Outcome research examines the end results of health services on individuals in order to provide scientific evidence to inform healthcare decisions. It helps people make informed healthcare choices and improves delivery and outcomes by producing evidence-guided research. While outcome research groups like AHRQ and PCORI improve patient care and outcomes, outcome research relies on funding, so less common illnesses or those in developing countries may be understudied. Overall, outcome research can significantly impact healthcare policies by using evidence to guide decisions.
Care coordination synchronizes the delivery of a patient’s health care from multiple providers and specialists. The goals of coordinated care are to improve health outcomes by ensuring that care from disparate providers is not delivered in silos, and to help reduce health care costs by eliminating redundant tests and procedures.
Healthcare in the United States has become very fragmented, expensive and disjointed. Over the course of a hospitalization, a patient may be transferred from one unit to another, sometimes spending as much as 5 different units in a 3 day stay. This has led to many hand-off reports, and increased the potential for mistakes, improper communication, and patient deaths.
Partnership in this context is defined as a relationship between individuals or groups that is characterized by mutual cooperation and responsibility, as for the achievement of a specified goal (The American Heritage Dictionary, 2006). Partnership ensures that each member is equal and brings something important to the table. The Partnership Care Delivery Model (PCDM) ensures that the patient is an integral part of the healthcare team, and their experiences, contributions, advice, and influence is needed and valued.
Tom Deblanco: maximising patient engagementNuffield Trust
Tom Delbanco, MD, MACP and Koplow–Tullis, Professor of Medicine, Harvard Medical School present on maximising patient engagement through health information technology.
A mobile health application called "CareGoggles" for locating affordable healthcare options for the rehabilitation population in Newark. CareGoggles will improve primary care access and health outcomes, thereby empowering patients to become better stewards of their own health.
Health Literacy Through Testing aims to improve health literacy and the patient-doctor relationship through testing of health literacy in the waiting room. The test will provide a snapshot of a patient's problem areas to improve education and compliance, as well as provide invaluable data regarding health literacy.
Care coordination synchronizes the delivery of a patient’s health care from multiple providers and specialists. The goals of coordinated care are to improve health outcomes by ensuring that care from disparate providers is not delivered in silos, and to help reduce health care costs by eliminating redundant tests and procedures.
Healthcare in the United States has become very fragmented, expensive and disjointed. Over the course of a hospitalization, a patient may be transferred from one unit to another, sometimes spending as much as 5 different units in a 3 day stay. This has led to many hand-off reports, and increased the potential for mistakes, improper communication, and patient deaths.
Partnership in this context is defined as a relationship between individuals or groups that is characterized by mutual cooperation and responsibility, as for the achievement of a specified goal (The American Heritage Dictionary, 2006). Partnership ensures that each member is equal and brings something important to the table. The Partnership Care Delivery Model (PCDM) ensures that the patient is an integral part of the healthcare team, and their experiences, contributions, advice, and influence is needed and valued.
Tom Deblanco: maximising patient engagementNuffield Trust
Tom Delbanco, MD, MACP and Koplow–Tullis, Professor of Medicine, Harvard Medical School present on maximising patient engagement through health information technology.
A mobile health application called "CareGoggles" for locating affordable healthcare options for the rehabilitation population in Newark. CareGoggles will improve primary care access and health outcomes, thereby empowering patients to become better stewards of their own health.
Health Literacy Through Testing aims to improve health literacy and the patient-doctor relationship through testing of health literacy in the waiting room. The test will provide a snapshot of a patient's problem areas to improve education and compliance, as well as provide invaluable data regarding health literacy.
Presentation by Caroline Walshe on Memory Assessment and Support Clinic - presented at the Nursing Showcase in 2016 at St Mary's Campus, Phoenix Park, Dublin
Copernicus, Copernicus incentivizes diabetic patients in under-served populations to actively engage in their diabetes management through an mobile platform that provides notification, media content and reward incentives for disease tracking, medication adherence, improved health literacy and communication with providers. Users receive points by employing clinically proven health-promoting habits, which can be verified by their health care provider, which can be cashed out for gift cards.
Soraya Ghebleh - Variation in Healthcare DeliverySoraya Ghebleh
This is a presentation by Soraya Ghebleh that discusses some of the main points in unwarranted variation in healthcare and strategies that can potentially reduce it.
OCHWW @ BIO: The Bio Pharma Forum on ERx and EHROgilvy Health
Advancements in electronic health records (EHRs) have reached a critical mass. They provided consumers and physicians the platforms to help patients better afford and comply with their medicationsand healthcare products, while offering pharmaceutical and healthcare companies effective ways to expand patient awareness, access, and adherence to their medications. Find out what our experts found to be the most impactful takeaways to become a savvy brand that uses EHRs to reach our targeted audiences.
Soraya Ghebleh - Unwarranted Variation in HealthcareSoraya Ghebleh
This is a short paper by Soraya Ghebleh that discusses the causes of unwarranted variation in healthcare delivery and potential strategies to reduce these unwarranted variations.
Validity and bias in epidemiological studyAbhijit Das
Validity and bias are essential aspects of any research—a brief description of internal and external validity and different types of bias related to the epidemiological study.
Presentation by Caroline Walshe on Memory Assessment and Support Clinic - presented at the Nursing Showcase in 2016 at St Mary's Campus, Phoenix Park, Dublin
Copernicus, Copernicus incentivizes diabetic patients in under-served populations to actively engage in their diabetes management through an mobile platform that provides notification, media content and reward incentives for disease tracking, medication adherence, improved health literacy and communication with providers. Users receive points by employing clinically proven health-promoting habits, which can be verified by their health care provider, which can be cashed out for gift cards.
Soraya Ghebleh - Variation in Healthcare DeliverySoraya Ghebleh
This is a presentation by Soraya Ghebleh that discusses some of the main points in unwarranted variation in healthcare and strategies that can potentially reduce it.
OCHWW @ BIO: The Bio Pharma Forum on ERx and EHROgilvy Health
Advancements in electronic health records (EHRs) have reached a critical mass. They provided consumers and physicians the platforms to help patients better afford and comply with their medicationsand healthcare products, while offering pharmaceutical and healthcare companies effective ways to expand patient awareness, access, and adherence to their medications. Find out what our experts found to be the most impactful takeaways to become a savvy brand that uses EHRs to reach our targeted audiences.
Soraya Ghebleh - Unwarranted Variation in HealthcareSoraya Ghebleh
This is a short paper by Soraya Ghebleh that discusses the causes of unwarranted variation in healthcare delivery and potential strategies to reduce these unwarranted variations.
Validity and bias in epidemiological studyAbhijit Das
Validity and bias are essential aspects of any research—a brief description of internal and external validity and different types of bias related to the epidemiological study.
Slide presentation for the June 4, 2014 joint PCORI/ National Institute on Aging (NIA) of the National Institutes of Health webinar. This webinar announced the selection of the research team that will carry out a major, five-year, $30 million patient-centered study of the effectiveness of individually tailored care plans to help older individuals avoid falls and related injuries.
The value off engaging patients in researchSimon Denegri
This is a talk I gave at the Council of Academic Hospitals of Ontario (CAHO) 'Healthier Wealthier, Smarter' conference in Toronto on 1st June 2015. Do visit their new website: http://caho-hospitals.com/
Patients' satisfaction towards doctors treatmentmustafa farooqi
The mood of the care recipient to see if the impression (expectations) of service are met by the patient may be defined as patient satisfaction. The current perspective on service efficiency tends to be that patient treatment meets public standards and requirements in terms of interpersonal support as well as professional assistance. (Hardy et al. 1996). For various reasons, customer satisfactions in the healthcare industry have been investigated. First it was important to decide on the extent and the degree to which patient care seekers, the meeting of drugs criteria and the continuous use of these services have effect, satisfaction as a quality of service metric, as well as allowing doctors and health services to better appreciate and use the input of the patient. (Ong et al. 2000). Consumer satisfaction with healthcare services is a multi-panel term that refers to the core facets of treatment and suppliers, while PS medical services with the quality enhancement systems from the patient context, full control of quality and the intended outcomes of services are considered to be of primary importance (Janicijevic et al. 2013). The Pakistani health system is being changed somewhat and there are wonderful scope for applying standard of services to health care. Patients in Pakistan now have access to increased quality health care. Obviously, the staff and staff are the most important winners of a successful health care environment of every community sector framework (Bakari et al. 2019). The medical clinic of today's study is the product of a long and complicated war of civilization to quantify produce and study and to give thought to the thoughtful (Fullman et al. 2017).
Patients' satisfaction towards doctors treatmentmustafa farooqi
The mood of the care recipient to see if the impression (expectations) of service are met by the patient may be defined as patient satisfaction. The current perspective on service efficiency tends to be that patient treatment meets public standards and requirements in terms of interpersonal support as well as professional assistance. (Hardy et al. 1996).
For various reasons, customer satisfactions in the healthcare industry have been investigated. First it was important to decide on the extent and the degree to which patient care seekers, the meeting of drugs criteria and the continuous use of these services have effect, satisfaction as a quality of service metric, as well as allowing doctors and health services to better appreciate and use the input of the patient. (Ong et al. 2000).
Consumer satisfaction with healthcare services is a multi-panel term that refers to the core facets of treatment and suppliers, while PS medical services with the quality enhancement systems from the patient context, full control of quality and the intended outcomes of services are considered to be of primary importance (Janicijevic et al. 2013).
The Pakistani health system is being changed somewhat and there are wonderful scope for applying standard of services to health care. Patients in Pakistan now have access to increased quality health care. Obviously, the staff and staff are the most important winners of a successful health care environment of every community sector framework (Bakari et al. 2019).
The medical clinic of today's study is the product of a long and complicated war of civilization to quantify produce and study and to give thought to the thoughtful (Fullman et al. 2017).
2016 16th population health colloquium: summary of proceedings Innovations2Solutions
This paper will discuss the four key ideas discussed at the Colloquium that will have important ramifications as healthcare organizations seek to implement population health strategies:
1. understanding and alleviating Patient fear is Key to Patient experience
2. the Case for a new Population Health Protection agenda as a means to drive down Healthcare Costs
3. using data and technology to improve Healthcare for older adults
4. engage Consumers in Wellness-based Population Health and thrive financially
Factors associated to adherence to DR-TB treatment in Georgia, Policy Brief (...Ina Charkviani
Tuberculosis (TB) is a widely spread disease globally that causes millions of people’s death worldwide. Treatment for TB is complex and usually involves taking several antibiotics at once for a long time (sometimes up to two years). Considering the severity of the treatment regimen, it becomes hard for the patients to adhere and complete proposed treatment and particularly for those who are infected with drug-resistant strain of TB. Poor adherence to treatment remains significant problem that prevents countries from obtaining high treatment success rates that is essential for health systems to control the epidemic and decrease spread of the disease. A new study from Georgia looks at adherence to treatment factors among drug resistant TB (DR-TB) patients and provides evidence that may help policy-makers develop effective strategies for improving treatment outcomes among DR-TB patients. The study findings might be helpful for other countries in the region where TB burden is also high.
113DNP Prospectus Comment by Cynthia Fletcher Th.docxherminaprocter
1
13
DNP Prospectus Comment by Cynthia Fletcher: This is a good beginning Ann Marie. There are many areas that we will discuss at our meeting to improve clarity and congruence with a DNP Project.
Educating Inpatient Nurses to use Standardized Care Plans
Anne Marie Wouapet
Doctor of Nursing Practice – Nursing Informatics
A00505587
Prospectus: Educating Inpatient Nurses to use Standardized Care Plans
Problem Statement
Standardized care plans can be described as the pre-determined menu of interventions which are used for different patient situations (Monsen, Swenson & Kerr, 2016). Evidence-based care is the conscientious use of the most recent evidence to make decisions on the care of individual patients or in the delivery of health care services (Murdaugh, Parsons & Pender, 2018). The current best evidence is the most recent information which has been obtained from valid and relevant research about the effects of different types of healthcare, the accuracy of diagnostic tests, the potential for harm from exposure to different agents, or predictive power of prognostic factor (Schmidt & Brown, 2017). Standardized care plans form the main basis for the implementation of evidence-based care directly in practice and for the improvement of patient outcomes (Nussbaum et al., 2015; Yehuda & Hoge, 2016). A health care facility recently transitioned to the use of a new and better electronic health record system. The facility also purchased standardized care plans to increase efficiency in their operations. However, the compliance with using the standardized care plans was only 40 percent among the inpatient nurses. Comment by Cynthia Fletcher: ?Comment by Cynthia Fletcher: Questionable purpose.Comment by Cynthia Fletcher: Was it different for those who were not inpatient nurses?
Accordingly, the facility recently had a visit from the Joint Commission on Accreditation of Healthcare Organizations and received a negative rating because the nurses were not adding care plans based on the patients' primary problem or diagnosis in the patients' charts upon admission. This presents several specific problems in the healthcare facility. There is poor compliance from the nurses concerning the addition of standardized care plans to the charts of patients based on their diagnosis or primary problem(s). The system which the facility invested in was not being used for the improvement of patient outcomes and quality of care delivered. The focus of this project is the failure of inpatient nurses to make use of standardized care plans. The gap in nursing is the failure of delivery of evidence-based practice using the standardized care plans which result in poor patient outcomes and quality of life. One of the areas of knowledge that has not yet been explored is the cause of low rates of adoption of standardized care plans by nurses. Another gap is the lack of studies on nurses’ perception of the standardized care plans and how they affect their use in .
Cihr guest presentation and webinar afternoon talk - january 2014Simon Denegri
Presentation on public involvement and engagement in health research: why, how and what next? Given to the staff of the Canadian Institutes for Health Research (CIHR), Ottawa, Canada, 2014
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
2. What is Outcome Research?
According to Schmidt, Outcome Research is...
“Examines the end results of health services on individuals
and is intended to provide scientific evidence relating to
decisions made by all who participate in health care.
Schmidt, N. (2015). Evidence-Based Practice for Nurses (3rd ed.).
3. https://www.pcori.org/research-
results-home
PCORI helps people make informed healthcare
decisions, and improves healthcare delivery and
outcomes, by producing and promoting high-integrity,
evidence-based information that comes from research
guided by patients, caregivers, and the broader
healthcare community.
Different types of outcome research groups
https://www.ahrq.gov/
AHRQ invests in research and evidence to make health
care safer and improve quality
Both of these research groups share similar goals and outcomes, in that they strive to
promote research that betters patient care and outcomes. Each on provide some
different outlooks. In the case of the AHRQ they provide education and teaching for
example as for PCORI, they stress on participating and how to help fund important
research.
4. Key outcome researches
● Overall the use of outcome research is an important cog
in helping lead the way on effective care. Some examples
of the use of outcome research could greatly change the
way we provide health care...
○ Basic Patient Education on Health
■ The reason I believe that research in providing more education to patients is that they are the center of their
care. Information in power and the more information they have the better they can work with healthcare providers in
getting the best patient outcomes and preventing any adverse events. The key is finding effective outlets in
getting not only the information out to the public but able to adequately teach them.
○ Healthcare Burnout
■ Working in the healthcare industry can be very taxing and often times healthcare members can oftentimes burnout or
become desensitized with their care. Research on how to best provide support to healthcare members and prevent the
point of burnout can help insure better patient outcomes.
○ Risk Benefits of Hospitalization
■ Some parts of the populations try and use the hospital particularly the ER as a Primary Provider. The problem with
this is the lack of consistency that would be provided with a Primary Physician. Another problem with using the
hospital as a PCP is that although needed hospitals are only necessary if needed and can sometimes cause detriments
with patients, such as poor care or transfer of infection. Also at times hospitals and ERs go through internal
disasters when major patient influx occurs when many of the patients may not need emergency services.
5. The Negative aspects of outcome research
● One major negative of using outcome research is that it
is reliant on funding as evident by the two examples of
research institutions. With that being said some less
than desirable researches may be drowned out due to the
low demand...
○ Third World Countries
■ Some of the major problems that affect some less than developed
countries may not take importance due to the lack of funding.
○ Illnesses Affecting Smaller Population
■ Due to the low number of cases the need for funds and research
may not be enough to pursue. Some of this research relies on
having substantial effects and having such a small population may
not seem as important to the public.
6. Final Thoughts
I believe that the use of Outcome Research can have a large
effect on how we progress in our healthcare policies. The use
of research to dictate policies has been a very effective
tool and can give a more scientific approach in health.
Having different institutions that accept funds and grants is
a great way of getting the public involved and feeling like
it is assisting in improving out healthcare.