs at a rural hospital. The purpose is to determine if regular mock code training improves provider performance during actual code blue events, compared to no additional training between certification periods. The literature review found that simulation and mock code training generally increases participant skills, confidence, and team performance during codes. Several studies showed mock training led to better initial test scores and skill retention over 1 year, compared to traditional training alone. The proposed solution is to implement a structured mock code blue training program at the hospital to reinforce skills and maintain competency between certification periods. The program aims to improve patient outcomes and provider satisfaction.
Samuel Ethiopia
COO
DocSpera
The Institute’s Unleashing Innovation in Healthcare program is designed to identify and expose innovative technologies and processes to solving many of the complex challenges facing the U.S. healthcare system. This unique 7 minute presentation gives health IT startups the chance to showcase ground-breaking solutions and approaches to advance the effective use of healthcare technology. Areas of emphasis include solutions and processes that can reduce cost, improve quality and demonstrate the efficacy of healthcare technology with a specific focus on Triple Aim drivers.
The document outlines topics from Chapter 6 of a course, including similarities and differences between intervention planning for individuals and community programs, best practices for developing mission statements and effective teams, and issues related to program sustainability. It also provides examples and activities for developing SMART goals, vision and mission statements, and sustainability plans for a fall prevention program. Resources and considerations are presented for each step of the program development process.
This document outlines the topics and activities to be covered in Week 3 of a course on community health and health promotion program development. It will describe processes of environmental scanning, trend analysis, and the key steps of community health program development. Students will learn about needs assessments, theories in health promotion planning, goals and objectives, and the ecological approach. They will develop implementation strategies at different levels of intervention and learn the purposes of program evaluation. Readings, discussions, and activities are planned, including a scenario analyzing a sheltered workshop using SWOT analysis. Key terms and concepts are defined.
The document discusses implementing the Calderdale Framework to transform the workforce through skills-based competencies. The framework recognizes skills rather than jobs and allows for skill sharing and blurring of professional boundaries. It provides consistency, safety, efficiency and a flexible workforce while improving patient experience. Implementing the framework involves awareness raising, service analysis, task analysis, identifying competencies, supporting systems, training, and sustaining the changes. Risks are managed through standardized competencies, documentation, communication, feedback and supervision. The benefits meet quality, innovation, productivity and prevention agendas. It results in a competency-based workforce, consistency, flexibility, cultural changes and improved patient outcomes.
Jessica Gitchell has over 4 years of experience in clinical research. She has worked as a Clinical Research Support Specialist and Data Coordinator. She has experience in study execution, data management, document management, and ensuring compliance. She has created new procedures and tools to improve efficiency.
ARRA & EMR Usability: What Providers Need to KnowJeffery Belden
What if US healthcare providers dramatically adopted EMRs in increasing numbers, worked hard to achieve meaningful use, but never benefited financially or in efficiency or quality?
Meaningful use will be dependent on adequate EMR usability. Discover how usability relates to a number of meaningful use criteria. We offer a usability checklist to assist providers in shopping for a new EMR, or to use during implementation of an existing EMR, in order to achieve efficiency, effectiveness, and usefulness.
Presentation to HIMSS 2010 with co-presenter Janey Barnes PhD.
Brittany Hayes is an experienced student assistant seeking a position as a Process Technician. She has worked in fast-paced environments requiring strong organizational, technical, and interpersonal skills. She is currently pursuing an Associate's degree in Process Technology and has hands-on training in various process technologies. As a student assistant, she has streamlined services for over 200 students per month and mentored them. Previously she worked as a teacher, maintaining safety and providing emotional support for children.
Managing Upper airway problems in children for ENT / Paediatric / Anaesthetic...MTD Lakshan
Here I discuss approach to managing an obstructed upper airway of a child. Details about clinical assessment, investigations and management stratergies are outlined.
Quality improvement, disaster risk reduction, adult education, development, and public health all involve continuous cycles of various phases including planning, action, reflection, data collection, rehabilitation, relief, and more. The key is that the work does not end but rather continuously improves through ongoing cycles and community participation at various levels from local to national.
The document discusses an innovative vision for liaison services in an academic health sciences library. It outlines several areas for innovation, including technologies, services, collections, outreach/marketing, and relationships/collaboration. Some specific innovations proposed are utilizing tools like PubMed, developing subject-specific wikis and readers, building an integrated podcast/video repository, and maintaining visibility through various in-person and virtual channels to foster effective relationships and collaboration. The document emphasizes the importance of both innovative approaches and traditional in-person liaison services.
Dr Jennifer Dixon: Predictive models and risk adjustmentNuffield Trust
1) Predictive models are commonly used as case finding tools to identify at-risk patients and allocate healthcare resources.
2) Current work on a new resource allocation formula for England may increase interest in these predictive tools for broader applications.
3) Risk adjustment is necessary to standardize performance comparisons and ensure any differences are not due to factors outside an organization's control.
Enhancing Code Blue Performance with xAPIWatershed
Providing care to more than 500,000 patients each year, MedStar Health is the largest healthcare provider in the Washington, D.C./Maryland region. As an organization, they’re committed to providing the best care during emergency situations in which patients are in cardiopulmonary arrest (referred to as “Code Blues”).
During a Code Blue, the stakes are literally life and death—which is why it’s vital that MedStar resuscitation team members are well trained. Speed is vital in the seconds and minutes that follow a Code Blue, including the amounts of time for performing chest compressions and defibrillation and administering medications to a patient.
As a result, MedStar’s Code Blue training and learning resources have focused on improving clinician performance to reduce these times. However, MedStar didn’t have extensive information on the effectiveness of various training programs and learning resources.
Using Watershed and xAPI to aggregate and visualize data from multiple data sources, MedStar is now able to answer a range of questions about the usage and effectiveness of their training systems. They also have a better understanding of where they need to target their attention to improve performance. In particular, they can test the “chain of cause and effect” from training to simulations to final results.
David Haggstrom Slides from AHRQ Kick-Off EventShawnHoke
This document discusses colorectal cancer (CRC) screening guidelines and interventions to improve CRC screening rates. It outlines CRC screening tests and intervals recommended by guidelines. It also discusses competing clinical demands, barriers to electronic health records, and factors that facilitate or act as barriers to effective computer reminders and other practice interventions. Studies found that interventions incorporating computer reminders, feedback, and team-based approaches can improve CRC screening rates in practices.
Over nine years, the CRS-led AIDSRelief consortium delivered HIV care and treatment through local partners in ten countries with over $700 million in PEPFAR funding. The program strengthened local health systems by building organizational and technical capacity through ongoing assessments, training, and accompaniment. As a result, partners sustained quality patient services, managed sub-grants, and over 30,000 participants were trained. Upon completion, 14 local partners in 8 countries secured direct PEPFAR funding to continue managing the programs.
Brad Doebbeling Slides for AHRQ Kick-Off EventShawnHoke
This document provides an overview of a project aimed at improving the integration of clinical decision support (CDS) into outpatient clinical workflow for colorectal cancer screening. The project will identify best practices for CDS integration across four health systems, develop and test redesigned CDS alternatives through simulation, and implement and evaluate the redesigned CDS in primary care clinics. The goal is to create CDS designs that improve efficiency, usability and reduce workload for providers.
Heather Woodward Slides from AHRQ Kick-OffShawnHoke
This document outlines the implementation and evaluation plan for a revised clinical decision support (CDS) tool to improve colorectal cancer screening. The plan involves key informant interviews and observation to inform the tool's design. It will undergo rapid prototyping, simulation testing, and implementation in two primary care clinics. The impact will be evaluated based on efficiency, usability, and workload measures compared to existing tools in other clinics. Implementation teams will apply lean process methods like identifying barriers and testing future workflows to integrate the new CDS tool.
This document outlines a 3-phase study to develop and test alternatives to clinical decision support (CDS) systems for colorectal cancer screening in order to better integrate them into clinical workflows. Phase 1 involves identifying best practices through interviews and observations at 4 medical sites. Phase 2 develops prototype alternatives through rapid prototyping and tests them in a simulation study. Phase 3 implements the improved CDS in clinics for evaluation. The goal is to enhance efficiency, usability, and reduce workload for providers.
This document presents a literature review and proposed solution to implement mock code blue training programs at a rural hospital. The purpose is to determine if regular mock code training improves provider performance during actual code blue events, compared to no additional training between certification periods. The literature review found that simulation and mock code training generally increases participant skills, confidence, and team performance during codes. Several studies showed mock training led to better initial test scores and skill retention over 1 year, compared to traditional training alone. The proposed solution is to implement a structured mock code blue training program at the hospital to reinforce skills and maintain competency between certification periods. The program aims to improve patient outcomes and provider satisfaction.
Samuel Ethiopia
COO
DocSpera
The Institute’s Unleashing Innovation in Healthcare program is designed to identify and expose innovative technologies and processes to solving many of the complex challenges facing the U.S. healthcare system. This unique 7 minute presentation gives health IT startups the chance to showcase ground-breaking solutions and approaches to advance the effective use of healthcare technology. Areas of emphasis include solutions and processes that can reduce cost, improve quality and demonstrate the efficacy of healthcare technology with a specific focus on Triple Aim drivers.
The document outlines topics from Chapter 6 of a course, including similarities and differences between intervention planning for individuals and community programs, best practices for developing mission statements and effective teams, and issues related to program sustainability. It also provides examples and activities for developing SMART goals, vision and mission statements, and sustainability plans for a fall prevention program. Resources and considerations are presented for each step of the program development process.
This document outlines the topics and activities to be covered in Week 3 of a course on community health and health promotion program development. It will describe processes of environmental scanning, trend analysis, and the key steps of community health program development. Students will learn about needs assessments, theories in health promotion planning, goals and objectives, and the ecological approach. They will develop implementation strategies at different levels of intervention and learn the purposes of program evaluation. Readings, discussions, and activities are planned, including a scenario analyzing a sheltered workshop using SWOT analysis. Key terms and concepts are defined.
The document discusses implementing the Calderdale Framework to transform the workforce through skills-based competencies. The framework recognizes skills rather than jobs and allows for skill sharing and blurring of professional boundaries. It provides consistency, safety, efficiency and a flexible workforce while improving patient experience. Implementing the framework involves awareness raising, service analysis, task analysis, identifying competencies, supporting systems, training, and sustaining the changes. Risks are managed through standardized competencies, documentation, communication, feedback and supervision. The benefits meet quality, innovation, productivity and prevention agendas. It results in a competency-based workforce, consistency, flexibility, cultural changes and improved patient outcomes.
Jessica Gitchell has over 4 years of experience in clinical research. She has worked as a Clinical Research Support Specialist and Data Coordinator. She has experience in study execution, data management, document management, and ensuring compliance. She has created new procedures and tools to improve efficiency.
ARRA & EMR Usability: What Providers Need to KnowJeffery Belden
What if US healthcare providers dramatically adopted EMRs in increasing numbers, worked hard to achieve meaningful use, but never benefited financially or in efficiency or quality?
Meaningful use will be dependent on adequate EMR usability. Discover how usability relates to a number of meaningful use criteria. We offer a usability checklist to assist providers in shopping for a new EMR, or to use during implementation of an existing EMR, in order to achieve efficiency, effectiveness, and usefulness.
Presentation to HIMSS 2010 with co-presenter Janey Barnes PhD.
Brittany Hayes is an experienced student assistant seeking a position as a Process Technician. She has worked in fast-paced environments requiring strong organizational, technical, and interpersonal skills. She is currently pursuing an Associate's degree in Process Technology and has hands-on training in various process technologies. As a student assistant, she has streamlined services for over 200 students per month and mentored them. Previously she worked as a teacher, maintaining safety and providing emotional support for children.
Managing Upper airway problems in children for ENT / Paediatric / Anaesthetic...MTD Lakshan
Here I discuss approach to managing an obstructed upper airway of a child. Details about clinical assessment, investigations and management stratergies are outlined.
Here I discuss about the current management guidelines from British Thyroid Association and American Thyroid Association comparing those with the current practice in Sri Lanka
Recurrent Laryngeal Nerve and thyroid surgeryMTD Lakshan
This presentation discusses the recurrent laryngeal nerve (RLN) and its relevance to thyroid surgery. It covers the surgical anatomy of the RLN, including its origin, relationship to surrounding structures like the inferior thyroid artery, and anatomical variations. Risks of injury to the RLN during thyroid surgery are reviewed. The presentation emphasizes identifying the RLN to reduce risks of temporary or permanent paralysis, with identification allowing average permanent paralysis rates of 0.9% with localization only versus 0.1% with complete dissection. Factors like anatomical variations, branching patterns, scarring, and extent of disease must be considered during dissection to prevent mechanical, thermal, or severing injuries to the nerve.
Using information technology in medical professionalismMTD Lakshan
This document discusses using information technology in medical professionalism. It presents several case scenarios of using technology: a home-brewed portfolio system to track knowledge, skills, and attitudes; virtual multidisciplinary team meetings to overcome barriers like distance; and professional websites and social media presences guided by ethical standards. The objectives are to illustrate sensible technology uses beyond conventional internet applications and overcome challenges like geographical barriers through solutions like video conferencing and mobile apps for daily medical tasks.
This document discusses the surgical management of benign thyroid disease. It covers:
1) Evaluation of thyroid enlargement including clinical examination, FNAC, ultrasound, and TSH levels.
2) Surgical principles including pre-operative, per-operative, and post-operative care.
3) Surgical options for thyroid enlargement including lobectomy, isthmusectomy, and total thyroidectomy.
4) Potential complications of thyroid surgery including recurrent laryngeal nerve injury, hypocalcemia, and bleeding.
Vertigo is an illusion of movement that can be rotatory or postural. The clinical evaluation of patients with vertigo involves determining if they have true vertigo or other similar symptoms, identifying the type of vertigo, assessing precipitating and accompanying factors, and performing a neuro-otological examination. Common causes of vertigo include BPPV, vestibular migraine, Meniere's disease, and vestibular neuronitis. Management depends on correct diagnosis and may involve medications, repositioning maneuvers like the Epley maneuver for BPPV, or surgery.
This document discusses obstructive sleep apnea (OSA), including its prevalence, risk factors, clinical diagnosis, investigations, and management options. Some key points include:
- OSA is underdiagnosed, with 80-90% of cases estimated to be undiagnosed.
- The 3S criteria (snoring, sleepiness, witnessed apneas) can help with clinical diagnosis. Questionnaires like STOP-Bang are also useful.
- Polysomnography is needed to confirm diagnosis and determine severity based on apnea-hypopnea index (AHI).
- Management involves patient education, behavioral changes like weight loss, and treatments ranging from oral appliances to CPAP to sur
This document provides classifications in various areas of ENT, including head and neck cancer TNM staging, otology classifications like chronic otitis media and presbyacusis, rhinology classifications like nasal polyps and fungal sinusitis, head and neck benign classifications like tonsil size grading and pharyngeal pouch classification, paediatric ENT classifications like croup grading and hemifacial microsomia, and other miscellaneous ENT classifications. The classifications are used for staging diseases, making management decisions, predicting outcomes, monitoring progress, and comparing data.
Common ENT casualties / emergencies and management strategiesMTD Lakshan
This document provides an overview of common ENT emergencies and casualties that general practitioners may encounter. It discusses acute airway obstruction, otology issues like otitis externa and media, rhinologic emergencies including epistaxis, and various head and neck problems such as tonsillitis, peritonsillar abscess, and foreign bodies. Management strategies are outlined for these conditions. The document concludes with asking for feedback on the educational lecture via text message.
Post-operative care involves monitoring the patient's ABCDEs and vital signs. Oxygen therapy is usually provided until the anaesthetic dissipates. Specific considerations depend on the surgery and may involve drain monitoring, stoma care, or extensive physiotherapy. Pain assessment and management is fundamental, using tools like scales and working with a multi-disciplinary team using medication, positioning, and early mobilization. Mobility should begin within 24 hours to prevent complications while monitoring the patient's condition and risks.
This document lists the names of various scientists, physicians, and researchers in otolaryngology and identifies anatomical structures, surgical procedures, medical instruments, or other discoveries/contributions that are named after them. It includes scientists such as Frederich Bezold, Bartholomeus Eustachius, Theodor Bilroth, Prosper Meniere, Adam Politzer, and Eugene Bouchut among many others.
Septoplasty is a surgical procedure to correct a deviated nasal septum. It involves excising and reshaping cartilage and bone in the nasal septum to improve nasal breathing and airflow. Common indications for septoplasty include nasal obstruction, deviated septum, headaches from septal spurs, recurrent nosebleeds, and sinusitis associated with a deviated septum. The goals of septoplasty are to improve breathing through the nose and prevent sinus infections. Post-operative care involves monitoring for bleeding, maintaining nasal packs or splints, administering pain medications, and instructing the patient on follow-up care including avoiding strenuous activity and smoke during healing.
This document summarizes a patient's septoplasty procedure. It provides background on the patient's history and diagnosis of a deviated septum. It then describes the septoplasty surgery performed to correct the septal deviation, including related nursing interventions during admission, surgery, and post-operative care. Finally, it outlines health education provided to the patient on post-operative instructions and potential complications.
The document discusses the importance of preoperative assessment and preparation of patients prior to surgery. Key aspects of assessment include taking a thorough medical history, conducting a physical examination, evaluating nutritional status, ordering relevant investigations, and determining surgical risk. Important elements of preparation are obtaining informed consent, preventing cardiovascular and respiratory complications, reducing risk of aspiration, preparing the bowels if needed, and ensuring adequate sleep, skin preparation, catheterization and pre-medication when applicable. The goals are to identify risk factors, optimize the patient's health status, and reduce postoperative complications.
1. The document discusses classification and management of traumatic head injuries, including grading severity based on Glasgow Coma Scale and anatomical findings on CT scans.
2. Management involves stabilizing patients through the pre-hospital and hospital phases, monitoring intracranial pressure, and treating to prevent secondary brain injuries using medical and surgical methods like intubation, sedation, osmotherapy, and surgical evacuation of hematomas if needed.
3. The goal of management is to control factors that raise intracranial pressure like hypoxia, hypotension, and cerebral edema in order to maintain adequate cerebral perfusion pressure and optimize outcomes.
Otorhinolaryngology ( ENT ) Instruments for Final MBBS Part 1 Sauradeep Dey
This is a list of otorhinolatyngology ( ENT ) instruments and their uses, commonly asked as a part of Final MBBS Part 1 (3rd year) practical examination.
You can freely use this ppt. provided you give proper credits to the owner. Thanks.
The post operative period begins after surgery and focuses on enabling successful recovery. It aims to reduce mortality, length of stay, and costs through quality care. Patients are monitored in the PACU or SICU by nurses. They assess vitals, consciousness, bleeding, pain/anxiety and more to detect complications and ensure stability for discharge. The goal is safe transfer from intensive recovery phases to continued recovery in step-down units or at home with instructions.
Healthcare quality improvement for meaningful useSamantha Haas
The document discusses meaningful use of electronic health records and quality improvement processes for healthcare providers. Meaningful use involves using certified electronic health records to improve care quality, engage patients, improve care coordination, and maintain privacy. Providers must meet objectives across three stages related to clinical quality reporting. The quality improvement process involves defining aims, measuring baselines, analyzing processes, testing changes through PDSA cycles, and tracking results. Resources for meaningful use and quality improvement include the CMS website and regional extension centers.
Reducing Inefficency on the Obstetric ServiceRobert Knuppel
This document discusses the need to reduce inefficiencies in obstetric services through implementing process improvement methodologies from business, such as Lean Six Sigma. It notes that obstetrics deals with complex issues and rising costs/risks. Business process improvement approaches can help leadership initiate continuous improvements to patient experience and safety. Some key steps outlined include engaging management, improving communication, conducting structured brainstorming to identify waste/inefficiencies, creating visual maps of current processes, and ensuring reliable data collection to guide improvements. The goal is to standardize processes, reduce variation and waste, and ultimately enhance quality of care while lowering costs.
This document discusses redesigning the healthcare system and the role of computerized physician order entry (CPOE) in improving care delivery. It summarizes reports from the Institute of Medicine that found the current system is fragmented, lacks information sharing, and is not designed for chronic care management. The reports outlined 10 rules for redesign, including continuous healing relationships, customization based on patient needs/values, and transparency. Traditional CPOE focused on reducing medication errors but modern CPOE aims to integrate evidence-based order sets and clinical decision support tools to improve outcomes. The document examines problems with manual ordering and outlines how CPOE, when combined with workflow redesign and decision support, can help address issues like wasted time
This document outlines principles for improving patient safety through systems thinking and reliable design. It describes how human errors often stem from systemic issues rather than individual mistakes. Two case examples are presented where patients experienced harm due to miscommunications or lack of safeguards. The document discusses how reliability science focuses on anticipating and containing errors within complex systems. Checklists, standardized processes, and other tools can help reduce risks. Organizational culture and human factors also significantly impact safety. Continuous improvement models like PDCA and Lean are effective approaches to redesigning systems and workflows to prevent future harm.
The CDC Worksite Health ScoreCard is a 100-item tool to help employers assess the extent to which they have implemented evidence-based health promotion interventions at their worksites. It addresses domains like nutrition, physical activity, and chronic disease prevention. The tool was developed by the CDC in collaboration with experts and validated through field testing. Employers can use their scores on the tool to identify gaps and priorities for improving their worksite wellness programs over time. The CDC provides resources and technical assistance to help employers implement strategies suggested by their ScoreCard results.
How to Achieve Superior Performance Improvement by Integrating Constraints Ma...commonsenseLT
Dr. Bahadir Inozu, CEO, NOVACES, LLC (USA) @ TOCICO International Public Sector Effectiveness Conference 2013 Vilnius
- Focusing on everything is synonymous with not focusing on anything.
- Flow concept in public sector.
- Complementary features of Integration of best practices.
- Purpose, focus and application guidelines of Constraints Management, Lean and Six Sigma.
- Reaching operational excellence: systematic tools that turn any organisation into Best-In-Class one.
More information - http://pse.lt
Health Care Change Managent Student’s NameProfessor’s ShainaBoling829
Health Care Change Managent
Student’s Name
Professor’s Name
Date
Health care
the healthcare facility in which I work is called Upper Hill Care located in California. Some of the characteristic that make our c healthcare facility distinct from others are tied to our culture which is characterized by
Friendly communications
Respects for all people
Embracing diversity
Equality and
Prioritizing the needs of our clients
Readiness for change
Our organization is always prepared for changes such as outbreaks of pandemics that can lead to surges in number of patients in various ways such as:
Training of employees on working in stressful environment
Having extra care equipment's like beds, ventilators and others
Preparing for risks through insurance covers ("Preparing for change in your organization: A how-to guide," 2019)
Some factors that prepare our firm for changes include. Flexible, secure infrastructure
Data mastery
Digitally savvy, open talent networks
Ecosystem engagement
Intelligent workflows
Unified customer experience
Business model adaptability
Again, a digital maturity model is essential for any organization undergoing change – especially those undergoing digital transformation.
3
Current challenge and opportunity for change
Some of the current challenges facing our healthcare facility include
Lack of adequate trained nurses and doctors
Financial deficits
Increased employee turnover
Misappropriation of the firm resources
Increased burden of medical errors
Low wages
Little time to spend with clients (Shannon Barnet, Molly Gamble, Heather Punke, Emily Rappleye, Ellie Rizzo and Tamara Rosin, n.d.)
According to the CareerBuilder survey, the provider shortage is hitting every healthcare organization in the country — especially when it comes to nurses. Forty percent of healthcare workers responded that they felt challenged by work overload at their jobs; the number jumped to 48 percent when the pool was limited to only nurses. The survey also identified a key turnover issue in healthcare workers taking on additional responsibilities above their comfort level. The provider shortage means fewer staff members must divide a significant workload, pushing some employees to the brink of exhaustion and decreasing job satisfaction considerably.
4
orpptunities
Some of the orpptunities available for the firm include
Diversifying the health care services
Opening new branches in other towns
Outsourcing employees form hiring agencies
Increasing research and development
Smart contracts among others (Medal, n.d.)
Evidence based idea for change
The evidence based idea for change is available for conditions like
Asthma
Heart failures and
Diabetes
The changes in the healthcare is believed to have potential of
Transforming clients and healthcare workers behavior
Minimizing case of asthma, heart failure and diabetes
Create a more conducive working environment
Increase customers satisfaction ("evidence for evidence-based practice implementati ...
How CMOs Can Solve the Next Set of Hospital Challenges - Ian Maynard, Real Ti...marcus evans Network
Ian Maynard of Real Time Medical, a solution provider at the marcus evans National Healthcare CMO/CMIO Summit 2013, on setting up efficient patient diagnostic systems.
Interview with: Ian Maynard, Chief Executive Officer, Real Time Medical
This document discusses tools and methods that can be used to improve personal protective equipment (PPE) compliance, including the PDSA cycle, 5S's tool, STAR model, and communication/coaching. The "Do" step of the PDSA cycle involves testing changes in real-world settings. The 5S's tool involves sorting, straightening, shining, standardizing, and sustaining work environments. Both tools can help ensure the continued success of the PDSA cycle to improve PPE compliance. The STAR model focuses on separateness, talking, action, and reasons to work together to improve compliance.
Study of the Methods for Decision Making in the Monitoring and Control of Pro...IRJET Journal
This document discusses methods for decision making in monitoring and controlling production processes in Ecuadorian pharmaceutical industries. It conducted a survey of 16 pharmaceutical companies producing injectables and tablets. The survey aimed to understand the current situation regarding monitoring and control applied in production processes. It found that companies make decisions based on experience or spreadsheets, with few using computer tools. It proposed using a balanced scorecard and business architecture approach to organize information and processes to improve decision making, reduce risks, and increase productivity and profitability. The project aims to help pharmaceutical industries in Ecuador improve production monitoring and control for quality medicines.
The document discusses various methods for collecting and analyzing data to inform quality improvement projects. It describes process mapping to analyze current processes, brainstorming to generate ideas, surveys to understand stakeholder perspectives, audits to measure performance against standards, and cause and effect diagrams to identify root causes of problems. The goal of using these techniques is to thoroughly diagnose issues to identify opportunities for improving processes and outcomes.
APF Certified Professionals across globe share their thoughts around COIVD 19 and responses. This infographics also list about different responses PeopleOps function could take around COVID Impact.
gile PeopleOps manifesto was published in 2018 and since then more and more organizations across world are adopting it to bring "people" back into HR instead of considering humans as "resources" in organizations.
The document discusses various approaches to quality improvement in healthcare, including Six Sigma, Total Quality Management (TQM), and the FADE model. Six Sigma uses statistical methods and aims for near-zero defect rates. TQM takes a customer-focused approach to continuous process improvement through methods like scientific problem-solving and participation at all levels. The FADE model outlines five steps for quality improvement projects: focus, analyze, develop, execute, and evaluate. Microsystems thinking views individual care units as the building blocks for organizational outcomes.
This document discusses the importance of innovation in healthcare and strategies for embedding an innovation culture. It notes that 1 in 2 Australians have a chronic health condition and mental illness is a major cause of disability. Innovation is key to improving health outcomes and customer experience. Embedding innovation requires addressing organizational obstacles like lack of resources and political issues. Innovation is an adaptive challenge that requires cultural change through collaboration. The document recommends taking small steps to build momentum, using exploration frameworks, and moving innovation efforts from the inside out by building a holding environment and learning from prototypes and iterations.
This document provides an overview of quality improvement models and tools. It begins with an introduction to common quality improvement models including Plan-Do-Study-Act (PDSA), Total Quality Management, the Model for Improvement, Six Sigma, Lean, and Lean Six Sigma. It then discusses key founders and theories that helped establish the foundations of quality improvement such as Walter Shewhart, W. Edwards Deming, and Avedis Donabedian. The document focuses on explaining the PDSA model in detail and provides examples of how to apply it. It also introduces common quality improvement tools that can be used with the PDSA model including process mapping, metrics, data analysis and display. The goal of quality improvement is
SAFE 1 - Introducing Quality Improvement - a presentation.pptxJABEED P
This document provides an introduction to quality improvement methods. It discusses key quality domains, defines quality improvement, and outlines some common QI tools like the Model for Improvement, PDSA cycles, driver diagrams, and stakeholder maps. Deming's profound knowledge theory emphasizes systems thinking, variation, psychology, and knowledge theory in quality improvement work. The document advocates applying these methods to assess and enhance microsystems of care delivery.
Running head: ANALYSIS PAPER 1
ANALYSIS PAPER 2
Analysis Paper
Krista Kim
Rasmussen College
Author Note
This paper is being submitted on January 21st, 2018, for Kim Sanders’s H490/HSA4922 Section 01 Healthcare Management Capstone - Online Plus - 2018 Winter Quarter
Analysis Paper
Based on the results of the SWOT analysis, what should Barbara recommend as an overall strategy?
From the SWOT analysis, the overall strategy that Barbara should recommend is a system that is capable of meeting the needs of the healthcare facility effectively and efficiently. The strategy focuses on having systems that are fast to allow for easy processing of information and offer quality support to the patients. It should also have a high level of functionality to allow for the normalizing, analyzing, access and the storage of the entire patient's data and saving it for easy retrieving in the future. The system should also be user-friendly so that the professionals and the staff using it can be in a position to easily maneuver in the process of care delivery. The other component of the system that the company should consider is that it should have a wide range of features to enhance maximum utilization and the ease of data access by the patients and physicians. Finally, the medical professionals should also be trained on how to use the system upon implementation.
How will the selection of the chosen EHR system contribute to the strategy? Further explain why it was the best choice.
One of the ways in which the selection of eClinical works EHR will contribute to strategy is that it is the ability to maintain highly organized data; it’s fast and also has amazing features. The EHR system adapted for use in the organization should be in a position to increase effectiveness, efficiency, achieve quality in the delivery of care and also enhance the patient’s outcomes (Sinha et al., 2013). Due to its organization, the system will make it easy for the health care professionals to retrieve the patients’ information while at the same time ensuring security to prevent access of the patient information by unauthorized persons. The e-Clinical works will also contribute to the strategy because it offers low and affordable prices and has low maintenance costs and this aids in the reduction of the costs that the healthcare facilities incur in the maintenance. The other way in which the system will contribute to the strategy is that it has a wide scope of features which make it easy for the patients and the physicians to login into their portals and interact with each other.
On what basis should she develop actions items? What should the action items be, as they directly relate to the strategy?
The action items should be developed based on their importance in m ...
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DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
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5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
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4. Why we need a system
Multiple Roles
Clinicians
Researchers
Educators
Managers
Entrepreneurs
GMP – 2013
Knowledge, skills and
performance
Safety and quality
Communication, partners
hip and teamwork
Maintaining trust
6. “Much of the stress that people feel doesn't come from
having too much to do. It comes from not finishing what
they've started.”
― David Allen
7.
8. How do you do it?
Disclaimer
Hambantota
2 Fellowships by exams FRCSEd, FEBORL-HNS
High Volume of National Level Presentations and Faculty – 8 in last 12
months
College of ORLHNS Council Work
Research Committee Chairman
Ruhunu Shrawana Kawaya – Voluntary Organization with Satellite Clinic
Program
21 documented projects – Virtual MDT, SARA