Pubmed Healthwork Set

PMID- 29763131
STAT- Publisher
CTDT- 20201017
PB - StatPearls Publishing
DP - 2020 Jan
TI - Medical Error Prevention.
BTI - StatPearls
AB - Medical errors are a serious public health problem and a leading cause of
death in
the United States. It is challenging to uncover a consistent cause of errors
and,
even if found, to provide a consistent viable solution that minimizes the
chances of
a recurrent event. By recognizing untoward events occur, learning from them,
and
working toward preventing them, patient safety can be improved. Part of the
solution is to maintain a culture that works toward recognizing safety
challenges
and implementing viable solutions rather than harboring a culture of blame,
shame,
and punishment. Healthcare organizations need to establish a culture of
safety that
focuses on system improvement by viewing medical errors as challenges that
must be
overcome. All individuals on the healthcare team must play a role in making
the
provision of healthcare safer for patients and healthcare workers.
All providers
know medical errors create a serious public health problem that poses a
substantial
threat to patient safety. Yet, one of the most challenging unanswered
questions is
"What constitutes a medical error?" The answer to this basic question has not
been
clearly established. Due to unclear definitions, “medical errors” are
difficult to
scientifically measure. A lack of standardized nomenclature and overlapping
definitions of medical errors has hindered data analysis, synthesis, and
evaluation.
There are two major types of errors: 1. Errors of omission occur as a result
of
actions not taken. Examples are not strapping a patient into a wheelchair or
not
stabilizing a gurney prior to patient transfer. 2. Errors of the commission
occur as
a result of the wrong action taken. Examples include administering a
medication to
which a patient has a known allergy or not labeling a laboratory specimen
that is
subsequently ascribed to the wrong patient. Health care
professionals experience
profound psychological effects such as anger, guilt, inadequacy, depression,
and
suicide due to real or perceived errors. The threat of impending legal action
may
compound these feelings. This can also lead to a loss of clinical confidence.
Clinicians equate errors with failure, with a breach of public trust, and
with
harming patients despite their mandate to “first do no harm.” Fear of
punishment
makes healthcare professionals reluctant to report errors. While they fear
for
patients’ safety, they also dread disciplinary action, including the fear of
losing
their jobs if they report an incident. Unfortunately, failing to report
contributes
to the likelihood of serious patient harm. Many healthcare institutions have
rigid
policies in place that also create an adversarial environment. This can
cause staff
to hesitate to report an error, minimize the problem, or even fail to
document the
issue. These actions or lack thereof can contribute to an evolving cycle of
medical
errors. When these errors come to light, they can tarnish the reputation of
the
healthcare institution and the workers. Some experts hold that the term
“error” is
excessively negative, antagonistic and perpetuates a culture of blame. A
professional whose confidence and morale has been damaged as a result of an
error
may work less effectively and may abandon a career in medicine. Many experts
suggest
the term “error” should not be used at all. Due to the negative connotation,
it is
prudent to limit the use of the term “error” when documenting in the public
medical
record. However, adverse patient outcomes may occur because of errors; to
delete the
term obscures the goal of preventing and managing its causes and effects.
Errors,
no matter the nomenclature, typically occur from the convergence of multiple
contributing factors. Public and legislative intolerance for medical errors
typically illustrates a lack of understanding that some errors may not, in
fact, be
preventable with current technology or the resources available to the
practitioner.
Human factors are always a problem, and identifying errors permits
improvement
strategies to be undertaken. In particular, blaming or punishing individuals
for
errors due to systemic causes does not address the causes nor prevent a
repetition
of the error. The trend is for patient safety experts to focus on improving
the
safety of health care systems to reduce the probability of errors and
mitigate their
effects rather than focus on an individual’s actions. Errors represent an
opportunity for constructive changes and improved education in health care
delivery.
Governmental, legal, and medical institutions must work collaboratively to
remove
the culture of blame while retaining accountability. When this challenge is
met,
health care institutions will not be constrained from measuring targets for
process
improvement, including all errors, even with adverse outcomes. Healthcare
providers
want to improve outcomes while reducing the risk of patient harm. Despite
provider
best efforts, medical error rates remain high with significant disability and
death.
Preventable medical errors contribute substantially to healthcare costs,
including
higher health insurance costs per person expenses. Only by health
professionals
working together will the cost and injury associated with medical errors be
mitigated. The Joint Commission Patient Safety Goals The Joint Commission has
introduced several patient safety goals to assist institutions and healthcare
practitioners in creating a safer practice environment for patients and

providers.
The Joint Commission Goals include: Identify patient safety dangers and
risks.
Identify patients correctly by confirming the identity in at least two ways.
Improve
communication such as getting test results to the correct person quickly.
Prevent
infection by hand-cleaning, post-op infection antibiotics, catheter changes,
and
central line precautions. Prevent mistakes in surgery by making sure the
correct
surgery is done on the correct body part; pause before surgery to double-
check. Use
device alarms and make sure that alarms on medical equipment are heard and
checked
quickly. Use medications correctly and safely, double-checking labeling and
correctly passing on patient medicines to the next provider. Label all
medications,
even those in a syringe. This should preferably be done in the area where the
medications are prepared. Take extra time with patients who have been
prescribed
anticoagulants and chemotherapeutic agents. To prevent nosocomial infections,
hand
washing should be routine before and after visiting each patient.
Accountability
While it is true that individual providers should be held accountable for
their
decisions, there is a growing realization that the majority of errors are out
of the
clinician's control. This being said, it remains difficult to change a
culture of
non-reporting. Questions to consider include: The potential for errors in
healthcare
is very high. Due to cost control measures, are individuals accountable, or
are
increased workload and staff fatigue the reason for errors? Why report?
Failure to
report errors may subject clinicians to disciplinary action and increased
risk for
legal liability. Beneficence and nonmaleficence are ethical concepts that are
violated when an error is not reported. Practitioners often fear they will
gain a
reputation for committing mistakes and may not self-report. They know that
mistakes
and written warnings are often recorded in personnel files. Does the system
need
modification to decrease the penalty and encourage reporting? Punishment may,
in
fact, reduce reporting errors because of the discipline and humiliation that
is
associated with repeated errors. Nevertheless, not addressing the problem
increases the potential for more adverse events which places more patients at
risk.
Rather than placing blame, administrators and review boards need to move
toward
eliminating the blame-shame-discipline structure and move toward a prevention
and
education structure. This culture incorporates both learning and improvement
efforts
that target system redesign and a reporting culture whereby all providers
feel safe
from retribution and, therefore, report issues about safety that help to
constantly
improve patient care and improve the safety of the system. Definitions
Patient
safety has typically been outcome-dependent and the focus has been on
preventing
patients from experiencing adverse outcomes when receiving medical care. This
may
stem from Hippocrates, primum no nocere, or “First, do no harm.” While
definitions
in the literature are unclear, some general concepts can be garnered.
Multiple
similar definitions are available for each of these terms from various
sources; the
health practitioner should be aware of the general principles and probable
meaning.
Active Error: Active errors are those taking place between a person and an
aspect of
a larger system at the point of contact. Active errors are made by people on
the
front line such as clinicians and nurses. For example, operating on the wrong
eye or
amputating the wrong leg are classic examples of an active error. Adverse
Event An
adverse event is a type of injury that most frequently is due to an error in
medical
or surgical treatment rather than the underlying medical condition of the
patient.
Adverse events may be preventable when there is a failure to follow accepted
practice at a system or individual level. Not all adverse outcomes are the
result of
an error; hence, only preventable adverse events are attributed to medical
error.
Adverse events can include unintended injury, prolonged hospitalization, or
physical
disability that results from medical or surgical patient management. Adverse
events
can also include complications resulting from prolonged hospitalization or by
factors inherent in the healthcare system. Latent Error: These are errors in
system
or process design, faulty installation or maintenance of equipment, or
ineffective
organizational structure. These are present but may go unnoticed for a long
time
with no ill effect. When a latent error occurs in combination with an active
human
error, some type of event manifests in the patient. The active human error
triggers
the hidden latent error, resulting in an adverse event. Latent errors are
basically
"accidents waiting to happen." A classic example is a hospital with several
types of
chest drainage sets, all requiring different connections and setups, yet not
all
frontline clinicians and nurses are familiar with the intricacies of
each setup,
creating the scenario for potential error. Medical Error: The failure to
complete
the intended plan of action or implementing the wrong plan to achieve an aim.
An
unintended act or one that fails to achieve the intended outcome. Deviations
from
the process of care, which may or may not result in harm. When planning or
executing
a procedure, the act of omission or commission that contributes or may
contribute to
an unintended consequence. Negligence: Failure to meet the reasonably
expected
standard of care of an average, qualified healthcare worker looking after a
patient
in question within similar circumstances. For example, the healthcare worker
may not
check up on the pathology report which led to a missed cancer or the surgeon
may
have injured a nerve by mistaking it for an artery. Negligent Adverse Events:
A
subcategory of preventable, adverse events that satisfy the legal criteria
used in
determining negligence. The injury caused by substandard medical management.
Near
Miss: Any event that could have had an adverse patient consequence but did
not.
Potential adverse events that could have caused harm but did not, either by
chance
or because someone or something intervened. Near misses provide opportunities
for
developing preventive strategies and actions and should receive the same
level of
scrutiny as adverse events. Never Event Never events are errors that should
not ever
have happened. A classic example of a never event is the development of
pressure
ulcers or wrong-site surgery. The National Quality Forum has identified the
following as Serious Reportable Events: Care Management. Device/Product.
Environmental. Patient Protective. Surgical. Radiological. Noxious Episode:
Untoward
events, complications, and mishaps that result from acceptable diagnostic or
therapeutic measures that are deliberately instituted. For example, sending a
hemodynamically unstable trauma patient for prolonged imaging studies instead
of the
operating room. The result could be a traumatic arrest and death. Patient
Safety
The process of amelioration, avoidance, and prevention of adverse injuries or
outcomes that arise as a result of the healthcare process. Potentially

Compensable
Event: An error that could potentially lead to malpractice claims. An event
due to
medical management that resulted in disability, and, subsequently, a
prolonged
hospitalization. Root Cause A deficiency or decision that, if corrected or
avoided,
will eliminate the undesirable consequence. Common root causes include:
Changes in
mental acumen including not seeking advice from peers, misapplying expertise,
not
formulating a plan, not considering the most obvious diagnosis, or conducting
healthcare in an automatic fashion. Communication issues, having no insight

into the
hierarchy, having no solid leadership, not knowing whom to report the
problem,
failing to disclose the issues, or having a disjointed system with no
problem-solving ability. Deficiencies in education, training, orientation,
and
experience. Inadequate methods of identifying patients, incomplete assessment
on
admission, failing to obtain consent, and failing to provide education to
patients.
Inadequate policies to guide healthcare workers. Lack of consistency in
procedures.
Inadequate staffing and/or poor supervision. Technical failures associated
with
medical equipment. No audits in the system. No one prepared to accept blame
or
change the system. Sentinel Event The Joint Commission defines a "sentinel
event" as
“any unexpected occurrence involving death or serious physical or
psychological
injury, or the risk thereof...The phrase 'or the risk thereof' includes any
process
variation for which a recurrence would carry a significant chance of a
serious
adverse outcome.” (The Joint Commission, 2017). Sentinel events are so-called
because once discovered, they frequently indicate the need for an immediate
investigation, discovery of the cause, and response. Extent of the Challenge
Approximately 400,000 hospitalized patients experience some type of
preventable harm
each year . Depending on the study, medical errors account for over $4
billion per
year. Medical errors cost approximately $20 billion a year. Medical errors in
hospitals and clinics result in approximately 100,000 people dying each year.
Medical errors typically include surgical, diagnostic, medication, devices

and
equipment, and systems failures, infections, falls, and healthcare
technology.
Missed diagnoses or injuries from medication are common in outpatient
settings. Most
malpractice claims in hospitals are related to surgical errors, whereas most
claims
for outpatient care are related to missed or late diagnosis. Slightly more
than half
of the paid malpractice claims are related to outpatient care. To decrease
overhead,
hospitals often reduce nursing staff; staffing of RNs below target levels is
associated with increased mortality.
CI - Copyright © 2020, StatPearls Publishing LLC.
FAU - Rodziewicz, Thomas L
AU - Rodziewicz TL
AD - Michigan State University COM
FAU - Houseman, Benjamin
AU - Houseman B
AD - Memorial Healthcare System
FAU - Hipskind, John E
AU - Hipskind JE
AD - Kaweah Delta Medical Center
LA - eng
PT - Review
PT - Book Chapter
PL - Treasure Island (FL)
EDAT- 2020/10/17 00:00
CRDT- 2020/10/17 00:00
AID - NBK499956 [bookaccession]
PMID- 28403334
OWN - NLM
STAT- MEDLINE
DCOM- 20180511
LR - 20181113
IS - 1518-8345 (Electronic)
IS - 0104-1169 (Print)
IS - 0104-1169 (Linking)
VI - 25
DP - 2017 Apr 6
TI - Patient Safety Incidents and Nursing Workload.
PG - e2841
LID - S0104-11692017000100319 [pii]
LID - 10.1590/1518-8345.1280.2841 [doi]
LID - e2841
AB - OBJECTIVE: to identify the relationship between the workload of the nursing
team and
the occurrence of patient safety incidents linked to nursing care in a public
hospital in Chile. METHOD: quantitative, analytical, cross-sectional research
through review of medical records. The estimation of workload in Intensive

Care
Units (ICUs) was performed using the Therapeutic Interventions Scoring System
(TISS-28) and for the other services, we used the nurse/patient and nursing
assistant/patient ratios. Descriptive univariate and multivariate analysis
were
performed. For the multivariate analysis we used principal component analysis
and
Pearson correlation. RESULTS: 879 post-discharge clinical records and the
workload
of 85 nurses and 157 nursing assistants were analyzed. The overall incident
rate was
71.1%. It was found a high positive correlation between variables workload (r
=
0.9611 to r = 0.9919) and rate of falls (r = 0.8770). The medication error
rates,
mechanical containment incidents and self-removal of invasive devices were
not
correlated with the workload. CONCLUSIONS: the workload was high in all units
except
the intermediate care unit. Only the rate of falls was associated with the
workload.
FAU - Carlesi, Katya Cuadros
AU - Carlesi KC
AD - PhD, Adjunct Professor, Facultad de Enfermería, Universidad Andrés Bello,
Santiago
de Chile, Chile.
FAU - Padilha, Kátia Grillo
AU - Padilha KG
AD - PhD, Full Professor, Escola de Enfermagem, Universidade de São Paulo, São
Paulo, SP,
Brasil.
FAU - Toffoletto, Maria Cecília
AU - Toffoletto MC
AD - PhD, Associate Professor, Facultad de Enfermería, Universidad Andrés Bello,
Santiago
de Chile, Chile.
FAU - Henriquez-Roldán, Carlos
AU - Henriquez-Roldán C
AD - PhD, Full Professor, Instituto de Estadística, Facultad de Ciencias,
Universidad de
Valparaíso, Valparaíso, Chile.
FAU - Juan, Monica Andrea Canales
AU - Juan MA
AD - MSc, Assistant Professor, Facultad de Enfermería, Universidad Andrés Bello,
Santiago
de Chile, Chile.
LA - eng
LA - por
LA - spa
PT - Journal Article
DEP - 20170406
TA - Rev Lat Am Enfermagem
JT - Revista latino-americana de enfermagem
JID - 9420934
SB - N
MH - Cross-Sectional Studies
MH - Humans
MH - Nursing/*statistics & numerical data
MH - Patient Safety/*statistics & numerical data
MH - Workload/*statistics & numerical data
PMC - PMC5396482
EDAT- 2017/04/14 06:00
MHDA- 2018/05/12 06:00
CRDT- 2017/04/14 06:00
PHST- 2015/10/07 00:00 [received]
PHST- 2016/09/23 00:00 [accepted]
PHST- 2017/04/14 06:00 [entrez]
PHST- 2017/04/14 06:00 [pubmed]
PHST- 2018/05/12 06:00 [medline]
AID - S0104-11692017000100319 [pii]
AID - 10.1590/1518-8345.1280.2841 [doi]
PST - epublish
SO - Rev Lat Am Enfermagem. 2017 Apr 6;25:e2841. doi: 10.1590/1518-8345.1280.2841.
PMID- 23460097
OWN - NLM
STAT- MEDLINE
DCOM- 20130426
LR - 20181202
IS - 0003-4819 (Linking)
VI - 158
IP - 5 Pt 2
DP - 2013 Mar 5
TI - Nurse-patient ratios as a patient safety strategy: a systematic review.
PG - 404-9
LID - 10.7326/0003-4819-158-5-201303051-00007 [doi]
AB - A small percentage of patients die during hospitalization or shortly
thereafter, and
it is widely believed that more or better nursing care could prevent some of
these
deaths. The author systematically reviewed the evidence about nurse staffing
ratios
and in-hospital death through September 2012. From 550 titles, 87 articles
were
reviewed and 15 new studies that augmented the 2 existing reviews were
selected. The
strongest evidence supporting a causal relationship between higher nurse
staffing
levels and decreased inpatient mortality comes from a longitudinal study in a
single
hospital that carefully accounted for nurse staffing and patient comorbid
conditions
and a meta-analysis that found a "dose-response relationship" in
observational
studies of nurse staffing and death. No studies reported any serious harms
associated with an increase in nurse staffing. Limiting any stronger
conclusions is
the lack of an evaluation of an intervention to increase nurse staffing
ratios. The
formal costs of increasing the nurse-patient ratio cannot be calculated
because
there has been no evaluation of an intentional change in nurse staffing to
improve
patient outcomes.
FAU - Shekelle, Paul G
AU - Shekelle PG
AD - RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, USA.
shekelle@rand.org
LA - eng
GR - HHSA-290-2007-10062I/PHS HHS/United States
PT - Research Support, U.S. Gov't, P.H.S.
PT - Review
PT - Systematic Review
PL - United States
TA - Ann Intern Med
JT - Annals of internal medicine
JID - 0372351
SB - AIM
SB - IM
MH - Cost-Benefit Analysis
MH - Hospital Costs
MH - *Hospital Mortality
MH - Humans
MH - *Inpatients
MH - Nursing Staff, Hospital/economics/*supply & distribution
MH - Patient Safety/*standards
MH - *Personnel Staffing and Scheduling
MH - *Quality of Health Care
MH - Risk Assessment
EDAT- 2013/03/06 06:00
MHDA- 2013/04/27 06:00
CRDT- 2013/03/06 06:00
PHST- 2013/03/06 06:00 [entrez]
PHST- 2013/03/06 06:00 [pubmed]
PHST- 2013/04/27 06:00 [medline]
AID - 1656445 [pii]
AID - 10.7326/0003-4819-158-5-201303051-00007 [doi]
PST - ppublish
SO - Ann Intern Med. 2013 Mar 5;158(5 Pt 2):404-9. doi:
10.7326/0003-4819-158-5-201303051-00007.
PMID- 25995119
OWN - NLM
STAT- MEDLINE
DCOM- 20160504
LR - 20210109
IS - 0014-2972 (Print)
IS - 0014-2972 (Linking)
VI - 45
IP - 8
DP - 2015 Aug
TI - The diagnosis and management of inpatient hyponatraemia and SIADH.
PG - 888-94
LID - 10.1111/eci.12465 [doi]
AB - BACKGROUND: Hyponatraemia is a very common medical condition that is
associated with
multiple poor clinical outcomes and is often managed suboptimally because of
inadequate assessment and investigation. Previously published guidelines for
its
management are often complex and impractical to follow in a hospital
environment,
where patients may present to divergent specialists, as well as to
generalists.
DESIGN: A group of senior, experienced UK clinicians, met to develop a
practical
algorithm for the assessment and management of hyponatraemia in a hospital
setting.
The latest evidence was discussed and reviewed in the light of current
clinical
practicalities to ensure an up-to-date perspective. An algorithm was largely
developed following consensus opinion, followed up with subsequent additions
and
amendments that were agreed by all authors during several rounds of review.
RESULTS:
We present a practical algorithm which includes a breakdown of the best
methods to
evaluate volume status, simple assessments for the diagnosis of the various
causes
and a straightforward approach to treatment to minimise complexity and
maximise
patient safety. CONCLUSION: The algorithm we have developed reflects the best
available evidence and extensive clinical experience and provides practical,

useable
guidance to improve patient care.
CI - © 2015 The Authors European Journal of Clinical Investigation published by
John
Wiley & Sons Ltd on behalf of Stichting European Society for Clinical
Investigation
Journal Foundation.
FAU - Grant, Paul
AU - Grant P
AD - Royal Sussex County Hospital, Brighton, UK.
FAU - Ayuk, John
AU - Ayuk J
AD - Department of Endocrinology, University Hospitals Birmingham NHS Foundation
Trust,
Queen Elizabeth Hospital, Birmingham, UK.
FAU - Bouloux, Pierre-Marc
AU - Bouloux PM
AD - Diabetes and Endocrinology, Royal Free London NHS Foundation Trust, London,
UK.
FAU - Cohen, Mark
AU - Cohen M
AD - Diabetes and Endocrinology, Royal Free London NHS Foundation Trust, London,
UK.
FAU - Cranston, Iain
AU - Cranston I
AD - Diabetes and Endocrinology, Portsmouth Hospitals NHS Trust, Queen Alexandra
Hospital, Hampshire, UK.
FAU - Murray, Robert D
AU - Murray RD
AD - Department of Diabetes and Endocrinology, Leeds Teaching Hospitals NHS Trust,
St
James's University Hospital, Leeds, UK.
FAU - Rees, Aled
AU - Rees A
AD - Department of Endocrinology and Diabetes, Cardiff University School of
Medicine,
Cardiff, UK.
FAU - Thatcher, Nicholas
AU - Thatcher N
AD - Department of Medical Oncology, Christie Hospital, NHS Trust Manchester,
Manchester,
UK.
FAU - Grossman, Ashley
AU - Grossman A
AD - Department of Endocrinology, Oxford Centre for Diabetes, Endocrinology and
Metabolism, Churchill Hospital, University of Oxford, Oxford, UK.
LA - eng
PT - Consensus Development Conference
PT - Research Support, Non-U.S. Gov't
DEP - 20150628
TA - Eur J Clin Invest
JT - European journal of clinical investigation
JID - 0245331
RN - 0 (Anti-Bacterial Agents)
RN - 0 (Antidiuretic Hormone Receptor Antagonists)
RN - 0 (Benzazepines)
RN - 21G72T1950 (Tolvaptan)
RN - 5R5W9ICI6O (Demeclocycline)
SB - IM
CIN - Eur J Clin Invest. 2015 Nov;45(11):1219. PMID: 26259932
CIN - Eur J Clin Invest. 2015 Nov;45(11):1218. PMID: 26343423
MH - *Algorithms
MH - Anti-Bacterial Agents/*therapeutic use
MH - Antidiuretic Hormone Receptor Antagonists/*therapeutic use
MH - Benzazepines/*therapeutic use
MH - Demeclocycline/*therapeutic use
MH - *Fluid Therapy
MH - Hospitalization
MH - Humans
MH - Hyponatremia/diagnosis/*therapy
MH - Inappropriate ADH Syndrome/diagnosis/*therapy
MH - Practice Guidelines as Topic
MH - Tolvaptan
MH - Water-Electrolyte Imbalance/diagnosis/therapy
PMC - PMC4744950
OTO - NOTNLM
OT - ADH antagonists
OT - Hyponatraemia
OT - SIADH
EDAT- 2015/05/23 06:00
MHDA- 2016/05/05 06:00
CRDT- 2015/05/22 06:00
PHST- 2015/03/16 00:00 [received]
PHST- 2015/05/16 00:00 [accepted]
PHST- 2015/05/22 06:00 [entrez]
PHST- 2015/05/23 06:00 [pubmed]
PHST- 2016/05/05 06:00 [medline]
AID - ECI12465 [pii]
AID - 10.1111/eci.12465 [doi]
PST - ppublish
SO - Eur J Clin Invest. 2015 Aug;45(8):888-94. doi: 10.1111/eci.12465. Epub 2015
Jun 28.
PMID- 29211232
OWN - NLM
STAT- MEDLINE
DCOM- 20190710
LR - 20190710
IS - 0080-6234 (Print)
IS - 0080-6234 (Linking)
VI - 51
DP - 2017
TI - Association between workload of the nursing staff and patient safety
outcomes.
PG - e03255
LID - S0080-62342017000100457 [pii]
LID - 10.1590/s1980-220x2016021203255 [doi]
AB - OBJECTIVE To describe the workload of the nursing team and relate it with
patient
safety outcomes in clinical and surgical inpatient units of a university
hospital.
METHOD Cross-sectional study, carried out from October 2013 to September
2015. The
factor under study was the workload, expressed as the ratio between the mean
number
of patients and the number of nursing professionals in 24 hours and in the
day
shifts. RESULTS The sample consisted of 157,481 patients, 502 nursing
professionals
and 264 observations of safety outcomes. The ratios of patients per nurse and
per
nursing technician in day shifts indicate a mean estimate of 14-15 and 5-6
patients
per professional, respectively. There was a significant association between
the
workloads in the inpatient units and average length of stay, urinary
infection
related to invasive procedure and the satisfaction of patients with nursing
care.
CONCLUSION The increase in the workload of the nursing team had an impact on
quality
of care and safety for patients. An adequate staffing promotes a safer care
environment.
FAU - Magalhães, Ana Maria Müller de
AU - Magalhães AMM
AD - Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Porto
Alegre, RS,
Brazil.
FAU - Costa, Diovane Ghignatti da
AU - Costa DGD
AD - Programa de Pós-Graduação em Enfermagem, Universidade Federal do Rio Grande
do Sul,
Porto Alegre, RS, Brazil.
FAU - Riboldi, Caren de Oliveira
AU - Riboldi CO
AD - Hospital de Clínicas, Universidade Federal do Rio Grande do Sul, Porto
Alegre, RS,
Brazil.
FAU - Mergen, Thiane
AU - Mergen T
AD - Hospital de Clínicas, Universidade Federal do Rio Grande do Sul, Porto
Alegre, RS,
Brazil.
FAU - Barbosa, Amanda da Silveira
AU - Barbosa ADS
Alegre, RS,
Brazil.
FAU - Moura, Gisela Maria Schebella Souto de
AU - Moura GMSS
Alegre, RS,
Brazil.
LA - por
LA - eng
DEP - 20171204
PL - Brazil
TA - Rev Esc Enferm USP
JT - Revista da Escola de Enfermagem da U S P
JID - 0242726
SB - N
MH - Hospital Units
MH - Hospitals, University
MH - Humans
MH - Nursing Staff, Hospital/*statistics & numerical data
MH - Quality Indicators, Health Care
EDAT- 2017/12/07 06:00
MHDA- 2019/07/11 06:00
CRDT- 2017/12/07 06:00
PHST- 2016/05/25 00:00 [received]
PHST- 2017/05/04 00:00 [accepted]
PHST- 2017/12/07 06:00 [entrez]
PHST- 2017/12/07 06:00 [pubmed]
PHST- 2019/07/11 06:00 [medline]
AID - S0080-62342017000100457 [pii]
AID - 10.1590/s1980-220x2016021203255 [doi]
PST - ppublish
SO - Rev Esc Enferm USP. 2017;51:e03255. doi: 10.1590/s1980-220x2016021203255.
Epub 2017
Dec 4.
PMID- 29889724
OWN - NLM
STAT- MEDLINE
DCOM- 20190204
LR - 20200102
IS - 1057-3631 (Print)
IS - 1057-3631 (Linking)
VI - 34
IP - 1
DP - 2019 Jan/Mar
TI - Association of Nurse Engagement and Nurse Staffing on Patient Safety.
PG - 40-46
LID - 10.1097/NCQ.0000000000000334 [doi]
AB - BACKGROUND: Nurse engagement is a modifiable element of the work environment
and has
shown promise as a potential safety intervention. PURPOSE: Our study examined
the
relationship between the level of engagement, staffing, and assessments of
patient
safety among nurses working in hospital settings. METHODS: A secondary
analysis of
linked cross-sectional data was conducted using survey data of 26 960 nurses
across
599 hospitals in 4 states. Logistic regression models were used to examine
the
association between nurse engagement, staffing, and nurse assessments of
patient
safety. RESULTS: Thirty-two percent of nurses gave their hospital a poor or
failing
patient safety grade. In 25% of hospitals, nurses fell in the least or only
somewhat
engaged categories. A 1-unit increase in engagement lowered the odds of an
unfavorable safety grade by 29% (P < .001). Hospitals where nurses reported
higher
levels of engagement were 19% (P < .001) less likely to report that mistakes
were
held against them. Nurses in poorly staffed hospitals were 6% more likely to
report
that important information about patients "fell through the cracks" when
transferring patients across units (P < .001). CONCLUSIONS: Interventions to
improve
nurse engagement and adequate staffing serve as strategies to improve patient
safety.
FAU - Brooks Carthon, J Margo
AU - Brooks Carthon JM
AD - Center for Health Outcomes and Policy Research, and School of Nursing,
University of
Pennsylvania, Philadelphia (Drs Brooks Carthon, Hatfield and Aiken and Messrs
Dierkes and Plover); Pennsylvania Hospital, Philadelphia (Dr Hatfield, Mss

Sanders
and Del Guidice and Mr Visco); and Penn Presbyterian Medical Center,
Philadelphia,
Pennsylvania (Dr Holland, Messrs Davis and Ballinghoff, and Ms Hedgeland).
FAU - Hatfield, Linda
AU - Hatfield L
FAU - Plover, Colin
AU - Plover C
FAU - Dierkes, Andrew
AU - Dierkes A
FAU - Davis, Lawrence
AU - Davis L
FAU - Hedgeland, Taylor
AU - Hedgeland T
FAU - Sanders, Anne Marie
AU - Sanders AM
FAU - Visco, Frank
AU - Visco F
FAU - Holland, Sara
AU - Holland S
FAU - Ballinghoff, Jim
AU - Ballinghoff J
FAU - Del Guidice, Mary
AU - Del Guidice M
FAU - Aiken, Linda H
AU - Aiken LH
LA - eng
GR - R01 NR004513/NR/NINR NIH HHS/United States
GR - T32 NR007104/NR/NINR NIH HHS/United States
TA - J Nurs Care Qual
JT - Journal of nursing care quality
JID - 9200672
SB - IM
SB - N
MH - Hospitals
MH - Humans
MH - Nursing Staff, Hospital/psychology/*supply & distribution
MH - *Patient Safety
MH - Quality of Health Care/*statistics & numerical data
MH - Surveys and Questionnaires
MH - Workplace/psychology
PMC - PMC6263830
MID - NIHMS953218
COIS- The authors declare no conflicts of interest.
EDAT- 2018/06/12 06:00
MHDA- 2019/02/05 06:00
CRDT- 2018/06/12 06:00
PHST- 2018/06/12 06:00 [pubmed]
PHST- 2019/02/05 06:00 [medline]
PHST- 2018/06/12 06:00 [entrez]
AID - 10.1097/NCQ.0000000000000334 [doi]
PST - ppublish
SO - J Nurs Care Qual. 2019 Jan/Mar;34(1):40-46. doi:
10.1097/NCQ.0000000000000334.
PMID- 26783858
OWN - NLM
STAT- MEDLINE
DCOM- 20160526
LR - 20181202
IS - 0025-7079 (Print)
IS - 0025-7079 (Linking)
VI - 54
IP - 1
DP - 2016 Jan
TI - Better Nurse Staffing and Nurse Work Environments Associated With Increased
Survival
of In-Hospital Cardiac Arrest Patients.
PG - 74-80
LID - 10.1097/MLR.0000000000000456 [doi]
AB - BACKGROUND: Although nurses are the most likely first responders to witness
an
in-hospital cardiac arrest (IHCA) and provide treatment, little research has
been
undertaken to determine what features of nursing are related to cardiac
arrest
outcomes. OBJECTIVES: To determine the association between nurse staffing,
nurse
work environments, and IHCA survival. RESEARCH DESIGN: Cross-sectional study
of data
from: (1) the American Heart Association's Get With The Guidelines-
Resuscitation
database; (2) the University of Pennsylvania Multi-State Nursing Care and and
Patient Safety; and (3) the American Hospital Association annual survey.
Logistic
regression models were used to determine the association of the features of
nursing
and IHCA survival to discharge after adjusting for hospital and patient
characteristics. SUBJECTS: A total of 11,160 adult patients aged 18 and older
between 2005 and 2007 in 75 hospitals in 4 states (Pennsylvania, Florida,

California, and New Jersey). RESULTS: Each additional patient per nurse on
medical-surgical units was associated with a 5% lower likelihood of surviving
IHCA
to discharge (odds ratio=0.95; 95% confidence interval, 0.91-0.99). Further,
patients cared for in hospitals with poor work environments had a 16% lower
likelihood of IHCA survival (odds ratio=0.84; 95% confidence interval, 0.71-
0.99)
than patients cared for in hospitals with better work environments.
CONCLUSIONS:
Better work environments and decreased patient-to-nurse ratios on medical-
surgical
units are associated with higher odds of patient survival after an IHCA.
These
results add to a large body of literature suggesting that outcomes are better
when
nurses have a more reasonable workload and work in good hospital work
environments.
Improving nurse working conditions holds promise for improving survival
following
IHCA.
FAU - McHugh, Matthew D
AU - McHugh MD
AD - *Department of Nursing, Center for Health Outcomes and Policy Research,
University
of Pennsylvania School of Nursing†Department of Anesthesiology and Critical
Care
Medicine, Division of Critical Care, Children's Hospital of Philadelphia,
Philadelphia, PA‡College of Nursing, University Texas at Arlington,
Arlington,
TX§Robert Wood Johnson Clinical Scholars Program, Department of Emergency
Medicine,
University of Pennsylvania∥Department of Sociology, Center for Health
Outcomes and
Policy Research, University of Pennsylvania School of Nursing, Philadelphia,
PA.
FAU - Rochman, Monica F
AU - Rochman MF
FAU - Sloane, Douglas M
AU - Sloane DM
FAU - Berg, Robert A
AU - Berg RA
FAU - Mancini, Mary E
AU - Mancini ME
FAU - Nadkarni, Vinay M
AU - Nadkarni VM
FAU - Merchant, Raina M
AU - Merchant RM
AU - Aiken LH
CN - American Heart Association’s Get With The Guidelines-Resuscitation
Investigators
LA - eng
GR - T32NR0714/NR/NINR NIH HHS/United States
GR - R01NR04513/NR/NINR NIH HHS/United States
GR - R01AG041099/AG/NIA NIH HHS/United States
GR - R01 AG041099/AG/NIA NIH HHS/United States
PT - Research Support, N.I.H., Extramural
TA - Med Care
JT - Medical care
JID - 0230027
SB - IM
MH - Adult
MH - Aged
MH - Aged, 80 and over
MH - Critical Care Nursing/*statistics & numerical data
MH - Female
MH - Heart Arrest/*mortality/*nursing
MH - Humans
MH - *Intensive Care Units/organization & administration
MH - Middle Aged
MH - Nursing Staff, Hospital/supply & distribution
MH - Personnel Staffing and Scheduling/*statistics & numerical data
MH - Quality of Health Care
MH - Time-to-Treatment
MH - United States
MH - Workforce
PMC - PMC4841621
MID - NIHMS745619
COIS- The authors declare no conflict of interest.
EDAT- 2016/01/20 06:00
MHDA- 2016/05/27 06:00
CRDT- 2016/01/20 06:00
PHST- 2016/01/20 06:00 [entrez]
PHST- 2016/01/20 06:00 [pubmed]
PHST- 2016/05/27 06:00 [medline]
AID - 00005650-201601000-00012 [pii]
AID - 10.1097/MLR.0000000000000456 [doi]
PST - ppublish
SO - Med Care. 2016 Jan;54(1):74-80. doi: 10.1097/MLR.0000000000000456.
PMID- 22434089
OWN - NLM
STAT- MEDLINE
DCOM- 20120426
LR - 20190614
IS - 0959-8138 (Print)
IS - 0959-8138 (Linking)
VI - 344
DP - 2012 Mar 20
TI - Patient safety, satisfaction, and quality of hospital care: cross sectional
surveys
of nurses and patients in 12 countries in Europe and the United States.
PG - e1717
LID - bmj.e1717 [pii]
LID - 10.1136/bmj.e1717 [doi]
LID - e1717
AB - OBJECTIVE: To determine whether hospitals with a good organisation of care
(such as
improved nurse staffing and work environments) can affect patient care and
nurse
workforce stability in European countries. DESIGN: Cross sectional surveys of
patients and nurses. SETTING: Nurses were surveyed in general acute care
hospitals
(488 in 12 European countries; 617 in the United States); patients were
surveyed in
210 European hospitals and 430 US hospitals. PARTICIPANTS: 33 659 nurses and
11 318
patients in Europe; 27 509 nurses and more than 120 000 patients in the US.
MAIN
OUTCOME MEASURES: Nurse outcomes (hospital staffing, work environments,
burnout,
dissatisfaction, intention to leave job in the next year, patient safety,
quality of
care), patient outcomes (satisfaction overall and with nursing care,
willingness to
recommend hospitals). RESULTS: The percentage of nurses reporting poor or
fair
quality of patient care varied substantially by country (from 11% (Ireland)
to 47%
(Greece)), as did rates for nurses who gave their hospital a poor or failing
safety
grade (4% (Switzerland) to 18% (Poland)). We found high rates of nurse
burnout (10%
(Netherlands) to 78% (Greece)), job dissatisfaction (11% (Netherlands) to 56%
(Greece)), and intention to leave (14% (US) to 49% (Finland, Greece)).

Patients'
high ratings of their hospitals also varied considerably (35% (Spain) to 61%
(Finland, Ireland)), as did rates of patients willing to recommend their
hospital
(53% (Greece) to 78% (Switzerland)). Improved work environments and reduced
ratios
of patients to nurses were associated with increased care quality and patient
satisfaction. In European hospitals, after adjusting for hospital and nurse

characteristics, nurses with better work environments were half as likely to
report
poor or fair care quality (adjusted odds ratio 0.56, 95% confidence interval
0.51 to
0.61) and give their hospitals poor or failing grades on patient safety
(0.50, 0.44
to 0.56). Each additional patient per nurse increased the odds of nurses
reporting
poor or fair quality care (1.11, 1.07 to 1.15) and poor or failing safety
grades
(1.10, 1.05 to 1.16). Patients in hospitals with better work environments
were more
likely to rate their hospital highly (1.16, 1.03 to 1.32) and recommend their
hospitals (1.20, 1.05 to 1.37), whereas those with higher ratios of patients
to
nurses were less likely to rate them highly (0.94, 0.91 to 0.97) or recommend
them
(0.95, 0.91 to 0.98). Results were similar in the US. Nurses and patients
agreed on
which hospitals provided good care and could be recommended. CONCLUSIONS:
Deficits
in hospital care quality were common in all countries. Improvement of
hospital work
environments might be a relatively low cost strategy to improve safety and
quality
in hospital care and to increase patient satisfaction.
AU - Aiken LH
AD - Center for Health Outcomes and Policy Research, University of Pennsylvania
School of
Nursing, Philadelphia, PA 19104, USA. laiken@nursing.upenn.edu
FAU - Sermeus, Walter
AU - Sermeus W
FAU - Van den Heede, Koen
AU - Van den Heede K
AU - Sloane DM
FAU - Busse, Reinhard
AU - Busse R
FAU - McKee, Martin
AU - McKee M
FAU - Bruyneel, Luk
AU - Bruyneel L
FAU - Rafferty, Anne Marie
AU - Rafferty AM
FAU - Griffiths, Peter
AU - Griffiths P
FAU - Moreno-Casbas, Maria Teresa
AU - Moreno-Casbas MT
FAU - Tishelman, Carol
AU - Tishelman C
FAU - Scott, Anne
AU - Scott A
FAU - Brzostek, Tomasz
AU - Brzostek T
FAU - Kinnunen, Juha
AU - Kinnunen J
FAU - Schwendimann, Rene
AU - Schwendimann R
FAU - Heinen, Maud
AU - Heinen M
FAU - Zikos, Dimitris
AU - Zikos D
FAU - Sjetne, Ingeborg Strømseng
AU - Sjetne IS
FAU - Smith, Herbert L
AU - Smith HL
FAU - Kutney-Lee, Ann
AU - Kutney-Lee A
LA - eng
GR - P2C HD044964/HD/NICHD NIH HHS/United States
GR - R24 HD044964/HD/NICHD NIH HHS/United States
DEP - 20120320
TA - BMJ
JT - BMJ (Clinical research ed.)
JID - 8900488
SB - AIM
SB - IM
CIN - Enferm Clin. 2012 May-Jun;22(3):170-2. PMID: 22575792
CIN - J Nurs Manag. 2017 Apr;25(3):163-166. PMID: 28374444
MH - Adult
MH - Aged
MH - Burnout, Professional/epidemiology
MH - Europe/epidemiology
MH - Female
MH - Health Care Surveys
MH - Hospitals/*standards/*statistics & numerical data
MH - Humans
MH - Job Satisfaction
MH - Male
MH - Middle Aged
MH - Nursing Staff, Hospital/*statistics & numerical data/supply & distribution
MH - *Patient Satisfaction
MH - Patients/statistics & numerical data
MH - Personnel Staffing and Scheduling
MH - Quality of Health Care/standards/*statistics & numerical data
MH - United States/epidemiology
MH - Workplace/standards
PMC - PMC3308724
COIS- Competing interests: All authors have completed the Unified Competing
Interest form
at www.icmje.org/coi_disclosure.pdf (available on request from the
corresponding
author) and declare: funding from the European Union’s Seventh Framework
Programme
and the National Institute of Nursing Research, National Institutes of
Health; no
financial relationships with any organisations that might have an interest in
the
submitted work in the previous three years; no other relationships or
activities
that could appear to have influenced the submitted work.
EDAT- 2012/03/22 06:00
MHDA- 2012/04/27 06:00
CRDT- 2012/03/22 06:00
PHST- 2012/03/22 06:00 [entrez]
PHST- 2012/03/22 06:00 [pubmed]
PHST- 2012/04/27 06:00 [medline]
AID - bmj.e1717 [pii]
AID - aikl000694 [pii]
AID - 10.1136/bmj.e1717 [doi]
PST - epublish
SO - BMJ. 2012 Mar 20;344:e1717. doi: 10.1136/bmj.e1717.
PMID- 30514780
OWN - NLM
STAT- MEDLINE
DCOM- 20200403
LR - 20210109
IS -2044-5415 (Print)
IS -2044-5415 (Linking)
VI -28
IP -8
DP -2019 Aug
TI -Nurse staffing, nursing assistants and hospital mortality: retrospective
longitudinal cohort study.
PG - 609-617
LID - 10.1136/bmjqs-2018-008043 [doi]
AB - OBJECTIVE: To determine the association between daily levels of registered
nurse
(RN) and nursing assistant staffing and hospital mortality. DESIGN: This is a
retrospective longitudinal observational study using routinely collected

data. We
used multilevel/hierarchical mixed-effects regression models to explore the
association between patient outcomes and daily variation in RN and nursing
assistant
staffing, measured as hours per patient per day relative to ward mean.
Analyses were
controlled for ward and patient risk. PARTICIPANTS: 138 133 adult patients
spending
>1 days on general wards between 1 April 2012 and 31 March 2015. OUTCOMES:
In-hospital deaths. RESULTS: Hospital mortality was 4.1%. The hazard of death
was
increased by 3% for every day a patient experienced RN staffing below ward
mean
(adjusted HR (aHR) 1.03, 95% CI 1.01 to 1.05). Relative to ward mean, each
additional hour of RN care available over the first 5 days of a patient's
stay was
associated with 3% reduction in the hazard of death (aHR 0.97, 95% CI 0.94 to
1.0).
Days where admissions per RN exceeded 125% of the ward mean were associated
with an
increased hazard of death (aHR 1.05, 95% CI 1.01 1.09). Although low nursing
assistant staffing was associated with increases in mortality, high nursing
assistant staffing was also associated with increased mortality. CONCLUSION:
Lower
RN staffing and higher levels of admissions per RN are associated with
increased
risk of death during an admission to hospital. These findings highlight the
possible
consequences of reduced nurse staffing and do not give support to policies
that
encourage the use of nursing assistants to compensate for shortages of RNs.
CI - © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY.
Published by
BMJ.
AU - Griffiths P
AUID- ORCID: 0000-0003-2439-2857
AD - Faculty of Environmental and Life Sciences, University of Southampton,
Southampton,
UK peter.griffiths@soton.ac.uk.
AD - Department of Learning, Informatics, Management and Ethics, Karolinska
Institutet,
Stockholm, Sweden.
AD - National Institute for Health Research Collaboration for Leadership in
Applied
Health Research and Care (NIHR CLAHRC) Wessex, Southampton, UK.
FAU - Maruotti, Antonello
AU - Maruotti A
Southampton,
UK.
AD - Dipartimento di Scienze Economiche, Politiche e delle Lingue Moderne, Libera
Universita Maria Santissima Assunta, Roma, Italy.
FAU - Recio Saucedo, Alejandra
AU - Recio Saucedo A
AUID- ORCID: 0000-0003-2823-4573
Southampton,
UK.
Applied
FAU - Redfern, Oliver C
AU - Redfern OC
AD - Centre for Healthcare Modelling and Informatics Portsmouth, University of
Portsmouth, Portsmouth, UK.
AD - Medical Sciences Division, University of Oxford Nuffield Department of
Clinical
Neurosciences, Oxford, UK.
FAU - Ball, Jane E
AU - Ball JE
Southampton,
UK.
Institutet,
Stockholm, Sweden.
Applied
FAU - Briggs, Jim
AU - Briggs J
AD - Centre for Healthcare Modelling and Informatics Portsmouth, University of
Portsmouth, Portsmouth, UK.
FAU - Dall'Ora, Chiara
AU - Dall'Ora C
Southampton,
UK.
Applied
FAU - Schmidt, Paul E
AU - Schmidt PE
AUID- ORCID: 0000-0001-5856-8262
Applied
AD - Acute Medicine Unit, Portsmouth Hospitals NHS Trust, Portsmouth, UK.
FAU - Smith, Gary B
AU - Smith GB
AUID- ORCID: 0000-0003-2070-8455
AD - Faculty of Health and Social Sciences, University of Bournemouth,
Bournemouth, UK.
CN - Missed Care Study Group
LA - eng
GR - 14/194/21/DH_/Department of Health/United Kingdom
GR - HS&DR/13/114/17/DH_/Department of Health/United Kingdom
DEP - 20181204
TA - BMJ Qual Saf
JT - BMJ quality & safety
JID - 101546984
SB - H
CIN - BMJ Qual Saf. 2019 Aug;28(8):603-605. PMID: 30996037
CIN - J R Soc Med. 2019 Sep;112(9):370-377. PMID: 31496344
MH - Aged
MH - Databases, Factual
MH - Female
MH - Humans
MH - Logistic Models
MH - Longitudinal Studies
MH - Male
MH - Middle Aged
MH - Nursing Assistants/*supply & distribution
MH - Nursing Staff, Hospital/*supply & distribution
MH - Retrospective Studies
MH - United Kingdom/epidemiology
PMC - PMC6716358
OTO - NOTNLM
OT - *health policy
OT - *health services research
OT - *mortality (standardized mortality ratios)
OT - *nurses
OT - *patient safety
COIS- Competing interests: PM, NS and PES are employees of Portsmouth Hospitals NHS
Trust
(PHT), which had a royalty agreement with The Learning Clinic (TLC) to pay
for the
use of PHT intellectual property within the Vitalpac product, which expired
during
the course of this study. DP and GBS are former employees of PHT. PES, and
the wives
of DP and GBS, held shares in TLC until 2015. JB’s research has previously
received
funding from TLC through a Knowledge Transfer Partnership. PG was an unpaid
member
of the advisory group for NHS Improvement's work developing improvement
resources
for safe staffing in adult inpatient wards.
FIR - Bloor, Karen
IR - Bloor K
FIR - Böhning, Dankmar
IR - Böhning D
FIR - Iongh, Anya De
IR - Iongh A
FIR - Jones, Jeremy
IR - Jones J
FIR - Kovacs, Caroline
IR - Kovacs C
FIR - Prytherch, David
IR - Prytherch D
FIR - Meredith, Paul
IR - Meredith P
FIR - Sinden, Nicky
IR - Sinden N
EDAT- 2018/12/06 06:00
MHDA- 2020/04/04 06:00
CRDT- 2018/12/06 06:00
PHST- 2018/03/02 00:00 [received]
PHST- 2018/10/13 00:00 [revised]
PHST- 2018/10/30 00:00 [accepted]
PHST- 2018/12/06 06:00 [pubmed]
PHST- 2020/04/04 06:00 [medline]
PHST- 2018/12/06 06:00 [entrez]
AID - bmjqs-2018-008043 [pii]
AID - 10.1136/bmjqs-2018-008043 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2019 Aug;28(8):609-617. doi: 10.1136/bmjqs-2018-008043. Epub
2018 Dec
4.
PMID- 31571896
OWN - NLM
STAT- PubMed-not-MEDLINE
LR - 20201001
IS - 1178-2390 (Print)
IS - 1178-2390 (Linking)
VI - 12
DP - 2019
TI - The surgical ward round checklist: improving patient safety and clinical
documentation.
PG - 789-794
LID - 10.2147/JMDH.S178896 [doi]
AB - PURPOSE: The daily surgical ward round (WR) is a complex process. Key aspects
of
patient assessment can be missed or not be documented in case notes. Safety
checklists used outside of medicine help standardize performance and minimize
errors. Its implementation has been beneficial in the National Health

Service. A
structured WR checklist standardizes key aspects of care that need to be
addressed
on a daily surgical WR. To improve patient safety and documentation, we
implemented
a surgical WR checklist for daily surgical WRs at our hospital. We describe
our
experience of its implementation within the general surgical department of a
teaching hospital in the UK. METHODS: A retrospective review of case note
entries
from surgical WRs (including Urology and Vascular surgery) was conducted
between
April 2015 and January 2016. WR entries of 72 case notes were audited for
documentation of six parameters from the surgical WR checklist. A WR
checklist label
with the parameters was designed for use for each WR entry. A post-checklist
implementation audit of 61 case notes was performed between Jan 2016 and
August
2016. To assess outcome on patient safety, adverse events relating to these
six
parameters reported to the local clinical governance team were reviewed pre -
and
post-checklist implementation. RESULTS: Overall documentation of the six
parameters
improved following implementation of the WR checklist (pre-checklist=26% vs
post-checklist=79%). Documentation of assessment of fluid balance improved
from 8%
to 76%. Subsequent audit at 3 months post-checklist implementation maintained
improvement with documentation at 72%. CONCLUSION: The introduction of the

surgical
WR checklist has improved documentation of key aspects of patient care. The
WR
checklist benefits patient safety. It improves communication, documentation
and
ensures that key issues are not missed at patient assessment on WRs. A
crucial
factor for successful documentation is engagement by the senior clinicians
and
nursing staff on its benefits which ensures appropriate use of WR checklist
labels
occurs as doctors rotate through the surgical placement.
CI - © 2019 Krishnamohan et al.
FAU - Krishnamohan, Nitya
AU - Krishnamohan N
AD - Department of Upper Gastrointestinal Surgery, Lancashire Teaching Hospitals
NHS
Foundation Trust, Preston, UK.
FAU - Maitra, Ishaan
AU - Maitra I
NHS
FAU - Shetty, Vinutha D
AU - Shetty VD
NHS
LA - eng
PT - Review
DEP - 20190916
TA - J Multidiscip Healthc
JT - Journal of multidisciplinary healthcare
JID - 101512691
PMC - PMC6754526
OTO - NOTNLM
OT - checklist
OT - documentation
OT - patient safety
OT - ward round
COIS- The authors report no conflicts of interest in this work.
EDAT- 2019/10/02 06:00
MHDA- 2019/10/02 06:01
CRDT- 2019/10/02 06:00
PHST- 2018/07/02 00:00 [received]
PHST- 2019/01/14 00:00 [accepted]
PHST- 2019/10/02 06:00 [entrez]
PHST- 2019/10/02 06:00 [pubmed]
PHST- 2019/10/02 06:01 [medline]
AID - 178896 [pii]
AID - 10.2147/JMDH.S178896 [doi]
PST - epublish
SO - J Multidiscip Healthc. 2019 Sep 16;12:789-794. doi: 10.2147/JMDH.S178896.
eCollection 2019.
PMID- 31884330
OWN - NLM
STAT- MEDLINE
DCOM- 20201207
LR - 20210110
IS - 1873-491X (Electronic)
IS - 0020-7489 (Print)
IS - 0020-7489 (Linking)
VI - 103
DP - 2020 Mar
TI - Nursing workload, nurse staffing methodologies and tools: A systematic
scoping
review and discussion.
PG - 103487
LID - S0020-7489(19)30294-9 [pii]
LID - 10.1016/j.ijnurstu.2019.103487 [doi]
LID - 103487
AB - BACKGROUND: The importance of nurse staffing levels in acute hospital wards
is
widely recognised but evidence for tools to determine staffing requirements
although
extensive, has been reported to be weak. Building on a review of reviews
undertaken
in 2014, we set out to give an overview of the major approaches to assessing
nurse
staffing requirements and identify recent evidence in order to address
unanswered
questions including the accuracy and effectiveness of tools. METHODS: We
undertook a
systematic scoping review. Searches of Medline, the Cochrane Library and
CINAHL were
used to identify recent primary research, which was reviewed in the context
of
conclusions from existing reviews. RESULTS: The published literature is
extensive
and describes a variety of uses for tools including establishment setting,
daily
deployment and retrospective review. There are a variety of approaches
including
professional judgement, simple volume-based methods (such as patient-to-nurse
ratios), patient prototype/classification and timed-task approaches. Tools

generally
attempt to match staffing to a mean average demand or time requirement
despite
evidence of skewed demand distributions. The largest group of recent studies
reported the evaluation of (mainly new) tools and systems, but provides
little
evidence of impacts on patient care and none on costs. Benefits of staffing
levels
set using the tools appear to be linked to increased staffing with no
evidence of
tools providing a more efficient or effective use of a given staff resource.
Although there is evidence that staffing assessments made using tools may
correlate
with other assessments, different systems lead to dramatically different
estimates
of staffing requirements. While it is evident that there are many sources of
variation in demand, the extent to which systems can deliver staffing levels
to meet
such demand is unclear. The assumption that staffing to meet average need is
the
optimal response to varying demand is untested and may be incorrect.
CONCLUSIONS:
Despite the importance of the question and the large volume of publication
evidence
about nurse staffing methods remains highly limited. There is no evidence to
support
the choice of any particular tool. Future research should focus on learning
more
about the use of existing tools rather than simply developing new ones.
Priority
research questions include how best to use tools to identify the required
staffing
level to meet varying patient need and the costs and consequences of using
tools.
TWEETABLE ABSTRACT: Decades of research on tools to determine nurse staffing
requirements is largely uninformative. Little is known about the costs or
consequences of widely used tools.
CI - Copyright © 2019. Published by Elsevier Ltd.
AU - Griffiths P
AD - University of Southampton, Health Sciences, United Kingdom; National
Institute for
Health Research Applied Research Collaboration (Wessex), United Kingdom;
Department
of Learning, Informatics, Management and Ethics, Karolinska Institutet,
Sweden.
Electronic address: peter.griffiths@soton.ac.uk.
FAU - Saville, Christina
AU - Saville C
AD - University of Southampton, Health Sciences, United Kingdom; National
Institute for
Health Research Applied Research Collaboration (Wessex), United Kingdom.
FAU - Ball, Jane
AU - Ball J
AD - University of Southampton, Health Sciences, United Kingdom; Department of
Learning,
Informatics, Management and Ethics, Karolinska Institutet, Sweden.
FAU - Jones, Jeremy
AU - Jones J
AD - University of Southampton, Health Sciences, United Kingdom.
FAU - Pattison, Natalie
AU - Pattison N
AD - University of Hertfordshire, School of Health and Social Work, United
Kingdom; East
& North Hertfordshire NHS Trust, United Kingdom.
FAU - Monks, Thomas
AU - Monks T
AD - University of Exeter, College of Medicine and Health, United Kingdom;
National
Institute for Health Research Applied Research Collaboration (Wessex), United
Kingdom.
CN - Safer Nursing Care Study Group
LA - eng
DEP - 20191129
TA - Int J Nurs Stud
JT - International journal of nursing studies
JID - 0400675
SB - IM
SB - N
MH - Humans
MH - *Nursing Staff, Hospital
MH - *Workload
PMC - PMC7086229
OTO - NOTNLM
OT - Costs and cost analysis
OT - Health care economics and organisations
OT - Hospital administration
OT - Hospital information systems
OT - Nurse staffing
OT - Nursing Staff, Hospital
OT - Nursing administration research
OT - Nursing workload
OT - Operations research
OT - Patient Classification Systems
OT - Patient safety
OT - Personnel Staffing and Scheduling
OT - Quality of health care
OT - Validation studies
OT - Workforce planning
OT - Workload
EDAT- 2019/12/31 06:00
MHDA- 2020/12/15 06:00
CRDT- 2019/12/30 06:00
PHST- 2019/05/18 00:00 [received]
PHST- 2019/09/10 00:00 [revised]
PHST- 2019/11/18 00:00 [accepted]
PHST- 2019/12/31 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
PHST- 2019/12/30 06:00 [entrez]
AID - S0020-7489(19)30294-9 [pii]
AID - 103487 [pii]
AID - 10.1016/j.ijnurstu.2019.103487 [doi]
PST - ppublish
SO - Int J Nurs Stud. 2020 Mar;103:103487. doi: 10.1016/j.ijnurstu.2019.103487.
Epub 2019
Nov 29.
PMID- 28844649
OWN - NLM
STAT- MEDLINE
DCOM- 20190329
LR - 20190329
IS - 0020-7489 (Print)
IS - 0020-7489 (Linking)
VI - 78
DP - 2018 Feb
TI - Post-operative mortality, missed care and nurse staffing in nine countries: A
cross-sectional study.
PG - 10-15
LID - S0020-7489(17)30176-1 [pii]
LID - 10.1016/j.ijnurstu.2017.08.004 [doi]
AB - BACKGROUND: Variation in post-operative mortality rates has been associated
with
differences in registered nurse staffing levels. When nurse staffing levels
are
lower there is also a higher incidence of necessary but missed nursing care.
Missed
nursing care may be a significant predictor of patient mortality following
surgery.
AIM: Examine if missed nursing care mediates the observed association between
nurse
staffing levels and mortality. METHOD: Data from the RN4CAST study (2009-
2011)
combined routinely collected data on 422,730 surgical patients from 300
general
acute hospitals in 9 countries, with survey data from 26,516 registered
nurses, to
examine associations between nurses' staffing, missed care and 30-day in-
patient
mortality. Staffing and missed care measures were derived from the nurse
survey. A
generalized estimation approach was used to examine the relationship between
first
staffing, and then missed care, on mortality. Bayesian methods were used to
test for
mediation. RESULTS: Nurse staffing and missed nursing care were significantly
associated with 30-day case-mix adjusted mortality. An increase in a nurse's

workload by one patient and a 10% increase in the percent of missed nursing
care
were associated with a 7% (OR 1.068, 95% CI 1.031-1.106) and 16% (OR 1.159
95% CI
1.039-1.294) increase in the odds of a patient dying within 30days of
admission
respectively. Mediation analysis shows an association between nurse staffing
and
missed care and a subsequent association between missed care and mortality.
CONCLUSION: Missed nursing care, which is highly related to nurse staffing,
is
associated with increased odds of patients dying in hospital following common
surgical procedures. The analyses support the hypothesis that missed nursing
care
mediates the relationship between registered nurse staffing and risk of
patient
mortality. Measuring missed care may provide an 'early warning' indicator of
higher
risk for poor patient outcomes.
CI - Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights
reserved.
FAU - Ball, Jane E
AU - Ball JE
AD - Department of Learning, Informatics, Management and Ethics (LIME), Karolinska
Institutet (KI), Stockholm, Sweden; University of Southampton & National

Institute
for Health Research Collaboration for Leadership in Applied Health Research
and Care
(CLAHRC) Wessex, Southampton, United Kingdom. Electronic address:
Jane.ball@soton.ac.uk.
FAU - Bruyneel, Luk
AU - Bruyneel L
AD - KU Leuven Institute for Healthcare Policy, University of Leuven, Leuven,
Belgium.
AU - Aiken LH
School of
Nursing, Philadelphia, PA 19104, USA.
AU - Sermeus W
AD - KU Leuven Institute for Healthcare Policy, University of Leuven, Leuven,
Belgium.
AU - Sloane DM
School of
Nursing, Philadelphia, PA 19104, USA.
AU - Rafferty AM
AD - Florence Nightingale Faculty of Nursing and Midwifery, King's College London,
London, England, United Kingdom.

FAU - Lindqvist, Rikard
AU - Lindqvist R
AD - LIME Karolinska Institutet, Stockholm, Sweden.
AU - Tishelman C
AD - LIME Karolinska Institutet & Innovation Centre, Karolinska University
Hospital,
Stockholm, Sweden.
AU - Griffiths P
AD - Chair of Health Services Research, University of Southampton, & National
Institute
for Health Research Collaboration for Leadership in Applied Health Research
and Care
(CLAHRC) Wessex, Southampton, United Kingdom.
CN - RN4Cast Consortium
LA - eng
DEP - 20170824
JID - 0400675
SB - IM
SB - N
CIN - Am J Nurs. 2018 Jan;118(1):56-57. PMID: 29280809
MH - Belgium
MH - England
MH - Finland
MH - Ireland
MH - Models, Statistical
MH - Netherlands
MH - Norway
MH - Nursing Staff, Hospital/education/*standards
MH - Postoperative Care/*standards
MH - Postoperative Complications/*mortality
MH - Spain
MH - Sweden
MH - Switzerland
PMC - PMC5826775
MID - NIHMS910660
OTO - NOTNLM
OT - Care left undone
OT - Cross-sectional study
OT - Hospital
OT - Mediation
OT - Missed care
OT - Mortality
OT - Nurse staffing
OT - Patient safety
OT - Post-surgical
COIS- Competing/Conflicting interests The authors declare that they have no
competing
interests, or conflict of interests.
EDAT- 2017/08/29 06:00
MHDA- 2019/03/30 06:00
CRDT- 2017/08/29 06:00
PHST- 2017/01/30 00:00 [received]
PHST- 2017/08/04 00:00 [revised]
PHST- 2017/08/08 00:00 [accepted]
PHST- 2017/08/29 06:00 [pubmed]
PHST- 2019/03/30 06:00 [medline]
PHST- 2017/08/29 06:00 [entrez]
AID - S0020-7489(17)30176-1 [pii]
AID - 10.1016/j.ijnurstu.2017.08.004 [doi]
PST - ppublish
SO - Int J Nurs Stud. 2018 Feb;78:10-15. doi: 10.1016/j.ijnurstu.2017.08.004. Epub
2017
Aug 24.
PMID- 31173328
OWN - NLM
STAT- MEDLINE
DCOM- 20200917
LR - 20200917
IS - 1128-3602 (Linking)
VI - 23
IP - 10
DP - 2019 May
TI - Can nurses' shift work jeopardize the patient safety? A systematic review.
PG - 4507-4519
LID - 17963 [pii]
LID - 10.26355/eurrev_201905_17963 [doi]
AB - OBJECTIVE: Medication administration accounts for 40% of the nursing clinical
activity in hospitals and nurses play a central role in granting the patient
safety,
as they are directly responsible for the patient care. This review aims at
analyzing
the correlation between the clinical risk management and the occurrence of
medication errors and the effects of the shift work (such as excessive
fatigue and
sleep deprivation after a shift in hospital) on inpatient nurses. MATERIALS
AND
METHODS: This paper adheres to the relevant EQUATOR guidelines. A systematic
review
was conducted according to the PRISMA statement and pertinent articles were
selected
based on inclusion criteria and quality assessment factors. Two reviewers
searched
the bibliographic databases PubMed, Scopus, Cochrane, CINAHL to collect all
the
available articles in English and Italian issued between 1992 and August
2017.
RESULTS: The reviewers analyzed 19 of the 723 initially extracted references,
as
they focused on the impact of workload, shifts and sleep deprivation on the
probability of making medication errors. CONCLUSIONS: The main reasons behind
medication errors are stress, fatigue, increased workload, night shifts,

nurse
staffing ratio and workflow interruptions. These factors can have a
significant
negative impact on the health and the performance of the employees. It is
desirable
to extend and deepen the research to identify appropriate measures to
minimize
medication errors.
FAU - Di Muzio, M
AU - Di Muzio M
AD - Department of Clinical and Molecular Medicine, Sapienza University of Rome,
Rome,
Italy. marco.dimuzio@uniroma1.it.
FAU - Dionisi, S
AU - Dionisi S
FAU - Di Simone, E
AU - Di Simone E
FAU - Cianfrocca, C
AU - Cianfrocca C
FAU - Di Muzio, F
AU - Di Muzio F
FAU - Fabbian, F
AU - Fabbian F
FAU - Barbiero, G
AU - Barbiero G
FAU - Tartaglini, D
AU - Tartaglini D
FAU - Giannetta, N
AU - Giannetta N
LA - eng
PT - Meta-Analysis
PL - Italy
TA - Eur Rev Med Pharmacol Sci
JT - European review for medical and pharmacological sciences
JID - 9717360
SB - IM
MH - Humans
MH - Medication Errors
MH - *Nurses
MH - Shift Work Schedule/*psychology
MH - Work Schedule Tolerance/*psychology
MH - Workload
EDAT- 2019/06/08 06:00
MHDA- 2020/09/18 06:00
CRDT- 2019/06/08 06:00
PHST- 2019/06/08 06:00 [entrez]
PHST- 2019/06/08 06:00 [pubmed]
PHST- 2020/09/18 06:00 [medline]
AID - 17963 [pii]
AID - 10.26355/eurrev_201905_17963 [doi]
PST - ppublish
SO - Eur Rev Med Pharmacol Sci. 2019 May;23(10):4507-4519. doi:
10.26355/eurrev_201905_17963.
PMID- 30363019
OWN - NLM
STAT- MEDLINE
DCOM- 20190528
LR - 20191201
IS - 0025-7079 (Print)
IS - 0025-7079 (Linking)
VI - 56
IP - 12
DP - 2018 Dec
TI - Effect of Changes in Hospital Nursing Resources on Improvements in Patient
Safety
and Quality of Care: A Panel Study.
PG - 1001-1008
LID - 10.1097/MLR.0000000000001002 [doi]
AB - BACKGROUND: Evidence shows hospitals with better nursing resources have
better
outcomes but few studies have shown that outcomes change over time within
hospitals
as nursing resources change. OBJECTIVES: To determine whether changes in
nursing
resources over time within hospitals are related to changes in quality of
care and
patient safety. RESEARCH DESIGN: Multilevel logistic response models, using
data
from a panel of 737 hospitals in which cross-sections of nurse informants
surveyed
in 2006 and 2016, were used to simultaneously estimate longitudinal and
cross-sectional associations between nursing resources, quality of care, and
patient
safety. MEASURES: Nursing resources included hospital-level measures of work
environments, nurse staffing, and nurse education. Care quality was measured
by
overall rating of care quality, confidence in patients managing care after
discharge, confidence in management resolving patient care problems; patient
safety
was measured by patient safety grade, concern with mistakes, and freedom to
question
authority. RESULTS: After taking into account cross-sectional differences
between
hospitals, differences among nurses within hospitals, and potential
confounding
variables, changes within hospitals in nursing resources were associated with
significant changes in quality of care and patient safety. Improvements in

work
environment of 1 SD decrease odds of unfavorable quality care and patient
safety by
factors ranging from 0.82 to 0.97. CONCLUSIONS: Improvements within hospitals
in
work environments, nurse staffing, and educational composition of nurses
coincide
with improvements in quality of care and patient safety. Cross-sectional
results
closely approximate longitudinal panel results.
AU - Sloane DM
School of
Nursing.
FAU - Smith, Herbert L
AU - Smith HL
AD - Department of Sociology, Population Studies Center.
AD - Center for Health Outcomes and Policy Research, Leonard Davis Institute of
Health
Economics, University of Pennsylvania, Philadelphia, PA.
AU - McHugh MD
Health
AU - Aiken LH
Health
LA - eng
TA - Med Care
JT - Medical care
JID - 0230027
SB - IM
MH - Adult
MH - Female
MH - Health Resources
MH - *Hospitals
MH - Humans
MH - Male
MH - Nursing Staff, Hospital/*education
MH - Quality of Health Care/*standards
MH - Workplace/*psychology
PMC - PMC6231998
MID - NIHMS1507724
COIS- Conflict of interest statement:We have no conflicts of interest to declare.
The
content is solely the authors’ responsibility. This paper is our original,
unpublished work and it has not been submitted to any other journal for
review.
EDAT- 2018/10/27 06:00
MHDA- 2019/05/29 06:00
CRDT- 2018/10/27 06:00
PHST- 2018/10/27 06:00 [pubmed]
PHST- 2019/05/29 06:00 [medline]
PHST- 2018/10/27 06:00 [entrez]
AID - 10.1097/MLR.0000000000001002 [doi]
PST - ppublish
SO - Med Care. 2018 Dec;56(12):1001-1008. doi: 10.1097/MLR.0000000000001002.
PMID- 30786302
OWN - NLM
STAT- MEDLINE
DCOM- 20200330
LR - 20201208
IS - 1869-0327 (Linking)
VI - 10
IP - 1
DP - 2019 Jan
TI - Electronic Health Record Adoption and Nurse Reports of Usability and Quality
of
Care: The Role of Work Environment.
PG - 129-139
LID - 10.1055/s-0039-1678551 [doi]
AB - BACKGROUND: Despite evidence suggesting higher quality and safer care in
hospitals
with comprehensive electronic health record (EHR) systems, factors related to
advanced system usability remain largely unknown, particularly among nurses.

Little
empirical research has examined sociotechnical factors, such as the work
environment, that may shape the relationship between advanced EHR adoption
and
quality of care. OBJECTIVE: The objective of this study was to examine the
independent and joint effects of comprehensive EHR adoption and the hospital
work
environment on nurse reports of EHR usability and nurse-reported quality of
care and
safety. METHODS: This study was a secondary analysis of nurse and hospital
survey
data. Unadjusted and adjusted logistic regression models were used to assess
the
relationship between EHR adoption level, work environment, and a set of EHR
usability and quality/safety outcomes. The sample included 12,377 nurses
working in
353 hospitals. RESULTS: In fully adjusted models, comprehensive EHR adoption
was
associated with lower odds of nurses reporting poor usability outcomes, such
as
dissatisfaction with the system (odds ratio [OR]: 0.75; 95% confidence
interval
[CI]: 0.61-0.92). The work environment was associated with all usability
outcomes
with nurses in better environments being less likely to report negatively.
Comprehensive EHRs (OR: 0.83; 95% CI: 0.71-0.96) and better work environments
(OR:
0.47; 95% CI: 0.42-0.52) were associated with lower odds of nurses reporting
fair/poor quality of care, while poor patient safety grade was associated
with the
work environment (OR: 0.50; 95% CI: 0.46-0.54), but not EHR adoption level.
CONCLUSION: Our findings suggest that adoption of a comprehensive EHR is
associated
with more positive usability ratings and higher quality of care. We also
found
that-independent of EHR adoption level-the hospital work environment plays a
significant role in how nurses evaluate EHR usability and whether EHRs have
their
intended effects on improving quality and safety of care.
CI - Georg Thieme Verlag KG Stuttgart · New York.
AU - Kutney-Lee A
School of
Nursing, Philadelphia, Pennsylvania, United States.
AD - Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania,
United
States.
AU - Sloane DM
School of
FAU - Bowles, Kathryn H
AU - Bowles KH
AD - Department of Biobehavioral Health Sciences, University of Pennsylvania
School of
FAU - Burns, Lawton R
AU - Burns LR
AD - The Wharton School, University of Pennsylvania, Philadelphia, Pennsylvania,
United
States.
AU - Aiken LH
School of
LA - eng
GR - R21 HS023805/HS/AHRQ HHS/United States
DEP - 20190220
TA - Appl Clin Inform
JT - Applied clinical informatics
JID - 101537732
SB - IM
MH - Adult
MH - *Attitude to Computers
MH - Electronic Health Records/*statistics & numerical data
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - Nurses/*statistics & numerical data
PMC - PMC6382496
COIS- None declared.
EDAT- 2019/02/21 06:00
MHDA- 2020/03/31 06:00
CRDT- 2019/02/21 06:00
PHST- 2019/02/21 06:00 [entrez]
PHST- 2019/02/21 06:00 [pubmed]
PHST- 2020/03/31 06:00 [medline]
AID - 180222ra [pii]
AID - 10.1055/s-0039-1678551 [doi]
PST - ppublish
SO - Appl Clin Inform. 2019 Jan;10(1):129-139. doi: 10.1055/s-0039-1678551. Epub
2019 Feb
20.
PMID- 31990319
OWN - NLM
STAT- MEDLINE
DCOM- 20200206
LR - 20200805
IS - 0098-7484 (Print)
IS - 0098-7484 (Linking)
VI - 323
IP - 4
DP - 2020 Jan 28
TI - Malpractice Liability and Health Care Quality: A Review.
PG - 352-366
LID - 10.1001/jama.2019.21411 [doi]
AB - IMPORTANCE: The tort liability system is intended to serve 3 functions:
compensate
patients who sustain injury from negligence, provide corrective justice, and
deter
negligence. Deterrence, in theory, occurs because clinicians know that they
may
experience adverse consequences if they negligently injure patients.
OBJECTIVE: To
review empirical findings regarding the association between malpractice
liability
risk (ie, the extent to which clinicians face the threat of being sued and
having to
pay damages) and health care quality and safety. DATA SOURCES AND STUDY
SELECTION:
Systematic search of multiple databases for studies published between January
1,
1990, and November 25, 2019, examining the relationship between malpractice
liability risk measures and health outcomes or structural and process
indicators of
health care quality. DATA EXTRACTION AND SYNTHESIS: Information on the
exposure and
outcome measures, results, and acknowledged limitations was extracted by 2
reviewers. Meta-analytic pooling was not possible due to variations in study
designs; therefore, studies were summarized descriptively and assessed
qualitatively. MAIN OUTCOMES AND MEASURES: Associations between malpractice
risk
measures and health care quality and safety outcomes. Exposure measures
included
physicians' malpractice insurance premiums, state tort reforms, frequency of
paid
claims, average claim payment, physicians' claims history, total malpractice
payments, jury awards, the presence of an immunity from malpractice
liability, the
Centers for Medicare & Medicaid Services' Medicare malpractice geographic
practice
cost index, and composite measures combining these measures. Outcome measures
included patient mortality; hospital readmissions, avoidable admissions, and

prolonged length of stay; receipt of cancer screening; Agency for Healthcare
Research and Quality patient safety indicators and other measures of adverse
events;
measures of hospital and nursing home quality; and patient satisfaction.
RESULTS:
Thirty-seven studies were included; 28 examined hospital care only and 16
focused on
obstetrical care. Among obstetrical care studies, 9 found no significant
association
between liability risk and outcomes (such as Apgar score and birth injuries)
and 7
found limited evidence for an association. Among 20 studies of patient
mortality in
nonobstetrical care settings, 15 found no evidence of an association with
liability
risk and 5 found limited evidence. Among 7 studies that examined hospital
readmissions and avoidable initial hospitalizations, none found evidence of
an
association between liability risk and outcomes. Among 12 studies of other
measures
(eg, patient safety indicators, process-of-care quality measures, patient
satisfaction), 7 found no association between liability risk and these
outcomes and
5 identified significant associations in some analyses. CONCLUSIONS AND
RELEVANCE:
In this systematic review, most studies found no association between measures
of
malpractice liability risk and health care quality and outcomes. Although
gaps in
the evidence remain, the available findings suggested that greater tort
liability,
at least in its current form, was not associated with improved quality of
care.
FAU - Mello, Michelle M
AU - Mello MM
AD - Stanford Law School, Stanford, California.
AD - Department of Medicine, Stanford University School of Medicine, Stanford,
California.
FAU - Frakes, Michael D
AU - Frakes MD
AD - Duke University School of Law, Durham, North Carolina.
FAU - Blumenkranz, Erik
AU - Blumenkranz E
FAU - Studdert, David M
AU - Studdert DM
AD - Department of Medicine, Stanford University School of Medicine, Stanford,
California.
LA - eng
TA - JAMA
JT - JAMA
JID - 7501160
SB - AIM
SB - IM
CIN - JAMA. 2020 Jan 28;323(4):315-317. PMID: 31990297
CIN - Ir Med J. 2020 Mar 13;113(3):32. PMID: 32815674
MH - Humans
MH - Insurance, Liability/economics
MH - *Liability, Legal
MH - Malpractice/economics/*legislation & jurisprudence/statistics & numerical
data
MH - Obstetrics/standards
MH - Outcome Assessment, Health Care
MH - Postoperative Complications
PMC - PMC7402204
MID - NIHMS1563360
EDAT- 2020/01/29 06:00
MHDA- 2020/02/07 06:00
CRDT- 2020/01/29 06:00
PHST- 2020/01/29 06:00 [entrez]
PHST- 2020/01/29 06:00 [pubmed]
PHST- 2020/02/07 06:00 [medline]
AID - 2759478 [pii]
AID - 10.1001/jama.2019.21411 [doi]
PST - ppublish
SO - JAMA. 2020 Jan 28;323(4):352-366. doi: 10.1001/jama.2019.21411.
PMID- 28626086
OWN - NLM
STAT- MEDLINE
DCOM- 20180426
LR - 20181113
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 26
IP - 7
DP - 2017 Jul
TI - Nursing skill mix in European hospitals: cross-sectional study of the
association
with mortality, patient ratings, and quality of care.
PG - 559-568
LID - 10.1136/bmjqs-2016-005567 [doi]
AB - OBJECTIVES: To determine the association of hospital nursing skill mix with
patient
mortality, patient ratings of their care and indicators of quality of care.
DESIGN:
Cross-sectional patient discharge data, hospital characteristics and nurse
and
patient survey data were merged and analysed using generalised estimating
equations
(GEE) and logistic regression models. SETTING: Adult acute care hospitals in
Belgium, England, Finland, Ireland, Spain and Switzerland. PARTICIPANTS:
Survey data
were collected from 13 077 nurses in 243 hospitals, and 18 828 patients in
182 of
the same hospitals in the six countries. Discharge data were obtained for
275 519
surgical patients in 188 of these hospitals. MAIN OUTCOME MEASURES: Patient
mortality, patient ratings of care, care quality, patient safety, adverse
events and
nurse burnout and job dissatisfaction. RESULTS: Richer nurse skill mix (eg,
every
10-point increase in the percentage of professional nurses among all nursing
personnel) was associated with lower odds of mortality (OR=0.89), lower odds
of low
hospital ratings from patients (OR=0.90) and lower odds of reports of poor
quality
(OR=0.89), poor safety grades (OR=0.85) and other poor outcomes
(0.80<OR<0.93),
after adjusting for patient and hospital factors. Each 10 percentage point
reduction
in the proportion of professional nurses is associated with an 11% increase
in the
odds of death. In our hospital sample, there were an average of six
caregivers for
every 25 patients, four of whom were professional nurses. Substituting one
nurse
assistant for a professional nurse for every 25 patients is associated with a
21%
increase in the odds of dying. CONCLUSIONS: A bedside care workforce with a
greater
proportion of professional nurses is associated with better outcomes for
patients
and nurses. Reducing nursing skill mix by adding nursing associates and other
categories of assistive nursing personnel without professional nurse

qualifications
may contribute to preventable deaths, erode quality and safety of hospital
care and
contribute to hospital nurse shortages.
CI - Published by the BMJ Publishing Group Limited. For permission to use (where
not
already granted under a licence) please go to
http://www.bmj.com/company/products-services/rights-and-licensing/.
AU - Aiken LH
AD - University of Pennsylvania School of Nursing, Center for Health Outcomes and
Policy
Research, Philadelphia, Pennsylvania, USA.
FAU - Sloane, Douglas
AU - Sloane D
AUID- ORCID: 0000-0003-2541-9783
Policy
AU - Griffiths P
AUID- ORCID: 0000-0003-2439-2857
AD - Faculty of Health Sciences, University of Southampton, Southampton, UK.
AU - Rafferty AM
AD - King's College London, Florence Nightingale School of Nursing and Midwifery,
London,
UK.
FAU - Bruyneel, Luk
AU - Bruyneel L
AD - University of Leuven, Leuven Institute for Healthcare Policy, Leuven,
Belgium.
FAU - McHugh, Matthew
AU - McHugh M
Policy
FAU - Maier, Claudia B
AU - Maier CB
AD - Department of Healthcare Management, Technische Universitat Berlin, Berlin,
Germany.
FAU - Moreno-Casbas, Teresa
AU - Moreno-Casbas T
AD - Investén-Isciii. Instituto de Salud Carlos III, Ministerio de Ciencia e
Innovación,
Madrid, Spain.
FAU - Ball, Jane E
AU - Ball JE
AD - Faculty of Health Sciences, University of Southampton, Southampton, UK.
FAU - Ausserhofer, Dietmar
AU - Ausserhofer D
AD - Universitat Basel Department Public Health, Institute of Nursing Science,
Basel, BS,
Switzerland.
AU - Sermeus W
AD - University of Leuven, Leuven Institute for Healthcare Policy, Leuven,
Belgium.
CN - RN4CAST Consortium
LA - eng
DEP - 20161115
TA - BMJ Qual Saf
JID - 101546984
SB - H
CIN - BMJ Qual Saf. 2017 Jul;26(7):525-528. PMID: 28039393
MH - *Attitude of Health Personnel
MH - Burnout, Professional
MH - Europe/epidemiology
MH - Health Services Research
MH - Hospitals
MH - Humans
MH - Nursing Staff, Hospital/*psychology/*statistics & numerical data
MH - Patient Satisfaction/*statistics & numerical data
PMC - PMC5477662
MID - NIHMS833277
OTO - NOTNLM
OT - Nurses
OT - Patient safety
OT - Patient satisfaction
COIS- Competing interests: None declared.
EDAT- 2017/06/20 06:00
MHDA- 2018/04/27 06:00
PMCR- 2018/07/01
CRDT- 2017/06/20 06:00
PHST- 2016/04/07 00:00 [received]
PHST- 2016/10/04 00:00 [revised]
PHST- 2016/10/08 00:00 [accepted]
PHST- 2018/07/01 00:00 [pmc-release]
PHST- 2017/06/20 06:00 [entrez]
PHST- 2017/06/20 06:00 [pubmed]
PHST- 2018/04/27 06:00 [medline]
AID - bmjqs-2016-005567 [pii]
AID - 10.1136/bmjqs-2016-005567 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2017 Jul;26(7):559-568. doi: 10.1136/bmjqs-2016-005567. Epub
2016 Nov
15.
PMID- 26663904
OWN - NLM
STAT- MEDLINE
DCOM- 20161101
LR - 20181202
IS - 1553-5592 (Print)
IS - 1553-5592 (Linking)
VI - 11
IP - 2
DP - 2016 Feb
TI - Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic
Interventions to Reduce Alarm Frequency.
PG - 136-44
LID - 10.1002/jhm.2520 [doi]
AB - BACKGROUND: Alarm fatigue from frequent nonactionable physiologic monitor
alarms is
frequently named as a threat to patient safety. PURPOSE: To critically
examine the
available literature relevant to alarm fatigue. DATA SOURCES: Articles
published in
English, Spanish, or French between January 1980 and April 2015 indexed in
PubMed,
Cumulative Index to Nursing and Allied Health Literature, Scopus, Cochrane
Library,
Google Scholar, and ClinicalTrials.gov. STUDY SELECTION: Articles focused on
hospital physiologic monitor alarms addressing any of the following: (1) the
proportion of alarms that are actionable, (2) the relationship between alarm
exposure and nurse response time, and (3) the effectiveness of interventions
in
reducing alarm frequency. DATA EXTRACTION: We extracted data on setting,
collection
methods, proportion of alarms determined to be actionable, nurse response
time, and
associations between interventions and alarm rates. DATA SYNTHESIS: Our
search
produced 24 observational studies focused on alarm characteristics and
response time
and 8 studies evaluating interventions. Actionable alarm proportion ranged
from <1%
to 36% across a range of hospital settings. Two studies showed relationships
between
high alarm exposure and longer nurse response time. Most intervention studies
included multiple components implemented simultaneously. Although studies

varied
widely, and many had high risk of bias, promising but still unproven
interventions
include widening alarm parameters, instituting alarm delays, and using
disposable
electrocardiographic wires or frequently changed electrocardiographic
electrodes.
CONCLUSIONS: Physiologic monitor alarms are commonly nonactionable, and
evidence
supporting the concept of alarm fatigue is emerging. Several interventions
have the
potential to reduce alarms safely, but more rigorously designed studies with
attention to possible unintended consequences are needed.
CI - © 2015 Society of Hospital Medicine.
FAU - Paine, Christine Weirich
AU - Paine CW
AD - Division of General Pediatrics, The Children's Hospital of Philadelphia,
Philadelphia, Pennsylvania.
AD - PolicyLab, The Children's Hospital of Philadelphia, Philadelphia,
Pennsylvania.
FAU - Goel, Veena V
AU - Goel VV
AD - Department of Pediatrics, Stanford University School of Medicine, Stanford,
California.
AD - Division of Systems Medicine, Stanford University School of Medicine,
Stanford,
California.
AD - Department of Clinical Informatics, Stanford Children's Health, Stanford,
California.
AD - Division of Pediatric Hospital Medicine, Lucile Packard Children's Hospital
Stanford, Palo Alto, California.
FAU - Ely, Elizabeth
AU - Ely E
AD - Center for Pediatric Nursing Research and Evidence-Based Practice, The
Children's
Hospital of Philadelphia, Philadelphia, Pennsylvania.
FAU - Stave, Christopher D
AU - Stave CD
AD - Lane Medical Library, Stanford University School of Medicine, Stanford,
California.
FAU - Stemler, Shannon
AU - Stemler S
FAU - Zander, Miriam
AU - Zander M
FAU - Bonafide, Christopher P
AU - Bonafide CP
AD - Department of Biomedical and Health Informatics, The Children's Hospital of
Philadelphia, Philadelphia, Pennsylvania.
AD - Center for Pediatric Clinical Effectiveness, The Children's Hospital of
AD - Department of Pediatrics, Perelman School of Medicine at the University of
Pennsylvania, Philadelphia, Pennsylvania.
LA - eng
GR - K23 HL116427/HL/NHLBI NIH HHS/United States
GR - K23HL116427/HL/NHLBI NIH HHS/United States
PT - Review
DEP - 20151214
TA - J Hosp Med
JT - Journal of hospital medicine
JID - 101271025
SB - IM
CIN - J Hosp Med. 2016 Feb;11(2):153-4. PMID: 26662376
MH - *Clinical Alarms/adverse effects/statistics & numerical data
MH - Electrocardiography/methods
MH - Hospitals
MH - Humans
MH - Monitoring, Physiologic/*methods
MH - Nursing Staff, Hospital
MH - Time Factors
PMC - PMC4778561
MID - NIHMS761586
COIS- Potential conflicts of interest: The authors have no conflicts of interest
relevant
to this article to disclose.
EDAT- 2015/12/15 06:00
MHDA- 2016/11/02 06:00
CRDT- 2015/12/15 06:00
PHST- 2015/07/18 00:00 [received]
PHST- 2015/10/01 00:00 [revised]
PHST- 2015/10/06 00:00 [accepted]
PHST- 2015/12/15 06:00 [entrez]
PHST- 2015/12/15 06:00 [pubmed]
PHST- 2016/11/02 06:00 [medline]
AID - 10.1002/jhm.2520 [doi]
PST - ppublish
SO - J Hosp Med. 2016 Feb;11(2):136-44. doi: 10.1002/jhm.2520. Epub 2015 Dec 14.
PMID- 24330862
OWN - NLM
STAT- MEDLINE
DCOM- 20140728
LR - 20200407
IS - 0195-6701 (Print)
IS - 0195-6701 (Linking)
VI - 86 Suppl 1
DP - 2014 Jan
TI - epic3: national evidence-based guidelines for preventing healthcare-
associated
infections in NHS hospitals in England.
PG - S1-70
LID - S0195-6701(13)60012-2 [pii]
LID - 10.1016/S0195-6701(13)60012-2 [doi]
AB - National evidence-based guidelines for preventing healthcare-associated
infections
(HCAI) in National Health Service (NHS) hospitals in England were originally
commissioned by the Department of Health and developed during 1998-2000 by a
nurse-led multi-professional team of researchers and specialist clinicians.
Following extensive consultation, they were first published in January
2001(1) and
updated in 2007.(2) A cardinal feature of evidence-based guidelines is that
they are
subject to timely review in order that new research evidence and
technological
advances can be identified, appraised and, if shown to be effective for the
prevention of HCAI, incorporated into amended guidelines. Periodically
updating the
evidence base and guideline recommendations is essential in order to maintain
their
validity and authority. The Department of Health commissioned a review of new
evidence and we have updated the evidence base for making infection
prevention and
control recommendations. A critical assessment of the updated evidence
indicated
that the epic2 guidelines published in 2007 remain robust, relevant and
appropriate,
but some guideline recommendations required adjustments to enhance clarity
and a
number of new recommendations were required. These have been clearly
identified in
the text. In addition, the synopses of evidence underpinning the guideline
recommendations have been updated. These guidelines (epic3) provide
comprehensive
recommendations for preventing HCAI in hospital and other acute care settings
based
on the best currently available evidence. National evidence-based guidelines
are
broad principles of best practice that need to be integrated into local
practice
guidelines and audited to reduce variation in practice and maintain patient
safety.
Clinically effective infection prevention and control practice is an
essential
feature of patient protection. By incorporating these guidelines into routine
daily
clinical practice, patient safety can be enhanced and the risk of patients
acquiring
an infection during episodes of health care in NHS hospitals in England can
be
minimised.
CI - Copyright © 2014 The Healthcare Infection Society. Published by Elsevier Ltd.
All
rights reserved.
FAU - Loveday, H P
AU - Loveday HP
AD - Richard Wells Research Centre, College of Nursing, Midwifery and Healthcare,
University of West London (London). Electronic address:
heather.loveday@uwl.ac.uk.
FAU - Wilson, J A
AU - Wilson JA
University of West London (London).
FAU - Pratt, R J
AU - Pratt RJ
FAU - Golsorkhi, M
AU - Golsorkhi M
FAU - Tingle, A
AU - Tingle A
FAU - Bak, A
AU - Bak A
FAU - Browne, J
AU - Browne J
FAU - Prieto, J
AU - Prieto J
AD - Faculty of Health Sciences, University of Southampton (Southampton).
FAU - Wilcox, M
AU - Wilcox M
AD - Microbiology and Infection Control, Leeds Teaching Hospitals and University
of Leeds
(Leeds).
FAU - UK Department of Health
AU - UK Department of Health
LA - eng
GR - Department of Health/United Kingdom
PT - Practice Guideline
TA - J Hosp Infect
JT - The Journal of hospital infection
JID - 8007166
SB - IM
CIN - J Hosp Infect. 2014 Apr;86(4):276-7. PMID: 24630096
CIN - J Hosp Infect. 2014 Jul;87(3):182. PMID: 24928789
MH - Cross Infection/*prevention & control
MH - England
MH - *Hospitals
MH - Humans
MH - Infection Control/*methods
PMC - PMC7114876
EDAT- 2013/12/18 06:00
MHDA- 2014/07/30 06:00
CRDT- 2013/12/17 06:00
PHST- 2013/12/17 06:00 [entrez]
PHST- 2013/12/18 06:00 [pubmed]
PHST- 2014/07/30 06:00 [medline]
AID - S0195-6701(13)60012-2 [pii]
AID - 10.1016/S0195-6701(13)60012-2 [doi]
PST - ppublish
SO - J Hosp Infect. 2014 Jan;86 Suppl 1:S1-70. doi: 10.1016/S0195-6701(13)60012-2.
PMID- 29970054
OWN - NLM
STAT- MEDLINE
DCOM- 20180907
LR - 20191210
IS - 1472-6920 (Linking)
VI - 18
IP - 1
DP - 2018 Jul 3
TI - The effect of nurse empowerment educational program on patient safety
culture: a
randomized controlled trial.
PG - 158
LID - 10.1186/s12909-018-1255-6 [doi]
LID - 158
AB - BACKGROUND: The complexity of patients' condition and treatment processes in
intensive care units (ICUs) predisposes patients to more hazardous events.
Effective
patient safety culture is related to lowering the rate of patients'
complications
and fewer adverse events. The present study aimed to determine the effect of
empowering nurses and supervisors through an educational program on patient
safety
culture in adult ICUs. METHODS: A randomized controlled trial was conducted
during
April-September 2015 in 6 adult ICUs at Namazi Hospital, Shiraz, Iran. A
total of 60
nurses and 20 supervisors were selected through proportional stratified
sampling and
census, respectively, and randomly assigned to the experimental and control
groups.
The intervention consisted of a two-day workshop, hanging posters, and
distributing
pamphlets that covered topics such as patient safety, patient safety culture,
speak
up about safety issues, and the skills of Team Strategies and Tools to
Enhance
Performance and Patient Safety. Data were collected through a hospital survey
on
patient safety culture. Eventually, 61 participants completed the study. Data
were
analyzed using descriptive statistics, independent-samples t-test, paired-
samples
t-test, and Chi-square test. P < 0.05 was considered statistically
significant.
RESULTS: In the experimental group, the total post-test mean scores of the
patient
safety culture (3.46 ± 0.26) was significantly higher than that of the
control group
(2.84 ± 0.37, P < 0.001). It was also higher than that of the pre-test (2.91
± 0.4,
P < 0.001). Additionally, significant improvements were observed in 5 out of
12
dimensions in the experimental group. However, dimensions such as non-
punitive
response to errors and the events reported did not improve significantly.
CONCLUSION: Empowering nurses and supervisors could improve the overall
patient
safety culture. Nonetheless, additional actions are required to improve areas
such
as reporting the events and non-punitive response to errors. TRIAL
REGISTRATION:
IRCT2015053122494N1 . Date registered: March 2, 2016.
FAU - Amiri, Maryam
AU - Amiri M
AD - Department of Nursing, School of Nursing and Midwifery, Shiraz University of
Medical
Sciences, Shiraz, Iran.
FAU - Khademian, Zahra
AU - Khademian Z
AUID- ORCID: 0000-0001-8366-204X
AD - Department of Nursing, School of Nursing and Midwifery, Shiraz University of
Medical
Sciences, Shiraz, Iran. Zahrakhademian@yahoo.com.
FAU - Nikandish, Reza
AU - Nikandish R
AD - Anesthesia and Critical Care Emergency Medicine Department, Namazi Hospital,
Shiraz
University of Medical Sciences, Shiraz, Iran.
LA - eng
GR - Grant No. 5793/Vice Chancellor for Research, Shiraz University of Medical
Sciences,
Shiraz, Iran/
PT - Randomized Controlled Trial
DEP - 20180703
TA - BMC Med Educ
JT - BMC medical education
JID - 101088679
SB - IM
MH - Adult
MH - Critical Care Nursing/*education
MH - Female
MH - Humans
MH - Intensive Care Units
MH - Iran
MH - Male
MH - Nursing Staff/*education/*psychology
MH - *Nursing, Supervisory
MH - Organizational Culture
MH - *Power, Psychological
MH - Reproducibility of Results
MH - Safety Management
PMC - PMC6029022
OTO - NOTNLM
OT - Culture
OT - Intensive care units
OT - Nurses
OT - Nursing
OT - Patient safety
OT - Patient safety culture
OT - Safety
OT - Supervisory
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The present study was approved by
the
Ethics Committee of Shiraz University of Medical Sciences (Shiraz, Iran) and
the
authorities at Namazi Hospital (No. 93–7397). Written informed consent was
obtained
from all participants and confidentiality of the information was assured.
CONSENT
FOR PUBLICATION: Not applicable. COMPETING INTERESTS: The authors declare
that they
have no competing interests. PUBLISHER’S NOTE: Springer Nature remains
neutral with
regard to jurisdictional claims in published maps and institutional
affiliations.
EDAT- 2018/07/05 06:00
MHDA- 2018/09/08 06:00
CRDT- 2018/07/05 06:00
PHST- 2017/07/18 00:00 [received]
PHST- 2018/06/12 00:00 [accepted]
PHST- 2018/07/05 06:00 [entrez]
PHST- 2018/07/05 06:00 [pubmed]
PHST- 2018/09/08 06:00 [medline]
AID - 10.1186/s12909-018-1255-6 [pii]
AID - 1255 [pii]
AID - 10.1186/s12909-018-1255-6 [doi]
PST - epublish
SO - BMC Med Educ. 2018 Jul 3;18(1):158. doi: 10.1186/s12909-018-1255-6.
PMID- 27804191
OWN - NLM
STAT- MEDLINE
DCOM- 20180522
LR - 20181113
IS - 1369-6513 (Print)
IS - 1369-6513 (Linking)
VI - 20
IP - 4
DP - 2017 Aug
TI - Patient and nurse preferences for implementation of bedside handover: Do they
agree?
Findings from a discrete choice experiment.
PG - 742-750
LID - 10.1111/hex.12513 [doi]
AB - OBJECTIVE: To describe and compare patients' and nurses' preferences for the
implementation of bedside handover. DESIGN: Discrete choice experiment
describing
handover choices using six characteristics: whether the patient is invited to
participate; whether a family member/carer/friend is invited; the number of

nurses
present; the level of patient involvement; the information content; and
privacy.
SETTING: Two Australian hospitals. PARTICIPANTS: Adult patients (n=401) and
nurses
(n=200) recruited from medical wards. MAIN OUTCOME MEASURES: Mean importance
scores
for handover characteristics estimated using mixed multinomial logit
regression of
the choice data. RESULTS: Both patient and nurse participants preferred
handover at
the bedside rather than elsewhere (P<.05). Being invited to participate,
supporting
strong two-way communication, having a family member/carer/friend present and
having
two nurses rather than the nursing team present were most important for
patients.
Patients being invited to participate and supporting strong two-way
communication
were most important for nurses. However, contrary to patient preferences,
having a
family member/carer/friend present was not considered important by nurses.
Further,
while patients expressed a weak preference to have sensitive information
handed over
quietly at the bedside, nurses expressed a relatively strong preference for
handover
of sensitive information verbally away from the bedside. CONCLUSIONS: All
participants strongly support handover at the bedside and want patients to
participate although patient and nurse preferences for various aspects of
bedside
handover differ. An understanding of these preferences is expected to support
recommendations for improving the patient hospital experience and the

consistent
implementation of bedside handover as a safety initiative.
CI - © 2016 The Authors. Health Expectations Published by John Wiley & Sons Ltd.
FAU - Whitty, Jennifer A
AU - Whitty JA
AD - Norwich Medical School, Faculty of Medicine and Health Sciences, University
of East
Anglia, Norwich, Norfolk, UK.
AD - School of Pharmacy, Faculty of Health and Behavioural Sciences, The
University of
Queensland, Brisbane, Qld, Australia.
FAU - Spinks, Jean
AU - Spinks J
AD - Centre for Applied Health Economics, Menzies Health Institute Queensland,
Nathan,
Qld, Australia.
FAU - Bucknall, Tracey
AU - Bucknall T
AD - Centre for Quality and Patient Safety, School of Nursing and Midwifery,
Faculty of
Health, Deakin University, Geelong, Vic., Australia.
AD - National Centre of Research Excellence in Nursing Interventions for
Hospitalised
Patients, Menzies Health Institute Queensland, Griffith University, Gold
Coast, Qld,
Australia.
AD - Alfred Health, Melbourne, Vic., Australia.
FAU - Tobiano, Georgia
AU - Tobiano G
Hospitalised
Coast, Qld,
Australia.
FAU - Chaboyer, Wendy
AU - Chaboyer W
Hospitalised
Coast, Qld,
Australia.
LA - eng
DEP - 20161102
TA - Health Expect
JT - Health expectations : an international journal of public participation in
health
care and health policy
JID - 9815926
SB - IM
MH - Adult
MH - Aged
MH - Australia
MH - Communication
MH - Family/psychology
MH - Female
MH - Humans
MH - Male
MH - Nursing Staff, Hospital/*psychology
MH - *Patient Handoff
MH - Patient Participation/*methods
MH - Patient Preference/*psychology
PMC - PMC5512991
OTO - NOTNLM
OT - *communication
OT - *discrete choice experiment
OT - *nursing
OT - *preferences
EDAT- 2016/11/03 06:00
MHDA- 2018/05/23 06:00
CRDT- 2016/11/03 06:00
PHST- 2016/09/25 00:00 [accepted]
PHST- 2016/11/03 06:00 [pubmed]
PHST- 2018/05/23 06:00 [medline]
PHST- 2016/11/03 06:00 [entrez]
AID - HEX12513 [pii]
AID - 10.1111/hex.12513 [doi]
PST - ppublish
SO - Health Expect. 2017 Aug;20(4):742-750. doi: 10.1111/hex.12513. Epub 2016 Nov
2.
PMID- 25229213
OWN - NLM
STAT- MEDLINE
DCOM- 20150721
LR - 20181113
IS - 0743-4618 (Print)
IS - 0743-4618 (Linking)
VI - 30
IP - 4
DP - 2014 Dec
TI - A metasynthesis of patient-provider communication in hospital for patients
with
severe communication disabilities: informing new translational research.
PG - 329-43
LID - 10.3109/07434618.2014.955614 [doi]
AB - Poor patient-provider communication in hospital continues to be cited as a
possible
causal factor in preventable adverse events for patients with severe
communication
disabilities. Yet to date there are no reports of empirical interventions
that
investigate or demonstrate an improvement in communication in hospital for
these
patients. The aim of this review was to synthesize the findings of research
into
communication in hospital for people with severe communication disabilities
arising
from lifelong and acquired stable conditions including cerebral palsy,
autism,
intellectual disability, aphasia following stroke, but excluding progressive
conditions and those solely related to sensory impairments of hearing or
vision.
Results revealed six core strategies suggested to improve communication in
hospital:
(a) develop services, systems, and policies that support improved
communication, (b)
devote enough time to communication, (c) ensure adequate access to
communication
tools (nurse call systems and communication aids), (d) access personally held
written health information, (e) collaborate effectively with carers, spouses,

and
parents, and (f) increase the communicative competence of hospital staff.
Currently
there are no reports that trial or validate any of these strategies
specifically in
hospital settings. Observational and evaluative research is needed to
investigate
the ecological validity of strategies proposed to improve communication.
FAU - Hemsley, Bronwyn
AU - Hemsley B
AD - School of Humanities and Social Science, Faculty of Education and Arts, The
University of Newcastle , New South Wales , Australia.
FAU - Balandin, Susan
AU - Balandin S
LA - eng
PT - Review
DEP - 20140917
TA - Augment Altern Commun
JT - Augmentative and alternative communication (Baltimore, Md. : 1985)
JID - 8504574
SB - IM
MH - *Communication
MH - *Communication Aids for Disabled
MH - *Communication Barriers
MH - Communication Disorders/*rehabilitation
MH - *Hospitals
MH - Humans
MH - *Inpatients
MH - *Professional-Patient Relations
MH - Severity of Illness Index
PMC - PMC4266100
OTO - NOTNLM
OT - Augmentative and alternative communication
OT - Communication disability
OT - Complex communication needs
OT - Metasynthesis
OT - Patient care
OT - Patient safety
EDAT- 2014/09/18 06:00
MHDA- 2015/07/22 06:00
CRDT- 2014/09/18 06:00
PHST- 2014/09/18 06:00 [entrez]
PHST- 2014/09/18 06:00 [pubmed]
PHST- 2015/07/22 06:00 [medline]
AID - 10.3109/07434618.2014.955614 [doi]
PST - ppublish
SO - Augment Altern Commun. 2014 Dec;30(4):329-43. doi:
10.3109/07434618.2014.955614.
Epub 2014 Sep 17.
PMID- 31934615
OWN - NLM
STAT- MEDLINE
DCOM- 20200706
LR - 20200706
IS - 2374-8265 (Linking)
VI - 15
DP - 2019 Nov 1
TI - Medication Reconciliation: An Educational Module.
PG - 10852
LID - 10.15766/mep_2374-8265.10852 [doi]
LID - 10852
AB - INTRODUCTION: Patients often transition between health care settings, such as
office
to hospital, hospital to nursing facility, or hospital to home. When a
patient is
admitted, it is imperative that clinicians review prior medication lists
along with
new orders to reconcile any discrepancies. This process should occur in a
standardized manner to reduce medication errors leading to adverse events and
patient harm. METHODS: We developed this program as an instructional method

via
PowerPoint to teach the importance of accurate medication reconciliation. We
implemented the program in multiple grand rounds settings with students,
trainees,
and attending physicians in internal medicine and surgery. Approximately 150
learners attended the sessions. We assessed learners with pre/post self-
efficacy
assessment (74 completed precourse surveys, 39 completed posttest surveys,
and 49
participated in the audience response during the course) and multiple-choice
knowledge questions. RESULTS: The results of the postcourse knowledge
assessment
demonstrated improvement in every question we tested, with two of the
improvements
reaching statistical significance. We found that 30% of attendees were not at
all
confident or only somewhat confident in conducting an appropriate medication
reconciliation on admission to the hospital. Additionally, 82% of respondents
reported that the presentation was likely or extremely likely to improve

their
medication reconciliation efforts. DISCUSSION: Our educational program was
successful in improving learners' knowledge in every question we tested;
however,
only two of the improvements were statistically significant. Our program is
an
organized and effective tool for teaching effective and reliable medication
reconciliation.
CI - Copyright © 2019 Lester et al.
FAU - Lester, Paula E
AU - Lester PE
AD - Associate Fellowship Program Director, Geriatric Medicine, NYU Winthrop
Hospital.
AD - Associate Professor of Medicine, NYU Long Island School of Medicine.
FAU - Sahansra, Sukhminder
AU - Sahansra S
AD - Clinical Assistant Professor of Medicine, NYU Long Island School of Medicine.
FAU - Shen, Mark
AU - Shen M
AD - Clinical Pharmacist, NYU Winthrop Hospital.
FAU - Becker, Maria
AU - Becker M
AD - Family Practice Resident, Peconic Bay Medical Center.
FAU - Islam, Shahidul
AU - Islam S
AD - Research Assistant Professor, Division of Health Services Research, NYU Long
Island
School of Medicine.
LA - eng
DEP - 20191101
TA - MedEdPORTAL
JT - MedEdPORTAL : the journal of teaching and learning resources
JID - 101714390
SB - IM
MH - Continuity of Patient Care
MH - Health Knowledge, Attitudes, Practice
MH - Humans
MH - Internal Medicine/*education
MH - Medical Staff, Hospital/*education
MH - Medication Errors/*prevention & control
MH - *Medication Reconciliation/methods
MH - Patient Discharge
MH - *Patient Transfer/methods
MH - Pharmacists
PMC - PMC6952281
OTO - NOTNLM
OT - *Hospitalization
OT - *Medication Reconciliation
OT - *Postacute Care
OT - *Subacute Care
OT - *Transitional Care
OT - *Transitions of Care
COIS- None to report.
EDAT- 2020/01/15 06:00
MHDA- 2020/07/07 06:00
CRDT- 2020/01/15 06:00
PHST- 2020/01/15 06:00 [entrez]
PHST- 2020/01/15 06:00 [pubmed]
PHST- 2020/07/07 06:00 [medline]
AID - 10.15766/mep_2374-8265.10852 [doi]
PST - epublish
SO - MedEdPORTAL. 2019 Nov 1;15:10852. doi: 10.15766/mep_2374-8265.10852.
PMID- 31807588
OWN - NLM
LR - 20200928
IS - 2277-9531 (Print)
IS - 2277-9531 (Linking)
VI - 8
DP - 2019
TI - Effect of interprofessional education of medication safety program on the
medication
error of physicians and nurses in the intensive care units.
PG - 196
LID - 10.4103/jehp.jehp_200_19 [doi]
LID - 196
AB - BACKGROUND: The safety of hospitalized patients in the intensive care units
(ICUs)
is threatened due to incidents and adverse events, including medication
errors.
Medication error refers to any preventable event at different stage of
medication
process, such as prescription, transcription, distributing medication, and
administration, which can lead to incorrect use of medicines or damage to the
patient. This study aimed at investigating the effect of the

interprofessional
education of medication safety program on medication errors of physicians and
nurses
in the ICUs. MATERIALS AND METHODS: The study was conducted using a
quasi-experimental method (single group, before and after) in 2017. The
setting of
the study included one ICU of selected teaching hospital affiliated to
Isfahan
University of Medical Sciences located in the Central Iran with a total of 23
beds.
Participants included 50 members of the health-care team (physician, nurse,
and
clinical pharmacist) with at least 1 year of work experience in the ICUs.
Participants were selected using censuses sampling method. Data were
collected using
a two-section self-made questionnaire. Data were analyzed through
descriptive,
analytical statistics, and version 16 of the SPSS software (P < 0.05).
RESULTS:
According to reporting of physicians, nurses, and clinical pharmacist, the
medication error 1 month after implementation, the interprofessional
education of
medication safety program was significantly lower than before the
implementation of
it (P < 0.001). CONCLUSIONS: Interprofessional education helps to improve
interprofessional collaboration and patient care through the promotion of
various
professions of health to increase interprofessional collaboration compared to
single
profession education, which individuals learn in isolation and merely in
their
profession. Therefore, interprofessional education of medication safety
program can
reduce medication error and promote patient safety in the ICUs.
CI - Copyright: © 2019 Journal of Education and Health Promotion.
FAU - Irajpour, Alireza
AU - Irajpour A
AD - Department of Critical Care Nursing, Isfahan University of Medical Sciences,
Isfahan, Iran.
FAU - Farzi, Sedigheh
AU - Farzi S
AD - Department of Adult Health Nursing, Nursing and Midwifery Care Research
Centre,
Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences,
Isfahan,
Iran.
FAU - Saghaei, Mahmoud
AU - Saghaei M
AD - Department of Anaesthesiology, Isfahan University of Medical Sciences,
Isfahan,
Iran.
FAU - Ravaghi, Hamid
AU - Ravaghi H
AD - Department of Health Services Management, School of Health Management and
Information Science, Iran University of Medical Sciences, Tehran, Iran.
LA - eng
DEP - 20191024
TA - J Educ Health Promot
JT - Journal of education and health promotion
JID - 101593794
PMC - PMC6852381
OTO - NOTNLM
OT - Education
OT - intensive care units
OT - interprofessional relations
OT - medication errors
OT - patient safety
COIS- There are no conflicts of interest.
EDAT- 2019/12/07 06:00
MHDA- 2019/12/07 06:01
CRDT- 2019/12/07 06:00
PHST- 2019/04/13 00:00 [received]
PHST- 2019/05/11 00:00 [accepted]
PHST- 2019/12/07 06:00 [entrez]
PHST- 2019/12/07 06:00 [pubmed]
PHST- 2019/12/07 06:01 [medline]
AID - JEHP-8-196 [pii]
AID - 10.4103/jehp.jehp_200_19 [doi]
PST - epublish
SO - J Educ Health Promot. 2019 Oct 24;8:196. doi: 10.4103/jehp.jehp_200_19.
eCollection
2019.
PMID- 31129446
OWN - NLM
STAT- MEDLINE
DCOM- 20200402
LR - 20210109
IS - 0020-7489 (Linking)
VI - 97
DP - 2019 Sep
TI - How many nurses do we need? A review and discussion of operational research
techniques applied to nurse staffing.
PG - 7-13
LID - S0020-7489(19)30112-9 [pii]
AB - Despite a long history of health services research that indicates that having
sufficient nursing staff on hospital wards is critical for patient safety,

and
sustained interest in nurse staffing methods, there is a lack of agreement on
how to
determine safe staffing levels. For an alternative viewpoint, we look to a
separate
body of literature that makes use of operational research techniques for
planning
nurse staffing. Our goal is to provide examples of the use of operational
research
approaches applied to nurse staffing, and to discuss what they might add to
traditional methods. The paper begins with a summary of traditional
approaches to
nurse staffing and their limitations. We explain some key operational
research
techniques and how they are relevant to different nurse staffing problems,
based on
examples from the operational research literature. We identify three key
contributions of operational research techniques to these problems: "problem
structuring", handling complexity and numerical experimentation. We conclude
that
decision-making about nurse staffing could be enhanced if operational
research
techniques were brought in to mainstream nurse staffing research. There are
also
opportunities for further research on a range of nurse staff planning
aspects: skill
mix, nursing work other than direct patient care, quantifying risks and
benefits of
staffing below or above a target level, and validating staffing methods in a
range
of hospitals.
reserved.
FAU - Saville, Christina E
AU - Saville CE
AD - School of Health Sciences, The University of Southampton, UK. Electronic
address:
C.E.Saville@soton.ac.uk.
AU - Griffiths P
AD - Karolinska Institutet, Sweden.
FAU - Ball, Jane E
AU - Ball JE
AD - NIHR CLAHRC Wessex, School of Health Sciences, The University of Southampton,
UK.
FAU - Monks, Thomas
AU - Monks T
AD - NIHR CLAHRC Wessex, School of Health Sciences, The University of Southampton,
UK.
LA - eng
PT - Review
DEP - 20190430
PL - England
JID - 0400675
SB - IM
SB - N
MH - *Health Workforce
MH - Models, Organizational
MH - *Nursing Research
MH - *Nursing Staff
OTO - NOTNLM
OT - Discussion
OT - Hospital
OT - Nursing staff
OT - Operations research
OT - Personnel staffing and scheduling
OT - Review
EDAT- 2019/05/28 06:00
MHDA- 2020/04/03 06:00
CRDT- 2019/05/27 06:00
PHST- 2018/09/14 00:00 [received]
PHST- 2019/03/18 00:00 [revised]
PHST- 2019/04/19 00:00 [accepted]
PHST- 2019/05/28 06:00 [pubmed]
PHST- 2020/04/03 06:00 [medline]
PHST- 2019/05/27 06:00 [entrez]
AID - S0020-7489(19)30112-9 [pii]
PST - ppublish
SO - Int J Nurs Stud. 2019 Sep;97:7-13. doi: 10.1016/j.ijnurstu.2019.04.015. Epub
2019
Apr 30.
PMID- 26951568
OWN - NLM
STAT- MEDLINE
DCOM- 20180424
LR - 20180627
IS - 1460-4582 (Linking)
VI - 23
IP - 2
DP - 2017 Jun
TI - An analysis of electronic health record-related patient safety incidents.
PG - 134-145
LID - 10.1177/1460458216631072 [doi]
AB - The aim of this study was to analyse electronic health record-related patient
safety
incidents in the patient safety incident reporting database in fully digital
hospitals in Finland. We compare Finnish data to similar international data
and
discuss their content with regard to the literature. We analysed the types of
electronic health record-related patient safety incidents that occurred at 23
hospitals during a 2-year period. A procedure of taxonomy mapping served to

allow
comparisons. This study represents a rare examination of patient safety risks
in a
fully digital environment. The proportion of electronic health record-related
incidents was markedly higher in our study than in previous studies with
similar
data. Human-computer interaction problems were the most frequently reported.
The
results show the possibility of error arising from the complex interaction
between
clinicians and computers.
FAU - Palojoki, Sari
AU - Palojoki S
AD - University of Eastern Finland, Kuopio, Finland.
FAU - Mäkelä, Matti
AU - Mäkelä M
AD - National Institute for Health and Welfare, Helsinki, Finland.
FAU - Lehtonen, Lasse
AU - Lehtonen L
AD - University of Helsinki, Finland.
FAU - Saranto, Kaija
AU - Saranto K
AD - University of Eastern Finland, Finland.
LA - eng
PT - Multicenter Study
DEP - 20160307
PL - England
TA - Health Informatics J
JT - Health informatics journal
JID - 100883604
SB - IM
MH - Electronic Health Records/*instrumentation/*standards/statistics & numerical
data
MH - Finland
MH - Humans
MH - Medical Errors/statistics & numerical data/*trends
MH - Patient Safety/*standards/statistics & numerical data
MH - Safety Management/methods/standards
OTO - NOTNLM
OT - *electronic health records
OT - *health information technology
OT - *hospital incident reporting
OT - *sociotechnical
EDAT- 2016/03/10 06:00
MHDA- 2018/04/25 06:00
CRDT- 2016/03/09 06:00
PHST- 2016/03/10 06:00 [pubmed]
PHST- 2018/04/25 06:00 [medline]
PHST- 2016/03/09 06:00 [entrez]
AID - 1460458216631072 [pii]
AID - 10.1177/1460458216631072 [doi]
PST - ppublish
SO - Health Informatics J. 2017 Jun;23(2):134-145. doi: 10.1177/1460458216631072.
Epub
2016 Mar 7.
PMID- 31204446
OWN - NLM
STAT- MEDLINE
DCOM- 20200124
LR - 20200309
IS - 2322-5939 (Linking)
VI - 8
IP - 5
DP - 2019 May 1
TI - Risk Factors for Falls in Hospital In-Patients: A Prospective Nested Case
Control
Study.
PG - 300-306
LID - 10.15171/ijhpm.2019.11 [doi]
AB - BACKGROUND: Patient falls are considered a challenge to the patient's safety
in
hospitals, which, in addition to increasing the length of stay and costs, may
also
result in severe injuries or even the death of the patient. This study aims
to
investigate the associations between risk factors among fallers in comparison
with
the control group. METHODS: A prospective nested case control study was
performed on
185 patients who fell and 1141 controls were matched with the patients at
risk of
fall in the same ward and during the same time. This study was conducted in a
university educational hospital in Tehran with 800 beds during a 9-month

period. The
data included demographics, comorbidities, admission details, types of
medication,
clinical conditions, and activities before or during the fall. The data was
collected from clinical records, hospital information system, error reporting
system
and observations, and the interviews with the fallers, their families and
care
givers (physicians, nurses, etc). Data analysis was conducted through time-
based
matching using a multi-level analysis. RESULTS: In a multilevel model
including
patient-related, medication, and care-related variables, the factors that
were
significantly associated with an increased risk of patient falls included:
longer
length of stay (odds ratio [OR] = 1.01; CI=0.32 to 0.73), using chemotherapy
drugs,
sedatives, anticonvulsants, benzodiazepines, and angiotensin-converting
enzyme (ACE)
inhibitors, visual acuity (OR=6.93; CI=4.22 to 11.38), balance condition (OR=
6.41;
CI=4.51 to 9.11), manual transfer aid (OR=8.47; CI=5.65 to 12.69), urinary
incontinence (OR= 8.47, CI= 5.65 to 12.69), and cancer (OR=2.86, CI=1.84-
4.44).
These factors were found to be associating with more odds for a falling
accident
among patients. Several characteristics such as fall history (OR=0.48; CI=
1.003 to
1.02), poly-pharmacy (OR=1.37, CI=00.85 to 2.2), stroke (OR=0.94, CI= 0.44 to
2.02),
and nurse to patient ratio (incidence rate ratio=1.01, CI=0.01 to 0.03) were
not
significantly associated with falling in hospitals. CONCLUSION: It seems that
a
combination of both patient-related factors and history of medication should
be
considered. Moreover, modifiable clinical characteristics of patients such as
vision
improvement, provision of manual transfer aid, diabetes control, regular
toilet
program, and drug modification should be considered during the formulation of
interventions.
CI - © 2019 The Author(s); Published by Kerman University of Medical Sciences.
This is an
open-access article distributed under the terms of the Creative Commons
Attribution
License (http://creativecommons.org/licenses/by/4.0), which permits
unrestricted
use, distribution, and reproduction in any medium, provided the original work
is
properly cited.
FAU - Najafpour, Zhila
AU - Najafpour Z
AD - Department of Health Care Management, School of Public Health, Ahvaz
Jundishapur
University of Medical Sciences, Ahvaz, Iran.
FAU - Godarzi, Zahra
AU - Godarzi Z
AD - Department of Pharmacoeconomics and Pharmaceutical Administration, Faculty of
Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.

FAU - Arab, Mohammad
AU - Arab M
AD - School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
FAU - Yaseri, Mehdi
AU - Yaseri M
AD - Department of Epidemiology and Biostatistics, School of Public Health, Tehran
University of Medical Sciences, Tehran, Iran.

LA - eng
DEP - 20190501
TA - Int J Health Policy Manag
JT - International journal of health policy and management
JID - 101619905
SB - H
SB - IM
MH - Accidental Falls/*statistics & numerical data
MH - Case-Control Studies
MH - Drug Therapy/statistics & numerical data
MH - Drug-Related Side Effects and Adverse Reactions/epidemiology
MH - Female
MH - Humans
MH - Inpatients/*statistics & numerical data
MH - Length of Stay/statistics & numerical data
MH - Male
MH - Middle Aged
MH - Neoplasms/complications
MH - Patient Safety
MH - Postural Balance
MH - Prospective Studies
MH - Risk Factors
MH - Urinary Incontinence/complications
MH - Visual Acuity
PMC - PMC6571495
OTO - NOTNLM
OT - *Accidental Fall
OT - *Hospital
OT - *Nested Case Control
OT - *Risk Factors
EDAT- 2019/06/18 06:00
MHDA- 2020/01/25 06:00
CRDT- 2019/06/18 06:00
PHST- 2018/05/28 00:00 [received]
PHST- 2019/02/25 00:00 [accepted]
PHST- 2019/06/18 06:00 [entrez]
PHST- 2019/06/18 06:00 [pubmed]
PHST- 2020/01/25 06:00 [medline]
AID - 10.15171/ijhpm.2019.11 [doi]
PST - epublish
SO - Int J Health Policy Manag. 2019 May 1;8(5):300-306. doi:
10.15171/ijhpm.2019.11.
PMID- 30516947
STAT- Publisher
PB - NIHR Journals Library
CTI - Health Services and Delivery Research
DP - 2018 Nov
BTI - Nurse staffing levels, missed vital signs and mortality in hospitals:
retrospective
longitudinal observational study
AB - BACKGROUND: Low nurse staffing levels are associated with adverse patient
outcomes
from hospital care, but the causal relationship is unclear. Limited capacity
to
observe patients has been hypothesised as a causal mechanism. OBJECTIVES:
This study
determines whether or not adverse outcomes are more likely to occur after
patients
experience low nurse staffing levels, and whether or not missed vital signs
observations mediate any relationship. DESIGN: Retrospective longitudinal
observational study. Multilevel/hierarchical mixed-effects regression models
were
used to explore the association between registered nurse (RN) and health-care
assistant (HCA) staffing levels and outcomes, controlling for ward and
patient
factors. SETTING AND PARTICIPANTS: A total of 138,133 admissions to 32
general adult
wards of an acute hospital from 2012 to 2015. MAIN OUTCOMES: Death in
hospital,
adverse event (death, cardiac arrest or unplanned intensive care unit
admission),
length of stay and missed vital signs observations. DATA SOURCES: Patient
administration system, cardiac arrest database, eRoster, temporary staff
bookings
and the Vitalpac system (System C Healthcare Ltd, Maidstone, Kent; formerly
The
Learning Clinic Limited) for observations. RESULTS: Over the first 5 days of
stay,
each additional hour of RN care was associated with a 3% reduction in the
hazard of
death [hazard ratio (HR) 0.97, 95% confidence interval (CI) 0.94 to 1.0].
Days on
which the HCA staffing level fell below the mean were associated with an
increased
hazard of death (HR 1.04, 95% CI 1.02 to 1.07), but the hazard of death
increased as
cumulative staffing exposures varied from the mean in either direction.
Higher
levels of temporary staffing were associated with increased mortality.
Adverse
events and length of stay were reduced with higher RN staffing. Overall, 16%
of
observations were missed. Higher RN staffing was associated with fewer missed
observations in high-acuity patients (incidence rate ratio 0.98, 95% CI 0.97

to
0.99), whereas the overall rate of missed observations was related to overall
care
hours (RN + HCA) but not to skill mix. The relationship between low RN
staffing and
mortality was mediated by missed observations, but other relationships
between
staffing and mortality were not. Changing average skill mix and staffing
levels to
the levels planned by the Trust, involving an increase of 0.32 RN hours per
patient
day (HPPD) and a similar decrease in HCA HPPD, would be associated with
reduced
mortality, an increase in staffing costs of £28 per patient and a saving of
£0.52
per patient per hospital stay, after accounting for the value of reduced
stays.
LIMITATIONS: This was an observational study in a single site. Evidence of
cause is
not definitive. Variation in staffing could be influenced by variation in the
assessed need for staff. Our economic analysis did not consider quality or
length of
life. CONCLUSIONS: Higher RN staffing levels are associated with lower
mortality,
and this study provides evidence of a causal mechanism. There may be several
causal
pathways and the absolute rate of missed observations cannot be used to guide
staffing decisions. Increases in nursing skill mix may be cost-effective for

improving patient safety. FUTURE WORK: More evidence is required to validate
approaches to setting staffing levels. Other aspects of missed nursing care
should
be explored using objective data. The implications of findings about both
costs and
temporary staffing need further exploration. TRIAL REGISTRATION: This study
is
registered as ISRCTN17930973. FUNDING: This project was funded by the
National
Institute for Health Research (NIHR) Health Services and Delivery Research
programme
and will be published in full in Health Services and Delivery Research; Vol.
6, No.
38. See the NIHR Journals Library website for further project information.
CI - Copyright © Queen’s Printer and Controller of HMSO 2018. This work was
produced by
Griffiths et al. under the terms of a commissioning contract issued by the
Secretary
of State for Health and Social Care. This issue may be freely reproduced for
the
purposes of private research and study and extracts (or indeed, the full
report) may
be included in professional journals provided that suitable acknowledgement
is made
and the reproduction is not associated with any form of advertising.
Applications
for commercial reproduction should be addressed to: NIHR Journals Library,
National
Institute for Health Research, Evaluation, Trials and Studies Coordinating
Centre,
Alpha House, University of Southampton Science Park, Southampton SO16 7NS,
UK.
AU - Griffiths P
AUID- ORCID: 0000-0003-2439-2857
AD - Health Sciences, University of Southampton, Southampton, UK
Applied
Health Research and Care Wessex, Southampton, UK
FAU - Ball, Jane
AU - Ball J
AUID- ORCID: 0000-0002-8655-2994
Applied
FAU - Bloor, Karen
AU - Bloor K
AUID- ORCID: 0000-0003-4852-9854
AD - Health Sciences, University of York, York, UK
FAU - Böhning, Dankmar
AU - Böhning D
AUID- ORCID: 0000-0003-0638-7106
AD - Mathematical Sciences, University of Southampton, Southampton, UK
FAU - Briggs, Jim
AU - Briggs J
AUID- ORCID: 0000-0003-1559-4879
AD - Centre for Healthcare Modelling and Informatics, University of Portsmouth,
Portsmouth UK
FAU - Dall’Ora, Chiara
AU - Dall’Ora C
AUID- ORCID: 0000-0002-6858-3535
Applied
FAU - Iongh, Anya De
AU - Iongh AD
AD - Independent lay researcher c/o National Institute for Health Research
Collaboration
for Leadership in Applied Health Research and Care, Southampton, UK
FAU - Jones, Jeremy
AU - Jones J
AUID- ORCID: 0000-0002-2725-0937
FAU - Kovacs, Caroline
AU - Kovacs C
AUID- ORCID: 0000-0002-3548-8603
Portsmouth UK
FAU - Maruotti, Antonello
AU - Maruotti A
AUID- ORCID: 0000-0001-8377-9950
FAU - Meredith, Paul
AU - Meredith P
AUID- ORCID: 0000-0002-5464-371X
Applied
AD - Clinical Outcomes Research Group, Portsmouth Hospitals NHS Trust, Queen
Alexandra
Hospital, Portsmouth, UK
FAU - Prytherch, David
AU - Prytherch D
AUID- ORCID: 0000-0003-2621-6451
Applied
Portsmouth UK
Alexandra
FAU - Saucedo, Alejandra Recio
AU - Saucedo AR
AUID- ORCID: 0000-0003-2823-4573
Applied
FAU - Redfern, Oliver
AU - Redfern O
AUID- ORCID: 0000-0002-3596-3806
Portsmouth UK
FAU - Schmidt, Paul
AU - Schmidt P
AUID- ORCID: 0000-0001-5856-8262
Applied
Alexandra
FAU - Sinden, Nicola
AU - Sinden N
AUID- ORCID: 0000-0002-9497-6973
Alexandra
FAU - Smith, Gary
AU - Smith G
AUID- ORCID: 0000-0003-2070-8455
AD - Health and Social Sciences, Bournemouth University, Bournemouth, UK
LA - eng
PT - Review
PT - Book
PL - Southampton (UK)
RF - 164
OAB - Higher nurse staffing levels were associated with fewer missed observations,
reduced
length of stay and less adverse events, including mortality.
OABL- eng
EDAT- 2018/11/01 00:00
CRDT- 2018/11/01 00:00
PHST- 2018/02/01 00:00 [accepted]
AID - 10.3310/hsdr06380 [doi]
PMID- 31406839
OWN - NLM
LR - 20200930
IS - 2096-6296 (Print)
IS - 2352-0132 (Linking)
VI - 5
IP - 3
DP - 2018 Jul 10
TI - The state of the science of nurse work environments in the United States: A
systematic review.
PG - 287-300
LID - 10.1016/j.ijnss.2018.04.010 [doi]
AB - A healthy nurse work environment is a workplace that is safe, empowering, and
satisfying. Many research studies were conducted on nurse work environments

in the
last decade; however, it lacks an overview of these research studies. The
purpose of
this review is to identify, evaluate, and summarize the major foci of studies
about
nurse work environments in the United States published between January 2005
and
December 2017 and provide strategies to improve nurse work environments.
Databases
searched included MEDLINE via PubMed, CINAHL, PsycINFO, Nursing and Allied
Health,
and the Cochrane Library. The literature search followed the PRISMA
guideline.
Fifty-four articles were reviewed. Five major themes emerged: 1) Impacts of
healthy
work environments on nurses' outcomes such as psychological health, emotional
strains, job satisfaction, and retention; 2) Associations between healthy

work
environments and nurse interpersonal relationships at workplaces, job
performance,
and productivity; 3) Effects of healthy work environments on patient care
quality;
4) Influences of healthy work environments on hospital accidental safety; and
5)
Relationships between nurse leadership and healthy work environments. This
review
shows that nurses, as frontline patient care providers, are the foundation
for
patient safety and care quality. Promoting nurse empowerment, engagement, and
interpersonal relationships at work is rudimental to achieve a healthy work

environment and quality patient care. Healthier work environments lead to
more
satisfied nurses who will result in better job performance and higher quality
of
patient care, which will subsequently improve healthcare organizations'
financial
viability. Fostering a healthy work environment is a continuous effort.
FAU - Wei, Holly
AU - Wei H
AD - East Carolina University College of Nursing, Greenville, NC, USA.
FAU - Sewell, Kerry A
AU - Sewell KA
AD - Laupus Library, East Carolina University, Greenville, NC, USA.
FAU - Woody, Gina
AU - Woody G
FAU - Rose, Mary Ann
AU - Rose MA
LA - eng
PT - Review
DEP - 20180416
TA - Int J Nurs Sci
JT - International journal of nursing sciences
JID - 101660887
PMC - PMC6626229
OTO - NOTNLM
OT - Care quality
OT - Nurse
OT - Nursing leadership
OT - Self-care
OT - Work environments
EDAT- 2018/04/16 00:00
MHDA- 2018/04/16 00:01
CRDT- 2019/08/14 06:00
PHST- 2018/01/19 00:00 [received]
PHST- 2018/03/09 00:00 [revised]
PHST- 2018/04/11 00:00 [accepted]
PHST- 2019/08/14 06:00 [entrez]
PHST- 2018/04/16 00:00 [pubmed]
PHST- 2018/04/16 00:01 [medline]
AID - S2352-0132(18)30030-9 [pii]
AID - 10.1016/j.ijnss.2018.04.010 [doi]
PST - epublish
SO - Int J Nurs Sci. 2018 Apr 16;5(3):287-300. doi: 10.1016/j.ijnss.2018.04.010.
eCollection 2018 Jul 10.
PMID- 31625823
OWN - NLM
STAT- MEDLINE
DCOM- 20200316
LR - 20200316
IS - 1477-7266 (Linking)
VI - 33
IP - 6
DP - 2019 Sep 5
TI - Organizational learning and patient safety: hospital pharmacy settings.
PG - 695-713
LID - 10.1108/JHOM-11-2018-0319 [doi]
AB - PURPOSE: The purpose of this paper is to explore the relationship between
organizational learning and patient safety culture in hospital pharmacy
settings as
determined by the learning organization survey short-form (LOS-27) and
pharmacy
survey on patient safety culture instruments, and to further explore how
dimensions
of organizational learning relate to dimensions of pharmacy patient safety
culture.
DESIGN/METHODOLOGY/APPROACH: This study is a cross-sectional study. Data were
obtained from three public hospital pharmacies and three private hospital
pharmacies
in Kuwait. Partial least square structural equation modeling was used to
analyze the
data. FINDINGS: A total of 272 surveys (59.1 percent response rate) were
completed
and returned. The results indicated a significant positive relationship
between
organizational learning and patient safety culture in hospital pharmacy
settings
(path coefficient of 0.826, p-value <0.05 and R(2) of 0.683). Several
dimensions of
the organizational learning showed significant links to the various
dimensions of
the pharmacy patient safety culture. Specifically, training (TRN), management
that
reinforces learning (MRL) and supportive learning environment (SLE) had the
strongest effects on the pharmacy patient safety culture dimensions.
Moreover, these
effects indicated that MRL, SLE and TRN were associated with improvements in
most
dimensions of pharmacy patient safety culture. ORIGINALITY/VALUE: To the best
of the
authors' knowledge, this is the first attempt to assess the relationship
between
organizational learning, patient safety culture and their dimensions in
hospital
pharmacy settings.
FAU - Abdallah, Wael
AU - Abdallah W
AD - School of Management, University of Bradford , Bradford, UK.
FAU - Johnson, Craig
AU - Johnson C
AD - School of Management, University of Bradford , Bradford, UK.
FAU - Nitzl, Cristian
AU - Nitzl C
AD - University of the German Federal Armed Forces , Munich, Germany.
FAU - Mohammed, Mohammed A
AU - Mohammed MA
AD - School of Medical Sciences, University of Bradford , Bradford, UK.
LA - eng
DEP - 20190920
PL - England
TA - J Health Organ Manag
JT - Journal of health organization and management
JID - 101179473
SB - H
MH - Humans
MH - Kuwait
MH - *Learning
MH - *Organizational Culture
MH - *Pharmacy Service, Hospital
OTO - NOTNLM
OT - Hospital pharmacy
OT - Kuwait
OT - Measurement
OT - Organizational learning
OT - PLS-SEM
EDAT- 2019/10/19 06:00
MHDA- 2020/03/17 06:00
CRDT- 2019/10/19 06:00
PHST- 2019/10/19 06:00 [entrez]
PHST- 2019/10/19 06:00 [pubmed]
PHST- 2020/03/17 06:00 [medline]
AID - 10.1108/JHOM-11-2018-0319 [doi]
PST - ppublish
SO - J Health Organ Manag. 2019 Sep 5;33(6):695-713. doi: 10.1108/JHOM-11-2018-
0319. Epub
2019 Sep 20.
PMID- 31572885
OWN - NLM
LR - 20201001
IS - 2472-0054 (Linking)
VI - 4
IP - 4
DP - 2019 Jul-Aug
TI - Don't Have a Doubt, Get the Catheter Out: A Nurse-Driven CAUTI Prevention
Protocol.
PG - e183
LID - 10.1097/pq9.0000000000000183 [doi]
AB - Despite the use of sterile technique for indwelling urinary catheter
insertion, as
well as use of the defined catheter-associated urinary tract infection
(CAUTI)
bundle elements per Children's Hospitals' Solutions for Patient Safety, the
CAUTI
rate in the pediatric intensive care unit (PICU) at a free-standing pediatric
hospital was increasing. In 2017, the PICU accounted for 87% of the
organization's
CAUTIs and 65% of the total indwelling catheter device days. With an
important risk
factor for CAUTIs being the duration of catheterization, the indication for
catheters became an organizational executive priority. METHODS: An early 2017
review
of the bundle elements identified that the indication for catheterization was
not
consistently addressed in daily patient rounds. A multidisciplinary project
team
applying the Plan, Do, Check, Act methodology developed an evidenced-based,
nurse-driven indwelling urinary catheter removal protocol. This protocol
allows
nursing autonomy when removing a catheter by providing clinical indications
for
catheter use and promoting prompt removal when no longer indicated. RESULTS:
Indwelling urinary catheter device days in the PICU decreased by 28% within 6
months
of protocol implementation. The PICU CAUTI rate declined from 4.8 (per 1,000
device
days) in 2017 to 0.8 in 2018, 1 year after protocol implementation.
CONCLUSIONS:
Providing the bedside nurse with an evidence-based protocol that is driven by
specific patient indications and diagnoses allows them to practice

autonomously in
catheter removal. Prompt removal of indwelling urinary catheters results in
decreased device days and decreased incidence of CAUTIs.
CI - Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc.
FAU - Schiessler, Melissa M
AU - Schiessler MM
AD - Performance Improvement, Pediatric Intensive Care Unit, and Infection
Prevention
Departments, Children's Hospital & Medical Center, Omaha, Neb.
FAU - Darwin, Lisa M
AU - Darwin LM
Prevention
FAU - Phipps, Amber R
AU - Phipps AR
Prevention
FAU - Hegemann, Lindsay R
AU - Hegemann LR
Prevention
FAU - Heybrock, Brenda S
AU - Heybrock BS
Prevention
FAU - Macfadyen, Andrew J
AU - Macfadyen AJ
Prevention
LA - eng
DEP - 20190524
TA - Pediatr Qual Saf
JT - Pediatric quality & safety
JID - 101702480
PMC - PMC6708639
EDAT- 2019/10/02 06:00
MHDA- 2019/10/02 06:01
CRDT- 2019/10/02 06:00
PHST- 2018/09/24 00:00 [received]
PHST- 2019/05/10 00:00 [accepted]
PHST- 2019/10/02 06:00 [entrez]
PHST- 2019/10/02 06:00 [pubmed]
PHST- 2019/10/02 06:01 [medline]
AID - 10.1097/pq9.0000000000000183 [doi]
PST - epublish
SO - Pediatr Qual Saf. 2019 May 24;4(4):e183. doi: 10.1097/pq9.0000000000000183.
eCollection 2019 Jul-Aug.
PMID- 31593143
OWN - NLM
STAT- MEDLINE
DCOM- 20191023
LR - 20210110
IS - 0025-7974 (Print)
IS - 0025-7974 (Linking)
VI - 98
IP - 41
DP - 2019 Oct
TI - Where are we in patient safety in the ED in Turkey?
PG - e17569
LID - 10.1097/MD.0000000000017569 [doi]
LID - e17569
AB - Near misses and unsafe conditions have become more serious for patients in
emergency
departments (EDs). We aimed to search the near misses and unsafe conditions
that
occurred in an ED to improve patient safety.This was a retrospective analysis
of a
10-year observational period from January 1, 2007 to December 31, 2016. We
gained
access to the adverse event notification forms (AENFs) sent to the hospital
quality
department from the ED. Patient age, sex, and date of presentation were
recorded.
The near misses and unsafe conditions were classified into 7 types:
medication
errors, falls, management errors, penetrative-sharp tool injuries, incidents
due to
institution security, incidents due to medical equipment, and forensic
events. The
outcome of these events was recorded.A total of 220 AENF were reported from
294,673
ED visits. The median age of the 166 patients was 60 (21-95) years. Of these,
57.1%
of the patients were females and 47.9% were males. The most commonly reported
events
were medication errors (32.7%) and management errors (27.3%). The median age
of
falling patients was 67.5 years. The nurse-patient ratio between 2007 to 2011
and
2011 to 2016 were 1/10 and 1/7, respectively. We found that when this ratio
increased, the adverse events results were less significant (P < .003).This
was the
1st study investigating the adverse events in ED in Turkey. The reporting
ratio of
0.07% for the total ED visits was too low. This showed that adverse events
were
under-reported.
FAU - Aksu, Nalan M
AU - Aksu NM
AD - Department of Emergency Medicine, Hacettepe University, Ankara, Turkey.
FAU - Akkaş, Meltem
AU - Akkaş M
LA - eng
PT - Observational Study
TA - Medicine (Baltimore)
JT - Medicine
JID - 2985248R
SB - AIM
SB - IM
MH - Accidental Falls/statistics & numerical data
MH - Adult
MH - Aged
MH - Emergency Service, Hospital/*standards/statistics & numerical data
MH - Female
MH - Humans
MH - Male
MH - Managed Care Programs/statistics & numerical data
MH - Medical Errors/classification/statistics & numerical data
MH - Medication Errors/classification/*statistics & numerical data
MH - Middle Aged
MH - Needlestick Injuries/classification
MH - Patient Safety/*standards/statistics & numerical data
MH - Security Measures/classification
MH - Turkey/epidemiology
PMC - PMC6799835
EDAT- 2019/10/09 06:00
MHDA- 2019/10/24 06:00
CRDT- 2019/10/09 06:00
PHST- 2019/10/09 06:00 [entrez]
PHST- 2019/10/09 06:00 [pubmed]
PHST- 2019/10/24 06:00 [medline]
AID - 00005792-201910110-00069 [pii]
AID - MD-D-19-03070 [pii]
AID - 10.1097/MD.0000000000017569 [doi]
PST - ppublish
SO - Medicine (Baltimore). 2019 Oct;98(41):e17569. doi:
10.1097/MD.0000000000017569.
PMID- 22733210
OWN - NLM
STAT- MEDLINE
DCOM- 20121011
LR - 20181201
IS - 0003-9926 (Print)
IS - 0003-9926 (Linking)
VI - 172
IP - 14
DP - 2012 Jul 23
TI - Hospital-based medication reconciliation practices: a systematic review.
PG - 1057-69
LID - 10.1001/archinternmed.2012.2246 [doi]
AB - BACKGROUND: Medication discrepancies at care transitions are common and lead
to
patient harm. Medication reconciliation is a strategy to reduce this risk.
OBJECTIVES: To summarize available evidence on medication reconciliation
interventions in the hospital setting and to identify the most effective
practices.
DATA SOURCES: MEDLINE (1966 through February 2012) and a manual search of
article
bibliographies. STUDY SELECTION: Twenty-six controlled studies. DATA
EXTRACTION:
Data were extracted on study design, setting, participants,
inclusion/exclusion
criteria, intervention components, timing, comparison group, outcome
measures, and
results. DATA SYNTHESIS: Studies were grouped by type of medication
reconciliation
intervention-pharmacist related, information technology (IT), or other-and
were
assigned quality ratings using US Preventive Services Task Force criteria.
RESULTS:
Fifteen of 26 studies reported pharmacist-related interventions, 6 evaluated
IT
interventions, and 5 studied other interventions. Six studies were classified
as
good quality. The comparison group for all the studies was usual care; no
studies
compared different types of interventions. Studies consistently demonstrated
a
reduction in medication discrepancies (17 of 17 studies), potential adverse
drug
events (5 of 6 studies), and adverse drug events (2 of 2 studies) but showed
an
inconsistent reduction in postdischarge health care utilization (improvement
in 2 of
8 studies). Key aspects of successful interventions included intensive
pharmacy
staff involvement and targeting the intervention to a high-risk patient
population.
CONCLUSIONS: Rigorously designed studies comparing different inpatient
medication
reconciliation practices and their effects on clinical outcomes are scarce.
Available evidence supports medication reconciliation interventions that
heavily use
pharmacy staff and focus on patients at high risk for adverse events. Higher-
quality
studies are needed to determine the most effective approaches to inpatient
medication reconciliation.
FAU - Mueller, Stephanie K
AU - Mueller SK
AD - Brigham and Women's Hospital Hospitalist Service and Division of General
Medicine,
Brigham and Women's Hospital, Boston, MA, USA.
FAU - Sponsler, Kelly Cunningham
AU - Sponsler KC
FAU - Kripalani, Sunil
AU - Kripalani S
FAU - Schnipper, Jeffrey L
AU - Schnipper JL
LA - eng
GR - R01 HL089755/HL/NHLBI NIH HHS/United States
GR - 1 R18 HS019598-01/HS/AHRQ HHS/United States
GR - T32-HP10251/PHS HHS/United States
PT - Review
TA - Arch Intern Med
JT - Archives of internal medicine
JID - 0372440
SB - AIM
SB - IM
CIN - Arch Intern Med. 2012 Jul 23;172(14):1069-70. PMID: 22733283
CIN - JAMA Intern Med. 2013 Feb 11;173(3):246-7. PMID: 23400661
MH - Drug-Related Side Effects and Adverse Reactions/prevention & control
MH - Humans
MH - *Medication Reconciliation
PMC - PMC3575731
MID - NIHMS434683
EDAT- 2012/06/27 06:00
MHDA- 2012/10/12 06:00
CRDT- 2012/06/27 06:00
PHST- 2012/06/27 06:00 [entrez]
PHST- 2012/06/27 06:00 [pubmed]
PHST- 2012/10/12 06:00 [medline]
AID - 1203516 [pii]
AID - 10.1001/archinternmed.2012.2246 [doi]
PST - ppublish
SO - Arch Intern Med. 2012 Jul 23;172(14):1057-69. doi:
10.1001/archinternmed.2012.2246.
PMID- 31269144
OWN - NLM
STAT- MEDLINE
DCOM- 20190916
LR - 20190916
IS - 0034-7167 (Linking)
VI - 72
IP - 3
DP - 2019 Jun 27
TI - Nurse safety culture in the services of a university hospital.
PG - 767-773
LID - S0034-71672019000300767 [pii]
LID - 10.1590/0034-7167-2018-0376 [doi]
AB - OBJECTIVE: To evaluate nurse safety culture in a teaching hospital, as well
as to
verify differences in the safety culture dimensions between services. METHOD:
cross-sectional, quantitative study, conducted from October to December 2015,

in a
university hospital. The instrument Hospital Survey on Patient Safety Culture
was
applied. RESULTS: A total of 195 nurses from four different services
participated in
the study. Significant difference between services were identified for five
dimensions of safety culture: organizational learning (P=0.012); return of
information and communication about error (P=0.014); management support for
patient
safety (P=0.001); general perceptions about patient safety (P=0.005); and
frequency
of event notification (P=0.003). CONCLUSION: The medical clinic service had
the
highest statistical difference between the dimensions. These evaluations
allow
managers to identify the differences between the same hospital's services,
serving
as a warning and assisting in the services' improvement.
FAU - Fassarella, Cintia Silva
AU - Fassarella CS
AUID- ORCID: 0000-0002-2946-7312
AD - Universidade do Estado do Rio de Janeiro, Faculdade de Enfermagem,
Departamento
Médico-Cirúrgico e Universidade do Grande Rio. Rio de Janeiro, Rio de
Janeiro,
Brasil.
FAU - Silva, Lolita Dopico da
AU - Silva LDD
AUID- ORCID: 0000-0002-5331-0286
AD - Universidade do Estado do Rio de Janeiro, Faculdade de Enfermagem. Rio de
Janeiro,
Rio de Janeiro, Brasil.
FAU - Camerini, Flavia Giron
AU - Camerini FG
AUID- ORCID: 0000-0002-4330-953X
AD - Universidade do Estado do Rio de Janeiro, Faculdade de Enfermagem. Rio de
Janeiro,
Rio de Janeiro, Brasil.
FAU - Figueiredo, Maria do Céu Aguiar Barbieri
AU - Figueiredo MDCAB
AUID- ORCID: 0000-0003-0329-0325
AD - Escola Superior de Enfermagem do Porto, Cintesis-UP e Instituto de Ciências
Biomédicas Abel Salazar, Universidade do Porto. Porto, Portugal.
LA - eng
LA - por
DEP - 20190627
PL - Brazil
TA - Rev Bras Enferm
JT - Revista brasileira de enfermagem
JID - 7910105
SB - N
MH - Adult
MH - Attitude of Health Personnel
MH - Brazil
MH - Female
MH - Hospitals, University/organization & administration/statistics & numerical
data
MH - Humans
MH - Male
MH - Middle Aged
MH - Nurses/*psychology/standards/statistics & numerical data
MH - Nursing Services/*standards/statistics & numerical data
MH - Safety Management/*standards/statistics & numerical data
MH - Statistics, Nonparametric
EDAT- 2019/07/04 06:00
MHDA- 2019/09/17 06:00
CRDT- 2019/07/04 06:00
PHST- 2018/06/04 00:00 [received]
PHST- 2019/03/02 00:00 [accepted]
PHST- 2019/07/04 06:00 [entrez]
PHST- 2019/07/04 06:00 [pubmed]
PHST- 2019/09/17 06:00 [medline]
AID - S0034-71672019000300767 [pii]
AID - 10.1590/0034-7167-2018-0376 [doi]
PST - epublish
SO - Rev Bras Enferm. 2019 Jun 27;72(3):767-773. doi: 10.1590/0034-7167-2018-0376.
PMID- 31329223
OWN - NLM
STAT- Publisher
LR - 20200722
IS - 2168-6106 (Print)
IS - 2168-6106 (Linking)
VI - 179
IP - 9
DP - 2019 Jul 22
TI - Adverse Events in Long-term Care Residents Transitioning From Hospital Back
to
Nursing Home.
PG - 1254-61
LID - 10.1001/jamainternmed.2019.2005 [doi]
AB - IMPORTANCE: Transition from hospital to nursing home is a high-risk period
for
adverse events in long-term care (LTC) residents. Adverse events include
harms from
medical care, including failure to provide appropriate care. OBJECTIVE: To
report
the incidence, type, severity, and preventability of adverse events in LTC
residents
transitioning from hospital back to the same LTC facility. DESIGN, SETTING,
AND
PARTICIPANTS: Prospective cohort study of LTC residents discharged from
hospital
back to LTC from March 1, 2016, to December 31, 2017, and followed up for 45
days.
In a random sample of 32 nursing homes located in 6 New England states, 555
LTC
residents were selected, contributing 762 transitions from hospital back to
the same
LTC facility. MAIN OUTCOMES AND MEASURES: The main outcome was an adverse
event
within the 45-day period after transition from hospital back to nursing home.
Trained nurse abstractors reviewed nursing home records for the period, and
then 2
physicians independently reviewed each potential adverse event to determine
whether
harm occurred and to characterize the type, severity, and preventability of
each
event. When reviewers disagreed, they met to reach consensus. RESULTS: Of the
555
individual residents, 365 (65.6%) were female, and the mean (SD) age at the
time of
discharge was 82.2 (11.5) years. Five hundred twenty (93.7%) were non-
Hispanic
white, 21 (3.8%) were non-Hispanic black, 9 (1.6%) were Hispanic, and 5
(0.9%) were
of other non-Hispanic race/ethnicity. In the cohort, there were 379 adverse
events
among 762 discharges. One hundred ninety-seven events (52.0%) related to
resident
care, with pressure ulcers, skin tears, and falls with injury representing
the most
common types of events in this category. Health care-acquired infections (108
[28.5%]) and adverse drug events (64 [16.9%]) were the next most common. One
hundred
ninety-eight (52.2%) adverse events were characterized as less serious.
However, 145
(38.3%) events were deemed serious, 28 (7.4%) life-threatening, and 8 (2.1%)
fatal.
In terms of preventability, 267 (70.4%) adverse events were found to be
preventable
or ameliorable, with less serious events more often considered preventable or
ameliorable (146 [73.7%]) compared with more severe events (121 [66.9%]). In
addition, resident care-related adverse events such as fall with injury, skin
tear,
and pressure ulcer were more commonly deemed preventable (173 of 197 [87.8%])
compared with adverse drug events (39 of 64 [60.9%]) or health care-acquired

infections (49 of 108 [45.4%]). CONCLUSIONS AND RELEVANCE: Adverse events
developed
in nearly 4 of 10 of discharges from hospital back to LTC. Most were
preventable or
ameliorable. Standardized reporting of events and better coordination and
information transfer across settings are potential ways to prevent adverse
events in
LTC residents.
FAU - Kapoor, Alok
AU - Kapoor A
AD - Department of Medicine, University of Massachusetts Medical School,
Worcester,
Massachusetts.
AD - Meyers Primary Care Institute, Worcester, Massachusetts.
FAU - Field, Terry
AU - Field T
Worcester,
Massachusetts.
FAU - Handler, Steven
AU - Handler S
AD - Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
FAU - Fisher, Kimberly
AU - Fisher K
Worcester,
Massachusetts.
FAU - Saphirak, Cassandra
AU - Saphirak C
FAU - Crawford, Sybil
AU - Crawford S
Worcester,
Massachusetts.
FAU - Fouayzi, Hassan
AU - Fouayzi H
FAU - Johnson, Florence
AU - Johnson F
AD - Qualidigm, Wethersfield, Connecticut.
FAU - Spenard, Ann
AU - Spenard A
AD - Qualidigm, Wethersfield, Connecticut.
FAU - Zhang, Ning
AU - Zhang N
Worcester,
Massachusetts.
AD - School of Public Health and Health Sciences, University of Massachusetts,
Amherst.
FAU - Gurwitz, Jerry H
AU - Gurwitz JH
Worcester,
Massachusetts.
LA - eng
GR - K08 HS024596/HS/AHRQ HHS/United States
DEP - 20190722
TA - JAMA Intern Med
JT - JAMA internal medicine
JID - 101589534
PMC - PMC6646976
COIS- Conflict of Interest Disclosures: Dr Kapoor reported receiving grants from
Agency
for Healthcare Research and Quality (AHRQ) during the conduct of the study.
Dr Field
reported receiving grants from the National Institutes of Health (NIH) during
the
conduct of the study. Dr Fisher reported receiving grants from AHRQ during
the
conduct of the study and grants from AHRQ outside the submitted work. Ms
Saphirak
reported receiving grants from AHRQ during the conduct of the study. Dr
Crawford
reported receiving grants from the NIH during the conduct of the study. Dr
Spenard
reported receiving grants and personal fees from AHRQ during the conduct of
the
study. Dr Gurwitz reported receiving grants from AHRQ during the conduct of
the
study. No other disclosures were reported.
EDAT- 2019/07/23 06:00
MHDA- 2019/07/23 06:00
CRDT- 2019/07/23 06:00
PHST- 2019/07/23 06:00 [entrez]
PHST- 2019/07/23 06:00 [pubmed]
PHST- 2019/07/23 06:00 [medline]
AID - 2738783 [pii]
AID - ioi190044 [pii]
AID - 10.1001/jamainternmed.2019.2005 [doi]
PST - aheadofprint
SO - JAMA Intern Med. 2019 Jul 22;179(9):1254-61. doi:
10.1001/jamainternmed.2019.2005.
PMID- 31122118
OWN - NLM
STAT- MEDLINE
DCOM- 20191219
LR - 20191219
IS - 1477-7266 (Linking)
VI - 33
IP - 3
DP - 2019 May 20
TI - Embedding hospital-based medication review.
PG - 339-352
LID - 10.1108/JHOM-09-2018-0268 [doi]
AB - PURPOSE: The purpose of this paper is to explore the embedding of hospital-
based
medication review attending to the conflictual and developmental nature of
practice.
Specifically, this paper examines manifestations of contradictions and how
they play
out in professional practices and local embedding processes.
DESIGN/METHODOLOGY/APPROACH: Using ethnographic methods, this paper employs
the
activity-theoretic notion of contradictions for analyzing the embedding of
medication review. Data from participant observation (in total 290 h over 48
different workdays) and 31 semi-structured interviews with different
healthcare
professionals in two Swedish hospital-based settings (emergency department,
department of surgery) are utilized. FINDINGS: The conflictual and
developmental
potential related to three interrelated characteristics (contested,
fragmented and
distributed) of the activity object is shown. The contested nature is
illustrated
showing different conceptualizations, interests and positions both within and
across
different professional groups. The fragmented character of medication review
is
shown by tensions related to the appraisal of the utility of the newly
introduced
practice. Finally, the distributed character is exemplified through tensions
between
individual and collective responsibility when engaging in multi-site work.
Overall,
the need for ongoing "repair" work is demonstrated. ORIGINALITY/VALUE: By
using a
practice-theoretical approach and ethnographic methods, this paper presents a
novel
perspective for studying local embedding processes. Following the day-to-day
work of
frontline clinicians captures the ongoing processes of embedding medication
review
and highlights the opportunities to learn from contradictions inherent in
routine
work practices.
FAU - Reichenpfader, Ursula
AU - Reichenpfader U
AUID- ORCID: 0000-0002-8782-0751
AD - Department of Medical and Health Sciences, Linköping University , Linköping,
Sweden.
FAU - Wickström, Anette
AU - Wickström A
AD - Department of Thematic Studies - Child Studies, Linköping University ,
Linköping,
Sweden.
FAU - Abrandt Dahlgren, Madeleine
AU - Abrandt Dahlgren M
Sweden.
FAU - Carlfjord, Siw
AU - Carlfjord S
Sweden.
LA - eng
DEP - 20190418
PL - England
JID - 101179473
SB - H
MH - Anthropology, Cultural
MH - Emergency Service, Hospital/organization & administration
MH - *Hospitals
MH - Humans
MH - Medication Reconciliation/*methods/organization & administration
MH - Surgery Department, Hospital/organization & administration
MH - Sweden
OTO - NOTNLM
OT - Ethnographic methods
OT - Implementation
OT - Medical practice
OT - Medical professions
OT - Patient safety
OT - Qualitative research
EDAT- 2019/05/28 06:00
MHDA- 2019/12/20 06:00
CRDT- 2019/05/25 06:00
PHST- 2019/05/25 06:00 [entrez]
PHST- 2019/05/28 06:00 [pubmed]
PHST- 2019/12/20 06:00 [medline]
AID - 10.1108/JHOM-09-2018-0268 [doi]
PST - ppublish
SO - J Health Organ Manag. 2019 May 20;33(3):339-352. doi: 10.1108/JHOM-09-2018-
0268.
Epub 2019 Apr 18.
PMID- 32817399
OWN - NLM
STAT- Publisher
LR - 20201207
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
DP - 2020 Aug 18
TI - Chronic hospital nurse understaffing meets COVID-19: an observational study.
LID - bmjqs-2020-011512 [pii]
LID - 10.1136/bmjqs-2020-011512 [doi]
AB - INTRODUCTION: Efforts to enact nurse staffing legislation often lack timely,
local
evidence about how specific policies could directly impact the public's
health.
Despite numerous studies indicating better staffing is associated with more
favourable patient outcomes, only one US state (California) sets patient-to-
nurse
staffing standards. To inform staffing legislation actively under
consideration in
two other US states (New York, Illinois), we sought to determine whether
staffing
varies across hospitals and the consequences for patient outcomes.
Coincidentally,
data collection occurred just prior to the COVID-19 outbreak; thus, these
data also
provide a real-time example of the public health implications of chronic
hospital
nurse understaffing. METHODS: Survey data from nurses and patients in 254
hospitals
in New York and Illinois between December 2019 and February 2020 document
associations of nurse staffing with care quality, patient experiences and
nurse
burnout. RESULTS: Mean staffing in medical-surgical units varied from 3.3 to
9.7
patients per nurse, with the worst mean staffing in New York City. Over half
the
nurses in both states experienced high burnout. Half gave their hospitals
unfavourable safety grades and two-thirds would not definitely recommend
their
hospitals. One-third of patients rated their hospitals less than excellent
and would
not definitely recommend it to others. After adjusting for confounding
factors, each
additional patient per nurse increased odds of nurses and per cent of
patients
giving unfavourable reports; ORs ranged from 1.15 to 1.52 for nurses on
medical-surgical units and from 1.32 to 3.63 for nurses on intensive care
units.
CONCLUSIONS: Hospital nurses were burned out and working in understaffed
conditions
in the weeks prior to the first wave of COVID-19 cases, posing risks to the
public's
health. Such risks could be addressed by safe nurse staffing policies
currently
under consideration.
CI - © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No
commercial re-use. See rights and permissions. Published by BMJ.
FAU - Lasater, Karen B
AU - Lasater KB
AUID- ORCID: 0000-0002-5834-1954
AD - Center for Health Outcomes and Policy Research, School of Nursing, University
of
Pennsylvania, Philadelphia, Pennsylvania, USA karenbl@nursing.upenn.edu.
AD - Leonard Davis Institute of Health Economics, Philadelphia, Pennsylvania, USA.
AU - Aiken LH
of
Pennsylvania, Philadelphia, Pennsylvania, USA.
AU - Sloane DM
of
FAU - French, Rachel
AU - French R
of
FAU - Martin, Brendan
AU - Martin B
AD - National Council of State Boards of Nursing, Chicago, Illinois, USA.
FAU - Reneau, Kyrani
AU - Reneau K
FAU - Alexander, Maryann
AU - Alexander M
AU - McHugh MD
of
LA - eng
DEP - 20200818
TA - BMJ Qual Saf
JID - 101546984
SB - H
PMC - PMC7443196
OTO - NOTNLM
OT - health policy
OT - health services research
OT - nurses
OT - patient safety
EDAT- 2020/08/21 06:00
MHDA- 2020/08/21 06:00
CRDT- 2020/08/21 06:00
PHST- 2020/05/11 00:00 [received]
PHST- 2020/07/25 00:00 [revised]
PHST- 2020/08/02 00:00 [accepted]
PHST- 2020/08/21 06:00 [entrez]
PHST- 2020/08/21 06:00 [pubmed]
PHST- 2020/08/21 06:00 [medline]
AID - bmjqs-2020-011512 [pii]
AID - 10.1136/bmjqs-2020-011512 [doi]
PST - aheadofprint
SO - BMJ Qual Saf. 2020 Aug 18:bmjqs-2020-011512. doi: 10.1136/bmjqs-2020-011512.
PMID- 31656506
OWN - NLM
STAT- MEDLINE
DCOM- 20200331
LR - 20200331
IS - 1680-6905 (Print)
IS - 1680-6905 (Linking)
VI - 19
IP - 2
DP - 2019 Jun
TI - Staff perceptions of patient safety culture in general surgery departments in
Turkey.
PG - 2208-2218
LID - 10.4314/ahs.v19i2.46 [doi]
AB - BACKGROUND: The first step towards establishing and improving patient safety
culture
in hospitals is measuring patient safety culture perceptions of staff. Few
studies
have examined the perception of patient safety culture in general surgery
departments. OBJECTIVES: The objective of this study was to evaluate patient
safety
culture and patient safety grade in general surgery departments and to
examine the
relation between the patient safety culture and the patient safety grade.
METHODS:
This study examined patient safety culture and patient safety grades of 124
staff in
seven surgery departments of a hospital in Turkey. The staff completed the
hospital
survey on patient safety culture and answered questions about their
professional
characteristics. One-way ANOVA, Independent-samples t test, corrected chi-
square
test, multiple correspondence analysis and Eta co-efficient were used in
statistical
analyses. RESULTS: The patient safety dimension of "teamwork within units"
had the
highest mean and percentage of positive responses. The "frequency of events
reported" and "non-punitive response to errors" had the lowest means and
percentages
of positive responses. Participants with resident or nurse positions, < age
31
years, with < 6 years of professional experience, and 60 or more work
hours/week,
had significantly more negative perceptions of patient safety culture than
other
participants. Patient safety grades and the dimensions of "management support
for
patient safety" and "overall perceptions of patient safety" had significantly
high
Eta coefficients. CONCLUSION: Frequency of events reported and non-punitive
responses to errors should be improved, and participants' characteristics
should be
considered at improvement efforts in general surgery departments. The
dimesions with
low means suggest opportunities for improvement.
CI - © 2019 Teleş et al.
FAU - Teleş, Mesut
AU - Teleş M
AD - Department of Health Care Management, Faculty of Economics and Administrative
Sciences, Hacettepe University.

FAU - Kaya, Sıdıka
AU - Kaya S
AD - Department of Health Care Management, Faculty of Economics and Administrative
Sciences, Hacettepe University.

LA - eng
TA - Afr Health Sci
JT - African health sciences
JID - 101149451
SB - IM
MH - Adult
MH - Female
MH - *General Surgery
MH - Humans
MH - Male
MH - *Safety Management
MH - Turkey
PMC - PMC6794510
OTO - NOTNLM
OT - Turkey
OT - general surgery
OT - multiple correspondence analysis
EDAT- 2019/10/28 06:00
MHDA- 2020/04/01 06:00
CRDT- 2019/10/29 06:00
PHST- 2019/10/29 06:00 [entrez]
PHST- 2019/10/28 06:00 [pubmed]
PHST- 2020/04/01 06:00 [medline]
AID - jAFHS.v19.i2.pg2208 [pii]
AID - 10.4314/ahs.v19i2.46 [doi]
PST - ppublish
SO - Afr Health Sci. 2019 Jun;19(2):2208-2218. doi: 10.4314/ahs.v19i2.46.
PMID- 32726262
OWN - NLM
STAT- MEDLINE
DCOM- 20201214
LR - 20201214
IS - 1936-900X (Print)
IS - 1936-900X (Linking)
VI - 21
IP - 4
DP - 2020 Jun 15
TI - Patient Safety Event Reporting and Opportunities for Emergency Medicine
Resident
Education.
PG - 900-905
LID - 10.5811/westjem.2020.3.46018 [doi]
AB - INTRODUCTION: Healthcare systems often expose patients to significant,
preventable
harm causing an estimated 44,000 to 98,000 deaths or more annually. This has
propelled patient safety to the forefront, with reporting systems allowing
for the
review of local events to determine their root causes. As residents engage in
a
substantial amount of patient care in academic emergency departments, it is
critical
to use these safety event reports for resident-focused interventions and
educational
initiatives. This study analyzes reports from the Virginia Commonwealth
University
Health System to understand how the reports are categorized and how it
relates to
opportunities for resident education. METHODS: Identifying categories from
the
literature, three subject matter experts (attending physician, nursing
director,
registered nurse) categorized an initial 20 reports to resolve category gaps
and
then 100 reports to determine inter-rater reliability. Given sufficient
agreement,
the remaining 400 reports were coded individually for type of event and
education
among other categories. RESULTS: After reviewing 513 events, we found that
the most
common event types were issues related to staff and resident training (25%)
and
communication (18%), with 31% requiring no education, 46% requiring directed
educational feedback to an individual or group, 20% requiring education
through
monthly safety updates or meetings, 3% requiring urgent communication by
email or
in-person, and <1% requiring simulation. CONCLUSION: Twenty years after the
publication of To Err is Human, gains have been made integrating quality
assurance
and patient safety within medical education and hospital systems, but there
remains
extensive work to be done. Through a review and analysis of our patient
safety event
reporting system, we were able to gain a better understanding of the events
that are
submitted, including the types of events and their severity, and how these
relate to
the types of educational interventions provided (eg, feedback, simulation).
We also
determined that these events can help inform resident education and learning
using
various types of education. Additionally, incorporating residents in the
review
process, such as through root cause analyses, can provide residents with
high-quality, engaging learning opportunities and useful, lifelong skills,
which is
invaluable to our learners and future physicians.
FAU - Feeser, V Ramana
AU - Feeser VR
AD - Virginia Commonwealth University School of Medicine, Department of Emergency
Medicine, Richmond, Virginia.
FAU - Jackson, Anne
AU - Jackson A
AD - Virginia Commonwealth University Health System, Department of Emergency
Medicine,
Richmond, Virginia.
FAU - Senn, Regina
AU - Senn R
Medicine,
Richmond, Virginia.
FAU - Layng, Timothy
AU - Layng T
Medicine,
Richmond, Virginia.
FAU - Santen, Sally A
AU - Santen SA
FAU - Creditt, Angela B
AU - Creditt AB
FAU - Dhindsa, Harinder S
AU - Dhindsa HS
Medicine,
Division of Emergency Medical Services, Richmond, Virginia.
FAU - Vitto, Michael J
AU - Vitto MJ
FAU - Savage, Nastassia M
AU - Savage NM
AD - Virginia Commonwealth University School of Medicine, Office of Assessment,
Evaluation, and Scholarship, Richmond, Virginia.
FAU - Hemphill, Robin R
AU - Hemphill RR
Medicine,
Richmond, Virginia.
LA - eng
DEP - 20200615
TA - West J Emerg Med
JT - The western journal of emergency medicine
JID - 101476450
SB - IM
MH - *Emergency Medicine/education/methods
MH - Emergency Service, Hospital/*statistics & numerical data
MH - Humans
MH - Internship and Residency/*methods
MH - *Risk Management/methods/statistics & numerical data
MH - Safety Management/methods/organization & administration
MH - Virginia
PMC - PMC7390572
COIS- Conflicts of Interest: By the WestJEM article submission agreement, all
authors are
required to disclose all affiliations, funding sources and financial or
management
relationships that could be perceived as potential sources of bias. No author
has
professional or financial relationships with any companies that are relevant
to this
study. There are no conflicts of interest or sources of funding to declare.
EDAT- 2020/07/30 06:00
MHDA- 2020/12/15 06:00
CRDT- 2020/07/30 06:00
PHST- 2019/11/27 00:00 [received]
PHST- 2020/03/09 00:00 [accepted]
PHST- 2020/07/30 06:00 [entrez]
PHST- 2020/07/30 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
AID - westjem.2020.3.46018 [pii]
AID - wjem-21-900 [pii]
AID - 10.5811/westjem.2020.3.46018 [doi]
PST - epublish
SO - West J Emerg Med. 2020 Jun 15;21(4):900-905. doi:
10.5811/westjem.2020.3.46018.
PMID- 30922205
OWN - NLM
STAT- MEDLINE
DCOM- 20200429
LR - 20200501
IS - 1527-1544 (Print)
IS - 1527-1544 (Linking)
VI - 20
IP - 2
DP - 2019 May
TI - Effects of Public Reporting Legislation of Nurse Staffing: A Trend Analysis.
PG - 92-104
LID - 10.1177/1527154419832112 [doi]
AB - Public reporting is a tactic that hospitals and other health care facilities
use to
provide data such as outcomes to clinicians, patients, and payers. Although
inadequate registered nurse (RN) staffing has been linked to poor patient
outcomes,
only eight states in the United States publicly report staffing ratios-five
mandated
by legislation and the other three electively. We examine nurse staffing
trends
after the New Jersey (NJ) legislature and governor enacted P.L.1971, c.136
(C.26:2 H-13) on January 24, 2005, mandating that all health care facilities
compile, post, and report staffing information. We conduct a secondary
analysis of
reported data from the State of NJ Department of Health on 73 hospitals in
2008 to
2009 and 72 hospitals in 2010 to 2015. The first aim was to determine if NJ
hospitals complied with legislation, and the second was to identify staffing
trends
postlegislation. On the reports, staffing was operationalized as the number
of
patients per RN per quarters. We obtained 30 quarterly reports for 2008
through 2015
and cross-checked these reports for data accuracy on the NJ Department of
Health
website. From these data, we created a longitudinal data set of 13 inpatient
units
for each hospital (14,158 observations) and merged these data with American
Hospital
Association Annual Survey data. The number of patients per RN decreased for
10
specialties, and the American Hospital Association data demonstrate a similar
trend.
Although the number of patients does not account for patient acuity, the
decrease in
the patients per RN over 7 years indicated the importance of public reporting
in
improving patient safety.
FAU - de Cordova, Pamela B
AU - de Cordova PB
AUID- ORCID: 0000-0003-4737-8652
AD - 1 Rutgers, the State University School of Nursing, Faculty Researcher for the
New
Jersey Collaborating Center, Newark, NJ, USA.
FAU - Rogowski, Jeannette
AU - Rogowski J
AD - 2 Department of Health Policy and Administration, The Pennsylvania State
University,
University Park, PA, USA.
FAU - Riman, Kathryn A
AU - Riman KA
AD - 3 Center for Health Outcomes and Policy Research, University of Pennsylvania
School
of Nursing, Philadelphia, PA, USA.
AU - McHugh MD
AD - 4 Nursing Education, Center for Health Outcomes and Policy Research,
University of
Pennsylvania School of Nursing, Philadelphia, PA, USA.
LA - eng
PT - Review
DEP - 20190328
TA - Policy Polit Nurs Pract
JT - Policy, politics & nursing practice
JID - 100901316
SB - IM
SB - N
MH - Access to Information/*legislation & jurisprudence
MH - American Hospital Association
MH - Female
MH - Humans
MH - Male
MH - New Jersey
MH - Nursing Staff, Hospital/*legislation & jurisprudence/*supply & distribution
MH - Organizational Innovation
MH - Personnel Staffing and Scheduling/*organization & administration
MH - Research Design
MH - United States
PMC - PMC6813777
MID - NIHMS1050516
OTO - NOTNLM
OT - New Jersey
OT - data accuracy
OT - hospitals
OT - inpatients
COIS- Declaration of Conflicting Interests The authors declared no potential
conflicts of
interest with respect to the research, authorship, and/or publication of this
article.
EDAT- 2019/03/30 06:00
MHDA- 2020/04/30 06:00
CRDT- 2019/03/30 06:00
PHST- 2019/03/30 06:00 [pubmed]
PHST- 2020/04/30 06:00 [medline]
PHST- 2019/03/30 06:00 [entrez]
AID - 10.1177/1527154419832112 [doi]
PST - ppublish
SO - Policy Polit Nurs Pract. 2019 May;20(2):92-104. doi:
10.1177/1527154419832112. Epub
2019 Mar 28.
PMID- 31572897
OWN - NLM
LR - 20201001
IS - 2472-0054 (Linking)
VI - 4
IP - 4
DP - 2019 Jul-Aug
TI - System Factors Influencing the Use of a Family-Centered Rounds Checklist.
PG - e196
LID - 10.1097/pq9.0000000000000196 [doi]
AB - INTRODUCTION: Checklists are used to operationalize care processes and
enhance
patient safety; however, checklist implementation is difficult within complex
health
systems. A family-centered rounds (FCR) checklist increased physician
performance of
key rounding activities, which were associated with improved parent
engagement,
safety perceptions, and behaviors. To inform FCR checklist implementation and
dissemination, we assessed physician compliance with this checklist and

factors
influencing its use. METHODS: Guided by a recognized human factors and
systems
engineering approach, rounding observations and ad hoc resident and attending
physician interviews were conducted at a tertiary children's hospital.

Rounding
observers documented 8-item checklist completion (nurse presence, family
preference,
introductions, assessment/plan, discharge goals, care team questions, family
questions, and read back orders) and then interviewed physicians to elicit
their
perceptions of challenges and facilitators to FCR checklist use. We performed
a
directed content analysis of interview notes, iteratively categorizing data
into
known hospital work system components. RESULTS: Of 88 individual patient
rounds
observed after checklist implementation, 90% included the nurse, and 77%
occurred at
the bedside. In an average patient rounding session, staff performed 82% of
checklist items. Factors influencing checklist use were related to all
hospital work
system components, eg, physician familiarity with checklist content (people),
visibility of the checklist (environment), providing schedules for rounding

participants (organization), and availability of a mobile computer during
rounds
(technology). CONCLUSIONS: Multiple factors within hospital systems may
influence
FCR checklist use. Strategies, such as providing rounding schedules and
mobile
computers, may promote optimal engagement of families during rounds and
promote
pediatric patient safety.
FAU - Kelly, Michelle M
AU - Kelly MM
AD - Department of Pediatrics, University of Wisconsin School of Medicine and
Public
Health, Madison, Wis.
AD - Center for Quality and Productivity Improvement, University of Wisconsin-
Madison,
Madison, Wis.
FAU - Xie, Anping
AU - Xie A
AD - Armstrong Institute for Patient Safety and Quality, Johns Hopkins University
School
of Medicine, Baltimore, Md.
AD - Department of Anesthesiology and Critical Care Medicine, Johns Hopkins
University
School of Medicine, Baltimore, Md.
FAU - Li, Yaqiong
AU - Li Y
AD - Navigant Consulting, Inc., Chicago, Ill.
FAU - Cartmill, Randi
AU - Cartmill R
AD - Wisconsin Surgical Outcomes Research Program, University of Wisconsin-
Madison,
Madison, Wis.
FAU - Cox, Elizabeth D
AU - Cox ED
Public
FAU - Brown, Roger L
AU - Brown RL
Madison,
Madison, Wis.
AD - University of Wisconsin School of Nursing, Madison, Wis.
FAU - Wetterneck, Tosha
AU - Wetterneck T
Madison,
Madison, Wis.
AD - Division of Research, School of Nursing, University of Wisconsin-Madison,
Madison,
Wis. Systems Engineering, University of Wisconsin-Madison, Madison, Wis.
AD - Department of Medicine, University of Wisconsin School of Medicine and Public

FAU - Carayon, Pascale
AU - Carayon P
Madison,
Madison, Wis.
AD - Division of Research, School of Nursing, University of Wisconsin-Madison,
Madison,
Wis. Systems Engineering, University of Wisconsin-Madison, Madison, Wis.
LA - eng
DEP - 20190730
JID - 101702480
PMC - PMC6708641
EDAT- 2019/10/02 06:00
MHDA- 2019/10/02 06:01
CRDT- 2019/10/02 06:00
PHST- 2019/03/05 00:00 [received]
PHST- 2019/06/19 00:00 [accepted]
PHST- 2019/10/02 06:00 [entrez]
PHST- 2019/10/02 06:00 [pubmed]
PHST- 2019/10/02 06:01 [medline]
AID - 10.1097/pq9.0000000000000196 [doi]
PST - epublish
SO - Pediatr Qual Saf. 2019 Jul 30;4(4):e196. doi: 10.1097/pq9.0000000000000196.
PMID- 33272274
OWN - NLM
STAT- In-Process
LR - 20201207
IS - 1472-6920 (Linking)
VI - 20
IP - Suppl 2
DP - 2020 Dec 3
TI - Teaching clinical handover with ISBAR.
PG - 459
LID - 10.1186/s12909-020-02285-0 [doi]
LID - 459
AB - Clinical handover is one of the most critical steps in a patient's journey
and is a
core skill that needs to be taught to health professional students and junior
clinicians. Performed well, clinical handover should ensure that lapses in

continuity of patient care, errors and harm are reduced in the hospital or
community
setting. Handover, however, is often poorly performed, with critical detail
being
omitted and irrelevant detail included. Evidence suggests that the use of a
structured, standardised framework for handover, such as ISBAR, improves
patient
outcomes. The ISBAR (Introduction, Situation, Background, Assessment,
Recommendation) framework, endorsed by the World Health Organisation,
provides a
standardised approach to communication which can be used in any situation. In
the
complex clinical environment of healthcare today, ISBAR is suited to a wide
range of
clinical contexts, and works best when all parties are trained in using the
same
framework. It is essential that healthcare leaders and professionals from
across the
health disciplines work together to ensure good clinical handover practices
are
developed and maintained. Organisations, including universities and
hospitals, need
to invest in the education and training of health professional students and
health
professionals to ensure good quality handover practice. Using ISBAR as a
framework,
the purpose of this paper is to highlight key elements of effective clinical
handover, and to explore teaching techniques that aim to ensure the framework
is
embedded in practice effectively.
FAU - Burgess, Annette
AU - Burgess A
AD - The University of Sydney, Faculty of Medicine and Health, Sydney Medical
School -
Education Office, The University of Sydney, Edward Ford Building A27, Sydney,
NSW,
2006, Australia. annette.burgess@sydney.edu.au.
AD - The University of Sydney, Faculty of Medicine and Health, Sydney Health
Professional
Education Research Network, The University of Sydney, Sydney, Australia.
annette.burgess@sydney.edu.au.
FAU - van Diggele, Christie
AU - van Diggele C
Professional
AD - The University of Sydney, Faculty of Medicine and Health, The University of
Sydney,
Sydney, Australia.
FAU - Roberts, Chris
AU - Roberts C
School -
Education Office, The University of Sydney, Edward Ford Building A27, Sydney,
NSW,
2006, Australia.
Professional
FAU - Mellis, Craig
AU - Mellis C
School -
Central, The University of Sydney, Sydney, Australia.
LA - eng
PT - Review
DEP - 20201203
TA - BMC Med Educ
JID - 101088679
SB - IM
PMC - PMC7712559
OTO - NOTNLM
OT - Assessment
OT - Background
OT - Clinical handover
OT - ISBAR (Introduction
OT - Interprofessional
OT - Patient safety
OT - Recommendation)
OT - Situation
COIS- The authors have no competing interests to declare.
EDAT- 2020/12/05 06:00
MHDA- 2020/12/05 06:00
CRDT- 2020/12/04 05:30
PHST- 2020/12/04 05:30 [entrez]
PHST- 2020/12/05 06:00 [pubmed]
PHST- 2020/12/05 06:00 [medline]
AID - 10.1186/s12909-020-02285-0 [pii]
AID - 2285 [pii]
AID - 10.1186/s12909-020-02285-0 [doi]
PST - epublish
SO - BMC Med Educ. 2020 Dec 3;20(Suppl 2):459. doi: 10.1186/s12909-020-02285-0.
PMID- 31448199
OWN - NLM
LR - 20200929
IS - 2192-5682 (Print)
IS - 2192-5682 (Linking)
VI - 9
IP - 6
DP - 2019 Sep
TI - Safety Culture and Attitudes Among Spine Professionals: Results of an
International
Survey.
PG - 642-649
LID - 10.1177/2192568218825247 [doi]
AB - STUDY DESIGN: International survey. OBJECTIVE: A positive safety culture has
been
linked to better surgical outcomes, less hospital costs and less patient harm
and
severity-adjusted mortality, making safety attitudes relevant for society and
both
patient and health care provider. The aim of the current study is to assess
attitudes toward safety culture among spinal care professionals. METHODS: An
online
survey was distributed to members of AOSpine International in 2016. The
survey
consisted out of 3 parts: (1) demographics, (2) the Safety Attitude
Questionnaire
(SAQ), and (3) expectations of responsibility for improving the safety
culture. The
SAQ measured job satisfaction, teamwork, and safety climate, perceptions of
management, stress recognition, and working conditions. Multivariate logistic
regression was performed to identify factors associated with safety

attitudes.
RESULTS: A total of 356 respondents replied. The SAQ showed that respondents
in
Africa have a significant lower score (odds ratio [OR] 0.19, P < .05) on
working
conditions, compared with spine professionals in Asia. Respondents in North
America
had the highest odds of having a higher score (OR 4.04, P < .05) compared
with
respondents in Asia. Gender, continent, occupation, tenure, and the number of
employees in the clinic were not associated with the dimensions of safety
culture (P
> .05). The majority expected the surgeon to be mainly responsible for
improving the
safety culture in the operating room and at management level. CONCLUSIONS:
There was
a lot of variety among different respondents worldwide albeit respondents in
Africa
scored significantly lower on working conditions, compared with spine
professionals
in Asia and North America, suggesting that wealthier countries have better
working
conditions which may lead toward better safety attitudes. Closer
collaboration
between hospital management and clinicians seems to be a target for
improvement in
safety culture. Furthermore, to show clinical relevance in this field,
studies
correlating safety attitudes with outcomes after spine surgery are warranted.
FAU - Gadjradj, Pravesh S
AU - Gadjradj PS
AUID- ORCID: 0000-0001-9672-4238
AD - Department of Neurosurgery, Leiden University Medical Center, Leiden, the
Netherlands.
FAU - Harhangi, Biswadjiet S
AU - Harhangi BS
AD - Department of Neurosurgery, Erasmus MC: University Medical Center Rotterdam,
Rotterdam, the Netherlands.
LA - eng
DEP - 20190304
TA - Global Spine J
JT - Global spine journal
JID - 101596156
PMC - PMC6693059
OTO - NOTNLM
OT - patient safety
OT - safety culture
OT - spinal care
COIS- Declaration of Conflicting Interests: The author(s) declared no potential
conflicts
of interest with respect to the research, authorship, and/or publication of
this
article.
EDAT- 2019/08/27 06:00
MHDA- 2019/08/27 06:01
CRDT- 2019/08/27 06:00
PHST- 2019/08/27 06:00 [entrez]
PHST- 2019/08/27 06:00 [pubmed]
PHST- 2019/08/27 06:01 [medline]
AID - 10.1177_2192568218825247 [pii]
AID - 10.1177/2192568218825247 [doi]
PST - ppublish
SO - Global Spine J. 2019 Sep;9(6):642-649. doi: 10.1177/2192568218825247. Epub
2019 Mar
4.
PMID- 32305508
OWN - NLM
STAT- In-Process
LR - 20200602
IS - 1976-1317 (Linking)
VI - 14
IP - 2
DP - 2020 May
TI - Improvement Plan of Nurse Staffing Standards in Korea.
PG - 57-65
LID - S1976-1317(20)30024-4 [pii]
LID - 10.1016/j.anr.2020.03.004 [doi]
AB - PURPOSE: This study compares the expected nurse-to-patient ratio, penalties
for
violating these regulations, and the laws enacted in the medical and nursing
fields
in Korea and advanced countries like Germany, Australia, the United States,
and
Japan. METHODS: This study deployed an integrative review method and used
search
terms such as "nursing law," "nurse ratio," "nurse," "nurse staffing,"
"health," and
"staffing" to find articles published in English, Korean, German, or Japanese
through Cumulative Index to Nursing and Allied Health Literature Plus with
Full
Text, the Westlaw (International Materials-Jurisdiction) site, US government
and
state sites (federal parliament, National Conference of State Legislatures),
and
Google Scholar. RESULTS: Compared with medical laws in other advanced
countries,
Korean laws are quite crude and its nurse-to-patient ratio does not reflect
patients' status. Korea also lacks strict penalties for nurse staffing ratio
violations. CONCLUSION: Korea requires a strong regulatory apparatus for
nurse
staffing in health-care organizations to improve the quality of its health-
care
services and patient safety.
CI - Copyright © 2020. Published by Elsevier B.V.
FAU - Shin, Sujin
AU - Shin S
AD - College of Nursing, Ewha Womans University, Seoul, Republic of Korea.
FAU - Park, Jong Duck
AU - Park JD
FAU - Shin, Juh Hyun
AU - Shin JH
Electronic
address: juhshin@ewha.ac.kr.
LA - eng
PT - Review
DEP - 20200417
PL - Korea (South)
TA - Asian Nurs Res (Korean Soc Nurs Sci)
JT - Asian nursing research
JID - 101321326
SB - IM
SB - N
OTO - NOTNLM
OT - hospital
OT - legislation
OT - nursing
OT - nursing staff
COIS- Conflict of interest No conflict of interest.
EDAT- 2020/04/20 06:00
MHDA- 2020/04/20 06:00
CRDT- 2020/04/20 06:00
PHST- 2019/07/03 00:00 [received]
PHST- 2020/03/04 00:00 [revised]
PHST- 2020/03/26 00:00 [accepted]
PHST- 2020/04/20 06:00 [pubmed]
PHST- 2020/04/20 06:00 [medline]
PHST- 2020/04/20 06:00 [entrez]
AID - S1976-1317(20)30024-4 [pii]
AID - 10.1016/j.anr.2020.03.004 [doi]
PST - ppublish
SO - Asian Nurs Res (Korean Soc Nurs Sci). 2020 May;14(2):57-65. doi:
10.1016/j.anr.2020.03.004. Epub 2020 Apr 17.
PMID- 30324979
OWN - NLM
STAT- MEDLINE
DCOM- 20190909
LR - 20190909
IS - 0041-4131 (Print)
IS - 0041-4131 (Linking)
VI - 96
IP - 2
DP - 2018 Feb
TI - Promoting safety culture through health-care professional-patient
relationship's
improvement.
PG - 135-141
AB - BACKGROUND: promoting patient safety culture is a strategic priority and
converges
towards improving quality of health care. The healthcare professionals-
patient
relationship is an essential concept of patient safety culture. However, the
increase of patient safety awareness is still delayed in Tunisia. OBJECTIVE:
to
assess and analyze the healthcare professional-patient relationship level
among all
healthcare professionals' categories in university hospital centre
(UHC)FarhatHached, Sousse¬ Tunisia in order to further direct our strategies.
METHODS: We carried out a descriptive cross-sectional study among healthcare

professionals at our UHC. The French version of the "Hospital Survey On
Patient
Safety Culture" was adopted, and self-administered to 319 care providers,
including
116 physicians and 203 paramedical personals. RESULTS: Response rate was
90.5%
(289/319). The overall mean score for positive perception of the explored
domain was
58.4%. However, physicians reported significant higher percentage of positive
responses than paramedical staff (69.7% versus 53.4%; p=0.01). Positive

perception
was notified by 83.5% of all healthcare professional regarding to item
relative to
"adverse events may affect the relationship of trust between physician-
patient", it
was significantly higher among physicians compared to paramedics (97.7%
versus
77.4% ; p<10-4). CONCLUSION: Dimension concerning healthcare professional-
patient
relationship was poorly developed among health care professionals in our
hospital.
Thus, it is crucial to improve this situation and to create a well-balanced
healthcare professional-patient relationship based on partnership and taking
into
account individual factors.
FAU - Mahjoub, Mohamed
AU - Mahjoub M
FAU - Ben Fredj, Sihem
AU - Ben Fredj S
FAU - Bouafia, Nebiha
AU - Bouafia N
FAU - Bouriga, Rym
AU - Bouriga R
FAU - Ben Jalleb, Naceur
AU - Ben Jalleb N
FAU - Njah, Mansour
AU - Njah M
LA - eng
PL - Tunisia
TA - Tunis Med
JT - La Tunisie medicale
JID - 0413766
SB - IM
MH - Adult
MH - Female
MH - *Health Personnel/psychology/statistics & numerical data
MH - *Health Promotion/methods/organization & administration
MH - Hospitals, University/statistics & numerical data
MH - Humans
MH - Male
MH - Middle Aged
MH - Patient Safety/standards/statistics & numerical data
MH - *Quality Improvement/organization & administration/standards
MH - Safety Management/*methods/organization & administration/standards
MH - Tunisia/epidemiology
EDAT- 2018/10/17 06:00
MHDA- 2019/09/10 06:00
CRDT- 2018/10/17 06:00
PHST- 2018/10/17 06:00 [entrez]
PHST- 2018/10/17 06:00 [pubmed]
PHST- 2019/09/10 06:00 [medline]
AID - /article-medicale-tunisie.php?article=3353 [pii]
PST - ppublish
SO - Tunis Med. 2018 Feb;96(2):135-141.
PMID- 30028413
OWN - NLM
STAT- MEDLINE
DCOM- 20190314
LR - 20200401
IS - 1057-3631 (Print)
IS - 1057-3631 (Linking)
VI - 34
IP - 2
DP - 2019 Apr/Jun
TI - Redesigning Hospital Diabetes Education: A Qualitative Evaluation With
Nursing
Teams.
PG - 151-157
LID - 10.1097/NCQ.0000000000000349 [doi]
AB - BACKGROUND: Methods to deliver diabetes education are needed to support
patient
safety and glycemic control in the transition from hospital to home. PURPOSE:
This
study examined barriers and facilitators of integrating web-based, iPad-
delivered
diabetes survival skills education (DSSE) into the nursing inpatient unit
workflow.
METHODS: Nurses, nurse managers, and patient care technicians (PCTs) from 3
medical-surgical and 2 behavioral health units participated in semistructured
interviews and focus groups. RESULTS: Four themes emerged: educational
program and
content; platform usability; tablet feasibility (eg, theft prevention,
infection
control, and charging); and workflow considerations. Behavioral health unit-
specific
concerns were also identified. Findings indicated that nurses and PCTs were
eager to
find approaches to deliver DSSE. CONCLUSIONS: Implementation of a web-based
DSSE
program for inpatients needs adaptation to overcome challenges at the
patient, care
team, and process levels.
FAU - Smith, Kelly M
AU - Smith KM
AD - MedStar Institute for Quality and Safety, Columbia, Maryland (Dr Smith and Ms
Baker); MedStar Health Research Institute, Hyattsville, and MedStar Corporate
Nursing, Columbia, Maryland (Ms Bardsley); Department of Nursing Quality,

Safety,
and Education, MedStar Washington Hospital Center, Washington, District of
Columbia
(Dr McCartney); and MedStar Diabetes Institute, MedStar Health Research
Institute,
and Georgetown University School of Medicine and Healthcare Sciences,
Washington,
District of Columbia (Dr Magee).
FAU - Baker, Kelley M
AU - Baker KM
FAU - Bardsley, Joan K
AU - Bardsley JK
FAU - McCartney, Patricia
AU - McCartney P
FAU - Magee, Michelle
AU - Magee M
LA - eng
GR - R34 DK109503/DK/NIDDK NIH HHS/United States
GR - U01 DK048387/DK/NIDDK NIH HHS/United States
GR - UL1 TR001409/TR/NCATS NIH HHS/United States
TA - J Nurs Care Qual
JT - Journal of nursing care quality
JID - 9200672
RN - 0 (Tablets)
SB - IM
SB - N
MH - *Clinical Competence
MH - *Diabetes Mellitus/therapy
MH - Focus Groups
MH - Health Education/*methods
MH - Hospitals, Teaching
MH - Humans
MH - Internet
MH - *Models, Educational
MH - Nurse Administrators/*education
MH - Patient Education as Topic
MH - Qualitative Research
MH - Tablets
PMC - PMC6338532
MID - NIHMS973268
COIS- The authors report no conflicts of interest.
EDAT- 2018/07/22 06:00
MHDA- 2019/03/15 06:00
CRDT- 2018/07/21 06:00
PHST- 2018/07/22 06:00 [pubmed]
PHST- 2019/03/15 06:00 [medline]
PHST- 2018/07/21 06:00 [entrez]
AID - 10.1097/NCQ.0000000000000349 [doi]
PST - ppublish
SO - J Nurs Care Qual. 2019 Apr/Jun;34(2):151-157. doi:
10.1097/NCQ.0000000000000349.
PMID- 32953117
OWN - NLM
LR - 20200928
IS - 2050-3121 (Print)
IS - 2050-3121 (Linking)
VI - 8
DP - 2020
TI - Arabic version of pharmacy survey on patient safety culture: Hospital
pharmacy
settings.
PG - 2050312120951069
LID - 10.1177/2050312120951069 [doi]
LID - 2050312120951069
AB - OBJECTIVE: The objective was to assess the validity and reliability of a
translated
Arabic language version of the pharmacy survey on patient safety culture
released by
the United States Agency for Healthcare Research and Quality in 2012 and to
utilize
this to assess staff attitudes and perceptions of the patient safety culture
in
hospital pharmacies of Kuwait. METHODS: This study used a cross-sectional
timeframe.
Data were gained from three of the largest public hospital pharmacies and
three of
the largest private hospital pharmacies in Kuwait. The primary and secondary
outcome
measures were descriptive statistics, internal consistency, construct
validity,
model fit, and calculation of the positive response rate for all composites
and
items. RESULTS: The results demonstrated that 9 of the 11 composites had a
Cronbach's alpha (α) of >0.7, and all composites had factor loadings above
0.6. The
standardized root mean residual score appropriately fitted the data with a
value of
0.072. The intercorrelations among the patient safety composites ranged from
0.29 to
0.83. The proportion of pharmacy staff who categorized the grade of patient
safety
as "Good," Very good," or "Excellent" was 93%. CONCLUSION: The Arabic version
of the
pharmacy survey on patient safety culture questionnaire indicated suitable
levels of
reliability and validity. Also, the results demonstrated that the pharmacy
staff
surveyed in Kuwait have a positive perception of patient safety culture in
their
organizations.
CI - © The Author(s) 2020.
FAU - Abdallah, Wael
AU - Abdallah W
AUID- ORCID: 0000-0001-5697-5198
AD - Maastricht School of Management, Kuwait City, Kuwait.
FAU - Johnson, Craig
AU - Johnson C
AD - School of Management, University of Bradford, Bradford, UK.
FAU - Nitzl, Christian
AU - Nitzl C
AD - University of the German Federal Armed Forces, Munich, Germany.
FAU - Mohammed, Mohammed Amin
AU - Mohammed MA
AUID- ORCID: 0000-0003-0987-4268
AD - School of Management, University of Bradford, Bradford, UK.
LA - eng
DEP - 20200909
TA - SAGE Open Med
JT - SAGE open medicine
JID - 101624744
PMC - PMC7485158
OTO - NOTNLM
OT - Validation of survey
OT - hospital pharmacy
OT - patient safety culture
COIS- Declaration of conflicting interests: The author(s) declared no potential
conflicts
this
article.
EDAT- 2020/09/22 06:00
MHDA- 2020/09/22 06:01
CRDT- 2020/09/21 06:09
PHST- 2019/11/06 00:00 [received]
PHST- 2020/07/24 00:00 [accepted]
PHST- 2020/09/21 06:09 [entrez]
PHST- 2020/09/22 06:00 [pubmed]
PHST- 2020/09/22 06:01 [medline]
AID - 10.1177_2050312120951069 [pii]
AID - 10.1177/2050312120951069 [doi]
PST - epublish
SO - SAGE Open Med. 2020 Sep 9;8:2050312120951069. doi: 10.1177/2050312120951069.
eCollection 2020.
PMID- 26001553
OWN - NLM
STAT- MEDLINE
DCOM- 20190925
LR - 20191008
IS - 1549-8417 (Print)
IS - 1549-8417 (Linking)
VI - 14
IP - 3
DP - 2018 Sep
TI - U.S. Compounding Pharmacy-Related Outbreaks, 2001-2013: Public Health and
Patient
Safety Lessons Learned.
PG - 164-173
LID - 10.1097/PTS.0000000000000188 [doi]
AB - OBJECTIVES: Pharmacy-compounded sterile preparations (P-CSPs) are frequently
relied
upon in U.S. health care but are increasingly being linked to outbreaks of
infections. We provide an updated overview of outbreak burden and
characteristics,
identify drivers of P-CSP demand, and discuss public health and patient
safety
lessons learned to help inform prevention. METHODS: Outbreaks of infections
linked
to contaminated P-CSPs that occurred between January 1, 2001, and December
31, 2013,
were identified from internal Centers for Disease Control and Prevention
reports,
Food and Drug Administration drug safety communications, and published
literature.
RESULTS: We identified 19 outbreaks linked to P-CSPs, resulting in at least
1000
cases, including deaths. Outbreaks were reported across two-thirds of states,
with
almost one-half (8/19) involving cases in more than 1 state. Almost one-half
of
outbreaks were linked to injectable steroids (5/19) and intraocular
bevacizumab
(3/19). Non-patient-specific compounding originating from nonsterile
ingredients and
repackaging of already sterile products were the most common practices
associated
with P-CSP contamination. Breaches in aseptic processing and deficiencies in
sterilization procedures or in sterility/endotoxin testing were consistent
findings.
Hospital outsourcing, preference for variations of commercially available
products,
commercial drug shortages, and lower prices were drivers of P-CSP demand.
CONCLUSIONS: Recognized outbreaks linked to P-CSPs have been most commonly
associated with non-patient-specific repackaging and nonsterile to sterile
compounding and linked to lack of adherence to sterile compounding standards.
Recently enhanced regulatory oversight of compounding may improve adherence

to such
standards. Additional measures to limit and control these outbreaks include
vigilance when outsourcing P-CSPs, scrutiny of drivers for P-CSP demand, as
well as
early recognition and notification of possible outbreaks.
FAU - Shehab, Nadine
AU - Shehab N
FAU - Brown, Megan N
AU - Brown MN
FAU - Kallen, Alexander J
AU - Kallen AJ
FAU - Perz, Joseph F
AU - Perz JF
LA - eng
GR - CC999999/Intramural CDC HHS/United States
PT - Historical Article
PT - Review
TA - J Patient Saf
JT - Journal of patient safety
JID - 101233393
SB - IM
MH - Disease Outbreaks
MH - Drug Compounding/*methods
MH - Drug Contamination/*statistics & numerical data
MH - History, 21st Century
MH - Humans
MH - Pharmaceutical Services/*standards
MH - Pharmacy/*methods
MH - Public Health/*standards
MH - United States
PMC - PMC4668233
MID - NIHMS732057
EDAT- 2015/05/24 06:00
MHDA- 2019/09/26 06:00
CRDT- 2015/05/24 06:00
PHST- 2015/05/24 06:00 [pubmed]
PHST- 2019/09/26 06:00 [medline]
PHST- 2015/05/24 06:00 [entrez]
AID - 10.1097/PTS.0000000000000188 [doi]
PST - ppublish
SO - J Patient Saf. 2018 Sep;14(3):164-173. doi: 10.1097/PTS.0000000000000188.
PMID- 32384199
OWN - NLM
STAT- In-Process
LR - 20201224
IS - 0966-0429 (Print)
IS - 0966-0429 (Linking)
VI - 28
IP - 8
DP - 2020 Nov
TI - Acuity, nurse staffing and workforce, missed care and patient outcomes: A
cluster-unit-level descriptive comparison.
PG - 2216-2229
LID - 10.1111/jonm.13040 [doi]
AB - AIM: To compare the patient acuity, nurse staffing and workforce, missed
nursing
care and patient outcomes among hospital unit-clusters. BACKGROUND:
Relationships
among acuity, nurse staffing and workforce, missed nursing care and patient
outcomes
are not completely understood. METHOD: Descriptive design with data from four
unit-clusters: medical, surgical, combined and step-down units. Descriptive

statistics were used to compare acuity, nurse staffing coverage, education
and
expertise, missed nursing care and selected nurse-sensitive outcomes.
RESULTS:
Patient acuity in general (medical, surgical and combined) floors is similar
to
step-down units, with an average of 5.6 required RN hours per patient day. In
general wards, available RN hours per patient day reach only 50% of required
RN
hours to meet patient needs. Workforce measures are comparable among unit-
clusters,
and average missed nursing care is 21%. Patient outcomes vary among unit-
clusters.
CONCLUSION: Patient acuity is similar among unit-clusters, while nurse
staffing
coverage is halved in general wards. While RN education, expertise and missed
care
are comparable among unit-clusters, mortality, skin injuries and risk of
family
compassion fatigue rates are higher in general wards. IMPLICATIONS FOR
NURSING
MANAGEMENT: Nurse managers play a pivotal role in hustling policymakers to
address
structural understaffing in general wards, to maximize patient safety
outcomes.
CI - © 2020 The Authors. Journal of Nursing Management published by John Wiley &
Sons
Ltd.
FAU - Juvé-Udina, Maria-Eulàlia
AU - Juvé-Udina ME
AUID- ORCID: 0000-0001-8655-5653
AD - Nursing Research Group, IDIBELL, Bellvitge Biomedical Research Institute,
Barcelona,
Spain.
AD - Faculty of Medicine and Health Sciences, Nursing School, University of
Barcelona,
Barcelona, Spain.
AD - Catalan Institute of Health, Barcelona, Spain.
FAU - González-Samartino, Maribel
AU - González-Samartino M
AUID- ORCID: 0000-0001-6585-8014
Barcelona,
Spain.
Barcelona,
Barcelona, Spain.
AD - Bellvitge University Hospital, Hospitalet de Llobregat, Barcelona, Spain.
FAU - López-Jiménez, Maria Magdalena
AU - López-Jiménez MM
AUID- ORCID: 0000-0001-7697-2699
Barcelona,
Spain.
FAU - Planas-Canals, Maria
AU - Planas-Canals M
AUID- ORCID: 0000-0001-8105-3080
AD - Doctor Josep, Trueta University Hospital, Girona, Spain.
FAU - Rodríguez-Fernández, Hugo
AU - Rodríguez-Fernández H
AUID- ORCID: 0000-0001-6926-3739
FAU - Batuecas Duelt, Irene Joana
AU - Batuecas Duelt IJ
AUID- ORCID: 0000-0003-1529-2918
AD - Multidisciplinary Nursing Research Group, VHIR Vall d'Hebron Institute of
Research,
Barcelona, Spain.
AD - Vall d'Hebron University Hospital, Barcelona, Spain.
FAU - Tapia-Pérez, Marta
AU - Tapia-Pérez M
AUID- ORCID: 0000-0003-4065-6963
FAU - Pons Prats, Mònica
AU - Pons Prats M
AUID- ORCID: 0000-0002-9057-7000
AD - Verge de la Cinta Hospital, Tortosa, Spain.
FAU - Jiménez-Martínez, Emilio
AU - Jiménez-Martínez E
AUID- ORCID: 0000-0003-2831-037X
Barcelona,
Spain.
FAU - Barberà Llorca, Miquel Àngel
AU - Barberà Llorca MÀ
AUID- ORCID: 0000-0002-4410-0172
AD - Germans Trias i Pujol University Hospital, Badalona, Spain.
FAU - Asensio-Flores, Susana
AU - Asensio-Flores S
AUID- ORCID: 0000-0002-8848-1325
Barcelona,
Spain.
FAU - Berbis-Morelló, Carme
AU - Berbis-Morelló C
AUID- ORCID: 0000-0003-2784-9875
AD - Joan XXIII University Hospital, Tarragona, Spain.
AD - School of Nursing, Rovira i Virgili University, Tarragona, Spain.
FAU - Zuriguel-Pérez, Esperanza
AU - Zuriguel-Pérez E
AUID- ORCID: 0000-0002-0622-8423
AD - Multidisciplinary Nursing Research Group, VHIR Vall d'Hebron Institute of
Research,
Barcelona, Spain.
AD - Vall d'Hebron University Hospital, Barcelona, Spain.
FAU - Delgado-Hito, Pilar
AU - Delgado-Hito P
AUID- ORCID: 0000-0001-7077-3648
Barcelona,
Spain.
Barcelona,
Barcelona, Spain.
FAU - Rey Luque, Óscar
AU - Rey Luque Ó
AUID- ORCID: 0000-0003-1829-4775
AD - Nursing School, University of La Laguna, Tenerife, Spain.
AD - Nuestra Señora de la Candelaria University Hospital, Santa Cruz de Tenerife,
Spain.
FAU - Zabalegui, Adelaida
AU - Zabalegui A
AUID- ORCID: 0000-0003-1205-3997
Barcelona,
Barcelona, Spain.
AD - IDIBAPS, August Pi i Sunyer Biomedical Research Institute, Hospital Clínic,
Barcelona, Spain.
FAU - Fabrellas, Núria
AU - Fabrellas N
AUID- ORCID: 0000-0001-6720-0291
Barcelona,
Barcelona, Spain.
AD - IDIBAPS, August Pi i Sunyer Biomedical Research Institute, Hospital Clínic,
Barcelona, Spain.
FAU - Adamuz, Jordi
AU - Adamuz J
AUID- ORCID: 0000-0002-5480-0981
Barcelona,
Spain.
Barcelona,
Barcelona, Spain.
LA - eng
DEP - 20200619
TA - J Nurs Manag
JT - Journal of nursing management
JID - 9306050
SB - N
PMC - PMC7754324
OTO - NOTNLM
OT - acuity
OT - missed nursing care
OT - patient outcomes
OT - patient safety
OT - staffing
EDAT- 2020/05/10 06:00
MHDA- 2020/05/10 06:00
CRDT- 2020/05/09 06:00
PHST- 2019/11/30 00:00 [received]
PHST- 2020/04/20 00:00 [revised]
PHST- 2020/05/02 00:00 [accepted]
PHST- 2020/05/10 06:00 [pubmed]
PHST- 2020/05/10 06:00 [medline]
PHST- 2020/05/09 06:00 [entrez]
AID - JONM13040 [pii]
AID - 10.1111/jonm.13040 [doi]
PST - ppublish
SO - J Nurs Manag. 2020 Nov;28(8):2216-2229. doi: 10.1111/jonm.13040. Epub 2020
Jun 19.
PMID- 30802267
OWN - NLM
STAT- MEDLINE
DCOM- 20191119
LR - 20200309
IS - 1932-6203 (Linking)
VI - 14
IP - 2
DP - 2019
TI - Assessing EHR use during hospital morning rounds: A multi-faceted study.
PG - e0212816
LID - 10.1371/journal.pone.0212816 [doi]
LID - e0212816
AB - BACKGROUND: The majority of U.S hospitals have implemented electronic health
records
(EHRs). While the benefits of EHRs have been widely touted, little is known
about
their effects on inpatient care, including how well they meet workflow needs
and
support care. OBJECTIVE: Assess the extent to which EHRs support care team
workflow
during hospital morning rounds. DESIGN: We applied a mixed-method approach
including
observations of care teams during morning rounds, semi-structured interviews
and an
electronic survey of hospital inpatient clinicians. Structured field notes
taken
during observations were used to identify workflow patterns for analysis. We
applied
a grounded theory approach to extract emerging themes from interview
transcripts and
used SPSS Statistics 24 to analyze survey responses. SETTING: Medical units
at a
major teaching hospital in New England. RESULTS: Data triangulation across
the three
analyses yielded four main findings: (1) a high degree of variance in the
ways care
teams use EHRs during morning rounds. (2) Pervasive use of workarounds at
critical
points of care (3) EHRs are not used for information sharing and frequently
impede
intra-care team communication. (4) System design and hospital room settings
do not
adequately support care team workflow. CONCLUSIONS: Gaps between EHR design
and the
functionality needed in the complex inpatient environment result in lack of
standardized workflows, extensive use of workarounds and team communication
issues.
These issues pose a threat to patient safety and quality of care. Possible
solutions
need to include improvements in EHR design, care team training and changes to
the
hospital room setting.
FAU - Assis-Hassid, Shiri
AU - Assis-Hassid S
AUID- ORCID: 0000-0003-1454-0510
AD - Harvard John A. Paulson School of Engineering and Applied Sciences,
Cambridge, MA,
United States of America.
AD - Brigham and Women's Hospital, Boston, MA, United States of America.
AD - Harvard Medical School, Boston, MA, United States of America.
FAU - Grosz, Barbara J
AU - Grosz BJ
AD - Harvard John A. Paulson School of Engineering and Applied Sciences,
Cambridge, MA,
FAU - Zimlichman, Eyal
AU - Zimlichman E
AD - Sheba Medical Center, Ramat-Gan, Israel.
AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
FAU - Rozenblum, Ronen
AU - Rozenblum R
FAU - Bates, David W
AU - Bates DW
AD - Harvard T.H. Chan School of Public Health, Boston, MA, United States of
America.
LA - eng
DEP - 20190225
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Adult
MH - *Electronic Health Records
MH - Female
MH - *Hospitals, Teaching
MH - Humans
MH - *Information Dissemination
MH - Male
MH - Middle Aged
MH - New England
MH - *Teaching Rounds
MH - *Workflow
PMC - PMC6388927
COIS- The authors have declared that no competing interests exist.
EDAT- 2019/02/26 06:00
MHDA- 2019/11/20 06:00
CRDT- 2019/02/26 06:00
PHST- 2018/11/23 00:00 [received]
PHST- 2019/02/08 00:00 [accepted]
PHST- 2019/02/26 06:00 [entrez]
PHST- 2019/02/26 06:00 [pubmed]
PHST- 2019/11/20 06:00 [medline]
AID - PONE-D-18-33695 [pii]
AID - 10.1371/journal.pone.0212816 [doi]
PST - epublish
SO - PLoS One. 2019 Feb 25;14(2):e0212816. doi: 10.1371/journal.pone.0212816.
eCollection
2019.
PMID- 30541632
OWN - NLM
STAT- MEDLINE
DCOM- 20190219
LR - 20200225
IS - 1472-6963 (Linking)
VI - 18
IP - 1
DP - 2018 Dec 12
TI - Nursing home leaders' and nurses' experiences of resources, staffing and
competence
levels and the relation to hospital readmissions - a case study.
PG - 955
LID - 10.1186/s12913-018-3769-3 [doi]
LID - 955
AB - BACKGROUND: Thirty-day hospital readmissions represent an international
challenge
leading to increased prevalence of adverse events, reduced quality of care
and
pressure on healthcare service's resources and finances. There is a need for
a
broader understanding of hospital readmissions, how they manifest, and how
resources
in the primary healthcare service may affect hospital readmissions. The aim
of the
study was to examine how nurses and nursing home leaders experienced the
resource
situation, staffing and competence level in municipal healthcare services,
and if
and how they experienced these factors to influence hospital readmissions.
METHOD:
The study was conducted as a comparative case study of two municipalities
affiliated
with the same hospital, chosen for historical differences in readmission
rates.
Nurses and leaders from four nursing homes participated in focus groups and
interviews. Data were analyzed within and across cases. RESULTS: The analysis
resulted in four common themes, with some variation in each municipality,

describing
nurses' and leaders' experience of the nursing home resource situation,
staffing
level and competence and their perception of factors affecting hospital
readmissions. The nursing home patients were described as becoming
increasingly
complex with a subsequent need for increased nurse competence. There was
variation
in competence and staffing between nursing homes, but capacity building was
an
overall focus. Economic limitations and attempts at saving through cost-
cutting were
present, but not perceived as affecting patient care and the availability of
medical
equipment. Several factors such as nurse competence and staffing, physician
coverage, and adequate communication and documentation, were recognized as
factors
affecting hospital readmissions across the municipalities. CONCLUSION:
Several
factors related to nurses' and leaders' experience of the resource situation,
staffing and competence level were suggested to affect hospital readmissions
and the
municipalities were similar in their answers regarding these factors.
Patients were
perceived as more complex with higher patient mortality forcing long-term
nursing
homes to shift towards an acute care or palliative function, and short-term
nursing
homes to function as "small hospitals", requiring higher nurse competence.
Staffing,
competence and physician coverage did not seem to have adjusted to the new
patient
group in some nursing homes.
FAU - Glette, Malin Knutsen
AU - Glette MK
AUID- ORCID: 0000-0002-3822-0581
AD - Faculty of Health, Western Norway University of Applied Sciences, Haugesund,
Norway.
Malinknutsen.glette@hvl.no.
AD - Faculty of Health Sciences, SHARE - Centre for Resilience in Healthcare,
University
of Stavanger, Stavanger, Norway. Malinknutsen.glette@hvl.no.
FAU - Røise, Olav
AU - Røise O
AD - Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway.
University
of Stavanger, Stavanger, Norway.
AD - Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
FAU - Kringeland, Tone
AU - Kringeland T
Norway.
FAU - Churruca, Kate
AU - Churruca K
AD - Centre for Healthcare Resilience and Implementation Science, Australian
Institute of
Health Innovation, Macquarie University, Sydney, Australia.
FAU - Braithwaite, Jeffrey
AU - Braithwaite J
AD - Centre for Healthcare Resilience and Implementation Science, Australian
Institute of
Health Innovation, Macquarie University, Sydney, Australia.
FAU - Wiig, Siri
AU - Wiig S
University
LA - eng
DEP - 20181212
TA - BMC Health Serv Res
JT - BMC health services research
JID - 101088677
SB - IM
MH - Focus Groups
MH - *Health Facility Administrators
MH - Health Workforce/statistics & numerical data
MH - Hospitals
MH - Humans
MH - Leadership
MH - Norway
MH - Nursing Homes/*organization & administration
MH - Organizational Case Studies
MH - *Patient Readmission
MH - Professional Competence
PMC - PMC6292004
OTO - NOTNLM
OT - Financial resources
OT - Hospital readmissions
OT - Nurse competence
OT - Nurse staffing
OT - Patient safety
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The study has been approved by
the
Norwegian Center for Research Data (NSD) (Reference number: 49331, Date:
01.08.2016). All participants signed written informed consent to participate
in the
study. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: Author
SW is a
member of the editorial board (Associate Editor) of BMC Health Services
Research.
PUBLISHER’S NOTE: Springer Nature remains neutral with regard to
jurisdictional
claims in published maps and institutional affiliations.
EDAT- 2018/12/14 06:00
MHDA- 2019/03/21 06:00
CRDT- 2018/12/14 06:00
PHST- 2018/07/09 00:00 [received]
PHST- 2018/11/26 00:00 [accepted]
PHST- 2018/12/14 06:00 [entrez]
PHST- 2018/12/14 06:00 [pubmed]
PHST- 2019/03/21 06:00 [medline]
AID - 10.1186/s12913-018-3769-3 [pii]
AID - 3769 [pii]
AID - 10.1186/s12913-018-3769-3 [doi]
PST - epublish
SO - BMC Health Serv Res. 2018 Dec 12;18(1):955. doi: 10.1186/s12913-018-3769-3.
PMID- 31097486
OWN - NLM
STAT- MEDLINE
DCOM- 20200604
LR - 20200604
IS - 2044-6055 (Linking)
VI - 9
IP - 5
DP - 2019 May 15
TI - Tasks, multitasking and interruptions among the surgical team in an operating
room:
a prospective observational study.
PG - e026410
LID - 10.1136/bmjopen-2018-026410 [doi]
LID - e026410
AB - OBJECTIVES: The work context of the operating room (OR) is considered complex
and
dynamic with high cognitive demands. A multidimensional view of the complete
preoperative and intraoperative work process of the surgical team in the OR
has been
sparsely described. The aim of this study was to describe the type and
frequency of
tasks, multitasking, interruptions and their causes during surgical
procedures from
a multidimensional perspective on the surgical team in the OR. DESIGN:
Prospective
observational study using the Work Observation Method By Activity Timing
tool.
SETTING: An OR department at a county hospital in Sweden. PARTICIPANTS: OR
nurses
(ORNs) (n=10), registered nurse anaesthetists (RNAs) (n=8) and surgeons
(n=9).
RESULTS: The type, frequency and time spent on specific tasks, multitasking
and
interruptions were measured. From a multidimensional view, the surgical team
performed 64 tasks per hour. Communication represented almost half (45.7%) of
all
observed tasks. Concerning task time, direct care dominated the surgeons' and
ORNs'
intraoperative time, while in RNAs' work, it was intra-indirect care. In
total,
48.2% of time was spent in multitasking and was most often observed in ORNs'
and
surgeons' work during communication. Interruptions occurred 3.0 per hour, and
the
largest proportion, 26.7%, was related to equipment. Interruptions were most
commonly followed by professional communication. CONCLUSIONS: The surgical
team
constantly dealt with multitasking and interruptions, both with potential
impact on
workflow and patient safety. Interruptions were commonly followed by
professional
communication, which may reflect the interactions and constant adaptations in
a
complex adaptive system. Future research should focus on understanding the
complexity within the system, on the design of different work processes and
on how
teams meet the challenges of a complex adaptive system. TRIAL REGISTRATION
NUMBER:
2016/264.
FAU - Göras, Camilla
AU - Göras C
AUID- ORCID: 0000-0002-0883-4072
AD - School of Health Sciences, Faculty of Medicine and Health, Örebro University,
Örebro, Sweden.
AD - Department of Anaesthesia and Intensive Care Unit, Falu Hospital, Falun,
Sweden.
AD - Centre for Clinical Research, Falun, Dalarna, Sweden.
FAU - Olin, Karolina
AU - Olin K
AUID- ORCID: 0000-0002-7482-2950
Institutet,
Stockholm, Sweden.
AD - Development Centre, Turku University Hospital, Turku, Finland.
FAU - Unbeck, Maria
AU - Unbeck M
AD - Trauma and Reparative Medicine Theme, Karolinska University Hospital,
Stockholm,
Sweden.
AD - Department of Molecular Medicine and Surgery, Karolinska Institutet,
Stockholm,
Sweden.
FAU - Pukk-Härenstam, Karin
AU - Pukk-Härenstam K
AUID- ORCID: 0000-0002-5502-2237
Institutet,
Stockholm, Sweden.
AD - Paediatric Emergency Department, Karolinska University Hospital, Stockholm,
Sweden.
FAU - Ehrenberg, Anna
AU - Ehrenberg A
AD - School of Education, Health and Social Studies, Dalarna University, Falun,
Sweden.
FAU - Tessma, Mesfin Kassaye
AU - Tessma MK
Institutet,
Stockholm, Sweden.
FAU - Nilsson, Ulrica
AU - Nilsson U
AUID- ORCID: 0000-0001-5403-4183
AD - Department of Neurobiology, Care Sciences and Society, Karolinska Institutet
Perioperative Medicine and Intensive Care, Karolinska Institutet, Stockholm,
Sweden.
FAU - Ekstedt, Mirjam
AU - Ekstedt M
Institutet,
Stockholm, Sweden.
AD - School of Health and Caring Sciences, Linneuniversitet, Kalmar, Sweden.
LA - eng
DEP - 20190515
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adult
MH - Aged
MH - Communication
MH - Female
MH - Humans
MH - *Interprofessional Relations
MH - Male
MH - Middle Aged
MH - *Multitasking Behavior
MH - Nurse Anesthetists/psychology
MH - Nursing Staff/psychology
MH - *Operating Rooms
MH - Patient Safety
MH - Surgeons/psychology
MH - Sweden
MH - *Time and Motion Studies
MH - *Workflow
MH - Workload/*psychology
MH - Workplace
PMC - PMC6530509
OTO - NOTNLM
OT - *complexity
OT - *interruptions
OT - *multitasking
OT - *operating room
EDAT- 2019/05/18 06:00
MHDA- 2020/06/05 06:00
CRDT- 2019/05/18 06:00
PHST- 2019/05/18 06:00 [entrez]
PHST- 2019/05/18 06:00 [pubmed]
PHST- 2020/06/05 06:00 [medline]
AID - bmjopen-2018-026410 [pii]
AID - 10.1136/bmjopen-2018-026410 [doi]
PST - epublish
SO - BMJ Open. 2019 May 15;9(5):e026410. doi: 10.1136/bmjopen-2018-026410.
PMID- 31504576
OWN - NLM
STAT- In-Process
LR - 20201201
IS - 1067-5027 (Print)
IS - 1067-5027 (Linking)
VI - 26
IP - 12
DP - 2019 Dec 1
TI - A patient and family reporting system for perceived ambulatory note mistakes:
experience at 3 U.S. healthcare centers.

PG - 1566-1573
LID - 10.1093/jamia/ocz142 [doi]
AB - OBJECTIVE: The study sought to test a patient and family online reporting
system for
perceived ambulatory visit note inaccuracies. MATERIALS AND METHODS: We
implemented
a patient and family electronic reporting system at 3 U.S. healthcare
centers: a
northeast urban academic adult medical center (AD), a northeast urban
academic
pediatric medical center (PED), and a southeast nonprofit hospital network
(NET).
Patients and families reported potential documentation inaccuracies after
reading
primary care and subspecialty visit notes. Results were characterized using
descriptive statistics and coded for clinical relevance. RESULTS: We received
1440
patient and family reports (780 AD, 402 PED, and 258 NET), and 27% of the
reports
identified a potential inaccuracy (25% AD, 35% PED, 28% NET). Among these,
patients
and families indicated that the potential inaccuracy was important or very
important
in 58% of reports (55% AD, 55% PED, 71% NET). The most common types of
potential
inaccuracies included description of symptoms (21%), past medical problems
(21%),
medications (18%), and important information that was missing (15%). Most
patient-
and family-reported inaccuracies resulted in a change to care or to the
medical
record (55% AD, 67% PED, data not available at NET). DISCUSSION: About one-
quarter
of patients and families using an online reporting system identified
potential
documentation inaccuracies in visit notes and more than half were considered
important by patients and clinicians, underscoring the potential role of
patients
and families as ambulatory safety partners. CONCLUSIONS: Partnering with
patients
and families to obtain reports on inaccuracies in visit notes may contribute
to
safer care. Mechanisms to encourage greater use of patient and family
reporting
systems are needed.
CI - © The Author(s) 2019. Published by Oxford University Press on behalf of the
American
Medical Informatics Association. All rights reserved. For permissions, please
email:
journals.permissions@oup.com.
FAU - Bourgeois, Fabienne C
AU - Bourgeois FC
AD - Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts,
USA.
FAU - Fossa, Alan
AU - Fossa A
AD - Department of Medicine, Beth Israel Deaconess Medical Center, Boston,
Massachusetts,
USA.
FAU - Gerard, Macda
AU - Gerard M
Massachusetts,
USA.
FAU - Davis, Marion E
AU - Davis ME
AD - Center for Outcomes Research and Evaluation, Atrium Health, Charlotte, North
Carolina, USA.
FAU - Taylor, Yhenneko J
AU - Taylor YJ
Carolina, USA.
FAU - Connor, Crystal D
AU - Connor CD
Carolina, USA.
FAU - Vaden, Tracela
AU - Vaden T
AD - Department of Internal Medicine, Atrium Health, Charlotte, North Carolina,
USA.
FAU - McWilliams, Andrew
AU - McWilliams A
Carolina, USA.
AD - Department of Internal Medicine, Atrium Health, Charlotte, North Carolina,
USA.
FAU - Spencer, Melanie D
AU - Spencer MD
Carolina, USA.
FAU - Folcarelli, Patricia
AU - Folcarelli P
AD - Department of Health Care Quality, Beth Israel Deaconess Medical Center,
Boston,
Massachusetts, USA.
FAU - Bell, Sigall K
AU - Bell SK
Massachusetts,
USA.
LA - eng
TA - J Am Med Inform Assoc
JT - Journal of the American Medical Informatics Association : JAMIA
JID - 9430800
SB - IM
PMC - PMC7647145
OTO - NOTNLM
OT - *documentation errors
OT - *patient and family engagement
OT - *patient and provider communication
EDAT- 2019/09/11 06:00
MHDA- 2019/09/11 06:00
CRDT- 2019/09/11 06:00
PHST- 2019/04/29 00:00 [received]
PHST- 2019/07/09 00:00 [revised]
PHST- 2019/07/22 00:00 [accepted]
PHST- 2019/09/11 06:00 [pubmed]
PHST- 2019/09/11 06:00 [medline]
PHST- 2019/09/11 06:00 [entrez]
AID - 5559299 [pii]
AID - ocz142 [pii]
AID - 10.1093/jamia/ocz142 [doi]
PST - ppublish
SO - J Am Med Inform Assoc. 2019 Dec 1;26(12):1566-1573. doi:
10.1093/jamia/ocz142.
PMID- 31652889
OWN - NLM
STAT- MEDLINE
DCOM- 20200330
LR - 20200330
IS - 1661-7827 (Print)
IS - 1660-4601 (Linking)
VI - 16
IP - 21
DP - 2019 Oct 24
TI - Association of Working Hours and Patient Safety Competencies with Adverse
Nurse
Outcomes: A Cross-Sectional Study.
LID - 10.3390/ijerph16214083 [doi]
LID - 4083
AB - The environment of health organizations can determine healthcare quality and
patient
safety. Longer working hours can be associated with nurses' health status and
care
quality, as well as work-related hazards. However, little is known about the
association of hospital nurses' working hours and patient safety competencies
with
adverse nurse outcomes. In this cross-sectional descriptive study,
convenience
sampling was employed to recruit 380 nurses from three tertiary care
hospitals in
South Korea. Data were collected using structured questionnaires from May to
June
2016. Hierarchical linear regression analysis was used to identify the
association
of working hours and patient competencies with adverse nurse outcomes among
364
participants selected for analysis. Most nurses worked over 40 h/week.
Working hours
(β = 0.202, p < 0.001) had the strongest association with adverse nurse
outcomes.
Low perceived patient safety competencies (β = -0.179, p = 0.001) and
frequently
reporting patient safety accidents (β = 0.146, p = 0.018) were also
correlated with
adverse nurse outcomes. Nursing leaders should encourage work cultures where
working
overtime is discouraged and patient safety competencies are prioritized.
Further,
healthcare managers must formulate policies that secure nurses' rights. The
potential association of overtime with nurse and patient outcomes needs
further
exploration.
FAU - Son, Youn-Jung
AU - Son YJ
AUID- ORCID: 0000-0002-0961-9606
AD - Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-ro, Heukseok-
dong,
Dongjak-Gu, Seoul 06974, Korea. yjson@cau.ac.kr.
FAU - Lee, Eun Kyoung
AU - Lee EK
AD - Nursing Department, Soonchunhayng University Hospital Cheonan, 31
Suncheonhyang
6-Gil, Dongnam-gu, Cheonan-si, Chingcheongnam-do, Cheonan 31151, Korea.
Ekrhee76@gmail.com.
FAU - Ko, Yukyung
AU - Ko Y
AUID- ORCID: 0000-0002-9011-0515
AD - Department of Nursing, College of Medicine, Wonkwang University, 460
Iksandae-ro,
Iksan, Jeonbuk 54538, Korea. yukyungko555@gmail.com.
LA - eng
DEP - 20191024
TA - Int J Environ Res Public Health
JT - International journal of environmental research and public health
JID - 101238455
SB - IM
MH - Adult
MH - Clinical Competence/*standards
MH - Humans
MH - *Nursing Staff, Hospital/psychology
MH - *Occupational Health
MH - Patient Safety
MH - *Workload/psychology
PMC - PMC6862320
OTO - NOTNLM
OT - *adverse outcome
OT - *nursing
OT - *professional competence
EDAT- 2019/10/28 06:00
MHDA- 2020/03/31 06:00
CRDT- 2019/10/27 06:00
PHST- 2019/07/23 00:00 [received]
PHST- 2019/10/17 00:00 [revised]
PHST- 2019/10/21 00:00 [accepted]
PHST- 2019/10/27 06:00 [entrez]
PHST- 2019/10/28 06:00 [pubmed]
PHST- 2020/03/31 06:00 [medline]
AID - ijerph16214083 [pii]
AID - ijerph-16-04083 [pii]
AID - 10.3390/ijerph16214083 [doi]
PST - epublish
SO - Int J Environ Res Public Health. 2019 Oct 24;16(21):4083. doi:
10.3390/ijerph16214083.
PMID- 31680373
OWN - NLM
STAT- In-Process
LR - 20201229
IS - 0966-0429 (Print)
IS - 0966-0429 (Linking)
VI - 28
IP - 8
DP - 2020 Nov
TI - Unfinished nursing care in four central European countries.
PG - 1888-1900
LID - 10.1111/jonm.12896 [doi]
AB - AIM: The main aim of the research was to describe and compare unfinished
nursing
care in selected European countries. BACKGROUND: The high prevalence of
unfinished
nursing care reported in recently published studies, as well as its
connection to
negative effects on nurse and patient outcomes, has made unfinished care an
important phenomenon and a quality indicator for nursing activities. METHODS:
A
cross-sectional descriptive study was undertaken. Unfinished nursing care was
measured using the Perceived Implicit Rationing of Nursing Care questionnaire
(PIRNCA). The sample included 1,353 nurses from four European countries
(Croatia,
the Czech Republic, Poland and Slovakia). RESULTS: The percentage of nurses
leaving
one or more nursing activities unfinished ranged from 95.2% (Slovakia) to
97.8%
(Czech Republic). Mean item scores on the 31 items of the PIRNCA in the total
sample
ranged from 1.13 to 1.92. Unfinished care was significantly associated with
the type
of hospital and quality of care. CONCLUSION: The research results confirmed
the
prevalence of unfinished nursing care in the countries surveyed. IMPLICATIONS
FOR
NURSING MANAGEMENT: The results are a useful tool for enabling nurse managers
to
look deeper into nurse staffing and other organizational issues that may
influence
patient safety and quality of care.
CI - © 2019 The Authors. Journal of Nursing Management published by John Wiley &
Sons
Ltd.
FAU - Zeleníková, Renáta
AU - Zeleníková R
AUID- ORCID: 0000-0003-1491-6696
AD - Department of Nursing and Midwifery, Faculty of Medicine, University of
Ostrava,
Ostrava, Czech Republic.
FAU - Gurková, Elena
AU - Gurková E
AUID- ORCID: 0000-0002-5629-9414
AD - Department of Nursing, Faculty of Health Sciences, Palacky University in
Olomouc,
Olomouc, Czech Republic.
FAU - Friganovic, Adriano
AU - Friganovic A
AUID- ORCID: 0000-0002-9528-6464
AD - University Hospital Zagreb, Zagreb, Croatia.
AD - University of Applied Health Sciences, Zagreb, Croatia.
FAU - Uchmanowicz, Izabella
AU - Uchmanowicz I
AUID- ORCID: 0000-0001-5452-0210
AD - Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical
University, Wroclaw, Poland.
FAU - Jarošová, Darja
AU - Jarošová D
AUID- ORCID: 0000-0002-3032-3076
Ostrava,
FAU - Žiaková, Katarína
AU - Žiaková K
AD - Department of Nursing, Jessenius Faculty of Medicine in Martin, Comenius
University
in Bratislava, Martin, Slovakia.
FAU - Plevová, Ilona
AU - Plevová I
Ostrava,
FAU - Papastavrou, Evridiki
AU - Papastavrou E
AUID- ORCID: 0000-0001-5128-3651
AD - Department of Nursing, School of Health Sciences, Cyprus University of
Technology,
Limassol, Cyprus.
LA - eng
GR - OC-2015-2-20085/COST Action RANCARE CA15208/
GR - LTC18018/INTER-COST/
DEP - 20191126
TA - J Nurs Manag
JID - 9306050
SB - N
PMC - PMC7754486
OTO - NOTNLM
OT - PIRNCA
OT - hospital nurses
OT - survey
OT - unfinished nursing care
EDAT- 2019/11/05 06:00
MHDA- 2019/11/05 06:00
CRDT- 2019/11/05 06:00
PHST- 2019/04/27 00:00 [received]
PHST- 2019/10/27 00:00 [revised]
PHST- 2019/10/31 00:00 [accepted]
PHST- 2019/11/05 06:00 [pubmed]
PHST- 2019/11/05 06:00 [medline]
PHST- 2019/11/05 06:00 [entrez]
AID - JONM12896 [pii]
AID - 10.1111/jonm.12896 [doi]
PST - ppublish
SO - J Nurs Manag. 2020 Nov;28(8):1888-1900. doi: 10.1111/jonm.12896. Epub 2019
Nov 26.
PMID- 30559893
OWN - NLM
LR - 20200928
IS - 1857-9655 (Print)
IS - 1857-9655 (Linking)
VI - 6
IP - 11
DP - 2018 Nov 25
TI - The Relationship between Nurse's Job Stress and Patient Safety.
PG - 2228-2232
LID - 10.3889/oamjms.2018.351 [doi]
AB - BACKGROUND: Patient safety is a key element of the quality of health
services.
Nurses are the largest group that care for patients, observing safe in
nursing care
would reduce injuries, disability, morbidity and mortality. However, high
stress can
lead to a decline in the quality of nursing care. AIM: This study aimed to
investigate the relationship between job stress of the nurses and patient
safety in
a teaching hospital of Hamadan in 2017. MATERIAL AND METHODS: This is a
cross-sectional study. The data was gathered by a questionnaire of Nurse's
job
stress prepared by the researcher that after confirming the validity and
reliability
was completed by 198 nurses of three teaching hospitals of Hamadan city that
were
selected by simple random sampling and the checklist of patient safety that
was
collected by the researcher. Data analysis was done in the two levels of
descriptive
and analysis statistics. RESULTS: The results showed that the job stress of
the
nurses and patient safety (mean = 1.75 and SD = 0.114) have been at an
average
level. There was no statistically significant relationship between Nurse's
job
stress and patient safety because the Spearman correlation coefficient showed
that r
= 0.007 and p = 0.919. Among the demographic factors, there was only a
significant
relationship between marital status and Nurse's job stress (p < 0.05).
CONCLUSION:
Because of nursing job stress is affected by different working conditions,
further
studies in the many hospitals are needed. Moderate levels of patient safety
are not
acceptable; Therefore, heath's policymakers should focus on providing the
safety of
all patients at the optimal level, with more effort to reduce the stress of
their
nurses at the lowest level.
FAU - Keykaleh, Meysam Safi
AU - Keykaleh MS
AD - Department of Health in Disasters and Emergencies, School of Public Health
and
Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
FAU - Safarpour, Hamid
AU - Safarpour H
and
FAU - Yousefian, Shiva
AU - Yousefian S
and
FAU - Faghisolouk, Farshad
AU - Faghisolouk F
and
FAU - Mohammadi, Ehsan
AU - Mohammadi E
AD - Department of Nursing, School of Nursing and Midwifery, Ilam University of
Medical
Sciences, Ilam, Iran.
FAU - Ghomian, Zohreh
AU - Ghomian Z
and
LA - eng
DEP - 20181123
TA - Open Access Maced J Med Sci
JT - Open access Macedonian journal of medical sciences
JID - 101662294
PMC - PMC6290432
OTO - NOTNLM
OT - Iran
OT - Job stress
OT - Nurse
OT - Patient safety
OT - Work-related stress
EDAT- 2018/12/19 06:00
MHDA- 2018/12/19 06:01
CRDT- 2018/12/19 06:00
PHST- 2018/08/02 00:00 [received]
PHST- 2018/10/18 00:00 [revised]
PHST- 2018/10/20 00:00 [accepted]
PHST- 2018/12/19 06:00 [entrez]
PHST- 2018/12/19 06:00 [pubmed]
PHST- 2018/12/19 06:01 [medline]
AID - OAMJMS-6-2228 [pii]
AID - 10.3889/oamjms.2018.351 [doi]
PST - epublish
SO - Open Access Maced J Med Sci. 2018 Nov 23;6(11):2228-2232. doi:
10.3889/oamjms.2018.351. eCollection 2018 Nov 25.
PMID- 31171710
OWN - NLM
STAT- MEDLINE
DCOM- 20201125
LR - 20210109
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 29
IP - 1
DP - 2020 Jan
TI - Missed nursing care in newborn units: a cross-sectional direct observational
study.
PG - 19-30
LID - 10.1136/bmjqs-2019-009363 [doi]
AB - BACKGROUND: Improved hospital care is needed to reduce newborn mortality in
low/middle-income countries (LMIC). Nurses are essential to the delivery of
safe and
effective care, but nurse shortages and high patient workloads may result in
missed
care. We aimed to examine nursing care delivered to sick newborns and
identify
missed care using direct observational methods. METHODS: A cross-sectional
study
using direct-observational methods for 216 newborns admitted in six health
facilities in Nairobi, Kenya, was used to determine which tasks were
completed. We
report the frequency of tasks done and develop a nursing care index (NCI), an
unweighted summary score of nursing tasks done for each baby, to explore how
task
completion is related to organisational and newborn characteristics. RESULTS:
Nursing tasks most commonly completed were handing over between shifts (97%),
checking and where necessary changing diapers (96%). Tasks with lowest
completion
rates included nursing review of newborns (38%) and assessment of babies on
phototherapy (15%). Overall the mean NCI was 60% (95% CI 58% to 62%), at
least 80%
of tasks were completed for only 14% of babies. Private sector facilities had
a
median ratio of babies to nurses of 3, with a maximum of 7 babies per nurse.
In the
public sector, the median ratio was 19 babies and a maximum exceeding 25
babies per
nurse. In exploratory multivariable analyses, ratios of ≥12 babies per nurse
were
associated with a 24-point reduction in the mean NCI compared with ratios of
≤3
babies per nurse. CONCLUSION: A significant proportion of nursing care is
missed
with potentially serious effects on patient safety and outcomes in this LMIC
setting. Given that nurses caring for fewer babies on average performed more
of the
expected tasks, addressing nursing is key to ensuring delivery of essential
aspects
of care as part of improving quality and safety.
Published by
BMJ.
FAU - Gathara, David
AU - Gathara D
AUID- ORCID: 0000-0002-0958-0713
AD - Public Health Research, Kenya Medical Research Institute-Wellcome Trust
Research
Programme, Nairobi, Kenya DGathara@kemri-wellcome.org.
AD - Nursing and Midwifery, Aga Khan University School of Nursing and Midwifery
East
Africa, Nairobi, Kenya.
FAU - Serem, George
AU - Serem G
AD - Public Health Research, KEMRI/Wellcome Trust Research Programme, Nairobi,
Kenya.
FAU - Murphy, Georgina A V
AU - Murphy GAV
AD - Global Health, Bill and Melinda Gates Foundation, Seattle, Washington, USA.
FAU - Obengo, Alfred
AU - Obengo A
AD - National Nurses Association of Kenya, Nairobi, Kenya.
FAU - Tallam, Edna
AU - Tallam E
AD - Registration and Licensing, Nursing Council of Kenya, Nairobi, Kenya.
FAU - Jackson, Debra
AU - Jackson D
AD - Nursing and Midwifery, University of Technology Sydney, Sydney, New South
Wales,
Australia.
FAU - Brownie, Sharon
AU - Brownie S
AD - Nursing and Midwifery, Aga Khan University School of Nursing and Midwifery
East
Africa, Nairobi, Kenya.
AD - School of Medicine, Griffith University Faculty of Health, Gold Coast,
Queensland,
Australia.
FAU - English, Mike
AU - English M
AD - Public Health Research, KEMRI/Wellcome Trust Research Programme, Nairobi,
Kenya.
AD - Department of Paediatrics, University of Oxford, Oxford, UK.
LA - eng
GR - WT_/Wellcome Trust/United Kingdom
GR - 207522/Z/17/Z/WT_/Wellcome Trust/United Kingdom
GR - MR/M015386/1/MRC_/Medical Research Council/United Kingdom
GR - MR/R018510/1/MRC_/Medical Research Council/United Kingdom
DEP - 20190606
TA - BMJ Qual Saf
JID - 101546984
SB - H
MH - Developing Countries
MH - Humans
MH - Infant
MH - Infant Mortality/*trends
MH - Infant, Newborn
MH - Kenya/epidemiology
MH - Private Sector/statistics & numerical data
MH - Public Sector/statistics & numerical data
PMC - PMC6923939
OTO - NOTNLM
OT - *nurses
OT - *quality measurement
OT - *standards of care
EDAT- 2019/06/07 06:00
MHDA- 2020/11/26 06:00
CRDT- 2019/06/08 06:00
PHST- 2019/01/21 00:00 [received]
PHST- 2019/05/16 00:00 [revised]
PHST- 2019/05/18 00:00 [accepted]
PHST- 2019/06/07 06:00 [pubmed]
PHST- 2020/11/26 06:00 [medline]
PHST- 2019/06/08 06:00 [entrez]
AID - bmjqs-2019-009363 [pii]
AID - 10.1136/bmjqs-2019-009363 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2020 Jan;29(1):19-30. doi: 10.1136/bmjqs-2019-009363. Epub 2019
Jun 6.
PMID- 32234042
OWN - NLM
STAT- MEDLINE
DCOM- 20201116
LR - 20201116
IS - 1472-6963 (Linking)
VI - 20
IP - 1
DP - 2020 Mar 31
TI - Can patient and family education prevent medical errors? A descriptive study.
PG - 269
LID - 10.1186/s12913-020-05083-y [doi]
LID - 269
AB - BACKGROUND: This study aims to increase understanding of how patient and
family
education affects the prevention of medical errors, thereby providing basic
data for
developing educational contents. METHODS: This descriptive study surveyed
patients,
families, and Patient Safety Officers to investigate the relationship between
educational contents and medical error prevention. The Chi-square test and
ANOVA
were used to derive the results of this study. The educational contents used
in this
study consisted of health information (1. current medicines, 2. allergies, 3.
health
history, 4. previous treatments/tests and complications associated with them)
and
Speak Up (1. handwashing, 2. patient identification, 3. asking about medical
conditions, 4. asking about test results, 5. asking about behaviour and
changes in
lifestyle, 6. asking about the care plan, 7. asking about medicines, and 8.
asking
about medicine interactions). RESULTS: In this study, the first criterion for
choosing a hospital for treatment in Korea was 'Hospital with a famous

doctor'
(58.6% patient; 57.7% families). Of the patients and their families surveyed,
82.2%
responded that hospitals in Korea were safe. The most common education in
hospitals
is 'Describe your medical condition', given to 69.0% of patients, and
'Hospitalisation orientation', given to 63.4% of families. The most important
factors in preventing patient safety events were statistically significant

differences among patients, family members, and Patient Safety Officers (p =
0.001).
Patients and families had the highest 'Patient and family participation'
(31.0% of
patients; 39.4% of families) and Patient Safety Officers had the highest
'Patient
safety culture' (47.8%). CONCLUSIONS: Participants thought that educational
contents
developed through this study could prevent medical errors. The results of
this study
are expected to provide basic data for national patient safety campaigns and
standardised educational content development to prevent medical errors.
FAU - Kim, Yoon-Sook
AU - Kim YS
AD - Department of Quality Improvement, Konkuk University Medical Centre, 120-1
Neungdong-ro (Hwayang-dong), Gwangjin-gu, Seoul, 05030, South Korea.
yskim27@gmail.com.
FAU - Kim, Hyuo Sun
AU - Kim HS
AD - Performance Improvement Team, Uijeongbu St. Mary's Hospital, Uijeongbu, South
Korea.
FAU - Kim, Hyun Ah
AU - Kim HA
AD - Office of Quality Innovation, Samsung Medical Center, Seoul, South Korea.
FAU - Chun, Jahae
AU - Chun J
AD - Office of QI, Severance Hospital, Seoul, South Korea.
FAU - Kwak, Mi Jeong
AU - Kwak MJ
AD - Quality Improvement Team, Korea University Anam Hospital, Seoul, South Korea.
FAU - Kim, Moon-Sook
AU - Kim MS
AD - Medical Nursing Department, Seoul National University Hospital, Seoul, South
Korea.
FAU - Hwang, Jee-In
AU - Hwang JI
AD - Kyung Hee University College of Nursing Science, Seoul, South Korea.
FAU - Kim, Hyeran
AU - Kim H
AD - Department of Quality Improvement, Konkuk University Medical Centre, 120-1
Neungdong-ro (Hwayang-dong), Gwangjin-gu, Seoul, 05030, South Korea.
LA - eng
GR - HI18C2339/Korea Health Industry Development Institute/Republic of Korea
DEP - 20200331
JID - 101088677
SB - IM
MH - Adult
MH - *Family
MH - *Health Education
MH - Hospitals
MH - Humans
MH - Medical Errors/*prevention & control
MH - Middle Aged
MH - *Patient Education as Topic
MH - Patient Safety
MH - Republic of Korea
PMC - PMC7106564
OTO - NOTNLM
OT - Educational content
OT - Medical error
OT - Patient and family education
OT - Patient safety officer
COIS- The authors declare that they have no competing interests.
EDAT- 2020/04/03 06:00
MHDA- 2020/11/18 06:00
CRDT- 2020/04/03 06:00
PHST- 2019/09/01 00:00 [received]
PHST- 2020/03/09 00:00 [accepted]
PHST- 2020/04/03 06:00 [entrez]
PHST- 2020/04/03 06:00 [pubmed]
PHST- 2020/11/18 06:00 [medline]
AID - 10.1186/s12913-020-05083-y [pii]
AID - 5083 [pii]
AID - 10.1186/s12913-020-05083-y [doi]
PST - epublish
SO - BMC Health Serv Res. 2020 Mar 31;20(1):269. doi: 10.1186/s12913-020-05083-y.
PMID- 31140061
OWN - NLM
STAT- MEDLINE
DCOM- 20200224
LR - 20200801
IS - 1828-0447 (Print)
IS - 1828-0447 (Linking)
VI - 14
IP - 5
DP - 2019 Aug
TI - Information flow during pediatric trauma care transitions: things falling
through
the cracks.
PG - 797-805
LID - 10.1007/s11739-019-02110-7 [doi]
AB - Pediatric trauma is one of the leading causes of morbidity and mortality in
children
in the USA. Every year, nearly 10 million children are evaluated in emergency
departments (EDs) for traumatic injuries, resulting in 250,000 hospital

admissions
and 10,000 deaths. Pediatric trauma care in hospitals is distributed across
time and
space, and particularly complex with involvement of large and fluid care
teams.
Several clinical teams (including emergency medicine, surgery,
anesthesiology, and
pediatric critical care) converge to help support trauma care in the ED; this
co-location in the ED can help to support communication, coordination and

cooperation of team members. The most severe trauma cases often need surgery
in the
operating room (OR) and are admitted to the pediatric intensive care unit
(PICU).
These care transitions in pediatric trauma can result in loss of information
or
transfer of incorrect information, which can negatively affect the care a
child will
receive. In this study, we interviewed 18 clinicians about communication and
coordination during pediatric trauma care transitions between the ED, OR and
PICU.
After the interview was completed, we surveyed them about patient safety
during
these transitions. Results of our study show that, despite the fact that the
many
services and units involved in pediatric trauma cooperate well together
during
trauma cases, important patient care information is often lost when
transitioning
patients between units. To safely manage the transition of this fragile and
complex
population, we need to find ways to better manage the information flow during
these
transitions by, for instance, providing technological support to ensure
shared
mental models.
FAU - Hoonakker, Peter Leonard Titus
AU - Hoonakker PLT
AUID- ORCID: 0000-0002-6854-8780
Madison,
3124 Engineering Centers Building, 1550 Engineering Drive, Madison, WI,
53706, USA.
peter.hoonakker@wisc.edu.
FAU - Wooldridge, Abigail Rayburn
AU - Wooldridge AR
AD - Department of Industrial & Enterprise Systems Engineering, University of
Illinois at
Urbana-Champaign, 209A Transportation Building, 104 South Mathews Avenue,
Urbana,
IL, 61801, USA.
FAU - Hose, Bat-Zion
AU - Hose BZ
AD - Center for Quality and Productivity Improvement, Department of Industrial and
Systems Engineering, University of Wisconsin-Madison, 3139 Engineering

Centers
Building, 1550 Engineering Drive, Madison, WI, 53706, USA.
AU - Carayon P
AD - Center for Quality and Productivity Improvement, Department of Industrial and
Systems Engineering, University of Wisconsin-Madison, 3139 Engineering

Centers
Building, 1550 Engineering Drive, Madison, WI, 53706, USA.
FAU - Eithun, Ben
AU - Eithun B
AD - American Family Children's Hospital, University of Wisconsin School of
Medicine and
Public Health, 1675 Highland Avenue, Madison, WI, 53792, USA.
FAU - Brazelton, Thomas Berry 3rd
AU - Brazelton TB 3rd
Public
Health, 600 Highland Avenue, Madison, WI, 53792, USA.
FAU - Kohler, Jonathan Emerson
AU - Kohler JE
AD - Department of Surgery, University of Wisconsin School of Medicine and Public
Health,
600 Highland Avenue, Madison, WI, 53792, USA.
FAU - Ross, Joshua Chud
AU - Ross JC
AD - Department of Emergency Medicine, University of Wisconsin School of Medicine
and
Public Health, 600 Highland Avenue, Madison, WI, 53792, USA.
FAU - Rusy, Deborah Ann
AU - Rusy DA
AD - Department of Anesthesiology, University of Wisconsin School of Medicine and
Public
FAU - Dean, Shannon Mason
AU - Dean SM
Public
FAU - Kelly, Michelle Merwood
AU - Kelly MM
Public
FAU - Gurses, Ayse Pinar
AU - Gurses AP
AD - Center for Health Care Human Factors, Armstrong Institute for Patient Safety
and
Quality, Johns Hopkins University, 750 East Pratt Street, 15th Floor,
Baltimore, MD,
21202, USA.
LA - eng
GR - UL1TR002373/TR/NCATS NIH HHS/United States
DEP - 20190528
TA - Intern Emerg Med
JT - Internal and emergency medicine
JID - 101263418
SB - IM
MH - *Communication
MH - Continuity of Patient Care/standards/statistics & numerical data
MH - Humans
MH - Interprofessional Relations
MH - Interviews as Topic/methods
MH - Patient Transfer/methods/standards/statistics & numerical data
MH - Pediatrics/methods/*standards
MH - Transitional Care/*standards/statistics & numerical data
MH - Wounds and Injuries/*therapy
PMC - PMC6692560
MID - NIHMS1044550
OTO - NOTNLM
OT - *Care transitions
OT - *Patient safety
OT - *Pediatric trauma
OT - *Teamwork
COIS- Conflict of Interest: The authors have no conflict of interest
EDAT- 2019/05/30 06:00
MHDA- 2020/02/25 06:00
CRDT- 2019/05/30 06:00
PHST- 2018/10/01 00:00 [received]
PHST- 2019/05/15 00:00 [accepted]
PHST- 2019/05/30 06:00 [pubmed]
PHST- 2020/02/25 06:00 [medline]
PHST- 2019/05/30 06:00 [entrez]
AID - 10.1007/s11739-019-02110-7 [pii]
AID - 10.1007/s11739-019-02110-7 [doi]
PST - ppublish
SO - Intern Emerg Med. 2019 Aug;14(5):797-805. doi: 10.1007/s11739-019-02110-7.
Epub 2019
May 28.
PMID- 29939551
STAT- Publisher
CTDT- 20201207
DP - 2020 Jan
TI - Recognizing Alcohol and Drug Impairment in the Workplace in Florida.
BTI - StatPearls
AB - Alcohol and drug use disorder is a troubling and significant problem for
healthcare
professionals. Without identification and appropriate treatment, impairment
often
progresses and compromises the workplace and patient safety. The danger is
significantly worse when the impaired health professional is responsible for
treating critically ill patients in the intensive care unit, emergency
department,
or operating room. Medical professionals must recognize signs of this danger
in
their peers and protect against it, both for the sake of patients and the
healthcare
providers themselves. Health professional impairment is, unfortunately, a
common
problem in healthcare. Impairment results when a health professional, such as
a
physician, nurse, or allied health professional, is unable to provide
competent and
safe patient care because of impairment by alcohol, prescription or
nonprescription
drugs, or mind-altering substances. Impairment may also result from a
psychological
or neurologic condition that affects the health professional's judgment. As a
result
of this impairment, the health professional cannot safely perform
professional
duties and responsibilities in the manner essential to their profession. All
health
professionals need to understand and be aware of the safety issues that
become
apparent when a health professional is impaired as the care provided extends
to
other health professionals as well as the institution. Ultimately, all health
providers must be aware of the signs and symptoms of impairment and the state
and
institution requirements of reporting individuals suspected of working while
in an
impaired state. Impaired health professionals often develop coping mechanisms
that
allow them to initially cover up their diminished capacity to provide safe
patient
care. Eventually, they commit obvious mistakes, medication errors, or
procedural
errors that become readily apparent. Initially, these violations may be
subtle, and
only an astute and observant fellow practitioner will notice a change in
behavior or
the signs and symptoms of impairment. Often, to obtain mind-altering
substances,
impaired health professionals will divert controlled substances, such as
opioids and
benzodiazepines, from a patient to themselves; this can result in a patient
being
under-medicated and induce unnecessary suffering. The use of mind-altering
substances over time also may result in the deterioration of the health
professional's health. Use of stimulants, for example, may result in
cardiovascular
problems such as angina, hypertension, and myocardial infarction. Alcohol can
lead
to liver diseases such as cirrhosis. Patients suffer exposure to infectious
diseases
such as human immunodeficiency, hepatitis, and other blood-borne diseases.
There are
often coexisting mental disorders such as depression, suicide, and anxiety.
Impairment can lead to traumatic injuries such as falls, fractures, and head
injuries. Florida State and Federal Rules and Regulations Virtually all
states
include rules and regulations regarding the use of alcohol and drugs as the
basis
for disciplinary actions. Authorities deal with the diversion of drugs from
patients
very harshly. Almost all states also require reporting of health
practitioners
suspected of impairment. These rules and penalties vary from state to state.
The
Florida Nurse Nurse Practice Act [leg.state.fl.us, 2018] is an example of
typical
state law regarding the use of controlled substances and the necessary
reporting.
Each practitioner should consult the rules and regulations for their own
profession.
464.018 Disciplinary Actions (h) Unprofessional conduct, which shall
include, but
not be limited to, any departure from, or the failure to conform to, the
minimal
standards of acceptable and prevailing nursing practice, in which case actual
injury
need not be established [leg.state.fl.us, 2018]. Most states require the
reporting
of unprofessional conduct, whether it be by a physician, nurse, or allied
health
professional. (i) Engaging or attempting to engage in the possession, sale,
or
distribution of controlled substances as set forth in chapter 893, for any
other
than legitimate purposes authorized by this chapter [leg.state.fl.us, 2018].
All
states and the federal government takes a dim view of health care
practitioners who
engage in the unlawful sale of prescription or nonprescription controlled
substances. Penalties for violation can include fines and jail sentences.
(j) Being
unable to practice nursing with reasonable skill and safety to patients by
reason of
illness or use of alcohol, drugs, or chemicals or any other type of material
or as a
result of any mental or physical condition. In enforcing this paragraph, the
department shall have, upon a finding of the secretary or the secretary's
designee
that probable cause exists to believe that the licensee is unable to practice
nursing because of the reasons stated in this paragraph, the authority to

issue an
order to compel a licensee to submit to a mental or physical examination by
physicians designated by the department. If the licensee refuses to comply
with such
an order, the department's order directing such examination may be enforced
by
filing a petition for enforcement in the circuit court where the licensee
resides or
does business. The licensee against whom the petition is filed shall not be
named or
identified by initials in any public court records or documents, and the
proceedings
shall be closed to the public. The department shall be entitled to the
summary
procedure provided in s. 51.011. A nurse affected by the provisions of this
paragraph shall at reasonable intervals receive an opportunity to demonstrate
that
she or he can resume the competent practice of nursing with reasonable skill
and
safety to patients (j) Being unable to practice nursing with reasonable
skill and
safety to patients by reason of illness or use of alcohol, drugs, opioids, or
chemicals or any other type of material or as a result of any mental or

physical
condition. In enforcing this paragraph, the department shall have, upon a
finding of
the secretary or the secretary's designee that probable cause exists to
believe that
the licensee is unable to practice nursing because of the reasons stated in
this
paragraph, the authority to issue an order to compel a licensee to submit to
a
mental or physical examination by physicians designated by the department. If
the
licensee refuses to comply with such an order, the department's order
directing such
examination may be enforced by filing a petition for enforcement in the
circuit
court where the licensee resides or does business. The licensee against whom
the
petition is filed shall not be named or identified by initials in any public
court
records or documents, and the proceedings shall be closed to the public. The
department shall be entitled to the summary procedure provided in s. 51.011.
A nurse
affected by the provisions of this paragraph shall at reasonable intervals
receive
an opportunity to demonstrate that she or he can resume the competent
practice of
nursing with reasonable skill and safety to patients [leg.state.fl.us, 2018].
All
states have varying rules regarding the evaluation and prosecution of a
health care
practitioner that due to mental illness or illicit use of controlled
substances
places a patient's safety at risk. Health professionals have been prosecuted
for
felonies for harming patients due to unprofessional and dangerous conduct.
(k)
Failing to report to the department any person who the licensee knows is in
violation of this chapter or of the rules of the department or the board;
however,
if the licensee verifies that such person is actively participating in a
board-approved program for the treatment of a physical or mental condition,
the
licensee is required to report such person only to an impaired professionals
consultant. Most states require health professionals who they believe are
impaired
to report to the appropriate authority. Failure to report may have negative
consequences for the health practitioner who is aware of the impairment and
yet
fails to report to the proper authority. (l) Knowingly violating any
provision of
this chapter, a rule of the board or the department, or a lawful order of the
board
or department previously entered in a disciplinary proceeding or failing to
comply
with a lawfully issued subpoena of the department. If the health professional
knowingly violates the provisions, the consequence in most states is even

more
severe. All health professionals are obligated to be aware of the practice
act rules
and regulations in each of the states they hold a license. (m) Failing to
report to
the department any licensee under chapter 458 or under chapter 459 who the
nurse
knows has violated the grounds for disciplinary action set out in the law
under
which that person is licensed and who provides health care services in a
facility
licensed under chapter 395, or a health maintenance organization certificated
under
part I of chapter 641, in which the nurse also provides services
[leg.state.fl.us,
2018]. Most states have the right to specifically penalize a health
professional who
fails to report a health professional whom they know violates state laws.
Besides
the legal concerns, health professionals have an ethical and moral duty to
patients
to report a health professional with a diminished capacity to perform their
duties.
(4) The board shall not reinstate the license of a nurse who has been found
guilty
by the board on three separate occasions of violations of this chapter
relating to
the use of drugs or opioids, which offenses involved the diversion of drugs
or
opioids from patients to personal use or sale [leg.state.fl.us, 2018]. In
many
states, the ongoing use of drugs or alcohol can result in the permanent loss
of a
medical license. It is crucial that all health professionals review the
health
practice act in each state where they hold a license and that they comply
with the
reporting requirements. If one is unsure of the requirements, most
institutions will
provide an attorney or other professional to understand the reporting
process. Most
states have statutes designed to help healthcare practitioners identify and
treat
impaired health care providers. Virtually all state medical boards require
that a
healthcare provider suffering from alcohol or drug substance use self-report,
and
individuals aware of the problem must report their peers. Due to the fear of
reprisal, most states have a mechanism whereby a provider can confidentially
report
a peer directly to an agency that can investigate and deal with the
problem. Providing there are no safety issues that directly affected a
patient's
care, the impaired practitioner can engage in treatment and rehabilitation
and avoid
board disciplinary action. If a health professional is already under
discipline,
has been terminated from rehabilitation, has sold drugs, or is at continuous
risk to
the public, the practitioner is less likely to receive the opportunity to
seek
private treatment without public consequences. However, if there is no danger
to the
patients, even The Joint Commission supports treatment rather than
punishment. To a
certain extent, federal laws protect health professionals with substance use
disorder. The Americans with Disabilities Act provides protection for
healthcare
providers in treatment and recovery programs for substance use disorder. It
requires
a "reasonable accommodation" for an individual who recognizes their alcohol
or drug
issues and participates in a rehabilitation program. Federal law does
not consider a
person to have a disability because they are using drugs. Additionally, the
Family
Medical Leave Act requires employers to allow time off for
qualified substance use
disorder treatment. Courts and statutes usually protect health care
providers' and
medical boards' efforts to address substance use disorder issues,
particularly if
practitioners have successfully completed treatment. However, if a
practitioner
harms a patient while under the influence of drugs or alcohol or an
institution
knowingly fails to protect a patient, the consequences can be severe.
Examples
include the following: A court granted immunity to the director of an
impaired
practitioner program, who suggested that healthcare professionals' privileges
be
suspended until they completed substance use disorder evaluation and
treatment.
During a medical malpractice case, a healthcare professional refused to turn
over
substance use disorder treatment records; the court ruled those records were
privileged and confidential. A court dismissed a hospital from a malpractice
suit
that claimed negligent credentialing due to a health professional prior
alcohol and
drug use. The court found the professional had completed successful treatment
and
had complied with a monitoring program for years, and the hospital acted
reasonably
in granting privileges. A patient sued the hospital for improper
credentialing
because the health practitioner had committed malpractice in the past and was
known
by the hospital to be addicted to sedatives. The hospital was assessed
punitive
damages for negligent credentialing. A health professional admitted to being
under
the influence of an opiate during a surgical operation, and there was a large
punitive verdict awarded. Definitions Addiction: A substantial loss of self-

control
indicated by compulsive alcohol or drug use despite the desire to stop. It
may
involve cycles of relapse and remission, and if untreated, may result in
disability
or premature death. Drug diversion: The transfer of a controlled substance,
such as
a drug, from a lawful to an unlawful channel of distribution and use.
Substance use
disorder: A disease of the brain characterized by the recurrent use
of alcohol or
drugs that result in functional impairment such as disability, health
problems, and
failure to meet responsibilities at home, work, or school. Impairment: The
inability
or impending inability to provide safe, professional activities and duties
due to a
behavioral, mental, or physical disorder related to alcohol or drugs.
Consequences
of Healthcare Professional Impairment Patients: The decreased trust of health
professionals. Infection from contaminated needles. Medical error victims.

Reaction
to wrong drugs. Undue pain. Peers: Discipline from failure to report. Legal
liability from shared patients shared patient care. Stress from increased
workload
as a result of an impaired professional. Professionals: Accidental injuries.
Billing
and insurance fraud. Communicable infections from the use of unsterile drugs
and
needles. Felony prosecution. Heart disease. Liver disease. Malpractice
actions.
Institutions: Civil liability from failure to recognize an impairment.
Decreased
institutional reputation. Decreased revenue from diverted drugs. Poor work
quality.
Increased absenteeism. The increased cost of Workers' Compensation.
FAU - Toney-Butler, Tammy J
AU - Toney-Butler TJ
FAU - Siela, Debra
AU - Siela D
AD - Ball State University
LA - eng
PT - Review
PT - Book Chapter
EDAT- 2020/12/07 00:00
CRDT- 2020/12/07 00:00
PMID- 31110112
OWN - NLM
LR - 20201001
IS - 2291-0026 (Print)
IS - 2291-0026 (Linking)
VI - 7
IP - 2
DP - 2019 Apr-Jun
TI - Regional variations of care in home care and long-term care: a retrospective
cohort
study.
PG - E341-E350
LID - 10.9778/cmajo.20180086 [doi]
AB - BACKGROUND: Many aging adults undergo progressive loss of autonomy, develop
increasingly complex medical needs and experience multiple care transitions.
We
sought to determine the degree of variation in rates of transfer from home
care
services and long-term care in several Canadian jurisdictions. METHODS: In
this
retrospective cohort study, we examined transitions from home care services
and
long-term care to different possible end states: change in health stability
(getting
better or worse), transfer to hospital, transfer to another care setting or
death.
We used standardized interRAI assessments from long-term care and home care
linked
to hospital records (data from the Discharge Abstract Database and National
Ambulatory Care Reporting System) from 2010 to 2016. Multistate modelling was
used
to adjust for patients with complex health status and transitions in care.
RESULTS:
We report data for 254 664 patients in home care programs and 162 045
residents in
long-term care. Compared with patients in Ontario, patients requiring home
care
services in Alberta and British Columbia had increased odds of being admitted
to
hospital regardless of the underlying severity of illness (the adjusted odds
ratios
[OR] ranged from 2.08 to 3.77 in Alberta and from 1.28 to 1.46 in BC).
Residents in
long-term care in Alberta and BC had less than half the odds of being
transferred to
hospital, independent of all other factors, when compared with long-term care
residents in Ontario (the adjusted OR ranged from 0.38 to 0.39 in Alberta and
from
0.33 to 0.44 in BC). INTERPRETATION: Significant variations in transfer rates
were
observed between provinces, even after controlling for individual patient
characteristics. These results suggest that transfers to hospital are largely
driven
by health care policies, health care professional practice patterns and
available
infrastructure rather than individual patient needs.
CI - Copyright 2019, Joule Inc. or its licensors.
FAU - Hébert, Paul C
AU - Hébert PC
AD - Département de médecine (Hébert), Université de Montréal and Centre
hospitalier de
l'Université de Montréal, Montréal, Que.; Novartis Pharmaceuticals Canada
Inc.
(Morinville), Dorval, Que.; Centre de recherche du Centre hospitalier de
l'Université de Montréal (Hébert) (Morinville, during the conduct of the
study),
Montréal, Que.; Departments of Medicine, and Health Research Methods,
Evidence, and
Impact (Costa), McMaster University, Hamilton, Ont.; Research Institute for
Aging,
School of Public Health and Health Systems (Heckman); School of Public Health
and
Health Systems (Hirdes), University of Waterloo, Waterloo, Ont.
paul.hebert.chum@ssss.gouv.qc.ca.
FAU - Morinville, Anne
AU - Morinville A
hospitalier de
Inc.
study),
Evidence, and
Aging,
and
FAU - Costa, Andrew
AU - Costa A
hospitalier de
Inc.
study),
Evidence, and
Aging,
and
FAU - Heckman, George
AU - Heckman G
hospitalier de
Inc.
study),
Evidence, and
Aging,
and
FAU - Hirdes, John
AU - Hirdes J
hospitalier de
Inc.
study),
Evidence, and
Aging,
and
LA - eng
DEP - 20190519
TA - CMAJ Open
JT - CMAJ open
JID - 101620603
PMC - PMC6527434
COIS- Competing interests: Anne Morinville became an employee of Novartis after
this
article was submitted for publication but before revisions were undertaken.
No other
competing interests were declared.
EDAT- 2019/05/22 06:00
MHDA- 2019/05/22 06:01
CRDT- 2019/05/22 06:00
PHST- 2019/05/22 06:00 [entrez]
PHST- 2019/05/22 06:00 [pubmed]
PHST- 2019/05/22 06:01 [medline]
AID - 7/2/E341 [pii]
AID - cmajo.20180086 [pii]
AID - 10.9778/cmajo.20180086 [doi]
PST - epublish
SO - CMAJ Open. 2019 May 19;7(2):E341-E350. doi: 10.9778/cmajo.20180086. Print
2019
Apr-Jun.
PMID- 32115563
OWN - NLM
STAT- MEDLINE
DCOM- 20200922
LR - 20200922
IS - 0031-6903 (Linking)
VI - 140
IP - 3
DP - 2020
TI - [The Ideal Role of Pharmacists: A Nurse's Perspective].
PG - 415-418
LID - 10.1248/yakushi.19-00194-3 [doi]
AB - Drug-related work is one of the most difficult tasks for nurses. This may
stem from
the lack of knowledge of pharmacology as the minimum duration of the
pharmacology
course in basic nursing education is only 30 h (2 units). According to the
Project
to Collect Medical Near-miss/Adverse Event Information 2018 Annual Report of
the
Japan Council for Quality Health Care, 9.2% of incidents were related to
medication
and the majority involved nurses. Several medication management tasks in
hospitals
are currently managed by nurses, while at the same time many nurses have high
expectations of pharmacists as experts in pharmacology. Nurses recognize that
pharmacists working in hospital wards have great responsibilities.

Furthermore, in
hospitals that promote advanced treatments, the expertise of pharmacists is
demonstrated in the fields of chemotherapy and palliative care in cancer
treatment,
infection control, and nutrition support team (NST). In many hospitals,
however,
nurses are responsible for several medication management tasks. Therefore,
nurses
believe that it would be beneficial for pharmacists to participate more in
medical
management tasks.
FAU - Nakahara, Ruriko
AU - Nakahara R
AD - Faculty of Nursing, Kyoritsu Women's University.
LA - jpn
PT - Review
PL - Japan
TA - Yakugaku Zasshi
JT - Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan
JID - 0413613
SB - IM
MH - *Education, Nursing
MH - Humans
MH - *Nurses
MH - *Patient Care Team
MH - *Pharmacists
MH - Pharmacology/*education
MH - *Professional Role
OTO - NOTNLM
OT - nurse
OT - patient safety
OT - pharmacist
OT - team-based approach
EDAT- 2020/03/03 06:00
MHDA- 2020/09/23 06:00
CRDT- 2020/03/03 06:00
PHST- 2020/03/03 06:00 [entrez]
PHST- 2020/03/03 06:00 [pubmed]
PHST- 2020/09/23 06:00 [medline]
AID - 10.1248/yakushi.19-00194-3 [doi]
PST - ppublish
SO - Yakugaku Zasshi. 2020;140(3):415-418. doi: 10.1248/yakushi.19-00194-3.
PMID- 30395515
OWN - NLM
STAT- MEDLINE
DCOM- 20190617
LR - 20200309
IS - 0278-2715 (Print)
IS - 0278-2715 (Linking)
VI - 37
IP - 11
DP - 2018 Nov
TI - Nurses' And Patients' Appraisals Show Patient Safety In Hospitals Remains A
Concern.
PG - 1744-1751
LID - 10.1377/hlthaff.2018.0711 [doi]
AB - The Institute of Medicine concluded in To Err Is Human in 1999 that
transformation
of nurse work environments was needed to reduce patient harm. We studied 535
hospitals in four large states at two points in time between 2005 and 2016 to
determine the extent to which their work environments improved, and whether
positive
changes were associated with greater progress in patient safety. Survey data
from
thousands of nurses and patients showed that patient safety remains a serious
concern. Only 21 percent of study hospitals showed sizable improvements (of

more
than 10 percent) in work environment scores, while 7 percent had worse
scores. For
hospitals in which clinical care environments improved, patients and nurses
reported
improvements in patient safety indicators. These included increases in
percentages
of patients rating their hospital favorably (a change of 11 percent) and
stating
that they would definitely recommend the hospital (8 percent) and in
percentages of
nurses reporting excellent quality of care (15 percent) and giving the
hospital a
favorable grade on patient safety (15 percent). Where work environments
deteriorated, fewer nurses (-19 percent) gave a favorable grade on patient
safety.
Failure to improve hospital work environments may be hampering progress on
patient
safety.
AU - Aiken LH
AD - Linda H. Aiken ( laiken@nursing.upenn.edu ) is the Claire M. Fagin Leadership
Professor of Nursing, professor of sociology, director of the Center for

Health
Outcomes and Policy Research, and a senior fellow at the Leonard Davis
Institute of
Health Economics, all at the University of Pennsylvania, in Philadelphia.
AU - Sloane DM
AD - Douglas M. Sloane is an adjunct professor at the Center for Health Outcomes
and
Policy Research and the School of Nursing, University of Pennsylvania.
FAU - Barnes, Hilary
AU - Barnes H
AD - Hilary Barnes is an assistant professor in the School of Nursing, University
of
Delaware, in Newark.
FAU - Cimiotti, Jeannie P
AU - Cimiotti JP
AD - Jeannie P. Cimiotti is an associate professor in the School of Nursing, Emory
University, in Atlanta, Georgia.

FAU - Jarrín, Olga F
AU - Jarrín OF
AD - Olga F. Jarrín is an assistant professor in the School of Nursing, Institute
for
Health, Health Care Policy, and Aging Research at Rutgers, the State
University of
New Jersey, in New Brunswick.
AU - McHugh MD
AD - Matthew D. McHugh is a professor of nursing, the Independence Chair for
Nursing
Education, associate director of the Center for Health Outcomes and Policy
Research,
and a senior fellow at the Leonard Davis Institute of Health Economics, all
at the
University of Pennsylvania.
LA - eng
TA - Health Aff (Millwood)
JT - Health affairs (Project Hope)
JID - 8303128
SB - IM
CIN - J Urol. 2019 May;201(5):850. PMID: 30747868
MH - *Burnout, Psychological
MH - Hospitals/*statistics & numerical data
MH - Humans
MH - United States
MH - Workplace/psychology
PMC - PMC6325635
MID - NIHMS1003322
OTO - NOTNLM
OT - *Hospitals
OT - *Nurses
EDAT- 2018/11/06 06:00
MHDA- 2019/06/18 06:00
CRDT- 2018/11/06 06:00
PHST- 2018/11/06 06:00 [entrez]
PHST- 2018/11/06 06:00 [pubmed]
PHST- 2019/06/18 06:00 [medline]
AID - 10.1377/hlthaff.2018.0711 [doi]
PST - ppublish
SO - Health Aff (Millwood). 2018 Nov;37(11):1744-1751. doi:
10.1377/hlthaff.2018.0711.
PMID- 31801474
OWN - NLM
STAT- MEDLINE
DCOM- 20200526
LR - 20210110
VI - 19
IP - 1
DP - 2019 Dec 4
TI - Diagnostic error in the emergency department: learning from national patient
safety
incident report analysis.
PG - 77
LID - 10.1186/s12873-019-0289-3 [doi]
LID - 77
AB - BACKGROUND: Diagnostic error occurs more frequently in the emergency
department than
in regular in-patient hospital care. We sought to characterise the nature of
reported diagnostic error in hospital emergency departments in England and
Wales
from 2013 to 2015 and to identify the priority areas for intervention to
reduce
their occurrence. METHODS: A cross-sectional mixed-methods design using an
exploratory descriptive analysis and thematic analysis of patient safety
incident
reports. Primary data were extracted from a national database of patient
safety
incidents. Reports were filtered for emergency department settings,
diagnostic error
(as classified by the reporter), from 2013 to 2015. These were analysed for
the
chain of events, contributory factors and harm outcomes. RESULTS: There were
2288
cases of confirmed diagnostic error: 1973 (86%) delayed and 315 (14%) wrong
diagnoses. One in seven incidents were reported to have severe harm or death.
Fractures were the most common condition (44%), with cervical-spine and neck
of
femur the most frequent types. Other common conditions included myocardial
infarctions (7%) and intracranial bleeds (6%). Incidents involving both
delayed and
wrong diagnoses were associated with insufficient assessment,
misinterpretation of
diagnostic investigations and failure to order investigations. Contributory
factors
were predominantly human factors, including staff mistakes, healthcare
professionals' inadequate skillset or knowledge and not following protocols.
CONCLUSIONS: Systems modifications are needed that provide clinicians with
better
support in performing patient assessment and investigation interpretation.
Interventions to reduce diagnostic error need to be evaluated in the
emergency
department setting, and could include standardised checklists, structured
reporting
and technological investigation improvements.
FAU - Hussain, Faris
AU - Hussain F
AD - Cardiff University, Cardiff, UK.
FAU - Cooper, Alison
AU - Cooper A
AUID- ORCID: 0000-0001-8660-6721
AD - Cardiff University, Cardiff, UK. Coopera8@cardiff.ac.uk.
FAU - Carson-Stevens, Andrew
AU - Carson-Stevens A
FAU - Donaldson, Liam
AU - Donaldson L
AD - London School of Hygiene and Tropical Medicine, London, UK.
FAU - Hibbert, Peter
AU - Hibbert P
AD - Macquarie University, Sydney, Australia.
FAU - Hughes, Thomas
AU - Hughes T
AD - John Radcliffe Hospital, Oxford, UK.
FAU - Edwards, Adrian
AU - Edwards A
LA - eng
DEP - 20191204
TA - BMC Emerg Med
JT - BMC emergency medicine
JID - 100968543
SB - IM
MH - Clinical Competence
MH - Delayed Diagnosis/statistics & numerical data
MH - Diagnostic Errors/*statistics & numerical data
MH - England/epidemiology
MH - Humans
MH - Wales/epidemiology
PMC - PMC6894198
OTO - NOTNLM
OT - *Diagnostic error
OT - *Emergency department
EDAT- 2019/12/06 06:00
MHDA- 2020/05/27 06:00
CRDT- 2019/12/06 06:00
PHST- 2019/05/30 00:00 [received]
PHST- 2019/11/08 00:00 [accepted]
PHST- 2019/12/06 06:00 [entrez]
PHST- 2019/12/06 06:00 [pubmed]
PHST- 2020/05/27 06:00 [medline]
AID - 10.1186/s12873-019-0289-3 [pii]
AID - 289 [pii]
AID - 10.1186/s12873-019-0289-3 [doi]
PST - epublish
SO - BMC Emerg Med. 2019 Dec 4;19(1):77. doi: 10.1186/s12873-019-0289-3.
PMID- 32895270
OWN - NLM
STAT- In-Process
LR - 20201207
IS - 2044-6055 (Linking)
VI - 10
IP - 9
DP - 2020 Sep 6
TI - Case for hospital nurse-to-patient ratio legislation in Queensland,
Australia,
hospitals: an observational study.
PG - e036264
LID - 10.1136/bmjopen-2019-036264 [doi]
LID - e036264
AB - OBJECTIVES: To determine whether there was variation in nurse staffing across
hospitals in Queensland prior to implementation of nurse-to-patient ratio

legislation targeting medical-surgical wards, and if so, the extent to which
nurse
staffing variation was associated with poor outcomes for patients and nurses.
DESIGN: Analysis of cross-sectional data derived from nurse surveys linked

with
admitted patient outcomes data. SETTING: Public hospitals in Queensland.
PARTICIPANTS: 4372 medical-surgical nurses and 146 456 patients in 68 public
hospitals. MAIN OUTCOME MEASURES: 30-day mortality, quality and safety
indicators,
nurse outcomes including emotional exhaustion and job dissatisfaction.
RESULTS:
Medical-surgical nurse-to-patient ratios before implementation of ratio
legislation
varied significantly across hospitals (mean 5.52 patients per nurse;
SD=2.03). After
accounting for patient characteristics and hospital size, each additional
patient
per nurse was associated with 12% higher odds of 30-day mortality (OR=1.12;
95% CI
1.01 to 1.26). Each additional patient per nurse was associated with poorer
outcomes
for nurses including 15% higher odds of emotional exhaustion (OR=1.15; 95% CI
1.07
to 1.23) and 14% higher odds of job dissatisfaction (OR=1.14; 95% CI 1.02 to
1.28),
as well as higher odds of concerns about quality of care (OR=1.12; 95% CI
1.01 to
1.25) and patient safety (OR=1.32; 95% CI 1.11 to 1.57). CONCLUSIONS: Before
ratios
were implemented, nurse staffing varied considerably across Queensland
hospital
medical-surgical wards and higher nurse workloads were associated with
patient
mortality, low quality of care, nurse emotional exhaustion and job
dissatisfaction.
The considerable variation across hospitals and the link with outcomes
suggests that
taking action to improve staffing levels was prudent.
AU - McHugh MD
AUID- ORCID: 0000-0002-1263-0697
AD - School of Nursing, Center for Health Outcomes and Policy Research, University
of
Pennsylvania, Philadelphia, Pennsylvania, USA mchughm@nursing.upenn.edu.
AU - Aiken LH
AD - School of Nursing, Center for Health Outcomes and Policy Research, University
of
FAU - Windsor, Carol
AU - Windsor C
AD - School of Nursing, Queensland University of Technology, Brisbane, Queensland,
Australia.
FAU - Douglas, Clint
AU - Douglas C
Australia.
AD - Metro North Hospital and Health Service, Royal Brisbane and Women's Hospital,
Herston, Queensland, Australia.

FAU - Yates, Patsy
AU - Yates P
AUID- ORCID: 0000-0001-8946-8504
Australia.
LA - eng
DEP - 20200906
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
PMC - PMC7476482
OTO - NOTNLM
OT - *health policy
OT - *international health services
OT - *quality in health care
EDAT- 2020/09/09 06:00
MHDA- 2020/09/09 06:00
CRDT- 2020/09/08 05:19
PHST- 2020/09/08 05:19 [entrez]
PHST- 2020/09/09 06:00 [pubmed]
PHST- 2020/09/09 06:00 [medline]
AID - 10.1136/bmjopen-2019-036264 [doi]
PST - epublish
SO - BMJ Open. 2020 Sep 6;10(9):e036264. doi: 10.1136/bmjopen-2019-036264.
PMID- 29291757
OWN - NLM
STAT- MEDLINE
DCOM- 20190205
LR - 20200612
IS - 0270-9295 (Print)
IS - 0270-9295 (Linking)
VI - 38
IP - 1
DP - 2018 Jan
TI - Expanding the Role for Kidney Biopsies in Acute Kidney Injury.
PG - 12-20
LID - S0270-9295(17)30096-7 [pii]
LID - 10.1016/j.semnephrol.2017.09.001 [doi]
AB - Acute kidney injury (AKI) is a highly heterogeneous, common, and potentially
devastating condition associated with markedly increased hospital length of
stay,
cost, mortality, and morbidity. Expanding the role for kidney biopsies in AKI
may
offer fresh insights into disease heterogeneity, molecular mechanisms, and
therapeutic targets. A number of challenges face investigators and clinicians
considering research biopsies in AKI: ensuring patient safety, ensuring the

ethical
conduct of research studies, and maximizing the scientific yield of the
kidney
tissue obtained. The societal benefits of research that lead to novel
strategies for
preventing and treating AKI would be enormous. Rethinking our current
approach to
the role of kidney biopsy for AKI diagnosis and research may be a major step
toward
the promise of personalized medicine in nephrology.
CI - Copyright © 2017 Elsevier Inc. All rights reserved.
FAU - Waikar, Sushrut S
AU - Waikar SS
AD - Division of Renal Medicine, Brigham and Women's Hospital, Boston, MA.
Electronic
address: swaikar@bwh.harvard.edu.
FAU - McMahon, Gearoid M
AU - McMahon GM
AD - Division of Renal Medicine, Brigham and Women's Hospital, Boston, MA.
LA - eng
GR - UH3 DK114915/DK/NIDDK NIH HHS/United States
PT - Review
TA - Semin Nephrol
JT - Seminars in nephrology
JID - 8110298
SB - IM
MH - Acute Kidney Injury/diagnosis/*pathology/therapy
MH - *Biopsy
MH - Ethics, Research
MH - Humans
MH - Kidney/*pathology
PMC - PMC5753426
MID - NIHMS915580
OTO - NOTNLM
OT - *Acute kidney injury
OT - *biopsy
OT - *histopathology
OT - *pathogenesis
COIS- Financial disclosure and conflict of interest statements: none
EDAT- 2018/01/03 06:00
MHDA- 2019/02/06 06:00
CRDT- 2018/01/03 06:00
PHST- 2018/01/03 06:00 [entrez]
PHST- 2018/01/03 06:00 [pubmed]
PHST- 2019/02/06 06:00 [medline]
AID - S0270-9295(17)30096-7 [pii]
AID - 10.1016/j.semnephrol.2017.09.001 [doi]
PST - ppublish
SO - Semin Nephrol. 2018 Jan;38(1):12-20. doi: 10.1016/j.semnephrol.2017.09.001.
PMID- 31523722
OWN - NLM
LR - 20200225
IS - 2399-6641 (Linking)
VI - 8
IP - 3
DP - 2019
TI - Improving intravenous fluid prescribing in the Eastern Cape in South Africa.
PG - e000406
LID - 10.1136/bmjoq-2018-000406 [doi]
LID - e000406
AB - Intravenous fluids are an essential component of patient care, but a 2013
National
Institute for Health and Care Excellence (NICE) guideline noted that
inappropriate
prescribing or administration may lead to actual or potential patient harm in
up to
20% of patients.1 This project aimed to improve prescribing documentation and
communication between nurses and doctors regarding intravenous fluid

management.
This was done through the introduction of a fluid chart, in combination with
teaching on appropriate fluid management. It was initiated within the medical
department of Cecelia Makiwane Hospital in East London, South Africa. 309

patients
were included and data were analysed over a 6-month period. The outcome
measures
were the standards of intravenous fluid prescribing set by the NICE
guidelines. The
process measure was the use of the new chart. Baseline data highlighted that
there
was no standardised location for fluid prescriptions within the bedside
notes.
Following the intervention, 81% of fluid prescriptions were on a fluid chart.
The
percentage of fluid scripts with a 24-hour fluid prescription, a recorded
indication
and recorded input increased after the intervention. Seventy six per cent of
patients received more than 50% of the fluids prescribed following the
intervention
compared with 22% at baseline. These results indicated an increase in the
doctor's
awareness of appropriate fluid prescribing and an improvement in the
communication
between doctors and nurses regarding the patient's fluid management. The
engagement
of local stakeholders and staff was fundamental to the success of the project
and
allowed for this change in practice. Fluid management is a vital part of care
in
many specialties; therefore, a toolkit has been created to allow similar
quality
improvement projects to be implemented across other hospitals around the
Eastern
Cape.
FAU - Luce, Cate
AU - Luce C
AD - The Improving Global Health Programme, Global Engagement Team of Health
Education
England, Winchester, UK.
FAU - Soffair, Rosie
AU - Soffair R
AD - The Improving Global Health Programme, Global Engagement Team of Health
Education
England, Winchester, UK.
FAU - Parrish, Andy
AU - Parrish A
AD - Department of Internal Medicine, Walter Sisulu University School of Medicine,
Mthatha, South Africa.

AD - Department of Internal Medicine, Cecilia Makiwane Hospital, Mdantsane, South
Africa.
LA - eng
DEP - 20190815
TA - BMJ Open Qual
JT - BMJ open quality
JID - 101710381
PMC - PMC6711442
OTO - NOTNLM
OT - communication
OT - patient safety
OT - quality improvement
COIS- Competing interests: None.
EDAT- 2019/09/17 06:00
MHDA- 2019/09/17 06:01
CRDT- 2019/09/17 06:00
PHST- 2018/04/11 00:00 [received]
PHST- 2019/07/22 00:00 [revised]
PHST- 2019/07/24 00:00 [accepted]
PHST- 2019/09/17 06:00 [entrez]
PHST- 2019/09/17 06:00 [pubmed]
PHST- 2019/09/17 06:01 [medline]
AID - bmjoq-2018-000406 [pii]
AID - 10.1136/bmjoq-2018-000406 [doi]
PST - epublish
SO - BMJ Open Qual. 2019 Aug 15;8(3):e000406. doi: 10.1136/bmjoq-2018-000406.
eCollection
2019.
PMID- 29691240
OWN - NLM
STAT- MEDLINE
DCOM- 20190213
LR - 20190215
IS - 2044-6055 (Linking)
VI - 8
IP - 4
DP - 2018 Apr 24
TI - Nursing workload, patient safety incidents and mortality: an observational
study
from Finland.
PG - e016367
LID - 10.1136/bmjopen-2017-016367 [doi]
LID - e016367
AB - OBJECTIVE: To investigate whether the daily workload per nurse (Oulu Patient
Classification (OPCq)/nurse) as measured by the RAFAELA system correlates
with
different types of patient safety incidents and with patient mortality, and
to
compare the results with regressions based on the standard patients/nurse
measure.
SETTING: We obtained data from 36 units from four Finnish hospitals. One was
a
tertiary acute care hospital, and the three others were secondary acute care
hospitals. PARTICIPANTS: Patients' nursing intensity (249 123
classifications),
nursing resources, patient safety incidents and patient mortality were
collected on
a daily basis during 1 year, corresponding to 12 475 data points.
Associations
between OPC/nurse and patient safety incidents or mortality were estimated
using
unadjusted logistic regression models, and models that adjusted for ward-
specific
effects, and effects of day of the week, holiday and season. PRIMARY AND
SECONDARY
OUTCOME MEASURES: Main outcome measures were patient safety incidents and
death of a
patient. RESULTS: When OPC/nurse was above the assumed optimal level, the
adjusted
odds for a patient safety incident were 1.24 (95% CI 1.08 to 1.42) that of
the
assumed optimal level, and 0.79 (95% CI 0.67 to 0.93) if it was below the
assumed
optimal level. Corresponding estimates for patient mortality were 1.43 (95%
CI 1.18
to 1.73) and 0.78 (95% CI 0.60 to 1.00), respectively. As compared with the
patients/nurse classification, models estimated on basis of the RAFAELA
classification system generally provided larger effect sizes, greater
statistical
power and better model fit, although the difference was not very large. Net
benefits
as calculated on the basis of decision analysis did not provide any clear
evidence
on which measure to prefer. CONCLUSIONS: We have demonstrated an association
between
daily workload per nurse and patient safety incidents and mortality. Current
findings need to be replicated by future studies.
CI - © Article author(s) (or their employer(s) unless otherwise stated in the text
of the
article) 2018. All rights reserved. No commercial use is permitted unless
otherwise
expressly granted.
FAU - Fagerström, Lisbeth
AU - Fagerström L
AUID- ORCID: 0000-0001-9934-2788
AD - Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa,
Finland.
AD - Faculty of Health and Social Sciences, University College of Southeast
Norway,
Drammen, Norway.
FAU - Kinnunen, Marina
AU - Kinnunen M
AD - Vaasa Central Hospital, Vaasa, Finland.
FAU - Saarela, Jan
AU - Saarela J
AD - Faculty of Education and Welfare Studies, Åbo Akademi University, Vaasa,
Finland.
LA - eng
DEP - 20180424
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Finland
MH - Hospital Mortality
MH - Humans
MH - *Workload
PMC - PMC5922465
OTO - NOTNLM
OT - *human resource management
OT - *risk management
EDAT- 2018/04/25 06:00
MHDA- 2019/02/14 06:00
CRDT- 2018/04/26 06:00
PHST- 2018/04/26 06:00 [entrez]
PHST- 2018/04/25 06:00 [pubmed]
PHST- 2019/02/14 06:00 [medline]
AID - 10.1136/bmjopen-2017-016367 [doi]
PST - epublish
SO - BMJ Open. 2018 Apr 24;8(4):e016367. doi: 10.1136/bmjopen-2017-016367.
PMID- 28241211
OWN - NLM
STAT- MEDLINE
DCOM- 20170705
LR - 20190115
IS - 2168-6203 (Print)
IS - 2168-6203 (Linking)
VI - 171
IP - 4
DP - 2017 Apr 1
TI - Families as Partners in Hospital Error and Adverse Event Surveillance.
PG - 372-381
LID - 10.1001/jamapediatrics.2016.4812 [doi]
AB - IMPORTANCE: Medical errors and adverse events (AEs) are common among
hospitalized
children. While clinician reports are the foundation of operational hospital
safety
surveillance and a key component of multifaceted research surveillance,
patient and
family reports are not routinely gathered. We hypothesized that a novel
family-reporting mechanism would improve incident detection. OBJECTIVE: To
compare
error and AE rates (1) gathered systematically with vs without family
reporting, (2)
reported by families vs clinicians, and (3) reported by families vs hospital
incident reports. DESIGN, SETTING, AND PARTICIPANTS: We conducted a
prospective
cohort study including the parents/caregivers of 989 hospitalized patients 17
years
and younger (total 3902 patient-days) and their clinicians from December 2014
to
July 2015 in 4 US pediatric centers. Clinician abstractors identified
potential
errors and AEs by reviewing medical records, hospital incident reports, and
clinician reports as well as weekly and discharge Family Safety Interviews
(FSIs).
Two physicians reviewed and independently categorized all incidents, rating
severity
and preventability (agreement, 68%-90%; κ, 0.50-0.68). Discordant
categorizations
were reconciled. Rates were generated using Poisson regression estimated via
generalized estimating equations to account for repeated measures on the same
patient. MAIN OUTCOMES AND MEASURES: Error and AE rates. RESULTS: Overall,
746
parents/caregivers consented for the study. Of these, 717 completed FSIs.
Their
median (interquartile range) age was 32.5 (26-40) years; 380 (53.0%) were
nonwhite,
566 (78.9%) were female, 603 (84.1%) were English speaking, and 380 (53.0%)
had
attended college. Of 717 parents/caregivers completing FSIs, 185 (25.8%)
reported a
total of 255 incidents, which were classified as 132 safety concerns (51.8%),
102
nonsafety-related quality concerns (40.0%), and 21 other concerns (8.2%).
These
included 22 preventable AEs (8.6%), 17 nonharmful medical errors (6.7%), and
11
nonpreventable AEs (4.3%) on the study unit. In total, 179 errors and 113 AEs
were
identified from all sources. Family reports included 8 otherwise unidentified
AEs,
including 7 preventable AEs. Error rates with family reporting (45.9 per 1000
patient-days) were 1.2-fold (95% CI, 1.1-1.2) higher than rates without
family
reporting (39.7 per 1000 patient-days). Adverse event rates with family
reporting
(28.7 per 1000 patient-days) were 1.1-fold (95% CI, 1.0-1.2; P = .006) higher
than
rates without (26.1 per 1000 patient-days). Families and clinicians reported
similar
rates of errors (10.0 vs 12.8 per 1000 patient-days; relative rate, 0.8; 95%
CI,
.5-1.2) and AEs (8.5 vs 6.2 per 1000 patient-days; relative rate, 1.4; 95%
CI,
0.8-2.2). Family-reported error rates were 5.0-fold (95% CI, 1.9-13.0) higher
and AE
rates 2.9-fold (95% CI, 1.2-6.7) higher than hospital incident report rates.
CONCLUSIONS AND RELEVANCE: Families provide unique information about hospital
safety
and should be included in hospital safety surveillance in order to facilitate
better
design and assessment of interventions to improve safety.
FAU - Khan, Alisa
AU - Khan A
AD - Division of General Pediatrics, Department of Medicine, Boston Children's
Hospital,
Boston, Massachusetts.
AD - Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
FAU - Coffey, Maitreya
AU - Coffey M
AD - Centre for Quality Improvement and Patient Safety, Department of Paediatrics,
Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

FAU - Litterer, Katherine P
AU - Litterer KP
AD - Center for Families, Boston Children's Hospital, Boston, Massachusetts.
FAU - Baird, Jennifer D
AU - Baird JD
AD - Department of Nursing, Cardiovascular, and Critical Care Services, Boston
Children's
Hospital, Boston, Massachusetts.
FAU - Furtak, Stephannie L
AU - Furtak SL
Hospital,
FAU - Garcia, Briana M
AU - Garcia BM
Hospital,
FAU - Ashland, Michele A
AU - Ashland MA
AD - Family-Centered Care, Lucile Packard Children's Hospital, Palo Alto,
California.
FAU - Calaman, Sharon
AU - Calaman S
AD - Section of Critical Care, Department of Pediatrics, St Christopher's Hospital
for
Children, Drexel University College of Medicine, Philadelphia, Pennsylvania.
FAU - Kuzma, Nicholas C
AU - Kuzma NC
AD - Section of Hospital Medicine, Department of Pediatrics, St Christopher's
Hospital
for Children, Drexel University College of Medicine, Philadelphia,
Pennsylvania.
FAU - O'Toole, Jennifer K
AU - O'Toole JK
AD - Department of Pediatrics, Cincinnati Children's Hospital, University of
Cincinnati
College of Medicine, Cincinnati, Ohio.
FAU - Patel, Aarti
AU - Patel A
AD - Department of Pediatrics, Cincinnati Children's Hospital, University of
Cincinnati
College of Medicine, Cincinnati, Ohio.
FAU - Rosenbluth, Glenn
AU - Rosenbluth G
AD - Department of Pediatrics, Benioff Children's Hospital, University of
California-San
Francisco School of Medicine, San Francisco.
FAU - Destino, Lauren A
AU - Destino LA
AD - Division of Pediatric Hospital Medicine, Lucile Packard Children's Hospital,
Stanford University School of Medicine, Palo Alto, California.
FAU - Everhart, Jennifer L
AU - Everhart JL
AD - Division of Pediatric Hospital Medicine, Lucile Packard Children's Hospital,
Stanford University School of Medicine, Palo Alto, California.
FAU - Good, Brian P
AU - Good BP
AD - Department of Pediatrics, Primary Children's Hospital, University of Utah
School of
Medicine, Salt Lake City.
FAU - Hepps, Jennifer H
AU - Hepps JH
AD - Department of Pediatrics, Walter Reed National Military Medical Center,
Uniformed
Services University of the Health Sciences, Bethesda, Maryland.
FAU - Dalal, Anuj K
AU - Dalal AK
AD - Department of Medicine, Harvard Medical School, Boston, Massachusetts.
AD - The Center for Patient Safety Research and Practice, Division of General
Medicine,
Brigham and Women's Hospital, Boston, Massachusetts.
FAU - Lipsitz, Stuart R
AU - Lipsitz SR
AD - Department of Medicine, Harvard Medical School, Boston, Massachusetts.
Medicine,
FAU - Yoon, Catherine S
AU - Yoon CS
Medicine,
FAU - Zigmont, Katherine R
AU - Zigmont KR
Medicine,
FAU - Srivastava, Rajendu
AU - Srivastava R
AD - Department of Pediatrics, Primary Children's Hospital, University of Utah
School of
AD - Institute for Healthcare Delivery Research, Intermountain Healthcare, Salt
Lake
City, Utah.
FAU - Starmer, Amy J
AU - Starmer AJ
Hospital,
FAU - Sectish, Theodore C
AU - Sectish TC
Hospital,
FAU - Spector, Nancy D
AU - Spector ND
AD - Section of General Pediatrics, Department of Pediatrics, St Christopher's
Hospital
for Children, Drexel University College of Medicine, Philadelphia,
Pennsylvania.
FAU - West, Daniel C
AU - West DC
AD - Department of Pediatrics, Benioff Children's Hospital, University of
California-San
Francisco School of Medicine, San Francisco.
FAU - Landrigan, Christopher P
AU - Landrigan CP
Hospital,
AD - Division of Sleep Medicine, Department of Medicine, Brigham and Women's
Hospital,
CN - the Patient and Family Centered I-PASS Study Group
FAU - Allair, Brenda K
AU - Allair BK
AD - Boston Children's Hospital, Boston, Massachusetts.
FAU - Alminde, Claire
AU - Alminde C
AD - St Christopher's Hospital for Children, Philadelphia, Pennsylvania.
FAU - Alvarado-Little, Wilma
AU - Alvarado-Little W
AD - Alvarado-Little Consulting LLC, Albany, New York.
FAU - Atsatt, Marisa
AU - Atsatt M
AD - Lucile Packard Children's Hospital, Stanford, California.
FAU - Aylor, Megan E
AU - Aylor ME
AD - Doernbecher Children's Hospital, Oregon Health and Science University,
Portland.
FAU - Bale, James F Jr
AU - Bale JF Jr
AD - Primary Children's Hospital, Intermountain Healthcare, University of Utah
School of
FAU - Balmer, Dorene
AU - Balmer D
AD - Children's Hospital of Philadelphia, University of Pennsylvania Perelman
School of
Medicine, Philadelphia.
FAU - Barton, Kevin T
AU - Barton KT
AD - St Louis Children's Hospital, Washington University School of Medicine, St
Louis,
Missouri.
FAU - Beck, Carolyn
AU - Beck C
AD - Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
FAU - Bismilla, Zia
AU - Bismilla Z
FAU - Blankenburg, Rebecca L
AU - Blankenburg RL
AD - Lucile Packard Children's Hospital, Stanford University, Stanford,
California.
FAU - Chandler, Debra
AU - Chandler D
AD - Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
FAU - Choudhary, Amanda
AU - Choudhary A
AD - Primary Children's Hospital, Salt Lake City, Utah.
FAU - Christensen, Eileen
AU - Christensen E
FAU - Coghlan-McDonald, Sally
AU - Coghlan-McDonald S
AD - Benioff Children's Hospital, San Francisco, California.
FAU - Cole, F Sessions
AU - Cole FS
Louis,
Missouri.
FAU - Corless, Elizabeth
AU - Corless E
FAU - Cray, Sharon
AU - Cray S
AD - St Christopher's Hospital for Children, Philadelphia, Pennsylvania.
FAU - Da Silva, Roxi
AU - Da Silva R
AD - Walter Reed National Military Medical Center, Bethesda, Maryland.
FAU - Dahale, Devesh
AU - Dahale D
FAU - Dreyer, Benard
AU - Dreyer B
AD - New York University Langone Medical Center, New York University School of
Medicine,
New York.
FAU - Growdon, Amanda S
AU - Growdon AS
AD - Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
FAU - Gubler, LeAnn
AU - Gubler L
FAU - Guiot, Amy
AU - Guiot A
AD - Cincinnati Children's Hospital Medical Center, University of Cincinnati
College of
Medicine, Cincinnati, Ohio.
FAU - Harris, Roben
AU - Harris R
AD - St Louis Children's Hospital, St Louis, Missouri.
FAU - Haskell, Helen
AU - Haskell H
AD - Mothers Against Medical Error, Columbia, South Carolina.
FAU - Kocolas, Irene
AU - Kocolas I
School of
FAU - Kruvand, Elizabeth
AU - Kruvand E
FAU - Lane, Michele Marie
AU - Lane MM
FAU - Langrish, Kathleen
AU - Langrish K
FAU - Ledford, Christy J W
AU - Ledford CJW
AD - Walter Reed National Military Medical Center, Uniformed Services University
of the
Health Sciences, Bethesda, Maryland.
FAU - Lewis, Kheyandra
AU - Lewis K
AD - St Christopher's Hospital for Children, Drexel University College of
Medicine,
FAU - Lopreiato, Joseph O
AU - Lopreiato JO
of the
FAU - Maloney, Christopher G
AU - Maloney CG
School of
FAU - Mangan, Amanda
AU - Mangan A
AD - Benioff Children's Hospital, San Francisco, California.
FAU - Markle, Peggy
AU - Markle P
AD - Walter Reed National Military Medical Center, Bethesda, Maryland.
FAU - Mendoza, Fernando
AU - Mendoza F
California.
FAU - Micalizzi, Dale Ann
AU - Micalizzi DA
AD - Justin's HOPE Project, Task Force for Global Health, Decatur, Georgia.
FAU - Mittal, Vineeta
AU - Mittal V
AD - Children's Medical Center Dallas, University of Texas Southwestern Medical
Center,
Dallas.
FAU - Obermeyer, Maria
AU - Obermeyer M
FAU - O'Donnell, Katherine A
AU - O'Donnell KA
FAU - Ottolini, Mary
AU - Ottolini M
AD - Children's National Health System, George Washington University School of
Medicine,
Washington, DC.
FAU - Patel, Shilpa J
AU - Patel SJ
AD - Kapi'olani Medical Center for Women and Children, University of Hawai'i John
A.
Burns School of Medicine, Honolulu.
FAU - Pickler, Rita
AU - Pickler R
AD - Ohio State University, Columbus.
FAU - Rogers, Jayne Elizabeth
AU - Rogers JE
FAU - Sanders, Lee M
AU - Sanders LM
California.
FAU - Sauder, Kimberly
AU - Sauder K
FAU - Shah, Samir S
AU - Shah SS
AD - Cincinnati Children's Hospital Medical Center, University of Cincinnati
College of
Medicine, Cincinnati, Ohio.
FAU - Sharma, Meesha
AU - Sharma M
FAU - Simpkin, Arabella
AU - Simpkin A
AD - Harvard Medical School, Boston, Massachusetts.
FAU - Subramony, Anupama
AU - Subramony A
AD - Cohen Children's Medical Center, Hofstra Northwell School of Medicine, East
Garden
City, New York.
FAU - Thompson, E Douglas Jr
AU - Thompson ED Jr
AD - St Christopher's Hospital for Children, Drexel University College of
Medicine,
FAU - Trueman, Laura
AU - Trueman L
FAU - Trujillo, Tanner
AU - Trujillo T
FAU - Turmelle, Michael P
AU - Turmelle MP
Louis,
Missouri.
FAU - Warnick, Cindy
AU - Warnick C
FAU - Welch, Chelsea
AU - Welch C
FAU - White, Andrew J
AU - White AJ
Louis,
Missouri.
FAU - Wien, Matthew F
AU - Wien MF
AD - Brigham and Women's Hospital, Boston, Massachusetts.
FAU - Winn, Ariel S
AU - Winn AS
FAU - Wintch, Stephanie
AU - Wintch S
AD - Lucile Packard Children's Hospital, Stanford, California.
FAU - Wolf, Michael
AU - Wolf M
AD - Northwestern University Feinberg School of Medicine, Evanston, Illinois.
FAU - Yin, H Shonna
AU - Yin HS
AD - New York University Langone Medical Center, New York University School of
Medicine,
New York.
FAU - Yu, Clifton E
AU - Yu CE
of the
LA - eng
GR - T32 HS000063/HS/AHRQ HHS/United States
TA - JAMA Pediatr
JT - JAMA pediatrics
JID - 101589544
SB - AIM
SB - IM
EIN - JAMA Pediatr. 2018 Mar 1;172(3):302. PMID: 29309482
MH - Adult
MH - Child
MH - Child, Hospitalized/*statistics & numerical data
MH - Cohort Studies
MH - Family
MH - Female
MH - Hospitals, Pediatric/*statistics & numerical data
MH - Humans
MH - Male
MH - Medical Errors/*statistics & numerical data
MH - United States
PMC - PMC5526631
MID - NIHMS870784
COIS- Conflict of Interest Disclosures: Drs Landrigan, Sectish, Spector,
Srivastava,
Starmer, and West have consulted with and hold equity in the I-PASS
Institute, which
seeks to train institutions in best handoff practices and aid in their
implementation. Drs Sectish, Spector, Srivastava, Starmer, and West have
received
monetary awards, honoraria, and travel reimbursement from multiple academic
and
professional organizations for teaching and consulting on physician
performance and
handoffs. Drs Landrigan and Srivastava are supported in part by the
Children’s
Hospital Association for their work as Executive Council members of the
Pediatric
Research in Inpatient Settings (PRIS) network. Dr Landrigan has also served
as a
paid consultant to Virgin Pulse to help develop a Sleep and Health Program.
In
addition, Dr Landrigan has received monetary awards, honoraria, and travel
reimbursement from multiple academic and professional organizations for
teaching and
consulting on sleep deprivation, physician performance, handoffs, and safety
and has
served as an expert witness in cases regarding patient safety and sleep
deprivation.
No other disclosures were reported.
EDAT- 2017/02/28 06:00
MHDA- 2017/07/06 06:00
CRDT- 2017/02/28 06:00
PHST- 2017/02/28 06:00 [pubmed]
PHST- 2017/07/06 06:00 [medline]
PHST- 2017/02/28 06:00 [entrez]
AID - 2604750 [pii]
AID - 10.1001/jamapediatrics.2016.4812 [doi]
PST - ppublish
SO - JAMA Pediatr. 2017 Apr 1;171(4):372-381. doi:
10.1001/jamapediatrics.2016.4812.
PMID- 30866715
OWN - NLM
STAT- MEDLINE
DCOM- 20200217
LR - 20200217
IS - 1078-1552 (Linking)
VI - 26
IP - 1
DP - 2020 Jan
TI - Safe vincristine use in Switzerland: Still a long way to go?
PG - 51-59
LID - 10.1177/1078155219835598 [doi]
AB - BACKGROUND: Different international organizations recommend safety measures
for the
use of vincristine to prevent wrong route administrations. A central
recommendation
is to use infusion bags instead of syringes to prevent confusion with
intrathecal
chemotherapy. This study aimed to investigate the implementation of safety
measures
for vincristine and intrathecal chemotherapies in Switzerland. METHOD: We
conducted
a written survey among hospital pharmacies of all general care and pediatric
hospitals in Switzerland (n = 102). A responsible person of each hospital
pharmacy
was invited by email to participate in the online survey in May 2018.
RESULTS: Of 66
responding hospitals (response rate 65%), 27 have a hospital pharmacy
preparing
parenteral chemotherapy. All of these hospitals prepared vincristine in 2017,
while
21 also prepared intrathecal chemotherapy. Of these 21, 16 hospitals prepared
vincristine as syringes, with small volume syringes being the most widely
distributed dosage form. A switch from syringes to infusion bags was
discussed in
seven hospitals, and discussions led to plans for switch in two. The most
prevalent
safety measures were labeling for vincristine and special delivery for
intrathecal
drugs. Of hospitals preparing both vincristine syringes and intrathecal
chemotherapy, four reported to have no safety measures implemented neither
for
vincristine nor for intrathecal chemotherapy. CONCLUSION: International
recommendations are not widely implemented in Swiss hospitals. Syringes are
still in
use and other safety measures are sparsely disseminated. Thus, Swiss
vincristine
patients are still at an increased risk for wrong route application.
Recommendations
have to be further disseminated and implementation could be enhanced.
FAU - Brühwiler, Lea D
AU - Brühwiler LD
AUID- ORCID: 0000-0003-2703-3489
AD - Swiss Patient Safety Foundation, Zurich, Switzerland.
FAU - Schwappach, David Lb
AU - Schwappach DL
AUID- ORCID: 0000-0001-8668-3065
AD - Swiss Patient Safety Foundation, Zurich, Switzerland.
AD - Institute of Social and Preventive Medicine (ISPM), Faculty of Medicine,
University
of Bern, Switzerland.
LA - eng
DEP - 20190313
PL - England
TA - J Oncol Pharm Pract
JT - Journal of oncology pharmacy practice : official publication of the
International
Society of Oncology Pharmacy Practitioners
JID - 9511372
RN - 0 (Antineoplastic Agents, Phytogenic)
RN - 5J49Q6B70F (Vincristine)
SB - IM
MH - Antineoplastic Agents, Phytogenic/*administration & dosage/adverse effects
MH - Drug Administration Routes
MH - Female
MH - Humans
MH - Male
MH - Pharmacy Service, Hospital/methods/*standards
MH - *Surveys and Questionnaires
MH - Switzerland/epidemiology
MH - Syringes/standards
MH - Vincristine/*administration & dosage/adverse effects
OTO - NOTNLM
OT - Vincristine
OT - patient safety
OT - spinal injections
OT - surveys and questionnaires
EDAT- 2019/03/15 06:00
MHDA- 2020/02/18 06:00
CRDT- 2019/03/15 06:00
PHST- 2019/03/15 06:00 [pubmed]
PHST- 2020/02/18 06:00 [medline]
PHST- 2019/03/15 06:00 [entrez]
AID - 10.1177/1078155219835598 [doi]
PST - ppublish
SO - J Oncol Pharm Pract. 2020 Jan;26(1):51-59. doi: 10.1177/1078155219835598.
Epub 2019
Mar 13.
PMID- 28754223
OWN - NLM
STAT- MEDLINE
DCOM- 20180522
LR - 20191023
IS - 0196-6553 (Print)
IS - 0196-6553 (Linking)
VI - 45
IP - 10
DP - 2017 Oct 1
TI - Health care worker perspectives of their motivation to reduce health care-
associated
infections.
PG - 1064-1068
LID - S0196-6553(17)30686-7 [pii]
LID - 10.1016/j.ajic.2017.05.002 [doi]
AB - BACKGROUND: Health care-associated infections (HAIs) are largely preventable,
but
are associated with considerable health care burden. Given the significant
cost of
HAIs, many health care institutions have implemented bundled interventions to
reduce
HAIs. These complex behavioral interventions require considerable effort;
however,
individual behaviors and motivations crucial to successful and sustained
implementation have not been adequately assessed. We evaluated health care
worker
motivations to reduce HAIs. METHODS: This was a phenomenologic qualitative
study of
health care workers in different roles within a university hospital,
recruited via a
snowball strategy. Using constructs from the Consolidated Framework for
Implementation Research model, face-to-face semi-structured interviews were
used to
explore perceptions of health care worker motivation to follow protocols on
HAI
prevention. RESULTS: Across all types of health care workers interviewed,
patient
safety and improvement in clinical outcomes were the major motivators to
reducing
HAIs. Other important motivators included collaborative environment that
valued
individual input, transparency and feedback at both organizational and
individual
levels, leadership involvement, and refresher trainings and workshops. We did
not
find policy, regulatory considerations, or financial penalties to be
important
motivators. CONCLUSIONS: Health care workers perceived patient safety and
clinical
outcomes as the primary motivators to reduce HAI. Leadership engagement and
data-driven interventions with frequent performance feedback were also
identified as
important facilitators of HAI prevention.
CI - Published by Elsevier Inc.
FAU - McClung, Laura
AU - McClung L
AD - School of Medicine and Public Health, University of Wisconsin, Madison, WI.
FAU - Obasi, Chidi
AU - Obasi C
AD - School of Medicine and Public Health, University of Wisconsin, Madison, WI;
William
S. Middleton Memorial Veterans Hospital, Madison, WI.
FAU - Knobloch, Mary Jo
AU - Knobloch MJ
William
S. Middleton Memorial Veterans Hospital, Madison, WI.
FAU - Safdar, Nasia
AU - Safdar N
William
S. Middleton Memorial Veterans Hospital, Madison, WI. Electronic address:
ns2@medicine.wisc.edu.
LA - eng
DEP - 20170725
TA - Am J Infect Control
JT - American journal of infection control
JID - 8004854
SB - IM
MH - Guideline Adherence/*statistics & numerical data
MH - Health Personnel/*psychology
MH - Humans
MH - *Motivation
PMC - PMC6800150
MID - NIHMS1048898
OTO - NOTNLM
OT - Health care–associated infections
OT - Health services research
OT - Nosocomial
OT - Patient safety and quality
OT - Qualitative
COIS- Conflicts of interest: None to report.
EDAT- 2017/07/30 06:00
MHDA- 2018/05/23 06:00
CRDT- 2017/07/30 06:00
PHST- 2016/11/29 00:00 [received]
PHST- 2017/05/01 00:00 [revised]
PHST- 2017/05/02 00:00 [accepted]
PHST- 2017/07/30 06:00 [pubmed]
PHST- 2018/05/23 06:00 [medline]
PHST- 2017/07/30 06:00 [entrez]
AID - S0196-6553(17)30686-7 [pii]
AID - 10.1016/j.ajic.2017.05.002 [doi]
PST - ppublish
SO - Am J Infect Control. 2017 Oct 1;45(10):1064-1068. doi:
10.1016/j.ajic.2017.05.002.
Epub 2017 Jul 25.
PMID- 30652811
OWN - NLM
STAT- MEDLINE
DCOM- 20200116
LR - 20200116
IS - 0102-6933 (Print)
IS - 0102-6933 (Linking)
VI - 40
IP - spe
DP - 2019 Jan 10
TI - Difficulties to implement patient safety strategies: perspectives of
management
nurses.
PG - e20180366
LID - S1983-14472019000200409 [pii]
LID - 10.1590/1983-1447.2019.20180366 [doi]
AB - OBJECTIVE: To understand the difficulties to implement patient safety
strategies in
the hospital environment from the perspective of nurse managers. METHODS:
Descriptive, exploratory and qualitative study, carried out in four public
university hospitals, using a semi-structured interview script, from January
to
March 2015. The sample was of 72 nurses. Content analysis was carried out, in
the
thematic modality. RESULTS: The following categories were identified:
Inadequate
sizing of nursing staff; Lack of support of the top management: from policies
to
concrete actions and; Lack of adherence of the professionals to patient
safety
strategies. CONCLUSIONS: In order for the institution to succeed in the
implementation of patient safety strategies, it is necessary to have a
continuous
and permanent education policy, to raise awareness and to involve
professionals from
the top management to the front line employees.
FAU - Reis, Gislene Aparecida Xavier Dos
AU - Reis GAXD
AD - Hospital Santa Casa de Maringá, Gerenciamento de Riscos e Protocolos
Clínicos.
Maringá, Paraná, Brasil.
FAU - Oliveira, João Lucas Campos
AU - Oliveira JLC
AD - Universidade Federal de Mato Grosso (UFMT), Faculdade de Enfermagem. Cuiabá,
Mato
Grosso, Brasil.
FAU - Ferreira, Andressa Martins Dias
AU - Ferreira AMD
AD - Universidade Estadual de Maringá (UEM), Departamento de Pós-Graduação em
Enfermagem.
FAU - Vituri, Dagmar Wilamowius
AU - Vituri DW
AD - Hospital Universitário de Londrina. Núcleo Interno de Regulação de Leitos.
Londrina,
Paraná, Brasil.
FAU - Marcon, Sonia Silva
AU - Marcon SS
Enfermagem.
FAU - Matsuda, Laura Misue
AU - Matsuda LM
Enfermagem.
LA - por
LA - eng
TT - Dificuldades para implantar estratégias de segurança do paciente:
perspectivas de
enfermeiros gestores.
DEP - 20190110
PL - Brazil
TA - Rev Gaucha Enferm
JT - Revista gaucha de enfermagem
JID - 8504882
SB - N
MH - Adult
MH - Brazil
MH - Hospitals, Public
MH - Humans
MH - Middle Aged
MH - *Nurse Administrators
EDAT- 2019/01/18 06:00
MHDA- 2020/01/17 06:00
CRDT- 2019/01/18 06:00
PHST- 2018/08/31 00:00 [received]
PHST- 2018/10/22 00:00 [accepted]
PHST- 2019/01/18 06:00 [entrez]
PHST- 2019/01/18 06:00 [pubmed]
PHST- 2020/01/17 06:00 [medline]
AID - S1983-14472019000200409 [pii]
AID - 10.1590/1983-1447.2019.20180366 [doi]
PST - epublish
SO - Rev Gaucha Enferm. 2019 Jan 10;40(spe):e20180366. doi:
10.1590/1983-1447.2019.20180366.
PMID- 31969138
OWN - NLM
STAT- MEDLINE
DCOM- 20200507
LR - 20200507
IS - 1472-6963 (Linking)
VI - 20
IP - 1
DP - 2020 Jan 22
TI - Prevalence and characteristics of medication errors at an emergency
department of a
teaching hospital in Malaysia.
PG - 56
LID - 10.1186/s12913-020-4921-4 [doi]
LID - 56
AB - BACKGROUND: Medication use process in the emergency department (ED) can be
challenging and the risk for medication error (ME) to occur is high. In
Malaysia,
several studies on ME have been conducted in various hospital settings.
However,
little is known about the prevalence of ME in emergency department (ED) in
these
hospitals. The objective of this study was to determine the prevalence and
characteristics of ME at an ED of a teaching hospital in Malaysia. METHODS: A
cross-sectional study was conducted over the period of 9 weeks in patients

who
visited the ED of Hospital Universiti Sains Malaysia (HUSM), Kelantan,
Malaysia.
Data on patient medication orders and demographic information was collected
from the
doctor's clerking sheet. Observations were made on nursing activities and
these were
documented in the data collection form. Other information related to the
administration of medications were obtained from the nursing care records.
RESULTS:
Observations and data collections were made for 547 patients who fulfilled
the study
criteria. From these, 311 patient data were randomly selected for analysis.
Ninety-five patients had at least one ME. The prevalence of ME was calculated
to be
30.5%. The most common types of ME were wrong time error (46.9%),
unauthorized drug
error (25.4%), omission error (18.5%) and dose error (9.2%). The most
frequently
drug associated with ME was analgesics. No adverse event was observed.
CONCLUSIONS:
The prevalence of ME in our ED setting was moderately high. However, the
majority of
them did not result in any adverse event. Intervention measures are needed to
prevent further occurrence.

FAU - Shitu, Zayyanu
AU - Shitu Z
AD - Hospital Services and Management Board, Ministry of Health, Zamfara State,
Gusau,
Nigeria.
FAU - Aung, Myat Moe Thwe
AU - Aung MMT
AD - Department of Community Medicine, Faculty of Medicine, Universiti Sultan
Zainal
Abidin, Kota Campus, 20400, Kuala Terengganu, Malaysia.
FAU - Tuan Kamauzaman, Tuan Hairulnizam
AU - Tuan Kamauzaman TH
AD - Department of Emergency Medicine, School of Medical Sciences, Universiti
Sains
Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.
FAU - Ab Rahman, Ab Fatah
AU - Ab Rahman AF
AUID- ORCID: 0000-0002-2491-1875
AD - Faculty of Pharmacy, Universiti Sultan Zainal Abidin, Besut Campus, 22200,
Besut,
Malaysia. abfatahmy@yahoo.com.
LA - eng
DEP - 20200122
JID - 101088677
SB - IM
MH - Adolescent
MH - Adult
MH - Aged
MH - *Emergency Service, Hospital
MH - Female
MH - Humans
MH - Malaysia
MH - Male
MH - Medication Errors/*statistics & numerical data
MH - Middle Aged
MH - Prevalence
MH - Young Adult
PMC - PMC6977341
OTO - NOTNLM
OT - Emergency department
OT - Medication errors
OT - Prevalence
EDAT- 2020/01/24 06:00
MHDA- 2020/05/08 06:00
CRDT- 2020/01/24 06:00
PHST- 2019/09/22 00:00 [received]
PHST- 2020/01/17 00:00 [accepted]
PHST- 2020/01/24 06:00 [entrez]
PHST- 2020/01/24 06:00 [pubmed]
PHST- 2020/05/08 06:00 [medline]
AID - 10.1186/s12913-020-4921-4 [pii]
AID - 4921 [pii]
AID - 10.1186/s12913-020-4921-4 [doi]
PST - epublish
SO - BMC Health Serv Res. 2020 Jan 22;20(1):56. doi: 10.1186/s12913-020-4921-4.
PMID- 31508441
OWN - NLM
LR - 20201001
IS - 2096-6296 (Print)
IS - 2352-0132 (Linking)
VI - 6
IP - 3
DP - 2019 Jul 10
TI - Role of nurses in improving patient safety: Evidence from surgical
complications in
21 countries.
PG - 239-246
LID - 10.1016/j.ijnss.2019.05.003 [doi]
AB - OBJECTIVES: To analyze the role of nurse staffing in improving patient safety
due to
reducing surgical complications in member countries of Organization for
Economic
Co-operation and Development (OECD). METHODS: The number of practicing
nurses'
density per 1000 population and five surgical complications indicators
including
foreign body left in during procedure (FBL), postoperative pulmonary embolism
(PPE)
and deep vein thrombosis (DVT) after hip and knee replacement, postoperative
sepsis
after abdominal surgery (PSA) and postoperative wound dehiscence (PWD) were
collected in crude rates per 100,000 hospital discharges for age group of 15
years
old and over within 30 days after surgery based on surgical admission-related
and
all admission-related methods. The observations of 21 OECD countries were
collected
from OECD Health Statistics during 2010-2015 period. The statistical
technique of
panel data analysis including unit root test, co-integration test and dynamic
long-run analysis were used to estimate the possible relationship between our
panel
series. RESULTS: There were significant relationships from nurse-staffing
level to
reducing FBL, PPE, DVT, PSA and PWD with long-run magnitudes
of -2.91, -1.30, -1.69, -2.81 and -1.12 based on surgical admission method as
well
as -6.12, -14.57, -7.29, -1.41 and -0.88 based on all admission method,
respectively. CONCLUSIONS: A higher proportion of nurses is associated with
higher
patient safety resulting from lower surgical complications and adverse
clinical
outcomes in OECD countries. Hence, we alert policy makers about the risk of
underestimating the impact of nurses on improving patient safety as well as
the
quality of health care services in OECD countries.
FAU - Amiri, Arshia
AU - Amiri A
AD - JAMK University of Applied Sciences, Jyväskylä, Finland.
FAU - Solankallio-Vahteri, Tytti
AU - Solankallio-Vahteri T
FAU - Tuomi, Sirpa
AU - Tuomi S
LA - eng
DEP - 20190523
TA - Int J Nurs Sci
JT - International journal of nursing sciences
JID - 101660887
PMC - PMC6722466
OTO - NOTNLM
OT - Nursing staff
OT - Organization for Economic Co-Operation and development
OT - Panel data analysis
OT - Patient discharge
OT - Patient safety
OT - Perioperative complication
EDAT- 2019/09/12 06:00
MHDA- 2019/09/12 06:01
CRDT- 2019/09/12 06:00
PHST- 2019/01/02 00:00 [received]
PHST- 2019/05/11 00:00 [revised]
PHST- 2019/05/22 00:00 [accepted]
PHST- 2019/09/12 06:00 [entrez]
PHST- 2019/09/12 06:00 [pubmed]
PHST- 2019/09/12 06:01 [medline]
AID - S2352-0132(19)30002-X [pii]
AID - 10.1016/j.ijnss.2019.05.003 [doi]
PST - epublish
SO - Int J Nurs Sci. 2019 May 23;6(3):239-246. doi: 10.1016/j.ijnss.2019.05.003.
eCollection 2019 Jul 10.
PMID- 32513884
OWN - NLM
STAT- In-Process
LR - 20200820
IS - 2044-6055 (Linking)
VI - 10
IP - 6
DP - 2020 Jun 7
TI - Predictors and triggers of incivility within healthcare teams: a systematic
review
of the literature.
PG - e035471
LID - 10.1136/bmjopen-2019-035471 [doi]
LID - e035471
AB - OBJECTIVES: To explore predictors and triggers of incivility in medical
teams,
defined as behaviours that violate norms of respect but whose intent to harm
is
ambiguous. DESIGN: Systematic literature review of quantitative and
qualitative
empirical studies. DATA SOURCES: Database searches according to the Preferred
Reporting Items for Systematic Reviews and Meta-Analyses guideline in

Medline,
CINHAL, PsychInfo, Web of Science and Embase up to January 2020. ELIGIBILITY
CRITERIA: Original empirical quantitative and qualitative studies focusing on
predictors and triggers of incivilities in hospital healthcare teams,

excluding
psychiatric care. DATA EXTRACTION AND SYNTHESIS: Of the 1397 publications
screened,
53 were included (44 quantitative and 9 qualitative studies); publication
date
ranged from 2002 to January 2020. RESULTS: Based on the Medical Education
Research
Study Quality Instrument (MERSQI) scores, the quality of the quantitative
studies
were relatively low overall (mean MERSQI score of 9.93), but quality of
studies
increased with publication year (r=0.52; p<0.001). Initiators of incivility
were
consistently described as having a difficult personality, yet few studies
investigated their other characteristics and motivations. Results were mostly
inconsistent regarding individual characteristics of targets of incivilities

(eg,
age, gender, ethnicity), but less experienced healthcare professionals were
more
exposed to incivility. In most studies, participants reported experiencing
incivilities mainly within their own professional discipline (eg, nurse to
nurse)
rather than across disciplines (eg, physician to nurse). Evidence of specific
medical specialties particularly affected by incivility was poor, with

surgery as
one of the most cited uncivil specialties. Finally, situational and cultural
predictors of higher incivility levels included high workload, communication
or
coordination issues, patient safety concerns, lack of support and poor
leadership.
CONCLUSIONS: Although a wide range of predictors and triggers of incivilities
are
reported in the literature, identifying characteristics of initiators and the
targets of incivilities yielded inconsistent results. The use of diverse and

high-quality methods is needed to explore the dynamic nature of situational
and
cultural triggers of incivility.
Published by
BMJ.
FAU - Keller, Sandra
AU - Keller S
AUID- ORCID: 0000-0003-3229-9003
AD - Center for Surgery and Public Health (CSPH), Brigham and Women's Hospital,
Boston,
Massachusetts, USA sandra.keller@insel.ch.
FAU - Yule, Steven
AU - Yule S
AD - Center for Surgery and Public Health (CSPH), Brigham and Women's Hospital,
Boston,
Massachusetts, USA.
AD - STRATUS Center for Medical Simulation, Boston, Massachusetts, USA.
AD - Department of surgery, Harvard Medical School, Boston, Massachusetts, USA.
AD - Department of Clinical Surgery, University of Edinburgh, Edinburgh, United
Kingdom.
FAU - Zagarese, Vivian
AU - Zagarese V
AD - Department of Psychology, Virginia Tech, Blacksburg, Virginia, USA.
FAU - Henrickson Parker, Sarah
AU - Henrickson Parker S
AD - Department of Psychology, Virginia Tech, Blacksburg, Virginia, USA.
AD - Fralin Biomedical Research Institute (FBRI) at Virginia Tech Carilion,
Roanoke,
Virginia, USA.
AD - Center for Simulation, Research and Patient Safety, Carilion Clinic, Roanoke,
Virginia, USA.
LA - eng
DEP - 20200607
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
PMC - PMC7282335
OTO - NOTNLM
OT - *health & safety
OT - *medical education & training
OT - *quality in healthcare
EDAT- 2020/06/10 06:00
MHDA- 2020/06/10 06:00
CRDT- 2020/06/10 06:00
PHST- 2020/06/10 06:00 [entrez]
PHST- 2020/06/10 06:00 [pubmed]
PHST- 2020/06/10 06:00 [medline]
AID - 10.1136/bmjopen-2019-035471 [doi]
PST - epublish
SO - BMJ Open. 2020 Jun 7;10(6):e035471. doi: 10.1136/bmjopen-2019-035471.
PMID- 32414738
OWN - NLM
STAT- In-Process
LR - 20201214
IS - 1470-2118 (Print)
IS - 1470-2118 (Linking)
VI - 20
IP - 3
DP - 2020 May
TI - Fluid management knowledge in hospital physicians: 'Greenshoots' of
improvement but
still a cause for concern.
PG - e26-e31
LID - 10.7861/clinmed.2019-0433 [doi]
AB - Fluid management is an essential competency for hospital doctors, but
previous
studies suggest junior clinicians lack the necessary 'knowledge' and
'prescription
skills' to complete this task, resulting in preventable morbidity and
mortality. In
this study, preregistration (n=146), core (n=66) and specialty (n=133)
medical
trainees and general medical consultants (n=11) completed a structured
questionnaire
exploring fluid management training, confidence, serious adverse event
experience
and a 20-item fluid management 'knowledge' test. Results were compared with
those of
intensive care consultants (n=20). Most clinicians reported limited training
and
extensive 'unreported' serious adverse events experience. Knowledge about
fluid and
electrolyte requirements, fluid composition and chloride toxicity had
improved
compared to historical reports but overall test scores (median (interquartile
range
(IQR)): with a maximum score of 20) were low. Foundation year trainees scored
7 (IQR
5-8), core medical trainees scored 9 (IQR 6-10), specialist registrars scored
8 (IQR
6-10) and general medical consultants scored 8 (IQR 6-12) compared with the
intensive care consultant score of 16 (IQR 14-16). Although weakly
correlated, fluid
management 'confidence' appeared higher than 'knowledge' tests would justify.
These
results suggest that physicians' fluid management knowledge is inadequate,
including
that of senior colleagues, compounded by poor training and failure to learn
from
serious adverse events.
CI - © Royal College of Physicians 2020. All rights reserved.
FAU - Leach, Richard
AU - Leach R
AD - Guy's and St Thomas' NHS Foundation Trust, London, UK
richard.leach@gstt.nhs.uk.
FAU - Crichton, Siobhan
AU - Crichton S
AD - University College London, London, UK.
FAU - Morton, Neil
AU - Morton N
AD - Guy's and St Thomas' NHS Foundation Trust, London, UK.
FAU - Leach, Marc
AU - Leach M
AD - Keele School of Medicine, Stoke-on-Trent, UK.
FAU - Ostermann, Marlies
AU - Ostermann M
AD - Guy's and St Thomas' NHS Foundation Trust, London, UK.
LA - eng
TA - Clin Med (Lond)
JT - Clinical medicine (London, England)
JID - 101092853
SB - IM
PMC - PMC7354027
OTO - NOTNLM
OT - *Fluid management
OT - *education
OT - *serious adverse events
OT - *training
EDAT- 2020/05/18 06:00
MHDA- 2020/05/18 06:00
CRDT- 2020/05/17 06:00
PHST- 2020/05/17 06:00 [entrez]
PHST- 2020/05/18 06:00 [pubmed]
PHST- 2020/05/18 06:00 [medline]
AID - 20/3/e26 [pii]
AID - clinmedicine [pii]
AID - 10.7861/clinmed.2019-0433 [doi]
PST - ppublish
SO - Clin Med (Lond). 2020 May;20(3):e26-e31. doi: 10.7861/clinmed.2019-0433.
PMID- 31783559
OWN - NLM
STAT- MEDLINE
DCOM- 20200413
LR - 20200413
IS - 1661-7827 (Print)
IS - 1660-4601 (Linking)
VI - 16
IP - 23
DP - 2019 Nov 27
TI - Association between Hospital Nurses' Perception of Patient Safety Management
and
Standard Precaution Adherence: A Cross-Sectional Study.
LID - 10.3390/ijerph16234744 [doi]
LID - 4744
AB - Standard precautions should be applied to prevent health care-associated
infections
during every nursing activity. However, adherence to standard precautions was
reported to be inadequate. Therefore, this study aimed to identify the rates

of
standard precaution adherence and the association between perception of
patient
safety management and standard precaution adherence. In this cross-sectional
descriptive study, a convenience sample of nurses was recruited from a
university-affiliated teaching hospital in Seoul, Korea. Data were collected
using a
structured self-report questionnaire. Among the 332 questionnaires returned
(response rate: 94.9%), a total of 329 nurses were analyzed. In the present
study,
the overall standard precaution adherence rate was approximately 53.5%. The
multiple
linear regression results revealed that participants' perceptions of patient
safety
management were only significantly associated with standard precaution
adherence
after adjusting other covariates (β = 0.412, p < 0.001). Nurse supervisors
should
focus more on raising awareness about nurses' perception of patient safety
management based on the specific work environment, such as the total number
of
nurses working together and the nurse-to-patient ratio. Nurse educators
should
develop integrated curricula to help graduate nurses transition smoothly into
professional practice and enhance adherence to standard precautions in

diverse
health care settings.
FAU - Lim, Ji-Hye
AU - Lim JH
AD - Division of Nursing, Chung-Ang University Hospital, Seoul 06974, Korea.
FAU - Ahn, Jung-Won
AU - Ahn JW
AD - Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea.
FAU - Son, Youn-Jung
AU - Son YJ
AUID- ORCID: 0000-0002-0961-9606
AD - Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea.
LA - eng
DEP - 20191127
JID - 101238455
SB - IM
MH - Adult
MH - Female
MH - *Guideline Adherence
MH - Humans
MH - Male
MH - Safety Management/*organization & administration
PMC - PMC6926684
OTO - NOTNLM
OT - *hospital-acquired infection
OT - *nurses
OT - *patient safety management
OT - *standard precautions
EDAT- 2019/12/01 06:00
MHDA- 2020/04/14 06:00
CRDT- 2019/12/01 06:00
PHST- 2019/10/24 00:00 [received]
PHST- 2019/11/23 00:00 [revised]
PHST- 2019/11/25 00:00 [accepted]
PHST- 2019/12/01 06:00 [entrez]
PHST- 2019/12/01 06:00 [pubmed]
PHST- 2020/04/14 06:00 [medline]
AID - 10.3390/ijerph16234744 [doi]
PST - epublish
SO - Int J Environ Res Public Health. 2019 Nov 27;16(23):4744. doi:
10.3390/ijerph16234744.
PMID- 27843574
OWN - NLM
LR - 20200930
IS - 2055-0294 (Print)
IS - 2055-0294 (Linking)
VI - 2
DP - 2016
TI - A review of American pharmacy: education, training, technology, and practice.
PG - 32
LID - 32
AB - In the United States, pharmacists are responsible for the provision of safe,
effective, efficient, and accountable medication related-care for hospital
and
health-system patients. Leveraging automated technologies, pharmacy
technicians, and
pharmacist extenders are the means through which efficient, effective, and
safe
medication use processes are created and maintained. These strategies limit
the
amount of pharmacist resources needed for nonjudgmental tasks such as
medication
distribution, allowing more capacity for advanced direct patient care roles.
Pharmacists are directly integrated into interprofessional medical teams.
Pharmacists optimize patient outcomes through a variety of channels,
including:
providing recommendations for evidence-based medication selection on patient
care
rounds; offering drug information to other health care providers and
patients;
monitoring therapeutic responses; and reconciling medications as patients
transition
across the continuum of care. Achieving the highest level of pharmacy
practice
necessitates that United States pharmacists are soundly educated and trained.
Pharmacist education, training, and professional practice models closely

mirror
those of physicians. Many health-systems also pursue credentialing and
privileging
of pharmacists to ensure competency and facilitate growth and development.
Advanced
training, along with credentialing, privileging, and collaborative practice
agreements have positioned pharmacists to serve as stewards of the medication
use
system, champions of patient safety, and essential contributors to optimal
patient
outcomes.
FAU - Knoer, Scott J
AU - Knoer SJ
AD - Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195 USA.
FAU - Eck, Allison R
AU - Eck AR
AD - Cleveland Clinic Main Campus, 9500 Euclid Avenue, Cleveland, OH 44195 USA.
FAU - Lucas, Amber J
AU - Lucas AJ
AD - Obstetrics and Neonatology, Olathe Medical Center, 20333 West 151st Street,
Olathe,
KS 66062 USA.
LA - eng
PT - Review
DEP - 20161109
TA - J Pharm Health Care Sci
JT - Journal of pharmaceutical health care and sciences
JID - 101672177
PMC - PMC5103512
OTO - NOTNLM
OT - Pharmacist education
OT - Pharmacist training
OT - Pharmacy enterprise
OT - Practice model
OT - Professional practice
OT - Technology
EDAT- 2016/11/16 06:00
MHDA- 2016/11/16 06:01
CRDT- 2016/11/16 06:00
PHST- 2016/09/14 00:00 [received]
PHST- 2016/11/02 00:00 [accepted]
PHST- 2016/11/16 06:00 [entrez]
PHST- 2016/11/16 06:00 [pubmed]
PHST- 2016/11/16 06:01 [medline]
AID - 66 [pii]
AID - 10.1186/s40780-016-0066-3 [doi]
PST - epublish
SO - J Pharm Health Care Sci. 2016 Nov 9;2:32. doi: 10.1186/s40780-016-0066-3.
eCollection 2016.
PMID- 32766496
OWN - NLM
LR - 20200928
IS - 2472-0054 (Linking)
VI - 5
IP - 4
DP - 2020 Jul-Aug
TI - Improving Patient Handoffs and Transitions through Adaptation and
Implementation of
I-PASS Across Multiple Handoff Settings.
PG - e323
LID - 10.1097/pq9.0000000000000323 [doi]
LID - e323
AB - INTRODUCTION: Communication failures are common root causes of serious
medical
errors. Standardized, structured handoffs improve communication and patient
safety.
I-PASS is a handoff program that decreases medical errors and preventable
patient
harm. The I-PASS mnemonic is defined as illness severity, patient
information,
action list, situational awareness and contingency plans, and synthesis by
receiver.
I-PASS was validated for physician handoffs, yet has the potential for
broader
application. The objectives of this quality improvement initiative were to
adapt and
implement I-PASS to handoff contexts throughout a pediatric hospital,
including
those with little or no known evidence of using I-PASS. METHODS: We adapted
and
implemented I-PASS for inpatient nursing bedside report, physician handoff,
and
imaging/procedures handoff. Throughout the initiative, end-user stakeholders
participated as team members and informed the adaptation of the I-PASS
mnemonic,
handoff processes, written handoff documents, and performance evaluation
methods.
Peers observed handoffs, scored performance, and provided formative feedback.
Adherence to I-PASS was the primary outcome. We also evaluated changes in

handoff-related error frequency and clinician attitudes about the effects of
I-PASS
on personal and overall handoff performance. RESULTS: All 5 elements of the
I-PASS
mnemonic were used in 87% of inpatient nursing, 76% of physician, and 89% of
imaging/procedures handoffs. Inpatient nurses reported reductions in handoff-
related
errors following I-PASS implementation. Clinicians across most handoff
settings
reported that using I-PASS improved both general and personal handoff
performance.
CONCLUSIONS: I-PASS is adaptable to many handoff settings, which expands its
potential to improve patient safety. Clinicians reported reductions in errors
and
improvements in handoff performance. We identified broad institutional
support,
customized written handoff documents, and peer observations with feedback as
crucial
factors in sustaining I-PASS usage.
FAU - Blazin, Lindsay J
AU - Blazin LJ
AD - Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN.
FAU - Sitthi-Amorn, Jitsuda
AU - Sitthi-Amorn J
AD - Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN.
AD - Hospitalist Program, St. Jude Children's Research Hospital, Memphis, TN.
FAU - Hoffman, James M
AU - Hoffman JM
AD - Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital,
Memphis, TN.
AD - Office of Quality and Patient Care, St. Jude Children's Research Hospital,
Memphis
TN.
FAU - Burlison, Jonathan D
AU - Burlison JD
AD - Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital,
Memphis, TN.
LA - eng
DEP - 20200723
JID - 101702480
PMC - PMC7382547
COIS- The authors have no financial interest to declare in relation to the content
of this
article.
EDAT- 2020/08/09 06:00
MHDA- 2020/08/09 06:01
CRDT- 2020/08/09 06:00
PHST- 2020/01/16 00:00 [received]
PHST- 2020/06/09 00:00 [accepted]
PHST- 2020/08/09 06:00 [entrez]
PHST- 2020/08/09 06:00 [pubmed]
PHST- 2020/08/09 06:01 [medline]
AID - 10.1097/pq9.0000000000000323 [doi]
PST - epublish
SO - Pediatr Qual Saf. 2020 Jul 23;5(4):e323. doi: 10.1097/pq9.0000000000000323.
PMID- 30912979
OWN - NLM
STAT- MEDLINE
DCOM- 20200406
LR - 20200408
IS - 0018-7208 (Print)
IS - 0018-7208 (Linking)
VI - 61
IP - 8
DP - 2019 Dec
TI - Making Sense of the Cognitive Task of Medication Reconciliation Using a Card
Sorting
Task.
PG - 1315-1325
LID - 10.1177/0018720819837037 [doi]
AB - OBJECTIVE: To explore cognitive strategies clinicians apply while performing
a
medication reconciliation task, handling incomplete and conflicting
information.
BACKGROUND: Medication reconciliation is a method clinicians apply to find
and
resolve inconsistencies in patients' medications and medical conditions
lists. The
cognitive strategies clinicians use during reconciliation are unclear.
Controlled
lab experiments can explore how clinicians make sense of uncertain, missing,
or
conflicting information and therefore support the development of a human
performance
model. We hypothesize that clinicians apply varied cognitive strategies to
handle
this task and that profession and experience affect these strategies. METHOD:
130
clinicians participated in a tablet-based experiment conducted in a large
American
teaching hospital. They were asked to simulate medication reconciliation
using a
card sorting task (CaST) to organize medication and medical condition lists
of a
specific clinical case. Later on, they were presented with new information
and were
asked to add it to their arrangements. We quantitatively and qualitatively
analyzed
the ways clinicians arranged patient information. RESULTS: Four distinct
cognitive
strategies were identified ("Conditions first": n = 76 clinicians,
"Medications
first": n = 7, "Crossover": n = 17, and "Alternating": n = 10). The strategy
clinicians applied was affected by their experience (p = .02) but not by
their
profession. At the appearance of new information, clinicians moved medication
cards
more frequently (75.2 movements vs. 49.6 movements, p < .001), suggesting
that they
match medications to medical conditions. CONCLUSION: Clinicians apply various
cognitive strategies while reconciling medications and medical conditions.

APPLICATION: Clinical information systems should support multiple cognitive
strategies, allowing flexibility in organizing information.
FAU - Bitan, Yuval
AU - Bitan Y
AUID- ORCID: 0000-0001-7053-7012
FAU - Parmet, Yisrael
AU - Parmet Y
AD - Ben-Gurion University of the Negev, Beer Sheva, Israel.
FAU - Greenfield, Geva
AU - Greenfield G
AD - Imperial College London, UK.
FAU - Teng, Shelly
AU - Teng S
AD - University of Pennsylvania, Philadelphia, USA.
FAU - Cook, Richard I
AU - Cook RI
AD - The Ohio State University, Columbus, USA.
FAU - Nunnally, Mark E
AU - Nunnally ME
AD - New York University, New York City, USA.
LA - eng
DEP - 20190326
TA - Hum Factors
JT - Human factors
JID - 0374660
SB - IM
SB - S
MH - Adult
MH - Concept Formation/*physiology
MH - Executive Function/*physiology
MH - Female
MH - Humans
MH - Male
MH - *Nurses
MH - Patient Safety
MH - *Physicians
MH - Thinking/*physiology
PMC - PMC6820122
OTO - NOTNLM
OT - *card sorting task
OT - *cognitive task
OT - *health care information systems
OT - *medication reconciliation
EDAT- 2019/03/27 06:00
MHDA- 2020/04/09 06:00
CRDT- 2019/03/27 06:00
PHST- 2019/03/27 06:00 [pubmed]
PHST- 2020/04/09 06:00 [medline]
PHST- 2019/03/27 06:00 [entrez]
AID - 10.1177_0018720819837037 [pii]
AID - 10.1177/0018720819837037 [doi]
PST - ppublish
SO - Hum Factors. 2019 Dec;61(8):1315-1325. doi: 10.1177/0018720819837037. Epub
2019 Mar
26.
PMID- 32612821
OWN - NLM
LR - 20200928
IS - 2049-0801 (Print)
IS - 2049-0801 (Linking)
VI - 56
DP - 2020 Aug
TI - Weekend handover: Improving patient safety during weekend services.
PG - 77-81
LID - 10.1016/j.amsu.2020.06.005 [doi]
AB - Clinical Handover has been identified as one of the most high-risk processes
within
medicine. Inadequate handover is a significant cause of avoidable adverse
events
across many hospitals. A likert-survey of the weekend handover system at a
district
general hospital demonstrated significant dissatisfaction amongst junior
doctors.
Intending to improve patient safety and reduce stress for on-call junior
doctors, a
weekend handover proforma was compiled according to the Royal College of
Physicians
and Surgeons guidelines. The proforma was trialed on six medical wards for
six
months with a before and after questionnaire being sent to doctors on the
wards
involved to determine the proforma's merits on a scale of 1 (least effective)
to 10
(most effective). Reports subsequent to implementation demonstrated a 67%
increase
ease of identifying outstanding weekend jobs. 57% of doctors reported better
understanding of their patient's diagnosis and management plan and 53% stated
it was
easier to identify the patients that required regular medical review over the
weekend. Results also highlighted a 55% reported an increase in safety of

weekend
handovers (p<0.01). A closed loop audit of handover practice through the use
of a
standardised proforma showed improved quality, detail and consistency of
handovers.
The reduction in stress for junior doctors managing unknown patients with a
clear
concise plan, directed by a senior from the parent team during the week, has
improved patient safety and doctor satisfaction.
CI - © 2020 The Authors.
FAU - Nagrecha, Rajvi
AU - Nagrecha R
AD - Medway Maritime Hospital, Medway NHS Trust, Windmill Road, Gillingham, ME7
5NY,
Kent, UK.
FAU - Rait, Jaideep Singh
AU - Rait JS
5NY,
Kent, UK.
AD - William Harvey Hospital, East Kent NHS Trust, Kennington Rd, Willesborough,
TN24
0LZ, Ashford, UK.
FAU - McNairn, Kim
AU - McNairn K
5NY,
Kent, UK.
LA - eng
DEP - 20200609
TA - Ann Med Surg (Lond)
JT - Annals of medicine and surgery (2012)
JID - 101616869
PMC - PMC7322181
OTO - NOTNLM
OT - Patient safety
OT - Stress
OT - Weekend handover
COIS- No conflicts of interest.
EDAT- 2020/07/03 06:00
MHDA- 2020/07/03 06:01
CRDT- 2020/07/03 06:00
PHST- 2020/04/06 00:00 [received]
PHST- 2020/06/02 00:00 [revised]
PHST- 2020/06/02 00:00 [accepted]
PHST- 2020/07/03 06:00 [entrez]
PHST- 2020/07/03 06:00 [pubmed]
PHST- 2020/07/03 06:01 [medline]
AID - S2049-0801(20)30141-2 [pii]
AID - 10.1016/j.amsu.2020.06.005 [doi]
PST - epublish
SO - Ann Med Surg (Lond). 2020 Jun 9;56:77-81. doi: 10.1016/j.amsu.2020.06.005.
eCollection 2020 Aug.
PMID- 32064082
OWN - NLM
STAT- In-Process
LR - 20210101
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 27
IP - 1
DP - 2020 Jan
TI - Comparison of pharmacy technicians' and doctors' medication transcribing
errors at
hospital discharge.
PG - 9-13
LID - 10.1136/ejhpharm-2018-001538 [doi]
AB - OBJECTIVES: To compare the transcribing error rates of discharge
prescriptions
between pharmacy technicians and doctors in an acute hospital setting.
METHODS:
Pharmacy technicians were trained in the transcribing of discharge
medications from
inpatient to discharge medication charts. Prospective prescribing audits were
undertaken over 5 days on eight hospital medical wards by ward pharmacists to
compare pharmacy technician (on four wards) and doctor (on four wards)
discharge
transcribing error rates. Transcribed discharge medications were compared
with the
inpatient medication list by ward pharmacists to identify any transcription
errors.
Transcribing data for each technician and doctor, and number of items and
errors,
were input into SPSS and analysed using relevant statistical tests. RESULTS:
Doctors
(n=12) transcribed 77 discharge prescriptions, and 678 items with 127 errors
recorded (18.7% error rate). Pharmacy technicians (n=8) transcribed 63
discharge
prescriptions, and 654 items with 25 errors recorded (3.8% error rate), a
significant difference between groups in error frequency (χ(2)(1)=58.6,
p=<0.005)
with a 14.9% difference between groups. CONCLUSIONS: Pharmacy technicians
have
significantly lower discharge transcribing error rates compared with doctors.
This
service intervention has the potential to improve patient safety and minimise
inefficiencies from correcting errors. Further work is needed to explore the

views
and opinions of service users of the intervention, and why technician-
transcribing
error rates are significantly lower than doctors.
CI - © European Association of Hospital Pharmacists 2020. No commercial re-use.
See
rights and permissions. Published by BMJ.
FAU - Lloyd, Michael
AU - Lloyd M
AUID- ORCID: 0000-0002-0619-7540
AD - Clinical Education Department, St. Helens and Knowsley Teaching Hospitals,
Merseyside, L355DR, UK.
LA - eng
DEP - 20180707
TA - Eur J Hosp Pharm
JT - European journal of hospital pharmacy : science and practice
JID - 101578294
PMC - PMC6992974
OTO - NOTNLM
OT - *discharge
OT - *doctor
OT - *hospital
OT - *pharmacy technician
OT - *prescribing error
OT - *transcribing
EDAT- 2020/02/18 06:00
MHDA- 2020/02/18 06:01
CRDT- 2020/02/18 06:00
PHST- 2018/02/19 00:00 [received]
PHST- 2018/06/15 00:00 [revised]
PHST- 2018/06/19 00:00 [accepted]
PHST- 2020/02/18 06:00 [entrez]
PHST- 2020/02/18 06:00 [pubmed]
PHST- 2020/02/18 06:01 [medline]
AID - ejhpharm-2018-001538 [pii]
AID - 10.1136/ejhpharm-2018-001538 [doi]
PST - ppublish
SO - Eur J Hosp Pharm. 2020 Jan;27(1):9-13. doi: 10.1136/ejhpharm-2018-001538.
Epub 2018
Jul 7.
PMID- 30909433
OWN - NLM
LR - 20200929
IS - 2226-4787 (Linking)
VI - 7
IP - 1
DP - 2019 Mar 22
TI - Health Workers' Perceptions and Expectations of the Role of the Pharmacist in
Emergency Units: A Qualitative Study in Kupang, Indonesia.

LID - 10.3390/pharmacy7010031 [doi]
LID - 31
AB - Background. An essential way to ensure patient safety in the hospital is by
applying
pharmacy services in emergency units. This strategy was implemented in
Indonesia
several years ago, with the aim of ensuring that adequate pharmacy services
are
given to patients in hospitals. To achieve this, pharmacists are required to
cooperate with other health workers via inter-professional teamwork. This
study
intended to identify the perceptions and expectations of health workers with
respect
to pharmacy services in emergency units. Methods. This was a qualitative
study,
using a phenomenological approach with a semi-structured interview technique
to
obtain data. This study was performed at the Prof. Dr. W.Z. Johannes Hospital
Kupang
from June to September 2018. The results of the interviews were thematically
analyzed using QSR NVivo software 11. Results. The themes identified in this
study
included: (1) The positive impact of pharmacists in service; (2) Badan
Penyelenggara
Jaminan Sosial (BPJS) influence; (3) Acceptance of health workers; (4)
Medication
administration information; and (5) Expectations of health workers. Various
perceptions were conveyed by participants regarding the emergency unit
services in
the hospital's pharmaceutical department. Data obtained proved that the
existence of
a pharmacist increased the efficiency of time for services and prevented
human
error. Conclusion. Pharmacists and policy-makers play a significant role in
providing appropriate pharmaceutical services in emergency units. Pharmacists
also
need to improve their quality of practice in accordance with their
competence. They
must review the patient medical history and physician's prescriptions,
educate the
patients and other health workers, so that the workload and service time will
be
reduced.
FAU - Safitrih, Laila
AU - Safitrih L
AD - Faculty of Pharmacy, University of Ahmad Dahlan, Yogyakarta 55166, Indonesia.
lsafitrih18@gmail.com.
FAU - Perwitasari, Dyah A
AU - Perwitasari DA
AUID- ORCID: 0000-0002-2638-6664
AD - Faculty of Pharmacy, University of Ahmad Dahlan, Yogyakarta 55166, Indonesia.
dyah.perwitasari@pharm.uad.ac.id.
FAU - Ndoen, Nelci
AU - Ndoen N
AD - Pharmacy Unit, Prof. Dr. W.Z. Johannes Hospital, Kupang 85112, Indonesia.
nelci.ndoen1975@gmail.com.
FAU - Dandan, Keri L
AU - Dandan KL
AD - Faculty of Pharmacy, University of Padjajaran, Bandung 45363, Indonesia.
lestarikd@unpad.ac.id.
LA - eng
DEP - 20190322
TA - Pharmacy (Basel)
JT - Pharmacy (Basel, Switzerland)
JID - 101678532
PMC - PMC6473612
OTO - NOTNLM
OT - emergency unit
OT - health workers
OT - pharmacy
EDAT- 2019/03/27 06:00
MHDA- 2019/03/27 06:01
CRDT- 2019/03/27 06:00
PHST- 2019/02/15 00:00 [received]
PHST- 2019/03/17 00:00 [revised]
PHST- 2019/03/19 00:00 [accepted]
PHST- 2019/03/27 06:00 [entrez]
PHST- 2019/03/27 06:00 [pubmed]
PHST- 2019/03/27 06:01 [medline]
AID - pharmacy7010031 [pii]
AID - pharmacy-07-00031 [pii]
AID - 10.3390/pharmacy7010031 [doi]
PST - epublish
SO - Pharmacy (Basel). 2019 Mar 22;7(1):31. doi: 10.3390/pharmacy7010031.
PMID- 31366634
OWN - NLM
STAT- MEDLINE
DCOM- 20200723
LR - 20200723
IS - 2044-6055 (Linking)
VI - 9
IP - 7
DP - 2019 Jul 30
TI - Are service and patient indicators different in the presence or absence of
nurse
practitioners? The EDPRAC cohort study of Australian emergency departments.
PG - e024529
LID - 10.1136/bmjopen-2018-024529 [doi]
LID - e024529
AB - OBJECTIVES: To evaluate the impact of nurse practitioner (NP) service in
Australian
public hospital emergency departments (EDs) on service and patient safety and
quality indicators. DESIGN AND SETTING: Cohort study comprising ED

presentations
(July 2013-June 2014) for a random sample of hospitals, stratified by
state/territory and metropolitan versus non-metropolitan location; and a
retrospective medical record audit of ED re-presentations. METHODS: Service
indicator data (patient waiting times for Australasian Triage Scale
categories 2, 3,
4 and 5; number of patients who did not-wait; length of ED stay for non-
admitted
patients) were compared between EDs with and without NPs using logistic
regression
and Cox proportional hazards regression, adjusting for hospital and patient
characteristics and correlation of outcomes within hospitals. Safety and
quality
indicator data (rates of ED unplanned re-presentations) for a random subset
of
re-presentations were compared using Poisson regression. RESULTS: Of 66 EDs,
55
(83%) provided service indicator data on 2 463 543 ED patient episodes while
58
(88%) provided safety and quality indicator data on 2853 ED re-presentations.
EDs
with NPs had significantly (p<0.001) higher rates of waiting times compared
with EDs
without NPs. Patients presenting to EDs with NPs spent 13 min (8%) longer in
ED
compared with EDs without NPs (median, (first quartile-third quartile): 156
(93-233)
and 143 (84-217) for EDs with and without NPs, respectively). EDs with NPs
had 1.8%
more patients who did not wait, but similar re-presentations rates as EDs
with NPs.
CONCLUSIONS: EDs with NPs had statistically significantly lower performance
for
service indicators. However, these findings should be treated with caution.
NPs are
relatively new in the ED workforce and low NP numbers, staffing patterns and
still-evolving roles may limit their impact on service indicators. Further
research
is needed to explain the dichotomy between the benefits of NPs demonstrated
in
individual clinical outcomes research and these macro system-wide
observations.
LA - eng
DEP - 20190730
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adolescent
MH - Adult
MH - Aged
MH - Australia
MH - Child
MH - Child, Preschool
MH - Emergency Nursing/*statistics & numerical data
MH - Emergency Service, Hospital/organization &
administration/*standards/statistics &
numerical data
MH - Female
MH - Humans
MH - Infant
MH - Male
MH - Middle Aged
MH - Models, Nursing
MH - *Nurse Practitioners
MH - Nurse's Role
MH - Outcome and Process Assessment, Health Care/*statistics & numerical data
MH - Quality Indicators, Health Care/statistics & numerical data
MH - Triage
MH - Young Adult
PMC - PMC6678028
OTO - NOTNLM
OT - *emergency department
OT - *nurse practitioner
OT - *safety and quality indicator
OT - *service indicator
EDAT- 2019/08/02 06:00
MHDA- 2020/07/24 06:00
CRDT- 2019/08/02 06:00
PHST- 2019/08/02 06:00 [entrez]
PHST- 2019/08/02 06:00 [pubmed]
PHST- 2020/07/24 06:00 [medline]
AID - 10.1136/bmjopen-2018-024529 [doi]
PST - epublish
SO - BMJ Open. 2019 Jul 30;9(7):e024529. doi: 10.1136/bmjopen-2018-024529.
PMID- 31038606
OWN - NLM
STAT- MEDLINE
DCOM- 20200114
LR - 20200114
IS - 0102-6933 (Linking)
VI - 40
IP - spe
DP - 2019
TI - Effective communication for patient safety: transfer note and Modified Early
Warning
Score.
PG - e20180341
LID - S1983-14472019000200422 [pii]
LID - 10.1590/1983-1447.2019.20180341 [doi]
AB - OBJECTIVE: To analyze the registry of the Transfer Note (NT) and the emission
of the
Modified Early Warning Score (MEWS) performed by the nurse in adult patients
transferred from the Emergency Service as an effective communication strategy
for
patient safety. METHOD: A cross-sectional retrospective study developed at a
teaching hospital in the South of Brazil that evaluated 8028 electronic
medical
records in the year 2017. A descriptive analysis was performed. RESULTS: NT
reached
the institutional target of 95% in January and February, falling below the
target in
other months. The MEWS measurement was performed in 85.6% (n = 6,870) of the
medical
records. Of these patients, 96.8% (n = 6,652) had unchanged MEWS. CONCLUSION:
NT and
MEWS are inserted in the work of the nurse, however, actions are needed to
qualify
patient safety, improving effective communication and therefore reducing the
possibility of occurrence of adverse events.
FAU - Olino, Luciana
AU - Olino L
AD - Universidade Federal do Rio Grande do Sul (UFRGS), Escola de Enfermagem.
Porto
Alegre, Rio Grande do Sul, Brasil.
FAU - Gonçalves, Annelise de Carvalho
AU - Gonçalves AC
Porto
FAU - Strada, Juliana Karine Rodrigues
AU - Strada JKR
Porto
FAU - Vieira, Letícia Becker
AU - Vieira LB
Porto
FAU - Machado, Maria Luiza Paz
AU - Machado MLP
Porto
FAU - Molina, Karine Lorenzen
AU - Molina KL
AD - Hospital de Clínicas de Porto Alegre (HCPA). Porto Alegre, Rio Grande do Sul,
Brasil.
FAU - Cogo, Ana Luisa Petersen
AU - Cogo ALP
Porto
LA - por
LA - eng
TT - Comunicação efetiva para a segurança do paciente: nota de transferência e
Modified
Early Warning Score.
DEP - 20190429
PL - Brazil
TA - Rev Gaucha Enferm
JT - Revista gaucha de enfermagem
JID - 8504882
SB - N
MH - Adult
MH - Brazil
MH - Electronic Health Records
MH - Emergency Service, Hospital
MH - Forms and Records Control
MH - *Hospital Communication Systems/organization & administration
MH - *Hospital Records
MH - Hospitals, Teaching/organization & administration
MH - Humans
MH - Nurse's Role
MH - *Nursing Assessment
MH - *Nursing Records
MH - Patient Transfer/*organization & administration
MH - Risk Management/*methods/organization & administration
MH - *Severity of Illness Index
EDAT- 2019/05/01 06:00
MHDA- 2020/01/15 06:00
CRDT- 2019/05/01 06:00
PHST- 2018/08/31 00:00 [received]
PHST- 2018/11/08 00:00 [accepted]
PHST- 2019/05/01 06:00 [entrez]
PHST- 2019/05/01 06:00 [pubmed]
PHST- 2020/01/15 06:00 [medline]
AID - S1983-14472019000200422 [pii]
AID - 10.1590/1983-1447.2019.20180341 [doi]
PST - ppublish
SO - Rev Gaucha Enferm. 2019;40(spe):e20180341. doi: 10.1590/1983-
1447.2019.20180341.
Epub 2019 Apr 29.
PMID- 30380918
OWN - NLM
STAT- MEDLINE
DCOM- 20200713
LR - 20200713
IS - 1937-5867 (Print)
IS - 1937-5867 (Linking)
VI - 12
IP - 2
DP - 2019 Apr
TI - Association Between Room Location and Adverse Outcomes in Hospitalized
Patients.
PG - 21-29
LID - 10.1177/1937586718806702 [doi]
AB - OBJECTIVE: To investigate whether a patient's proximity to the nurse's
station or
ward entrance at time of admission was associated with increased risk of
adverse
outcomes. METHOD: We conducted a retrospective cohort study of consecutive
adult
inpatients to 13 medical-surgical wards at an academic hospital from 2009 to
2013.
Proximity of admission room to the nurse's station and to the ward entrance
was
measured using Euclidean distances. Outcomes of interest include development
of
critical illness (defined as cardiac arrests or transfer to an intensive care
unit),
inhospital mortality, and increase in length of stay (LOS). RESULTS: Of the
83,635
admissions, 4,129 developed critical illness and 1,316 died. The median LOS
was 3
days. After adjusting for admission severity of illness, ward, shift, and
year, we
found no relationship between proximity at admission to nurse's station our
outcomes. However, patients admitted to end of the ward had higher risk of
developing critical illness (odds ratio [ OR] = 1.15, 95% confidence interval
[CI] =
[1.08, 1.23]), mortality ( OR = 1.16, 95% CI [1.03, 1.33]), and a higher LOS
(13-hr
increase, 95% CI [10, 15] hours) compared to patients admitted closer to the
ward
entrance. Similar results were observed in sensitivity analyses adjusting for
isolation room patients and considering patients without room transfers in

the first
48 hr. CONCLUSIONS: Our study suggests that being away from the nurse's
station did
not increase the risk of these adverse events in ward patients, but being
farther
from the ward entrance was associated with increase in risk of adverse
outcomes.
Patient safety can be improved by recognizing this additional risk factor.
FAU - Mayampurath, Anoop
AU - Mayampurath A
AD - 1 Department of Pediatrics, The University of Chicago, Chicago, IL, USA.
AD - 2 Center for Research Informatics, The University of Chicago, Chicago, IL,
USA.
FAU - Ward, Christopher
AU - Ward C
AD - 3 Department of Computer Science, The University of Chicago, Chicago, IL,
USA.
FAU - Fahrenbach, John
AU - Fahrenbach J
AD - 4 Center for Quality, The University of Chicago, Chicago, IL, USA.
FAU - LaFond, Cynthia
AU - LaFond C
AUID- ORCID: 0000-0002-0930-6394
AD - 1 Department of Pediatrics, The University of Chicago, Chicago, IL, USA.
FAU - Howell, Michael
AU - Howell M
AD - 5 Google Research, Mountain View, CA, USA.
FAU - Churpek, Matthew M
AU - Churpek MM
AD - 6 Department of Medicine, The University of Chicago, Chicago, IL, USA.
LA - eng
PT - Comparative Study
DEP - 20181031
TA - HERD
JT - HERD
JID - 101537529
SB - IM
MH - Adult
MH - Aged
MH - Environment Design/*statistics & numerical data
MH - Female
MH - Humans
MH - Length of Stay/*statistics & numerical data
MH - Male
MH - Middle Aged
MH - Nursing Stations/*statistics & numerical data
MH - Risk Factors
PMC - PMC6520200
MID - NIHMS1016202
OTO - NOTNLM
OT - *adverse outcomes
OT - *healthcare quality improvement
OT - *nursing
OT - *patient location
OT - *patient-centered care
EDAT- 2018/11/02 06:00
MHDA- 2020/07/14 06:00
CRDT- 2018/11/02 06:00
PHST- 2018/11/02 06:00 [pubmed]
PHST- 2020/07/14 06:00 [medline]
PHST- 2018/11/02 06:00 [entrez]
AID - 10.1177/1937586718806702 [doi]
PST - ppublish
SO - HERD. 2019 Apr;12(2):21-29. doi: 10.1177/1937586718806702. Epub 2018 Oct 31.
PMID- 32276952
OWN - NLM
STAT- In-Process
LR - 20200731
IS - 2044-6055 (Linking)
VI - 10
IP - 4
DP - 2020 Apr 9
TI - Volunteers as members of the stroke rehabilitation team: a qualitative case
study.
PG - e032473
LID - 10.1136/bmjopen-2019-032473 [doi]
LID - e032473
AB - OBJECTIVES: Clinicians are facing increasing demands on their time,
exacerbated by
fiscal constraints and increasing patient complexity. Volunteers are an
essential
part of the many healthcare systems, and are one resource to support improved
patient experience and a mechanism through which to address unmet needs.

Hospitals
rely on volunteers for a variety of tasks and services, but there are varying
perceptions about volunteers' place within the healthcare team. This study
aimed to
understand the role of volunteers in stroke rehabilitation, as well as the
barriers
to volunteer engagement. DESIGN: A qualitative case study was conducted to
understand the engagement of volunteers in stroke rehabilitation services
within a
complex rehabilitation and continuing care hospital in Ontario, Canada.
PARTICIPANTS: 28 clinicians, 10 hospital administrators and 22 volunteers
participated in concurrent focus groups and interviews. Organisational
documents
pertaining to volunteer management were retrieved and analysed. RESULTS:
While there
was support for volunteer engagement, with a wide range of potential
activities for
volunteers, several barriers to volunteer engagement were identified. These
barriers
relate to paid workforce/unionisation, patient safety and confidentiality,
volunteer
attendance and lack of collaboration between clinical and volunteer resource
departments. CONCLUSIONS: An interprofessional approach, specifically
emphasising
and addressing issues related to key role clarity, may mediate these
barriers.
Clarity regarding the role of volunteers in hospital settings could support
workforce planning and administration.
FAU - Nelson, Michelle L A
AU - Nelson MLA
AUID- ORCID: 0000-0003-2002-0298
AD - Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research
Institute,
Toronto, Ontario, Canada Michelle.Nelson@sinaihealthsystem.ca.
AD - Institute of Health Policy, Management and Evaluation, Dalla Lana School of
Public
Health, University of Toronto, Toronto, Ontario, Canada.
FAU - Thombs, Rachel
AU - Thombs R
Institute,
Toronto, Ontario, Canada.
FAU - Yi, Juliana
AU - Yi J
Institute,
LA - eng
DEP - 20200409
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
PMC - PMC7170608
OTO - NOTNLM
OT - *health policy
OT - *human resource management
OT - *organisation of health services
OT - *qualitative research
OT - *rehabilitation medicine
EDAT- 2020/04/12 06:00
MHDA- 2020/04/12 06:00
CRDT- 2020/04/12 06:00
PHST- 2020/04/12 06:00 [entrez]
PHST- 2020/04/12 06:00 [pubmed]
PHST- 2020/04/12 06:00 [medline]
AID - 10.1136/bmjopen-2019-032473 [doi]
PST - epublish
SO - BMJ Open. 2020 Apr 9;10(4):e032473. doi: 10.1136/bmjopen-2019-032473.
PMID- 29643631
OWN - NLM
LR - 20200929
IS - 0970-9185 (Print)
IS - 0970-9185 (Linking)
VI - 34
IP - 1
DP - 2018 Jan-Mar
TI - Safety of the medical gas pipeline system.
PG - 99-102
LID - 10.4103/joacp.JOACP_274_16 [doi]
AB - Medical gases are nowadays being used for a number of diverse clinical
applications
and its piped delivery is a landmark achievement in the field of patient
care.
Patient safety is of paramount importance in the design, installation,
commissioning, and operation of medical gas pipeline systems (MGPS). The
system has
to be operational round the clock, with practically zero downtime and its
failure
can be fatal if not restored at the earliest. There is a lack of awareness
among the
clinicians regarding the medico-legal aspect involved with the MGPS. It is a
highly
technical field; hence, an in-depth knowledge is a must to ensure safety with
the
system.
FAU - Sarangi, Sushmita
AU - Sarangi S
AD - Department Anaesthesiology and Critical Care, Deen Dayal Upadhyay Hospital,
New
Delhi, India.
FAU - Babbar, Savita
AU - Babbar S
New
Delhi, India.
FAU - Taneja, Dipali
AU - Taneja D
New
Delhi, India.
LA - eng
TA - J Anaesthesiol Clin Pharmacol
JT - Journal of anaesthesiology, clinical pharmacology
JID - 9516972
PMC - PMC5885458
OTO - NOTNLM
OT - Central supply
OT - hospital
OT - nitrous oxide
OT - oxygen
EDAT- 2018/04/13 06:00
MHDA- 2018/04/13 06:01
CRDT- 2018/04/13 06:00
PHST- 2018/04/13 06:00 [entrez]
PHST- 2018/04/13 06:00 [pubmed]
PHST- 2018/04/13 06:01 [medline]
AID - JOACP-34-99 [pii]
AID - 10.4103/joacp.JOACP_274_16 [doi]
PST - ppublish
SO - J Anaesthesiol Clin Pharmacol. 2018 Jan-Mar;34(1):99-102. doi:
10.4103/joacp.JOACP_274_16.
PMID- 32184876
OWN - NLM
LR - 20200928
IS - 1735-0328 (Print)
IS - 1726-6882 (Linking)
VI - 18
IP - 4
DP - 2019 Fall
TI - Development of Managerial Key Performance Indicators for A Hospital Pharmacy
Digital
Dashboard.
PG - 2124-2130
LID - 10.22037/ijpr.2019.1100822 [doi]
AB - Pharmaceutical performance is a critical factor in the hospital operation.
Hospital
pharmacy activities require retrieving, processing, comparing, and updating
the
information. Dashboards are new tools that can track key performance
indicators by
displaying information to managers in order to improve the performance of the
hospital pharmacy. We conducted this study to determine the performance

indicators
of hospital pharmacies in Iran. This qualitative research was conducted in
2016. The
participants were hospital pharmacists and hospital managers. A semi-
structured
questionnaire was constructed to determine key performance indicators of the
hospital pharmacy department. The questionnaire was used in face-to-face
interviews
and focus groups. The data were analyzed using Framework analysis. The
indicators
comprised three domains, including managerial indicators (satisfaction,
education,
staffing, and department management), clinical indicators (patient safety),
and
financial indicators (income, costs, and financial utilization).
Traditionally,
pharmacy services included provision and distribution of drugs in the
hospital;
however, today, with an increase in the complexity and diversity of the
drugs,
hospital pharmacy services include diverse fields beyond clinical affairs. It
could
be concluded that pharmaceutical performance has a vital role in successful
hospital
management. Hospital pharmacy management is not possible without monitoring
performance indicators.
FAU - Dehghani Mahmodabadi, Arezoo
AU - Dehghani Mahmodabadi A
AD - Department of Health Information Technology and Management, School of Public
Health,
Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
FAU - Langarizadeh, Mostafa
AU - Langarizadeh M
AD - Health Management and Economics Research Center, School of Health Management
and
Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
FAU - Mosaddegh Mehrjardi, Mohammad Hossein
AU - Mosaddegh Mehrjardi MH
AD - Department of Toxicology, Faculty of Pharmacy, Shahid Sadoughi University of
Medical
Sciences, Yazd, Iran.
FAU - Emadi, Sima
AU - Emadi S
AD - Department of Computer Engineering, Faculty of Enginearing, Islamic Azad
University,
Yazd Branch, Yazd, Iran.
LA - eng
TA - Iran J Pharm Res
JT - Iranian journal of pharmaceutical research : IJPR
JID - 101208407
PMC - PMC7059033
OTO - NOTNLM
OT - Dashboard
OT - Key performance indicator
OT - Pharmacy management
EDAT- 2020/03/19 06:00
MHDA- 2020/03/19 06:01
CRDT- 2020/03/19 06:00
PHST- 2020/03/19 06:00 [entrez]
PHST- 2020/03/19 06:00 [pubmed]
PHST- 2020/03/19 06:01 [medline]
AID - 10.22037/ijpr.2019.1100822 [doi]
PST - ppublish
SO - Iran J Pharm Res. 2019 Fall;18(4):2124-2130. doi: 10.22037/ijpr.2019.1100822.
PMID- 31562961
OWN - NLM
STAT- MEDLINE
DCOM- 20210121
LR - 20210121
IS - 1083-8791 (Print)
IS - 1083-8791 (Linking)
VI - 26
IP - 1
DP - 2020 Jan
TI - Improving the Timeliness of Chemotherapy Administration in the Bone Marrow
Transplant Unit.
PG - 150-156
LID - S1083-8791(19)30637-8 [pii]
LID - 10.1016/j.bbmt.2019.09.026 [doi]
AB - Patients undergoing hematopoietic stem cell transplantation (HSCT) are often
admitted to the hospital the day they are due to begin their conditioning
regimen.
Timely initiation of chemotherapy during regular work hours is important for
patient
safety, because during the night shift fewer physicians and pharmacists are
available for urgent or unexpected matters. A review of the data at our
institution
from October 2017 to August 2018 showed that approximately one-third of our
chemotherapy was started during the night shift (after 19:00), and the
average time
from admission to start of chemotherapy was over 8 hours. There are currently
no
well-defined benchmarks for timeliness of chemotherapy initiation. The aim of
this
quality improvement initiative was to increase the percentage of patients who
start
chemotherapy in the bone marrow transplant unit before 19:00 from 65% to >80%
by
March 31, 2019. We identified barriers to timely initiation of chemotherapy
through
process mapping and analysis of failures. The primary barriers were late
admissions
(after 12:00 pm) and time from admission to preparation of chemotherapy. We
addressed mechanisms to mitigate these barriers through Plan-Do-Study-Act
testing.
Interventions included providing families specific admission times and their
rationales and process for notifying pharmacy of admissions immediately on
arrival.
We used standardized control charts to measure the impact of the
interventions on
change. We also monitored medication errors before and during the
intervention. From
September 2018 to March 2019 the percentage of patients who started
preparative
chemotherapy before 19:00 increased from 65% to 85%, the percentage of
patients who
were admitted after 12:00 remained similar before (31%) and after the
interventions
(33%), and the average time from admission to start of chemotherapy decreased
from
8.6 hours (513 minutes) to 6.4 hours (382 minutes). Medication errors were
similar
before (n = 50) and after the interventions (n = 43). Using standardized
processes,
we demonstrated a substantial decrease in the percentage of HSCT patients
starting
their preparative regimen after 19:00 without a concurrent increase in
errors. We
believe these interventions and measurements can be used in all transplant
centers
and have the potential to influence patient safety and outcomes.
CI - Copyright © 2019 American Society for Transplantation and Cellular Therapy.
Published by Elsevier Inc. All rights reserved.
FAU - Bhandari, Rusha
AU - Bhandari R
AD - Division of Hematology, Oncology and Blood and Marrow Transplantation,
Children's
Hospital of Los Angeles, Los Angeles, California; Keck School of Medicine,
University of Southern California, Los Angeles, California. Electronic
address:
rbhandari@chla.usc.edu.
FAU - Orgel, Etan
AU - Orgel E
Children's
University of Southern California, Los Angeles, California.
FAU - Rushing, Teresa
AU - Rushing T
Children's
Hospital of Los Angeles, Los Angeles, California; Department of Pharmacy,
Children's
Hospital of Los Angeles, Los Angeles, California.
FAU - Malicse, Kristin
AU - Malicse K
Children's
FAU - Evangelista, Vilma
AU - Evangelista V
Children's
FAU - Jodele, Sonata
AU - Jodele S
AD - Division of Bone Marrow Transplant and Immune Deficiency, Cincinnati, Ohio;
Department of Pediatrics, University of Cincinnati College of Medicine,
Cincinnati,
Ohio.
FAU - Dandoy, Christopher E
AU - Dandoy CE
AD - Division of Bone Marrow Transplant and Immune Deficiency, Cincinnati, Ohio;
Department of Pediatrics, University of Cincinnati College of Medicine,
Cincinnati,
Ohio; James M. Anderson Center for Health Systems Excellence, Cincinnati,
Ohio.
LA - eng
GR - P30 CA014089/CA/NCI NIH HHS/United States
DEP - 20190925
TA - Biol Blood Marrow Transplant
JT - Biology of blood and marrow transplantation : journal of the American Society
for
Blood and Marrow Transplantation
JID - 9600628
RN - 0 (Antineoplastic Agents)
SB - IM
MH - Adult
MH - Antineoplastic Agents/*administration & dosage
MH - *Drug Chronotherapy
MH - Female
MH - *Hematopoietic Stem Cell Transplantation
MH - *Hospitalization
MH - Humans
MH - Male
MH - *Quality Improvement
MH - Time Factors
MH - *Transplantation Conditioning
PMC - PMC7513385
MID - NIHMS1621015
OTO - NOTNLM
OT - *Chemotherapy safety
OT - *Pediatrics
OT - *Quality improvement
OT - *Stem cell transplant
COIS- Conflict of interest statement: There are no conflicts of interest to report.
EDAT- 2019/09/29 06:00
MHDA- 2021/01/22 06:00
CRDT- 2019/09/29 06:00
PHST- 2019/05/09 00:00 [received]
PHST- 2019/09/19 00:00 [revised]
PHST- 2019/09/20 00:00 [accepted]
PHST- 2019/09/29 06:00 [pubmed]
PHST- 2021/01/22 06:00 [medline]
PHST- 2019/09/29 06:00 [entrez]
AID - S1083-8791(19)30637-8 [pii]
AID - 10.1016/j.bbmt.2019.09.026 [doi]
PST - ppublish
SO - Biol Blood Marrow Transplant. 2020 Jan;26(1):150-156. doi:
10.1016/j.bbmt.2019.09.026. Epub 2019 Sep 25.
PMID- 31897250
OWN - NLM
LR - 20200930
IS - 1885-642X (Print)
VI - 17
IP - 4
DP - 2019 Oct-Dec
TI - Facilitators and barriers in implementing medication safety practices across
hospitals within 11 European Union countries.
PG - 1583
LID - 10.18549/PharmPract.2019.4.1583 [doi]
LID - 1583
AB - BACKGROUND: The study was carried out as part of the European Network for
Patient
Safety (EUNetPas) project in 2008-2010. OBJECTIVE: To investigate
facilitators and
barriers in implementation process of selected medication safety practices
across
hospitals within European Union countries. METHODS: This was an
implementation study
of seven selected medication safety practices in 55 volunteering hospitals of
11
European Union (EU) member states. The selected practices were two different
versions of medicine bed dispensation; safety vest; discharge medication list
for
patients; medication reconciliation at patient discharge; medication
reconciliation
at patient admission and patient discharge, and sleep card. The participating
hospitals submitted an evaluation report describing the implementation

process of a
chosen practice in their organisation. The reports were analysed with
inductive
content analysis to identify general and practice-specific facilitators and
barriers
to the practice implementation. RESULTS: Altogether 75 evaluation reports
were
submitted from 55 hospitals in 11 EU member states. Implementation of the
medication
safety practices was challenging and more time consuming than expected. The
major
reported challenge was to change the work process because of the new
practice.
General facilitators for successful implementation were existence of safety
culture,
national guidelines and projects, expert support, sufficient resources,
electronic
patient records, interdisciplinary cooperation and clinical pharmacy services
supporting the practice implementation. CONCLUSIONS: The key for the

successful
implementation of a medication safety practice is to select the right
practice for
the right problem, in the right setting and with sufficient resources in an
organization with a safety culture.
CI - Copyright: © Pharmacy Practice.
FAU - Linden-Lahti, Carita
AU - Linden-Lahti C
AUID- ORCID: 0000-0002-2092-0467
AD - MSc. Helsinki University Hospital, HUS Pharmacy; & Division of Pharmacology
and
Pharmacotherapy, Faculty of Pharmacy, University of Helsinki.Finland
carita.linden@helsinki.fi.
FAU - Holmström, Anna-Riia
AU - Holmström AR
AD - PhD. Helsinki University Hospital, HUS Pharmacy; & Division of Pharmacology
and
Pharmacotherapy, Faculty of Pharmacy, University of Helsinki.Finland.
FAU - Pennanen, Pirjo
AU - Pennanen P
AD - MD. City of Vantaa, Preventive Healthcare. Vantaa (Finland).
FAU - Airaksinen, Marja
AU - Airaksinen M
AUID- ORCID: 0000-0002-6077-5671
AD - PhD. Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy,
University
of Helsinki.Finland.
LA - eng
DEP - 20191204
TA - Pharm Pract (Granada)
JT - Pharmacy practice
JID - 101530029
PMC - PMC6935546
OTO - NOTNLM
OT - Delivery of Health Care
OT - Electronic Health Records
OT - Europe
OT - European Union
OT - Health Plan Implementation
OT - Hospitals
OT - Medication Reconciliation
OT - Patient Admission
OT - Patient Discharge
OT - Patient Safety
OT - Pharmacy Service Hospital
OT - Safety Management
OT - Surveys and Questionnaires
COIS- CONFLICT OF INTEREST None.
EDAT- 2020/01/04 06:00
MHDA- 2020/01/04 06:01
CRDT- 2020/01/04 06:00
PHST- 2019/05/31 00:00 [received]
PHST- 2019/10/20 00:00 [accepted]
PHST- 2020/01/04 06:00 [entrez]
PHST- 2020/01/04 06:00 [pubmed]
PHST- 2020/01/04 06:01 [medline]
AID - pharmpract-17-1583 [pii]
AID - 10.18549/PharmPract.2019.4.1583 [doi]
PST - ppublish
SO - Pharm Pract (Granada). 2019 Oct-Dec;17(4):1583. doi:
10.18549/PharmPract.2019.4.1583. Epub 2019 Dec 4.
PMID- 32810000
OWN - NLM
STAT- In-Process
LR - 20210125
IS - 1549-8417 (Print)
IS - 1549-8417 (Linking)
VI - 16
IP - 3S Suppl 1
DP - 2020 Sep
TI - System-Level Patient Safety Practices That Aim to Reduce Medication Errors
Associated With Infusion Pumps: An Evidence Review.
PG - S42-S47
LID - 10.1097/PTS.0000000000000722 [doi]
AB - OBJECTIVES: In this literature review, we discuss 2 system-level, nurse-
targeted
patient safety practices (PSPs) that aim to reduce medication errors
associated with
infusion pumps, including smart pumps. One practice focuses on implementing
structured process changes and redesigning workflows to improve efficiencies
with
pump use. The other focuses on investing in initial and ongoing staff
training on
the correct use, maintenance, and monitoring of infusion pumps. METHODS: Two
databases were searched for "infusion pumps" and related synonyms, along with
relevant terms for each PSP. Articles were excluded if outcomes were not
directly
relevant to the PSP addressed in this review, the article was out of scope,
or study
design was insufficiently described. RESULTS: Limited research was found on
best
practices for reducing errors and improving infusion pump use through
workflow and
process changes, as well as education and training. Four studies reported
medication
administration errors, procedural errors, or deviations from hospital policy
as
clinical outcomes of workflow or process changes. Mixed results were found
examining
process outcomes related to pump handling. Education on the correct use of
smart
pumps was found to decrease medication errors and adverse drug events, and 2
studies
found an increase in nurses' adherence to using the medication safety
software
library as a result of education. CONCLUSIONS: Standardization of process and
integration of technology and workflows were found as facilitators. Type and

content
of education provided were identified as facilitators, whereas time and
energy
constraints on nurse educators can be barriers to implementing large
hospital-wide
education programs.
FAU - Bacon, Olivia
AU - Bacon O
AD - From the Abt Associates, Inc, Rockville, Maryland.
FAU - Hoffman, Lynn
AU - Hoffman L
LA - eng
TA - J Patient Saf
JID - 101233393
SB - IM
PMC - PMC7447176
COIS- The authors disclose no conflict of interest.
EDAT- 2020/08/19 06:00
MHDA- 2020/08/19 06:00
CRDT- 2020/08/19 06:00
PHST- 2020/08/19 06:00 [entrez]
PHST- 2020/08/19 06:00 [pubmed]
PHST- 2020/08/19 06:00 [medline]
AID - 01209203-202009001-00008 [pii]
AID - PTS50539 [pii]
AID - 10.1097/PTS.0000000000000722 [doi]
PST - ppublish
SO - J Patient Saf. 2020 Sep;16(3S Suppl 1):S42-S47. doi:
10.1097/PTS.0000000000000722.
PMID- 31173923
OWN - NLM
STAT- MEDLINE
DCOM- 20200210
LR - 20200210
IS - 1976-1317 (Linking)
VI - 13
IP - 3
DP - 2019 Aug
TI - Nurses' Perceptions Regarding Disclosure of Patient Safety Incidents in
Korea: A
Qualitative Study.
PG - 200-208
LID - S1976-1317(18)30467-5 [pii]
LID - 10.1016/j.anr.2019.05.002 [doi]
AB - PURPOSE: The purpose of this study was to determine nurses' perceptions of
the
disclosure of patient safety incidents (DPSI), which is known to be effective
in
reducing medical litigation and improving the credibility of medical
professionals.
METHODS: Three focus group discussions were conducted with 20 nurses using
semistructured guidelines. Transcribed content including a record of the
progress of
the focus group discussions and researchers' notes were analyzed using
directed
content analysis. RESULTS: Most participants thought that DPSI is necessary
because
of its effectiveness and for ethical justification. However, participants
held
varied opinions regarding the primary responsibility of DPSI. Participants
agreed on
the necessity of explaining the incident and expressing sympathy,
apologizing, and
promising appropriate compensation that are chief components of DPSI.
However, they
were concerned that it implies a definitive medical error. A closed
organizational
culture, fear of deteriorating relationships with patients, and concerns
about
additional work burdens were suggested as barriers to DPSI. However, the
establishment of DPSI guidelines and improving the hospital organization
culture
were raised as facilitators of DPSI. CONCLUSION: Most nurse participants
acknowledged the need for DPSI. To promote DPSI, it is necessary to develop
guidelines for DPSI and provide the appropriate training. Improving the
hospital
organization culture is also critical to facilitate DPSI.
FAU - Choi, Eun Young
AU - Choi EY
AD - Department of Preventive Medicine, University of Ulsan College of Medicine,
Seoul,
Republic of Korea; Department of Nursing, The Graduate School of Chung-Ang
University, Seoul, Republic of Korea.
FAU - Pyo, Jeehee
AU - Pyo J
AD - Department of Preventive Medicine, Ulsan University Hospital, University of
Ulsan
College of Medicine, Ulsan, Republic of Korea.
FAU - Ock, Minsu
AU - Ock M
AD - Department of Preventive Medicine, Ulsan University Hospital, University of
Ulsan
College of Medicine, Ulsan, Republic of Korea. Electronic address:
ohohoms@naver.com.
FAU - Lee, Sang-Il
AU - Lee SI
AD - Department of Preventive Medicine, University of Ulsan College of Medicine,
Seoul,
Republic of Korea.
LA - eng
DEP - 20190605
PL - Korea (South)
JID - 101321326
SB - IM
SB - N
MH - Adult
MH - Disclosure/*ethics/*statistics & numerical data
MH - Female
MH - Humans
MH - Male
MH - Medical Errors/*ethics/*psychology
MH - Middle Aged
OTO - NOTNLM
OT - disclosure
OT - medical errors
OT - patient rights
OT - patient safety
EDAT- 2019/06/08 06:00
MHDA- 2020/02/11 06:00
CRDT- 2019/06/08 06:00
PHST- 2018/07/25 00:00 [received]
PHST- 2019/05/26 00:00 [revised]
PHST- 2019/05/27 00:00 [accepted]
PHST- 2019/06/08 06:00 [pubmed]
PHST- 2020/02/11 06:00 [medline]
PHST- 2019/06/08 06:00 [entrez]
AID - S1976-1317(18)30467-5 [pii]
AID - 10.1016/j.anr.2019.05.002 [doi]
PST - ppublish
SO - Asian Nurs Res (Korean Soc Nurs Sci). 2019 Aug;13(3):200-208. doi:
10.1016/j.anr.2019.05.002. Epub 2019 Jun 5.
PMID- 32834017
OWN - NLM
STAT- MEDLINE
DCOM- 20201008
LR - 20201008
IS - 1932-6203 (Linking)
VI - 15
IP - 8
DP - 2020
TI - Exploring the role of nurses in after-hours telephone services in regional
areas; A
scoping review.
PG - e0237306
LID - e0237306
AB - INTRODUCTION: The management of patients who need chronic and complex care is
a
focus of attention internationally, brought about by an increase in chronic
conditions, requiring significantly more care over longer periods of time.
The
increase in chronic conditions has placed pressure on health services,
financially
and physically, bringing about changes in the way care is delivered, with
hospital
avoidance and home-based care encouraged. In this environment, nurses play an
important role in co-ordinating care across services. This review formed one
part of
a funded project that explored the nurse navigator role within a proposed 24-
hour
telephone-call service in one regional area that has a diverse population in
terms
of cultural identity and geographical location in relation to service access.
AIM:
The review reports on the extant literature on the nurse's role in the
provision of
afterhours telephone services for patients with chronic and complex
conditions. The
specific aim was to explore the effectiveness of services for patients in
geographically isolated locations. METHODS: The methodological approach to
the
review followed the Preferred Reporting System for Meta-Analyses (PRISMA)
guidelines. A thematic analysis was used to identify themes with chronic care
models
underpinning analysis. RESULTS: Three themes were identified; nurse-led
decision
making; consumer profile; and program outcomes. Each theme was divided into
two
sub-themes. The two sub-themes for decision making were: the experience of
the staff
who provided the service and the tool or protocol used. The two sub-themes
for
consumers profile were; the geographic/demographic identity of the consumers,
and
consumer satisfaction. The final theme of outcomes describes how the
effectiveness
of the service is measured, broken into two sub-themes: the
economic/workforce
outcomes and the consumer outcomes. DISCUSSION: The provision of an after-
hours
telephone service, in whatever model used should align with a Chronic Care
Model. In
this way, after-hours telephone services provided by experienced nurses,
supported
by ongoing professional development and relevant protocols, form part of the
ongoing
improvement for chronic and complex care management as a health priority.
FAU - Baldwin, Adele
AU - Baldwin A
AD - School of Nursing, Midwifery and Social Science, Central Queensland
University,
Townsville campus, Townsville, Queensland, Australia.
FAU - Willis, Eileen
AU - Willis E
University,
FAU - Harvey, Clare
AU - Harvey C
AUID- ORCID: 0000-0001-9016-8840
University,
FAU - Lang, Melanie
AU - Lang M
University,
FAU - Hegney, Desley
AU - Hegney D
AD - Research Division, Central Queensland University, Brisbane campus, Brisbane,
Queensland, Australia.
AD - School of Nursing, University of Adelaide, Adelaide, South Australia,
Australia.
FAU - Heard, David
AU - Heard D
University,
FAU - Heritage, Brody
AU - Heritage B
AUID- ORCID: 0000-0002-6437-7232
AD - College of Science, Health, Engineering and Education, Murdoch University,
Perth,
Western Australia.
FAU - Claes, Jamin
AU - Claes J
AD - Cairns Hospital and Health Service, Cairns, North Queensland.
FAU - Patterson, Denise
AU - Patterson D
AD - Cairns Hospital and Health Service, Cairns, North Queensland.
FAU - Curnow, Venessa
AU - Curnow V
AD - Torres and Cape Hospital and Health Service, Cairns, North Queensland.
LA - eng
PT - Meta-Analysis
PT - Review
DEP - 20200824
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - After-Hours Care
MH - Chronic Disease
MH - Humans
MH - *Nurse's Role
MH - Nurses
MH - Patient Satisfaction
MH - *Telemedicine
MH - Telephone
PMC - PMC7446909
EDAT- 2020/08/25 06:00
MHDA- 2020/10/09 06:00
CRDT- 2020/08/25 06:00
PHST- 2019/08/26 00:00 [received]
PHST- 2020/07/11 00:00 [accepted]
PHST- 2020/08/25 06:00 [entrez]
PHST- 2020/08/25 06:00 [pubmed]
PHST- 2020/10/09 06:00 [medline]
PST - epublish
SO - PLoS One. 2020 Aug 24;15(8):e0237306. doi: 10.1371/journal.pone.0237306.
eCollection
2020.
PMID- 31939523
OWN - NLM
STAT- MEDLINE
DCOM- 20200318
LR - 20200318
IS - 1679-4508 (Print)
IS - 1679-4508 (Linking)
VI - 18
DP - 2020
TI - Pharmaceutical intervention in the rational use of intravenous omeprazole.
PG - eAO4433
LID - S1679-45082020000100225 [pii]
LID - 10.31744/einstein_journal/2020AO4433 [doi]
LID - eAO4433
AB - OBJECTIVE: To describe the pharmaceutical interventions of a vertical
clinical
pharmacy service to promote the rational use of intravenous omeprazole.
METHODS: A
prospective and descriptive study carried out at a university hospital in the
Midwestern Region of Brazil, from November 2014 to May 2015. The service
consisted
of the analysis of adequacy of the route of administration of omeprazole in
relation
to the clinical conditions of the patient, as well as the use of the
appropriate
diluent. Interventions were recorded in medical records and subsequently
evaluated
for acceptance. RESULTS: A total of 770 prescriptions were evaluated.
Interventions
related to diluent replacement were more accepted (p<0.001), and surgeons
were the
specialty that used the intravenous route inappropriately (p<0.001).
CONCLUSION:
Although partially accepted, pharmaceutical interventions could contribute to
improve patient safety, since they allowed the use of a safer route of
administration.
FAU - Araújo, Eduardo Silva
AU - Araújo ES
AUID- ORCID: 0000-0002-1837-5180
AD - Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, GO, Brazil.
FAU - Modesto, Ana Carolina Figueiredo
AU - Modesto ACF
AUID- ORCID: 0000-0002-5083-237X
AD - Hospital das Clínicas de Goiás, Universidade Federal de Goiás, Goiânia, GO,
Brazil.
FAU - Ferreira, Tatyana Xavier Almeida Matteucci
AU - Ferreira TXAM
AUID- ORCID: 0000-0002-7654-8799
AD - Hospital das Clínicas de Goiás, Universidade Federal de Goiás, Goiânia, GO,
Brazil.
FAU - Provin, Mércia Pandolfo
AU - Provin MP
AUID- ORCID: 0000-0001-7529-585X
AD - Faculdade de Farmácia, Universidade Federal de Goiás, Goiânia, GO, Brazil.
FAU - Lima, Dione Marçal
AU - Lima DM
AUID- ORCID: 0000-0003-1248-3479
FAU - Amaral, Rita Goreti
AU - Amaral RG
AUID- ORCID: 0000-0001-8890-0852
LA - eng
LA - por
DEP - 20200110
TA - Einstein (Sao Paulo)
JT - Einstein (Sao Paulo, Brazil)
JID - 101281800
RN - 0 (Proton Pump Inhibitors)
RN - KG60484QX9 (Omeprazole)
SB - IM
MH - Administration, Intravenous/*methods
MH - Adult
MH - Age Distribution
MH - Aged
MH - Brazil
MH - Drug Prescriptions/statistics & numerical data
MH - Female
MH - Humans
MH - Male
MH - Medication Errors/statistics & numerical data
MH - Middle Aged
MH - Omeprazole/*administration & dosage
MH - Patient Safety
MH - Pharmacy Service, Hospital/*standards
MH - Proton Pump Inhibitors/*administration & dosage
MH - Sex Distribution
PMC - PMC6924820
OAB - Publisher: Abstract available from the publisher.
OABL- por
COIS- Conflict of interest: none.
EDAT- 2020/01/16 06:00
MHDA- 2020/03/19 06:00
CRDT- 2020/01/16 06:00
PHST- 2018/02/22 00:00 [received]
PHST- 2019/08/16 00:00 [accepted]
PHST- 2020/01/16 06:00 [entrez]
PHST- 2020/01/16 06:00 [pubmed]
PHST- 2020/03/19 06:00 [medline]
AID - S1679-45082020000100225 [pii]
AID - 10.31744/einstein_journal/2020AO4433 [doi]
PST - epublish
SO - Einstein (Sao Paulo). 2020 Jan 10;18:eAO4433. doi:
10.31744/einstein_journal/2020AO4433. eCollection 2020.
PMID- 30559528
OWN - NLM
LR - 20200225
IS - 0018-5787 (Print)
IS - 0018-5787 (Linking)
VI - 53
IP - 6
DP - 2018 Dec
TI - Avoiding Patient Harm With Parenteral Nutrition During Electrolyte Shortages.
PG - 403-407
LID - 10.1177/0018578718769571 [doi]
AB - Purpose: We report a case of a patient with gastrointestinal dysmotility and
substantial drainage losses who required parenteral nutrition (PN) and
developed a
non-anion gap metabolic acidosis secondary to a shortage of concurrent
potassium
acetate and sodium acetate PN additives. We describe how severe PN-associated
metabolic consequences were averted during this acetate shortage. Summary:

The
patient with inability to swallow and significant weight loss was admitted to
the
hospital and given PN after failure to tolerate either gastric or jejunal
feeding
due to dysmotility and severe abdominal distension and discomfort. PN was
initiated
and the nasogastric and jejunal tubes were left to low intermittent suction
or
gravity drainage (average losses of 800 mL and 1600 mL daily, respectively)
to
reduce abdominal distension. The patient had been stable on PN for
approximately 2
months prior to when a shortage in potassium acetate and sodium acetate
occurred. As
a result, potassium and sodium requirements had to be met with chloride and
phosphate salts. The patient developed a non-anion gap metabolic acidosis
after 11
days of acetate-free PN. Progression to severe acidemia was avoided by
administration of sodium bicarbonate daily for 3 days and replacement of 0.9%
sodium
chloride supplemental intravenous fluid with lactated ringers solution.
Conclusion:
This case report illustrates that PN component shortages require clinicians
to
closely monitor patients who require PN. In addition, clinicians may need to
use
creative therapeutic strategies to avoid potential serious patient harm
during PN
component shortages.
FAU - Brown, Eric W
AU - Brown EW
AD - UCHealth Memorial Hospital Central, Colorado Springs, CO, USA.
FAU - McClellan, Nicole H
AU - McClellan NH
AD - Regional One Health, Memphis, TN, USA.
FAU - Minard, Gayle
AU - Minard G
AD - The University of Tennessee Health Science Center, Memphis, TN, USA.
FAU - Maish, George O 3rd
AU - Maish GO 3rd
FAU - Dickerson, Roland N
AU - Dickerson RN
LA - eng
DEP - 20180413
TA - Hosp Pharm
JT - Hospital pharmacy
JID - 0043175
PMC - PMC6293383
OTO - NOTNLM
OT - fluid and electrolyte disorders
OT - intravenous therapy
OT - medication safety
OT - nutrition
OT - nutritional support
conflicts
this
article.
EDAT- 2018/12/19 06:00
MHDA- 2018/12/19 06:01
CRDT- 2018/12/19 06:00
PHST- 2018/12/19 06:00 [entrez]
PHST- 2018/12/19 06:00 [pubmed]
PHST- 2018/12/19 06:01 [medline]
AID - 10.1177_0018578718769571 [pii]
AID - 10.1177/0018578718769571 [doi]
PST - ppublish
SO - Hosp Pharm. 2018 Dec;53(6):403-407. doi: 10.1177/0018578718769571. Epub 2018
Apr 13.
PMID- 31360773
OWN - NLM
LR - 20200930
IS - 2377-9608 (Linking)
VI - 5
DP - 2019 Jan-Dec
TI - Rural Hospital Nursing Skill Mix and Work Environment Associated with
Frequency of
Adverse Events.
LID - 10.1177%2F2377960819848246
AB - INTRODUCTION: Though rural hospitals serve about one fifth of the United
States
(U.S.), few studies have investigated relationships among nursing resources
and
rural hospital adverse events. OBJECTIVES: The purpose was to determine
relationships among nursing skill mix (proportion of Registered Nurses (RNs)
to all
nursing staff), the work environment and adverse events (medication errors,
patient
falls with injury, pressure ulcers, and urinary tract infections) in rural
hospitals. METHODS: Using a cross-sectional design, nurse survey data from a
large
study examining nurse organizational factors, patient safety, and quality
from four
U.S. states were linked to the 2006 American Hospital Association data. The
work
environment was measured using the Practice Environment Scale of the Nursing
Work
Index (PES-NWI). Nurses reported adverse event frequency. Data analyses were
descriptive and inferential. RESULTS: On average, 72% of nursing staff were
RNs
(range = 45% to 100%). Adverse event frequency ranged from 0% to 67%, across
76
hospitals. In regression models, a 10-point increase in the proportion of RNs
among
all nursing staff and a one standard deviation increase in the PES-NWI score
were
significantly associated with decreased odds of frequent adverse events.
CONCLUSION:
Rural hospitals that increase the nursing skill mix and improve the work
environment
may achieve reduced adverse event frequency.
FAU - Smith, Jessica G
AU - Smith JG
AD - University of Texas at Arlington College of Nursing and Health Innovation,
411 S.
Nedderman Drive, Arlington, TX, 76019.
FAU - Plover, Colin M
AU - Plover CM
AD - Thomas Jefferson University College of Population Health, 901 Walnut Street,
Philadelphia, PA, 19107.
FAU - McChesney, Moira C
AU - McChesney MC
School of
Nursing, 418 Curie Boulevard, Claire M. Fagin Hall, Philadelphia, PA, 19104-
4217.
FAU - Lake, Eileen T
AU - Lake ET
School of
Nursing, 418 Curie Boulevard, Claire M. Fagin Hall, Philadelphia, PA, 19104-
4217.
LA - eng
DEP - 20190514
TA - SAGE Open Nurs
JT - SAGE open nursing
JID - 101724853
PMC - PMC6663106
MID - NIHMS1027631
OTO - NOTNLM
OT - hospitals
OT - nursing
OT - nursing skill mix
OT - work environment
COIS- Authors have no conflicts of interest to declare.
EDAT- 2019/07/31 06:00
MHDA- 2019/07/31 06:01
CRDT- 2019/07/31 06:00
PHST- 2019/07/31 06:00 [entrez]
PHST- 2019/07/31 06:00 [pubmed]
PHST- 2019/07/31 06:01 [medline]
PST - ppublish
SO - SAGE Open Nurs. 2019 Jan-Dec;5:10.1177%2F2377960819848246. Epub 2019 May 14.
PMID- 33317468
OWN - NLM
STAT- In-Process
LR - 20210112
VI - 20
IP - 1
DP - 2020 Dec 14
TI - Assessment of patient safety challenges and electronic occurrence variance
reporting
(e-OVR) barriers facing physicians and nurses in the emergency department: a
cross
sectional study.
PG - 98
LID - 10.1186/s12873-020-00391-2 [doi]
LID - 98
AB - BACKGROUND: The purpose of patient safety is to prevent harm occurring in the
healthcare system. Patient safety is improved by the use of a reporting

system in
which healthcare workers can document and learn from incidents, and thus
prevent
potential medical errors. The present study aimed to determine patient safety
challenges facing clinicians (physicians and nurses) in emergency medicine

and to
assess barriers to using e-OVR (electronic occurrence variance reporting).
METHODS:
This cross-sectional study involved physicians and nurses in the emergency
department (ED) at King Khalid University Hospital (KKUH) in Riyadh, Saudi
Arabia.
Using convenience sampling, a self-administered questionnaire was distributed
to 294
clinicians working in the ED. The questionnaire consisted of items pertaining
to
patient safety and e-OVR usability. Data were analyzed using frequencies,
means, and
percentages, and the chi-square test was used for comparison. RESULTS: A
total of
197 participants completed the questionnaire (67% response rate) of which 48
were
physicians (24%) and 149 nurses (76%). Only 39% of participants thought that
there
was enough staff to handle work in the ED. Roughly half (48%) of participants
spoke
up when something negatively affected patient safety, and 61% admitted that
they
sometimes missed important patient care information during shift changes.
Two-thirds
(66%) of the participants reported experiencing violence. Regarding e-OVR,
31% of
participants found reporting to be time consuming. Most (85%) participants
agreed
that e-OVR training regarding knowledge and skills was sufficient. Physicians
reported lower knowledge levels regarding how to access (46%) and how to use
(44%)
e-OVR compared to nurses (98 and 95%, respectively; p < 0.01). Less than a
quarter
of the staff did not receive timely feedback after reporting. Regarding
overall
satisfaction with e-OVR, only 25% of physicians were generally satisfied
compared to
nearly half (52%) of nurses. CONCLUSION: Although patient safety is well
emphasized
in clinical practice, especially in the ED, many factors hinder patient
safety. More
awareness is needed to eliminate violence and to emphasize the needs of
additional
staff in the ED. Electronic reporting and documentation of incidents should
be well
supported by continuous staff training, help, and feedback.
FAU - Albarrak, Ahmed I
AU - Albarrak AI
AD - Medical Informatics Unit, Medical Education Department, Research Chair for
Health
Informatics and Promotion, College of Medicine, King Saud University, P O Box
63709,
Riyadh, 11526, Saudi Arabia. albarrak@ksu.edu.sa.
FAU - Almansour, Ammar S
AU - Almansour AS
AD - College of Medicine, King Saud University, Riyadh, Saudi Arabia.
FAU - Alzahrani, Ali A
AU - Alzahrani AA
FAU - Almalki, Abdulaziz H
AU - Almalki AH
FAU - Alshehri, Abdulrahman A
AU - Alshehri AA
FAU - Mohammed, Rafiuddin
AU - Mohammed R
AD - Department of Health Informatics, College of Health Sciences, Saudi
Electronic
University, Riyadh, Saudi Arabia.
LA - eng
DEP - 20201214
TA - BMC Emerg Med
JID - 100968543
SB - IM
PMC - PMC7737304
OTO - NOTNLM
OT - *Barriers to reporting
OT - *Electronic occurrence variance reporting
OT - *Healthcare
OT - *Nurses
OT - *Physicians
EDAT- 2020/12/16 06:00
MHDA- 2020/12/16 06:00
CRDT- 2020/12/15 05:39
PHST- 2020/09/17 00:00 [received]
PHST- 2020/12/06 00:00 [accepted]
PHST- 2020/12/15 05:39 [entrez]
PHST- 2020/12/16 06:00 [pubmed]
PHST- 2020/12/16 06:00 [medline]
AID - 10.1186/s12873-020-00391-2 [pii]
AID - 391 [pii]
AID - 10.1186/s12873-020-00391-2 [doi]
PST - epublish
SO - BMC Emerg Med. 2020 Dec 14;20(1):98. doi: 10.1186/s12873-020-00391-2.
PMID- 32217698
OWN - NLM
STAT- In-Data-Review
LR - 20210120
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 30
IP - 1
DP - 2021 Jan
TI - Costs and consequences of using average demand to plan baseline nurse
staffing
levels: a computer simulation study.
PG - 7-16
LID - 10.1136/bmjqs-2019-010569 [doi]
AB - BACKGROUND: Planning numbers of nursing staff allocated to each hospital ward
(the
'staffing establishment') is challenging because both demand for and supply
of staff
vary. Having low numbers of registered nurses working on a shift is
associated with
worse quality of care and adverse patient outcomes, including higher risk of
patient
safety incidents. Most nurse staffing tools recommend setting staffing levels
at the
average needed but modelling studies suggest that this may not lead to
optimal
levels. OBJECTIVE: Using computer simulation to estimate the costs and
understaffing/overstaffing rates delivered/caused by different approaches to
setting
staffing establishments. METHODS: We used patient and roster data from 81
inpatient
wards in four English hospital Trusts to develop a simulation of nurse
staffing.
Outcome measures were understaffed/overstaffed patient shifts and the cost
per
patient-day. We compared staffing establishments based on average demand with
higher
and lower baseline levels, using an evidence-based tool to assess daily
demand and
to guide flexible staff redeployments and temporary staffing hires to make up
any
shortfalls. RESULTS: When baseline staffing was set to meet the average
demand, 32%
of patient shifts were understaffed by more than 15% after redeployment and
hiring
from a limited pool of temporary staff. Higher baseline staffing reduced
understaffing rates to 21% of patient shifts. Flexible staffing reduced both
overstaffing and understaffing but when used with low staffing
establishments, the
risk of critical understaffing was high, unless temporary staff were
unlimited,
which was associated with high costs. CONCLUSION: While it is common practice
to
base staffing establishments on average demand, our results suggest that this
may
lead to more understaffing than setting establishments at higher levels.
Flexible
staffing, while an important adjunct to the baseline staffing, was most
effective at
avoiding understaffing when high numbers of permanent staff were employed.
Low
staffing establishments with flexible staffing saved money because shifts
were
unfilled rather than due to efficiencies. Thus, employing low numbers of
permanent
staff (and relying on temporary staff and redeployments) risks quality of
care and
patient safety.
Published by
BMJ.
FAU - Saville, Christina
AU - Saville C
AUID- ORCID: 0000-0001-7718-5689
AD - School of Health Sciences, University of Southampton, Southampton, Hampshire,
UK
C.E.Saville@soton.ac.uk.
FAU - Monks, Thomas
AU - Monks T
AD - University of Exeter Medical School, University of Exeter, Exeter, Devon, UK.
AD - NIHR CLAHRC Wessex, University of Southampton, Southampton, Hampshire, UK.
AU - Griffiths P
UK.
AD - NIHR CLAHRC Wessex, University of Southampton, Southampton, Hampshire, UK.
FAU - Ball, Jane Elisabeth
AU - Ball JE
UK.
AD - Karolinska Institutet, Stockholm, Sweden.
LA - eng
DEP - 20200326
TA - BMJ Qual Saf
JID - 101546984
SB - H
CIN - doi: 10.1136/bmjqs-2020-010970
PMC - PMC7788209
OTO - NOTNLM
OT - decision analysis
OT - health policy
OT - nurses
OT - simulation
COIS- Competing interests: PG is a member of the National Health Service
Improvement
(NHSI) safe staffing faculty steering group. The safe staffing faculty
programme is
intended to ensure that knowledge of the Safer Nursing Care Tool (SNCT), its
development and its operational application is consistently applied across
the NHS.
EDAT- 2020/03/29 06:00
MHDA- 2020/03/29 06:00
CRDT- 2020/03/29 06:00
PHST- 2019/10/31 00:00 [received]
PHST- 2020/03/06 00:00 [revised]
PHST- 2020/03/13 00:00 [accepted]
PHST- 2020/03/29 06:00 [pubmed]
PHST- 2020/03/29 06:00 [medline]
PHST- 2020/03/29 06:00 [entrez]
AID - bmjqs-2019-010569 [pii]
AID - 10.1136/bmjqs-2019-010569 [doi]
PST - ppublish
Mar 26.
PMID- 30160006
OWN - NLM
STAT- MEDLINE
DCOM- 20190621
LR - 20210109
IS - 1369-6513 (Print)
IS - 1369-6513 (Linking)
VI - 21
IP - 6
DP - 2018 Dec
TI - A 5-facet framework to describe patient engagement in patient safety.
PG - 1122-1133
LID - 10.1111/hex.12815 [doi]
AB - BACKGROUND: Health care remains unacceptably error prone. Recently, efforts
to
address this problem have included the patient and their family as partners
with
providers in harm prevention. Policymakers and clinicians have created
patient
safety strategies to encourage patient engagement, yet they have typically
not
included patient perspectives in their development or been comprehensively
evaluated. We do not have a good understanding of "if" and "how" patients
want
involvement in patient safety during clinical interactions. OBJECTIVE: The
objective
of this study was to gain insight into patients' perspectives about their
knowledge,
comfort level and behaviours in promoting their safety while receiving health
care
in hospital. METHODS: The study design was a descriptive, exploratory
qualitative
approach to inductively examine how adult patients in a community hospital
describe
health-care safety and see their role in preventing error. RESULTS: The
findings,
which included participation of 30 patients and four family members, indicate
that
although there are shared themes that influence a patient's engagement in
safety,
beliefs about involvement and actions taken are varied. Five conceptual
themes
emerged from their narratives: Personal Capacity, Experiential Knowledge,
Personal
Character, Relationships and Meaning of Safety. DISCUSSION: These results
will be
used to develop and test a pragmatic, accessible tool to enable providers a
way to
collaborate with patients for determining their personal level and type of
safety
involvement. CONCLUSION: The most ethical and responsible approach to health-
care
safety is to consider every potential way for improvement. This study
provides
fundamental insights into the complexity of patient engagement in safety.
CI - © 2018 The Authors. Health Expectations published by John Wiley & Sons Ltd.
FAU - Duhn, Lenora
AU - Duhn L
AUID- ORCID: 0000-0002-0401-953X
AD - School of Nursing, Queen's University, Kingston, Ontario, Canada.
FAU - Medves, Jennifer
AU - Medves J
AD - School of Nursing, Queen's University, Kingston, Ontario, Canada.
LA - eng
DEP - 20180829
TA - Health Expect
health
JID - 9815926
SB - IM
MH - Aged
MH - Delivery of Health Care/*methods
MH - Family/psychology
MH - Female
MH - Hospitals, Community
MH - Humans
MH - Male
MH - Medical Errors/prevention & control/psychology
MH - Patient Participation/*psychology
PMC - PMC6250877
OTO - NOTNLM
OT - *community hospital
OT - *patient engagement
OT - *qualitative study
EDAT- 2018/08/31 06:00
MHDA- 2019/06/22 06:00
CRDT- 2018/08/31 06:00
PHST- 2018/01/02 00:00 [received]
PHST- 2018/06/21 00:00 [accepted]
PHST- 2018/08/31 06:00 [pubmed]
PHST- 2019/06/22 06:00 [medline]
PHST- 2018/08/31 06:00 [entrez]
AID - 10.1111/hex.12815 [doi]
PST - ppublish
SO - Health Expect. 2018 Dec;21(6):1122-1133. doi: 10.1111/hex.12815. Epub 2018
Aug 29.
PMID- 31885196
OWN - NLM
STAT- In-Process
LR - 20200518
IS - 1748-3735 (Linking)
VI - 15
IP - 2
DP - 2020 Jun
TI - What are we asking for when requesting "Specialling" for the confused
hospitalised
older person? A concept analysis.
PG - e12302
LID - 10.1111/opn.12302 [doi]
AB - BACKGROUND AND/OR RATIONALE: "Specialling" is a common nursing practice in
hospitals
which entails the allocation of extra staff to be with an older person who is
confused to maintain safety. Despite ongoing use, this practice has little
evidence
of effectiveness. To facilitate further investigation, a concept analysis of
"specialling" was undertaken. AIMS: The aim of this paper was to report on a
concept
analysis on the practice of "specialling" pertaining to older people who have
cognitive impairment when in hospital. METHODS: This study used Rodgers

evolutionary
approach to concept analysis to clarify the attributes, antecedents and
consequences
of the concept to determine a definition of "specialling." Web of Science
(Core
Collection and Web of Science Medline), CINAHL and SCOPUS databases were
searched to
identify relevant literature. Due to the scarcity of papers, the search was
broadened to include all sources that could add understanding. FINDINGS: A
total of
(n = 43) sources were identified. The attributes were themed to 5 categories:
Labels
and descriptions; the "Special" role; Patient safety; Patient care; and
Communication. The antecedents to 2 themes: Patient characteristics; and
Organisational risk. The consequences of "specialling" were diverse with 6
themes:
the "Special" role; the Older persons experience; Costly; "Special" use and
nursing
beliefs; Safety outcomes; and Opportunities. DISCUSSION: The process of
concept
analysis provided a means to identify knowledge gaps and practice challenges.
The
definition determined from this analysis has provided a reflective
opportunity for
clinicians and researchers to consider when implementing care initiatives to
support
older people in hospital. Important is the lack of person-centred approaches
and the
opportunities in developing nurse leadership through empowerment. The
findings from
this analysis will inform a PhD study. IMPLICATIONS FOR PRACTICE: Nurses have
an
opportunity to lead care improvements by ensuring person-centred approaches
in the
care of older people with cognitive impairment.
CI - © 2019 John Wiley & Sons Ltd.
FAU - Coyle, Miriam Anne
AU - Coyle MA
AUID- ORCID: 0000-0001-7415-3008
AD - Illawarra Shoalhaven Local Health District, Bulli Hospital, Warrawong, NSW,
Australia.
FAU - Wilson, Valerie
AU - Wilson V
AUID- ORCID: 0000-0001-7138-5591
AD - Illawarra Shoalhaven Local Health District, DN&M District Nursing &
Midwifery,
Warrawong, NSW, Australia.
FAU - Lapkin, Samuel
AU - Lapkin S
AD - School of Nursing, University of Wollongong, Liverpool, NSW, Australia.
FAU - Traynor, Victoria
AU - Traynor V
AD - School of Nursing and Midwifery, University of Wollongong, Liverpool, NSW,
Australia.
LA - eng
DEP - 20191230
PL - England
TA - Int J Older People Nurs
JT - International journal of older people nursing
JID - 101267281
SB - IM
SB - N
OTO - NOTNLM
OT - acute care
OT - aged care
OT - cognitive impairment
OT - concept analysis
OT - delirium
OT - dementia
OT - hospital setting
OT - older people
OT - specialling
EDAT- 2019/12/31 06:00
MHDA- 2019/12/31 06:00
CRDT- 2019/12/31 06:00
PHST- 2019/07/01 00:00 [received]
PHST- 2019/10/09 00:00 [revised]
PHST- 2019/11/29 00:00 [accepted]
PHST- 2019/12/31 06:00 [pubmed]
PHST- 2019/12/31 06:00 [medline]
PHST- 2019/12/31 06:00 [entrez]
AID - 10.1111/opn.12302 [doi]
PST - ppublish
SO - Int J Older People Nurs. 2020 Jun;15(2):e12302. doi: 10.1111/opn.12302. Epub
2019
Dec 30.
PMID- 32669534
OWN - NLM
STAT- MEDLINE
DCOM- 20201208
LR - 20201214
IS - 1135-5727 (Linking)
VI - 94
DP - 2020 Jul 16
TI - [Knowledge and attitude about Pharmacovigilance practices of pharmacy
professionals
of community pharmacy and hospital pharmacy in Spain.].
LID - e202007068 [pii]
AB - OBJECTIVE: The justification of the study was to assess the degree of
knowledge of
Spanish pharmacists in the field of Pharmacovigilance, their degree of
notification
of adverse drug reactions and their need for training, establishing the
differences
between community pharmacy pharmacist and those of hospital pharmacy.
METHODS: A
questionnaire with twelve questions on Pharmacovigilance was designed. The
distribution and collection of the questionnaires were carried out via online
in
collaboration with the Official Colleges of Pharmacists and the Spanish
Society of
Hospital Pharmacy during the period from November 2018 to June 2019. The
target
population were the pharmacists registered or belonging to the Spanish
Society of
Hospital Pharmacy. The results were processed using a descriptive and
analytical
analysis. The qualitative variables were presented with their frequency
distribution
and the quantitative with their mean and standard deviation. RESULTS: 99% of
hospital pharmacists said they had evidence of suspected adverse reactions
and 96.9%
of them ever reported. 73.5% of community pharmacists stated that they had
knowledge
of suspected adverse reactions but only 48.7% confirmed that they notified
them. In
general, the pharmacists surveyed agreed on the importance of
Pharmacovigilance and
believed that the quality of treatments could be improved and the Spanish
health
system would be saved if Pharmacovigilance was applied more. CONCLUSIONS: Our
results indicated that hospital pharmacists report much more adverse drug
reactions
than community pharmacist does. It also hospital pharmacists who know best
the
obligations they have with Pharmacovigilance. The surveyed pharmacists
thought that
the development of actions in Pharmacovigilance would increase the adherence
of
pharmaceutical professionals to the notification and would imply improvements
in the
quality of treatments, the rational use of medications and patient safety.
FAU - Lozano Fernández, Rafael
AU - Lozano Fernández R
AD - Facultad de Farmacia. Universidad Complutense. Madrid. España.
FAU - Vera Sánchez, Ernesto
AU - Vera Sánchez E
AD - Departamento de Inspección y Control. Agencia Española de Medicamentos y
Productos
Sanitarios. Madrid. España.
FAU - Lozano Estevan, Mª Del Carmen
AU - Lozano Estevan MDC
AD - Facultad de Farmacia. Universidad Alfonso X El Sabio. Madrid. España.
FAU - Madurga Sanz, Mariano
AU - Madurga Sanz M
AD - Signal Review Panel del Uppsala Monitoring Centre (UMC) de la Oorganización
Mundial
de la Salud. Máster de Farmacoepidemiología y Farmacovigilancia. Universidad
de
Alcalá. Alcalá de Henares, España.
FAU - Serna Núñez, Ana
AU - Serna Núñez A
AD - Departamento de Inspección y Control. Agencia Española de Medicamentos y
Productos
Sanitarios. Madrid. España.
LA - spa
TT - Conocimiento y actitud sobre prácticas en Farmacovigilancia de los
profesionales
farmacéuticos de farmacia comunitaria y farmacia hospitalaria en España. Rev
Esp
Salud Pública.
DEP - 20200716
PL - Spain
TA - Rev Esp Salud Publica
JT - Revista espanola de salud publica
JID - 9600212
SB - IM
MH - Adult
MH - Adverse Drug Reaction Reporting Systems
MH - Drug-Related Side Effects and Adverse Reactions
MH - Female
MH - *Health Knowledge, Attitudes, Practice
MH - Humans
MH - Male
MH - Middle Aged
MH - Patient Safety
MH - Pharmacies/*organization & administration
MH - Pharmacists/statistics & numerical data
MH - *Pharmacovigilance
MH - Pharmacy Service, Hospital/*organization & administration
MH - Social Behavior
MH - Spain/epidemiology
MH - Universities
OTO - NOTNLM
OT - Adverse drug reactions
OT - Attitude
OT - Knowledge
OT - Obligations
OT - Pharmaceutical Professionals
OT - Pharmacovigilance
OT - Skills
OT - Spain
OT - Survey
OT - Training
EDAT- 2020/07/17 06:00
MHDA- 2020/12/15 06:00
CRDT- 2020/07/17 06:00
PHST- 2020/03/05 00:00 [received]
PHST- 2020/06/10 00:00 [accepted]
PHST- 2020/07/17 06:00 [entrez]
PHST- 2020/07/17 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
AID - e202007068 [pii]
PST - epublish
SO - Rev Esp Salud Publica. 2020 Jul 16;94:e202007068.
PMID- 30948134
OWN - NLM
STAT- MEDLINE
DCOM- 20200804
LR - 20200804
IS - 0168-8510 (Linking)
VI - 123
IP - 6
DP - 2019 Jun
TI - Towards safe nurse staffing in England's National Health Service: Progress
and
pitfalls of policy evolution.
PG - 590-594
LID - S0168-8510(19)30080-6 [pii]
LID - 10.1016/j.healthpol.2019.03.011 [doi]
AB - In 2013, a national inquiry into care failings at a large public hospital in
England
resulted in major healthcare reforms that included targeting policy aimed at
ensuring the adequacy of nurse staffing levels on hospital wards within NHS
England.
This paper uses a review of publicly available documents to provide a
contextual
account of the evolution of nurse staffing policy development prior to and
following
the inquiry. We found that securing safe staffing policy has been impacted by
caveats and competing policy, evidence gaps, lack of coordination, and the
absence
of readily implementable solutions. Consequently, five years on, safe
staffing
policy for NHS England is described in aspirational terms that ascribes
accountability to providers, but fails to adequately address barriers to
delivery.
Kingdon's 'policy windows' model is used to explain why policy, even when
driven by
strong public concern and with high inter-sector support, may struggle to
gain
traction when the conditions necessary for success are not present, and in
the face
of practical or political constraints. The progress and pitfalls encountered
are not
unique and the experience of safe staffing policy in England may have lessons
for
other countries grappling with policy development or implementation in this
area.
CI - Copyright © 2019 The Author(s). Published by Elsevier B.V. All rights
reserved.
FAU - Lawless, Jane
AU - Lawless J
AD - University of Southampton, University Road, Southampton, SO17 1BJ, UK.
FAU - Couch, Rob
AU - Couch R
AD - Bangor University, Gwynedd, LL57 2EF, UK.
AU - Griffiths P
AD - University of Southampton, University Road, Southampton, SO17 1BJ, UK;
National
Institute for Health Research Collaboration for Leadership in Applied Health
Research and Care Wessex, Southampton, UK.
FAU - Burton, Chris
AU - Burton C
AD - Bangor University, Gwynedd, LL57 2EF, UK.
FAU - Ball, Jane
AU - Ball J
AD - University of Southampton, University Road, Southampton, SO17 1BJ, UK;
Karolinska
Insitutet, Stockholm, Sweden. Electronic address: Jane.Ball@soton.ac.uk.
LA - eng
PT - Review
DEP - 20190319
PL - Ireland
TA - Health Policy
JT - Health policy (Amsterdam, Netherlands)
JID - 8409431
SB - H
MH - England
MH - Health Care Reform
MH - Humans
MH - Personnel Staffing and Scheduling/*organization & administration
MH - *Policy
MH - State Medicine/*organization & administration
OTO - NOTNLM
OT - *Hospitals
OT - *Nursing workforce
OT - *Policy
EDAT- 2019/04/06 06:00
MHDA- 2020/08/05 06:00
CRDT- 2019/04/06 06:00
PHST- 2018/12/07 00:00 [received]
PHST- 2019/03/08 00:00 [revised]
PHST- 2019/03/12 00:00 [accepted]
PHST- 2019/04/06 06:00 [pubmed]
PHST- 2020/08/05 06:00 [medline]
PHST- 2019/04/06 06:00 [entrez]
AID - S0168-8510(19)30080-6 [pii]
AID - 10.1016/j.healthpol.2019.03.011 [doi]
PST - ppublish
SO - Health Policy. 2019 Jun;123(6):590-594. doi: 10.1016/j.healthpol.2019.03.011.
Epub
2019 Mar 19.
PMID- 32864465
OWN - NLM
LR - 20200928
IS - 2393-1809 (Print)
IS - 2393-1817 (Linking)
VI - 6
IP - 3
DP - 2020 Jul
TI - Hypoxic Respiratory Failure Further Complicated During Airway Exchange
Catheter
Placement.
PG - 186-189
LID - 10.2478/jccm-2020-0023 [doi]
AB - INTRODUCTION: An airway exchange catheter is a hollow-lumen tube able to
deliver
oxygen and maintain access to a difficult endotracheal airway. This case
report
demonstrates an undocumented complication associated with an airway exchange
catheter and jet ventilation, particularly in a patient with reduced airway
diameter
due to thick endotracheal secretions. Due to the frequent use of airway
exchange
catheters in the intensive care unit, this report highlights an adverse event
of
bilateral pneumothoraces that can be encountered by clinicians. CASE
PRESENTATION:
This case report describes a 24-year-old female with severe adult respiratory
distress syndrome and thick endotra-cheal secretions whose hospital course

was
complicated by bilateral pneumothoraces resulting from the use of an airway
exchange
catheter connected to jet ventilation. During the exchange, the catheter
occluded
the narrowed endotracheal tube to create a one-way valve that led to
excessive lung
inflation. CONCLUSION: Airway exchange catheters used with jet ventilation in
a
patient with a narrowed endotracheal tube and reduced lung compliance have
the
potential risk of causing a pneumothorax. Clinicians should avoid temporary
concomitant oxygenation via jet ventilation in patients with these findings
and
reserve the use of airway exchange catheters for difficult airways.
CI - © 2020 Osman Ali, Avelino C. Verceles, Matthew L. Barrett, Christopher M.
Franklin,
Imran Khan, Negar Naderi, Michael T. McCurdy, published by Sciendo.
FAU - Ali, Osman
AU - Ali O
AD - University of Maryland Medical Center Midtown Campus, Baltimore, MD, USA.
FAU - Verceles, Avelino C
AU - Verceles AC
AD - University of Maryland School of Medicine, Baltimore, MD, USA.
FAU - Barrett, Matthew L
AU - Barrett ML
AD - Christiana Care Health System, Newark, DE, USA.
FAU - Franklin, Christopher M
AU - Franklin CM
AD - Navicent Health, Macon, GA, USA.
FAU - Khan, Imran
AU - Khan I
FAU - Naderi, Negar
AU - Naderi N
AD - Inova Fairfax Medical Campus, Fairfax, VA, USA.
FAU - McCurdy, Michael T
AU - McCurdy MT
AD - University of Maryland School of Medicine, Baltimore, MD, USA.
LA - eng
DEP - 20200811
TA - J Crit Care Med (Targu Mures)
JT - Journal of critical care medicine (Universitatea de Medicina si Farmacie din
Targu-Mures)
JID - 101706934
PMC - PMC7430357
OTO - NOTNLM
OT - airway exchange catheter
OT - jet ventilation
OT - pneumothorax
COIS- Conflict of interest None to declare.
EDAT- 2020/08/31 06:00
MHDA- 2020/08/31 06:01
CRDT- 2020/09/01 06:00
PHST- 2020/06/01 00:00 [received]
PHST- 2020/06/17 00:00 [accepted]
PHST- 2020/09/01 06:00 [entrez]
PHST- 2020/08/31 06:00 [pubmed]
PHST- 2020/08/31 06:01 [medline]
AID - jccm-2020-0023 [pii]
AID - 10.2478/jccm-2020-0023 [doi]
PST - epublish
SO - J Crit Care Med (Targu Mures). 2020 Aug 11;6(3):186-189. doi:
10.2478/jccm-2020-0023. eCollection 2020 Jul.
PMID- 29407346
OWN - NLM
STAT- MEDLINE
DCOM- 20181024
LR - 20181202
IS - 0020-7489 (Linking)
VI - 80
DP - 2018 Apr
TI - Associations between nurse education and experience and the risk of mortality
and
adverse events in acute care hospitals: A systematic review of observational
studies.
PG - 128-146
LID - S0020-7489(18)30018-X [pii]
AB - OBJECTIVES: To provide knowledge from the summarization of the evidence on
the: a)
associations between nurse education and experience and the occurrence of
mortality
and adverse events in acute care hospitals, and; b) benefits to patients and
organizations of the recent Institute of Medicine's recommendation that 80%
of
registered nurses should be educated at the baccalaureate degree by 2020.
DATA
SOURCES: A systematic search of English and French literature was conducted
in six
electronic databases: 1) Medline, 2) PubMed, 3) CINAHL, 4) Scopus, 5)
Campbell, and
6) Cochrane databases. Additional studies were identified by searching
bibliographies, prior reviews, and by contacting authors. REVIEW METHOD:
Studies
were included if they: a) were published between January 1996 and August
2017; b)
were based on a quantitative research design; c) examined the associations
between
registered nurse education or experience and at least one independently
measured
adverse event, and; d) were conducted in an adult acute care setting. Data
were
independently extracted, analysed, and synthesized by two authors and
discrepancies
were resolved by consensus. The methodological heterogeneity of the reviewed
studies
precluded the use of meta-analysis techniques. However, the methodological
quality
of each study was assessed using the STROBE criteria. FINDINGS: Among 2109
retrieved
articles, 27 studies (24 cross-sectional and three longitudinal studies) met
our
inclusion criteria. These studies examined 18 distinct adverse events, with
mortality and failure to rescue being the most frequently investigated
events.
Overall, higher levels of education were associated with lower risks of
failure to
rescue and mortality in 75% and 61.1% of the reviewed studies pertaining to
these
adverse events, respectively. Nurse education was inconsistently related to
the
occurrence of the other events, which were the focus of only a small number
of
studies. Only one study examined the 80% threshold proposed by the Institute
of
Medicine and found evidence that it is associated with lower odds of hospital
readmission and shorter lengths of stay, but unrelated to mortality. Nurse

experience was inconsistently related to adverse event occurrence.
CONCLUSION: While
evidence suggests that higher nurse education is associated with lower risks
of
mortality and failure to rescue, longitudinal studies are needed to better
ascertain
these associations and determine the specific thresholds that minimize risks.
Further studies are needed to better document the association of nurse

education and
experience with other nursing-sensitive adverse events, as well as the
benefits to
patients and organizations of the Institute of Medicine's recommendation.
reserved.
FAU - Audet, Li-Anne
AU - Audet LA
AD - University of Sherbrooke, School of Nursing, Faculty of Medicine and Health
Sciences, Sherbrooke, Quebec, Canada; Centre de recherche de l'Hôpital
Charles-Le
Moyne, Longueuil, Québec, Canada; Centre de recherche du Centre hospitalier
universitaire de Sherbrooke, Sherbrooke, Québec, Canada.
FAU - Bourgault, Patricia
AU - Bourgault P
Sciences, Sherbrooke, Quebec, Canada; Centre de recherche du Centre
hospitalier
universitaire de Sherbrooke, Sherbrooke, Québec, Canada.
FAU - Rochefort, Christian M
AU - Rochefort CM
Sciences, Sherbrooke, Quebec, Canada; Centre de recherche de l'Hôpital
Charles-Le
Moyne, Longueuil, Québec, Canada; Centre de recherche du Centre hospitalier
universitaire de Sherbrooke, Sherbrooke, Québec, Canada. Electronic address:
Christian.Rochefort@Usherbrooke.ca.
LA - eng
PT - Review
DEP - 20180131
PL - England
JID - 0400675
SB - IM
SB - N
MH - *Hospitals
MH - Humans
MH - *Inservice Training
MH - *Mortality
MH - *Nursing Staff, Hospital/education
MH - *Observational Studies as Topic
OTO - NOTNLM
OT - Acute care hospitals
OT - Adverse events
OT - Failure to rescue
OT - Mortality
OT - Nurse education
OT - Nurse experience
OT - Nurse staffing
OT - Nurse-sensitive outcomes
OT - Systematic review
EDAT- 2018/02/07 06:00
MHDA- 2018/10/26 06:00
CRDT- 2018/02/07 06:00
PHST- 2017/09/20 00:00 [received]
PHST- 2017/12/29 00:00 [revised]
PHST- 2018/01/16 00:00 [accepted]
PHST- 2018/02/07 06:00 [pubmed]
PHST- 2018/10/26 06:00 [medline]
PHST- 2018/02/07 06:00 [entrez]
AID - S0020-7489(18)30018-X [pii]
PST - ppublish
SO - Int J Nurs Stud. 2018 Apr;80:128-146. doi: 10.1016/j.ijnurstu.2018.01.007.
Epub 2018
Jan 31.
PMID- 31373560
OWN - NLM
STAT- MEDLINE
DCOM- 20200828
LR - 20200828
IS - 2640-5237 (Linking)
VI - 65
IP - 7
DP - 2019 Jul
TI - The Origin of Present-on-admission Pressure Ulcers/Injuries Among Patients
Admitted
from the Community: Results of a Retrospective Study.
PG - 24-29
AB - Research about community-acquired pressure ulcer/injuries (CAPU/I) remains
limited.
PURPOSE: The aim of this descriptive, retrospective study was to quantify the
number
of patients with pressure ulcers/injuries (PU/Is) present on admission (POA),
with
particular attention to patient residence (home or skilled/long-term care
facility
[SNF]). METHODS: Data from the electronic medical records (EMR) and the
incident
reporting system of a 620-bed integrated health system in northern California
from
January 1, 2017, to December 31, 2017, were examined and used to create a
registry
that included patient demographics, length of stay (LOS), source of admission
(home
versus SNF), co-existing conditions, and documentation on end of life and
death. A
manual chart review was conducted to confirm the accuracy of data entered
into the
registry. All patients at least 18 years old and with a nurse-reported
incident and
EMR-documented PU/I that was listed as POA were included; pediatric,
pregnant, or
incarcerated patients were excluded. Extracted variables included demographic
data,
stage of PU/I on admission, and major diagnosis (or co-existing condition) by
groups
(spinal cord injuries [tetraplegia, paraplegia], neurological conditions,
end-stage
renal disease, cardiac and vascular disease, end of life [EOL], and death
while in
hospital during the year 2017). Descriptive analysis was used to examine the
data.
RESULTS: Of the 2340 records of patients with an PU/I POA, 477 were complete
and
analyzed. The majority (336, 70.4%) originated from home. Patients admitted
from
home were younger than those admitted from SNF (average age 62.9 and 71.5
years,
respectively) and had a higher proportion of co-existing
paraplegia/tetraplegia
(24.4% vs 12.8%). More than 60% of all patients had a stage 3, stage 4, or
unstageable PU/I. CONCLUSION: The majority of patients with a PU/I POA were
admitted
from home. Additional research and improved efforts to help high-risk
individuals
living at home prevent and manage PU/Is are needed.
FAU - Kirkland-Kyhn, Holly
AU - Kirkland-Kyhn H
AD - UC Davis Medical Center, Sacramento, CA.
FAU - Teleten, Oleg
AU - Teleten O
FAU - Joseph, Reena
AU - Joseph R
FAU - Schank, Joy
AU - Schank J
AD - independent practitioner, Himrod, NY.
LA - eng
PL - United States
TA - Wound Manag Prev
JT - Wound management & prevention
JID - 101739664
SB - N
MH - Adolescent
MH - Adult
MH - Aged
MH - California/epidemiology
MH - Community Health Services
MH - Comorbidity
MH - Electronic Health Records/statistics & numerical data
MH - Female
MH - Home Care Services/standards/statistics & numerical data
MH - Humans
MH - Male
MH - Middle Aged
MH - Nursing Homes/standards/statistics & numerical data
MH - Patient Transfer/classification/*standards/statistics & numerical data
MH - Pressure Ulcer/*diagnosis/epidemiology/physiopathology
MH - Registries/statistics & numerical data
MH - Risk Factors
EDAT- 2019/08/03 06:00
MHDA- 2020/08/29 06:00
CRDT- 2019/08/03 06:00
PHST- 2019/08/03 06:00 [entrez]
PHST- 2019/08/03 06:00 [pubmed]
PHST- 2020/08/29 06:00 [medline]
PST - ppublish
SO - Wound Manag Prev. 2019 Jul;65(7):24-29.
PMID- 29361941
OWN - NLM
STAT- MEDLINE
DCOM- 20180926
LR - 20181113
IS - 1472-6963 (Linking)
VI - 18
IP - 1
DP - 2018 Jan 24
TI - Physicians' perspectives on clinical pharmacy services in Northern Sweden: a
qualitative study.
PG - 35
LID - 10.1186/s12913-018-2841-3 [doi]
LID - 35
AB - BACKGROUND: In many countries, clinical pharmacists are part of health care
teams
that work to optimize drug therapy and ensure patient safety. However, in
Sweden,
clinical pharmacy services (CPSs) in hospital settings have not been widely
implemented and regional differences exist in the uptake of these services.
Physicians' attitudes toward CPSs and collaborating with clinical pharmacists
may
facilitate or hinder the implementation and expansion of the CPSs and the
role of
the clinical pharmacist in hospital wards. The aim of this study was to
explore
physicians' perceptions regarding CPSs performed at hospital wards in
Northern
Sweden. METHODS: Face-to-face semi-structured interviews were conducted with
a
purposive sample of nine physicians who had previously worked with clinical
pharmacists between November 2014 and January 2015. Interviews were digitally
recorded, transcribed and analysed using a constant comparison method.

RESULTS:
Different themes emerged regarding physicians' views of clinical pharmacy;
two main
interlinked themes were service factors and pharmacist factors. The service
was
valued and described in a positive way by all physicians. It was seen as an
opportunity for them to learn more about pharmacological treatment and also
an
opportunity to discuss patient medication treatment in detail. Physicians
considered
that CPSs could improve patient outcomes and they valued continuity and the
ability
to build a trusting relationship with the pharmacists over time. However,
there was
a lack of awareness of the CPSs. All physicians knew that one of the
pharmacist's
roles is to conduct medication reviews, but most of them were only able to
describe
a few elements of what this service encompasses. Pharmacists were described
as "drug
experts" and their recommendations were perceived as clinically relevant.
Physicians
wanted CPSs to continue and to be implemented in other wards. CONCLUSIONS:
All
physicians were positive regarding CPSs and were satisfied with the
collaboration
with the clinical pharmacists. These findings are important for further
implementation and expansion of CPSs, particularly in Northern Sweden.
FAU - Vinterflod, Charlotta
AU - Vinterflod C
AD - Department of Pharmacology and Clinical Neuroscience, Umeå University, SE-
90187,
Umeå, Sweden.
FAU - Gustafsson, Maria
AU - Gustafsson M
90187,
Umeå, Sweden. maria.gustafsson@umu.se.
FAU - Mattsson, Sofia
AU - Mattsson S
90187,
Umeå, Sweden.
FAU - Gallego, Gisselle
AU - Gallego G
90187,
Umeå, Sweden.
AD - School of Medicine, The University of Notre Dame Australia, 160 Oxford
Street,
Darlinghurst, NSW, 2010, Australia.
LA - eng
DEP - 20180124
JID - 101088677
SB - IM
MH - Adult
MH - Female
MH - Health Services Needs and Demand
MH - *Hospitals
MH - Humans
MH - *Intersectoral Collaboration
MH - Interviews as Topic
MH - Male
MH - *Pharmacists/psychology
MH - *Physicians/psychology
MH - Professional Role
MH - Sweden
PMC - PMC5781320
OTO - NOTNLM
OT - *Clinical pharmacy
OT - *Collaboration
OT - *Hospital
OT - *Physicians
OT - *Sweden
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The regional ethics committee in
Umeå
approved this study 11 November 2014 (reference code 2014/322-31Ö). Written
consent
was obtained from all study participants. CONSENT FOR PUBLICATION: Not
applicable.
COMPETING INTERESTS: The authors declare that they have no competing
interests.
jurisdictional
EDAT- 2018/01/25 06:00
MHDA- 2018/09/27 06:00
CRDT- 2018/01/25 06:00
PHST- 2016/07/26 00:00 [received]
PHST- 2018/01/15 00:00 [accepted]
PHST- 2018/01/25 06:00 [entrez]
PHST- 2018/01/25 06:00 [pubmed]
PHST- 2018/09/27 06:00 [medline]
AID - 10.1186/s12913-018-2841-3 [pii]
AID - 2841 [pii]
AID - 10.1186/s12913-018-2841-3 [doi]
PST - epublish
PMID- 26992376
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR - 20181113
IS - 1756-0500 (Linking)
VI - 9
DP - 2016 Mar 18
TI - Health care professionals' attitudes regarding patient safety: cross-
sectional
survey.
PG - 177
LID - 10.1186/s13104-016-1977-7 [doi]
LID - 177
AB - BACKGROUND: Patient safety is being seen as an increasingly important topic
in the
healthcare fields, and the rise in numbers of patient safety incidents poses
a
challenge for hospital management. In order to deal with the situation, it is
important to know more about health care professionals' attitudes regarding

patient
safety. This study looks to describe health care professionals' attitudes
regarding
patient safety, and whether differences exist based on the background factors
of
study participants. METHODS: A quantitative study using a questionnaire was
conducted in three multi-disciplinary hospitals in Western Lithuania. Data
was
collected in 2014 from physicians, nurses and nurse assistants. RESULTS: The
results
showed positive safety attitudes, and these were especially related to the
respondents' levels of job satisfaction. A respondent's older age was
associated
with how they evaluated their teamwork climate, safety climate, job
satisfaction,
and perception of management. Profession, working unit, length of work
experience,
information received about patient safety during education, further
education, and
working shifts were all associated with several safety attitude areas.
CONCLUSIONS:
The safety attitudes of respondents were generally found to be positive.
Attitudes
related to patient safety issues were positive among health care
professionals and
opens the door for the open discussion of patient safety and adverse events.
However, in future we also need to investigate the knowledge and skills
professionals have in relation to patient safety, in order to gain a deeper
understanding of the present situation.
FAU - Brasaite, Indre
AU - Brasaite I
AD - School of Health Sciences, University of Tampere, Tampere, Finland.
Brasaite.Indre.X@student.uta.fi.
AD - Faculty of Health Sciences, Klaipeda University, Klaipeda, Lithuania.
Brasaite.Indre.X@student.uta.fi.
FAU - Kaunonen, Marja
AU - Kaunonen M
AD - , Pirkanmaa Hospital District, Tampere, Finland.
FAU - Martinkenas, Arvydas
AU - Martinkenas A
AD - Faculty of Health Sciences, Klaipeda University, Klaipeda, Lithuania.
FAU - Suominen, Tarja
AU - Suominen T
LA - eng
DEP - 20160318
TA - BMC Res Notes
JT - BMC research notes
JID - 101462768
SB - IM
MH - Demography
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
PMC - PMC4797351
OTO - NOTNLM
OT - Attitude
OT - Health care professionals
OT - Nurse assistants
OT - Nurses
OT - Patient safety
OT - Physicians
EDAT- 2016/03/20 06:00
MHDA- 2016/12/15 06:00
CRDT- 2016/03/20 06:00
PHST- 2016/02/15 00:00 [received]
PHST- 2016/03/04 00:00 [accepted]
PHST- 2016/03/20 06:00 [entrez]
PHST- 2016/03/20 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - 10.1186/s13104-016-1977-7 [pii]
AID - 1977 [pii]
AID - 10.1186/s13104-016-1977-7 [doi]
PST - epublish
SO - BMC Res Notes. 2016 Mar 18;9:177. doi: 10.1186/s13104-016-1977-7.
PMID- 29721738
OWN - NLM
STAT- MEDLINE
DCOM- 20181009
LR - 20181114
IS - 2210-7703 (Print)
VI - 40
IP - 3
DP - 2018 Jun
TI - Patient-pharmacist communication during a post-discharge pharmacist home
visit.
PG - 712-720
LID - 10.1007/s11096-018-0639-3 [doi]
AB - Background With the shifting role of community pharmacists towards patient
education
and counselling, they are well-positioned to conduct a post-discharge home
visit
which could prevent or solve drug-related problems. Gaining insight into the
communication during these home visits could be valuable for optimizing and
consequently improving patient safety at readmission to primary care.
Objective To
assess patient-pharmacist communication during a post-discharge home visit.
Setting
The homes of patients recently discharged from a single general hospital in
the
Netherlands. Methods Pharmacists used a semi-structured protocol to guide the
consultations and audiorecorded them. Sixty audio-recordings were included

for a
qualitative analysis in this study with the help of NVivo version 11
software. Main
outcome measure (1) Initiator and topics under discussion. (2) Frequency of
discussion of topics as per coded in themes and subthemes. Results Issues
regarding
the administration and use of medication, e.g. regimen and actual drug-taking
issues, knowledge gaps regarding their medication and patients' health were
discussed most frequently, followed by medication logistics and medication
effectiveness. Patients' beliefs about their medication and adherence were
less
frequently discussed. The pharmacist initiated the majority of these topics.
Additional non-protocolled topics were scarce and consisted mainly of
patient-initiated dissatisfaction regarding the community pharmacy or health
insurers. Conclusion Community pharmacists most frequently initiated
practical
issues, but explored patients' medication beliefs less adequately. Discussing
these
beliefs might be easier by increasing patient engagement in the consultation
and
providing training programs for pharmacists.
FAU - Ensing, Hendrik T
AU - Ensing HT
AD - Research Group Process Innovations in Pharmaceutical Care, Utrecht University
of
Applied Sciences, Utrecht, The Netherlands. rensing@zorggroep-almere.nl.
AD - Department of Pharmacoepidemiology and Clinical Pharmacology, Utrecht
Institute for
Pharmaceutical Sciences (UIPS), Utrecht University, Utrecht, The Netherlands.
rensing@zorggroep-almere.nl.
AD - Zorggroep Almere, Outpatient Pharmacy "de Brug 24/7", Hospitaalweg 1, 1315RA,
Almere, The Netherlands. rensing@zorggroep-almere.nl.

FAU - Vervloet, Marcia
AU - Vervloet M
AD - NIVEL, Netherlands Institute for Health Services Research, Utrecht, The
Netherlands.
FAU - van Dooren, Ad A
AU - van Dooren AA
AD - Research Group Process Innovations in Pharmaceutical Care, Utrecht University
of
Applied Sciences, Utrecht, The Netherlands.
FAU - Bouvy, Marcel L
AU - Bouvy ML
Institute for
FAU - Koster, Ellen S
AU - Koster ES
Institute for
LA - eng
DEP - 20180502
TA - Int J Clin Pharm
JT - International journal of clinical pharmacy
JID - 101554912
SB - IM
MH - Aged
MH - *Communication
MH - Community Pharmacy Services
MH - Female
MH - *House Calls
MH - Humans
MH - Male
MH - Middle Aged
PMC - PMC5984961
OTO - NOTNLM
OT - Community pharmacist
OT - Continuity of care
OT - Home visits
OT - Hospital discharge
OT - Patient-provider communication
OT - Seamless care
OT - The Netherlands
OT - Transitions of care
COIS- All authors declare that they have no conflicts of interest.
EDAT- 2018/05/04 06:00
MHDA- 2018/10/10 06:00
CRDT- 2018/05/04 06:00
PHST- 2017/07/24 00:00 [received]
PHST- 2018/04/19 00:00 [accepted]
PHST- 2018/05/04 06:00 [pubmed]
PHST- 2018/10/10 06:00 [medline]
PHST- 2018/05/04 06:00 [entrez]
AID - 10.1007/s11096-018-0639-3 [pii]
AID - 639 [pii]
AID - 10.1007/s11096-018-0639-3 [doi]
PST - ppublish
SO - Int J Clin Pharm. 2018 Jun;40(3):712-720. doi: 10.1007/s11096-018-0639-3.
Epub 2018
May 2.
PMID- 32498556
OWN - NLM
STAT- MEDLINE
DCOM- 20200826
LR - 20201218
IS - 1474-5151 (Print)
IS - 1474-5151 (Linking)
VI - 19
IP - 6
DP - 2020 Aug
TI - Facilitating transcatheter aortic valve implantation in the era of COVID-19:
Recommendations for programmes.
PG - 537-544
LID - 10.1177/1474515120934057 [doi]
AB - The COVID-19 pandemic continues to significantly impact the treatment of
people
living with aortic stenosis, and access to transcatheter aortic valve
implantation.
Transcatheter aortic valve implantation (TAVI) programmes require unique
coordinated
processes that are currently experiencing multiple disruptions and are guided
by
rapidly evolving protocols. We present a series of recommendations for TAVI
programmes to adapt to the new demands, based on recent evidence and the
international expertise of nurse leaders and collaborators in this field.
Although
recommended in most guidelines, the uptake of the role of the TAVI programme
nurse
is uneven across international regions. COVID-19 is further highlighting why
a
nurse-led central point of coordination and communication is a vital asset
for
patients and programmes. We propose an alternative streamlined evaluation
pathway to
minimize patients' pre-procedure exposure to the hospital environment while
ensuring
appropriate treatment decision and shared decision-making. The competing
demands
created by COVID-19 require vigilant wait list management, with risk
stratification,
telephone surveillance and optimized triage and prioritization. A minimalist
approach with close scrutiny of all parts of the procedure has become an
imperative
to avoid any complications and ensure patients' accelerated recovery. Lastly,
we
outline a nurse-led protocol of rapid mobilization and reconditioning as an
effective strategy to facilitate safe next-day discharge home. As the
pandemic
abates, TAVI programmes must facilitate access to care without compromising
patient
safety, enable hospitals to manage the competing demands created by COVID-19
and
establish new processes to support patients living with valvular heart
disease.
FAU - Lauck, Sandra
AU - Lauck S
AD - Centre for Heart Valve Innovation, St. Paul's Hospital, University of British
Columbia, Vancouver Canada.

FAU - Forman, Jacqueline
AU - Forman J

FAU - Borregaard, Britt
AU - Borregaard B
AD - Department of Cardiothoracic and Vascular Surgery, Odense University
Hospital,
Denmark.
FAU - Sathananthan, Janarthanan
AU - Sathananthan J

FAU - Achtem, Leslie
AU - Achtem L

FAU - McCalmont, Gemma
AU - McCalmont G
AD - James Cook University Hospital, Middlesbrough, UK.
FAU - Muir, Douglas
AU - Muir D
AD - James Cook University Hospital, Middlesbrough, UK.
FAU - Hawkey, Marian C
AU - Hawkey MC
AD - Hackensack University Medical Center, NJ, USA.
FAU - Smith, Amanda
AU - Smith A
AD - Hamilton Health Sciences Centre, McMaster University, Hamilton, Canada.
FAU - Højberg Kirk, Bettina
AU - Højberg Kirk B
AD - Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases,
Rigshospitalet,
Copenhagen, Denmark.
FAU - Wood, David A
AU - Wood DA

FAU - Webb, John G
AU - Webb JG

LA - eng
DEP - 20200604
TA - Eur J Cardiovasc Nurs
JT - European journal of cardiovascular nursing : journal of the Working Group on
Cardiovascular Nursing of the European Society of Cardiology
JID - 101128793
SB - IM
SB - N
MH - Aortic Valve Insufficiency/*surgery
MH - Aortic Valve Stenosis/surgery
MH - *Betacoronavirus
MH - COVID-19
MH - *Coronavirus Infections
MH - Humans
MH - *Pandemics
MH - Patient Safety
MH - *Pneumonia, Viral
MH - SARS-CoV-2
MH - *Transcatheter Aortic Valve Replacement
MH - Treatment Outcome
PMC - PMC7717283
OTO - NOTNLM
OT - *COVID-19
OT - *Transcatheter aortic valve implantation
OT - *clinical pathway
OT - *multidisciplinary team
EDAT- 2020/06/06 06:00
MHDA- 2020/08/28 06:00
CRDT- 2020/06/06 06:00
PHST- 2020/06/06 06:00 [pubmed]
PHST- 2020/08/28 06:00 [medline]
PHST- 2020/06/06 06:00 [entrez]
AID - eurjcn-19-6-0537 [pii]
AID - 10.1177/1474515120934057 [doi]
PST - ppublish
SO - Eur J Cardiovasc Nurs. 2020 Aug;19(6):537-544. doi: 10.1177/1474515120934057.
Epub
2020 Jun 4.
PMID- 29736042
OWN - NLM
LR - 20191120
IS - 0008-4123 (Print)
IS - 0008-4123 (Linking)
VI - 71
IP - 2
DP - 2018 Mar-Apr
TI - Evaluation of Standardization of Transfer of Accountability between Inpatient
Pharmacists.
PG - 99-104
AB - BACKGROUND: A compelling body of evidence supports the notion that transfer
of
accountability (TOA) improves communication, continuity of care, and patient
safety.
TOA involves the transmission and receipt of information between clinicians
at each
transition of care. Without a notification system alerting pharmacists to
patient
transfers, pharmacists' ability to seek out and complete TOA may be hindered.
A
standardized policy and process for TOA, with automated workflow, was
implemented at
the study hospital in 2015, to ensure consistency and timeliness of
documentation by
pharmacists. OBJECTIVE: To evaluate pharmacists' adherence to and
satisfaction with
the TOA policy and process. METHODS: A retrospective audit was conducted,
using a
random sample of individuals who were inpatients between June 2014 and
February
2016. Transition points for TOA were identified, and the computerized
pharmacy
system was reviewed to determine whether TOA had been documented at each
transition
point. After the audit, an online survey was distributed to assess
pharmacists'
response to and satisfaction with the TOA policy and workflow. RESULTS:
Before the
TOA workflow was implemented, TOA documentation by pharmacists ranged from
11%
(10/93) to 43% (48/111) of transitions. Eight months after implementation of
the
workflow, the rate of TOA documentation was 87% (68/78), exceeding the
institution's
target of 70%. Of the 32 pharmacists surveyed, most were satisfied with the
TOA
policy and agreed that the standardized workflow was simple to use, increased
the
number of TOAs provided and received, and improved the quality of completed
TOAs.
Respondents also indicated that the TOA workflow had improved patient care
(mean
score 4.09/5, standard deviation 0.64). CONCLUSIONS: The standardized TOA
policy and
process were well received by pharmacists, and resulted in consistent TOA
documentation and a TOA documentation rate that exceeded the institutional
target.
FAU - Tsoi, Vivian
AU - Tsoi V
AD - , PharmD, was, at the time this manuscript was written, a student in the
Leslie Dan
Faculty of Pharmacy, University of Toronto, on a pharmacy research rotation
at St
Michael's Hospital, Toronto, Ontario. She is currently a Pharmacy Resident at
London
Health Sciences Centre, London, Ontario.
FAU - Dewhurst, Norman
AU - Dewhurst N
AD - , BScPhm, PharmD, ACPR, is a Clinical Pharmacy Specialist/Leader, Critical
Care at
St Michael's Hospital, Toronto, Ontario.
FAU - Tom, Elaine
AU - Tom E
AD - , BScPhm, is a Clinical Pharmacy Specialist/Leader, Professional Practice at
St
Michael's Hospital, Toronto, Ontario.
LA - eng
DEP - 20180430
TA - Can J Hosp Pharm
JT - The Canadian journal of hospital pharmacy
JID - 0215645
PMC - PMC5931082
OTO - NOTNLM
OT - documentation
OT - pharmacist
OT - policy
OT - standardization
OT - transfer of accountability
EDAT- 2018/05/08 06:00
MHDA- 2018/05/08 06:01
CRDT- 2018/05/09 06:00
PHST- 2018/05/09 06:00 [entrez]
PHST- 2018/05/08 06:00 [pubmed]
PHST- 2018/05/08 06:01 [medline]
AID - cjhp-71-99 [pii]
PST - ppublish
SO - Can J Hosp Pharm. 2018 Mar-Apr;71(2):99-104. Epub 2018 Apr 30.
PMID- 30957926
OWN - NLM
STAT- MEDLINE
DCOM- 20200203
LR - 20200701
IS - 0737-1209 (Print)
IS - 0737-1209 (Linking)
VI - 36
IP - 4
DP - 2019 Jul
TI - Isolated, small, and large hospitals have fewer nursing resources than urban
hospitals: Implications for rural health policy.
PG - 469-477
LID - 10.1111/phn.12612 [doi]
AB - OBJECTIVE: The purpose was to compare nurse education, patient-to-nurse
staffing,
nursing skill mix, and nurse work environments across hospitals depending on
extent
of rurality. DESIGN: Cross-sectional, comparative, and descriptive. SAMPLE:
The
final sample included 566 urban, 49 large, 18 small, and 9 isolated hospitals
from
California, Florida, and Pennsylvania. MEASUREMENT: Data collected from large
random
samples from the 2005-2008 Multi-State Nursing Care and Patient Safety Study
funded
by the National Institute of Nursing Research and National Institutes of
Health were
linked to 2005-2006 American Hospital Association data. Rural-Urban Commuting
Area
codes developed by the University of Washington and the United States
Department of
Agriculture Economic Research Service were used to determine the extent of
hospital
rurality across the sample. RESULTS: Hospital percentages of baccalaureate
prepared
nurses differed significantly among urban (38%), large (28%), small (31%),
and
isolated rural hospitals (21%). Patient-to-registered nurse ratios in urban
(4.8),
large (5.6), small (5.6), and isolated rural hospitals (7.3) differed. Rural
hospital nursing skill mix differed, and was lowest in isolated rural
hospitals
(65%). Nursing foundations for quality care were poorer in large, small, and
isolated rural hospitals. CONCLUSION: Results support bolstering rural
nursing
resources in more remote locations, potentially through rural health
policies.
CI - © 2019 Wiley Periodicals, Inc.
AU - Smith JG
AUID- ORCID: 0000-0003-4769-1905
AD - College of Nursing and Health Innovation, University of Texas at Arlington,
Arlington, Texas.
AD - Leonard Davis Institute of Health Economics, University of Pennsylvania,
FAU - Plover, Colin M
AU - Plover CM
AD - Thomas Jefferson School of Population Health, Philadelphia, Pennsylvania.
AD - Center for Public Health Initiatives, University of Pennsylvania,
Philadelphia,
Pennsylvania.
FAU - McChesney, Moira C
AU - McChesney MC
School of
Nursing, Philadelphia, Pennsylvania.
AU - Lake ET
AUID- ORCID: 0000-0002-8823-3436
School of
Nursing, Philadelphia, Pennsylvania.
LA - eng
GR - T32-NR-007104/NR/NINR NIH HHS/United States
GR - T32-NR-007104/NH/NIH HHS/United States
GR - R01NR014855/NH/NIH HHS/United States
DEP - 20190408
TA - Public Health Nurs
JT - Public health nursing (Boston, Mass.)
JID - 8501498
SB - IM
SB - N
MH - California
MH - Education, Nursing/*statistics & numerical data
MH - Florida
MH - *Health Care Rationing
MH - Health Policy
MH - Hospitals, Rural/*statistics & numerical data
MH - Hospitals, Urban/*statistics & numerical data
MH - Humans
MH - Male
MH - Pennsylvania
MH - Rural Health
MH - United States
MH - Workplace
PMC - PMC6635079
MID - NIHMS1019440
OTO - NOTNLM
OT - *nursing workforce
OT - *quantitative research
OT - *rural health
OT - *surveys
OT - *work environment
COIS- Authors have no conflicts of interest to declare.
EDAT- 2019/04/09 06:00
MHDA- 2020/02/06 06:00
CRDT- 2019/04/09 06:00
PHST- 2018/10/21 00:00 [received]
PHST- 2019/02/10 00:00 [revised]
PHST- 2019/03/16 00:00 [accepted]
PHST- 2019/04/09 06:00 [pubmed]
PHST- 2020/02/06 06:00 [medline]
PHST- 2019/04/09 06:00 [entrez]
AID - 10.1111/phn.12612 [doi]
PST - ppublish
SO - Public Health Nurs. 2019 Jul;36(4):469-477. doi: 10.1111/phn.12612. Epub 2019
Apr 8.
PMID- 32872189
OWN - NLM
STAT- MEDLINE
DCOM- 20201123
LR - 20201123
IS - 1661-7827 (Print)
IS - 1660-4601 (Linking)
VI - 17
IP - 17
DP - 2020 Aug 28
TI - Incident Reporting System in an Italian University Hospital: A New Tool for
Improving Patient Safety.
LID - 10.3390/ijerph17176267 [doi]
LID - 6267
AB - Clinical risk management constitutes a central element in the healthcare
systems in
relation to the reverberation that it establishes, and as regards the
optimization
of clinical outcomes for the patient. The starting point for a right clinical
risk
management is represented by the identification of non-conforming results.
The aim
of the study is to carry out a systematic analysis of all data received in
the first
three years of adoption of a reporting system, revealing the strengths and
weaknesses. The results emerged showed an increasing trend in the number of
total
records. Notably, 86.0% of the records came from the medical category.
Moreover,
41.0% of the records reported the possible preventive measures that could
have
averted the event and in 30% of the reports are hints to be put in place to
avoid
the repetition of the events. The second experimental phase is categorizing
the
events reported. Implementing the reporting system, it would guarantee a
virtuous
cycle of learning, training and reallocation of resources. By sensitizing
health
workers to a correct use of the incident reporting system, it could become a
virtuous error learning system. All this would lead to a reduction in
litigation and
an implementation of the therapeutic doctor-patient alliance.
FAU - Ferorelli, Davide
AU - Ferorelli D
AD - Interdisciplinary Department of Medicine, Section of Legal Medicine,
University of
Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy.
FAU - Solarino, Biagio
AU - Solarino B
University of
FAU - Trotta, Silvia
AU - Trotta S
University of
FAU - Mandarelli, Gabriele
AU - Mandarelli G
AUID- ORCID: 0000-0003-4887-5108
University of
FAU - Tattoli, Lucia
AU - Tattoli L
AD - Città della Salute e della Scienza di Torino, Turin Hospital, 10126 Torino,
Italy.
FAU - Stefanizzi, Pasquale
AU - Stefanizzi P
AD - Biomedical Science and Human Oncology, University of Bari, Piazza Giulio
Cesare 11,
70100 Bari, Italy.
FAU - Bianchi, Francesco Paolo
AU - Bianchi FP
Cesare 11,
70100 Bari, Italy.
FAU - Tafuri, Silvio
AU - Tafuri S
AUID- ORCID: 0000-0003-4194-0210
Cesare 11,
70100 Bari, Italy.
FAU - Zotti, Fiorenza
AU - Zotti F
University of
FAU - Dell'Erba, Alessandro
AU - Dell'Erba A
University of
LA - eng
DEP - 20200828
JID - 101238455
SB - IM
MH - Data Collection/*methods
MH - Humans
MH - Italy
MH - Management Audit
MH - Medical Errors/*prevention & control/statistics & numerical data
MH - Medical Records Systems, Computerized
MH - Risk Management/*organization & administration
MH - Safety Management/organization & administration/*statistics & numerical data
MH - Total Quality Management/organization & administration
PMC - PMC7503737
OTO - NOTNLM
OT - *clinical risk management
OT - *healthcare system resilience
OT - *incident reporting
OT - *legal medicine
OT - *performance management systems
EDAT- 2020/09/03 06:00
MHDA- 2020/11/24 06:00
CRDT- 2020/09/03 06:00
PHST- 2020/07/06 00:00 [received]
PHST- 2020/08/24 00:00 [revised]
PHST- 2020/08/25 00:00 [accepted]
PHST- 2020/09/03 06:00 [entrez]
PHST- 2020/09/03 06:00 [pubmed]
PHST- 2020/11/24 06:00 [medline]
AID - 10.3390/ijerph17176267 [doi]
PST - epublish
SO - Int J Environ Res Public Health. 2020 Aug 28;17(17):6267. doi:
10.3390/ijerph17176267.
PMID- 30601233
OWN - NLM
STAT- Publisher
LR - 20200628
IS - 1549-8417 (Print)
IS - 1549-8417 (Linking)
DP - 2018 Dec 28
TI - The Association of the Nurse Work Environment and Patient Safety in Pediatric
Acute
Care.
LID - 10.1097/PTS.0000000000000559 [doi]
AB - OBJECTIVES: Eighteen years ago, the Institute of Medicine estimated that
medical
errors in hospital were a major cause of mortality. Since that time, reducing
patient harm and improving the culture of patient safety have been national
health
care priorities. The study objectives were to describe the current state of
patient
safety in pediatric acute care settings and to assess whether modifiable
features of
organizations are associated with better safety culture. METHODS: An
observational
cross-sectional study used 2015-2016 survey data on 177 hospitals in four
U.S.
states, including pediatric care in general hospitals and freestanding
children's
hospitals. Pediatric registered nurses providing direct patient care assessed
hospital safety and the clinical work environment. Safety was measured by
items from
the Agency for Healthcare Research and Quality's Culture of Patient Safety
survey.
Hospital clinical work environment was measured by the National Quality
Forum-endorsed Practice Environment Scale. RESULTS: A total of 1875 pediatric
nurses
provided an assessment of safety in their hospitals. Sixty percent of
pediatric
nurses gave their hospitals less than an excellent grade on patient safety;
significant variation across hospitals was observed. In the average hospital,
46% of
nurses report that mistakes are held against them and 28% do not feel safe
questioning authority regarding unsafe practices. Hospitals with better
clinical
work environments received better patient safety grades. CONCLUSIONS: The
culture of
patient safety varies across U.S. hospital pediatric settings. In better
clinical
work environments, nurses report more positive safety culture and higher
safety
grades.
AU - Lake ET
FAU - Roberts, Kathryn E
AU - Roberts KE
AD - Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
FAU - Agosto, Paula D
AU - Agosto PD
FAU - Ely, Elizabeth
AU - Ely E
FAU - Bettencourt, Amanda P
AU - Bettencourt AP
FAU - Schierholz, Elizabeth S
AU - Schierholz ES
FAU - Frankenberger, Warren D
AU - Frankenberger WD
FAU - Catania, Gianluca
AU - Catania G
AU - Aiken LH
LA - eng
DEP - 20181228
TA - J Patient Saf
JID - 101233393
PMC - PMC6599539
MID - NIHMS1512790
COIS- Conflict of Interest: All authors have indicated they have no potential
conflicts of
interest to disclose.
EDAT- 2019/01/03 06:00
MHDA- 2019/01/03 06:00
CRDT- 2019/01/03 06:00
PHST- 2019/01/03 06:00 [entrez]
PHST- 2019/01/03 06:00 [pubmed]
PHST- 2019/01/03 06:00 [medline]
AID - 10.1097/PTS.0000000000000559 [doi]
PST - aheadofprint
SO - J Patient Saf. 2018 Dec 28:10.1097/PTS.0000000000000559. doi:
10.1097/PTS.0000000000000559.
PMID- 28873099
OWN - NLM
STAT- MEDLINE
DCOM- 20171016
LR - 20181113
IS - 1932-6203 (Linking)
VI - 12
IP - 9
DP - 2017
TI - Patient safety competency and educational needs of nursing educators in South
Korea.
PG - e0183536
LID - e0183536
AB - BACKGROUND: Nursing educators must be qualified to teach patient safety to
nursing
students to ensure patient safety in the clinical field. The purpose of this
study
was to assess nursing educators' competencies and educational needs for
patient
safety in hospitals and nursing schools. METHOD: A mixed-methods sequential
explanatory design employed a survey and focus group interview with nursing
educators (school clinical instructors and hospital nurse preceptors).
Thirty-eight
questionnaires filled out by clinical instructors from six four-year nursing
universities and 106 questionnaires from nurse preceptors from three high-
level
general hospitals in the Seoul metropolitan area were analyzed to obtain
quantitative data. Focus group interviews were conducted among six clinical
instructors from one nursing school and four nurse preceptors from one high-
level
general hospital in Seoul. RESULTS: Nursing educators had higher levels of
attitude
compared with relatively lower levels of skill and knowledge regarding
patient
safety. They reported educational needs of "medication" and "infection
prevention"
as being higher and "human factors" and "complexity of systems" as being
lower.
Nursing educators desired different types of education for patient safety.
CONCLUSION: It is necessary to enhance nursing educators' patient safety
skills and
knowledge by developing and providing an integrated program of patient
safety, with
various teaching methods to meet their educational needs. The findings of
this study
provide the basic information needed to reform patient safety education
programs
appropriately to fit nursing educators' needs and their patient safety
competencies
in both clinical practice and academia. Furthermore, the findings have
revealed the
importance of effective communication between clinical and academic settings
in
making patient safety education seamless.
FAU - Jang, Haena
AU - Jang H
AD - College of Nursing, Seoul National University, Seoul, South Korea.
FAU - Lee, Nam-Ju
AU - Lee NJ
AUID- ORCID: 0000-0003-0453-4088
AD - College of Nursing, Seoul National University, Seoul, South Korea.
AD - The Research Institute of Nursing Science of Seoul National University,
Seoul, South
Korea.
LA - eng
DEP - 20170905
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Adult
MH - Faculty, Nursing/*education
MH - Female
MH - Focus Groups
MH - Hospitals
MH - Humans
MH - Male
MH - *Students, Nursing
MH - World Health Organization
MH - Young Adult
PMC - PMC5584796
COIS- Competing Interests: The authors have declared that no competing interests
exist.
EDAT- 2017/09/06 06:00
MHDA- 2017/10/17 06:00
CRDT- 2017/09/06 06:00
PHST- 2016/11/13 00:00 [received]
PHST- 2017/08/07 00:00 [accepted]
PHST- 2017/09/06 06:00 [entrez]
PHST- 2017/09/06 06:00 [pubmed]
PHST- 2017/10/17 06:00 [medline]
PST - epublish
SO - PLoS One. 2017 Sep 5;12(9):e0183536. doi: 10.1371/journal.pone.0183536.
eCollection
2017.
PMID- 31313340
OWN - NLM
STAT- MEDLINE
DCOM- 20200923
LR - 20210110
IS - 0306-5251 (Print)
IS - 0306-5251 (Linking)
VI - 85
IP - 10
DP - 2019 Oct
TI - Pharmacist-led, video-stimulated feedback to reduce prescribing errors in
doctors-in-training: A mixed methods evaluation.
PG - 2405-2413
LID - 10.1111/bcp.14065 [doi]
AB - AIMS: To develop and evaluate a feasible, authentic pharmacist-led
prescribing
feedback intervention for doctors-in-training, to reduce prescribing errors.
METHODS: This was a mixed methods study. Sixteen postgraduate doctors-in
training,
rotating though the surgical assessment unit of 1 UK hospital, were filmed
taking a
medication history with a patient and prescribing medications. Each doctor
reviewed
their video footage and made plans to improve their prescribing, supported by
feedback from a pharmacist. Quantitative data in the form of prescribing

error
prevalence data were collected on 1 day per week before, during and after the
intervention period (between November 2015 and March 2017). Qualitative data
in the
form of individual semi-structured interviews were collected with a subset of
participants, to evaluate their experience. Quantitative data were analysed

using a
statistical process chart and qualitative data were transcribed and analysed
thematically. RESULTS: During the data collection period, 923 patient drug
charts
were reviewed by pharmacists who identified 1219 prescribing errors overall.
Implementation of this feedback approach was associated with a statistically
significant reduction in the mean number of prescribing errors, from 19.0/d
to
11.7/d (estimated to equate to 38% reduction; P < .0001). Pharmacist-led
video-stimulated prescribing feedback was feasible and positively received by
participants, who appreciated the reinforcement of good practice as well as

the
opportunity to reflect on and improve practice. CONCLUSIONS: Feedback to
doctors-in-training tends to be infrequent and often negative, but this
feasible
feedback strategy significantly reduced prescribing errors and was well
received by
the target audience as a supportive developmental approach.
CI - © 2019 The Authors. British Journal of Clinical Pharmacology published by
John Wiley
& Sons Ltd on behalf of British Pharmacological Society.
FAU - Parker, Hazel
AU - Parker H
AUID- ORCID: 0000-0001-8569-5718
AD - Pharmacy Department, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
FAU - Farrell, Odran
AU - Farrell O
FAU - Bethune, Rob
AU - Bethune R
AD - Exeter Surgical Health Service Research Unit, Royal Devon and Exeter NHS
Foundation
Trust, Exeter, UK.
FAU - Hodgetts, Ali
AU - Hodgetts A
FAU - Mattick, Karen
AU - Mattick K
AUID- ORCID: 0000-0003-1800-773X
AD - University of Exeter Medical School, University of Exeter, Exeter, UK.
LA - eng
DEP - 20190823
TA - Br J Clin Pharmacol
JT - British journal of clinical pharmacology
JID - 7503323
SB - IM
MH - Adult
MH - Feedback
MH - Female
MH - Hospitals
MH - Humans
MH - Male
MH - Pharmacists/*organization & administration
MH - Pharmacy Service, Hospital/organization & administration
MH - Physicians/*standards
MH - Practice Patterns, Physicians'/*standards
MH - United Kingdom
MH - Video Recording
MH - Young Adult
PMC - PMC6783579
OTO - NOTNLM
OT - *clinical pharmacy
OT - *medical education
OT - *medication errors
OT - *prescribing
COIS- Financial support for this project was provided as a Medical and Educational
Goods
and Service by Pfizer Ltd; and the South West Academic Health Science
Network. We
are grateful for their support, without which this project could not have
happened.
EDAT- 2019/07/18 06:00
MHDA- 2020/09/24 06:00
CRDT- 2019/07/18 06:00
PHST- 2019/02/27 00:00 [received]
PHST- 2019/06/19 00:00 [revised]
PHST- 2019/07/01 00:00 [accepted]
PHST- 2019/07/18 06:00 [pubmed]
PHST- 2020/09/24 06:00 [medline]
PHST- 2019/07/18 06:00 [entrez]
AID - BCP14065 [pii]
AID - 10.1111/bcp.14065 [doi]
PST - ppublish
SO - Br J Clin Pharmacol. 2019 Oct;85(10):2405-2413. doi: 10.1111/bcp.14065. Epub
2019
Aug 23.
PMID- 28970411
OWN - NLM
LR - 20200930
IS - 2226-4787 (Linking)
VI - 4
IP - 4
DP - 2016 Nov 17
TI - Medication Safety: Experiential Learning for Pharmacy Students and Staff in a
Hospital Setting.
LID - 38
AB - Medication Safety has been an established pharmacy specialty in Australian
hospitals
since the early 2000s and is now one of the ten Australian hospital
accreditation
standards. Although advances have occurred, medication-related patient harm
has not
been eradicated. Victorian undergraduate pharmacy programs include some
aspects of
medication safety, however clinical pharmacy experience, along with
interpersonal
and project management skills, are required to prepare pharmacists to be
confident
medication safety practitioners. This article outlines the range of
medication
safety-related training offered at an Australian tertiary teaching hospital,
including; on-site tutorial for undergraduate students, experiential
placement for
pharmacy interns, orientation for pharmacy staff and resources for
credentialing
pharmacists for extended roles. Improvements continue to be made, such as
electronic
medication management systems, which increase the safe use of medications and
facilitate patient care. Implementation and evaluation of these systems

require
medication safety expertise. Patients' engaging in their own care is an
acknowledged
safety improvement strategy and is enhanced by pharmacist facilitation.
Building
educator skills and integrating experiential teaching with university
curricula
should ensure pharmacists have both the knowledge and experience early in
their
careers, in order to have a leading role in future medication management.
FAU - Graudins, Linda V
AU - Graudins LV
AD - Pharmacy Department, Alfred Health, Melbourne 3004, Victoria, Australia.
l.graudins@alfred.org.au.
FAU - Dooley, Michael J
AU - Dooley MJ
AD - Pharmacy Department, Alfred Health, Melbourne 3004, Victoria, Australia.
m.dooley@alfred.org.au.
AD - Centre for Medicine Use and Safety, Monash University, Melbourne 3052,
Victoria,
Australia. m.dooley@alfred.org.au.
LA - eng
DEP - 20161117
JID - 101678532
PMC - PMC5419372
OTO - NOTNLM
OT - education
OT - pharmacy internship
EDAT- 2017/10/04 06:00
MHDA- 2017/10/04 06:01
CRDT- 2017/10/04 06:00
PHST- 2016/10/03 00:00 [received]
PHST- 2016/11/01 00:00 [revised]
PHST- 2016/11/05 00:00 [accepted]
PHST- 2017/10/04 06:00 [entrez]
PHST- 2017/10/04 06:00 [pubmed]
PHST- 2017/10/04 06:01 [medline]
PST - epublish
SO - Pharmacy (Basel). 2016 Nov 17;4(4):38. doi: 10.3390/pharmacy4040038.
PMID- 32452316
OWN - NLM
STAT- In-Process
LR - 20201104
IS - 1130-6343 (Linking)
VI - 44
IP - 2
DP - 2020 Mar 1
TI - Consensus to identify the dangerous drugs risks in hospital pharmacy
services.
PG - 51-61
LID - 10.7399/fh.11290 [doi]
AB - OBJECTIVE: To identify the hazards and define the theoretical
occupational risks
arising from the process of handling hazard drugs in hospital pharmacy
services on
the basis of expert consensus. METHOD: An expert consensus was conducted
(nominal
group and documentary techniques) using a mixed method of two face-to-
face rounds
(meeting of participants and approval of proposals) and three masked rounds
(individualized review). The analysis was applied to the field of hospital
pharmacy. The stages of the process were designed using the standardized
graphical
Business Process Model and Notation. RESULTS: A specific flowchart was
obtained for
the management and traceability of hazardous drugs. All general process
phases
were characterized. A management chart included operations addressing the
reception and storage, compounding, conservation, and dispensation of
hazardous drugs in hospital pharmacy services. This chart provides a
description
of the chemical hazards and exposure routes. CONCLUSIONS: The hazardous drug
process
should be integrated in a standard management system to improve the safety of
patients and healthcare professionals. Efficiency can maximized and

procedural
incidents minimized, thereby ensuring the quality and the safety of
hazardous
drugs handling in hospital pharmacy services. Once hazards are identified,
risk
assessment should be implemented using a systematic and preventative
methodology to
minimize the risk and severity of any adverse event.
CI - Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights
reserved.
FAU - Bernabeu-Martínez, María Ángeles
AU - Bernabeu-Martínez MÁ
AD - Departamento de Salud Pública e Historia de la Ciencia, Universidad Miguel
Hernández, Campus de Sant Joan d'Alacant, Alicante. Spain. Servicio de
Farmacia de
Área, Hospital General Universitario de Alicante, Alicante. Spain..
bernabeu_marmar@gva.es.
FAU - García-Salom, Pedro
AU - García-Salom P
AD - Servicio de Farmacia, Hospital General Universitario de Alicante, Alicante.
Spain..
garcia.salom.pedro@gmail.com.
FAU - Burgos-San José, Amparo
AU - Burgos-San José A
AD - Servicio de Farmacia, Hospital General Universitario de Alicante, Alicante.
Spain..
burgos_amp@gva.es.
FAU - Navarro-Ruiz, Andrés
AU - Navarro-Ruiz A
AD - Servicio de Farmacia, Hospital General Universitario de Elche, Elche
(Alicante).
Spain.. anavarroru@gmail.com.
FAU - Sanz-Valero, Javier
AU - Sanz-Valero J
AD - Departamento de Salud Pública e Historia de la Ciencia, Universidad Miguel
Hernández, Campus de Sant Joan d'Alacant, Alicante. Spain. Instituto de
Investigación Sanitaria y Biomédica de Alicante (ISABIAL-FISABIO), Alicante.
Spain..
jsanz@umh.es.
FAU - Wanden-Berghe, Carmina
AU - Wanden-Berghe C
AD - Unidad de Hospitalización a Domicilio, Hospital General Universitario de
Alicante,
Alicante. Spain. Instituto de Investigación Sanitaria y Biomédica de Alicante
(ISABIAL-FISABIO), Alicante. Spain.. carminaw@telefonica.net.

LA - eng
TT - Consenso para identificar los riesgos de los medicamentos peligrosos en los
servicios de farmacia hospitalaria.
DEP - 20200301
PL - Spain
TA - Farm Hosp
JT - Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad
Espanola de Farmacia Hospitalaria

JID - 9440679
SB - IM
EDAT- 2020/05/27 06:00
MHDA- 2020/05/27 06:00
CRDT- 2020/05/27 06:00
PHST- 2020/05/27 06:00 [entrez]
PHST- 2020/05/27 06:00 [pubmed]
PHST- 2020/05/27 06:00 [medline]
AID - 10.7399/fh.11290 [doi]
PST - epublish
SO - Farm Hosp. 2020 Mar 1;44(2):51-61. doi: 10.7399/fh.11290.
PMID- 32577530
OWN - NLM
LR - 20200928
IS - 2382-1205 (Print)
IS - 2382-1205 (Linking)
VI - 7
DP - 2020 Jan-Dec
TI - Incoming Interns Recognize Inadequate Physical Examination as a Cause of
Patient
Harm.
PG - 2382120520928993
LID - 10.1177/2382120520928993 [doi]
LID - 2382120520928993
AB - INTRODUCTION: As providers of a large portion of the care delivered at
academic
health centers, medical trainees have a unique perspective on medical error.
Despite
data suggesting that errors in physical examination (PE) can lead to adverse
patient
events, we are not aware of previous studies exploring medical trainee
perceptions
of the relationship between patient harm and inadequate PE. We investigated
whether
first-year residents at a large tertiary care academic medical center
perceive
inadequate PE as a cause of adverse patient events. METHODS: As part of a
larger
survey given to incoming interns at Thomas Jefferson University Hospital
orientation
(2014-2018), the authors examined the perceptions of inadequate PE and
adverse
patient events. We also examined other details related to PE educational
experiences
and self-reported PE proficiency. The survey was developed a priori by the
authors
and assessed for face validity by expert faculty. RESULTS: Ninety-eight
percent of
respondents (695/706) reported that inadequate PE leads to adverse patient
events.
Seventy percent (492/706) believe that inadequate PE causes adverse events in
up to
10% of all patient encounters, and 30% (214/706) reported that inadequate PE
causes
adverse events in greater than 10% of patient encounters. Forty-five percent
of
surveyed interns (319/715) had witnessed a patient safety issue as a result
of an
inadequate PE. Only 2% of surveyed interns (11/706) did not think patients
experience adverse events because of inadequate PEs. Ninety percent of
surveyed
interns (643/712) reported feeling proficient in performing PE. From 2015 to
2018,
80% (486/604) indicated that they received "just enough" PE education.
CONCLUSION:
Nearly all incoming interns surveyed at our institution believe that
inadequate PE
leads to adverse patient events, and 45% have witnessed an adverse patient
event due
to inadequate PE. We urge clinicians, educators, and health care
administrators to
consider enhanced PE skills training as an important and viable approach to
medical
error reduction, and as such, we propose a 5-pronged intervention for
improvement,
including a redesign of PE curricula, development of checklist-based
assessment
methods, ongoing skills training and assessment of physicians-in-practice,
rigorous
study of PE maneuvers, and research into whether enhanced PE skills improve
patient
outcomes.
FAU - Russo, Stefani
AU - Russo S
AUID- ORCID: 0000-0002-0859-1189
AD - Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA,
USA.
FAU - Berg, Katherine
AU - Berg K
USA.
FAU - Davis, Joshua
AU - Davis J
AD - Department of Emergency Medicine, Penn State Hershey Medical Center, Hershey,
PA,
USA.
FAU - Davis, Robyn
AU - Davis R
AD - Department of Anesthesiology and Perioperative Medicine, The University of
Alabama
at Birmingham, Birmingham, AL, USA.
FAU - Riesenberg, Lee Ann
AU - Riesenberg LA
AD - Department of Anesthesiology and Perioperative Medicine, The University of
Alabama
at Birmingham, Birmingham, AL, USA.
FAU - Morgan, Charity
AU - Morgan C
AD - Department of Biostatistics, School of Public Health, The University of
Alabama at
Birmingham, Birmingham, AL, USA.
FAU - Chambers, Lucas
AU - Chambers L
AD - University of Virginia School of Medicine, Charlottesville, VA, USA.
FAU - Berg, Dale
AU - Berg D
USA.
LA - eng
DEP - 20200610
TA - J Med Educ Curric Dev
JT - Journal of medical education and curricular development
JID - 101690298
PMC - PMC7288807
OTO - NOTNLM
OT - Medical Education
OT - Physical Examination
COIS- Declaration of Conflicting Interests:The author(s) declared no potential
conflicts
this
article.
EDAT- 2020/06/25 06:00
MHDA- 2020/06/25 06:01
CRDT- 2020/06/25 06:00
PHST- 2019/09/24 00:00 [received]
PHST- 2020/05/04 00:00 [accepted]
PHST- 2020/06/25 06:00 [entrez]
PHST- 2020/06/25 06:00 [pubmed]
PHST- 2020/06/25 06:01 [medline]
AID - 10.1177_2382120520928993 [pii]
AID - 10.1177/2382120520928993 [doi]
PST - epublish
SO - J Med Educ Curric Dev. 2020 Jun 10;7:2382120520928993. doi:
10.1177/2382120520928993. eCollection 2020 Jan-Dec.
PMID- 31944637
OWN - NLM
STAT- MEDLINE
DCOM- 20200812
LR - 20210130
IS - 0008-428X (Print)
VI - 63
IP - 1
DP - 2020 Jan 16
TI - Development of a clinical pathway for enhanced recovery in colorectal
surgery: a
Canadian collaboration.
PG - E19-E20
LID - 10.1503/cjs.006819 [doi]
AB - Enhanced Recovery After Surgery (ERAS) is a model of care that was introduced
in the
late 1990s by a group of surgeons in Europe. The model consists of a number
of
evidence-based principles that support better outcomes for surgical patients,
including improved patient experience, reduced length of stay in hospital,

decreased
complication rates and fewer hospital readmissions. A number of Canadian
surgical
care teams have already adopted ERAS principles and have reported positive
outcomes.
Arising from the Canadian Patient Safety Institute’s Integrated Patient
Safety
Action Plan for Surgical Care Safety, and with support from numerous partner
organizations from across the country, Enhanced Recovery Canada is leading
the drive
to improve surgical safety across the country and help disseminate these ERAS
principles. We discuss the development of a multidisciplinary clinical

pathway for
elective colorectal surgery to help guide Canadian clinicians.
CI - © 2020 Joule Inc. or its licensors
FAU - Gramlich, Leah M
AU - Gramlich LM
AD - From the Department of Medicine, University of Alberta, Edmonton, Alta.
(Gramlich);
CancerControl Alberta, Alberta Health Services, Calgary, Alta. (Surgeoner);
the
Department of Anesthesia, McGill University, Montreal, Que. (Baldini);
Eastern
Health, St. John’s, Nfld. (Ballah); the Ministry of Corrections and Policing,
Swift
Current, Sask. (Baum); the Department of Surgery, St. Paul’s Hospital,
University of
British Columbia, Vancouver, BC (Karimuddin); the Department of Oncology,
Cumming
School of Medicine, University of Calgary, Calgary, Alta. (Nelson); the
Department
of Anesthesiology and Pain Medicine, Maisonneuve-Rosemont Hospital/CEMTL,
Université
de Montréal, Montreal, Que. (Richebé); the Department of Nursing, McGill
University,
Montreal, Que. (Watson); and the Canadian Patient Safety Institute, Edmonton,
Alta.
(Williams).
FAU - Surgeoner, Brae
AU - Surgeoner B
(Gramlich);
the
Eastern
Swift
University of
Cumming
Department
Université
University,
Alta.
(Williams).
FAU - Baldini, Gabriele
AU - Baldini G
(Gramlich);
the
Eastern
Swift
University of
Cumming
Department
Université
University,
Alta.
(Williams).
FAU - Ballah, Erin
AU - Ballah E
(Gramlich);
the
Eastern
Swift
University of
Cumming
Department
Université
University,
Alta.
(Williams).
FAU - Baum, Melinda
AU - Baum M
(Gramlich);
the
Eastern
Swift
University of
Cumming
Department
Université
University,
Alta.
(Williams).
FAU - Carli, Franco
AU - Carli F
(Gramlich);
the
Eastern
Swift
University of
Cumming
Department
Université
University,
Alta.
(Williams).
FAU - Karimuddin, Ahmer A
AU - Karimuddin AA
(Gramlich);
the
Eastern
Swift
University of
Cumming
Department
Université
University,
Alta.
(Williams).
FAU - Nelson, Gregg
AU - Nelson G
(Gramlich);
the
Eastern
Swift
University of
Cumming
Department
Université
University,
Alta.
(Williams).
FAU - Richebé, Philippe
AU - Richebé P
(Gramlich);
the
Eastern
Swift
University of
Cumming
Department
Université
University,
Alta.
(Williams).
FAU - Watson, Deborah
AU - Watson D
(Gramlich);
the
Eastern
Swift
University of
Cumming
Department
Université
University,
Alta.
(Williams).
FAU - Williams, Carla
AU - Williams C
(Gramlich);
the
Eastern
Swift
University of
Cumming
Department
Université
University,
Alta.
(Williams).
FAU - LaFlamme, Claude
AU - LaFlamme C
(Gramlich);
the
Eastern
Swift
University of
Cumming
Department
Université
University,
Alta.
(Williams).
CN - Enhanced Recovery Canada
AD - Mary-Anne Aarts, MD; Biniam Kidane, MD, MSc; Liane Feldman, MDCM; Magda
Recsky, MD,
MSc; Tony MacLean, MD; Evan Minty, MC, MSc; Stuart McCluskey, MD, PhD; Kelly
Mayson,
MD; Selena Fitzgerald, BScN, RN; Lucie Filteau, MD; Hance Clark, MD, PhD;
Naveen
Eipe, MBBS, MD; Gabrielle Page, PhD; Krista Brecht, RN, BScN; Veronique
Brulotte,
MD, MSc; Husein Moloo, MD, MSc; Heather Keller, RD, PhD; Manon Laporte, RD;
Marlis
Atkins, RD; Chelsia Gillis, RD, MSc; Louis-Francois Cote, RD; Celena Scheede
Bergdahl, MSc, PhD; Julio Fiore, PT, MSc, PhD; Jackie Farquhar, MD; Chiara
Singh,
BScPT; Sender Liberman, MD; Amal Bessissow, MD, MSc; Bevin Ledrew; Nancy
Posel, PhD;
Kathy Kovacs Burns, MSc, MHSA, PhD; Valerie Phillips; Jennifer Rees, BSc.
LA - eng
DEP - 20200116
TA - Can J Surg
JT - Canadian journal of surgery. Journal canadien de chirurgie
JID - 0372715
MH - Canada
MH - Colorectal Surgery/*standards
MH - Critical Pathways/*standards
MH - Enhanced Recovery After Surgery/*standards
MH - Evidence-Based Medicine/standards
MH - Humans
MH - Patient Care Team/*standards
PMC - PMC7828945
EDAT- 2020/01/17 06:00
MHDA- 2020/08/13 06:00
CRDT- 2020/01/17 06:00
PHST- 2020/01/17 06:00 [entrez]
PHST- 2020/01/17 06:00 [pubmed]
PHST- 2020/08/13 06:00 [medline]
AID - 0630e19 [pii]
AID - 10.1503/cjs.006819 [doi]
PST - epublish
SO - Can J Surg. 2020 Jan 16;63(1):E19-E20. doi: 10.1503/cjs.006819.
PMID- 29504846
OWN - NLM
STAT- MEDLINE
DCOM- 20180917
LR - 20181114
IS - 0952-6862 (Print)
IS - 0952-6862 (Linking)
VI - 31
IP - 1
DP - 2018 Feb 12
TI - Communicating medication risk to cardiovascular patients in Qatar.
PG - 10-19
LID - 10.1108/IJHCQA-10-2016-0152 [doi]
AB - Purpose Patient safety is gaining prominence in health professional
curricula.
Patient safety must be complemented by teaching and skill development in
practice
settings. The purpose of this paper is to explore how experienced pharmacists
identify, prioritize and communicate adverse drug effects to patients.

Design/methodology/approach A focus group discussion was conducted with
cardiology
pharmacy specialists working in a Doha hospital, Qatar. The topic guide
sought to
explore participants' views, experiences and approaches to educating patients
regarding specific cardiovascular therapy safety and tolerability.

Discussions were
audio-recorded and transcribed verbatim. Data were coded and organized around
identified themes and sub-themes. Working theories were developed by the

three
authors based on relevant topic characteristics associated with the means in
which
pharmacists prioritize and choose adverse effect information to communicate
to
patients. Findings Nine pharmacists participated in the discussion. The
specific
adverse effects prioritized were consistent with the reported highest
prevalence.
Concepts and connections to three main themes described how pharmacists
further
tailored patient counseling: potential adverse effects and their perceived
importance; patient encounter; and cultural factors. Pharmacists relied on
initial
patient dialogue to judge an individual's needs and capabilities to digest
safety
information, and drew heavily upon experience with other counseling
encounters to
further prioritize this information, processes dependent upon development and
accessing exemplar cases. Originality/value The findings underscore practical
experience as a critical instructional element of undergraduate health

professional
patient safety curricula and for developing associated clinical reasoning.
FAU - Wilbur, Kerry
AU - Wilbur K
AD - Qatar University , Doha, Qatar.
FAU - Sahal, Arwa
AU - Sahal A
AD - Hamad Medical Corporation, Doha, Qatar.
FAU - Elgaily, Dina
AU - Elgaily D
AD - Hamad Medical Corporation, Doha, Qatar.
LA - eng
TA - Int J Health Care Qual Assur
JT - International journal of health care quality assurance
JID - 8916799
RN - 0 (Cardiovascular Agents)
SB - H
MH - Cardiovascular Agents/administration & dosage/adverse effects/*therapeutic
use
MH - Cardiovascular Diseases/*drug therapy/psychology
MH - Cultural Characteristics
MH - Female
MH - Humans
MH - Male
MH - Qatar
PMC - PMC5925853
OTO - NOTNLM
OT - Education
OT - Medicine
OT - Patient safety
EDAT- 2018/03/06 06:00
MHDA- 2018/09/18 06:00
CRDT- 2018/03/06 06:00
PHST- 2018/03/06 06:00 [entrez]
PHST- 2018/03/06 06:00 [pubmed]
PHST- 2018/09/18 06:00 [medline]
AID - 605294 [pii]
AID - 10.1108/IJHCQA-10-2016-0152 [doi]
PST - ppublish
SO - Int J Health Care Qual Assur. 2018 Feb 12;31(1):10-19. doi:
10.1108/IJHCQA-10-2016-0152.
PMID- 30839278
OWN - NLM
LR - 20201001
IS - 2291-9694 (Print)
VI - 7
IP - 1
DP - 2019 Mar 6
TI - The Impact of an Electronic Patient Bedside Observation and Handover System
on
Clinical Practice: Mixed-Methods Evaluation.
PG - e11678
LID - 10.2196/11678 [doi]
LID - e11678
AB - BACKGROUND: Patient safety literature has long reported the need for early
recognition of deteriorating patients. Early warning scores (EWSs) are
commonly
implemented as "track and trigger," or rapid response systems for monitoring
and
early recognition of acute patient deterioration. This study presents a human
factors evaluation of a hospital-wide transformation in practice, engendered

by the
deployment of an innovative electronic observations (eObs) and handover
system. This
technology enables real-time information processing at the patient's bedside,
improves visibility of patient data, and streamlines communication within

clinical
teams. OBJECTIVE: The aim of this study was to identify improvement and
deterioration in workplace efficiency and quality of care resulting from the
large-scale imposition of new technology. METHODS: A total of 85 hours of
direct
structured observations of clinical staff were carried out before and after
deployment. We conducted 40 interviews with a range of clinicians. A
longitudinal
analysis of critical care audit and electronically recorded patient safety
incident
reports was conducted. The study was undertaken in a large secondary-care
facility
in the United Kingdom. RESULTS: Roll-out of eObs was associated with
approximately
10% reduction in total unplanned admissions to critical care units from
eObs-equipped wards. Over time, staff appropriated the technology as a tool
for
communication, workload management, and improving awareness of team capacity.
A
negative factor was perceived as lack of engagement with the system by senior
clinicians. Doctors spent less time in the office (68.7% to 25.6%). More time
was
spent at the nurses' station (6.6% to 41.7%). Patient contact time was more
than
doubled (2.9% to 7.3%). CONCLUSIONS: Since deployment, clinicians have more
time for
patient care because of reduced time spent inputting and accessing data. The
formation of a specialist clinical team to lead the roll-out was universally
lauded
as the reason for success. Staff valued the technology as a tool for managing
workload and identified improved situational awareness as a key benefit. For

future
technology deployments, the staff requested more training preroll-out, in
addition
to engagement and support from senior clinicians.
CI - ©Alexandra Lang, Mark Simmonds, James Pinchin, Sarah Sharples, Lorrayne Dunn,
Susan
Clarke, Owen Bennett, Sally Wood, Caron Swinscoe. Originally published in
JMIR
Medical Informatics (http://medinform.jmir.org), 06.03.2019.
FAU - Lang, Alexandra
AU - Lang A
AUID- ORCID: 0000-0002-7332-9443
AD - Trent Simulation and Clinical Skills Centre, Nottingham University Hospitals
NHS
Trust, Nottingham, United Kingdom.
FAU - Simmonds, Mark
AU - Simmonds M
AUID- ORCID: 0000-0003-1367-7718
AD - Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.
FAU - Pinchin, James
AU - Pinchin J
AUID- ORCID: 0000-0001-6645-7212
AD - Faculty of Engineering, University of Nottingham, Nottingham, United Kingdom.
FAU - Sharples, Sarah
AU - Sharples S
AUID- ORCID: 0000-0003-0288-915X
AD - Faculty of Engineering, University of Nottingham, Nottingham, United Kingdom.
FAU - Dunn, Lorrayne
AU - Dunn L
AUID- ORCID: 0000-0002-6046-1306
FAU - Clarke, Susan
AU - Clarke S
AUID- ORCID: 0000-0003-4170-9318
FAU - Bennett, Owen
AU - Bennett O
AUID- ORCID: 0000-0002-3567-5986
FAU - Wood, Sally
AU - Wood S
AUID- ORCID: 0000-0002-8529-0830
FAU - Swinscoe, Caron
AU - Swinscoe C
AUID- ORCID: 0000-0001-5784-320X
AD - NHS Digital, Leeds, United Kingdom.
LA - eng
DEP - 20190306
TA - JMIR Med Inform
JT - JMIR medical informatics
JID - 101645109
PMC - PMC6425312
OTO - NOTNLM
OT - clinical deterioration
OT - early warning score
OT - health information technology
OT - mixed methods
OT - mobile health
OT - patient safety
OT - staff workload
COIS- Conflicts of Interest: None declared.
EDAT- 2019/03/07 06:00
MHDA- 2019/03/07 06:01
CRDT- 2019/03/07 06:00
PHST- 2018/07/31 00:00 [received]
PHST- 2018/11/22 00:00 [accepted]
PHST- 2018/11/12 00:00 [revised]
PHST- 2019/03/07 06:00 [entrez]
PHST- 2019/03/07 06:00 [pubmed]
PHST- 2019/03/07 06:01 [medline]
AID - v7i1e11678 [pii]
AID - 10.2196/11678 [doi]
PST - epublish
SO - JMIR Med Inform. 2019 Mar 6;7(1):e11678. doi: 10.2196/11678.
PMID- 29017315
OWN - NLM
LR - 20201001
IS - 2383-7837 (Print)
IS - 2383-7837 (Linking)
VI - 51
IP - 6
DP - 2017 Nov
TI - Thyroid Cytology: The Japanese System and Experience at Yamashita Thyroid
Hospital.
PG - 548-554
LID - 10.4132/jptm.2017.09.29 [doi]
AB - In Japan, fine-needle aspiration (FNA) cytology is the most important
diagnostic
modality for triaging patients with thyroid nodules. A clinician
(endocrinologist,
endocrine surgeon, or head and neck surgeon) generally performs FNA cytology
at the
outpatient clinic, and ultrasound (US)-guided FNA is widespread because US is
extremely common and most clinicians are familiar with it. Although almost
all FNA
thyroid samples are examined by certified cytopathologists and pathologists,
some
clinicians assess cytological specimens themselves. In Japan, there are two
clinical
guidelines regarding the management of thyroid nodules. One is the General
Rules for
the Description of Thyroid Cancer (GRDTC) published by the Japanese Society
of
Thyroid Surgery (JSTS) in 2005, and the other is the national reporting
system for
thyroid FNA cytology published by the Japan Thyroid Association in 2013
(Japanese
system). Although the Bethesda System for Reporting Thyroid Cytopathology
(Bethesda
system) is rarely used in Japan, both the GRDTC and Japanese system tried to
incorporate the Bethesda system so that the cytological diagnoses would be
compatible with each other. The essential point of the Japanese system is
stratification of follicular neoplasm (FN) into three subgroups based on
cytological
features in order to reduce unnecessary diagnostic thyroidectomy, and this
system
has been successful in stratifying the risk of malignancy in FN patients at
several
high-volume thyroid surgery centers. In Japan, the measurement of
thyroglobulin
and/or calcitonin in FNA needle washings is often used as an adjunct for
diagnosis
of possible cervical lymph node metastasis when FNA cytology is performed.
FAU - Satoh, Shinya
AU - Satoh S
AD - Department of Endocrine Surgery, Yamashita Thyroid Hospital, Fukuoka, Japan.
FAU - Yamashita, Hiroyuki
AU - Yamashita H
AD - Department of Endocrine Surgery, Yamashita Thyroid Hospital, Fukuoka, Japan.
FAU - Kakudo, Kennichi
AU - Kakudo K
AD - Department of Pathology, Kindai University Faculty of Medicine, Nara
Hospital,
Ikoma, Japan.
LA - eng
PT - Review
DEP - 20171011
TA - J Pathol Transl Med
JT - Journal of pathology and translational medicine
JID - 101650151
PMC - PMC5700886
OTO - NOTNLM
OT - Fine needle aspiration cytology
OT - Indeterminate
OT - Japan
OT - Risk of malignancy
OT - Risk stratification
OT - The Bethesda System for Reporting Thyroid Cytopathology
OT - Thyroid
COIS- Conflicts of Interest No potential conflict of interest relevant to this
article was
reported.
EDAT- 2017/10/12 06:00
MHDA- 2017/10/12 06:01
CRDT- 2017/10/12 06:00
PHST- 2017/08/25 00:00 [received]
PHST- 2017/09/23 00:00 [revised]
PHST- 2017/09/29 00:00 [accepted]
PHST- 2017/10/12 06:00 [pubmed]
PHST- 2017/10/12 06:01 [medline]
PHST- 2017/10/12 06:00 [entrez]
AID - jptm.2017.09.29 [pii]
AID - jptm-2017-09-29 [pii]
AID - 10.4132/jptm.2017.09.29 [doi]
PST - ppublish
SO - J Pathol Transl Med. 2017 Nov;51(6):548-554. doi: 10.4132/jptm.2017.09.29.
Epub 2017
Oct 11.
PMID- 32909403
OWN - NLM
STAT- In-Process
LR - 20200929
IS - 2052-1707 (Linking)
VI - 8
IP - 5
DP - 2020 Oct
TI - Pharmacist's role in HIV care in France. Implication for clinical improvement
of
people living with HIV worldwide.
PG - e00629
LID - 10.1002/prp2.629 [doi]
LID - e00629
AB - In France, antiretroviral (ARV) treatment can be dispensed by hospital and/or
community pharmacies. Since January 2016, an online patient medication file

can be
used to optimize dispensing, but medication interviews have not yet been
incorporated into this system. To understand both people living with HIV
(PLHIV) and
their pharmacists' habits and expectations of patient medication file and
interviews, two consecutive national surveys were organized. The first one,
carried
out in October 2016 in care centers, was an anonymous questionnaire for
PLHIV. The
second one was an online survey for community and hospital pharmacies
conducted in
February 2017. A total of 1137 PLHIV (68% men, of mean age 50.2 ± 11.5 years,
CD4
count 671 ± 354, 90% with undetectable HIV viral load (VL) and 64.2%
reporting
comorbidities) and 246 pharmacies responded. While the existence of the
online
medication file is known by 58% of PLHIV, only 40% of pharmacists declare it
to be
systematically offered. It was offered to 120/694 (17%) PLHIV and 96 (80%)
accepted
it. Currently, 78 (7%) PLHIV feel well taken care of because they are offered
medication interviews, 343/1078 (32%) would like to take advantage of this

program,
mainly those with a shorter ARV duration (OR ARV duration 0.97 [0.95-0.99]),
a VL
less often undetectable (OR undetectable VL 0.55 [0.31-0.98]), and those who
feel
anxious more often (OR anxious 2.38 [1.48-3.84]). These results suggest that
better
implementation of medication files and interviews will strengthen current
clinical
pathways.
CI - © 2020 The Authors. Pharmacology Research & Perspectives published by British
Pharmacological Society and American Society for Pharmacology and

Experimental
Therapeutics and John Wiley & Sons Ltd.
FAU - Jacomet, Christine
AU - Jacomet C
AUID- ORCID: 0000-0003-0794-6934
AD - Infectious Disease Unit, CHU Clermont-Ferrand, COREVIH Auvergne Loire,
Clermont-Ferrand, France.
FAU - Langlois, Julie
AU - Langlois J
AUID- ORCID: 0000-0001-8259-9659
AD - Société Française de Lutte Contre le SIDA, Paris, France.
FAU - Secher, Solene
AU - Secher S
AUID- ORCID: 0000-0002-0404-8277
AD - COREVIH Pays de la Loire, CHU Nantes, Nantes, France.
FAU - Coban, Dilek
AU - Coban D
AUID- ORCID: 0000-0003-4598-3664
AD - Clinical Research Direction, CHU Clermont-Ferrand, Clermont-Ferrand, France.
FAU - Lambert, Celine
AU - Lambert C
AUID- ORCID: 0000-0002-6459-4800
AD - Clinical Research Direction, CHU Clermont-Ferrand, Clermont-Ferrand, France.
FAU - Zucman, David
AU - Zucman D
AUID- ORCID: 0000-0002-7682-0115
AD - ZUCMAN David: Internal Medicine Unit, Hôpital Foch, Suresnes, France.
FAU - Trout, Herve
AU - Trout H
AD - TROUT Hervé: Pharmaceutical Service, Hospital Group Lariboisière Saint Louis
and
Fernand-Widal, Paris, France.
FAU - Maarek, Rene
AU - Maarek R
AD - MAAREK René: Pharmacist, Montreuil, France.
FAU - Billaud, Eric
AU - Billaud E
AUID- ORCID: 0000-0002-3420-1228
AD - BILLAUD Éric: Infectious Disease Unit, CHU Nantes, CIC 1413 INSERM, COREVIH
Pays de
la Loire, Nantes, France.
FAU - Certain, Agnes
AU - Certain A
AUID- ORCID: 0000-0002-0851-1716
AD - CERTAIN Agnès: Infectious Disease Unit, CHU Bichat-Claude Bernard, Paris,
France.
LA - eng
TA - Pharmacol Res Perspect
JT - Pharmacology research & perspectives
JID - 101626369
SB - IM
PMC - PMC7507099
OTO - NOTNLM
OT - *HIV/AIDS
OT - *antiretrovirals
OT - *health policy
EDAT- 2020/09/11 06:00
MHDA- 2020/09/11 06:00
CRDT- 2020/09/10 05:41
PHST- 2020/06/23 00:00 [received]
PHST- 2020/06/28 00:00 [revised]
PHST- 2020/06/29 00:00 [accepted]
PHST- 2020/09/10 05:41 [entrez]
PHST- 2020/09/11 06:00 [pubmed]
PHST- 2020/09/11 06:00 [medline]
AID - PRP2629 [pii]
AID - 10.1002/prp2.629 [doi]
PST - ppublish
SO - Pharmacol Res Perspect. 2020 Oct;8(5):e00629. doi: 10.1002/prp2.629.
PMID- 32522163
OWN - NLM
STAT- MEDLINE
DCOM- 20201231
LR - 20201231
IS - 1471-2407 (Linking)
VI - 20
IP - 1
DP - 2020 Jun 10
TI - A real-time electronic symptom monitoring system for patients after discharge
following surgery: a pilot study in cancer-related surgery.

PG - 543
LID - 10.1186/s12885-020-07027-5 [doi]
LID - 543
AB - BACKGROUND: Advances in peri-operative care of surgical oncology patients
result in
shorter hospital stays. Earlier discharge may bring benefits, but
complications can
occur while patients are recovering at home. Electronic patient-reported
outcome
(ePRO) systems may enhance remote, real-time symptom monitoring and detection
of
complications after hospital discharge, thereby improving patient safety and
outcomes. Evidence of the effectiveness of ePRO systems in surgical oncology
is
lacking. This pilot study evaluated the feasibility of a real-time electronic
symptom monitoring system for patients after discharge following cancer-

related
upper gastrointestinal surgery. METHODS: A pilot study in two UK hospitals
included
patients who had undergone cancer-related upper gastrointestinal surgery.
Participants completed the ePRO symptom-report at discharge, twice in the
first week
and weekly post-discharge. Symptom-report completeness, system actions,
barriers to
using the ePRO system and technical performance were examined. The ePRO
surgery
system is an online symptom-report that allows clinicians to view patient
symptom-reports within hospital electronic health records and was developed
as part
of the eRAPID project. Clinically derived algorithms provide patients with
tailored
self-management advice, prompts to contact a clinician or automated clinician
alerts
depending on symptom severity. Interviews with participants and clinicians
determined the acceptability of the ePRO system to support patients and their
clinical management during recovery. RESULTS: Ninety-one patients were

approached,
of which 40 consented to participate (27 male, mean age 64 years). Symptom-
report
response rates were high (range 63-100%). Of 197 ePRO completions analysed,
76 (39%)
triggered self-management advice, 72 (36%) trigged advice to contact a
clinician, 9
(5%) triggered a clinician alert and 40 (20%) did not require advice.
Participants
found the ePRO system reassuring, providing timely information and advice
relevant
to supporting their recovery. Clinicians regarded the system as a useful
adjunct to
usual care, by signposting patients to seek appropriate help and enhancing
their
understanding of patients' experiences during recovery. CONCLUSION: Use of
the ePRO
system for the real-time, remote monitoring of symptoms in patients
recovering from
cancer-related upper gastrointestinal surgery is feasible and acceptable. A
definitive randomised controlled trial is needed to evaluate the impact of
the
system on patients' wellbeing after hospital discharge.
FAU - Richards, H S
AU - Richards HS
AUID- ORCID: 0000-0001-9181-7005
AD - Medical Research Council ConDuCT-II Hub for Trials Methodology Research,
National
Institute for Health Research Bristol Biomedical Research Centre, Bristol
Centre for
Surgical Research, Bristol Medical School, Population Health Sciences,
University of
Bristol, 39 Whatley Road, Bristol, BS8 2PS, UK.
hollie.richards@bristol.ac.uk.
FAU - Blazeby, J M
AU - Blazeby JM
National
Centre for
University of
AD - Division of Surgery, University Hospitals Bristol NHS Foundation Trust,
Bristol, BS2
8HW, UK.
FAU - Portal, A
AU - Portal A
Bristol
Centre for Surgical Research, Bristol Medical School, Population Health
Sciences,
University of Bristol, 39 Whatley Road, Bristol, BS8 2PS, UK.
FAU - Harding, R
AU - Harding R
Bristol, BS2
8HW, UK.
FAU - Reed, T
AU - Reed T
Bristol, BS2
8HW, UK.
FAU - Lander, T
AU - Lander T
Bristol, BS2
8HW, UK.
FAU - Chalmers, K A
AU - Chalmers KA
National
Centre for
University of
FAU - Carter, R
AU - Carter R
AD - Section of Patient-Centred Outcomes Research, Leeds Institute of Medical
Research at
St James's, University of Leeds, St James's Hospital, Leeds, LS9 7TF, UK.
FAU - Singhal, R
AU - Singhal R
AD - Queen Elizabeth Hospital Birmingham, Mindelson Way, Edgbaston, Birmingham,
B15 2WB,
UK.
FAU - Absolom, K
AU - Absolom K
Research at
FAU - Velikova, G
AU - Velikova G
Research at
FAU - Avery, K N L
AU - Avery KNL
National
Centre for
University of
LA - eng
GR - RP-PG-0611-20008/National Institute for Health Research/
DEP - 20200610
TA - BMC Cancer
JT - BMC cancer
JID - 100967800
SB - IM
MH - Adult
MH - Aged
MH - Bile Duct Neoplasms/*surgery
MH - Enhanced Recovery After Surgery
MH - Esophageal Neoplasms/*surgery
MH - Feasibility Studies
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - *Online Systems
MH - *Patient Reported Outcome Measures
MH - Pilot Projects
MH - Stomach Neoplasms/*surgery
MH - Symptom Assessment/*methods
MH - United Kingdom
PMC - PMC7285449
OTO - NOTNLM
OT - Adverse events
OT - Cancer, gastrointestinal
OT - Electronic health record
OT - Gastrointestinal surgical procedures
OT - Internet
OT - Patient-reported outcomes
OT - Pilot studies
OT - Self-management
EDAT- 2020/06/12 06:00
MHDA- 2021/01/01 06:00
CRDT- 2020/06/12 06:00
PHST- 2019/08/20 00:00 [received]
PHST- 2020/06/01 00:00 [accepted]
PHST- 2020/06/12 06:00 [entrez]
PHST- 2020/06/12 06:00 [pubmed]
PHST- 2021/01/01 06:00 [medline]
AID - 10.1186/s12885-020-07027-5 [pii]
AID - 7027 [pii]
AID - 10.1186/s12885-020-07027-5 [doi]
PST - epublish
SO - BMC Cancer. 2020 Jun 10;20(1):543. doi: 10.1186/s12885-020-07027-5.
PMID- 32512668
OWN - NLM
STAT- MEDLINE
DCOM- 20200728
LR - 20201117
IS - 2092-7193 (Linking)
VI - 42
DP - 2020
TI - Medication errors among Iranian emergency nurses: A systematic review.
PG - e2020030
LID - 10.4178/epih.e2020030 [doi]
LID - e2020030
AB - OBJECTIVES: Medication errors (MEs) made by nurses are the most common errors
in
emergency departments (EDs). Identifying the factors responsible for MEs is
crucial
in designing optimal strategies for reducing such occurrences. The present
study
aimed to review the literature describing the prevalence and factors
affecting MEs
among emergency ward nurses in Iran. METHODS: We searched electronic
databases,
including the Scientific Information Database, PubMed, Cochrane Library, Web
of
Science, Scopus, and Google Scholar, for scientific studies conducted among
emergency ward nurses in Iran. The studies were restricted to full-text,
peer-reviewed studies published from inception to December 2019, in the
Persian and
English languages, that evaluated MEs among emergency ward nurses in Iran.
RESULTS:
Eight studies met the inclusion criteria. Most of the nurses (58.9%) had
committed
MEs only once. The overall mean rate of MEs was 46.2%, and errors made during
drug
administration accounted for 41.7% of MEs. The most common type of
administration
error was drug omission (17.8%), followed by administering drugs at the wrong
time
(17.5%) and at an incorrect dosage (10.6%). The lack of an adequate nursing
workforce during shifts and improper nurse-patient ratios were the most
critical
factors affecting the occurrence of MEs by nurses. CONCLUSIONS: Despite the
increased attention on patient safety in Iran, MEs by nurses remain a
significant
concern in EDs. Therefore, nurse managers and policy-makers must take
adequate
measures to reduce the incidence of MEs and their potential negative
consequences.
FAU - Hosseini Marznaki, Zohreh
AU - Hosseini Marznaki Z
AD - Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran
University
of Medical Sciences, Sari, Iran.
FAU - Pouy, Somaye
AU - Pouy S
AD - Student Research Committee, School of Nursing and Midwifery, Guilan
University of
Medical Sciences, Rasht, Iran.
FAU - Salisu, Waliu Jawula
AU - Salisu WJ
AD - Department of Nursing, Tamale Teaching Hospital, Tamale, Ghana.
FAU - Emami Zeydi, Amir
AU - Emami Zeydi A
AD - Department of Medical-Surgical Nursing, Nasibeh School of Nursing and
Midwifery,
Mazandaran University of Medical Sciences, Sari, Iran.
LA - eng
DEP - 20200513
TA - Epidemiol Health
JT - Epidemiology and health
JID - 101519472
SB - IM
MH - *Emergency Nursing
MH - Humans
MH - Iran
PMC - PMC7644927
OTO - NOTNLM
OT - Emergency service
OT - Hospital
OT - Iran
OT - Nurse
COIS- The authors have no conflicts of interest to declare for this study.
EDAT- 2020/06/10 06:00
MHDA- 2020/07/29 06:00
CRDT- 2020/06/09 06:00
PHST- 2020/03/29 00:00 [received]
PHST- 2020/05/13 00:00 [accepted]
PHST- 2020/06/10 06:00 [pubmed]
PHST- 2020/07/29 06:00 [medline]
PHST- 2020/06/09 06:00 [entrez]
AID - epih.e2020030 [pii]
AID - epih-42-e2020030 [pii]
AID - 10.4178/epih.e2020030 [doi]
PST - ppublish
SO - Epidemiol Health. 2020;42:e2020030. doi: 10.4178/epih.e2020030. Epub 2020 May
13.
PMID- 32734170
OWN - NLM
LR - 20200928
IS - 2574-2531 (Linking)
VI - 3
IP - 2
DP - 2020 Jul
TI - Factors influencing digital review of pathology test results in an inpatient
setting: a cross-sectional study.
PG - 290-298
LID - 10.1093/jamiaopen/ooaa003 [doi]
AB - BACKGROUND: Delay or failure to view test results in a hospital setting can
lead to
delayed diagnosis, risk of patient harm, and represents inefficiency. Factors
influencing this were investigated to identify how timeliness and

completeness of
test review could be improved through an evidence-based redesign of the use
of
clinical test review software. METHODS: A cross-section of all abnormal
hematology
and biochemistry results which were published on a digital test review
platform over
a 3-year period were investigated. The time it took for clinicians to view
these
results, and the results that were not viewed within 30 days, were analyzed
relative
to time of the week, the detailed type of test, and an indicator of patient
record
data quality. RESULTS: The majority of results were viewed within 90 min, and
93.9%
of these results viewed on the digital platform within 30 days. There was
significant variation in results review throughout the week, shown to be due
to an
interplay between technical and clinical workflow factors. Routine results
were less
likely to be reviewed, as were those with patient record data quality issues.
CONCLUSION: The evidence suggests that test result review would be improved
by
stream-lining access to the result platform, differentiating between urgent
and
routine results, improving handover of responsibility for result review, and
improving search for temporary patient records. Altering the timing of
phlebotomy
rounds and a review of the appropriateness of routine test requests at the
weekend
may also improve result review rates.
American
Medical Informatics Association.
FAU - Challen, Robert
AU - Challen R
AUID- ORCID: 0000-0002-5504-7768
AD - EPSRC Centre for Predictive Modelling in Healthcare, University of Exeter,
Exeter,
Devon, UK.
AD - Taunton and Somerset NHS Foundation Trust, Taunton, Somerset, UK.
FAU - Tsaneva-Atanasova, Krasimira
AU - Tsaneva-Atanasova K
AD - EPSRC Centre for Predictive Modelling in Healthcare, University of Exeter,
Exeter,
Devon, UK.
AD - The Alan Turing Institute, British Library, London, UK.
FAU - Edwards, Tom
AU - Edwards T
FAU - Gompels, Luke
AU - Gompels L
FAU - Dayer, Mark
AU - Dayer M
FAU - Pitt, Martin
AU - Pitt M
AD - NIHR CLAHRC for the South West Peninsula, St Luke's Campus, University of
Exeter
Medical School, Exeter, UK.
FAU - Danon, Leon
AU - Danon L
AD - The Alan Turing Institute, British Library, London, UK.
AD - Data Science Institute, College of Engineering, Mathematics and Physical
Sciences,
University of Exeter, Exeter, UK.
LA - eng
DEP - 20200317
TA - JAMIA Open
JT - JAMIA open
JID - 101730643
PMC - PMC7382616
OTO - NOTNLM
OT - clinical workflow
OT - data quality
OT - laboratory informatics
OT - test result follow-up
EDAT- 2020/08/01 06:00
MHDA- 2020/08/01 06:01
CRDT- 2020/08/01 06:00
PHST- 2019/02/21 00:00 [received]
PHST- 2019/11/27 00:00 [revised]
PHST- 2020/02/05 00:00 [accepted]
PHST- 2020/08/01 06:00 [entrez]
PHST- 2020/08/01 06:00 [pubmed]
PHST- 2020/08/01 06:01 [medline]
AID - ooaa003 [pii]
AID - 10.1093/jamiaopen/ooaa003 [doi]
PST - epublish
SO - JAMIA Open. 2020 Mar 17;3(2):290-298. doi: 10.1093/jamiaopen/ooaa003.
eCollection
2020 Jul.
PMID- 30800870
OWN - NLM
STAT- MEDLINE
DCOM- 20191101
LR - 20200309
IS - 2374-8265 (Linking)
VI - 14
DP - 2018 Jan 19
TI - Quality Improvement Virtual Practicum: The QI Simulator.
PG - 10670
LID - 10.15766/mep_2374-8265.10670 [doi]
LID - 10670
AB - INTRODUCTION: In recent years, undergraduate and graduate medical education
has been
rightfully emphasizing education in quality improvement and patient safety
(QIPS).
However, the best methods for teaching the foundational principles of QIPS
and
associated skills are unknown. METHODS: In collaboration with the Institute
for
Healthcare Improvement Open School, we developed an approachable simulation
for
teams of health care trainees at any level and any discipline. The simulation
is
based on the investigation of a case regarding a psychiatric patient admitted
to a
fictional hospital for medical treatment who has eloped. In teams,
participants
investigate the incident by collecting data and using basic QI principles to
brainstorm and design interventions. Participants are guided through this
paper-based simulation by QI facilitators who have working knowledge of basic
QI
principles and techniques. RESULTS: The simulation has been successfully used
with
hundreds of medical students and other health professional trainees. While
working
in teams, participants gained exposure to patient-safety incident reporting
and
investigation, process mapping, plan-do-study-act cycles, run charts,
intervention
design, and interactions with hospital administrators. Surveyed participants
reported that they had learned QI principles, gained confidence in their
ability to
do QI work, and increased their likelihood of leading a QI initiative in the
future.
DISCUSSION: Simulation has become a standard way to teach many clinical
topics in
undergraduate and graduate medical education, and QIPS should be no
exception. This
simulation has been shown to be effective in increasing understanding of and
interest in QIPS.
FAU - Worsham, Christopher
AU - Worsham C
AUID- ORCID: 0000-0002-1611-6871
AD - Clinical and Research Fellow, Division of Pulmonary and Critical Care
Medicine,
Massachusetts General Hospital.
FAU - Swamy, Lakshman
AU - Swamy L
AUID- ORCID: 0000-0002-4680-0906
AD - Fellow, Department of Pulmonary and Critical Care, Boston University Medical
Center.
FAU - Gilad, Amir
AU - Gilad A
AD - Medical Student, Boston University School of Medicine.
FAU - Abbott, Jodi
AU - Abbott J
AD - Associate Professor, Obstetrics and Gynecology Department, Boston University
School
of Medicine.
AD - Assistant Dean, Office of Academic Affairs for Patient Safety and Quality
Improvement Education, Boston University School of Medicine.
LA - eng
DEP - 20180119
TA - MedEdPORTAL
JID - 101714390
SB - IM
MH - Curriculum/*trends
MH - Education, Medical, Graduate/methods/trends
MH - Humans
MH - Patient Safety/standards
MH - Quality Improvement/*trends
MH - Simulation Training/*methods/trends
PMC - PMC6342354
OTO - NOTNLM
OT - *Interprofessional Education
OT - *Patient Safety
OT - *Quality Improvement
OT - *Simulation
OT - *Team-Based Teaching
EDAT- 2019/02/26 06:00
MHDA- 2019/11/02 06:00
CRDT- 2019/02/26 06:00
PHST- 2019/02/26 06:00 [entrez]
PHST- 2019/02/26 06:00 [pubmed]
PHST- 2019/11/02 06:00 [medline]
AID - 10.15766/mep_2374-8265.10670 [doi]
PST - epublish
SO - MedEdPORTAL. 2018 Jan 19;14:10670. doi: 10.15766/mep_2374-8265.10670.
PMID- 31256028
OWN - NLM
STAT- MEDLINE
DCOM- 20200608
LR - 20200608
IS - 2044-6055 (Linking)
VI - 9
IP - 6
DP - 2019 Jun 29
TI - Clinical observations and a ealthcare ailure ode and ffect nalysis to
identify
vulnerabilities in the security and accounting of medications in Ontario
hospitals:
a study protocol.
PG - e027629
LID - 10.1136/bmjopen-2018-027629 [doi]
LID - e027629
AB - INTRODUCTION: An increasing number of opioids and other controlled substances
are
being stolen from healthcare facilities, diverting medications from their
intended
medical use to be used or sold illicitly. Many incidents of medication loss
from
Canadian hospitals are reported as unexplained losses. Together, this
suggests not
only that vulnerabilities for diversion exist within current medication-use
processes (MUPs), but that hospitals lack robust mechanisms to accurately
track and
account for discrepancies and loss in inventory. There is a paucity of
primary
research investigating vulnerabilities in the security and accounting of
medications
across hospital processes. The purpose of this study is to map hospital MUPs,
systematically identify risks for diversion or unintentional loss and

proactively
assess opportunities for improvements to medication accounting and security.
METHODS
AND ANALYSIS: We will conduct human factors-informed clinical observations
and a
Healthcare Failure Mode and Effect Analysis (HFMEA). We will observe hospital
personnel in the intensive care unit, emergency department and inpatient

pharmacy in
two hospitals in Ontario, Canada. Observations will capture how participants
complete tasks, as well as gather contextual information about the
environment,
technologies and processes. A multidisciplinary team will complete an HFMEA
to map
process flow diagrams for the MUPs in the observed clinical units, identify
and
prioritise potential methods of medication loss (failure modes) and describe
mechanisms or actions to prevent, detect and trace medication loss. ETHICS
AND
DISSEMINATION: We received province-wide research ethics approval via
Clinical
Trials Ontario Streamlined Research Review System, and site-specific
approvals from
each participating hospital. The results from this study will be presented at
conferences and meetings, as well as published in peer-reviewed journals. The
findings will be shared with hospitals; professional, regulatory and

accreditation
organisations; patient safety and healthcare quality organisations and
equipment and
drug manufacturers.
FAU - de Vries, Maaike
AU - de Vries M
AD - HumanEra, Research and Innovation, North York General Hospital, Toronto,
Ontario,
Canada.
AD - Institute of Health Policy, Management and Evaluation, University of Toronto,

FAU - Fan, Mark
AU - Fan M
Ontario,
Canada.
FAU - Tscheng, Dorothy
AU - Tscheng D
AD - Institute for Safe Medication Practices Canada, Toronto, Ontario, Canada.
FAU - Hamilton, Michael
AU - Hamilton M
AD - Institute for Safe Medication Practices Canada, Toronto, Ontario, Canada.
FAU - Trbovich, Patricia
AU - Trbovich P
Ontario,
Canada.
AD - Institute of Health Policy, Management and Evaluation, University of Toronto,

LA - eng
DEP - 20190629
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
EIN - BMJ Open. 2019 Jul 23;9(7):e027629corr1. PMID: 31340976
MH - Health Services Research/*methods
MH - Hospitals/*standards
MH - Humans
MH - Medication Errors/*prevention & control/statistics & numerical data
MH - Ontario
PMC - PMC6609086
OTO - NOTNLM
OT - *diversion
OT - *healthcare safety and quality
OT - *hospital medication use process
OT - *human factors
COIS- Competing interests: MDV, MF and PT have received honoraria from BD - Canada
for
presenting at BD-sponsored events. BD - Canada was not involved in study
design or
writing of this article, and will not be involved in the collection, analysis
or
interpretation of data; in the writing of the report or in the decision to
submit
the article for publication.
EDAT- 2019/07/01 06:00
MHDA- 2020/06/09 06:00
CRDT- 2019/07/01 06:00
PHST- 2019/07/01 06:00 [entrez]
PHST- 2019/07/01 06:00 [pubmed]
PHST- 2020/06/09 06:00 [medline]
AID - 10.1136/bmjopen-2018-027629 [doi]
PST - epublish
PMID- 32646349
OWN - NLM
LR - 20200710
IS - 1130-6343 (Linking)
VI - 44
IP - 4
DP - 2020 Jul 1
TI - Spanish Society of Hospital Pharmacy Position Statement on Telepharmacy:
Recommendations for its implementation and development.
PG - 174-181
LID - 10.7399/fh.11515 [doi]
AB - The use of information and communication technologies have nowadays become
part and
parcel of hospital pharmacy practice. Against this background, it is hardly
surprising that Telepharmacy has sparked the interest of a large number of
stakeholders. In this respect, the Spanish Society of Hospital Pharmacy has
developed a definition of the concept and outlined the conditions under
which
Telepharmacy should operate. It has also shared its institutional stance on
the
subject through a position statement that states that Telepharmacy is the
provision
of pharmaceutical care at a distance through information and
communication technologies. Telepharmacy practice includes activities such
as
therapeutic validation, drafting of clinical documents, provision of
pharmaceutical
care, therapeutic follow-up, adherence monitoring, drug education and
information,
coordination between healthcare providers and evaluation of health outcomes.
The
clinical tasks performed as part of Telepharmacy practice must adhere to a
standardized procedure and revolve around the patient's clinical record.
Access to
Telepharmacy must be provided without discrimination. The service comprises
four
main activities: pharmacotherapeutic follow-up; patient and caregiver-
directed
education and information-dissemination; coordination with healthcare
providers from
the same or different hospitals; and remote informed home drug delivery.
Implementation of Telepharmacy requires an adjustment of human (training and
capacity-building) and technological resources (validation, interoperability,
confidentiality). It must also comply with the laws and regulations in force
both
at a regional and a national level. Telepharmacy procedures must also be
adapted to
the relevant ethical standards and codes of good practice. Appropriate
indicators
must be used to evaluate the performance of Telepharmacy and its impact on
health
outcomes. According to Spanish Society of Hospital Pharmacy Telepharmacy is
a
necessary complementary tool to provide specialized pharmaceutical care and
thereby
improve health outcomes and maximize patient safety and satisfaction.
CI - Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights
reserved.
FAU - Morillo-Verdugo, Ramón
AU - Morillo-Verdugo R
AD - Department of Pharmacy, Virgen de Valme University Hospital, Seville. Spain.
MAPEX
Project Working Group: Strategic Telepharmacy Framework, Spanish Society of
Hospital
Pharmacy. Spain. luis.margusino.framinan@sergas.es.
FAU - Margusino-Framiñán, Luis
AU - Margusino-Framiñán L
AD - MAPEX Project Working Group: Strategic Telepharmacy Framework, Spanish
Society of
Hospital Pharmacy. Spain Department of Pharmacy, A Coruña University Hospital
Complex, A Coruña. Spain.. luis.margusino.framinan@sergas.es.

FAU - Monte-Boquet, Emilio
AU - Monte-Boquet E
Society of
Hospital Pharmacy. Spain Department of Pharmacy, La Fe University and
Polytechnic
Hospital, Valencia. Spain.. luis.margusino.framinan@sergas.es.
FAU - Morell-Baladrón, Alberto
AU - Morell-Baladrón A
Society of
Hospital Pharmacy. Spain Department of Pharmacy, La Princesa University
Hospital,
Madrid. Spain.. luis.margusino.framinan@sergas.es.
FAU - Barreda-Hernández, Dolores
AU - Barreda-Hernández D
AD - Department of Pharmacy, Virgen de la Luz Hospital, Cuenca. Spain. Ethos
Working
Group of the Spanish Society of Hospital Pharmacy. Spain.
luis.margusino.framinan@sergas.es.
FAU - Rey-Piñeiro, Xosé Manuel
AU - Rey-Piñeiro XM
Society of
Hospital Pharmacy. Spain Legal Department of the Spanish Society of Hospital
Pharmacy. Spain. luis.margusino.framinan@sergas.es.
FAU - Negro-Vega, Eva
AU - Negro-Vega E
AD - Department of Pharmacy, Getafe University Hospital, Getafe (Madrid). Spain.
Madrid
Regional Director of the Spanish Society of Hospital Pharmacy. Spain.
FAU - Delgado-Sánchez, Olga
AU - Delgado-Sánchez O
AD - Department of Pharmacy, Son Espases University Hospital, Palma de Majorca.
Spain.
Chair of the Spanish Society of Hospital Pharmacy. Spain.
LA - eng
TT - Posicionamiento de la Sociedad Española de Farmacia Hospitalaria sobre
Telefarmacia.
Recomendaciones para su implantación y desarrollo.
DEP - 20200701
PL - Spain
TA - Farm Hosp

JID - 9440679
SB - IM
EDAT- 2020/07/11 06:00
MHDA- 2020/07/11 06:00
CRDT- 2020/07/11 06:00
PHST- 2020/07/11 06:00 [entrez]
PHST- 2020/07/11 06:00 [pubmed]
PHST- 2020/07/11 06:00 [medline]
AID - 10.7399/fh.11515 [doi]
PST - epublish
SO - Farm Hosp. 2020 Jul 1;44(4):174-181. doi: 10.7399/fh.11515.
PMID- 31321023
OWN - NLM
LR - 20201001
IS - 2042-0986 (Print)
IS - 2042-0986 (Linking)
VI - 10
DP - 2019
TI - Drug change: 'a hassle like no other'. An in-depth investigation using the
Danish
patient safety database and focus group interviews with Danish hospital
personnel.
PG - 2042098619859995
LID - 10.1177/2042098619859995 [doi]
LID - 2042098619859995
AB - BACKGROUND: Drug change (DC) is a common challenge in Danish hospitals. It
affects
the work of hospital personnel and has potentially serious patient safety
consequences. Focus on medication safety is becoming increasingly important
in the
prevention of adverse events. The aim of this study is to identify and
describe
patient safety challenges related to DCs, and to explore potential
facilitators to
improve patient safety in the medication process in Danish hospital setting.
METHOD:
Two qualitative methods were combined. Data were obtained from the Danish
Patient
Safety Database (DPSD) containing incidents reports of adverse events related
to
DCs. Additionally, five semi-structured focus group interviews with hospital
personnel (doctors, nurses, pharmacists and pharmacy technicians) from the
five
regions of Denmark were held. RESULTS: The DPSD search identified 88
incidents
related to DCs due to tender or drug shortage. The incidents were linked to
prescribing errors, incorrect dose being dispensed/administered, and
delayed/omitted
treatment. Four themes from the interviews emerged: (1) challenges related to
the
drug itself; (2) situational challenges; (3) challenges related to the
organization/IT systems/personnel; (4) facilitators/measures to ensure
patient
safety. CONCLUSION: DC is as a complex challenge, especially related to drug
shortage. The results allow for a deeper understanding of the challenges and
possible facilitators of DCs on the individual and organizational level.
Pharmacy
personnel were identified to play a key role in ensuring patient safety of
DCs in
hospitals. Indeed, this emphasizes that pharmacy personnel should be engaged
in
developing patient safety strategies and support hospital personnel around
drug
changes.
FAU - Poulsen, Joo Hanne
AU - Poulsen JH
AUID- ORCID: 0000-0001-5194-9978
AD - Social and Clinical Pharmacy, University of Copenhagen, Universitetsparken 2,
DK-2100 Copenhagen Ø, Denmark.

FAU - Rishøj, Rikke Mie
AU - Rishøj RM
AD - The Danish Research Unit for Hospital Pharmacy, Amgros I/S, Copenhagen Ø,
Denmark.
FAU - Fischer, Hanne
AU - Fischer H
Denmark.
FAU - Kart, Trine
AU - Kart T
Denmark.
FAU - Nørgaard, Lotte Stig
AU - Nørgaard LS
AD - Social and Clinical Pharmacy, University of Copenhagen, Copenhagen Ø,
Denmark.
FAU - Sevel, Christian
AU - Sevel C
Denmark.
FAU - Dieckmann, Peter
AU - Dieckmann P
AD - Copenhagen Academy for Medical Education and Simulation (CAMES), Center for
Human
Resources, Capital Region of Denmark, Herlev Hospital, Herlev, Denmark.
FAU - Clemmensen, Marianne Hald
AU - Clemmensen MH
Denmark.
LA - eng
DEP - 20190712
TA - Ther Adv Drug Saf
JT - Therapeutic advances in drug safety
JID - 101549074
PMC - PMC6628512
OTO - NOTNLM
OT - drug change
OT - drug shortage
OT - facilitators and measures
OT - hospital
OT - patient safety challenges
OT - tender
COIS- Conflict of interest statement: The authors declare that there is no conflict
of
interest.
EDAT- 2019/07/20 06:00
MHDA- 2019/07/20 06:01
CRDT- 2019/07/20 06:00
PHST- 2019/04/17 00:00 [received]
PHST- 2019/05/28 00:00 [accepted]
PHST- 2019/07/20 06:00 [entrez]
PHST- 2019/07/20 06:00 [pubmed]
PHST- 2019/07/20 06:01 [medline]
AID - 10.1177_2042098619859995 [pii]
AID - 10.1177/2042098619859995 [doi]
PST - epublish
SO - Ther Adv Drug Saf. 2019 Jul 12;10:2042098619859995. doi:
10.1177/2042098619859995.
eCollection 2019.
PMID- 32426634
OWN - NLM
LR - 20200928
IS - 2472-0054 (Linking)
VI - 5
IP - 2
DP - 2020 Mar-Apr
TI - ED RAPID: A Novel Children's Hospital Direct Admission Process Utilizing the
Emergency Department.
PG - e268
LID - 10.1097/pq9.0000000000000268 [doi]
LID - e268
AB - INTRODUCTION: Direct hospital admission of children without evaluation in the
emergency department (ED) is common, but few guidelines exist to maximize
safety by
assessing patient stability. This report describes a novel approach to
support
patient safety. METHODS: An interdisciplinary children's hospital team
developed a
brief ED-based evaluation process called the ED Rapid Assessment of Patients
Intended for Inpatient Disposition (ED RAPID). It entails a brief evaluation
of
vital signs and clinical stability by the ED attending physician and nurse.
Children
deemed stable are admitted to inpatient wards, whereas those requiring
immediate
intervention undergo full ED evaluation and disposition. We assessed outcomes
for
all children evaluated through this process from March 2013 through February
2015.
RESULTS: During the study period, we identified 715 patients undergoing ED
RAPID
evaluation. Of these, we directly admitted 691 (96.4%) to the hospital ward
after ED
RAPID evaluation; median ED treatment time was 4.0 minutes. We transitioned
24
(3.4%) to full ED evaluation, 14 (2.0%) because a ward bed was unavailable,
and 10
(1.4%) for clinical reasons identified in the evaluation. We admitted four of
the 10
stopped (40% of stops, 0.6% of total) to an intensive care unit, and 6 (60%
of
stops, 0.8% of total) to the hospital ward after ED care. Eight children
(1.1%)
admitted to the hospital ward after ED RAPID evaluation required a transfer
to an
intensive care unit within 12 hours. CONCLUSION: The ED RAPID evaluation
process for
children directly admitted to the hospital was feasible and effective in this
setting.
FAU - Louie, Jeffrey P
AU - Louie JP
AD - Department of Pediatrics, University of Minnesota Medical School,
Minneapolis, Minn.
FAU - Furnival, Ronald A
AU - Furnival RA
Minneapolis, Minn.
FAU - Roback, Mark G
AU - Roback MG
Minneapolis, Minn.
FAU - Jacob, Abraham K
AU - Jacob AK
Minneapolis, Minn.
FAU - Marmet, Jordan
AU - Marmet J
Minneapolis, Minn.
FAU - Nerheim, Daniel
AU - Nerheim D
Minneapolis, Minn.
FAU - Hendrickson, Marissa A
AU - Hendrickson MA
Minneapolis, Minn.
LA - eng
DEP - 20200310
JID - 101702480
PMC - PMC7190248
EDAT- 2020/05/20 06:00
MHDA- 2020/05/20 06:01
CRDT- 2020/05/20 06:00
PHST- 2019/07/11 00:00 [received]
PHST- 2020/02/04 00:00 [accepted]
PHST- 2020/05/20 06:00 [entrez]
PHST- 2020/05/20 06:00 [pubmed]
PHST- 2020/05/20 06:01 [medline]
AID - 10.1097/pq9.0000000000000268 [doi]
PST - epublish
SO - Pediatr Qual Saf. 2020 Mar 10;5(2):e268. doi: 10.1097/pq9.0000000000000268.
eCollection 2020 Mar-Apr.
PMID- 29788350
OWN - NLM
STAT- MEDLINE
DCOM- 20190422
LR - 20200506
IS - 0263-2136 (Print)
IS - 0263-2136 (Linking)
VI - 35
IP - 6
DP - 2018 Dec 12
TI - Relationship among team dynamics, care coordination and perception of safety
culture
in primary care.
PG - 718-723
LID - 10.1093/fampra/cmy029 [doi]
AB - BACKGROUND: There remains a need to improve patient safety in primary care
settings.
Studies have demonstrated that creating high-performing teams can improve
patient
safety and encourage a safety culture within hospital settings, but little is
known
about this relationship in primary care. OBJECTIVE: To examine how team
dynamics
relate to perceptions of safety culture in primary care and whether care
coordination plays an intermediating role. RESEARCH DESIGN: This is a
cross-sectional survey study with 63% response (n = 1082). SUBJECTS: The
study
participants were attending clinicians, resident physicians and other staff
who
interacted with patients from 19 primary care practices affiliated with
Harvard
Medical School. MAIN MEASURES: Three domains corresponding with our main
measures:
team dynamics, care coordination and safety culture. All items were measured
on a
5-point Likert scale. We used linear regression clustered by practice site to
assess
the relationship between team dynamics and perceptions of safety culture. We
also
performed a mediation analysis to determine the extent to which care
coordination
explains the relationship between perceptions of team dynamics and of safety
culture. RESULTS: For every 1-point increase in overall team dynamics, there
was a
0.76-point increase in perception of safety culture [95% confidence interval
(CI)
0.70-0.82, P < 0.001]. Care coordination mediated the relationship between
team
dynamics and the perception of safety culture. CONCLUSION: Our findings
suggest
there is a relationship between team dynamics, care coordination and
perceptions of
patient safety in a primary care setting. To make patients safer, we may need
to pay
more attention to how primary care providers work together to coordinate
care.
FAU - Blumenthal, Karen J
AU - Blumenthal KJ
AD - Division of General Internal Medicine, Massachusetts General Hospital,
Boston, MA,
USA.
AD - Department of Medicine, Harvard Medical School, Boston, MA, USA.
FAU - Chien, Alyna T
AU - Chien AT
AD - Department of Pediatrics, Harvard Medical School, Boston MA, USA.
Hospital,
Boston, MA, USA.
FAU - Singer, Sara J
AU - Singer SJ
AD - Department of Medicine, Stanford University School of Medicine, Stanford, CA,
USA.
AD - Department of Organizational Behavior, Stanford University Graduate School of
Business, Stanford, CA, USA.

LA - eng
TA - Fam Pract
JT - Family practice
JID - 8500875
SB - IM
MH - Adult
MH - Cooperative Behavior
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - *Patient Care Team
MH - *Perception
MH - *Primary Health Care
PMC - PMC7190894
EDAT- 2018/05/23 06:00
MHDA- 2019/04/23 06:00
CRDT- 2018/05/23 06:00
PHST- 2018/05/23 06:00 [pubmed]
PHST- 2019/04/23 06:00 [medline]
PHST- 2018/05/23 06:00 [entrez]
AID - 4999381 [pii]
AID - cmy029 [pii]
AID - 10.1093/fampra/cmy029 [doi]
PST - ppublish
SO - Fam Pract. 2018 Dec 12;35(6):718-723. doi: 10.1093/fampra/cmy029.
PMID- 32410879
OWN - NLM
LR - 20200928
IS - 1472-6955 (Print)
IS - 1472-6955 (Linking)
VI - 19
DP - 2020
TI - Association between registered nurse staffing levels and in-hospital
mortality in
craniotomy patients using Korean National Health Insurance data.
PG - 36
LID - 10.1186/s12912-020-00430-0 [doi]
LID - 36
AB - BACKGROUND: The level of registered nurse (RN) staffing is a fundamental
factor
influencing patient safety. Craniotomy patients need intensive care after
surgery,
the majority of which is provided by RNs. METHODS: This study was conducted
to
investigate the relationship of the RN staffing level of general wards and
intensive
care units (ICUs) with in-hospital mortality after craniotomy using Korean
National
Health Insurance claim data. The RN staffing level was categorized based on
the
bed-to-RN ratio. RESULTS: The in-hospital mortality rate of craniotomy
patients was
elevated at hospitals with a high bed-to-RN ratio in general wards, ICUs, and
hospitals overall. It was determined that in-hospital mortality of craniotomy
patients could be decreased by more than 50% by reducing the bed-to-RN ratio
from
4.5 or more to less than 3.5 in general wards, from 1.25 or more to less than
0.88
in ICUs, and from 2.5 or more to less than 1.67 in hospitals overall.
CONCLUSIONS:
Since the RN staffing level is related to the in-hospital mortality rate of
craniotomy patients, a sufficient staffing level of RNs should be ensured to
reduce
the mortality of craniotomy patients.
FAU - Kim, Yunmi
AU - Kim Y
AD - 1College of Nursing, Eulji University, 553, Sanseong-daero, Sujeong-gu,
Seongnam-si,
Gyeonggi-do Republic of Korea. GRID: grid.255588.7. ISNI: 0000 0004 1798 4296
FAU - Kim, Se Young
AU - Kim SY
AD - 2Department of Nursing, Changwon National University, 20 Changwondaehak-ro,
Uichang-gu, Changwon-si, Gyeongsangnam-do Republic of Korea. GRID:
grid.411214.3.
ISNI: 0000 0001 0442 1951
FAU - Lee, Kyounga
AU - Lee K
AUID- ORCID: 0000-0003-0550-6070
AD - 3Medical Research Collaborating Center, Seoul National University Hospital,
101
Daehak-ro, Jongno-gu, Seoul, Republic of Korea. GRID: grid.412484.f. ISNI:
0000 0001
0302 820X
LA - eng
DEP - 20200507
TA - BMC Nurs
JT - BMC nursing
JID - 101088683
PMC - PMC7206788
OTO - NOTNLM
OT - Craniotomy
OT - In-hospital mortality
OT - Intensive care unit
OT - Registered nurse staffing level
COIS- Competing interestsThe authors declare that they have no competing interests.
EDAT- 2020/05/16 06:00
MHDA- 2020/05/16 06:01
CRDT- 2020/05/16 06:00
PHST- 2019/10/10 00:00 [received]
PHST- 2020/04/28 00:00 [accepted]
PHST- 2020/05/16 06:00 [entrez]
PHST- 2020/05/16 06:00 [pubmed]
PHST- 2020/05/16 06:01 [medline]
AID - 430 [pii]
AID - 10.1186/s12912-020-00430-0 [doi]
PST - epublish
SO - BMC Nurs. 2020 May 7;19:36. doi: 10.1186/s12912-020-00430-0. eCollection
2020.
PMID- 29495370
OWN - NLM
LR - 20200930
IS - 2226-4787 (Linking)
VI - 6
IP - 1
DP - 2018 Feb 26
TI - Clozapine Patients at the Interface between Primary and Secondary Care.
LID - 19
AB - Patients receiving clozapine must undergo routine blood monitoring to screen
for
neutropenia, and to monitor for potential agranulocytosis. In Cork University
Hospital, Cork, Ireland, clozapine is dispensed in the hospital pharmacy and

the
pharmacists are not aware of co-prescribed medicines, potentially impacting
upon
patient safety. The aim of this study was to examine the continuity of care
of
patients prescribed clozapine. A retrospective audit was conducted on
patients
attending the clozapine clinic at Cork University Hospital and assessed
patients'
(i) independent living, (ii) co-prescribed medicines and (iii) knowledge of
their
community pharmacists regarding co-prescribed clozapine. A list of prescribed
medicines for each patient was obtained, and potential drug-drug interactions
between these medicines and clozapine were examined using Lexicomp(®) and
Stockley's
Interaction checker. Secondary outcomes included patients' physical health
characteristics, and a review of co-morbidities. Data were collected between
the 29
May 2017 and 20 June 2017. Local ethics committee approval was granted.
Patients
were eligible for inclusion if they were receiving clozapine treatment as
part of a
registered programme, were aged 18 years or more, and had the capacity to
provide
written informed consent. Microsoft Excel was used for data analysis. Of 112
patients, (33% female; mean age (SD) 43.9 (11.3) years; 87.5% living
independently/in the family home) 86.6% patients reported that they were
taking
other prescribed medicines from community pharmacies. The mean (SD) number of
co-prescribed medicines in addition to clozapine was 4.8 (4) per patient. Two
thirds
of community pharmacists were unaware of co-prescribed clozapine.
Interactions with
clozapine were present in all but 3 patients on co-prescribed medicines (n =
97).
Lexicomp(®) reported 2.9 drug-drug interactions/patient and Stockley's
Interaction
Checker reported 2.5 drug-drug interactions/patient. Secondary outcomes for
patients
included BMI, total cholesterol, and HbA(1c) levels, which were elevated in
75%, 54%
and 17% respectively. Patients prescribed clozapine did not receive a
seamless
service, between primary and secondary care settings. Community pharmacists
were not
informed of clozapine, prescribed for their patients, in two thirds of cases.
Patients in this study were exposed to clozapine-related drug-drug

interactions and
hence potential adverse effects. This study supports reports in the
literature of
substandard management of the physical health of this patient group. This
study
shows that there is an opportunity for pharmacists to develop active roles in
the
management of all clozapine-related effects, in addition to their traditional
obligatory role in haematological monitoring. This study supports the need

for a
clinical pharmacist to review inpatients commencing on clozapine, monitor for
drug-drug interactions and provide counselling.

FAU - Barrett, Marita
AU - Barrett M
AD - Pharmacy Department, Cork University Hospital, Cork T12 DC4A, Ireland.
maritabarrett@gmail.com.
FAU - Keating, Anna
AU - Keating A
anna.keating@hse.ie.
FAU - Lynch, Deirdre
AU - Lynch D
deirdrem.lynch@hse.ie.
FAU - Scanlon, Geraldine
AU - Scanlon G
AD - Adult Mental Health Unit, Cork University Hospital, Cork T12 DC4A, Ireland.
geraldine.scanlon@hse.ie.
FAU - Kigathi, Mary
AU - Kigathi M
mary.kigathi@hse.ie.
FAU - Corcoran, Fidelma
AU - Corcoran F
fidelma.corcoran@hse.ie.
FAU - Sahm, Laura J
AU - Sahm LJ
AD - School of Pharmacy, University College Cork, Cork T12 YN60, Ireland.
l.sahm@ucc.ie.
AD - Pharmacy Department, Mercy University Hospital, Cork T12 WE28, Ireland.
l.sahm@ucc.ie.
LA - eng
DEP - 20180226
JID - 101678532
PMC - PMC5874558
OTO - NOTNLM
OT - Clozapine
OT - Pharmacy
OT - drug-drug interactions
OT - patient safety
COIS- The authors declare no conflict of interest”.
EDAT- 2018/03/03 06:00
MHDA- 2018/03/03 06:01
CRDT- 2018/03/03 06:00
PHST- 2018/01/29 00:00 [received]
PHST- 2018/02/22 00:00 [revised]
PHST- 2018/02/23 00:00 [accepted]
PHST- 2018/03/03 06:00 [entrez]
PHST- 2018/03/03 06:00 [pubmed]
PHST- 2018/03/03 06:01 [medline]
PST - epublish
SO - Pharmacy (Basel). 2018 Feb 26;6(1):19. doi: 10.3390/pharmacy6010019.
PMID- 30095687
OWN - NLM
STAT- MEDLINE
DCOM- 20180910
LR - 20191210
IS - 0002-0443 (Print)
IS - 0002-0443 (Linking)
VI - 48
IP - 9
DP - 2018 Sep
TI - Relationship of Staff Information Sharing and Advice Networks to Patient
Safety
Outcomes.
PG - 437-444
LID - 10.1097/NNA.0000000000000646 [doi]
AB - OBJECTIVE: The aim of this study was to compare information sharing and
advice
networks' relationships with patient safety outcomes. BACKGROUND:
Communication
contributes to medical errors, but rarely is it clear what elements of
communication
are key. METHODS: We investigated relationships of information-sharing and
advice
networks to patient safety outcomes in 24 patient care units from 3 hospitals
over 7
months. Web-based questionnaires completed via Android tablets provided data
to
create 2 networks using ORA, a social network analysis application. Each
hospital
provided nurse-sensitive patient safety outcomes. RESULTS: In both networks,
medication errors correlated positively with node count and average distance
and
negatively with clustering coefficient. Density and weighted density
negatively
correlated with medication errors and falls in both networks. Eigenvector and
total
degree centrality correlated negatively with both safety outcomes, whereas
betweenness centrality positively related to falls in the information-sharing
network. CONCLUSION: Technology-enabled social network analysis data

collection is
feasible and can provide managers actionable system-level information.
FAU - Brewer, Barbara B
AU - Brewer BB
AD - Author Affiliations: Associate Professor (Dr Brewer) and Professor Emeritus
(Dr
Effken), College of Nursing, The University of Arizona, Tucson; Professor (Dr
Carley) and Senior Research Programmer (Mr Reminga and Mr Kowalchuck),

Carnegie
Mellon School of Computer Science, Carnegie Mellon University, Pittsburgh,
Pennsylvania; and Assistant Professor (Dr Benham-Hutchins), School of
Nursing, The
University of Texas at Austin.
FAU - Carley, Kathleen M
AU - Carley KM
FAU - Benham-Hutchins, Marge M
AU - Benham-Hutchins MM
FAU - Effken, Judith A
AU - Effken JA
FAU - Reminga, Jeffrey
AU - Reminga J
FAU - Kowalchuck, Michael
AU - Kowalchuck M
LA - eng
GR - R01 GM105480/GM/NIGMS NIH HHS/United States
TA - J Nurs Adm
JT - The Journal of nursing administration
JID - 1263116
SB - AIM
SB - IM
SB - N
MH - Arizona/epidemiology
MH - Hospitals, Community/organization & administration
MH - Hospitals, Urban/organization & administration
MH - Humans
MH - *Information Dissemination
MH - *Medical Staff, Hospital
MH - *Outcome Assessment, Health Care
MH - Pressure Ulcer/epidemiology
MH - Prevalence
MH - Texas/epidemiology
PMC - PMC6105471
MID - NIHMS977321
EDAT- 2018/08/11 06:00
MHDA- 2018/09/11 06:00
CRDT- 2018/08/11 06:00
PHST- 2018/08/11 06:00 [pubmed]
PHST- 2018/09/11 06:00 [medline]
PHST- 2018/08/11 06:00 [entrez]
AID - NNA50435 [pii]
AID - 10.1097/NNA.0000000000000646 [doi]
PST - ppublish
SO - J Nurs Adm. 2018 Sep;48(9):437-444. doi: 10.1097/NNA.0000000000000646.
PMID- 31238936
OWN - NLM
STAT- MEDLINE
DCOM- 20200109
LR - 20200225
IS - 1472-6920 (Linking)
VI - 19
IP - 1
DP - 2019 Jun 25
TI - The co-design, implementation and evaluation of a serious board game
'PlayDecide
patient safety' to educate junior doctors about patient safety and the
importance of
reporting safety concerns.
PG - 232
LID - 10.1186/s12909-019-1655-2 [doi]
LID - 232
AB - BACKGROUND: We believe junior doctors are in a unique position in relation to
reporting of incidents and safety culture. They are still in training and are
also
'fresh eyes' on the system providing valuable insights into what they
perceive as
safe and unsafe behaviour. The aim of this study was to co-design and
implement an
embedded learning intervention - a serious board game - to educate junior
doctors
about patient safety and the importance of reporting safety concerns, while
at the
same time shaping a culture of responsiveness from senior medical staff.
METHODS: A
serious game based on the PlayDecide framework was co-designed and
implemented in
two large urban acute teaching hospitals. To evaluate the educational value
of the
game voting on the position statements was recorded at the end of each game
by a
facilitator who also took notes after the game of key themes that emerged
from the
discussion. A sample of players were invited on a voluntary basis to take
part in
semi-structured interviews after playing the game using Flanagan's Critical
Incident
Technique. A paper-based questionnaire on 'Safety Concerns' was developed and
administered to assess pre-and post-playing the game reporting behaviour.

Dissemination workshops were held with senior clinicians to promote more
inclusive
leadership behaviours and responsiveness to junior doctors raising of safety
concerns from senior clinicians. RESULTS: The game proved to be a valuable
patient
safety educational tool and proved effective in encouraging deep discussion
on
patient safety. There was a significant change in the reporting behaviour of
junior
doctors in one of the hospitals following the intervention. CONCLUSION: In
healthcare, limited exposure to patient safety training and narrow
understanding of
safety compromise patients lives. The existing healthcare system needs to
value the
role that junior doctors and others could play in shaping a positive safety
culture
where reporting of all safety concerns is encouraged. Greater efforts need to
be
made at hospital level to develop a more pro-active safe and just culture
that
supports and encourages junior doctors and ultimately all doctors to
understand and
speak up about safety concerns.
FAU - Ward, Marie
AU - Ward M
AD - School of Nursing, Midwifery and Health Systems, College of Health Sciences,
University College Dublin, Belfield, Dublin 4, Ireland.
FAU - Ní Shé, Éidín
AU - Ní Shé É
FAU - De Brún, Aoife
AU - De Brún A
FAU - Korpos, Christian
AU - Korpos C
FAU - Hamza, Moayed
AU - Hamza M
FAU - Burke, Elaine
AU - Burke E
AD - St. James's Hospital, Dublin 8, Ireland.
FAU - Duffy, Ann
AU - Duffy A
AD - Clinical Risk, State Claims Agency, Grand Canal Street, Dublin 2, Ireland.
FAU - Egan, Karen
AU - Egan K
AD - Patient Representative, Patient and Public Involvement in Healthcare at
Health
Service, Dublin 2, Ireland.
FAU - Geary, Una
AU - Geary U
FAU - Holland, Catherine
AU - Holland C
AD - Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland.
FAU - O'Grady, Julie
AU - O'Grady J
FAU - Robinson, Karen
AU - Robinson K
AD - Health Sciences Centre, School of Nursing, Midwifery and Health Systems,
College of
Health Sciences, University College Dublin, Belfield, Dublin 4, Ireland.
FAU - Smith, Alan
AU - Smith A
AD - St. Vincent's University Hospital, Dublin 4, Ireland.
FAU - Watson, Alan
AU - Watson A
AD - St. Vincent's University Hospital, Dublin 4, Ireland.
FAU - McAuliffe, Eilish
AU - McAuliffe E
AD - Health Sciences Centre, School of Nursing, Midwifery and Health Systems,
College of
Health Sciences, University College Dublin, Belfield, Dublin 4, Ireland.
eilish.mcauliffe@ucd.ie.
LA - eng
GR - Medical Education Research Grant/Health Research Board/Ireland
PT - Evaluation Study
DEP - 20190625
TA - BMC Med Educ
JID - 101088679
SB - IM
MH - *Games, Experimental
MH - Humans
MH - Ireland
MH - Role Playing
PMC - PMC6593521
OTO - NOTNLM
OT - Embedded learning
OT - Junior doctors
OT - Medical education
OT - Patient safety
OT - Safety culture
OT - Serious game
COIS- The authors declare they have no competing interests.
EDAT- 2019/06/27 06:00
MHDA- 2020/01/10 06:00
CRDT- 2019/06/27 06:00
PHST- 2018/08/21 00:00 [received]
PHST- 2019/06/06 00:00 [accepted]
PHST- 2019/06/27 06:00 [entrez]
PHST- 2019/06/27 06:00 [pubmed]
PHST- 2020/01/10 06:00 [medline]
AID - 10.1186/s12909-019-1655-2 [pii]
AID - 1655 [pii]
AID - 10.1186/s12909-019-1655-2 [doi]
PST - epublish
SO - BMC Med Educ. 2019 Jun 25;19(1):232. doi: 10.1186/s12909-019-1655-2.
PMID- 32713671
OWN - NLM
STAT- In-Process
LR - 20201009
IS - 0897-1897 (Print)
IS - 0897-1897 (Linking)
VI - 55
DP - 2020 Oct
TI - The sum of us. Implementing a Person Centred Care Bundle - A narrative
inquiry.
PG - 151276
LID - S0897-1897(19)30814-6 [pii]
LID - 10.1016/j.apnr.2020.151276 [doi]
AB - AIM: This study is a narrative inquiry that aims to better understand the
experience
of nurses implementing a Person-Centred Care (PCC) bundle onto an acute care
ward in
a large hospital in Melbourne, Australia. BACKGROUND: The PCC includes five
key
focus areas aimed at streamlining nursing practice 1) Nursing assessment and
care
planning, 2) bedside handover, 3) patient safety rounding, 4) patient
whiteboards,
and 5) safety huddles. The PCC bundle outlines a nursing care process that is
interactional with the patient, focused on information sharing, safety and

respect.
METHOD: A narrative inquiry was used to explore the nurse's experiences
implementing
the PCC. Surveys and focus groups were used to collect data and thematic
analysis
was used to identify any key themes. RESULTS: The three themes were; Passing
the
baton; Keeping the cogs moving when time poor; and Deep interpersonal
relating-The
sum of us.
CI - Copyright © 2020. Published by Elsevier Inc.
FAU - Harper, Ruth
AU - Harper R
AD - Royal Melbourne Hospital, Melbourne, Parkville, 3050, Australia. Electronic
address:
ruth.harper@mh.org.au.
FAU - Ward, Louise
AU - Ward L
AD - George Singer Building room 3/327, College of Science Health and Engineering,
La
Trobe University, Bundoora, VIC 3086, Australia. Electronic address:
louise.ward@latrobe.edu.au.
FAU - Silburn, Kate
AU - Silburn K
AD - Australian Institute for Primary Care and Aging, College of Science Health
and
Engineering, La Trobe University, Bundoora, VIC 3086, Australia. Electronic
address:
k.silburn@latrobe.edu.au.
LA - eng
DEP - 20200503
TA - Appl Nurs Res
JT - Applied nursing research : ANR
JID - 8901557
SB - IM
SB - N
PMC - PMC7529392
EDAT- 2020/07/28 06:00
MHDA- 2020/07/28 06:00
CRDT- 2020/07/28 06:00
PHST- 2019/11/21 00:00 [received]
PHST- 2020/04/06 00:00 [revised]
PHST- 2020/04/29 00:00 [accepted]
PHST- 2020/07/28 06:00 [pubmed]
PHST- 2020/07/28 06:00 [medline]
PHST- 2020/07/28 06:00 [entrez]
AID - S0897-1897(19)30814-6 [pii]
AID - 151276 [pii]
AID - 10.1016/j.apnr.2020.151276 [doi]
PST - ppublish
SO - Appl Nurs Res. 2020 Oct;55:151276. doi: 10.1016/j.apnr.2020.151276. Epub 2020
May 3.
PMID- 30595852
OWN - NLM
LR - 20201001
IS - 2067-0656 (Print)
VI - 43
IP - 1
DP - 2017 Jan-Mar
TI - Measuring Patient Safety Culture in Romania Using the Hospital Survey on
Patient
Safety Culture (HSOPSC).
PG - 31-40
LID - 10.12865/CHSJ.43.01.05 [doi]
AB - Purpose To explore patient safety culture among Romanian staff, using the
U.S.
Hospital Survey on Patient Safety Culture (HSOPSC). MATERIAL AND METHODS: A
cross-sectional study was carried out in six hospitals, located in four
Romanian
regions (Craiova, Cluj-Napoca, Bucharest and Brasov), based on staff census
in the
Units/hospitals which volunteered to participate in the study (N=1,184). The
response rate was 84%. The original questionnaire designed by the American
Agency
for Healthcare Research and Quality was translated into Romanian (with back
translation), pre-tested before application and psychometrically checked. It
consists of 42 questions grouped in 12categories, covering multiple aspects
of
patient safety culture (dimensions). Percentages of positive responses (PPRs)
by
question and category were analyzed overall and by staff profession. RESULTS:
Most
respondents were nurses (69%). The main work areas were surgery (24%) and
medicine
(22%). The highest PPRs were for Supervisor/Manager Expectations & Actions
Promoting
Safety (88%), Teamwork Within Units (86%), Handoffs and Transitions (84%),
Organizational Learning-Continuous Improvement (81%), Overall Perceptions of
Safety
(80%), Feedback & Communication About Error (75%). The lowest PPRs were for:
Staffing (39%), Frequency of Events Reported (59%) and Non-punitive Response
to
Errors (61%). Nurses exhibited significantly higher PPRs than doctors.
CONCLUSIONS:
This small-scale study of staff's attitude towards patient safety in Romanian
hospitals suggests that there is room for future improvement, especially

within the
doctor category. Further research should assess the relationship between
patient
safety culture and frequency of adverse events.
FAU - Tereanu, C
AU - Tereanu C
AD - Department of Hygiene and Prevention, Agenzia di Tutela della Salute,
Bergamo,
Italy.
FAU - Ghelase, M S
AU - Ghelase MS
AD - Department of Public Health and Healthcare management, University of Medicine
and
Pharmacy of Craiova, Romania.
FAU - Sampietro, G
AU - Sampietro G
AD - Epidemiological Service,Agenzia di Tutela della Salute, Bergamo, Italy.
FAU - Furtunescu, F L
AU - Furtunescu FL
and
Pharmacy of Bucharest, Romania.
FAU - Dragoescu, A
AU - Dragoescu A
and
Pharmacy of Bucharest, Romania.
FAU - Molnar, A
AU - Molnar A
AD - Heart Institute "NiculaeStancioiu", Cluj-Napoca, Romania.
FAU - Moraru, D
AU - Moraru D
AD - Pneumophtisiology Hospital Brasov, Romania.
FAU - Stanescu, C
AU - Stanescu C
AD - Pneumophtisiology Hospital Brasov, Romania.
FAU - Gavrila, O A
AU - Gavrila OA
AD - Filantropia Hospital, Craiova, Romania.
FAU - Patrascu, A
AU - Patrascu A
AD - Obstetrics and Gynaecologic Unit, Filantropia Hospital Craiova, Romania.
FAU - Golli, A L
AU - Golli AL
and
FAU - Dragomir, M I
AU - Dragomir MI
and
LA - eng
DEP - 20170927
TA - Curr Health Sci J
JT - Current health sciences journal
JID - 101597164
PMC - PMC6286728
OTO - NOTNLM
OT - HSOPSC
OT - Romania
OT - hospital
OT - staff
EDAT- 2017/01/01 00:00
MHDA- 2017/01/01 00:01
CRDT- 2019/01/01 06:00
PHST- 2017/01/14 00:00 [received]
PHST- 2017/03/18 00:00 [accepted]
PHST- 2019/01/01 06:00 [entrez]
PHST- 2017/01/01 00:00 [pubmed]
PHST- 2017/01/01 00:01 [medline]
AID - 2017.43.01.05 [pii]
AID - 10.12865/CHSJ.43.01.05 [doi]
PST - ppublish
SO - Curr Health Sci J. 2017 Jan-Mar;43(1):31-40. doi: 10.12865/CHSJ.43.01.05.
Epub 2017
Sep 27.
PMID- 30937413
OWN - NLM
LR - 20201001
IS - 2472-0054 (Linking)
VI - 4
IP - 1
DP - 2019 Jan-Feb
TI - Decreasing Door-to-Door Times for Infliximab Infusions in a Children's
Hospital
Observation Unit.
PG - e131
LID - 10.1097/pq9.0000000000000131 [doi]
LID - e131
AB - INTRODUCTION: Children with inflammatory bowel disease (IBD) often require
infliximab infusions to manage their disease. Infusions administered in the
hospital
setting require the patient and their families to devote many hours away from
home.
Changing to a rapid infusion protocol has been shown in the literature to be
safe
and has the potential to decrease time spent in the hospital receiving
infusions.
METHODS: We describe stepwise changes made over a 4-month period to improve
infliximab infusion efficiency and lessen the time spent in the hospital by
IBD
patients and their families. These changes included the implementation of a
standardized order set, defaulting to rapid infusions for eligible patients,
eliminating the post-infusion observation window, and improving the
pharmacy's
efficiency in preparing infusion medications. We utilized several established
quality improvement tools, including a smart aim, key driver diagram,

plan-do-study-act cycles, and statistical process control charts to measure
these
interventions. RESULTS: Within three months of starting, the average door-to-
door
time patients spent in the hospital decreased by 128 minutes (2 hours 8
minutes).
This improvement amounts to 768 minutes (12 hours 48 minutes) per year of
time
returned for normal childhood activities outside of the hospital. There were
no
infusion reactions during the period monitored. CONCLUSIONS: Implementation
of a
rapid infliximab infusion protocol made an impressive impact on freed family
time
without sacrificing patient safety. The changes we implemented could be
helpful to
other centers interested in decreasing in-hospital time for patients with IBD
and
their families.
FAU - Sandberg, Kelly C
AU - Sandberg KC
AD - Department of Gastroenterology, Dayton Children's Hospital, Dayton, Ohio.
AD - Department of Pediatrics, Wright State University, Dayton, Ohio.
FAU - Lucien, Janet N
AU - Lucien JN
AD - Department of Pediatrics, Wright State University Pediatrics Residency
Program,
Dayton, Ohio.
FAU - Stoll, Denise
AU - Stoll D
FAU - Yanney, Erica
AU - Yanney E
FAU - Mezoff, Adam
AU - Mezoff A
AD - Department of Pediatrics, Wright State University, Dayton, Ohio.
LA - eng
DEP - 20190121
JID - 101702480
PMC - PMC6426496
EDAT- 2019/04/03 06:00
MHDA- 2019/04/03 06:01
CRDT- 2019/04/03 06:00
PHST- 2018/09/05 00:00 [received]
PHST- 2018/11/30 00:00 [accepted]
PHST- 2019/04/03 06:00 [entrez]
PHST- 2019/04/03 06:00 [pubmed]
PHST- 2019/04/03 06:01 [medline]
AID - 10.1097/pq9.0000000000000131 [doi]
PST - epublish
SO - Pediatr Qual Saf. 2019 Jan 21;4(1):e131. doi: 10.1097/pq9.0000000000000131.
eCollection 2019 Jan-Feb.
PMID- 32885171
OWN - NLM
LR - 20200928
IS - 2639-8028 (Linking)
VI - 2
IP - 8
DP - 2020 Aug
TI - Organizational Characteristics Associated With ICU Liberation (ABCDEF) Bundle
Implementation by Adult ICUs in Michigan.

PG - e0169
LID - 10.1097/CCE.0000000000000169 [doi]
LID - e0169
AB - The ICU Liberation (ABCDEF) Bundle can help to improve care and outcomes for
ICU
patients, but bundle implementation is far from universal. Understanding how
ICU
organizational characteristics influence bundle implementation could inform
quality
improvement efforts. We surveyed all hospitals in Michigan with adult ICUs to
determine whether organizational characteristics were associated with bundle

implementation and to determine the level of agreement between ICU physician
and
nurse leaders around ICU organizational characteristics and bundle
implementation.
DESIGN: We surveyed ICU physician and nurse leaders, assessing their safety
culture,
ICU team collaboration, and work environment. Using logistic and linear
regression
models, we compared these organizational characteristics to bundle element
implementation, and also compared physician and nurse leaders' perceptions
about
organizational characteristics and bundle implementation. SETTING: All (n =
72)
acute care hospitals with adult ICUs in Michigan. SUBJECTS: ICU physician and
nurse
leader pairs from each hospital's main ICU. INTERVENTIONS: We developed,
pilot-tested, and deployed an electronic survey to all subjects over a 3
month
period in 2016. RESULTS: Results from 73 surveys (28 physicians, 45 nurses,
60%
hospital response rate) demonstrated significant variation in hospital and
ICU size
and type, organizational characteristics, and physician/nurse perceptions of
ICU
organization and bundle implementation. We found that a robust safety culture
and
collaborative work environment that uses checklists to facilitate team
communication
are strongly associated with bundle implementation. There is also a
significant
dose-response effect between safety culture, a collaborative work
environment, and
overall bundle implementation. CONCLUSIONS: We identified several specific
ICU
practices that can facilitate ABCDEF Bundle implementation. Our results can
be used
to develop effective bundle implementation strategies that leverage safety
culture,
interprofessional collaboration, and routine checklist use in ICUs to improve
bundle
implementation and performance.
FAU - Barr, Juliana
AU - Barr J
AD - Anesthesiology and Perioperative Care Service, VA Palo Alto Health Care
System, Palo
Alto, CA.
AD - Medical Center Line, Department of Anesthesiology, Perioperative and Pain
Medicine,
Stanford University School of Medicine, Stanford, CA.
FAU - Ghaferi, Amir A
AU - Ghaferi AA
AD - Institute for Healthcare Policy and Innovation, University of Michigan School
of
Medicine, Ann Arbor, MI.
AD - Stephen M. Ross School of Business, Ann Arbor, MI.
FAU - Costa, Deena Kelly
AU - Costa DK
AD - Department of Systems, Populations and Leadership, University of Michigan
School of
Nursing, Ann Arbor, MI.
FAU - Hedlin, Haley K
AU - Hedlin HK
AD - Clinical Trials Program, Quantitative Sciences Unit, Department of Medicine,
FAU - Ding, Victoria Y
AU - Ding VY
AD - Clinical Trials Program, Quantitative Sciences Unit, Department of Medicine,
FAU - Ross, Corine
AU - Ross C
AD - Michigan Health & Hospital Association-Keystone Center, Okemos, MI.
FAU - Pun, Brenda T
AU - Pun BT
AD - Critical Illness, Brain Dysfunction and Survivorship Center, Vanderbilt
University
Medical Center, Nashville, TN.
FAU - Watson, Sam R
AU - Watson SR
AD - Patient Safety and Quality, Michigan Health & Hospital Association, Okemos,
MI.
FAU - Asch, Steven M
AU - Asch SM
AD - HSR&D Center for Innovation to Implementation, VA Palo Alto Health Care
System,
Menlo Park, CA.
AD - Department of Medicine and Primary Care and Population Health, Stanford
University
School of Medicine, Stanford, CA.
LA - eng
DEP - 20200819
TA - Crit Care Explor
JT - Critical care explorations
JID - 101746347
PMC - PMC7437774
OTO - NOTNLM
OT - ICU Liberation (ABCDEF) Bundle
OT - checklists
OT - critical care
OT - intensive care units
OT - patient safety
COIS- Dr. Barr has received speaking honoraria from the Society of Critical Care
Medicine
and the Ohio Hospital Association and is a Scientific Advisor for Medasense
Biometrics and Masimo. The remaining authors have disclosed that they do not
have
any potential conflicts of interest.
EDAT- 2020/09/05 06:00
MHDA- 2020/09/05 06:01
CRDT- 2020/09/05 06:00
PHST- 2020/09/05 06:00 [entrez]
PHST- 2020/09/05 06:00 [pubmed]
PHST- 2020/09/05 06:01 [medline]
AID - 10.1097/CCE.0000000000000169 [doi]
PST - epublish
SO - Crit Care Explor. 2020 Aug 19;2(8):e0169. doi: 10.1097/CCE.0000000000000169.
eCollection 2020 Aug.
PMID- 31969145
OWN - NLM
STAT- MEDLINE
DCOM- 20200507
LR - 20200507
IS - 1472-6963 (Linking)
VI - 20
IP - 1
DP - 2020 Jan 22
TI - Educating health professionals to optimise falls screening in hospitals:
protocol
for a mixed methods study.
PG - 54
LID - 10.1186/s12913-020-4899-y [doi]
LID - 54
AB - BACKGROUND: Falls in hospitals remain a major challenge to patient safety.
All
hospitalised adults are at risk of falling during their inpatient stay,
though this
risk is not always realised by patients and clinicians. This study will
evaluate the
outcomes of a hospital clinician education program that teaches clinicians
how to
screen for falls risk and assign mitigation strategies using clinical
reasoning,
rather than relying on a standardised falls risk assessment tool (FRAT). The
education program aims to increase clinician knowledge, motivation and
confidence in
screening falls risk and selecting individual falls prevention interventions.
Perceptions of the education intervention will also be examined. METHODS:

Participants will be a sample of convenience of nurses and allied health
professionals from five Australian hospitals. For each hospital there will be
two
cohorts. Cohort 1 will be clinical leaders who shall receive a three-hour
education
program on the latest evidence in hospital falls risk assessment and how to
implement a new falls screening and management tool. They will also be taught
practical skills to enable them to deliver an effective one-hour in-service

training
session to Cohort 2. Cohort 2 will be recruited from the workforce as a whole
and
include nurses and other health professionals involved in routine hospital
falls
screening and prevention. The investigation will be framed on Keller's Model
of
Motivational Design and Kirkpatrick's evaluation framework. It will involve a
mixed
methods pre and post-test questionnaire design inclusive of semi-structured
telephone interviews, to triangulate the data from multiple approaches.
DISCUSSION:
This study will quantify the outcomes of a high-quality clinician education
program
to increase knowledge of evidence-based practice for falls prevention. It is
predicted that positive behavioural changes will occur in health
professionals,
leading to organisational change and improved patient outcomes. Furthermore,
the
findings from the study will inform the future refinement of educational
delivery to
health professionals across hospital sites. TRIAL REGISTRATION: The study has
also
been approved by the Australian New Zealand Clinical Trials Registry:
Preventing
Hospital Falls: Optimal Screening UTN U1111-1225-8450. Universal Trial Number
(UTN):
U1111-1228-0041 (obtained 5/2/19). Australian New Zealand Clinical Trials
Registry
(ANZCTR): ACTRN12619000200189 (obtained 12/2/19).
FAU - Shaw, L
AU - Shaw L
AUID- ORCID: 0000-0001-8188-2313
AD - Faculty of Health Science, Youth and Community Studies, Holmesglen Institute,
488
South Road, Moorabbin, Vic, 3189, Australia. Louise.shaw@holmesglen.edu.au.
FAU - Kiegaldie, D
AU - Kiegaldie D
AUID- ORCID: 0000-0002-4077-5818
488
South Road, Moorabbin, Vic, 3189, Australia.
FAU - Morris, M E
AU - Morris ME
AUID- ORCID: 0000-0002-0114-4175
AD - School of Allied Health, La Trobe Centre for Sport and Exercises Medicine
Research,
La Trobe University, Melbourne, Victoria, 3086, Australia.
AD - Healthscope, North Eastern Rehabilitation Centre, Ivanhoe, Victoria, 3086,
Australia.
LA - eng
GR - GNT1152853/National Health and Medical Research Council/
DEP - 20200122
JID - 101088677
SB - IM
MH - Accidental Falls/*prevention & control
MH - Australia
MH - Cohort Studies
MH - Evidence-Based Practice
MH - Hospitals
MH - Humans
MH - *Mass Screening
MH - Personnel, Hospital/*education/*psychology
MH - Program Evaluation
PMC - PMC6977326
OTO - NOTNLM
OT - Education
OT - Evidence-based
OT - Falls
OT - Falls prevention
OT - Health professionals
OT - Hospital
OT - Nursing
OT - Physiotherapy
COIS- The authors declare that they have no competing interests. The trial was
funded by
an Australian National Health and Medical Research Council Project Grant
(Morris et
al., GNT1152853). This study forms part of the main study ‘EMPOWER’ –
Evidence-based
Methods for Preventing and Overcoming falls with Expert Reasoning. The
research was
conducted independently from the funding body.
EDAT- 2020/01/24 06:00
MHDA- 2020/05/08 06:00
CRDT- 2020/01/24 06:00
PHST- 2019/07/25 00:00 [received]
PHST- 2020/01/08 00:00 [accepted]
PHST- 2020/01/24 06:00 [entrez]
PHST- 2020/01/24 06:00 [pubmed]
PHST- 2020/05/08 06:00 [medline]
AID - 10.1186/s12913-020-4899-y [pii]
AID - 4899 [pii]
AID - 10.1186/s12913-020-4899-y [doi]
PST - epublish
SO - BMC Health Serv Res. 2020 Jan 22;20(1):54. doi: 10.1186/s12913-020-4899-y.
PMID- 33013415
OWN - NLM
LR - 20201006
IS - 1663-9812 (Print)
IS - 1663-9812 (Linking)
VI - 11
DP - 2020
TI - Drug-Related Problems Identified During Pharmacy Intervention and
Consultation:
Implementation of an Intensive Care Unit Pharmaceutical Care Model.
PG - 571906
LID - 10.3389/fphar.2020.571906 [doi]
LID - 571906
AB - AIM: To identify common drug-related problems (DRPs) during pharmacy
intervention
and consultation in an intensive care unit (ICU); to explore the gap between
physicians and pharmacists on their understanding of each other's
capabilities and
needs. METHOD: We conducted a single-center prospective study in the ICU of a
tertiary academic hospital for 21 months. A pharmaceutical care (PC) model

was
implemented by a pharmacy team, and data were collected during pharmacy
intervention
and consultation. Data analysis was performed on identified DRPs, causes and
their
relationships. DRPs' frequency during intervention and consultation was
compared.
Problem-level descriptive analysis and network analysis were conducted using
R
3.6.3. RESULT: Implementation of PC model greatly improved the efficacy of
pharmacists in both interventions proposed to solve DRPs (from 13.6 to 20.1
cases
per month) and number of patients being closely monitored (from 7.7 to 16.9
per
month). Pharmacists identified 427 DRPs during pharmacy intervention with
primarily
adverse drug events (ADEs, 34.7%) and effect of treatment not optimal
(25.5%), and
245 DRPs during consultation (mainly ADEs, 58.4%). About three-fifths DRPs
were
caused by antibiotics. Comparing DRPs identified during pharmacy intervention
and
consultation, physicians consulted pharmacists more on questions related to
medication safety, while pharmacists also paid attention to treatment
effectiveness,
which was consulted less commonly. CONCLUSION: Implementation of PC model is
beneficial in guiding pharmacy practice and improving efficacy especially
under
limited human resources. Physicians and pharmacists shall continue ensuring
drug
safety and be familiar with the scope of PC and clinical need for a better
cooperation.
CI - Copyright © 2020 Li, Zheng, Gu, Huang, Liu, Ge, Liu, Li, Yi, Qin, Zhao and
Shi.
FAU - Li, Xiao-Xiao
AU - Li XX
AD - Department of Pharmacy, Peking University Third Hospital, Beijing, China.
AD - Department of Pharmacy Administration and Clinical Pharmacy, School of
Pharmaceutical Sciences, Peking University, Beijing, China.
FAU - Zheng, Si-Qian
AU - Zheng SQ
FAU - Gu, Jia-Hui
AU - Gu JH
AD - International Research Center for Medicinal Administration, Peking
University,
Beijing, China.
FAU - Huang, Tao
AU - Huang T
University,
Beijing, China.
FAU - Liu, Fang
AU - Liu F
FAU - Ge, Qing-Gang
AU - Ge QG
AD - Department of Intensive Care Unit, Peking University Third Hospital, Beijing,
China.
FAU - Liu, Bin
AU - Liu B
AD - Information Management and Big Data Center, Peking University Third Hospital,
Beijing, China.
FAU - Li, Chao
AU - Li C
China.
FAU - Yi, Min
AU - Yi M
China.
FAU - Qin, You-Fa
AU - Qin YF
AD - Department of Clinical Pharmacy, SSL Center Hospital of Dongguan City,
Dongguan,
China.
FAU - Zhao, Rong-Sheng
AU - Zhao RS
FAU - Shi, Lu-Wen
AU - Shi LW
University,
Beijing, China.
LA - eng
DEP - 20200911
TA - Front Pharmacol
JT - Frontiers in pharmacology
JID - 101548923
PMC - PMC7516263
OTO - NOTNLM
OT - critical care
OT - hospital medicine
OT - medical error
OT - patient safety
OT - pharmacists
EDAT- 2020/10/06 06:00
MHDA- 2020/10/06 06:01
CRDT- 2020/10/05 06:14
PHST- 2020/06/12 00:00 [received]
PHST- 2020/08/20 00:00 [accepted]
PHST- 2020/10/05 06:14 [entrez]
PHST- 2020/10/06 06:00 [pubmed]
PHST- 2020/10/06 06:01 [medline]
AID - 10.3389/fphar.2020.571906 [doi]
PST - epublish
SO - Front Pharmacol. 2020 Sep 11;11:571906. doi: 10.3389/fphar.2020.571906.
eCollection
2020.
PMID- 31291395
OWN - NLM
STAT- MEDLINE
DCOM- 20200110
LR - 20200110
IS - 0080-6234 (Linking)
VI - 53
DP - 2019 Jul 4
TI - Intensivist nurse performance in the collaborative model of continuous
hemodialysis:
links with patient safety.
PG - e03475
LID - S0080-62342019000100440 [pii]
LID - 10.1590/S1980-220X2018004603475 [doi]
AB - OBJECTIVE: To describe the Intensive Care Unit nurse's role in the management
of
continuous hemodialysis within the scope of the collaborative model,
analyzing it
regarding the links with patient safety. METHOD: A descriptive, qualitative,
exploratory study based on the Reason safety model performed at the Intensive
Care
Unit of a specialized hospital, with nurses working in the direct management
of
continuous hemodialysis, who were interviewed using a script with its
contents being
thematically analyzed. RESULTS: 23 nurses participated. The role of the
intensive
care nurse in continuous hemodialysis involves performing
preparation/planning and
monitoring/follow-up activities, based on interaction with technology and the
application of specialized knowledge. The adopted collaborative model

reflects on
its qualification and availability in relation to the activities that need to
be
performed, with repercussions on patient safety. CONCLUSION: There are
weaknesses in
the participation by intensive care nurses in this continuous hemodialysis
model
which require elaboration of defensive barriers for the safety of the system.
FAU - Andrade, Bianca Ribeiro Porto de
AU - Andrade BRP
AUID- ORCID: 0000-0002-9946-0677
AD - Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Rio
de
Janeiro, RJ, Brazil.
FAU - Barros, Fabiana de Mello
AU - Barros FM
AUID- ORCID: 0000-0001-5105-4365
de
FAU - Lúcio, Honorina Fátima Ângela de
AU - Lúcio HFÂ
AUID- ORCID: 0000-0002-7178-2674
de
FAU - Campos, Juliana Faria
AU - Campos JF
AUID- ORCID: 0000-0001-7254-5251
de
FAU - Silva, Rafael Celestino da
AU - Silva RCD
AUID- ORCID: 0000-0002-5211-9586
de
LA - eng
LA - por
DEP - 20190704
PL - Brazil
JID - 0242726
SB - N
MH - Critical Care/*organization & administration
MH - Humans
MH - *Nurse's Role
MH - Nursing Staff, Hospital/*organization & administration
MH - Patient Safety
MH - Renal Dialysis/*methods
EDAT- 2019/07/11 06:00
MHDA- 2020/01/11 06:00
CRDT- 2019/07/11 06:00
PHST- 2018/02/21 00:00 [received]
PHST- 2018/11/26 00:00 [accepted]
PHST- 2019/07/11 06:00 [entrez]
PHST- 2019/07/11 06:00 [pubmed]
PHST- 2020/01/11 06:00 [medline]
AID - S0080-62342019000100440 [pii]
AID - 10.1590/S1980-220X2018004603475 [doi]
PST - epublish
SO - Rev Esc Enferm USP. 2019 Jul 4;53:e03475. doi: 10.1590/S1980-
220X2018004603475.
PMID- 31874897
OWN - NLM
STAT- MEDLINE
DCOM- 20201130
LR - 20201130
IS - 2044-6055 (Linking)
VI - 9
IP - 12
DP - 2019 Dec 23
TI - Contributing factors that influence medication errors in the prehospital
paramedic
environment: a mixed-method systematic review protocol.
PG - e034094
LID - 10.1136/bmjopen-2019-034094 [doi]
LID - e034094
AB - INTRODUCTION: There is limited reliable research available on medication
errors in
relation to paramedic practice, with most evidence-based medication safety
guidelines based on research in nursing, operating theatre and pharmacy
settings.
While similarities exist, evidence suggests that the prehospital environment
is
distinctly different in many aspects. The prevention of errors requires
attention to
factors from the organisational and regulatory level down to specific tasks
and
patient characteristics. The evidence available suggests errors may occur in
up to
12.76% of medication administrations in some prehospital settings. With
multiple
sources stating that the errors are under-reported, this represents
significant
potential for patient harm. This review will seek to identify the factors
influencing the occurrence of medication errors by paramedics in the
prehospital
environment. METHODS AND ANALYSIS: The review will include qualitative and
quantitative studies involving interventions or phenomena regarding
medication
errors or medication safety relating to paramedics (including emergency
medical
technicians and other prehospital care providers) within the prehospital
environment. A search will be conducted using MEDLINE (Ovid), EBSCOhost
Megafile
Search, the International Committee of Medical Journal Editors trial
registry,
Google Scholar and the OpenGrey database to identify studies meeting this
inclusion
criteria, with initial searches commencing 30 September 2019. Studies
selected will
undergo assessment of methodological quality, with data to be extracted from
all
studies irrespective of quality. Each stage of study selection, appraisal and
data
extraction will be conducted by two reviewers, with a third reviewer deciding
any
unresolved conflicts. The review will follow a convergent integrated
approach,
conducting a single qualitative synthesis of qualitative and 'qualitised'
quantitative data. ETHICS AND DISSEMINATION: No ethical approval was required
for
this review. Findings from this systematic review will be disseminated via
publications, reports and conference presentations.
FAU - Walker, Dennis
AU - Walker D
AUID- ORCID: 0000-0003-0322-845X
AD - School of Health and Wellbeing, University of Southern Queensland, Ipswich,
Queensland, Australia Dennis.Walker@usq.edu.au.
FAU - Moloney, Clint
AU - Moloney C
AD - School of Nursing and Midwifery, University of Southern Queensland,
Toowoomba,
Queensland, Australia.
FAU - SueSee, Brendan
AU - SueSee B
AD - School of Linguistics, Adult and Special Education, University of Southern
Queensland-Springfield Campus, Springfield, Queensland, Australia.
FAU - Sharples, Renee
AU - Sharples R
AD - College of Health and Biomedicine, Victoria University, Melbourne, Victoria,
Australia.
LA - eng
DEP - 20191223
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - *Emergency Medical Services
MH - Emergency Medical Technicians
MH - Humans
MH - *Medication Errors/prevention & control
MH - *Research Design
MH - *Systematic Reviews as Topic
PMC - PMC7008412
OTO - NOTNLM
OT - *Medication error
OT - *Medication safety
OT - *Paramedic
OT - *Pre-hospital
EDAT- 2019/12/26 06:00
MHDA- 2020/12/01 06:00
CRDT- 2019/12/26 06:00
PHST- 2019/12/26 06:00 [entrez]
PHST- 2019/12/26 06:00 [pubmed]
PHST- 2020/12/01 06:00 [medline]
AID - 10.1136/bmjopen-2019-034094 [doi]
PST - epublish
SO - BMJ Open. 2019 Dec 23;9(12):e034094. doi: 10.1136/bmjopen-2019-034094.
PMID- 27192350
OWN - NLM
STAT- MEDLINE
DCOM- 20170609
LR - 20191210
IS - 0003-4932 (Linking)
VI - 265
IP - 5
DP - 2017 May
TI - Investigating Adverse Event Free Admissions in Medicare Inpatients as a
Patient
Safety Indicator.
PG - 910-915
LID - 10.1097/SLA.0000000000001792 [doi]
AB - OBJECTIVE: To investigate adverse event free admissions as a potential,
patient-centered indicator aligned directly with the goal of patient safety-
freedom
from harm. BACKGROUND: Preventable adverse event rates in healthcare could be
further reduced. These are generally measured separately, one adverse event
at a
time. However, this does not reveal whether different patients are affected
or the
same patients are experiencing multiple events. METHODS: We examined Medicare
inpatient hospital administrative datasets for 2009 to 2011, processed using

standard criteria. Events were (i) death within 30 days, (ii) unplanned
readmissions
within 30 days, (iii) long length of stay, (iv) healthcare acquired
infections, and
(v) established patient safety indicators not present on admission. We
defined
adverse event free admissions as those without record of any of these events.
National rates were calculated by diagnosis group. Risk-adjusted hospital-

specific
rates of adverse event free admissions were calculated using colorectal
procedures
as an example. RESULTS: There were 23,991,193 admissions after exclusions.
Approximately, 64% went through the acute inpatient Medicare system without
record
of anything untoward. Multiple events were recorded in 22·7% admissions; 15%
of
these experienced more than 2 adverse events. Risk-adjusted hospital-specific
rates
of adverse event free admissions for colorectal procedures showed 131 out of
3786
hospitals below the 99·8% lower control limit of the national upper quartile.
CONCLUSIONS: Overall, only 60% of admissions were recorded as adverse event

free.
Multiple adverse events were common. Even if events are under recorded, this
measure
could provide an easily understandable and useful baseline for clinicians and
managers.
FAU - King, Alice
AU - King A
AD - *Department of Primary Care and Public Health, Dr Foster Unit at Imperial
College
London, London, UK †Department of Surgery and Cancer, Imperial College
London, St
Mary's Hospital, London, UK.
FAU - Bottle, Alex
AU - Bottle A
FAU - Faiz, Omar
AU - Faiz O
FAU - Aylin, Paul
AU - Aylin P
LA - eng
PL - United States
TA - Ann Surg
JT - Annals of surgery
JID - 0372354
SB - AIM
SB - IM
MH - Aged
MH - Colorectal Surgery/*adverse effects/methods
MH - Female
MH - Humans
MH - Inpatients/statistics & numerical data
MH - Male
MH - Medicare/economics/*statistics & numerical data
MH - Patient Admission/statistics & numerical data
MH - Patient Readmission/*statistics & numerical data
MH - Postoperative Complications/*diagnosis/therapy
MH - *Quality Indicators, Health Care
MH - United Kingdom
MH - United States
EDAT- 2016/05/19 06:00
MHDA- 2017/06/10 06:00
CRDT- 2016/05/19 06:00
PHST- 2016/05/19 06:00 [pubmed]
PHST- 2017/06/10 06:00 [medline]
PHST- 2016/05/19 06:00 [entrez]
AID - 10.1097/SLA.0000000000001792 [doi]
PST - ppublish
SO - Ann Surg. 2017 May;265(5):910-915. doi: 10.1097/SLA.0000000000001792.
PMID- 30936751
OWN - NLM
LR - 20201001
IS - 1179-1365 (Print)
IS - 1179-1365 (Linking)
VI - 11
DP - 2019
TI - Evaluation to improve the quality of medication preparation and
administration in
pediatric and adult intensive care units.
PG - 11-18
LID - 10.2147/DHPS.S184479 [doi]
AB - PURPOSE: To determine the type, frequency, and factors associated with
medication
preparation and administration errors in adult intensive care units (ICUs)
and
neonatal ICUs (NICUs)/pediatric ICUs (PICUs). PATIENTS AND METHODS: We
conducted a
prospective direct observation study in an adult ICU and NICU/PICU in a
tertiary
university hospital. Between June 2012 and June 2013, a clinical pharmacist
and
medical student observed the nursing care staff on weekdays during the
preparation
and administration of intravenous drugs. We analyzed the frequency and type
of
preparation and administration errors and factors associated with errors.
RESULTS:
Six hundred and three preparations in the adult ICU and 281 in the NICU/PICU
were
observed. Three hundred and eighty-five errors occurred in the adult ICU and
38 in
the NICU/PICU. There were 5,040 and 2,514 error opportunities, with overall
error
rates of 7.6% and 1.5%, respectively. The total opportunities for error meant
each
single step of preparation and administration that was relevant for the drug.
Most
errors applied to the category "uniform mixing" (adult ICU: n=227, 59%;
NICU/PICU:
n=14, 37%). The multivariate logistic regression results showed a
significantly
different influence of the "preparation type" for the adult ICU compared with
the
NICU/PICU with regard to the occurrence of an error. Preparations for adult
patients
of the LCD type (liquid concentrate with diluent into syringe or infusion
bag) were
more often associated with errors than the P (powder in a glass vial that
must be
reconstituted and diluted if necessary), P=0.012, and LC (liquid concentrate
into
syringe), P=0.002 type. CONCLUSION: "Uniform mixing" was the most erroneous
preparation step in intravenous drug preparations in two ICUs. Improvement of
nurse
training and the preparation of prefilled syringes in the pharmacy might
reduce
errors and improve the quality and safety of drug therapy.
FAU - Hermanspann, Theresa
AU - Hermanspann T
AD - Hospital Pharmacy, RWTH Aachen University Hospital, Aachen, Germany,
thermanspann@ukaachen.de.
AD - Department of Pediatric and Adolescent Medicine, Section of Neonatology, RWTH
Aachen
University Hospital, Aachen, Germany, thermanspann@ukaachen.de.
FAU - van der Linden, Eva
AU - van der Linden E
Aachen
FAU - Schoberer, Mark
AU - Schoberer M
Aachen
FAU - Fitzner, Christina
AU - Fitzner C
AD - Department of Medical Statistics, Medical Faculty RWTH Aachen University,
Aachen,
Germany.
AD - Department of Anaesthesiology, RWTH Aachen University Hospital, Aachen,
Germany.
FAU - Orlikowsky, Thorsten
AU - Orlikowsky T
Aachen
FAU - Marx, Gernot
AU - Marx G
AD - Department of Intensive Care Medicine, RWTH Aachen University Hospital,
Aachen,
Germany.
FAU - Eisert, Albrecht
AU - Eisert A
AD - Hospital Pharmacy, RWTH Aachen University Hospital, Aachen, Germany,
thermanspann@ukaachen.de.
AD - Institute of Pharmacology and Toxicology, Medical Faculty RWTH Aachen
University,
Aachen, Germany.
LA - eng
DEP - 20190319
TA - Drug Healthc Patient Saf
JT - Drug, healthcare and patient safety
JID - 101544775
PMC - PMC6429998
OTO - NOTNLM
OT - intravenous medication
OT - patient safety
COIS- Disclosure No benefits in the form of an honorarium, grant, or other form of
payment
contributed to the manuscript. The authors declare that the research was
conducted
in the absence of any commercial or financial relationships that could be
construed
as a potential conflict of interest and report no conflicts of interest in
this
work.
EDAT- 2019/04/03 06:00
MHDA- 2019/04/03 06:01
CRDT- 2019/04/03 06:00
PHST- 2019/04/03 06:00 [entrez]
PHST- 2019/04/03 06:00 [pubmed]
PHST- 2019/04/03 06:01 [medline]
AID - dhps-11-011 [pii]
AID - 10.2147/DHPS.S184479 [doi]
PST - epublish
SO - Drug Healthc Patient Saf. 2019 Mar 19;11:11-18. doi: 10.2147/DHPS.S184479.
eCollection 2019.
PMID- 33167884
OWN - NLM
STAT- MEDLINE
DCOM- 20210113
LR - 20210113
IS - 1471-2318 (Linking)
VI - 20
IP - 1
DP - 2020 Nov 9
TI - Education interventions for health professionals on falls prevention in
health care
settings: a 10-year scoping review.
PG - 460
LID - 10.1186/s12877-020-01819-x [doi]
LID - 460
AB - BACKGROUND: Falls in hospitals are a major risk to patient safety. Health
professional education has the potential to be an important aspect of falls
prevention interventions. This scoping review was designed to investigate the
extent
of falls prevention education interventions available for health
professionals, and
to determine the quality of reporting. METHOD: A five stage scoping review
process
was followed based on Arksey and O'Malley's framework and refined by the
Joanna
Briggs Institute Methodology for JBI Scoping Reviews. Five online databases
identified papers published from January 2008 until May 2019. Papers were
independently screened by two reviewers, and data extracted and analysed
using a
quality reporting framework. RESULTS: Thirty-nine publications were included.
Interventions included formal methods of educational delivery (for example,

didactic
lectures, video presentations), interactive learning activities, experiential
learning, supported learning such as coaching, and written learning material.

Few
studies employed comprehensive education design principles. None used a
reporting
framework to plan, evaluate, and document the outcomes of educational
interventions.
CONCLUSIONS: Although health professional education is recognised as
important for
falls prevention, no uniform education design principles have been utilised
in
research published to date, despite commonly reported program objectives.
Standardised reporting of education programs has the potential to improve the
quality of clinical practice and allow studies to be compared and evaluated

for
effectiveness across healthcare settings.
FAU - Shaw, L
AU - Shaw L
AUID- ORCID: 0000-0001-8188-2313
488
South Road, Moorabbin, VIC, 3189, Australia. Louise.shaw@holmesglen.edu.au.
AD - School of Allied Health, Human Services and Sport, La Trobe University,
Bundoora,
Victoria, 3086, Australia. Louise.shaw@holmesglen.edu.au.
FAU - Kiegaldie, D
AU - Kiegaldie D
AUID- ORCID: 0000-0002-4077-5818
AD - Faculty of Health Science, Youth and Community Studies and Healthscope
Hospitals,
Holmesglen Institute, 488 South Road, Moorabbin, VIC, 3189, Australia.
AD - Eastern Clinical School, Faculty of Medicine, Nursing & Health Sciences,
Monash
University, Melbourne, Australia.
FAU - Farlie, M K
AU - Farlie MK
AUID- ORCID: 0000-0002-6820-1496
AD - Department of Physiotherapy, School of Primary and Allied Health Care,
Faculty of
Medicine, Nursing and Health Sciences, Monash University, Moorooduc Highway,
Frankston, VIC, 3199, Australia.
LA - eng
GR - GNT1152853/National Health and Medical Research Council/International
PT - Review
DEP - 20201109
TA - BMC Geriatr
JT - BMC geriatrics
JID - 100968548
SB - IM
MH - *Accidental Falls/prevention & control
MH - Delivery of Health Care
MH - *Health Personnel
MH - Hospitals
MH - Humans
MH - Learning
PMC - PMC7653707
OTO - NOTNLM
OT - *Falls
OT - *Health professional education
OT - *Hospital
OT - *Prevention
EDAT- 2020/11/11 06:00
MHDA- 2021/01/14 06:00
CRDT- 2020/11/10 05:31
PHST- 2020/06/03 00:00 [received]
PHST- 2020/10/05 00:00 [accepted]
PHST- 2020/11/10 05:31 [entrez]
PHST- 2020/11/11 06:00 [pubmed]
PHST- 2021/01/14 06:00 [medline]
AID - 10.1186/s12877-020-01819-x [pii]
AID - 1819 [pii]
AID - 10.1186/s12877-020-01819-x [doi]
PST - epublish
SO - BMC Geriatr. 2020 Nov 9;20(1):460. doi: 10.1186/s12877-020-01819-x.
PMID- 32410673
OWN - NLM
STAT- In-Process
LR - 20200820
IS - 2047-2994 (Linking)
VI - 9
IP - 1
DP - 2020 May 14
TI - Implementation of the WHO hand hygiene strategy in Faranah regional hospital,
Guinea.
PG - 65
LID - 10.1186/s13756-020-00723-8 [doi]
LID - 65
AB - BACKGROUND: Healthcare-associated infections are the most frequent adverse
events in
healthcare worldwide, with limited available evidence suggesting highest
burden in
resource-limited settings. Recent Ebola epidemics emphasize the disastrous
impact
that spread of infectious agents within healthcare facilities can have,
accentuating
the need for improvement of infection control practices. Hand hygiene (HH)
measures
are considered to be the most effective tool to prevent healthcare-associated
infections. However, HH knowledge and compliance are low, especially in

vulnerable
settings such as Guinea. The aim of PASQUALE (Partnership to Improve Patient
Safety
and Quality of Care) was to assess knowledge and compliance with HH and
improve HH
by incorporating the WHO HH Strategy within the Faranah Regional Hospital
(FRH),
Guinea. METHODS: In a participatory approach, a team of FRH staff and
leadership was
invited to identify priorities of the hospital prior to the start of
PASQUALE. The
local hygiene committee was empowered to increase its activities and take
ownership
of the HH improvement strategy. A baseline assessment of knowledge,
perception and
compliance was performed months before the intervention. The main
intervention
consisted of local alcohol-based-hand-rub (ABHR) production, with final
product
efficacy testing, in conjunction with a training adapted to the needs
identified in
the baseline assessment. A follow-up assessment was conducted directly after
the
training. Effectiveness of the intervention was assessed via uncontrolled
before-and-after comparison. RESULTS: Baseline knowledge score (13.0/25)
showed a
significant increase to 19.0/25 in follow-up. Baseline-Compliance was 23.7%
and
increased significantly to 71.5% in follow-up. Compliance rose significantly
across
all professional groups except for midwifes and in all indications for HH,
with the
largest in the indication "Before aseptic tasks". The increase in compliance
was
associated with the intervention and remained significant after adjusting for
confounders. The local pharmacy successfully supplies the entire hospital.

The local
supply resulted in a ten-fold increase of monthly hospital disinfectant
consumption.
CONCLUSION: The WHO HH strategy is an adaptable and effective method to
improve HH
knowledge and compliance in a resource-limited setting. Local production is a
feasible method for providing self-sufficient supply of ABHR to regional

hospitals
like the FRH. Participatory approaches like hygiene committee ownership
builds
confidence of sustainability.
FAU - Müller, S A
AU - Müller SA
AUID- ORCID: 0000-0001-7723-3943
AD - Charité - Universitätsmedizin Berlin, Institute of Tropical Medicine and
International Health, Berlin, Germany. sophie.mueller@charite.de.
AD - Centre for International Health Protection, Robert Koch Institute, Berlin,
Germany.
sophie.mueller@charite.de.
FAU - Diallo, A O K
AU - Diallo AOK
AD - Faranah Regional Hospital, Faranah, Guinea.
FAU - Wood, R
AU - Wood R
Germany.
FAU - Bayo, M
AU - Bayo M
AD - Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), Conakry,
Guinea.
FAU - Eckmanns, T
AU - Eckmanns T
AD - Unit for healthcare-associated Infections, Surveillance of Antibiotic
Resistance and
Consumption, Robert Koch Institute, Berlin, Germany.
FAU - Tounkara, O
AU - Tounkara O
FAU - Arvand, M
AU - Arvand M
AD - Unit for Hospital Hygiene, Infection Prevention and Control, Robert Koch
Institute,
Berlin, Germany.
FAU - Diallo, M
AU - Diallo M
FAU - Borchert, M
AU - Borchert M
Germany.
LA - eng
DEP - 20200514
TA - Antimicrob Resist Infect Control
JT - Antimicrobial resistance and infection control
JID - 101585411
SB - IM
PMC - PMC7227248
OTO - NOTNLM
OT - *5 moments
OT - *Clean care is safer care
OT - *Clean hands
OT - *First WHO global patient safety challenge
OT - *Guinea
OT - *Hand hygiene
OT - *Healthcare-associated infections
OT - *Local disinfectant production
OT - *Nosocomial infections
OT - *WHO multimodal strategy
EDAT- 2020/05/16 06:00
MHDA- 2020/05/16 06:00
CRDT- 2020/05/16 06:00
PHST- 2019/12/12 00:00 [received]
PHST- 2020/04/23 00:00 [accepted]
PHST- 2020/05/16 06:00 [entrez]
PHST- 2020/05/16 06:00 [pubmed]
PHST- 2020/05/16 06:00 [medline]
AID - 10.1186/s13756-020-00723-8 [pii]
AID - 723 [pii]
AID - 10.1186/s13756-020-00723-8 [doi]
PST - epublish
SO - Antimicrob Resist Infect Control. 2020 May 14;9(1):65. doi:
10.1186/s13756-020-00723-8.
PMID- 32238331
OWN - NLM
STAT- MEDLINE
DCOM- 20201019
LR - 20201019
IS - 1439-4456 (Print)
IS - 1438-8871 (Linking)
VI - 22
IP - 4
DP - 2020 Apr 2
TI - Longitudinal Study of the Variation in Patient Turnover and Patient-to-Nurse
Ratio:
Descriptive Analysis of a Swiss University Hospital.
PG - e15554
LID - 10.2196/15554 [doi]
LID - e15554
AB - BACKGROUND: Variations in patient demand increase the challenge of balancing
high-quality nursing skill mixes against budgetary constraints. Developing
staffing
guidelines that allow high-quality care at minimal cost requires first
exploring the
dynamic changes in nursing workload over the course of a day. OBJECTIVE:
Accordingly, this longitudinal study analyzed nursing care supply and demand
in
30-minute increments over a period of 3 years. We assessed 5 care factors:
patient
count (care demand), nurse count (care supply), the patient-to-nurse ratio
for each
nurse group, extreme supply-demand mismatches, and patient turnover (ie,
number of
admissions, discharges, and transfers). METHODS: Our retrospective analysis
of data
from the Inselspital University Hospital Bern, Switzerland included all
inpatients
and nurses working in their units from January 1, 2015 to December 31, 2017.
Two
data sources were used. The nurse staffing system (tacs) provided information
about
nurses and all the care they provided to patients, their working time, and
admission, discharge, and transfer dates and times. The medical discharge
data
included patient demographics, further admission and discharge details, and
diagnoses. Based on several identifiers, these two data sources were linked.
RESULTS: Our final dataset included more than 58 million data points for
128,484
patients and 4633 nurses across 70 units. Compared with patient turnover,
fluctuations in the number of nurses were less pronounced. The differences
mainly
coincided with shifts (night, morning, evening). While the percentage of
shifts with
extreme staffing fluctuations ranged from fewer than 3% (mornings) to 30%
(evenings
and nights), the percentage within "normal" ranges ranged from fewer than 50%
to
more than 80%. Patient turnover occurred throughout the measurement period
but was
lowest at night. CONCLUSIONS: Based on measurements of patient-to-nurse ratio
and
patient turnover at 30-minute intervals, our findings indicate that the
patient
count, which varies considerably throughout the day, is the key driver of
changes in
the patient-to-nurse ratio. This demand-side variability challenges the
supply-side
mandate to provide safe and reliable care. Detecting and describing patterns
in
variability such as these are key to appropriate staffing planning. This
descriptive
analysis was a first step towards identifying time-related variables to be
considered for a predictive nurse staffing model.
CI - ©Sarah N N. Musy, Olga Endrich, Alexander B Leichtle, Peter Griffiths,
Christos T
Nakas, Michael Simon. Originally published in the Journal of Medical Internet
Research (http://www.jmir.org), 02.04.2020.

FAU - Musy, Sarah N
AU - Musy SN
AUID- ORCID: 0000-0003-0267-3375
AD - Institute of Nursing Science, University of Basel, Basel, Switzerland.
AD - Nursing and Midwifery Research Unit, Inselspital, Bern University Hospital,
University of Bern, Bern, Switzerland.
FAU - Endrich, Olga
AU - Endrich O
AUID- ORCID: 0000-0003-0839-9821
AD - Medical Directorate, Inselspital, Bern University Hospital, University of
Bern,
Bern, Switzerland.
AD - Insel Data Science Center, Inselspital, Bern University Hospital, University
of
Bern, Bern, Switzerland.
FAU - Leichtle, Alexander B
AU - Leichtle AB
AUID- ORCID: 0000-0002-6528-9904
AD - Insel Data Science Center, Inselspital, Bern University Hospital, University
of
Bern, Bern, Switzerland.
AD - University Institute of Clinical Chemistry, Inselspital, Bern University
Hospital,
AU - Griffiths P
AUID- ORCID: 0000-0003-2439-2857
AD - Health Sciences, University of Southampton, Southampton, United Kingdom.
AD - National Institute for Health Research Applied Research Collaboration
(Wessex),
Southampton, United Kingdom.
AD - LIME Karolinska Institutet, Stockholm, Sweden.
FAU - Nakas, Christos T
AU - Nakas CT
AUID- ORCID: 0000-0003-4155-722X
AD - University Institute of Clinical Chemistry, Inselspital, Bern University
Hospital,
AD - Laboratory of Biometry, University of Thessaly, Volos, Greece.
FAU - Simon, Michael
AU - Simon M
AUID- ORCID: 0000-0003-2349-7219
AD - Institute of Nursing Science, University of Basel, Basel, Switzerland.
AD - Nursing and Midwifery Research Unit, Inselspital, Bern University Hospital,
LA - eng
DEP - 20200402
TA - J Med Internet Res
JT - Journal of medical Internet research
JID - 100959882
SB - IM
MH - Adult
MH - Hospitals, University/*standards
MH - Humans
MH - Middle Aged
MH - Nursing Staff, Hospital/*standards
MH - Personnel Staffing and Scheduling/*standards
MH - Switzerland
PMC - PMC7163415
OTO - NOTNLM
OT - *nurse staffing
OT - *routine data
OT - *workload
EDAT- 2020/04/03 06:00
MHDA- 2020/10/21 06:00
CRDT- 2020/04/03 06:00
PHST- 2019/07/22 00:00 [received]
PHST- 2020/02/03 00:00 [accepted]
PHST- 2019/10/28 00:00 [revised]
PHST- 2020/04/03 06:00 [entrez]
PHST- 2020/04/03 06:00 [pubmed]
PHST- 2020/10/21 06:00 [medline]
AID - v22i4e15554 [pii]
AID - 10.2196/15554 [doi]
PST - epublish
SO - J Med Internet Res. 2020 Apr 2;22(4):e15554. doi: 10.2196/15554.
PMID- 32431507
OWN - NLM
LR - 20200928
IS - 1178-2390 (Print)
IS - 1178-2390 (Linking)
VI - 13
DP - 2020
TI - Non-Medical Radiography Staff Experiences in Inter-Professional
Communication: A
Swedish Qualitative Focus Group Interview Study.
PG - 393-401
LID - 10.2147/JMDH.S231442 [doi]
AB - PURPOSE: To describe the experiences of non-medical discipline staff of
difficulties
and possibilities in inter-professional communication within the radiology
department and remitting departments. MATERIALS AND METHODS: Three focus
group
interviews were conducted with 16 non-medical discipline staff in a radiology
department at a university hospital in Sweden. Data were analysed using

qualitative
content analysis. RESULTS: The experiences of inter-professional
communication by
non-medical discipline staff within the radiology department and with
remitting
departments can be described in three categories, and six sub categories. The
informants experienced difficulties in both oral and written inter-

professional
communication. Inadequate structures, incorrect information and unclear
language in
the referral forms, lack of feedback from clinicians and radiologists, and
reduced
face-to-face communication were described as factors that negatively
influenced
communication. Other difficulties were time shortage, inadequate routines and
economy issues. The possibilities described were use of face-to-face

communication,
interpreters, and clear and well-structured referral forms. CONCLUSION: Non-
medical
staff experience that quality in inter-professional communication has a
significant
impact on health outcomes and patient safety. They expressed a number of
difficulties in both written and oral inter-professional communication. For
example
inadequate written and oral communication, as well as practical issues such
as
routine could negatively influence the quality of the outcome of inter-
professional
communication. Lack of feedback from clinicians and radiologists and reduced
face-to-face communication were also mentioned as factors that influence oral
communication. Possibilities described to improve inter-professional

communication
quality and thus patient safety were professional contact on both
professional and
personal levels, use of interpreters, and clear and well-structured referral
forms.
The results of this study add to our knowledge of the difficulties and
possibilities
in non-medical inter-professional communication, which may enhance both
safety and
health outcomes for patients if implemented. Future studies in
interprofessional
communication is needed.
CI - © 2020 Fatahi et al.
FAU - Fatahi, Nabi
AU - Fatahi N
AUID- ORCID: 0000-0002-3214-352X
AD - Department of Learning and Leadership for Health Care Professionals,
Institute of
Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg,
Gothenburg, Sweden.
FAU - Kustrimovic, Mirjana
AU - Kustrimovic M
AD - Department of Radiography, Institute of Health and Care Sciences, The
Sahlgrenska
Academy, University of Gothenburg, Gothenburg, Sweden.
FAU - Elden, Helen
AU - Elden H
AUID- ORCID: 0000-0003-0000-0476
AD - Department of Reproductive and Perinatal Health, Institute of Health and Care
Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg,

Sweden.
LA - eng
DEP - 20200429
JID - 101512691
PMC - PMC7201006
OTO - NOTNLM
OT - face-to-face communication
OT - interprofessional communication
OT - oral communication
OT - radiograph
OT - radiologist
OT - written communication
COIS- The authors report no conflict of interest in this work.
EDAT- 2020/05/21 06:00
MHDA- 2020/05/21 06:01
CRDT- 2020/05/21 06:00
PHST- 2019/09/17 00:00 [received]
PHST- 2020/02/21 00:00 [accepted]
PHST- 2020/05/21 06:00 [entrez]
PHST- 2020/05/21 06:00 [pubmed]
PHST- 2020/05/21 06:01 [medline]
AID - 231442 [pii]
AID - 10.2147/JMDH.S231442 [doi]
PST - epublish
SO - J Multidiscip Healthc. 2020 Apr 29;13:393-401. doi: 10.2147/JMDH.S231442.
eCollection 2020.
PMID- 29563855
OWN - NLM
LR - 20201001
IS - 1472-6955 (Print)
IS - 1472-6955 (Linking)
VI - 17
DP - 2018
TI - Proportion of medication error reporting and associated factors among nurses:
a
cross sectional study.
PG - 9
LID - 10.1186/s12912-018-0280-4 [doi]
LID - 9
AB - BACKGROUND: A medication error (ME) is any preventable event that may cause
or lead
to inappropriate medication use or patient harm. Voluntary reporting has a
principal
role in appreciating the extent and impact of medication errors. Thus,
exploration
of the proportion of medication error reporting and associated factors among
nurses
is important to inform service providers and program implementers so as to
improve
the quality of the healthcare services. METHODS: Institution based
quantitative
cross-sectional study was conducted among 397 nurses from March 6 to May 10,
2015.
Stratified sampling followed by simple random sampling technique was used to
select
the study participants. The data were collected using structured self-
administered
questionnaire which was adopted from studies conducted in Australia and
Jordan. A
pilot study was carried out to validate the questionnaire before data
collection for
this study. Bivariate and multivariate logistic regression models were fitted
to
identify factors associated with the proportion of medication error reporting
among
nurses. An adjusted odds ratio with 95% confidence interval was computed to
determine the level of significance. RESULT: The proportion of medication
error
reporting among nurses was found to be 57.4%. Regression analysis showed that
sex,
marital status, having made a medication error and medication error
experience were
significantly associated with medication error reporting. CONCLUSION: The
proportion
of medication error reporting among nurses in this study was found to be
higher than
other studies.
FAU - Jember, Abebaw
AU - Jember A
AD - 1Department of Medical Nursing, School of Nursing, College of Medicine and
Health
Sciences, University of Gondar, Gondar, Ethiopia. ISNI: 0000 0000 8539 4635.
GRID:
grid.59547.3a
FAU - Hailu, Mignote
AU - Hailu M
Health
GRID:
grid.59547.3a
FAU - Messele, Anteneh
AU - Messele A
AD - 2Unit of Community Health Nursing, School of Nursing, College of Medicine and
Health
GRID:
grid.59547.3a
FAU - Demeke, Tesfaye
AU - Demeke T
AD - 3Department of Pediatric and Child Health Nursing, School of Nursing, College
of
Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. ISNI:
0000
0000 8539 4635. GRID: grid.59547.3a
FAU - Hassen, Mohammed
AU - Hassen M
Health
GRID:
grid.59547.3a
LA - eng
DEP - 20180312
TA - BMC Nurs
JT - BMC nursing
JID - 101088683
PMC - PMC5848571
OTO - NOTNLM
OT - Federal Level Governmental Hospital
OT - Medication error
OT - Medication error reporting
OT - Nurse
COIS- Ethical clearance and approval was obtained from Ethical Review Committee of
School
of Nursing, College of Medicine and Health Sciences, University of Gondar and
permission was obtained from the Ethical Review Committees of each respective
hospital. Consent form was put as a first page of each questionnaire, and
included
the name of the researcher, the purpose of the study, and a number of
ethically
based instructions. Participants were assured that their involvement in the
study
was after having been informed about the study without undue influence and
could
withdraw from the study at any time without the need to give reason. The
privacy of
the participants was maintained while they fill the questionnaire and
confidentiality of the participants was maintained by keeping anonymity and
keeping
the data only accessible by the investigator. Although there may not be
immediate
and direct benefits for the participants, nurses were informed of the
benefits from
the nursing knowledge gained through the process. The participants were
informed
that there were no financial benefits for participating in the research, no
potential harms that impact on employment, or social status, the utilization
of the
gathered data to be used only for the intended research, and the publication
of the
results of the study in a reputable journal with no identifiable information
that
links to the participants.Not applicable.The authors declare that they have
no
competing interests.Springer Nature remains neutral with regard to
jurisdictional
EDAT- 2018/03/23 06:00
MHDA- 2018/03/23 06:01
CRDT- 2018/03/23 06:00
PHST- 2016/11/23 00:00 [received]
PHST- 2018/03/06 00:00 [accepted]
PHST- 2018/03/23 06:00 [entrez]
PHST- 2018/03/23 06:00 [pubmed]
PHST- 2018/03/23 06:01 [medline]
AID - 280 [pii]
AID - 10.1186/s12912-018-0280-4 [doi]
PST - epublish
SO - BMC Nurs. 2018 Mar 12;17:9. doi: 10.1186/s12912-018-0280-4. eCollection 2018.
PMID- 31678944
OWN - NLM
STAT- MEDLINE
DCOM- 20201026
LR - 20201026
IS - 2044-6055 (Linking)
VI - 9
IP - 11
DP - 2019 Nov 2
TI - Organisational context of hospitals that participated in a multi-site
mentored
medication reconciliation quality improvement project (MARQUIS2): a cross-
sectional
observational study.
PG - e030834
LID - 10.1136/bmjopen-2019-030834 [doi]
LID - e030834
AB - OBJECTIVES: Medication reconciliation (MedRec) is an important patient safety
strategy and is widespread in US hospitals and globally. Nevertheless, high

quality
MedRec has been difficult to implement. As part of a larger study
investigating
MedRec interventions, we evaluated and compared organisational contextual
factors
and team cohesion by hospital characteristics and implementation team
members'
profession to better understand the environmental context and its correlates
during
a multi-site quality improvement (QI) initiative. DESIGN: We conducted a
cross-sectional observational study using a web survey (contextual factors)
and a
national hospital database (hospital characteristics). SETTING: Hospitals
participating in the second Multi-Centre Medication Reconciliation Quality
Improvement Study (MARQUIS2). PARTICIPANTS: Implementation team members of 18
participating MARQUIS2 hospitals. OUTCOMES: Primary outcome: contextual

factor
ratings (ie, organisational capacity, leadership support, goal alignment,
staff
involvement, patient safety climate and team cohesion). Secondary outcome:
differences in contextual factors by hospital characteristics. RESULTS:
Fifty-five
team members from the 18 participating hospitals completed the survey.
Ratings of
contextual factors differed significantly by domain (p<0.001), with
organisational
capacity scoring the lowest (mean=4.0 out of 7.0) and perceived team cohesion
and
goal alignment scoring the highest (mean~6.0 out of 7.0). No statistically
significant differences were observed in contextual factors by hospital
characteristics (p>0.05). Respondents in the pharmacy profession gave lower
ratings
of leadership support than did those in the nursing or other professions
group
(p=0.01). CONCLUSIONS: Hospital size, type and location did not drive
differences in
contextual factors, suggesting that tailoring MedRec QI implementation to
hospital
characteristics may not be necessary. Strong team cohesion suggests the use
of
interdisciplinary teams does not detract from cohesion when conducting
mentored QI
projects. Organisational leaders should particularly focus on supporting
pharmacy
services and addressing their concerns during MedRec QI initiatives. Future
research
should correlate contextual factors with implementation success to inform how
best
to prepare sites to implement complex QI interventions such as MedRec.
FAU - Stolldorf, Deonni P
AU - Stolldorf DP
AUID- ORCID: 0000-0002-1352-5397
AD - School of Nursing, Vanderbilt University, Nashville, Tennessee, USA
deonni.stolldorf@vanderbilt.edu.
AD - Vanderbilt Center for Clinical Quality and Implementation Research,
Vanderbilt
University Medical Center, Nashville, TN, United States.
FAU - Schnipper, Jeffrey L
AU - Schnipper JL
AD - Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts,
USA.
AD - Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
FAU - Mixon, Amanda S
AU - Mixon AS
Vanderbilt
AD - Section of Hospital Medicine, Division of General Internal Medicine and
Public
Health, Vanderbilt University School of Medicine, Vanderbilt University
Medical
Center, Nashville, Tennessee, USA.
AD - Geriatric Research Education and Clinical Centers, VA Tennessee Valley
Healthcare
System Nashville Campus, Nashville, Tennessee, USA.
FAU - Dietrich, Mary
AU - Dietrich M
AD - School of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
AD - School of Medicine, Vanderbilt University Medical Center, Nashville,
Tennessee, USA.
AU - Kripalani S
Vanderbilt
AD - Section of Hospital Medicine, Division of General Internal Medicine and
Public
Health, Vanderbilt University School of Medicine, Vanderbilt University
Medical
Center, Nashville, Tennessee, USA.
LA - eng
DEP - 20191102
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - *Hospital Administration
MH - Humans
MH - Medication Reconciliation/methods/*organization & administration
MH - *Mentoring
MH - Quality Improvement/*organization & administration
PMC - PMC6830625
OTO - NOTNLM
OT - *implementation
OT - *quality improvement
EDAT- 2019/11/05 06:00
MHDA- 2020/10/27 06:00
CRDT- 2019/11/04 06:00
PHST- 2019/11/04 06:00 [entrez]
PHST- 2019/11/05 06:00 [pubmed]
PHST- 2020/10/27 06:00 [medline]
AID - 10.1136/bmjopen-2019-030834 [doi]
PST - epublish
SO - BMJ Open. 2019 Nov 2;9(11):e030834. doi: 10.1136/bmjopen-2019-030834.
PMID- 32811492
OWN - NLM
STAT- MEDLINE
DCOM- 20201222
LR - 20210110
IS - 1472-6963 (Linking)
VI - 20
IP - 1
DP - 2020 Aug 18
TI - Exploring links between resilience and the macro-level development of
healthcare
regulation- a Norwegian case study.
PG - 762
LID - 10.1186/s12913-020-05513-x [doi]
LID - 762
AB - BACKGROUND: The relationship between quality and safety regulation and
resilience in
healthcare has received little systematic scrutiny. Accordingly, this study
examines
the introduction of a new regulatory framework (the Quality Improvement
Regulation)
in Norway that aimed to focus on developing the capacity of hospitals to
continually
improve quality and safety. The overall aim of the study was to explore the
governmental rationale and expectations in relation to the Quality
Improvement
Regulation, and how it could potentially influence the management of
resilience in
hospitals. The study applies resilience in healthcare and risk regulation as
theoretical perspectives. METHODS: The design is a single embedded case
study,
investigating the Norwegian regulatory healthcare regime. Data was collected
by
approaching three regulatory bodies through formal letters, asking them to
provide
internal and public documents, and by searching through open Internet-
sources. Based
on this, we conducted a document analysis, supplemented by interviews with
seven
strategic informants in the regulatory bodies. RESULTS: The rationale for
introducing the Quality Improvement Regulation focused on challenges
associated with
implementation, lack of management competencies; need to promote quality
improvement
as a managerial responsibility. Some informants worried that the generic
regulatory
design made it less helpful for managers and clinicians, others claimed a
non-detailed regulation was key to make it fit all hospital-contexts. The
Government
expected hospital managers to obtain an overview of risks and to adapt risk
management and quality improvement measures to their specific context and
activities. CONCLUSIONS: Based on the rationale of making the Quality
Improvement
Regulation flexible to hospital context, encouraging the ability to
anticipate local
risks, along with expectations about the generic design as challenging for
managers
and clinicians, we found that the regulators did consider work as done as
important
when designing the Quality Improvement Regulation. These perspectives are in
line
with ideas of resilience. However, the Quality Improvement Regulation might
be open
for adaptation by the regulatees, but this may not necessarily mean that it
promotes
or encourages adaptive behavior in actual practice. Limited involvement of
clinicians in the regulatory development process and a lack of reflexive
spaces
might hamper quality improvement efforts.
FAU - Øyri, Sina Furnes
AU - Øyri SF
AUID- ORCID: 0000-0001-5348-1395
University
of Stavanger, Stavanger, Norway. sina.f.oyri@uis.no.
FAU - Braut, Geir Sverre
AU - Braut GS
University
AD - Stavanger University Hospital, Stavanger, Norway.
FAU - Macrae, Carl
AU - Macrae C
AD - Centre for Health Innovation, Leadership and Learning, Nottingham University
Business School, Stavanger, Norway.
FAU - Wiig, Siri
AU - Wiig S
University
LA - eng
DEP - 20200818
JID - 101088677
SB - IM
MH - Government Regulation
MH - Humans
MH - Norway
MH - Quality Improvement/*legislation & jurisprudence
PMC - PMC7433050
OTO - NOTNLM
OT - Adaptive capacity
OT - Governmental bodies
OT - Implementation
OT - Involvement
OT - Management
OT - Patient safety
OT - Performance-based regulatory regimes
OT - Quality improvement
OT - Quality improvement regulation
OT - Regulators
OT - Resilient performance
COIS- Author Siri Wiig is an associate editor of BMC Health Services Research.
EDAT- 2020/08/20 06:00
MHDA- 2020/12/23 06:00
CRDT- 2020/08/20 06:00
PHST- 2019/12/16 00:00 [received]
PHST- 2020/07/06 00:00 [accepted]
PHST- 2020/08/20 06:00 [entrez]
PHST- 2020/08/20 06:00 [pubmed]
PHST- 2020/12/23 06:00 [medline]
AID - 10.1186/s12913-020-05513-x [pii]
AID - 5513 [pii]
AID - 10.1186/s12913-020-05513-x [doi]
PST - epublish
SO - BMC Health Serv Res. 2020 Aug 18;20(1):762. doi: 10.1186/s12913-020-05513-x.
PMID- 33215894
OWN - NLM
STAT- In-Process
LR - 20210122
IS - 1549-8417 (Print)
IS - 1549-8417 (Linking)
VI - 16
IP - 4
DP - 2020 Dec
TI - Associated Factors With Acute Transfusion Reaction From Hospital Online
Reporting
Events: A Retrospective Cohort Study.
PG - e303-e309
LID - 10.1097/PTS.0000000000000527 [doi]
AB - OBJECTIVES: In our hospital's hemovigilance system, a Wi-Fi-based vital signs
monitor that automatically transmits data to ensure patient safety has been
implemented. We derived the potential clinical characteristics for subsequent
association of acute transfusion reactions (ATRs) using the hospital

information
system database. METHODS: We retrospectively analyzed multiple factors to
identify
the possible associations between clinical factors and developing ATRs. The
following data were collected: recipient's pretransfusion and posttransfusion
vital
signs, clinical and laboratory characteristics, and presence of ATRs.
RESULTS: In
all, 44,691 events were analyzed. Of these, ATR events occurred in 1586
(3.5%).
Logistic regression analysis revealed that leukopenia (<5×10/μL) before
transfusion
was shown a statistically associated with developing mild ATRs (odds ratio
[OR] =
2.38, 95% confidence interval [CI] = 1.68-3.35, P < 0.001). The association
between
elevated body temperature (forehead temperature > 37.5°C) and moderate ATRs
was
significant (OR = 1.55, 95% CI = 1.22-1.98, P < 0.001). In addition, the
association
between high diastolic pressure (>90 mm Hg) and severe ATRs was significant
(OR =
1.78, 95% CI = 1.06-2.99, P = 0.03). Therefore, evaluated patient's status
such as
vital signs before transfusion is very important. In addition, every hospital
should
established a complete hemovigilance program focus on effectively reporting
and
real-time monitoring ATRs to improve transfusion patient safety. CONCLUSIONS:
Vital
signs monitoring and leukocyte counts before transfusion were significantly
associated with the subsequent risk of ATRs. When patients with elevated body
temperature, leukopenia, and high diastolic pressure who are scheduled to

receive
transfusion, clinicians should be aware of increasing the risk of ATRs in
these
patients.
FAU - Yao, Chao-Yuan
AU - Yao CY
FAU - Chien, Ju-Huei
AU - Chien JH
FAU - Chuang, Hsun-Yang
AU - Chuang HY
AD - Department of Research, Taichung Tzu-Chi Hospital, Buddhist Tzu-Chi Medical
Foundation, Taichung, Taiwan.
FAU - Ho, Tsing-Fen
AU - Ho TF
AD - Department of Medical Laboratory Science and Biotechnology, Central Taiwan
University of Science and Technology, Taichung.
LA - eng
TA - J Patient Saf
JID - 101233393
SB - IM
PMC - PMC7678648
EDAT- 2020/11/21 06:00
MHDA- 2020/11/21 06:00
CRDT- 2020/11/20 09:29
PHST- 2020/11/20 09:29 [entrez]
PHST- 2020/11/21 06:00 [pubmed]
PHST- 2020/11/21 06:00 [medline]
AID - 01209203-202012000-00034 [pii]
AID - 10.1097/PTS.0000000000000527 [doi]
PST - ppublish
SO - J Patient Saf. 2020 Dec;16(4):e303-e309. doi: 10.1097/PTS.0000000000000527.
PMID- 31418902
OWN - NLM
STAT- MEDLINE
DCOM- 20200928
LR - 20210110
IS - 0306-5251 (Linking)
VI - 85
IP - 11
DP - 2019 Nov
TI - The impact of a medication reconciliation programme at geriatric hospital
admission:
A pre-/postintervention study.
PG - 2614-2622
LID - 10.1111/bcp.14095 [doi]
AB - AIMS: The aim of this study was to improve medication reconciliation and
reduce the
occurrence of duplicate prescriptions by pharmacists and physicians within
72 hours
of hospital admission using an intelligent prescription system combined with
the
National Health Insurance PharmaCloud system to integrate the database with
the
medical institution computerized physician order entry (CPOE) system.
METHODS: This
2-year intervention study was implemented in the geriatric ward of a hospital
in
Taiwan. We developed an integrated CPOE system linked with the PharmaCloud
database
and established an electronic platform for coordinated communication with all
healthcare professionals. Patients provided written informed consent to

access their
PharmaCloud records. We compared the intervention effectiveness within
72 hours of
admission for improvement in pharmacist medication reconciliation, increased
at-home
medications documentation and decreased costs from duplicated at-home
prescriptions.
RESULTS: The medication reconciliation rate within 72 hours of admission
increased
from 44.0% preintervention to 86.8% postintervention (relative risk = 1.97,
95%
confidence interval [CI]: 1.69-2.31; P < .001). The monthly average of
patients who
brought and took home medications documented in the CPOE system during
hospitalization increased by 7.54 (95% CI 5.58-20.49, P = .22). The monthly
average
of home medications documented increased by 102.52 (95% CI 38.44-166.60;
P = .01).
Savings on the monthly average prescription expenditures of at-home
medication
increased by US$ 2,795.52 (95% CI US$1310.41-4280.63; P < .01). CONCLUSION:
Integrating medication data from PharmaCloud to the hospital's medical chart
system
improved pharmacist medication reconciliation, which decreased duplicated
medications and reduced in-hospital medication costs.
CI - © 2019 The British Pharmacological Society.
FAU - Hung, Pi-Lien
AU - Hung PL
AUID- ORCID: 0000-0002-4540-8945
AD - Clinical Pharmacy Division, Department of Pharmacy, Kaohsiung Veterans
General
Hospital, Kaohsiung, Taiwan.
FAU - Chen, Jung-Yi
AU - Chen JY
AD - Department of Pharmacy, National Cheng Kung University Hospital, Tainan,
Taiwan.
FAU - Chen, Miao-Ting
AU - Chen MT
General
FAU - Li, Pao-Lin
AU - Li PL
General
FAU - Li, Wei-Chi
AU - Li WC
General
FAU - Wang, Zi-Cheng
AU - Wang ZC
General
FAU - Huang, Tzu-Ting
AU - Huang TT
General
FAU - Liang, Yen-Tzu
AU - Liang YT
General
FAU - Lin, Pei-Chin
AU - Lin PC
AD - Department of Medical Education and Research, Kaohsiung Veterans General
Hospital,
Kaohsiung, Taiwan.
AD - Department of Pharmacy, School of Pharmacy, Kaohsiung Medical University,
Kaohsiung,
Taiwan.
LA - eng
DEP - 20190915
PL - England
JID - 7503323
SB - IM
MH - Aged
MH - Female
MH - Health Services for the Aged/economics/*statistics & numerical data
MH - Humans
MH - Male
MH - Medical Order Entry Systems/economics/*organization & administration
MH - Medication Reconciliation/*organization & administration
MH - National Health Programs/economics/organization & administration
MH - Patient Admission/*statistics & numerical data
MH - Pharmacy Service, Hospital/economics/*organization & administration
MH - Taiwan
PMC - PMC6848902
OTO - NOTNLM
OT - *elderly
OT - *medication safety
OT - *quality use of medicines
EDAT- 2019/08/17 06:00
MHDA- 2020/09/29 06:00
CRDT- 2019/08/17 06:00
PHST- 2018/10/22 00:00 [received]
PHST- 2019/07/23 00:00 [revised]
PHST- 2019/08/04 00:00 [accepted]
PHST- 2019/08/17 06:00 [pubmed]
PHST- 2020/09/29 06:00 [medline]
PHST- 2019/08/17 06:00 [entrez]
AID - 10.1111/bcp.14095 [doi]
PST - ppublish
SO - Br J Clin Pharmacol. 2019 Nov;85(11):2614-2622. doi: 10.1111/bcp.14095. Epub
2019
Sep 15.
PMID- 32807224
OWN - NLM
STAT- MEDLINE
DCOM- 20210113
LR - 20210113
IS - 1757-7241 (Linking)
VI - 28
IP - 1
DP - 2020 Aug 17
TI - Pre-hospital triage performance and emergency medical services nurse's field
assessment in an unselected patient population attended to by the emergency
medical
services: a prospective observational study.
PG - 81
LID - 10.1186/s13049-020-00766-1 [doi]
LID - 81
AB - BACKGROUND: In Sweden, the rapid emergency triage and treatment system
(RETTS-A) is
used in the pre-hospital setting. With RETTS-A, patients triaged to the
lowest level
could safely be referred to a lower level of care. The national early warning
score
(NEWS) has also shown promising results internationally. However, a knowledge
gap in
optimal triage in the pre-hospital setting persists. This study aimed to
evaluate
RETTS-A performance, compare RETTS-A with NEWS and NEWS 2, and evaluate the
emergency medical service (EMS) nurse's field assessment with the physician's
final
hospital diagnosis. METHODS: A prospective, observational study including
patients
(≥16 years old) transported to hospital by the Gothenburg EMS in 2016. Three
comparisons were made: 1) Combined RETTS-A levels orange and red (high
acuity)
compared to a predefined reference emergency, 2) RETTS-A high acuity compared
to
NEWS and NEWS 2 score ≥ 5, and 3) Classification of pre-hospital nurse's
field
assessment compared to hospital physician's diagnosis. Outcomes of the
time-sensitive conditions, mortality and hospitalisation were examined. The
statistical tests included Mann-Whitney U test and Fisher's exact test, and
several
binary classification tests were determined. RESULTS: Overall, 4465 patients
were
included (median age 69 years; 52% women). High acuity RETTS-A triage showed
a
sensitivity of 81% in prediction of the reference patient with a specificity
of 64%.
Sensitivity in detecting a time-sensitive condition was highest with RETTS-A
(73%),
compared with NEWS (37%) and NEWS 2 (35%), and specificity was highest with
NEWS 2
(83%) when compared with RETTS-A (54%). The negative predictive value was
higher in
RETTS-A (94%) compared to NEWS (91%) and NEWS 2 (92%). Eleven per cent of the
final
diagnoses were classified as time-sensitive while the nurse's field
assessment was
appropriate in 84% of these cases. CONCLUSIONS: In the pre-hospital triage of
EMS
patients, RETTS-A showed sensitivity that was twice as high as that of both
NEWS and
NEWS 2 in detecting time-sensitive conditions, at the expense of lower
specificity.
However, the proportion of correctly classified low risk triaged patients
(green/yellow) was higher in RETTS-A. The nurse's field assessment of time-
sensitive
conditions was appropriate in the majority of cases.
FAU - Magnusson, Carl
AU - Magnusson C
AUID- ORCID: 0000-0002-8037-0014
AD - Department of Molecular and Clinical Medicine, Institute of Medicine,
Sahlgrenska
carl.magnusson@vgregion.se.
FAU - Herlitz, Johan
AU - Herlitz J
Sahlgrenska
AD - Pre Hospen-Centre for Prehospital Research, Faculty of Caring Science, Work
Life and
Social Welfare, University of Borås, Borås, Sweden.
FAU - Axelsson, Christer
AU - Axelsson C
Sahlgrenska
Life and
LA - eng
DEP - 20200817
TA - Scand J Trauma Resusc Emerg Med
JT - Scandinavian journal of trauma, resuscitation and emergency medicine
JID - 101477511
SB - IM
MH - Aged
MH - Female
MH - Humans
MH - Male
MH - *Patient Acuity
MH - Predictive Value of Tests
MH - Sampling Studies
MH - Sensitivity and Specificity
MH - Sweden
MH - Triage
PMC - PMC7430123
OTO - NOTNLM
OT - Emergency medical services
OT - Field assessment
OT - Patient safety
OT - Pre-hospital emergency nurse
OT - Triage
EDAT- 2020/08/19 06:00
MHDA- 2021/01/14 06:00
CRDT- 2020/08/19 06:00
PHST- 2020/05/12 00:00 [received]
PHST- 2020/07/15 00:00 [accepted]
PHST- 2020/08/19 06:00 [entrez]
PHST- 2020/08/19 06:00 [pubmed]
PHST- 2021/01/14 06:00 [medline]
AID - 10.1186/s13049-020-00766-1 [pii]
AID - 766 [pii]
AID - 10.1186/s13049-020-00766-1 [doi]
PST - epublish
SO - Scand J Trauma Resusc Emerg Med. 2020 Aug 17;28(1):81. doi:
10.1186/s13049-020-00766-1.
PMID- 29358869
OWN - NLM
STAT- MEDLINE
DCOM- 20180816
LR - 20181113
IS - 1007-9327 (Print)
IS - 1007-9327 (Linking)
VI - 23
IP - 48
DP - 2017 Dec 28
TI - Person-centered endoscopy safety checklist: Development, implementation, and
evaluation.
PG - 8605-8614
LID - 10.3748/wjg.v23.i48.8605 [doi]
AB - AIM: To describe the development and implementation of a person-centered
endoscopy
safety checklist and to evaluate the effects of a "checklist intervention".
METHODS:
The checklist, based on previously published safety checklists, was developed
and
locally adapted, taking patient safety aspects into consideration and using a
person-centered approach. This novel checklist was introduced to the staff of

an
endoscopy unit at a Stockholm University Hospital during half-day seminars
and team
training sessions. Structured observations of the endoscopy team's
performance were
conducted before and after the introduction of the checklist. In addition,
questionnaires focusing on patient participation, collaboration climate, and
patient
safety issues were collected from patients and staff. RESULTS: A person-
centered
safety checklist was developed and introduced by a multi-professional group
in the
endoscopy unit. A statistically significant increase in accurate patient
identity
verification by the physicians was noted (from 0% at baseline to 87% after 10
mo, P
< 0.001), and remained high among nurses (93% at baseline vs 96% after 10 mo,
P =
nonsignificant). Observations indicated that the professional staff made
frequent
attempts to use the checklist, but compliance was suboptimal: All items in
the
observed nurse-led "summaries" were included in 56% of these interactions,
and
physicians participated by directly facing the patient in 50% of the
interactions.
On the questionnaires administered to the staff, items regarding
collaboration and
the importance of patient participation were rated more highly after the
introduction of the checklist, but this did not result in statistical
significance
(P = 0.07/P = 0.08). The patients rated almost all items as very high both
before
and after the introduction of the checklist; hence, no statistical difference
was
noted. CONCLUSION: The intervention led to increased patient identity
verification
by physicians - a patient safety improvement. Clear evidence of enhanced
person-centeredness or team work was not found.
FAU - Dubois, Hanna
AU - Dubois H
AD - Center for Digestive Diseases, Karolinska University Hospital, Stockholm
14186,
Sweden hanna.dubois@sll.se.
FAU - Schmidt, Peter T
AU - Schmidt PT
14186,
Sweden.
FAU - Creutzfeldt, Johan
AU - Creutzfeldt J
AD - Center for Advanced Medical Simulation and Training, Karolinska University
Hospital,
Stockholm 14186, Sweden.
FAU - Bergenmar, Mia
AU - Bergenmar M
14186,
Sweden.
LA - eng
TA - World J Gastroenterol
JT - World journal of gastroenterology
JID - 100883448
SB - IM
MH - Adult
MH - *Checklist
MH - Endoscopy, Gastrointestinal/*adverse effects/methods/standards
MH - Female
MH - Gastroenterologists/*organization & administration/psychology
MH - Gastrointestinal Diseases/diagnosis/therapy
MH - Health Plan Implementation
MH - Humans
MH - Male
MH - Patient Care Team/*organization & administration
MH - Patient Participation
MH - Physician-Patient Relations
MH - Postoperative Complications/etiology/prevention & control
MH - Quality Improvement
MH - Sweden
MH - Work Performance
MH - Young Adult
PMC - PMC5752721
OTO - NOTNLM
OT - Checklist
OT - Communication
OT - Endoscopy
OT - Observation
OT - Patient safety
OT - Patient-centered care
OT - Person-centered care
OT - Teamwork
COIS- Conflict-of-interest statement: There are no conflicts of interest to report.
EDAT- 2018/01/24 06:00
MHDA- 2018/08/17 06:00
CRDT- 2018/01/24 06:00
PHST- 2017/08/30 00:00 [received]
PHST- 2017/09/27 00:00 [revised]
PHST- 2017/10/18 00:00 [accepted]
PHST- 2018/01/24 06:00 [entrez]
PHST- 2018/01/24 06:00 [pubmed]
PHST- 2018/08/17 06:00 [medline]
AID - 10.3748/wjg.v23.i48.8605 [doi]
PST - ppublish
SO - World J Gastroenterol. 2017 Dec 28;23(48):8605-8614. doi:
10.3748/wjg.v23.i48.8605.
PMID- 29560154
OWN - NLM
LR - 20201001
IS - 2008-5842 (Print)
IS - 2008-5842 (Linking)
VI - 9
IP - 12
DP - 2017 Dec
TI - Patient safety culture and job stress among nurses in Mazandaran, Iran.
PG - 6010-6016
LID - 10.19082/6010 [doi]
AB - BACKGROUND: Paying attention to patient safety is a basic right and a
necessary
issue in providing medical care, and failure to observe it leads to
irreparable
damage. One of the factors affecting an individuals' performance in an
organization
is stress, which also endangers their health. OBJECTIVE: To determine the
relationship between patient safety culture and levels of job stress among
the
nurses working in the hospitals affiliated with Mazandaran University of
Medical
Sciences. METHODS: The present study was carried out using a cross-sectional
method
in the hospitals affiliated with Mazandaran University of Medical Sciences in
2016.
A multistage stratified sampling method using a Morgan Table was employed to
select
380 nurses as the study sample from among 3,180 nurses. They were selected by
a
multistage stratified sampling method. The study instruments were Stinemetz
Standard
Job Stress Questionnaire and Hospital Survey on Patient Safety Culture
(HSOPSC).
After the required data were collected, they were analyzed using descriptive
and
inferential statistical methods (Pearson correlation, independent-samples t-
test,
and ANOVA) through SPSS version 23. RESULTS: The results of the present study
showed
that 75% of the nurses experienced average and high levels of stress. Among
different dimensions of safety culture, organizational learning and handoffs
and
transitions obtained the highest and the lowest scores, respectively (72.5
and
24.5). The mean score of safety culture dimensions was 51.52. The results of
the
Pearson correlation test showed that there was a direct significant
relationship
between different dimensions of safety culture among nurses and the level of
stress
(p≤0.05). CONCLUSION: According to the findings, patient safety should be
considered
as a strategic priority for the senior managers of the health system. In
order to
enhance patient safety, managers should pay special attention to evaluating
safety
culture in organizations that deliver health service, especially hospitals.
FAU - Asefzadeh, Saeed
AU - Asefzadeh S
AD - Ph.D. in Health Services Management, Professor, School of Health, Qazvin
University
of Medical Sciences, Qazvin, Iran.
FAU - Kalhor, Rohollah
AU - Kalhor R
AD - Ph.D. in Health Services Management, Assistant Professor, Social Determinants
of
Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
FAU - Tir, Mohammad
AU - Tir M
AD - M.Sc. Student in Health Services Management, Department of Health Services
Management, School of Health, Qazvin University of Medical Sciences, Qazvin,
Iran.
LA - eng
DEP - 20171225
TA - Electron Physician
JT - Electronic physician
JID - 101645099
PMC - PMC5843428
OTO - NOTNLM
OT - Governmental hospitals
OT - Iran
OT - Job stress
OT - Nurse
COIS- Conflict of Interest: There is no conflict of interest to be declared.
EDAT- 2018/03/22 06:00
MHDA- 2018/03/22 06:01
CRDT- 2018/03/22 06:00
PHST- 2017/03/19 00:00 [received]
PHST- 2017/08/17 00:00 [accepted]
PHST- 2018/03/22 06:00 [entrez]
PHST- 2018/03/22 06:00 [pubmed]
PHST- 2018/03/22 06:01 [medline]
AID - epj-09-6010 [pii]
AID - 10.19082/6010 [doi]
PST - epublish
SO - Electron Physician. 2017 Dec 25;9(12):6010-6016. doi: 10.19082/6010.
eCollection
2017 Dec.
PMID- 32183813
OWN - NLM
STAT- In-Process
LR - 20200814
IS - 1478-4491 (Linking)
VI - 18
IP - 1
DP - 2020 Mar 17
TI - Attitudes of anesthetists towards an anesthesia-led nurse practitioner model
for
low-risk colonoscopy procedures: a cross-sectional survey.
PG - 20
LID - 10.1186/s12960-020-0458-1 [doi]
LID - 20
AB - BACKGROUND: The mounting pressure on the Australian healthcare system is
driving a
continual exploration of areas to improve patient care and access and to
maximize
utilization of our workforce. We hypothesized that there would be support by
anesthetists employed at our hospital for the design, development, and
potential
implementation of an anesthesia-led nurse practitioner (NP) model for low-
risk
colonoscopy patients. METHODS: We conducted a cross-sectional, mixed methods
study
to ascertain the attitudes and acceptability of anesthetists towards a
proposed
anesthesia-led NP model for low-risk colonoscopy patients. An online survey
using
commercial software and theoretical questions pertaining to participants'
attitudes
towards an anesthesia-led NP model was e-mailed to consultant anesthetists.
Participants were also invited to participate in a voluntary 20-min face-to-
face
interview. RESULTS: A total of 60 survey responses were received from a pool
of 100
anesthetists (response rate = 60%, accounting for 8.04% margin of error).
Despite
the theoretical benefits of improved patient access to colonoscopy services,
most
anesthetists were not willing to participate in the supervision and training
of NPs.
The predominant themes underlying their lack of support for the program were
a
perception that patient safety would be compromised compared to the current
model of
anesthesia-led care, the model does not meet the Australian and New Zealand
College
of Anesthetists guidelines for procedural sedation and analgesia, and the
program
may be a public liability prone to litigation in the event of an adverse
outcome.
Concerns about consumer acceptance and cost-effectiveness were also raised.
Finally,
participants thought the model should be pilot tested to better understand
consumer
attitudes, logistical feasibility, patient and proceduralist attitudes,
clinical
governance, and, importantly, patient safety. CONCLUSIONS: Most anesthetists
working
in a single-center university hospital did not support an anesthesia-led NP
model
for low-risk colonoscopy patients. Patient safety, violations of the current
Australian and New Zealand College of Anesthetists guidelines on procedural
sedation, and logistical feasibility were significant barriers to the
acceptance of
the model. TRIAL REGISTRATION: Australian and New Zealand Clinical Trials
Registry,
12619001036101.
FAU - Weinberg, L
AU - Weinberg L
AUID- ORCID: 0000-0001-7403-7680
AD - Department of Anesthesia, Austin Hospital, 145 Studley Road, Heidelberg,
Victoria,
3084, Australia. laurence.weinberg@austin.org.au.
AD - Department of Surgery, The University of Melbourne, Melbourne, Victoria,
Australia.
laurence.weinberg@austin.org.au.
FAU - Grover, H
AU - Grover H
Victoria,
3084, Australia.
FAU - Cowie, D
AU - Cowie D
Victoria,
3084, Australia.
FAU - Langley, E
AU - Langley E
AD - Department of Anesthesia Perioperative and Pain Medicine Unit, The University
of
Melbourne, Melbourne, Victoria, Australia.
FAU - Heland, M
AU - Heland M
AD - Department of Anesthesia Perioperative and Pain Medicine Unit, The University
of
Melbourne, Melbourne, Victoria, Australia.
FAU - Story, D A
AU - Story DA
AD - Centre for Integrated Critical Care, The University of Melbourne, Melbourne,
Victoria, Australia.
LA - eng
SI - ANZCTR/12619001036101
DEP - 20200317
TA - Hum Resour Health
JT - Human resources for health
JID - 101170535
SB - IM
PMC - PMC7076960
OTO - NOTNLM
OT - *Anesthetist
OT - *Colonoscopy
OT - *Nurse
OT - *Propofol
OT - *Sedation
EDAT- 2020/03/19 06:00
MHDA- 2020/03/19 06:00
CRDT- 2020/03/19 06:00
PHST- 2019/11/05 00:00 [received]
PHST- 2020/02/17 00:00 [accepted]
PHST- 2020/03/19 06:00 [entrez]
PHST- 2020/03/19 06:00 [pubmed]
PHST- 2020/03/19 06:00 [medline]
AID - 10.1186/s12960-020-0458-1 [pii]
AID - 458 [pii]
AID - 10.1186/s12960-020-0458-1 [doi]
PST - epublish
SO - Hum Resour Health. 2020 Mar 17;18(1):20. doi: 10.1186/s12960-020-0458-1.
PMID- 30420227
OWN - NLM
STAT- MEDLINE
DCOM- 20200605
LR - 20201001
IS - 1551-7411 (Print)
IS - 1551-7411 (Linking)
VI - 15
IP - 10
DP - 2019 Oct
TI - Interruptions in community pharmacies: Frequency, sources, and mitigation
strategies.
PG - 1243-1250
LID - S1551-7411(18)30743-5 [pii]
LID - 10.1016/j.sapharm.2018.10.030 [doi]
AB - BACKGROUND: Interruptions constitute a key part of the communication strategy
for
healthcare providers, including community pharmacy personnel. Previous
research in
other healthcare environments has shown that interruptions are very common
and may
present as patient safety hazards. One 1999 study, conducted in community
pharmacy
settings, found that interruptions were prevalent and associated with
dispensing
errors. In the last 20 years, pharmacies have expanded patient services and
implemented new technology. Yet, it is unknown how these changes have
affected
interruption sources and frequency. OBJECTIVE: The objective was to
characterize the
frequency and sources of pharmacist task interruptions that occur in
community
pharmacies. METHODS: A cross-sectional qualitative study design was used to
evaluate
the frequency and sources of pharmacist task interruptions in Wisconsin
community
pharmacies. The participants included 9 pharmacists and 9 technicians working
in 2
independently-owned, 2 mass merchandise, and 2 hospital/clinical-affiliated
pharmacies. RESULTS: Interruption rates ranged from 3 to 7 per hour across
the 6
pharmacies. Sources of interruptions included: patients, technicians, self-
initiated
interruptions, technology used in the pharmacy, and a second pharmacist.
CONCLUSIONS: Interruptions are common in community pharmacies and the causes
are
multifactorial. Prudent management of interruptions in these work
environments may
involve improved technician training and better designs of pharmacy
technology.
FAU - Reddy, Apoorva
AU - Reddy A
AD - Social & Administrative Sciences Division at the University of Wisconsin -
Madison,
School of Pharmacy, USA.
FAU - Abebe, Ephrem
AU - Abebe E
AD - The Johns Hopkins University-School of Medicine, Armstrong Institute for
Patient
Safety and Quality, USA.
FAU - Rivera, A Joy
AU - Rivera AJ
AD - Children's Hospital of Wisconsin in Milwaukee, WI, USA.
FAU - Stone, Jamie A
AU - Stone JA
Madison,
School of Pharmacy, USA.
FAU - Chui, Michelle A
AU - Chui MA
Madison,
School of Pharmacy, USA. Electronic address: michelle.chui@wisc.edu.
LA - eng
DEP - 20181103
TA - Res Social Adm Pharm
JT - Research in social & administrative pharmacy : RSAP
JID - 101231974
SB - IM
MH - Adult
MH - Communication
MH - Community Pharmacy Services/*organization & administration/standards
MH - Humans
MH - Middle Aged
MH - Pharmacists/*organization & administration/standards
MH - Pharmacy Technicians/*organization & administration/standards
MH - Wisconsin
MH - *Workflow
MH - Young Adult
PMC - PMC6499714
MID - NIHMS1512972
COIS- The authors and/or immediate family members declare no conflicts of interest
or
financial interests in any product or service discussed in the manuscript.
EDAT- 2018/11/14 06:00
MHDA- 2020/06/06 06:00
CRDT- 2018/11/14 06:00
PHST- 2018/08/14 00:00 [received]
PHST- 2018/10/24 00:00 [revised]
PHST- 2018/10/29 00:00 [accepted]
PHST- 2018/11/14 06:00 [pubmed]
PHST- 2020/06/06 06:00 [medline]
PHST- 2018/11/14 06:00 [entrez]
AID - S1551-7411(18)30743-5 [pii]
AID - 10.1016/j.sapharm.2018.10.030 [doi]
PST - ppublish
SO - Res Social Adm Pharm. 2019 Oct;15(10):1243-1250. doi:
10.1016/j.sapharm.2018.10.030.
Epub 2018 Nov 3.
PMID- 25829205
OWN - NLM
STAT- MEDLINE
DCOM- 20151221
LR - 20160526
IS - 1976-1317 (Linking)
VI - 9
IP - 1
DP - 2015 Mar
TI - Teamwork and clinical error reporting among nurses in Korean hospitals.
PG - 14-20
LID - S1976-1317(15)00002-X [pii]
LID - 10.1016/j.anr.2014.09.002 [doi]
AB - PURPOSE: To examine levels of teamwork and its relationships with clinical
error
reporting among Korean hospital nurses. METHODS: The study employed a
cross-sectional survey design. We distributed a questionnaire to 674 nurses
in two
teaching hospitals in Korea. The questionnaire included items on teamwork and
the
reporting of clinical errors. We measured teamwork using the Teamwork
Perceptions
Questionnaire, which has five subscales including team structure, leadership,
situation monitoring, mutual support, and communication. Using logistic

regression
analysis, we determined the relationships between teamwork and error
reporting.
RESULTS: The response rate was 85.5%. The mean score of teamwork was 3.5 out
of 5.
At the subscale level, mutual support was rated highest, while leadership was
rated
lowest. Of the participating nurses, 522 responded that they had experienced
at
least one clinical error in the last 6 months. Among those, only 53.0%
responded
that they always or usually reported clinical errors to their managers and/or
the
patient safety department. Teamwork was significantly associated with better
error
reporting. Specifically, nurses with a higher team communication score were
more
likely to report clinical errors to their managers and the patient safety
department
(odds ratio = 1.82, 95% confidence intervals [1.05, 3.14]). CONCLUSIONS:
Teamwork
was rated as moderate and was positively associated with nurses' error
reporting
performance. Hospital executives and nurse managers should make substantial
efforts
to enhance teamwork, which will contribute to encouraging the reporting of
errors
and improving patient safety.
FAU - Hwang, Jee-In
AU - Hwang JI
AD - College of Nursing Science, Kyung Hee University, Seoul, South Korea.
FAU - Ahn, Jeonghoon
AU - Ahn J
AD - Office of Health Services Research, National Evidence-based Healthcare
Collaborating
Agency, Seoul, South Korea. Electronic address: jahn@neca.re.kr.
LA - eng
DEP - 20150207
PL - Korea (South)
JID - 101321326
SB - IM
SB - N
MH - Adult
MH - Clinical Competence/*statistics & numerical data
MH - *Cooperative Behavior
MH - Female
MH - Humans
MH - Male
MH - Nursing Staff, Hospital/standards/*statistics & numerical data
MH - Republic of Korea/epidemiology
MH - Young Adult
OTO - NOTNLM
OT - cooperative behavior
OT - medical errors
OT - nurses
OT - patient safety
OT - safety management
EDAT- 2015/04/02 06:00
MHDA- 2015/12/22 06:00
CRDT- 2015/04/02 06:00
PHST- 2014/08/09 00:00 [received]
PHST- 2014/08/09 00:00 [revised]
PHST- 2014/09/23 00:00 [accepted]
PHST- 2015/04/02 06:00 [entrez]
PHST- 2015/04/02 06:00 [pubmed]
PHST- 2015/12/22 06:00 [medline]
AID - S1976-1317(15)00002-X [pii]
AID - 10.1016/j.anr.2014.09.002 [doi]
PST - ppublish
SO - Asian Nurs Res (Korean Soc Nurs Sci). 2015 Mar;9(1):14-20. doi:
10.1016/j.anr.2014.09.002. Epub 2015 Feb 7.
PMID- 32010218
OWN - NLM
LR - 20200928
IS - 1754-6605 (Print)
IS - 1754-6605 (Linking)
VI - 13
DP - 2019
TI - A nurse practitioner model for the assessment of suspected prostate cancer
referrals
is safe, cost and time efficient.
PG - 994
LID - 10.3332/ecancer.2019.994 [doi]
LID - 994
AB - PURPOSE: To evaluate the outcomes from a Urology Nurse Practitioner (UNP)-led
service for the initial assessment and diagnostic decision making and for
suspected
prostate cancer referrals. METHODS: Using a modified Delphi analysis
approach, a
panel of Urological Prostate Cancer specialists were asked to review the UNP
management plans of a convenience sample of 60 randomly selected patient
cases -
between June 2012 and June 2015. The panel was required to establish
consensus or
identify divergence of clinical practice, based on five key statements. In
addition,
cost analysis, waiting time and patient satisfaction evaluation were made
regarding
the nurse-led service. RESULTS: In 87% (52/60 cases), consensus was reached
by the
panel that the UNP management plan was entirely appropriate and in only two
cases
was there discordance, where the panel felt that the management plan by the
UNP was
inappropriate with errors potentially and significantly affecting the
patient. Over
the 3 years, a modest cost saving of £11,500.38 was realised, which due to
increased
referrals has now realised in 1 year (2017/18) a saving of £11,335.50.
Compared to
the previous physician-led service, waiting times for patient appointment
fell by
52% over the 3-year period; 57/63 (90%) patients reported being satisfied
with
seeing a UNP instead of a doctor for their first appointment; 60/63 (95%)
reported
that, following the initial hospital visit with the UNP, they had a clear
understanding of what the next steps were in their assessment. Overall, 54/63
(86%)
were 'very satisfied' with the UNP-led service. CONCLUSION: Our study
demonstrates
that a UNP approach to the assessment and management of suspected prostate
cancer
referrals provides an effective approach to care in an ever-demanding
healthcare
arena.Through a supported training programme, urology nurses can deliver a
high
standard of service.
CI - © the authors; licensee ecancermedicalscience.
FAU - Drudge-Coates, Lawrence
AU - Drudge-Coates L
AD - Department of Urology, King's College Hospital NHS Foundation Trust, SE5 9RS
London,
UK.
FAU - Khati, Vitra
AU - Khati V
London,
UK.
FAU - Ballesteros, Randolph
AU - Ballesteros R
London,
UK.
FAU - Martyn-Hemphill, Clarissa
AU - Martyn-Hemphill C
London,
UK.
FAU - Brown, Christian
AU - Brown C
London,
UK.
FAU - Green, James
AU - Green J
AD - Department of Urology, Barts Health NHS Trust, London EC1A 7BE, UK.
FAU - Challacombe, Ben
AU - Challacombe B
AD - Department of Urology, Guy's and St Thomas' NHS Foundation Trust, London SE1
9RT,
UK.
FAU - Muir, Gordon
AU - Muir G
London,
UK.
LA - eng
DEP - 20191218
TA - Ecancermedicalscience
JT - Ecancermedicalscience
JID - 101392236
PMC - PMC6974368
OTO - NOTNLM
OT - cancer referral
OT - cost-effectiveness
OT - nurse led
OT - patient safety
OT - prostate cancer
COIS- The authors declare that they have no competing conflicts of interest.
EDAT- 2020/02/06 06:00
MHDA- 2020/02/06 06:01
CRDT- 2020/02/04 06:00
PHST- 2019/07/21 00:00 [received]
PHST- 2020/02/04 06:00 [entrez]
PHST- 2020/02/06 06:00 [pubmed]
PHST- 2020/02/06 06:01 [medline]
AID - can-13-994 [pii]
AID - 10.3332/ecancer.2019.994 [doi]
PST - epublish
SO - Ecancermedicalscience. 2019 Dec 18;13:994. doi: 10.3332/ecancer.2019.994.
eCollection 2019.
PMID- 33213455
OWN - NLM
STAT- In-Process
LR - 20201122
IS - 1472-6963 (Linking)
VI - 20
IP - 1
DP - 2020 Nov 20
TI - Incident reports involving hospital administrative staff: analysis of data
from the
Japan Council for Quality Health care nationwide database.
PG - 1054
LID - 10.1186/s12913-020-05903-1 [doi]
LID - 1054
AB - BACKGROUND: Task shifting and task sharing in health care are rapidly
becoming more
common as the shortage of physicians increases. However, research has not yet
examined the changing roles of hospital administrative staff. This study

clarified:
(1) the adverse incidents caused by hospital administrative staff, and the
direct
and indirect impact of these incidents on patient care; and (2) the incidents
that
directly involved hospital administrative staff. METHODS: This study used
case
report data from the Japan Council for Quality Health care collected from
April 1,
2010 to March 31, 2019, including a total of 30,823 reports. In April 2020,
only the
88 self-reported incidents by hospital administrative staff were downloaded,
excluding incidents reported by those in medical and co-medical occupations.
Data
from three reports implicating pharmacists were rejected and the quantitative
and
textual data from the remaining 85 case reports were analyzed in terms of
whether
they impacted patient care directly or indirectly. RESULTS: Thirty-nine
reports
(45.9%) involved direct impact on patient care, while 46 (54.1%) involved
indirect
impact on patient care. Most incidents that directly impacted patient care
involved
administrative staff writing prescriptions on behalf of a doctor (n = 24,
61.5%);
followed by errors related to system administration, information, and
documentation
(n = 7, 17.9%). Most reported errors that indirectly affected patient care
were
related to system administration, information, and documentation used by
administrative staff (n = 22, 47.8%), or to reception (n = 9, 19.6%). Almost
all
errors occurred during weekdays. Most frequent incidents involved outpatients
(n = 23, 27.1%), or occurred next to examination/operation rooms (n = 12,

14.1%).
Further, a total of 14 cases (16.5%) involved patient misidentification.
CONCLUSIONS: Incidents involving hospital administrative staff, the most
common of
which are medication errors from incorrect prescriptions, can lead to severe
consequences for patients. Given that administrative staff now form a part of
medical treatment teams, improvements in patient care may require further

submission
and review of incident reports involving administrative staff.
FAU - Akiyama, Naomi
AU - Akiyama N
AUID- ORCID: 0000-0001-6365-9310
AD - Iwate Medical University, 2-1-1 Idaidori, Yahabacho, Shiwagun, Iwate, 028-
3695,
Japan. nakiyama@iwate-med.ac.jp.
FAU - Akiyama, Tomoya
AU - Akiyama T
3695,
Japan.
FAU - Hayashida, Kenshi
AU - Hayashida K
AD - Department of Medical Informatics and Management, University Hospital,
University of
Occupational and Environmental Health, Kitakyushu, Japan.
FAU - Shiroiwa, Takeru
AU - Shiroiwa T
AD - National Institute of Public Health (NIPH) Center for Outcomes Research and
Economic
Evaluation for Health (C2H), Wako, Japan.
FAU - Koeda, Keisuke
AU - Koeda K
3695,
Japan.
LA - eng
GR - JP 20K18889/Japan Society for the Promotion of Science/
DEP - 20201120
JID - 101088677
SB - IM
PMC - PMC7677098
OTO - NOTNLM
OT - Hospital administrative staff
OT - Incidents
OT - Patient safety
OT - Risk management
OT - Task sharing
OT - Task shifting
EDAT- 2020/11/21 06:00
MHDA- 2020/11/21 06:00
CRDT- 2020/11/20 05:29
PHST- 2020/07/20 00:00 [received]
PHST- 2020/11/04 00:00 [accepted]
PHST- 2020/11/20 05:29 [entrez]
PHST- 2020/11/21 06:00 [pubmed]
PHST- 2020/11/21 06:00 [medline]
AID - 10.1186/s12913-020-05903-1 [pii]
AID - 5903 [pii]
AID - 10.1186/s12913-020-05903-1 [doi]
PST - epublish
SO - BMC Health Serv Res. 2020 Nov 20;20(1):1054. doi: 10.1186/s12913-020-05903-1.
PMID- 31320777
OWN - NLM
LR - 20200803
IS - 0018-5787 (Print)
IS - 0018-5787 (Linking)
VI - 54
IP - 4
DP - 2019 Aug
TI - Transformation of Hospital Pharmacist Opioid Stewardship.
PG - 266-273
LID - 10.1177/0018578718809267 [doi]
AB - Purpose: The heightened involvement of government organizations to improve
pain
management and mitigate opioid adverse events brings to light the need for an
opioid
stewardship model. Summary: The US opioid epidemic has resulted in new
hospital
requirements for pain management by regulatory agencies. Opioid stewardship
is a
concept in the early development stage of pharmacy practice. There exists a
need for
a cohesive vision of opioid stewardship and the role of the pharmacist. Over
the
course of 17 years, the tracks for opioid stewardship in Fairview Health
Services
were laid through numerous initiatives to mitigate adverse events and improve
the
quality of pain management. This article will describe a transformation
process for
establishing the framework for opioid stewardship within Fairview Health
Services
and role of the pharmacist. Conclusions: The vision for opioid stewardship
will
ultimately be defined through the actions taken to improve quality care and
patient
safety. Opioid safety should be expanded to include stewardship of approaches
that
reduce the risk of diversion, overdose, and medication abuse. Pharmacists
currently
have a major role monitoring opioid medication in hospitals and this
component will
increase with new regulatory requirements.
FAU - Ghafoor, Virginia L
AU - Ghafoor VL
AD - University of Minnesota Health, Minneapolis, MN, USA.
FAU - Phelps, Pamela K
AU - Phelps PK
AD - Fairview Pharmacy Services, Minneapolis, MN, USA.
FAU - Pastor, John 3rd
AU - Pastor J 3rd
AD - University of Minnesota Health, Minneapolis, MN, USA.
FAU - Meisel, Steven
AU - Meisel S
AD - Fairview Pharmacy Services, Minneapolis, MN, USA.
LA - eng
DEP - 20181026
TA - Hosp Pharm
JID - 0043175
PMC - PMC6628553
OTO - NOTNLM
OT - JCAHO
OT - adverse drug reactions reporting / monitoring
OT - clinical services
OT - monitoring drug therapy
OT - pain management
conflicts
this
article.
EDAT- 2019/07/20 06:00
MHDA- 2019/07/20 06:01
CRDT- 2019/07/20 06:00
PHST- 2019/07/20 06:00 [entrez]
PHST- 2019/07/20 06:00 [pubmed]
PHST- 2019/07/20 06:01 [medline]
AID - 10.1177_0018578718809267 [pii]
AID - 10.1177/0018578718809267 [doi]
PST - ppublish
SO - Hosp Pharm. 2019 Aug;54(4):266-273. doi: 10.1177/0018578718809267. Epub 2018
Oct 26.
PMID- 30090783
OWN - NLM
LR - 20201001
IS - 2249-4863 (Print)
IS - 2249-4863 (Linking)
VI - 7
IP - 2
DP - 2018 Mar-Apr
TI - Development of a quality scoring tool to assess quality of discharge
summaries.
PG - 394-400
LID - 10.4103/jfmpc.jfmpc_407_16 [doi]
AB - INTRODUCTION: Timely, precise, and relevant communication between hospital-
based
clinicians and primary care physicians post-discharge (DC) ensures quality
transitions, thereby reducing patient safety incidents and preventing
readmission.
At the present time there is limited knowledge of elements of quality or
methods to
score the quality criteria in the context of DC summaries. The Nova Scotia
Health
Authority, a provincial health system responsible for the delivery of
services in a
small Canadian province, embarked on a system-level approach to the
standardization
of DC summaries in an effort to improve quality and safety at care
transitions from
hospital to primary care. MATERIALS AND METHODS: A comprehensive literature
review
to retrieve items relevant to quality in DC summaries, retrospective audit of
charts, a consensus development process, and, finally, validation of a

scoring tool
were conducted in order to develop a quality scoring tool for DC summaries.
RESULTS:
Relevant items were identified through the literature review and consensus
development process. Corresponding definitions that were established assisted
the
development of the quality criteria, which were subsequently used to score
the
quality of DC summaries in our organization. CONCLUSION: The scoring tool
developed
through this work will be applied to help us gain a more in-depth
understanding of
quality in DC summaries and support the development of suitable education and
quality processes in the health authority that can best support safe care
transitions for patients.
FAU - Savvopoulos, Stavros
AU - Savvopoulos S
AD - Primary Health Care, Nova Scotia Health Authority, Halifax, Nova Scotia,
Canada.
AD - Dalhousie University, Halifax, Nova Scotia, Canada.
FAU - Sampalli, Tara
AU - Sampalli T
Canada.
FAU - Harding, Ruth
AU - Harding R
AD - Nova Scotia Health Authority, Dalhousie University, Halifax, Nova Scotia,
Canada.
FAU - Blackmore, Gail
AU - Blackmore G
Canada.
FAU - Janes, Sandra
AU - Janes S
Canada.
FAU - Kumanan, Kothai
AU - Kumanan K
Canada.
FAU - Gibson, Rick
AU - Gibson R
Canada.
FAU - MacKnight, Chris
AU - MacKnight C
Canada.
LA - eng
TA - J Family Med Prim Care
JT - Journal of family medicine and primary care
JID - 101610082
PMC - PMC6060911
OTO - NOTNLM
OT - Accreditation standards
OT - quality criteria in discharge summaries
OT - safe care transitions
OT - scoring tool
EDAT- 2018/08/10 06:00
MHDA- 2018/08/10 06:01
CRDT- 2018/08/10 06:00
PHST- 2018/08/10 06:00 [entrez]
PHST- 2018/08/10 06:00 [pubmed]
PHST- 2018/08/10 06:01 [medline]
AID - JFMPC-7-394 [pii]
AID - 10.4103/jfmpc.jfmpc_407_16 [doi]
PST - ppublish
SO - J Family Med Prim Care. 2018 Mar-Apr;7(2):394-400. doi:
10.4103/jfmpc.jfmpc_407_16.
PMID- 31258563
OWN - NLM
LR - 20201001
IS - 1682-024X (Print)
VI - 35
IP - 3
DP - 2019
TI - Use of the surgical safety checklist in the operating room: Operating room
nurses'
perspectives.
PG - 614-619
LID - 10.12669/pjms.35.3.29 [doi]
AB - OBJECTIVE: To determine the opinions of operating room nurses towards the
Surgical
Safety Checklist(TR) (SSC(TR)) and to determine applications for using
SSC(TR) in
operating rooms. METHODS: This descriptive and cross-sectional study was
conducted
with 102 nurses working in the operating rooms of a state hospital and a
university
hospital in the Afyonkarahisar province. Descriptive statistics method were
used for
data analysis. RESULTS: It was found that all operating room nurses knew the
SSC(TR)
and that they had a positive opinion regarding the necessity of the SSC(TR).
However, most of the participants stated that the SSC(TR) was not applied
effectively in the operating room. CONCLUSION: The results obtained from the
study
show that changes focusing on the development of a culture of patient safety
(PS)
and team collaboration in operating rooms must be made in order to apply
SSC(TR)
consistently and properly.
FAU - Kisacik, Oznur Gurlek
AU - Kisacik OG
AD - Dr. Oznur Gurlek Kisacik, Faculty of Health Science, Nursing Department,
Afyonkarahisar University of Health Science, 03200 Afyonkarahisar/Turkey.
FAU - Cigerci, Yeliz
AU - Cigerci Y
AD - Dr. Yeliz Cigerci, Faculty of Health Science, Nursing Department,
Afyonkarahisar
University of Health Science, 03200 Afyonkarahisar/Turkey.
LA - eng
TA - Pak J Med Sci
JT - Pakistan journal of medical sciences
JID - 100913117
PMC - PMC6572950
OTO - NOTNLM
OT - Checklist
OT - Operating room nurse
OT - Patient safety
OT - Surgery
EDAT- 2019/07/02 06:00
MHDA- 2019/07/02 06:01
CRDT- 2019/07/02 06:00
PHST- 2019/07/02 06:00 [entrez]
PHST- 2019/07/02 06:00 [pubmed]
PHST- 2019/07/02 06:01 [medline]
AID - PJMS-35-614 [pii]
AID - 10.12669/pjms.35.3.29 [doi]
PST - ppublish
SO - Pak J Med Sci. 2019;35(3):614-619. doi: 10.12669/pjms.35.3.29.
PMID- 30613150
OWN - NLM
LR - 20201001
IS - 1178-2390 (Print)
IS - 1178-2390 (Linking)
VI - 12
DP - 2019
TI - How good is collaboration between maternity service providers in the
Netherlands?
PG - 21-30
LID - 10.2147/JMDH.S179811 [doi]
AB - AIMS: To examine the experiences of inter-professional collaboration of
maternity
service providers in the Netherlands and to identify potential enhancing and
inhibiting factors for inter-professional collaboration within maternity care
in the
Netherlands. BACKGROUND: Good collaboration between health care professionals
is a
key element of safe, effective care, but creating a collaborative culture can
be
challenging. Good collaboration requires, among other things, negotiating
different
professional orientations and the organizational constraints of hierarchies
and
scheduling. Good collaboration is especially important in maternity care. In
the
Netherlands, suboptimal collaboration has been cited as a significant factor
in
maternal deaths and in adverse incidents occurring in hospitals during
evenings,
nights, and weekends. In spite of its importance for effective maternity
care,
little is known about the nature and quality of collaboration between
maternity care
professionals. In order to fill this gap, we examined the inter-professional
collaboration within multi-disciplinary teams (MDTs) providing maternity
services in
the Netherlands. METHODS: Online survey of MDTs (consisting of hospital and
PCMs,
doctors, and carers) involved in the provision of maternity services in the
Netherlands. We used a validated measure of collaboration (the Leiden Quality
of
Work Questionnaire) to analyze the attitudes of those involved in the
provision of
maternity services about multi-disciplinary collaboration in their work. We
used
descriptive and inferential statistics to assess differences between the
groups.
RESULTS: 40% of all respondents were not satisfied with collaboration within
their
MDT. Overall, mean collaboration scores (MCS) were low. We found significant
differences in MCS between professional groups. Midwives - community and
hospital
based - were pessimistic about collaboration in future models of maternity
care.
DISCUSSION: In the Netherlands, collaboration in maternity care is less than
optimal. Poor collaboration is associated with negative consequences for
patient
safety and quality of care. Strategies to address suboptimal collaboration
exist;
however, no one-size-fits-all approach is identified in the literature.
CONCLUSION:
Suboptimal collaboration exists within the midwifery model of care in the
Netherlands and the relationship between care providers is under pressure.
This
could affect patient safety and quality of care, according to the literature.
PRÉCIS: This paper presents an in-depth examination of the nature of, and
attitudes
about, collaboration between members of the MDT involved in the provision of
maternity services in the Netherlands.
FAU - Cronie, Doug
AU - Cronie D
AD - Department of Midwifery, OLVG (West) Hospital, Amsterdam, The Netherlands,
d.cronie@olvg.nl.
AD - Department of Midwifery Science, Faculty of Public Health and Primary Care,
University of Maastricht, Maastricht, The Netherlands, d.cronie@olvg.nl.
FAU - Rijnders, Marlies
AU - Rijnders M
AD - Department of Child Health, TNO, Leiden, The Netherlands.
FAU - Jans, Suze
AU - Jans S
AD - Department of Child Health, TNO, Leiden, The Netherlands.
AD - Editorial Department, Dutch Journal for Midwives (KNOV), Utrecht, The
Netherlands.
FAU - Verhoeven, Corine J
AU - Verhoeven CJ
AD - Department of Midwifery Science, AVAG, Amsterdam Public Health Research
Institute,
VU University Medical Center, Amsterdam, The Netherlands.
AD - Department of Obstetrics and Gynecology, Maxima Medical Centre, Veldhoven,
The
Netherlands.
FAU - de Vries, Raymond
AU - de Vries R
AD - Faculty of Midwifery Education & Studies, Zuyd University, Maastricht, The
Netherlands.
AD - CAPHRI, School for Public Health and Primary Care, Maastricht University,
Maastricht, The Netherlands.
AD - Center for Bioethics and Social Sciences in Medicine, University of Michigan
Medical
School, Ann Arbor, MI, USA.
LA - eng
DEP - 20181224
JID - 101512691
PMC - PMC6307488
OTO - NOTNLM
OT - carer
OT - communication
OT - doctor
OT - integrated-care
OT - inter-professional teamwork
OT - interprofessional collaboration survey
OT - interprofessional communication
OT - maternity care assistant
OT - midwifery
OT - multi-disciplinary team
OT - nurse
OT - primary care midwife
OT - questionnaire hospital midwife
COIS- Disclosure The authors report no conflicts of interest in this work.
EDAT- 2019/01/08 06:00
MHDA- 2019/01/08 06:01
CRDT- 2019/01/08 06:00
PHST- 2019/01/08 06:00 [entrez]
PHST- 2019/01/08 06:00 [pubmed]
PHST- 2019/01/08 06:01 [medline]
AID - jmdh-12-021 [pii]
AID - 10.2147/JMDH.S179811 [doi]
PST - epublish
SO - J Multidiscip Healthc. 2018 Dec 24;12:21-30. doi: 10.2147/JMDH.S179811.
eCollection
2019.
PMID- 30940153
OWN - NLM
STAT- MEDLINE
DCOM- 20190627
LR - 20200225
IS - 1472-6963 (Linking)
VI - 19
IP - 1
DP - 2019 Apr 2
TI - The politics and ethics of hospital infection prevention and control: a
qualitative
case study of senior clinicians' perceptions of professional and cultural
factors
that influence doctors' attitudes and practices in a large Australian
hospital.
PG - 212
LID - 10.1186/s12913-019-4044-y [doi]
LID - 212
AB - BACKGROUND: Hospital infection prevention and control (IPC) programs are
designed to
minimise rates of preventable healthcare-associated infection (HAI) and
acquisition
of multidrug resistant organisms, which are among the commonest adverse
effects of
hospitalisation. Failures of hospital IPC in recent years have led to
nosocomial and
community outbreaks of emerging infections, causing preventable deaths and
social
disruption. Therefore, effective IPC programs are essential, but can be
difficult to
sustain in busy clinical environments. Healthcare workers' adherence to
routine IPC
practices is often suboptimal, but there is evidence that doctors, as a
group, are
consistently less compliant than nurses. This is significant because doctors'
behaviours disproportionately influence those of other staff and their

peripatetic
practice provides more opportunities for pathogen transmission. A better
understanding of what drives doctors' IPC practices will contribute to
development
of new strategies to improve IPC, overall. METHODS: This qualitative case
study
involved in-depth interviews with senior clinicians and clinician-
managers/directors
(16 doctors and 10 nurses) from a broad range of specialties, in a large
Australian
tertiary hospital, to explore their perceptions of professional and cultural
factors
that influence doctors' IPC practices, using thematic analysis of data.
RESULTS:
Professional/clinical autonomy; leadership and role modelling; uncertainty
about the
importance of HAIs and doctors' responsibilities for preventing them; and
lack of
clarity about senior consultants' obligations emerged as major themes.
Participants
described marked variation in practices between individual doctors,
influenced by,
inter alia, doctors' own assessment of patients' infection risk and their
beliefs
about the efficacy of IPC policies. Participants believed that most doctors
recognise the significance of HAIs and choose to [mostly] observe
organisational IPC
policies, but a minority show apparent contempt for accepted rules,
disrespect for
colleagues who adhere to, or are expected to enforce, them and indifference
to
patients whose care is compromised. CONCLUSIONS: Failure of healthcare and
professional organisations to address doctors' poor IPC practices and
unprofessional
behaviour, more generally, threatens patient safety and staff morale and
undermines
efforts to minimise the risks of dangerous nosocomial infection.
FAU - Gilbert, Gwendolyn L
AU - Gilbert GL
AUID- ORCID: 0000-0001-7490-6727
AD - Sydney Health Ethics, University of Sydney, Level 1, Building 1, Medical
Foundation
Building, 92/94 Parramatta Rd, Camperdown, NSW, 2050, Australia.
lyn.gilbert@sydney.edu.au.
AD - Marie Bashir Institute for Infectious Diseases and Biosecurity, Westmead
Institute
for Medical Research, 176 Hawkesbury Rd, Westmead, NSW, 2145, Australia.
lyn.gilbert@sydney.edu.au.
FAU - Kerridge, Ian
AU - Kerridge I
AD - Sydney Health Ethics, University of Sydney, Level 1, Building 1, Medical
Foundation
Building, 92/94 Parramatta Rd, Camperdown, NSW, 2050, Australia.
AD - Department of Haematology, Royal North Shore Hospital, Reserve Rd, St
Leonards, NSW,
2065, Australia.
LA - eng
DEP - 20190402
JID - 101088677
SB - IM
MH - Australia
MH - *Hospitals/standards
MH - Humans
MH - Perception
MH - Physicians/*psychology
PMC - PMC6444390
OTO - NOTNLM
OT - Accountability
OT - Infection prevention, Healthcare-associated infections, Clinical autonomy
OT - Leadership
OT - Unprofessional behaviour
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: This study was approved by the
Western
Sydney Local Health District Human Ethics Research Committee. All
participants
provided written informed consent to interviews being recorded and
transcribed and
quotes to be used in publications after removal of identifying information.
The
information sheet/consent form was approved by the ethics committee. CONSENT
FOR
PUBLICATION: Participants were not asked and did not consent for transcripts
to be
published or for any personal identifying information to be made available
other
than their professional status (medical/nursing;
director/manager/consultant).
Quotes were selected to ensure that the source would not be identifiable.
COMPETING
INTERESTS: The authors declare that they have no competing interests.
PUBLISHER’S
NOTE: Springer Nature remains neutral with regard to jurisdictional claims in
published maps and institutional affiliations.

EDAT- 2019/04/04 06:00
MHDA- 2019/06/30 06:00
CRDT- 2019/04/04 06:00
PHST- 2018/12/20 00:00 [received]
PHST- 2019/03/27 00:00 [accepted]
PHST- 2019/04/04 06:00 [entrez]
PHST- 2019/04/04 06:00 [pubmed]
PHST- 2019/06/30 06:00 [medline]
AID - 10.1186/s12913-019-4044-y [pii]
AID - 4044 [pii]
AID - 10.1186/s12913-019-4044-y [doi]
PST - epublish
SO - BMC Health Serv Res. 2019 Apr 2;19(1):212. doi: 10.1186/s12913-019-4044-y.
PMID- 29033992
OWN - NLM
LR - 20201001
IS - 1735-9066 (Print)
IS - 1735-9066 (Linking)
VI - 22
IP - 5
DP - 2017 Sep-Oct
TI - Patient Safety Culture in Intensive Care Units from the Perspective of
Nurses: A
Cross-Sectional Study.
PG - 372-376
LID - 10.4103/ijnmr.IJNMR_150_16 [doi]
AB - BACKGROUND: One of the goals of nursing is providing safe care, prevention of
injury, and health promotion of patients. Patient safety in intensive care

units is
threatened for various reasons. This study aimed to survey patient safety
culture
from the perspective of nurses in intensive care units. MATERIALS AND
METHODS: This
cross-sectional study was conducted in 2016. Sampling was done using the
convenience
method. The sample consisted of 367 nurses working in intensive care units of
teaching hospitals affiliated to Isfahan University of Medical Sciences. Data
collection was performed using a two-part questionnaire that included

demographic
and hospital survey on Patient Safety Culture (HSOPSC) questionnaire. Data
analysis
was done using descriptive statistics (mean and standard deviation). RESULTS:
Among
the 12 dimensions of safety culture, the nurses assigned the highest score to
"team
work within units" (97.3%) and "Organizational learning-continuous
improvement"
(84%). They assigned the least score to "handoffs and transitions"(21.1%),
"non-punitive response to errors" (24.7%), "Staffing" (35.6%), "Communication
openness" (47.5%), and "Teamwork across units" (49.4%). CONCLUSIONS: The

patient
safety culture dimensions have low levels that require adequate attention and
essential measures of health care centers including facilitating teamwork,

providing
adequate staff, and developing a checklist of handoffs and transitions.
Furthermore,
to increase reporting error and to promote a patient safety culture in
intensive
care units, some strategies should be adopted including a system-based
approach to
deal with the error.
FAU - Farzi, Sedigheh
AU - Farzi S
AD - PhD Candidate of Nursing, Student Research Centre, Faculty of Nursing and
Midwifery,
Isfahan University of Medical Sciences, Isfahan, Iran.
FAU - Moladoost, Azam
AU - Moladoost A
AD - MSc of Nursing, Isfahan University of Medical Sciences, Isfahan, Iran.
FAU - Bahrami, Masoud
AU - Bahrami M
AD - Ph.D in Nursing, Nursing and Midwifery Care Research Centre, Department of
Adult
Health Nursing, Faculty of Nursing and Midwifery, Isfahan University of
Medical
Sciences, Isfahan, Iran.
FAU - Farzi, Saba
AU - Farzi S
AD - MSc of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran.
FAU - Etminani, Reza
AU - Etminani R
AD - PhD of Nutrition, Deputy for Treatment, Isfahan University of Medical
Sciences,
Isfahan, Iran.
LA - eng
TA - Iran J Nurs Midwifery Res
JT - Iranian journal of nursing and midwifery research
JID - 101558775
PMC - PMC5637146
OTO - NOTNLM
OT - Intensive Care Units
OT - Iran
OT - nurse
OT - patient safery
OT - safety culture
EDAT- 2017/10/17 06:00
MHDA- 2017/10/17 06:01
CRDT- 2017/10/17 06:00
PHST- 2017/10/17 06:00 [entrez]
PHST- 2017/10/17 06:00 [pubmed]
PHST- 2017/10/17 06:01 [medline]
AID - IJNMR-22-372 [pii]
AID - 10.4103/ijnmr.IJNMR_150_16 [doi]
PST - ppublish
SO - Iran J Nurs Midwifery Res. 2017 Sep-Oct;22(5):372-376. doi:
10.4103/ijnmr.IJNMR_150_16.
PMID- 27366560
OWN - NLM
DCOM- 20160701
LR - 20200930
IS - 2667-677X (Print)
VI - 44
IP - 2
DP - 2016 Apr
TI - Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey
Study.
PG - 59-70
LID - 10.5152/TJAR.2016.75133 [doi]
AB - OBJECTIVE: Critical incident reporting systems (CIRS) and morbidity-mortality
meetings (MMMs) offer the advantages of identifying potential risks in

patients.
They are key tools in improving patient safety in healthcare systems by
modifying
the attitudes of clinicians, nurses and staff (human error) and also the
system
(human and/or technical error) according to the analysis and the results of
incidents. METHODS: One anaesthetist assigned to an administrative and/or
teaching
position from all university hospitals (UHs) and training and research
hospitals
(TRHs) of Turkey (n=114) was contacted. In this survey study, we analysed the
facilities of anaesthetists in Turkish UHs and TRHs with respect to CIRS and
MMMs
and also the anaesthetists' knowledge, experience and attitudes regarding
CIs.
RESULTS: Anaesthetists from 81 of 114 teaching hospitals replied to our
survey.
Although 96.3% of anaesthetists indicated CI reporting as a necessity, only
37% of
departments/hospitals were reported to have CIRS. True definition of CI as
"an
unexpected /accidental event" was achieved by 23.3% of anaesthetists with
CIRS. MMMs
were reported in 60.5% of hospitals. Nevertheless, 96% of anaesthetists
believe that
CIRS and MMMs decrease the incidence of CI occurring. CI occurrence was
attributed
to human error as 4 [1-5]/10 and 3 [1-5]/10 in UHs and TRHs, respectively
(p=0.005).
In both hospital types, technical errors were evaluated as 3 [1-5]/10
(p=0.498).
CONCLUSION: This first study regarding CIRS in the Turkish anaesthesia
departments/hospitals highlights the lack of CI knowledge and CIRS awareness
and use
in anaesthesia departments/teaching hospitals in Turkey despite a safety
reporting
system set up by the Turkish Ministry of Health.
FAU - Şalvız, Emine Aysu
AU - Şalvız EA
AD - Department of Anaesthesiology, İstanbul University School of Medicine,
İstanbul,
Turkey.
FAU - Edipoğlu, Saadet İpek
AU - Edipoğlu Sİ
AD - Clinic of Anaesthesiology, Süleymaniye Training and Research Hospital,
İstanbul,
Turkey.
FAU - Sungur, Mukadder Orhan
AU - Sungur MO
İstanbul,
Turkey.
FAU - Altun, Demet
AU - Altun D
İstanbul,
Turkey.
FAU - Büget, Mehmet İlke
AU - Büget Mİ
İstanbul,
Turkey.
FAU - Seyhan, Tülay Özkan
AU - Seyhan TÖ
İstanbul,
Turkey.
LA - eng
DEP - 20160401
TA - Turk J Anaesthesiol Reanim
JT - Turkish journal of anaesthesiology and reanimation
JID - 101680817
PMC - PMC4894199
OTO - NOTNLM
OT - Critical incident
OT - anaesthesia
OT - critical incident reporting systems
OT - morbidity–mortality meetings
OT - patient safety
EDAT- 2016/07/02 06:00
MHDA- 2016/07/02 06:01
CRDT- 2016/07/02 06:00
PHST- 2015/11/05 00:00 [received]
PHST- 2015/12/30 00:00 [accepted]
PHST- 2016/07/02 06:00 [entrez]
PHST- 2016/07/02 06:00 [pubmed]
PHST- 2016/07/02 06:01 [medline]
AID - tard-44-2-59 [pii]
AID - 10.5152/TJAR.2016.75133 [doi]
PST - ppublish
SO - Turk J Anaesthesiol Reanim. 2016 Apr;44(2):59-70. doi:
10.5152/TJAR.2016.75133. Epub
2016 Apr 1.
PMID- 26616276
OWN - NLM
STAT- MEDLINE
DCOM- 20160518
LR - 20181113
IS - 0007-1323 (Print)
IS - 0007-1323 (Linking)
VI - 103
IP - 2
DP - 2016 Jan
TI - Importance of teamwork, communication and culture on failure-to-rescue in the
elderly.
PG - e47-51
LID - 10.1002/bjs.10031 [doi]
AB - BACKGROUND: Surgical mortality increases significantly with age. Wide
variations in
mortality rates across hospitals suggest potential levers for improvement.
Failure-to-rescue has been posited as a potential mechanism underlying these
differences. METHODS: A review was undertaken of the literature evaluating
surgery,
mortality, failure-to-rescue and the elderly. This was followed by a review
of
ongoing studies and unpublished work aiming to understand better the
mechanisms
underlying variations in surgical mortality in elderly patients. RESULTS:
Multiple
hospital macro-system factors, such as nurse staffing, available hospital
technology
and teaching status, are associated with differences in failure-to-rescue
rates.
There is emerging literature regarding important micro-system factors
associated
with failure-to-rescue. These are grouped into three broad categories:
hospital
resources, attitudes and behaviours. Ongoing work to produce interventions to
reduce
variations in failure-to-rescue rates include a focus on teamwork,
communication and
safety culture. Researchers are using novel mixed-methods approaches and
theories
adapted from organizational studies in high-reliability organizations in an
effort
to improve the care of elderly surgical patients. CONCLUSION: Although
elderly
surgical patients experience failure-to-rescue events at much higher rates
than
their younger counterparts, patient-level effects do not sufficiently explain
these
differences. Increased attention to the role of organizational dynamics in
hospitals' ability to rescue these high-risk patients will establish high-
yield
interventions aimed at improving patient safety.
CI - © 2015 BJS Society Ltd Published by John Wiley & Sons Ltd.
FAU - Ghaferi, A A
AU - Ghaferi AA
AD - Ann Arbor Veterans Administration Healthcare System, University of Michigan,
Ann
Arbor, Michigan, USA.
AD - Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor,
Michigan, USA.
AD - Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
FAU - Dimick, J B
AU - Dimick JB
AD - Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor,
Michigan, USA.
AD - Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
LA - eng
GR - P30 HS024403/HS/AHRQ HHS/United States
GR - L60 MD003588/MD/NIMHD NIH HHS/United States
PT - Review
DEP - 20151130
TA - Br J Surg
JT - The British journal of surgery
JID - 0372553
SB - AIM
SB - IM
MH - Aged
MH - Clinical Competence/standards
MH - Communication
MH - Delivery of Health Care/standards
MH - Failure to Rescue, Health Care/*statistics & numerical data
MH - Forecasting
MH - Humans
MH - Patient Care Team/organization & administration/*standards
MH - Surgical Procedures, Operative/*mortality
PMC - PMC4715639
MID - NIHMS726631
EDAT- 2015/12/01 06:00
MHDA- 2016/05/19 06:00
CRDT- 2015/12/01 06:00
PHST- 2015/09/17 00:00 [received]
PHST- 2015/09/17 00:00 [accepted]
PHST- 2015/12/01 06:00 [entrez]
PHST- 2015/12/01 06:00 [pubmed]
PHST- 2016/05/19 06:00 [medline]
AID - 10.1002/bjs.10031 [doi]
PST - ppublish
SO - Br J Surg. 2016 Jan;103(2):e47-51. doi: 10.1002/bjs.10031. Epub 2015 Nov 30.
PMID- 32206703
OWN - NLM
STAT- MEDLINE
DCOM- 20201218
LR - 20201218
IS - 2374-8265 (Linking)
VI - 16
DP - 2020 Mar 13
TI - Anesthesiology Handoff Simulation Case: A Handoff From Intensive Care Unit to
Operating Room for Anesthesiology Learners.

PG - 10887
LID - 10.15766/mep_2374-8265.10887 [doi]
LID - 10887
AB - INTRODUCTION: Handoffs have been shown to be a potential cause of
communication
failures, leading to possible inefficiencies and patient harm. We noticed
that our
CA-1 residents were struggling with patient handoffs and designed this
simulation to
improve their handoff skills. METHODS: This anesthesiology-specific
simulation
introduced learners to the perioperative handoff process. We designed it for
anesthesiology learners, including junior residents, medical students, and
student
nurse anesthetists. The simulation centered upon an anesthesiology resident
taking
care of an ICU patient and handing that patient off to another anesthesiology
provider, who took the patient to the OR. We charged learners with reviewing
the
patient's history and hospital course and giving a complete handoff. We
evaluated
learners on the completeness and quality of the handoff, as well as on their
performance during the session. RESULTS: Twenty-seven learners participated
in this
handoff simulation. The participants reported that the simulation improved
their
understanding of the anesthetic implications of medical conditions and gave
them a
better understanding of the essential elements of a handoff. Learners also
indicated
that the debriefing portion of the simulation was effective in filling some
of their
medical knowledge gaps and improving their handoff skills. DISCUSSION: This
simulation was found to be an effective educational experience for our CA-1
and CA-3
residents, medical students, and student nurse anesthetists. Feedback was
positive
from all learners. As a result, this simulation will be implemented in the
early
learning curriculum for all of our CA-1 residents.
CI - Copyright © 2020 Krishnan et al.
FAU - Krishnan, Sandeep
AU - Krishnan S
AD - Associate Professor, Department of Anesthesiology, Wayne State University
School of
Medicine.
AD - Program Director, Department of Anesthesiology, Wayne State University School
of
Medicine.
AD - Chief of Cardiothoracic Anesthesiology, Department of Anesthesiology, Wayne
State
University School of Medicine.
FAU - Kumar, Nakul
AU - Kumar N
AD - Resident Physician, Department of Anesthesiology, The Cleveland Clinic.
FAU - Diaz, Erik
AU - Diaz E
AD - Resident Physician, Department of Anesthesiology, Wayne State University
School of
Medicine.
FAU - Thornton, Imani
AU - Thornton I
AD - Assistant Professor, Department of Anesthesiology, Wayne State University
School of
Medicine.
FAU - Ghoddoussi, Farhad
AU - Ghoddoussi F
AD - Research Associate, Department of Anesthesiology, Wayne State University
School of
Medicine.
FAU - Ellis, Terry A 2nd
AU - Ellis TA 2nd
AD - Associate Professor, Department of Anesthesiology, Wayne State University
School of
Medicine.
LA - eng
DEP - 20200313
TA - MedEdPORTAL
JID - 101714390
SB - IM
MH - Anesthesiology/*education
MH - *Communication
MH - Curriculum
MH - Humans
MH - *Internship and Residency
MH - *Operating Rooms
MH - *Simulation Training
MH - Students, Medical
MH - Students, Nursing
PMC - PMC7083603
OTO - NOTNLM
OT - *Anesthesia
OT - *Anesthesiology
OT - *Handover
OT - *Patient Handoff
OT - *Simulation
EDAT- 2020/03/25 06:00
MHDA- 2020/12/19 06:00
CRDT- 2020/03/25 06:00
PHST- 2020/03/25 06:00 [entrez]
PHST- 2020/03/25 06:00 [pubmed]
PHST- 2020/12/19 06:00 [medline]
AID - 10.15766/mep_2374-8265.10887 [doi]
PST - epublish
SO - MedEdPORTAL. 2020 Mar 13;16:10887. doi: 10.15766/mep_2374-8265.10887.
PMID- 31815621
OWN - NLM
STAT- MEDLINE
DCOM- 20200915
LR - 20200915
IS - 1478-4491 (Linking)
VI - 17
IP - 1
DP - 2019 Dec 9
TI - 'Everything was just getting worse and worse': deteriorating job quality as a
driver
of doctor emigration from Ireland.
PG - 97
LID - 10.1186/s12960-019-0424-y [doi]
LID - 97
AB - BACKGROUND: Medicine is a high-status, high-skill occupation which has
traditionally
provided access to good quality jobs and relatively high salaries. In
Ireland,
historic underfunding combined with austerity-related cutbacks has negatively
impacted job quality to the extent that hospital medical jobs have begun to
resemble
extreme jobs. Extreme jobs combine components of a good quality job-high pay,
high
job control, challenging demands, with those of a low-quality job-long
working
hours, heavy workloads. Deteriorating job quality and the normalisation of
extreme
working is driving doctor emigration from Ireland and deterring return.
METHODS:
Semi-structured qualitative interviews were conducted with 40 Irish emigrant
doctors
in Australia who had emigrated from Ireland since 2008. Interviews were held
in
July-August 2018. RESULTS: Respondents reflected on their experiences of
working in
the Irish health system, describing hospital workplaces that were
understaffed,
overstretched and within which extreme working had become normalised,
particularly
in relation to long working hours, fast working pace, doing more with less
and
fighting a climate of negativity. Drawing on Hirschman's work on exit, voice
and
loyalty (1970), the authors consider doctor emigration as exit and present
respondent experiences of voice prior to emigration. Only 14/40 respondent
emigrant
doctors intend to return to work in Ireland. DISCUSSION: The deterioration in
medical job quality and the normalisation of extreme working is a key driver
of
doctor emigration from Ireland, and deterring return. Irish trained hospital
doctors
emigrate to access good quality jobs in Australia and are increasingly likely
to
remain abroad once they have secured them. To improve doctor retention,
health
systems and employers must mitigate a gainst the emergence of extreme work in
healthcare. Employee voice (about working conditions, about patient safety,

etc.)
should be encouraged and used to inform health system improvement and to
mitigate
exit.
FAU - Humphries, N
AU - Humphries N
AUID- ORCID: 0000-0003-2959-1652
AD - Research Royal College of Physicians of Ireland, Dublin, Ireland.
niamhhumphries@rcpi.ie.
FAU - McDermott, A M
AU - McDermott AM
AD - Cardiff Business School, Cardiff University, Cardiff, UK.
FAU - Conway, E
AU - Conway E
AD - Dublin City University Business School, Dublin City University, Dublin,
Ireland.
FAU - Byrne, J-P
AU - Byrne JP
FAU - Prihodova, L
AU - Prihodova L
FAU - Costello, R
AU - Costello R
AD - Royal College of Surgeons in Ireland, Dublin, Ireland.
FAU - Matthews, A
AU - Matthews A
AD - School of Nursing, Psychotherapy and Community Health, Dublin City
University,
Dublin, Ireland.
LA - eng
GR - Emerging Investigator Award (EIA-2017-022)./HRBI_/Health Research
Board/Ireland
DEP - 20191209
JID - 101170535
SB - IM
MH - Adult
MH - Australia
MH - Emigrants and Immigrants/*psychology/statistics & numerical data
MH - Emigration and Immigration/statistics & numerical data
MH - Female
MH - Foreign Medical Graduates/*psychology/*statistics & numerical data
MH - Humans
MH - Ireland/ethnology
MH - *Job Satisfaction
MH - Male
MH - Physicians/psychology/statistics & numerical data
MH - Professional Practice Location/*statistics & numerical data
MH - Workload/psychology/statistics & numerical data
MH - Young Adult
PMC - PMC6902557
OTO - NOTNLM
OT - *Austerity
OT - *Extreme work
OT - *Job quality
OT - *Medicine
OT - *Migration
OT - *Qualitative
EDAT- 2019/12/10 06:00
MHDA- 2020/09/17 06:00
CRDT- 2019/12/10 06:00
PHST- 2019/07/10 00:00 [received]
PHST- 2019/10/21 00:00 [accepted]
PHST- 2019/12/10 06:00 [entrez]
PHST- 2019/12/10 06:00 [pubmed]
PHST- 2020/09/17 06:00 [medline]
AID - 10.1186/s12960-019-0424-y [pii]
AID - 424 [pii]
AID - 10.1186/s12960-019-0424-y [doi]
PST - epublish
SO - Hum Resour Health. 2019 Dec 9;17(1):97. doi: 10.1186/s12960-019-0424-y.
PMID- 28566993
OWN - NLM
STAT- MEDLINE
DCOM- 20180409
LR - 20190126
IS - 1559-4122 (Linking)
VI - 14
IP - Winter
DP - 2017 Winter
TI - Secure Clinical Texting: Patient Risk in High-Acuity Care.
PG - 1d
LID - 1d
AB - The Joint Commission recently reversed its prior authorization of the use of
secure
clinical texting to issue patient care orders, now again prohibiting texting
of
orders. However, the potential sole or exclusive use of clinical texts to
transmit
other patient care information beyond care orders still poses a risk to
patient
safety in high acuity care because of text transmission delays resulting from
carrier-dependent latency. Although texting in routine patient care may

deliver high
value to clinicians, the risk of latency and delayed receipt of clinically
urgent or
time-sensitive texted patient information in high-acuity care settings can
harm
patients. We completed a review of 19 secure clinical text vendor websites,
finding
that 16 of 19 (84 percent) market their products for use specifically in
high-acuity
and critical patient care. The secure clinical texting industry needs the
policy
guidance of The Joint Commission and health information technology
professionals to
minimize risk to patients, clinicians, and hospital systems as secure
clinical
texting becomes standard accepted practice.
FAU - Gellert, George A
AU - Gellert GA
AD - Department of Health Informatics at CHRISTUS Health in Dallas, TX.
FAU - Conklin, George S
AU - Conklin GS
AD - Department of Information Management at CHRISTUS Health in Dallas, TX.
FAU - Gibson, Lynn A
AU - Gibson LA
AD - Department of Information Management at CHRISTUS Health in Dallas, TX.
LA - eng
DEP - 20170101
TA - Perspect Health Inf Manag
JT - Perspectives in health information management
JID - 101219871
SB - IM
MH - Computer Security/*standards
MH - Critical Care/*standards
MH - Humans
MH - Joint Commission on Accreditation of Healthcare Organizations
MH - Medical Order Entry Systems/*standards
MH - Text Messaging/*standards
MH - United States
PMC - PMC5430112
EDAT- 2017/06/02 06:00
MHDA- 2018/04/10 06:00
CRDT- 2017/06/02 06:00
PHST- 2017/06/02 06:00 [entrez]
PHST- 2017/06/02 06:00 [pubmed]
PHST- 2018/04/10 06:00 [medline]
AID - phim0014-0001d [pii]
PST - epublish
SO - Perspect Health Inf Manag. 2017 Jan 1;14(Winter):1d. eCollection 2017 Winter.
PMID- 33260319
OWN - NLM
STAT- MEDLINE
DCOM- 20210128
LR - 20210128
IS - 1661-7827 (Print)
IS - 1660-4601 (Linking)
VI - 17
IP - 23
DP - 2020 Nov 29
TI - The Association between the Participation of Quality Control Circle and
Patient
Safety Culture.
LID - 10.3390/ijerph17238872 [doi]
LID - 8872
AB - Promoting patient safety culture (PSC) is a critical issue for healthcare
providers.
Quality control circles program (QCCP) can be used as an effective tool to
foster
long-lasting improvements on the quality of medical institution. The effect
of QCCP
on PSC is still unknown. This was a retrospective study conducted with
matching
data. A safety attitudes questionnaire (SAQ) was used for the evaluation of
PSC. The
association between all scores of six subscales of SAQ and the participation
QCCP
were analyzed with both the Mann-Whitney and Kruskal-Wallis tests. A total of
2718
valid questionnaires were collected. Most participants of QCCP were females
(78.9%),
nurses (52.6%), non-supervisors (92.2%), aged <40 years old (64.8%), degree
of
specialist or university graduates (78%), and with work experience of <10
years
(61.6%). Of all participants, the highest scores were in the dimension of
safety
climate (74.11 ± 17.91) and the lowest scores in the dimension of working
conditions
(68.90 ± 18.84). The participation of QCCP was associated with higher scores
in four
dimensions, namely: teamwork climate (p = 0.006), safety climate (p = 0.037),
perception of management (p = 0.009), and working conditions (p = 0.015). The
participation or not of QCCP had similar results in the dimension of job

satisfaction and stress recognition. QCCP was associated with SAQ in subjects
with
the following characteristics: female, nurse, non-supervisor, aged >50 years
old,
higher education degrees and with longer working experiences in the hospital.
In
this first study on the association between each dimension of SAQ and the
implementation of QCCP, we found that QCCP interventions were associated with
better
PSC. QCCP had no benefits in the dimensions of job satisfaction and stress
recognition.
FAU - Tang, Ni-Hu
AU - Tang NH
AD - Pharmacy Division, Taichung Veterans General Hospital Chiayi Branch, Chiayi
60090,
Taiwan.
FAU - Tsai, Shang-Feng
AU - Tsai SF
AUID- ORCID: 0000-0002-6119-0587
AD - School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan.
AD - Division of Nephrology, Department of Internal Medicine, Taichung Veterans
General
Hospital, Taichung 40705, Taiwan.
AD - Department of Life Science, Tunghai University, Taichung 40705, Taiwan.
FAU - Liou, Jaw-Horng
AU - Liou JH
AD - Department of Pharmacy, Taichung Veterans General Hospital, Taichung 40705,
Taiwan.
AD - School of Pharmacy, China Medical University, Taichung, Taiwan.
FAU - Lai, Yuan-Hui
AU - Lai YH
AD - Center for Quality Management, Taichung Veterans General Hospital, Taichung
406040,
Taiwan.
FAU - Liu, Shih-An
AU - Liu SA
AUID- ORCID: 0000-0002-1213-9080
AD - School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan.
AD - Center for Quality Management, Taichung Veterans General Hospital, Taichung
406040,
Taiwan.
AD - Department of Otolaryngology, Taichung Veterans General Hospital, Taichung
40705,
Taiwan.
FAU - Sheu, Wayne Huey-Herng
AU - Sheu WH
AD - Division of Endocrinology and Metabolism, Department of Medicine, Taichung
Veterans
General Hospital, Taichung 40705, Taiwan.
AD - Institute of Biomedical Sciences, National Chung Hsing University, Taichung
402,
Taiwan.
AD - School of Medicine, National Defense Medical Center, Taipei 114, Taiwan.
FAU - Wu, Chieh Liang
AU - Wu CL
AD - Department of Critical Care Medicine, Taichung Veterans General Hospital,
Taichung
40705, Taiwan.
AD - Department of Automatic Control Engineering, Feng Chia University, Taichung
40700,
Taiwan.
AD - Department of Industrial Engineering and Enterprise Information, Tunghai
University,
Taichung 40705, Taiwan.
LA - eng
DEP - 20201129
JID - 101238455
SB - IM
MH - Adult
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - *Quality Control
PMC - PMC7731416
OTO - NOTNLM
OT - *healthcare
OT - *patient safety culture
OT - *quality control circle
OT - *safety attitudes questionnaire
EDAT- 2020/12/03 06:00
MHDA- 2021/01/29 06:00
CRDT- 2020/12/02 01:00
PHST- 2020/11/08 00:00 [received]
PHST- 2020/11/24 00:00 [revised]
PHST- 2020/11/26 00:00 [accepted]
PHST- 2020/12/02 01:00 [entrez]
PHST- 2020/12/03 06:00 [pubmed]
PHST- 2021/01/29 06:00 [medline]
AID - 10.3390/ijerph17238872 [doi]
PST - epublish
SO - Int J Environ Res Public Health. 2020 Nov 29;17(23):8872. doi:
10.3390/ijerph17238872.
PMID- 30231903
OWN - NLM
STAT- MEDLINE
DCOM- 20181211
LR - 20181211
IS - 1472-6963 (Linking)
VI -18
IP -1
DP -2018 Sep 19
TI -Exploring physicians' decision-making in hospital readmission processes - a
comparative case study.
PG - 725
LID - 10.1186/s12913-018-3538-3 [doi]
LID - 725
AB - BACKGROUND: Hospital readmissions is an increasingly serious international
problem,
associated with higher risks of adverse events, especially in elderly
patients.
There can be many causes and influential factors leading to hospital
readmissions,
but they are often closely related, making hospital readmissions an overall
complex
area. In addition, a comprehensive coordination reform was introduced into
the
Norwegian healthcare system in 2012. The reform changed the premises for
readmissions with economic incentives enhancing early transfer from secondary
to
primary care, making research on readmissions in the municipalities more
urgent than
ever. General practitioners (GPs) and nursing home physicians, have
traditionally
held a gatekeepers function in hospital readmissions from the municipal
healthcare
service, as they are the main decision-makers in questions of hospital
readmissions.
Still, the GPs' gatekeeper function is an under-investigated area in hospital
readmission research. The aim of the study was to increase knowledge about
factors
that lead to hospital readmissions among elderly in municipal healthcare,
with
special attention to GPs' and nursing home physicians' decision making.
METHOD: The
study was conducted as a comparative case study. Two municipalities
affiliated with
the same hospital, but with different readmission rates were recruited.
Twenty GPs
and nursing home physicians from each municipality were recruited and
interviewed.
Forty hours of observation were conducted during the huddles in one long-term
and
one short-term nursing home in each municipality. RESULTS: Seven themes
describing
how different factors influence physicians' decision-making in the hospital
readmission process in two municipalities were identified. Poor
communication,
continuity and information flow account for hospital readmissions in both
municipalities. Several factors, including nurse staffing and competence,
patients
and their families, time constraints and experience affected physicians'
decision-making. CONCLUSION: Communication, continuity and information flow
contributed to hospital readmissions in both municipalities. The cross-case
analysis
revealed slight differences between municipalities. More research focusing on
GPs'
and nursing home physicians' decision-making, nursing home nurses and home
care
nurses' experience of hospital readmissions and discharges is needed.
FAU - Glette, Malin Knutsen
AU - Glette MK
AUID- ORCID: 0000-0002-3822-0581
Norway.
Malinknutsen.glette@hvl.no.
University
of Stavanger, Stavanger, Norway. Malinknutsen.glette@hvl.no.
FAU - Kringeland, Tone
AU - Kringeland T
Norway.
FAU - Røise, Olav
AU - Røise O
AD - Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway.
University
AD - Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
FAU - Wiig, Siri
AU - Wiig S
University
LA - eng
DEP - 20180919
JID - 101088677
SB - IM
MH - Aged
MH - *Decision Making
MH - Female
MH - General Practitioners/*psychology
MH - Humans
MH - Male
MH - Middle Aged
MH - Norway
MH - Nursing Homes
MH - Observation
MH - Patient Handoff
MH - Patient Safety
PMC - PMC6146774
OTO - NOTNLM
OT - Decision-making
OT - Hospital discharge
OT - Hospital readmissions
OT - Patient handovers
OT - Patient safety
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The study has been approved by
the
Norwegian Center for Research Data (NSD) (Reference number: 49331, Date:
01.08.2016). All participants signed written informed consent to participate
in the
study. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: Author
SW is a
member of the editorial board (Associate Editor) of BMC health services
research.
jurisdictional
EDAT- 2018/09/21 06:00
MHDA- 2018/12/12 06:00
CRDT- 2018/09/21 06:00
PHST- 2018/01/22 00:00 [received]
PHST- 2018/09/12 00:00 [accepted]
PHST- 2018/09/21 06:00 [entrez]
PHST- 2018/09/21 06:00 [pubmed]
PHST- 2018/12/12 06:00 [medline]
AID - 10.1186/s12913-018-3538-3 [pii]
AID - 3538 [pii]
AID - 10.1186/s12913-018-3538-3 [doi]
PST - epublish
SO - BMC Health Serv Res. 2018 Sep 19;18(1):725. doi: 10.1186/s12913-018-3538-3.
PMID- 31656611
OWN - NLM
LR - 20200901
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 26
IP - 5
DP - 2019 Sep
TI - Exploring the experiences and opinions of hospital pharmacists working 24/7
shifts.
PG - 253-257
LID - 10.1136/ejhpharm-2017-001401 [doi]
AB - OBJECTIVES: The expansion of out-of-hours pharmacy services results from a
drive to
improve patient care and promote integration into the wider healthcare team.
However, there has been little attempt to explore these intended outcomes as
well as
the potential problems arising from working out of hours. The aim of this
study was
to explore the experiences and views of pharmacists who work shifts as part
of a
24/7 pharmacy service. METHODS: Semistructured interviews with shift-working
pharmacists were conducted. Data were analysed using a framework approach.
RESULTS:
Pharmacists described the positive impact they had on patient safety by
ensuring the
prompt supply of time-critical medicines and their proactive role in
preventing
adverse drug events. Pharmacists' on-site presence and attendance at handover
promoted integration into the wider team and facilitated unplanned
interventions.
However, requests for non-urgent supplies were a source of frustration.
Disparity of
pharmacists' perceptions of senior support demonstrated a need to explore
communication further and the importance of non-technical skills, such as
communication in service provision. Shift work appeared to be a double-edged
sword
for work-life balance, preventing participation in regular hobbies, but
providing
flexibility. Service improvements could include technician support, greater
feedback
provision and improved ordering processes. CONCLUSIONS: Overall, pharmacists
believed the shift service exhibited numerous advantages over a traditional
remote
on-call service, particularly in improving aspects of patient safety and
integration
into the wider healthcare team. Clarity of the service scope and development
of
non-technical skills are areas for improvement and development.
CI - © European Association of Hospital Pharmacists (unless otherwise stated in
the text
of the article) 2019. All rights reserved. No commercial use is permitted
unless
otherwise expressly granted.
FAU - Lewis, Penny J
AU - Lewis PJ
AUID- ORCID: 0000-0002-3976-5807
AD - Division of Pharmacy and Optometry, School of Health Sciences, Faculty of
Biology,
Medicine and Health, Manchester Academic Health Science Centre, The
University of
Manchester, Manchester, UK.
AD - Pharmacy Department, Manchester University NHS Foundation Trust, Manchester,
UK.
FAU - Forster, Abbey
AU - Forster A
Biology,
University of
FAU - Magowan, Matthew
AU - Magowan M
Biology,
University of
FAU - Armstrong, Debra
AU - Armstrong D
AD - Pharmacy Department, Manchester University NHS Foundation Trust, Manchester,
UK.
LA - eng
DEP - 20180307
JID - 101578294
PMC - PMC6788277
OTO - NOTNLM
OT - clinical pharmacy
OT - clinical pharmacy services
OT - medical errors
OT - organisation of health services
OT - patient safety
OT - pharmacy management (personnel)
EDAT- 2019/10/28 06:00
MHDA- 2019/10/28 06:01
CRDT- 2019/10/29 06:00
PHST- 2017/09/13 00:00 [received]
PHST- 2018/02/13 00:00 [revised]
PHST- 2018/02/15 00:00 [accepted]
PHST- 2019/10/29 06:00 [entrez]
PHST- 2019/10/28 06:00 [pubmed]
PHST- 2019/10/28 06:01 [medline]
AID - 10.1136/ejhpharm-2017-001401 [doi]
PST - ppublish
SO - Eur J Hosp Pharm. 2019 Sep;26(5):253-257. doi: 10.1136/ejhpharm-2017-001401.
Epub
2018 Mar 7.
PMID- 31949533
OWN - NLM
LR - 20200930
IS - 1857-9655 (Print)
IS - 1857-9655 (Linking)
VI - 7
IP - 19
DP - 2019 Oct 15
TI - Incentives Motivating Mentors and Criteria for Selecting Mentors in the
Pre-Graduation Traineeship of Future Registered Nurses.
PG - 3294-3297
LID - 10.3889/oamjms.2019.714 [doi]
AB - BACKGROUND: Modern education in the field of healthcare is faced with the
challenge
of coping with one of the most important tasks - to develop in students a set
of
competencies which serve as a sound basis for mastering a series of job-
specific
knowledge, skills and abilities, and which constitute a guarantee for coping
successfully with all everyday tasks. The attention of the mentor is focused
on
finding the most reasonable solution to the various situations that the
trainee may
find him/herself in, and ensuring emotional comfort. AIM: To identify the
grounds
and criteria for selecting mentors for the pre-graduation traineeships of the
future
registered nurses. METHODS: To determine the opinion of the mentors, we
surveyed 106
mentors in several university hospitals: 'St. Georgi' University Hospital -
Plovdiv,
MPHAT AD - Haskovo, 'Dr. At. Dafovski' University Hospital - Kardzhali,
University
Hospital - Stara Zagora. RESULTS: During the pre-graduation traineeship in a
real-life environment, students have the opportunity to develop and
consolidate a
series of skills, competences and qualities which are an integral part of the
modern
image of the registered nurse. Logically, the mentor should be the leading
factor in
the pre-graduation traineeship, yet the tutor has organisational and control
functions. CONCLUSION: Mentors are expected to ensure patient safety, as well
to
create suitable working conditions for students.
CI - Copyright: © 2019 Snezhana Dragusheva, Penka Petleshkova, Gordana Panova.
FAU - Dragusheva, Snezhana
AU - Dragusheva S
AD - Department of Nursing, Faculty of Public Health, Medical University -
Plovdiv,
Plovdiv, Bulgaria.
FAU - Petleshkova, Penka
AU - Petleshkova P
AD - Department Obstetrics and Gynaecology, Medical Faculty, Medical University -
Plovdiv, Bulgaria.
FAU - Panova, Gordana
AU - Panova G
AD - Faculty of Medical Sciences, University Goce Delchev, Stip, Republic of
Macedonia.
LA - eng
DEP - 20190911
TA - Open Access Maced J Med Sci
JT - Open access Macedonian journal of medical sciences
JID - 101662294
PMC - PMC6953951
OTO - NOTNLM
OT - Mentors
OT - Pre-graduation traineeship
OT - Trainee-nurses
EDAT- 2020/01/18 06:00
MHDA- 2020/01/18 06:01
CRDT- 2020/01/18 06:00
PHST- 2019/08/04 00:00 [received]
PHST- 2019/08/21 00:00 [revised]
PHST- 2019/08/22 00:00 [accepted]
PHST- 2020/01/18 06:00 [entrez]
PHST- 2020/01/18 06:00 [pubmed]
PHST- 2020/01/18 06:01 [medline]
AID - OAMJMS-7-3294 [pii]
AID - 10.3889/oamjms.2019.714 [doi]
PST - epublish
SO - Open Access Maced J Med Sci. 2019 Sep 11;7(19):3294-3297. doi:
10.3889/oamjms.2019.714. eCollection 2019 Oct 15.
PMID- 32414725
OWN - NLM
STAT- In-Process
LR - 20201214
IS - 1470-2118 (Print)
IS - 1470-2118 (Linking)
VI -20
IP -3
DP -2020 May
TI -From paper to paperless: Do electronic systems ensure safe and effective
communication and documentation of DNACPR decisions?
PG - 329-333
LID - 10.7861/clinmed.2019-0450 [doi]
AB - INTRODUCTION: An electronic resuscitation system, implemented in 2015, within
electronic patient records (EPR) at King's College Hospital NHS Foundation

Trust was
studied, aiming to review and improve decision documentation and
communication.
METHOD: The study (January 2018 - June 2018) included all gerontology
inpatients
with electronic do not attempt cardiopulmonary resuscitation (e-DNACPR)
decisions.
Cases were identified weekly, followed by retrospective analysis of
discharges.
Amendments to the electronic system and improvements were implemented between
cycles. CYCLE 1: One-hundred and thirty-three patients were included; 85% had
an
e-DNACPR form; 86% of all forms had senior doctor involvement; 68% evidenced
patient/relative discussion; 13% documented multidisciplinary team (MDT)
discussion.
INTERVENTIONS: A mandatory 'named nurse' field was added to the form and
trust-wide
education programme implemented. CYCLE 2: One-hundred and twenty-six patients
were
included; 100% had an e-DNACPR form; 93% evidenced senior doctor involvement;
71%
evidenced patient/relative discussion; 57% documented MDT discussion.
CONCLUSION:
Changes to the process and trust-wide education resulted in more robust
documentation and communication.
CI - © Royal College of Physicians 2020. All rights reserved.
FAU - Harrington, Laura
AU - Harrington L
AD - University College London Hospitals NHS Foundation Trust, London, UK
laura.harrington6@nhs.net.
FAU - Price, Kathryn
AU - Price K
AD - University Hospital Lewisham, London, UK.
FAU - Edmonds, Polly
AU - Edmonds P
AD - King's College Hospital NHS Foundation Trust, London, UK.
LA - eng
JID - 101092853
SB - IM
PMC - PMC7354023
OTO - NOTNLM
OT - *DNACPR
OT - *Resuscitation
OT - *advanced care planning
OT - *communication
EDAT- 2020/05/18 06:00
MHDA- 2020/05/18 06:00
CRDT- 2020/05/17 06:00
PHST- 2020/05/17 06:00 [entrez]
PHST- 2020/05/18 06:00 [pubmed]
PHST- 2020/05/18 06:00 [medline]
AID - 20/3/329 [pii]
AID - 10.7861/clinmed.2019-0450 [doi]
PST - ppublish
SO - Clin Med (Lond). 2020 May;20(3):329-333. doi: 10.7861/clinmed.2019-0450.
PMID- 32092854
OWN - NLM
LR - 20200928
IS - 2308-3417 (Linking)
VI - 5
IP - 1
DP - 2020 Feb 19
TI - Optimising Medicines Administration for Patients with Dysphagia in Hospital:
Medical
or Nursing Responsibility?
LID - 10.3390/geriatrics5010009 [doi]
LID - 9
AB - Dysphagia is common-not only associated with stroke, dementia, Parkinson's
but also
in many non-neurological medical problems-and is increasingly prevalent in
ageing
patients, where malnutrition is common and pneumonia is frequently the main
cause of
death. To improve the care of people with dysphagia (PWD) and minimise risk
of
aspiration and choking, the textures of food and drinks are frequently
modified.
Whilst medicines are usually concurrently prescribed for PWD, their texture
is
frequently not considered and therefore any minimisation of risk with respect
to
food and drink may be being negated when such medicines are administered.
Furthermore, evidence is starting to emerge that mixing thickeners with
medicines
can, in certain circumstances, significantly affect drug bioavailability and
therefore amending the texture of a medicine may not be straightforward.
Research
across a number of hospital trusts demonstrated that PWD are three times more
likely
to experience medication administration errors than those without dysphagia
located
on the same ward. Errors more commonly seen in PWD were missed doses, wrong
formulation and wrong preparation through medicines alteration. Researchers
also
found that the same patient with dysphagia would be given their medicines in
entirely different ways depending on the person administering the medicine.
The
alteration of medicines prior to administration has potential for patient
harm,
particularly if the medicine has been designed to release medicines at a pre-
defined
rate or within a pre-defined location. Alteration of medicines can have
significant
legal implications and these are frequently overlooked. Dispersing, crushing
or
mixing medicines can be part of, or misconstrued as, covert administration,
thus
introducing a further raft of legislation. Guidance within the UK recommends
that
following identification of dysphagia, the ongoing need for the medicine
should be
considered, as should the most appropriate route and formulation, with
medicines
alteration used as a last resort. The patient should be at the centre of any
decision making. Evidence suggests that in the UK this guidance is not being
followed. This article considers the clinical and legal issues surrounding
administration of medicines to PWD from a UK perspective and debates whether
medicines optimisation should be the primary responsibility of the prescriber
when
initiating therapy on the ward or the nurse who administers the medicine.
FAU - Wright, David J
AU - Wright DJ
AUID- ORCID: 0000-0003-3690-9593
AD - Professor of Pharmacy Practice, School of Pharmacy, University of East
Anglia,
Norwich NR4 7TJ, UK.
FAU - Smithard, David G
AU - Smithard DG
AUID- ORCID: 0000-0001-6863-3099
AD - University of Greenwich, London SE9 2UG, UK.
AD - Consultant Physician, Queen Elizabeth Hospital, Woolwich, London SE18 4QH,
UK.
FAU - Griffith, Richard
AU - Griffith R
AD - Senior Lecturer in Law, College of Human and Health Sciences, Swansea
University,
Swansea SA2 8PP, UK.
LA - eng
DEP - 20200219
TA - Geriatrics (Basel)
JT - Geriatrics (Basel, Switzerland)
JID - 101704019
PMC - PMC7151233
OTO - NOTNLM
OT - dysphagia
OT - formulation alteration
OT - medicines administration
COIS- David Wright has previously undertaken consultancy work for Rosemont
Pharmaceuticals, manufacturers of generic liquid medicines.
EDAT- 2020/02/26 06:00
MHDA- 2020/02/26 06:01
CRDT- 2020/02/26 06:00
PHST- 2019/09/20 00:00 [received]
PHST- 2020/02/04 00:00 [revised]
PHST- 2020/02/05 00:00 [accepted]
PHST- 2020/02/26 06:00 [entrez]
PHST- 2020/02/26 06:00 [pubmed]
PHST- 2020/02/26 06:01 [medline]
AID - geriatrics5010009 [pii]
AID - geriatrics-05-00009 [pii]
AID - 10.3390/geriatrics5010009 [doi]
PST - epublish
SO - Geriatrics (Basel). 2020 Feb 19;5(1):9. doi: 10.3390/geriatrics5010009.
PMID- 33231103
OWN - NLM
STAT- Publisher
LR - 20201124
IS - 1740-7745 (Linking)
DP - 2020 Nov 24
TI - Online monitoring of patient self-reported adverse events in early phase
clinical
trials: Views from patients, clinicians, and trial staff.
PG - 1740774520972125
LID - 10.1177/1740774520972125 [doi]
AB - BACKGROUND/AIMS: New classes of cancer drugs bring a range of unknown and
undesirable adverse events. Adverse event monitoring is essential in phase I
trials
to assess toxicity and safety. In phase II, the focus is also on efficacy but
robust
data on adverse events continue to inform the safety and the adverse event
profile.
Standard, clinician-led monitoring has been shown to underestimate patients'
symptoms. Hence, patient-reported adverse event monitoring has been argued to
complement and improve the information on adverse events in early phase

clinical
trials. With advances in information technology, real-time patient self-
reported
adverse events in trials are feasible. This study explored the experiences
and
procedures for reporting adverse events in early phase trials among patients,
clinical staff, and trial staff, and their views on using an electronic
patient-reported outcome adverse event system in this setting. METHODS:
Qualitative
interviews were conducted with patients, purposively sampled across ages,
gender,
and different phases of trials, and with clinical and trial-related staff
involved
in early phase trials (e.g. consultants, research nurses, hospital-based
trial
assistants/data managers, trial unit management staff). Interviews explored
patient
experiences and views on current adverse event reporting processes and
electronic
patient-reported outcome adverse event reporting. Framework analysis
techniques were
used to analyse the data. RESULTS: Interviewees were from two hospital trusts
with
early phase portfolios in England and a trial unit, and included sixteen
patients,
five consultants, four research nurses, five hospital-based trial staff, and
two
trial unit staff. Interviews identified three key themes (patient
experiences, data
flow, and views on electronic patient-reported outcome adverse event
reporting).
Stakeholders emphasised the intensity of trials for patients and the
importance of
extensive information provision within the uncertainty of early phase trial
drugs.
Regular face-to-face appointments for patients supplemented by telephone
contact
aimed to capture any adverse events. Delayed or under-reporting of mild- or
low-severity symptoms was evident among patients. Hospital-based staff
highlighted
the challenges of current data collection including intense timescales,
monitoring
by trial sponsors, and high workload. Positive views on electronic patient-
reported
outcome adverse events highlighted that this could provide a more
comprehensive and
accurate view on the side effects of new drugs. Clinical staff emphasised
patient
safety and the need for clear responsibilities for monitoring. The need for
careful
decision-making about data flow and symptom attribution was highlighted; with
trial
unit staff emphasising the need for clinician review. CONCLUSION: Technology
advances mean it is timely to explore the benefits and challenges of
electronic
patient-reported outcome adverse event reporting. This is a complex area
warranting
further consideration within the trial community. We have developed an online
patient self-reporting tool and a small pilot with early phase trial patients
is
underway.
FAU - Kennedy, Fiona
AU - Kennedy F
AUID- ORCID: 0000-0002-4910-2505
AD - Patient Reported Outcomes Group, Section of Patient-Centred Outcomes
Research, Leeds
Institute of Medical Research (LIMR) at St James's, University of Leeds,
Leeds, UK.
FAU - Shearsmith, Leanne
AU - Shearsmith L
Research, Leeds
Leeds, UK.
FAU - Ayres, Michael
AU - Ayres M
Research, Leeds
Leeds, UK.
FAU - Lindner, Oana C
AU - Lindner OC
Research, Leeds
Leeds, UK.
FAU - Marston, Lewis
AU - Marston L
Research, Leeds
Leeds, UK.
FAU - Pass, Alison
AU - Pass A
AD - Sheffield Experimental Cancer Medicine Centre, University of Sheffield &
Sheffield
Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
FAU - Danson, Sarah
AU - Danson S
AD - Sheffield Experimental Cancer Medicine Centre, University of Sheffield &
Sheffield
Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
FAU - Velikova, Galina
AU - Velikova G
Research, Leeds
Leeds, UK.
LA - eng
DEP - 20201124
PL - England
TA - Clin Trials
JT - Clinical trials (London, England)
JID - 101197451
SB - IM
OTO - NOTNLM
OT - Adverse events
OT - Internet
OT - clinical trial
OT - patient-reported outcome
OT - symptoms
EDAT- 2020/11/25 06:00
MHDA- 2020/11/25 06:00
CRDT- 2020/11/24 08:37
PHST- 2020/11/24 08:37 [entrez]
PHST- 2020/11/25 06:00 [pubmed]
PHST- 2020/11/25 06:00 [medline]
AID - 10.1177/1740774520972125 [doi]
PST - aheadofprint
SO - Clin Trials. 2020 Nov 24:1740774520972125. doi: 10.1177/1740774520972125.
PMID- 28971175
OWN - NLM
LR - 20200930
IS - 2536-4553 (Print)
IS - 2536-4553 (Linking)
VI - 4
IP - 2
DP - 2017
TI - Determination of health workers' level of knowledge about blood transfusion.
PG - 165-172
LID - 10.14744/nci.2017.41275 [doi]
AB - OBJECTIVE: This study was conducted to determine the knowledge level of
healthcare
workers about blood transfusion. METHODS: The study was conducted between
October 1,
2015 and November 2, 2015 with 100 healthcare personnel working in a training
and
research hospital. A survey consisting of 19 questions based on the
literature was
prepared and administered. In addition to descriptive statistical methods
(frequency), Fisher's exact chi-square test and Yates' correction for
continuity
were used to compare qualitative data. Significance was assessed at p<0.05.
RESULTS:
Of the total, 52% of the participants were ≤29 years of age and 94% were
women. In
all, 71% were nurses and 42% had been working at the hospital for 2 to 5
years.
Seventy-nine percent indicated that they had been trained in blood and blood
product
transfusion, 86% stated that transfusions were performed to replace deficient
blood
volume, and 95% responded that blood was to be requested by a physician, and
97%
indicated that informed consent of the patient should be obtained for a blood
transfusion. In all, 78% of respondents identified crossmatching as the final

check
for ABO compatibility. With respect to blood unit quality, 90% of the
respondents
stated that they would return blood if the label could not be read and 98%
would
reject the product if the integrity of the blood bag was compromised or of
the blood
had a cloudy or foamy appearance. In the event of a patient experiencing
fever and
shock, 96% of the survey participants indicated that they would consider that
it
could be a reaction to a blood transfusion. The need to confirm the patient's
identity and the type of blood products was corroborated by 91%, and 85%
agreed that
no other medication should be added to the blood to be transfused.
Furthermore, 88%
of the study participants approved of continuous training regarding the
transfusion
of blood and blood products. CONCLUSION: According to the results of this
research,
while the knowledge of the healthcare professionals surveyed was adequate,
standardization was lacking. In this respect, it may be advisable to conduct
further
studies on blood transfusion practices, and to provide additional in-service
training to ensure patient safety and avoid medical errors.
FAU - Kavaklioglu, Aysegul Beyazpinar
AU - Kavaklioglu AB
AD - Department of Research and Development, Balikesir Public Hospitals
Association,
Balikesir, Turkey.
FAU - Dagci, Selma
AU - Dagci S
AD - Department of Gastroenterology, Umraniye Training and Research Hospital,
Istanbul,
Turkey.
FAU - Oren, Besey
AU - Oren B
AD - Department of Midwifery, University of Health Sciences Faculty of Health
Sciences,
Istanbul, Turkey.
LA - eng
DEP - 20170826
TA - North Clin Istanb
JT - Northern clinics of Istanbul
JID - 101684520
PMC - PMC5613265
OTO - NOTNLM
OT - Blood
OT - education
OT - health worker
OT - nurse
OT - transfusion
COIS- Conflict of Interest: None declared.
EDAT- 2017/10/04 06:00
MHDA- 2017/10/04 06:01
CRDT- 2017/10/04 06:00
PHST- 2017/01/31 00:00 [received]
PHST- 2017/06/22 00:00 [accepted]
PHST- 2017/10/04 06:00 [entrez]
PHST- 2017/10/04 06:00 [pubmed]
PHST- 2017/10/04 06:01 [medline]
AID - NCI-4-165 [pii]
AID - 10.14744/nci.2017.41275 [doi]
PST - epublish
SO - North Clin Istanb. 2017 Aug 26;4(2):165-172. doi: 10.14744/nci.2017.41275.
eCollection 2017.
PMID- 29847253
OWN - NLM
STAT- MEDLINE
DCOM- 20190524
LR - 20190701
IS - 0272-989X (Print)
VI - 38
IP - 5
DP - 2018 Jul
TI - Patients' and Clinicians' Perceptions of Antibiotic Prescribing for Upper
Respiratory Infections in the Acute Care Setting.
PG - 547-561
LID - 10.1177/0272989X18770664 [doi]
AB - Reducing inappropriate prescribing is key to mitigating antibiotic
resistance,
particularly in acute care settings. Clinicians' prescribing decisions are
influenced by their judgments and actual or perceived patient expectations.
Fuzzy
trace theory predicts that patients and clinicians base such decisions on
categorical gist representations that reflect the bottom-line understanding
of
information about antibiotics. However, due to clinicians' specialized
training, the
categorical gists driving clinicians' and patients' decisions might differ,
which
could result in mismatched expectations and inefficiencies in targeting
interventions. We surveyed clinicians and patients from 2 large urban
academic
hospital emergency departments (EDs) and a sample of nonpatient subjects
regarding
their gist representations of antibiotic decisions, as well as relevant
knowledge
and expectations. Results were analyzed using exploratory factor analysis
(EFA) and
multifactor regression. In total, 149 clinicians (47% female; 74% white), 519
online
subjects (45% female; 78% white), and 225 ED patients (61% female; 56% black)
completed the survey. While clinicians demonstrated greater knowledge of

antibiotics
and concern about side effects than patients, the predominant categorical
gist for
both patients and clinicians was "why not take a risk," which compares the
status
quo of remaining sick to the possibility of benefit from antibiotics. This
gist also
predicted expectations and prior prescribing in the nonpatient sample. Other
representations reflected the gist that "germs are germs" conflating bacteria
and
viruses, as well as perceptions of side effects and efficacy. Although
individually
rational, reliance on the "why not take a risk" representation can lead to
socially
suboptimal results, including antibiotic resistance and individual patient
harm due
to adverse events. Changing this representation could alter clinicians' and
patients' expectations, suggesting opportunities to reduce overprescribing.
FAU - Broniatowski, David A
AU - Broniatowski DA
AD - Department of Engineering Management and Systems Engineering, The George
Washington
University, Washington, DC, USA.
FAU - Klein, Eili Y
AU - Klein EY
AD - Department of Emergency Medicine, Johns Hopkins University, Baltimore, MD,
USA.
AD - Center for Disease Dynamics, Economics, & Policy, Washington, DC, USA.
FAU - May, Larissa
AU - May L
AD - Department of Emergency Medicine, University of California, Davis,
Sacramento, CA,
USA.
FAU - Martinez, Elena M
AU - Martinez EM
AD - Center for Disease Dynamics, Economics, & Policy, Washington, DC, USA.
FAU - Ware, Chelsea
AU - Ware C
AD - Department of Medicine, The GW Medical Faculty Associates, Washington, DC,
USA.
FAU - Reyna, Valerie F
AU - Reyna VF
AD - Departments of Human Development and Psychology, Center for Behavioral
Economics and
Decision Research and Human Neuroscience Institute, Cornell University,
Ithaca, NY,
USA.
LA - eng
TA - Med Decis Making
JT - Medical decision making : an international journal of the Society for Medical
Decision Making
JID - 8109073
SB - IM
MH - Academic Medical Centers
MH - Adolescent
MH - Adult
MH - Animals
MH - Decision Making
MH - District of Columbia
MH - Ethnic Groups/statistics & numerical data
MH - Factor Analysis, Statistical
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - Patients/*psychology
MH - Physicians/*psychology
MH - Respiratory Tract Infections/*drug therapy
MH - Young Adult
PMC - PMC6274591
MID - NIHMS954368
OTO - NOTNLM
OT - *antimicrobial resistance
OT - *framing
OT - *fuzzy trace theory
OT - *gist
OT - *risk
EDAT- 2018/05/31 06:00
MHDA- 2019/05/28 06:00
CRDT- 2018/05/31 06:00
PHST- 2018/05/31 06:00 [entrez]
PHST- 2018/05/31 06:00 [pubmed]
PHST- 2019/05/28 06:00 [medline]
AID - 10.1177/0272989X18770664 [doi]
PST - ppublish
SO - Med Decis Making. 2018 Jul;38(5):547-561. doi: 10.1177/0272989X18770664.
PMID- 31157033
OWN - NLM
LR - 20200225
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 25
IP - 5
DP - 2018 Sep
TI - EAHP European Statements Survey 2017, focusing on sections 2 (Selection,
Procurement
and Distribution), 5 (Patient Safety and Quality Assurance) and 6 (Education
and
Research).
PG - 237-244
LID - 10.1136/ejhpharm-2018-001659 [doi]
AB - OBJECTIVES: The 2017 EAHP European Statements Survey focussed on sections 2,
5 and 6
of the European Statements of Hospital Pharmacy. Statistical data on the
level of
implementation and on the main barriers to implementation of the Statements
were
collected. A further aim was to identify barriers in general, such as lack of
awareness. METHODS: An online questionnaire was sent to all hospital

pharmacies in
European Association of Hospital Pharmacists (EAHP) member countries. Data
were
analysed at Keele University School of Pharmacy, UK by and the EAHP Survey
Group.
RESULTS: There were 783 complete responses (response rate 17.4%). Some 42% of
responders worked in teaching hospitals, 76% of hospital pharmacies had 10 or

less
pharmacists, and 46% of hospital pharmacies served over 500 beds.Five
questions
revealing the lowest implementation levels were further analysed in greater
detail.
Only 30% of respondents reported that their hospital pharmacists routinely
publish
hospital pharmacy practice research, and only 50% are involved in the
development of
local or national guidelines. 45% of respondents reported that computerised
decision
support was used to reduce the risk of medication errors in their hospitals,
69%
stated that they had contingency plans for medicines shortages and 60%
answered that
they had had reason to contact their medicines authority because of drug
shortages.
63% reported that the transcription step had been eliminated from the
medicines
administration process. CONCLUSIONS: The survey has provided the EAHP with an
overview of the implementation level as well as the barriers to and drivers

of
implementation of sections 2, 5 and 6. This is important for informing the
plans of
EAHP and its members so that implementation can be fully supported.
FAU - Horák, Petr
AU - Horák P
AD - Hospital Pharmacy, University Hospital Motol, Prague 5, Czech Republic.
FAU - Underhill, Jonathan
AU - Underhill J
AD - Centre for Medicines Optimisation, Keele University, Keele, UK.
FAU - Batista, Aida
AU - Batista A
AD - Department of Pharmacy, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE,
Vila Nova
de Gaia, Portugal.
FAU - Amann, Steffen
AU - Amann S
AD - Krankenhausapotheke (Hospital Pharmacy), Stadtisches Klinikum Munchen GmbH,
Munchen,
Germany.
FAU - Gibbons, Nicholas
AU - Gibbons N
AD - Centre for Medicines Optimisation, Keele University, Keele, UK.
LA - eng
PT - Review
DEP - 20180731
JID - 101578294
PMC - PMC6452411
OTO - NOTNLM
OT - European statements of hospital pharmacy
OT - drug procurement
OT - hospital pharmacy education
OT - survey
EDAT- 2019/06/04 06:00
MHDA- 2019/06/04 06:01
CRDT- 2019/06/04 06:00
PHST- 2018/07/01 00:00 [received]
PHST- 2018/07/10 00:00 [revised]
PHST- 2018/07/13 00:00 [accepted]
PHST- 2019/06/04 06:00 [entrez]
PHST- 2019/06/04 06:00 [pubmed]
PHST- 2019/06/04 06:01 [medline]
AID - 10.1136/ejhpharm-2018-001659 [doi]
PST - ppublish
SO - Eur J Hosp Pharm. 2018 Sep;25(5):237-244. doi: 10.1136/ejhpharm-2018-001659.
Epub
2018 Jul 31.
PMID- 31118002
OWN - NLM
STAT- MEDLINE
DCOM- 20190812
LR - 20200225
IS - 1472-6963 (Linking)
VI - 19
IP - 1
DP - 2019 May 22
TI - Evaluating the implementation and impact of a pharmacy technician-supported
medicines administration service designed to reduce omitted doses in
hospitals: a
qualitative study.
PG - 325
LID - 10.1186/s12913-019-4146-6 [doi]
LID - 325
AB - BACKGROUND: Of the various types of medication administration error that
occur in
hospitals, dose omissions are consistently reported as among the most common.
It has
been suggested that greater involvement from pharmacy teams could help
address this
problem. A pilot service, called pharmacy TECHnician supported MEDicines
administration (TECHMED), was introduced in an English NHS hospital for a
four-week
period in order to reduce preventable medication dose omissions. The
objective of
this study was to evaluate the implementation, delivery and impact of the
pilot
TECHMED service using qualitative methods. METHODS: Semi-structured
interviews with
pharmacy technicians, nursing staff and senior management involved with the
pilot
service were undertaken to evaluate TECHMED. Interviews were transcribed
verbatim
and analysed using the framework approach, guided by Weiss's Theory Based
Evaluation
model. RESULTS: Twenty-two stakeholder interviews were conducted with 10
ward-based
pharmacy technicians, nine nurses and three members of senior management.
Most
technicians performed a range of activities in line with the service
specification,
including locating drugs from a variety of sources, and identified situations
where
they had prevented missing doses. Nurses reported positive impacts of TECHMED
on
workload. However, not all technicians fully adhered to the service
specification in
regard to directly following nursing staff during each medication round,
citing
reasons related to productivity or perceived intrusiveness towards nursing
staff.
Some participants also reported a perceived lack of impact of TECHMED on
medicine
omissions. Seventeen of the 22 interviewees supported an extension of the
service.
There were however, concerns about the impact on technician workload and some
participants advocated support for targeted service extension to wards/rounds

with
high schedule dose volumes and omitted dose rates. CONCLUSIONS: The findings
of this
study suggest that the implementation of a pharmacy technician-supported
medicines
administration scheme to reduce omitted doses may be acceptable to staff in
an NHS
hospital, and that issues with service fidelity, staff resource/capacity and
perceived interventions to avoid dose omissions have important implications
for the
feasibility of extending the service. The study has identified targets for
future
development in relation to individual and system factors to improve
operationalisation of technician-led initiatives to reduce medicines
omissions.
FAU - Seston, Elizabeth M
AU - Seston EM
AD - Centre for Pharmacoepidemiology and Drug Safety, Division of Pharmacy and
Optometry,
School of Health Sciences, Faculty of Biology, Medicine and Health,
University of
Manchester, Manchester Academic Health Science Centre, University of
Manchester,
Oxford Road, Manchester, M13 9PT, UK.
FAU - Ashcroft, Darren M
AU - Ashcroft DM
AUID- ORCID: 0000-0002-2958-915X
Optometry,
University of
Manchester,
AD - NIHR Greater Manchester Patient Safety Translational Research Centre,
University of
FAU - Lamerton, Elizabeth
AU - Lamerton E
Optometry,
University of
Manchester,
AD - Salford Royal NHS Foundation Trust, Salford, UK.
FAU - Harper, Lindsay
AU - Harper L
AD - Salford Royal NHS Foundation Trust, Salford, UK.
FAU - Keers, Richard N
AU - Keers RN
AUID- ORCID: 0000-0001-7854-8154
Optometry,
University of
Manchester,
Oxford Road, Manchester, M13 9PT, UK. richard.keers@manchester.ac.uk.
AD - NIHR Greater Manchester Patient Safety Translational Research Centre,
University of
Manchester, Manchester, UK. richard.keers@manchester.ac.uk.
LA - eng
GR - CPRG2/Pharmacy Research UK and UK Clinical Pharmacy Association/
DEP - 20190522
JID - 101088677
MH - England
MH - Female
MH - Hospitals/statistics & numerical data
MH - Humans
MH - Male
MH - Pharmacy Technicians/*statistics & numerical data
MH - Pilot Projects
MH - State Medicine
MH - Workload/statistics & numerical data
PMC - PMC6532198
OTO - NOTNLM
OT - Omitted dose
OT - Patient safety
OT - Pharmacy technician
OT - Qualitative study
EDAT- 2019/05/24 06:00
MHDA- 2019/08/14 06:00
CRDT- 2019/05/24 06:00
PHST- 2018/08/01 00:00 [received]
PHST- 2019/05/08 00:00 [accepted]
PHST- 2019/05/24 06:00 [entrez]
PHST- 2019/05/24 06:00 [pubmed]
PHST- 2019/08/14 06:00 [medline]
AID - 10.1186/s12913-019-4146-6 [pii]
AID - 4146 [pii]
AID - 10.1186/s12913-019-4146-6 [doi]
PST - epublish
SO - BMC Health Serv Res. 2019 May 22;19(1):325. doi: 10.1186/s12913-019-4146-6.
PMID- 30866925
OWN - NLM
STAT- MEDLINE
DCOM- 20190429
LR - 20200225
IS - 1472-6963 (Linking)
VI - 19
IP - 1
DP - 2019 Mar 12
TI - The impact of implementing a hospital electronic prescribing and
administration
system on clinical pharmacists' activities - a mixed methods study.
PG - 156
LID - 10.1186/s12913-019-3986-4 [doi]
LID - 156
AB - BACKGROUND: The increasing adoption of hospital electronic prescribing and
medication administration (ePA) systems has driven a wealth of research
around the
impact on patient safety. Yet relatively little research has sought to
understand
the effects on staff, particularly pharmacists. We aimed to investigate the
effects
of ePA on pharmacists' activities, including interactions with patients and
health
professionals, and their perceptions of medication safety risks. METHODS: A
mixed
methods study comprising quantitative direct observations of ward pharmacists
before
and after implementation of ePA in an English hospital, and semi-structured
interviews post-ePA. Quantitative data comprised multi-dimensional work
activity
sampling to establish the proportion of time ward pharmacists spent on
different
tasks, with whom and where. These data were extrapolated to estimate task
duration.
Qualitative interviews with pharmacists explored perceived impact on (i) ward
activities, (ii) interactions with patients and different health

professionals,
(iii) locations where tasks were carried out, and (iv) medication errors.
RESULTS:
Observations totalled 116 h and 50 min. Task duration analysis suggested
screening
inpatient medication increased by 16 mins per 10 patients reviewed (p =
0.002), and
searching for paper drug charts or computer decreased by 2 mins per 10
patients
reviewed (p = 0.001). Pharmacists mainly worked alone (58% of time pre- and
65%
post-ePA, p = 0.17), with patient interactions reducing from 5 to 2% of time
(p = 0.03). Seven main themes were identified from the interviews,
underpinned by a
core explanatory concept around the enhanced and shifting role of the ward
pharmacist post-ePA. Pharmacists perceived there to be a number of valuable
safety
features with ePA. However, paradoxically, some of these may have also
inadvertently
contributed to medication errors. CONCLUSION: This study provides
quantitative and
qualitative insights into the effects of implementing ePA on ward
pharmacists'
activities. Some tasks took longer while others reduced, and pharmacists may
spend
less time with patients with ePA. Pharmacists valued a number of safety
features
associated with ePA but also perceived an overall increase in medication
risk.
Pharmacy staff demonstrated a degree of resilience to ensure 'business as
usual' by
enhancing and adapting their role.
FAU - McLeod, Monsey
AU - McLeod M
AD - Centre for Medication Safety and Service Quality, Imperial College Healthcare
NHS
Trust, Charing Cross Hospital, Fulham Palace Road, London, W6 8RF, UK.
FAU - Karampatakis, Georgios Dimitrios
AU - Karampatakis GD
AD - School of Pharmacy, University of Reading, Whiteknights Campus, PO Box 226,
Reading,
RG6 6AP, UK.
FAU - Heyligen, Lore
AU - Heyligen L
AD - Faculty of Pharmaceutical Sciences, Catholic University of Leuven, Campus
Gasthuisberg, O&N II, Herestraat 49 bus 420, 3000, Leuven, Belgium.
FAU - McGinley, Ann
AU - McGinley A
AD - Pharmacy Department, Imperial College Healthcare NHS Trust, Charing Cross
Hospital,
Fulham Palace Road, London, W6 8RF, UK.
FAU - Franklin, Bryony Dean
AU - Franklin BD
AUID- ORCID: 0000-0002-2892-1245
NHS
Trust, Charing Cross Hospital, Fulham Palace Road, London, W6 8RF, UK.
bryony.deanfranklin@ucl.ac.uk.
AD - Research Department of Practice and Policy, UCL School of Pharmacy, Brunswick
Square, London, WC1N 1AX, UK. bryony.deanfranklin@ucl.ac.uk.

LA - eng
DEP - 20190312
JID - 101088677
SB - IM
MH - *Electronic Prescribing
MH - England
MH - Health Personnel/organization & administration/statistics & numerical data
MH - Hospitalization/statistics & numerical data
MH - Hospitals, Teaching/statistics & numerical data
MH - Humans
MH - Medication Errors/prevention & control/statistics & numerical data
MH - Patient Safety
MH - Perception
MH - Pharmacists/*organization & administration/statistics & numerical data
MH - Pharmacy Service, Hospital/organization & administration/statistics &
numerical data
MH - Physician's Role
MH - Practice Patterns, Physicians'/organization & administration/statistics &
numerical
data
PMC - PMC6417214
OTO - NOTNLM
OT - Computerised physician order entry (CPOE)
OT - Electronic prescribing
OT - Electronic prescribing and medication administration system
OT - Interview
OT - Medication safety
OT - Mixed methods
OT - Patient safety
OT - Pharmacist
OT - Work-sampling
OT - Workflow
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: This study was approved and
registered
as service evaluation at the host NHS organisation. NHS research ethics
approval was
not required. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS:
MM and
BDF received an educational grant for a medication safety workshop held in
November
2017 from a pharmaceutical company that is unrelated to this study. BDF is
supervising a PhD studentship funded by the same commercial electronic
prescribing
company as the one used at the study site. This company had no role in study
design,
data collection, data analysis, interpretation of data, decision to publish,
or
writing the manuscript. PUBLISHER’S NOTE: Springer Nature remains neutral
with
affiliations.
EDAT- 2019/03/15 06:00
MHDA- 2019/04/30 06:00
CRDT- 2019/03/15 06:00
PHST- 2018/09/06 00:00 [received]
PHST- 2019/03/04 00:00 [accepted]
PHST- 2019/03/15 06:00 [entrez]
PHST- 2019/03/15 06:00 [pubmed]
PHST- 2019/04/30 06:00 [medline]
AID - 10.1186/s12913-019-3986-4 [pii]
AID - 3986 [pii]
AID - 10.1186/s12913-019-3986-4 [doi]
PST - epublish
SO - BMC Health Serv Res. 2019 Mar 12;19(1):156. doi: 10.1186/s12913-019-3986-4.
PMID- 32327934
OWN - NLM
LR - 20200928
IS - 1472-6955 (Print)
IS - 1472-6955 (Linking)
VI - 19
DP - 2020
TI - Nurses´ perceptions of automated dispensing cabinets - an observational study
and an
online survey.
PG - 27
LID - 10.1186/s12912-020-00420-2 [doi]
LID - 27
AB - BACKGROUND: Thirty-two automated dispensing cabinets (ADCs) were introduced
in May
2015 in Kuopio University Hospital, Finland. These medication distribution
systems
represent relatively new technology in Europe and are aimed at rationalising
the
medication process and improving patient safety. Nurses are the end-users of
ADCs,
and it is therefore important to survey their perceptions of ADCs. Our aim
was to
investigate nurses' perceptions of ADCs and the impacts of ADCs on nurses'
work.
METHODS: The study was conducted in the Anaesthesia and Surgical Unit (OR)
and
Intensive Care Unit (ICU), of a tertiary care hospital, in Finland. We used
two
different research methods: observation and a survey. The observational study
consisted of two 5-day observation periods in both units, one before (2014)
and the
other after (2016) the introduction of ADCs. An online questionnaire was
distributed
to 346 nurses in April 2017. The data were analysed using descriptive
statistics
including frequencies and percentages and the Chi-Square test. RESULTS: The
majority
(n = 68) of the 81 respondents were satisfied with ADCs. Attitudes to ADCs
were more
positive in the ICU than in the OR. Nearly 80% of the nurses in the ICU and
42% in
the OR found that ADCs make their work easier. The observational study
revealed that
in the OR, time spent on dispensing and preparing medications decreased on
average
by 32 min per 8-h shift and more time was spent on direct patient care
activities.
The need to collect medicines from outside the operating theatre during an
operation
was less after the introduction of ADCs than before that. Some resistance to
change
was observed in the OR in the form of non-compliance with some instructions;
nurses
took medicines from ADCs when someone else was logged in and the barcode was
not
always used. The results of the survey support these findings. CONCLUSIONS:
Overall,
nurses were satisfied with ADCs and stated that they make their work easier.
In the
ICU, nurses were more satisfied with ADCs and complied with the instructions
better
than the nurses in the OR. One reason for that can be the more extensive
pilot
period in the ICU.
FAU - Metsämuuronen, Riikka
AU - Metsämuuronen R
AUID- ORCID: 0000-0002-8989-9125
AD - 1School of Pharmacy, University of Eastern Finland, PO Box 1627, FI-70211
Kuopio,
Finland. GRID: grid.9668.1. ISNI: 0000 0001 0726 2490
FAU - Kokki, Hannu
AU - Kokki H
AD - 2School of Medicine, University of Eastern Finland, PO Box 100, FI-70029
Kuopio, KYS
Finland. GRID: grid.9668.1. ISNI: 0000 0001 0726 2490
FAU - Naaranlahti, Toivo
AU - Naaranlahti T
AD - 3School of Pharmacy, University of Eastern Finland, Kuopio, Luolatie 22, FI-
70780
Kuopio, Finland. GRID: grid.9668.1. ISNI: 0000 0001 0726 2490
FAU - Kurttila, Minna
AU - Kurttila M
AD - 4Kuopio University Hospital Pharmacy, Kuopio, Kelkkailijantie 3, FI-70200
Kuopio,
Finland. GRID: grid.410705.7. ISNI: 0000 0004 0628 207X
FAU - Heikkilä, Reeta
AU - Heikkilä R
AD - 5Doctor of Pharmacy, Lecturer, School of Pharmacy, University of Eastern
Finland,
Kuopio, PO Box 1627, FI-70211 Kuopio, Finland. GRID: grid.9668.1. ISNI: 0000
0001
0726 2490
LA - eng
DEP - 20200419
TA - BMC Nurs
JT - BMC nursing
JID - 101088683
PMC - PMC7168878
OTO - NOTNLM
OT - Automated dispensing cabinet, ADC
OT - Drug storage and distribution system
OT - Nurse
OT - Observation
OT - Perception
OT - Survey
OT - Work efficiency
EDAT- 2020/04/25 06:00
MHDA- 2020/04/25 06:01
CRDT- 2020/04/25 06:00
PHST- 2019/05/17 00:00 [received]
PHST- 2020/04/01 00:00 [accepted]
PHST- 2020/04/25 06:00 [entrez]
PHST- 2020/04/25 06:00 [pubmed]
PHST- 2020/04/25 06:01 [medline]
AID - 420 [pii]
AID - 10.1186/s12912-020-00420-2 [doi]
PST - epublish
SO - BMC Nurs. 2020 Apr 19;19:27. doi: 10.1186/s12912-020-00420-2. eCollection
2020.
PMID- 31765418
OWN - NLM
STAT- MEDLINE
DCOM- 20200316
LR - 20200316
IS - 1932-6203 (Linking)
VI - 14
IP - 11
DP - 2019
TI - The impact of language on the interpretation of resuscitation clinical care
plans by
doctors. A mixed methods study.
PG - e0225338
LID - e0225338
AB - INTRODUCTION: Resuscitation clinical care plans (resuscitation plans) are
gradually
replacing 'Not for Cardiopulmonary Resuscitation' orders in the hospital
setting.
The 7-Step Pathway Resuscitation Plan and Alert form (7-Step form) is one
example of
a resuscitation plan. Treatment recommendations in resuscitation plans
currently
lack standardised language, creating potential for misinterpretation and
patient
harm. AIMS: To explore how terminology used in resuscitation plans is
interpreted
and applied by clinicians. METHOD: A mixed methods study surveyed 50 general
medical
doctors, who were required to interpret and apply a 7-Step form in three case
vignettes and define seven key terms. Statistical analysis on multiple choice
and
thematic analysis on free-text responses was performed. RESULTS: Terminology
was
inconsistently interpreted and inconsistently applied, resulting in
clinically
significant differences in treatment choices. Three key themes influenced the
application of a resuscitation plan: in-depth discussion, precise

documentation and
personal experience of the bedside deciding doctor. DISCUSSION: This study
highlights persistent communication deficiencies in resuscitation plan
documentation
and how this may adversely affect patient care; findings unlikely to be
unique to
Australia or South Australia. CONCLUSION: Removing ambiguity by standardising
and
defining the terminology in resuscitation plans will improve bedside
decision-making, while also supporting the rights of the patient to receive
appropriate and desired care.
FAU - Dignam, Colette
AU - Dignam C
AUID- ORCID: 0000-0003-3319-1037
AD - Division of Medicine, Faculty of Health and Medical Sciences, University of
Adelaide, Adelaide, South Australia, Australia.
AD - Division of Medicine, Royal Adelaide Hospital, Adelaide, South Australia,
Australia.
FAU - Thomas, Josephine
AU - Thomas J
AD - Adelaide Medical School, Faculty of Health and Medical Sciences, University
of
FAU - Brown, Margaret
AU - Brown M
AUID- ORCID: 0000-0001-8127-8669
AD - School of Psychology, Social Work, and Social Policy, Division of Education,
Arts
and Social Sciences, University of South Australia, Adelaide, South
Australia,
Australia.
FAU - Thompson, Campbell H
AU - Thompson CH
AD - Division of Medicine, Faculty of Health and Medical Sciences, University of
AD - Division of Medicine, Royal Adelaide Hospital, Adelaide, South Australia,
Australia.
LA - eng
DEP - 20191125
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Attitude
MH - Australia
MH - Comprehension
MH - Health Personnel/*psychology/standards
MH - Humans
MH - *Resuscitation Orders
MH - *Terminology as Topic
PMC - PMC6876871
EDAT- 2019/11/26 06:00
MHDA- 2020/03/17 06:00
CRDT- 2019/11/26 06:00
PHST- 2019/07/23 00:00 [received]
PHST- 2019/11/01 00:00 [accepted]
PHST- 2019/11/26 06:00 [entrez]
PHST- 2019/11/26 06:00 [pubmed]
PHST- 2020/03/17 06:00 [medline]
PST - epublish
SO - PLoS One. 2019 Nov 25;14(11):e0225338. doi: 10.1371/journal.pone.0225338.
eCollection 2019.
PMID- 29684580
OWN - NLM
STAT- Publisher
LR - 20191120
IS - 1976-1317 (Linking)
DP - 2018 Apr 20
TI - Exploring the Influence of Nursing Work Environment and Patient Safety
Culture on
Missed Nursing Care in Korea.
LID - S1976-1317(17)30683-7 [pii]
LID - 10.1016/j.anr.2018.04.003 [doi]
AB - PURPOSE: This study aimed to explore the influence of nurse work environment
and
patient safety culture in hospital on instances of missed nursing care in
South
Korea. METHODS: A cross-sectional design was used, in which a structured
questionnaire was administered to 186 nurses working at a tertiary university
hospital. Data were analyzed using descriptive statistics, t-test or ANOVA,

Pearson
correlation and multiple regression analysis. RESULTS: Missed nursing care
was found
to be correlated with clinical career, nursing work environment and patient
safety
culture. The regression model explained approximately 30.3 % of missed
nursing care.
Meanwhile, staffing and resource adequacy (β = -.31, p = .001), nurse manager
ability, leadership and support of nurses (β = -.26, p = .004), clinical

career (β =
-.21, p = .004), and perception on patient safety culture within unit (β =
-.19, p =
.041) were determined to be influencing factors on missed nursing care.
CONCLUSION:
This study has significance as it suggested that missed nursing care is
affected by
work environment factors within unit. This means that missed nursing care is
a unit
outcome affected by nurse work environment factors and patient safety
culture.
Therefore, missed nursing care can be managed through the implementation of
interventions that promote a positive nursing work environment and patient
safety
culture.
FAU - Kim, Kyoung-Ja
AU - Kim KJ
AD - Nursing Department, Hannam University, Deajeon, Republic of Korea.
FAU - Yoo, Moon Sook
AU - Yoo MS
AD - Ajou University College of Nursing and Institution of Nursing Science, Suwon,
Republic of Korea.
FAU - Seo, Eun Ji
AU - Seo EJ
AD - Ajou University College of Nursing and Institution of Nursing Science, 164,
Worldcup-Ro, Yeongtong-Gu, Suwon, Republic of Korea. Electronic address:
silbia98@ajou.ac.kr.
LA - eng
DEP - 20180420
PL - Korea (South)
JID - 101321326
OTO - NOTNLM
OT - environment
OT - nursing care
OT - patient safety
OT - quality of health care
EDAT- 2018/04/24 06:00
MHDA- 2018/04/24 06:00
CRDT- 2018/04/24 06:00
PHST- 2017/12/01 00:00 [received]
PHST- 2018/04/12 00:00 [revised]
PHST- 2018/04/16 00:00 [accepted]
PHST- 2018/04/24 06:00 [entrez]
PHST- 2018/04/24 06:00 [pubmed]
PHST- 2018/04/24 06:00 [medline]
AID - S1976-1317(17)30683-7 [pii]
AID - 10.1016/j.anr.2018.04.003 [doi]
PST - aheadofprint
SO - Asian Nurs Res (Korean Soc Nurs Sci). 2018 Apr 20:S1976-1317(17)30683-7. doi:
10.1016/j.anr.2018.04.003.
PMID- 27757068
OWN - NLM
LR - 20200930
IS - 1472-6955 (Print)
IS - 1472-6955 (Linking)
VI - 15
DP - 2016
TI - Nurse staffing and patient outcomes: a longitudinal study on trend and
seasonality.
PG - 60
LID - 60
AB - BACKGROUND: Time trends and seasonal patterns have been observed in nurse
staffing
and nursing-sensitive patient outcomes in recent years. It is unknown whether
these
changes were associated. METHODS: Quarterly unit-level nursing data in 2004-
2012
were extracted from the National Database of Nursing Quality Indicators®
(NDNQI®).
Units were divided into groups based on patterns of missing data. All
variables were
aggregated across units within these groups and analyses were conducted at
the group
level. Patient outcomes included rates of inpatient falls and hospital-
acquired
pressure ulcers. Staffing variables included total nursing hours per patient
days
(HPPD) and percent of nursing hours provided by registered nurses (RN skill-
mix).
Weighted linear mixed models were used to examine the associations between
nurse
staffing and patient outcomes at trend and seasonal levels. RESULTS: At trend
level,
both staffing variables were inversely associated with all outcomes (p <
0.001); at
seasonal level, total HPPD was inversely associated (higher staffing related
to
lower event rate) with all outcomes (p < 0.001) while RN skill-mix was
positively
associated (higher staffing related to higher event rate) with fall rate (p
< 0.001)
and pressure ulcer rate (p = 0.03). It was found that total HPPD tended to be
lower
and RN skill-mix tended to be higher in Quarter 1 (January-March) when falls
and
pressure ulcers were more likely to happen. CONCLUSIONS: By aggregating data
across
units we were able to detect associations between nurse staffing and patient
outcomes at both trend and seasonal levels. More rigorous research is needed
to
study the underlying mechanism of these associations.
FAU - He, Jianghua
AU - He J
AD - Department of Biostatistics, University of Kansas Medical Center, MS 1026,
3901
Rainbow BLVD, Kansas City, KS 66160 USA.
FAU - Staggs, Vincent S
AU - Staggs VS
AD - Health Services & Outcomes Research, Children's Mercy Hospitals & Clinics,
2401
Gillham Rd, Kansas City, MO 64108 USA.
FAU - Bergquist-Beringer, Sandra
AU - Bergquist-Beringer S
AD - School of Nursing, University of Kansas Medical Center, 3901 Rainbow BLVD,
Kansas
City, KS 66160 USA.
FAU - Dunton, Nancy
AU - Dunton N
AD - School of Nursing, University of Kansas Medical Center, 3901 Rainbow BLVD,
Kansas
City, KS 66160 USA.
LA - eng
DEP - 20161014
TA - BMC Nurs
JT - BMC nursing
JID - 101088683
PMC - PMC5064797
OTO - NOTNLM
OT - Data aggregation
OT - Hospital-acquired pressure ulcers
OT - Inpatient falls
OT - Patient safety
OT - Within-unit variability
EDAT- 2016/10/21 06:00
MHDA- 2016/10/21 06:01
CRDT- 2016/10/21 06:00
PHST- 2016/01/28 00:00 [received]
PHST- 2016/10/04 00:00 [accepted]
PHST- 2016/10/21 06:00 [pubmed]
PHST- 2016/10/21 06:01 [medline]
PHST- 2016/10/21 06:00 [entrez]
AID - 181 [pii]
AID - 10.1186/s12912-016-0181-3 [doi]
PST - epublish
SO - BMC Nurs. 2016 Oct 14;15:60. doi: 10.1186/s12912-016-0181-3. eCollection
2016.
PMID- 31941799
OWN - NLM
STAT- In-Process
LR - 20201229
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 29
IP - 10
DP - 2020 Oct
TI - What do emergency department physicians and nurses feel? A qualitative study
of
emotions, triggers, regulation strategies, and effects on patient care.
PG - 1-2
LID - 10.1136/bmjqs-2019-010179 [doi]
AB - BACKGROUND: Despite calls to study how healthcare providers' emotions may
impact
patient safety, little research has addressed this topic. The current study
aimed to
develop a comprehensive understanding of emergency department (ED) providers'
emotional experiences, including what triggers their emotions, the perceived

effects
of emotions on clinical decision making and patient care, and strategies
providers
use to manage their emotions to reduce patient safety risks. METHODS:
Employing
grounded theory, we conducted 86 semi-structured qualitative interviews with
experienced ED providers (45 physicians and 41 nurses) from four academic
medical
centres and four community hospitals in the Northeastern USA. Constant
comparative
analysis was used to develop a grounded model of provider emotions and
patient
safety in the ED. RESULTS: ED providers reported experiencing a wide range of
emotions in response to patient, hospital, and system-level factors. Patients
triggered both positive and negative emotions; hospital and system-level

factors
largely triggered negative emotions. Providers expressed awareness of
possible
adverse effects of negative emotions on clinical decision making,
highlighting
concerns about patient safety. Providers described strategies they employ to
regulate their emotions, including emotional suppression, distraction, and
cognitive
reappraisal. Many providers believed that these strategies effectively
guarded
against the risk of emotions negatively influencing their clinical decision
making.
CONCLUSION: The role of emotions in patient safety is in its early stages and
many
opportunities exist for researchers, educators, and clinicians to further
address
this important issue. Our findings highlight the need for future work to (1)
determine whether providers' emotion regulation strategies are effective at
mitigating patient safety risk, (2) incorporate emotional intelligence
training into
healthcare education, and (3) shift the cultural norms in medicine to support
meaningful discourse around emotions.

CI - © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and
permissions. Published by BMJ.

FAU - Isbell, Linda M
AU - Isbell LM
AUID- ORCID: 0000-0003-3467-3548
AD - Psychological and Brain Sciences, University of Massachusetts Amherst,
Amherst,
Massachusetts, USA lisbell@psych.umass.edu.
FAU - Boudreaux, Edwin D
AU - Boudreaux ED
AD - Emergency Medicine, Psychiatry, and Quantitative Health Sciences, University
of
Massachusetts Medical School, Worcester, Massachusetts, USA.
FAU - Chimowitz, Hannah
AU - Chimowitz H
Amherst,
Massachusetts, USA.
FAU - Liu, Guanyu
AU - Liu G
Amherst,
Massachusetts, USA.
FAU - Cyr, Emma
AU - Cyr E
Amherst,
Massachusetts, USA.
FAU - Kimball, Ezekiel
AU - Kimball E
AD - College of Education, University of Massachusetts Amherst, Amherst,
Massachusetts,
USA.
LA - eng
DEP - 20200115
TA - BMJ Qual Saf
JID - 101546984
SB - H
CIN - BMJ Qual Saf. 2020 Oct;29(10):1-2. PMID: 32217700
PMC - PMC7363518
MID - NIHMS1570244
OTO - NOTNLM
OT - *diagnostic errors
EDAT- 2020/01/17 06:00
MHDA- 2020/01/17 06:00
CRDT- 2020/01/17 06:00
PHST- 2019/08/05 00:00 [received]
PHST- 2019/12/18 00:00 [revised]
PHST- 2019/12/20 00:00 [accepted]
PHST- 2020/01/17 06:00 [pubmed]
PHST- 2020/01/17 06:00 [medline]
PHST- 2020/01/17 06:00 [entrez]
AID - bmjqs-2019-010179 [pii]
AID - 10.1136/bmjqs-2019-010179 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2020 Oct;29(10):1-2. doi: 10.1136/bmjqs-2019-010179. Epub 2020
Jan 15.
PMID- 30306139
OWN - NLM
LR - 20191120
IS - 2399-6641 (Linking)
VI - 7
IP - 3
DP - 2018
TI - E-referrals: improving the routine interspecialty inpatient referral system.
PG - e000249
LID - 10.1136/bmjoq-2017-000249 [doi]
LID - e000249
AB - Interspecialty referrals are an essential part of most inpatient stays. With
over
130 referrals occurring per week at the Royal Devon and Exeter Hospital, the
process
must be efficient and safe. The current paper-based 'white card' system was
felt to
be inefficient, and a Trust incident highlighted patient safety concerns.
Questionnaires reinforced the need for improvement, with concerns such as a
lack of
referral traceability and delays in the referral delivery due to workload.
The aims
of the project were to improve patient safety and junior doctor efficiency in
the
referral process. Through appreciative enquiry and the PDSA (Plan-Do-Study-
Act)
model, an electronic referral system was developed, piloted within two
specialties
and later expanded to others with improvements made along the way based on
user
feedback. The system includes novel features including specialties
'acknowledging' a
referral to allow referral progress to be tracked. The system stores all
referrals,
creating a fully auditable inpatient referral pathway. Qualitative data
indicated
improvement to patient safety and user experience (n=31). Timings for
referrals were
measured over a 6-month period; referrals became faster with the electronic
system,
with average time from decision to refer to referral submission improving
from 2.1
hours to 1.9 hours, with a noted statistically significant improvement in
timings on
a statistical process control chart. An unexpected benefit was that patients
were
also reviewed faster by specialties. Measuring these changes presented a
significant
challenge due to the complexity of the referral process, and this was a big
limitation. Overall, the re-design of a paper-based referral system into an
electronic system has been proven to be more efficient and felt to be safer
for
patients. This is a sustainable change which is being rolled out Trust-wide.
We hope
that the reporting of this project will help others considering reviewing
their
inpatient referral pathways.
FAU - Shephard, Emma
AU - Shephard E
AD - Royal Devon and Exeter Hospital, Exeter, UK.
FAU - Stockdale, Claire
AU - Stockdale C
FAU - May, Felix
AU - May F
FAU - Brown, Alistair
AU - Brown A
FAU - Lewis, Hannah
AU - Lewis H
FAU - Jabri, Sara
AU - Jabri S
FAU - Robertson, Daniel
AU - Robertson D
FAU - Moss, Victoria
AU - Moss V
FAU - Bethune, Rob
AU - Bethune R
LA - eng
DEP - 20180928
TA - BMJ Open Qual
JID - 101710381
PMC - PMC6173238
OTO - NOTNLM
OT - inpatients
OT - patient care
OT - patient safety
OT - referral and consultation
EDAT- 2018/10/12 06:00
MHDA- 2018/10/12 06:01
CRDT- 2018/10/12 06:00
PHST- 2017/11/05 00:00 [received]
PHST- 2018/08/16 00:00 [revised]
PHST- 2018/08/26 00:00 [accepted]
PHST- 2018/10/12 06:00 [entrez]
PHST- 2018/10/12 06:00 [pubmed]
PHST- 2018/10/12 06:01 [medline]
AID - bmjoq-2017-000249 [pii]
AID - 10.1136/bmjoq-2017-000249 [doi]
PST - epublish
SO - BMJ Open Qual. 2018 Sep 28;7(3):e000249. doi: 10.1136/bmjoq-2017-000249.
eCollection
2018.
PMID- 29076013
OWN - NLM
STAT- MEDLINE
DCOM- 20180702
LR - 20181113
IS - 2210-7703 (Print)
VI - 39
IP - 6
DP - 2017 Dec
TI - Hospital staff views of prescribing and discharge communication before and
after
electronic prescribing system implementation.
PG - 1320-1330
LID - 10.1007/s11096-017-0543-2 [doi]
AB - Background Electronic prescribing system implementation is recommended to
improve
patient safety and general practitioner's discharge information
communication. There
is a paucity of information about hospital staff perspectives before and
after
system implementation. Objective To explore hospital staff views regarding
prescribing and discharge communication systems before and after hospital
electronic
prescribing and medicines administration (HEPMA) system implementation.
Setting A
560 bed United Kingdom district general hospital. Methods Semi-structured
face-to-face qualitative interviews with a purposive sample of hospital staff
involved in the prescribing and discharge communication process. Interviews

transcribed verbatim and coded using the Framework Approach. Behavioural
aspects
mapped to Theoretical Domains Framework (TDF) to highlight associated
behavioural
change determinants. Main outcome measure Staff perceptions before and after
implementation. Results Nineteen hospital staff (consultant doctors, junior
doctors,
pharmacists and advanced nurse practitioners) participated before and after
implementation. Pre-implementation main themes were inpatient chart and
discharge
letter design and discharge communication process with issues of illegible
and
inaccurate information. Improved safety was anticipated after implementation.
Post-implementation themes were improved inpatient chart clarity and

discharge
letter quality. TDF domains relevant to staff behavioural determinants
preimplementation were knowledge (task or environment); skills (competence);
social/professional roles and identity; beliefs about capabilities;
environmental
context and resources (including incidents). An additional two were relevant
post-implementation: social influences and behavioural regulation (including
self-monitoring). Participants described challenges and patient safety
concerns
pre-implementation which were mostly resolved post-implementation. Conclusion
HEPMA
implementation produced perceptions of patient safety improvement. TDF use
enabled
behaviour change analysis due to implementation, for example, staff adoption
of
behaviours to ensure general practitioners receive good quality discharge
information.
FAU - Mills, Pamela Ruth
AU - Mills PR
AUID- ORCID: 0000-0002-6165-9197
AD - Pharmacy Department, University Hospital Crosshouse, Kilmarnock, Ayrshire,
Scotland,
KA2 0BE, UK. pamela.mills@aaaht.scot.nhs.uk.
FAU - Weidmann, Anita Elaine
AU - Weidmann AE
AUID- ORCID: 0000-0003-3670-2357
AD - School of Pharmacy and Life Sciences, Robert Gordon University, Aberdeen,
Scotland,
AB10 7GJ, UK.
FAU - Stewart, Derek
AU - Stewart D
AUID- ORCID: 0000-0001-7360-8592
AD - School of Pharmacy and Life Sciences, Robert Gordon University, Aberdeen,
Scotland,
AB10 7GJ, UK.
LA - eng
DEP - 20171026
TA - Int J Clin Pharm
JT - International journal of clinical pharmacy
JID - 101554912
SB - IM
MH - *Communication
MH - *Electronic Prescribing
MH - Female
MH - Humans
MH - Male
MH - *Patient Discharge
MH - Personnel, Hospital/*psychology
PMC - PMC5694510
OTO - NOTNLM
OT - Behavioural determinants
OT - Discharge communication
OT - Hospital electronic prescribing and medicines administration
OT - Patient safety
OT - Theoretical Domains Framework
OT - United Kingdom
EDAT- 2017/10/28 06:00
MHDA- 2018/07/03 06:00
CRDT- 2017/10/28 06:00
PHST- 2017/06/12 00:00 [received]
PHST- 2017/09/26 00:00 [accepted]
PHST- 2017/10/28 06:00 [pubmed]
PHST- 2018/07/03 06:00 [medline]
PHST- 2017/10/28 06:00 [entrez]
AID - 10.1007/s11096-017-0543-2 [pii]
AID - 543 [pii]
AID - 10.1007/s11096-017-0543-2 [doi]
PST - ppublish
SO - Int J Clin Pharm. 2017 Dec;39(6):1320-1330. doi: 10.1007/s11096-017-0543-2.
Epub
2017 Oct 26.
PMID- 33204118
OWN - NLM
LR - 20201119
IS - 1178-6973 (Print)
IS - 1178-6973 (Linking)
VI - 13
DP - 2020
TI - Active Integration of Patients into Infection Control, as perceived by Health
Care
Professionals: Results of the AHOI Pilot Study.
PG - 4009-4019
LID - 10.2147/IDR.S261343 [doi]
AB - OBJECTIVE: Medical professionals have a key role in active patient
involvement in
infection control and prevention (ICP). ICP of hospital-associated infections
is
critical for patient safety and requires targeted integration of patients and
their
relatives. The possibilities of proper involvement are identified, tested and
realized in the innovative AHOI project. Its acronym stands for Activation,
Help,
Open communication and Infection prevention. The project is based on the
three
dimensions acceptance, empowerment and adherence. The results presented here
are
from a health-care professional (HCP) focused part of a pilot study to
implement
AHOI intervention. This section aimed at the HCPs' evaluation of the
intervention
material, their perception and acceptance of the adherence and empowerment of
patients, as well as the perception of their and colleagues' own behavior.

METHODS:
The cross-sectional survey was conducted with a questionnaire at two surgical
wards
of a third-level hospital for 14 weeks. All HCPs with contact to patients
were
entitled to voluntarily participate in the study. AHOI instruments such as
visual
reminder, videos for patients and the AHOI-box were implemented on the wards.
Additionally, the ward personnel received a psychological and practical

train-the-trainer curriculum. RESULTS: Sixty-nine questionnaires were handed
out and
29 returns were analyzed. The results show a strong identification and
acceptance of
HCPs with their role in the AHOI project. No additional workload was
perceived by
implementing AHOI. Teaching of medical professionals and information
materials are
seen as good supports. HCPs are empowering hygienic behavior in patients and
colleagues. HCPs observed increasing adherence of patients. CONCLUSION: HCPs
positively perceived acceptance, support and identification with the ideas of
the
AHOI project. Therefore, since HCPs are key for patients and their relatives,
AHOI
intervention seems to be a feasible instrument and aid in implementing
national and
international recommendations for hygienic behavior.
CI - © 2020 Diedrich et al.
FAU - Diedrich, Stephan
AU - Diedrich S
AUID- ORCID: 0000-0002-6341-3203
AD - Department of General Surgery, Visceral, Thoracic and Vascular Surgery,
Universitätsmedizin Greifswald, Greifswald, Germany.
FAU - Görig, Tillmann
AU - Görig T
AUID- ORCID: 0000-0002-8587-0878
AD - Central Unit for Infection Prevention and Control, Universitätsmedizin
Greifswald,
Greifswald, Germany.
FAU - Dittmann, Kathleen
AU - Dittmann K
AUID- ORCID: 0000-0001-9596-1530
Greifswald,
FAU - Kramer, Axel
AU - Kramer A
AD - Institute of Hygiene and Environmental Medicine, Universitätsmedizin
Greifswald,
FAU - Heidecke, Claus-Dieter
AU - Heidecke CD
AD - Department of General Surgery, Visceral, Thoracic and Vascular Surgery,
Universitätsmedizin Greifswald, Greifswald, Germany.
FAU - Hübner, Nils-Olaf
AU - Hübner NO
Greifswald,
LA - eng
DEP - 20201109
TA - Infect Drug Resist
JT - Infection and drug resistance
JID - 101550216
PMC - PMC7667167
OTO - NOTNLM
OT - healthcare professional
OT - infection control
OT - patient adherence
OT - patient empowerment
OT - patient involvement
OT - patient safety
COIS- Tillmann Görig reports grants from the Federal Ministry of Health of the
Federal
Republic of Germany, during the conduct of the study. Nils-Olaf Huebner
reports
grants from Federal Government of Germany, during the conduct of the study.
The
authors report no other potential conflicts of interest for this work.
EDAT- 2020/11/19 06:00
MHDA- 2020/11/19 06:01
CRDT- 2020/11/18 05:57
PHST- 2020/05/11 00:00 [received]
PHST- 2020/09/11 00:00 [accepted]
PHST- 2020/11/18 05:57 [entrez]
PHST- 2020/11/19 06:00 [pubmed]
PHST- 2020/11/19 06:01 [medline]
AID - 261343 [pii]
AID - 10.2147/IDR.S261343 [doi]
PST - epublish
SO - Infect Drug Resist. 2020 Nov 9;13:4009-4019. doi: 10.2147/IDR.S261343.
eCollection
2020.
PMID- 30475857
OWN - NLM
STAT- MEDLINE
DCOM- 20190422
LR - 20200309
IS - 1932-6203 (Linking)
VI - 13
IP - 11
DP - 2018
TI - From skepticism to assurance and control; Implementation of a patient safety
system
at a pediatric hospital in Sweden.
PG - e0207744
LID - e0207744
AB - BACKGROUND: The use of evidence-based practice among healthcare professionals
directly correlates to better outcomes for patients and higher professional

satisfaction. Translating knowledge in practice and mobilizing evidence-based
clinical care remains a continuing challenge in healthcare systems across the

world.
PURPOSE: To describe experiences from the implementation of an Early
Detection and
Treatment Program for Children (EDT-C) among health care professionals at a
pediatric hospital in Sweden. DESIGN AND METHODS: Sixteen individual
interviews were
conducted with physicians, nurses and nurse assistants, which of five were
instructors. Data were analyzed with qualitative content analysis. RESULTS:
An
overarching theme was created: From uncertainty and skepticism towards
assurance and
control. The theme was based on the content of eight categories: An
innovation
suitable for clinical practice, Differing conditions for change, Lack of
organizational slack, Complex situations, A pragmatic implementation
strategy,
Delegated responsibility, Experiences of control and Successful
implementation.
CONCLUSIONS: Successful implementation was achieved when initial skepticism
among
staff was changed into acceptance and using EDT-C had become routine in their
daily
work. Inter-professional education including material from authentic patient
cases
promotes knowledge about different professions and can strengthen teamwork.
EDT-C
with evidenced-based material adapted to the context can give healthcare
professionals a structured and objective tool with which to assess and treat
patients, giving them a sense of control and assurance.
FAU - Almblad, Ann-Charlotte
AU - Almblad AC
AUID- ORCID: 0000-0003-3570-5492
AD - Department of Women's and Children's Health, Uppsala University, Uppsala,
Sweden.
FAU - Målqvist, Mats
AU - Målqvist M
Sweden.
FAU - Engvall, Gunn
AU - Engvall G
Sweden.
LA - eng
DEP - 20181126
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Child
MH - Hospitals, Pediatric/organization & administration/*statistics & numerical
data
MH - Humans
MH - Inventions
MH - Quality Control
MH - Sweden
PMC - PMC6261266
EDAT- 2018/11/27 06:00
MHDA- 2019/04/23 06:00
CRDT- 2018/11/27 06:00
PHST- 2017/10/26 00:00 [received]
PHST- 2018/11/06 00:00 [accepted]
PHST- 2018/11/27 06:00 [entrez]
PHST- 2018/11/27 06:00 [pubmed]
PHST- 2019/04/23 06:00 [medline]
PST - epublish
SO - PLoS One. 2018 Nov 26;13(11):e0207744. doi: 10.1371/journal.pone.0207744.
eCollection 2018.
PMID- 31039772
OWN - NLM
STAT- MEDLINE
DCOM- 20190617
LR - 20200225
IS - 1472-6882 (Linking)
VI - 19
IP - 1
DP - 2019 Apr 30
TI - "Then I went to a hospital abroad": acknowledging implications of
stakeholders'
differing risk understandings related to use of complementary and alternative
medicine in European health care contexts.

PG - 93
LID - 10.1186/s12906-019-2499-3 [doi]
LID - 93
AB - BACKGROUND: Complementary and alternative medicine (CAM) is a rather novel
issue
within public healthcare and health policy-making. CAM use in Europe is
widespread,
patient-initiated, and patient-evaluated, and the regulation across countries
has
been evaluated as disharmonized. CAM users are left in an uncertain position,
and
patient safety may be threatened. How "risk" is understood by individuals in
health
policy-making and clinical encounters involving the use of CAM has not yet
been much
debated. The aim of this article is to explore and discuss the existence and
possible consequences of differing risk understandings among stakeholders
maneuvering in the complex landscape of CAM practice and CAM regulation
contextualized by European public healthcare systems. METHODS: Qualitative
data were
derived from two studies on CAM in European healthcare contexts. Findings
from the
EU project CAMbrella on legislation and regulation of CAM were mixed with
data from
an interview study exploring risk understandings, communication, and
decision-making
among Scandinavian CAM users and their doctors. In a secondary content
analysis, we
constructed the case Sara as a typology to demonstrate important findings
with
regard to risk understandings and patient safety involving European citizens'
use of
CAM in differing contexts. RESULTS: By combining and comparing individual and
structural perspectives on risk and CAM use, we revealed underexplored gaps

in risk
understandings among individuals involved in European CAM regulation and
legislation, and between CAM users and their medical doctors. This may cause
health
risks and uncertainties associated with CAM use and regulation. It may also
negatively influence doctor-CAM user communication and CAM users' trust in
and use
of public healthcare. CONCLUSION: Acknowledging implications of stakeholders'
differing risk understandings related to CAM use and regulation may

positively
influence patient safety in European healthcare. Definitions of the concept
of risk
should include the factors uncertainty and subjectivity to grasp the full
picture of
possible risks associated with the use of CAM. To transform the findings of
this
study into practical settings, we introduce sets of questions relevant to
operationalize the important question "What is risk?" in health policy-
making,
clinical encounters and risk research involving European patients' use of
CAM.
FAU - Salamonsen, Anita
AU - Salamonsen A
AUID- ORCID: 0000-0001-6036-8729
AD - Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU
North),
Faculty of Health Sciences, UiT The Arctic University of Norway, 9037,
Tromsø,
Norway. anita.salamonsen@uit.no.
FAU - Wiesener, Solveig
AU - Wiesener S
AD - The National Research Center in Complementary and Alternative Medicine
(NAFKAM),
Faculty of Health Sciences, Department of Community Medicine, UiT The Arctic
University of Norway, 9037, Tromsø, Norway.
LA - eng
GR - IN-1096130/UiT The Arctic University of Norway/
DEP - 20190430
TA - BMC Complement Altern Med
JT - BMC complementary and alternative medicine
JID - 101088661
SB - IM
MH - *Complementary Therapies/legislation & jurisprudence/psychology/standards
MH - Europe
MH - *Health Policy
MH - Humans
MH - Policy Making
MH - Risk
PMC - PMC6492320
OTO - NOTNLM
OT - Complementary and alternative medicine
OT - Decision making
OT - Doctor-patient communication
OT - Health policy-making
OT - Patient safety
OT - Person-centeredness
OT - Quality in health care
OT - Refusal of conventional treatment
OT - Regulation, risk governance, Norway, Europe
OT - Risk communication
OT - Risk definitions
OT - Risk ontology
OT - Risk perceptions
OT - Risk understandings: risk behaviors
OT - Traditional and complementary medicine
COIS- AUTHOR INFORMATION: Anita Salamonsen is an associate professor at RKBU North
-
Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty
of
Health Sciences at UiT the Arctic University of Norway. She was until 2017
working
as a senior researcher at The National Research Center in Complementary and
Alternative Medicine (NAFKAM). Salamonsen holds a PhD in medical sociology.
Her
current research mainly examines user involvement, communication and patient
safety,
including multi-disciplinary studies of use of complementary and alternative
medicine, traditional medicine, decision-making, patient-provider
communication,
risk understandings, patient pathways, person-centered care and commitment
and trust
in health care and child welfare. Solveig Wiesener holds a M.Sc. in Risk
Management
and Societal Safety, and is a Senior Adviser at The National Research Center
for
Complementary and Alternative Medicine (NAFKAM), Faculty of Health Sciences,
at UiT
the Arctic University of Norway. Wiesener coordinates NAFKAM’s international
work,
the collaboration with the World Health Organization (WHO), and her research
interests are connected to risk and patient safety in T&CM. In the European
Union
(EU) project CAMbrella, Wiesener analyzed the regulation of CAM in 39
European
countries. Updated results on http://cam-regulation.org. ETHICS APPROVAL AND
CONSENT
TO PARTICIPATE: The interview study was approved by the Regional Committee
for
Medical and Health Research Ethics North (P REK NORD 28/2005), and the
Norwegian
Centre for Research Data (project number 13409). In the CAMBRELLA project,
interviewees were asked to confirm the author’s comprehension of their
answers, and
if cited, to confirm the use of their answers with reference to their names,
position and/or rank [30]. COMPETING INTERESTS: The authors declare that they
have
no competing interests. PUBLISHER’S NOTE: Springer Nature remains neutral
with
affiliations.
EDAT- 2019/05/02 06:00
MHDA- 2019/06/18 06:00
CRDT- 2019/05/02 06:00
PHST- 2018/03/09 00:00 [received]
PHST- 2019/04/11 00:00 [accepted]
PHST- 2019/05/02 06:00 [entrez]
PHST- 2019/05/02 06:00 [pubmed]
PHST- 2019/06/18 06:00 [medline]
AID - 10.1186/s12906-019-2499-3 [pii]
AID - 2499 [pii]
AID - 10.1186/s12906-019-2499-3 [doi]
PST - epublish
SO - BMC Complement Altern Med. 2019 Apr 30;19(1):93. doi: 10.1186/s12906-019-
2499-3.
PMID- 29657981
OWN - NLM
LR - 20200929
IS - 2397-3269 (Linking)
VI - 3
IP - 1
DP - 2018
TI - Acceptability and use of glaucoma virtual clinics in the UK: a national
survey of
clinical leads.
PG - e000127
LID - 10.1136/bmjophth-2017-000127 [doi]
LID - e000127
AB - OBJECTIVE: The purpose of this paper is to describe the findings of a
national
survey that aimed to estimate the proportion of Hospital Eye Service (HES)
units
using glaucoma virtual clinics, to determine how these services differ and to
gauge
clinicians' views and opinions on the safety and acceptability of this model
of care
compared with usual care. METHODS AND ANALYSIS: This 12-question survey was
disseminated nationally to 92 clinical lead consultant ophthalmologists using
SurveyMonkey. RESULTS: The response rate was 45.7%. There were 21 out of the
total
42 respondents (50.0%) who were based at an NHS Trust where glaucoma virtual
clinics
were already being used and a further 9 (21.4%) were planning to establish
one.
Clinical leads largely rated efficiency and patient safety to be at least
equivalent
to usual care (92.9%) and 81.0% perceived glaucoma virtual clinics to be
acceptable
to patients. The main reasons for not running glaucoma virtual clinics were
insufficient staff (71.4%) and inadequate space (47.6%). The majority of
those
running virtual clinics used this model of care for 'lower risk' patients
such as
ocular hypertensives (90.5%) and glaucoma suspects. CONCLUSION: Glaucoma
virtual
clinics are employed by a large proportion of HES units, with many seeking to
develop such services. Clinical leads largely rate efficiency, patient safety
and
the perception of patient acceptability to be at least equivalent to usual
care.
FAU - Gunn, Patrick J G
AU - Gunn PJG
AD - Manchester Royal Eye Hospital, Manchester University NHS Foundation Trust,
Manchester, UK.
FAU - Marks, Joanne R
AU - Marks JR
Manchester, UK.
FAU - Au, Leon
AU - Au L
Manchester, UK.
FAU - Waterman, Heather
AU - Waterman H
AD - School of Healthcare Sciences, Cardiff University, Cardiff, UK.
FAU - Spry, Paul G D
AU - Spry PGD
AD - Bristol Eye Hospital, University Hospitals Bristol NHS Foundation Trust,
Bristol,
UK.
FAU - Harper, Robert A
AU - Harper RA
Manchester, UK.
LA - eng
DEP - 20180216
TA - BMJ Open Ophthalmol
JT - BMJ open ophthalmology
JID - 101714806
PMC - PMC5895974
OTO - NOTNLM
OT - glaucoma
OT - telemedicine
COIS- Competing interests: PGDS provides independent consultancy service to
Newmedica. All
other authors have no relevant conflict of interest declarations.
EDAT- 2018/04/17 06:00
MHDA- 2018/04/17 06:01
CRDT- 2018/04/17 06:00
PHST- 2017/10/02 00:00 [received]
PHST- 2017/12/18 00:00 [revised]
PHST- 2018/01/03 00:00 [accepted]
PHST- 2018/04/17 06:00 [entrez]
PHST- 2018/04/17 06:00 [pubmed]
PHST- 2018/04/17 06:01 [medline]
AID - bmjophth-2017-000127 [pii]
AID - 10.1136/bmjophth-2017-000127 [doi]
PST - epublish
SO - BMJ Open Ophthalmol. 2018 Feb 16;3(1):e000127. doi: 10.1136/bmjophth-2017-
000127.
eCollection 2018.
PMID- 32641312
OWN - NLM
STAT- MEDLINE
DCOM- 20200724
LR - 20201218
VI - 13
IP - 7
DP - 2020 Jul 8
TI - Radical change in osteosarcoma surgical plan due to COVID-19 pandemic.
LID - 10.1136/bcr-2020-237197 [doi]
LID - e237197
AB - A 17-year-old man with osteosarcoma of the proximal humerus was planned for
possible
limb salvage surgery after standard neoadjuvant chemotherapy. However, during
the
surgical phase of treatment, the COVID-19 or SARS-CoV-2 (severe acute
respiratory
syndrome coronavirus 2) outbreak occurred changing the healthcare landscape
due to
uncertainty regarding the virus, risk of COVID-19 infection and
complications, and
implementation of an enhanced community quarantine restricting movement of
people
within cities. Instead of limb salvage surgery, the patient underwent a
forequarter
amputation. Exposure to the virus in a high-risk hospital setting was
minimised with
patient discharge after a short hospital stay and home convalescence
monitored by
video conferencing. Multidisciplinary sarcoma team meetings with family
members and
a sarcoma navigator nurse were crucial in managing expectations and deciding
on
appropriate treatment in the setting of a novel infectious disease causing a
pandemic.
CI - © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and
FAU - Gaston, Czar Louie Lopez
AU - Gaston CLL
AD - Department of Orthopedics, Quirino Memorial Medical Center, Quezon City,
Philippines
clgaston@up.edu.ph.
AD - Department of Orthopedics, College of Medicine and Philippine General
Hospital,
University of the Philippines Manila, Manila, Philippines.
FAU - Pag-Ong, Johann Proceso
AU - Pag-Ong JP
AD - Department of Orthopedics, Quirino Memorial Medical Center, Quezon City,
Philippines.
FAU - Dacanay, Emilleo
AU - Dacanay E
Hospital,
FAU - Quintos, Albert Jerome
AU - Quintos AJ
Hospital,
LA - eng
PT - Case Reports
DEP - 20200708
TA - BMJ Case Rep
JT - BMJ case reports
JID - 101526291
RN - 80168379AG (Doxorubicin)
RN - Q20Q21Q62J (Cisplatin)
SB - IM
MH - Adolescent
MH - Amputation/*methods
MH - Antineoplastic Agents
MH - Betacoronavirus
MH - *Bone Neoplasms/pathology/therapy
MH - COVID-19
MH - Cisplatin/*administration & dosage
MH - *Coronavirus Infections/epidemiology/prevention & control
MH - Doxorubicin/*administration & dosage
MH - Humans
MH - *Humerus/diagnostic imaging/surgery
MH - Limb Salvage/*methods
MH - Magnetic Resonance Imaging/methods
MH - Male
MH - Neoplasm Staging
MH - *Osteosarcoma/pathology/therapy
MH - *Pandemics/prevention & control
MH - Patient Selection
MH - *Pneumonia, Viral/epidemiology/prevention & control
MH - SARS-CoV-2
PMC - PMC7348652
OTO - NOTNLM
OT - cancer intervention
OT - healthcare improvement and patient safety
OT - orthopaedic and trauma surgery
OT - paediatric oncology
OT - surgical oncology
EDAT- 2020/07/10 06:00
MHDA- 2020/07/25 06:00
CRDT- 2020/07/10 06:00
PHST- 2020/07/10 06:00 [entrez]
PHST- 2020/07/10 06:00 [pubmed]
PHST- 2020/07/25 06:00 [medline]
AID - 13/7/e237197 [pii]
AID - bcr-2020-237197 [pii]
AID - 10.1136/bcr-2020-237197 [doi]
PST - epublish
SO - BMJ Case Rep. 2020 Jul 8;13(7):e237197. doi: 10.1136/bcr-2020-237197.
PMID- 30206549
OWN - NLM
LR - 20200930
IS - 2397-5776 (Linking)
VI - 3
IP - 1
DP - 2018
TI - Multi-modal Analgesic Strategies for Trauma (MAST): protocol for a pragmatic
randomized trial.
PG - e000192
LID - 10.1136/tsaco-2018-000192 [doi]
LID - e000192
AB - BACKGROUND: Pain management after injury is critically important for
functional
recovery. Although opioids have been a mainstay for treatment of pain, they
are
associated with adverse events and may contribute to long-term use or abuse.
Opioid-minimizing multimodal pain regimens have the potential to reduce
exposure to
opioids without compromising pain control. This article details an ongoing
clinical
trial comparing two pill-based, opioid-minimizing, multimodal pain
strategies.
METHODS: This is a single-center, parallel-group, randomized, controlled
comparative
effectiveness trial comparing two multimodal pain regimens in adult trauma
patients.
All patients 16 years and older admitted to the Red Duke Trauma Institute are
eligible unless they are pregnant, a prisoner, under observation status, or a

non-acute trauma patient. At admission to the trauma service, patients are
enrolled
and randomized to one of two multimodal pain regimens. The primary outcome is
opioid
use, measured by morphine milligram equivalents per patient per day. The
secondary
outcomes include pain scores, ventilator days, hospital and intensive care
unit
lengths of stay, occurrence of opioid-related complications, hospital and
pharmacy
costs, and incidence of hospital discharge with opioid prescription. Outcomes
will
be compared using Bayesian methods. DISCUSSION: This trial will determine the
effectiveness of two multimodal pain treatment strategies on reducing in-

hospital
opioid exposure in adult trauma patients. Furthermore, it will compare the
two
strategies on pain control and patient safety. Knowledge gained in this study
can
improve quality of care at this hospital and other trauma centers regardless
of
which medication regimen proves superior.
FAU - Harvin, John A
AU - Harvin JA
AD - Department of Surgery, McGovern Medical School, The University of Texas
Health
Science Center at Houston, Houston, Texas, USA.
AD - Center for Translational Injury Research, McGovern Medical School, The
University of
Texas Health Science Center at Houston, Houston, Texas, USA.
AD - Center for Evidence Based Medicine, McGovern Medical School, The University
of Texas
Health Science Center at Houston, Houston, Texas, USA.
FAU - Green, Charles E
AU - Green CE
of Texas
FAU - Vincent, Laura E
AU - Vincent LE
University of
FAU - Motley, Kandice L
AU - Motley KL
University of
FAU - Podbielski, Jeanette
AU - Podbielski J
University of
FAU - Miller, Charles C
AU - Miller CC
of Texas
FAU - Tyson, Jon E
AU - Tyson JE
of Texas
FAU - Holcomb, John B
AU - Holcomb JB
Health
University of
FAU - Wade, Charles E
AU - Wade CE
University of
FAU - Kao, Lillian S
AU - Kao LS
Health
University of
of Texas
LA - eng
GR - KL2 TR000370/TR/NCATS NIH HHS/United States
DEP - 20180819
TA - Trauma Surg Acute Care Open
JT - Trauma surgery & acute care open
JID - 101698646
PMC - PMC6109800
OTO - NOTNLM
OT - Opioid
OT - acute pain
OT - injury
OT - trauma/ critical care
EDAT- 2018/09/13 06:00
MHDA- 2018/09/13 06:01
CRDT- 2018/09/13 06:00
PHST- 2018/05/27 00:00 [received]
PHST- 2018/07/09 00:00 [accepted]
PHST- 2018/09/13 06:00 [entrez]
PHST- 2018/09/13 06:00 [pubmed]
PHST- 2018/09/13 06:01 [medline]
AID - tsaco-2018-000192 [pii]
AID - 10.1136/tsaco-2018-000192 [doi]
PST - epublish
SO - Trauma Surg Acute Care Open. 2018 Aug 19;3(1):e000192. doi:
10.1136/tsaco-2018-000192. eCollection 2018.
PMID- 28695106
OWN - NLM
LR - 20201001
IS - 2228-6497 (Print)
IS - 2228-6497 (Linking)
VI - 7
IP - 3
DP - 2017
TI - Quality of healthcare services and its relationship with patient safety
culture and
nurse-physician professional communication.
PG - 168-174
LID - 10.15171/hpp.2017.30 [doi]
AB - Background: This study investigated quality of healthcare services from
patients'
perspectives and its relationship with patient safety culture and nurse-
physician
professional communication. Methods: A cross-sectional study was conducted
among 300
surgery patients and 101 nurses caring them in a public hospital in Tabriz-
Iran.
Data were collected using the service quality measurement scale (SERVQUAL),
hospital
survey on patient safety culture (HSOPSC) and nurse physician professional
communication questionnaire. Results: The highest and lowest mean (±SD)
scores of
the patients' perception on the healthcare services quality belonged to the
assurance 13.92 (±3.55) and empathy 6.78 (±1.88) domains,respectively. With
regard
to the patient safety culture, the mean percentage of positive answers ranged
from
45.87% for "non-punitive response to errors" to 68.21% for "organizational
continuous learning" domains. The highest and lowest mean (±SD) scores for
the nurse
physician professional communication were obtained for "cooperation" 3.44
(±0.35)
and "non-participative decision-making" 2.84 (±0.34) domains, respectively.
The
"frequency of reported errors by healthcare professionals" (B=-4.20, 95% CI =
-7.14
to -1.27, P<0.01) and "respect and sharing of information" (B=7.69, 95%
CI=4.01 to
11.36, P<0.001) predicted the patients'perceptions of the quality of
healthcare
services. Conclusion: Organizational culture in dealing with medical error
should be
changed to non-punitive response. Change in safety culture towards reporting
of
errors, effective communication and teamwork between healthcare professionals
are
recommended.
FAU - Ghahramanian, Akram
AU - Ghahramanian A
AD - Hematology and Oncology Research Center, Medical Surgical Department, Tabriz
University of Medical Sciences, Tabriz, Iran.
FAU - Rezaei, Tayyebeh
AU - Rezaei T
AD - Student Research Committee, Department of Medical Surgical Nursing, Tabriz
University of Medical Sciences, Tabriz, Iran.
FAU - Abdullahzadeh, Farahnaz
AU - Abdullahzadeh F
AD - Department of Medical Surgical Nursing, Tabriz University of Medical
Sciences,
Tabriz, Iran.
FAU - Sheikhalipour, Zahra
AU - Sheikhalipour Z
AD - Department of Medical Surgical Nursing, Tabriz University of Medical
Sciences,
Tabriz, Iran.
FAU - Dianat, Iman
AU - Dianat I
AD - Department of Occupational Health and Ergonomics, Tabriz University of
Medical
Sciences, Tabriz, Iran.
LA - eng
DEP - 20170614
TA - Health Promot Perspect
JT - Health promotion perspectives
JID - 101580052
PMC - PMC5497369
OTO - NOTNLM
OT - Healthcare quality
OT - Nurse-physician communication
OT - Quality
OT - Safety
EDAT- 2017/07/12 06:00
MHDA- 2017/07/12 06:01
CRDT- 2017/07/12 06:00
PHST- 2017/01/26 00:00 [received]
PHST- 2017/04/15 00:00 [accepted]
PHST- 2017/07/12 06:00 [entrez]
PHST- 2017/07/12 06:00 [pubmed]
PHST- 2017/07/12 06:01 [medline]
AID - 10.15171/hpp.2017.30 [doi]
PST - epublish
SO - Health Promot Perspect. 2017 Jun 14;7(3):168-174. doi: 10.15171/hpp.2017.30.
eCollection 2017.
PMID- 26927231
OWN - NLM
STAT- MEDLINE
DCOM- 20170516
LR - 20181113
IS - 0017-9124 (Print)
IS - 0017-9124 (Linking)
VI - 51
IP - 6
DP - 2016 Dec
TI - Predictors of Gaps in Patient Safety and Quality in U.S. Hospitals.
PG - 2258-2281
LID - 10.1111/1475-6773.12468 [doi]
AB - OBJECTIVE: To explore predictors of gaps between observed and best possible
Hospital
Compare scores in U.S. hospitals. DATA SOURCES: American Hospital Association
Annual
Survey; Area Resource Files; Centers for Medicare and Medicaid Services
Medicare
Provider and Analysis Review; and Hospital Compare data. STUDY DESIGN: Using
Stochastic Frontier Analysis and secondary cross-sectional data, gaps between
the
best possible and actual scores of Hospital Compare quality measures were
estimated.
Poisson regressions were used to ascertain financial, organizational, and
market
predictors of those gaps. DATA EXTRACTION: Data were cleaned and matched
based on
hospital Medicare IDs. All U.S. hospitals that matched on analysis variables
in 2007
were in the study (1,823-2,747, depending upon gap variable). PRINCIPAL
FINDINGS:
Most hospitals have a greater than 10 percent gap in quality indicators.
Payer mix,
registered nurse staffing, size, case mix index, accreditation, being a
teaching
hospital, market competition, urban location, and region were strong
predictors of
gaps, although the direction of the association with gaps was not uniform
across
outcomes. CONCLUSIONS: A significant percentage of hospitals have gaps
between their
best possible and observed quality scores. It may be better to use gap scores
than
observed scores in payments systems. More SFA research is needed to know how
to
lower gaps through changes in hospital and market characteristics.
CI - © Health Research and Educational Trust.
FAU - Unruh, Lynn
AU - Unruh L
AD - Health Services Administration Program, Department of Health Management &
Informatics, College of Health and Public Affairs, University of Central
Florida,
Orlando, FL.
FAU - Hofler, Richard
AU - Hofler R
AD - Department of Economics, College of Business Administration, University of
Central
Florida, Orlando, FL.
LA - eng
DEP - 20160229
TA - Health Serv Res
JT - Health services research
JID - 0053006
SB - IM
MH - Accreditation
MH - Diagnosis-Related Groups
MH - Humans
MH - Medicare/statistics & numerical data
MH - Quality Indicators, Health Care/*statistics & numerical data
MH - United States
MH - Urban Population
PMC - PMC5134134
OTO - NOTNLM
OT - *Stochastic Frontier Analysis
OT - *predictors of gaps in hospital quality
EDAT- 2016/03/02 06:00
MHDA- 2017/05/17 06:00
CRDT- 2016/03/02 06:00
PHST- 2016/03/02 06:00 [pubmed]
PHST- 2017/05/17 06:00 [medline]
PHST- 2016/03/02 06:00 [entrez]
AID - HESR12468 [pii]
AID - 10.1111/1475-6773.12468 [doi]
PST - ppublish
SO - Health Serv Res. 2016 Dec;51(6):2258-2281. doi: 10.1111/1475-6773.12468. Epub
2016
Feb 29.
PMID- 25716409
OWN - NLM
STAT- MEDLINE
DCOM- 20150424
LR - 20181113
IS - 1916-9736 (Print)
IS - 1916-9736 (Linking)
VI - 7
IP - 2
DP - 2015 Jan 13
TI - Improvement critical care patient safety: using nursing staff development
strategies, at Saudi Arabia.
PG - 335-43
LID - 10.5539/gjhs.v7n2p335 [doi]
AB - Intensive care units (ICUs) provide lifesaving care for the critically ill
patients
and are associated with significant risks. Moreover complexity of care within
ICUs
requires that the health care professionals exhibit a trans-disciplinary
level of
competency to improve patient safety. This study aimed at using staff
development
strategies through implementing patient safety educational program that may
minimize
the medical errors and improve patient outcome in hospital. The study was
carried
out using a quasi experimental design. The settings included the intensive
care
units at General Mohail Hospital and National Mohail Hospital, King Khalid
University, Saudi Arabia. The study was conducted from March to June 2012. A
convenience sample of all prevalent nurses at three shifts in the
aforementioned
settings during the study period was recruited. The program was implemented
on 50
staff nurses in different ICUs. Their age ranged between 25-40 years.
Statistically
significant relation was revealed between safety climate and job satisfaction
among
nurses in the study sample (p=0.001). The years of experiences in ICU ranged
between
one year 11 (16.4) to 10 years 20 (29.8), most of them (68%) were working in
variable shift, while 32% were day shift only. Improvements were observed in
safety
climate, teamwork climate, and nurse turnover rates on ICUs after
implementing a
safety program. On the heels of this improvement; nurses' total knowledge,
skills
and attitude were enhanced regarding patient safety dimensions. Continuous
educational program for ICUs nursing staff through organized in-service
training is
needed to increase their knowledge and skills about the importance of
improving
patient safety measure. Emphasizing on effective collaborative system also
will
improve patient safety measures in ICUS.
FAU - Basuni, Enas M
AU - Basuni EM
FAU - Bayoumi, Magda M
AU - Bayoumi MM
AD - KKU. mbayeome@kku.edu.sa.
LA - eng
DEP - 20150113
TA - Glob J Health Sci
JT - Global journal of health science
JID - 101519495
SB - IM
MH - Adult
MH - Clinical Competence/standards/*statistics & numerical data
MH - Critical Care/*methods/standards/statistics & numerical data
MH - Humans
MH - Intensive Care Units/statistics & numerical data
MH - Medical Errors/prevention & control
MH - Patient Safety/standards/*statistics & numerical data
MH - Saudi Arabia
MH - Staff Development/*methods/statistics & numerical data
PMC - PMC4796447
EDAT- 2015/02/27 06:00
MHDA- 2015/04/25 06:00
CRDT- 2015/02/27 06:00
PHST- 2014/05/20 00:00 [received]
PHST- 2014/06/18 00:00 [accepted]
PHST- 2015/02/27 06:00 [entrez]
PHST- 2015/02/27 06:00 [pubmed]
PHST- 2015/04/25 06:00 [medline]
AID - GJHS-7-335 [pii]
AID - 10.5539/gjhs.v7n2p335 [doi]
PST - epublish
SO - Glob J Health Sci. 2015 Jan 13;7(2):335-43. doi: 10.5539/gjhs.v7n2p335.
PMID- 24783917
OWN - NLM
STAT- MEDLINE
DCOM- 20140605
LR - 20191112
IS - 0350-199X (Print)
VI - 68
IP - 1
DP - 2014
TI - The role of medical staff in providing patients rights.
PG - 61-4
AB - Among the priority basic human rights, without a doubt, are the right to life
and
health-social protection. The process of implementation of human rights in
the
everyday life of an ordinary citizen in the post-war recovery of Bosnia and
Herzegovina faces huge objective and subjective difficulties. Citizens need
to be
affordable adequate healthcare facilities that will be open to all on equal
terms.
The term hospital activity implies a set of measures, activities and
procedures that
are undertaken for the purpose of treatment, diagnosis and medical
rehabilitation of
patients in the respective health institutions. Principles of hospital care
should
include: Comprehensiveness (Hospital care is available to all citizens
equally);
Continuity (Provided is continuous medical care to all users); Availability
(Provided approximately equal protection of rights for all citizens).
Education of
health professionals: The usual threats to patient safety include medical
errors,
infections occurred in the hospital, unnecessary exposure to high doses of
radiation
and the use of the wrong drug. Everyday continuing education in the
profession of a
doctor is lifelong.
FAU - Masic, Izet
AU - Masic I
FAU - Izetbegovic, Sebija
AU - Izetbegovic S
LA - eng
PT - Review
TA - Med Arch
JT - Medical archives (Sarajevo, Bosnia and Herzegovina)
JID - 101635337
SB - IM
MH - Humans
MH - *Medical Staff
MH - *Patient Rights
MH - *Physician's Role
MH - Quality Assurance, Health Care
PMC - PMC4272461
COIS- CONFLICT OF INTEREST: NONE DECLARED
EDAT- 2014/05/03 06:00
MHDA- 2014/06/06 06:00
CRDT- 2014/05/03 06:00
PHST- 2014/05/03 06:00 [entrez]
PHST- 2014/05/03 06:00 [pubmed]
PHST- 2014/06/06 06:00 [medline]
AID - MA-68-61 [pii]
AID - 10.5455/medarh.2014.68.61-64 [doi]
PST - ppublish
SO - Med Arch. 2014;68(1):61-4. doi: 10.5455/medarh.2014.68.61-64.
PMID- 29872592
OWN - NLM
LR - 20201001
IS - 2168-8184 (Print)
IS - 2168-8184 (Linking)
VI - 10
IP - 4
DP - 2018 Apr 2
TI - Alice's Delirium: A Theatre-based Simulation Scenario for Nursing.
PG - e2411
LID - 10.7759/cureus.2411 [doi]
LID - e2411
AB - As an educational methodology, simulation has been used by nursing education
at the
academic level for numerous years and has started to gain traction in the
onboarding
education and professional development of practicing nurses. Simulation
allows the
learner to apply knowledge and skills in a safe environment where mistakes
and
learning can happen without an impact on patient safety. The development of a
simulation scenario to demonstrate the benefits of simulation education

methodologies to a large group of nurse educators was requested by nursing
education
leadership at The Ottawa Hospital (TOH). Since the demonstration of this
scenario in
the fall of 2016, there has been significant uptake and adaptation of this
particular scenario within the nursing education departments of TOH.
Originally
written to be used with a simulated patient (SP), "Alice" has since been
adapted to
be used with a hi-fidelity manikin within an inpatient surgery department
continuing
professional development (CPD) program for practicing nurses, orientation for
nurses
to a level 2 trauma unit and at the corporate level of nursing orientation
using an
SP. Therefore, this scenario is applicable to nurses practicing in an area of
inpatient surgery at varying levels, from novice to expert. It could easily

be
adapted for use with medicine nursing education programs. The case presented
in this
technical report is of the simulation scenario used for the inpatient surgery
CPD
program. Varying adaptations of the case are included in the appendices.
FAU - Dale-Tam, Jennifer
AU - Dale-Tam J
AD - Nursing Education, The Ottawa Hospital.
FAU - Posner, Glenn D
AU - Posner GD
AD - Department of Innovation in Medical Education, University of Ottawa.
LA - eng
DEP - 20180402
TA - Cureus
JT - Cureus
JID - 101596737
PMC - PMC5984266
OTO - NOTNLM
OT - delirium
OT - falls
OT - nursing
OT - nursing education
OT - simulation
EDAT- 2018/06/07 06:00
MHDA- 2018/06/07 06:01
CRDT- 2018/06/07 06:00
PHST- 2018/06/07 06:00 [entrez]
PHST- 2018/06/07 06:00 [pubmed]
PHST- 2018/06/07 06:01 [medline]
AID - 10.7759/cureus.2411 [doi]
PST - epublish
SO - Cureus. 2018 Apr 2;10(4):e2411. doi: 10.7759/cureus.2411.
PMID- 32850044
OWN - NLM
LR - 20200928
IS - 2000-9666 (Print)
IS - 2000-9666 (Linking)
VI - 10
IP - 2
DP - 2020 Mar 3
TI - Understanding the means of communication between nurses and resident
physicians in
the modern world: A community-based university hospital survey results.
PG - 107-110
LID - 10.1080/20009666.2020.1751515 [doi]
AB - In a hospital setting, nurses and physicians are the two main caregivers for
admitted patients. Their communication is an important driver of positive
teamwork
and ensures proper patient safety and a high level of patient care. In a
hospital
with a large internal medicine residency program, where the main
communication
between nurses and residents is by phone calls, the excess number of phone
calls
received, especially for non-urgent patient-related matters, can be
disruptive and
cause fatigue and burnout. Alternative means of communication have been
reported,
namely using the electronic medical records to try and create new means of
communication and to decrease the burden of direct communication for non-
urgent
matters. This manuscript describes the results of a survey administered in an
attempt to understand the communication between residents and nurses in the

setting
of a new communication tool created within the electronic medical records.
CI - © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor &
Francis
Group on behalf of Greater Baltimore Medical Center.
FAU - Haykal, Tarek
AU - Haykal T
AUID- ORCID: 0000-0002-8637-7292
AD - Department of Internal Medicine, Hurley Medical Center, Flint, Michigan.
AD - College of Human Medicine, Michigan State University, East Lansing, Michigan.
FAU - Al-Dulaimi, Ragheed
AU - Al-Dulaimi R
AD - School of Medicine, University of Utah, Salt Lake City, UT, USA.
FAU - Sidahmed, Shima
AU - Sidahmed S
FAU - Velagapudi, Ravi
AU - Velagapudi R
FAU - Fahr, Noelle
AU - Fahr N
AD - Department of Nursing, Hurley Medical Center, Flint, Michigan.
FAU - Saeed, Seif
AU - Saeed S
FAU - Bachuwa, Ghassan
AU - Bachuwa G
LA - eng
DEP - 20200303
TA - J Community Hosp Intern Med Perspect
JT - Journal of community hospital internal medicine perspectives
JID - 101601396
PMC - PMC7425613
OTO - NOTNLM
OT - E-messaging
OT - communication
OT - nurse
OT - residents
COIS- No conflict of interest to declare.
EDAT- 2020/08/28 06:00
MHDA- 2020/08/28 06:01
CRDT- 2020/08/28 06:00
PHST- 2020/08/28 06:00 [entrez]
PHST- 2020/08/28 06:00 [pubmed]
PHST- 2020/08/28 06:01 [medline]
AID - 1751515 [pii]
AID - 10.1080/20009666.2020.1751515 [doi]
PST - epublish
SO - J Community Hosp Intern Med Perspect. 2020 Mar 3;10(2):107-110. doi:
10.1080/20009666.2020.1751515.
PMID- 25515429
OWN - NLM
STAT- MEDLINE
DCOM- 20151027
LR - 20181113
IS - 1471-2296 (Linking)
VI - 15
DP - 2014 Dec 17
TI - Patient safety skills in primary care: a national survey of GP educators.
PG - 206
LID - 10.1186/s12875-014-0206-5 [doi]
LID - 206
AB - BACKGROUND: Clinicians have a vital role in promoting patient safety that
goes
beyond their technical competence. The qualities and attributes of the safe
hospital
doctor have been explored but similar work within primary care is lacking.
Exploring
the skills and attributes of a safe GP may help to inform the development of
training programmes to promote patient safety within primary care. This study
aimed
to determine the views of General Practice Educational Supervisors (GPES)
regarding
the qualities and attributes of a safe General Practitioner (GP) and the
perceived
trainability of these 'safety skills' and to compare selected results with
those
generated by a previous study of hospital doctors. METHODS: This was a two-
stage
study comprising content validation of a safety skills questionnaire
(originally
developed for hospital doctors) (Stage 1) and a prospective survey of all
GPES in
Scotland (n = 691) (Stage 2). RESULTS: Stage 1: The content-validated
questionnaire
comprised 66 safety skills/attributes across 17 broad categories with an
overall
content validation index of 0.92. Stage 2: 348 (50%) GPES completed the
survey. GPES
felt the skills/attributes most important to being a safe GP were honesty
(93%),
technical clinical skills (89%) and conscientiousness (89%). That deemed
least
important/relevant to being a safe GP was leadership (36%). This contrasts
sharply
with the views of hospital doctors in the previous study. GPES felt the most
trainable safety skills/attributes were technical skills (93%), situation
awareness
(75%) and anticipation/preparedness (71%). The least trainable were honesty
(35%),
humility (33%) and patient awareness/empathy (30%). Additional safety skills
identified as relevant to primary care included patient advocacy, negotiation
skills, accountability/ownership and clinical intuition ('listening to that
worrying
little inner voice'). CONCLUSIONS: GPES believe a broad range of skills and
attributes contribute to being a safe GP. Important but subtle differences
exist
between what primary care and secondary care doctors perceive as core safety
attributes. Educationalists, GPs and patient safety experts should
collaborate to
develop and implement training in these skills to ensure that current and
future GPs
possess the necessary competencies to engage and lead in safety improvement
efforts.
FAU - Ahmed, Maria
AU - Ahmed M
AD - Centre for Primary Care, Faculty of Medical and Human Sciences, The
University of
Manchester, Oxford Road, Manchester, M13 9PL, UK. maria.k.ahmed@gmail.com.
FAU - Arora, Sonal
AU - Arora S
AD - Department of Surgery and Cancer, Imperial College London, St Mary's
Hospital, Praed
Street, London, W2 1NY, UK. sonal.arora06@imperial.ac.uk.
FAU - McKay, John
AU - McKay J
AD - NHS Education for Scotland, 2 Central Quay, Glasgow, G3 8BW, UK.
John.McKay@nes.scot.nhs.uk.
FAU - Long, Susannah
AU - Long S
AD - St Mary's Hospital, Imperial College Healthcare NHS Trust, Praed Street,
London, W2
1NY, UK. s.long@imperial.ac.uk.
FAU - Vincent, Charles
AU - Vincent C
AD - Department of Experimental Psychology, University of Oxford, Tinbergen
Building, 9
South Parks Road, Oxford, OX1 3UD, UK. charles.vincent@psy.ox.ac.uk.
FAU - Kelly, Moya
AU - Kelly M
Moya.Kelly@nes.scot.nhs.uk.
FAU - Sevdalis, Nick
AU - Sevdalis N
AD - Wright Fleming Building, Department of Surgery and Cancer, Imperial College
London,
Norfolk Place, London, W2 1PG, UK. n.sevdalis@imperial.ac.uk.
FAU - Bowie, Paul
AU - Bowie P
Paul.Bowie@nes.scot.nhs.uk.
AD - Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Paul.Bowie@nes.scot.nhs.uk.
LA - eng
DEP - 20141217
TA - BMC Fam Pract
JT - BMC family practice
JID - 100967792
SB - IM
MH - *Faculty, Medical
MH - General Practice/*education
MH - Humans
MH - Scotland
PMC - PMC4275946
EDAT- 2014/12/18 06:00
MHDA- 2015/10/28 06:00
CRDT- 2014/12/18 06:00
PHST- 2014/05/23 00:00 [received]
PHST- 2014/12/08 00:00 [accepted]
PHST- 2014/12/18 06:00 [entrez]
PHST- 2014/12/18 06:00 [pubmed]
PHST- 2015/10/28 06:00 [medline]
AID - s12875-014-0206-5 [pii]
AID - 206 [pii]
AID - 10.1186/s12875-014-0206-5 [doi]
PST - epublish
SO - BMC Fam Pract. 2014 Dec 17;15:206. doi: 10.1186/s12875-014-0206-5.
PMID- 29545325
OWN - NLM
STAT- MEDLINE
DCOM- 20191028
LR - 20191028
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 27
IP - 9
DP - 2018 Sep
TI - What can patients tell us about the quality and safety of hospital care?
Findings
from a UK multicentre survey study.
PG - 673-682
LID - 10.1136/bmjqs-2017-006974 [doi]
AB - BACKGROUND: Patient safety measurement remains a global challenge. Patients
are an
important but neglected source of learning; however, little is known about
what
patients can add to our understanding of safety. We sought to understand the
incidence and nature of patient-reported safety concerns in hospital.
METHODS:
Feedback about the experience of safety within hospital was gathered from
2471
inpatients as part of a multicentre, waitlist cluster randomised controlled
trial of
an intervention, undertaken within 33 wards across three English NHS Trusts,
between
May 2013 and September 2014. Patient volunteers, supported by researchers,
developed
a classification framework of patient-reported safety concerns from a random
sample
of 231 reports. All reports were then classified using the patient-developed
categories. Following this, all patient-reported safety concerns underwent a
two-stage clinical review process for identification of patient safety
incidents.
RESULTS: Of the 2471 inpatients recruited, 579 provided 1155 patient-reported
incident reports. 14 categories were developed for classification of reports,

with
communication the most frequently occurring (22%), followed by staffing
issues (13%)
and problems with the care environment (12%). 406 of the total 1155 patient
incident
reports (35%) were classified by clinicians as a patient safety incident
according
to the standard definition. 1 in 10 patients (264 patients) identified a
patient
safety incident, with medication errors the most frequently reported
incident.
CONCLUSIONS: Our findings suggest that patients can provide insight about
safety
that complements existing patient safety measurement, with a frequency of
reported
patient safety incidents that is similar to those obtained via case note
review.
However, patients provide a unique perspective about hospital safety which
differs
from and adds to current definitions of patient safety incidents. TRIAL
REGISTRATION
NUMBER: ISRCTN07689702; pre-results.
of the
otherwise
expressly granted.
FAU - O'Hara, Jane K
AU - O'Hara JK
AUID- ORCID: 0000-0001-5551-9975
AD - Leeds Institute of Medical Education, University of Leeds, Leeds, UK.
AD - Department of Quality and Safety, Bradford Institute for Health Research,
Bradford,
UK.
FAU - Reynolds, Caroline
AU - Reynolds C
Bradford,
UK.
FAU - Moore, Sally
AU - Moore S
Bradford,
UK.
FAU - Armitage, Gerry
AU - Armitage G
AD - School of Health, University of Bradford, Bradford, UK.
FAU - Sheard, Laura
AU - Sheard L
AD - Bradford Institute for Health Research, Bradford, UK.
FAU - Marsh, Claire
AU - Marsh C
Bradford,
UK.
FAU - Watt, Ian
AU - Watt I
AD - Department of Health Sciences, University of York, York, UK.
FAU - Wright, John
AU - Wright J
AD - Department of Epidemiology and Public Health, Royal Infirmary Bradford,
Bradford,
UK.
FAU - Lawton, Rebecca
AU - Lawton R
Bradford,
UK.
AD - Institute of Psychological Sciences, University of Leeds, Leeds, UK.
LA - eng
SI - ISRCTN/ISRCTN07689702
DEP - 20180315
TA - BMJ Qual Saf
JID - 101546984
SB - H
CIN - BMJ Qual Saf. 2018 Sep;27(9):671-672. PMID: 29622572
MH - Adolescent
MH - Adult
MH - Aged
MH - *Attitude to Health
MH - Female
MH - Hospitals
MH - Humans
MH - Inpatients/*psychology
MH - Male
MH - Middle Aged
MH - Patient Satisfaction/*statistics & numerical data
MH - Professional-Patient Relations
MH - State Medicine
MH - United Kingdom
MH - Waiting Lists
MH - Young Adult
PMC - PMC6109253
OTO - NOTNLM
OT - *adverse events, epidemiology and detection
OT - *human factors
OT - *medical error, measurement/epidemiology
OT - *quality measurement
EDAT- 2018/03/17 06:00
MHDA- 2019/10/29 06:00
CRDT- 2018/03/17 06:00
PHST- 2017/05/31 00:00 [received]
PHST- 2017/11/27 00:00 [revised]
PHST- 2018/01/01 00:00 [accepted]
PHST- 2018/03/17 06:00 [pubmed]
PHST- 2019/10/29 06:00 [medline]
PHST- 2018/03/17 06:00 [entrez]
AID - bmjqs-2017-006974 [pii]
AID - 10.1136/bmjqs-2017-006974 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2018 Sep;27(9):673-682. doi: 10.1136/bmjqs-2017-006974. Epub
2018 Mar
15.
PMID- 29114003
OWN - NLM
STAT- MEDLINE
DCOM- 20190902
LR - 20190902
IS - 2154-1663 (Print)
IS - 2154-1671 (Linking)
VI - 7
IP - 12
DP - 2017 Dec
TI - Pediatric Patient-Centered Transitions From Hospital to Home: Improving the
Discharge Medication Process.
PG - 723-730
LID - 10.1542/hpeds.2017-0053 [doi]
AB - OBJECTIVES: Medications prescribed at hospital discharge can lead to patient
harm if
there are access barriers or misunderstanding of instructions. Filling
prescriptions
before discharge can decrease these risks. We aimed to increase the
percentage of
patients leaving the hospital with new discharge medications in hand to 70%
by 18
months. METHODS: We used sequential plan-do-study-act cycles from January
2015 to
September 2016. We used statistical process control charts to track process
measures, new medications filled before discharge, and rates of bedside
delivery
with pharmacist teaching to the inpatient pediatric unit. Outcome measures
included
national patient survey data, collected and displayed quarterly, as well as
caregiver understanding, comparing inaccuracy of medication teach-back with
and
without medications in hand before discharge. RESULTS: Rates of patients
leaving the
hospital with medications in hand increased from a baseline of 2% to 85% over
the
study period. Bedside delivery reached 71%. Inaccuracy of caregiver report
during a
postdischarge phone call decreased from 3.3% to 0.7% (P < .05) when
medications were
in hand before discharge. Patient satisfaction with education of new
medication side
effects increased from 50% to 88%. CONCLUSIONS: By using an engaged
interprofessional team, we optimized use of our on-site outpatient pharmacy
and
increased the percentage of pediatric patients leaving the hospital with new
discharge medications in hand to >80%. This, accompanied by increased rates
of
bedside medication delivery and pharmacist teaching, was associated with
improvements in caregiver discharge-medication related experience and
understanding.
CI - Copyright © 2017 by the American Academy of Pediatrics.
FAU - Mallory, Leah A
AU - Mallory LA
AD - Departments of Pediatrics and mallol@mmc.org.
FAU - Diminick, Noah P
AU - Diminick NP
AD - Departments of Pediatrics and.
FAU - Bourque, Jonathan P
AU - Bourque JP
AD - Department of Pharmacy, Maine Medical Center, Portland, Maine.
FAU - Bryden, Meredith R
AU - Bryden MR
FAU - Miller, Jessica L
AU - Miller JL
FAU - Nystrom, Nancy M
AU - Nystrom NM
FAU - Lord, Melanie R
AU - Lord MR
AD - Nursing, The Barbara Bush Children's Hospital at Maine Medical Center,
Portland,
Maine; and.
FAU - McElwain, Lorraine L
AU - McElwain LL
LA - eng
DEP - 20171107
PL - United States
TA - Hosp Pediatr
JT - Hospital pediatrics
JID - 101585349
SB - IM
MH - Child
MH - Drug Prescriptions/*standards
MH - *Home Care Services
MH - Humans
MH - Patient Discharge/*standards
MH - Patient-Centered Care/*standards
MH - Transitional Care/*standards
COIS- POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no
potential
conflicts of interest to disclose.
EDAT- 2017/11/09 06:00
MHDA- 2019/09/03 06:00
CRDT- 2017/11/09 06:00
PHST- 2017/11/09 06:00 [pubmed]
PHST- 2019/09/03 06:00 [medline]
PHST- 2017/11/09 06:00 [entrez]
AID - hpeds.2017-0053 [pii]
AID - 10.1542/hpeds.2017-0053 [doi]
PST - ppublish
SO - Hosp Pediatr. 2017 Dec;7(12):723-730. doi: 10.1542/hpeds.2017-0053. Epub 2017
Nov 7.
PMID- 28316681
OWN - NLM
LR - 20191120
IS - 1844-122X (Print)
VI - 8
IP - Spec Iss 3
DP - 2015
TI - Relationship between patient safety and accountability of nurses in Al-Zahra
Gilangharb Hospital in 2015.
PG - 141-145
AB - Introduction. The purpose of this research was to investigate the connection
between
the patient safety and the accountability of nurses in Gilangharb Hospital in
2015.
Methods. This research was a cross-sectional study conducted in Al-
Gilangharb, in
2015. The data needed for research was taken from the library and an internet
search
and was gathered by using standard questionnaireThe professional and caring
nurses'
questionnaire was based on the extension evaluation office Nursing Care,
Ministry of
Health and Medical Education and demographic information and questions about
4
different roles of nurses were prepared and included. Moreover, patient
safety was
highlighted in a validation questionnaire, validated by experts judging group
of
teachers and academics, which was established. Cronbach's alpha test was used
to
assess the reliability. Finally, the reliability and professional standards
of
nursing care, patient safety questionnaire 093. 86/ 0 percent calculated the
population of Gilangharb Hospital nurses (n = 70) and, in the strata
selected, a
statistical analysis using data from the questionnaires included in the SPSS
statistical software, version 21, took place. Results. The patients' safety
and
accountability was observed at the level of 95 percent by using the Spearman
correlation (SIG = .000). The correlation coefficient was (R=.768). Also, the
dimensions of responsibility between the patient's safety (regarding the role

of the
nurse teacher, manager, researcher, and clinician) at 95 percent and the
positive
use of Spearman correlation was found (SIG = .000). Conclusions. Given the
correlation among the patient protection and accountability, it can be said
that the
nurses in all roles (educator, researcher, administrator, and clinical
specialist)
have been successful, so, we suggested that given the experience, expertise
and
abilities, they have made an efficient use of their lifting power.
FAU - Esfandnia, F
AU - Esfandnia F
AD - Student Research Committee, Kermanshah University of Medical Sciences,
Kermanshah,
Iran.
FAU - Mohammadi, E
AU - Mohammadi E
Kermanshah,
Iran.
FAU - Mohammadi, M
AU - Mohammadi M
Kermanshah,
Iran.
FAU - Cheraghi, R
AU - Cheraghi R
Kermanshah,
Iran.
FAU - Esfandnia, N
AU - Esfandnia N
Kermanshah,
Iran.
FAU - Esfandnia, A
AU - Esfandnia A
Kermanshah,
Iran.
LA - eng
TA - J Med Life
JT - Journal of medicine and life
JID - 101477617
PMC - PMC5348955
OTO - NOTNLM
OT - Gilangharb Hospital
OT - accountability
OT - nurse
OT - patient safety
OT - responsiveness
EDAT- 2015/01/01 00:00
MHDA- 2015/01/01 00:01
CRDT- 2017/03/21 06:00
PHST- 2017/03/21 06:00 [entrez]
PHST- 2015/01/01 00:00 [pubmed]
PHST- 2015/01/01 00:01 [medline]
AID - SIJMedLife-08-03-141 [pii]
PST - ppublish
SO - J Med Life. 2015;8(Spec Iss 3):141-145.
PMID- 26841919
OWN - NLM
STAT- MEDLINE
DCOM- 20170123
LR - 20181113
IS - 0379-8577 (Print)
IS - 0379-8577 (Linking)
VI - 38
IP - 1
DP - 2015 Nov 5
TI - Patient safety culture in a district hospital in South Africa: An issue of
quality.
LID - 10.4102/curationis.v38i1.1518 [doi]
LID - 1518
AB - BACKGROUND: The Nursing Act 33 of 2005 holds nurse practitioners responsible
for all
acts and omissions in the delivery of quality patient care. But quality
patient care
is influenced by a number of factors beyond the control of nurse
practitioners.
Patient safety culture is one such factor and is seldom explored in hospitals
in
developing countries. This article describes the patient safety culture of a
district hospital in South Africa. OBJECTIVES: The study identified and
analysed the
factors that influence the patient safety culture by using the Manchester
Patient
Safety Framework at the National District Hospital, Bloemfontein, Free State
Province. METHOD: A descriptive cross-sectional study was conducted and
included the
total population of permanent staff; community service health professionals;
temporarily employed health professionals and volunteers. The standard
Manchester
Patient Safety Framework questionnaire was distributed with a response rate
of 61%.
RESULTS: Less than half of the respondents (42.4%; n = 61) graded their units
as
acceptable. Several quality dimensions were statistically significant for the
employment profile: overall commitment to quality (p = 0.001); investigating

patient
incidents (p = 0.031); organisational learning following incidents (p <
0.001);
communication around safety issues (p = 0.001); and team working around
safety
issues (p = 0.005). These same quality dimensions were also statistically
significant for the professional profiles. Medical doctors had negative
perceptions
of all the safety dimensions. CONCLUSION: The research measured and described
patient safety culture (PSC) amongst the staff at the National District
Hospital
(NDH). This research has identified the perceived inadequacies with PSC and
gives
nurse managers a clear mandate to implement change to ensure a PSC that
fosters
quality patient care.
FAU - Mayeng, Lorraine M
AU - Mayeng LM
FAU - Wolvaardt, Jacqueline E
AU - Wolvaardt JE
AD - School of Health Systems and Public Health, University of Pretoria.
liz.wolvaardt@up.ac.za.
LA - eng
DEP - 20151105
TA - Curationis
JT - Curationis
JID - 7901092
SB - N
MH - Female
MH - Hospitals, District
MH - Humans
MH - Male
MH - Medical Staff, Hospital/*psychology
MH - South Africa
PMC - PMC6091613
COIS- The authors declare that they have no financial or personal relationship(s)
that may
have inappropriately influenced them in writing this article.
EDAT- 2016/02/05 06:00
MHDA- 2017/01/24 06:00
CRDT- 2016/02/05 06:00
PHST- 2015/04/01 00:00 [received]
PHST- 2015/09/07 00:00 [accepted]
PHST- 2015/08/10 00:00 [revised]
PHST- 2016/02/05 06:00 [entrez]
PHST- 2016/02/05 06:00 [pubmed]
PHST- 2017/01/24 06:00 [medline]
AID - CUR-38-1518 [pii]
AID - 10.4102/curationis.v38i1.1518 [doi]
PST - epublish
SO - Curationis. 2015 Nov 5;38(1):1518. doi: 10.4102/curationis.v38i1.1518.
PMID- 33246934
OWN - NLM
STAT- In-Process
LR - 20210208
IS - 2399-6641 (Linking)
VI - 9
IP - 4
DP - 2020 Nov
TI - Development and evaluation of a brief educational cartoon on trainee
clinicians'
awareness of risks of ionising-radiation exposure: a feasibility pre-post
intervention study of a novel educational tool to promote patient safety.
LID - 10.1136/bmjoq-2019-000900 [doi]
LID - e000900
AB - BACKGROUND: Over recent decades, CT scans have become routinely available and
are
used in both acute medical and outpatient environments. However, there is a
small
increase in the risk of adverse consequences, including an increase in the
risk of
both malignancy and cataracts. Clinicians are often unaware of these facts,
and this
represents a challenge for medical educators in England, where almost 5
million CT
scans are done annually. New whiteboard methodologies permit development of
innovative educational tools that are efficient and scalable in communicating
simple
educational messages that promote patient safety. METHODS: A short
educational
whiteboard cartoon was developed to explore the prior observation that
adolescents
under the care of paediatricians had a much lower risk of receiving a CT scan
than
those under the care of clinicians who care for adults. This explored the
risks
after receiving a CT scan and strategies that can be used to avoid them. The
educational cartoon was piloted on new doctors who were attending induction
training
at a busy teaching hospital. RESULTS: The main output was the educational
whiteboard
cartoon itself. Before the new medical trainees' induction, 56% (25/45) had
received
no formal training in radiation awareness, and this decreased to 26% (6/23)
after
the exposure to the educational cartoon (p=0.02). At baseline, 60% (27/45) of
respondents considered that young females were at highest risk from exposure
to
ionising radiation, and this increased to 87% (20/23) after exposure to the
educational cartoon (p=0.06). CONCLUSIONS: This proof-of-concept feasibility
study
demonstrates that whiteboard cartoons provide a novel and feasible approach
to
efficiently promote patient safety issues, where a short succinct message is
often
appropriate.
FAU - Thurley, Pete
AU - Thurley P
AD - Department of Radiology, Royal Derby Hospital, Derby, UK.
FAU - Bowker, Richard
AU - Bowker R
AD - Department of Peadiatrics, Royal Derby Hospital, Derby, UK.
FAU - Bhatti, Imran
AU - Bhatti I
AD - Department of Surgery, Royal Derby Hospital, Derby, UK.
FAU - Skelly, Rob
AU - Skelly R
AD - Department of Geriatrics, Royal Derby Hospital, Derby, UK.
FAU - Law, Russ
AU - Law R
AD - russlaw.co.uk, London, UK.
FAU - Salaman, Rachel
AU - Salaman R
AD - Media for the Web, London, UK.
FAU - Young, Ben
AU - Young B
AD - Division of Epidemiology and Public Health, University of Nottingham,
Nottingham,
UK.
FAU - Fogarty, Andrew
AU - Fogarty A
AUID- ORCID: 0000-0001-9426-977X
AD - Division of Epidemiology and Public Health, University of Nottingham,
Nottingham, UK
andrew.fogarty@nottingham.ac.uk.
LA - eng
TA - BMJ Open Qual
JID - 101710381
SB - H
SB - IM
PMC - PMC7703407
OTO - NOTNLM
OT - *communication
OT - *medical education
COIS- Competing interests: This work was funded by a grant from the Health
Foundation to
the University of Nottingham. Both mediafortheweb.com and russlaw.co.uk
received
payment for services provided.
EDAT- 2020/11/29 06:00
MHDA- 2020/11/29 06:00
CRDT- 2020/11/28 05:30
PHST- 2019/12/17 00:00 [received]
PHST- 2020/10/07 00:00 [revised]
PHST- 2020/10/18 00:00 [accepted]
PHST- 2020/11/28 05:30 [entrez]
PHST- 2020/11/29 06:00 [pubmed]
PHST- 2020/11/29 06:00 [medline]
AID - bmjoq-2019-000900 [pii]
AID - 10.1136/bmjoq-2019-000900 [doi]
PST - ppublish
SO - BMJ Open Qual. 2020 Nov;9(4):e000900. doi: 10.1136/bmjoq-2019-000900.
PMID- 33120328
OWN - NLM
STAT- MEDLINE
DCOM- 20210104
LR - 20210110
IS - 1059-1311 (Print)
IS - 1059-1311 (Linking)
VI - 83
DP - 2020 Dec
TI - Telephone-based follow-up of children with epilepsy: Comparison of accuracy
between
a specialty nurse and a pediatric neurology fellow.
PG - 98-103
LID - S1059-1311(20)30310-1 [pii]
LID - 10.1016/j.seizure.2020.10.002 [doi]
AB - BACKGROUND: Childhood epilepsy forms a significant burden on the health-care
delivery system. Only a few pediatric neurologists available in most of the
developing countries and caregivers face a lot of financial and logistic
hardships,
apart from a long waiting period for initial and follow up visits.
Telemedicine is a
proposed effective alternative in overcoming this burden. METHODS: Telephonic
consultation by a pediatric neurology fellow was compared with that of a

specialty
nurse; both against face-to-face consultation (gold standard). Care-givers of
children 4 months-18 years with epilepsy were telephonically consulted 24-48

hours
before their scheduled hospital appointment by one specialty nurse and one
pediatric
neurology fellow at least 24 h apart in a random sequence. During the
hospital
visit, another pediatric neurology fellow blinded to the telephonic
consultation,
documented the same after Face-to-Face interview. RESULTS: In 141 children
with
epilepsy, 504 critical clinical events were identified. Telephonic
consultation by
pediatric neurology fellow had a sensitivity of 99 %, 97 %, and 100 % and
specificity of 100 % each in detecting whether the child had any breakthrough
seizure, any adverse event and whether the drug compliance was adequate or
poor
respectively, as compared to face-to-face consultation. Telephonic
consultation by
specialty nurse had a sensitivity of 91 %, 84 %, and 98 % and specificity of
97 %,
99 %, and 81 % in detecting whether the child had any breakthrough seizure,
adverse
event and whether the drug compliance was adequate or poor respectively. But
the
specialty nurses fared poorly in identifying atypical seizure semiologies
like
atonic and myoclonic seizures and documenting an exact number of breakthrough
seizures, as well as few subjective adverse effects like behavioral

abnormality and
scholastic worsening, which was performed excellently by the pediatric
neurology
fellow. CONCLUSIONS: Telephonic consultation in childhood epilepsy by
pediatric
neurology fellow has excellent sensitivity and specificity. A specialty nurse
has
also acceptable sensitivity and specificity in comparison with a face-to-face
consultation.
CI - Copyright © 2020 British Epilepsy Association. Published by Elsevier Ltd. All
rights
reserved.
FAU - Gulati, Sheffali
AU - Gulati S
AD - Child Neurology Division, Department of Pediatrics, All India Institute of
Medical
Sciences, New Delhi, 110029, India. Electronic address:
sheffaligulati@gmail.com.
FAU - Shruthi, N M
AU - Shruthi NM
Medical
Sciences, New Delhi, 110029, India.
FAU - Panda, Prateek Kumar
AU - Panda PK
Medical
Sciences, New Delhi, 110029, India; Pediatric Neurology Division, Department
of
Pediatrics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand,
249203,
India.
FAU - Sharawat, Indar Kumar
AU - Sharawat IK
AD - Pediatric Neurology Division, Department of Pediatrics, All India Institute
of
Medical Sciences, Rishikesh, Uttarakhand, 249203, India.
FAU - Josey, Mable
AU - Josey M
Medical
Sciences, New Delhi, 110029, India.
FAU - Pandey, Ravindra M
AU - Pandey RM
AD - Department of Biostatistics, All India Institute of Medical Sciences, New
Delhi,
110029, India.
LA - eng
DEP - 20201006
TA - Seizure
JT - Seizure
JID - 9306979
SB - IM
MH - Child
MH - Epilepsies, Myoclonic/diagnosis/drug therapy
MH - Epilepsy/*diagnosis/*drug therapy
MH - Female
MH - Follow-Up Studies
MH - Humans
MH - Male
MH - *Referral and Consultation
MH - Seizures/diagnosis/drug therapy
MH - *Telemedicine
MH - Telephone
PMC - PMC7536121
OTO - NOTNLM
OT - Children
OT - Epilepsy
OT - Specialty nurse
OT - Telemedicine
OT - Teleneurology
OT - Telephone-based follow up
COIS- None.
EDAT- 2020/10/30 06:00
MHDA- 2021/01/05 06:00
CRDT- 2020/10/29 20:12
PHST- 2020/05/24 00:00 [received]
PHST- 2020/07/27 00:00 [revised]
PHST- 2020/10/01 00:00 [accepted]
PHST- 2020/10/30 06:00 [pubmed]
PHST- 2021/01/05 06:00 [medline]
PHST- 2020/10/29 20:12 [entrez]
AID - S1059-1311(20)30310-1 [pii]
AID - 10.1016/j.seizure.2020.10.002 [doi]
PST - ppublish
SO - Seizure. 2020 Dec;83:98-103. doi: 10.1016/j.seizure.2020.10.002. Epub 2020
Oct 6.
PMID- 27453490
OWN - NLM
STAT- MEDLINE
DCOM- 20170627
LR - 20181113
IS - 0017-9124 (Print)
IS - 0017-9124 (Linking)
VI - 52
IP - 3
DP - 2017 Jun
TI - Association between Nurse Staffing and In-Hospital Bone Fractures: A
Retrospective
Cohort Study.
PG - 1005-1023
LID - 10.1111/1475-6773.12529 [doi]
AB - OBJECTIVE: To determine if sufficient nurse staffing reduced in-hospital
fractures
in acute care hospitals. DATA SOURCES/STUDY SETTING: The Japanese Diagnosis
Procedure Combination inpatient (DPC) database from July 2010 to March 2014
linked
with the Surveys for Medical Institutions. STUDY DESIGN: We conducted a
retrospective cohort study to examine the association of inpatient nurse-to-
occupied
bed ratio (NBR) with in-hospital fractures. Multivariable logistic regression
with
generalized estimating equations was performed, adjusting for patient
characteristics and hospital characteristics. DATA COLLECTION/EXTRACTION
METHODS: We
identified 770,373 patients aged 50 years or older who underwent planned
major
surgery for some forms of cancer or cardiovascular diseases. We used ICD-10
codes
and postoperative procedure codes to identify patients with in-hospital
fractures.
Hospital characteristics were obtained from the "Survey of Medical
Institutions and
Hospital Report" and "Annual Report for Functions of Medical Institutions."
PRINCIPAL FINDINGS: Overall, 662 (0.09 percent) in-hospital fractures were
identified. Logistic regression analysis showed that the proportion of in-
hospital
fractures in the group with the highest NBR was significantly lower than that
in the
group with the lowest NBR (adjusted odd ratios, 0.67; 95 percent confidence
interval, 0.44-0.99; p = .048). CONCLUSIONS: Sufficient nurse staffing may be
important to reduce postsurgical in-hospital fractures in acute care

hospitals.
FAU - Morita, Kojiro
AU - Morita K
AD - Department of Clinical Epidemiology and Health Economics, School of Public
Health,
Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
FAU - Matsui, Hiroki
AU - Matsui H
Health,
FAU - Fushimi, Kiyohide
AU - Fushimi K
AD - Department of Health Policy and Informatics, Graduate School of Medicine,
Tokyo
Medical and Dental University, Tokyo, Japan.
FAU - Yasunaga, Hideo
AU - Yasunaga H
Health,
LA - eng
DEP - 20160724
JID - 0053006
SB - IM
MH - Fractures, Bone/etiology/*prevention & control
MH - Hospitals
MH - Humans
MH - Japan
MH - Postoperative Complications/prevention & control
MH - Risk Factors
PMC - PMC5441478
OTO - NOTNLM
OT - *Administrative data uses
OT - *cohort analysis
OT - *nursing
OT - *quality of care/patient safety (measurement)
EDAT- 2016/07/28 06:00
MHDA- 2017/06/28 06:00
CRDT- 2016/07/26 06:00
PHST- 2016/07/28 06:00 [pubmed]
PHST- 2017/06/28 06:00 [medline]
PHST- 2016/07/26 06:00 [entrez]
AID - 10.1111/1475-6773.12529 [doi]
PST - ppublish
SO - Health Serv Res. 2017 Jun;52(3):1005-1023. doi: 10.1111/1475-6773.12529. Epub
2016
Jul 24.
PMID- 26984785
OWN - NLM
STAT- MEDLINE
DCOM- 20170601
LR - 20201209
IS - 0950-2688 (Print)
IS - 0950-2688 (Linking)
VI - 144
IP - 11
DP - 2016 Aug
TI - Completeness of Neisseria meningitidis reporting in New York City, 1989-2010.
PG - 2374-81
LID - 10.1017/S0950268816000406 [doi]
AB - Invasive meningococcal disease (IMD) completeness of reporting has never been
assessed in New York City (NYC). We conducted a capture-recapture study to

assess
completeness of reporting, comparing IMD reports made to the NYC Department
of
Health and Mental Hygiene (DOHMH) and records identified in the New York
State
hospital discharge database [Statewide Planning and Research Cooperative
System
(SPARCS)] by ICD-9 codes from 1989 to 2010. Reporting completeness estimates
were
calculated for the entire study period, and stratified by year, age group,
clinical
syndrome, and reporting system. A chart review of hospital medical records
from 2008
to 2010 was conducted to validate hospital coding and to adjust completeness
estimates. Overall, 2194 unique patients were identified from DOHMH (n =
1300) and
SPARCS (n = 1525); 631 (29%) were present in both. Completeness of IMD
reporting was
41% [95% confidence interval (CI) 40-43]. Differences in completeness were
found by
age, clinical syndrome, and reporting system. The chart review found 33% of
hospital
records from 2008 to 2010 had no documentation of IMD. Removal of those
records
improved completeness of reporting to 51% (95% CI 49-53). Our data showed a
low
concordance between what is reported to DOHMH and what is coded by hospitals
as IMD.
Additional guidance to clinicians on IMD reporting criteria may improve
completeness
of IMD reporting.
FAU - Arakaki, L
AU - Arakaki L
AD - New York City Department of Health and Mental Hygiene,Queens,NY,USA.
FAU - Ngai, S
AU - Ngai S
FAU - Weiss, D
AU - Weiss D
LA - eng
DEP - 20160317
TA - Epidemiol Infect
JT - Epidemiology and infection
JID - 8703737
SB - IM
MH - Adolescent
MH - Adult
MH - Age Factors
MH - Aged
MH - Child
MH - Databases, Factual/statistics & numerical data
MH - Disease Notification/*statistics & numerical data
MH - Female
MH - Hospital Records/*statistics & numerical data
MH - Humans
MH - Infant
MH - Male
MH - Meningococcal Infections/diagnosis/*epidemiology/microbiology
MH - Middle Aged
MH - Neisseria meningitidis/*isolation & purification
MH - New York City/epidemiology
MH - Patient Discharge/statistics & numerical data
MH - Syndrome
MH - Young Adult
PMC - PMC4926271
OTO - NOTNLM
OT - *Capture–recapture analysis
OT - *meningitis
OT - *meningococcal disease
OT - *septicaemia
OT - *surveillance
EDAT- 2016/03/18 06:00
MHDA- 2017/06/02 06:00
CRDT- 2016/03/18 06:00
PHST- 2016/03/18 06:00 [entrez]
PHST- 2016/03/18 06:00 [pubmed]
PHST- 2017/06/02 06:00 [medline]
AID - S0950268816000406 [pii]
AID - 00040 [pii]
AID - 10.1017/S0950268816000406 [doi]
PST - ppublish
SO - Epidemiol Infect. 2016 Aug;144(11):2374-81. doi: 10.1017/S0950268816000406.
Epub
2016 Mar 17.
PMID- 27402998
OWN - NLM
DCOM- 20160712
LR - 20190609
IS - 0008-4123 (Print)
IS - 0008-4123 (Linking)
VI - 69
IP - 3
DP - 2016 May-Jun
TI - Appropriateness of Dabigatran and Rivaroxaban Prescribing for Hospital
Inpatients.
PG - 194-201
AB - BACKGROUND: Recent approval of the new oral anticoagulants dabigatran and
rivaroxaban has led to rapid changes in anticoagulant prescribing practices.
Postmarketing reports have highlighted safety concerns with these agents, and
their
use outside of evidence-based recommendations was noted at the authors'
centre.
OBJECTIVES: To determine the incidence of and risk factors associated with
inappropriate prescribing of dabigatran and rivaroxaban. METHODS: This
retrospective
cohort study investigated randomly selected dabigatran or rivaroxaban
prescriptions
for patients admitted to a tertiary teaching hospital between January 2010
and
December 2012. Appropriateness of prescribing was determined from the
documented
indication, drug dosage, patient's renal function, and presence of drug
interactions, if applicable. RESULTS: Among a total of 321 medication orders
reviewed, the incidence of inappropriate use was 31.2% (34/109) for
dabigatran and
26.9% (57/212) for rivaroxaban. Of the 97 reasons for inappropriate use that
were
identified, the most common were prescribing for an unapproved indication
(49/97
[50.5%]), concomitant prescribing of another anticoagulant (22/97 [22.7%]),
and high
prescribed dose (9/97 [9.3%]). The prescribing service was found to be an
independent risk factor for inappropriate prescribing (p = 0.041).
Corrections were
made to 23.1% (21/91) of the incorrect regimens before hospital discharge. In
a
sensitivity analysis using calculated ideal body weight to estimate renal
function,
the overall incidence of inappropriate prescribing increased to 31.5%
(101/321).
CONCLUSIONS: The proportion of patients with inappropriate prescribing of
dabigatran
or rivaroxaban in clinical practice was higher than expected. Educational
interventions and pharmacy-led initiatives with a focus on appropriate
indications,
concomitant anticoagulant prescribing, and review of dosage regimens are
recommended
to improve patient safety.
FAU - Chowdhry, Unnum
AU - Chowdhry U
AD - BScPhm, is a Pharmacist with Northwest Telepharmacy Solutions, Ottawa,
Ontario.
FAU - Jacques, Amanda
AU - Jacques A
AD - BScPhm, ACPR, is a Pharmacist with The Ottawa Hospital, Ottawa, Ontario.
FAU - Karovitch, Alan
AU - Karovitch A
AD - MD, MEd, FRCPC, is a Physician with The Ottawa Hospital, Ottawa, Ontario.
FAU - Giguère, Pierre
AU - Giguère P
AD - BPhm, MSc, is a Pharmacist with The Ottawa Hospital, Ottawa, Ontario.
FAU - Nguyen, My-Linh
AU - Nguyen ML
AD - BScPhm, ACPR, is a Pharmacist with The Ottawa Hospital, Ottawa, Ontario.
LA - eng
DEP - 20160630
JID - 0215645
PMC - PMC4924939
OTO - NOTNLM
OT - anticoagulants
OT - dabigatran
OT - prescribing patterns
OT - rivaroxabans
EDAT- 2016/07/13 06:00
MHDA- 2016/07/13 06:01
CRDT- 2016/07/13 06:00
PHST- 2016/07/13 06:00 [entrez]
PHST- 2016/07/13 06:00 [pubmed]
PHST- 2016/07/13 06:01 [medline]
AID - 10.4212/cjhp.v69i3.1555 [doi]
PST - ppublish
SO - Can J Hosp Pharm. 2016 May-Jun;69(3):194-201. doi: 10.4212/cjhp.v69i3.1555.
Epub
2016 Jun 30.
PMID- 30923401
OWN - NLM
LR - 20200401
IS - 0018-5787 (Print)
IS - 0018-5787 (Linking)
VI - 54
IP - 2
DP - 2019 Apr
TI - Effect of Educational Interventions on Adverse Drug Reaction Reporting in a
Cancer
Institute in Japan: A Questionnaire Study.
PG - 93-99
LID - 10.1177/0018578718769242 [doi]
AB - Background: Limited data regarding knowledge and factors related to
understanding
the adverse drug reaction (ADR) reporting system of health care professionals
are
available in Japan. Objective: The objective of this study was to identify
factors
related to understanding the ADR reporting system in Miyagi Cancer Center and
to
find ways to increase the number and quality of ADR reports. Methods:
Self-administered questionnaire surveys were administered before and after
the
educational meeting among health care professionals who were working in our
hospital
during the study period. Subanalyses restricted to nurses were also
performed. Main
Outcome Measure: Understanding ADR reporting system among healthcare
professionals.
Results: The percentage of respondents who understood the ADR reporting
system in
the questionnaire after the educational meeting was significantly higher than
that
in the questionnaire before the educational meeting. In the questionnaire
after the
educational meeting, multivariate logistic regression analysis found that
having
over 30 years of practical experience (odds ratio [OR], 3.852; 95% confidence
interval [CI], 1.228-12.081 for 20-29 years, 7.695; 1.650-35.881 for over 30
years),
being a physician (8.071; 1.923-33.878), being a pharmacist (18.357; 3.847-
87.585),
and participating in the educational meeting (5.111; 1.700-15.365) were
factors
associated with understanding the ADR reporting system. Multivariate logistic
regression analysis of the questionnaire results before the educational

meeting
among nurses showed that working at outpatient departments (8.330; 3.008-
23.069) was
significantly and independently associated with understanding the ADR
reporting
system. Conclusions: The present study demonstrated that many years of
practical
experience, profession (physicians, pharmacists), and educational
interventions were
associated with good understanding of the ADR reporting system among health
care
professionals.
FAU - Tsuchiya, Masami
AU - Tsuchiya M
AUID- ORCID: 0000-0003-3846-0435
AD - Miyagi Cancer Center, Natori, Miyagi, Japan.
AD - Tohoku University Graduate School of Pharmaceutical Sciences, Sendai, Miyagi,
Japan.
FAU - Esashi, Akihisa
AU - Esashi A
FAU - Obara, Taku
AU - Obara T
AD - Tohoku University Hospital, Sendai, Miyagi, Japan.
FAU - Inooka, Kyoko
AU - Inooka K
FAU - Mano, Nariyasu
AU - Mano N
AD - Tohoku University Graduate School of Pharmaceutical Sciences, Sendai, Miyagi,
Japan.
AD - Tohoku University Hospital, Sendai, Miyagi, Japan.
FAU - Takamura, Chizuko
AU - Takamura C
LA - eng
DEP - 20180413
TA - Hosp Pharm
JID - 0043175
PMC - PMC6431714
OTO - NOTNLM
OT - drug information
OT - pharmacy education
conflicts
this
article.
EDAT- 2019/03/30 06:00
MHDA- 2019/03/30 06:01
CRDT- 2019/03/30 06:00
PHST- 2019/03/30 06:00 [entrez]
PHST- 2019/03/30 06:00 [pubmed]
PHST- 2019/03/30 06:01 [medline]
AID - 10.1177_0018578718769242 [pii]
AID - 10.1177/0018578718769242 [doi]
PST - ppublish
SO - Hosp Pharm. 2019 Apr;54(2):93-99. doi: 10.1177/0018578718769242. Epub 2018
Apr 13.
PMID- 29543048
OWN - NLM
STAT- MEDLINE
DCOM- 20180509
LR - 20190501
IS - 0035-8843 (Print)
IS - 0035-8843 (Linking)
VI - 100
IP - 5
DP - 2018 May
TI - Ensuring patient safety when implementing a new diagnostic pathway for
thyroid
nodules.
PG - 366-370
LID - 10.1308/rcsann.2018.0031 [doi]
AB - Introduction The aim of this study was to determine whether ultrasound alone
is
sufficient to safely exclude malignancy in thyroid nodules in a district
general
hospital setting, to comply with the latest British Thyroid Association
guidelines.
Methods This retrospective study investigated the quality of ultrasound
reporting
and the correlation between ultrasound report and histology for individual
thyroid
nodules. Cases were selected from the thyroid multidisciplinary meeting and
included
all patients having undergone surgery for a thyroid malignancy in a one-year
period.
Results Forty-seven patients were included in the study. Ultrasound reports
were
reviewed and assessed, in which 21 clinicians were involved; 36% of scans
included a
summary of whether the nodule(s) overall appeared benign, equivocal,
suspicious or
malignant; 4% of reports included a U classification; 81% of reports
commented on
cervical lymph nodes. Ultrasound was compared with histology. The sensitivity
of
ultrasound in correctly identifying nodules requiring further investigation
was of
56% and specificity was 81%. Positive predictive value was 81% and negative
predictive value was 56%. Discussion These findings suggest that, in a
district
general hospital setting without a dedicated head and neck radiologist, using
only
ultrasound and limiting fine-needle aspiration cytology to identify
suspicious
nodules may not be safe, as a high number of nodules appearing benign on
ultrasound
may ultimately prove to be malignant.
FAU - Brimioulle, M
AU - Brimioulle M
AD - Ear, Nose and Throat Department, Royal Sussex County Hospital, Brighton and
Sussex
University Hospitals , Brighton , UK.
FAU - Al-Lami, A
AU - Al-Lami A
AD - Ear, Nose and Throat Department, William Harvey Hospital, East Kent Hospitals
University Foundation Trust, Willesborough , Ashford , UK.

FAU - Marzouk, S
AU - Marzouk S

FAU - Emerson, H
AU - Emerson H
AD - Ear, Nose and Throat Department, Medway Maritime Hospital , Gillingam , UK.
FAU - Balfour, A
AU - Balfour A

FAU - Dhar, V
AU - Dhar V

FAU - Nixon, I J
AU - Nixon IJ

LA - eng
DEP - 20180315
TA - Ann R Coll Surg Engl
JT - Annals of the Royal College of Surgeons of England
JID - 7506860
SB - IM
MH - Biopsy, Fine-Needle
MH - Clinical Audit
MH - *Critical Pathways
MH - Humans
MH - Thyroid Nodule/*diagnostic imaging/pathology
MH - Ultrasonography
PMC - PMC5956598
OTO - NOTNLM
OT - Fine-needle biopsy
OT - Otolaryngology
OT - Thyroid gland
OT - Thyroid nodule
OT - Ultrasonography
EDAT- 2018/03/16 06:00
MHDA- 2018/05/10 06:00
CRDT- 2018/03/16 06:00
PHST- 2018/03/16 06:00 [pubmed]
PHST- 2018/05/10 06:00 [medline]
PHST- 2018/03/16 06:00 [entrez]
AID - 2018.0031 [pii]
AID - 10.1308/rcsann.2018.0031 [doi]
PST - ppublish
SO - Ann R Coll Surg Engl. 2018 May;100(5):366-370. doi: 10.1308/rcsann.2018.0031.
Epub
2018 Mar 15.
PMID- 31516322
OWN - NLM
LR - 20201001
IS - 1319-0164 (Print)
IS - 1319-0164 (Linking)
VI - 27
IP - 6
DP - 2019 Sep
TI - Drug-drug interactions and pharmacists' interventions among psychiatric
patients in
outpatient clinics of a teaching hospital in Saudi Arabia.
PG - 798-802
LID - 10.1016/j.jsps.2019.05.001 [doi]
AB - BACKGROUND: Lack of recognition of labeled drug-drug interactions (DDIs) is a
type
of medication error of particular relevance to the treatment of psychiatric
patients. Pharmacists are in a position to detect and address potential DDIs.
OBJECTIVE: This study aimed to explore pharmacists' role in the

identification and
management of DDIs among psychiatric patients in psychiatric outpatient
clinics of a
university-affiliated tertiary care hospital in Riyadh, Saudi Arabia. METHOD:
This
study was a retrospective, cross-sectional medical chart review of patients
visiting
outpatient psychiatric clinics. It utilized medical records of patients who
were
taking any psychotropic medications and were prescribed at least one
additional
drug. The hospital Computerized Physician Order Entry system was used to
identify
DDIs and determine the pharmacists' interventions. The Beers criteria were
applied
to detect inappropriate prescribing among older patients. RESULTS: On
average, the
pharmacists intervened in 12 out of 213 (5.6%) cases of major or moderate
DDIs.
Older age, higher number of prescription medications, the severity of DDIs,
and the
utilization of lithium and anticoagulants were positively associated with the
pharmacist undertaking an action. CONCLUSION: Future studies should explore

the
prevalence rate of harmful DDIs among psychiatric patients on a large scale
and
examine the effectiveness of different pharmacy policies in the detection and
management of DDIs.
FAU - AlRuthia, Yazed
AU - AlRuthia Y
AD - Department of Clinical Pharmacy, College of Pharmacy, King Saud University,
Riyadh,
Saudi Arabia.
AD - Pharmacoeconomics Research Unit, College of Pharmacy, King Saud University,
Riyadh,
Saudi Arabia.
FAU - Alkofide, Hadeel
AU - Alkofide H
Riyadh,
Saudi Arabia.
FAU - Alosaimi, Fahad Dakheel
AU - Alosaimi FD
AD - Department of Psychiatry, College of Medicine, King Saud University, Riyadh,
Saudi
Arabia.
FAU - Sales, Ibrahim
AU - Sales I
Riyadh,
Saudi Arabia.
FAU - Alnasser, Albandari
AU - Alnasser A
Riyadh,
Saudi Arabia.
FAU - Aldahash, Aliah
AU - Aldahash A
Riyadh,
Saudi Arabia.
FAU - Almutairi, Lama
AU - Almutairi L
AD - Department of Pharmacy, King Abdulaziz University Hospital, Riyadh, Saudi
Arabia.
FAU - AlHusayni, Mohammed M
AU - AlHusayni MM
AD - Department of Pharmacy, Prince Sultan Cardiac Center, Prince Sultan Medical
City,
Riyadh, Saudi Arabia.
FAU - Alanazi, Miteb A
AU - Alanazi MA
AD - Department of Pharmacy, King Khalid University Hospital, Riyadh, Saudi
Arabia.
LA - eng
DEP - 20190513
TA - Saudi Pharm J
JT - Saudi pharmaceutical journal : SPJ : the official publication of the Saudi
Pharmaceutical Society
JID - 9705695
PMC - PMC6733954
OTO - NOTNLM
OT - Drug Interactions
OT - Patient safety
OT - Psychiatry
EDAT- 2019/09/14 06:00
MHDA- 2019/09/14 06:01
CRDT- 2019/09/14 06:00
PHST- 2019/02/20 00:00 [received]
PHST- 2019/05/13 00:00 [accepted]
PHST- 2019/09/14 06:00 [entrez]
PHST- 2019/09/14 06:00 [pubmed]
PHST- 2019/09/14 06:01 [medline]
AID - S1319-0164(19)30073-8 [pii]
AID - 10.1016/j.jsps.2019.05.001 [doi]
PST - ppublish
SO - Saudi Pharm J. 2019 Sep;27(6):798-802. doi: 10.1016/j.jsps.2019.05.001. Epub
2019
May 13.
PMID- 29354533
OWN - NLM
LR - 20200930
IS - 2230-5254 (Linking)
VI - 5
DP - 2016
TI - A systematic review of the nature of dispensing errors in hospital
pharmacies.
PG - 1-10
LID - 10.2147/IPRP.S95733 [doi]
AB - BACKGROUND: Dispensing errors are common in hospital pharmacies.
Investigating
dispensing errors is important for identifying the factors involved and
developing
strategies to reduce their occurrence. OBJECTIVES: To review published
studies
exploring the incidence and types of dispensing errors in hospital pharmacies
and
factors contributing to these errors. METHODS: Electronic databases including
PubMed, Scopus, Ovid, and Web of Science were searched for articles published
between January 2000 and January 2015. Inclusion criteria were: studies
published in
English, and studies investigating type, incidence and factors contributing
to
dispensing errors in hospital pharmacies. One researcher searched for all
relevant
published articles, screened all titles and abstracts, and obtained complete
articles. A second researcher assessed the titles, abstracts, and complete
articles
to verify the reliability of the selected articles. KEY FINDINGS: Fifteen
studies
met the inclusion criteria all of which were conducted in just four
countries.
Reviewing incident reports and direct observation were the main methods used
to
investigate dispensing errors. Dispensing error rates varied between
countries
(0.015%-33.5%) depending on the dispensing system, research method, and
classification of dispensing error types. The most frequent dispensing errors
reported were dispensing the wrong medicine, dispensing the wrong drug
strength, and
dispensing the wrong dosage form. The most common factors associated with
dispensing
errors were: high workload, low staffing, mix-up of look-alike/ sound-alike
drugs,
lack of knowledge/experience, distractions/interruptions, and communication
problems
within the dispensary team. CONCLUSION: Studies relating to dispensing errors
in
hospital pharmacies are few in number and have been conducted in just four
countries. The majority of these studies focused on the investigation of
dispensing
error types with no mention of contributing factors or strategies for
reducing
dispensing errors. Others studies are thus needed to investigate dispensing
errors
in hospital pharmacies, and a combined approach is recommended to investigate
contributing factors associated with dispensing errors and explore strategies

for
reducing these errors.
FAU - Aldhwaihi, Khaled
AU - Aldhwaihi K
AD - Department of Pharmacy, University of Hertfordshire, Hatfield, UK.
FAU - Schifano, Fabrizio
AU - Schifano F
FAU - Pezzolesi, Cinzia
AU - Pezzolesi C
FAU - Umaru, Nkiruka
AU - Umaru N
LA - eng
PT - Review
DEP - 20160112
TA - Integr Pharm Res Pract
JT - Integrated pharmacy research & practice
JID - 101656778
PMC - PMC5741032
OTO - NOTNLM
OT - contributing factors
OT - dispensing errors
OT - patient safety
EDAT- 2016/01/12 00:00
MHDA- 2016/01/12 00:01
CRDT- 2018/01/23 06:00
PHST- 2018/01/23 06:00 [entrez]
PHST- 2016/01/12 00:00 [pubmed]
PHST- 2016/01/12 00:01 [medline]
AID - iprp-5-001 [pii]
AID - 10.2147/IPRP.S95733 [doi]
PST - epublish
SO - Integr Pharm Res Pract. 2016 Jan 12;5:1-10. doi: 10.2147/IPRP.S95733.
eCollection
2016.
PMID- 32128226
OWN - NLM
STAT- In-Process
LR - 20201210
IS - 2054-4774 (Print)
IS - 2054-4774 (Linking)
VI - 7
IP - 1
DP - 2020
TI - Practice recommendations for the use of sedation in routine hospital-based
colonoscopy.
PG - e000348
LID - 10.1136/bmjgast-2019-000348 [doi]
LID - e000348
AB - OBJECTIVE: Although sedation improves patient experience during colonoscopy,
there
is great jurisdictional variability in sedative practices. The objective of
this
study was to develop practice recommendations for the use of moderate and
deep
sedation in routine hospital-based colonoscopy to facilitate standardisation
of
practice. DESIGN: We recruited 32 multidisciplinary panellists to participate
in a
modified Delphi process to establish consensus-based recommendations for the
use of
sedation in colonoscopy. Panel members participated in a values assessment
survey
followed by two rounds of anonymous online voting on preliminary practice
recommendations. An inperson meeting was held between voting rounds to
facilitate
consensus-building. Consensus was defined as >60% agreement/disagreement with
recommendation statements; >80% agreement/disagreement was considered

indicative of
strong consensus. RESULTS: Twenty-nine panellists participated in the values
assessment survey. Panellists ranked all factors presented as important to
the
development of practice recommendations. The factor considered most important
was
patient safety. Patient satisfaction, procedural efficiency, and cost were
considered less important. Strong consensus was achieved for all nine
practice
recommendations presented to the panel. These recommendations included that
all
endoscopists be able to perform colonoscopy with moderate sedation, that an
endoscopist and a single trained nurse are sufficient for performing
colonoscopy
with moderate sedation, and that anaesthesia-provided deep sedation be used
for
select patients. CONCLUSION: The recommendations presented in this study were
agreed
on by a multidisciplinary group and provide guidance for the use of sedation
in
routine hospital-based colonoscopy. Standardised sedation practices will
promote
safe, effective, and efficient colonoscopy for all patients.
FAU - Dossa, Fahima
AU - Dossa F
AUID- ORCID: 0000-0002-4670-7445
AD - Division of General Surgery, Department of Surgery, University of Toronto,
Toronto,
Ontario, Canada.
AD - Institute of Health Policy, Management, and Evaluation, Dalla Lana School of
Public
FAU - Dubé, Catherine
AU - Dubé C
AD - Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa,
Ontario,
Canada.
AD - Cancer Care Ontario, Toronto, Ontario, Canada.
FAU - Tinmouth, Jill
AU - Tinmouth J
Public
AD - Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
FAU - Sorvari, Anne
AU - Sorvari A
AD - Department of General Surgery, St Michael's Hospital, Toronto, Ontario,
Canada.
FAU - Rabeneck, Linda
AU - Rabeneck L
AD - Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
FAU - McCurdy, Bronwen R
AU - McCurdy BR
FAU - Dominitz, Jason A
AU - Dominitz JA
AD - Department of Medicine, Division of Gastroenterology, VA Puget Sound Health
Care
System and University of Washington School of Medicine, Seattle, Washington,
USA.
FAU - Baxter, Nancy N
AU - Baxter NN
AD - Division of General Surgery, Department of Surgery, University of Toronto,
Toronto,
Ontario, Canada.
Public
AD - Department of General Surgery, St Michael's Hospital, Toronto, Ontario,
Canada.
LA - eng
GR - 148470/CAPMC/CIHR/Canada
DEP - 20200216
TA - BMJ Open Gastroenterol
JT - BMJ open gastroenterology
JID - 101660690
PMC - PMC7039579
OTO - NOTNLM
OT - *colonoscopy
OT - *endoscopy
OT - *screening
EDAT- 2020/03/05 06:00
MHDA- 2020/03/05 06:01
CRDT- 2020/03/05 06:00
PHST- 2019/10/15 00:00 [received]
PHST- 2019/12/10 00:00 [revised]
PHST- 2019/12/11 00:00 [accepted]
PHST- 2020/03/05 06:00 [entrez]
PHST- 2020/03/05 06:00 [pubmed]
PHST- 2020/03/05 06:01 [medline]
AID - bmjgast-2019-000348 [pii]
AID - 10.1136/bmjgast-2019-000348 [doi]
PST - epublish
SO - BMJ Open Gastroenterol. 2020 Feb 16;7(1):e000348. doi: 10.1136/bmjgast-2019-
000348.
eCollection 2020.
PMID- 32782002
OWN - NLM
STAT- MEDLINE
DCOM- 20201222
LR - 20201223
IS - 1472-6963 (Linking)
VI - 20
IP - 1
DP - 2020 Aug 11
TI - Developing a sociocultural framework of compliance: an exploration of factors
related to the use of early warning systems among acute care clinicians.
PG - 736
LID - 10.1186/s12913-020-05615-6 [doi]
LID - 736
AB - BACKGROUND: Early warning systems (EWS) are most effective when clinicians
monitor
patients' vital signs and comply with the recommended escalation of care
protocols
once deterioration is recognised. OBJECTIVES: To explore sociocultural
factors
influencing acute care clinicians' compliance with an early warning system
commonly
used in Queensland public hospitals in Australia. METHODS: This
interpretative
qualitative study utilised inductive thematic analysis to analyse data
collected
from semi-structured interviews conducted with 30 acute care clinicians from
Queensland, Australia. RESULTS: This study identified that individuals and
teams
approached compliance with EWS in the context of 1) the use of EWS for
patient
monitoring; and 2) the use of EWS for the escalation of patient care.
Individual and
team compliance with monitoring and escalation processes is facilitated by
intra and
inter-professional factors such as acceptance and support, clear instruction,
inter-disciplinary collaboration and good communication. Noncompliance with

EWS can
be attributed to intra and inter-professional hierarchy and poor
communication.
CONCLUSIONS: The overarching organisational context including the hospital's
embedded quality improvement and administrative protocols (training,
resources and
staffing) impact hospital-wide culture and influence clinicians' and teams'
compliance or non-compliance with early warning system's monitoring and
escalation
processes. Successful adoption of EWS relies on effective and meaningful
interactions among multidisciplinary staff.
FAU - Flenady, Tracy
AU - Flenady T
AUID- ORCID: 0000-0002-5286-4789
AD - Central Queensland University, School of Nursing & Midwifery, Building 18,
Bruce
Highway, Rockhampton, 4702, Australia. t.flenady@cqu.edu.au.
FAU - Dwyer, Trudy
AU - Dwyer T
Bruce
Highway, Rockhampton, 4702, Australia.
FAU - Sobolewska, Agnieszka
AU - Sobolewska A
Bruce
FAU - Lagadec, Danielle Le
AU - Lagadec DL
Bruce
FAU - Connor, Justine
AU - Connor J
Bruce
FAU - Kahl, Julie
AU - Kahl J
AD - Central Queensland Hospital and Health Services, Canning Street, Rockhampton,
4701,
Australia.
FAU - Signal, Tania
AU - Signal T
Bruce
FAU - Browne, Matthew
AU - Browne M
Bruce
LA - eng
GR - QCHO010653/Queensland Government/
DEP - 20200811
JID - 101088677
SB - IM
MH - Adult
MH - Critical Care/*organization & administration
MH - Cultural Characteristics
MH - *Early Warning Score
MH - Female
MH - Humans
MH - Male
MH - Personnel, Hospital/*psychology/statistics & numerical data
MH - Queensland
MH - Social Factors
PMC - PMC7422559
OTO - NOTNLM
OT - Compliance
OT - Conceptual framework
OT - Early warning systems
OT - Nursing
OT - Patient safety
OT - Sociocultural
EDAT- 2020/08/13 06:00
MHDA- 2020/12/23 06:00
CRDT- 2020/08/13 06:00
PHST- 2020/01/21 00:00 [received]
PHST- 2020/08/02 00:00 [accepted]
PHST- 2020/08/13 06:00 [entrez]
PHST- 2020/08/13 06:00 [pubmed]
PHST- 2020/12/23 06:00 [medline]
AID - 10.1186/s12913-020-05615-6 [pii]
AID - 5615 [pii]
AID - 10.1186/s12913-020-05615-6 [doi]
PST - epublish
SO - BMC Health Serv Res. 2020 Aug 11;20(1):736. doi: 10.1186/s12913-020-05615-6.
PMID- 25435809
OWN - NLM
DCOM- 20141201
LR - 20200930
IS - 1472-6955 (Print)
IS - 1472-6955 (Linking)
VI - 13
IP - 1
DP - 2014
TI - Patient safety subcultures among registered nurses and nurse assistants in
Swedish
hospital care: a qualitative study.
PG - 39
LID - 10.1186/s12912-014-0039-5 [doi]
LID - 39
AB - BACKGROUND: Patient safety culture emerges from the shared assumptions,
values and
norms of members of a health care organization, unit, team or other group
with
regard to practices that directly or indirectly influence patient safety. It
has
been argued that organizational culture is an amalgamation of many cultures,
and
that subcultures should be studied to develop a deeper understanding of an
organization's culture. The aim of this study was to explore subcultures
among
registered nurses and nurse assistants in Sweden in terms of their
assumptions,
values and norms with regard to practices associated with patient safety.
METHODS:
The study employed an exploratory design using a qualitative method, and was
conducted at two hospitals in southeast Sweden. Seven focus group interviews
and two
individual interviews were conducted with registered nurses and seven focus
group
interviews and one individual interview were conducted with nurse assistants.
Manifest content analysis was used for the analysis. RESULTS: Seven patient
safety
culture domains (i.e. categories of assumptions, values and norms) that
included
practices associated with patient safety were found: responsibility,
competence,
cooperation, communication, work environment, management and routines. The
domains
corresponded with three system levels: individual, interpersonal and
organizational
levels. The seven domains consisted of 16 subcategories that expressed
different
aspects of the registered nurses and assistants nurses' patient safety
culture. Half
of these subcategories were shared. CONCLUSIONS: Registered nurses and nurse
assistants in Sweden differ considerably with regard to patient safety
subcultures.
The results imply that, in order to improve patient safety culture, efforts
must be
tailored to both registered nurses' and nurse assistants' patient safety-
related
assumptions, values and norms. Such efforts must also take into account
different
system levels. The results of the present study could be useful to facilitate
discussions about patient safety within and between different professional

groups.
FAU - Danielsson, Marita
AU - Danielsson M
AD - Department of Medical and Health Sciences, Division of Health Care Analysis,
Linköping University, Linköping, SE- 581 83 Sweden ; Department of Health and
Development, County Council of Östergötland, Linköping, SE- 581 91 Sweden.

FAU - Nilsen, Per
AU - Nilsen P
Linköping University, Linköping, SE- 581 83 Sweden.
FAU - Ohrn, Annica
AU - Ohrn A
AD - Department of Health and Development, County Council of Östergötland,
Linköping, SE-
581 91 Sweden.
FAU - Rutberg, Hans
AU - Rutberg H
Linköping University, Linköping, SE- 581 83 Sweden.
FAU - Fock, Jenni
AU - Fock J
AD - Department of Health and Development, County Council of Östergötland,
Linköping, SE-
581 91 Sweden.
FAU - Carlfjord, Siw
AU - Carlfjord S
AD - Department of Medical and Health Sciences, Division of Community Medicine,
Linköping
University, Linköping, SE- 581 83 Sweden.
LA - eng
DEP - 20141126
TA - BMC Nurs
JT - BMC nursing
JID - 101088683
PMC - PMC4247876
OTO - NOTNLM
OT - Nurses
OT - Patient safety
OT - Safety culture
EDAT- 2014/12/02 06:00
MHDA- 2014/12/02 06:01
CRDT- 2014/12/02 06:00
PHST- 2014/04/17 00:00 [received]
PHST- 2014/11/10 00:00 [accepted]
PHST- 2014/12/02 06:00 [entrez]
PHST- 2014/12/02 06:00 [pubmed]
PHST- 2014/12/02 06:01 [medline]
AID - 39 [pii]
AID - 10.1186/s12912-014-0039-5 [doi]
PST - epublish
SO - BMC Nurs. 2014 Nov 26;13(1):39. doi: 10.1186/s12912-014-0039-5. eCollection
2014.
PMID- 33115851
OWN - NLM
STAT- Publisher
LR - 20201107
IS - 2044-5415 (Linking)
DP - 2020 Oct 28
TI - Changes in weekend and weekday care quality of emergency medical admissions
to 20
hospitals in England during implementation of the 7-day services national
health
policy.
LID - bmjqs-2020-011165 [pii]
LID - 10.1136/bmjqs-2020-011165 [doi]
AB - BACKGROUND: In 2013, the English National Health Service launched the policy
of
7-day services to improve care quality and outcomes for weekend emergency
admissions. AIMS: To determine whether the quality of care of emergency
medical
admissions is worse at weekends, and whether this has changed during
implementation
of 7-day services. METHODS: Using data from 20 acute hospital Trusts in
England, we
performed randomly selected structured case record reviews of patients
admitted to
hospital as emergencies at weekends and on weekdays between financial years
2012-2013 and 2016-2017. Senior doctor ('specialist') involvement was
determined
from annual point prevalence surveys. The primary outcome was the rate of
clinical
errors. Secondary outcomes included error-related adverse event rates, global
quality of care and four indicators of good practice. RESULTS: Seventy-nine

clinical
reviewers reviewed 4000 admissions, 800 in duplicate. Errors, adverse events
and
care quality were not significantly different between weekend and weekday
admissions, but all improved significantly between epochs, particularly
errors most
likely influenced by doctors (clinical assessment, diagnosis, treatment,
prescribing
and communication): error rate OR 0.78; 95% CI 0.70 to 0.87; adverse event OR
0.48,
95% CI 0.33 to 0.69; care quality OR 0.78, 95% CI 0.70 to 0.87; all adjusted
for
age, sex and ethnicity. Postadmission in-hospital care processes improved
between
epochs and were better for weekend admissions (vital signs with National
Early
Warning Score and timely specialist review). Preadmission processes in the
community
were suboptimal at weekends and deteriorated between epochs (fewer family
doctor
referrals, more patients with chronic disease or palliative care
designation).
CONCLUSIONS AND IMPLICATIONS: Hospital care quality of emergency medical
admissions
is not worse at weekends and has improved during implementation of the 7-day
services policy. Causal pathways for the weekend effect may extend into the
prehospital setting.
Published by
BMJ.
FAU - Bion, Julian
AU - Bion J
AUID- ORCID: 0000-0003-0344-5403
AD - Department of Intensive Care Medicine, College of Medical and Dental
Sciences, The
University of Birmingham, Birmingham, UK J.F.Bion@bham.ac.uk.
FAU - Aldridge, Cassie
AU - Aldridge C
AD - Department of Intensive Care Medicine, Institute of Clinical Sciences,
University of
Birmingham, Birmingham, UK.
FAU - Girling, Alan J
AU - Girling AJ
University of
FAU - Rudge, Gavin
AU - Rudge G
University of
FAU - Sun, Jianxia
AU - Sun J
AD - Department of Health Informatics, University Hospitals Birmingham NHS
Foundation
Trust, Birmingham, UK.
FAU - Tarrant, Carolyn
AU - Tarrant C
AD - Department of Health Sciences, University of Leicester, Leicester, UK.
FAU - Sutton, Elizabeth
AU - Sutton E
FAU - Willars, Janet
AU - Willars J
FAU - Beet, Chris
AU - Beet C
AD - Department of Intensive Care, University Hospitals Coventry and Warwickshire
NHS
Trust, Coventry, UK.
FAU - Boyal, Amunpreet
AU - Boyal A
AD - Department of Research & Development, University Hospitals Birmingham NHS
Foundation
Trust, Birmingham, UK.
FAU - Rees, Peter
AU - Rees P
AD - Academy of Medical Royal Colleges, London, UK.
FAU - Roseveare, Chris
AU - Roseveare C
AD - Department of Gastroenterology, Southern Health NHS Foundation Trust,
Southampton,
UK.
FAU - Temple, Mark
AU - Temple M
AD - Renal Medicine, University Hospitals Birmingham NHS Foundation Trust,
Birmingham,
UK.
FAU - Watson, Samuel Ian
AU - Watson SI
AD - Division of Health Sciences, Medical School, University of Warwick, Coventry,
Warwickshire, UK.
FAU - Chen, Yen-Fu
AU - Chen YF
AUID- ORCID: 0000-0002-9446-2761
AD - Division of Health Sciences, Medical School, University of Warwick, Coventry,
Warwickshire, UK.
FAU - Clancy, Mike
AU - Clancy M
AD - Emergency Medicine, Southampton University Hospitals NHS Trust, Southampton,
UK.
FAU - Rowan, Louise
AU - Rowan L
University of
FAU - Lord, Joanne
AU - Lord J
AD - University of Southampton, Southampton, Hampshire, UK.
FAU - Mannion, Russell
AU - Mannion R
AD - Health Services Management Centre, University of Birmingham, Birmingham, UK.
FAU - Hofer, Timothy
AU - Hofer T
AUID- ORCID: 0000-0003-0434-8787
AD - Department of Medicine, University of Michigan Medical School, Ann Arbor,
Michigan,
USA.
FAU - Lilford, Richard
AU - Lilford R
AUID- ORCID: 0000-0002-0634-984X
AD - Department of Public Health, Epidemiology & Biostatistics, University of
Birmingham,
Birmingham, UK.
LA - eng
DEP - 20201028
PL - England
TA - BMJ Qual Saf
JID - 101546984
SB - H
OTO - NOTNLM
OT - emergency department
OT - health policy
OT - measurement/epidemiology
OT - medical error
EDAT- 2020/10/30 06:00
MHDA- 2020/10/30 06:00
CRDT- 2020/10/29 05:41
PHST- 2020/03/14 00:00 [received]
PHST- 2020/10/06 00:00 [revised]
PHST- 2020/10/11 00:00 [accepted]
PHST- 2020/10/30 06:00 [pubmed]
PHST- 2020/10/30 06:00 [medline]
PHST- 2020/10/29 05:41 [entrez]
AID - bmjqs-2020-011165 [pii]
AID - 10.1136/bmjqs-2020-011165 [doi]
PST - aheadofprint
SO - BMJ Qual Saf. 2020 Oct 28:bmjqs-2020-011165. doi: 10.1136/bmjqs-2020-011165.
PMID- 31660182
OWN - NLM
LR - 20200930
IS - 2054-1058 (Print)
IS - 2054-1058 (Linking)
VI - 6
IP - 4
DP - 2019 Oct
TI - Emergency medical technicians' experiences with unplanned births outside
institutions: A qualitative interview study.
PG - 1542-1550
LID - 10.1002/nop2.354 [doi]
AB - AIM: To explore emergency medical technicians' experiences with unplanned
births
outside institutions. DESIGN: A qualitative interview study. METHODS:
Individual
semi-structured interviews with 12 emergency medical technicians in Norway.
Systematic text condensation was used to analyse the data material. RESULTS:
Analysis showed that there is a mismatch between society's expectations about
emergency medical technicians and the reality they encounter in out-of-

hospital
maternity care, that emergency medical technicians experience a general lack
of
training in caring for labouring women and that poor communication with other
health
professions challenges patient safety. The participants expressed how they do
their
best in caring for both mother and child, in spite of a lack of education,
training
and competence in assisting labouring women.
CI - © 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd.
FAU - Vagle, Hanne
AU - Vagle H
AD - Faculty of Health and Social Sciences Western Norway University of Applied
Sciences
Bergen Norway.
FAU - Haukeland, Gunn Terese
AU - Haukeland GT
Sciences
Bergen Norway.
FAU - Dahl, Bente
AU - Dahl B
AD - Centre for Women's, Family and Child Health, Faculty of Health and Social
Sciences
University of South-Eastern Norway Kongsberg Norway.
FAU - Aasheim, Vigdis
AU - Aasheim V
Sciences
Bergen Norway.
FAU - Vik, Eline Skirnisdottir
AU - Vik ES
AUID- ORCID: 0000-0002-9472-5947
Sciences
Bergen Norway.
AD - Department of Global Public Health and Primary Care University of Bergen
Bergen
Norway.
LA - eng
DEP - 20190731
TA - Nurs Open
JT - Nursing open
JID - 101675107
PMC - PMC6805291
OTO - NOTNLM
OT - born before arrival
OT - born unplanned outside institutions
OT - emergency medical technician
OT - experience
OT - midwifery
OT - out‐of‐hospital birth
OT - paramedic
OT - patient safety
OT - pre‐hospital birth
OT - specialist ambulance nurse
COIS- We have no conflicts of interest to disclose.
EDAT- 2019/10/30 06:00
MHDA- 2019/10/30 06:01
CRDT- 2019/10/30 06:00
PHST- 2019/05/07 00:00 [received]
PHST- 2019/07/03 00:00 [revised]
PHST- 2019/07/15 00:00 [accepted]
PHST- 2019/10/30 06:00 [entrez]
PHST- 2019/10/30 06:00 [pubmed]
PHST- 2019/10/30 06:01 [medline]
AID - NOP2354 [pii]
AID - 10.1002/nop2.354 [doi]
PST - epublish
SO - Nurs Open. 2019 Jul 31;6(4):1542-1550. doi: 10.1002/nop2.354. eCollection
2019 Oct.
PMID- 27884844
OWN - NLM
STAT- MEDLINE
DCOM- 20171121
LR - 20190202
IS - 2044-6055 (Linking)
VI - 6
IP - 11
DP - 2016 Nov 24
TI - Medication reconciliation as a medication safety initiative in Ethiopia: a
study
protocol.
PG - e012322
LID - 10.1136/bmjopen-2016-012322 [doi]
LID - e012322
AB - INTRODUCTION: Medication related adverse events are common, particularly
during
transitions of care, and have a significant impact on patient outcomes and
healthcare costs. Medication reconciliation (MedRec) is an important
initiative to
achieve the Quality Use of Medicines, and has been adopted as a standard
practice in
many developed countries. However, the impact of this strategy is rarely
described
in Ethiopia. The aims of this study are to explore patient safety culture,
and to
develop, implement and evaluate a theory informed MedRec intervention, with
the aim
of minimising the incidence of medication errors during hospital admission.
METHODS
AND ANALYSES: The study will be conducted in a resource limited setting.
There are
three phases to this project. The first phase is a mixed methods study of
healthcare
professionals' perspectives of patient safety culture and patients'
experiences of
medication related adverse events. In this phase, the Hospital Survey on
Patient
Safety Culture will be used along with semi-structured indepth interviews to
investigate patient safety culture and experiences of medication related
adverse
events. The second phase will use a semi-structured interview guide, designed
according to the 12 domains of the Theoretical Domains Framework, to explore

the
barriers and facilitators to medication safety activities delivered by
hospital
pharmacists. The third phase will be a single centre, before and after study,
that
will evaluate the impact of pharmacist conducted admission MedRec in an
emergency
department (ED). The main outcome measure is the incidence and potential
clinical
severity of medication errors. We will then analyse the differences in the
incidence
and severity of medication errors before and after initiation of an ED
pharmacy
service.
not
FAU - Mekonnen, Alemayehu B
AU - Mekonnen AB
AD - Faculty of Pharmacy, University of Sydney, Sydney, New South Wales,
Australia.
AD - School of Pharmacy, University of Gondar, Gondar, Ethiopia.
FAU - McLachlan, Andrew J
AU - McLachlan AJ
Australia.
FAU - Brien, Jo-Anne E
AU - Brien JE
Australia.
FAU - Mekonnen, Desalew
AU - Mekonnen D
AD - Department of Internal Medicine, Addis Ababa University, Addis Ababa,
Ethiopia.
FAU - Abay, Zenahebezu
AU - Abay Z
AD - Department of Internal Medicine, University of Gondar, Gondar, Ethiopia.
LA - eng
DEP - 20161124
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Ethiopia
MH - Focus Groups
MH - Hospitals
MH - Humans
MH - Medication Reconciliation/*methods
MH - Transitional Care
PMC - PMC5168529
OTO - NOTNLM
OT - *medication discrepancies
OT - *medication history
OT - *medication review
EDAT- 2016/11/26 06:00
MHDA- 2017/11/29 06:00
CRDT- 2016/11/26 06:00
PHST- 2016/11/26 06:00 [entrez]
PHST- 2016/11/26 06:00 [pubmed]
PHST- 2017/11/29 06:00 [medline]
AID - 10.1136/bmjopen-2016-012322 [doi]
PST - epublish
SO - BMJ Open. 2016 Nov 24;6(11):e012322. doi: 10.1136/bmjopen-2016-012322.
PMID- 29902575
OWN - NLM
STAT- MEDLINE
DCOM- 20191030
LR - 20191030
IS - 1532-0464 (Linking)
VI - 83
DP - 2018 Jul
TI - A data-driven framework of typical treatment process extraction and
evaluation.
PG - 178-195
LID - S1532-0464(18)30110-2 [pii]
LID - 10.1016/j.jbi.2018.06.004 [doi]
AB - BACKGROUND: A clinical pathway (CP) defines a standardized care process for a
well-defined patient group that aims to improve patient outcomes and promote
patient
safety. However, the construction of a new pathway from scratch is a time-
consuming
task for medical staff because it involves many factors, including objects,
multidisciplinary collaboration, sequential design, and outcome measurements.
Recently, the rapid development of hospital information systems has allowed

the
storage of large volumes of electronic medical records (EMRs), and this
information
constitutes an abundant data resource for building CPs using data-mining
methods.
METHODS: We provide an automatic method for extracting typical treatment
processes
from EMRs that consists of four key steps. First, a novel similarity method
is
proposed to measure the similarity of two treatment records. Then, we perform
an
affinity propagation (AP) clustering algorithm to cluster doctor order set
sequences
(DOSSs). Next, a framework is proposed to extract a high-level description of
each
treatment cluster. Finally, we evaluate the extracted typical treatment
processes by
matching the treatment cluster with external information, such as the
treatment
efficacy, length of stay, and treatment cost. RESULTS: By experiments on EMRs
of
8287 cerebral infarction patients, it is concluded that our proposed method
can
effectively extract typical treatment processes from treatment records, and
also has
great potential to improve treatment outcome by personalizing the treatment
process
for patients with different conditions. CONCLUSION: The extracted typical
treatment
processes are intuitive and can provide managerial guidance for CP redesign
and
optimization. In addition, our work can assist clinicians in clearly
understanding
their routine treatment processes and recommend optimal treatment pathways
for
patients.
FAU - Chen, Jingfeng
AU - Chen J
AD - Institute of Systems Engineering, Dalian University of Technology, Dalian
116024, PR
China.
FAU - Sun, Leilei
AU - Sun L
116024, PR
China; School of Economics and Management, Tsinghua University, Beijing
100084, PR
China.
FAU - Guo, Chonghui
AU - Guo C
116024, PR
China. Electronic address: dlutguo@dlut.edu.cn.
FAU - Wei, Wei
AU - Wei W
116024, PR
China.
FAU - Xie, Yanming
AU - Xie Y
AD - Institute of Basic Research in Clinical Medicine, China Academy of Chinese
Medical
Scieces, Beijing 100700, PR China.
LA - eng
DEP - 20180615
PL - United States
TA - J Biomed Inform
JT - Journal of biomedical informatics
JID - 100970413
SB - IM
MH - Algorithms
MH - Cerebral Infarction/therapy
MH - *Cluster Analysis
MH - *Critical Pathways
MH - *Data Mining
MH - Humans
OTO - NOTNLM
OT - *AP clustering
OT - *EMR data mining
OT - *Set sequence similarity
OT - *Treatment process discovery
EDAT- 2018/06/15 06:00
MHDA- 2019/10/31 06:00
CRDT- 2018/06/15 06:00
PHST- 2017/12/16 00:00 [received]
PHST- 2018/05/08 00:00 [revised]
PHST- 2018/06/08 00:00 [accepted]
PHST- 2018/06/15 06:00 [pubmed]
PHST- 2019/10/31 06:00 [medline]
PHST- 2018/06/15 06:00 [entrez]
AID - S1532-0464(18)30110-2 [pii]
AID - 10.1016/j.jbi.2018.06.004 [doi]
PST - ppublish
SO - J Biomed Inform. 2018 Jul;83:178-195. doi: 10.1016/j.jbi.2018.06.004. Epub
2018 Jun
15.
PMID- 31907009
OWN - NLM
STAT- MEDLINE
DCOM- 20201116
LR - 20201116
IS - 1745-6215 (Linking)
VI - 21
IP - 1
DP - 2020 Jan 6
TI - Effect and associated factors of a clinical pharmacy model in the incidence
of
medication errors (EACPharModel) in the Hospital Pablo Tobón Uribe: study
protocol
for a stepped wedge randomized controlled trial (NCT03338725).
PG - 26
LID - 10.1186/s13063-019-3945-8 [doi]
LID - 26
AB - BACKGROUND: According to WHO, medication error (ME) is a subject that
requires
attention at all levels of care to reduce severe and preventable damage
related to
medication use. Clinical pharmacy practice standards have been proposed
around the
world so that the pharmacist, as part of a multidisciplinary health team, can
help
improve patient safety; however, further evidence derived from adequate
studies is
needed to demonstrate this. This study aims to assess the effect of a
clinical
pharmacy practice model (CPPM) in preventing MEs associated with the
medication use
process. METHODS: A prospective, stepped-wedge, cluster-randomized,
controlled trial
with a duration of 14 months will be performed to compare the effect of a
CPPM along
with the usual care process of patients in the Pablo Tobón Uribe Hospital
(Medellin,
Colombia). The study is designed as a cluster-randomized controlled trial,
involving
five hospital wards (clusters) and 720 patients. Medical wards are allocated
to
interventions using a stepped-wedge design. Clusters are initially assigned
to the
control group. After a 2-month observation period, hospital clusters were
randomly
allocated to the intervention group. Study outcomes will be assessed at
baseline and
at 2, 4, 6, 8, 10, and 12 months after randomization. The primary outcome
will be to
assess the effect of a CPPM on the incidence of medication errors associated
with
the medication use process. Drug-related problems and factors that contribute
to the
occurrence of MEs will be assessed as secondary outcomes. Statistical
analyses will
be performed using a mixed model, with the treatment group and time as fixed
effects
and the clustering structure as a random effect. Statistical analysis will be
performed using Pearson chi-square tests and Student's t-tests, and a P value
< 0.05
will be considered statistically significant. DISCUSSION: As far as we know,
this is
the first stepped-wedge, cluster-randomized, controlled trial designed to
assess the
change of a CPPM on the incidence of medication errors in a hospital in
Colombia,
and it could generate valuable information about a standardized and patient-
centered
clinical pharmacy model to improve the safety of inpatient care. TRIAL
REGISTRATION:
ClinicalTrials.gov, NCT03338725. Registered on 9 November 2017. The first
patient
was randomized on 2 February 2018. PROTOCOL VERSION: 0010112018JG.
FAU - Granados, J
AU - Granados J
AUID- ORCID: 0000-0002-3851-2752
AD - Grupo Promoción y Prevención Farmacéutica, Facultad de Ciencias Farmacéuticas
y
Alimentarias, Universidad de Antioquia, Calle 70 No 52-21, Medellín,
Colombia.
elkyn.granados@udea.edu.co.
AD - Grupo de investigación en Tecnología en Regencia de Farmacia, Universidad de
Antioquia U de A, Calle 70 No 52-21, Medellín, Colombia.
elkyn.granados@udea.edu.co.
FAU - Salazar-Ospina, A
AU - Salazar-Ospina A
y
Colombia.
AD - Grupo de investigación en Tecnología en Regencia de Farmacia, Universidad de
Antioquia U de A, Calle 70 No 52-21, Medellín, Colombia.
FAU - Botero-Aguirre, J P
AU - Botero-Aguirre JP
AD - Grupo Investigación clínica HPTU., Hospital Pablo Tobón Uribe, Calle 78B #69-
240,
Medellín, Antioquia, 05001000, Colombia.
FAU - Valencia-Quintero, A F
AU - Valencia-Quintero AF
y
Colombia.
240,
FAU - Ortiz, N
AU - Ortiz N
240,
FAU - Amariles, P
AU - Amariles P
y
Colombia.
LA - eng
SI - ClinicalTrials.gov/NCT03338725
PT - Clinical Trial Protocol
DEP - 20200106
TA - Trials
JT - Trials
JID - 101263253
SB - IM
MH - Adult
MH - Child
MH - Cluster Analysis
MH - Colombia
MH - Female
MH - Humans
MH - Incidence
MH - Male
MH - Medication Errors/prevention & control/*statistics & numerical data
MH - Middle Aged
MH - *Models, Organizational
MH - Randomized Controlled Trials as Topic
PMC - PMC6945697
OTO - NOTNLM
OT - Medication errors, Drug-related problems, Pharmacy service, Hospital
(clinical
pharmacy services), Pharmacists
COIS- The authors declare they do not have any potential conflicts of interest
concerning
the authorship or publication of this article. Data are being collected by
JGV and
will be interpreted by JGV, PA, JPD, NO, and ASO. JGV, PA, JBD, and ASO will
write
the paper.
EDAT- 2020/01/08 06:00
MHDA- 2020/11/18 06:00
CRDT- 2020/01/08 06:00
PHST- 2018/12/23 00:00 [received]
PHST- 2019/12/02 00:00 [accepted]
PHST- 2020/01/08 06:00 [entrez]
PHST- 2020/01/08 06:00 [pubmed]
PHST- 2020/11/18 06:00 [medline]
AID - 10.1186/s13063-019-3945-8 [pii]
AID - 3945 [pii]
AID - 10.1186/s13063-019-3945-8 [doi]
PST - epublish
SO - Trials. 2020 Jan 6;21(1):26. doi: 10.1186/s13063-019-3945-8.
PMID- 32042265
OWN - NLM
LR - 20200928
IS - 1472-6955 (Print)
IS - 1472-6955 (Linking)
VI - 19
DP - 2020
TI - The effect of education around ethical principles on nurses' perception to
patient
safety culture in an Iranian mental health inpatient unit: a pilot study.
PG - 10
LID - 10.1186/s12912-020-0402-7 [doi]
LID - 10
AB - BACKGROUND & OBJECTIVES: Patient safety is a crucial factor in the provision
of
quality healthcare and is therefore a global health concern. It is an area in
which
ethical concerns and high-quality clinical practice are inextricably linked.
This
study investigates the effect of education around ethical principles on
nurses'
perception of patient safety in a psychiatric unit. MATERIALS & METHODS: This
pre-
and post-test descriptive study was conducted in a mental health inpatient
unit in a
hospital in Tehran, capital of Iran, in 2018. A total of 33 nurses, selected
by
census sampling, participated in the study. Data was collected using a
demographics
questionnaire and Hospital Survey on Patient Safety Culture (HSOPSC), and was
analyzed with SPSS21. RESULTS: The mean score of patient safety was 116.85 ±
9.98
before the educational intervention, 143.58 ± 7.21 immediately after
intervention,
and 153.12 ± 9.47 1 month after intervention. The rate of error report by
most
participants over the past 12 months was 3-5 and 6-10 events before
intervention,
and 6-10 events immediately after and 1 month after intervention. Also, 42.4%
of the
participants assessed patient safety after intervention as very good and
36.4%
assessed it as acceptable and very good 1 month after intervention whereas
most of
the participants (45.5%) assessed patient safety as acceptable before
intervention.
CONCLUSION: Education on ethical principles exerts a positive effect on
nurses'
perception of patient safety culture. Thus, it is recommended as an effective
method
of promoting nurses' perception of this variable. In this way, healthcare
quality
and enhanced patient safety can be achieved.
CI - © The Author(s). 2020.
FAU - Razzani, Behzad
AU - Razzani B
AD - 1Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti
University of Medical Sciences, Tehran, Iran. GRID: grid.411600.2

FAU - Atashzadeh-Shoorideh, Foroozan
AU - Atashzadeh-Shoorideh F
AUID- ORCID: 0000-0002-6144-6001
AD - 2Department of Psychiatric Nursing, School of Nursing & Midwifery, Shahid
Beheshti
University of Medical Sciences, Vali-Asr Avenue, Cross of Vali-Asr and
Hashemi
Rafsanjani Highway, Opposite to Rajaee Heart Hospital, Tehran, 1996835119
Iran.
GRID: grid.411600.2
FAU - Jamshidi, Tayebeh
AU - Jamshidi T
AUID- ORCID: 0000-0002-8938-691X
AD - 2Department of Psychiatric Nursing, School of Nursing & Midwifery, Shahid
Beheshti
University of Medical Sciences, Vali-Asr Avenue, Cross of Vali-Asr and
Hashemi
Rafsanjani Highway, Opposite to Rajaee Heart Hospital, Tehran, 1996835119
Iran.
GRID: grid.411600.2
FAU - Barkhordari-Sharifabad, Maasoumeh
AU - Barkhordari-Sharifabad M
AUID- ORCID: 0000-0002-9832-2280
AD - 3Department of Nursing, School of Medical Science, Yazd Branch, Islamic Azad
University, Yazd, Iran. GRID: grid.466829.7
FAU - Lotfi, Zahra
AU - Lotfi Z
AUID- ORCID: 0000-0001-6886-4735
AD - 4Department of Nursing, Royal Free Hospital, London, UK. ISNI: 0000 0004 0417
012X.
GRID: grid.426108.9
FAU - Skerrett, Victoria
AU - Skerrett V
AD - 5Mental Health Nursing, School of Nursing and Midwifery, Birmingham City
University,
Birmingham, UK. ISNI: 0000 0001 2180 2449. GRID: grid.19822.30
LA - eng
DEP - 20200205
TA - BMC Nurs
JT - BMC nursing
JID - 101088683
PMC - PMC7003320
OTO - NOTNLM
OT - Codes of ethics
OT - Ethical principles
OT - Nurse
OT - Psychiatry
OT - Safety culture
EDAT- 2020/02/12 06:00
MHDA- 2020/02/12 06:01
CRDT- 2020/02/12 06:00
PHST- 2019/06/11 00:00 [received]
PHST- 2020/01/29 00:00 [accepted]
PHST- 2020/02/12 06:00 [entrez]
PHST- 2020/02/12 06:00 [pubmed]
PHST- 2020/02/12 06:01 [medline]
AID - 402 [pii]
AID - 10.1186/s12912-020-0402-7 [doi]
PST - epublish
SO - BMC Nurs. 2020 Feb 5;19:10. doi: 10.1186/s12912-020-0402-7. eCollection 2020.
PMID- 25644998
OWN - NLM
STAT- MEDLINE
DCOM- 20170113
LR - 20181113
IS - 1369-6513 (Print)
IS - 1369-6513 (Linking)
VI - 19
IP - 2
DP - 2016 Apr
TI - Trust, temporality and systems: how do patients understand patient safety in
primary
care? A qualitative study.
PG - 253-63
LID - 10.1111/hex.12342 [doi]
AB - INTRODUCTION: Patient safety research has tended to focus on hospital
settings,
although most clinical encounters occur in primary care, and to emphasize
practitioner errors, rather than patients' own understandings of safety.
OBJECTIVE:
To explore patients' understandings of safety in primary care. METHODS:
Qualitative
interviews were conducted with patients recruited from general practices in
northwest England. Participants were asked basic socio-demographic
information;
thereafter, topics were largely introduced by interviewees themselves.
Transcripts
were coded and analysed using NVivo10 (qualitative data software), following
a
process of constant comparison. RESULTS: Thirty-eight people (14 men, 24
women) from
19 general practices in rural, small town and city locations were
interviewed. Many
of their concerns (about access, length of consultation, relationship
continuity)
have been discussed in terms of quality, but, in the interviews, were raised
as
matters of safety. Three broad themes were identified: (i) trust and psycho-
social
aspects of professional-patient relationships; (ii) choice, continuity,
access, and
the temporal underpinnings of safety; and (iii) organizational and systems-
level
tensions constraining safety. DISCUSSION: Conceptualizations of safety
included
common reliance on a bureaucratic framework of accreditation, accountability,
procedural rules and regulation, but were also individual and context-
dependent. For
patients, safety is not just a property of systems, but personal and
contingent and
is realized in the interaction between doctor and patient. However, it is the
systems approach that has dominated safety thinking, and patients'

individualistic
and relational conceptualizations are poorly accommodated within current
service
organization.
CI - © 2015 The Authors Health Expectations Published by John Wiley & Sons Ltd.
FAU - Rhodes, Penny
AU - Rhodes P
AD - NIHR Greater Manchester Primary Care Patient Safety Translational Research
Centre,
Institute of Population Health, University of Manchester, Manchester, UK.
FAU - Campbell, Stephen
AU - Campbell S
Centre,
Institute of Population Health, University of Manchester, Manchester, UK.
FAU - Sanders, Caroline
AU - Sanders C
AD - Centre for Primary Care, Institute of Population Health, University of
Manchester,
Manchester, UK.
LA - eng
DEP - 20150203
TA - Health Expect
health
JID - 9815926
SB - IM
MH - Adult
MH - Aged
MH - England
MH - Female
MH - General Practice
MH - Humans
MH - Male
MH - Middle Aged
MH - *Physician-Patient Relations
MH - Primary Health Care/*organization & administration
MH - *Trust
PMC - PMC5024004
OTO - NOTNLM
OT - general practice
OT - patient safety
OT - patients' perceptions
OT - primary care
OT - systems
OT - trust
EDAT- 2015/02/04 06:00
MHDA- 2017/01/14 06:00
CRDT- 2015/02/04 06:00
PHST- 2014/12/30 00:00 [accepted]
PHST- 2015/02/04 06:00 [entrez]
PHST- 2015/02/04 06:00 [pubmed]
PHST- 2017/01/14 06:00 [medline]
AID - 10.1111/hex.12342 [doi]
PST - ppublish
SO - Health Expect. 2016 Apr;19(2):253-63. doi: 10.1111/hex.12342. Epub 2015 Feb
3.
PMID- 21918486
OWN - NLM
STAT- MEDLINE
DCOM- 20120328
LR - 20181113
IS - 1549-8417 (Print)
IS - 1549-8417 (Linking)
VI - 7
IP - 4
DP - 2011 Dec
TI - Introducing the patient safety professional: why, what, who, how, and where?
PG - 175-80
LID - 10.1097/PTS.0b013e318230e585 [doi]
AB - BACKGROUND: Hospital-acquired complications, such as nosocomial infection,
falls,
and venous thromboembolism, are well known to be frequent and morbid.
Unfortunately,
prevention remains challenging. Two widely touted prevention strategies-
checklists
and reminders-have inherent barriers that limit their use as general
solutions to
these endemic problems. Likewise, relying upon additional vigilance and
efforts of
those already caring for patients may guarantee that hospital-acquired
complications
persist, given the time pressures already constraining bedside clinicians.
Consequently, we recommend a new type of clinical role in the hospital
setting, the
"Patient Safety Professional" (PSP), be considered to ensure that each
patient
receives individualized prevention strategies to minimize the hazards of
hospitalization. THE ROLE OF THE PSP: We envision the PSP would be an APRN
who would
assess assigned patients for hospital-acquired complications following
explicit
protocols relevant to a short list of safety targets; prioritize identified
complications based on morbidity, mortality, and hospital costs; and develop
and
implement plans to decrease hospital-acquired complications, in consultation
with
physicians and staff nurses on the unit. We have recently hired such an
individual
at our hospital and describe-through several vignettes-what our PSP does on a
daily
basis. EVALUATION OF THE PSP: The rollout, benefits, and costs of PSPs should
be
carefully evaluated before widespread dissemination is considered. Process
measures
and clinical outcomes should be monitored. Physician, nurse, and patient
satisfaction also need to be assessed. CONCLUSIONS: Far from replacing the
duties of
frontline physicians and nurses assigned to care for the patient, we believe
that a
PSP will strengthen the safety net for hospitalized patients and serve as an
expert
resource.
FAU - Saint, Sanjay
AU - Saint S
AD - VA Ann Arbor Healthcare System, Michigan 48109, USA. saint@umich.edu
FAU - Krein, Sarah L
AU - Krein SL
FAU - Manojlovich, Milisa
AU - Manojlovich M
FAU - Kowalski, Christine P
AU - Kowalski CP
FAU - Zawol, Debbie
AU - Zawol D
FAU - Shojania, Kaveh G
AU - Shojania KG
LA - eng
GR - R21-DK078717/DK/NIDDK NIH HHS/United States
GR - R01 NR010700-01/NR/NINR NIH HHS/United States
GR - R01-NR010700/NR/NINR NIH HHS/United States
TA - J Patient Saf
JID - 101233393
SB - IM
MH - Accidental Falls/prevention & control
MH - Checklist
MH - Cross Infection/prevention & control
MH - *Efficiency, Organizational
MH - Health Personnel/*organization & administration
MH - Humans
MH - Iatrogenic Disease/*prevention & control
MH - Patient Care Team/*organization & administration
MH - Safety Management/*methods/organization & administration
MH - United States
MH - Venous Thromboembolism/prevention & control
PMC - PMC3219816
MID - NIHMS322575
COIS- None of the authors have any relevant conflicts of interest related to the
content
of this manuscript.
EDAT- 2011/09/16 06:00
MHDA- 2012/03/29 06:00
CRDT- 2011/09/16 06:00
PHST- 2011/09/16 06:00 [entrez]
PHST- 2011/09/16 06:00 [pubmed]
PHST- 2012/03/29 06:00 [medline]
AID - 10.1097/PTS.0b013e318230e585 [doi]
PST - ppublish
SO - J Patient Saf. 2011 Dec;7(4):175-80. doi: 10.1097/PTS.0b013e318230e585.
PMID- 29551397
OWN - NLM
STAT- MEDLINE
DCOM- 20191127
LR - 20191127
IS - 0884-2175 (Print)
IS - 0090-0311 (Linking)
VI - 47
IP - 3
DP - 2018 May
TI - Thematic Analysis of Women's Perspectives on the Meaning of Safety During
Hospital-Based Birth.
PG - 324-332
LID - S0884-2175(18)30023-6 [pii]
LID - 10.1016/j.jogn.2018.02.008 [doi]
AB - OBJECTIVE: To explore women's birth experiences to develop an understanding
of their
perspectives on patient safety during hospital-based birth. DESIGN:
Qualitative
description using thematic analysis of interview data. PARTICIPANTS:
Seventeen women
ages 29 to 47 years. METHODS: Women participated in individual or small group
interviews about their birth experiences, the physical environment,

interactions
with clinicians, and what safety meant to them in the context of birth. An
interdisciplinary group of five investigators from nursing, medicine, product
design, and journalism analyzed transcripts thematically to examine how women
experienced feeling safe or unsafe and identify opportunities for

improvements in
care. RESULTS: Participants experienced feelings of safety on a continuum.
These
feelings were affected by confidence in providers, the environment and
organizational factors, interpersonal interactions, and actions people took
during
risk moments of rapid or confusing change. Well-organized teams and sensitive
interpersonal interactions that demonstrated human connection supported

feelings of
safety, whereas some routine aspects of care threatened feelings of safety.
CONCLUSION: Physical and emotional safety are inextricably embedded in the
patient
experience, yet this connection may be overlooked in some inpatient birth
settings.
Clinicians should be mindful of how the birth environment and their behaviors
in it
can affect a woman's feelings of safety during birth. Human connection is
especially
important during risk moments, which represent a liminal space at the
intersection
of physical and emotional safety. At least one team member should focus on
the
provision of emotional support during rapidly changing situations to mitigate
the
potential for negative experiences that can result in emotional harm.
CI - Copyright © 2018 AWHONN, the Association of Women's Health, Obstetric and
Neonatal
Nurses. Published by Elsevier Inc. All rights reserved.
FAU - Lyndon, Audrey
AU - Lyndon A
FAU - Malana, Jennifer
AU - Malana J
FAU - Hedli, Laura C
AU - Hedli LC
FAU - Sherman, Jules
AU - Sherman J
FAU - Lee, Henry C
AU - Lee HC
LA - eng
DEP - 20180316
TA - J Obstet Gynecol Neonatal Nurs
JT - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
JID - 8503123
SB - IM
SB - N
MH - Adult
MH - Delivery, Obstetric/*psychology
MH - *Emotional Adjustment
MH - Female
MH - Health Facility Environment/standards
MH - Humans
MH - Middle Aged
MH - Parturition/*psychology
MH - *Patient Preference/psychology/statistics & numerical data
MH - Patient Safety
MH - Pregnancy
MH - Pregnant Women/*psychology
MH - Women's Health
PMC - PMC5938121
MID - NIHMS944004
OTO - NOTNLM
OT - *labor and birth
OT - *patient experience
OT - *women's health
COIS- Disclosure: The authors report no conflict of interest or relevant financial
relationships.
EDAT- 2018/03/20 06:00
MHDA- 2019/11/28 06:00
CRDT- 2018/03/20 06:00
PHST- 2018/02/01 00:00 [accepted]
PHST- 2018/03/20 06:00 [pubmed]
PHST- 2019/11/28 06:00 [medline]
PHST- 2018/03/20 06:00 [entrez]
AID - S0884-2175(18)30023-6 [pii]
AID - 10.1016/j.jogn.2018.02.008 [doi]
PST - ppublish
SO - J Obstet Gynecol Neonatal Nurs. 2018 May;47(3):324-332. doi:
10.1016/j.jogn.2018.02.008. Epub 2018 Mar 16.
PMID- 25091833
OWN - NLM
STAT- MEDLINE
DCOM- 20150921
LR - 20181113
IS - 0309-2402 (Print)
IS - 0309-2402 (Linking)
VI - 71
IP - 2
DP - 2015 Feb
TI - Understanding patient-to-worker violence in hospitals: a qualitative analysis
of
documented incident reports.
PG - 338-48
LID - 10.1111/jan.12494 [doi]
AB - AIM: To explore catalysts to, and circumstances surrounding, patient-to-
worker
violent incidents recorded by employees in a hospital system database.
BACKGROUND:
Violence by patients towards healthcare workers (Type II workplace violence)
is a
significant occupational hazard in hospitals worldwide. Studies to date have
failed
to investigate its root causes due to a lack of empirical research based on
documented episodes of patient violence. DESIGN: Qualitative content
analysis.
METHODS: Content analysis was conducted on the total sample of 214 Type II
incidents
documented in 2011 by employees of an American hospital system with a
centralized
reporting system. FINDINGS: The majority of incidents were reported by nurses
(39·8%), security staff (15·9%) and nurse assistants (14·4%). Three distinct
themes
were identified from the analysis: Patient Behaviour, Patient Care and
Situational
Events. Specific causes of violence related to Patient Behaviour were
cognitive
impairment and demanding to leave. Catalysts related to patient care were the
use of
needles, patient pain/discomfort and physical transfers of patients.
Situational
factors included the use/presence of restraints; transitions in the care
process;
intervening to protect patients and/or staff; and redirecting patients.
CONCLUSIONS:
Identifying catalysts and situations involved in patient violence in
hospitals
informs administrators about potential targets for intervention. Hospital
staff can
be trained to recognize these specific risk factors for patient violence and
can be
educated in how to best mitigate or prevent the most common forms of violent
behaviour. A social-ecological model can be adapted to the hospital setting
as a
framework for prevention of patient violence towards staff.
FAU - Arnetz, Judith E
AU - Arnetz JE
AD - Wayne State University School of Medicine, Detroit, Michigan, USA; Uppsala
University, Sweden.
FAU - Hamblin, Lydia
AU - Hamblin L
FAU - Essenmacher, Lynnette
AU - Essenmacher L
FAU - Upfal, Mark J
AU - Upfal MJ
FAU - Ager, Joel
AU - Ager J
FAU - Luborsky, Mark
AU - Luborsky M
LA - eng
GR - R01 OH009948/OH/NIOSH CDC HHS/United States
DEP - 20140804
TA - J Adv Nurs
JT - Journal of advanced nursing
JID - 7609811
SB - IM
SB - N
MH - Delivery of Health Care/statistics & numerical data
MH - Humans
MH - Inpatients/psychology/statistics & numerical data
MH - Midwestern United States
MH - Personnel, Hospital/*statistics & numerical data
MH - Violence/psychology/*statistics & numerical data
MH - Workplace/statistics & numerical data
PMC - PMC5006065
MID - NIHMS793414
OID - NLM: HHSPA793414
OTO - NOTNLM
OT - content analysis
OT - healthcare workers
OT - nursing
OT - occupational health
OT - work safety
OT - workplace violence
EDAT- 2014/08/06 06:00
MHDA- 2015/09/22 06:00
CRDT- 2014/08/06 06:00
PHST- 2014/07/05 00:00 [accepted]
PHST- 2014/08/06 06:00 [entrez]
PHST- 2014/08/06 06:00 [pubmed]
PHST- 2015/09/22 06:00 [medline]
AID - 10.1111/jan.12494 [doi]
PST - ppublish
SO - J Adv Nurs. 2015 Feb;71(2):338-48. doi: 10.1111/jan.12494. Epub 2014 Aug 4.
PMID- 27843792
OWN - NLM
LR - 20200930
IS - 2229-3485 (Print)
IS - 2229-3485 (Linking)
VI - 7
IP - 4
DP - 2016 Oct-Dec
TI - A study of medication errors in a tertiary care hospital.
PG - 168-173
AB - OBJECTIVE: To determine the nature and types of medication errors (MEs), to
evaluate
occurrence of drug-drug interactions (DDIs), and assess rationality of
prescription
orders in a tertiary care teaching hospital. MATERIALS AND METHODS: A
prospective,
observational study was conducted in General Medicine and Pediatric ward of
Civil
Hospital, Ahmedabad during October 2012 to January 2014. MEs were categorized
as
prescription error, dispensing error, and administration error (AE). The case
records and treatment charts were reviewed. The investigator also accompanied
the
staff nurse during the ward rounds and interviewed patients or care taker to
gather
information, if necessary. DDIs were assessed by Medscape Drug Interaction
Checker
software (version 4.4). Rationality of prescriptions was assessed using
Phadke's
criteria. RESULTS: A total of 1109 patients (511 in Medicine and 598 in
Pediatric
ward) were included during the study period. Total number of MEs was 403
(36%) of
which, 195 (38%) were in Medicine and 208 (35%) were in Pediatric wards. The
most
common ME was PEs 262 (65%) followed by AEs 126 (31%). A potential
significant DDIs
were observed in 191 (17%) and serious DDIs in 48 (4%) prescriptions.
Majority of
prescriptions were semirational 555 (53%) followed by irrational 317 (30%),
while
170 (17%) prescriptions were rational. CONCLUSION: There is a need to
establish ME
reporting system to reduce its incidence and improve patient care and safety.
FAU - Patel, Nrupal
AU - Patel N
AD - Department of Pharmacology, Government Medical College, Surat, Gujarat,
India.
FAU - Desai, Mira
AU - Desai M
AD - Department of Pharmacology, B. J. Medical College, Ahmedabad, Gujarat, India.
FAU - Shah, Samdih
AU - Shah S
FAU - Patel, Prakruti
AU - Patel P
FAU - Gandhi, Anuradha
AU - Gandhi A
LA - eng
TA - Perspect Clin Res
JT - Perspectives in clinical research
JID - 101551517
PMC - PMC5079090
OTO - NOTNLM
OT - Medscape Drug Interaction Checker
OT - Phadke's criteria
OT - medicine
OT - pediatric
EDAT- 2016/11/16 06:00
MHDA- 2016/11/16 06:01
CRDT- 2016/11/16 06:00
PHST- 2016/11/16 06:00 [entrez]
PHST- 2016/11/16 06:00 [pubmed]
PHST- 2016/11/16 06:01 [medline]
AID - PCR-7-168 [pii]
AID - 10.4103/2229-3485.192039 [doi]
PST - ppublish
SO - Perspect Clin Res. 2016 Oct-Dec;7(4):168-173. doi: 10.4103/2229-3485.192039.
PMID- 26734330
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - Improving the handover and care of acute urological admissions.
LID - 10.1136/bmjquality.u204762.w3422 [doi]
LID - u204762.w3422
AB - The point at which a patient is most vulnerable during their journey through
the
hospital as an acute or emergency admission is the point at which they are
transferred to the designated oncoming responsible team. Unsurprisingly,
inadequate
and incomplete clinical handovers have the potential for latter catastrophic
consequences and are utterly avoidable. Recognising these facts, good
clinical
handover is an essential part of clinical governance and patient safety.
Perhaps
secondarily, clinical handover - especially when conducted with senior
surgical
personnel - can be a valuable learning tool for the surgical trainee. An
complete
audit loop was performed to assess the rate of handover and urology registrar
involvement in acute urology periods in 2 month long periods as well as the

rate of
inadequate investigations and treatment. The interventions introduced
included
foundation doctor induction training in acute urology cases, an explanation
of the
importance of handover and a reflective look at ourselves and our
approachability.
As a result there were significant improvements in the rate of early
registrar
involvement and successful handover for patients admitted under our take.
FAU - Bass, Edward
AU - Bass E
AD - Arrowe Park Hospital, United Kingdom.
FAU - Patel, Snehal
AU - Patel S
AD - Arrowe Park Hospital, United Kingdom.
LA - eng
DEP - 20150512
TA - BMJ Qual Improv Rep
JT - BMJ quality improvement reports
JID - 101629512
PMC - PMC4645826
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2015/03/28 00:00 [received]
PHST- 2015/05/04 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
AID - bmjquality_uu204762.w3422 [pii]
AID - 10.1136/bmjquality.u204762.w3422 [doi]
PST - epublish
SO - BMJ Qual Improv Rep. 2015 May 12;4(1):u204762.w3422. doi:
10.1136/bmjquality.u204762.w3422. eCollection 2015.
PMID- 26071752
OWN - NLM
STAT- MEDLINE
DCOM- 20160202
LR - 20181113
IS - 1748-5908 (Linking)
VI - 10
DP - 2015 Jun 14
TI - Improving patient safety by optimizing the use of nursing human resources.
PG - 89
LID - 10.1186/s13012-015-0278-1 [doi]
LID - 89
AB - BACKGROUND: Recent ecological studies have suggested that inadequate nurse
staffing
may contribute to the incidence of adverse events in acute care hospitals.
However,
longitudinal studies are needed to further examine these associations and to
identify the staffing patterns that are of greatest risk. The aims of this
study are
to determine if (a) nurse staffing levels are associated with an increased
risk of
adverse events, (b) the risk of adverse events in relationship to nurse
staffing
levels is modified by the complexity of patient requirements, and (c) optimal
nurse
staffing levels can be established. METHODS/DESIGN: A dynamic cohort of all
adult
medical, surgical, and intensive care unit patients admitted between 2010 and
2015
to a Canadian academic health center will be followed during the inpatient
and 7-day
post-discharge period to assess the occurrence and frequency of adverse
events in
relationship to antecedent nurse staffing levels. Four potentially
preventable
adverse events will be measured: (a) hospital-acquired pneumonia, (b)
ventilator-associated pneumonia, (c) venous thromboembolism, and (d) in-
hospital
fall. These events were selected for their high incidence, morbidity and
mortality
rates, and because they are hypothesized to be related to nurse staffing
levels.
Adverse events will be ascertained from electronic health record data using
validated automated detection algorithms. Patient exposure to nurse staffing
will be
measured on every shift of the hospitalization using electronic payroll
records. To
examine the association between nurse staffing levels and the risk of adverse
events, four Cox proportional hazards regression models will be used (one for
each
adverse event), while adjusting for patient characteristics and risk factors
of
adverse event occurrence. To determine if the association between nurse
staffing
levels and the occurrence of adverse events is modified by the complexity of
patient
requirements, interaction terms will be included in the regression models,
and their
significance assessed. To assess for the presence of optimal nurse staffing
levels,
flexible nonlinear spline functions will be fitted. DISCUSSION: This study
will
likely generate evidence-based information that will assist managers in
making the
most effective use of scarce nursing resources and in identifying staffing
patterns
that minimize the risk of adverse events.
FAU - Rochefort, Christian M
AU - Rochefort CM
AD - School of Nursing, Faculty of Medicine, University of Sherbrooke, Campus
Longueuil,
150 Place Charles-LeMoyne, Suite 200, Longueuil, Quebec, J4K 0A8, Canada.
Christian.Rochefort@usherbrooke.ca.
AD - McGill Clinical and Health Informatics Research Group, McGill University,
1140 Pine
Avenue West, Montreal, Quebec, H3A 1A3, Canada.
Christian.Rochefort@usherbrooke.ca.
AD - Department of Epidemiology, Biostatics and Occupational Health, Faculty of
Medicine,
McGill University, Purvis Hall, 1020 Pine Avenue West, Montreal, Quebec, H3A
1A2,
Canada. Christian.Rochefort@usherbrooke.ca.
FAU - Buckeridge, David L
AU - Buckeridge DL
AD - McGill Clinical and Health Informatics Research Group, McGill University,
1140 Pine
Avenue West, Montreal, Quebec, H3A 1A3, Canada. David.Buckeridge@mcgill.ca.
Medicine,
1A2,
Canada. David.Buckeridge@mcgill.ca.
FAU - Abrahamowicz, Michal
AU - Abrahamowicz M
Medicine,
1A2,
Canada. Michal.Abrahamowicz@mcgill.ca.
AD - Division of Clinical Epidemiology, McGill University Health Centre, Ross
Pavilion,
687 Pine Avenue West, R4.29, Montreal, Quebec, H3A 1A1, Canada.
Michal.Abrahamowicz@mcgill.ca.
LA - eng
GR - FRN 130499/Canadian Institutes of Health Research/Canada
DEP - 20150614
TA - Implement Sci
JT - Implementation science : IS
JID - 101258411
SB - IM
MH - Canada
MH - Cross Infection/epidemiology
MH - Electronic Health Records/statistics & numerical data
MH - Humans
MH - Incidence
MH - Pneumonia/epidemiology
MH - Regression Analysis
MH - Venous Thromboembolism/epidemiology
PMC - PMC4465738
EDAT- 2015/06/15 06:00
MHDA- 2016/02/03 06:00
CRDT- 2015/06/15 06:00
PHST- 2015/05/28 00:00 [received]
PHST- 2015/06/08 00:00 [accepted]
PHST- 2015/06/15 06:00 [entrez]
PHST- 2015/06/15 06:00 [pubmed]
PHST- 2016/02/03 06:00 [medline]
AID - 10.1186/s13012-015-0278-1 [pii]
AID - 278 [pii]
AID - 10.1186/s13012-015-0278-1 [doi]
PST - epublish
SO - Implement Sci. 2015 Jun 14;10:89. doi: 10.1186/s13012-015-0278-1.
PMID- 26528228
OWN - NLM
DCOM- 20151103
LR - 20200930
IS - 1664-1078 (Print)
IS - 1664-1078 (Linking)
VI - 6
DP - 2015
TI - Nurse managers' perceptions and experiences regarding staff nurse
empowerment: a
qualitative study.
PG - 1585
LID - 10.3389/fpsyg.2015.01585 [doi]
LID - 1585
AB - AIM: To study nurse managers' perceptions and experiences of staff nurse
structural
empowerment and its impact on the nurse manager leadership role and style.
BACKGROUND: Nurse managers' leadership roles may be viewed as challenging
given the
complex needs of patients and staff nurses' involvement in both clinical and
organizational decision-making processes in interdisciplinary care settings.
DESIGN:
Qualitative phenomenological study. METHODS: Individual semi-structured
interviews
were conducted with 8 medical or surgical nurse managers in a 600-bed Belgian
university hospital between December 2013 and June 2014. This hospital was
undergoing conversion from a classical hierarchical, departmental structure
to a
flat, interdisciplinary model. RESULTS: Nurse managers were found to be
familiar
with the structural empowerment of clinical nurses in the hospital and to
hold
positive attitudes toward it. They confirmed the positive impact of
empowerment on
their staff nurses, as evidenced by increased responsibility, autonomy,
critical
reflection and enhanced communication skills that in turn improved the
quality and
safety of patient care. Structural empowerment was being supported by several
change
initiatives at both the unit and hospital levels. Nurse managers' experiences
with
these initiatives were mixed, however, because of the changing demands with
regard
to their manager role and leadership style. In addition, pressure was being
experienced by both staff nurses and nurse managers as a result of direct
patient
care priorities, tightly scheduled projects and miscommunication. CONCLUSION:
Nurse
managers reported that structural empowerment was having a favorable impact
on staff
nurses' professional attitudes and the safety and quality of care in their
units.
However, they also reported that the empowerment process had led to changes
in the
managers' roles as well as daily practice dilemmas related to the leadership
styles
needed. Clear organizational goals and dedicated support for both clinical
nurses
and nursing unit managers are imperative to maintaining an empowering
practice
environment which can ensure the best care and healthy, engaged staff.
FAU - Van Bogaert, Peter
AU - Van Bogaert P
AD - Division of Nursing and Midwifery Sciences, Faculty of Medicine and Health
Sciences,
Centre for Research and Innovation in Care, University of Antwerp Antwerp,
Belgium ;
Department of Nursing, Antwerp University Hospital Antwerp, Belgium.
FAU - Peremans, Lieve
AU - Peremans L
Sciences,
Belgium.
FAU - de Wit, Marlinde
AU - de Wit M
Sciences,
Belgium ;
FAU - Van Heusden, Danny
AU - Van Heusden D
Sciences,
Belgium ;
FAU - Franck, Erik
AU - Franck E
Sciences,
Belgium ;
Department of Health Care, Karel de Grote University College Antwerp Antwerp,
Belgium.
FAU - Timmermans, Olaf
AU - Timmermans O
Sciences,
Belgium ;
Academia for Welfare and Health, HZ University of Applied Sciences Vlissingen
Vlissingen, Netherlands.
FAU - Havens, Donna S
AU - Havens DS
AD - School of Nursing, The University of North Carolina at Chapel Hill Chapel
Hill, NC,
USA.
LA - eng
DEP - 20151014
TA - Front Psychol
JT - Frontiers in psychology
JID - 101550902
PMC - PMC4604254
OTO - NOTNLM
OT - nurse managers
OT - patient safety
OT - qualitative study
OT - quality of care
OT - structural empowerment
EDAT- 2015/11/04 06:00
MHDA- 2015/11/04 06:01
CRDT- 2015/11/04 06:00
PHST- 2015/05/07 00:00 [received]
PHST- 2015/09/30 00:00 [accepted]
PHST- 2015/11/04 06:00 [entrez]
PHST- 2015/11/04 06:00 [pubmed]
PHST- 2015/11/04 06:01 [medline]
AID - 10.3389/fpsyg.2015.01585 [doi]
PST - epublish
SO - Front Psychol. 2015 Oct 14;6:1585. doi: 10.3389/fpsyg.2015.01585. eCollection
2015.
PMID- 24799724
OWN - NLM
DCOM- 20140624
LR - 20190608
IS - 0008-4123 (Print)
IS - 0008-4123 (Linking)
VI - 67
IP - 2
DP - 2014 Mar
TI - Decentralized automated dispensing devices: systematic review of clinical and
economic impacts in hospitals.

PG - 138-48
AB - BACKGROUND: Technologies have been developed over the past 20 years to
automate the
stages of drug distribution in hospitals, including ordering, dispensing,
delivery,
and administration of medications, in attempts to decrease medication error
rates.
Decentralized automated dispensing devices (ADDs) represent one such
technology that
is being adopted by hospitals across Canada, but the touted benefits, in
terms of
improved patient safety and cost savings, are increasingly being questioned.
OBJECTIVE: To summarize and evaluate the existing literature reporting the
clinical
and economic impacts of using decentralized ADDs in hospitals. DATA SOURCES:
A
literature search was conducted in MEDLINE, Embase, and all evidence-based
medicine
databases for the years 1992 to 2012 to identify English-language articles
reporting
on the use of ADDs in hospital wards. STUDY SELECTION AND DATA EXTRACTION:
All
randomized controlled trials, observational studies, before-and-after
studies, time
series analyses, cost-effectiveness and cost-benefit analyses, and review
articles
were considered for inclusion. Studies evaluating pharmacy-based ADDs, such
as bar
code-based medication dispensing carousels, automated dispensing shelves, and
combinations of various dispensing modalities, were excluded. DATA SYNTHESIS:

Of 175
studies initially identified, 8 were retained for evidence synthesis. It
appears
that ADDs were effective in reducing medication storage errors and the time
that
nurses spent taking inventory of narcotics and controlled substances. There
was no
definitive evidence that using ADDs increased the time that nurses or
pharmacists
spent with patients, reduced medication errors resulting in patient harm, or
reduced
costs in Canadian hospitals. However, pharmacy technicians spent more time
stocking
the machines. CONCLUSION: ADDs have limited potential to decrease medication
errors
and increase efficiencies, but their impact is highly institution-specific,
and use
of this technology requires proper integration into an institution's
medication
distribution process. Before deploying this technology, it is recommended
that
Canadian hospitals carefully examine their current systems and the benefits
they
hope to gain with the changes.
FAU - Tsao, Nicole W
AU - Tsao NW
AD - , BSc, MSc(Pharm), is with the Collaboration for Outcomes Research and
Evaluation,
Faculty of Pharmaceutical Sciences, The University of British Columbia,
Vancouver,
British Columbia. She was one of the two co-leads on this project.
FAU - Lo, Clifford
AU - Lo C
AD - , BSc(Pharm), MHA, PharmD, BCPS, is with the Fraser Health Authority, Surrey,
British Columbia. He was one of the two co-leads on this project.

FAU - Babich, Michele
AU - Babich M
AD - , BSc(Pharm), MHSc, CHE, is with the Fraser Health Authority, Surrey, British
Columbia.
FAU - Shah, Kieran
AU - Shah K
AD - is a student in the Faculty of Pharmaceutical Sciences, The University of
British
Columbia, Vancouver, British Columbia.
FAU - Bansback, Nick J
AU - Bansback NJ
AD - , BSc, MSc, PhD, is with the Centre for Health Evaluation and Outcomes
Sciences,
Faculty of Medicine, The University of British Columbia, Vancouver, British
Columbia.
LA - eng
PT - Review
JID - 0215645
PMC - PMC4006759
OTO - NOTNLM
OT - automated dispensing device
OT - costs
EDAT- 2014/05/07 06:00
MHDA- 2014/05/07 06:01
CRDT- 2014/05/07 06:00
PHST- 2014/05/07 06:00 [entrez]
PHST- 2014/05/07 06:00 [pubmed]
PHST- 2014/05/07 06:01 [medline]
AID - 10.4212/cjhp.v67i2.1343 [doi]
PST - ppublish
SO - Can J Hosp Pharm. 2014 Mar;67(2):138-48. doi: 10.4212/cjhp.v67i2.1343.
PMID- 28275627
OWN - NLM
LR - 20200929
IS - 2305-5839 (Print)
IS - 2305-5839 (Linking)
VI - 5
IP - 4
DP - 2017 Feb
TI - Inappropriateness in laboratory medicine: an elephant in the room?
PG - 82
LID - 10.21037/atm.2017.02.04 [doi]
LID - 82
AB - Appropriateness of diagnostic testing can be conventionally described as
prescription of the right test, using the right method, at the right time, to
the
right patient, with the right costs and for producing the right outcome.
There is
ongoing debate about the real burden of inappropriateness in laboratory
diagnostics.
The media coverage of this issue has also recently led to either over- or
under-emphasizing the clinical, organizational and economic consequences.
This is
quite problematic, inasmuch as some reliable data are available in the
current
scientific literature, showing that inappropriateness of laboratory testing
can be
as high as 70%. This is especially evident for, though not limited to, cancer
biomarkers testing, in which the practice of avoidable tests ordering is

dramatically magnified. The reasons beyond inappropriateness are many and
multifaceted, entailing wrong habits, resistance to changes, poor culture,
insufficient education and healthcare inefficiencies. There are many
unfavorable
consequences attributable to avoidable testing, including unjustified
incremental
costs, derangement of laboratory efficiency and potential patient safety
issues. The
tentative solutions to this important problem necessitate that policymakers,
local
hospital administrators, laboratory professionals, clinicians, patients'
associations and diagnostic companies join the efforts and embark in the same
landmark effort for disseminating a better culture of appropriateness.

FAU - Lippi, Giuseppe
AU - Lippi G
AD - Section of Clinical Biochemistry, University of Verona, Verona, Italy.
FAU - Bovo, Chiara
AU - Bovo C
AD - Medical Direction, University Hospital of Verona, Verona, Italy.
FAU - Ciaccio, Marcello
AU - Ciaccio M
AD - Section of Clinical Biochemistry and Clinical Molecular Medicine, Department
of
Biopathology and Medical Biotechnology, University of Palermo, Italy.
LA - eng
TA - Ann Transl Med
JT - Annals of translational medicine
JID - 101617978
PMC - PMC5337217
OTO - NOTNLM
OT - Appropriateness
OT - inappropriateness
OT - laboratory medicine
OT - laboratory testing
OT - quality
COIS- Conflicts of Interest: The authors have no conflicts of interest to declare.
EDAT- 2017/03/10 06:00
MHDA- 2017/03/10 06:01
CRDT- 2017/03/10 06:00
PHST- 2017/03/10 06:00 [entrez]
PHST- 2017/03/10 06:00 [pubmed]
PHST- 2017/03/10 06:01 [medline]
AID - atm-05-04-82 [pii]
AID - 10.21037/atm.2017.02.04 [doi]
PST - ppublish
SO - Ann Transl Med. 2017 Feb;5(4):82. doi: 10.21037/atm.2017.02.04.
PMID- 30229168
OWN - NLM
LR - 20201001
IS - 2472-0054 (Linking)
VI - 2
IP - 4
DP - 2017 Jul-Aug
TI - Deployment of a Second Victim Peer Support Program: A Replication Study.
PG - e031
LID - 10.1097/pq9.0000000000000031 [doi]
LID - e031
AB - BACKGROUND: The second victim phenomenon occurs when health-care providers
experience significant professional distress (compassion dissatisfaction,
burnout,
secondary traumatic stress) and psychological distress (shame, anxiety, and
depression) as a result of medical errors or adverse patient outcomes. Few
hospitals
have institution-wide systems in place to assist employees through the
recovery
process. METHODS: At Nationwide Children's Hospital (NCH), a peer-based
support
program called "YOU Matter" was executed and spread hospital-wide. The
program
emulated the framework and execution strategy designed by University of
Missouri
Health Care's (MUHC) "forYOU" Team. Strategic elements of the program's
structure
were reviewed and adapted for NCH with system-wide deployment and enhancement
to
include electronic peer support reporting. This article summarizes program
implementation, management, and sustainment over the past 2 years. RESULTS:
By
following University of Missouri Health Care's model, we successfully
deployed an
institution-wide second victim program. Since the November 2013 initiation,
we have
documented 232 peer and 21 group encounters. High-risk clinical areas for
second
victimization at NCH included the emergency department (ED), pediatric
intensive
care unit (PICU), cardiothoracic intensive care unit (CTICU), and pharmacy
department. Registered nurses (RNs) and licensed practical nurses (LPNs) have
had
the highest number of encounters necessitating second victim support (32%).
Supported staff reported improved emotional state and improved return-to-work
metrics. CONCLUSIONS: An organization's culture of patient safety can be

enhanced by
ensuring staff psychological safety. Programs like "YOU Matter" and the
"forYOU"
Team are essential building blocks to improve the overall safety culture and
quality
of care. Implementation of "YOU Matter" at NCH validates the MUHC program and
demonstrates its generalizability to other health-care institutions.

FAU - Merandi, Jenna
AU - Merandi J
AD - Nationwide Children's Hospital, Columbus, Ohio; The Ohio State University
College of
Medicine, Nationwide Children's Hospital, Columbus, Ohio; Quality Improvement
Services, Nationwide Children's Hospital, Columbus, Ohio; Patient Care

Services,
Nationwide Children's Hospital, Columbus, Ohio; University of Missouri Health
Care,
Columbia, Mo.
FAU - Liao, Nancy
AU - Liao N
College of

Services,
Care,
Columbia, Mo.
FAU - Lewe, Dorcas
AU - Lewe D
College of

Services,
Care,
Columbia, Mo.
FAU - Morvay, Shelly
AU - Morvay S
College of

Services,
Care,
Columbia, Mo.
FAU - Stewart, Barb
AU - Stewart B
College of

Services,
Care,
Columbia, Mo.
FAU - Catt, Charline
AU - Catt C
College of
Services,
Care,
Columbia, Mo.
FAU - Scott, Susan D
AU - Scott SD
College of

Services,
Care,
Columbia, Mo.
LA - eng
DEP - 20170621
JID - 101702480
PMC - PMC6132481
EDAT- 2017/06/21 00:00
MHDA- 2017/06/21 00:01
CRDT- 2018/09/20 06:00
PHST- 2016/11/30 00:00 [received]
PHST- 2017/05/09 00:00 [accepted]
PHST- 2018/09/20 06:00 [entrez]
PHST- 2017/06/21 00:00 [pubmed]
PHST- 2017/06/21 00:01 [medline]
AID - 10.1097/pq9.0000000000000031 [doi]
PST - epublish
SO - Pediatr Qual Saf. 2017 Jun 21;2(4):e031. doi: 10.1097/pq9.0000000000000031.
PMID- 28943987
OWN - NLM
LR - 20201001
IS - 1885-642X (Print)
VI - 15
IP - 3
DP - 2017 Jul-Sep
TI - Hospital discharge: What are the problems, information needs and objectives
of
community pharmacists? A mixed method approach.
PG - 1046
LID - 1046
AB - BACKGROUND: After hospital discharge, community pharmacists are often the
first
health care professionals the discharged patient encounters. They reconcile
and
dispense prescribed medicines and provide pharmaceutical care. Compared to
the roles
of general practitioners, the pharmacists' needs to perform these tasks are
not well
known. OBJECTIVE: This study aims to a) Identify community pharmacists'
current
problems and roles at hospital discharge, b) Assess their information needs,
specifically the availability and usefulness of information, and c) Gain
insight
into pharmacists' objectives and ideas for discharge optimisation. METHODS: A
focus
group was conducted with a sample of six community pharmacists from different
Swiss
regions. Based on these qualitative results, a nationwide online-
questionnaire was
sent to 1348 Swiss pharmacies. RESULTS: The focus group participants were
concerned
about their extensive workload with discharge prescriptions and about gaps in
therapy. They emphasised the importance of more extensive information

transfer. This
applied especially to medication changes, unclear prescriptions, and
information
about a patient's care. Participants identified treatment continuity as a
main
objective when it comes to discharge optimisation. There were 194
questionnaires
returned (response rate 14.4%). The majority of respondents reported to
fulfil their
role as defined by the Joint-FIP/WHO Guideline on Good Pharmacy Practice
(rather)
badly. They reported many unavailable but useful information items, like
therapy
changes, allergies, specifications for "off-label" medication use or contact
information. Information should be delivered in a structured way, but no
clear
preference for one particular transfer method was found. Pharmacists
requested this
information in order to improve treatment continuity and patient safety, and
to be
able to provide better pharmaceutical care services. CONCLUSION: Surveyed
Swiss
community pharmacists rarely receive sufficient information along with
discharge
prescriptions, although it would be needed for medication reconciliation.
According
to the pharmacist's opinions, appropriate pharmaceutical care is therefore
impeded.
FAU - Brühwiler, Lea D
AU - Brühwiler LD
AUID- ORCID: 0000-0003-2703-3489
AD - Clinical pharmacist. Clinical Pharmacy, Cantonal Hospital of Baden. Baden
(Switzerland). lea.bruehwiler@ksb.ch.
FAU - Hersberger, Kurt E
AU - Hersberger KE
AUID- ORCID: 0000-0001-8678-697X
AD - Professor. Head of Pharmaceutical Care Research Group, University of Basel.
Basel
(Switzerland). kurt.hersberger@unibas.ch.
FAU - Lutters, Monika
AU - Lutters M
AUID- ORCID: 0000-0001-7063-578X
AD - Chief of Clinical pharmacy, Cantonal Hospital of Baden. Baden (Switzerland).
monika.lutters@ksb.ch.
LA - eng
DEP - 20170825
JID - 101530029
CIN - Pharm Pract (Granada). 2017 Oct-Dec;15(4):1133. PMID: 29317926
PMC - PMC5597803
OTO - NOTNLM
OT - Community Pharmacy Services
OT - Continuity of Patient Care
OT - Interprofessional Relations
OT - Needs Assessment
OT - Patient Discharge
OT - Patient Safety
OT - Pharmacists
OT - Switzerland
COIS- CONFLICT OF INTEREST We attest that we have no financial or other
relationships that
could be construed as a conflict of interest for this study.
EDAT- 2017/09/26 06:00
MHDA- 2017/09/26 06:01
CRDT- 2017/09/26 06:00
PHST- 2017/07/09 00:00 [received]
PHST- 2017/08/22 00:00 [accepted]
PHST- 2017/09/26 06:00 [entrez]
PHST- 2017/09/26 06:00 [pubmed]
PHST- 2017/09/26 06:01 [medline]
PST - ppublish
SO - Pharm Pract (Granada). 2017 Jul-Sep;15(3):1046. doi:
10.18549/PharmPract.2017.03.1046. Epub 2017 Aug 25.
PMID- 29299002
OWN - NLM
LR - 20191120
IS - 0008-4123 (Print)
IS - 0008-4123 (Linking)
VI - 70
IP - 6
DP - 2017 Nov-Dec
TI - Care Gaps in the Electronic Discharge Medication Reconciliation Process at an
Acute
Care Facility.
PG - 430-434
AB - BACKGROUND: Many patients experience adverse events at the time of discharge
from
hospital, and most of these events are medication-related. To improve patient
safety, Health PEI (the health authority for Prince Edward Island) has made
medication reconciliation a priority. The Queen Elizabeth Hospital in
Charlottetown
is one of the few Canadian hospitals with an electronic discharge process. A
discharge report has been developed to provide pertinent information to
patients at
discharge, including a final medication list to be shared with the community
pharmacy at the patient's discretion. OBJECTIVE: To identify care gaps
related to
the transfer of information for the medication reconciliation part of the
electronic
discharge process at the Queen Elizabeth Hospital. METHODS: The study was
conducted
on 4 nursing units offering medical and surgical services. Data for the 8-
week
prospective study (June to August 2016) were collected using a study-specific
discharge evaluation checklist and hospital-to-community pharmacy feedback

form. All
inpatients 65 years of age or older with a hospital stay longer than 4 days
who were
receiving more than 5 medications on discharge were eligible to participate.
RESULTS: During the study period, data were compiled for the 72 of 154
eligible
patients who provided consent. Of these, 69 (96%) had a change in
medications.
Follow-up showed that 12 (17%) of the 72 discharge reports had reached the
patient's
community pharmacy; of these, 5 had been sent from a community care or long-
term
care facility. Fifty-four patients were discharged home, of whom 50 presented
to the
community pharmacy after discharge, 37 (74%) of these on the day of
discharge.
CONCLUSIONS: Most community pharmacies did not receive a discharge report
from the
patient or from the patient's community care or long-term care facility. This
represented the largest care gap in the electronic discharge medication

reconciliation process at the study hospital.
FAU - MacDonald, Kelly
AU - MacDonald K
AD - , BScPharm, is a Pharmacist with Queen Elizabeth Hospital, Charlottetown,
Prince
Edward Island.
FAU - Cusack, Marsha
AU - Cusack M
AD - , BScPharm, is the Provincial Order Set Analyst for Health PEI, based at
Queen
Elizabeth Hospital, Charlottetown, Prince Edward Island.
FAU - Liang, Su Qiong Rebecca
AU - Liang SQR
AD - , BScPharm, was, at the time of this study, a pharmacy student with Queen
Elizabeth
Hospital, Charlottetown, Prince Edward Island. She is now a Pharmacy Practice
Resident with Lower Mainland Pharmacy Services, Vancouver, British Columbia.

FAU - Rinco, Kilby
AU - Rinco K
AD - , BScPharm, ACPR, is the Pharmacy Manager for Queen Elizabeth Hospital,
Hillsborough
Hospital (Charlottetown), Kings County Memorial Hospital (Montague), and
Souris
Hospital (Souris), Prince Edward Island.
LA - eng
DEP - 20171221
JID - 0215645
PMC - PMC5737185
OTO - NOTNLM
OT - care gaps
OT - electronic discharge
OT - hospital discharge
OT - medication reconciliation
COIS- Competing interests: Kilby Rinco is a member of the Board of the Dalhousie
Pharmacy
Endowment Fund, which supported this study. No other competing interests were
declared.
EDAT- 2018/01/05 06:00
MHDA- 2018/01/05 06:01
CRDT- 2018/01/05 06:00
PHST- 2018/01/05 06:00 [entrez]
PHST- 2018/01/05 06:00 [pubmed]
PHST- 2018/01/05 06:01 [medline]
AID - 10.4212/cjhp.v70i6.1711 [doi]
PST - ppublish
SO - Can J Hosp Pharm. 2017 Nov-Dec;70(6):430-434. doi: 10.4212/cjhp.v70i6.1711.
Epub
2017 Dec 21.
PMID- 23920713
OWN - NLM
STAT- MEDLINE
DCOM- 20150410
LR - 20200604
IS - 0926-9630 (Print)
IS - 0926-9630 (Linking)
VI - 192
DP - 2013
TI - Interdisciplinary care team adoption of electronic point-of-care
documentation
systems: an unrealized opportunity.
PG - 939
AB - We conducted three health care evaluation studies in community and hospital
settings
to examine adoption of point-of-care documentation systems among
interdisciplinary
care team clinicians. Both community studies used a mixed methods design to
assess
actual system usage and clinician satisfaction. In the hospitals, scenario
testing
was used. Results indicated clinician adoption of the systems was universal,
although not always timely with: (1) a mismatch between system functionality
and
workflow which was a barrier to clinician system access during patient care
and
reduced clinician efficiency; (2) no increase in interdisciplinary team
communication; and (3) no impact on patient outcomes identified by
clinicians. To
facilitate adoption, clinicians should see the value of using the system as
intended
by receiving patient care and patient safety feedback that uses system data.
FAU - Sockolow, Paulina S
AU - Sockolow PS
AD - Drexel University College of Nursing and Health Professions, Philadelphia,
PA, USA.
FAU - Bowles, Kathryn H
AU - Bowles KH
FAU - Rogers, Michelle
AU - Rogers M
FAU - Adelsberger, Marguerite C
AU - Adelsberger MC
FAU - Chittams, Jesse L
AU - Chittams JL
FAU - Liao, Cindy
AU - Liao C
LA - eng
GR - T15 LM007452/LM/NLM NIH HHS/United States
GR - 1R21HS021008-01/HS/AHRQ HHS/United States
GR - T15LM07452/LM/NLM NIH HHS/United States
TA - Stud Health Technol Inform
JT - Studies in health technology and informatics
JID - 9214582
SB - T
MH - Documentation/*statistics & numerical data
MH - Philadelphia
MH - Point-of-Care Systems/*statistics & numerical data
MH - Practice Patterns, Physicians'/*statistics & numerical data
MH - *Utilization Review
PMC - PMC7266146
MID - NIHMS1584861
EDAT- 2013/08/08 06:00
MHDA- 2015/04/11 06:00
CRDT- 2013/08/08 06:00
PHST- 2013/08/08 06:00 [entrez]
PHST- 2013/08/08 06:00 [pubmed]
PHST- 2015/04/11 06:00 [medline]
PST - ppublish
SO - Stud Health Technol Inform. 2013;192:939.
PMID- 31428196
OWN - NLM
LR - 20200930
IS - 1757-1774 (Print)
IS - 1757-1782 (Linking)
VI - 20
IP - 4
DP - 2019 Jul
TI - Efficacy of observational hand hygiene audit with targeted feedback on
doctors' hand
hygiene compliance: A retrospective time series analysis.
PG - 164-170
LID - 10.1177/1757177419833165 [doi]
AB - BACKGROUND: Healthcare-associated infection compromises patient safety.
Compliance
with hand hygiene (HH) guidelines has been shown to be an effective method of
reducing infection; however, it remains suboptimal and poorer among doctors

compared
to other healthcare workers. The aim of this study is to determine the
relationship
between an individualised observational hand hygiene audit (OHHA) and
feedback
intervention with observed HH compliance. METHODS: We used a retrospective
interrupted time series design using OHHA data from a five-year period, 2011-
2015.
OHHA indicated poorer HH compliance among doctors than other healthcare
workers in a
345-bed acute private hospital. An increase in orthopaedic surgical site
infection
prompted additional auditing of the orthopaedic unit further identifying
substandard
HH compliance among orthopaedic surgeons. In addition to ongoing HH
interventions,
an individualised hand hygiene audit and feedback intervention focusing on
consultant orthopaedic surgeons was implemented. Observed HH compliance
improved.
The intervention was then extended to include all consultant doctors at the
study
site. Audit was implemented by trained clinical nurse managers during
clinical
rounds. Written audit feedback was provided by the infection prevention and
control
team. RESULTS: HH compliance increased significantly among both orthopaedic
surgeons
and other consultant doctors, P < 0.05. CONCLUSION: An individualised audit
and
feedback intervention was effective in improving compliance. Incorporation of
OHHA
with individualised feedback into routine daily practice needs to be
considered as a
quality improvement opportunity. This study has the potential to inform other
audit
and feedback interventions to maximise effectiveness and ensure
implementation.
FAU - Smiddy, Maura P
AU - Smiddy MP
AUID- ORCID: 0000-0002-7425-4471
AD - University College Cork National University of Ireland, Western Gateway
Building,
Cork, Ireland.
FAU - Murphy, Olive M
AU - Murphy OM
AD - Bon Secours Hospital, Cork, Ireland.
FAU - Savage, Eileen
AU - Savage E
Building,
Cork, Ireland.
FAU - Fitzgerald, Anthony P
AU - Fitzgerald AP
Building,
Cork, Ireland.
FAU - O' Sullivan, Brenda
AU - O' Sullivan B
FAU - Murphy, Catriona
AU - Murphy C
FAU - Bernard, Margaret
AU - Bernard M
FAU - Browne, John P
AU - Browne JP
LA - eng
DEP - 20190402
TA - J Infect Prev
JT - Journal of infection prevention
JID - 101469725
PMC - PMC6683608
OTO - NOTNLM
OT - Observational hand hygiene audit
OT - audit
OT - compliance
OT - doctor
OT - feedback
OT - hand hygiene
conflicts
this
article.
EDAT- 2019/08/21 06:00
MHDA- 2019/08/21 06:01
CRDT- 2019/08/21 06:00
PHST- 2018/08/14 00:00 [received]
PHST- 2018/12/30 00:00 [accepted]
PHST- 2019/08/21 06:00 [entrez]
PHST- 2019/08/21 06:00 [pubmed]
PHST- 2019/08/21 06:01 [medline]
AID - 10.1177_1757177419833165 [pii]
AID - 10.1177/1757177419833165 [doi]
PST - ppublish
SO - J Infect Prev. 2019 Jul;20(4):164-170. doi: 10.1177/1757177419833165. Epub
2019 Apr
2.
PMID- 28775110
OWN - NLM
STAT- MEDLINE
DCOM- 20180426
LR - 20200225
VI - 2017
DP - 2017 Aug 3
TI - Bilateral pneumothoraces following acupuncture.
LID - bcr-2017-221310 [pii]
LID - 10.1136/bcr-2017-221310 [doi]
LID - bcr2017221310
AB - A 50-year-old woman was brought to the emergency department with shortness of
breath
and chest tightness following acupuncture to her upper back for a chronically
painful left shoulder. She had symptoms of respiratory distress and chest X-
ray
revealed bilateral pneumothoraces. Symptoms resolved after insertion of
bilateral
Seldinger chest drains. She was admitted to the Cardiothoracic Surgery ward,
chest
drains were removed on the second and third days and the patient was
discharged from
hospital after 3 days. Clinicians and acupuncturists should be aware of this
adverse
event following acupuncture.
CI - © BMJ Publishing Group Ltd (unless otherwise stated in the text of the
article)
2017. All rights reserved. No commercial use is permitted unless otherwise
expressly
granted.
FAU - Oskarsson, Palmi
AU - Oskarsson P
AD - Emergency Department, Royal Infirmary of Edinburgh, Edinburgh, UK.
FAU - Walker, Craig Andrew
AU - Walker CA
AD - Intensive Care Unit, St John's Hospital, Livingston, UK.
FAU - Leigh-Smith, Simon
AU - Leigh-Smith S
AD - Defence Medical Services, The Royal Navy, Portsmouth, UK.
LA - eng
PT - Case Reports
DEP - 20170803
TA - BMJ Case Rep
JID - 101526291
SB - IM
MH - Acupuncture Therapy/*adverse effects/methods
MH - Female
MH - Humans
MH - Middle Aged
MH - Pneumothorax/*etiology
MH - Shoulder Pain/*therapy
PMC - PMC5624010
OTO - NOTNLM
OT - cardiothoracic surgery
OT - emergency medicine
EDAT- 2017/08/05 06:00
MHDA- 2018/04/27 06:00
CRDT- 2017/08/05 06:00
PHST- 2017/08/05 06:00 [entrez]
PHST- 2017/08/05 06:00 [pubmed]
PHST- 2018/04/27 06:00 [medline]
AID - bcr-2017-221310 [pii]
AID - 10.1136/bcr-2017-221310 [doi]
PST - epublish
SO - BMJ Case Rep. 2017 Aug 3;2017:bcr2017221310. doi: 10.1136/bcr-2017-221310.
PMID- 27371554
OWN - NLM
STAT- MEDLINE
DCOM- 20171204
LR - 20190202
IS - 2044-6055 (Linking)
VI - 6
IP - 7
DP - 2016 Jul 1
TI - Association of inpatient hospital experience with patient safety indicators:
a
cross-sectional, Canadian study.
PG - e011242
LID - 10.1136/bmjopen-2016-011242 [doi]
LID - e011242
AB - OBJECTIVES: There remains concern regarding the use of survey data to assess
aspects
of healthcare quality. The relationship between patient experience and
adverse
events as documented by patient safety indicators (PSIs) is a timely research
topic.
The objectives were to document the association of PSIs and patient
experience
scores, and to determine risk-adjusted odds of high experience scores versus
PSI
presence. SETTING AND PARTICIPANTS: From April 2011 to March 2014, 25 098
patients
completed a telephone survey following discharge from 93 inpatient hospitals
in
Alberta, Canada. RESEARCH DESIGN: A modified version of the Hospital Consumer
Assessment of Healthcare Providers and Systems (HCAHPS) instrument was used.

Surveys
were linked to inpatient records and PSI presence was documented using a
validated
algorithm. MEASURES: Three questions about overall hospital, physician and
nurse
ratings were scored on an 11-point Likert scale from 0 (worst) to 10 (best).
Experience was classified as high (9 or 10) versus low (0-8).
Demographic/clinical
differences between respondents with/without a PSI were assessed. Logistic
regression examined the relationship between factors including PSI and
experience
ratings. RESULTS: Overall, physician and nurse care was rated high by 61.9%,
73.7%
and 66.2% of respondents. 1085 patients (4.3%) had a documented PSI. Most
frequent
PSIs were haemorrhagic events (n=502; 2.0% of sample), events relating to
obstetrics
(n=373; 1.5%) and surgical-related events (n=248; 1.0%). Risk-adjusted models
showed
patients with PSIs had decreased odds of having high overall (OR=0.86; 95% CI
0.75
to 0.97), physician (OR=0.76; 95% CI 0.66 to 0.87) and nurse (OR=0.83; 95% CI
0.73
to 0.94) ratings. CONCLUSIONS: There is clear evidence that inpatient
experience
ratings are associated with PSIs, one element of quality of care. Future
research,
examining individual PSIs and patient experience questions, is warranted, as
this
may inform targeted quality improvement initiatives.
not
http://www.bmj.com/company/products-services/rights-and-licensing/
FAU - Kemp, Kyle A
AU - Kemp KA
AD - Department of Community Health Sciences, Cumming School of Medicine,
University of
Calgary, Calgary, Alberta, Canada Primary Data Support, Analytics (DIMR),
Alberta
Health Services, Calgary, Alberta, Canada.
FAU - Santana, Maria J
AU - Santana MJ
University of
Calgary, Calgary, Alberta, Canada.
FAU - Southern, Danielle A
AU - Southern DA
University of
FAU - McCormack, Brandi
AU - McCormack B
AD - Primary Data Support, Analytics (DIMR), Alberta Health Services, Calgary,
Alberta,
Canada.
FAU - Quan, Hude
AU - Quan H
AUID- ORCID: 0000-0002-7848-7256
University of
LA - eng
DEP - 20160701
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adolescent
MH - Adult
MH - Aged
MH - Alberta/epidemiology
MH - Female
MH - Hemorrhage/epidemiology
MH - *Hospitals
MH - Humans
MH - Male
MH - Middle Aged
MH - Nurses
MH - Odds Ratio
MH - Physicians
MH - Postoperative Complications/epidemiology
MH - Pregnancy
MH - Pregnancy Complications/epidemiology
MH - Young Adult
PMC - PMC4947763
OTO - NOTNLM
OT - *Acute care
OT - *HCAHPS
OT - *Patient experience
EDAT- 2016/07/03 06:00
MHDA- 2017/12/05 06:00
CRDT- 2016/07/03 06:00
PHST- 2016/07/03 06:00 [entrez]
PHST- 2016/07/03 06:00 [pubmed]
PHST- 2017/12/05 06:00 [medline]
AID - 10.1136/bmjopen-2016-011242 [doi]
PST - epublish
SO - BMJ Open. 2016 Jul 1;6(7):e011242. doi: 10.1136/bmjopen-2016-011242.
PMID- 31311537
OWN - NLM
STAT- MEDLINE
DCOM- 20191115
LR - 20200225
IS - 1472-6963 (Linking)
VI - 19
IP - 1
DP - 2019 Jul 16
TI - Impact of pharmacy-led medication reconciliation on admission to internal
medicine
service: experience in two tertiary care teaching hospitals.
PG - 493
LID - 10.1186/s12913-019-4323-7 [doi]
LID - 493
AB - BACKGROUND: The Institute for Healthcare Improvement identifies medication
reconciliation as the shared responsibility of nurses, pharmacists, and
physicians,
where each has a defined role. The study aims to assess the clinical impact
of
pharmacy-led medication reconciliation performed on day one of hospital
admission to
the internal medicine service. METHODS: This is a pilot prospective study
conducted
at two tertiary care teaching hospitals in Lebanon. Student pharmacists who
were
properly trained and closely supervised, collected the medication history,
and
pharmacists at the corresponding sites performed the reconciliation process.
Interventions related to the unintended discrepancies were relayed to the
medical
team. The main outcome was the number of unintended discrepancies identified.
The
time needed for medication history, and the information sources used to
complete the
Best Possible Medication History were also assessed. The unintended
discrepancies
were classified by medication class and route of medication administration,
by
potential severity, and by proximal cause leading to the discrepancy. For the
bivariate and multivariable analysis, the dependent variable was the

incidence of
unintended discrepancies. The "total number of unintended discrepancies" was
dichotomized into yes (≥ 1 unintended discrepancy) or no (0 unintended
discrepancies). Independent variables tested for their association with the
dependent variable consisted of the following: gender, age, creatinine
clearance,
number of home medications, allergies, previous adverse drug reactions, and
number
of information sources used to obtain the BPMH. Results were assumed to be
significant when p was < 0.05. RESULTS: During the study period, 204 patients
were
included, and 195 unintended discrepancies were identified. The most common
discrepancies consisted of medication omission (71.8%), and the most common
agents
involved were dietary supplements (27.7%). Around 36% of the unintended
discrepancies were judged as clinically significant, and only 1% were judged
as
serious. The most common interventions included the addition of a medication
(71.8%)
and the adjustment of a dose (12.8%). The number of home medications was
significantly associated with the occurrence of unintended discrepancies
(ORa = 1.11
(1.03-1.19) p = 0.007). CONCLUSIONS: Pharmacy-led medication reconciliation
upon
admission, along with student pharmacist involvement and physician
communication can
reduce unintended discrepancies and improve medication safety and patient
outcomes.
FAU - Karaoui, Lamis R
AU - Karaoui LR
AUID- ORCID: 0000-0002-7857-7374
AD - Department of Pharmacy Practice, School of Pharmacy, Lebanese American
University,
P.O. Box S-23, Byblos, Lebanon.
FAU - Chamoun, Nibal
AU - Chamoun N
AUID- ORCID: 0000-0002-0987-296X
University,
FAU - Fakhir, Jessica
AU - Fakhir J
AD - Saint George Hospital - University Medical Center, Pharmacy Department,
Beirut,
Lebanon.
FAU - Abi Ghanem, Wael
AU - Abi Ghanem W
AD - Saint George Hospital - University Medical Center, Pharmacy Department,
Beirut,
Lebanon.
FAU - Droubi, Sarah
AU - Droubi S
AD - Makassed General Hospital, Pharmacy Department, Beirut, Lebanon.
FAU - Diab Marzouk, Abdul Rahman
AU - Diab Marzouk AR
FAU - Droubi, Nabila
AU - Droubi N
FAU - Masri, Hiba
AU - Masri H
University,
FAU - Ramia, Elsy
AU - Ramia E
AUID- ORCID: 0000-0001-6447-4377
University,
P.O. Box S-23, Byblos, Lebanon. elsy.ramia@lau.edu.lb.
LA - eng
DEP - 20190716
JID - 101088677
SB - IM
MH - Aged
MH - Female
MH - Humans
MH - Internal Medicine/*statistics & numerical data
MH - Lebanon
MH - Male
MH - Middle Aged
MH - Pilot Projects
MH - Tertiary Healthcare
PMC - PMC6636006
OTO - NOTNLM
OT - Drug safety
OT - Hospital admission
OT - Lebanon
OT - Medication reconciliation
OT - Patient safety
OT - Transition of care
EDAT- 2019/07/18 06:00
MHDA- 2019/11/16 06:00
CRDT- 2019/07/18 06:00
PHST- 2019/01/13 00:00 [received]
PHST- 2019/07/05 00:00 [accepted]
PHST- 2019/07/18 06:00 [entrez]
PHST- 2019/07/18 06:00 [pubmed]
PHST- 2019/11/16 06:00 [medline]
AID - 10.1186/s12913-019-4323-7 [pii]
AID - 4323 [pii]
AID - 10.1186/s12913-019-4323-7 [doi]
PST - epublish
SO - BMC Health Serv Res. 2019 Jul 16;19(1):493. doi: 10.1186/s12913-019-4323-7.
PMID- 32876090
OWN - NLM
STAT- MEDLINE
DCOM- 20200907
LR - 20200907
IS - 1679-4508 (Linking)
VI - 18
DP - 2020
TI - Bleeding management after implementation of the Hemorrhage Code (Code H) at
the
Hospital Israelita Albert Einstein, São Paulo, Brazil.
PG - eAO5032
LID - S1679-45082020000100261 [pii]
LID - 10.31744/einstein_journal/2020ao5032 [doi]
AB - Objective To describe the implementation of a care protocol based on rapid
response
teams, for management and resolution of bleeding. Methods A hospital protocol
called
Hemorrhage Code (Code H) was devised and developed. In a flow line, a
multidisciplinary team provides comprehensive, fast and effective care to the
patient with a severe hemorrhagic condition. In another flow line,

professionals
based at the hospital pharmacy focus on identifying patients at risk of
bleeding, to
avoid this event. Several hospital professionals and sectors were trained,
each with
specific roles, ensuring full support to the medical and nursing staffs.
Results
After implementing this protocol, we were able to significantly reduce the
number of
catastrophic events related to failure in bleeding management. Conclusion
Code H is
an example of a value-based medicine and precision medicine project by
delivering
comprehensive and multidisciplinary care, in addition to point-of-care
testing
introduced in clinical practice, optimizing patient safety and care practices
at the
hospital. Furthermore, it will be possible to minimize the risk of lawsuits
for the
hospital and physicians, as well as rationalizing resources with benefits for
administrators and payers.

FAU - Jaures, Michele
AU - Jaures M
AD - Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
FAU - Pigatti, Neila Maria Marques Negrini
AU - Pigatti NMMN
FAU - Rodrigues, Roseny Dos Reis
AU - Rodrigues RDR
FAU - Fernandes, Fernanda Paulino
AU - Fernandes FP
FAU - Guerra, João Carlos de Campos
AU - Guerra JCC
LA - por
LA - eng
DEP - 20200828
PL - Brazil
JID - 101281800
SB - IM
MH - Blood Coagulation Disorders/*therapy
MH - *Blood Transfusion
MH - Brazil
MH - Hemorrhage/prevention & control/*therapy
MH - Humans
MH - Patient Care/*standards
MH - *Practice Guidelines as Topic
MH - Shock, Hemorrhagic/*therapy
EDAT- 2020/09/03 06:00
MHDA- 2020/09/08 06:00
CRDT- 2020/09/03 06:00
PHST- 2019/02/27 00:00 [received]
PHST- 2020/02/09 00:00 [accepted]
PHST- 2020/09/03 06:00 [entrez]
PHST- 2020/09/03 06:00 [pubmed]
PHST- 2020/09/08 06:00 [medline]
AID - S1679-45082020000100261 [pii]
AID - 10.31744/einstein_journal/2020ao5032 [doi]
PST - ppublish
SO - Einstein (Sao Paulo). 2020;18:eAO5032. doi:
10.31744/einstein_journal/2020ao5032.
Epub 2020 Aug 28.
PMID- 27227130
OWN - NLM
DCOM- 20160526
LR - 20181113
IS - 2369-2960 (Print)
IS - 2369-2960 (Linking)
VI - 1
IP - 2
DP - 2015 Jul-Dec
TI - Texting-Based Reporting of Adverse Drug Reactions to Ensure Patient Safety: A
Feasibility Study.
PG - e12
LID - 10.2196/publichealth.4605 [doi]
LID - e12
AB - BACKGROUND: Paper-based adverse drug reaction (ADR) reporting has been in
practice
for more than 6 decades. Health professionals remain the primary source of
reports,
while the value of patients' reporting is yet unclear. With the increasing
popularity of using electronic gadgets in health, it is expected that the
electronic
transmission of reports will become the norm within a few years. OBJECTIVE:
The aims
of this study are to investigate whether short messaging service or texting
can
provide an alternative or supplemental method for ADR reporting given the
increasing
role of mobile phones in health care monitoring; to determine the usefulness
of
texting in addition to paper-based reporting of ADRs by resident physicians;
and to
describe the barriers to ADR reporting and estimate the cost for setting up
and
maintaining a texting-computer reporting system. METHODS: This was a pre-post
cross-sectional study that measured the number of ADRs texted by 51 resident

physicians for 12 months from the Department of Obstetrics and Gynecology and
the
Department of Adult Medicine of a tertiary government hospital in Manila,
Philippines, with 1350-bed capacity. Reports were captured by a texting-
computer
reporting system. Prior to its implementation, key informant interview and
focus
group discussion were conducted. Baseline information and practice on the
existing
paper-based reporting system were culled from the records of the hospital's
Pharmacy
and Therapeutics Committee. A postintervention survey questionnaire was
administered
at the end of 12 months. RESULTS: Only 3 ADRs were texted by 51 resident
physicians
in 12 months (reporting rate 3/51 or 6%). By contrast, 240 ADRs from the
paper-based
reporting system from 848 resident physicians of the study hospital were
collected
and tabulated (reporting rate 240/848 or 28.3%). Texting ADRs was not
efficient
because of power interruption, competition with the existing paper-based
reporting
system, and unforeseen expiration of prepaid text loads/credits. The 3 ADRs
texted
were a report of vivid dreams and nightmares, a report of disturbing dreams
and
memory lapses, both of which were due to montelukast use, and a report of
hepatitis
from an isoniazid/rifampicin fixed-dose combination. Nineteen of 51 resident
physicians (37%) registered in the reporting system responded to the
postintervention survey. The most common reasons for not reporting ADRs were
no
adverse reaction identified 11/19 (58%) and restrictive reporting syntax 4/19
(21%).
All doctors preferred a free form of reporting. The direct cost of the
texting-based
reporting system was calculated to be US $5581.40 and the indirect cost was
US
$9989.40. The total cost for texting-based ADR reporting system for 12 months
was US
$15,570.79. CONCLUSIONS: Reporting of ADRs via texting could be lower
compared with
an existing ADR paper-based system. Problems of Internet connectivity,
reporting
syntax, and expiration and reliability of text loads/credits should be
addressed
while implementing a text-based ADR reporting system in a developing country.
FAU - Vergeire-Dalmacion, Godofreda
AU - Vergeire-Dalmacion G
AUID- ORCID: 0000-0001-9212-9087
AD - College of MedicineDepartment of Pharmacology and ToxicologyUniversity of the
Philippines-ManilaManilaPhilippines; College of MedicineDepartment of

Clinical
EpidemiologyUniversity of the Philippines-ManilaManilaPhilippines; National
Institutes of HealthInstitute of Clinical EpidemiologyUniversity of the
Philippines-ManilaManilaPhilippines.
FAU - Castillo-Carandang, Nina T
AU - Castillo-Carandang NT
AUID- ORCID: 0000-0001-5360-1801
AD - College of MedicineDepartment of Clinical EpidemiologyUniversity of the
Philippines-ManilaManilaPhilippines; National Institutes of HealthInstitute
of
Clinical EpidemiologyUniversity of the Philippines-ManilaManilaPhilippines.
FAU - Juban, Noel R
AU - Juban NR
AUID- ORCID: 0000-0003-2727-4733
of
FAU - Amarillo, Maria Lourdes
AU - Amarillo ML
AUID- ORCID: 0000-0002-7488-0990
of
FAU - Tagle, Maria Pamela
AU - Tagle MP
AUID- ORCID: 0000-0001-5806-7564
of
FAU - Baja, Emmanuel S
AU - Baja ES
AUID- ORCID: 0000-0002-3888-8880
of
LA - eng
DEP - 20151119
TA - JMIR Public Health Surveill
JT - JMIR public health and surveillance
JID - 101669345
PMC - PMC4869238
OTO - NOTNLM
OT - adverse drug reactions
OT - pharmacovigilance
OT - postmarketing
OT - spontaneous reporting
OT - texting
EDAT- 2016/05/27 06:00
MHDA- 2016/05/27 06:01
CRDT- 2016/05/27 06:00
PHST- 2015/05/03 00:00 [received]
PHST- 2015/08/06 00:00 [revised]
PHST- 2015/08/19 00:00 [accepted]
PHST- 2016/05/27 06:00 [entrez]
PHST- 2016/05/27 06:00 [pubmed]
PHST- 2016/05/27 06:01 [medline]
AID - v1i2e12 [pii]
AID - 10.2196/publichealth.4605 [doi]
PST - epublish
SO - JMIR Public Health Surveill. 2015 Nov 19;1(2):e12. doi:
10.2196/publichealth.4605.
eCollection 2015 Jul-Dec.
PMID- 30704103
OWN - NLM
LR - 20201001
IS - 2226-4787 (Linking)
VI - 7
IP - 1
DP - 2019 Jan 30
TI - Assessment of Insulin-related Knowledge among Healthcare Professionals in a
Large
Teaching Hospital in the United Kingdom.
LID - 16
AB - Despite numerous strategies introduced to promote the safe use of insulin,
insulin-related medication errors persist. Our aim was to examine the
knowledge and
self-reported confidence of a range of healthcare professionals regarding
insulin
use in a large teaching hospital in the North of England. A 16-item
electronic
questionnaire was prepared in light of locally reported insulin-related
incidents
and distributed electronically to all healthcare professionals at the
hospital over
a 4-week study period. A range of healthcare professionals, including nurses,
pharmacists, pharmacy technicians, junior doctors and consultants, completed

the
questionnaires (n = 109). Pharmacists achieved the greatest percentage of
mean
correct answers overall (49%), followed by consultant doctors (38%) and
pharmacy
technicians (37%), junior doctors (34%) and nurses (32%). Healthcare
professionals
were mainly "slightly confident" in their knowledge and use of insulin.
Confidence
level positively correlated to performance, but number of years' experience
did not
result in higher confidence or performance. This small-scale study allowed
for a
broad assessment of insulin-related topics that have been identified both
nationally
and locally as particularly problematic. Identifying knowledge gaps may help
tailor
strategies to help improve insulin knowledge and patient safety.
FAU - Bain, Amie
AU - Bain A
AUID- ORCID: 0000-0003-3591-7380
AD - School of Applied Sciences, University of Huddersfield, Huddersfield HD1 3DH,
UK.
a.bain@hud.ac.uk.
AD - Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S5 7AU, UK.
a.bain@hud.ac.uk.
FAU - Kavanagh, Sallianne
AU - Kavanagh S
AD - Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S5 7AU, UK.
Sallianne.Kavanagh@sth.nhs.uk.
FAU - McCarthy, Sinead
AU - McCarthy S
UK.
sineadmcc12@hotmail.co.uk.
FAU - Babar, Zaheer
AU - Babar Z
UK.
z.babar@hud.ac.uk.
LA - eng
DEP - 20190130
JID - 101678532
PMC - PMC6473239
OTO - NOTNLM
OT - diabetes mellitus
OT - education
OT - hospital
OT - insulin
OT - medication error
OT - prescribing
OT - secondary care
EDAT- 2019/02/02 06:00
MHDA- 2019/02/02 06:01
CRDT- 2019/02/02 06:00
PHST- 2019/01/11 00:00 [received]
PHST- 2019/01/25 00:00 [revised]
PHST- 2019/01/29 00:00 [accepted]
PHST- 2019/02/02 06:00 [entrez]
PHST- 2019/02/02 06:00 [pubmed]
PHST- 2019/02/02 06:01 [medline]
PST - epublish
SO - Pharmacy (Basel). 2019 Jan 30;7(1):16. doi: 10.3390/pharmacy7010016.
PMID- 28381890
OWN - NLM
STAT- MEDLINE
DCOM- 20170721
LR - 20181113
IS - 0002-9459 (Print)
IS - 0002-9459 (Linking)
VI - 81
IP - 2
DP - 2017 Mar 25
TI - Pharmacy Educators' Knowledge of Medication Safety and Their Perception
Toward Its
Integration into the Doctor of Pharmacy Curriculum in Saudi Arabia.
PG - 30
LID - 10.5688/ajpe81230 [doi]
LID - 30
AB - Objective. To assess pharmacy educators' knowledge of medication safety and
their
perception toward its integration into the PharmD curriculum in Saudi Arabia.
Methods. A survey was administered to pharmacy educators at a college of

pharmacy
and its affiliate hospital. Knowledge, training, and perception toward
integrating
medication safety into the PharmD curriculum were evaluated. Results. More
than 50%
of respondents indicated that medication safety should be covered within
selected
courses, and 65% indicated that such courses should be mandatory. Pharmacy
practice
educators had significantly higher levels of knowledge about medication
safety than
their nonpractice counterparts. Perceptions toward medication safety
integration
into the curriculum varied significantly by general discipline, academic
degree,
years of experience, and gender. Conclusion. Pharmacy educators in Saudi
Arabia
understand the importance of medication safety and its integration into the
curriculum. Further studies are needed to guide curricular change to achieve
this
integration.
FAU - Alkatheri, Abdulmalik M
AU - Alkatheri AM
AD - King Saud bin Abdulaziz University for Health Sciences and King Abdullah
International Medical Research Center, Ministry of National Guard Health
Affairs,
Riyadh, Saudi Arabia; King Abdulaziz Medical City, Ministry of National Guard
Health
Affairs, Riyadh, Saudi Arabia.
FAU - Bustami, Rami
AU - Bustami R
Affairs,
FAU - Albekairy, Abdulkareem M
AU - Albekairy AM
Affairs,
Health
FAU - Almodaimegh, Hind
AU - Almodaimegh H
Affairs,
Health
FAU - Alghamdi, Sahar
AU - Alghamdi S
Affairs,
FAU - Alharbi, Shemylan
AU - Alharbi S
Affairs,
Health
FAU - Khalidi, Nabil
AU - Khalidi N
Affairs,
FAU - Murphy, John E
AU - Murphy JE
AD - University of Arizona, Tucson, Arizona.
FAU - Qandil, Amjad M
AU - Qandil AM
Affairs,
Riyadh, Saudi Arabia; Jordan University of Science and Technology, Irbid,
Jordan.
LA - eng
TA - Am J Pharm Educ
JT - American journal of pharmaceutical education
JID - 0372650
SB - IM
MH - Curriculum
MH - *Drug-Related Side Effects and Adverse Reactions/prevention & control
MH - Education, Pharmacy, Graduate/*methods
MH - *Faculty, Pharmacy
MH - Female
MH - Humans
MH - Male
MH - *Perception
MH - Saudi Arabia
MH - Schools, Pharmacy
MH - Students, Pharmacy
PMC - PMC5374919
OTO - NOTNLM
OT - doctor of pharmacy curriculum
OT - patient safety
EDAT- 2017/04/07 06:00
MHDA- 2017/07/22 06:00
CRDT- 2017/04/07 06:00
PHST- 2017/04/07 06:00 [entrez]
PHST- 2017/04/07 06:00 [pubmed]
PHST- 2017/07/22 06:00 [medline]
AID - ajpe30 [pii]
AID - 10.5688/ajpe81230 [doi]
PST - ppublish
SO - Am J Pharm Educ. 2017 Mar 25;81(2):30. doi: 10.5688/ajpe81230.
PMID- 25656302
OWN - NLM
STAT- MEDLINE
DCOM- 20160113
LR - 20190112
IS - 1356-1294 (Print)
IS - 1356-1294 (Linking)
VI - 21
IP - 2
DP - 2015 Apr
TI - Safety climate in Swiss hospital units: Swiss version of the Safety Climate
Survey.
PG - 332-8
LID - 10.1111/jep.12326 [doi]
AB - RATIONALE, AIMS AND OBJECTIVES: Safety climate measurements are a broadly
used
element of improvement initiatives. In order to provide a sound and
easy-to-administer instrument for the use in Swiss hospitals, we translated
the
Safety Climate Survey into German and French. METHODS: After translating the
Safety
Climate Survey into French and German, a cross-sectional survey study was
conducted
with health care professionals (HCPs) in operating room (OR) teams and on OR-
related
wards in 10 Swiss hospitals. Validity of the instrument was examined by means
of
Cronbach's alpha and missing rates of the single items. Item-descriptive
statistics
group differences and percentage of 'problematic responses' (PPR) were
calculated.
RESULTS: 3153 HCPs completed the survey (response rate: 63.4%). 1308
individuals
were excluded from the analyses because of a profession other than doctor or
nurse
or invalid answers (n = 1845; nurses = 1321, doctors = 523). Internal
consistency of
the translated Safety Climate Survey was good (Cronbach's alpha German =
0.86;
Cronbach's alpha French = 0.84). Missing rates at item level were rather low
(0.23-4.3%). We found significant group differences in safety climate values

regarding profession, managerial function, work area and time spent in direct
patient care. At item level, 14 out of 21 items showed a PPR higher than 10%.
CONCLUSIONS: Results indicate that the French and German translations of the
Safety
Climate Survey might be a useful measurement instrument for safety climate in
Swiss
hospital units. Analyses at item level allow for differentiating facets of
safety
climate into more positive and critical safety climate aspects.
CI - © 2015 The Authors. Journal of Evaluation in Clinical Practice published by
John
Wiley & Sons, Ltd.
FAU - Gehring, Katrin
AU - Gehring K
AD - Patient Safety Switzerland, Zurich, Switzerland.
FAU - Mascherek, Anna C
AU - Mascherek AC
FAU - Bezzola, Paula
AU - Bezzola P
FAU - Schwappach, David L B
AU - Schwappach DL
LA - eng
DEP - 20150205
TA - J Eval Clin Pract
JT - Journal of evaluation in clinical practice
JID - 9609066
SB - IM
MH - Hospital Units/*organization & administration
MH - Humans
MH - Patient Safety
MH - Surgical Procedures, Operative
MH - *Surveys and Questionnaires
MH - Switzerland
MH - *Translations
PMC - PMC5024001
OTO - NOTNLM
OT - Switzerland
OT - hospital
OT - patient safety
OT - safety climate survey
OT - safety culture
OT - surgery
EDAT- 2015/02/07 06:00
MHDA- 2016/01/14 06:00
CRDT- 2015/02/07 06:00
PHST- 2014/12/17 00:00 [accepted]
PHST- 2015/02/07 06:00 [entrez]
PHST- 2015/02/07 06:00 [pubmed]
PHST- 2016/01/14 06:00 [medline]
AID - JEP12326 [pii]
AID - 10.1111/jep.12326 [doi]
PST - ppublish
SO - J Eval Clin Pract. 2015 Apr;21(2):332-8. doi: 10.1111/jep.12326. Epub 2015
Feb 5.
PMID- 32839013
OWN - NLM
STAT- In-Process
LR - 20201201
IS - 0168-8510 (Linking)
VI - 124
IP - 10
DP - 2020 Oct
TI - The relationship between nurse staffing levels and nursing-sensitive outcomes
in
hospitals: Assessing heterogeneity among unit and outcome types.
PG - 1056-1063
LID - S0168-8510(20)30195-0 [pii]
LID - 10.1016/j.healthpol.2020.07.013 [doi]
AB - OBJECTIVE: To identify which unit types are most sensitive to nurse staffing
levels.
DATA SOURCES/STUDY SETTING: Collection of secondary data took place from
March to
July 2016. For our study, we analyzed administrative hospital claims data and
self-reported structural data from hospitals in Germany. We used 26,502,579

admissions nested in 13,089 units in 3,680 hospitals from 2012 to 2014. STUDY
DESIGN: We used regression analysis to examine the relationship between 11

established nursing-sensitive outcomes (NSOs) and nurse-to-patient ratios on
a unit
level. Nurse-to-patient ratios were our key explanatory variable. We
conducted
separate OLS regressions for each NSO in each unit type using linear and non-
linear
terms. DATA COLLECTION/EXTRACTION METHODS: We linked hospital claims data
with
self-reported structural data from hospitals from 2012 to 2014. PRINCIPAL
FINDINGS:
We identified 15 unit types with at least one significant NSO. The effect of
potential understaffing on NSOs depends on the unit type. CONCLUSIONS: Our
study
indicates that the relationship between nurse staffing levels and NSOs varies
greatly depending on the unit type concerning both significance and

magnitude.
Future research might consider performing analyses on unit level instead of
hospital
level.
CI - Copyright © 2020 The Authors. Published by Elsevier B.V. All rights reserved.
FAU - Milstein, Ricarda
AU - Milstein R
AD - Universität Hamburg, Germany; Hamburg Center for Health Economics, Germany.
Electronic address: Ricarda.Milstein@uni-hamburg.de.
FAU - Schreyoegg, Jonas
AU - Schreyoegg J
AD - Universität Hamburg, Germany; Hamburg Center for Health Economics, Germany.
LA - eng
DEP - 20200805
PL - Ireland
TA - Health Policy
JT - Health policy (Amsterdam, Netherlands)
JID - 8409431
SB - H
OTO - NOTNLM
OT - *Hospitals
OT - *Nursing staff
OT - *Outcomes
OT - *Quality of care
COIS- Declaration of Competing Interest None.
EDAT- 2020/08/26 06:00
MHDA- 2020/08/26 06:00
CRDT- 2020/08/26 06:00
PHST- 2019/07/21 00:00 [received]
PHST- 2020/06/15 00:00 [revised]
PHST- 2020/07/27 00:00 [accepted]
PHST- 2020/08/26 06:00 [pubmed]
PHST- 2020/08/26 06:00 [medline]
PHST- 2020/08/26 06:00 [entrez]
AID - S0168-8510(20)30195-0 [pii]
AID - 10.1016/j.healthpol.2020.07.013 [doi]
PST - ppublish
SO - Health Policy. 2020 Oct;124(10):1056-1063. doi:
10.1016/j.healthpol.2020.07.013.
Epub 2020 Aug 5.
PMID- 27035457
OWN - NLM
STAT- MEDLINE
DCOM- 20160815
LR -
20191210
IS -
1932-6203 (Electronic)
IS -
1932-6203 (Linking)
VI -
11
IP -
4
DP -
2016
TI -
Staff Nurses' Perceptions and Experiences about Structural Empowerment: A
Qualitative Phenomenological Study.
PG - e0152654
LID - e0152654
AB - The aim of the study reported in this article was to investigate staff
nurses'
perceptions and experiences about structural empowerment and perceptions
regarding
the extent to which structural empowerment supports safe quality patient
care. To
address the complex needs of patients, staff nurse involvement in clinical
and
organizational decision-making processes within interdisciplinary care
settings is
crucial. A qualitative study was conducted using individual semi-structured
interviews of 11 staff nurses assigned to medical or surgical units in a 600-
bed
university hospital in Belgium. During the study period, the hospital was
going
through an organizational transformation process to move from a classic
hierarchical
and departmental organizational structure to one that was flat and
interdisciplinary. Staff nurses reported experiencing structural empowerment
and
they were willing to be involved in decision-making processes primarily about
patient care within the context of their practice unit. However, participants
were
not always fully aware of the challenges and the effect of empowerment on
their
daily practice, the quality of care and patient safety. Ongoing hospital
change
initiatives supported staff nurses' involvement in decision-making processes
for
certain matters but for some decisions, a classic hierarchical and
departmental
process still remained. Nurses perceived relatively high work demands and at
times
viewed empowerment as presenting additional. Staff nurses recognized the
opportunities structural empowerment provided within their daily practice.
Nurse
managers and unit climate were seen as crucial for success while lack of time
and
perceived work demands were viewed as barriers to empowerment.
FAU - Van Bogaert, Peter
AU - Van Bogaert P
AD - Nursing and Midwifery Sciences, Centre for Research and Innovation in Care,
Faculty
of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
AD - Nursing Department, Antwerp University Hospital, Antwerp, Belgium.
FAU - Peremans, Lieve
AU - Peremans L
Faculty
AD - Department of Primary and Interdisciplinary Care, University of Antwerp,
Antwerp,
Belgium.
AD - Mental Health and Wellbeing Research Group, Vrije Universiteit Brussel,
Brussels,
Belgium.
FAU - Diltour, Nadine
AU - Diltour N
Faculty
FAU - Van heusden, Danny
AU - Van heusden D
Faculty
FAU - Dilles, Tinne
AU - Dilles T
Faculty
FAU - Van Rompaey, Bart
AU - Van Rompaey B
Faculty
FAU - Havens, Donna Sullivan
AU - Havens DS
AD - School of Nursing, The University of North Carolina at Chapel Hill, Chapel
Hill, NC,
LA - eng
DEP - 20160401
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Adult
MH - Belgium
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - *Power, Psychological
MH - Workforce
PMC - PMC4818078
exist.
EDAT- 2016/04/02 06:00
MHDA- 2016/08/16 06:00
CRDT- 2016/04/02 06:00
PHST- 2015/05/23 00:00 [received]
PHST- 2016/03/17 00:00 [accepted]
PHST- 2016/04/02 06:00 [entrez]
PHST- 2016/04/02 06:00 [pubmed]
PHST- 2016/08/16 06:00 [medline]
PST - epublish
SO - PLoS One. 2016 Apr 1;11(4):e0152654. doi: 10.1371/journal.pone.0152654.
eCollection
2016.
PMID- 21624026
OWN - NLM
STAT- MEDLINE
DCOM- 20130116
LR - 20181113
IS - 1369-6513 (Print)
IS - 1369-6513 (Linking)
VI - 15
IP - 3
DP - 2012 Sep
TI - Putting the 'patient' in patient safety: a qualitative study of consumer
experiences.
PG - 327-36
LID - 10.1111/j.1369-7625.2011.00685.x [doi]
AB - BACKGROUND: Although patient safety has been studied extensively, little
research
has directly examined patient and family (consumer) perceptions. Evidence
suggests
that clinicians define safety differently from consumers, e.g. clinicians
focus more
on outcomes, whereas consumers may focus more on processes. Consumer
perceptions of
patient safety are important for several reasons. First, health-care policy
leaders
have been encouraging patients and families to take a proactive role in
ensuring
patient safety; therefore, an understanding of how patients define safety is
needed.
Second, consumer perceptions of safety could influence outcomes such as trust
and
satisfaction or compliance with treatment protocols. Finally, consumer
perspectives
could be an additional lens for viewing complex systems and processes for
quality
improvement efforts. OBJECTIVES: To qualitatively explore acute care
consumer
perceptions of patient safety. DESIGN AND METHODS: Thirty-nine individuals
with a
recent overnight hospital visit participated in one of four group interviews.
Analysis followed an interpretive analytical approach. RESULTS: Three basic

themes
were identified: Communication, staffing issues and medication
administration.
Consumers associated care process problems, such as delays or lack of
information,
with safety rather than as service quality problems. Participants agreed that
patients need family caregivers as advocates. CONCLUSIONS: Consumers seem
acutely
aware of care processes they believe pose risks to safety. Perceptual
measures of
patient safety and quality may help to identify areas where there are higher
risks
of preventable adverse events.
CI - © 2011 Blackwell Publishing Ltd.
FAU - Rathert, Cheryl
AU - Rathert C
AD - Health Services Management, Department of Health Management and Informatics,
University of Missouri School of Medicine, Columbia, MO 65212, USA.
RathertC@health.missouri.edu
FAU - Brandt, Julie
AU - Brandt J
FAU - Williams, Eric S
AU - Williams ES
LA - eng
DEP - 20110530
TA - Health Expect
health
JID - 9815926
SB - IM
MH - Adult
MH - Aged
MH - *Communication
MH - *Drug Therapy
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
PMC - PMC5060619
EDAT- 2011/06/01 06:00
MHDA- 2013/01/17 06:00
CRDT- 2011/06/01 06:00
PHST- 2011/06/01 06:00 [entrez]
PHST- 2011/06/01 06:00 [pubmed]
PHST- 2013/01/17 06:00 [medline]
AID - HEX685 [pii]
AID - 10.1111/j.1369-7625.2011.00685.x [doi]
PST - ppublish
SO - Health Expect. 2012 Sep;15(3):327-36. doi: 10.1111/j.1369-7625.2011.00685.x.
Epub
2011 May 30.
PMID- 29631587
OWN - NLM
STAT- MEDLINE
DCOM- 20181120
LR - 20190329
IS - 1472-6963 (Linking)
VI - 18
IP - 1
DP - 2018 Apr 10
TI - Evaluation of the implementation of a clinical pharmacy service on an acute
internal
medicine ward in Italy.
PG - 259
LID - 10.1186/s12913-018-2988-y [doi]
LID - 259
AB - BACKGROUND: Successful implementation of clinical pharmacy services is
associated
with improvement of appropriateness of prescribing. Both high clinical
significance
of pharmacist interventions and their high acceptance rate mean that
potential harm
to patients could be avoided. Evidence shows that low acceptance rate of
pharmacist
interventions can be associated with lack of communication between
pharmacists and
the rest of the healthcare team. The objective of this study was to evaluate
the
effect of a structured communication strategy on acceptance rate of
interventions
made by a clinical pharmacist implementing a ward-based clinical pharmacy
service
targeting elderly patients at high risk of drug-related problems.
Characteristics of
interventions made to improve appropriateness of prescribing, their clinical
significance and intervention acceptance rate by doctors were recorded.
METHODS: A
clinical pharmacy intervention study was conducted between September 2013 and
December 2013 in an internal medicine ward of a teaching hospital. A trained

clinical pharmacist provided pharmaceutical care to 94 patients aged over
70 years.
The clinical pharmacist used the following communication and marketing tools
to
implement the service described: Strengths, Weaknesses, Opportunities and
Threats
(SWOT) analysis; Specific, Measurable, Achievable, Realistic and Timely
(SMART)
goals; Awareness, Interest, Desire, Action (AIDA) model. RESULTS: A total of
740
interventions were made by the clinical pharmacist. The most common drug
classes
involved in interventions were: antibacterials for systemic use (11.1%) and
anti-parkinson drugs (10.8%). The main drug-related problem categories
triggering
interventions were: no specific problem (15.9%) and prescription writing
error
(12.0%). A total of 93.2% of interventions were fully accepted by physicians.
After
assessment by an external panel 63.2% of interventions (96 interventions/ per
month)
were considered of moderate clinical significance and 23.4% (36
interventions/ per
month) of major clinical significance. The most frequent interventions were
to
educate a healthcare professional (20.4%) and change dose (16.1%).
CONCLUSIONS: To
our knowledge this is the first study evaluating the effect of a structured
communication strategy on acceptance rate of pharmacist interventions.
Pharmaceutical care delivered by the clinical pharmacist is likely to have
had
beneficial outcomes. Clinical pharmacy services like the one described should
be
implemented widely to increase patient safety.
FAU - Lombardi, Nicola
AU - Lombardi N
AD - Department of Pharmacy, Cambridge University Hospitals NHS Foundation Trust,
Hills
Road, Cambridge, Cambridgeshire, CB2 0QQ, UK. n.lombardi@outlook.com.
FAU - Wei, Li
AU - Wei L
AD - Department of Pharmacy Practice and Policy, University College London School
of
Pharmacy, 29-39 Brunswick Square, Bloomsbury, London, WC1N 1AX, UK.
FAU - Ghaleb, Maisoon
AU - Ghaleb M
AD - School of Life and Medical Science, Department of Pharmacy, Pharmacology &
Postgraduate Medicine, University of Hertfordshire, Hatfield, Hertfordshire,
AL10
9AB, UK.
FAU - Pasut, Enrico
AU - Pasut E
AD - Department of Pharmacy, Azienda Sanitaria Universitaria Integrata di Udine,
Via
Pozzuolo, 330-33100, Udine, Friuli Venezia Giulia, Italy.
FAU - Leschiutta, Silvia
AU - Leschiutta S
Via
FAU - Rossi, Paolo
AU - Rossi P
AD - Division of Internal Medicine, Azienda Sanitaria Universitaria Integrata di
Udine,
Via Pozzuolo, 330 - 33100, Udine, Friuli Venezia Giulia, Italy.
FAU - Troncon, Maria Grazia
AU - Troncon MG
Via
LA - eng
GR - G106/1249/Medical Research Council/United Kingdom
DEP - 20180410
JID - 101088677
RN - 0 (Antiparkinson Agents)
SB - IM
MH - Aged
MH - Anti-Bacterial Agents/therapeutic use
MH - Antiparkinson Agents/therapeutic use
MH - Clinical Pharmacy Information Systems/organization & administration
MH - Drug-Related Side Effects and Adverse Reactions/*prevention & control
MH - Female
MH - Health Services for the Aged/*standards
MH - Humans
MH - *Internal Medicine/organization & administration
MH - Italy
MH - Male
MH - Middle Aged
MH - Pharmacists
MH - Physicians
PMC - PMC5891983
OTO - NOTNLM
OT - *Clinical pharmacist
OT - *Communication
OT - *Drug-related problems
OT - *Elderly
OT - *Pharmaceutical care
COIS- AUTHOR’S INFORMATION: Nicola Lombardi spent 3 years from 2011 to 2014 working
at
Azienda Ospedaliero Universitaria Santa Maria della Misericordia - Italy.
During
this time he was at the head of the team that implemented the clinical
pharmacy
service described. He is currently working as clinical pharmacist at
Cambridge
University Hospitals NHS Foundation Trust, Cambridge – UK. He has a
particular
interest in medicine, medication safety and pharmacy practice research. He is
a
registered member of the Royal Pharmaceutical Society and the General
Pharmaceutical
Council. He has been awarded a Certificate in Pharmacy Practice and an MSc in
Clinical Pharmacy both by University College London School of Pharmacy.

ETHICS
APPROVAL AND CONSENT TO PARTICIPATE: The study protocol was approved by the
Comitato
Etico Regionale Unico of Friuli Venezia Giulia, Italy. All data was
anonymous. The
need for written consent was formally waived by the ethics committee. CONSENT
FOR
PUBLICATION: Not applicable. COMPETING INTERESTS: The authors declare that
they have
with
affiliations.
EDAT- 2018/04/11 06:00
MHDA- 2018/11/21 06:00
CRDT- 2018/04/11 06:00
PHST- 2017/09/26 00:00 [received]
PHST- 2018/03/13 00:00 [accepted]
PHST- 2018/04/11 06:00 [entrez]
PHST- 2018/04/11 06:00 [pubmed]
PHST- 2018/11/21 06:00 [medline]
AID - 10.1186/s12913-018-2988-y [pii]
AID - 2988 [pii]
AID - 10.1186/s12913-018-2988-y [doi]
PST - epublish
SO - BMC Health Serv Res. 2018 Apr 10;18(1):259. doi: 10.1186/s12913-018-2988-y.
PMID- 26969578
OWN - NLM
STAT- MEDLINE
DCOM- 20170501
LR - 20181113
IS - 0017-9124 (Print)
IS - 0017-9124 (Linking)
VI - 52
IP - 1
DP - 2017 Feb
TI - Understanding Racial and Ethnic Disparities in Postsurgical Complications
Occurring
in U.S. Hospitals.
PG - 220-243
LID - 10.1111/1475-6773.12475 [doi]
AB - OBJECTIVE: To examine the role of patient, hospital, and community
characteristics
on racial and ethnic disparities in in-hospital postsurgical complications.
DATA
SOURCES: Healthcare Cost and Utilization Project, 2011 State Inpatient
Databases;
American Hospital Association Annual Survey of Hospitals; Area Health
Resources
Files; Centers for Medicare & Medicaid Services Hospital Compare database.
METHODS:
Nonlinear hierarchical modeling was conducted to examine the odds of patients
experiencing any in-hospital postsurgical complication, as defined by Agency

for
Healthcare Research and Quality Patient Safety Indicators. PRINCIPAL
FINDINGS: A
total of 5,474,067 inpatient surgical discharges were assessed using
multivariable
logistic regression. Clinical risk, payer coverage, and community-level
characteristics (especially income) completely attenuated the effect of race
on the
odds of postsurgical complications. Patients without private insurance were
30 to 50
percent more likely to have a complication; patients from low-income
communities
were nearly 12 percent more likely to experience a complication. Private,
not-for-profit hospitals in small metropolitan or micropolitan areas and
higher
nurse-to-patient ratios led to fewer postsurgical complications. CONCLUSIONS:
Race
does not appear to be an important determinant of in-hospital postsurgical
complications, but insurance and community characteristics have an effect. A
population-based approach that includes improving the socioeconomic context
may help
reduce disparities in these outcomes.
FAU - Witt, Whitney P
AU - Witt WP
AD - Maternal and Child Health Research, Truven Health Analytics, Inc., 4819
Emperor
Boulevard, Suite 125, Durham, NC 27703.
FAU - Coffey, Rosanna M
AU - Coffey RM
AD - Federal Government, Truven Health Analytics, Inc., Bethesda, MD.
FAU - Lopez-Gonzalez, Lorena
AU - Lopez-Gonzalez L
AD - Life Sciences, Truven Health Analytics, Inc., Austin, TX.
FAU - Barrett, Marguerite L
AU - Barrett ML
AD - ML Barrett INC, San Diego, CA.
FAU - Moore, Brian J
AU - Moore BJ
AD - Federal Government, Truven Health Analytics, Inc., Bethesda, MD.
FAU - Andrews, Roxanne M
AU - Andrews RM
AD - Center for Organization and Delivery Studies, Agency for Healthcare Research
and
Quality, Rockville, MD.
FAU - Washington, Raynard E
AU - Washington RE
AD - Department of Health and Human Services, Agency for Healthcare Research and
Quality,
Rockville, MD.
LA - eng
DEP - 20160309
JID - 0053006
SB - IM
MH - African Americans/statistics & numerical data
MH - Continental Population Groups/*statistics & numerical data
MH - Ethnic Groups/*statistics & numerical data
MH - European Continental Ancestry Group/statistics & numerical data
MH - Healthcare Disparities/ethnology/*statistics & numerical data
MH - Hispanic Americans/statistics & numerical data
MH - Hospitals/standards/statistics & numerical data
MH - Humans
MH - Insurance, Health/statistics & numerical data
MH - Postoperative Complications/*epidemiology/ethnology
MH - Poverty/statistics & numerical data
MH - Risk Factors
PMC - PMC5264108
OTO - NOTNLM
OT - *Postsurgical complications
OT - *community socioeconomic status
OT - *health disparities
OT - *health insurance
OT - *racial/ethnic differences in health care
OT - *surgery
EDAT- 2016/03/13 06:00
MHDA- 2017/05/02 06:00
CRDT- 2016/03/13 06:00
PHST- 2016/03/13 06:00 [pubmed]
PHST- 2017/05/02 06:00 [medline]
PHST- 2016/03/13 06:00 [entrez]
AID - 10.1111/1475-6773.12475 [doi]
PST - ppublish
SO - Health Serv Res. 2017 Feb;52(1):220-243. doi: 10.1111/1475-6773.12475. Epub
2016 Mar
9.
PMID- 31798856
OWN - NLM
LR - 20201102
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 26
IP - 6
DP - 2019 Nov
TI - A UK hospital survey to explore healthcare professional views and attitudes
to
patients incorrectly labelled as penicillin allergic: an antibiotic
stewardship
patient safety project.
PG - 329-333
LID - 10.1136/ejhpharm-2017-001451 [doi]
AB - OBJECTIVES: To ascertain the views, beliefs and attitudes of hospital staff
to
incorrect penicillin allergy records in order to determine healthcare worker
motivation for the implementation of a penicillin de-labelling antibiotic
stewardship intervention at the study hospital. METHODS: An electronic
questionnaire
(SurveyMonkey) was distributed to medical, nursing and pharmacy staff at a
750-bed
teaching district general hospital with no specialist allergy service.
RESULTS: 193
staff responded (58% medical, 31% nursing and 11% pharmacy). Virtually all
staff had
encountered patients who believed themselves to be penicillin allergic, but
felt the
patient's belief to be erroneous. The potential negative consequences of an
incorrectly assigned penicillin allergy label were acknowledged by the
majority of
respondents. In total, 188/190 (99%) of staff thought patients having an
incorrect
allergy status to penicillin was a problem and required a solution. Staff
reported
they would feel confident using a validated evidence-based question tool to
de-label
patients incorrectly labelled as penicillin allergic if the process was
supported by
Trust management, although many still felt apprehensive about de-labelling
patients
for fear of patient harm through inappropriate de-labelling. CONCLUSIONS: A
penicillin allergy de-labelling intervention would be well supported by
healthcare
workers at the study hospital, demonstrating a receptive environment for this
behavioural change intervention. Further exploration of the barriers and
levers to
introducing an intervention is required using behavioural change methodology
in
order to design a successful de-labelling intervention.
See
FAU - Wilcock, Michael
AU - Wilcock M
AD - Pharmacy Department, Royal Cornwall Hospitals NHS Trust, Truro, UK.
FAU - Powell, Neil
AU - Powell N
AD - Pharmacy Department, Royal Cornwall Hospitals NHS Trust, Truro, UK.
FAU - Sandoe, Jonathan
AU - Sandoe J
AD - Leeds Teaching Hospitals NHS Trust, Leeds, UK.
LA - eng
DEP - 20180524
JID - 101578294
PMC - PMC6855872
OTO - NOTNLM
OT - adverse effects
OT - change management
OT - infection control
OT - organisational development
OT - quality in health care
EDAT- 2019/12/05 06:00
MHDA- 2019/12/05 06:01
CRDT- 2019/12/05 06:00
PHST- 2017/11/15 00:00 [received]
PHST- 2018/04/26 00:00 [revised]
PHST- 2018/05/01 00:00 [accepted]
PHST- 2019/12/05 06:00 [entrez]
PHST- 2019/12/05 06:00 [pubmed]
PHST- 2019/12/05 06:01 [medline]
AID - 10.1136/ejhpharm-2017-001451 [doi]
PST - ppublish
SO - Eur J Hosp Pharm. 2019 Nov;26(6):329-333. doi: 10.1136/ejhpharm-2017-001451.
Epub
2018 May 24.
PMID- 30410283
OWN - NLM
LR - 20200929
IS - 1052-1372 (Print)
IS - 1052-1372 (Linking)
VI - 43
IP - 11
DP - 2018 Nov
TI - Improving Medication History at Admission Utilizing Pharmacy Students and
Technicians: A Pharmacy-Driven Improvement Initiative.
PG - 676-684
AB - BACKGROUND: Because of the frequency of medication errors related to care
transitions, patient-safety initiatives have recently focused on improving
the
patient medication list. Pharmacy student and technician participation in the
medication-history process has been shown to improve the quality of

medication
histories. To improve patient care, a pharmacy-driven medication-history
service
utilizing a unique hybrid team of pharmacy students and technicians was
launched at
Inova Loudoun Hospital (ILH). OBJECTIVE: The objective of the service was to
improve
patient safety and therapy by providing the Best Possible Medication History
(BPMH)
for admitted acute-care patients. METHODS: Data for the medication-history
service
was collected for six months from July 2015 to January 2016. The service
included
pharmacy technicians and fourth-year pharmacy students using the BPMH
approach to
verify patients' allergies, medications, doses, and frequencies, and to
ensure
optimal documentation in the Electronic Health Record (EHR). Data on types
and
numbers of discrepancies and interventions were collected during the process.
Readmission rates for the study group were calculated and compared to
readmission
rates for all patients. RESULTS: Out of 4,070 patients interviewed, 77.7%
(3,162)
had at least one discrepancy in their medication list. Per patient, the
average
number of medications was 7.47, with an average of 1.8 discrepancies.
Pharmacy
students identified more discrepancies per patient than pharmacy technicians,
2.3
versus 1.5, respectively. Readmission rates for patients interviewed by the
medication-history team was lower than for all patients during the same
period, as
well as for all patients during the same period in the previous year.
CONCLUSION:
This pharmacy-driven medication-history service, staffed with pharmacy
technicians
and students using a structured BPMH approach, increased the accuracy of
home-medication lists on patient admission. The service demonstrated a
difference in
the types of interventions provided by pharmacy students and technicians.
Readmission rates were also lower for patients with completed BPMH.
FAU - Petrov, Katerina
AU - Petrov K
FAU - Varadarajan, Ranjani
AU - Varadarajan R
FAU - Healy, Martha
AU - Healy M
FAU - Darvish, Elmira
AU - Darvish E
FAU - Cowden, Cathleen
AU - Cowden C
LA - eng
TA - P T
JT - P & T : a peer-reviewed journal for formulary management
JID - 9015516
PMC - PMC6205119
OTO - NOTNLM
OT - admission
OT - best possible medication history
OT - medication discrepancy
OT - pharmacy students
OT - pharmacy technicians
OT - readmission
COIS- Disclosure: The authors report no commercial or financial interests in regard
to
this article.
EDAT- 2018/11/10 06:00
MHDA- 2018/11/10 06:01
CRDT- 2018/11/10 06:00
PHST- 2018/11/10 06:00 [entrez]
PHST- 2018/11/10 06:00 [pubmed]
PHST- 2018/11/10 06:01 [medline]
AID - ptj43011676 [pii]
PST - ppublish
SO - P T. 2018 Nov;43(11):676-684.
PMID- 27493728
OWN - NLM
DCOM- 20160805
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 3
IP - 1
DP - 2014
TI - Dial a Doctor: Improving lines of communication on the acute admissions unit.
LID - u204950.w2155
AB - The Royal London Hospital operates a system of 'specialty take triage',
meaning that
multiple teams provide patient care on the hospital's Acute Admission Unit
(AAU).
The aim of this project is to ensure the medical team for each patient can be
promptly and easily contacted. An initial staff survey and engagement with
key
stakeholders assessed the baseline situation and guided a series of
interventions,
including the creation of ward whiteboards and funding for more portable
phones.
During further improvement cycles representatives from each profession were
recruited to promote the new system, working groups held, and presentations
made at
staff meetings. The staff survey was repeated to gauge improvement. The
initial
survey of 33 staff revealed that there was no reliable system for
ascertaining the
specialty team to which a patient had been allocated or information on how to
contact them. 39% of respondents reported experiencing a situation they felt

was
unsafe. Following the initial interventions, 25 staff responded to a second
survey.
96% responded that the new system had made it easier to contact the correct
medical
team. The percentage of staff reporting difficulty knowing which medical team
to
contact most or everyday reduced from 66% to 32%. The percentage of those
reporting
difficulty contacting that team most or everyday reduced from 36% to 12%.
There were
22 respondents to the survey following the second round of intervention. Less
than
5% of staff reported difficulty most or everyday in both identifying the
correct
medical team and contacting them. There has been marked improvement in the
ease of
identifying and contacting the medical teams. This project is ongoing,
recognising
that further progress is required to ensure patient safety.
FAU - Schwartz, Fionnuala
AU - Schwartz F
AD - St Barts NHS Trust.
LA - eng
DEP - 20141009
JID - 101629512
PMC - PMC4949606
EDAT- 2014/01/01 00:00
MHDA- 2014/01/01 00:01
CRDT- 2016/08/06 06:00
PHST- 2014/05/06 00:00 [received]
PHST- 2014/08/20 00:00 [revised]
PHST- 2016/08/06 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2014/01/01 00:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2014 Oct 9;3(1):u204950.w2155. doi:
PMID- 31259273
OWN - NLM
STAT- MEDLINE
DCOM- 20200608
LR - 20210110
IS - 2399-6641 (Linking)
VI - 8
IP - 2
DP - 2019
TI - Successful prospective quality improvement programme for the identification
and
management of patients at risk of sepsis in hospital.
PG - e000369
LID - 10.1136/bmjoq-2018-000369 [doi]
LID - e000369
AB - OBJECTIVE: This audit aimed to improve the speed and completeness of delivery
of
treatment to urology patients at risk of sepsis in the hospital. PATIENTS AND
METHODS: Patients were prospectively included if they developed a new-onset

systemic
inflammatory response syndrome, were reviewed by a doctor who thought this
was due
to infection and prescribed antibiotics. We measured median time to
antibiotic
administration (TTABx) as the primary outcome. Factors associated with delays
in
management were identified, targeted quality improvement interventions
implemented
and then reaudited. RESULTS: There were 74 patients in the baseline cohort
and 69
following interventions. Median TTABx fell from 3.6 (1.9-6.9) hours to 1.7
(1.0-3.8) p<0.001 hours after interventions. In the baseline cohort, factors
significantly associated with a delay in TTABx were: an Early Warning Score
less
than the medical review trigger level; a temperature less than 38°C; having
had
surgery versus not. Interventions included: reduced medical review trigger
thresholds, education sessions, communication aids, a department-specific
sepsis
protocol. There were significant improvements in the speed and completeness
of
sepsis management. Improvements were most marked in postoperative patients.
Improvement longevity was achieved through continued work by permanent ward
nurse
practitioners. CONCLUSION: A period of baseline prospective study, followed
by
tailored quality improvement initiatives, can significantly improve the speed
and
quality of sepsis management for inpatients on an acute hospital ward.
FAU - Gallagher, Kevin
AU - Gallagher K
AUID- ORCID: 0000-0001-5485-5336
AD - Department of Clinical and Surgical Sciences, University of Edinburgh,
Edinburgh,
UK.
AD - Department of Urology, Western General Hospital, Edinburgh, UK.
FAU - Blackwell, Nicky
AU - Blackwell N
FAU - Thomas, Ben
AU - Thomas B
FAU - Trail, Matthew
AU - Trail M
FAU - Stewart, Lorraine
AU - Stewart L
FAU - Paterson, Ross
AU - Paterson R
AD - Department of Critical Care, Western General Hospital, Edinburgh, UK.
LA - eng
GR - MR/N002210/1/MRC_/Medical Research Council/United Kingdom
DEP - 20190612
TA - BMJ Open Qual
JID - 101710381
MH - Adult
MH - Aged
MH - Female
MH - Hospitals
MH - Humans
MH - Male
MH - Middle Aged
MH - Program Evaluation/methods/statistics & numerical data
MH - Risk Assessment/methods/*standards/statistics & numerical data
MH - Sepsis/*diagnosis/*therapy
PMC - PMC6567954
OTO - NOTNLM
OT - *hospital medicine
OT - *sepsis
EDAT- 2019/07/02 06:00
MHDA- 2019/07/02 06:01
CRDT- 2019/07/02 06:00
PHST- 2018/02/27 00:00 [received]
PHST- 2019/05/14 00:00 [revised]
PHST- 2019/05/16 00:00 [accepted]
PHST- 2019/07/02 06:00 [entrez]
PHST- 2019/07/02 06:00 [pubmed]
PHST- 2019/07/02 06:01 [medline]
AID - bmjoq-2018-000369 [pii]
AID - 10.1136/bmjoq-2018-000369 [doi]
PST - epublish
SO - BMJ Open Qual. 2019 Jun 12;8(2):e000369. doi: 10.1136/bmjoq-2018-000369.
eCollection
2019.
PMID- 27721333
OWN - NLM
LR - 20201001
IS - 1424-8247 (Print)
IS - 1424-8247 (Linking)
VI - 4
IP - 11
DP - 2011 Nov 7
TI - Therapeutic Interchange of Parenteral Anticoagulants: Challenges for Pharmacy
and
Therapeutics Committees.
PG - 1475-1487
AB - This is a review of key factors for pharmacy and therapeutics committees to
consider
when developing a therapeutic interchange (TI) program for venous
thromboembolism
(VTE) prophylaxis. Recent patient safety initiatives aimed at reducing the
incidence
of hospital-acquired VTE may increase the prescribing of thromboprophylactic
agents
recommended in VTE management guidelines. As a result, more pharmacy and
therapeutics committees may consider TI programs for parenteral
anticoagulants.
However, the TI of anticoagulants appears challenging at this time. Firstly,
the
therapeutic equivalence of the commonly prescribed parenteral anticoagulants,
enoxaparin, dalteparin and fondaparinux, has not been established. Secondly,

because
of the wide range of clinical indications for these anticoagulants, a blanket
agent-specific TI program could lead to off-label use. Use of an indication-

specific
TI program could be difficult to manage administratively, and may cause
prescribing
confusion and errors. Thirdly, careful dosing and contraindications of
certain
parenteral anticoagulants in special patient populations, such as those with
renal
impairment, further impact the suitability of these agents for inclusion in
TI
programs. Finally, although TI may appear to offer lower drug-acquisition
costs, it
is important to determine its effect on all cost parameters and ultimately
ensure
that the care of patients requiring VTE prophylaxis is not compromised.
FAU - Amin, Alpesh
AU - Amin A
AD - University of California-Irvine, 101 The City Drive South, Building 26, Room
1005,
ZC-4076H, Orange, CA 92868, USA. anamin@uci.edu.
LA - eng
PT - Review
DEP - 20111107
TA - Pharmaceuticals (Basel)
JT - Pharmaceuticals (Basel, Switzerland)
JID - 101238453
PMC - PMC4060135
OTO - NOTNLM
OT - anticoagulant
OT - therapeutic interchange
OT - venous thromboembolism
EDAT- 2011/11/07 00:00
MHDA- 2011/11/07 00:01
CRDT- 2016/10/11 06:00
PHST- 2011/09/13 00:00 [received]
PHST- 2011/10/22 00:00 [revised]
PHST- 2011/10/24 00:00 [accepted]
PHST- 2016/10/11 06:00 [entrez]
PHST- 2011/11/07 00:00 [pubmed]
PHST- 2011/11/07 00:01 [medline]
AID - ph4111475 [pii]
AID - pharmaceuticals-04-01475 [pii]
AID - 10.3390/ph4111475 [doi]
PST - epublish
SO - Pharmaceuticals (Basel). 2011 Nov 7;4(11):1475-1487. doi: 10.3390/ph4111475.
PMID- 29700011
OWN - NLM
STAT- MEDLINE
DCOM- 20191217
LR - 20191217
IS - 2154-1663 (Print)
IS - 2154-1671 (Linking)
VI - 8
IP - 5
DP - 2018 May
TI - An Investigation of Drug-Drug Interaction Alert Overrides at a Pediatric
Hospital.
PG - 293-299
LID - 10.1542/hpeds.2017-0124 [doi]
AB - OBJECTIVES: Drug-drug interactions (DDIs) can result in patient harm. DDI
alerts are
intended to help prevent harm; when the majority of alerts presented to
providers
are being overridden, their value is diminished. Our objective was to
evaluate the
overall rates of DDI alert overrides and how rates varied by specialty,
clinician
type, and patient complexity. METHODS: A retrospective study of DDI alert
overrides
that occurred during 2012 and 2013 within the inpatient setting described at
the
medication-, hospital-, provider-, and patient encounter-specific levels was
performed at an urban, quaternary-care, pediatric hospital. RESULTS: There
were
>41 000 DDI alerts presented to clinicians; ∼90% were overridden. The 5 DDI
pairs
that were most frequently presented and overridden included the following:
potassium
chloride-spironolactone, methadone-ondansetron, ketorolac-ibuprofen,
cyclosporine-fluconazole, and potassium chloride-enalapril, each with an
alert
override rate of ≥0.89. Override rates across provider groups ranged between
0.84
and 0.97. In general, patients with high complexity had a higher frequency of
alert
overrides, but the rates of alert overrides for each DDI pairing did not
differ
significantly. CONCLUSIONS: High rates of DDI alert overrides occur across
medications, provider groups, and patient encounters. Methods to decrease DDI
alerts
which are likely to be overridden exist, but it is also clear that more
robust and
intelligent tools are needed. Characteristics exist at the medication,
hospital,
provider, and patient levels that can be used to help specialize and enhance
information transmission.
FAU - Humphrey, Kate
AU - Humphrey K
AD - Divisions of General Pediatrics, and kate.humphrey@childrens.harvard.edu.
FAU - Jorina, Maria
AU - Jorina M
AD - Center for Applied Pediatric Quality Analytics, Boston Children's Hospital,
Boston,
Massachusetts; and.
FAU - Harper, Marvin
AU - Harper M
AD - Emergency Medicine.
FAU - Dodson, Brenda
AU - Dodson B
AD - Department of Pharmacy, and.
FAU - Kim, Seung-Yeon
AU - Kim SY
AD - Athenahealth, Watertown, Massachusetts.
FAU - Ozonoff, Al
AU - Ozonoff A
AD - Center for Applied Pediatric Quality Analytics, Boston Children's Hospital,
Boston,
Massachusetts; and.
LA - eng
PL - United States
TA - Hosp Pediatr
JT - Hospital pediatrics
JID - 101585349
SB - IM
MH - Decision Support Systems, Clinical
MH - *Drug Interactions
MH - *Hospitals, Pediatric/statistics & numerical data
MH - Humans
MH - Medical Order Entry Systems/*statistics & numerical data
potential
EDAT- 2018/04/28 06:00
MHDA- 2019/12/18 06:00
CRDT- 2018/04/28 06:00
PHST- 2018/04/28 06:00 [pubmed]
PHST- 2019/12/18 06:00 [medline]
PHST- 2018/04/28 06:00 [entrez]
AID - hpeds.2017-0124 [pii]
AID - 10.1542/hpeds.2017-0124 [doi]
PST - ppublish
SO - Hosp Pediatr. 2018 May;8(5):293-299. doi: 10.1542/hpeds.2017-0124.
PMID- 24880659
OWN - NLM
STAT- MEDLINE
DCOM- 20150312
LR - 20140610
IS - 0277-9536 (Linking)
VI - 113
DP - 2014 Jul
TI - Codifying knowledge to improve patient safety: a qualitative study of
practice-based
interventions.
PG - 169-76
LID - S0277-9536(14)00325-6 [pii]
LID - 10.1016/j.socscimed.2014.05.031 [doi]
AB - Although it is well established that health care professionals use tacit and
codified knowledge to provide front-line care, less is known about how these
two
forms of knowledge can be combined to support improvement related to patient
safety.
Patient safety interventions involving the codification of knowledge were
co-designed by university and hospital-based staff in two English National
Health
Service (NHS) hospitals to support the governance of medication safety and
mortality
and morbidity (M&M) meetings. At hospital A, a structured mortality review
process
was introduced into three clinical specialities from January to December
2010. A
qualitative approach of observing M&M meetings (n = 30) and conducting
interviews (n
= 40) was used to examine the impact on meetings and on front-line clinicians
and
hospital managers. At hospital B, a medication safety 'scorecard' was
administered
on a general medicine and elderly care ward from September to November 2011.
Weekly
feedback meetings were observed (n = 18) and interviews with front-line staff
conducted (n = 10) to examine how knowledge codification influenced

behaviour.
Codification was shown to support learning related to patient safety at the
micro
(front-line service) level by structuring the sharing of tacit knowledge, but
the
presence of professional and managerial boundaries at the organisational
level
affected the codification initiatives' implementation. The findings suggest
that
codifying knowledge to support improvement presents distinct challenges at
the group
and organisational level; translating knowledge across these levels is
contingent on
the presence of enabling organisational factors, including the alignment of
learning
from clinical practice with its governance.
reserved.
FAU - Turner, Simon
AU - Turner S
AD - Department of Applied Health Research, University College London, 1-19
Torrington
Place, London WC1E 7HB, UK. Electronic address: simon.j.turner@ucl.ac.uk.
FAU - Higginson, Juliet
AU - Higginson J
AD -
41 Selsdon Road, London, UK.
FAU -
Oborne, C Alice
AU -
Oborne CA
AD -
Pharmacy Department, Guy's and St Thomas' NHS Foundation Trust, London, UK;
Institute of Pharmaceutical Science, King's College London, London, UK.
FAU - Thomas, Rebecca E
AU - Thomas RE
AD - Pharmacy Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
FAU - Ramsay, Angus I G
AU - Ramsay AI
Torrington
Place, London WC1E 7HB, UK.
FAU - Fulop, Naomi J
AU - Fulop NJ
Torrington
LA - eng
DEP - 20140521
PL - England
TA - Soc Sci Med
JT - Social science & medicine (1982)
JID - 8303205
SB - IM
MH - England
MH - Hospitals, Public/*organization & administration
MH - Humans
MH - *Knowledge
MH - Learning
MH - Medication Errors/prevention & control
MH - Safety Management/*methods
MH - State Medicine
OTO - NOTNLM
OT - Codification
OT - Organisational learning
OT - Patient safety
OT - Tacit knowledge
OT - UK
EDAT- 2014/06/02 06:00
MHDA- 2015/03/13 06:00
CRDT- 2014/06/02 06:00
PHST- 2013/08/10 00:00 [received]
PHST- 2014/04/17 00:00 [revised]
PHST- 2014/05/20 00:00 [accepted]
PHST- 2014/06/02 06:00 [entrez]
PHST- 2014/06/02 06:00 [pubmed]
PHST- 2015/03/13 06:00 [medline]
AID - S0277-9536(14)00325-6 [pii]
AID - 10.1016/j.socscimed.2014.05.031 [doi]
PST - ppublish
SO - Soc Sci Med. 2014 Jul;113:169-76. doi: 10.1016/j.socscimed.2014.05.031. Epub
2014
May 21.
PMID- 26734375
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - Warfarin prescription and administration: reducing the delay, improving the
safety.
LID - u204509.w1983
AB - Warfarin is frequently administered to hospital patients. The prescription
and
administration of this medication are particularly susceptible to error.
Factors
contributing to this include the narrow therapeutic index, patient-specific
target
range, and the need for regular INR monitoring. NICE guidelines state that
warfarin
should be given at the same time every day and the Bristol Royal Infirmary
guidelines are warfarin to be given at 14:00. The 14:00 dosing ensures
standardisation of administration; poor adherence to this recommendation may
cause
patient harm. We noticed that many warfarin doses were often given outside of
maximal staffing hours and it was often left to the on call doctor to
prescribe
warfarin at erratic and inconsistent times. Our primary aim was to reduce the
number
of adverse outcomes associated with warfarin prescription and administration.
We
targeted two system measures: the proportion of warfarin administrations
occurring
within an hour of the 14:00 prescription and the proportion of INR results
outside
target range. We employed the model for improvement and carried out our
project
across seven acute medical wards. Baseline data showed that only 24% of doses
were
being given within an hour of the recommended time and 64% of doses were
being given
after 17:00 during minimal staffing hours. We successfully introduced a
warfarin box
within our trust which demonstrated an improvement in warfarin administration
from
24% of patients receiving their warfarin within an hour of 14:00 to 49% and
this was
subsequently associated with a reduction in INRs above target range (23% to
9%).
FAU - Dyar, Rebecca
AU - Dyar R
AD - University Hospitals Bristol Foundation Trust.
FAU - Hall, Simon
AU - Hall S
FAU - McIntyre, Bethannie
AU - McIntyre B
LA - eng
DEP - 20150114
JID - 101629512
PMC - PMC4645946
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2014/11/22 00:00 [received]
PHST- 2015/01/05 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2015 Jan 14;4(1):u204509.w1983. doi:
PMID- 23492864
OWN - NLM
DCOM- 20130318
LR - 20200929
IS - 1735-9066 (Print)
IS - 1735-9066 (Linking)
VI - 17
IP - 1
DP - 2012 Jan
TI - Knowledge, attitudes and practice of nurse regarding adverse drug reaction
reporting.
PG - 21-5
AB - BACKGROUND: Adverse drug reactions (ADR) are ranked as some of the major
causes of
patient morbidity and mortality. Spontaneous reporting of ADRs has remained
the
cornerstone of pharmacovigilance and is important in maintaining patient
safety.
This study was conducted to assess the nurses' knowledge and attitude towards
pharmacovigilance, reasons for not reporting ADRs, and their

pharmacovigilance
practice. MATERIALS AND METHODS: A questionnaire was prepared to investigate
knowledge, attitude and practice (KAP) of nurses regarding ADR reporting. In
November 2009, the questionnaires were given to 500 nurses of a teaching
hospital in
Tehran. FINDINGS: Knowledge and practice of participants were not satisfying;
however, their attitude towards pharmacovigilance was at a high level. About

91% of
the nurses had never reported an ADR. Most nurses liked to report the ADRs to
the
physicians (87.1%) and pharmacists in hospital's ADR center (1.8%) rather
than the
ADR National Center. The main cause of under-reporting of the suspected ADRs
was
unawareness about the existence of such a national center. Among nurses who
had
reported ADR for at least once, the majority preferred using phone (10 out of
50) or
Yellow Cards (7 out of 50). Only 1 person out of 50 preferred using internet
for
submitting the reports. CONCLUSIONS: Since the nurses in this study had
little
knowledge and poor practice regarding the pharmacovigilance and spontaneous
reporting system, interventions such as holding pharmacovigilance workshops
in the
hospitals focusing on the aims of pharmacovigilance, completing the Yellow
Card and
clarifying the reporting criteria are strongly recommended.
FAU - Hanafi, Somayeh
AU - Hanafi S
AD - Department of Pharmaceutical Care, Dr. Shariati Hospital, Tehran University
of
Medical Sciences, Tehran, Iran.
FAU - Torkamandi, Hassan
AU - Torkamandi H
FAU - Hayatshahi, Alireza
AU - Hayatshahi A
FAU - Gholami, Kheirollah
AU - Gholami K
FAU - Javadi, Mohammadreza
AU - Javadi M
LA - eng
JID - 101558775
PMC - PMC3590690
OTO - NOTNLM
OT - Iran
OT - Knowledge
OT - adverse drug reaction
OT - attitude
OT - nurse
OT - practice
EDAT- 2012/01/01 00:00
MHDA- 2012/01/01 00:01
CRDT- 2013/03/16 06:00
PHST- 2013/03/16 06:00 [entrez]
PHST- 2012/01/01 00:00 [pubmed]
PHST- 2012/01/01 00:01 [medline]
PST - ppublish
SO - Iran J Nurs Midwifery Res. 2012 Jan;17(1):21-5.
PMID- 29769074
OWN - NLM
STAT- MEDLINE
DCOM- 20181126
LR - 20181126
IS - 1472-6963 (Linking)
VI - 18
IP - 1
DP - 2018 May 16
TI - Delay in reviewing test results prolongs hospital length of stay: a
retrospective
cohort study.
PG - 369
LID - 10.1186/s12913-018-3181-z [doi]
LID - 369
AB - BACKGROUND: Failure in the timely follow-up of test results has been widely
documented, contributing to delayed medical care. Yet, the impact of delay in
reviewing test results on hospital length of stay (LOS) has not been studied.
We
examine the relationship between laboratory tests review time and hospital
LOS.
METHODS: A retrospective cohort study of inpatients admitted to a
metropolitan
teaching hospital in Sydney, Australia, between 2011 and 2012 (n = 5804).
Generalized linear models were developed to examine the relationship between
hospital LOS and cumulative clinician read time (CRT), defined as the time
taken by
clinicians to review laboratory test results performed during an inpatient
stay
after they were reported in the computerized test reporting system. The
models were
adjusted for patients' age, sex, and disease severity (measured by the
Charlson
Comorbidity index), the number of test panels performed, the number of
unreviewed
tests pre-discharge, and the cumulative laboratory turnaround time (LTAT) of
tests
performed during an inpatient stay. RESULTS: Cumulative CRT is significantly
associated with prolonged LOS, with each day of delay in reviewing test
results
increasing the likelihood of prolonged LOS by 13.2% (p < 0.0001). Restricting
the
analysis to tests with abnormal results strengthened the relationship between
cumulative CRT and prolonged LOS, with each day of delay in reviewing test
results
increasing the likelihood of delayed discharge by 33.6% (p < 0.0001).
Increasing
age, disease severity and total number of tests were also significantly
associated
with prolonged LOS. Increasing number of unreviewed tests was negatively
associated
with prolonged LOS. CONCLUSIONS: Reducing unnecessary hospital LOS has become
a
critical health policy goal as healthcare costs escalate. Preventing delay in
reviewing test results represents an important opportunity to address

potentially
avoidable hospital stays and unnecessary resource utilization.
FAU - Ong, Mei-Sing
AU - Ong MS
AD - Department of Population Medicine, Harvard Medical School and Harvard Pilgrim
Health
Care Institute, 401 Park Drive, Suite 401E, Boston, MA, 02115, USA.
Mei-Sing_Ong@hms.harvard.edu.
FAU - Magrabi, Farah
AU - Magrabi F
AD - Australian Institute of Health Innovation, Macquarie University, Sydney,
Australia.
FAU - Coiera, Enrico
AU - Coiera E
AD - Australian Institute of Health Innovation, Macquarie University, Sydney,
Australia.
LA - eng
DEP - 20180516
JID - 101088677
SB - IM
MH - Adult
MH - Aged
MH - Delayed Diagnosis/*statistics & numerical data
MH - Diagnostic Tests, Routine/*statistics & numerical data
MH - Female
MH - Hospitals, Urban/statistics & numerical data
MH - Humans
MH - Length of Stay/economics/*statistics & numerical data
MH - Male
MH - Middle Aged
MH - New South Wales
MH - Unnecessary Procedures/statistics & numerical data
PMC - PMC5956538
OTO - NOTNLM
OT - *Delay
OT - *Length of stay
OT - *Test results
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: This study was approved by the
Human
Research Ethics Committee at the University of New South Wales (Sydney,
Australia),
with patient consent waived. COMPETING INTERESTS: The authors declare that
they have
with
affiliations.
EDAT- 2018/05/18 06:00
MHDA- 2018/11/27 06:00
CRDT- 2018/05/18 06:00
PHST- 2017/10/24 00:00 [received]
PHST- 2018/05/03 00:00 [accepted]
PHST- 2018/05/18 06:00 [entrez]
PHST- 2018/05/18 06:00 [pubmed]
PHST- 2018/11/27 06:00 [medline]
AID - 10.1186/s12913-018-3181-z [pii]
AID - 3181 [pii]
AID - 10.1186/s12913-018-3181-z [doi]
PST - epublish
SO - BMC Health Serv Res. 2018 May 16;18(1):369. doi: 10.1186/s12913-018-3181-z.
PMID- 31156878
OWN - NLM
LR - 20200225
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 23
IP - 6
DP - 2016 Nov
TI - An assessment of the basic medication safety practices in Khartoum State
hospitals.
PG - 335-338
LID - 10.1136/ejhpharm-2016-000885 [doi]
AB - PURPOSE: To assess the presence of medication safety practices in Khartoum
State
hospitals. METHODS: A previously used questionnaire was used to evaluate
medication
safety practices. The main practices evaluated were the presence of a
medication
safety committee and error-reporting system, look-alike sound-alike (LASA)
medications list, control of concentrated electrolyte solutions, care
transitions,
information technology, drug information and other medication safety
practices. The
primary investigator visited a stratified sample from all the three cities
that
comprise Khartoum State and interviewed the pharmacy supervisor of each
hospital.
Descriptive statistics were performed using SPSS V.22. RESULTS: A total of 41
senior
pharmacists or pharmacy supervisors from 41 hospitals were interviewed. Only
2% of
the hospitals had a list of LASA medications and 5% had a list of error-prone
abbreviations. Only 5% of the hospitals had a medication safety committee,

and none
of the hospitals had a medication safety officer. None of the hospitals
involved
pharmacists in obtaining medication histories. Concentrated electrolytes were
available in the floor stock in 67% of the hospitals. Although 24% of the
hospitals
used a computer system in their pharmacy to enter prescriptions, none of
these
hospitals required entry of patient allergies before entering a drug order.
CONCLUSIONS: Most of the hospitals in Khartoum State did not implement basic
medication safety practices. Therefore, the Ministry of Health in Sudan
should
enforce laws and regulations making implementation of medication safety
practices
mandatory to ensure patient safety.
FAU - Abdulrahman, Shihabeddein Siddig
AU - Abdulrahman SS
AD - International Hospital, Bahri, Sudan.
FAU - Mahmoud, Mansour A
AU - Mahmoud MA
AD - College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
FAU - Ibrahim, Alnada
AU - Ibrahim A
AD - Faculty of Pharmacy, University of Khartoum, Khartoum, Sudan.
FAU - Aljadhey, Hisham
AU - Aljadhey H
AD - College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
LA - eng
DEP - 20160314
JID - 101578294
PMC - PMC6451581
OTO - NOTNLM
OT - Hospitals
OT - Khartoum State
OT - Medication Safety
OT - Pharmacist role
OT - Sudan
EDAT- 2016/11/01 00:00
MHDA- 2016/11/01 00:01
CRDT- 2019/06/04 06:00
PHST- 2016/01/17 00:00 [received]
PHST- 2016/01/27 00:00 [revised]
PHST- 2016/02/17 00:00 [accepted]
PHST- 2019/06/04 06:00 [entrez]
PHST- 2016/11/01 00:00 [pubmed]
PHST- 2016/11/01 00:01 [medline]
AID - 10.1136/ejhpharm-2016-000885 [doi]
PST - ppublish
Epub
2016 Mar 14.
PMID- 32802216
OWN - NLM
LR - 20200928
IS - 1885-642X (Print)
VI - 18
IP - 3
DP - 2020 Jul-Sep
TI - Pharmacists' perception of their role during COVID-19: a qualitative content
analysis of posts on Facebook pharmacy groups in Jordan.
PG - 1900
LID - 1900
AB - OBJECTIVE: This study aimed to evaluate the content available on Facebook
pharmacy
groups in Jordan regarding the perception of the pharmacists' role during the
coronavirus pandemic in Jordan. METHODS: Researchers identified Facebook

pharmacy
groups through the search engine on the Facebook website. The main search
keywords
were pharmacy, pharmacist, pharmacists, and Jordan using both Arabic and
English.
Two researchers analyzed the posts and discussion threads on local pharmacy
Facebook
groups in a period between March 20(th) and April 3(rd). A total of 184 posts
and
threads were identified for the purpose of the study. RESULTS: Identified
threads
and responses resulted in three overarching themes: pharmacists having a
positive
role during the pandemic, taking additional responsibilities and services,
and
having passive or negative roles. A positive role was seen in pharmacists
acting as
first-line healthcare providers, creating public's awareness regarding COVID-
19, and
being responsible for chronic medication refill during the pandemic. Taking
additional responsibilities was summarized in home deliveries and involvement
in
industrial and corporate efforts to deal with the pandemic. A
passive/negative role
was seen mostly among hospital pharmacists not being proactive during the
pandemic
and by pharmacists trying to maximize profits during pandemic time.
CONCLUSIONS:
Pharmacists perceived their role as a positive role during the coronavirus
pandemic.
Not only they took responsibilities for their daily services during the
crises, but
they took additional responsibilities to assure patient safety and
satisfaction.
CI - Copyright: © Pharmacy Practice and the Authors.
FAU - Mukattash, Tareq L
AU - Mukattash TL
AUID- ORCID: 0000-0003-0200-9845
AD - PhD. Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University
of
Science and Technology. Irbid (Jordan). tlmukattash@just.edu.jo.
FAU - Jarab, Anan S
AU - Jarab AS
AUID- ORCID: 0000-0002-0416-506X
AD - PhD. Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University
of
Science and Technology. Irbid (Jordan). asjarab@just.edu.jo.
FAU - Mukattash, Ibrahim
AU - Mukattash I
AD - MA, PGCert, PhD. Department of Marketing, Faculty of Business Administration,
Applied Science Private University. Amman (Jordan). i_mukattash@asu.edu.jo.

FAU - Nusair, Mohammad B
AU - Nusair MB
AUID- ORCID: 0000-0002-6163-8599
AD - MSc PhD. Department of Pharmacy Practice, Faculty of Pharmacy, Yarmouk
University.
Irbid (Jordan). nusair@yu.edu.jo.
FAU - Farha, Rana Abu
AU - Farha RA
AUID- ORCID: 0000-0001-8298-4071
AD - MSc, PhD. Department of Clinical Pharmacy and Therapeutics, Faculty of
Pharmacy,
Applied Science Private University. Amman (Jordan). r_abufarha@asu.edu.jo.
FAU - Bisharat, May
AU - Bisharat M
AD - MBBS, MSc, FRCS. Department of Urology, Great Ormond Street Hospital. London
(United
Kingdom). dr.mai.bisharat@gmail.com.
FAU - Basheti, Iman A
AU - Basheti IA
AUID- ORCID: 0000-0002-8460-1158
AD - PhD. Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy,
Applied
Science Private University. Amman (Jordan). dr_iman@asu.edu.jo.
LA - eng
DEP - 20200731
JID - 101530029
PMC - PMC7416312
OTO - NOTNLM
OT - Coronavirus
OT - Jordan
OT - Pandemics
OT - Personal Satisfaction
OT - Pharmaceutical Services
OT - Pharmacies
OT - Pharmacists
OT - Professional Role
OT - Qualitative Research
OT - Self Concept
OT - Severe Acute Respiratory Syndrome
OT - Social Media
COIS- CONFLICT OF INTEREST None.
EDAT- 2020/08/18 06:00
MHDA- 2020/08/18 06:01
CRDT- 2020/08/18 06:00
PHST- 2020/04/07 00:00 [received]
PHST- 2020/07/12 00:00 [accepted]
PHST- 2020/08/18 06:00 [entrez]
PHST- 2020/08/18 06:00 [pubmed]
PHST- 2020/08/18 06:01 [medline]
PST - ppublish
SO - Pharm Pract (Granada). 2020 Jul-Sep;18(3):1900. doi:
10.18549/PharmPract.2020.3.1900. Epub 2020 Jul 31.
PMID- 22114827
OWN - NLM
STAT- MEDLINE
DCOM- 20120126
LR - 20181113
IS - 0002-9343 (Print)
IS - 0002-9343 (Linking)
VI - 124
IP - 12
DP - 2011 Dec
TI - Anticoagulation-associated adverse drug events.
PG - 1136-42
LID - 10.1016/j.amjmed.2011.06.009 [doi]
AB - PURPOSE: Anticoagulant drugs are among the most common medications that cause
adverse drug events (ADEs) in hospitalized patients. We performed a 5-year

retrospective study at Brigham and Women's Hospital to determine clinical
characteristics, types, root causes, and outcomes of anticoagulant-associated
ADEs.
METHODS: We reviewed all inpatient anticoagulant-associated ADEs, including
adverse
drug reactions (ADRs) and medication errors, reported at Brigham and Women's
Hospital through the Safety Reporting System from May 2004 to May 2009. We
also
collected data about the cost associated with hospitalizations in which ADRs
occurred. RESULTS: Of 463 anticoagulant-associated ADEs, 226 were medication
errors
(48.8%), 141 were ADRs (30.5%), and 96 (20.7%) involved both a medication
error and
ADR. Seventy percent of anticoagulant-associated ADEs were potentially
preventable.
Transcription errors (48%) were the most frequent root cause of
anticoagulant-associated medication errors, while medication errors (40%)
were a
common root cause of anticoagulant-associated ADRs. Death within 30 days of
anticoagulant-associated ADEs occurred in 11% of patients. After an
anticoagulant-associated ADR, most hospitalization expenditures were
attributable to
nursing costs (mean $33,189 per ADR), followed by pharmacy costs (mean $7451
per
ADR). CONCLUSION: Most anticoagulant-associated ADEs among inpatients result
from
medication errors and are, therefore, potentially preventable. We observed an
elevated 30-day mortality rate among patients who suffered an

anticoagulant-associated ADE and high hospitalization costs following ADRs.
Further
quality improvement efforts to reduce anticoagulant-associated medication
errors are
warranted to improve patient safety and decrease health care expenditures.
FAU - Piazza, Gregory
AU - Piazza G
AD - Cardiovascular Division, Department of Medicine, Brigham and Women's
Hospital,
Harvard Medical School, Boston, MA, USA. gpiazza@partners.org
FAU - Nguyen, Thanh Nha
AU - Nguyen TN
FAU - Cios, Deborah
AU - Cios D
FAU - Labreche, Matthew
AU - Labreche M
FAU - Hohlfelder, Benjamin
AU - Hohlfelder B
FAU - Fanikos, John
AU - Fanikos J
FAU - Fiumara, Karen
AU - Fiumara K
FAU - Goldhaber, Samuel Z
AU - Goldhaber SZ
LA - eng
GR - K12 HL083786-01/HL/NHLBI NIH HHS/United States
TA - Am J Med
JT - The American journal of medicine
JID - 0267200
RN - 0 (Anticoagulants)
SB - AIM
SB - IM
MH - Adverse Drug Reaction Reporting Systems
MH - Aged
MH - Anticoagulants/*adverse effects
MH - Drug-Related Side Effects and Adverse Reactions/*chemically induced/economics
MH - Female
MH - Humans
MH - Male
MH - Medication Errors/economics/*statistics & numerical data
MH - Middle Aged
MH - Risk Factors
PMC - PMC3224344
MID - NIHMS308927
EDAT- 2011/11/26 06:00
MHDA- 2012/01/27 06:00
CRDT- 2011/11/26 06:00
PHST- 2011/05/10 00:00 [received]
PHST- 2011/06/03 00:00 [revised]
PHST- 2011/06/06 00:00 [accepted]
PHST- 2011/11/26 06:00 [entrez]
PHST- 2011/11/26 06:00 [pubmed]
PHST- 2012/01/27 06:00 [medline]
AID - S0002-9343(11)00539-0 [pii]
AID - 10.1016/j.amjmed.2011.06.009 [doi]
PST - ppublish
SO - Am J Med. 2011 Dec;124(12):1136-42. doi: 10.1016/j.amjmed.2011.06.009.
PMID- 31156881
OWN - NLM
LR - 20200225
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 23
IP - 6
DP - 2016 Nov
TI - A collaborative evaluation of pharmacy interventions in the care of
inpatients in
community hospitals.
PG - 348-351
LID - 10.1136/ejhpharm-2015-000848 [doi]
AB - OBJECTIVES: To quantify medication-related errors, in particular prescribing
errors,
identified by pharmacists and assess their potential impact on inpatients in
community hospitals. METHODS: Pharmacists recorded all interventions to
optimise
medication for community hospital inpatients over 14 days in November 2013.
Interventions were subsequently classified by type (prescribing error;
omitted or
delayed drug administration; or attributable to other issues) and rated for
potential clinical impact. RESULTS: 15 organisations participated in the
study
reporting on 4077 medication charts. In total, 52 033 medication orders were
screened by pharmacists. A medication-related intervention was made on 1 in 3
charts
for one or more medications. A total of 2782 interventions were recorded. The
majority were categorised as a prescriber error (67%, 1872/2782). The

remainder
(33%, 910/2782) were not directly attributable to prescriber error; of these
omitted
and delayed medicine administration accounted for 11% (298/2782). Of the 1872
interventions classed as prescriber error, a third, if left undetected, might

have
caused moderate or severe patient harm. The prescribing error rate was 3.6
errors
per 100 medication orders. CONCLUSIONS: Pharmacists reported intervening to
improve
the care provided to over a third of patients in this study. Two-thirds of
interventions were in response to prescribing errors, a third of which, if
left
undetected, could have led to harm. The results suggest that inpatients in
community
hospitals are subject to prescribing errors at a rate comparable to those
seen in
acute and mental health hospitals. A clinical pharmacy service is vital to
ensure
patient safety in community hospitals.
FAU - Rogers, Tracy
AU - Rogers T
AD - NHS Specialist Pharmacy Service, London, UK.
FAU - Livingstone, Carina
AU - Livingstone C
FAU - Nicholls, Jane
AU - Nicholls J
FAU - Wolper, Sandra
AU - Wolper S
LA - eng
DEP - 20160321
JID - 101578294
PMC - PMC6451516
OTO - NOTNLM
OT - CLINICAL PHARMACY
OT - Hospitals, Community
OT - Inpatients
OT - Medication Errors
OT - Pharmacists
OT - Prescriptions
EDAT- 2016/11/01 00:00
MHDA- 2016/11/01 00:01
CRDT- 2019/06/04 06:00
PHST- 2015/11/30 00:00 [received]
PHST- 2016/02/23 00:00 [revised]
PHST- 2016/03/01 00:00 [accepted]
PHST- 2019/06/04 06:00 [entrez]
PHST- 2016/11/01 00:00 [pubmed]
PHST- 2016/11/01 00:01 [medline]
AID - 10.1136/ejhpharm-2015-000848 [doi]
PST - ppublish
Epub
2016 Mar 21.
PMID- 30104308
OWN - NLM
STAT- MEDLINE
DCOM- 20191021
LR - 20191022
IS - 2044-6055 (Linking)
VI - 8
IP - 8
DP - 2018 Aug 13
TI - Validity and reliability of a medical record review method identifying
transitional
patient safety incidents in merged primary and secondary care patients'
records.
PG - e018576
LID - 10.1136/bmjopen-2017-018576 [doi]
LID - e018576
AB - OBJECTIVE: Inadequate information transfer during transitions in healthcare
is a
major patient safety issue. Aim of this study was to pilot a review of
medical
records to identify transitional safety incidents (TSIs) for use in a large
intervention study and assess its reliability and validity. DESIGN: A
retrospective
medical record review study. SETTINGS AND PARTICIPANTS: Combined primary and
secondary care medical records of 301 patients who had visited their general
practitioner and the University Medical Center Utrecht, the Netherlands, in
2013
were randomly selected. Six trained reviewers assessed these medical records
for
presence of TSIs. OUTCOMES: To assess inter-rater reliability, 10% of medical
records were independently reviewed twice. To assess validity, the identified
TSIs
were compared with a reference standard of three objectively identifiable
TSIs.
RESULTS: The reviewers identified TSIs in 52 (17.3%) of all transitional
medical
records. Variation between reviewers was high (range: 3-28 per 50 medical
records).
Positive agreement for finding a TSI between reviewers was 0%, negative
agreement
80% and the Cohen's kappa -0.15. The reviewers identified 43 (22%) of 194
objectively identifiable TSIs. CONCLUSION: The reliability of our measurement
tool
for identifying TSIs in transitional medical record performed by clinicians
was low.
Although the TSIs that were identified by clinicians were valid, they missed
80% of
them. Restructuring the record review procedure is necessary.
FAU - van Melle, Marije A
AU - van Melle MA
AD - Julius Center for Health Sciences and Primary Care, University Medical
Center,
Utrecht, The Netherlands.
AD - Department of Public Health and Primary Care, University of Cambridge,
Cambridge,
UK.
FAU - Zwart, Dorien L M
AU - Zwart DLM
Center,
FAU - Poldervaart, Judith M
AU - Poldervaart JM
Center,
FAU - Verkerk, Otto Jan
AU - Verkerk OJ
AD - Faculty of Medicine, University Medical Center Utrecht, Utrecht, The
Netherlands.
FAU - Langelaan, Maaike
AU - Langelaan M
AD - Netherlands Institute for Health Services Research (NIVEL), Utrecht, The
Netherlands.
FAU - van Stel, Henk F
AU - van Stel HF
Center,
FAU - de Wit, Niek J
AU - de Wit NJ
Center,
LA - eng
DEP - 20180813
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adult
MH - Aged
MH - *Electronic Health Records/organization & administration
MH - Female
MH - Humans
MH - Male
MH - *Medical Audit/methods
MH - *Medical Record Linkage
MH - Middle Aged
MH - Observer Variation
MH - Patient Safety/statistics & numerical data
MH - Primary Health Care/*statistics & numerical data
MH - Secondary Care/*statistics & numerical data
MH - *Transitional Care/statistics & numerical data
MH - Young Adult
PMC - PMC6091899
OTO - NOTNLM
OT - *continuity of care
OT - *general practice
OT - *hospital
OT - *medical record review
OT - *transition of care
EDAT- 2018/08/15 06:00
MHDA- 2019/10/23 06:00
CRDT- 2018/08/15 06:00
PHST- 2018/08/15 06:00 [entrez]
PHST- 2018/08/15 06:00 [pubmed]
PHST- 2019/10/23 06:00 [medline]
AID - 10.1136/bmjopen-2017-018576 [doi]
PST - epublish
SO - BMJ Open. 2018 Aug 13;8(8):e018576. doi: 10.1136/bmjopen-2017-018576.
PMID- 31531906
OWN - NLM
STAT- MEDLINE
DCOM- 20201217
LR - 20210110
IS - 0887-8013 (Print)
IS - 0887-8013 (Linking)
VI - 34
IP - 2
DP - 2020 Feb
TI - Enhance the effectiveness of clinical laboratory critical values initiative
notification by implementing a closed-loop system: A five-year retrospective
PG - e23038
LID - 10.1002/jcla.23038 [doi]
LID - e23038
AB - BACKGROUND: Accurate and timely clinical laboratory critical values
notification are
crucial steps in supporting effective clinical decision making, thereby
improving
patient safety. METHODS: A closed-loop laboratory critical value notification
system
was developed by a multidisciplinary team of clinicians, laboratorians,
administrators, and information technology experts. All the laboratory
critical
values that occurred at Beijing Tsinghua Changgung Hospital (BTCH, Beijing,
China)
from 2015 to 2019 were analyzed and studied retrospectively. RESULTS: The
total
number (ratio) of institutional laboratory critical values to all reported
items at
BTCH from 2015 to 2019 was 38 020/7 706 962 (0.49%). Percentage distribution
points
of critical value boundaries based on patients' test reports are
0.007% ~ 6.04% for
low boundaries and 71.70% ~ 99.99% for high boundaries. After the
intervention, the
timely notification ratio, notification receipt ratio, and timely
notification
receipt ratio of critical values of ED, IPD, and total patients had
increased, with
a significant difference (P < .001). Five quality indicators, such as
notification
ratio, timely notification ratio, notification receipt ratio, timely
notification
receipt ratio, and clinician response ratio over a 5-year period, were 100%,
94%,
97%, 92%, and 99%, respectively. CONCLUSIONS: We enhanced the effectiveness
of
clinical laboratory critical values initiative notification by implementing a
closed-loop system and intervening. Clinical critical values and quality

indicators
should be analyzed and monitored to avoid adversely affecting patient care.
CI - © 2019 The Authors. Journal of Clinical Laboratory Analysis published by
Wiley
Periodicals, Inc.
FAU - Li, Runqing
AU - Li R
AUID- ORCID: 0000-0003-3139-2871
AD - Laboratory Medicine Department, Beijing Tsinghua Changgung Hospital, School
of
Clinical Medicine, Tsinghua University, Beijing, China.
FAU - Wang, Tengjiao
AU - Wang T
of
FAU - Gong, Lijun
AU - Gong L
of
FAU - Dong, Jingxiao
AU - Dong J
of
FAU - Xiao, Nan
AU - Xiao N
of
FAU - Yang, Xiaohuan
AU - Yang X
of
FAU - Zhu, Dong
AU - Zhu D
of
FAU - Zhao, Zhipeng
AU - Zhao Z
of
LA - eng
GR - PG2018013/the Incubation Program Project of Beijing Municipal Administration
of
Hospitals of China/
DEP - 20190918
TA - J Clin Lab Anal
JT - Journal of clinical laboratory analysis
JID - 8801384
SB - IM
MH - Ambulatory Care/organization & administration
MH - China
MH - *Clinical Laboratory Techniques/standards
MH - Humans
MH - Laboratories/*organization & administration/standards
MH - Quality Control
MH - Time Factors
PMC - PMC7031628
OTO - NOTNLM
OT - hospital information system
OT - laboratory critical values
OT - patient safety
OT - quality indicators
COIS- The authors declare that they have no conflict of interest.
EDAT- 2019/09/19 06:00
MHDA- 2020/12/18 06:00
CRDT- 2019/09/19 06:00
PHST- 2019/08/09 00:00 [received]
PHST- 2019/08/21 00:00 [revised]
PHST- 2019/08/23 00:00 [accepted]
PHST- 2019/09/19 06:00 [pubmed]
PHST- 2020/12/18 06:00 [medline]
PHST- 2019/09/19 06:00 [entrez]
AID - JCLA23038 [pii]
AID - 10.1002/jcla.23038 [doi]
PST - ppublish
SO - J Clin Lab Anal. 2020 Feb;34(2):e23038. doi: 10.1002/jcla.23038. Epub 2019
Sep 18.
PMID- 27669133
OWN - NLM
STAT- MEDLINE
DCOM- 20170227
LR - 20170817
VI - 18
IP - 9
DP - 2016 Sep 1
TI - Prioritizing Cross-Disciplinary Teaching and Learning and Patient Safety in
Hospital-Based Environments.
PG - 891-7
LID - journalofethics.2016.18.9.ecas1-1609 [pii]
LID - 10.1001/journalofethics.2016.18.9.ecas1-1609 [doi]
AB - In this case scenario, Darvid is a medical student who perceives that
practicing his
physical examination of a patient at a specific time conflicts with nursing
care.
His predicament highlights the importance of interprofessional communication.
Darvid
is hesitant to communicate with the nurse, and his fear is exacerbated by the
hierarchical structure of the academic health care setting, exemplified by

the
senior resident's dismissive response to his concerns. This paper argues that
every
opportunity should be made to prioritize students' learning but that the
patient's
needs must come first. The nurse in this case is in a position to help Darvid
assess
the priorities in this situation, but he must first feel comfortable
discussing his
concerns. Interprofessional education can serve a valuable role in
facilitating open
communication.
CI - © 2016 American Medical Association. All Rights Reserved.
FAU - Milliken, Aimee
AU - Milliken A
LA - eng
DEP - 20160901
PL - United States
TA - AMA J Ethics
JT - AMA journal of ethics
JID - 101649265
SB - IM
MH - *Communication
MH - *Education, Medical
MH - *Hospitals
MH - Humans
MH - Internship and Residency
MH - *Learning
MH - Nurses
MH - Physicians
MH - Stress, Psychological
MH - *Teaching
EDAT- 2016/09/27 06:00
MHDA- 2017/02/28 06:00
CRDT- 2016/09/27 06:00
PHST- 2016/09/27 06:00 [entrez]
PHST- 2016/09/27 06:00 [pubmed]
PHST- 2017/02/28 06:00 [medline]
AID - journalofethics.2016.18.9.ecas1-1609 [pii]
AID - 10.1001/journalofethics.2016.18.9.ecas1-1609 [doi]
PST - epublish
SO - AMA J Ethics. 2016 Sep 1;18(9):891-7. doi:
10.1001/journalofethics.2016.18.9.ecas1-1609.
PMID- 28473306
OWN - NLM
STAT- MEDLINE
DCOM- 20171130
LR - 20181202
IS - 1439-4456 (Print)
IS - 1438-8871 (Linking)
VI - 19
IP - 5
DP - 2017 May 4
TI - Using a Medical Intranet of Things System to Prevent Bed Falls in an Acute
Care
Hospital: A Pilot Study.
PG - e150
LID - 10.2196/jmir.7131 [doi]
LID - e150
AB - BACKGROUND: Hospitalized patients in the United States experience falls at a
rate of
2.6 to 17.1 per 1000 patient-days, with the majority occurring when a patient
is
moving to, from, and around the bed. Each fall with injury costs an average
of US
$14,000. OBJECTIVE: The aim was to conduct a technology evaluation, including
feasibility, usability, and user experience, of a medical sensor-based

Intranet of
things (IoT) system in facilitating nursing response to bed exits in an acute
care
hospital. METHODS: Patients 18 years and older with a Morse fall score of 45
or
greater were recruited from a 35-bed medical-surgical ward in a 317-bed
Massachusetts teaching hospital. Eligible patients were recruited between
August 4,
2015 and July 31, 2016. Participants received a sensor pad placed between the
top of
their mattress and bed sheet. The sensor pad was positioned to monitor
movement from
patients' shoulders to their thighs. The SensableCare System was evaluated
for
monitoring patient movement and delivering timely alerts to nursing staff via
mobile
devices when there appeared to be a bed-exit attempt. Sensor pad data were
collected
automatically from the system. The primary outcomes included number of falls,
time
to turn off bed-exit alerts, and the number of attempted bed-exit events.
Data on
patient falls were collected by clinical research assistants and confirmed
with the
unit nurse manager. Explanatory variables included room locations (zones 1-
3), day
of the week, nursing shift, and Morse Fall Scale (ie, positive fall history,
positive secondary diagnosis, positive ambulatory aid, weak impaired
gait/transfer,
positive IV/saline lock, mentally forgets limitations). We also assessed user
experience via nurse focus groups. Qualitative data regarding staff

interactions
with the system were collected during two focus groups with 25 total nurses,
each
lasting approximately 1.5 hours. RESULTS: A total of 91 patients used the
system for
234.0 patient-days and experienced no bed falls during the study period. On
average,
patients were assisted/returned to bed 46 seconds after the alert system was
triggered. Response times were longer during the overnight nursing shift
versus day
shift (P=.005), but were independent of the patient's location on the unit.
Focus
groups revealed that nurses found the system integrated well into the
clinical
nursing workflow and the alerts were helpful in patient monitoring.
CONCLUSIONS: A
medical IoT system can be integrated into the existing nursing workflow and
may
reduce patient bed fall risk in acute care hospitals, a high priority but an
elusive
patient safety challenge. By using an alerting system that sends
notifications
directly to nurses' mobile devices, nurses can equally respond to unassisted
bed-exit attempts wherever patients are located on the ward. Further study,
including a fully powered randomized controlled trial, is needed to assess
effectiveness across hospital settings.
CI - ©Henri U Balaguera, Diana Wise, Chun Yin Ng, Han-Wen Tso, Wan-Lin Chiang,
Aimee M
Hutchinson, Tracy Galvin, Lee Hilborne, Cathy Hoffman, Chi-Cheng Huang, C
Jason
Wang. Originally published in the Journal of Medical Internet Research
(http://www.jmir.org), 04.05.2017.
FAU - Balaguera, Henri U
AU - Balaguera HU
AUID- ORCID: 0000-0001-5604-5767
AD - Lahey Hospital and Medical Center, Burlington, MA, United States.
AD - Tufts University School of Medicine, Boston, MA, United States.
FAU - Wise, Diana
AU - Wise D
AUID- ORCID: 0000-0003-1092-228X
AD - MedicusTek USA Corporation, Newport Beach, CA, United States.
FAU - Ng, Chun Yin
AU - Ng CY
AUID- ORCID: 0000-0003-2340-3905
AD - MedicusTek USA Corporation, Newport Beach, CA, United States.
FAU - Tso, Han-Wen
AU - Tso HW
AUID- ORCID: 0000-0002-8637-8615
AD - MedicusTek, Inc, Taipei, Taiwan.
FAU - Chiang, Wan-Lin
AU - Chiang WL
AUID- ORCID: 0000-0001-7205-9616
AD - MedicusTek, Inc, Taipei, Taiwan.
FAU - Hutchinson, Aimee M
AU - Hutchinson AM
AUID- ORCID: 0000-0002-2629-8162
FAU - Galvin, Tracy
AU - Galvin T
AUID- ORCID: 0000-0001-8821-7367
FAU - Hilborne, Lee
AU - Hilborne L
AUID- ORCID: 0000-0001-7246-7847
AD - David Geffen School of Medicine at UCLA, Department of Pathology and
Laboratory
Medicine, Los Angeles, CA, United States.
FAU - Hoffman, Cathy
AU - Hoffman C
AUID- ORCID: 0000-0001-9062-1318
FAU - Huang, Chi-Cheng
AU - Huang CC
AUID- ORCID: 0000-0003-1669-5479
AD - Tufts University School of Medicine, Boston, MA, United States.
FAU - Wang, C Jason
AU - Wang CJ
AUID- ORCID: 0000-0002-6278-4889
AD - Stanford University School of Medicine, Stanford, CA, United States.
LA - eng
DEP - 20170504
JID - 100959882
SB - IM
MH - Aged
MH - Computer Communication Networks/*statistics & numerical data
MH - Female
MH - Hospitals
MH - Humans
MH - Male
MH - Middle Aged
MH - Patient Safety
MH - Pilot Projects
MH - United States
PMC - PMC5438463
OTO - NOTNLM
OT - *accidental falls
OT - *acute care
OT - *health care technology
OT - *health technology assessment
OT - *mobile apps
OT - *nursing
OT - *patient monitoring
OT - *patient-centered care
OT - *sensor devices and platforms
COIS- Conflicts of Interest: MedicusTek, the maker of the medical sensor-based
Intranet of
things, was the sponsor for this study at Lahey Hospital and Medical Center.
Several
of the authors are affiliated with MedicusTek: Diana Wise, Chun Yin Ng, Han-
Wen Tso,
and Wan-Lin Chiang are employed by MedicusTek. Drs C Jason Wang, Lee
Hilborne, and
Chi-Cheng Huang are scientific advisors at MedicusTek.
EDAT- 2017/05/06 06:00
MHDA- 2017/12/01 06:00
CRDT- 2017/05/06 06:00
PHST- 2017/02/07 00:00 [received]
PHST- 2017/04/04 00:00 [accepted]
PHST- 2017/04/02 00:00 [revised]
PHST- 2017/05/06 06:00 [entrez]
PHST- 2017/05/06 06:00 [pubmed]
PHST- 2017/12/01 06:00 [medline]
AID - 10.2196/jmir.7131 [doi]
PST - epublish
SO - J Med Internet Res. 2017 May 4;19(5):e150. doi: 10.2196/jmir.7131.
PMID- 24227955
OWN - NLM
DCOM- 20131114
LR - 20200929
IS - 1319-0164 (Print)
IS - 1319-0164 (Linking)
VI - 21
IP - 4
DP - 2013 Oct
TI - Hospital pharmacy practice in Saudi Arabia: Drug monitoring and patient
education in
the Riyadh region.
PG - 361-70
LID - 10.1016/j.jsps.2012.12.006 [doi]
AB - BACKGROUND: The purpose of this national survey is to evaluate hospital
pharmacy
practice in the Riyadh region of Saudi Arabia. The results of the survey
pertaining
to the monitoring and patient education of the medication use process were
presented. METHODS: We have invited pharmacy directors from all 48 hospitals
in the
Riyadh region to participate in a modified-American Society of Health-System
Pharmacists (ASHP) survey questionnaire. The survey was conducted using
similar
methods to those of the ASHP surveys. RESULTS: The response rate was 60.4%
(29/48).
Most hospitals (23, 79%) had pharmacists regularly monitor medication therapy
for
patients. Of these hospitals, 61% had pharmacists monitoring medication
therapy
daily for less than 26% of patients, 17% monitored 26-50% of patients and 22%
monitored more than half of patients daily. In 41% of hospitals, pharmacists

routinely monitored serum medication concentrations or their surrogate
markers; 27%
gave pharmacists the authority to order initial serum medication
concentrations, and
40% allowed pharmacists to adjust dosages. Pharmacists routinely documented
their
medication therapy monitoring activities in 52% of hospitals. Overall, 74% of
hospitals had an adverse drug event (ADE) reporting system, 59% had a
multidisciplinary committee responsible for reviewing ADEs, and 63% had a
medication
safety committee. Complete electronic medical record (EMR) systems were
available in
15% of hospitals and 81% had a partial EMR system. The primary responsibility
for
performing patient medication education lays with nursing (37%), pharmacy
(37%), or
was a shared responsibility (26%). In 44% of hospitals, pharmacists provided
medication education to half or more inpatients and in a third of hospitals,
pharmacists gave medication education to 26% or more of patients at
discharge.
CONCLUSION: Hospital pharmacists in the Riyadh region are actively engaged in
monitoring medication therapy and providing patient medication education,

although
there is considerable opportunity for further involvement.
FAU - Alsultan, Mohammed S
AU - Alsultan MS
AD - Pharmacoeconomics and Outcomes Research Unit, Department of Clinical
Pharmacy,
College of Pharmacy, King Saud University, P.O. Box 2457, Riyadh 11451, Saudi
Arabia.
FAU -
Mayet, Ahmed Y
AU -
Mayet AY
FAU -
Khurshid, Fowad
AU -
Khurshid F
FAU -
Al-Jedai, Ahmed H
AU -
Al-Jedai AH
LA -
eng
PT -
Journal Article
TA -
Saudi Pharm J
JT -
Saudi pharmaceutical journal : SPJ : the official publication of the Saudi
JID - 9705695
PMC - PMC3824953
OTO - NOTNLM
OT - Adverse drug event reporting
OT - Electronic medical record systems
OT - Medication therapy
OT - Patient medication education
EDAT- 2013/11/15 06:00
MHDA- 2013/11/15 06:01
CRDT- 2013/11/15 06:00
PHST- 2012/11/12 00:00 [received]
PHST- 2012/12/25 00:00 [accepted]
PHST- 2013/11/15 06:00 [entrez]
PHST- 2013/11/15 06:00 [pubmed]
PHST- 2013/11/15 06:01 [medline]
AID - S1319-0164(12)00131-4 [pii]
AID - 10.1016/j.jsps.2012.12.006 [doi]
PST - ppublish
SO - Saudi Pharm J. 2013 Oct;21(4):361-70. doi: 10.1016/j.jsps.2012.12.006.
PMID- 32035869
OWN - NLM
STAT- In-Process
LR - 20201207
IS - 1551-7411 (Linking)
VI - 16
IP - 12
DP - 2020 Dec
TI - The implementation of a Technician Enhanced Administration of Medications
[TEAM]
model: An evaluative study of impact on working practices in a children's
hospital.
PG - 1768-1774
LID - S1551-7411(19)31096-4 [pii]
LID - 10.1016/j.sapharm.2020.01.016 [doi]
AB - BACKGROUND: Children are frequently prescribed unlicensed and off-label
medicines
meaning dosing and administration of medicines to children is often based on
poor
quality guidance. In UK hospitals, nursing staff are often responsible for
administering medications. Medication Errors [MEs] are problematic for health
services, though are poorly reported and therefore difficult to quantify with
confidence. In the UK, children's medicines require administration by at

least two
members of ward staff, known as a 'second check' system, thought to reduce
Medication Administration Errors [MAEs]. OBJECTIVES: To assess the impact on
working
practices of the introduction of a new way of working, using Technician
Enhanced
Administration of Medications [TEAM] on two specialist wards within a
children's'
hospital. To evidence any potential impact of a TEAM ward-based pharmacy
technician
[PhT] on the reporting of MEs. METHODS: A TEAM PhT was employed on two wards
within
the children's hospital and trained in medicines administration. Firstly, an
observational pre-and-post cohort design was used to identify the effect of
TEAM on
MEs. We analysed the hospital's official reporting system for incidents and
'near
misses', as well as the personal incident log of the TEAM PhT. Secondly,
after
implementation, we interviewed staff about their perceptions of TEAM and its
impact
on working practices. RESULTS: We affirm MEs are considerably under-reported
in
hospital settings, but TEAM PhTs can readily identify them. Further, placing
TEAM
PhTs on wards may create opportunities for inter-professional knowledge
exchange and
increase nurses' awareness of potential MAEs, although this requires
facilitation.
CONCLUSIONS: TEAM PhT roles may be beneficial for pharmacy technicians'
motivation,
job satisfaction, and career development. Hospitals will need to consider the
balance between resources invested in TEAM PhTs and the level of impact on
reporting
MEs. Health economic analyses could provide evidence to fully endorse
integration of
TEAM PhTs for all hospital settings.
CI - Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.
FAU - Silverio, Sergio A
AU - Silverio SA
AD - Department of Women & Children's Health, King's College London, London, UK;
Elizabeth Garrett Anderson Institute for Women's Health, University College
London,
London, UK; Department of Psychological Sciences, University of Liverpool,
Liverpool, UK. Electronic address: Sergio.Silverio@kcl.ac.uk.
FAU - Cope, Louise C
AU - Cope LC
AD - Faculty of Health, Social Care & Medicine, Edge Hill University, Ormskirk,
UK.
FAU - Bracken, Louise
AU - Bracken L
AD - Paediatric Medicines Research Unit, Alder Hey Children's NHS Foundation
Trust,
Liverpool, UK.
FAU - Bellis, Jennifer
AU - Bellis J
AD - Pharmacy Department, Alder Hey Children's NHS Foundation Trust, Liverpool,
UK.
FAU - Peak, Matthew
AU - Peak M
UK;
Paediatric Medicines Research Unit, Alder Hey Children's NHS Foundation
Trust,
Liverpool, UK.
FAU - Kaehne, Axel
AU - Kaehne A
UK.
LA - eng
DEP - 20200206
PL - United States
TA - Res Social Adm Pharm
JT - Research in social & administrative pharmacy : RSAP
JID - 101231974
SB - IM
OTO - NOTNLM
OT - *Children's medicines
OT - *Hospital pharmacy
OT - *Medication administration errors
OT - *Medication errors
OT - *Paediatric medicines
OT - *Pharmacy technician
EDAT- 2020/02/10 06:00
MHDA- 2020/02/10 06:00
CRDT- 2020/02/10 06:00
PHST- 2019/11/13 00:00 [received]
PHST- 2020/01/20 00:00 [revised]
PHST- 2020/01/26 00:00 [accepted]
PHST- 2020/02/10 06:00 [pubmed]
PHST- 2020/02/10 06:00 [medline]
PHST- 2020/02/10 06:00 [entrez]
AID - S1551-7411(19)31096-4 [pii]
AID - 10.1016/j.sapharm.2020.01.016 [doi]
PST - ppublish
SO - Res Social Adm Pharm. 2020 Dec;16(12):1768-1774. doi:
10.1016/j.sapharm.2020.01.016.
Epub 2020 Feb 6.
PMID- 27716189
OWN - NLM
STAT- MEDLINE
DCOM- 20171016
LR - 20181202
IS - 1472-6963 (Linking)
VI - 16
IP - 1
DP - 2016 Sep 30
TI - Awareness and implementation of nine World Health Organization's patient
safety
solutions among three groups of healthcare workers in Oman.
PG - 533
LID - 533
AB - BACKGROUND: The pressing need to reduce burgeoning poor safety measures
affecting
millions worldwide has alerted World Health Assembly to set-up mechanisms to
increase patient safety. In response to such needs, World Health Organization
(WHO)
formulated nine life-saving patient safety solutions that would be essential
to
lower reduce healthcare-related harm. There is a paucity of research
examining
awareness of such nine patient safety solutions. This study has been designed
and
conducted to compare self-estimated awareness and practice of the World
Health
Organization's nine "Life-saving Patient Safety Solutions" aide memoirs among
different groups of healthcare workers in Oman. METHODS: All nationwide

healthcare
workers (nurses, physicians and allied health professionals) in hospitals and
primary healthcare under the auspice of Ministry of Health were the target
population of this survey. Participants were selected by a simple, systematic
random
sampling from the list of staff in each representative institution. The study
was
conducted from November 2012 to February 2013. A total of 800 participants
(590 from
health centers and 210 from hospitals) were invited to participate in this
study.
RESULTS: A total number of 763 healthcare professionals consented to
participate.
The overall response rate was 95 % with the majority being nurses, female
staff and
who had an average of more than 4 years of experience. Overall, 85 % of the
participants self-estimated awareness of the nine life-saving patient safety
solutions showed the nurses being the most aware, followed by physicians with
the
allied health professionals showing suboptimal awareness. The primary
healthcare
center staff demonstrated higher awareness compared to hospital staff. There
was a
complex relationship between health professional's age, place of work and
awareness
and practice. CONCLUSION: This study lays the foundation for international
comparisons of self-estimated awareness and practice towards nine patient
safety
solutions. The data from Oman indicates the need for more attention to be
directed
towards heightening awareness and practice of the nine patient safety
solutions.
FAU - Al-Mandhari, Ahmed
AU - Al-Mandhari A
AD - Department of Family Medicine & Public Health, Sultan Qaboos University
Hospital,
Sultan Qaboos University, Muscat, Sultanate of Oman.
FAU - Al-Zakwani, Ibrahim
AU - Al-Zakwani I
AD - Department of Pharmacology & Clinical Pharmacy, College of Medicine & Health
Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman.
FAU - Al-Adawi, Samir
AU - Al-Adawi S
AUID- ORCID: 0000-0002-9858-5582
AD - Department of Behavioral Sciences, College of Medicine and Health Sciences,
Sultan
Qaboos University, Muscat, Sultanate of Oman. samir.al-
adawi@fulbrightmail.org.
FAU - Al-Barwani, Samra
AU - Al-Barwani S
AD - Directorate General of Quality Assurance Center, Ministry of Health, Muscat,
Sultanate of Oman.
FAU - Jeyaseelan, Lakshmanan
AU - Jeyaseelan L
AD - Department of Statistics and Health Information, Lakshmanan Jeyaseelan,
Sultan
Qaboos University Hospital, Muscat, Sultanate of Oman.
LA - eng
DEP - 20160930
JID - 101088677
SB - IM
MH - Adult
MH - Allied Health Personnel/psychology/standards
MH - Awareness
MH - Delivery of Health Care/standards
MH - Female
MH - Health Personnel/psychology/*standards
MH - Humans
MH - Male
MH - Nurses/standards
MH - Oman
MH - Physicians/psychology/standards
MH - Primary Health Care/standards
PMC - PMC5045576
OTO - NOTNLM
OT - *Attitude and practice
OT - *Knowledge
OT - *Nine life-saving patient safety solutions
OT - *Patient safety solutions
OT - *WHO
EDAT- 2016/10/08 06:00
MHDA- 2017/10/17 06:00
CRDT- 2016/10/08 06:00
PHST- 2016/02/28 00:00 [received]
PHST- 2016/09/17 00:00 [accepted]
PHST- 2016/10/08 06:00 [entrez]
PHST- 2016/10/08 06:00 [pubmed]
PHST- 2017/10/17 06:00 [medline]
AID - 10.1186/s12913-016-1771-1 [pii]
AID - 1771 [pii]
AID - 10.1186/s12913-016-1771-1 [doi]
PST - epublish
PMID- 24621339
OWN - NLM
STAT- MEDLINE
DCOM- 20141124
LR - 20181113
IS - 1472-6963 (Linking)
VI - 14
DP - 2014 Mar 12
TI - Patient safety culture in a large teaching hospital in Riyadh: baseline
assessment,
comparative analysis and opportunities for improvement.
PG - 122
LID - 10.1186/1472-6963-14-122 [doi]
AB - BACKGROUND: In light of the immense attention given to patient safety, this
paper
details the findings of a baseline assessment of the patient safety culture
in a
large hospital in Riyadh and compares results with regional and international
studies that utilized the Hospital Survey on Patient Safety Culture. This
study also
aims to explore the association between patient safety culture predictors and
outcomes, considering respondent characteristics and facility size. METHODS:

This
cross sectional study adopted a customized version of the HSOPSC and targeted
hospital staff fitting sampling criteria (physicians, nurses, clinical and

non-clinical staff, pharmacy and laboratory staff, dietary and radiology
staff,
supervisors, and hospital managers). RESULTS: 3000 questionnaires were sent
and 2572
were returned (response rate of 85.7%). Areas of strength were Organizational
Learning and Continuous Improvement and Teamwork within units whereas areas
requiring improvement were hospital non-punitive response to error, staffing,
and
Communication Openness. The comparative analysis noted several areas
requiring
improvement when results on survey composites were compared with results from
Lebanon, and the United States. Regression analysis showed associations

between
higher patient safety aggregate score and greater age (46 years and above),
longer
work experience, having a Baccalaureate degree, and being a physician or
other
health professional. CONCLUSIONS: Patient safety practices are crucial toward
improving overall performance and quality of services in healthcare

organizations.
Much can be done in the sampled organizations and in the context of KSA in
general
to improve areas of weakness and further enhance areas of strength.
FAU - El-Jardali, Fadi
AU - El-Jardali F
AD - Department of Health Management and Policy, Faculty of Health Sciences,
American
University of Beirut, Beirut, Lebanon. fe08@aub.edu.lb.
FAU - Sheikh, Farheen
AU - Sheikh F
FAU - Garcia, Nereo A
AU - Garcia NA
FAU - Jamal, Diana
AU - Jamal D
FAU - Abdo, Ayman
AU - Abdo A
LA - eng
DEP - 20140312
JID - 101088677
SB - IM
MH - Adult
MH - Female
MH - Hospitals, Teaching/organization & administration/*standards
MH - Humans
MH - Male
MH - Middle Aged
MH - Personnel, Hospital
MH - Saudi Arabia
PMC - PMC3975247
EDAT- 2014/03/14 06:00
MHDA- 2014/12/15 06:00
CRDT- 2014/03/14 06:00
PHST- 2013/01/30 00:00 [received]
PHST- 2014/02/21 00:00 [accepted]
PHST- 2014/03/14 06:00 [entrez]
PHST- 2014/03/14 06:00 [pubmed]
PHST- 2014/12/15 06:00 [medline]
AID - 1472-6963-14-122 [pii]
AID - 10.1186/1472-6963-14-122 [doi]
PST - epublish
SO - BMC Health Serv Res. 2014 Mar 12;14:122. doi: 10.1186/1472-6963-14-122.
PMID- 32467535
OWN - NLM
STAT- In-Process
LR - 20200713
IS - 0300-5283 (Print)
IS - 0300-5283 (Linking)
VI - 75
IP - 3
DP - 2020 May
TI - The prevalence of hypersensitivity reactions to snake antivenoms administered
in
sultanah nur zahirah hospital from 2013 to 2016.
PG - 216-220
AB - INTRODUCTION: Snakebite is an important medical emergency. Antivenoms remain
the
only proven treatment for snake envenoming. However, the use of antivenom is
associated with hypersensitivity reactions. The aims of this study were to
determine
the prevalence and types of hypersensitivity reactions and types and outcomes
of
pharmacological and non-pharmacological treatments for antivenom reactions
among
snakebite patients that received antivenoms. METHODS: This was a 4-year
cross-sectional study of snakebite patients from January 2013 to December
2016 in
Hospital Sultanah Nur Zahirah (HSNZ), Terengganu. Data was extracted from the
Pharmacy Record on the usage of antivenom and patients of snakebites treated

with
antivenom were identified. Data of patients were then obtained from the
electronic
medical records.' Demographic details, clinical features and characteristics
of
antivenom reactions of patients were recorded in standardized data collection
forms
and analyzed using chi-square or Mann- Whitney U tests. RESULTS: Of the 44
patients
who received antivenom, 24 (54.5%) developed hypersensitivity reaction. All
patients
developed reaction early. No patient developed delayed (serum-sickness)
reaction. Of
the 24 patients, 14 (58.3%) had moderate to severe hypersensitivity reaction
and 9
(37.5%) patients had mild reactions. Only one (4.2%) patient presented with
bradycardia. CONCLUSION: The prevalence of early hypersensitivity reaction to
snake
antivenom in HSNZ was relatively high. Healthcare providers should be aware
of the
appropriate method of preparing and administering antivenom, and the
management for
acute hypersensitivity reactions. This will optimize the management of
snakebite and
ensure patient safety.
FAU - Nur, A S
AU - Nur AS
AD - Hospital Sultanah Nur Zahirah, Department of Pharmacy, Kuala Terengganu,
Terengganu
Darul Iman, Malaysia. nur.aizahakiki@gmail.com.
FAU - Hamid, F
AU - Hamid F
AD - Universiti Teknologi MARA (UiTM), Faculty of Pharmacy, Department of Pharmacy
Practice, Puncak Alam, Selangor, Malaysia.

FAU - Mohd Shahezwan, A W
AU - Mohd Shahezwan AW
AD - Universiti Teknologi MARA (UiTM), Faculty of Pharmacy, Department of Pharmacy
Practice, Puncak Alam, Selangor, Malaysia.

FAU - Mohd Zaki, F S
AU - Mohd Zaki FS
AD - Hospital Sultanah Nur Zahirah, Department of Emergency and Trauma, Kuala
Terengganu,
Terengganu Darul Iman, Malaysia.
FAU - Ahmad, K I
AU - Ahmad KI
AD - Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of
Emergency
Medicine, Cheras, Kuala Lumpur, Malaysia.
LA - eng
PL - Malaysia
TA - Med J Malaysia
JT - The Medical journal of Malaysia
JID - 0361547
SB - IM
EDAT- 2020/05/30 06:00
MHDA- 2020/05/30 06:00
CRDT- 2020/05/30 06:00
PHST- 2020/05/30 06:00 [entrez]
PHST- 2020/05/30 06:00 [pubmed]
PHST- 2020/05/30 06:00 [medline]
PST - ppublish
SO - Med J Malaysia. 2020 May;75(3):216-220.
PMID- 24980042
OWN - NLM
STAT- MEDLINE
DCOM- 20160615
LR - 20181113
IS - 2044-6055 (Print)
IS - 2044-6055 (Linking)
VI - 4
IP - 6
DP - 2014 Jun 30
TI - Safety culture in a pharmacy setting using a pharmacy survey on patient
safety
culture: a cross-sectional study in China.
PG - e004904
LID - 10.1136/bmjopen-2014-004904 [doi]
LID - e004904
AB - OBJECTIVE: To explore the attitudes and perceptions of patient safety culture
for
pharmacy workers in China by using a Pharmacy Survey on Patient Safety
Culture
(PSOPSC), and to assess the psychometric properties of the translated Chinese
language version of the PSOPSC. DESIGN: Cross-sectional study. PARTICIPANTS:

Data
were obtained from 20 hospital pharmacies in the southwest part of China.
METHODS:
We performed χ(2) test to explore the differences on pharmacy staff in
different
hospital and qualification levels and countries towards patient safety
culture. We
also computed descriptive statistics, internal consistency coefficients and
intersubscale correlation analysis, and then conducted an exploratory factor
analysis. A test-retest was performed to assess reproducibility of the items.
RESULTS: A total of 630 questionnaires were distributed of which 527 were

responded
to validly (response rate 84%). The positive response rate for each item
ranged from
37% to 90%. The positive response rate on three dimensions ('Teamwork',
'Staff
Training and Skills' and 'Staffing, Work Pressure and Pace') was higher than
that of
Agency for Healthcare Research and Quality (AHRQ) data (p<0.05). There was a
statistical difference in the perception of patient safety culture at
different
hospital and qualification levels. The internal consistency of the total
survey was
comparatively satisfied (Cronbach's α=0.89). CONCLUSIONS: The results
demonstrated
that among the pharmacy staffs surveyed in China, there was a positive
attitude
towards patient safety culture in their organisations. Identifying
perspectives of
patient safety culture from pharmacists in different hospital and
qualification
levels are important, since this can help support decisions about action to
improve
safety culture in pharmacy settings. The Chinese translation of the PSOPSC
questionnaire (V.2012) applied in our study is acceptable.
not
http://group.bmj.com/group/rights-licensing/permissions.
FAU - Jia, P L
AU - Jia PL
AD - Chinese Evidence-Based Medicine, West China Hospital, Sichuan University,
Chengdu,
People's Republic of China.
FAU - Zhang, L H
AU - Zhang LH
Chengdu,
FAU - Zhang, M M
AU - Zhang MM
Chengdu,
FAU - Zhang, L L
AU - Zhang LL
AD - Department of Pharmacy, West China Second University Hospital, Chengdu,
People's
Republic of China.
FAU - Zhang, C
AU - Zhang C
AD - Department of Pharmacy, West China Second University Hospital, Chengdu,
People's
Republic of China.
FAU - Qin, S F
AU - Qin SF
AD - Department of Fetal Medicine, Sichuan Provincial Hospital for Women and
Children,
Chengdu, People's Republic of China.
FAU - Li, X L
AU - Li XL
AD - Department of Pharmacy, The Sixth Chengdu Hospital, Chengdu, People's
Republic of
China.
FAU - Liu, K X
AU - Liu KX
AD - Department of Pharmacy, West China Hospital, Sichuan University, Chengdu,
People's
Republic of China.
LA - eng
DEP - 20140630
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - China
MH - Female
MH - Hospitals
MH - Humans
MH - Male
PMC - PMC4078772
OTO - NOTNLM
OT - Health Services Administration & Management
EDAT- 2014/07/02 06:00
MHDA- 2014/07/02 06:01
CRDT- 2014/07/02 06:00
PHST- 2014/07/02 06:00 [entrez]
PHST- 2014/07/02 06:00 [pubmed]
PHST- 2014/07/02 06:01 [medline]
AID - 10.1136/bmjopen-2014-004904 [doi]
PST - epublish
PMID- 27398302
OWN - NLM
LR - 20201001
IS - 2199-1154 (Print)
IS - 2198-9788 (Linking)
VI - 3
IP - 2
DP - 2016 Jun
TI - Accuracy of Adverse Drug Reaction Documentation upon Implementation of an
Ambulatory
Electronic Health Record System.
PG - 231-238
AB - BACKGROUND: Detection, monitoring and treatment of adverse drug reactions
(ADRs) are
paramount to patient safety. The use of a comprehensive electronic health
record
(EHR) system has the potential to address inadequacies in ADR documentation
and to
facilitate ADR reporting to health agencies. However, effective methods to
maintain
the quality of documented ADRs within an EHR have not been well studied.
OBJECTIVE:
To evaluate the accuracy and effectiveness of ADR documentation transfer
throughout
the implementation of a comprehensive EHR system. METHODS: Retrospective
analysis of
ADR documentation at a tertiary care pediatric hospital between January 2013
and
June 2014. ADRs documented in the newly implemented ambulatory EHR, pharmacy
system
and hybrid health record system were extracted. Documentation inconsistencies
and
processes for managing ADR documentation within the EHR were reviewed.
RESULTS: A
total of 115 patients with 260 unique ADRs were identified. Only 155 (60 %)
of the
identified ADRs were found in the ambulatory EHR system. The remaining 105
ADRs
(40 %) were missing from the EHR when it was compared with the other systems.
Seventy-two patients (63 %) returned for a follow-up visit, and each had
their ADR
documentation reviewed in the ambulatory EHR. Following the visit, 44 % of
these
ambulatory EHR records still included incorrect information. CONCLUSIONS: We
identified discrepancies in ADR documentation within hospital systems, which
need to
be addressed as healthcare institutions transition to EHRs. Processes related
to the
transfer of ADR information into the EHR should be clearly defined. To
improve the
quality of ADR documentation, steps to force complete and continual ADR
verification
should be introduced at early stages of implementation of a new EHR, and all
responsible providers should play a role.
FAU - Hui, Caleb
AU - Hui C
AD - Children's Hospital of Eastern Ontario, Ottawa, ON Canada.
FAU - Vaillancourt, Regis
AU - Vaillancourt R
FAU - Bair, Lissa
AU - Bair L
FAU - Wong, Elaine
AU - Wong E
FAU - King, James W
AU - King JW
AD - Children's Hospital of Eastern Ontario, Ottawa, ON Canada ; Department of
Pediatrics, University of Ottawa, Ottawa, ON Canada.
LA - eng
DEP - 20160504
TA - Drugs Real World Outcomes
JT - Drugs - real world outcomes
JID - 101658456
PMC - PMC4914540
COIS- Compliance with Ethical Standards Ethical approval This study was approved in
accordance with the ethical standards set by the Children’s Hospital of

Eastern
Ontario Research Ethics Board, under the Protocol No. 14/82X. Funding Funding
to
conduct this work was provided by the Children’s Hospital of Eastern Ontario
Research Institute Studentship program and by the Canadian Pharmacogenomics
Network
for Drug Safety. Conflict of interest Caleb Hui, Regis Vaillancourt, Lissa
Bair,
Elaine Wong and James W. King have no relevant conflicts of interests to
declare.
EDAT- 2016/07/12 06:00
MHDA- 2016/07/12 06:01
CRDT- 2016/07/12 06:00
PHST- 2016/07/12 06:00 [entrez]
PHST- 2016/07/12 06:00 [pubmed]
PHST- 2016/07/12 06:01 [medline]
AID - 71 [pii]
AID - 10.1007/s40801-016-0071-8 [doi]
PST - epublish
SO - Drugs Real World Outcomes. 2016 May 4;3(2):231-238. doi: 10.1007/s40801-016-
0071-8.
eCollection 2016 Jun.
PMID- 27656729
STAT- Publisher
DP - 2016 Sep
BTI - Characterising the nature of primary care patient safety incident reports in
the
England and Wales National Reporting and Learning System: a mixed-methods
agenda-setting study for general practice
AB - BACKGROUND: There is an emerging interest in the inadvertent harm caused to
patients
by the provision of primary health-care services. To date (up to 2015), there
has
been limited research interest and few policy directives focused on patient
safety
in primary care. In 2003, a major investment was made in the National
Reporting and
Learning System to better understand patient safety incidents occurring in
England
and Wales. This is now the largest repository of patient safety incidents in
the
world. Over 40,000 safety incident reports have arisen from general practice.
These
have never been systematically analysed, and a key challenge to exploiting
these
data has been the largely unstructured, free-text data. AIMS: To characterise
the
nature and range of incidents reported from general practice in England and
Wales
(2005–13) in order to identify the most frequent and most harmful patient
safety
incidents, and relevant contributory issues, to inform recommendations for
improving
the safety of primary care provision in key strategic areas. METHODS: We
undertook a
cross-sectional mixed-methods evaluation of general practice patient safety
incident
reports. We developed our own classification (coding) system using an
iterative
approach to describe the incident, contributory factors and incident
outcomes.
Exploratory data analysis methods with subsequent thematic analysis was
undertaken
to identify the most harmful and most frequent incident types, and the
underlying
contributory themes. The study team discussed quantitative and qualitative
analyses,
and vignette examples, to propose recommendations for practice. MAIN
FINDINGS: We
have identified considerable variation in reporting culture across England
and Wales
between organisations. Two-thirds of all reports did not describe explicit
reasons
about why an incident occurred. Diagnosis- and assessment-related incidents
described the highest proportion of harm to patients; over three-quarters of
these
reports (79%) described a harmful outcome, and half of the total reports
described
serious harm or death (n = 366, 50%). Nine hundred and ninety-six reports
described
serious harm or death of a patient. Four main contributory themes underpinned
serious harm- and death-related incidents: (1) communication errors in the

referral
and discharge of patients; (2) physician decision-making; (3) unfamiliar
symptom
presentation and inadequate administration delaying cancer diagnoses; and (4)
delayed management or mismanagement following failures to recognise signs of

clinical (medical, surgical and mental health) deterioration. CONCLUSIONS:
Although
there are recognised limitations of safety-reporting system data, this study
has
generated hypotheses, through an inductive process, that now require
development and
testing through future research and improvement efforts in clinical practice.
Cross-cutting priority recommendations include maximising opportunities to

learn
from patient safety incidents; building information technology infrastructure
to
enable details of all health-care encounters to be recorded in one system;
developing and testing methods to identify and manage vulnerable patients at
risk of
deterioration, unscheduled hospital admission or readmission following
discharge
from hospital; and identifying ways patients, parents and carers can help
prevent
safety incidents. Further work must now involve a wider characterisation of
reports
contributed by the rest of the primary care disciplines (pharmacy, midwifery,
health
visiting, nursing and dentistry), include scoping reviews to identify
interventions
and improvement initiatives that address priority recommendations, and
continue to
advance the methods used to generate learning from safety reports. FUNDING:
The
National Institute for Health Research Health Services and Delivery Research
programme.
produced by
Carson-Stevens et al. under the terms of a commissioning contract issued by
the
Secretary of State for Health. This issue may be freely reproduced for the
purposes
of private research and study and extracts (or indeed, the full report) may
be
included in professional journals provided that suitable acknowledgement is
made and
the reproduction is not associated with any form of advertising. Applications
for
commercial reproduction should be addressed to: NIHR Journals Library,
National
Centre,
UK.
FAU - Carson-Stevens, Andrew
AU - Carson-Stevens A
AD - Primary Care Patient Safety (PISA) Research Group, Division of Population
Medicine,
Cardiff University, Cardiff, UK
AD - Wales Primary and Emergency Care (PRIME) Research Centre, Cardiff University,
Cardiff, UK
AD - Department of Family Practice, University of British Columbia, Vancouver, BC,
Canada
FAU - Hibbert, Peter
AU - Hibbert P
AD - Australian Institute for Health Innovation (AIHI), Macquarie University,
Sydney,
NSW, Australia
FAU - Williams, Huw
AU - Williams H
Medicine,
FAU - Evans, Huw Prosser
AU - Evans HP
Medicine,
FAU - Cooper, Alison
AU - Cooper A
Medicine,
FAU - Rees, Philippa
AU - Rees P
Medicine,
FAU - Deakin, Anita
AU - Deakin A
AD - Australian Patient Safety Foundation, University of South Australia,
Adelaide, SA,
Australia
FAU - Shiels, Emma
AU - Shiels E
Medicine,
FAU - Gibson, Russell
AU - Gibson R
Medicine,
FAU - Butlin, Amy
AU - Butlin A
Medicine,
FAU - Carter, Ben
AU - Carter B
AD - Centre for Medical Education, Cardiff University, Cardiff, UK
FAU - Luff, Donna
AU - Luff D
AD - Harvard Medical School, Harvard University, Boston, MA, USA
FAU - Parry, Gareth
AU - Parry G
AD - Institute for Healthcare Improvement (IHI), Cambridge, MA, USA
FAU - Makeham, Meredith
AU - Makeham M
AD - Australian Institute for Health Innovation (AIHI), Macquarie University,
Sydney,
NSW, Australia
FAU - McEnhill, Paul
AU - McEnhill P
Medicine,
FAU - Ward, Hope Olivia
AU - Ward HO
Medicine,
FAU - Samuriwo, Raymond
AU - Samuriwo R
Medicine,
AD - School of Healthcare Sciences, Cardiff University, Cardiff, UK
FAU - Avery, Anthony
AU - Avery A
AD - Division of Primary Care, University of Nottingham, Nottingham, UK
FAU - Chuter, Antony
AU - Chuter A
AD - Independent patient
FAU - Donaldson, Liam
AU - Donaldson L
AD - Department of Surgery and Cancer, Imperial College London, London, UK
FAU - Mayor, Sharon
AU - Mayor S
AD - Division of Population Medicine, Cardiff University, Cardiff, UK
FAU - Panesar, Sukhmeet
AU - Panesar S
AD - Department of Medicine, Baylor College of Medicine, Houston, TX, USA
FAU - Sheikh, Aziz
AU - Sheikh A
AD - Centre for Medical Informatics, University of Edinburgh, Edinburgh, UK
FAU - Wood, Fiona
AU - Wood F
Medicine,
FAU - Edwards, Adrian
AU - Edwards A
Medicine,
AD - Wales Primary and Emergency Care (PRIME) Research Centre, Cardiff University,
Cardiff, UK
LA - eng
PT - Review
PT - Book
OAB - This mixed-methods study of the most common and most serious patient safety
incidents in general practice has identified priorities for improvement and
made
recommendations for future research to advance the quality and safety of
primary
care.
OABL- eng
EDAT- 2016/09/01 00:00
CRDT- 2016/09/01 00:00
AID - 10.3310/hsdr04270 [doi]
PMID- 30386026
OWN - NLM
LR - 20201001
IS - 0970-9185 (Print)
IS - 0970-9185 (Linking)
VI - 34
IP - 3
DP - 2018 Jul-Sep
TI - The World Health Organization Surgical Safety Checklist: An audit of quality
of
implementation at a tertiary care high volume cancer institution.
PG - 392-398
LID - 10.4103/joacp.JOACP_328_17 [doi]
AB - BACKGROUND AND AIMS: In 2007, the World Health Organization (WHO) implemented
the
Surgical Safety Checklist (SSC), which has enhanced the communication between
the
surgical team members, improved outcomes, decreased complications, and
improved
patient safety. However, for the checklist to be effective, proper
implementation
and compliance with the checklist are imperative. The aim of this study was
to
evaluate the quality of implementation of the WHO SSC during elective surgery
at a
tertiary referral cancer hospital in India. MATERIAL AND METHODS: In this
prospective observational study, a trained research nurse passively observed
the
implementation of selected items from the modified version of the WHO SSC
during
elective surgeries and evaluated the compliance with the checklist,
percentage of
items for which the use of the SSC prompted an action, and level of
interaction
between the key team players during the conduct of the checklist. RESULTS: We
studied 200 surgeries for each part of the SSC. Compliance was 200 (100%),
156
(78%), and 153 (76.5%) for the first, second, and third part of the SSC,
respectively. All the three parts were mostly initiated by surgeons [197
(98.5%), 92
(59%), and 136 (88.9%), respectively]. Overall, 131/2200 (5.95%) items in the
checklist were carried out only after being prompted during the conduct of
the
checklist. The interaction between all three representatives was found in
only
265/509 (52%) cases. CONCLUSION: The quality of implementation of the SSC was
found
to be suboptimal, with a definite scope for improvement. Compliance with all
items
on the checklist and active participation by all team members are crucial for
successful implementation of the checklist.

FAU - Ambulkar, Reshma
AU - Ambulkar R
AD - Department of Anesthesia Critical Care and Pain, Tata Memorial Centre,
Mumbai,
Maharashtra, India.
FAU - Ranganathan, Priya
AU - Ranganathan P
Mumbai,
Maharashtra, India.
FAU - Salunke, Kirti
AU - Salunke K
Mumbai,
Maharashtra, India.
FAU - Savarkar, Sukhada
AU - Savarkar S
Mumbai,
Maharashtra, India.
LA - eng
TA - J Anaesthesiol Clin Pharmacol
JT - Journal of anaesthesiology, clinical pharmacology
JID - 9516972
PMC - PMC6194824
OTO - NOTNLM
OT - Checklist
OT - World Health Organization
OT - communication
OT - patient safety
EDAT- 2018/11/06 06:00
MHDA- 2018/11/06 06:01
CRDT- 2018/11/03 06:00
PHST- 2018/11/03 06:00 [entrez]
PHST- 2018/11/06 06:00 [pubmed]
PHST- 2018/11/06 06:01 [medline]
AID - JOACP-34-392 [pii]
AID - 10.4103/joacp.JOACP_328_17 [doi]
PST - ppublish
SO - J Anaesthesiol Clin Pharmacol. 2018 Jul-Sep;34(3):392-398. doi:
10.4103/joacp.JOACP_328_17.
PMID- 23332164
OWN - NLM
STAT- MEDLINE
DCOM- 20140401
LR - 20181202
IS - 0020-7489 (Print)
IS - 0020-7489 (Linking)
VI - 50
IP - 10
DP - 2013 Oct
TI - Professional collegiality and peer monitoring among nursing staff: an
ethnographic
study.
PG - 1407-15
LID - S0020-7489(12)00464-6 [pii]
AB - BACKGROUND: Patient safety and professional self-regulation systems both rely
on
professional colleagues to hold each other accountable for quality of care.
OBJECTIVES: To understand how staff nurses manage variations in practices
within the
group, and negotiate the rules-in-use for quality of care, collegiality, and
accountability. DESIGN/METHODS: Ethnographic case study; participant-
observation,
semi-structured interviews, policy analysis. SETTING: In-patient unit in an
urban US
teaching hospital. RESULTS: Explicit acknowledgment of conflicts and practice
variations was perceived as risky to group cohesion. The dependence of staff

on
mutual assistance, and the absence of a system of group practice, led to the
practice of "mutual deference", a strategy of reciprocal tolerance and
non-interference that gave wide discretion to each nurse's decisions about
care.
CONCLUSIONS: Efforts to improve professional accountability will need to
address
material constraints and the organization of nursing work, as well as
communication
and leadership skills.
CI - Copyright © 2013 Elsevier Ltd. All rights reserved.
FAU - Padgett, Stephen M
AU - Padgett SM
AD - School of Nursing, University of Washington, Seattle, United States.
spadgett@u.washington.edu
LA - eng
GR - F31 NR008074/NR/NINR NIH HHS/United States
DEP - 20130116
JID - 0400675
SB - IM
SB - N
MH - Humans
MH - Negotiating
MH - *Nursing Staff
MH - *Peer Group
PMC - PMC3676441
MID - NIHMS436831
OTO - NOTNLM
OT - Accountability
OT - Nursing practice
OT - Professional regulation
OT - Professionalism
OT - Work environment
EDAT- 2013/01/22 06:00
MHDA- 2014/04/02 06:00
CRDT- 2013/01/22 06:00
PHST- 2012/07/24 00:00 [received]
PHST- 2012/12/29 00:00 [revised]
PHST- 2012/12/29 00:00 [accepted]
PHST- 2013/01/22 06:00 [entrez]
PHST- 2013/01/22 06:00 [pubmed]
PHST- 2014/04/02 06:00 [medline]
AID - S0020-7489(12)00464-6 [pii]
PST - ppublish
SO - Int J Nurs Stud. 2013 Oct;50(10):1407-15. doi:
10.1016/j.ijnurstu.2012.12.022. Epub
2013 Jan 16.
PMID- 27781266
OWN - NLM
STAT- MEDLINE
DCOM- 20170501
LR - 20191210
IS - 0017-9124 (Print)
IS - 0017-9124 (Linking)
VI - 51 Suppl 3
IP - Suppl 3
DP - 2016 Dec
TI - Case Outcomes in a Communication-and-Resolution Program in New York
Hospitals.
PG - 2583-2599
LID - 10.1111/1475-6773.12594 [doi]
AB - OBJECTIVE: To determine case outcomes in a communication-and-resolution
program
(CRP) implemented to respond to adverse events in general surgery. STUDY
SETTING:
Five acute-care hospitals in New York City. STUDY DESIGN: Following CRP
implementation, hospitals recorded information about each CRP event for
22 months.
DATA COLLECTION METHODS: Risk managers prospectively collected data in
collaboration
with representatives from the hospital's insurer. External researchers
administered
an online satisfaction survey to clinicians involved in CRP events. PRINCIPAL
FINDINGS: Among 125 CRP cases, disclosure conversations were carried out in
92
percent, explanations were conveyed in 88 percent, and apologies were offered
in
72.8 percent. Three quarters of events did not involve substandard care.
Compensation offers beyond bill waivers were deemed appropriate in 9 of 30 of
cases
in which substandard care caused harm and communicated in six such cases. In
44
percent of cases, hospitals identified steps that could be taken to improve
safety.
Clinicians had low awareness of the workings of the CRP, but high
satisfaction with
their experiences. CONCLUSIONS: The bulk of CRPs' work is in investigating
and
communicating about events not caused by substandard care. These CRPs were
quite
successful in handling such events, but less consistent in offering
compensation in
cases involving substandard care.
FAU - Mello, Michelle M
AU - Mello MM
AD - Stanford Law School, Stanford, CA.
FAU - Greenberg, Yelena
AU - Greenberg Y
AD - Boston University Law School, Boston, MA.
FAU - Senecal, Susan K
AU - Senecal SK
AD - St. Peters Health Partners, Rexford, NY.
FAU - Cohn, Janet S
AU - Cohn JS
AD - New York State Department of Health, Albany, NY.
LA - eng
DEP - 20161026
JID - 0053006
SB - IM
MH - *Communication
MH - Female
MH - Hospitals/standards/statistics & numerical data
MH - Humans
MH - Liability, Legal
MH - Male
MH - *Medical Errors
MH - Middle Aged
MH - Negotiating/*methods
MH - New York
MH - *Outcome and Process Assessment, Health Care/methods
MH - Surgical Procedures, Operative/adverse effects/legislation & jurisprudence
PMC - PMC5134351
OTO - NOTNLM
OT - *Medical liability
OT - *malpractice
OT - *medical error
EDAT- 2016/10/27 06:00
MHDA- 2017/05/02 06:00
CRDT- 2016/10/27 06:00
PHST- 2016/10/27 06:00 [pubmed]
PHST- 2017/05/02 06:00 [medline]
PHST- 2016/10/27 06:00 [entrez]
AID - 10.1111/1475-6773.12594 [doi]
PST - ppublish
SO - Health Serv Res. 2016 Dec;51 Suppl 3(Suppl 3):2583-2599. doi:
10.1111/1475-6773.12594. Epub 2016 Oct 26.
PMID- 28432189
OWN - NLM
STAT- MEDLINE
DCOM- 20180604
LR - 20181113
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 26
IP - 10
DP - 2017 Oct
TI - Safety and efficiency of a new generic package labelling: a before and after
study
in a simulated setting.
PG - 817-823
LID - 10.1136/bmjqs-2016-006422 [doi]
AB - BACKGROUND: Medication errors are frequent and may cause harm to patients and
increase healthcare expenses. AIM: To explore whether a new labelling

influences
time and errors when preparing medications in accordance with medication
charts in
an experimental setting. METHOD: We carried out an uncontrolled before and
after
study with 3 months inbetween experiments. Phase I used original labelling
and phase
II used new generic labelling. We set up an experimental medicine room,
simulating a
real-life setting. Twenty-five nurses and ten pharmacy technicians
participated in
the study. We asked them to prepare medications in accordance with medication
charts, place packages on a desk and document the package prepared. We timed
the
operation. Participants were asked to prepare medications in accordance with
as many
charts as possible within 30 min. RESULTS: Nurses prepared significantly more
medication charts with the generic labelling compared with the original 3.3
versus
2.6 (p=0.009). Mean time per medication chart was significantly lower with
the
generic labelling 6.9 min/chart versus 8.5 min/chart (p<0.001). Pharmacy
technicians
were significantly faster than the nurses in both phase I (6.8 min/chart vs
9.5 min/chart; p<0.001) and phase II (6.1 min/chart vs 7.2 min/chart;
p=0.013). The
number of errors was low and not significantly different between the two
labellings,
with errors affecting 9.1% of charts in phase I versus 6.5% in phase II
(p=0.5).
CONCLUSIONS: A new labelling of medication packages with prominent placement
of the
active substance(s) and strength(s) in the front of the medication package
may
reduce time for nurses when preparing medications, without increasing
medication
errors.
not
FAU - Garcia, Beate Hennie
AU - Garcia BH
AUID- ORCID: 0000-0002-0815-0383
AD - Department of Pharmacy, Faculty of Health Sciences, UiT The Arctic University
of
Norway, Tromso, Norway.
AD - Hospital Pharmacy of North Norway Trust, Tromso, Norway.
FAU - Elenjord, Renate
AU - Elenjord R
FAU - Bjornstad, Camilla
AU - Bjornstad C
FAU - Halvorsen, Kjell Hermann
AU - Halvorsen KH
AUID- ORCID: 0000-0003-1562-1822
AD - Department of Pharmacy, Faculty of Health Sciences, UiT The Arctic University
of
Norway, Tromso, Norway.
FAU - Hortemo, Sigurd
AU - Hortemo S
AD - The Norwegian Medicines Agency, Oslo, Norway.
FAU - Madsen, Steinar
AU - Madsen S
AD - The Norwegian Medicines Agency, Oslo, Norway.
LA - eng
DEP - 20170421
TA - BMJ Qual Saf
JID - 101546984
SB - H
MH - Adult
MH - Controlled Before-After Studies
MH - Drug Labeling/*methods/standards
MH - Female
MH - Humans
MH - Male
MH - Medication Systems, Hospital/*organization & administration/standards
MH - Middle Aged
MH - Nursing Staff, Hospital/standards
MH - Pharmacy Technicians/standards
MH - Simulation Training/organization & administration
MH - Young Adult
PMC - PMC5739837
OTO - NOTNLM
OT - Hospital medicine
OT - Medical error, measurement/epidemiology
OT - Nurses
OT - Patient safety
EDAT- 2017/04/23 06:00
MHDA- 2018/06/05 06:00
CRDT- 2017/04/23 06:00
PHST- 2016/12/19 00:00 [received]
PHST- 2017/03/10 00:00 [revised]
PHST- 2017/03/22 00:00 [accepted]
PHST- 2017/04/23 06:00 [pubmed]
PHST- 2018/06/05 06:00 [medline]
PHST- 2017/04/23 06:00 [entrez]
AID - bmjqs-2016-006422 [pii]
AID - 10.1136/bmjqs-2016-006422 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2017 Oct;26(10):817-823. doi: 10.1136/bmjqs-2016-006422. Epub
2017 Apr
21.
PMID- 29276266
OWN - NLM
LR - 20191120
IS - 0018-5787 (Print)
IS - 0018-5787 (Linking)
VI - 52
IP - 6
DP - 2017 Jun
TI - Financial Effect of a Drug Distribution Model Change on a Health System.
PG - 422-427
LID - 10.1177/0018578717717379 [doi]
AB - Background: Drug manufacturers change distribution models based on patient
safety
and product integrity needs. These model changes can limit health-system
access to
medications, and the financial impact on health systems can be significant.
Objective: The primary aim of this study was to determine the health-system
financial impact of a manufacturer's change from open to limited distribution
for
bevacizumab (Avastin), rituximab (Rituxan), and trastuzumab (Herceptin). The
secondary aim was to identify opportunities to shift administration to
outpatient
settings to support formulary change. Methods: To assess the financial impact
on the
health system, the cost minus discount was applied to total drug expenditure
during
a 1-year period after the distribution model change. The opportunity analysis
was
conducted for three institutions within the health system through chart
review of
each inpatient administration. Opportunity cost was the sum of the inpatient
administration cost and outpatient administration margin. Results: The total
drug
expenditure for the study period was $26 427 263. By applying the cost minus
discount, the financial effect of the distribution model change was $1 393
606. A
total of 387 administrations were determined to be opportunities to be
shifted to
the outpatient setting. During the study period, the total opportunity cost
was $1
766 049. Conclusion: Drug expenditure increased for the health system due to
the
drug distribution model change and loss of cost minus discount. The
opportunity cost
of shifting inpatient administrations could offset the increase in
expenditure. It
is recommended to restrict bevacizumab, rituximab, and trastuzumab through
Pharmacy
& Therapeutics Committees to outpatient use where clinically appropriate.
FAU - Turingan, Erin M
AU - Turingan EM
AD - University of North Carolina Medical Center, NC, USA.
AD - UNC Eshelman School of Pharmacy, NC, USA.
FAU - Mekoba, Bijan C
AU - Mekoba BC
FAU - Eberwein, Samuel M
AU - Eberwein SM
FAU - Roberts, Patricia A
AU - Roberts PA
FAU - Pappas, Ashley L
AU - Pappas AL
FAU - Cruz, Jennifer L
AU - Cruz JL
FAU - Amerine, Lindsey B
AU - Amerine LB
LA - eng
DEP - 20170707
TA - Hosp Pharm
JID - 0043175
PMC - PMC5735704
OTO - NOTNLM
OT - drug formularies
OT - drug utilization review
OT - formulary committee
OT - hospital drug distribution systems
OT - hospital financial management
OT - hospital formulary
conflicts
this
article.
EDAT- 2017/12/26 06:00
MHDA- 2017/12/26 06:01
CRDT- 2017/12/26 06:00
PHST- 2017/12/26 06:00 [entrez]
PHST- 2017/12/26 06:00 [pubmed]
PHST- 2017/12/26 06:01 [medline]
AID - 10.1177_0018578717717379 [pii]
AID - 10.1177/0018578717717379 [doi]
PST - ppublish
SO - Hosp Pharm. 2017 Jun;52(6):422-427. doi: 10.1177/0018578717717379. Epub 2017
Jul 7.
PMID- 32563048
OWN - NLM
STAT- MEDLINE
DCOM- 20201216
LR - 20201216
IS - 1462-3889 (Linking)
VI - 47
DP - 2020 Aug
TI - Between a rock and a hard place: Registered nurses' accounts of their work
situation
in cancer care in Swedish acute care hospitals.
PG - 101778
LID - S1462-3889(20)30058-2 [pii]
LID - 10.1016/j.ejon.2020.101778 [doi]
AB - PURPOSE: Hospital organizational features related to registered nurses'
(RNs')
practice environment are often studied using quantitative measures. These are
however unable to capture nuances of experiences of the practice environment

from
the perspective of individual RNs. The aim of this study is therefore to
investigate
individual RNs' experiences of their work situation in cancer care in Swedish
acute
care hospitals. METHODS: This study is based on a qualitative framework
analysis of
data derived from an open-ended question by 200 RNs working in specialized or
general cancer care hospital units, who responded to the Swedish RN4CAST
survey on
nurse work environment. Antonovsky's salutogenic concepts "meaningfulness",
"comprehensibility", and "manageability" were applied post-analysis to
support
interpretation of results. RESULTS: RNs describe a tension between
expectations to
uphold safe, high quality care, and working in an environment where they are
unable
to influence conditions for care delivery. A lacking sense of agency, on
individual
and collective levels, points to organizational factors impeding RNs' use of
their
competence in clinical decision-making and in governing practice within their
professional scope. CONCLUSIONS: RNs in this study appear to experience work

situations which, while often described as meaningful, generally appear
neither
comprehensible nor manageable. The lack of an individual and collective sense
of
agency found here could potentially erode RNs' sense of meaningfulness and
readiness
to invest in their work.
reserved.
FAU - Smeds Alenius, Lisa
AU - Smeds Alenius L
AD - Division of Innovative Care Research, Department of Learning, Informatics,
Management and Ethics, Karolinska Institutet, Sweden. Electronic address:
lisa.smeds@ki.se.
AU - Lindqvist R
Management and Ethics, Karolinska Institutet, Sweden; Stockholm Health Care
Services
(SLSO), Region Stockholm, Sweden. Electronic address: rikard.lindqvist@ki.se.
FAU - Ball, Jane E
AU - Ball JE
Management and Ethics, Karolinska Institutet, Sweden; School of Health
Sciences,
University of Southampton, England, United Kingdom. Electronic address:
jane.ball@soton.ac.uk.
FAU - Sharp, Lena
AU - Sharp L
Management and Ethics, Karolinska Institutet, Sweden; Regionalt Cancer
Centrum (RCC)
Stockholm-Gotland, Sweden. Electronic address: lena.sharp@sll.se.
FAU - Lindqvist, Olav
AU - Lindqvist O
Management and Ethics, Karolinska Institutet, Sweden; Department of Nursing,
Umeå
University, Sweden.
AU - Tishelman C
Management and Ethics, Karolinska Institutet, Sweden; Stockholm Health Care
Services
(SLSO), Region Stockholm, Sweden; School of Health Sciences, University of
Southampton, England, United Kingdom; The Center for Rural Medicine,
Storuman,
Sweden. Electronic address: carol.tishelman@ki.se.
LA - eng
DEP - 20200612
PL - Scotland
TA - Eur J Oncol Nurs
JT - European journal of oncology nursing : the official journal of European
Oncology
Nursing Society
JID - 100885136
SB - IM
SB - N
MH - Adult
MH - Female
MH - Hospitals
MH - Humans
MH - Male
MH - Middle Aged
MH - Neoplasms/*nursing
MH - Nursing Staff, Hospital/*psychology/statistics & numerical data
MH - Patient Safety
MH - Sweden
MH - Workplace/organization & administration
MH - Young Adult
OTO - NOTNLM
OT - Hospitals
OT - Patient safety
OT - Registered nurses
OT - Workplace
COIS- Declaration of competing interest The authors have no conflicts of interest
to
disclose.
EDAT- 2020/06/21 06:00
MHDA- 2020/12/17 06:00
CRDT- 2020/06/21 06:00
PHST- 2019/12/04 00:00 [received]
PHST- 2020/05/27 00:00 [revised]
PHST- 2020/06/03 00:00 [accepted]
PHST- 2020/06/21 06:00 [pubmed]
PHST- 2020/12/17 06:00 [medline]
PHST- 2020/06/21 06:00 [entrez]
AID - S1462-3889(20)30058-2 [pii]
AID - 10.1016/j.ejon.2020.101778 [doi]
PST - ppublish
SO - Eur J Oncol Nurs. 2020 Aug;47:101778. doi: 10.1016/j.ejon.2020.101778. Epub
2020 Jun
12.
PMID- 29160426
OWN - NLM
STAT- MEDLINE
DCOM- 20171218
LR - 20191210
IS - 1807-5932 (Print)
IS - 1807-5932 (Linking)
VI - 72
IP - 10
DP - 2017 Oct
TI - Impact assessment of an automated drug-dispensing system in a tertiary
hospital.
PG - 629-636
LID - S1807-59322017001000629 [pii]
LID - 10.6061/clinics/2017(10)07 [doi]
AB - OBJECTIVE: To evaluate the costs and patient safety of a pilot implementation
of an
automated dispensing cabinet in a critical care unit of a private tertiary
hospital
in São Paulo/Brazil. METHODS: This study considered pre- (January-August
2013) and
post- (October 2013-October 2014) intervention periods. We considered the
time and
cost of personnel, number of adverse events, audit adjustments to patient
bills, and
urgent requests and returns of medications to the central pharmacy. Costs
were
evaluated based on a 5-year analytical horizon and are reported in Brazilian
Reals
(R$) and US dollars (USD). RESULTS: The observed decrease in the mean number
of
events reported with regard to the automated drug-dispensing system between
pre- and
post-implementation periods was not significant. Importantly, the numbers are
small,
which limits the power of the mean comparative analysis between the two
periods. A
reduction in work time was observed among the nurses and administrative
assistants,
whereas pharmacist assistants showed an increased work load that resulted in
an
overall 6.5 hours of work saved/day and a reduction of R$ 33,598 (USD 14,444)
during
the first year. The initial investment (R$ 206,065; USD 88,592) would have
been paid
off in 5 years considering only personnel savings. Other findings included
significant reductions of audit adjustments to patient hospital bills and
urgent
requests and returns of medications to the central pharmacy. CONCLUSIONS:
Evidence
of the positive impact of this technology on personnel time and costs and on
other
outcomes of interest is important for decision making by health managers.
FAU - de-Carvalho, Débora
AU - de-Carvalho D
AD - Farmacia, Hospital Sirio-Libanes (HSL), Sao Paulo, SP, BR.
FAU - Alvim-Borges, José Luiz
AU - Alvim-Borges JL
AD - Instituto de Ensino e Pesquisa, Hospital Sirio-Libanes (HSL), Sao Paulo, SP,
BR.
FAU - Toscano, Cristiana Maria
AU - Toscano CM
AD - Departamento de Saude Coletiva, Instituto de Patologia Tropical e Saude
Publica,
Universidade Federal de Goias, Goiania, GO, BR.
LA - eng
TA - Clinics (Sao Paulo)
JT - Clinics (Sao Paulo, Brazil)
JID - 101244734
SB - IM
MH - Brazil
MH - Equipment and Supplies, Hospital/*economics/statistics & numerical data
MH - Health Care Costs
MH - Humans
MH - Intensive Care Units/*economics/statistics & numerical data
MH - Medication Systems, Hospital/*economics/statistics & numerical data
MH - Pharmacy Service, Hospital/*economics/*methods/statistics & numerical data
MH - Tertiary Care Centers/*economics/statistics & numerical data
MH - Time Factors
PMC - PMC5666447
COIS- No potential conflict of interest was reported.
EDAT- 2017/11/22 06:00
MHDA- 2017/12/19 06:00
CRDT- 2017/11/22 06:00
PHST- 2017/02/08 00:00 [received]
PHST- 2017/05/30 00:00 [accepted]
PHST- 2017/11/22 06:00 [entrez]
PHST- 2017/11/22 06:00 [pubmed]
PHST- 2017/12/19 06:00 [medline]
AID - S1807-59322017001000629 [pii]
AID - cln_72p629 [pii]
AID - 10.6061/clinics/2017(10)07 [doi]
PST - ppublish
SO - Clinics (Sao Paulo). 2017 Oct;72(10):629-636. doi:
10.6061/clinics/2017(10)07.
PMID- 26734404
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - A simple prioritisation system to improve the electronic handover.
LID - u205385.w4127
AB - The General Medical Council (GMC) states, "A well managed, thorough and
organized
handover is crucial for ensuring the quality and safety for patient care,"
and in
their guidance on safe handover the British Medical Association (BMA) advised
that
"clinically unstable patients are known to the senior and covering
clinicians; tasks
should be prioritised; plans for further care are put in place; unstable
patients
are reviewed." The orthopaedic department at King's College Hospital, a busy
major
trauma centre in London, UK, has a significantly reduced workforce during the
weekend. The general consensus was that the ward round was taking too long,
giving
the foundation year one (FY1) doctor very little time to commit to other ward
jobs
and reviewing unstable patients, making it a stressful and challenging
environment.
The electronic patient record (EPR), an electronic programme available on all
Trust
computers, is already a very reliable way to allow safe handover of
information via
a central electronic database. However it has limitations in clearly
prioritising
more unstable patients from those needing routine review. We created an
easily
identifiable traffic light coding system that could be simply incorporated
into the
electronic handover that was re-reviewed and finalised in order to improve
the
ability to prioritise patients for senior review. This in turn would directly
impact
the efficiency of the ward round and improve patient safety. Our immediate
results
demonstrated the efficiency of the ward round improved in all parameters:
time to
complete the ward round improved from 7.1% to 50%; prioritisation and ability
to
highlight the clinical urgency for patient review improved from 15.4% to
100%; and
more notably, the clinician's impression of patient safety improved from
38.5% to
100%. Overall the introduction of an uncomplicated traffic light system
provided an
effective addition to the electronic handover structure aimed to allow
patient
prioritisation and improved efficiency during weekend hours.
FAU - Ah-Kye, Laura
AU - Ah-Kye L
AD - King's College Hospital, UK.
FAU - Moore, Madeline
AU - Moore M
AD - King's College Hospital, UK.
LA - eng
DEP - 20151201
JID - 101629512
PMC - PMC4693058
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2015/09/30 00:00 [received]
PHST- 2015/11/13 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2015 Dec 1;4(1):u205385.w4127. doi:
PMID- 30524289
OWN - NLM
LR - 20200930
IS - 1663-9812 (Print)
IS - 1663-9812 (Linking)
VI - 9
DP - 2018
TI - The Impact of Technology on Safe Medicines Use and Pharmacy Practice in the
US.
PG - 1361
LID - 10.3389/fphar.2018.01361 [doi]
LID - 1361
AB - For decades it has been suggested that pharmacists are under-utilized and
could
better use their knowledge and experience to improve the use of medicines.
The
traditional roles for pharmacists have been preparing and distributing
medicines,
but this has limited both the location where they work and the available time
to
work more closely with other healthcare professionals to improve both the
effectiveness and safety of medicines. Newly emerging technologies have made
this
possible. Examples include robotics that automate preparation and
distribution of
medicines, electronic health information, clinical decision support systems,
and
machine readable coding on medicine packaged. As a result of the use of these
technologies, pharmacists in hospitals are working outside the hospital

pharmacy and
spending more time in medication therapy management activities compared to
traditional distribution roles.
FAU - Schneider, Philip J
AU - Schneider PJ
AD - MediHealthInsight, Scottsdale, AZ, United States.
AD - Division of Pharmacy Practice and Science, College of Pharmacy, The Ohio
State
University, Columbus, OH, United States.
LA - eng
DEP - 20181120
TA - Front Pharmacol
JT - Frontiers in pharmacology
JID - 101548923
PMC - PMC6256183
OTO - NOTNLM
OT - medication technology
OT - medication therapy management
OT - patient safety
EDAT- 2018/12/14 06:00
MHDA- 2018/12/14 06:01
CRDT- 2018/12/08 06:00
PHST- 2018/06/27 00:00 [received]
PHST- 2018/11/05 00:00 [accepted]
PHST- 2018/12/08 06:00 [entrez]
PHST- 2018/12/14 06:00 [pubmed]
PHST- 2018/12/14 06:01 [medline]
AID - 10.3389/fphar.2018.01361 [doi]
PST - epublish
SO - Front Pharmacol. 2018 Nov 20;9:1361. doi: 10.3389/fphar.2018.01361.
eCollection
2018.
PMID- 30598712
OWN - NLM
LR - 20201001
IS - 1920-8642 (Print)
IS - 1920-8642 (Linking)
VI - 10
IP - 1
DP - 2019
TI - Venous thromboembolism in the emergency department: A survey of current best
practice awareness in physicians and nurses in China.
PG - 5-13
LID - 10.5847/wjem.j.1920-8642.2019.01.001 [doi]
AB - BACKGROUND: For emergency department (ED) patients, risk assessment,
prophylaxis,
early diagnosis and appropriate treatment of venous thromboembolism (VTE) are
essential for preventing morbidity and mortality. This study aimes to

investigate
knowledge amongst emergency medical staff in the management of VTE. METHODS:
We
designed a questionnaire based on multiple scales. The questionnaire was
distributed
to the medical and nursing clinical staff in the large urban ED of a medical
center
in Northern China. Data was described with percentages and the Kruskal-Wallis
test
was used to compare ranked data between different groups. The statistical
analysis
was done using the SPSS 22.0 software. RESULTS: In this survey, 180
questionnaires
were distributed and 174 valid responses (response rate of 96.67%) were
collected
and analyzed. In scores of VTE knowledge, no significant differences were
found with
respect to job (doctor vs. nurse), the number of years working in clinical
medicine,
education level, and current position, previous hospital experience and
nurses'
current work location within the ED. However, in pair wise comparison, we
found
participants who worked in ED for more than 5 years (n=83) scored
significantly
higher on the questionnaire than those under 5 years (n=91) (95.75 vs. 79.97,
P=0.039). There was a significant difference in some questions based on

gender, age,
job, and nurse work location, number of working years, education level, and
different ED working lifetime. CONCLUSION: Our survey has shown deficiencies
among
ED medical staff in knowledge and awareness of the management of VTE. We
recommend
several changes be considered, such as the introduction of an
interdisciplinary
workshop for medical staff; the introduction of a standardized VTE protocol;
a
mandatory study module on VTE for new physicians and nurses; the introduction
of a
mandatory reporting system for adverse events (including VTE).
FAU - Zhou, Wen-Hua
AU - Zhou WH
AD - Emergency Department, Peking Union Medical College Hospital, Beijing, China.
FAU - He, Jian-Qiang
AU - He JQ
FAU - Guo, Shi-Gong
AU - Guo SG
AD - Oxford Centre for Enablement, Nuffield Orthopaedic Centre, Oxford, UK.
FAU - Walline, Joseph
AU - Walline J
AD - Accident and Emergency Medicine Academic Unit, Prince of Wales Hospital, The
Chinese
University of Hong Kong, Hong Kong, China.
FAU - Liu, Xiao-Ying
AU - Liu XY
FAU - Tian, Li-Yuan
AU - Tian LY
FAU - Zhu, Hua-Dong
AU - Zhu HD
FAU - Yu, Xue-Zhong
AU - Yu XZ
FAU - Li, Yi
AU - Li Y
LA - eng
TA - World J Emerg Med
JT - World journal of emergency medicine
JID - 101549691
PMC - PMC6264982
OTO - NOTNLM
OT - Emergency
OT - Emergency doctor
OT - Emergency nurse
OT - Staff knowledge
OT - Venous thromboembolism
COIS- Conflicts of interest: The authors declare that there are no conflicts of
interest
regarding the publication of this paper.
EDAT- 2019/01/02 06:00
MHDA- 2019/01/02 06:01
CRDT- 2019/01/02 06:00
PHST- 2019/01/02 06:00 [entrez]
PHST- 2019/01/02 06:00 [pubmed]
PHST- 2019/01/02 06:01 [medline]
AID - WJEM-10-5 [pii]
AID - 10.5847/wjem.j.1920-8642.2019.01.001 [doi]
PST - ppublish
SO - World J Emerg Med. 2019;10(1):5-13. doi: 10.5847/wjem.j.1920-
8642.2019.01.001.
PMID- 29062520
OWN - NLM
LR - 20210109
IS - 2056-7529 (Print)
IS - 2056-7529 (Linking)
VI - 2
DP - 2016
TI - Patient and public involvement in patient safety research: a workshop to
review
patient information, minimise psychological risk and inform research.
PG - 19
LID - 10.1186/s40900-016-0035-x [doi]
LID - 19
AB - PLAIN ENGLISH SUMMARY: Patient safety is a growing research area. However,
although
patients and the public are increasingly involved in clinical research, there
is
little guidance on how best to involve patients in patient safety research.
Here we
focus on how patients can contribute to the design of patient safety
research. We
conducted a workshop with patients as part of a project exploring errors and
safety
in the delivery of intravenous medication (medication given via a vein). The
workshop was designed to explore how best to engage with hospital inpatients
about
these issues, to generate research topics, and to inform researchers about
patients'
experiences. Nine patients participated, each of whom had previously received
intravenous medication. Participants advised against using terms such as

'error';
they also advocated caution when using terms such as 'safety' when describing
the
study to patients as this may worry some who had not thought about these
issues
before. We received thorough and useful feedback on our patient information
sheets
to ensure they were clear and understandable to patients. Patients also
shared rich
experiences with us about their treatment, which emphasised the need to
extend our
research focus to include a wider range of factors affecting quality and
safety.
ABSTRACT: Background Patient safety has attracted increasing attention in
recent
years. This paper explores patients' contributions to informing patient
safety
research at an early stage, within a project on intravenous infusion errors.
Currently, there is little or no guidance on how best to involve patients and
the
wider public in shaping patient safety research, and indeed, whether such
efforts
are worthwhile. Method We ran a 3-hour workshop involving nine patients with
experience of intravenous therapy in the hospital setting. The first part
explored
patients' experiences of intravenous therapy. We derived research questions
from the
resulting discussion through qualitative analysis. In the second part,
patients were
asked for feedback on patient information sheets considering both content and
clarity, and on two potential approaches to framing our patient information:

one
that focused on research on safety and error, the other on quality
improvement.
Results The workshop led to a thorough review of how we should engage with
patients.
Importantly, there was a clear steer away from terms such as 'error' and
'safety'
that could worry patients. The experiences that patients revealed were also
richer
than we had anticipated, revealing different conceptions of how patients
related to
their treatment and care, their role in safety and use of medical devices,
the
different levels of information they preferred, and broader factors impacting
perceptions of their care. Conclusion Involving patients at an early stage in
patient safety research can be of great value. Our workshop highlighted

sensitivities around potentially worrying patients about risks that they
might not
have considered previously, and how to address these. Patient representatives
also
emphasised a need to expand the focus of patient safety research beyond
clinicians
and error, to include factors affecting perceptions of quality and safety for
patients more broadly.

FAU - Furniss, Dominic
AU - Furniss D
AD - UCL Interaction Centre, University College London, Gower Street, London, UK.
GRID:
grid.83440.3b. ISNI: 0000000121901201
FAU - Iacovides, Ioanna
AU - Iacovides I
GRID:
grid.83440.3b. ISNI: 0000000121901201
FAU - Lyons, Imogen
AU - Lyons I
GRID:
grid.83440.3b. ISNI: 0000000121901201
FAU - Blandford, Ann
AU - Blandford A
GRID:
grid.83440.3b. ISNI: 0000000121901201
AU - Franklin BD
NHS
Trust, London, UK. GRID: grid.417895.6. ISNI: 0000000106932181
AD - Research Department of Practice and Policy, UCL School of Pharmacy, Mezzanine
Floor,
BMA House, Tavistock Square, London, UK. GRID: grid.83440.3b. ISNI:
0000000121901201
LA - eng
DEP - 20160517
TA - Res Involv Engagem
JT - Research involvement and engagement
JID - 101708164
PMC - PMC5611588
OTO - NOTNLM
OT - Intravenous medication
OT - Patient and public involvement
OT - Patient safety
EDAT- 2016/05/17 00:00
MHDA- 2016/05/17 00:01
CRDT- 2017/10/25 06:00
PHST- 2015/12/03 00:00 [received]
PHST- 2016/05/11 00:00 [accepted]
PHST- 2017/10/25 06:00 [entrez]
PHST- 2016/05/17 00:00 [pubmed]
PHST- 2016/05/17 00:01 [medline]
AID - 35 [pii]
AID - 10.1186/s40900-016-0035-x [doi]
PST - epublish
SO - Res Involv Engagem. 2016 May 17;2:19. doi: 10.1186/s40900-016-0035-x.
eCollection
2016.
PMID- 27221286
OWN - NLM
STAT- MEDLINE
DCOM- 20170614
LR - 20191210
IS - 0031-4005 (Linking)
VI - 137
IP - 6
DP - 2016 Jun
TI - Performance of the Global Assessment of Pediatric Patient Safety (GAPPS)
Tool.
LID - e20154076 [pii]
LID - 10.1542/peds.2015-4076 [doi]
AB - BACKGROUND AND OBJECTIVE: Efforts to advance patient safety have been
hampered by
the lack of high quality measures of adverse events (AEs). This study's
objective
was to develop and test the Global Assessment of Pediatric Patient Safety
(GAPPS)
trigger tool, which measures hospital-wide rates of AEs and preventable AEs.
METHODS: Through a literature review and expert panel process, we developed a
draft
trigger tool. Tool performance was tested in 16 academic and community
hospitals
across the United States. At each site, a primary reviewer (nurse) reviewed
∼240
randomly selected medical records; 10% of records underwent an additional
primary
review. Suspected AEs were subsequently evaluated by 2 secondary reviewers
(physicians). Ten percent of records were also reviewed by external expert
reviewers. Each trigger's incidence and positivity rates were assessed to
refine
GAPPS. RESULTS: In total, 3814 medical records were reviewed. Primary
reviewers
agreed 92% of the time on presence or absence of a suspected AE (κ = 0.69).
Secondary reviewers verifying AE presence or absence agreed 92% of the time
(κ =
0.81). Using expert reviews as a standard for comparison, hospital-based
primary
reviewers had a sensitivity and specificity of 40% and 91%, respectively. As
primary
reviewers gained experience, their agreement with expert reviewers improved
significantly. After removing low-yield triggers, 27 and 30 (of 54) triggers
met
inclusion criteria to form final manual and automated trigger lists,
respectively.
CONCLUSIONS: GAPPS reliably identifies AEs and can be used to guide and
monitor
quality improvement efforts. Ongoing refinement may facilitate future
interhospital
comparisons.
FAU - Landrigan, Christopher P
AU - Landrigan CP
Hospital,
Boston, Massachusetts; Department of Pediatrics, Harvard Medical School,
Boston,
Massachusetts; Division of Sleep Medicine, Department of Medicine, Brigham
and
Women's Hospital, Harvard Medical School, Boston, Massachussets;
clandrigan@partners.org.
FAU - Stockwell, David
AU - Stockwell D
AD - Division of Critical Care Medicine, Children's National Medical Center,
Washington,
District of Columbia; Division of Critical Care Medicine, Department of
Pediatrics,
School of Medicine, George Washington University, Washington, District of
Columbia;
FAU - Toomey, Sara L
AU - Toomey SL
Hospital,
Boston,
Massachusetts;
FAU - Loren, Samuel
AU - Loren S
Hospital,
Boston, Massachusetts;
FAU - Tracy, Michaela
AU - Tracy M
Hospital,
FAU - Jang, Jisun
AU - Jang J
Hospital,
FAU - Quinn, Jessica A
AU - Quinn JA
Hospital,
FAU - Ashrafzadeh, Sepideh
AU - Ashrafzadeh S
Hospital,
FAU - Wang, Michelle
AU - Wang M
Hospital,
FAU - Sharek, Paul J
AU - Sharek PJ
AD - Division of Pediatric Hospitalist Medicine, Department of Pediatrics,
Stanford
University School of Medicine; and.
FAU - Parry, Gareth
AU - Parry G
AD - Institute for Healthcare Improvement, Cambridge, MA.
FAU - Schuster, Mark A
AU - Schuster MA
Hospital,
Boston,
Massachusetts;
LA - eng
GR - U18 HS020513/HS/AHRQ HHS/United States
PL - United States
TA - Pediatrics
JT - Pediatrics
JID - 0376422
SB - AIM
SB - IM
MH - Adolescent
MH - Child
MH - Female
MH - Humans
MH - Infant
MH - Male
MH - Medical Records
MH - Pediatrics/*standards
MH - United States
EDAT- 2016/05/26 06:00
MHDA- 2017/06/15 06:00
CRDT- 2016/05/26 06:00
PHST- 2016/03/24 00:00 [accepted]
PHST- 2016/05/26 06:00 [entrez]
PHST- 2016/05/26 06:00 [pubmed]
PHST- 2017/06/15 06:00 [medline]
AID - peds.2015-4076 [pii]
AID - 10.1542/peds.2015-4076 [doi]
PST - ppublish
SO - Pediatrics. 2016 Jun;137(6):e20154076. doi: 10.1542/peds.2015-4076.
PMID- 24728887
OWN - NLM
STAT- MEDLINE
DCOM- 20160713
LR - 20181113
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 23
IP - 9
DP - 2014 Sep
TI - An observational study: associations between nurse-reported hospital
characteristics
and estimated 30-day survival probabilities.
PG - 757-64
LID - 10.1136/bmjqs-2013-002781 [doi]
AB - BACKGROUND: There is a growing body of evidence for associations between the
work
environment and patient outcomes. A good work environment may maximise
healthcare
workers' efforts to avoid failures and to facilitate quality care that is
focused on
patient safety. Several studies use nurse-reported quality measures, but it
is
uncertain whether these outcomes are correlated with clinical outcomes. The
aim of
this study was to determine the correlations between hospital-aggregated,
nurse-assessed quality and safety, and estimated probabilities for 30-day
survival
in and out of hospital. METHODS: In a multicentre study involving almost all
Norwegian hospitals with more than 85 beds (sample size=30, information about
nurses' perceptions of organisational characteristics were collected.
Subscales from
this survey were used to describe properties of the organisations: quality
system,
patient safety management, nurse-physician relationship, staffing adequacy,
quality
of nursing and patient safety. The average scores for these organisational
characteristics were aggregated to hospital level, and merged with estimated
probabilities for 30-day survival in and out of hospital (survival
probabilities)
from a national database. In this observational, ecological study, the
relationships
between the organisational characteristics (independent variables) and
clinical
outcomes (survival probabilities) were examined. RESULTS: Survival
probabilities
were correlated with nurse-assessed quality of nursing. Furthermore, the
subjective
perception of staffing adequacy was correlated with overall survival.
CONCLUSIONS:
This study showed that perceived staffing adequacy and nurses' assessments of
quality of nursing were correlated with survival probabilities. It is

suggested that
the way nurses characterise the microsystems they belong to, also reflects
the
general performance of hospitals.
not
FAU - Tvedt, Christine
AU - Tvedt C
AD - Department of Quality Measurement and Patient Safety, The Norwegian Knowledge
Centre
for the Health Services, Oslo, Norway Institute of Health and Society,
University of
Oslo, Oslo, Norway.
AU - Sjetne IS
Centre
for the Health Services, Oslo, Norway.
FAU - Helgeland, Jon
AU - Helgeland J
Centre
FAU - Bukholm, Geir
AU - Bukholm G
AD - Department of Chemistry, Biotechnology and Food Science, Norwegian University
of
Life Sciences, Aas, Norway.
LA - eng
DEP - 20140412
TA - BMJ Qual Saf
JID - 101546984
SB - H
MH - Humans
MH - Norway
MH - Probability
MH - Quality Assurance, Health Care/*methods
MH - Quality of Health Care/standards
PMC - PMC4145461
OTO - NOTNLM
OT - health service research
OT - mortality
OT - nurse-reported outcome
OT - organizational characteristics
OT - patient safety
OT - quality indicator
OT - quality of care
EDAT- 2014/04/15 06:00
MHDA- 2016/07/14 06:00
CRDT- 2014/04/15 06:00
PHST- 2014/04/15 06:00 [entrez]
PHST- 2014/04/15 06:00 [pubmed]
PHST- 2016/07/14 06:00 [medline]
AID - bmjqs-2013-002781 [pii]
AID - 10.1136/bmjqs-2013-002781 [doi]
PST - ppublish
2014 Apr
12.
PMID- 28424074
OWN - NLM
STAT- MEDLINE
DCOM- 20170606
LR - 20181202
IS - 1472-6963 (Linking)
VI - 17
IP - 1
DP - 2017 Apr 19
TI - Implementation and adaptation of the Re-Engineered Discharge (RED) in five
California hospitals: a qualitative research study.
PG - 291
LID - 10.1186/s12913-017-2242-z [doi]
LID - 291
AB - BACKGROUND: Project Re-Engineered Discharge (RED) is an evidence-based
strategy to
reduce readmissions disseminated and adapted by various health systems across
the
country. To date, little is known about how adapting Project RED from its
original
protocol impacts RED implementation and/or sustainability. The goal of this
study
was to identify and characterize contextual factors influencing how five
California
hospitals adapted and implemented RED and the subsequent impact on RED
program
sustainability. METHODS: Participant observation and key informant and focus
group
interviews with 64 individuals at five California hospitals implementing RED
in 2012
and 2013 were conducted. These involved hospital leadership, personnel
responsible
for Project RED implementation, hospital staff, and clinicians. Interview
transcripts were coded and analyzed using a modified grounded theory approach
and
constant comparative analysis. RESULTS: Both internal and external contextual
factors were identified that influenced hospitals' decisions on RED

adaptation and
implementation. These also impacted RED sustainability. External factors
included:
impending federal penalties for hospitals with high readmission rates
targeting
specific diagnoses, and access to external funding and technical support to
help
hospitals implement RED. Internal or organizational level contextual factors
included: committed leadership prioritizing Project RED; RED adaptations;
depth,
accountability and influence of the implementation team; sustainability
planning;
and hospital culture. Only three of the five hospitals continued Project RED
beyond
the implementation period. CONCLUSIONS: The sustainability of RED in
participating
hospitals was only possible when hospitals approached RED implementation as a
transformational process rather than a patient safety project, maintained a

high
level of fidelity to the RED protocol, and had leadership and an
implementation team
who embraced change and failure in the pursuit of better patient care and
outcomes.
Hospitals who were unsuccessful in implementing a sustainable RED process
lacked all
or most of these components in their approach.
FAU - Mitchell, S E
AU - Mitchell SE
AD - Department of Family Medicine, Boston Medical Center, 751 Albany St Dowling
building
5th floor south, Boston, MA, 02118, USA. Suzanne.mitchell@bmc.org.
FAU - Weigel, G M
AU - Weigel GM
building
5th floor south, Boston, MA, 02118, USA.
FAU - Laurens, V
AU - Laurens V
building
FAU - Martin, J
AU - Martin J
building
FAU - Jack, B W
AU - Jack BW
building
LA - eng
DEP - 20170419
JID - 101088677
SB - IM
MH - California
MH - Focus Groups
MH - *Hospitals
MH - Humans
MH - Leadership
MH - Patient Safety
MH - Personnel, Hospital
MH - *Program Development
PMC - PMC5397802
OTO - NOTNLM
OT - *Adaptation
OT - *Discharge
OT - *Fidelity
OT - *Hospital culture
OT - *Implementation
OT - *Leadership
OT - *Readmissions
OT - *Sustainability
EDAT- 2017/04/21 06:00
MHDA- 2017/06/07 06:00
CRDT- 2017/04/21 06:00
PHST- 2016/01/29 00:00 [received]
PHST- 2017/04/11 00:00 [accepted]
PHST- 2017/04/21 06:00 [entrez]
PHST- 2017/04/21 06:00 [pubmed]
PHST- 2017/06/07 06:00 [medline]
AID - 10.1186/s12913-017-2242-z [pii]
AID - 2242 [pii]
AID - 10.1186/s12913-017-2242-z [doi]
PST - epublish
SO - BMC Health Serv Res. 2017 Apr 19;17(1):291. doi: 10.1186/s12913-017-2242-z.
PMID- 28469904
OWN - NLM
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 6
IP - 1
DP - 2017
TI - Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic
Ward.
LID - u212695.w5059
AB - Junior Doctors working on the Orthopaedic wards at a district general
hospital
identified the lack of a formal weekend handover. The Royal Colleges,GMC and
Foundation Programme curriculum all emphasise the importance of a safe and
effective
handover. Doctors found that the current system of using a written, paper-
based
handover was unreliable, un-legible, and inefficient. Baseline measurements
were
sought in the form of a questionnaire which allowed us to obtain the
limitations to
the current handover. After this and a focus group, a new electronic,
'Microsoft
Word' based handover was created and a repeat surgery issued in 2 weeks.
Further
PDSA cycles over the course of 8 weeks helped to improve and implement the
new
handover. The overall rating, out of 10, of the new handover increased from
3.4 to
8. Doctors felt the new handover was safer for patients and could be used as
a tool
for reviewing or referring patients. This project describes the use of a
simple,
cost-effective intervention that helped to improve patient safety and staff
satisfaction.
FAU - Maroo, Siddharth
AU - Maroo S
AD - Pilgrim Hospital, United Lincolnshire Hospitals NHS Trust, UK.
FAU - Raj, Dipak
AU - Raj D
AD - Pilgrim Hospital, United Lincolnshire Hospitals NHS Trust, UK.
LA - eng
DEP - 20170428
JID - 101629512
PMC - PMC5411720
EDAT- 2017/05/05 06:00
MHDA- 2017/05/05 06:01
CRDT- 2017/05/05 06:00
PHST- 2016/05/02 00:00 [received]
PHST- 2016/05/03 00:00 [revised]
PHST- 2017/05/05 06:00 [entrez]
PHST- 2017/05/05 06:00 [pubmed]
PHST- 2017/05/05 06:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2017 Apr 28;6(1):u212695.w5059. doi:
PMID- 29137552
OWN - NLM
STAT- MEDLINE
DCOM- 20190813
LR - 20200710
IS - 0969-7330 (Print)
IS - 0969-7330 (Linking)
VI - 26
IP - 4
DP - 2019 Jun
TI - Clinical governance breakdown: Australian cases of wilful blindness and
whistleblowing.
PG - 1039-1049
LID - 10.1177/0969733017731917 [doi]
AB - BACKGROUND: After their attempts to have patient safety concerns addressed
internally were ignored by wilfully blind managers, nurses from Bundaberg
Base
Hospital and Macarthur Health Service felt compelled to 'blow the whistle'.
Wilful
blindness is the human desire to prefer ignorance to knowledge; the
responsibility
to be informed is shirked. OBJECTIVE: To provide an account of instances of
wilful
blindness identified in two high-profile cases of nurse whistleblowing in
Australia.
RESEARCH DESIGN: Critical case study methodology using Fay's Critical Social
Theory
to examine, analyse and interpret existing data generated by the Commissions
of
Inquiry held into Bundaberg Base Hospital and Macarthur Health Service
patient
safety breaches. All data was publicly available and assessed according to
the
requirements of unobtrusive research methods and secondary data analysis.
ETHICAL
CONSIDERATIONS: Data collection for the case studies relied entirely on
publicly
available documentary sources recounting and detailing past events. FINDINGS:
Data
from both cases reveal managers demonstrating wilful blindness towards
patient
safety concerns. Concerns were unaddressed; nurses, instead, experienced
retaliatory
responses leading to a 'social crisis' in the organisation and to
whistleblowing.
CONCLUSION: Managers tasked with clinical governance must be aware of
mechanisms
with the potential to blind them. The human tendency to favour positive news
and
avoid conflict is powerful. Understanding wilful blindness can assist
managers'
awareness of the competing emotions occurring in response to ethical
challenges,
such as whistleblowing.
FAU - Cleary, Sonja
AU - Cleary S
AD - RMIT University, Australia.
FAU - Duke, Maxine
AU - Duke M
AD - Deakin University, Australia.
LA - eng
DEP - 20171114
TA - Nurs Ethics
JT - Nursing ethics
JID - 9433357
MH - Australia
MH - Clinical Governance/*standards/trends
MH - Ethics, Nursing
MH - Humans
MH - Whistleblowing/*ethics/*psychology
PMC - PMC7323747
OTO - NOTNLM
OT - Nurses
OT - nursing
OT - reporting
OT - whistleblowing
OT - wilful blindness
COIS- Conflict of interest: The author(s) declared no potential conflicts of
interest with
respect to the research, authorship and/or publication of this article.
EDAT- 2017/11/16 06:00
MHDA- 2019/08/14 06:00
CRDT- 2017/11/16 06:00
PHST- 2017/11/16 06:00 [pubmed]
PHST- 2019/08/14 06:00 [medline]
PHST- 2017/11/16 06:00 [entrez]
AID - 10.1177_0969733017731917 [pii]
AID - 10.1177/0969733017731917 [doi]
PST - ppublish
SO - Nurs Ethics. 2019 Jun;26(4):1039-1049. doi: 10.1177/0969733017731917. Epub
2017 Nov
14.
PMID- 28370904
OWN - NLM
STAT- MEDLINE
DCOM- 20180507
LR - 20210109
IS - 1356-1294 (Print)
IS - 1356-1294 (Linking)
VI - 23
IP - 4
DP - 2017 Aug
TI - Repeat prescribing of medications: A system-centred risk management model for
primary care organisations.

PG - 779-796
LID - 10.1111/jep.12718 [doi]
AB - RATIONALE, AIMS AND OBJECTIVES: Reducing preventable harm from repeat
medication
prescriptions is a patient safety priority worldwide. In the United Kingdom,
repeat
prescriptions items issued has doubled in the last 20 years from 5.8 to 13.3
items
per patient per annum. This has significant resource implications and
consequences
for avoidable patient harms. Consequently, we aimed to test a risk management
model
to identify, measure, and reduce repeat prescribing system risks in primary
care.
METHODS: All 48 general medical practices in National Health Service (NHS)
Lambeth
Clinical Commissioning Group (an inner city area of south London in England)
were
recruited. Multiple interventions were implemented, including educational
workshops,
a web-based risk monitoring system, and external reviews of repeat
prescribing
system risks by clinicians. Data were collected via documentation reviews and
interviews and subject to basic thematic and descriptive statistical

analyses.
RESULTS: Across the 48 participating general practices, 62 unique repeat
prescribing
risks were identified on 505 occasions (eg, practices frequently experiencing
difficulty interpreting medication changes on hospital discharge summaries),

equating to a mean of 8.1 risks per practice (range: 1-33; SD = 7.13). Seven
hundred
sixty-seven system improvement actions were recommended across 96 categories
(eg,
alerting hospitals to illegible writing and delays with discharge summaries)
with a
mean of 15.6 actions per practice (range: 0-34; SD = 8.0). CONCLUSIONS: The
risk
management model tested uncovered important safety concerns and facilitated
the
development and communication of related improvement recommendations. System-
wide
information on hazardous repeat prescribing and how this could be mitigated
is very
limited. The approach reported may have potential to close this gap and
improve the
reliability of general practice systems and patient safety, which should be
of high
interest to primary care organisations internationally.
CI - © 2017 The Authors Journal of Evaluation in Clinical Practice Published by
John
Wiley & Sons Ltd.
FAU - Price, Julie
AU - Price J
AD - Medical Protection Society, Leeds, UK.
FAU - Man, Shu Ling
AU - Man SL
AD - NHS Lambeth Clinical Commissioning Group, London, UK.
FAU - Bartlett, Stephen
AU - Bartlett S
AD - Invigilatis, London, UK.
FAU - Taylor, Kate
AU - Taylor K
FAU - Dinwoodie, Mark
AU - Dinwoodie M
FAU - Bowie, Paul
AU - Bowie P
AUID- ORCID: 0000-0001-6027-2559
AD - Institute of Health and Wellbeing, University of Glasgow, UK.
LA - eng
DEP - 20170331
TA - J Eval Clin Pract
JT - Journal of evaluation in clinical practice
JID - 9609066
SB - IM
MH - Drug Prescriptions/standards/*statistics & numerical data
MH - Education, Medical, Continuing/organization & administration
MH - General Practice/standards/*statistics & numerical data
MH - Guideline Adherence
MH - Humans
MH - Patient Safety/standards/*statistics & numerical data
MH - *Polypharmacy
MH - Practice Patterns, Physicians'/standards/*statistics & numerical data
MH - Quality of Health Care/organization & administration
MH - Risk Management
MH - State Medicine/standards/statistics & numerical data
MH - United Kingdom
PMC - PMC5763272
OTO - NOTNLM
OT - information technology
OT - patient safety
OT - primary care
OT - risk management
EDAT- 2017/04/04 06:00
MHDA- 2018/05/08 06:00
CRDT- 2017/04/04 06:00
PHST- 2016/09/08 00:00 [received]
PHST- 2017/01/10 00:00 [revised]
PHST- 2017/01/11 00:00 [accepted]
PHST- 2017/04/04 06:00 [pubmed]
PHST- 2018/05/08 06:00 [medline]
PHST- 2017/04/04 06:00 [entrez]
AID - JEP12718 [pii]
AID - 10.1111/jep.12718 [doi]
PST - ppublish
SO - J Eval Clin Pract. 2017 Aug;23(4):779-796. doi: 10.1111/jep.12718. Epub 2017
Mar 31.
PMID- 27635598
OWN - NLM
STAT- MEDLINE
DCOM- 20170508
LR - 20181113
IS - 0025-7079 (Print)
IS - 0025-7079 (Linking)
VI - 55
IP - 4
DP - 2017 Apr
TI - A Race to the Top? Competitive Pressure and Magnet Adoption Among US
Hospitals
1997-2012.
PG - 384-390
LID - 10.1097/MLR.0000000000000650 [doi]
AB - BACKGROUND: Care quality continues to be a focal point within US health care.
One
quality innovation is the Magnet recognition program for hospitals, which is
a
nurse-driven initiative emphasizing care and patient-safety improvements. To
date,
Magnet hospitals have been associated with better outcomes, but their
distribution
is highly uneven. Relatedly, little research has characterized what factors
drive
Magnet adoption (eg, competitive pressure from other hospitals). OBJECTIVE:
To
examine if hospitals respond to more competing hospitals becoming Magnets by
also
becoming Magnet institutions. RESEARCH DESIGN: We use longitudinal data from
the
American Hospital Association, 1997-2012, and estimate hospital-level fixed-
effect
regressions to capture the association between Magnet adoption among
competitors and
a hospital's own likelihood of becoming a Magnet. We also explore
heterogeneity in
the relationships according to a hospital's standing within its market.
RESULTS:
Having more competitors become Magnets strongly predicts that a given
hospital seeks
Magnet recognition; yet, a hospital's market position and prevailing
competition
levels are moderating influences. CONCLUSIONS: A large literature links
Magnet
hospitals with better outcomes for patients and nurses, and more recent
evidence
suggests a business case for becoming a Magnet. We find evidence that
hospitals seem
motivated by competitive pressure, which suggests economic considerations in
the
decision to invest in costly care improvements.
FAU - Richards, Michael R
AU - Richards MR
AD - *Department of Health Policy, Vanderbilt University, Nashville, TN †Center
for
Health Outcomes and Policy Research, School of Nursing, University of
Pennsylvania,
Philadelphia, PA.
FAU - Lasater, Karen
AU - Lasater K
FAU - McHugh, Matthew
AU - McHugh M
LA - eng
TA - Med Care
JT - Medical care
JID - 0230027
SB - IM
MH - American Hospital Association
MH - *Economic Competition
MH - *Hospitals
MH - Humans
MH - Nursing Staff, Hospital/*standards
MH - United States
PMC - PMC5352515
MID - NIHMS809105
EDAT- 2016/09/17 06:00
MHDA- 2017/05/10 06:00
CRDT- 2016/09/17 06:00
PHST- 2016/09/17 06:00 [pubmed]
PHST- 2017/05/10 06:00 [medline]
PHST- 2016/09/17 06:00 [entrez]
AID - 10.1097/MLR.0000000000000650 [doi]
PST - ppublish
SO - Med Care. 2017 Apr;55(4):384-390. doi: 10.1097/MLR.0000000000000650.
PMID- 27216363
OWN - NLM
STAT- MEDLINE
DCOM- 20171220
LR - 20180322
IS - 0885-3924 (Linking)
VI - 51
IP - 6
DP - 2016 Jun
TI - Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-
Hospice
Handoffs.
PG - 959-962.e2
LID - S0885-3924(16)30100-2 [pii]
LID - 10.1016/j.jpainsymman.2016.01.012 [doi]
AB - CONTEXT: Patient handoffs are an increasingly emphasized skill in medical and
nursing education, and handoff education is required by the Accreditation

Council
for Graduate Medical Education. Traditional handoff tools lack content that
is
unique to hospice and palliative medicine. OBJECTIVES: The objective of the
study
was to develop a comprehensive curriculum to teach and assess patient
handoffs in
hospice and palliative medicine fellowships. METHODS: Eight hospice
physicians,
nurse practitioners, and nurses were interviewed to determine core content
for a
hospital-to-hospice handoff. This content was used to create a verbal handoff
template and direct observation assessment tool, which were reviewed by the
same
hospice providers for content validity. The handoff template was taught to
two
groups of palliative medicine fellows and one group of internal medicine
residents
using an interactive didactic and role play, and feedback was obtained to
further
refine the curriculum. RESULTS: After refinement, the complete handoff
curriculum
(verbal handoff template, didactic with role play, assessment by faculty
using
direct observation tool) was successfully integrated into a hospice and
palliative
medicine fellowship, satisfying Accreditation Council for Graduate Medical
Education
requirements related to transitions in care. CONCLUSION: The hospital-to-
hospice
handoff is a unique opportunity to teach patient safety in a palliative
medicine
context.
CI - Copyright © 2016 American Academy of Hospice and Palliative Medicine.
Published by
Elsevier Inc. All rights reserved.
FAU - Darrah, Neha J
AU - Darrah NJ
AD - Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California,
USA.
FAU - O'Connor, Nina R
AU - O'Connor NR
AD - Department of Medicine, University of Pennsylvania Perelman School of
Medicine,
Philadelphia, Pennsylvania, USA. Electronic address:
nina.o'connor@uphs.upenn.edu.
LA - eng
DEP - 20160520
PL - United States
TA - J Pain Symptom Manage
JT - Journal of pain and symptom management
JID - 8605836
SB - IM
MH - *Curriculum
MH - *Education, Medical, Graduate
MH - *Education, Nursing, Continuing
MH - Female
MH - *Hospice Care
MH - Humans
MH - Internship and Residency
MH - Male
MH - Nurse Practitioners/education
MH - Nurses
MH - Palliative Medicine
MH - Physicians
OTO - NOTNLM
OT - *Palliative care
OT - *graduate medical education
OT - *hospice
OT - *patient handoff
EDAT- 2016/05/25 06:00
MHDA- 2017/12/21 06:00
CRDT- 2016/05/25 06:00
PHST- 2016/01/23 00:00 [received]
PHST- 2016/03/07 00:00 [accepted]
PHST- 2016/05/25 06:00 [entrez]
PHST- 2016/05/25 06:00 [pubmed]
PHST- 2017/12/21 06:00 [medline]
AID - S0885-3924(16)30100-2 [pii]
AID - 10.1016/j.jpainsymman.2016.01.012 [doi]
PST - ppublish
SO - J Pain Symptom Manage. 2016 Jun;51(6):959-962.e2. doi:
10.1016/j.jpainsymman.2016.01.012. Epub 2016 May 20.
PMID- 27538362
OWN - NLM
DCOM- 20160819
LR - 20200930
IS - 1929-0748 (Print)
IS - 1929-0748 (Linking)
VI - 5
IP - 3
DP - 2016 Aug 18
TI - Designing an Adverse Drug Event Reporting System to Prevent Unintentional
Reexposures to Harmful Drugs: Study Protocol for a Multiple Methods Design.
PG - e169
LID - 10.2196/resprot.5967 [doi]
LID - e169
AB - BACKGROUND: Adverse drug events (ADEs) are unintended and harmful events
related to
medication use. Up to 30% of serious ADEs recur within six months because
culprit
drugs are unintentionally represcribed and redispensed. Improving the
electronic
communication of ADE information between care providers, and across care
settings,
has the potential to reduce recurrent ADEs. OBJECTIVE: We aim to describe the
methods used to design Action ADE, a novel electronic ADE reporting system
that can
be leveraged to prevent unintentional reexposures to harmful drugs in British
Columbia, Canada. METHODS: To develop the new system, our team will use
action
research and participatory design, approaches that employ social scientific
research
methods and practitioner participation to generate insights into work
settings and
problem resolution. We will develop a systematic search strategy to review
existing
ADE reporting systems identified in academic and grey literature, and analyze
the
content of these systems to identify core data fields used to communicate ADE
information. We will observe care providers in the emergency departments and

on the
wards of two urban tertiary hospitals and one urban community hospital, in
one rural
ambulatory care center, and in three community pharmacies in British
Columbia,
Canada. We will also conduct participatory workshops with providers to
understand
their needs and priorities related to communicating ADEs and preventing
erroneous
represcribing or redispensing of culprit medications. These methods will
inform the
iterative development of a preliminary paper-based reporting form, which we
will
then pilot test with providers in a real-world setting. RESULTS: This is an
ongoing
project with results being published as analyses are completed. The
systematic
review has been completed; field observations, focus groups, and pilot
testing of a
preliminary paper-based design are ongoing. Results will inform the
development of
software that will enable clinically useful user-friendly documentation and
communication of ADEs. CONCLUSIONS: We take this approach with the
recognition that
information technology-based solutions in health care often fall short of
expectations as a result of designers' failure to account for organizational
and
work practice considerations, and the needs of end-users. We describe how
integrating qualitative methods into an iterative participatory design
process
(planned in partnership with end-users) will allow us to address specific
clinical
needs, conceptualize linkages between systems, integrate the reporting system
into
clinicians' workflow, and design the system to optimize its uptake into
practice.
FAU - Peddie, David
AU - Peddie D
AUID- ORCID: 0000-0001-5571-2302
AD - Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health
Research
Institute, Vancouver, BC, Canada. dpeddie@sfu.ca.
FAU - Small, Serena S
AU - Small SS
AUID- ORCID: 0000-0003-3627-9042
FAU - Badke, Katherin
AU - Badke K
AUID- ORCID: 0000-0002-5415-7236
FAU - Wickham, Maeve E
AU - Wickham ME
AUID- ORCID: 0000-0003-0693-2223
FAU - Bailey, Chantelle
AU - Bailey C
AUID- ORCID: 0000-0002-2221-8647
FAU - Chruscicki, Adam
AU - Chruscicki A
AUID- ORCID: 0000-0002-8796-8182
FAU - Ackerley, Christine
AU - Ackerley C
AUID- ORCID: 0000-0003-0149-4009
FAU - Balka, Ellen
AU - Balka E
AUID- ORCID: 0000-0003-2094-7907
FAU - Hohl, Corinne M
AU - Hohl CM
AUID- ORCID: 0000-0002-9210-7838
LA - eng
DEP - 20160818
TA - JMIR Res Protoc
JT - JMIR research protocols
JID - 101599504
PMC - PMC5010650
OTO - NOTNLM
OT - action research
OT - adverse drug event
OT - adverse drug reaction reporting systems
OT - focus groups
OT - methods
OT - qualitative research
OT - systematic review
OT - user-centered design
EDAT- 2016/08/20 06:00
MHDA- 2016/08/20 06:01
CRDT- 2016/08/20 06:00
PHST- 2016/05/26 00:00 [received]
PHST- 2016/07/20 00:00 [accepted]
PHST- 2016/07/12 00:00 [revised]
PHST- 2016/08/20 06:00 [entrez]
PHST- 2016/08/20 06:00 [pubmed]
PHST- 2016/08/20 06:01 [medline]
AID - 10.2196/resprot.5967 [doi]
PST - epublish
SO - JMIR Res Protoc. 2016 Aug 18;5(3):e169. doi: 10.2196/resprot.5967.
PMID- 23758423
OWN - NLM
STAT- MEDLINE
DCOM- 20140318
LR - 20130613
IS - 1091-3734 (Linking)
VI - 18
IP - 2
DP - 2013 May 31
TI - Hospital-based fall program measurement and improvement in high reliability
organizations.
PG - 5
AB - Falls and fall injuries in hospitals are the most frequently reported adverse
event
among adults in the inpatient setting. Advancing measurement and improvement
around
falls prevention in the hospital is important as falls are a nurse sensitive
measure
and nurses play a key role in this component of patient care. A framework for
applying the concepts of high reliability organizations to falls prevention
programs
is described, including discussion of the core characteristics of such a
model and
determining the impact at the patient, unit, and organizational level. This
article
showcases the components of a patient safety culture and the integration of
these
components with fall prevention, the role of nurses, and high reliability.
FAU - Quigley, Patricia A
AU - Quigley PA
AD - Patricia.Quigley@va.gov
FAU - White, Susan V
AU - White SV
LA - eng
DEP - 20130531
PL - United States
TA - Online J Issues Nurs
JT - Online journal of issues in nursing
JID - 9806525
SB - IM
SB - N
MH - Humans
MH - Inpatients
MH - Nursing Staff, Hospital/*organization & administration/standards
MH - Safety Management/*organization & administration/standards
EDAT- 2013/06/14 06:00
MHDA- 2014/03/19 06:00
CRDT- 2013/06/14 06:00
PHST- 2013/06/14 06:00 [entrez]
PHST- 2013/06/14 06:00 [pubmed]
PHST- 2014/03/19 06:00 [medline]
AID - Vol-18-2013/No2-May-2013/Fall-Program-Measurement.html [pii]
PST - epublish
SO - Online J Issues Nurs. 2013 May 31;18(2):5.
PMID- 29438599
OWN - NLM
STAT- MEDLINE
DCOM- 20181024
LR - 20181024
IS - 1742-7835 (Linking)
VI - 123
IP - 2
DP - 2018 Aug
TI - Fatal Adverse Event with Dabigatran in Elderly Patient with Reduced Kidney
Function.
PG - 221-226
LID - 10.1111/bcpt.12985 [doi]
AB - An elderly man with decreased kidney function was admitted to hospital with
gastrointestinal bleeding. After remaining stable for 2 days in hospital, he
became
haemodynamically unstable and an adverse effect of dabigatran was suspected,
but
efforts to treat the patient failed and the following morning he passed away.
In
conjunction with the autopsy, blood samples from his hospital stay were
analysed for
dabigatran, revealing the highest concentration (6400 ng/mL) apparently
reported to
date. Supra-therapeutic dosing was, however, never suspected. Dabigatran is
largely
excreted through the kidneys. A possible cause of the high dabigatran
concentrations
could be a rapid decrease in kidney function that seemingly occurred over a
period
of 2 months, sometime between his initiation of treatment (eGFR 51-55
mL/min/1.73
m(2) ) and subsequent hospital admission (eGFR 31 mL/min/1.73 m(2) ). The
increasing
dabigatran concentrations in the patient was, however, not apparent to the
prescribing doctor, as therapeutic drug monitoring of dabigatran is not
recommended
in current guidelines and no such analyses were performed. There may be a
need to
evaluate blood concentrations of dabigatran, in the light of the reported
differences in interindividual concentrations, along with the increased risks
of
thromboembolic events with lower concentrations and major bleeding events
with
higher concentrations. Functional assays to assess concentrations of
dabigatran in
blood have been developed and are available in some hospitals to be used in
suspected overdoses or before emergency surgeries. Methods to determine
concentrations of dabigatran specifically have also been developed and can
additionally be used for therapeutic drug monitoring in an outpatient
setting,
especially in high-risk individuals.
CI - © 2018 Nordic Association for the Publication of BCPT (former Nordic
Pharmacological
Society).
FAU - Havig, Stine Marie
AU - Havig SM
AD - Division of Laboratory Medicine, Department of Forensic Sciences, Oslo
University
Hospital, Oslo, Norway.
AD - Division of Laboratory Medicine, Department of Pharmacology, Oslo University
FAU - Lea, Dordi
AU - Lea D
AD - Department of Pathology, Stavanger University Hospital, Stavanger, Norway.
FAU - Krpo, Maja
AU - Krpo M
University
FAU - Skari, Ragnhild Margrete
AU - Skari RM
University
FAU - Gustavsen, Ingebjørg
AU - Gustavsen I
AD - Division of Laboratory Medicine, Department of Pharmacology, Oslo University
FAU - Høiseth, Gudrun
AU - Høiseth G
University
AD - Department of Psychopharmacology, Diakonhjemmet Hospital, Oslo, Norway.
LA - eng
PT - Case Reports
DEP - 20180406
PL - England
TA - Basic Clin Pharmacol Toxicol
JT - Basic & clinical pharmacology & toxicology
JID - 101208422
RN - 0 (Antithrombins)
RN - I0VM4M70GC (Dabigatran)
SB - IM
MH - Antithrombins/*adverse effects
MH - Atrial Fibrillation/*drug therapy
MH - Dabigatran/*adverse effects
MH - Fatal Outcome
MH - Gastrointestinal Hemorrhage/chemically induced
MH - Humans
MH - International Normalized Ratio
MH - Kidney/physiopathology
MH - Male
MH - Renal Insufficiency/*physiopathology
EDAT- 2018/02/14 06:00
MHDA- 2018/10/26 06:00
CRDT- 2018/02/14 06:00
PHST- 2017/11/09 00:00 [received]
PHST- 2018/02/04 00:00 [accepted]
PHST- 2018/02/14 06:00 [pubmed]
PHST- 2018/10/26 06:00 [medline]
PHST- 2018/02/14 06:00 [entrez]
AID - 10.1111/bcpt.12985 [doi]
PST - ppublish
SO - Basic Clin Pharmacol Toxicol. 2018 Aug;123(2):221-226. doi:
10.1111/bcpt.12985. Epub
2018 Apr 6.
PMID- 26877881
OWN - NLM
DCOM- 20160215
LR - 20200930
IS - 2054-2704 (Print)
IS - 2054-2704 (Linking)
VI - 7
IP - 2
DP - 2016 Feb
TI - Delays and interruptions in the acute medical unit clerking process: an
PG - 2054270415619323
LID - 10.1177/2054270415619323 [doi]
LID - 2054270415619323
AB - OBJECTIVES: It is recommended that patients are seen within 4 h of arrival in
Acute
Medical Units in English hospitals. This study explored the frequency and
nature of
interruptions and delays potentially affecting the duration of the Acute
Medical
Unit admission process and the quality of care provided. DESIGN: The
admission
process was directly observed for patients admitted to the Acute Medical Unit
over
four one-week periods, November 2009 to April 2011. SETTING: UK teaching
hospital
Acute Medical Unit. PARTICIPANTS: Hospital staff n = 36. MAIN OUTCOME
MEASURES:
Patient waiting times, duration of clerking, number of interruptions and/or
delays.
RESULTS: Thirty-five doctors and one nurse practitioner were observed
admitting 71
medical patients, 48/71 (68%) patients were clerked within 4 h of arrival. A
delay
and/or interruption affected 49/71 (69%) patients. Sixty-six interruptions
were
observed in 36/71 (51%) of admissions, of these 19/36 (53%) were interrupted
more
than once. The grade of doctor had no bearing on the frequency of
interruption;
however, clerking took significantly longer when interrupted; overall doctors
grade
ST1 and above were quicker at clerking than foundation doctors. Delays
affected
31/71 (44%) of admissions, 14/31 (45%) involved X-rays or ECGs; other causes
of
delays included problems with equipment and computers. CONCLUSION:
Interruptions and
delays regularly occurred during the admission process in the study hospital
which
impacts adversely on patient experience and compliance with the recommended
4-h
timeframe, further work is required to assess the impact on patient safety.
Data
obtained from this observational study were used to guide operational changes
to
improve the process.
FAU - Basey, Avril J
AU - Basey AJ
AD - Royal Liverpool University Hospital, Liverpool, L7 8XP, UK; School of
Pharmacy and
Biomolecular Sciences, Liverpool John Moores University, Liverpool, L3 3AF,
UK.
FAU - Kennedy, Thomas D
AU - Kennedy TD
AD - Royal Liverpool University Hospital, Liverpool, L7 8XP, UK.
FAU - Mackridge, Adam J
AU - Mackridge AJ
AD - School of Pharmacy and Biomolecular Sciences, Liverpool John Moores
University,
Liverpool, L3 3AF, UK.
FAU - Krska, Janet
AU - Krska J
AD - Medway School of Pharmacy, The Universities of Greenwich and Kent at Medway,
Anson
Building, Central Avenue, Chatham Maritime, Chatham, Kent, ME4 4TB, UK.
LA - eng
DEP - 20160122
TA - JRSM Open
JT - JRSM open
JID - 101625786
PMC - PMC4737975
OTO - NOTNLM
OT - Acute medical unit
OT - admission
OT - clerking
OT - interruption
OT - medical history taking
OT - waiting time
EDAT- 2016/02/16 06:00
MHDA- 2016/02/16 06:01
CRDT- 2016/02/16 06:00
PHST- 2016/02/16 06:00 [entrez]
PHST- 2016/02/16 06:00 [pubmed]
PHST- 2016/02/16 06:01 [medline]
AID - 10.1177_2054270415619323 [pii]
AID - 10.1177/2054270415619323 [doi]
PST - epublish
SO - JRSM Open. 2016 Jan 22;7(2):2054270415619323. doi: 10.1177/2054270415619323.
eCollection 2016 Feb.
PMID- 26062608
OWN - NLM
STAT- MEDLINE
DCOM- 20160525
LR - 20200306
IS - 1472-6920 (Linking)
VI - 15
DP - 2015 Jun 11
TI - Using clinical supervision to improve the quality and safety of patient care:
a
response to Berwick and Francis.
PG - 103
LID - 10.1186/s12909-015-0324-3 [doi]
LID - 103
AB - BACKGROUND: After widely publicised investigations into excess patient deaths
at Mid
Staffordshire hospital the UK government commissioned reports from Robert
Francis QC
and Professor Don Berwick. Among their recommendations to improve the quality
and
safety of patient care were lifelong learning, professional support and 'just
culture'. Clinical supervision is in an excellent position to support these

activities but opportunities are in danger of being squeezed out by
regulatory and
managerial demands. Doctors who have completed their training are responsible
for
complex professional judgements for which narrative supervision is
particularly
helpful. With reference to the literature and my own practice I propose that
all
practicing clinicians should have regular clinical supervision. DISCUSSION:
Clinical
supervision has patient-safety and the quality of patient care as its primary
purposes. After training is completed, doctors may practice for the rest of
their
career without any clinical supervision, the implication being that the
difficulties
dealt with in clinical supervision are no longer difficulties, or are better
dealt
with some other way. Clinical supervision is sufficiently flexible to be
adapted to
the needs of experienced clinicians as its forms can be varied, though its
functions
remain focused on patient safety, good quality clinical care and professional
wellbeing. The evidence linking clinical supervision to the quality and

safety of
patient care reveals that supervision is most effective when its educational
and
supportive functions are separated from its managerial and evaluative
functions.
Among supervision's different forms, narrative-based-supervision is
particularly
useful as it has been developed for clinicians who have completed their
training. It
provides ways to explore the complexity of clinical judgements and encourages
doctors to question one another's authority in a supportive culture. To be

successful, supervision should also be professionally led and learner centred
rather
than externally imposed and centred on institutions. I propose that regular
clinical
supervision should be a professional requirement if the quality and safety
aspirations of Francis and Berwick are to be met.
FAU - Tomlinson, Jonathon
AU - Tomlinson J
AD - NIHR In Practice research fellow, Centre for Primary Care and Public Health,
Barts
and the London School of Medicine and Dentistry, London, E1 2AB, UK.
echothx@gmail.com.
LA - eng
GR - NIHR-IPF-2013-07-18/Department of Health/United Kingdom
DEP - 20150611
TA - BMC Med Educ
JID - 101088679
SB - IM
MH - *Education, Medical, Continuing
MH - Healthy Volunteers
MH - State Medicine
MH - United Kingdom
PMC - PMC4464130
EDAT- 2015/06/13 06:00
MHDA- 2016/05/26 06:00
CRDT- 2015/06/12 06:00
PHST- 2014/09/10 00:00 [received]
PHST- 2015/02/24 00:00 [accepted]
PHST- 2015/06/12 06:00 [entrez]
PHST- 2015/06/13 06:00 [pubmed]
PHST- 2016/05/26 06:00 [medline]
AID - 10.1186/s12909-015-0324-3 [pii]
AID - 324 [pii]
AID - 10.1186/s12909-015-0324-3 [doi]
PST - epublish
SO - BMC Med Educ. 2015 Jun 11;15:103. doi: 10.1186/s12909-015-0324-3.
PMID- 26958264
OWN - NLM
STAT- MEDLINE
DCOM- 20180409
LR - 20181202
IS - 1559-4076 (Linking)
VI - 2015
DP - 2015
TI - The State and Trends of Barcode, RFID, Biometric and Pharmacy Automation
Technologies in US Hospitals.
PG - 1242-51
AB - The standard of safe medication practice requires strict observance of the
five
rights of medication administration: the right patient, drug, time, dose, and
route.
Despite adherence to these guidelines, medication errors remain a public
health
concern that has generated health policies and hospital processes that
leverage
automation and computerization to reduce these errors. Bar code, RFID,
biometrics
and pharmacy automation technologies have been demonstrated in literature to
decrease the incidence of medication errors by minimizing human factors
involved in
the process. Despite evidence suggesting the effectivity of these
technologies,
adoption rates and trends vary across hospital systems. The objective of
study is to
examine the state and adoption trends of automatic identification and data
capture
(AIDC) methods and pharmacy automation technologies in U.S. hospitals. A
retrospective descriptive analysis of survey data from the HIMSS Analytics®
Database
was done, demonstrating an optimistic growth in the adoption of these patient
safety
solutions.
FAU - Uy, Raymonde Charles Y
AU - Uy RC
AD - National Library of Medicine, Bethesda, MD 20894.
FAU - Kury, Fabricio P
AU - Kury FP
FAU - Fontelo, Paul A
AU - Fontelo PA
LA - eng
DEP - 20151105
TA - AMIA Annu Symp Proc
JT - AMIA ... Annual Symposium proceedings. AMIA Symposium
JID - 101209213
SB - IM
MH - Automation
MH - *Electronic Data Processing
MH - Humans
MH - Medication Errors
MH - Medication Systems, Hospital
MH - *Radio Frequency Identification Device
PMC - PMC4765644
EDAT- 2015/01/01 00:00
MHDA- 2015/01/01 00:01
CRDT- 2016/03/10 06:00
PHST- 2016/03/10 06:00 [entrez]
PHST- 2015/01/01 00:00 [pubmed]
PHST- 2015/01/01 00:01 [medline]
AID - 2248757 [pii]
PST - epublish
SO - AMIA Annu Symp Proc. 2015 Nov 5;2015:1242-51. eCollection 2015.
PMID- 31156995
OWN - NLM
LR - 20200225
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 25
IP - 2
DP - 2018 Mar
TI - Dispensing errors from look-alike drug trade names.
PG - 96-99
LID - 10.1136/ejhpharm-2016-001019 [doi]
AB - OBJECTIVES: To improve patient safety, we investigated near-miss dispensing
errors
in our hospital and evaluated the effectiveness of specific preventive
strategies.
METHODS: The incidence and type of near-miss dispensing errors in a single
hospital
in Taiwan were identified in 2013. The causes of dispensing errors were
analysed by
consensus of an expert panel comprising a senior pharmacist on duty, a group
leader
in the pharmacy and an author. Because alphabetical trade names were
routinely used
in our pharmacy, they were used for similarity analysis. Trigram-2b and
normalised
edit distance (NED) were used to calculate orthographic similarity and
distance
measure, respectively. The correlation between drug-name confusion and
dispensing
errors was then studied. Preventive strategies, including the introduction of
tall
man letters, were completed at the end of 2013, and error data were then
recollected
in 2014. Differences between before and after the interventions were examined
by
t-test. RESULTS: Before the intervention, look-alike alphabetical names were
the
main cause of dispensing wrong medicine (134/202, 66.3%). The frequency of
near-miss
dispensing errors correlated significantly with drug-name similarity
(p<0.01). After
implementation of preventive strategies, dispensing errors due to drug-name
confusion were reduced significantly (77/140, 55.0%, p=0.004). CONCLUSIONS:
The
frequency of near-miss drug dispensing errors correlated with greater
similarity or
lower NED scores, and dispensing errors related to drug-name confusion were
significantly reduced by our interventions. However, other dispensing errors
might
need to be investigated in order to prevent them.
FAU - Tseng, Hsiang-Yi
AU - Tseng HY
AD - Department of Pharmacy, Tungs' Taichung MetroHarbor Hospital, Taichung,
Taiwan.
AD - Taichung County Pharmacists Association, Taichung, Taiwan.
FAU - Wen, Chen-Fan
AU - Wen CF
AD - Department of Medical Research, Tungs' Taichung MetroHarbor Hospital,
Taichung,
Taiwan.
FAU - Lee, Ya-Lun
AU - Lee YL
Taiwan.
FAU - Jeng, Kee-Ching
AU - Jeng KC
Taiwan.
FAU - Chen, Pei-Liang
AU - Chen PL
Taiwan.
LA - eng
DEP - 20161122
JID - 101578294
PMC - PMC6452333
OTO - NOTNLM
OT - Dispensing errors
OT - Tall Man letters
OT - look-alike alphabetic trade names
OT - near-miss incidents
EDAT- 2018/03/01 00:00
MHDA- 2018/03/01 00:01
CRDT- 2019/06/04 06:00
PHST- 2016/06/16 00:00 [received]
PHST- 2016/10/28 00:00 [revised]
PHST- 2016/10/31 00:00 [accepted]
PHST- 2019/06/04 06:00 [entrez]
PHST- 2018/03/01 00:00 [pubmed]
PHST- 2018/03/01 00:01 [medline]
AID - 10.1136/ejhpharm-2016-001019 [doi]
PST - ppublish
SO - Eur J Hosp Pharm. 2018 Mar;25(2):96-99. doi: 10.1136/ejhpharm-2016-001019.
Epub 2016
Nov 22.
PMID- 26516747
OWN - NLM
STAT- MEDLINE
DCOM- 20160915
LR - 20161201
IS - 0080-6234 (Print)
IS - 0080-6234 (Linking)
VI - 49
IP - 5
DP - 2015 Oct
TI - [Patient safety and the prevention of skin and mucosal lesions associated
with
airway invasive devices].
PG - 775-82
LID - S0080-62342015000500775 [pii]
LID - 10.1590/S0080-623420150000500010 [doi]
AB - OBJECTIVE: To analyze the care implemented by the nursing team to promote the
safety
of adult patients and prevention of skin and mucosal lesions associated with
the
presence of lower airways invasive devices. METHOD: Study with qualitative
and
quantitative approach, descriptive and exploratory type, whose investigative
scenarios were adult inpatient units of a hospital in the West Frontier of
Rio
Grande do Sul. The study subjects consisted of nurses, nursing technicians
and
nursing assistants. RESULTS: A total of 118 professionals were interviewed.
We
highlight the observed specific care with endotracheal tube and tracheostomy,
management and assessment of the cuff and the criteria used to secretion
aspiration.
CONCLUSION: There is a superficial nursing work in the patient direct care
and a
differentiation in relation to the perception of nurse technicians,
especially those
working in the intensive care unit, who presented major property and view of
the
patient's clinical status.
FAU - Pinto, Deisy Mello de
AU - Pinto DM
AD - Campus Uruguaiana, Curso de Graduação em Enfermagem, Universidade Federal do
Pampa,
Uruguaiana, RS, Brazil.
FAU - Schons, Estela dos Santos
AU - Schons Edos S
Pampa,
FAU - Busanello, Josefine
AU - Busanello J
Pampa,
FAU - Costa, Valdecir Zavarese da
AU - Costa VZ
AD - Centro de Ciências da Saúde, Universidade Federal de Santa Maria, Santa
Maria, RS,
Brazil.
LA - por
PT - English Abstract
TT - Segurança do paciente e a prevenção de lesões cutâneo-mucosas associadas aos
dispositivos invasivos nas vias aéreas.
PL - Brazil
JID - 0242726
SB - N
MH - Adult
MH - Female
MH - Humans
MH - Intubation, Intratracheal/*nursing
MH - Male
MH - *Nursing
MH - Postoperative Complications/etiology/*prevention & control
MH - Respiratory Mucosa/*injuries
MH - Skin/*injuries
MH - Tracheostomy/*nursing
EDAT- 2015/10/31 06:00
MHDA- 2016/09/16 06:00
CRDT- 2015/10/31 06:00
PHST- 2014/09/02 00:00 [received]
PHST- 2015/07/09 00:00 [accepted]
PHST- 2015/10/31 06:00 [entrez]
PHST- 2015/10/31 06:00 [pubmed]
PHST- 2016/09/16 06:00 [medline]
AID - S0080-62342015000500775 [pii]
AID - 10.1590/S0080-623420150000500010 [doi]
PST - ppublish
SO - Rev Esc Enferm USP. 2015 Oct;49(5):775-82. doi: 10.1590/S0080-
623420150000500010.
PMID- 27106970
OWN - NLM
STAT- MEDLINE
DCOM- 20180730
LR - 20191210
IS - 0007-0912 (Linking)
VI - 116
IP - 5
DP - 2016 May
TI - Using educational video to enhance protocol adherence for medical procedures.
PG - 662-9
LID - 10.1093/bja/aew030 [doi]
AB - BACKGROUND: Better education of clinicians is expected to enhance patient
safety. An
important component of education is adherence to standard protocols, which
are
mainly available in written form. Believing in the potential power of videos,
we
hypothesized that the introduction of an educational video, based on an
institutional standard protocol, would foster adherence to the protocol.
METHODS: We
conducted a prospective intervention study of 425 anaesthesia procedures and
teams
(202 pre-video and 223 post-video) involving 1091 team members (516 pre-video
and
575 post-video) in seven individual operating areas (with a total of 30
operating
rooms) in a university hospital. Failure of adherence to safety-critical
tasks
during rapid sequence anaesthesia inductions was assessed during systematic
on-site
observations pre- and post-introduction of an educational video demonstrating
evidence-based and best practice guidelines. RESULTS: The odds for failure of
adherence to safety-critical tasks between the pre- and post-intervention

period
were reduced, odds ratio 0.34 (95% confidence interval 0.27-0.42, P<0.001).
The risk
for failure of adherence was reduced significantly for eight of the 14
safety-critical tasks (all P<0.001). CONCLUSIONS: This study provides
empirical
evidence for the effectiveness of an educational video to enhance adherence
to a
standard protocol during complex medical procedures. The introduction of a
video can
reduce failure of adherence to safety-critical tasks and contribute to
patient
safety. We recommend the introduction of videos to improve protocol
adherence.
CI - © The Author 2016. Published by Oxford University Press on behalf of the
British
Journal of Anaesthesia. All rights reserved. For Permissions, please email:
journals.permissions@oup.com.
FAU - Kandler, Lukas
AU - Kandler L
AD - Institute of Anaesthesiology, University and University Hospital Zurich,
Rämistrasse
100, 8091 Zurich, Switzerland.
FAU - Tscholl, David W
AU - Tscholl DW
Rämistrasse
FAU - Kolbe, Michaela
AU - Kolbe M
AD - Organization, Work and Technology Group, ETH Zurich, Weinbergstrasse 56/58,
8092
Zurich, Switzerland Quality Management and Patient Safety, University and
University
Hospital Zurich, Rämistrasse 100, 8091 Zurich, Switzerland.
FAU - Seifert, Burkhardt
AU - Seifert B
AD - Biostatistics, Epidemiology, and Prevention Institute, University of Zurich,
Hirschengraben 84, 8001 Zurich, Switzerland.
FAU - Spahn, Donat R
AU - Spahn DR
Rämistrasse
FAU - Noethiger, Christoph B
AU - Noethiger CB
Rämistrasse
100, 8091 Zurich, Switzerland christoph.noethiger@usz.ch.
LA - eng
PL - England
TA - Br J Anaesth
JT - British journal of anaesthesia
JID - 0372541
SB - IM
MH - Anesthesia/*standards
MH - Anesthesiology/*education
MH - *Audiovisual Aids
MH - Education, Medical, Continuing/*methods
MH - Education, Nursing, Continuing/methods
MH - Guideline Adherence/statistics & numerical data
MH - Humans
MH - Observer Variation
MH - Patient Safety
MH - Perioperative Nursing/education/standards
MH - Switzerland
MH - Teaching Materials
MH - *Video Recording
OTO - NOTNLM
OT - guideline adherence
OT - instructional films and video
OT - patient safety
OT - safety
EDAT- 2016/04/24 06:00
MHDA- 2018/07/31 06:00
CRDT- 2016/04/24 06:00
PHST- 2016/01/03 00:00 [accepted]
PHST- 2016/04/24 06:00 [entrez]
PHST- 2016/04/24 06:00 [pubmed]
PHST- 2018/07/31 06:00 [medline]
AID - S0007-0912(17)30364-1 [pii]
AID - 10.1093/bja/aew030 [doi]
PST - ppublish
SO - Br J Anaesth. 2016 May;116(5):662-9. doi: 10.1093/bja/aew030.
PMID- 29736046
OWN - NLM
LR - 20191120
IS - 0008-4123 (Print)
IS - 0008-4123 (Linking)
VI - 71
IP - 2
DP - 2018 Mar-Apr
TI - Quality of Best Possible Medication History upon Admission to Hospital:
Comparison
of Nurses and Pharmacy Students and Consideration of National Quality
Indicators.
PG - 128-134
AB - BACKGROUND: Medication reconciliation at transitions of care increases
patient
safety. Collection of an accurate best possible medication history (BPMH) on
admission is a key step. National quality indicators are used as surrogate
markers
for BPMH quality, but no literature on their accuracy exists. Obtaining a
high-quality BPMH is often labour- and resource-intensive. Pharmacy students
are now
being assigned to obtain BPMHs, as a cost-effective means to increase BPMH
completion, despite limited information to support the quality of BPMHs
obtained by
students relative to other health care professionals. OBJECTIVES: To
determine
whether the national quality indicator of using more than one source to
complete a
BPMH is a true marker of quality and to assess whether BPMHs obtained by
pharmacy
students were of quality equal to those obtained by nurses. METHODS: This
prospective trial compared BPMHs for the same group of patients collected by
nurses
and by trained pharmacy students in the emergency departments of 2 sites
within a
large health network over a 2-month period (July and August 2016).
Discrepancies
between the 2 versions were identified by a pharmacist, who determined which
party
(nurse, pharmacy student, or both) had made an error. A panel of experts
reviewed
the errors and ranked their severity. RESULTS: BPMHs were prepared for a
total of 40
patients. Those prepared by nurses were more likely to contain an error than
those
prepared by pharmacy students (171 versus 43 errors, p = 0.006). There was a
nonsignificant trend toward less severe errors in BPMHs completed by pharmacy
students. There was no significant difference in the mean number of errors in
relation to the specified quality indicator (mean of 2.7 errors for BPMHs
prepared
from 1 source versus 4.8 errors for BPMHs prepared from ≥ 2 sources, p =
0.08).
CONCLUSIONS: The surrogate marker (number of BPMH sources) may not reflect
BPMH
quality. However, it appears that BPMHs prepared by pharmacy students had
fewer
errors and were of similar quality (in terms of clinically significant
errors)
relative to those prepared by nurses.
FAU - Sproul, Ashley
AU - Sproul A
AD - , BSc(Pharm), CDE, PharmD, is with Horizon Health Network, Saint John, New
Brunswick, and Dalhousie University, Halifax, Nova Scotia. Since the time
when this
study was conducted, she has also joined the University of New Brunswick,
Fredericton, New Brunswick.
FAU - Goodine, Carole
AU - Goodine C
AD - , BSc(Pharm), ACPR, PharmD, is with the Horizon Health Network, Fredericton,
New
Brunswick, and Dalhousie University, Halifax, Nova Scotia. Since the time
when this
study was conducted, she has also joined the University of New Brunswick,
Fredericton, New Brunswick.
FAU - Moore, David
AU - Moore D
AD - , MMedSc, ART, is with the Horizon Health Network, Waterville, New Brunswick.
FAU - McLeod, Amy
AU - McLeod A
AD - , RN, BN, ENCC, is with the Horizon Health Network, Waterville, New
Brunswick.
FAU - Gordon, Jacqueline
AU - Gordon J
AD - , RN MN, is with the Horizon Health Network, Fredericton, New Brunswick.
FAU - Digby, Jennifer
AU - Digby J
AD - , MD, is with the Horizon Health Network, Fredericton, New Brunswick.
FAU - Stoica, George
AU - Stoica G
AD - , PhD, is with the Horizon Health Network, Saint John, New Brunswick.
LA - eng
DEP - 20180430
JID - 0215645
PMC - PMC5931072
OTO - NOTNLM
OT - best possible medication history
OT - medication history
OT - nurses
OT - pharmacy students
COIS- Competing interests: Ashley Sproul has received grants from the Dalhousie
Endowment
Fund and the Medbuy Red Fund for work outside this submission. Carole Goodine
has
received a summer student grant from Sanofi Aventis, also for work outside
this
submission. No other competing interests were declared.
EDAT- 2018/05/08 06:00
MHDA- 2018/05/08 06:01
CRDT- 2018/05/09 06:00
PHST- 2018/05/09 06:00 [entrez]
PHST- 2018/05/08 06:00 [pubmed]
PHST- 2018/05/08 06:01 [medline]
PST - ppublish
SO - Can J Hosp Pharm. 2018 Mar-Apr;71(2):128-134. Epub 2018 Apr 30.
PMID- 31157031
OWN - NLM
LR - 20191120
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 25
IP - 5
DP - 2018 Sep
TI - A word from the President of EAHP.
PG - 235
LID - 10.1136/ejhpharm-2018-001688 [doi]
FAU - Horák, Petr
AU - Horák P
AD - European Association of Hospital Pharmacists, Brussels, Belgium.
AD - Hospital Pharmacy, University Hospital Motol, Prague, Czech Republic.
LA - eng
PT - Editorial
DEP - 20180827
JID - 101578294
PMC - PMC6452409
OTO - NOTNLM
OT - patient safety
EDAT- 2019/06/04 06:00
MHDA- 2019/06/04 06:01
CRDT- 2019/06/04 06:00
PHST- 2019/06/04 06:00 [entrez]
PHST- 2019/06/04 06:00 [pubmed]
PHST- 2019/06/04 06:01 [medline]
AID - 10.1136/ejhpharm-2018-001688 [doi]
PST - ppublish
SO - Eur J Hosp Pharm. 2018 Sep;25(5):235. doi: 10.1136/ejhpharm-2018-001688. Epub
2018
Aug 27.
PMID- 22768013
OWN - NLM
DCOM- 20120823
LR - 20200930
IS - 1551-6776 (Print)
IS - 1551-6776 (Linking)
VI - 16
IP - 4
DP - 2011 Oct
TI - Improving Pediatric Adverse Drug Event Reporting through Clinical Pharmacy
Services.
PG - 285-90
LID - 10.5863/1551-6776-16.4.285 [doi]
AB - OBJECTIVES: The purpose of this study was to summarize adverse drug event
(ADE)
reporting and to characterize the type of healthcare practitioners involved
in
reporting over a 10-year period at a 120-bed university-affiliated children's
hospital. METHODS: The University of Virginia Children's Hospital ADE

database was
analyzed for records involving pediatric patients. Data from patients <18
years of
age who were admitted to the University of Virginia Children's Hospital
between
January 1, 2000, and December 31, 2009, were analyzed. Data collected
included drug
name and therapeutic class of the suspected causative agent, description of
the
event, severity, causality, outcome, and the type of healthcare practitioner
reporting the event. RESULTS: A total of 863 ADEs were reported over the 10-
year
period. The 5 most common types reported were extravasation injury (10%),
rash (8%),
hypotension (5%), pruritus (5%), and renal failure (3%). A total of 196 (21%)
cases
were categorized as mild, 436 (47%) cases as moderate, and 296 (32%) cases as
severe. Further characterization of extravasations was performed to identify

trends
relating to potential causes. In 45 (57%) reports, parenteral nutrition was
identified as the causative agent. Full recovery was documented in 21 (47%)
extravasations. Of the total events reported, 83% were reported by
pharmacists, 16%
by nurses, and <1% by other healthcare practitioners. CONCLUSIONS: Results of
this
study are consistent with those of previous studies involving ADE reporting
in
children's hospitals. This consistency is due in part to system design and
use of
unit-based pharmacists as the primary reporters.
FAU - Crowther, David M
AU - Crowther DM
FAU - Buck, Marcia L
AU - Buck ML
FAU - McCarthy, Michelle W
AU - McCarthy MW
FAU - Barton, Virginia W
AU - Barton VW
LA - eng
TA - J Pediatr Pharmacol Ther
JT - The journal of pediatric pharmacology and therapeutics : JPPT : the official
journal
of PPAG
JID - 101089851
PMC - PMC3385043
OTO - NOTNLM
OT - adverse drug reaction reporting system
OT - drug toxicity
OT - hospitals
OT - pediatric
EDAT- 2012/07/07 06:00
MHDA- 2012/07/07 06:01
CRDT- 2012/07/07 06:00
PHST- 2012/07/07 06:00 [entrez]
PHST- 2012/07/07 06:00 [pubmed]
PHST- 2012/07/07 06:01 [medline]
AID - 10.5863/1551-6776-16.4.285 [doi]
PST - ppublish
SO - J Pediatr Pharmacol Ther. 2011 Oct;16(4):285-90. doi: 10.5863/1551-6776-
16.4.285.
PMID- 24600139
OWN - NLM
DCOM- 20140306
LR - 20200930
IS - 0377-1237 (Print)
IS - 0377-1237 (Linking)
VI - 69
IP - 4
DP - 2013 Oct
TI - A survey of attitude of frontline clinicians and nurses towards adverse
events.
PG - 335-40
LID - 10.1016/j.mjafi.2013.01.009 [doi]
AB - BACKGROUND: It is often said that doctors are only human. However,
technological
wonders, apparent precision of diagnostic tests and scientific innovation
have
created an expectation of perfection from medical science. Patient safety and
prevalence of adverse events on the hospital floor have become issues of

serious
concern for the healthcare environment. METHOD: The study had cross-sectional
design, done over a period of one year at a teaching medical college and its
affiliated hospitals. The study instrument was an anonymous, voluntary 5-
point
Likert scaled questionnaire and study sample was selected by simple random
sampling
into two groups of front-line clinicians (n = 175) and nurses (n = 60). The
questionnaire was analysed for its reliability, construct and content
validity.
Subsequently, the data was entered into an Excel Spreadsheet and further
analysed by
statistical software SPSS version 16. RESULTS: Total of 175 front-line
clinicians
and 60 nurses completed the survey for response rate of 96%. The study
instrument
was suitably validated for its psychometric properties. Statistically
significant
differences were observed between the two study samples across certain
attitudinal
statements, the important ones being responsibility for reporting and comfort
level
towards disclosing adverse events. Surgical site infections, Medication
errors and
Patient Falls were the commonly observed adverse events and lack of
communication
among team members was identified as a major factor leading to adverse
events.
CONCLUSION: Effective attitude-based interventions need to be developed,
where the
attitude and culture of front-line healthcare workers can be explicitly
targeted for
inducing desirable behavioural changes towards improved patient safety.
FAU - Chakravarty, Abhijit
AU - Chakravarty A
AD - Professor & HOD, Department of Hospital Administration, Armed Forces Medical
College, Pune 40, India.
LA - eng
DEP - 20130509
TA - Med J Armed Forces India
JT - Medical journal, Armed Forces India
JID - 7602492
PMC - PMC3862545
OTO - NOTNLM
OT - Adverse events
OT - Medical error
OT - Patient safety
EDAT- 2014/03/07 06:00
MHDA- 2014/03/07 06:01
CRDT- 2014/03/07 06:00
PHST- 2012/08/31 00:00 [received]
PHST- 2013/01/01 00:00 [accepted]
PHST- 2014/03/07 06:00 [entrez]
PHST- 2014/03/07 06:00 [pubmed]
PHST- 2014/03/07 06:01 [medline]
AID - S0377-1237(13)00013-0 [pii]
AID - 10.1016/j.mjafi.2013.01.009 [doi]
PST - ppublish
SO - Med J Armed Forces India. 2013 Oct;69(4):335-40. doi:
10.1016/j.mjafi.2013.01.009.
Epub 2013 May 9.
PMID- 27430287
OWN - NLM
STAT- MEDLINE
DCOM- 20171016
LR - 20191210
IS - 1472-6963 (Linking)
VI - 16
DP - 2016 Jul 19
TI - Integrating teamwork, clinician occupational well-being and patient safety -
development of a conceptual framework based on a systematic review.
PG - 281
LID - 10.1186/s12913-016-1535-y [doi]
LID - 281
AB - BACKGROUND: There is growing evidence that teamwork in hospitals is related
to both
patient outcomes and clinician occupational well-being. Furthermore,
clinician
well-being is associated with patient safety. Despite considerable research
activity, few studies include all three concepts, and their interrelations
have not
yet been investigated systematically. To advance our understanding of these
potentially complex interrelations we propose an integrative framework taking
into
account current evidence and research gaps identified in a systematic review.
METHODS: We conducted a literature search in six major databases (Medline,

PsycArticles, PsycInfo, Psyndex, ScienceDirect, and Web of Knowledge).
Inclusion
criteria were: peer reviewed papers published between January 2000 and June
2015
investigating a statistical relationship between at least two of the three
concepts;
teamwork, patient safety, and clinician occupational well-being in hospital
settings, including practicing nurses and physicians. We assessed
methodological
quality using a standardized rating system and qualitatively appraised and
extracted
relevant data, such as instruments, analyses and outcomes. RESULTS: The 98
studies
included in this review were highly diverse regarding quality, methodology
and
outcomes. We found support for the existence of independent associations
between
teamwork, clinician occupational well-being and patient safety. However, we
identified several conceptual and methodological limitations. The main
barrier to
advancing our understanding of the causal relationships between teamwork,
clinician
well-being and patient safety is the lack of an integrative, theory-based,
and
methodologically thorough approach investigating the three concepts
simultaneously
and longitudinally. Based on psychological theory and our findings, we
developed an
integrative framework that addresses these limitations and proposes
mechanisms by
which these concepts might be linked. CONCLUSION: Knowledge about the
mechanisms
underlying the relationships between these concepts helps to identify avenues
for
future research, aimed at benefiting clinicians and patients by using the
synergies
between teamwork, clinician occupational well-being and patient safety.
FAU - Welp, Annalena
AU - Welp A
AD - Industrial Psychology and Human Factors, Department of Psychology, University
of
Fribourg, Rue Faucigny 2, 1700, Fribourg, Switzerland.
FAU - Manser, Tanja
AU - Manser T
AD - Institute for Patient Safety, University Hospital Bonn, Stiftsplatz 12,
53111, Bonn,
Germany. tanja.manser@ukb.uni-bonn.de.
AD - Department of Management, Technology & Economics, ETH Zurich, Weinbergstrasse
56/58,
8092, Zurich, Switzerland. tanja.manser@ukb.uni-bonn.de.
LA - eng
PT - Review
DEP - 20160719
JID - 101088677
SB - IM
MH - *Concept Formation
MH - Female
MH - Humans
MH - *Interdisciplinary Communication
MH - Male
PMC - PMC4950091
OTO - NOTNLM
OT - *Clinician well-being
OT - *Framework
OT - *Systematic review
OT - *Teamwork
EDAT- 2016/07/20 06:00
MHDA- 2017/10/17 06:00
CRDT- 2016/07/20 06:00
PHST- 2016/04/05 00:00 [received]
PHST- 2016/07/01 00:00 [accepted]
PHST- 2016/07/20 06:00 [entrez]
PHST- 2016/07/20 06:00 [pubmed]
PHST- 2017/10/17 06:00 [medline]
AID - 10.1186/s12913-016-1535-y [pii]
AID - 1535 [pii]
AID - 10.1186/s12913-016-1535-y [doi]
PST - epublish
SO - BMC Health Serv Res. 2016 Jul 19;16:281. doi: 10.1186/s12913-016-1535-y.
PMID- 27493751
OWN - NLM
DCOM- 20160805
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 5
IP - 1
DP - 2016
TI - Improving the communication between teams managing boarded patients on a
surgical
specialty ward.
LID - u209186.w3750
AB - Transferring patients from the ward of their specialty or consultant is
described as
boarding. 1 Boarding patients is becoming increasingly prevalent due to
greater
pressure on hospital capacity. This practice compromises patient safety
through
delayed investigations, prolonged hospital stays, and increased risk of
hospital-acquired infections. 1 2 We evaluated how regularly boarded patients
were
reviewed, and how effectively information regarding their management was
communicated from their primary specialty to ward staff. We aimed to improve
the
frequency of patient reviews by ensuring that each patient was reviewed every
weekday and increase communication between primary specialty, and medical and
nursing teams by 20% from baseline during the data collection period. The
project
was based in the Otolaryngology ward in Ninewells Hospital, Dundee, where
there was
a high prevalence of boarded patients. Baseline data showed a clear deficit
in
communication between the primary specialty and ward staff with only 31% of
patient
reviews being communicated to ward doctors. We designed and implemented a
communication tool, in the form of a sticker, to be inserted into patients'
medical
notes for use by the primary specialty. Implementation of the sticker
improved
communication between teams as stickers were completed in 93% of instances.
In 88%
of patient reviews, the junior doctor was informed of the management plan,
showing a
large increase from baseline. Through PDSA cycles, we aimed to increase the
sustainability and reliability of the sticker; however, we faced challenges
with
sustainability of sticker insertion. We aim to engage more stakeholders to
raise
awareness of the problem, brainstorm solutions together, and review the
production
and implementation of stickers with senior hospital management to discuss the
potential use of this tool within practice. There is potentially a large

scope for
utilisation of this communication tool on a local level, which we hope will
significantly improve patient safety.
FAU - Puvaneswaralingam, Shobitha
AU - Puvaneswaralingam S
AD - NHS Tayside, United Kingdom.
FAU - Ross, Daniella
AU - Ross D
AD - NHS Tayside, United Kingdom.
LA - eng
DEP - 20160727
JID - 101629512
PMC - PMC4964229
EDAT- 2016/08/06 06:00
MHDA- 2016/08/06 06:01
CRDT- 2016/08/06 06:00
PHST- 2015/11/25 00:00 [received]
PHST- 2016/07/13 00:00 [revised]
PHST- 2016/08/06 06:00 [entrez]
PHST- 2016/08/06 06:00 [pubmed]
PHST- 2016/08/06 06:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2016 Jul 27;5(1):u209186.w3750. doi:
PMID- 28841252
OWN - NLM
STAT- MEDLINE
DCOM- 20190226
LR - 20210109
IS - 1369-6513 (Print)
IS - 1369-6513 (Linking)
VI - 21
IP - 1
DP - 2018 Feb
TI - Prioritizing novel and existing ambulance performance measures through expert
and
lay consensus: A three-stage multimethod consensus study.
PG - 249-260
LID - 10.1111/hex.12610 [doi]
AB - BACKGROUND: Current ambulance quality and performance measures, such as
response
times, do not reflect the wider scope of care that services now provide.
Using a
three-stage consensus process, we aimed to identify new ways of measuring
ambulance
service quality and performance that represent service provider and public
perspectives. DESIGN: A multistakeholder consensus event, modified Delphi
study, and
patient and public consensus workshop. SETTING AND PARTICIPANTS:
Representatives
from ambulance services, patient and public involvement (PPI) groups,
emergency care
clinical academics, commissioners and policymakers. RESULTS: Nine
measures/principles were highly prioritized by >75% of consensus event
participants,
including measures relating to pain, patient experience, accuracy of dispatch
decisions and patient safety. Twenty experts participated in two Delphi

rounds to
further refine and prioritize measures; 20 measures in three domains scored
≥8/9,
indicating good consensus, including proportion of calls correctly
prioritized, time
to definitive care and measures related to pain. Eighteen patient/public
representatives attended a consensus workshop, and six measures were
identified as
important. These include time to definitive care, response time, reduction in
pain
scores, calls correctly prioritized to appropriate levels of response and
survival
to hospital discharge for treatable emergency conditions. CONCLUSIONS: Using
consensus methods, we identified a shortlist of ambulance outcome and
performance
measures that are important to ambulance clinicians and service providers,
service
users, commissioners, and clinical academics, reflecting current pre-hospital
ambulance care and services. The measures can potentially be used to assess
pre-hospital quality or performance over time, with most calculated using
routinely
available data.
CI - © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd.
FAU - Coster, Joanne E
AU - Coster JE
AUID- ORCID: 0000-0002-0599-4222
AD - University of Sheffield, Sheffield, UK.
FAU - Irving, Andy D
AU - Irving AD
AUID- ORCID: 0000-0002-1175-716X
FAU - Turner, Janette K
AU - Turner JK
FAU - Phung, Viet-Hai
AU - Phung VH
AD - Community and Health Research Unit, University Lincoln, Lincoln, UK.
FAU - Siriwardena, Aloysius N
AU - Siriwardena AN
AUID- ORCID: 0000-0003-2484-8201
AD - Community and Health Research Unit, University Lincoln, Lincoln, UK.
LA - eng
GR - RP-PG-0609-10195/Department of Health/United Kingdom
DEP - 20170825
TA - Health Expect
health
JID - 9815926
SB - IM
MH - *Ambulances
MH - *Community Participation
MH - *Consensus
MH - Delphi Technique
MH - Emergency Medical Services/*standards
MH - *Health Priorities
MH - Humans
PMC - PMC5750751
OTO - NOTNLM
OT - *ambulance
OT - *consensus methods
OT - *delphi
OT - *outcome measurement
OT - *patient and public involvement
OT - *quality and performance
EDAT- 2017/08/26 06:00
MHDA- 2019/02/27 06:00
CRDT- 2017/08/26 06:00
PHST- 2017/07/13 00:00 [accepted]
PHST- 2017/08/26 06:00 [pubmed]
PHST- 2019/02/27 06:00 [medline]
PHST- 2017/08/26 06:00 [entrez]
AID - 10.1111/hex.12610 [doi]
PST - ppublish
SO - Health Expect. 2018 Feb;21(1):249-260. doi: 10.1111/hex.12610. Epub 2017 Aug
25.
PMID- 26732996
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR - 20161230
IS - 1532-0464 (Linking)
VI - 59
DP - 2016 Feb
TI - Measuring the effects of computer downtime on hospital pathology processes.
PG - 308-15
LID - S1532-0464(15)00296-8 [pii]
LID - 10.1016/j.jbi.2015.12.016 [doi]
AB - OBJECTIVE: To introduce and evaluate a method that uses electronic medical
record
(EMR) data to measure the effects of computer system downtime on clinical
processes
associated with pathology testing and results reporting. MATERIALS AND
METHODS: A
matched case-control design was used to examine the effects of five downtime
events
over 11-months, ranging from 5 to 300min. Four indicator tests representing
different laboratory workflows were selected to measure delays and errors:
potassium, haemoglobon, troponin and activated partial thromboplastin time.
Tests
exposed to a downtime were matched to tests during unaffected control periods
by
test type, time of day and day of week. Measures included clinician read time
(CRT),
laboratory turnaround time (LTAT), and rates of missed reads, futile
searches,
duplicate orders, and missing test results. RESULTS: The effects of downtime
varied
with the type of IT problem. When clinicians could not logon to a results
reporting
system for 17-min, the CRT for potassium and haemoglobon tests was five (10.3
vs.
2.0days) and six times (13.4 vs. 2.1days) longer than control (p=0.01-0.04;
p=0.0001-0.003). Clinician follow-up of tests was also delayed by another
downtime
involving a power outage with a small effect. In contrast, laboratory
processing of
troponin tests was unaffected by network services and routing problems.
Errors
including missed reads, futile searches, duplicate orders and missing test
results
could not be examined because the sample size of affected tests was not
sufficient
for statistical testing. CONCLUSION: This study demonstrates the feasibility
of
using routinely collected EMR data with a matched case-control design to
measure the
effects of downtime on clinical processes. Even brief system downtimes may
impact
patient care. The methodology has potential to be applied to other clinical
processes with established workflows where tasks are pre-defined such as
medications
management.
FAU - Wang, Ying
AU - Wang Y
AD - Centre for Health Informatics, Australian Institute of Health Innovation,
Faculty of
Medicine and Health Sciences, Macquarie University, Sydney, Australia.
Electronic
address: ying.wang@mq.edu.au.
AU - Coiera E
Faculty of
FAU - Gallego, Blanca
AU - Gallego B
Faculty of
FAU - Concha, Oscar Perez
AU - Concha OP
Faculty of
FAU - Ong, Mei-Sing
AU - Ong MS
Faculty of
Medicine and Health Sciences, Macquarie University, Sydney, Australia;
Computational
Health Informatics Program, Boston Children's Hospital, Boston, MA, United
States.
FAU - Tsafnat, Guy
AU - Tsafnat G
Faculty of
FAU - Roffe, David
AU - Roffe D
AD - Information Technology Service Centre, St Vincent's Hospital, Sydney,
Australia.
FAU - Jones, Graham
AU - Jones G
AD - Department of Chemical Pathology, SydPath, St Vincent's Hospital, Sydney,
Australia;
Faculty of Medicine, The University of New South Wales, Sydney Australia.
FAU - Magrabi, Farah
AU - Magrabi F
Faculty of
LA - eng
DEP - 20151228
PL - United States
JID - 100970413
SB - IM
MH - Computer Communication Networks/*standards
MH - Equipment Failure/*statistics & numerical data
MH - Humans
MH - Laboratories, Hospital
MH - Medical Informatics/*standards
MH - Workflow
OTO - NOTNLM
OT - Equipment failure
OT - Health information technology
OT - Hospitals
OT - Inpatients
OT - Matched case-control study
OT - Patient safety
OT - Routine diagnostic tests
EDAT- 2016/01/07 06:00
MHDA- 2016/12/15 06:00
CRDT- 2016/01/07 06:00
PHST- 2015/05/06 00:00 [received]
PHST- 2015/12/02 00:00 [revised]
PHST- 2015/12/18 00:00 [accepted]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - S1532-0464(15)00296-8 [pii]
AID - 10.1016/j.jbi.2015.12.016 [doi]
PST - ppublish
SO - J Biomed Inform. 2016 Feb;59:308-15. doi: 10.1016/j.jbi.2015.12.016. Epub
2015 Dec
28.
PMID- 27222447
OWN - NLM
STAT- MEDLINE
DCOM- 20170705
LR - 20170705
IS - 0020-7489 (Linking)
VI - 59
DP - 2016 Jul
TI - The daily relationships between staffing, safety perceptions and personality
in
hospital nursing: A longitudinal on-line diary study.
PG - 27-37
LID - S0020-7489(16)00078-X [pii]
AB - BACKGROUND: The association between poor staffing conditions and negative
patient
safety consequences is well established within hospital nursing. However,
many
studies have been limited to nurse population level associations, and have
used
routine data to examine relationships. As a result, it is less clear how
these
relationships might be manifested at the individual nurse level on a day-to-
day
basis. Furthermore, personality may have direct and moderating roles in terms
of
work environment and patient safety associations, but limited research has
explored
personality in this context. OBJECTIVE: To further our understanding of these
associations, this paper takes a within-person approach to examine nurses'

daily
perceptions of staffing and patient safety. In addition, we explore the
potential
role of personality factors as moderators of daily level associations.
METHOD: We
recruited eighty-three hospital nurses from three acute NHS Trusts in the UK
between
March and July 2013. Nurses completed online end-of-shift diaries over three-
five
shifts which collected information on perceptions of staffing, patient-nurse
ratio
and patient safety (perceptions of patient safety, ability to act as a safe
practitioner, and workplace cognitive failure). Personality was also assessed
within
a baseline questionnaire. Data were analysed using hierarchical linear
modelling,
and moderation effects of personality factors were examined using simple
slopes
analyses, which decomposed relationships at high and low levels of the
moderator.
RESULTS: On days when lower patient-nurse ratios were indicated, nurses
reported
being more able to act as a safe practitioner (p=.011) and more favourable
perceptions of patient safety (p=<.001). Additionally, when staffing was
perceived
more favourably, nurses reported being more able to act as a safe
practitioner
(p=<.001), more favourable perceptions of patient safety (p=<.001) and
experienced
less workplace cognitive failure (p=<.001). Conscientiousness and emotional
stability emerged as key moderators of daily level associations between
staffing and
patient safety variables, with many relationships differing at high and low
levels
of these personality factors. CONCLUSION: The findings elucidate the
potential
mechanisms by which patient safety risks arise within hospital nursing, and
suggest
that nurses may not respond to staffing conditions in the same way, dependent
upon
personality. Further understanding of these relationships will enable staff
to be
supported in terms of work environment conditions on an individual basis.
FAU - Louch, Gemma
AU - Louch G
AD - Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford
BD9 6RJ,
UK. Electronic address: Gemma.Louch@bthft.nhs.uk.
FAU - O'Hara, Jane
AU - O'Hara J
AD - Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford
BD9 6RJ,
UK; Leeds Institute of Medical Education, University of Leeds, Leeds LS2 9JT,
UK.
FAU - Gardner, Peter
AU - Gardner P
AD - School of Psychology, University of Leeds, Leeds LS2 9JT, UK.
FAU - O'Connor, Daryl B
AU - O'Connor DB
AD - School of Psychology, University of Leeds, Leeds LS2 9JT, UK.
LA - eng
DEP - 20160221
PL - England
JID - 0400675
SB - IM
SB - N
MH - Humans
MH - *Personality
OTO - NOTNLM
OT - Diary
OT - Nursing
OT - Patient safety
OT - Personality
OT - Staffing
EDAT- 2016/05/26 06:00
MHDA- 2017/07/06 06:00
CRDT- 2016/05/26 06:00
PHST- 2015/08/10 00:00 [received]
PHST- 2016/02/11 00:00 [revised]
PHST- 2016/02/12 00:00 [accepted]
PHST- 2016/05/26 06:00 [entrez]
PHST- 2016/05/26 06:00 [pubmed]
PHST- 2017/07/06 06:00 [medline]
AID - S0020-7489(16)00078-X [pii]
PST - ppublish
SO - Int J Nurs Stud. 2016 Jul;59:27-37. doi: 10.1016/j.ijnurstu.2016.02.010. Epub
2016
Feb 21.
PMID- 25824064
OWN - NLM
STAT- MEDLINE
DCOM- 20150910
LR - 20200225
IS - 1470-2118 (Print)
IS - 1470-2118 (Linking)
VI - 15
IP - 2
DP - 2015 Apr
TI - Teaching a 'good' ward round.
PG - 135-8
LID - 10.7861/clinmedicine.15-2-135 [doi]
AB - Ward rounds are a vital part of hospital medicine and junior doctors play a
key role
in their delivery. Despite the importance of ward rounds to patient care and
experience, we believe that junior doctors may lack the training and skills
to carry
them out most effectively. We designed a simulation-based training session
focusing
on ward round skills themed to key patient safety issues and have delivered
the
training to over 100 learners (medical students and foundation year one
doctors).
Few learners had any prior training in ward rounds. The session was highly
valued by
all participants and surveys completed both before and after the session
showed
statistically significant improvements in confidence in leading and
documenting ward
rounds. In addition, 94% of final year medical students and 93% of doctors
felt such
training should be included in the undergraduate curriculum. We believe there
is a
current gap in training around ward round skills and would strongly encourage
simulation-based ward round training to be developed for undergraduates.

Further
sessions following qualification may then consolidate and develop ward round
skills
adapted to the level of the doctor.
CI - © 2015 Royal College of Physicians.
FAU - Powell, Natalie
AU - Powell N
AD - Surrey and Sussex Healthcare NHS Trust, Redhill, UK; npowell@doctors.org.uk.
FAU - Bruce, Christopher G
AU - Bruce CG
AD - Surrey and Sussex Healthcare NHS Trust, Redhill, UK;
FAU - Redfern, Oliver
AU - Redfern O
AD - Surrey and Sussex Healthcare NHS Trust, Redhill, UK.
LA - eng
JID - 101092853
SB - IM
MH - Computer Simulation
MH - Data Collection
MH - Education, Medical/*methods
MH - Humans
MH - *Students, Medical
MH - *Teaching Rounds
PMC - PMC4953731
OTO - NOTNLM
OT - Ward round
OT - education
OT - junior doctors
OT - simulation
EDAT- 2015/04/01 06:00
MHDA- 2015/09/12 06:00
CRDT- 2015/04/01 06:00
PHST- 2015/04/01 06:00 [entrez]
PHST- 2015/04/01 06:00 [pubmed]
PHST- 2015/09/12 06:00 [medline]
AID - 15/2/135 [pii]
AID - 10.7861/clinmedicine.15-2-135 [doi]
PST - ppublish
SO - Clin Med (Lond). 2015 Apr;15(2):135-8. doi: 10.7861/clinmedicine.15-2-135.
PMID- 30547779
OWN - NLM
STAT- MEDLINE
DCOM- 20190211
LR - 20200225
IS - 1472-6963 (Linking)
VI - 18
IP - 1
DP - 2018 Dec 14
TI - Qualitative study exploring the phenomenon of multiple electronic prescribing
systems within single hospital organisations.

PG - 969
LID - 10.1186/s12913-018-3750-1 [doi]
LID - 969
AB - BACKGROUND: A previous census of electronic prescribing (EP) systems in
England
showed that more than half of hospitals with EP reported more than one EP
system
within the same hospital. Our objectives were to describe the rationale for
having
multiple EP systems within a single hospital, and to explore perceptions of
stakeholders about the advantages and disadvantages of multiple systems
including
any impact on patient safety. METHODS: Hospitals were selected from previous
census
respondents. A decision matrix was developed to achieve a maximum variation
sample,
and snowball sampling used to recruit stakeholders of different professional
backgrounds. We then used an a priori framework to guide and analyse semi-
structured
interviews. RESULTS: Ten participants, comprising pharmacists and doctors and
a
nurse, were interviewed from four hospitals. The findings suggest that use of
multiple EP systems was not strategically planned. Three co-existing models

of EP
systems adoption in hospitals were identified: organisation-led, clinician-
led and
clinical network-led, which may have contributed to multiple systems use.
Although
there were some perceived benefits of multiple EP systems, particularly in
niche
specialities, many disadvantages were described. These included issues
related to
access, staff training, workflow, work duplication, and system interfacing.
Fragmentation of documentation of the patient's journey was a major safety
concern.
DISCUSSION: The complexity of EP systems' adoption and deficiencies in IT
strategic
planning may have contributed to multiple EP systems use in the NHS. In the
near to
mid-term, multiple EP systems may remain in place in many English hospitals,
which
may create challenges to quality and patient safety.
FAU - Ahmed, Zamzam
AU - Ahmed Z
AD - Research Department of Practice and Policy, UCL School of Pharmacy, 29-39
Brunswick
Square, London, WC1N 1AX, UK. zamzam.ahmed.11@ucl.ac.uk.
AD - The Centre for Medication Safety and Service Quality, Pharmacy Department,
Imperial
College Healthcare NHS Trust, Fulham Palace Road, London, W6 8RF, UK.
zamzam.ahmed.11@ucl.ac.uk.
AD - Department of Clinical and Pharmaceutical Sciences, University of
Hertfordshire,
Hatfield, Hertfordshire, AL10 9AB, UK. zamzam.ahmed.11@ucl.ac.uk.
FAU - Jani, Yogini
AU - Jani Y
Brunswick
Square, London, WC1N 1AX, UK.
AD - Centre for Medicines Optimisation Research and Education, Pharmacy
Department,
University College London Hospitals NHS Foundation Trust, 235 Euston Rd,
London, NW1
2BU, UK.
AU - Franklin BD
Brunswick
Square, London, WC1N 1AX, UK.
AD - The Centre for Medication Safety and Service Quality, Pharmacy Department,
Imperial
College Healthcare NHS Trust, Fulham Palace Road, London, W6 8RF, UK.
LA - eng
DEP - 20181214
JID - 101088677
SB - IM
MH - Electronic Prescribing/*statistics & numerical data
MH - England
MH - Facilities and Services Utilization
MH - Hospitals/statistics & numerical data
MH - Humans
MH - Patient Safety
MH - Pharmacists/statistics & numerical data
MH - Physicians/statistics & numerical data
PMC - PMC6295095
OTO - NOTNLM
OT - Computerised provider order entry
OT - Electronic prescribing
OT - Multiple electronic prescribing systems
OT - Patient safety
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: NHS ethics approval was not
required
under Health Research Authority regulations as the study involved the use of
non-sensitive, anonymised interview procedures where participants were not
defined
as “vulnerable”. The study was approved by UCL research ethics committee. All
interviewees consented to participate in this study. Verbal consents were

obtained
when telephone interviews were conducted and this procedure was approved by
the
ethics committee. CONSENT FOR PUBLICATION: All interviewees consented to
include any
anonymised quotes in any publications. COMPETING INTERESTS: The authors
declare that
they have no competing interests. PUBLISHER’S NOTE: Springer Nature remains
neutral
with regard to jurisdictional claims in published maps and institutional
affiliations.
EDAT- 2018/12/15 06:00
MHDA- 2019/02/12 06:00
CRDT- 2018/12/15 06:00
PHST- 2017/11/20 00:00 [received]
PHST- 2018/11/21 00:00 [accepted]
PHST- 2018/12/15 06:00 [entrez]
PHST- 2018/12/15 06:00 [pubmed]
PHST- 2019/02/12 06:00 [medline]
AID - 10.1186/s12913-018-3750-1 [pii]
AID - 3750 [pii]
AID - 10.1186/s12913-018-3750-1 [doi]
PST - epublish
SO - BMC Health Serv Res. 2018 Dec 14;18(1):969. doi: 10.1186/s12913-018-3750-1.
PMID- 21105868
OWN - NLM
STAT- MEDLINE
DCOM- 20110511
LR - 20191210
IS - 0017-9124 (Print)
IS - 0017-9124 (Linking)
VI - 46
IP - 2
DP - 2011 Apr
TI - Perceptions of hospital safety climate and incidence of readmission.
PG - 596-616
LID - 10.1111/j.1475-6773.2010.01204.x [doi]
AB - OBJECTIVE: To define the relationship between hospital patient safety climate
(a
measure of hospitals' organizational culture as related to patient safety)
and
hospitals' rates of rehospitalization within 30 days of discharge. DATA
SOURCES: A
safety climate survey administered to a random sample of hospital employees
(n=36,375) in 2006-2007 and risk-standardized hospital readmission rates from
2008.
STUDY DESIGN: Cross-sectional study of 67 hospitals. DATA COLLECTION: Robust
multiple regressions used 30-day risk-standardized readmission rates as
dependent
variables in separate disease-specific models (acute myocardial infarction
[AMI],
heart failure [HF], pneumonia), and measures of safety climate as independent
variables. We estimated separate models for all hospital staff as well as

physicians, nurses, hospital senior managers, and frontline staff. PRINCIPAL
FINDINGS: There was a significant positive association between lower safety
climate
and higher readmission rates for AMI and HF (p ≤ .05 for both models).
Frontline
staff perceptions of safety climate were associated with readmission rates (p
≤
.01), but senior management perceptions were not. Physician and nurse
perceptions
related to AMI and HF readmissions, respectively. CONCLUSIONS: Our findings
indicate
that hospital patient safety climate is associated with readmission outcomes
for AMI
and HF and those associations were management level and discipline specific.
CI - © Health Research and Education Trust.
FAU - Hansen, Luke O
AU - Hansen LO
AD - Division of Hospital Medicine, Northwestern University Feinberg School of
Medicine,
Chicago, IL 60611, USA. l-hansen@northwestern.edu
FAU - Williams, Mark V
AU - Williams MV
FAU - Singer, Sara J
AU - Singer SJ
LA - eng
DEP - 20101124
JID - 0053006
SB - IM
MH - Heart Failure/therapy
MH - Hospital Administration/standards
MH - Hospitals/*standards/statistics & numerical data
MH - Humans
MH - Incidence
MH - Myocardial Infarction/therapy
MH - Outcome and Process Assessment, Health Care
MH - Perception
MH - Pneumonia/therapy
MH - *Safety Management/standards/statistics & numerical data
MH - United States
PMC - PMC3064921
EDAT- 2010/11/26 06:00
MHDA- 2011/05/12 06:00
CRDT- 2010/11/26 06:00
PHST- 2010/11/26 06:00 [entrez]
PHST- 2010/11/26 06:00 [pubmed]
PHST- 2011/05/12 06:00 [medline]
AID - 10.1111/j.1475-6773.2010.01204.x [doi]
PST - ppublish
SO - Health Serv Res. 2011 Apr;46(2):596-616. doi: 10.1111/j.1475-
6773.2010.01204.x. Epub
2010 Nov 24.
PMID- 30007915
OWN - NLM
STAT- MEDLINE
DCOM- 20200129
LR - 20200306
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 28
IP - 2
DP - 2019 Feb
TI - Formative evaluation of the video reflexive ethnography method, as applied to
the
physician-nurse dyad.
PG - 160-166
LID - 10.1136/bmjqs-2017-007728 [doi]
AB - BACKGROUND: Despite decades of research and interventions, poor communication
between physicians and nurses continues to be a primary contributor to

adverse
events in the hospital setting and a major challenge to improving patient
safety.
The lack of progress suggests that it is time to consider alternative
approaches
with greater potential to identify and improve communication than those used
to
date. We conducted a formative evaluation to assess the feasibility,
acceptability
and utility of using video reflexive ethnography (VRE) to examine, and
potentially
improve, communication between nurses and physicians. METHODS: We begin with
a brief
description of the institutional review boardapproval process and recruitment
activities, then explain how we conducted the formative evaluation by

describing (1)
the VRE process itself; (2) our assessment of the exposure to the VRE
process; and
(3) challenges encountered and lessons learnt as a result of the process,
along with
suggestions for change. RESULTS: Our formative evaluation demonstrates that
it is
feasible and acceptable to video-record communication between physicians and
nurses
during patient care rounds across many units at a large, academic medical
centre.
The lessons that we learnt helped to identify procedural changes for future
projects. We also discuss the broader application of this methodology as a
possible
strategy for improving other important quality and safety practices in
healthcare
settings. CONCLUSIONS: The VRE process did generate increased reflection in
both
nurse and physician participants. Moreover, VRE has utility in assessing
communication and, based on the comments of our participants, can serve as an
intervention to possibly improve communication, with implications for patient
safety.

AU - Manojlovich M
AUID- ORCID: 0000-0002-6101-5535
AD - School of Nursing, University of Michigan, Ann Arbor, Michigan, USA.
FAU - Frankel, Richard M
AU - Frankel RM
AD - Department of Medicine, Indiana University, Indianapolis, Indiana, USA.
FAU - Harrod, Molly
AU - Harrod M
AD - Center for Clinical Management Research, Department of Veterans Affairs Ann
Arbor
Healthcare System, Ann Arbor, Michigan, USA.
FAU - Heshmati, Alaa
AU - Heshmati A
AD - Vancouver, British Columbia, Canada.
FAU - Hofer, Timothy
AU - Hofer T
AUID- ORCID: 0000-0003-0434-8787
Arbor
AD - Department of Internal Medicine, University of Michigan Medical School, Ann
Arbor,
Michigan, USA.
FAU - Umberfield, Elizabeth
AU - Umberfield E
AD - School of Nursing, University of Michigan, Ann Arbor, Michigan, USA.
FAU - Krein, Sarah
AU - Krein S
Arbor
AD - Department of Internal Medicine, University of Michigan Medical School, Ann
Arbor,
Michigan, USA.
LA - eng
DEP - 20180714
TA - BMJ Qual Saf
JID - 101546984
SB - H
CIN - BMJ Qual Saf. 2019 Feb;28(2):89-90. PMID: 30309911
MH - Anthropology, Cultural/*methods
MH - *Communication
MH - Humans
MH - *Nurses
MH - Physician-Nurse Relations
MH - *Physicians
MH - Videotape Recording
PMC - PMC6548313
MID - NIHMS1031276
OTO - NOTNLM
OT - *communication
EDAT- 2018/07/17 06:00
MHDA- 2020/01/30 06:00
CRDT- 2018/07/16 06:00
PHST- 2017/12/15 00:00 [received]
PHST- 2018/05/30 00:00 [revised]
PHST- 2018/06/24 00:00 [accepted]
PHST- 2018/07/17 06:00 [pubmed]
PHST- 2020/01/30 06:00 [medline]
PHST- 2018/07/16 06:00 [entrez]
AID - bmjqs-2017-007728 [pii]
AID - 10.1136/bmjqs-2017-007728 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2019 Feb;28(2):160-166. doi: 10.1136/bmjqs-2017-007728. Epub
2018 Jul
14.
PMID- 30202503
OWN - NLM
STAT- MEDLINE
DCOM- 20181029
LR - 20181202
IS - 1936-900X (Print)
VI - 19
IP - 5
DP - 2018 Sep
TI - The Effect of Point-of-Care Testing at Triage: An Observational Study in a
Teaching
Hospital in Saudi Arabia.
PG - 884-888
LID - 10.5811/westjem.2018.6.38217 [doi]
AB - INTRODUCTION: Prolonged waiting times during episodes of emergency department
(ED)
crowding are associated with poor outcomes. Point-of-care testing (POCT) at
ED
triage prior to physician evaluation may help identify critically ill
patients. We
studied the impact of ED POCT in a single ED with a high degree of crowding
for
patients with high-risk complaints who were triaged as non-critically ill.
METHODS:
We conducted the study from April-July 2017 at King Abdulaziz University
(KAU)
Hospital in Jeddah, Saudi Arabia. Patients with one of seven complaints
received
triage POCT. The primary outcome was whether POCT results at triage resulted
in
immediate transfer of the patient from the waiting room into the ED.
Secondary
outcomes were whether the triage nurse felt that the POCT results were
useful, and
whether triage POCT changed triage acuity. We used simple descriptive
statistics to
summarize the data. RESULTS: A total of 94 patients were enrolled and
received
i-STAT® POCT. The most common symptoms and triage protocols were for chest
pain
(42%), abdominal pain (31%), and shortness of breath (22%). In 11 cases
(12%), care
was changed as a result of triage POCT. In 12 cases (13%), triage level was
changed.
The triage nurse found POCT helpful in 93% of cases. CONCLUSION: In this ED,
triage
POCT was a helpful adjunct at ED triage and resulted in immediate care
(transfer to
an ED room) in one in eight cases. Therefore, POCT at triage may be a useful
adjunct
to improve patient safety, particularly in crowded EDs.
FAU - Abualenain, Jameel
AU - Abualenain J
AD - King Abdulaziz University, Department of Emergency Medicine, Jeddah, Saudi
Arabia.
AD - King Abdulaziz University Hospital, Department of Emergency Medicine, Jeddah,
Saudi
Arabia.
AD - George Washington University, Center for Healthcare Innovation & Policy
Research,
Washington, District of Columbia.
FAU - Almarzouki, Ahd
AU - Almarzouki A
Arabia.
FAU - Saimaldaher, Rawan
AU - Saimaldaher R
Arabia.
FAU - Zocchi, Mark S
AU - Zocchi MS
Research,
FAU - Pines, Jesse M
AU - Pines JM
AD - George Washington University, Department of Emergency Medicine, Washington,
District
of Columbia.
Research,
LA - eng
DEP - 20180726
JID - 101476450
SB - IM
MH - Abdominal Pain/diagnosis
MH - Chest Pain/diagnosis
MH - Critical Illness/*therapy
MH - Crowding
MH - Emergency Service, Hospital/statistics & numerical data
MH - Female
MH - *Hospitals, University
MH - Humans
MH - Male
MH - Middle Aged
MH - Point-of-Care Testing/*statistics & numerical data
MH - Saudi Arabia
MH - Triage/*statistics & numerical data
PMC - PMC6123100
COIS- Conflicts of Interest: By the WestJEM article submission agreement, all
authors are
required to disclose all affiliations, funding sources and financial or
management
relationships that could be perceived as potential sources of bias. This
study was
funded by Abbott Point-of-Care (APOC). APOC had no direct role in the study
design
or implementation. JMP and MZ received funding for this study through their
institution, George Washington University.
EDAT- 2018/09/12 06:00
MHDA- 2018/10/30 06:00
CRDT- 2018/09/12 06:00
PHST- 2018/03/08 00:00 [received]
PHST- 2018/06/01 00:00 [revised]
PHST- 2018/06/22 00:00 [accepted]
PHST- 2018/09/12 06:00 [entrez]
PHST- 2018/09/12 06:00 [pubmed]
PHST- 2018/10/30 06:00 [medline]
AID - 10.5811/westjem.2018.6.38217 [doi]
PST - ppublish
SO - West J Emerg Med. 2018 Sep;19(5):884-888. doi: 10.5811/westjem.2018.6.38217.
Epub
2018 Jul 26.
PMID- 23437024
OWN - NLM
STAT- MEDLINE
DCOM- 20131122
LR - 20181113
IS - 1866-0452 (Linking)
VI - 110
IP - 5
DP - 2013 Feb
TI - The management of needlestick injuries.
PG - 61-7
LID - 10.3238/arztebl.2013.0061 [doi]
AB - BACKGROUND: An estimated 1 million needlestick injuries (NSIs) occur in
Europe each
year. The Council Directive 2010/32/EU on the prevention of NSIs describes
minimum
requirements for prevention and calls for the implementation of local,
national and
Europe-wide reporting systems. The Directive is to be implemented by all EU
member
states by 11 May 2013. The purpose of this study was to assess (and improve)
the
procedures for the reporting and treatment of needlestick injuries in a
German
tertiary-care hospital. METHODS: We carried out a prospective observational
study of
the NSI reporting system in the hospital over a period of 18 months and
determined
the incidence of NSIs, the prevalence of blood-borne pathogens among index
patients,
the rate of initiation of post-exposure prophylaxis, and the rate of
serological
testing of the affected health care personnel. RESULTS: 519 instances of NSI
were
reported to the accident insurance doctor over the period of the study, which
consisted of 547 working days. 86.5% of the index patients underwent

serological
study for hepatitis B and C (HBV and HCV) and for the human immune deficiency
virus
(HIV); this resulted in two initial diagnoses (one each of active hepatitis B
and
hepatitis C) in the index patient. 92 of 449 index patients, or one in five,
was
infected with at least one blood-borne pathogen. HIV post-exposure
prophylaxis was
initiated in 41 health care workers. One case of hepatitis C virus
transmission
arose and was successfully treated. Other than that, no infection was
transmitted.
CONCLUSION: Complete reporting of NSIs is a prerequisite for the
identification of
risky procedures and to ensure optimal treatment of the affected health care
personnel. The accident insurance doctor must possess a high degree of
interdisciplinary competence in order to treat NSI effectively.
FAU - Himmelreich, Heiko
AU - Himmelreich H
AD - Department of Trauma-, Hand- and Reconstructive Surgery, J.W. Goethe
University
Hospital, Frankfurt/Main.
FAU - Rabenau, Holger F
AU - Rabenau HF
FAU - Rindermann, Matthias
AU - Rindermann M
FAU - Stephan, Christoph
AU - Stephan C
FAU - Bickel, Markus
AU - Bickel M
FAU - Marzi, Ingo
AU - Marzi I
FAU - Wicker, Sabine
AU - Wicker S
LA - eng
DEP - 20130201
TA - Dtsch Arztebl Int
JT - Deutsches Arzteblatt international
JID - 101475967
SB - IM
CIN - Dtsch Arztebl Int. 2013 Jun;110(23-24):420. PMID: 23837087
CIN - Dtsch Arztebl Int. 2013 Jun;110(23-24):420. PMID: 23837088
MH - Causality
MH - Comorbidity
MH - Disease Notification/*statistics & numerical data
MH - Germany/epidemiology
MH - Humans
MH - Mandatory Reporting
MH - Medical Staff
MH - Needlestick Injuries/diagnosis/*epidemiology/*therapy
MH - Occupational Injuries/diagnosis/*epidemiology/*therapy
MH - Prevalence
MH - Risk Factors
MH - Virus Diseases/diagnosis/*epidemiology/*therapy
PMC - PMC3576594
EDAT- 2013/02/26 06:00
MHDA- 2013/12/16 06:00
CRDT- 2013/02/26 06:00
PHST- 2012/08/17 00:00 [received]
PHST- 2012/10/30 00:00 [accepted]
PHST- 2013/02/26 06:00 [entrez]
PHST- 2013/02/26 06:00 [pubmed]
PHST- 2013/12/16 06:00 [medline]
AID - 10.3238/arztebl.2013.0061 [doi]
PST - ppublish
SO - Dtsch Arztebl Int. 2013 Feb;110(5):61-7. doi: 10.3238/arztebl.2013.0061. Epub
2013
Feb 1.
PMID- 22271430
OWN - NLM
STAT- MEDLINE
DCOM- 20120529
LR - 20191210
IS - 0036-7672 (Linking)
VI - 142
DP - 2012
TI - Nurse-reported patient safety climate in Swiss hospitals: a descriptive-
explorative
substudy of the Swiss RN4CAST study.
PG - w13501
LID - Swiss Med Wkly. 2012;142:w13501 [pii]
LID - 10.4414/smw.2012.13501 [doi]
AB - QUESTIONS UNDER STUDY: Measuring the patient safety climate in the
organisation of
healthcare can help to identify problematic issues with a view to improving
patient
safety. We aimed (1) to describe the nurse-reported engagement in safety
behaviours,
(2) to describe the prevailing nurse-reported patient safety climate of
general
medical, surgical and mixed medical-surgical units in Swiss acute-care
hospitals and
(3) to explore differences between hospital type, unit type and language
regions.
METHODS: This substudy utilised data from the nurse survey (N = 1,633) of the
multicentre-cross sectional RN4CAST study. Patient safety climate was

measured with
the 9-item Safety Organizing Scale (SOS) which captured registered nurses'
engagement in safety behaviours and practices at the unit level. RESULTS: A
total of
35 Swiss hospitals participated in the study. Of the 120 eligible units
included in
the analysis, only on 33 units (27.5%) did at least 60% of the nurses report
a
positive patient safety climate. A majority of nurses (51.2-63.4%, n = 1,564)
reported that they were "consistently engaged" in only three of the nine
measured
patient safety behaviours. Our multilevel regression analyses revealed both
significant between-unit and between-hospital variability. From our three
variables
of interest (hospital type, unit type and language regions) only language
regions
was consistently related to nurse-reported patient safety climate. Nurses in
the
German-speaking region reported a more positive patient safety climate than
nurses
in the French- and Italian-speaking language regions. CONCLUSIONS: The
findings of
this study suggest a need to improve the patient safety climate on many units
in
Swiss hospitals. Leaders in hospitals should strengthen the patient safety
climate
at unit level by implementing methods, such as root cause analysis or patient
safety
leadership walk rounds, to improve individual and team skills and redesign
work
processes. The impact of these efforts should be measured by periodically
assessing
the patient safety climate with the SOS.
FAU - Ausserhofer, D
AU - Ausserhofer D
AD - Institute for Nursing Sciences, University Basel, Basel, Switzerland.
dietmar.ausserhofer@unibas.ch
FAU - Schubert, M
AU - Schubert M
FAU - Engberg, S
AU - Engberg S
FAU - Blegen, M
AU - Blegen M
FAU - De, Geest
AU - De G
FAU - Schwendimann, R
AU - Schwendimann R
LA - eng
DEP - 20120120
PL - Switzerland
TA - Swiss Med Wkly
JT - Swiss medical weekly
JID - 100970884
SB - IM
MH - Adult
MH - Female
MH - Hospital Administrators/*psychology
MH - Humans
MH - *Leadership
MH - Male
MH - Nursing Staff, Hospital/psychology/*standards
MH - Outcome Assessment, Health Care/*methods
MH - Switzerland
MH - Young Adult
EDAT- 2012/01/25 06:00
MHDA- 2012/05/30 06:00
CRDT- 2012/01/25 06:00
PHST- 2012/01/25 06:00 [entrez]
PHST- 2012/01/25 06:00 [pubmed]
PHST- 2012/05/30 06:00 [medline]
AID - Swiss Med Wkly. 2012;142:w13501 [pii]
AID - 10.4414/smw.2012.13501 [doi]
PST - epublish
SO - Swiss Med Wkly. 2012 Jan 20;142:w13501. doi: 10.4414/smw.2012.13501.
eCollection
2012.
PMID- 28557755
OWN - NLM
STAT- MEDLINE
DCOM- 20170810
LR - 20191023
IS - 0031-4005 (Linking)
VI - 139
IP - 5
DP - 2017 May
TI - Validation of New Quality Measures for Transitions Between Sites of Care.
LID - e20164178 [pii]
LID - 10.1542/peds.2016-4178 [doi]
AB - BACKGROUND AND OBJECTIVE: Assessing and improving the quality of transitions
to home
from the emergency department (ED) or hospital is critical for patient
safety. Our
objective was to validate 8 newly developed caregiver-reported measures of
transition quality. METHODS: This prospective observational study included
1086
caregiver survey respondents whose children had an ED visit (n = 523) or
hospitalization (n = 563) at Seattle Children's Hospital in 2014. Caregivers
were
contacted to complete 2 surveys. The first survey included the newly
developed
transition quality measures and multiple validation measures including
modified
versions of Child Hospital Consumer Assessments of Healthcare Providers and
Systems
(HCAHPS) composites, assessing communication and discharge planning. The
second
survey (administered 30 days later) included questions about follow-up
appointments
and ED return visits and readmissions. Using multivariate regression, we
examined
associations between the newly developed transition quality measures and each
validation measure. RESULTS: All transition quality measures were

significantly
associated with ≥1 validation measures. The hospital-to-home transition
measure
assessing whether discharge instructions were easy to understand, were
useful, and
contained necessary follow-up information had the largest association with
the Child
HCAHPS nurse-parent and doctor-parent communication composites (β = 55.6; 95%
confidence interval, 43 to 68.3; and β = 48.3; 95% confidence interval, 36.3

to
60.3, respectively, scaled to reflect change associated with a 0 to 100
change in
the transition measure score). CONCLUSIONS: Newly developed quality measures
for
pediatric ED- and hospital-to-home transitions were significantly and
positively
associated with previously validated measures of caregiver experience. These
new
measures may be useful for assessing and improving on the quality of ED- and
hospital-to-home transitions.
FAU - Parast, Layla
AU - Parast L
AD - RAND Corporation, Santa Monica, California; parast@rand.org.
FAU - Burkhart, Q
AU - Burkhart Q
AD - RAND Corporation, Santa Monica, California.
FAU - Desai, Arti D
AU - Desai AD
AD - Seattle Children's Research Institute, Seattle, Washington.
AD - Department of Pediatrics, University of Washington, Seattle, Washington.
FAU - Simon, Tamara D
AU - Simon TD
FAU - Allshouse, Carolyn
AU - Allshouse C
AD - Family Voices of Minnesota, Stillwater, Minnesota.
FAU - Britto, Maria T
AU - Britto MT
FAU - Leyenaar, JoAnna K
AU - Leyenaar JK
AD - Tufts Medical Center, Boston, Massachusetts.
FAU - Gidengil, Courtney A
AU - Gidengil CA
AD - RAND Corporation, Boston, Massachusetts.
AD - Harvard Medical School, Boston, Massachusetts; and.
FAU - Toomey, Sara L
AU - Toomey SL
AD - Harvard Medical School, Boston, Massachusetts; and.
FAU - Elliott, Marc N
AU - Elliott MN
AD - RAND Corporation, Santa Monica, California.
FAU - Schneider, Eric C
AU - Schneider EC
AD - The Commonwealth Fund, New York, New York.
FAU - Mangione-Smith, Rita
AU - Mangione-Smith R
LA - eng
DEP - 20170414
PL - United States
TA - Pediatrics
JT - Pediatrics
JID - 0376422
SB - AIM
SB - IM
MH - Child
MH - Emergency Service, Hospital/*standards
MH - Hospitals, Pediatric/*standards
MH - Humans
MH - Washington
EDAT- 2017/05/31 06:00
MHDA- 2017/08/11 06:00
CRDT- 2017/05/31 06:00
PHST- 2017/02/22 00:00 [accepted]
PHST- 2017/05/31 06:00 [entrez]
PHST- 2017/05/31 06:00 [pubmed]
PHST- 2017/08/11 06:00 [medline]
AID - peds.2016-4178 [pii]
AID - 10.1542/peds.2016-4178 [doi]
PST - ppublish
SO - Pediatrics. 2017 May;139(5):e20164178. doi: 10.1542/peds.2016-4178. Epub 2017
Apr
14.
PMID- 32843473
OWN - NLM
STAT- MEDLINE
DCOM- 20200901
LR - 20201218
VI - 13
IP - 8
DP - 2020 Aug 25
TI - Community and healthcare system-related factors feeding the phenomenon of
evading
medical attention for time-dependent emergencies during COVID-19 crisis.
LID - 10.1136/bcr-2020-237817 [doi]
LID - e237817
AB - The current COVID-19 crisis has significantly impacted healthcare systems
worldwide.
There has been a palpable increase in public avoidance of hospitals, which
has
interfered in timely care of critical cardiovascular conditions.
Complications from
late presentation of myocardial infarction, which had become a rarity,
resurfaced
during the pandemic. We present two such encounters that occurred due to
delay in
seeking medical care following myocardial infarction due to the fear of
contracting
COVID-19 in the hospital. Moreover, a comprehensive review of literature is
performed to illustrate the potential factors delaying and decreasing timely
presentations and interventions for time-dependent medical emergencies like
ST-segment elevation myocardial infarction (STEMI). We emphasise that
clinicians
should remain vigilant of encountering rare and catastrophic complications of
STEMI
during this current era of COVID-19 pandemic.
CI - © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and
FAU - Ahmed, Taha
AU - Ahmed T
AUID- ORCID: 0000-0002-1337-7689
AD - Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland,
Ohio, USA
tahaahmedfairview@gmail.com.
FAU - Lodhi, Samra Haroon
AU - Lodhi SH
AD - Department of Internal Medicine, King Edward Medical University, Lahore,
Pakistan.
FAU - Kapadia, Samir
AU - Kapadia S
AD - Department of Cardiovascular Medicine, Heart and Vascular Institute,
Cleveland
Clinic Foundation, Cleveland, Ohio, USA.
FAU - Shah, Gautam V
AU - Shah GV
AD - Department of Cardiovascular Medicine, Heart and Vascular Institute,
Cleveland
Clinic Foundation, Cleveland, Ohio, USA.
LA - eng
PT - Case Reports
PT - Review
DEP - 20200825
TA - BMJ Case Rep
JID - 101526291
SB - IM
MH - Betacoronavirus
MH - COVID-19
MH - Coronavirus Infections/*epidemiology
MH - *Fear
MH - Female
MH - Humans
MH - Middle Aged
MH - Pandemics
MH - Patient Acceptance of Health Care/*psychology
MH - Pneumonia, Viral/*epidemiology
MH - SARS-CoV-2
MH - ST Elevation Myocardial Infarction/complications/*diagnosis/therapy
MH - *Time-to-Treatment
PMC - PMC7449484
OTO - NOTNLM
OT - cardiovascular medicine
OT - global health
OT - interventional cardiology
EDAT- 2020/08/28 06:00
MHDA- 2020/09/02 06:00
CRDT- 2020/08/27 06:00
PHST- 2020/08/27 06:00 [entrez]
PHST- 2020/08/28 06:00 [pubmed]
PHST- 2020/09/02 06:00 [medline]
AID - 13/8/e237817 [pii]
AID - bcr-2020-237817 [pii]
AID - 10.1136/bcr-2020-237817 [doi]
PST - epublish
SO - BMJ Case Rep. 2020 Aug 25;13(8):e237817. doi: 10.1136/bcr-2020-237817.
PMID- 23890336
OWN - NLM
STAT- MEDLINE
DCOM- 20130911
LR - 20191112
IS - 1476-0320 (Print)
IS - 1475-9985 (Linking)
VI - 20
IP - 4
DP - 2012
TI - Notifications of hospital events to outpatient clinicians using health
information
exchange: a post-implementation survey.
PG - 249-55
AB - BACKGROUND: The trend towards hospitalist medicine can lead to disjointed
patient
care. Outpatient clinicians may be unaware of patients' encounters with a
disparate
healthcare system. Electronic notifications to outpatient clinicians of
patients'
emergency department (ED) visits and inpatient admissions and discharges
using
health information exchange can inform outpatient clinicians of patients'
hospital-based events. OBJECTIVE: Assess outpatient clinicians' impressions
of a
new, secure messaging-based, patient event notification system. METHODS:
Twenty
outpatient clinicians receiving notifications of hospital-based events were
recruited and 14 agreed to participate. Using a semi-structured interview,
clinicians were asked about their use of notifications and the impact on
their
practices. RESULTS: Nine of 14 interviewed clinicians (64%) thought that
without
notifications, they would have heard about fewer than 10% of ED visits before
the
patient's next visit. Nine clinicians (64%) thought that without
notifications, they
would have heard about fewer than 25% of inpatient admissions and discharges
before
the patient's next visit. Six clinicians (43%) reported that they call the
inpatient
team more often because of notifications. Eight users (57%) thought that
notifications improved patient safety by increasing their awareness of the
patients'
clinical events and their medication changes. Key themes identified were the
importance of workflow integration and a desire for more clinical information
in
notifications. CONCLUSIONS: The notification system is perceived by
clinicians to be
of value. These findings should instigate further message-oriented use of
health
information exchange and point to refinements that can lead to even greater
benefits.
FAU - Altman, Richard
AU - Altman R
AD - Department of Medical Informatics, Oregon Health & Science University, OR,
USA.
FAU - Shapiro, Jason S
AU - Shapiro JS
FAU - Moore, Thomas
AU - Moore T
FAU - Kuperman, Gilad J
AU - Kuperman GJ
LA - eng
PL - England
TA - Inform Prim Care
JT - Informatics in primary care
JID - 101150138
SB - IM
MH - *Communication
MH - Continuity of Patient Care/*organization & administration
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - *Patient Admission
EDAT- 2012/01/01 00:00
MHDA- 2013/09/12 06:00
CRDT- 2013/07/30 06:00
PHST- 2013/07/30 06:00 [entrez]
PHST- 2012/01/01 00:00 [pubmed]
PHST- 2013/09/12 06:00 [medline]
AID - 14 [pii]
AID - 10.14236/jhi.v20i4.14 [doi]
PST - ppublish
SO - Inform Prim Care. 2012;20(4):249-55. doi: 10.14236/jhi.v20i4.14.
PMID- 24991623
OWN - NLM
DCOM- 20140703
LR - 20200930
IS - 2319-9644 (Print)
VI - 2
IP - 4
DP - 2013 Oct
TI - Medication reconciliation and prescribing reviews by pharmacy technicians in
a
geriatric ward.
PG - 145-50
LID - 10.4103/2279-042X.128143 [doi]
AB - OBJECTIVE: Incomplete medication histories obtained on hospital admission are
responsible for more than 25% of prescribing errors. This study aimed to
evaluate
whether pharmacy technicians can assist hospital physicians' in obtaining
medication
histories by performing medication reconciliation and prescribing reviews. A
secondary aim was to evaluate whether the interventions made by pharmacy
technicians
could reduce the time spent by the nurses on administration of medications to
the
patients. METHODS: This observational study was conducted over a 7 week
period in
the geriatric ward at Odense University Hospital, Denmark. Two pharmacy
technicians
conducted medication reconciliation and prescribing reviews at the time of
patients'
admission to the ward. The reviews were conducted according to standard
operating
procedures developed by a clinical pharmacist and approved by the Head of the
Geriatric Department. FINDINGS: In total, 629 discrepancies were detected

during the
conducted medication reconciliations, in average 3 for each patient. About
45% of
the prescribing discrepancies were accepted and corrected by the physicians.
"Medication omission" was the most frequently detected discrepancy (46% of
total).
During the prescribing reviews, a total of 860 prescription errors were
detected,
approximately one per medication review. Almost all of the detected
prescription
errors were later accepted and/or corrected by the physicians. "Dosage and
time
interval errors" were the most frequently detected error (48% of total). The
time
used by nurses for administration of medicines was reduced in the study
period.
CONCLUSION: This study suggests that pharmacy technicians can contribute to a
substantial reduction in medication discrepancies in acutely admitted

patients by
performing medication reconciliation and focused medication reviews. Further
randomized, controlled studies including a larger number of patients are
required to
elucidate whether these observations are of significance and of importance
for
securing patient safety.
FAU - Buck, Thomas Croft
AU - Buck TC
AD - Department of Clinical Pharmacy, Odense University Hospital Pharmacy, Odense,
Denmark ; Department of Clinical Pharmacy, Hospitals Unit for Quality

Assurance of
Medicines Use, Odense University Hospital, Odense, Denmark.
FAU - Gronkjaer, Louise Smed
AU - Gronkjaer LS

Assurance of
FAU - Duckert, Marie-Louise
AU - Duckert ML

Assurance of
FAU - Rosholm, Jens-Ulrik
AU - Rosholm JU
AD - Department of Geriatric Medicine, Odense University Hospital, Odense,
Denmark.
FAU - Aagaard, Lise
AU - Aagaard L
AD - Department of Clinical Pharmacy, Hospitals Unit for Quality Assurance of
Medicines
Use, Odense University Hospital, Odense, Denmark ; Clinical pharmacology,
Institute
of Public Health, University of Southern Denmark, Odense, Denmark.
LA - eng
TA - J Res Pharm Pract
JT - Journal of research in pharmacy practice
JID - 101614023
PMC - PMC4076929
OTO - NOTNLM
OT - Geriatric ward
OT - medication administration time
OT - medication review
OT - pharmacy technicians
EDAT- 2014/07/06 06:00
MHDA- 2014/07/06 06:01
CRDT- 2014/07/04 06:00
PHST- 2014/07/04 06:00 [entrez]
PHST- 2014/07/06 06:00 [pubmed]
PHST- 2014/07/06 06:01 [medline]
AID - JRPP-2-145 [pii]
AID - 10.4103/2279-042X.128143 [doi]
PST - ppublish
SO - J Res Pharm Pract. 2013 Oct;2(4):145-50. doi: 10.4103/2279-042X.128143.
PMID- 22998231
OWN - NLM
STAT- MEDLINE
DCOM- 20130506
LR - 20181113
IS - 0017-9124 (Print)
IS - 0017-9124 (Linking)
VI - 48
IP - 2 Pt 1
DP - 2013 Apr
TI - California's minimum nurse staffing legislation: results from a natural
experiment.
PG - 435-54
LID - 10.1111/j.1475-6773.2012.01465.x [doi]
AB - OBJECTIVE: To determine whether, following implementation of California's
minimum
nurse staffing legislation, changes in acuity-adjusted nurse staffing and
quality of
care in California hospitals outpaced similar changes in hospitals in
comparison
states without such regulations. DATA SOURCES/STUDY SETTING: Data from the
American
Hospital Association Annual Survey of Hospitals, the California Office of
Statewide
Health Planning and Development, the Hospital Cost Report Information System,
and
the Agency for Healthcare Research and Quality's Health Care Cost and
Utilization
Project's State Inpatient Databases from 2000 to 2006. STUDY DESIGN: We
grouped
hospitals into quartiles based on their preregulation staffing levels and
used a
difference-in-difference approach to compare changes in staffing and in
quality of
care in California hospitals to changes over the same time period in
hospitals in 12
comparison states without minimum staffing legislation. DATA
COLLECTION/EXTRACTION
METHODS: We merged data from the above data sources to obtain measures of
nurse
staffing and quality of care. We used Agency for Healthcare Research and
Quality's
Patient Safety Indicators to measure quality. PRINCIPAL FINDINGS: With few
exceptions, California hospitals increased nurse staffing levels over time
significantly more than did comparison state hospitals. Failure to rescue
decreased
significantly more in some California hospitals, and infections due to
medical care
increased significantly more in some California hospitals than in comparison
state
hospitals. There were no statistically significant changes in either
respiratory
failure or postoperative sepsis. CONCLUSIONS: Following implementation of
California's minimum nurse staffing legislation, nurse staffing in California
increased significantly more than it did in comparison states' hospitals, but

the
extent of the increases depended upon preregulation staffing levels; there
were
mixed effects on quality.
FAU - Mark, Barbara A
AU - Mark BA
AD - School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill,
NC
27599, USA. bmark@email.unc.edu
FAU - Harless, David W
AU - Harless DW
FAU - Spetz, Joanne
AU - Spetz J
FAU - Reiter, Kristin L
AU - Reiter KL
FAU - Pink, George H
AU - Pink GH
LA - eng
GR - 2R01HS10153/HS/AHRQ HHS/United States
DEP - 20120921
JID - 0053006
SB - IM
MH - California
MH - Cross Infection
MH - Hospital Administration/*legislation & jurisprudence
MH - Humans
MH - Nursing Staff, Hospital/*legislation & jurisprudence/organization &
administration
MH - Personnel Staffing and Scheduling/*legislation & jurisprudence/organization &
administration
MH - Quality of Health Care/*organization & administration/*statistics & numerical
data
MH - United States
MH - United States Agency for Healthcare Research and Quality
MH - Workload/legislation & jurisprudence
PMC - PMC3626342
EDAT- 2012/09/25 06:00
MHDA- 2013/05/07 06:00
CRDT- 2012/09/25 06:00
PHST- 2012/09/25 06:00 [entrez]
PHST- 2012/09/25 06:00 [pubmed]
PHST- 2013/05/07 06:00 [medline]
AID - 10.1111/j.1475-6773.2012.01465.x [doi]
PST - ppublish
SO - Health Serv Res. 2013 Apr;48(2 Pt 1):435-54. doi: 10.1111/j.1475-
6773.2012.01465.x.
Epub 2012 Sep 21.
PMID- 26331005
OWN - NLM
DCOM- 20150902
LR - 20181113
IS - 2045-4015 (Print)
IS - 2045-4015 (Linking)
VI - 4
DP - 2015
TI - Universal versus tailored solutions for alleviating disruptive behavior in
hospitals.
PG - 26
LID - 10.1186/s13584-015-0018-7 [doi]
LID - 26
AB - BACKGROUND: Disruptive behavior among hospital staff can negatively affect
quality
of care. Motivated by a standard on disruptive behavior issued by The Joint
Commission (LD 3.10), as well as the desire to improve patient care, minimize
liability, and improve staff retention, hospitals are setting policies to

prevent
and resolve disruptive behaviors. However, it is unknown whether uniform
conflict
management tools are equally effective among different hospital settings.
METHODS:
We surveyed residents and nurses to identify similarities and differences
among
hospital departments in the antecedents, characteristics, and outcomes of
disruptive
behaviors, and in the effectiveness of conflict management tools. We used a
quantitative questionnaire-based assessment to examine conflict perceptions
in eight
different hospital departments at Rambam Medical Center in Haifa, Israel.
RESULTS:
Most participants (89 %) reported witnessing disruptive behavior either
directly or
in other parties; the most significant causes were identified as intense
work,
miscommunication, and problematic personalities. The forms of these
behaviors,
however, varied significantly between departments, with some more prone to
expressed
conflicts, while others were characterized by hidden disruptive behaviors.
These
outcomes were correlated by the antecedents to disruptive behavior, which in
turn
affected the effectiveness of alleviating strategies and tools. Some tools,
such as
processes for evaluating complaints, teamwork and conflict management
courses, and
introducing a behavioral mission statement, are effective across many
antecedents.
Other tools, however, are antecedent-specific, falling into two principal
categories: tools directly removing a specific problem and tools that offer a
way to
circumvent the problem. CONCLUSIONS: Conflict resolution tools and
strategies, based
on residents and nurse perceptions, may be more effective if tailored to the
specific situation, rather than using a "one-size-fits-all" approach.
FAU - Berman-Kishony, Talia
AU - Berman-Kishony T
AD - Ombudsperson, Department of Management, Rambam Medical Center, Haifa,
Israel ;
Visiting Research Fellow, Harvard Medical School and Beth Israel Deaconess
Medical
Center, Boston, MA USA.
FAU - Shvarts, Shifra
AU - Shvarts S
AD - Center for Medical Education, Ben-Gurion University of the Negev, Beer Sheva,
84105
Israel.
LA - eng
DEP - 20150901
TA - Isr J Health Policy Res
JT - Israel journal of health policy research
JID - 101584158
PMC - PMC4556051
OTO - NOTNLM
OT - Conflict resolution
OT - Disruptive behavior
OT - Nurse-physician conflicts
OT - Patient safety
OT - Quality of care
EDAT- 2015/09/04 06:00
MHDA- 2015/09/04 06:01
CRDT- 2015/09/03 06:00
PHST- 2014/07/30 00:00 [received]
PHST- 2015/04/11 00:00 [accepted]
PHST- 2015/09/03 06:00 [entrez]
PHST- 2015/09/04 06:00 [pubmed]
PHST- 2015/09/04 06:01 [medline]
AID - 18 [pii]
AID - 10.1186/s13584-015-0018-7 [doi]
PST - epublish
SO - Isr J Health Policy Res. 2015 Sep 1;4:26. doi: 10.1186/s13584-015-0018-7.
eCollection 2015.
PMID- 28567167
OWN - NLM
LR - 20200929
IS - 1874-4311 (Print)
IS - 1874-4311 (Linking)
VI - 11
DP - 2017
TI - Nurse Competence on Physiologic Monitors Use: Toward Eliminating Alarm
Fatigue in
Intensive Care Units.
PG - 1-11
LID - 10.2174/1874431101711010001 [doi]
AB - BACKGROUND: Studies on nurse competence on alarm management are a few and
tend to be
focused on limited skills. In response to Phase II of implementing the
National
Patient Safety Goal on clinical alarm systems safety, this study assessed
nurses'
perceived competence on physiologic monitors use in intensive care units
(ICUs) and
developed and validated a tool for this purpose. METHODS: This descriptive
study
took place in a Magnet hospital in a Southwestern state of the U.S. A Nurse
Competence on Philips Physiologic Monitors Use Survey was created and went
through
validation by 13 expert ICU nurses. The survey included 5 subscales with 59
rated
items and two open-ended questions. Items on the first 4 subscales reflect
most
common tasks nurses perform using physiologic monitors. Items on the fifth
subscale
(advanced functions) reflect rarely used skills and were included to
understand the
scope of utilizing advanced physiologic monitors' features. Thirty nurses
from 4
adult ICUs were invited to respond to the survey. RESULTS: Thirty nurses
(100%)
responded to the survey. The majority of nurses were from Neuro (47%) and
Surgical
Trauma (37%) ICUs. The data supported the high reliability and construct
validity of
the survey. At least one (3%) to 8 nurses (27%) reported lack of confidence
on each
item on the survey. On the first four subscales, 3% - 40% of the nurses
reported
they had never heard of or used 27 features/functions on the monitors. No
relationships were found between subscales' scores and demographic
characteristics
(p > .05). Nurses asked for training on navigating the central-station
monitor and
troubleshooting alarms, and the use of unit-specific super users to tailor
training
to users' needs. CONCLUSION: This is the first study to create and test a
list of
competencies for physiologic monitors use. Rigorous, periodic and
individualized
training is essential for safe and appropriate use of physiologic monitors
and to
decrease alarm fatigue. Training should be comprehensive to include all
necessary
skills and should not assume proficiency on basic skills. Special attention
should
be focused on managing technical alarms. Increasing the number of super users
is a
recommended strategy for individualized and unit-specific training. There is
a need
for a usability testing of complex IT-equipped medical devices, such as
physiologic
monitors, for effective, efficient and safe navigation of the monitors.
FAU - Sowan, Azizeh K
AU - Sowan AK
AD - School of Nursing, University of Texas Health, San Antonio, 7703 Floyd Curl
Dr. - MC
7975, TX 78229, USA.
AD - University Health System, 4502 Medical Drive, San Antonio, Texas 78229, USA.
FAU - Vera, Ana G
AU - Vera AG
FAU - Fonseca, Elma I
AU - Fonseca EI
FAU - Reed, Charles C
AU - Reed CC
FAU - Tarriela, Albert F
AU - Tarriela AF
FAU - Berndt, Andrea E
AU - Berndt AE
AD - School of Nursing, University of Texas Health, San Antonio, 7703 Floyd Curl
Dr. - MC
7975, TX 78229, USA.
LA - eng
DEP - 20170414
TA - Open Med Inform J
JT - The open medical informatics journal
JID - 101480483
PMC - PMC5420192
OTO - NOTNLM
OT - Alarm fatigue
OT - ICUs
OT - Intensive care units
OT - Nurse competence
OT - Physiologic monitors
OT - Survey
EDAT- 2017/06/02 06:00
MHDA- 2017/06/02 06:01
CRDT- 2017/06/02 06:00
PHST- 2016/10/07 00:00 [received]
PHST- 2016/12/31 00:00 [revised]
PHST- 2017/01/25 00:00 [accepted]
PHST- 2017/06/02 06:00 [entrez]
PHST- 2017/06/02 06:00 [pubmed]
PHST- 2017/06/02 06:01 [medline]
AID - TOMINFOJ-11-1 [pii]
AID - 10.2174/1874431101711010001 [doi]
PST - epublish
SO - Open Med Inform J. 2017 Apr 14;11:1-11. doi: 10.2174/1874431101711010001.
eCollection 2017.
PMID- 25023722
OWN - NLM
STAT- MEDLINE
DCOM- 20150602
LR - 20141007
IS - 1059-1311 (Linking)
VI - 23
IP - 9
DP - 2014 Oct
TI - Outpatient anti-epileptic drug prescribing errors in a Children's Hospital:
an audit
and literature review.
PG - 786-91
LID - S1059-1311(14)00174-5 [pii]
LID - 10.1016/j.seizure.2014.06.010 [doi]
AB - PURPOSE: Prescription errors are a common and potentially hazardous problem
and may
cause patient harm. This review evaluates all new anti-epileptic drug (AED)
outpatient prescriptions over one year and reviews the subject literature.
METHODS:
A 12-month retrospective review of all outpatient prescriptions of AEDs
within a
large Children's Hospital. Copies of all prescriptions were obtained from the
Trust's Pharmacy. The evaluation included the completeness of the required

information, prescribing errors and the need for pharmacist intervention
before the
drug could be dispensed. It did not address the severity of prescribing
errors or
the potential harm to the patient. RESULTS: Two hundred and sixty two new
prescriptions were evaluated. Incomplete prescriptions (that omitted at least
one
piece of required information) were found in 72.1%. The most common omission
was the
dose strength (mg/ml) or actual dose (mg) of the AED. No clinical diagnosis
was
documented in 62.6% and in 22%, only the word 'epilepsy', was stated with no
reference to the epilepsy syndrome or seizure type. Pharmacist intervention
was
required in approximately 17% (approximately 1 in 6) of all prescriptions
before the
AED could be dispensed. CONCLUSION: This review highlights the importance of
clinical information on prescriptions and that incomplete or poor
documentation may
contribute to prescribing errors. It also emphasises the importance of
pharmacists
in the identification and correction or resolution of potential prescribing
errors.
There is a need to develop a well-validated measure to assess the severity of
prescribing errors that will better address their clinical significance and
risk.
CI - Copyright © 2014 British Epilepsy Association. Published by Elsevier Ltd. All
rights
reserved.
FAU - Murphy, A P
AU - Murphy AP
AD - Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
FAU - Bentur, H
AU - Bentur H
AD - Department of Paediatrics, Whiston Hospital, St Helens and Knowsley NHS
Trust,
Warrington Road, Prescot, UK.
FAU - Dolan, C
AU - Dolan C
FAU - Bugembe, T
AU - Bugembe T
FAU - Gill, A
AU - Gill A
AD - Pharmacy Department, Alder Hey Children's NHS Foundation Trust, Liverpool,
UK.
FAU - Appleton, R
AU - Appleton R
AD - The Roald Dahl EEG Unit, Paediatric Neurosciences Foundation, Alder Hey
Children's
NHS Foundation Trust, Liverpool L12 2AP, UK. Electronic address:
Richard.appleton@alderhey.nhs.uk.
LA - eng
PT - Review
DEP - 20140627
PL - England
TA - Seizure
JT - Seizure
JID - 9306979
RN - 0 (Anticonvulsants)
SB - IM
MH - Anticonvulsants/*therapeutic use
MH - Drug Prescriptions/*statistics & numerical data
MH - Epilepsy/*drug therapy
MH - Female
MH - Hospitals, Pediatric/*statistics & numerical data
MH - Humans
MH - Male
MH - *Outpatients
MH - Pharmacists
OTO - NOTNLM
OT - Drug
OT - Error
OT - Outpatient
OT - Paediatric
OT - Pharmacy
OT - Prescription
EDAT- 2014/07/16 06:00
MHDA- 2015/06/03 06:00
CRDT- 2014/07/16 06:00
PHST- 2013/12/23 00:00 [received]
PHST- 2014/06/20 00:00 [revised]
PHST- 2014/06/21 00:00 [accepted]
PHST- 2014/07/16 06:00 [entrez]
PHST- 2014/07/16 06:00 [pubmed]
PHST- 2015/06/03 06:00 [medline]
AID - S1059-1311(14)00174-5 [pii]
AID - 10.1016/j.seizure.2014.06.010 [doi]
PST - ppublish
SO - Seizure. 2014 Oct;23(9):786-91. doi: 10.1016/j.seizure.2014.06.010. Epub 2014
Jun
27.
PMID- 28814577
OWN - NLM
STAT- MEDLINE
DCOM- 20170920
LR - 20170920
IS - 0031-4005 (Linking)
VI - 140
IP - 3
DP - 2017 Sep
TI - Physician-Nurse Interactions in Critical Care.
LID - e20170670 [pii]
LID - 10.1542/peds.2017-0670 [doi]
AB - Nearly 20% of nurses leave their first job within a year of being hired. Many
do so
because they perceive the work environment to be unhealthy or nonsupportive.
Nurse
turnover is costly. When new nurses leave within 3 years of being hired, it
costs
the hospital $64 000, over and above salaries, to replace them. One of the
hallmarks
of an unhealthy work environment is poor communication between doctors and
nurses.
We present a case in which a nurse advocates for a young mother by
questioning the
doctor. She is reprimanded for doing so. We then asked 3 nurses to discuss
the
implications of such interactions for nurse satisfaction, patient safety, and
a
healthy work environment.
FAU - Khowaja-Punjwani, Sumaira
AU - Khowaja-Punjwani S
AD - School of Nursing, Aga Khan University, Karachi, Pakistan.
FAU - Smardo, Charlotte
AU - Smardo C
AD - Pediatric Intensive Care Unit, Children's Mercy Hospital, Kansas City,
Missouri.
FAU - Hendricks, Monica Rita
AU - Hendricks MR
AD - St. John's College of Nursing, St. John's National Academy of Health
Sciences,
Bangalore, India; and.
FAU - Lantos, John D
AU - Lantos JD
AD - Children's Mercy Bioethics Center, Kansas City, Missouri jlantos@cmh.edu.
LA - eng
PT - Case Reports
DEP - 20170816
PL - United States
TA - Pediatrics
JT - Pediatrics
JID - 0376422
SB - AIM
SB - IM
MH - Communication
MH - Critical Care/*psychology
MH - Female
MH - Humans
MH - Intensive Care Units, Neonatal/*organization & administration
MH - Patient Advocacy
MH - Patient Safety
MH - *Physician-Nurse Relations
potential
EDAT- 2017/08/18 06:00
MHDA- 2017/09/21 06:00
CRDT- 2017/08/18 06:00
PHST- 2017/02/28 00:00 [accepted]
PHST- 2017/08/18 06:00 [pubmed]
PHST- 2017/09/21 06:00 [medline]
PHST- 2017/08/18 06:00 [entrez]
AID - peds.2017-0670 [pii]
AID - 10.1542/peds.2017-0670 [doi]
PST - ppublish
SO - Pediatrics. 2017 Sep;140(3):e20170670. doi: 10.1542/peds.2017-0670. Epub 2017
Aug
16.
PMID- 30340502
OWN - NLM
STAT- MEDLINE
DCOM- 20190102
LR - 20191210
IS - 1757-7241 (Linking)
VI - 26
IP - 1
DP - 2018 Oct 19
TI - Initial assessment, level of care and outcome among children who were seen by
emergency medical services: a prospective observational study.

PG - 88
LID - 10.1186/s13049-018-0560-8 [doi]
LID - 88
AB - BACKGROUND: The assessment of children in the Emergency Medical Service (EMS)
is
infrequent representing 5.4% of the patients in an urban area in the western
part of
Sweden. In Sweden, patients are assessed on scene by an EMS nurse whom
independently
decides on interventions and level of care. To aid the EMS nurse in the
assessment a
triage instrument, Rapid Emergency Triage and Treatment System-paediatrics
(RETTS-p)
developed for Emergency Department (ED) purpose has been in use the last 5
years.
The aim of this study was to evaluate the EMS nurse assessment, management,
the
utilisation of RETTS-p and patient outcome. METHODS: A prospective,
observational
study was performed on 651 children aged < 16 years from January to December
2016.
Statistical tests used in the study were Mann-Whitney U test, Fisher's exact
test
and Spearman's rank statistics. RESULTS: The dispatch centre indexed
life-threatening priority in 69% of the missions but, of all children, only
6.1%
were given a life threatening RETTS-p red colour by the EMS nurse. A total of
69.7%
of the children were transported to the ED and, of these, 31.7% were
discharged
without any interventions. Among the non-conveyed patients, 16 of 197 (8.1%)
visited
the ED within 72 h but only two were hospitalised. Full triage, including
five out
of five vital signs measurements and an emergency severity index, was
conducted in
37.6% of all children. A triage colour was not present in 146 children
(22.4%), of
which the majority were non-conveyed. The overall 30-day mortality rate was
0.8%
(n = 5) in children 0-15 years. CONCLUSIONS: Despite the incomplete use of
all vital
signs according to the RETTS-p, the EMS nurse assessment of children appears
to be
adapted to the clinical situation in most cases and the patients appear to be
assessed to the appropriate level of care but indicating an over triage. It

seems
that the RETTS-p with full triage is used selectively in the pre-hospital
assessment
of children with a risk of death during the first 30 days of less than 1%.
AU - Magnusson C
AUID- ORCID: 0000-0002-8037-0014
AD - Department of Molecular and Clinical Medicine, Sahlgrenska Academy,
University of
Gothenburg, Gothenburg, Sweden. carl.magnusson@vgregion.se.
AU - Herlitz J
University of
Gothenburg, Gothenburg, Sweden.
Life and
FAU - Karlsson, Thomas
AU - Karlsson T
AD - Health Metrics Unit, Sahlgrenska Academy, University of Gothenburg,
Gothenburg,
Sweden.
AU - Axelsson C
University of
Gothenburg, Gothenburg, Sweden.
Life and
LA - eng
DEP - 20181019
JID - 101477511
SB - IM
MH - Adolescent
MH - Age Factors
MH - Child
MH - Female
MH - Humans
MH - Infant
MH - Male
MH - Statistics, Nonparametric
MH - Sweden
MH - Triage
PMC - PMC6194577
OTO - NOTNLM
OT - Children
OT - EMS nurse
OT - Level of care
OT - Patient safety
OT - Pre-hospital assessment
OT - Triage
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: All the procedures performed in
this
study were in accordance with the ethical standards of the Helsinki
Declaration and
the study was approved by the central ethical review board, Gothenburg,
Sweden, Dnr:
970–15. CONSENT FOR PUBLICATION: Not applicable COMPETING INTERESTS: The
authors
declare that they have no competing interests. PUBLISHER’S NOTE: Springer
Nature
remains neutral with regard to jurisdictional claims in published maps and
institutional affiliations.
EDAT- 2018/10/21 06:00
MHDA- 2019/01/03 06:00
CRDT- 2018/10/21 06:00
PHST- 2018/07/26 00:00 [received]
PHST- 2018/10/12 00:00 [accepted]
PHST- 2018/10/21 06:00 [entrez]
PHST- 2018/10/21 06:00 [pubmed]
PHST- 2019/01/03 06:00 [medline]
AID - 10.1186/s13049-018-0560-8 [pii]
AID - 560 [pii]
AID - 10.1186/s13049-018-0560-8 [doi]
PST - epublish
SO - Scand J Trauma Resusc Emerg Med. 2018 Oct 19;26(1):88. doi:
10.1186/s13049-018-0560-8.
PMID- 23960805
OWN - NLM
DCOM- 20130820
LR - 20200929
IS - 1319-0164 (Print)
IS - 1319-0164 (Linking)
VI - 20
IP - 4
DP - 2012 Oct
TI - Hospital pharmacy practice in Saudi Arabia: Dispensing and administration in
the
Riyadh region.
PG - 307-15
LID - 10.1016/j.jsps.2012.05.003 [doi]
AB - BACKGROUND: There is very little published data assessing hospital pharmacy
practice
in Saudi Arabia. Hence, a comprehensive survey has been undertaken to
evaluate
hospital pharmacy services of the Kingdom of Saudi Arabia. Recently, we
published
the survey results on the prescribing and transcribing steps of the
medication use
process. This paper focuses on dispensing and administration. METHODS: A
modified-American Society of Health-System Pharmacists (ASHP) survey
questionnaire
was personally delivered to the pharmacy directors of 48 hospitals in the
Riyadh
region. Three attempted follow-ups were made within 3 months to non-
responders and
the surveys were collected upon completion. The survey was conducted using
similar
methods to those of the ASHP surveys. RESULTS: Twenty-nine hospitals
participated in
the survey with a response rate of 60.4%. Centralized distribution (74%) is
the most
commonly used model for inpatient pharmacies. Overall, 21% of hospitals
routinely
use bar coding technology in medication dispensing. None of the hospitals are
using
a robotic distribution system to automate the dispensing of unit doses.
Automated
dispensing cabinets (ADCs) are used by 21% of hospitals as part of their
decentralized distribution model. Sixty-one percent of hospital pharmacies
have IV
admixture preparation area in their facility. In the use of safety technology
for
medication administration, only one third of hospitals are using electronic
medication administration records (eMARs), 7.4% had bar-code-assisted
medication
administration (BCMA) and 12% had smart infusion pumps. CONCLUSION: Hospital
pharmacies in the Riyadh region are fairly well developed in providing
dispensing
and administration services. Further improvement can be achieved by
increasing the
use of new technologies such as bar-code technology, unit dose drug
distribution
systems, pharmacy-based IV admixture services, smart infusion pumps, and
automated
medication distribution.
FAU - Alsultan, Mohammed S
AU - Alsultan MS
AD - Pharmacoeconomics and Outcomes Research Unit, Department of Clinical
Pharmacy,
College of Pharmacy, King Saud University, P.O. Box 2457, Riyadh 11451, Saudi
Arabia.
FAU -
Khurshid, Fowad
AU -
Khurshid F
FAU -
Mayet, Ahmed Y
AU -
Mayet AY
FAU -
Al-Jedai, Ahmed H
AU -
Al-Jedai AH
LA -
eng
PT -
Journal Article
DEP -
20120514
TA -
Saudi Pharm J
JT -
JID - 9705695
PMC - PMC3745065
OTO - NOTNLM
OT - Dispensing errors
OT - Distribution system
OT - Patient safety
OT - Pharmacy automation
OT - Practice model
OT - Technology
EDAT- 2013/08/21 06:00
MHDA- 2013/08/21 06:01
CRDT- 2013/08/21 06:00
PHST- 2012/02/26 00:00 [received]
PHST- 2012/05/07 00:00 [accepted]
PHST- 2013/08/21 06:00 [entrez]
PHST- 2013/08/21 06:00 [pubmed]
PHST- 2013/08/21 06:01 [medline]
AID - SPJ150 [pii]
AID - 10.1016/j.jsps.2012.05.003 [doi]
PST - ppublish
SO - Saudi Pharm J. 2012 Oct;20(4):307-15. doi: 10.1016/j.jsps.2012.05.003. Epub
2012 May
14.
PMID- 27381876
OWN - NLM
STAT- MEDLINE
DCOM- 20170912
LR - 20181202
IS - 1439-4456 (Print)
IS - 1438-8871 (Linking)
VI - 18
IP - 7
DP - 2016 Jul 5
TI - The Effect of a Freely Available Flipped Classroom Course on Health Care
Worker
Patient Safety Culture: A Prospective Controlled Study.
PG - e180
LID - 10.2196/jmir.5378 [doi]
LID - e180
AB - BACKGROUND: Patient safety culture is an integral aspect of good standard of
care. A
good patient safety culture is believed to be a prerequisite for safe medical
care.
However, there is little evidence on whether general education can enhance
patient
safety culture. OBJECTIVE: Our aim was to assess the impact of a standardized
patient safety course on health care worker patient safety culture. METHODS:
Health
care workers from Intensive Care Units (ICU) at two hospitals (A and B) in
Hong Kong
were recruited to compare the changes in safety culture before and after a
patient
safety course. The BASIC Patient Safety course was administered only to staff
from
Hospital A ICU. Safety culture was assessed in both units at two time points,
one
before and one after the course, by using the Hospital Survey on Patient
Safety
Culture questionnaire. Responses were coded according to the Survey User's
Guide,
and positive response percentages for each patient safety domain were
compared to
the 2012 Agency for Healthcare Research and Quality ICU sample of 36,120
respondents. RESULTS: We distributed 127 questionnaires across the two
hospitals
with an overall response rate of 74.8% (95 respondents). After the safety
course,
ICU A significantly improved on teamwork within hospital units (P=.008) and
hospital
management support for patient safety (P<.001), but decreased in the
frequency of
reporting mistakes compared to the initial survey (P=.006). Overall, ICU A
staff
showed significantly greater enhancement in positive responses in five
domains than
staff from ICU B. Pooled data indicated that patient safety culture was
poorer in
the two ICUs than the average ICU in the Agency for Healthcare Research and
Quality
database, both overall and in every individual domain except hospital
management
support for patient safety and hospital handoffs and transitions.
CONCLUSIONS: Our
study demonstrates that a structured, reproducible short course on patient
safety
may be associated with an enhancement in several domains in ICU patient
safety
culture.
FAU - Ling, Lowell
AU - Ling L
AUID- ORCID: 0000-0001-6639-7344
AD - Prince of Wales Hospital, Department of Anaesthesia and Intensive Care,
Shatin,
China (Hong Kong).
FAU - Gomersall, Charles David
AU - Gomersall CD
AUID- ORCID: 0000-0002-8494-8063
FAU - Samy, Winnie
AU - Samy W
AUID- ORCID: 0000-0002-2955-4942
FAU - Joynt, Gavin Matthew
AU - Joynt GM
AUID- ORCID: 0000-0002-5823-3435
FAU - Leung, Czarina Ch
AU - Leung CCh
AUID- ORCID: 0000-0002-3291-8663
FAU - Wong, Wai-Tat
AU - Wong WT
AUID- ORCID: 0000-0002-7228-9486
FAU - Lee, Anna
AU - Lee A
AUID- ORCID: 0000-0003-2864-0045
LA - eng
PT - Clinical Trial
DEP - 20160705
JID - 100959882
SB - IM
MH - Allied Health Personnel/*education
MH - Health Personnel/education
MH - Hong Kong
MH - Hospital Administration
MH - Hospitals
MH - Humans
MH - Intensive Care Units/*organization & administration
PMC - PMC4951630
OTO - NOTNLM
OT - *critical care
OT - *education, distance
OT - *education, professional
OT - *safety culture
COIS- Conflicts of Interest: CDG and GMJ were involved in developing and teaching
the
BASIC course.
EDAT- 2016/07/07 06:00
MHDA- 2017/09/13 06:00
CRDT- 2016/07/07 06:00
PHST- 2015/11/25 00:00 [received]
PHST- 2016/06/04 00:00 [accepted]
PHST- 2016/04/22 00:00 [revised]
PHST- 2016/07/07 06:00 [entrez]
PHST- 2016/07/07 06:00 [pubmed]
PHST- 2017/09/13 06:00 [medline]
AID - 10.2196/jmir.5378 [doi]
PST - epublish
SO - J Med Internet Res. 2016 Jul 5;18(7):e180. doi: 10.2196/jmir.5378.
PMID- 25144509
OWN - NLM
STAT- MEDLINE
DCOM- 20150114
LR - 20181113
IS - 0012-3692 (Print)
IS - 0012-3692 (Linking)
VI - 146
IP - 4 Suppl
DP - 2014 Oct
TI - Evacuation of the ICU: care of the critically ill and injured during
pandemics and
disasters: CHEST consensus statement.
PG - e44S-60S
LID - 10.1378/chest.14-0735 [doi]
AB - BACKGROUND: Despite the high risk for patient harm during unanticipated ICU
evacuations, critical care providers receive little to no training on how to
perform
safe and effective ICU evacuations. We reviewed the pertinent published
literature
and offer suggestions for the critical care provider regarding ICU
evacuation. The
suggestions in this article are important for all who are involved in
pandemics or
disasters with multiple critically ill or injured patients, including front-
line
clinicians, hospital administrators, and public health or government
officials.
METHODS: The Evacuation and Mobilization topic panel used the American
College of
Chest Physicians (CHEST) Guidelines Oversight Committee's methodology to
develop
seven key questions for which specific literature searches were conducted to
identify studies upon which evidence-based recommendations could be made. No
studies
of sufficient quality were identified. Therefore, the panel developed expert
opinion-based suggestions using a modified Delphi process. RESULTS: Based on
current
best evidence, we provide 13 suggestions outlining a systematic approach to
prepare
for and execute an effective ICU evacuation during a disaster. Interhospital
and
intrahospital collaboration and functional ICU communication are critical for
success. Pre-event planning and preparation are required for a no-notice

evacuation.
A Critical Care Team Leader must be designated within the Hospital Incident
Command
System. A three-stage ICU Evacuation Timeline, including (1) no immediate
threat,
(2) evacuation threat, and (3) evacuation implementation, should be used.
Detailed
suggestions on ICU evacuation, including regional planning, evacuation
drills,
patient transport preparation and equipment, patient prioritization and
distribution
for evacuation, patient information and tracking, and federal and
international
evacuation assistance systems, are also provided. CONCLUSIONS: Successful ICU
evacuation during a disaster requires active preparation, participation,

communication, and leadership by critical care providers. Critical care
providers
have a professional obligation to become better educated, prepared, and
engaged with
the processes of ICU evacuation to provide a safe continuum of critical care
during
a disaster.
FAU - King, Mary A
AU - King MA
FAU - Niven, Alexander S
AU - Niven AS
FAU - Beninati, William
AU - Beninati W
FAU - Fang, Ray
AU - Fang R
FAU - Einav, Sharon
AU - Einav S
FAU - Rubinson, Lewis
AU - Rubinson L
FAU - Kissoon, Niranjan
AU - Kissoon N
FAU - Devereaux, Asha V
AU - Devereaux AV
FAU - Christian, Michael D
AU - Christian MD
FAU - Grissom, Colin K
AU - Grissom CK
CN - Task Force for Mass Critical Care
CN - Task Force for Mass Critical Care
LA - eng
GR - U90 TP000591/TP/OPHPR CDC HHS/United States
GR - 1-HFPEP070013-01-00/PHS HHS/United States
GR - 1U90TP00591-01/TP/OPHPR CDC HHS/United States
PT - Review
TA - Chest
JT - Chest
JID - 0231335
SB - AIM
SB - IM
MH - *Consensus
MH - Critical Illness/*therapy
MH - *Disasters
MH - Emergency Shelter/*organization & administration
MH - Humans
MH - Intensive Care Units/*organization & administration
MH - *Pandemics
MH - Wounds and Injuries/*therapy
PMC - PMC4504249
FIR - Christian, Michael D
IR - Christian MD
FIR - Devereaux, Asha V
IR - Devereaux AV
FIR - Dichter, Jeffrey R
IR - Dichter JR
FIR - Kissoon, Niranjan
IR - Kissoon N
FIR - Rubinson, Lewis
IR - Rubinson L
FIR - Amundson, Dennis
IR - Amundson D
FIR - Anderson, Michael R
IR - Anderson MR
FIR - Balk, Robert
IR - Balk R
FIR - Barfield, Wanda D
IR - Barfield WD
FIR - Bartz, Martha
IR - Bartz M
FIR - Benditt, Josh
IR - Benditt J
FIR - Beninati, William
IR - Beninati W
FIR - Berkowitz, Kenneth A
IR - Berkowitz KA
FIR - Daugherty Biddison, Lee
IR - Daugherty Biddison L
FIR - Braner, Dana
IR - Braner D
FIR - Branson, Richard D
IR - Branson RD
FIR - Burkle, Frederick M
IR - Burkle FM
FIR - Cairns, Bruce A
IR - Cairns BA
FIR - Carr, Brendan G
IR - Carr BG
FIR - Courtney, Brooke
IR - Courtney B
FIR - DeDecker, Lisa D
IR - DeDecker LD
FIR - De Jong, Marla J
IR - De Jong MJ
FIR - Dominguez-Cherit, Guillermo
IR - Dominguez-Cherit G
FIR - Dries, David
IR - Dries D
FIR - Einav, Sharon
IR - Einav S
FIR - Erstad, Brian L
IR - Erstad BL
FIR - Etienne, Mill
IR - Etienne M
FIR - Fagbuyi, Daniel B
IR - Fagbuyi DB
FIR - Fang, Ray
IR - Fang R
FIR - Feldman, Henry
IR - Feldman H
FIR - Garzon, Hernando
IR - Garzon H
FIR - Geiling, James
IR - Geiling J
FIR - Gomersall, Charles D
IR - Gomersall CD
FIR - Grissom, Colin K
IR - Grissom CK
FIR - Hanfling, Dan
IR - Hanfling D
FIR - Hick, John L
IR - Hick JL
FIR - Hodge, James G
IR - Hodge JG
FIR - Hupert, Nathaniel
IR - Hupert N
FIR - Ingbar, David
IR - Ingbar D
FIR - Kanter, Robert K
IR - Kanter RK
FIR - King, Mary A
IR - King MA
FIR - Kuhnley, Robert N
IR - Kuhnley RN
FIR - Lawler, James
IR - Lawler J
FIR - Leung, Sharon
IR - Leung S
FIR - Levy, Deborah A
IR - Levy DA
FIR - Lim, Matthew L
IR - Lim ML
FIR - Livinski, Alicia
IR - Livinski A
FIR - Luyckx, Valerie
IR - Luyckx V
FIR - Marcozzi, David
IR - Marcozzi D
FIR - Medina, Justine
IR - Medina J
FIR - Miramontes, David A
IR - Miramontes DA
FIR - Mutter, Ryan
IR - Mutter R
FIR - Niven, Alexander S
IR - Niven AS
FIR - Penn, Matthew S
IR - Penn MS
FIR - Pepe, Paul E
IR - Pepe PE
FIR - Powell, Tia
IR - Powell T
FIR - Prezant, David
IR - Prezant D
FIR - Reed, Mary Jane
IR - Reed MJ
FIR - Rich, Preston
IR - Rich P
FIR - Rodriquez, Dario
IR - Rodriquez D
FIR - Roxland, Beth E
IR - Roxland BE
FIR - Sarani, Babak
IR - Sarani B
FIR - Shah, Umair A
IR - Shah UA
FIR - Skippen, Peter
IR - Skippen P
FIR - Sprung, Charles L
IR - Sprung CL
FIR - Subbarao, Italo
IR - Subbarao I
FIR - Talmor, Daniel
IR - Talmor D
FIR - Toner, Eric S
IR - Toner ES
FIR - Tosh, Pritish K
IR - Tosh PK
FIR - Upperman, Jeffrey S
IR - Upperman JS
FIR - Uyeki, Timothy M
IR - Uyeki TM
FIR - Weireter, Leonard J
IR - Weireter LJ
FIR - West, T Eoin
IR - West TE
FIR - Wilgis, John
IR - Wilgis J
FIR - Ornelas, Joe
IR - Ornelas J
FIR - McBride, Deborah
IR - McBride D
FIR - Reid, David
IR - Reid D
FIR - Baez, Amado
IR - Baez A
FIR - Baldisseri, Marie
IR - Baldisseri M
FIR - Blumenstock, James S
IR - Blumenstock JS
FIR - Cooper, Art
IR - Cooper A
FIR - Ellender, Tim
IR - Ellender T
FIR - Helminiak, Clare
IR - Helminiak C
FIR - Jimenez, Edgar
IR - Jimenez E
FIR - Krug, Steve
IR - Krug S
FIR - Lamana, Joe
IR - Lamana J
FIR - Masur, Henry
IR - Masur H
FIR - Mathivha, L Rudo
IR - Mathivha LR
FIR - Osterholm, Michael T
IR - Osterholm MT
FIR - Reynolds, H Neal
IR - Reynolds HN
FIR - Sandrock, Christian
IR - Sandrock C
FIR - Sprecher, Armand
IR - Sprecher A
FIR - Tillyard, Andrew
IR - Tillyard A
FIR - White, Douglas
IR - White D
FIR - Wise, Robert
IR - Wise R
FIR - Yeskey, Kevin
IR - Yeskey K
EDAT- 2014/08/22 06:00
MHDA- 2015/01/15 06:00
CRDT- 2014/08/22 06:00
PHST- 2014/08/22 06:00 [entrez]
PHST- 2014/08/22 06:00 [pubmed]
PHST- 2015/01/15 06:00 [medline]
AID - S0012-3692(15)51989-2 [pii]
AID - chest.14-0735 [pii]
AID - 10.1378/chest.14-0735 [doi]
PST - ppublish
SO - Chest. 2014 Oct;146(4 Suppl):e44S-60S. doi: 10.1378/chest.14-0735.
PMID- 27687901
OWN - NLM
LR - 20191120
IS - 2044-6055 (Linking)
VI - 6
IP - 9
DP - 2016 Sep 29
TI - Evidence-based interventions to reduce adverse events in hospitals: a
systematic
review of systematic reviews.
PG - e012555
LID - 10.1136/bmjopen-2016-012555 [doi]
LID - e012555
AB - OBJECTIVE: To provide an overview of effective interventions aimed at
reducing rates
of adverse events in hospitals. DESIGN: Systematic review of systematic
reviews.
DATA SOURCES: PubMed, CINAHL, PsycINFO, the Cochrane Library and EMBASE were
searched for systematic reviews published until October 2015. STUDY
SELECTION:
English-language systematic reviews of interventions aimed at reducing
adverse
events in hospitals, including studies with an experimental design and
reporting
adverse event rates, were included. Two reviewers independently assessed each
study's quality and extracted data on the study population, study design,
intervention characteristics and adverse patient outcomes. RESULTS: Sixty
systematic
reviews with moderate to high quality were included. Statistically
significant
pooled effect sizes were found for 14 types of interventions, including: (1)
multicomponent interventions to prevent delirium; (2) rapid response teams to
reduce
cardiopulmonary arrest and mortality rates; (3) pharmacist interventions to
reduce
adverse drug events; (4) exercises and multicomponent interventions to
prevent
falls; and (5) care bundle interventions, checklists and reminders to reduce
infections. Most (82%) of the significant effect sizes were based on 5 or
fewer
primary studies with an experimental study design. CONCLUSIONS: The evidence
for
patient-safety interventions implemented in hospitals worldwide is weak. The
findings address the need to invest in high-quality research standards in
order to
identify interventions that have a real impact on patient safety.
Interventions to
prevent delirium, cardiopulmonary arrest and mortality, adverse drug events,
infections and falls are most effective and should therefore be prioritised
by
clinicians.
not
FAU - Zegers, Marieke
AU - Zegers M
AD - Radboud university medical center, Radboud Institute for Health Sciences, IQ
Healthcare, Nijmegen, The Netherlands.
FAU - Hesselink, Gijs
AU - Hesselink G
FAU - Geense, Wytske
AU - Geense W
AU - Vincent C
AD - Department of Experimental Psychology, University of Oxford, Oxford, UK.
FAU - Wollersheim, Hub
AU - Wollersheim H
LA - eng
DEP - 20160929
TA - BMJ Open
JT - BMJ open
JID - 101552874
PMC - PMC5051502
OTO - NOTNLM
OT - HEALTH SERVICES ADMINISTRATION & MANAGEMENT
OT - adverse effects
OT - hospital
OT - patient safety
EDAT- 2016/10/01 06:00
MHDA- 2016/10/01 06:01
CRDT- 2016/10/01 06:00
PHST- 2016/10/01 06:00 [entrez]
PHST- 2016/10/01 06:00 [pubmed]
PHST- 2016/10/01 06:01 [medline]
AID - 10.1136/bmjopen-2016-012555 [doi]
PST - epublish
PMID- 29354561
OWN - NLM
LR - 20200930
IS - 2230-5254 (Linking)
VI - 6
DP - 2017
TI - Does an integrated information technology system provide support for
community
pharmacists undertaking Discharge Medicines Reviews? An exploratory study.
PG - 145-156
LID - 10.2147/IPRP.S133273 [doi]
AB - OBJECTIVE: The aim of this study was to explore the views of community
pharmacists
participating in the pilot of a secure online platform in Wales, the Choose
Pharmacy
application (CPA), with particular interest in the electronic Discharge
Advice
Letters (e-DALs) and online Discharge Medicines Review (DMR) form. MATERIALS
AND
METHODS: A qualitative approach with semi-structured interviews was adopted.
A
gatekeeper from National Health Service Wales Informatics Service identified
35
pharmacies, of the 43 pharmacies where the CPA had been implemented, that had
completed at least one DMR, and these were therefore invited to an interview.
RESULTS: A total of 17 pharmacists were interviewed. Overall, the results

were
positive and CPA and e-DAL were perceived to facilitate continuity of care
between
care settings. The design and usability were perceived as good as pharmacists
could
navigate the CPA without problems; many felt this was due to the level of
training
they had received. Many pharmacists were happy for other services to be
included on
the platform due to its ease of use and automatic reimbursement. Several
pharmacists
felt that communication between primary and secondary care can be further
improved
as the uptake of e-DAL increases. CONCLUSION: CPA was found to streamline the
completion of online DMR improving continuity of care between primary and

secondary
sectors, which in turn should improve patient safety on discharge from
hospital.
FAU - Mantzourani, Efthymia
AU - Mantzourani E
AD - College of Biomedical and Life Sciences, Cardiff School of Pharmacy and
Pharmaceutical Sciences, Cardiff University.
FAU - Way, Cheryl M
AU - Way CM
AD - NHS Wales Informatics Service, Cardiff, Wales, UK.
FAU - Hodson, Karen L
AU - Hodson KL
AD - College of Biomedical and Life Sciences, Cardiff School of Pharmacy and
Pharmaceutical Sciences, Cardiff University.
LA - eng
DEP - 20170920
JID - 101656778
PMC - PMC5774314
OTO - NOTNLM
OT - Discharge Medicines Review
OT - continuity of care
OT - electronic Discharge Advice Letter
COIS- Disclosure Mrs Cheryl Way works for the NHS Wales Informatics Service and has
led on
the development of the CPA. The other authors report no conflicts of interest
in
this work.
EDAT- 2018/01/23 06:00
MHDA- 2018/01/23 06:01
CRDT- 2018/01/23 06:00
PHST- 2018/01/23 06:00 [entrez]
PHST- 2018/01/23 06:00 [pubmed]
PHST- 2018/01/23 06:01 [medline]
AID - 10.2147/IPRP.S133273 [doi]
PST - epublish
SO - Integr Pharm Res Pract. 2017 Sep 20;6:145-156. doi: 10.2147/IPRP.S133273.
eCollection 2017.
PMID- 25672342
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR - 20181113
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 24
IP - 4
DP - 2015 Apr
TI - The quality of hospital work environments and missed nursing care is linked
to heart
failure readmissions: a cross-sectional study of US hospitals.
PG - 255-63
LID - 10.1136/bmjqs-2014-003346 [doi]
AB - INTRODUCTION: Threats to quality and patient safety may exist when necessary
nursing
care is omitted. Empirical research is needed to determine how missed nursing
care
is associated with patient outcomes. AIM: The aim of this study was to
examine the
relationship between missed nursing care and hospital readmissions. METHODS:
Cross-sectional examination, using three linked data sources-(1) nurse
survey, (2)
patient discharge data from three states (California, New Jersey and
Pennsylvania)
and (3) administrative hospital data- from 2005 to 2006. We explored the
incidence
of 30-day readmission for 160 930 patients with heart failure in 419 acute
care
hospitals in the USA. Logistic regression was used to assess the effect of
missed
care on the odds of readmission, adjusting for patient and hospital
characteristics.
RESULTS: The most frequently missed nursing care activities across all
hospitals in
our sample included talking to and comforting patients (42.0%), developing
and
updating care plans (35.8%) and educating patients and families (31.5%). For
4 of
the 10 studied care activities, each 10 percentage-point increase in the
number of
nurses reporting having missed the activity was associated with an increase
in the
odds of readmission by 2-8% after adjusting for patient and hospital
characteristics. However, missed nursing care was no longer a significant
predictor
of readmission once adjusting for the nurse work environment, except in the
case of
the delivery of treatments and procedures (OR 1.08, 95% CI 1.02 to 1.14).
CONCLUSIONS: Missed care is an independent predictor of heart failure
readmissions.
However, once adjusting for the quality of the nurse work environment, this
relationship is attenuated. Improvements in nurses' working conditions may be
one
strategy to reduce care omissions and improve patient outcomes.
not
FAU - Carthon, J Margo Brooks
AU - Carthon JM
AD - Center for Health Outcomes & Policy Research, University of Pennsylvania,
Philadelphia, Pennsylvania, USA.
FAU - Lasater, Karen B
AU - Lasater KB
AU - Sloane DM
AU - Kutney-Lee A
LA - eng
GR - T32-NR0714/NR/NINR NIH HHS/United States
DEP - 20150211
TA - BMJ Qual Saf
JID - 101546984
SB - H
CIN - BMJ Qual Saf. 2015 Apr;24(4):241-3. PMID: 25788291
MH - Aged
MH - California
MH - Female
MH - Heart Failure/*nursing/therapy
MH - Hospitals
MH - Humans
MH - Male
MH - New Jersey
MH - Nursing/*methods
MH - Pennsylvania
MH - United States
MH - Workplace
PMC - PMC4440316
MID - NIHMS663915
OTO - NOTNLM
OT - Chronic disease management
OT - Healthcare quality improvement
OT - Nurses
EDAT- 2015/02/13 06:00
MHDA- 2016/12/15 06:00
CRDT- 2015/02/13 06:00
PHST- 2015/02/13 06:00 [entrez]
PHST- 2015/02/13 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - bmjqs-2014-003346 [pii]
AID - 10.1136/bmjqs-2014-003346 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2015 Apr;24(4):255-63. doi: 10.1136/bmjqs-2014-003346. Epub
2015 Feb
11.
PMID- 25628508
OWN - NLM
DCOM- 20150128
LR - 20200930
IS - 1052-1372 (Print)
IS - 1052-1372 (Linking)
VI - 40
IP - 1
DP - 2015 Jan
TI - A program using pharmacy technicians to collect medication histories in the
emergency department.
PG - 56-61
AB - PURPOSE: To evaluate the percentage, frequency, and types of medication
history
errors made by pharmacy technicians compared with nurses in the emergency
department
(ED) to determine if patient safety and care can be improved while reducing
nurses'
workloads. METHODS: Medication history errors were evaluated in a pre-post
study
comparing a historical control group (nurses) prior to the implementation of
a
pharmacy technician program in the ED to a prospective cohort group (pharmacy
technicians). Two certified pharmacy technicians were trained by the post-

graduate
year one (PGY1) pharmacy practice resident to conduct medication history
interviews
in a systematic fashion, with outside resources (i.e., assisted living
facility,
pharmacy, physician's office, or family members) being consulted if any
portion of
the medication history was unclear or lacking information. The primary
outcome
compared the percentage of patients with accurate medication histories in
each
group. Secondary outcomes included differences between groups regarding total
medication errors, types of errors, documentation of patient allergies and

drug
reactions, and documentation of last administration times for high-risk
anticoagulant/antiplatelet medications. Accuracy was determined by reviewing
each
documented medication history for identifiable errors, including review of
electronic generated prescriptions within the hospital system as well as
physician
notes or histories documented on the same day (for potential discrepancies).
This
review was performed by the pharmacy resident. The categories of errors
included a
drug omission, a drug commission, an incorrect or missing drug, an incorrect
or
missing dose, or an incorrect or missing frequency. Anonymous surveys were
distributed to ED nurses to assess their feedback on the new medication
reconciliation program using pharmacy technicians. RESULTS: A total of 300
medication histories from the ED were evaluated (150 in each group).
Medication
histories conducted by pharmacy technicians were accurate 88% of the time
compared
with 57% of those conducted by nurses (P < 0.0001). Nineteen errors (1.1%)
were made
by pharmacy technicians versus 117 (8.3%) by nurses (relative risk [RR], 7.5;
P <
0.0001). The most common type of error was an incorrect or missing dose (10
versus
59, P < 0.001), followed by an incorrect or missing frequency (0 versus 30, P
<
0.0001), and a drug commission (5 versus 23, P = 0.004). There were no
differences
between groups regarding the documentation of patient allergies.
Documentation rates
of high-risk anticoagulant and antiplatelet administration times were greater
for
pharmacy technicians than for nurses (76% versus 13%, P < 0.001). CONCLUSION:
This
study demonstrates that trained pharmacy technicians can assist prescribers
and
nurses by improving the accuracy of medication histories obtained in the ED.
FAU - Hart, Coleen
AU - Hart C
FAU - Price, Christine
AU - Price C
FAU - Graziose, Glenn
AU - Graziose G
FAU - Grey, Jonathan
AU - Grey J
LA - eng
TA - P T
JT - P & T : a peer-reviewed journal for formulary management
JID - 9015516
PMC - PMC4296593
EDAT- 2015/01/30 06:00
MHDA- 2015/01/30 06:01
CRDT- 2015/01/29 06:00
PHST- 2015/01/29 06:00 [entrez]
PHST- 2015/01/30 06:00 [pubmed]
PHST- 2015/01/30 06:01 [medline]
AID - ptj4001056 [pii]
PST - ppublish
SO - P T. 2015 Jan;40(1):56-61.
PMID- 24523051
OWN - NLM
STAT- MEDLINE
DCOM- 20150126
LR - 20181202
IS - 1553-5592 (Print)
IS - 1553-5592 (Linking)
VI - 9
IP - 6
DP - 2014 Jun
TI - Tablet computers for hospitalized patients: a pilot study to improve
inpatient
engagement.
PG - 396-9
LID - 10.1002/jhm.2169 [doi]
AB - Inadequate patient engagement in hospital care inhibits high-quality care and
successful transitions to home. Tablet computers may provide opportunities to

engage
patients, particularly during inactive times between provider visits, tests,
and
treatments, by providing interactive health education modules as well as
access to
their personal health record (PHR). We conducted a pilot project to explore
inpatient satisfaction with bedside tablets and barriers to usability.
Additionally,
we evaluated use of these devices to deliver 2 specific Web-based programs:
(1) an
interactive video to improve inpatient education about hospital safety, and
(2) PHR
access to promote inpatient engagement in discharge planning. We enrolled 30
patients; 17 (60%) were aged 40 years or older, 17 (60%) were women, 17 (60%)
owned
smartphones, and 6 (22%) owned tablet computers. Twenty-seven (90%) reported
high
overall satisfaction with the device, and 26 (87%) required ≤ 30 minutes for
basic
orientation (70% required ≤ 15 minutes). Twenty-five (83%) independently
completed
an interactive educational module on hospital patient safety. Twenty-one
(70%)
accessed their personal health record (PHR) to view their medication list,
verify
scheduled appointments, or send a message to their primary care physician.
Next
steps include education on high-risk medications, assessment of discharge
barriers,
and training clinical staff (such as respiratory therapists, registered
nurses, or
nurse practitioners) to deliver tablet interventions.
FAU - Greysen, S Ryan
AU - Greysen SR
AD - Division of Hospital Medicine, University of California San Francisco, San
Francisco, California.
FAU - Khanna, Raman R
AU - Khanna RR
FAU - Jacolbia, Ronald
AU - Jacolbia R
FAU - Lee, Herman M
AU - Lee HM
FAU - Auerbach, Andrew D
AU - Auerbach AD
LA - eng
GR - K23 AG045338/AG/NIA NIH HHS/United States
GR - P30 AG044281/AG/NIA NIH HHS/United States
DEP - 20140213
TA - J Hosp Med
JID - 101271025
SB - IM
CIN - J Hosp Med. 2014 Aug;9(8):552. PMID: 24799386
MH - Adolescent
MH - Adult
MH - Aged
MH - Computers, Handheld/statistics & numerical data/*trends
MH - Data Collection/methods
MH - Female
MH - Hospitalization/*trends
MH - Humans
MH - Inpatients/*education
MH - Internet/statistics & numerical data/trends
MH - Male
MH - Middle Aged
MH - Patient Discharge/trends
MH - Patient Education as Topic/*methods/*trends
MH - Patient Participation/*methods/*trends
MH - Pilot Projects
MH - Young Adult
PMC - PMC4043916
MID - NIHMS571976
COIS- Conflicts of Interest: The authors have declared they have no financial,
personal,
or other conflicts of interest relevant to this study.
EDAT- 2014/02/14 06:00
MHDA- 2015/01/27 06:00
CRDT- 2014/02/14 06:00
PHST- 2013/08/05 00:00 [received]
PHST- 2014/01/03 00:00 [revised]
PHST- 2014/01/21 00:00 [accepted]
PHST- 2014/02/14 06:00 [entrez]
PHST- 2014/02/14 06:00 [pubmed]
PHST- 2015/01/27 06:00 [medline]
AID - 10.1002/jhm.2169 [doi]
PST - ppublish
SO - J Hosp Med. 2014 Jun;9(6):396-9. doi: 10.1002/jhm.2169. Epub 2014 Feb 13.
PMID- 22690984
OWN - NLM
STAT- MEDLINE
DCOM- 20120920
LR - 20181113
IS - 0002-8614 (Print)
IS - 0002-8614 (Linking)
VI - 60
IP - 6
DP - 2012 Jun
TI - Nurse staffing and postsurgical outcomes in black adults.
PG - 1078-84
LID - 10.1111/j.1532-5415.2012.03990.x [doi]
AB - OBJECTIVES: To determine the association between nurse staffing and
postsurgical
outcomes for older black adults, including 30-day mortality and failure to
rescue.
DESIGN: A cross-sectional study of University of Pennsylvania Multi-State
Nursing
Care and Patient Safety Survey data, linked to 2006-2007 administrative
patient
discharge data from four states (CA, PA, NJ, FL), American Hospital
Association
Annual Survey data, and a U.S. Census-derived measure of socioeconomic status
(SES).
Risk-adjusted logistic regression models with correction for clustering were
used
for the analysis. SETTING: Five hundred ninety-nine adult nonfederal acute
care
hospitals in California, Pennsylvania, New Jersey, and Florida PARTICIPANTS:
Five
hundred forty-eight thousand three hundred ninety-seven individuals ages 65
and
older undergoing general, orthopedic, or vascular surgery (94% white, 6%
black).
MEASUREMENTS: Thirty-day mortality and failure to rescue (death after a
complication). RESULTS: In models adjusting for sex and age, 30-day mortality
was
significantly higher for black than white participants (odds ratio (OR) =
1.42, 95%
confidence interval (CI) = 1.32-1.52). In fully adjusted models that
accounted for
SES, surgery type, and comorbidities, as well as hospital characteristics,
including
nurse staffing, the odds of 30-day mortality were not significantly different
for
black and white participants. In the fully adjusted models, one additional
patient
in the average nurse's workload was associated with higher odds of 30-day
mortality
for all patients (OR = 1.03, 95% CI = 1.01-1.05). A significant interaction
was
found between race and nurse staffing for 30-day mortality, such that blacks
experienced higher odds of death with each additional patient per nurse (OR =
1.10,
95% CI = 1.03-1.18) compared to whites (OR = 1.03, 95% CI = 1.01-1.06).
Similar
patterns were detected in failure-to-rescue models. CONCLUSION: Older
surgical
patients experience poorer postsurgical outcomes, including mortality and
failure to
rescue, when cared for by nurses with higher workloads. The effect of nurse
staffing
inadequacies is more significant in older black individuals.
CI - © 2012, Copyright the Authors Journal compilation © 2012, The American
Geriatrics
Society.
FAU - Carthon, J Margo Brooks
AU - Carthon JM
of
Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
jmbrooks@nursing.upenn.edu
AU - Kutney-Lee A
FAU - Jarrín, Olga
AU - Jarrín O
FAU - Sloane, Douglas
AU - Sloane D
AU - Aiken LH
LA - eng
GR - 1K08-HS018534/HS/AHRQ HHS/United States
GR - K01 NR012006/NR/NINR NIH HHS/United States
GR - K01 NR012006-02/NR/NINR NIH HHS/United States
GR - R01 NR004513-12A2/NR/NINR NIH HHS/United States
GR - P30AG031043/AG/NIA NIH HHS/United States
GR - K01 NR012006-01/NR/NINR NIH HHS/United States
GR - K01NR012006/NR/NINR NIH HHS/United States
GR - T32-NR007104/NR/NINR NIH HHS/United States
TA - J Am Geriatr Soc
JT - Journal of the American Geriatrics Society
JID - 7503062
SB - IM
MH - *African Americans
MH - Aged
MH - Comorbidity
MH - Female
MH - Humans
MH - Male
MH - Risk Factors
MH - Surgical Procedures, Operative/*mortality/*nursing
PMC - PMC3376011
MID - NIHMS364087
EDAT- 2012/06/14 06:00
MHDA- 2012/09/21 06:00
CRDT- 2012/06/14 06:00
PHST- 2012/06/14 06:00 [entrez]
PHST- 2012/06/14 06:00 [pubmed]
PHST- 2012/09/21 06:00 [medline]
AID - 10.1111/j.1532-5415.2012.03990.x [doi]
PST - ppublish
SO - J Am Geriatr Soc. 2012 Jun;60(6):1078-84. doi: 10.1111/j.1532-
5415.2012.03990.x.
PMID- 22033316
OWN - NLM
STAT- MEDLINE
DCOM- 20111206
LR - 20181113
IS - 0002-0443 (Print)
IS - 0002-0443 (Linking)
VI - 41
IP - 11
DP - 2011 Nov
TI - The effect of hospital electronic health record adoption on nurse-assessed
quality
of care and patient safety.
PG - 466-72
LID - 10.1097/NNA.0b013e3182346e4b [doi]
AB - The aim of this study was to examine the effect of having a basic electronic
health
record (EHR) on nurse-assessed quality of care, including patient safety. Few
large-scale studies have examined how adoption of EHRs may be associated with
quality of care. A cross-sectional, secondary analysis of nurse and hospital

survey
data was conducted. The final sample included 16,352 nurses working in 316
hospitals
in 4 states. Logistic regression models were used to evaluate the
relationship
between basic EHR adoption and nurse-assessed quality of care outcomes.
Nurses
working in hospitals with basic EHRs consistently reported that poor patient
safety
and other quality outcomes occurred less frequently than reported by nurses
working
in hospitals without an EHR. Our findings suggest that the implementation of
a basic
EHR may result in improved and more efficient nursing care, better care
coordination, and patient safety.
CI - Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins
AU - Kutney-Lee A
of
Pennsylvania, Philadelphia 19104, USA. akutney@nursing.upenn.edu
FAU - Kelly, Deena
AU - Kelly D
LA - eng
GR - K08-HS-018534/HS/AHRQ HHS/United States
GR - P30-NR005043/NR/NINR NIH HHS/United States
GR - T32 NR007104-08/NR/NINR NIH HHS/United States
GR - R01-NR-004513/NR/NINR NIH HHS/United States
GR - P30 NR005043-05/NR/NINR NIH HHS/United States
GR - P30 NR005043/NR/NINR NIH HHS/United States
TA - J Nurs Adm
JT - The Journal of nursing administration
JID - 1263116
SB - AIM
SB - IM
SB - N
MH - *Hospital Records
MH - Humans
MH - Nursing Methodology Research
MH - Quality of Health Care/*organization & administration
MH - United States
PMC - PMC3236066
MID - NIHMS335880
EDAT- 2011/10/29 06:00
MHDA- 2011/12/13 00:00
CRDT- 2011/10/29 06:00
PHST- 2011/10/29 06:00 [entrez]
PHST- 2011/10/29 06:00 [pubmed]
PHST- 2011/12/13 00:00 [medline]
AID - 00005110-201111000-00007 [pii]
AID - 10.1097/NNA.0b013e3182346e4b [doi]
PST - ppublish
SO - J Nurs Adm. 2011 Nov;41(11):466-72. doi: 10.1097/NNA.0b013e3182346e4b.
PMID- 27759824
OWN - NLM
STAT- MEDLINE
DCOM- 20170713
LR - 20181113
IS - 1679-4508 (Print)
IS - 1679-4508 (Linking)
VI - 14
IP - 3
DP - 2016 Jul-Sep
TI - Pharmaceutical orientation at hospital discharge of transplant patients:
strategy
for patient safety.
PG - 359-365
LID - S1679-45082016000300359 [pii]
LID - 10.1590/S1679-45082016AO3481 [doi]
AB - OBJECTIVE: To describe and analyze the pharmaceutical orientation given at
hospital
discharge of transplant patients. METHODS: This was a cross-sectional,
descriptive
and retrospective study that used records of orientation given by the
clinical
pharmacist in the inpatients unit of the Kidney and Liver Transplant
Department, at
Hospital Universitário Walter Cantídio, in the city of Fortaleza (CE),
Brazil, from
January to July, 2014. The following variables recorded at the Clinical
Pharmacy
Database were analyzed according to their significance and clinical outcomes:
pharmaceutical orientation at hospital discharge, drug-related problems and

negative
outcomes associated with medication, and pharmaceutical interventions
performed.
RESULTS: The first post-transplant hospital discharge involved the entire
multidisciplinary team and the pharmacist was responsible for orienting about
drug
therapy. The mean hospital discharges/month with pharmaceutical orientation
during
the study period was 10.6±1.3, totaling 74 orientations. The prescribed drug
therapy
had a mean of 9.1±2.7 medications per patient. Fifty-nine drug-related
problems were
identified, in which 67.8% were related to non-prescription of medication
needed,
resulting in 89.8% of risk of negative outcomes associated with medications
due to
untreated health problems. The request for inclusion of drugs (66.1%) was the
main
intervention, and 49.2% of the medications had some action in the digestive
tract or
metabolism. All interventions were classified as appropriate, and 86.4% of
them we
able to prevent negative outcomes. CONCLUSION: Upon discharge of a
transplanted
patient, the orientation given by the clinical pharmacist together with the
multidisciplinary team is important to avoid negative outcomes associated
with drug
therapy, assuring medication reconciliation and patient safety. OBJETIVO:
Descrever
e analisar a orientação farmacêutica oferecida na alta de pacientes
transplantados.
METÓDOS: Trata-se de um estudo transversal, descritivo e retrospectivo, que
utilizou
os registros das orientações realizadas pelo farmacêutico clínico na unidade
de
internação do Serviço de Transplante Renal e Hepático, Hospital Universitário
Walter
Cantídio, em Fortaleza (CE), de janeiro a julho de 2014. Foram analisadas, de
acordo
com sua significância e desfechos clínicos obtidos, as seguintes variáveis
registradas no Banco de Dados do Serviço de Farmácia Clínica: orientações
farmacêuticas na alta, problemas e resultados negativos relacionados aos
medicamentos, e intervenções farmacêuticas realizadas. RESULTADOS: A primeira
alta
pós-transplante envolveu toda a equipe multiprofissional, sendo o
farmacêutico
responsável pela orientação do tratamento medicamentoso. A média de altas/mês
com
orientação farmacêutica no período do estudo foi de 10,6±1,3, totalizando 74
orientações. O tratamento clínico prescrito teve média de 9,1±2,7
medicamentos por
paciente. Foram identificados 59 problemas relacionados aos medicamentos;
67,8%
relacionaram-se com a não prescrição do medicamento necessário, acarretando
89,8% de
risco de resultados negativos associados aos medicamentos por problema de
saúde não
tratado. A principal intervenção foi a solicitação de inclusão do medicamento
(66,1%), e 49,2% dos medicamentos envolvidos agiam no aparelho

digestivo/metabolismo. Todas as intervenções foram classificadas como
apropriadas, e
86,4% foram capazes de prevenir o resultado negativo. CONCLUSÃO: A orientação
do
farmacêutico clínico junto à equipe multiprofissional no momento da alta do
paciente
transplantado é importante, pois previne resultados negativos associados à
farmacoterapia, garantindo a conciliação medicamentosa e a segurança do
paciente.
FAU - Lima, Lívia Falcão
AU - Lima LF
AD - Hospital Universitário Walter Cantídio, Universidade Federal do Ceará,
Fortaleza,
CE, Brazil.
FAU - Martins, Bruna Cristina Cardoso
AU - Martins BC
AD - Universidade Federal do Ceará, Fortaleza, CE, Brazil.
FAU - Oliveira, Francisco Roberto Pereira de
AU - Oliveira FR
Fortaleza,
CE, Brazil.
FAU - Cavalcante, Rafaela Michele de Andrade
AU - Cavalcante RM
Fortaleza,
CE, Brazil.
FAU - Magalhães, Vanessa Pinto
AU - Magalhães VP
FAU - Firmino, Paulo Yuri Milen
AU - Firmino PY
FAU - Adriano, Liana Silveira
AU - Adriano LS
FAU - Silva, Adriano Monteiro da
AU - Silva AM
FAU - Flor, Maria Jose Nascimento
AU - Flor MJ
FAU - Néri, Eugenie Desirée Rabelo
AU - Néri ED
LA - eng
LA - por
JID - 101281800
SB - IM
MH - Drug Prescriptions
MH - Female
MH - Humans
MH - *Kidney Transplantation
MH - *Liver Transplantation
MH - Male
MH - Patient Care Team
MH - Patient Education as Topic/*methods
PMC - PMC5234747
COIS- none.
EDAT- 2016/10/21 06:00
MHDA- 2017/07/14 06:00
CRDT- 2016/10/21 06:00
PHST- 2015/08/28 00:00 [received]
PHST- 2016/06/30 00:00 [accepted]
PHST- 2016/10/21 06:00 [pubmed]
PHST- 2017/07/14 06:00 [medline]
PHST- 2016/10/21 06:00 [entrez]
AID - S1679-45082016000300359 [pii]
AID - S1679-45082016AO3481 [pii]
AID - 10.1590/S1679-45082016AO3481 [doi]
PST - ppublish
SO - Einstein (Sao Paulo). 2016 Jul-Sep;14(3):359-365. doi: 10.1590/S1679-
45082016AO3481.
PMID- 28146045
OWN - NLM
LR - 20201001
IS - 2076-328X (Print)
VI - 7
IP - 1
DP - 2017 Jan 29
TI - Social Support Behaviors and Work Stressors among Nurses: A Comparative Study
between Teaching and Non-Teaching Hospitals.

LID - 10.3390/bs7010005 [doi]
LID - 5
AB - PURPOSE: The concept of "work stressors" has been well studied. However, in
the
field of nursing, studies concerning social support behaviors are limited.
The aim
of this study was to compare nurse work stressors, social support behaviors,
and
predictors of these variables among nurses in Jordanian teaching and non-
teaching
hospitals. DESIGN: A convenience sampling technique and a comparative
quantitative
research design were used in the current study. Two hundred and ninety-one
nurses
were recruited from five teaching hospitals, and 172 were recruited from
eight
non-teaching hospitals in Jordan. METHODS: The Nursing Stress Scale (NSS) and
the
Inventory of Social Supportive Behaviors (ISSB) were used to collect data.
RESULTS:
The studied variables differed across hospitals. In some subscales, as well
as in
some individual items of the scales, nurse work stressors and social support
behaviors differed between teaching and non-teaching hospitals. In teaching
hospitals, the work shift was the only predictor of nurses' work stressors,
whereas
the work shift and model of nursing care were predictors of social support
behaviors. In non-teaching hospitals, the work shift, level of education, and
model
of nursing care were predictors of nurse work stressors. Predictors of social
support behaviors were marital status, model of nursing, and organizational

structure. CONCLUSIONS: Regardless of the type of hospital, nurse stressors
should
be assessed and, once identified, managed by providing various social support
behaviors. CLINICAL RELEVANCE: By turning a work environment into a healthy

workplace, researchers and nurse leaders believe that improvements can be
realized
in recruitment and patient safety and quality.
FAU - Amarneh, Basil Hameed
AU - Amarneh BH
AD - Department of Psychiatric and Community Health Nursing, Faculty of Nursing,
Jordan
University of Science & Technology, Irbid 22110, Jordan. amarneh@just.edu.jo.
LA - eng
DEP - 20170129
TA - Behav Sci (Basel)
JT - Behavioral sciences (Basel, Switzerland)
JID - 101576826
PMC - PMC5371749
OTO - NOTNLM
OT - Jordan
OT - hospitals
OT - nurses
OT - social support behaviors
OT - work stressors
COIS- The author declares no conflicts of interest.
EDAT- 2017/02/02 06:00
MHDA- 2017/02/02 06:01
CRDT- 2017/02/02 06:00
PHST- 2016/06/11 00:00 [received]
PHST- 2017/01/13 00:00 [revised]
PHST- 2017/01/18 00:00 [accepted]
PHST- 2017/02/02 06:00 [entrez]
PHST- 2017/02/02 06:00 [pubmed]
PHST- 2017/02/02 06:01 [medline]
AID - bs7010005 [pii]
AID - behavsci-07-00005 [pii]
AID - 10.3390/bs7010005 [doi]
PST - epublish
SO - Behav Sci (Basel). 2017 Jan 29;7(1):5. doi: 10.3390/bs7010005.
PMID- 27035020
OWN - NLM
STAT- MEDLINE
DCOM- 20160920
LR - 20181113
IS - 0008-350X (Print)
VI - 61
IP - 12
DP - 2015 Dec
TI - Progress in electronic medical record adoption in Canada.
PG - 1076-84
AB - OBJECTIVE: To determine the rate of adoption of electronic medical records
(EMRs) by
physicians across Canada, provincial incentives, and perceived benefits of
and
barriers to EMR adoption. DATA SOURCES: Data on EMR adoption in Canada were
collected from CINAHL, MEDLINE, PubMed, EMBASE, the Cochrane Library, the
Health
Council of Canada, Canada Health Infoway, government websites, regional EMR
associations, and health professional association websites. STUDY SELECTION:
After
removal of duplicate articles, 236 documents were found matching the original
search. After using the filter Canada, 12 documents remained. Additional

documents
were obtained from each province's EMR website and from the Canada Health
Infoway
website. SYNTHESIS: Since 2006, Canadian EMR adoption rates have increased
from
about 20% of practitioners to an estimated 62% of practitioners in 2013, with
substantial regional disparities ranging from roughly 40% of physicians in

New
Brunswick and Quebec to more than 75% of physicians in Alberta. Provincial
incentives vary widely but appear to have only a weak relationship with the
rate of
adoption. Many adopters use only a fraction of their software's available
functions.
User-cited benefits to adoption include time savings, improved record
keeping,
heightened patient safety, and confidence in retrieved data when EMRs are
used
efficiently. Barriers to adoption include financial and time constraints,
lack of
knowledgeable support personnel, and lack of interoperability with hospital
and
pharmacy systems. CONCLUSION: Canadian physicians remain at the stage of EMR
adoption. Progression in EMR use requires experienced, knowledgeable
technical
support during implementation, and financial support for the transcription of
patient data from paper to electronic media. The interoperability of EMR

offerings
for hospitals, pharmacies, and clinics is the rate-limiting factor in
achieving a
unified EMR solution for Canada.
FAU - Chang, Feng
AU - Chang F
AD - Dr Chang is Assistant Professor in the School of Pharmacy at the University
of
Waterloo in Ontario. At the time of writing, Ms Gupta was a student at the
School of
Pharmacy at the University of Waterloo. She is currently a primary care
pharmacist
practising in Sudbury, Ont.
FAU - Gupta, Nishi
AU - Gupta N
AD - Dr Chang is Assistant Professor in the School of Pharmacy at the University
of
Waterloo in Ontario. At the time of writing, Ms Gupta was a student at the
School of
Pharmacy at the University of Waterloo. She is currently a primary care
pharmacist
practising in Sudbury, Ont.
LA - eng
TA - Can Fam Physician
JT - Canadian family physician Medecin de famille canadien
JID - 0120300
SB - IM
MH - Canada
MH - Electronic Health Records/economics/*trends
MH - Humans
MH - *Technology Transfer
PMC - PMC4677946
OABL- fre
EDAT- 2016/04/02 06:00
MHDA- 2016/09/22 06:00
CRDT- 2016/04/02 06:00
PHST- 2016/04/02 06:00 [entrez]
PHST- 2016/04/02 06:00 [pubmed]
PHST- 2016/09/22 06:00 [medline]
AID - 1076 [pii]
PST - ppublish
SO - Can Fam Physician. 2015 Dec;61(12):1076-84.
PMID- 33466122
OWN - NLM
STAT- MEDLINE
DCOM- 20210203
LR - 20210203
IS - 0025-7974 (Print)
IS - 0025-7974 (Linking)
VI - 100
IP - 2
DP - 2021 Jan 15
TI - Road towards promoting patient safety practices among hospital pharmacists:
Hospital-based baseline patient safety culture assessment cross-sectional
survey.
PG - e23670
LID - 10.1097/MD.0000000000023670 [doi]
LID - e23670
AB - Patient safety is a fundamental aspect of a healthcare system. The aim of
this study
was to assess the perception and determinants of the patient safety culture
of
pharmacists in hospitals, in Riyadh, Saudi Arabia.A survey was conducted with
pharmacists in the pharmacies of governmental, /military and private
hospitals in
Riyadh, Saudi Arabia. The pharmacy survey on patient safety culture
questionnaire
developed by Agency for Healthcare Research and Qualtity, a hard copy was
distriuted
to the pharmacists. The positive response rate (RR) was calculated and
compared
across hospitals using a chi-square test. The predictors of patient safety
grades
were identified using the generalized estimating equation. The data was
analyzed
using SAS.A total of 538 questionnaires were distributed, of which 411
responded (RR
76.4%). Of the participants, 229 (56%) were females. The majority 255 (62%)
were in
the 18 to 34 years age range, and 361 (88%) had a bachelor's degree. The
majority of
the sample 376 (92%) was a pharmacist. The Positive RR (PRR) ranged between
(25.6%-74%). The highest PRR was observed in teamwork (74.4%), followed by
'staff,
training and skills' (68%), and 'organizational learning continuous
improvement'
(66%). The lowest PRR was observed in 'staffing, work pressure, and pace'
(25.5%).
Comparing the PPR of the various healthcare sectors, the governmental
hospitals
scored the highest in all patient safety domains. Generalized Estimating
Equation
analysis showed that with increase in scores of all patient safety culture
domains
increased the likelihood of reporting a better patient safety grade, whereas
respondents' demographic characteristics had no effect except the working
experience
years 6 years and above had odds of poor reporting of the patient safety
grade (odds
ratio = 2.54, 95% confience interval (1.543, 4.194), (P = .0003).The grades
achieved
in the various domains of patient safety culture by pharmacists in Riyadh are
below
the expected standard. The highest scores were achieved in teamwork, with the
lowest
scores in staffing, work pressure and pace. Overall, pharmacists in
government
hospital settings have a better perception of patient safety than their peers
in
other settings. These results provide the baseline evidence for developing
future
interventional studies aiming at improving patient safety culture in hospital
pharmacy settings.
FAU - Al-Surimi, Khaled
AU - Al-Surimi K
AD - College of Public Health and Health Informatics.
AD - King Saud bin Abdulaziz University for Health Sciences.
AD - King Abdullah International Medical Research Center.
FAU - Alwabel, Ali Mohammed
AU - Alwabel AM
FAU - Bawazir, Amen
AU - Bawazir A
AD - King Abdullah International Medical Research Center.
FAU - Shaheen, Naila A
AU - Shaheen NA
AUID- ORCID: 0000-0001-8756-3591
AD - Department of Biostatistics and Bioinformatics, King Abdullah International
Medical
Research Center, Riyadh, Kingdom of Saudi Arabia.
LA - eng
JT - Medicine
JID - 2985248R
SB - AIM
SB - IM
MH - Adolescent
MH - Adult
MH - Aged
MH - Communication
MH - Female
MH - Humans
MH - Inservice Training/organization & administration
MH - Male
MH - Medication Errors/prevention & control
MH - Middle Aged
MH - Personnel Staffing and Scheduling/organization & administration
MH - Pharmacists/*psychology
MH - Quality Improvement/organization & administration
MH - Safety Management/*organization & administration/standards
MH - Saudi Arabia
MH - Workload
MH - Young Adult
PMC - PMC7808443
COIS- Competing interests: The authors declare no conflict of interest. The authors
have
no conflicts of interest to disclose.
EDAT- 2021/01/21 06:00
MHDA- 2021/02/04 06:00
CRDT- 2021/01/20 01:05
PHST- 2019/12/11 00:00 [received]
PHST- 2020/11/09 00:00 [accepted]
PHST- 2021/01/20 01:05 [entrez]
PHST- 2021/01/21 06:00 [pubmed]
PHST- 2021/02/04 06:00 [medline]
AID - 00005792-202101150-00005 [pii]
AID - MD-D-19-09837 [pii]
AID - 10.1097/MD.0000000000023670 [doi]
PST - ppublish
SO - Medicine (Baltimore). 2021 Jan 15;100(2):e23670. doi:
10.1097/MD.0000000000023670.
PMID- 26734369
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - Developing a ward round checklist to improve patient safety.
LID - u204775.w2440
AB - Checklists have been shown to improve care and reduce morbidity and mortality
in the
healthcare setting.[1] Their application in safety-critical industries
outside of
medicine continues to offer a strong argument for their application to
medicine.[2]
The daily in-patient medical ward round is a complex process and includes
multiple
potential risks to patient safety. This project aims to evaluate the
effectiveness
of a ward round review checklist on one general medical ward in a district
general
hospital in the UK. A baseline audit was performed, examining case-notes for
a set
of pre-defined outcome measures relevant to patient safety. Compliance with
documentation of each outcome measure was assessed prior to the introduction
of a
ward round checklist. This was followed by a quality improvement project
through the
use of PDSA cycles, with the aim of introducing and developing a ward round
checklist over a nine month period. Following the introduction of a
checklist,
overall compliance with documentation of each outcome measure improved from
45% to
89%. In conclusion, a quality improvement project involving the introduction
of a
ward round checklist for daily use has resulted in improved documentation of
outcome
measures that are relevant to patient safety. Teamwork and leadership skills
from
clinicians committed to improving patient safety is essential to sustaining
improvements in traditional ward round practice.
FAU - Hale, Gordon
AU - Hale G
AD - NHS Lanarkshire, UK.
FAU - McNab, Duncan
AU - McNab D
AD - NHS Lanarkshire, UK.
LA - eng
DEP - 20150211
JID - 101629512
PMC - PMC4645926
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2014/12/08 00:00 [received]
PHST- 2015/01/19 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2015 Feb 11;4(1):u204775.w2440. doi:
PMID- 26257806
OWN - NLM
DCOM- 20150810
LR - 20200929
IS - 1735-9066 (Print)
IS - 1735-9066 (Linking)
VI - 20
IP - 4
DP - 2015 Jul-Aug
TI - A survey of nurses' awareness of patient safety culture in neonatal intensive
care
units.
PG - 490-5
LID - 10.4103/1735-9066.161003 [doi]
AB - BACKGROUND: Patient safety is considered as the most important quality for
healthcare. One of the main factors that play an important role in the
promotion of
healthcare institutes is patient safety. This study describes the nurses'
awareness
of patient safety culture in neonatal intensive care units (NICUs). MATERIALS
AND
METHODS: In this descriptive study, 83 nurses working in neonatal intensive
care
units of hospitals affiliated to Isfahan University of Medical Sciences,
Iran, were
selected using purposive sampling. Data collection tools consisted of the
demographic characteristics questionnaire and the Hospital Survey on Patient
Safety
Culture. Data were analyzed by using SPSS software. RESULTS: The dimension
that
received the highest positive response rate was "expectations and actions of
the
supervisor/manager in promoting safety culture." The dimension with the
lowest
percentage of positive responses was "frequency of error reporting." 21.70%
of the
NICU nurses reported one or two incidents in their work units in the previous
12
months. CONCLUSIONS: In order to create and promote patient safety,
appropriate
management of resources and a correct understanding of patient safety culture
are
required. In this way, awareness of dimensions which are not acceptable
provides the
basic information necessary for improving patient safety.
FAU - Hemmat, Faezeh
AU - Hemmat F
AD - Department of Pediatric Nursing & NICU, Nursing and Midwifery School,
International
branch of Shahid Beheshti University of Medical Sciences, Tehran, Iran.
FAU - Atashzadeh-Shoorideh, Foroozan
AU - Atashzadeh-Shoorideh F
AD - Department of Nursing Management, Nursing and Midwifery School, Shahid
Beheshti
FAU - Mehrabi, Tayebeh
AU - Mehrabi T
AD - Department of Psychiatric Nursing, Nursing and Midwifery School, Isfahan
Medical
Sciences University, Isfahan, Iran.
FAU - Zayeri, Farid
AU - Zayeri F
AD - Proteomics Research Center, Faculty of Paramedical Sciences, Shahid Beheshti
LA - eng
JID - 101558775
PMC - PMC4525349
OTO - NOTNLM
OT - Iran
OT - neonatal intensive care unit
OT - nurse
OT - patient safety culture
COIS- Conflict of Interest: No.
EDAT- 2015/08/11 06:00
MHDA- 2015/08/11 06:01
CRDT- 2015/08/11 06:00
PHST- 2013/09/29 00:00 [received]
PHST- 2015/01/05 00:00 [accepted]
PHST- 2015/08/11 06:00 [entrez]
PHST- 2015/08/11 06:00 [pubmed]
PHST- 2015/08/11 06:01 [medline]
AID - 10.4103/1735-9066.161003 [doi]
PST - ppublish
SO - Iran J Nurs Midwifery Res. 2015 Jul-Aug;20(4):490-5. doi: 10.4103/1735-
9066.161003.
PMID- 29152104
OWN - NLM
LR - 20191120
IS - 1949-2553 (Linking)
VI - 8
IP - 50
DP - 2017 Oct 20
TI - A developed model of cancer patients participation in intravenous
chemotherapy
safety.
PG - 87598-87606
LID - 10.18632/oncotarget.20986 [doi]
AB - How to reduce intravenous chemotherapy-related adverse reactions of cancer
patients
is one focus of clinical work. Nowadays, patient for patient safety (PFPS) is
an
important component of hospital safety management and can contribute to a
reduction
in the rate of adverse events following intravenous chemotherapy of cancer
patients.
To guide and evaluate cancer patients participate in intravenous
chemotherapy, we
explored a scientific and practical model of cancer patients participation in
intravenous chemotherapy safety. which can also guide nurse practitioners

(NPs)
practice. Based on a literature review and analysis of chemotherapy-
associated
adverse events from two large comprehensive hospitals, combined with the
existing
strategies for PFPS, the model of cancer patients participation in
intravenous
chemotherapy safety was drafted. Then we conducted two rounds of the Delphi-
method
questionnaire to revise the model. The two rounds Delphi questionnaire survey
had a
response rate of 82.36%. The authoritative coefficient was 0.87 and the
coordination
coefficients were 0.165 and 0.214, respectively. The proposed safety model
included
3 first-order indicators, 8 second-order indicators, and 41 third-order
indicators,
including content of patients participation, responsibilities of medical
personnel
to assist cancer patients participation, and suggestions for guaranteeing
implementation. Many NPs practice in a medical setting where cancer patients
for
patient safety behavior are blurred. The model of cancer patients
participation in
intravenous chemotherapy safety can guide NPs in their practice of promoting
PFPS
among cancer patients intravenous chemotherapy.
FAU - Na, Zeng
AU - Na Z
AD - College of Medical Science, China Three Gorges University, Yichang 443000,
Hubei,
China.
FAU - Qiaoyuan, Yan
AU - Qiaoyuan Y
AD - Union Hospital, Tongji Medical College, Huazhong University of Science and
Technology, Wuhan 430022, Hubei, China.
FAU - Binghan, Wang
AU - Binghan W
FAU - Qin, Zhu
AU - Qin Z
AD - School of Nursing, Tongji Medical College, Huazhong University of Science and

FAU - Yue, Chen
AU - Yue C
AD - First Affiliated Hospital, Chongqing Medical University, Yuzhong 400000,
Chongqing,
China.
FAU - Xin, Peng
AU - Xin P
FAU - Cuilian, Tan
AU - Cuilian T
FAU - Cheng, Yao
AU - Cheng Y
AD - Public Health Department, Tongji Medical College, Huazhong University of
Science and
LA - eng
DEP - 20170918
TA - Oncotarget
JT - Oncotarget
JID - 101532965
PMC - PMC5675656
OTO - NOTNLM
OT - cancer
OT - intravenous chemotherapy
OT - model
OT - patient participation
OT - safety
COIS- CONFLICTS OF INTEREST The authors declare no conflicts of interest.
EDAT- 2017/11/21 06:00
MHDA- 2017/11/21 06:01
CRDT- 2017/11/21 06:00
PHST- 2017/07/15 00:00 [received]
PHST- 2017/08/27 00:00 [accepted]
PHST- 2017/11/21 06:00 [entrez]
PHST- 2017/11/21 06:00 [pubmed]
PHST- 2017/11/21 06:01 [medline]
AID - 20986 [pii]
AID - 10.18632/oncotarget.20986 [doi]
PST - epublish
SO - Oncotarget. 2017 Sep 18;8(50):87598-87606. doi: 10.18632/oncotarget.20986.
eCollection 2017 Oct 20.
PMID- 28083753
OWN - NLM
STAT- MEDLINE
DCOM- 20171113
LR - 20191210
IS - 0009-921X (Print)
VI - 475
IP - 12
DP - 2017 Dec
TI - Definitional Differences of 'Outpatient' Versus 'Inpatient' THA and TKA Can
Affect
Study Outcomes.
PG - 2917-2925
LID - 10.1007/s11999-017-5236-6 [doi]
AB - BACKGROUND: There has been great interest in performing outpatient THA and
TKA.
Studies have compared such procedures done as outpatients versus inpatients.
However, stated "outpatient" status as defined by large national databases
such as
the National Surgical Quality Improvement Program (NSQIP) may not be a
consistent
entity, and the actual lengths of stay of those patients categorized as
outpatients
in NSQIP have not been specifically ascertained and may in fact include some
patients who are "observed" for one or more nights. Current regulations in
the
United States allow these "observed" patients to stay more than one night at
the
hospital under observation status despite being coded as outpatients.
Determining
the degree to which this is the case, and what, exactly, "outpatient" means
in the
NSQIP, may influence the way clinicians read studies from that source and the
way
hospital systems and policymakers use those data. QUESTIONS/PURPOSES: The
purposes
of this study were (1) to utilize the NSQIP database to characterize the
differences
in definition of "inpatient" and "outpatient" (stated status versus actual
length of
stay [LOS], measured in days) for THA and TKA; and (2) to study the effect of
defining populations using different definitions. METHODS: Patients who

underwent
THA and TKA in the 2005 to 2014 NSQIP database were identified. Outpatient
procedures were defined as either hospital LOS = 0 days in NSQIP or being
termed
"outpatient" by the hospital. The actual hospital LOS of "outpatients" was
characterized. "Outpatients" were considered to have stayed overnight if they
had a
LOS of 1 day or longer. The effects of the different definitions on 30-day
outcomes
were evaluated using multivariate analysis while controlling for potential
confounding factors. RESULTS: Of 72,651 patients undergoing THA, 529 were
identified
as "outpatients" but only 63 of these (12%) had a LOS = 0. Of 117,454
patients
undergoing TKA, 890 were identified as "outpatients" but only 95 of these
(11%) had
a LOS = 0. After controlling for potential confounding factors such as
gender, body
mass index, functional status before surgery, comorbidities, and smoking
status, we
found "inpatient" THA to be associated with increased risk of any adverse
event
(relative risk, 2.643, p = 0.002), serious adverse event (relative risk,
2.455,
p = 0.011), and readmission (relative risk, 2.775, p = 0.010) compared with
"outpatient" THA. However, for the same procedure and controlling for the
same
factors, patients who had LOS > 0 were not associated with any increased risk
compared with patients who had LOS = 0. A similar trend was also found in the
TKA
cohort. CONCLUSIONS: Future THA, TKA, or other investigations on this topic
should
consistently quantify the term "outpatient" because different definitions,
stated
status or actual LOS, may lead to different assignments of risk factors for
postoperative complications. Accurate data regarding risk factors for
complications
after total joint arthroplasty are crucial for efforts to reduce length of
hospital
stay and minimize complications. LEVEL OF EVIDENCE: Level III, therapeutic
study.
FAU - Bovonratwet, Patawut
AU - Bovonratwet P
AD - Department of Orthopaedics and Rehabilitation, Yale University School of
Medicine,
47 College Street, New Haven, CT, 06520, USA.
FAU - Webb, Matthew L
AU - Webb ML
AD - Department of Orthopaedic Surgery, Hospital of the University of
Pennsylvania,
Philadelphia, PA, USA.
FAU - Ondeck, Nathaniel T
AU - Ondeck NT
Medicine,
FAU - Lukasiewicz, Adam M
AU - Lukasiewicz AM
Medicine,
FAU - Cui, Jonathan J
AU - Cui JJ
Medicine,
FAU - McLynn, Ryan P
AU - McLynn RP
Medicine,
FAU - Grauer, Jonathan N
AU - Grauer JN
Medicine,
47 College Street, New Haven, CT, 06520, USA. jonathan.grauer@yale.edu.
LA - eng
TA - Clin Orthop Relat Res
JT - Clinical orthopaedics and related research
JID - 0075674
SB - AIM
SB - IM
MH - *Ambulatory Surgical Procedures/adverse effects/classification
MH - *Arthroplasty, Replacement, Hip/adverse effects/classification
MH - *Arthroplasty, Replacement, Knee/adverse effects/classification
MH - Data Mining
MH - Female
MH - Humans
MH - *Inpatients/classification
MH - Kaplan-Meier Estimate
MH - Length of Stay
MH - Male
MH - Multivariate Analysis
MH - Patient Admission
MH - *Process Assessment, Health Care
MH - Propensity Score
MH - Risk Factors
MH - Terminology as Topic
MH - Time Factors
MH - United States
PMC - PMC5670045
EDAT- 2017/01/14 06:00
MHDA- 2017/11/14 06:00
CRDT- 2017/01/14 06:00
PHST- 2017/01/14 06:00 [pubmed]
PHST- 2017/11/14 06:00 [medline]
PHST- 2017/01/14 06:00 [entrez]
AID - 10.1007/s11999-017-5236-6 [pii]
AID - 5236 [pii]
AID - 10.1007/s11999-017-5236-6 [doi]
PST - ppublish
SO - Clin Orthop Relat Res. 2017 Dec;475(12):2917-2925. doi: 10.1007/s11999-017-
5236-6.
PMID- 26244494
OWN - NLM
STAT- MEDLINE
DCOM- 20160509
LR - 20200306
IS - 1932-6203 (Linking)
VI - 10
IP - 8
DP - 2015
TI - Blame the Patient, Blame the Doctor or Blame the System? A Meta-Synthesis of
Qualitative Studies of Patient Safety in Primary Care.
PG - e0128329
LID - e0128329
AB - OBJECTIVE: Studies of patient safety in health care have traditionally
focused on
hospital medicine. However, recent years have seen more research located in
primary
care settings which have different features compared to secondary care. This
study
set out to synthesize published qualitative research concerning patient
safety in
primary care in order to build a conceptual model. METHOD: Meta-ethnography,
an
interpretive synthesis method whereby third order interpretations are
produced that
best describe the groups of findings contained in the reports of primary
studies.
RESULTS: Forty-eight studies were included as 5 discrete subsets where the
findings
were translated into one another: patients' perspectives of safety, staff
perspectives of safety, medication safety, systems or organisational issues
and the
primary/secondary care interface. The studies were focused predominantly on
issues
seen to either improve or compromise patient safety. These issues related to
the
characteristics or behaviour of patients, staff or clinical systems and
interactions
between staff, patients and staff, or people and systems. Electronic health
records,
protocols and guidelines could be seen to both degrade and improve patient
safety in
different circumstances. A conceptual reading of the studies pointed to
patient
safety as a subjective feeling or judgement grounded in moral views and with
potentially hidden psychological consequences affecting care processes and
relationships. The main threats to safety appeared to derive from 'grand'
systems
issues, for example involving service accessibility, resources or working
hours
which may not be amenable to effective intervention by individual practices
or
health workers, especially in the context of a public health system.
CONCLUSION:
Overall, the findings underline the human elements in patient safety primary
health
care. The key to patient safety lies in effective face-to-face communication
between
patients and health care staff or between the different staff involved in the
care
of an individual patient. Electronic systems can compromise safety when they
override the opportunities for face-to-face communication. The circumstances
under
which guidelines or protocols are seen to either compromise or improve
patient
safety needs further investigation.
FAU - Daker-White, Gavin
AU - Daker-White G
AD - National Institute for Health Research (NIHR), Greater Manchester Patient
Safety
Translational Research Centre, Institute of Population Health, University of
Manchester, Manchester, United Kingdom.
FAU - Hays, Rebecca
AU - Hays R
Safety
FAU - McSharry, Jennifer
AU - McSharry J
AD - Department of Psychology, National University of Ireland (NUI) Galway,
Galway,
Ireland.
FAU - Giles, Sally
AU - Giles S
Safety
FAU - Cheraghi-Sohi, Sudeh
AU - Cheraghi-Sohi S
Safety
FAU - Rhodes, Penny
AU - Rhodes P
AD - NIHR School for Primary Care Research and Manchester Academic Health Science
Centre,
University of Manchester, Manchester, United Kingdom.
FAU - Sanders, Caroline
AU - Sanders C
AD - NIHR School for Primary Care Research and Manchester Academic Health Science
Centre,
LA - eng
PT - Meta-Analysis
DEP - 20150805
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Communication
MH - Humans
MH - *Primary Health Care/methods
MH - Professional-Patient Relations
PMC - PMC4526558
exist.
EDAT- 2015/08/06 06:00
MHDA- 2016/05/10 06:00
CRDT- 2015/08/06 06:00
PHST- 2014/12/19 00:00 [received]
PHST- 2015/04/26 00:00 [accepted]
PHST- 2015/08/06 06:00 [entrez]
PHST- 2015/08/06 06:00 [pubmed]
PHST- 2016/05/10 06:00 [medline]
PST - epublish
eCollection
2015.
PMID- 24761335
OWN - NLM
STAT- Publisher
LR - 20191120
IS - 2162-1918 (Print)
IS - 2162-1918 (Linking)
VI - 2
IP - 10
DP - 2013 Dec
TI - Electronic Health Records, Registries, and Quality Measures: What? Why? How?
PG - 598-604
AB - The transition from volume-based healthcare to value-based care is advancing
via the
reporting of quality measures, initially as a part of "pay for performance"
within
Medicare's Physician Quality Reporting System (PQRS) initiative. However,
"value-based purchasing" requirements within the Affordable Care Act will
increase
the percentage of reimbursement linked to the reporting of quality measures.
Currently, only five PQRS measures are relevant to wound care, and the venous
ulcer
care measure will be retired this year. PQRS measures in wound care can only
be
reported via claims or qualified patient registries, and no wound care
measures are
endorsed by the National Quality Forum (NQF). The recent Health Informational
Technology for Economic and Clinical Health (HITECH) Act promoting the
adoption of
electronic health records (EHRs) requires quality reporting by clinicians
wishing to
access EHR adoption money. These clinicians will be able to comply with the
next
stage of "meaningful use" of EHRs, beginning in 2015, by submitting data to a
qualified registry, and registry submission may eventually be required by

Medicare
for reimbursement of some wound care products and procedures. Other
specialties are
using registries to track adverse events, measure compliance with practice
guidelines, and for comparative effectiveness data. Evidence-based measures
should
be developed as electronic measures that can be submitted directly from the
clinicians' EHR. New wound care measures should undergo testing for NQF
endorsement.
The not-for-profit U.S. Wound Registry is a qualified patient registry that
is
available for PQRS reporting, measure testing, and future registry submission
requirements. The lack of tested wound care quality measures threatens the
entire
wound care industry, as quality-based reimbursement is not limited to
physician
payment. Quality measures are an increasingly important part of many Medicare
payment systems, including those for acute care hospitals, hospital-based

outpatient
wound care departments, and accountable care organizations.
FAU - Fife, Caroline E
AU - Fife CE
AD - U.S. Wound Registry , The Woodlands, Texas.
FAU - Walker, David
AU - Walker D
FAU - Thomson, Brett
AU - Thomson B
LA - eng
TA - Adv Wound Care (New Rochelle)
JT - Advances in wound care
JID - 101590593
PMC - PMC3865620
EDAT- 2014/04/25 06:00
MHDA- 2014/04/25 06:00
CRDT- 2014/04/25 06:00
PHST- 2013/06/03 00:00 [received]
PHST- 2013/08/06 00:00 [accepted]
PHST- 2014/04/25 06:00 [entrez]
PHST- 2014/04/25 06:00 [pubmed]
PHST- 2014/04/25 06:00 [medline]
AID - 10.1089/wound.2013.0476 [pii]
AID - 10.1089/wound.2013.0476 [doi]
PST - ppublish
SO - Adv Wound Care (New Rochelle). 2013 Dec;2(10):598-604. doi:
10.1089/wound.2013.0476.
PMID- 22365087
OWN - NLM
STAT- MEDLINE
DCOM- 20120612
LR - 20191112
IS - 1482-1826 (Linking)
VI - 15
IP - 1
DP - 2012
TI - Effectiveness and safety of abatacept in moderate to severe rheumatoid
arthritis.
PG - 46-51
AB - PURPOSE: Abatacept was approved in our hospital by the Pharmacy and
Therapeutics
Committee for treatment of moderate to severe rheumatoid arthritis (RA) in
adult
patients with inadequate response or intolerance to disease modifying
antirheumatic
drugs (DMARDs), including at least one anti-tumour necrosis factor (anti-
TNF). The
objectives of this study were to analyze compliance with our protocol and to
evaluate effectiveness and safety of abatacept in our patients. METHODS: We
performed a descriptive longitudinal study of patients with RA treated with
abatacept between August 2008 and May 2010 in our day care unit. We reviewed
clinical records and recorded the following data: sex, age, weight, year of
diagnosis, previous antirheumatic treatments and reasons for withdrawal of
anti-TNFs, indication for abatacept, dose and date of administration, Disease
Activity Score (DAS28) and adverse events. Effectiveness was evaluated using
the
European League Against Rheumatism (EULAR) criteria. RESULTS: We recruited 16
patients. Mean follow-up time was 10.4 (SD: 6.1) months. All patients had
been
previously treated with DMARDs, including at least one anti-TNF, and the mean
dose
of abatacept was 9.4 (SD: 1.4) mg/kg. During the first 6 months of treatment,
11/16
of patients experienced a decrease in their DAS28 value, but only 5/16
achieved a
satisfactory response. Dyspnea was the most frequent adverse event (7/16),
followed
by fatigue and asthenia (6/16) and dry skin (5/16). CONCLUSIONS: The
indication for
abatacept in our hospital complied with the protocol approved by the Pharmacy
and
Therapeutics Committee. Only 5/16 of patients achieved a satisfactory
response;
however, it should be noted that these patients had moderate to severe RA
that was
refractory to other treatments. Adverse reactions were consistent with those
described in the summary of product characteristics. Further studies with
larger
cohorts are needed to analyze the long-term safety and effectiveness profile
in
clinical practice.
FAU - Cortejoso-Fernández, Lucía
AU - Cortejoso-Fernández L
AD - Pharmacy Department, Hospital General Universitario Gregorio Marañón, Madrid,
Spain.
lucia.cortejoso@salud.madrid.org
FAU - Romero-Jiménez, Maria Rosa
AU - Romero-Jiménez MR
FAU - Pernía-López, María Sagrario
AU - Pernía-López MS
FAU - Montoro-Álvarez, María
AU - Montoro-Álvarez M
FAU - Sanjurjo-Sáez, María
AU - Sanjurjo-Sáez M
LA - eng
PL - Canada
TA - J Pharm Pharm Sci
JT - Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian
Society for Pharmaceutical Sciences, Societe canadienne des sciences

pharmaceutiques
JID - 9807281
RN - 0 (Antirheumatic Agents)
RN - 0 (Immunoconjugates)
RN - 0 (Tumor Necrosis Factor-alpha)
RN - 7D0YB67S97 (Abatacept)
SB - IM
MH - Abatacept
MH - Adult
MH - Aged
MH - Antirheumatic Agents/*therapeutic use
MH - Arthritis, Rheumatoid/*drug therapy
MH - Female
MH - Humans
MH - Immunoconjugates/adverse effects/*therapeutic use
MH - Male
MH - Middle Aged
MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors
EDAT- 2012/03/01 06:00
MHDA- 2012/06/13 06:00
CRDT- 2012/02/28 06:00
PHST- 2012/02/28 06:00 [entrez]
PHST- 2012/03/01 06:00 [pubmed]
PHST- 2012/06/13 06:00 [medline]
AID - 10.18433/j36s3w [doi]
PST - ppublish
SO - J Pharm Pharm Sci. 2012;15(1):46-51. doi: 10.18433/j36s3w.
PMID- 33539368
OWN - NLM
LR - 20210204
IS - 1932-6203 (Linking)
VI - 16
IP - 2
DP - 2021
TI - Patient safety culture and associated factors among health care professionals
at
public hospitals in Dessie town, north east Ethiopia, 2019.
PG - e0245966
AB - INTRODUCTION: Patient safety culture is defined as the attitudes,
perceptions, and
values that staffs share within an organization related to patient safety.
The
safety of health care is now a major global concern. It is likely that
millions of
people suffer disabling injuries or death directly related to medical care.
Particularly in developing and transitional countries, patient harm is a
global
public health problem. The objective of the study is to assess patient safety
culture and associated factors among health care professionals working in

public
hospitals in Dessie town, North East Ethiopia, 2019. METHODS: Facility based
quantitative study was employed from March 15 -April 30, 2019 in public
hospitals in
Dessie town. Four hundred and twenty two health care professionals were
recruited to
complete a structured pretested self-administered questionnaire. The data was
cleaned, coded and entered in to Epi Info-7 and exported to SPSS version 20.
Data
was further analyzed using bivariate and multivariate logistic regression
analyses.
Variables with P value of less than 0.05 in multivariate analysis were
declared as
statistically significant at 95% CI. RESULTS: Of the 422 recruited a total of
411
participants completed the survey with a response rate of 97.4%. Close to
half
(184(44.8%)) of the participants indicated good patient safety culture. Good
patient
safety culture was positively associated with working in primary hospital
(AOR =
2.56, 95% CI = 1.56, 4.21). On the other hand, good patient safety culture
was
negatively associated with health professional's age between 25-34 year (AOR
= 0.25,
95% CI = 0.08-0.74) and working in Pediatrics ward (AOR = 0.39, 95% CI =
0.17-0.9)
and in emergency ward (AOR = O.25, 95%CI = 0.09-0.67). CONCLUSION: The
overall level
of patient safety culture was under 50%. Good patient safety culture had
positive
association with working in primary hospital and negative association with
professionals' age between 25-29 year, 30-34 year and working in pediatrics
and
emergency ward. Implementing actions that support all dimensions of safety
culture
should be promoted at all levels of hospitals.
FAU - Mohammed, Fentaw
AU - Mohammed F
AD - Department of Nursing, Dessie Health Science College, Dessie, Amhara,
Ethiopia.
FAU - Taddele, Mekuanint
AU - Taddele M
AD - Department of Public Health, College of Health Sciences, Debre Markos
University,
Amhara, Ethiopia.
FAU - Gualu, Tenaw
AU - Gualu T
AUID- ORCID: 0000-0001-5071-6291
AD - Faculty of Medicine, The Nethersole School of Nursing, The Chinese University
of
Hong Kong, New Territories, Hong Kong, Hong Kong.
LA - eng
DEP - 20210204
PL - United States
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
EDAT- 2021/02/05 06:00
MHDA- 2021/02/05 06:00
CRDT- 2021/02/04 17:16
PHST- 2020/10/17 00:00 [received]
PHST- 2021/01/11 00:00 [accepted]
PHST- 2021/02/04 17:16 [entrez]
PHST- 2021/02/05 06:00 [pubmed]
PHST- 2021/02/05 06:00 [medline]
PST - epublish
eCollection
2021.
PMID- 27077653
OWN - NLM
STAT- MEDLINE
DCOM- 20160901
LR - 20190219
IS - 1932-6203 (Linking)
VI - 11
IP - 4
DP - 2016
TI - Impact of Laboratory Test Use Strategies in a Turkish Hospital.
PG - e0153693
LID - e0153693
AB - OBJECTIVES: Eliminating unnecessary laboratory tests is a good way to reduce
costs
while maintain patient safety. The aim of this study was to define and
process
strategies to rationalize laboratory use in Ankara Numune Training and
Research
Hospital (ANH) and calculate potential savings in costs. METHODS: A
collaborative
plan was defined by hospital managers; joint meetings with ANHTA and
laboratory
professors were set; the joint committee invited relevant staff for input,
and a
laboratory efficiency committee was created. Literature was reviewed
systematically
to identify strategies used to improve laboratory efficiency. Strategies that
would
be applicable in local settings were identified for implementation,
processed, and
the impact on clinical use and costs assessed for 12 months. RESULTS:
Laboratory use
in ANH differed enormously among clinics. Major use was identified in
internal
medicine. The mean number of tests per patient was 15.8. Unnecessary testing
for
chloride, folic acid, free prostate specific antigen, hepatitis and HIV
testing were
observed. Test panel use was pinpointed as the main cause of overuse of the
laboratory and the Hospital Information System test ordering page was
reorganized. A
significant decrease (between 12.6-85.0%) was observed for the tests that
were taken
to an alternative page on the computer screen. The one year study saving was
equivalent to 371,183 US dollars. CONCLUSION: Hospital-based committees
including
laboratory professionals and clinicians can define hospital based problems
and led
to a standardized approach to test use that can help clinicians reduce
laboratory
costs through appropriate use of laboratory tests.
FAU - Yılmaz, Fatma Meriç
AU - Yılmaz FM
AD - Yildirim Bayezid University, Department of Biochemistry, Ankara, Turkey.
FAU - Kahveci, Rabia
AU - Kahveci R
AD - Ankara Numune Training and Research Hospital, Health Technology Assessment
Unit,
Ankara, Turkey.
FAU - Aksoy, Altan
AU - Aksoy A
AD - Ankara Numune Training and Research Hospital, Department of Microbiology,
Ankara,
Turkey.
FAU - Özer Kucuk, Emine
AU - Özer Kucuk E
AD - Ankara Numune Training and Research Hospital, Health Technology Assessment
Unit,
Ankara, Turkey.
FAU - Akın, Tezcan
AU - Akın T
AD - Ankara Numune Training and Research Hospital, Department of General Surgery,
Ankara,
Turkey.
FAU - Mathew, Joseph Lazar
AU - Mathew JL
AD - Advanced Pediatrics Centre PostGraduate Institute of Medical Education and
Research,
Chandigarh, India.
FAU - Meads, Catherine
AU - Meads C
AD - Brunel University, Health Economics Research Group, Uxbridge, United Kingdom.
FAU - Zengin, Nurullah
AU - Zengin N
AD - Ankara Numune Training and Research Hospital, Department of Oncology, Ankara,
Turkey.
LA - eng
DEP - 20160414
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Clinical Laboratory Techniques/*economics/*statistics & numerical data
MH - *Efficiency, Organizational
MH - Humans
MH - Laboratories, Hospital/*organization & administration
MH - Turkey
PMC - PMC4831677
exist.
EDAT- 2016/04/15 06:00
MHDA- 2016/09/02 06:00
CRDT- 2016/04/15 06:00
PHST- 2015/06/01 00:00 [received]
PHST- 2016/04/03 00:00 [accepted]
PHST- 2016/04/15 06:00 [entrez]
PHST- 2016/04/15 06:00 [pubmed]
PHST- 2016/09/02 06:00 [medline]
PST - epublish
SO - PLoS One. 2016 Apr 14;11(4):e0153693. doi: 10.1371/journal.pone.0153693.
eCollection
2016.
PMID- 23263021
OWN - NLM
DCOM- 20121225
LR - 20181113
IS - 2044-6055 (Linking)
VI - 2
IP - 6
DP - 2012
TI - A cross-sectional study to identify organisational processes associated with
nurse-reported quality and patient safety.
LID - 10.1136/bmjopen-2012-001967 [doi]
LID - e001967
AB - OBJECTIVES: The purpose of this study was to identify organisational
processes and
structures that are associated with nurse-reported patient safety and quality
of
nursing. DESIGN: This is an observational cross-sectional study using survey
methods. SETTING: Respondents from 31 Norwegian hospitals with more than 85
beds
were included in the survey. PARTICIPANTS: All registered nurses working in
direct
patient care in a position of 20% or more were invited to answer the survey.
In this
study, 3618 nurses from surgical and medical wards responded (response rate
58.9).
Nurses' practice environment was defined as organisational processes and
measured by
the Nursing Work Index Revised and items from Hospital Survey on Patient
Safety
Culture. OUTCOME MEASURES: Nurses' assessments of patient safety, quality of
nursing, confidence in how their patients manage after discharge and
frequency of
adverse events were used as outcome measures. RESULTS: Quality system,
nurse-physician relation, patient safety management and staff adequacy were
process
measures associated with nurse-reported work-related and patient-related
outcomes,
but we found no associations with nurse participation, education and career
and ward
leadership. Most organisational structures were non-significant in the
multilevel
model except for nurses' affiliations to medical department and hospital
type.
CONCLUSIONS: Organisational structures may have minor impact on how nurses
perceive
work-related and patient-related outcomes, but the findings in this study
indicate
that there is a considerable potential to address organisational design in
improvement of patient safety and quality of care.
AU - Tvedt C
Centre
AU - Sjetne IS
AU - Helgeland J
FAU - Bukholm, Geir
AU - Bukholm G
LA - eng
DEP - 20121220
TA - BMJ Open
JT - BMJ open
JID - 101552874
PMC - PMC3533052
EDAT- 2012/12/25 06:00
MHDA- 2012/12/25 06:01
CRDT- 2012/12/25 06:00
PHST- 2012/12/25 06:00 [entrez]
PHST- 2012/12/25 06:00 [pubmed]
PHST- 2012/12/25 06:01 [medline]
AID - 10.1136/bmjopen-2012-001967 [doi]
PST - epublish
SO - BMJ Open. 2012 Dec 20;2(6):e001967. doi: 10.1136/bmjopen-2012-001967. Print
2012.
PMID- 28559745
OWN - NLM
LR - 20210109
IS - 1472-6955 (Print)
IS - 1472-6955 (Linking)
VI - 16
DP - 2017
TI - Cross-sectional examination of the association between shift length and
hospital
nurses job satisfaction and nurse reported quality measures.
PG - 26
LID - 10.1186/s12912-017-0221-7 [doi]
LID - 26
AB - BACKGROUND: Twenty-four hour nursing care involves shift work including 12-h
shifts.
England is unusual in deploying a mix of shift patterns. International
evidence on
the effects of such shifts is growing. A secondary analysis of data collected
in
England exploring outcomes with 12-h shifts examined the association between
shift
length, job satisfaction, scheduling flexibility, care quality, patient
safety, and
care left undone. METHODS: Data were collected from a questionnaire survey of
nurses
in a sample of English hospitals, conducted as part of the RN4CAST study, an
EU
7(th) Framework funded study. The sample comprised 31 NHS acute hospital
Trusts from
401 wards, in 46 acute hospital sites. Descriptive analysis included
frequencies,
percentages and mean scores by shift length, working beyond contracted hours
and day
or night shift. Multi-level regression models established statistical
associations
between shift length and nurse self-reported measures. RESULTS: Seventy-four
percent
(1898) of nurses worked a day shift and 26% (670) a night shift. Most Trusts
had a
mixture of shifts lengths. Self-reported quality of care was higher amongst
nurses
working ≤8 h (15.9%) compared to those working longer hours (20.0 to 21.1%).
The
odds of poor quality care were 1.64 times higher for nurses working ≥12 h
(OR = 1.64, 95% CI 1.18-2.28, p = 0.003). Mean 'care left undone' scores
varied by
shift length: 3.85 (≤8 h), 3.72 (8.01-10.00 h), 3.80 (10.01-11.99 h) and were
highest amongst those working ≥12 h (4.23) (p < 0.001). The rate of care left
undone
was 1.13 times higher for nurses working ≥12 h (RR = 1.13, 95% CI 1.06-1.20,
p < 0.001). Job dissatisfaction was higher the longer the shift length: 42.9%
(≥12 h
(OR = 1.51, 95% CI 1.17-1.95, p = .001); 35.1% (≤8 h) 45.0% (8.01-10.00 h),
39.5%
(10.01-11.99 h). CONCLUSIONS: Our findings add to the growing international
body of
evidence reporting that ≥12 shifts are associated with poor ratings of
quality of
care and higher rates of care left undone. Future research should focus on
how 12-h
shifts can be optimised to minimise potential risks.
FAU - Ball, Jane
AU - Ball J
AUID- ORCID: 0000-0002-8655-2994
Applied
Health Research and Care (NIHR CLAHRC), Wessex, Southampton, UK.
AD - University of Southampton, Southampton, UK. ISNI: 0000 0004 1936 9297. GRID:
grid.5491.9
AD - Medical Management Centre (MMC), Department of Learning, Informatics,
Management and
Ethics (LIME), Karolinska Institutet (KI), Stockholm, Sweden. ISNI: 0000 0004
1937
0626. GRID: grid.4714.6
FAU - Day, Tina
AU - Day T
James
Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA UK. ISNI: 0000 0001
2322
6764. GRID: grid.13097.3c
FAU - Murrells, Trevor
AU - Murrells T
James
2322
6764. GRID: grid.13097.3c
FAU - Dall'Ora, Chiara
AU - Dall'Ora C
Applied
grid.5491.9
AU - Rafferty AM
James
2322
6764. GRID: grid.13097.3c
AU - Griffiths P
Applied
grid.5491.9
FAU - Maben, Jill
AU - Maben J
James
2322
6764. GRID: grid.13097.3c
LA - eng
DEP - 20170525
TA - BMC Nurs
JT - BMC nursing
JID - 101088683
PMC - PMC5445490
OTO - NOTNLM
OT - 12 h shift
OT - Care left undone
OT - England
OT - Job satisfaction
OT - Patient safety
OT - Shift work
OT - Work hours
EDAT- 2017/06/01 06:00
MHDA- 2017/06/01 06:01
CRDT- 2017/06/01 06:00
PHST- 2017/02/28 00:00 [received]
PHST- 2017/05/16 00:00 [accepted]
PHST- 2017/06/01 06:00 [entrez]
PHST- 2017/06/01 06:00 [pubmed]
PHST- 2017/06/01 06:01 [medline]
AID - 221 [pii]
AID - 10.1186/s12912-017-0221-7 [doi]
PST - epublish
SO - BMC Nurs. 2017 May 25;16:26. doi: 10.1186/s12912-017-0221-7. eCollection
2017.
PMID- 26734251
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 3
IP - 1
DP - 2014
TI - Improving the surgical hot clinic.
LID - u206573.w2639
AB - Ambulatory care is an underdeveloped concept in the setting of emergency
surgery,
however it is recognised that many institutions will need to develop this
service to
cope with increased time and financial pressures.[1] There is increased
emphasis on
ambulatory care pathways for a variety of medical conditions.[2] Risk
management is
important in managing patients with acute abdominal pain in an outpatient
setting
and senior doctor support is essential. While the patient remains in the
community,
effective communication with the patient's primary care provider improves
patient
safety and satisfaction.[3] This quality improvement project identified
current
service provision of ambulatory care for surgical patients in the hot clinic
at
Croydon University Hospital with subsequent consultation with the surgical
department to identify problems arising from the throughput of patients.
Guidelines
were then updated incorporating solutions to the identified issues which were
then
validated by the department of general surgery. Post intervention measurement
identified a decrease in patients whose principal assessment and management

was made
by a senior house officer level doctor through the hot clinic patient journey
from
26% to 9% (64% decrease), indicating an increase in registrar and/or
consultant
involvement in managing the hot clinic. The number of patients attending hot
clinic
that had effective discharge liaison (in the form of a formal letter) to the
GP
increased from 18% to 68% (250% increase). In conclusion, the introduction of
updated guidelines effected a safer and more effective ambulatory hot clinic
to
perform closer to full capacity, providing improved patient care for the
local
population.
FAU - Hubbard, Thomas
AU - Hubbard T
AD - Croydon University Hospital, London.
FAU - Thomas, Rhys
AU - Thomas R
AD - Croydon University Hospital, London.
LA - eng
DEP - 20141210
JID - 101629512
PMC - PMC4645687
EDAT- 2014/01/01 00:00
MHDA- 2014/01/01 00:01
CRDT- 2016/01/07 06:00
PHST- 2014/09/30 00:00 [received]
PHST- 2014/11/04 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2014/01/01 00:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2014 Dec 10;3(1):u206573.w2639. doi:
PMID- 25364360
OWN - NLM
DCOM- 20141103
LR - 20200930
IS - 1735-1995 (Print)
IS - 1735-1995 (Linking)
VI - 19
IP - 7
DP - 2014 Jul
TI - Medication error detection in two major teaching hospitals: What are the
types of
errors?
PG - 617-23
AB - BACKGROUND: Increasing number of reports on medication errors and relevant
subsequent damages, especially in medical centers has become a growing
concern for
patient safety in recent decades. Patient safety and in particular,
medication
safety is a major concern and challenge for health care professionals around
the
world. Our prospective study was designed to detect prescribing,
transcribing,
dispensing, and administering medication errors in two major university
hospitals.
MATERIALS AND METHODS: After choosing 20 similar hospital wards in two large
teaching hospitals in the city of Isfahan, Iran, the sequence was randomly
selected.
Diagrams for drug distribution were drawn by the help of pharmacy directors.
Direct
observation technique was chosen as the method for detecting the errors. A
total of
50 doses were studied in each ward to detect prescribing, transcribing and
administering errors in each ward. The dispensing error was studied on 1000
doses
dispensed in each hospital pharmacy. RESULTS: A total of 8162 number of doses
of
medications were studied during the four stages, of which 8000 were complete
data to
be analyzed. 73% of prescribing orders were incomplete and did not have all
six
parameters (name, dosage form, dose and measuring unit, administration route,
and
intervals of administration). We found 15% transcribing errors. One-third of
administration of medications on average was erroneous in both hospitals.
Dispensing
errors ranged between 1.4% and 2.2%. CONCLUSION: Although prescribing and
administrating compromise most of the medication errors, improvements are
needed in
all four stages with regard to medication errors. Clear guidelines must be
written
and executed in both hospitals to reduce the incidence of medication errors.
FAU - Saghafi, Fatemeh
AU - Saghafi F
AD - Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy
and
Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan,
Iran.
FAU - Zargarzadeh, Amir H
AU - Zargarzadeh AH
AD - Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy
and
Iran.
LA - eng
TA - J Res Med Sci
JT - Journal of research in medical sciences : the official journal of Isfahan
University
of Medical Sciences
JID - 101235599
PMC - PMC4214019
OTO - NOTNLM
OT - Disguised direct observation
OT - hospital
OT - inpatient
OT - medication error
EDAT- 2014/11/05 06:00
MHDA- 2014/11/05 06:01
CRDT- 2014/11/04 06:00
PHST- 2014/01/13 00:00 [received]
PHST- 2014/02/18 00:00 [revised]
PHST- 2014/05/02 00:00 [accepted]
PHST- 2014/11/04 06:00 [entrez]
PHST- 2014/11/05 06:00 [pubmed]
PHST- 2014/11/05 06:01 [medline]
AID - JRMS-19-617 [pii]
PST - ppublish
SO - J Res Med Sci. 2014 Jul;19(7):617-23.
PMID- 24071694
OWN - NLM
STAT- MEDLINE
DCOM- 20150717
LR - 20181202
IS - 1672-7347 (Print)
IS - 1672-7347 (Linking)
VI - 38
IP - 9
DP - 2013 Sep
TI - [Development of green hospitals home and abroad].
PG - 949-53
LID - 10.3969/j.issn.1672-7347.2013.09.014 [doi]
AB - Green hospital construction is a new challenge for medical industry after
global
sustainable development strategy was put forward. The core connotation of
green
hospital includes green building, green healthcare, patient safety, and
doctor-patient harmony. Many countries have established green building
evaluation
system to deal with energy crisis. Leadership in Energy and Environmental
Design
(LEED), Green Guide for Health Care (GGHC) in the U.S., and Evaluation System
for
Green Hospital Building (CSUS/GBC 2-2011) in China have guiding significance
for the
development of green hospitals in China. The evaluation system of green
hospitals
home and abroad still focuses on green building, and establishment of
suitable
synthesis evaluation system of green hospitals in China needs further
research.
FAU - Yang, Yiju
AU - Yang Y
AD - Department of Social Medicine and Health Service Management, School of Public
Health, Central South University, Changsha 410078, China).

FAU - Zeng, Na
AU - Zeng N
FAU - Shen, Minxue
AU - Shen M
FAU - Sun, Zhenqiu
AU - Sun Z
LA - chi
PL - China
TA - Zhong Nan Da Xue Xue Bao Yi Xue Ban
JT - Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University.
Medical
sciences
JID - 101230586
SB - IM
MH - China
MH - *Green Chemistry Technology
MH - *Hospitals
MH - Humans
MH - Leadership
EDAT- 2013/09/28 06:00
MHDA- 2015/07/18 06:00
CRDT- 2013/09/28 06:00
PHST- 2013/09/28 06:00 [entrez]
PHST- 2013/09/28 06:00 [pubmed]
PHST- 2015/07/18 06:00 [medline]
AID - 10.3969/j.issn.1672-7347.2013.09.014 [doi]
PST - ppublish
SO - Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2013 Sep;38(9):949-53. doi:
10.3969/j.issn.1672-7347.2013.09.014.
PMID- 25565021
OWN - NLM
STAT- MEDLINE
DCOM- 20151117
LR - 20181202
IS - 2329-6933 (Print)
IS - 2325-6621 (Linking)
VI - 12
IP - 2
DP - 2015 Feb
TI - Hospital-level factors associated with report of physical activity in
patients on
mechanical ventilation across Washington State.
PG - 209-15
LID - 10.1513/AnnalsATS.201410-480OC [doi]
AB - RATIONALE: Use of physical and/or occupational therapy in the intensive care
unit
(ICU) is safe, feasible, and demonstrates improvements in functional status
with
early administration. Access to physical and/or occupational therapy in the
ICU is
variable, with little known regarding its use in community ICUs. OBJECTIVES:
Determine what proportion of hospitals across Washington State report use of
physical activity in mechanically ventilated patients and investigate process
of
care factors associated with reported activity delivery. METHODS: Cross-
sectional
telephone interview survey study of nurse managers in hospitals caring for
patients
on mechanical ventilation across Washington State in 2013. Survey responses
were
linked with hospital-level data available in the Washington State Department
of
Health Comprehensive Hospital Abstract Reporting System database. Chi-square
testing
was used to explore unadjusted associations between potential process of care
factors and report on activity delivery. Two multivariable logistic

regression
models were developed to explore the association between presence of a
mobility
protocol and report on delivery of activity. MEASUREMENTS AND MAIN RESULTS:
We
identified 54 hospitals caring for patients on mechanical ventilation; 47
participated in the survey (response rate, 85.5%). Nurse managers from 36
(76.6%)
hospitals reported use of physical activity in patients on mechanical
ventilation,
with 22 (46.8%) reporting use of high-level physical activity (transferring
to
chair, standing or ambulating) and 24 (51.1%) reporting use in high-severity
patients (patients requiring mechanical ventilation and/or vasopressors).
Presence
of a written ICU activity protocol (odds ratio [OR], 5.54; 95% confidence
interval
[CI], 1.60-19.18; P = 0.006), hospital volume (OR, 5.33; 95% CI, 1.54-18.48;
P = 0.008), and academic affiliation (OR, 4.40; 95% CI, 1.23-15.63; P = 0.02)
were
associated with report of higher level activity. Presence of a written ICU
activity
protocol (OR, 6.00; 95% CI, 1.69-21.14; P = 0.005) and academic affiliation
(OR,
4.50; 95% CI, 1.21-16.46; P = 0.02) were associated with report of delivery
of
physical activity to high-severity patients. CONCLUSIONS: Nurse managers at
three-fourths (76.6%) of eligible hospitals across Washington State reported
use of
physical activity in patients on mechanical ventilation. Hospital-level
factors
including hospital volume, academic affiliation, and presence of a mobility
protocol
were associated with report of higher level activity and delivery of activity
to
high-severity patients.
FAU - Jolley, Sarah E
AU - Jolley SE
AD - 1 Division of Pulmonary and Critical Care Medicine, Louisiana State
University
Health Sciences Center, New Orleans, Louisiana; and.
FAU - Dale, Christopher R
AU - Dale CR
FAU - Hough, Catherine L
AU - Hough CL
LA - eng
GR - T32 HL007287/HL/NHLBI NIH HHS/United States
GR - U54 GM104940/GM/NIGMS NIH HHS/United States
GR - HL007287-31/HL/NHLBI NIH HHS/United States
TA - Ann Am Thorac Soc
JT - Annals of the American Thoracic Society
JID - 101600811
SB - IM
MH - Adult
MH - Aged
MH - *Clinical Protocols
MH - Critical Illness/*rehabilitation
MH - Health Facility Size/statistics & numerical data
MH - Hospitals, High-Volume/statistics & numerical data
MH - Hospitals, Low-Volume/statistics & numerical data
MH - Hospitals, Teaching/*statistics & numerical data
MH - Humans
MH - Intensive Care Units/*statistics & numerical data
MH - Middle Aged
MH - *Motor Activity
MH - Occupational Therapy/*statistics & numerical data
MH - Physical Therapy Modalities/*statistics & numerical data
MH - *Respiration, Artificial
MH - Washington
PMC - PMC4342832
OTO - NOTNLM
OT - critical illness myopathy
OT - early mobilization
OT - intensive care unit–acquired weakness
OT - physical therapy
EDAT- 2015/01/08 06:00
MHDA- 2015/11/18 06:00
CRDT- 2015/01/08 06:00
PHST- 2015/01/08 06:00 [entrez]
PHST- 2015/01/08 06:00 [pubmed]
PHST- 2015/11/18 06:00 [medline]
AID - 10.1513/AnnalsATS.201410-480OC [doi]
PST - ppublish
SO - Ann Am Thorac Soc. 2015 Feb;12(2):209-15. doi: 10.1513/AnnalsATS.201410-
480OC.
PMID- 31023177
OWN - NLM
STAT- MEDLINE
DCOM- 20200821
LR - 20200821
IS - 1066-9817 (Print)
IS - 1066-9817 (Linking)
VI - 27
IP - 3
DP - 2019 Jul
TI - Acupuncture gone awry: a case report of a patient who required surgical
removal of
two single-use filament needles following acupuncture treatment.
PG - 180-184
LID - 10.1080/10669817.2019.1608010 [doi]
AB - Background: Acupuncture and dry needling are increasingly popular treatment
modalities used to treat pain around the world. This case report documents
the
clinical history of a patient who presented to an outpatient physical therapy
clinic
following surgical removal of two single-use filament needles that fractured
in the
patient's neck during acupuncture treatment. Case Description: The purpose of
this
case report was to highlight a rare adverse event following acupuncture
treatment.
The patient received the acupuncture treatment from a practitioner licensed
in
acupuncture, while on an international business trip. Following the
acupuncture
treatment, the practitioner realized that a needle had fractured and remained
in the
patient's neck. After failing to retrieve the needle, the patient was sent
for
imaging. Radiograph revealed that the patient had two needle fragments
located in
his cervical tissue. After determining that the needles did not pose an
immediate
threat, the patient boarded a flight home to the United States. Following his
flight, the patient presented to an American hospital where it was discovered

that
the needle fragments had migrated during the flight, with one needle now
located 2
mm from the patient's vertebral artery. Surgical intervention was required to
retrieve the needles, resulting in the patient needing physical therapy to

increase
cervical range of motion and mediate pain relief. Outcomes: The patient
suffered a
setback in his treatment of chronic neck pain that resulted in decreased
cervical
range of motion and increased pain. Discussion: Clinicians utilizing single-
use
filiform needles in their practice, whether for acupuncture or dry needling,
should
be aware of the potential for this type of adverse event. Further, to
minimize the
risk of similar adverse events occurring in the future, clinicians should
make sure
that they are using high quality needles and make a habit of counting in and
counting out the needles that they use to verify that all needles are
accounted for.
FAU - Snyder, Drew D
AU - Snyder DD
AD - a Youngstown State University , Youngstown , OH , USA.
LA - eng
PT - Case Reports
DEP - 20190425
TA - J Man Manip Ther
JT - The Journal of manual & manipulative therapy
JID - 9433812
SB - IM
MH - *Acupuncture Therapy/adverse effects/instrumentation
MH - *Dry Needling/adverse effects
MH - Foreign Bodies/*surgery
MH - Humans
MH - Male
MH - Middle Aged
MH - Needles/*adverse effects
PMC - PMC6598534
OTO - NOTNLM
OT - Acupuncture
OT - acupuncturist
OT - adverse events
OT - chronic neck pain
OT - complications
OT - dry needling
OT - filiform needles
OT - physical therapy
EDAT- 2019/04/27 06:00
MHDA- 2020/08/22 06:00
CRDT- 2019/04/27 06:00
PHST- 2019/04/27 06:00 [pubmed]
PHST- 2020/08/22 06:00 [medline]
PHST- 2019/04/27 06:00 [entrez]
AID - 1608010 [pii]
AID - 10.1080/10669817.2019.1608010 [doi]
PST - ppublish
SO - J Man Manip Ther. 2019 Jul;27(3):180-184. doi: 10.1080/10669817.2019.1608010.
Epub
2019 Apr 25.
PMID- 25875375
OWN - NLM
STAT- MEDLINE
DCOM- 20160404
LR - 20181202
IS - 2046-4053 (Linking)
VI - 4
DP - 2015 Mar 29
TI - Factors that influence the recognition, reporting and resolution of incidents
related to medical devices and other healthcare technologies: a systematic

review.
PG - 37
LID - 10.1186/s13643-015-0028-0 [doi]
LID - 37
AB - BACKGROUND: Medical devices have improved the treatment of many medical
conditions.
Despite their benefit, the use of devices can lead to unintended incidents,
potentially resulting in unnecessary harm, injury or complications to the
patient, a
complaint, loss or damage. Devices are used in hospitals on a routine basis.
Research to date, however, has been primarily limited to describing incidents
rates,
so the optimal design of a hospital-based surveillance system remains
unclear. Our
research objectives were twofold: i) to explore factors that influence
device-related incident recognition, reporting and resolution and ii) to
investigate
interventions or strategies to improve the recognition, reporting and
resolution of
medical device-related incidents. METHODS: We searched the bibliographic
databases:
MEDLINE, Embase, the Cochrane Central Register of Controlled Trials and
PsycINFO
database. Grey literature (literature that is not commercially available) was
searched for studies on factors that influence incident recognition,

reporting and
resolution published and interventions or strategies for their improvement
from 2003
to 2014. Although we focused on medical devices, other health technologies
were
eligible for inclusion. RESULTS: Thirty studies were included in our
systematic
review, but most studies were concentrated on other health technologies. The
study
findings indicate that fear of punishment, uncertainty of what should be
reported
and how incident reports will be used and time constraints to incident
reporting are
common barriers to incident recognition and reporting. Relevant studies on
the
resolution of medical errors were not found. Strategies to improve error
reporting
include the use of an electronic error reporting system, increased training
and
feedback to frontline clinicians about the reported error. CONCLUSIONS: The
available evidence on factors influencing medical device-related incident
recognition, reporting and resolution by healthcare professionals can inform
data
collection and analysis in future studies. Since evidence gaps on medical
device-related incidents exist, telephone interviews with frontline
clinicians will
be conducted to solicit information about their experiences with medical
devices and
suggested strategies for device surveillance improvement in a hospital
context.
Further research also should investigate the impact of human, system,
organizational
and education factors on the development and implementation of local medical
device
surveillance systems.
FAU - Polisena, Julie
AU - Polisena J
AD - Canadian Agency for Drugs and Technologies in Health, 600-865 Carling Avenue,
Ottawa, ON, K1S 5S8, Canada. Juliep@cadth.ca.

AD - Department of Epidemiology and Community Medicine, Faculty of Medicine,
University
of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8 M5, Canada. Juliep@cadth.ca.
FAU - Gagliardi, Anna
AU - Gagliardi A
AD - Toronto General Research Institute, University Health Network, 200 Elizabeth
Street,
Toronto, ON, M5G 2C4, Canada. agagliar@uhnresearch.ca.
FAU - Urbach, David
AU - Urbach D
Street,
Toronto, ON, M5G 2C4, Canada. david.urbach@uhn.on.ca.
AD - Department of Surgery and Institute of Health Policy, Management and
Evaluation,
University of Toronto, 200 Elizabeth Street, Toronto, ON, M5G 2C4, Canada.
david.urbach@uhn.on.ca.
FAU - Clifford, Tammy
AU - Clifford T
Ottawa, ON, K1S 5S8, Canada. tammyc@cadth.ca.

University
of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8 M5, Canada. tammyc@cadth.ca.
FAU - Fiander, Michelle
AU - Fiander M
AD - Cochrane Effective Practise & Organisation of Care (EPOC) Group, Centre for
Practice
Changing Research, Ottawa Hospital Research Institute, 501 Smyth Road, Box
711,
Ottawa, ON, K1H 8 L6, Canada. mfiander@ohri.ca.
LA - eng
PT - Review
DEP - 20150329
TA - Syst Rev
JT - Systematic reviews
JID - 101580575
SB - IM
MH - *Biomedical Technology
MH - Equipment and Supplies/*adverse effects
MH - Humans
MH - Product Surveillance, Postmarketing/*methods
PMC - PMC4384231
EDAT- 2015/04/16 06:00
MHDA- 2016/04/05 06:00
CRDT- 2015/04/16 06:00
PHST- 2014/08/07 00:00 [received]
PHST- 2015/03/10 00:00 [accepted]
PHST- 2015/04/16 06:00 [entrez]
PHST- 2015/04/16 06:00 [pubmed]
PHST- 2016/04/05 06:00 [medline]
AID - 10.1186/s13643-015-0028-0 [pii]
AID - 28 [pii]
AID - 10.1186/s13643-015-0028-0 [doi]
PST - epublish
SO - Syst Rev. 2015 Mar 29;4:37. doi: 10.1186/s13643-015-0028-0.
PMID- 28839625
OWN - NLM
LR - 20200929
IS - 2041-4137 (Print)
IS - 2041-4137 (Linking)
VI - 3
IP - 1
DP - 2012 Jan
TI - Improved clinical outcomes and efficacy with a nurse-led colonoscopy
surveillance
service.
PG - 16-20
LID - 10.1136/flgastro-2011-100008 [doi]
AB - BACKGROUND: A nurse practitioner-led colonoscopy surveillance service was
introduced
to improve appropriateness, validation and compliance with the National
Patient
Safety Agency safety alert and British Society of Gastroenterology consensus
guidance for bowel cleansing agents. OBJECTIVE: To determine the clinical
outcomes
and efficacy of this new service. DESIGN AND PATIENTS: A 4-month prospective
audit
of patients due to attend for surveillance colonoscopy. SETTING: Royal
Liverpool
University Hospital. INTERVENTION: A new nurse practitioner-led surveillance
service
reviewed all patients before listing. OUTCOMES: Clinical outcomes, service
efficiency and cost effectiveness. RESULTS: 224 Patients (median age 68
years, 52%
male, and median American Society of Anesthesiologists (ASA) 2) were assessed
and
34% had medical factors influencing their colonoscopy. 37% patients were
discharged
without a colonoscopy, 17% deferred (median >2 years), 6% had died while on
the
register and the remaining (40%) had their procedure at the agreed interval.
The
30-day and 6-month all-cause mortality was 0% for those fit for colonoscopy,
compared with 5% and 14%, respectively, for those deemed unfit. The did-not-
attend
(DNA) rate was reduced from 7.6% to <1%. With 95 patients not requiring a
colonoscopy a potential £40 000 saving to the primary care trust was made.
CONCLUSIONS: The nurse practitioner-led surveillance service has been
invaluable for
guideline adherence and medical management of patients before colonoscopy. In
addition, it potentially avoided procedural all-cause mortality in these

patients.
It has proved to be efficacious with reduced DNA rates and over one-third of
patients assessed did not require a colonoscopy.
FAU - Sarkar, Sanchoy
AU - Sarkar S
AD - Department of Gastroenterology and Hepatology, Royal Liverpool University
Hospital,
Liverpool, UK.
AD - Royal Liverpool University Hospital and University of Liverpool, UK.
FAU - Duffy, Una
AU - Duffy U
Hospital,
Liverpool, UK.
FAU - Haslam, Neil
AU - Haslam N
Hospital,
Liverpool, UK.
LA - eng
DEP - 20110908
TA - Frontline Gastroenterol
JT - Frontline gastroenterology
JID - 101528589
PMC - PMC5517242
EDAT- 2012/01/01 00:00
MHDA- 2012/01/01 00:01
CRDT- 2017/08/26 06:00
PHST- 2011/07/11 00:00 [accepted]
PHST- 2017/08/26 06:00 [entrez]
PHST- 2012/01/01 00:00 [pubmed]
PHST- 2012/01/01 00:01 [medline]
AID - flgastro-2011-100008 [pii]
AID - 10.1136/flgastro-2011-100008 [doi]
PST - ppublish
SO - Frontline Gastroenterol. 2012 Jan;3(1):16-20. doi: 10.1136/flgastro-2011-
100008.
Epub 2011 Sep 8.
PMID- 29324477
OWN - NLM
STAT- MEDLINE
DCOM- 20190423
LR - 20190423
IS - 0277-2116 (Print)
IS - 0277-2116 (Linking)
VI - 66
IP - 4
DP - 2018 Apr
TI - Assuring Quality for Non-hospital-based Biologic Infusions in Pediatric
Inflammatory
Bowel Disease: A Clinical Report From the North American Society for
Pediatric
Gastroenterology, Hepatology and Nutrition.
PG - 680-686
LID - 10.1097/MPG.0000000000001890 [doi]
AB - The primary aim of this Clinical Report by the North American Society for
Pediatric
Gastroenterology, Hepatology and Nutrition is to provide formal guidance to
pediatric gastroenterologists and clinicians, health systems, and insurance
payers
regarding home- and office-based infusions for biologic therapies in
pediatric
inflammatory bowel disease. Patients in North America are increasingly denied
coverage by payers based on "place of service" codes at hospital-based

infusion
units where the treating clinicians primarily provide care. A task force with
topic
expertise generated 8 best practice recommendations to ensure quality of care
for
pediatric patients with inflammatory bowel disease receiving non-hospital-
based
biologic infusions. Pragmatic considerations discussed in this report include
patient safety, pediatric-trained nurse availability, care coordination,

patient-centeredness, shared liability, administrative support, clinical
governance,
and costs of care.
FAU - Barfield, Elaine
AU - Barfield E
AD - Department of Pediatrics, Division of Gastroenterology and Nutrition, Weill
Cornell
Medicine, New York, NY.
FAU - Sockolow, Robbyn
AU - Sockolow R
AD - Department of Pediatrics, Division of Gastroenterology and Nutrition, Weill
Cornell
Medicine, New York, NY.
FAU - Hoffenberg, Edward
AU - Hoffenberg E
AD - Center for Pediatric Inflammatory Bowel Disease, University of Colorado
Denver
School of Medicine and Children's Hospital Colorado, Aurora, CO.
FAU - Saeed, Shehzad
AU - Saeed S
AD - Department of Pediatrics, Division of Gastroenterology and Nutrition, Wright
State
University, Dayton, OH.
FAU - Kim, Sandra
AU - Kim S
AD - Department of Pediatrics, Division of Gastroenterology, Children's Hospital
of
Pittsburgh of UPMC, Pittsburgh, PA.
FAU - Siebold, Leah
AU - Siebold L
AD - Department of Pediatrics, Division of Gastroenterology, Children's Hospital
of
Pittsburgh of UPMC, Pittsburgh, PA.
FAU - Picoraro, Joseph
AU - Picoraro J
AD - Department of Pediatrics, Division of Gastroenterology, Columbia University
Medical
Center, New York, NY.
FAU - Moses, Jonathan
AU - Moses J
AD - Department of Pediatrics, Division of Gastroenterology, Rainbow Babies and
Children's Hospital, Cleveland, OH.
FAU - Dykes, Dana
AU - Dykes D
AD - Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology,
and
Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
FAU - Grossman, Andrew
AU - Grossman A
AD - Department of Pediatrics, Division of Gastroenterology, Hepatology, and
Nutrition,
Children's Hospital of Philadelphia, Philadelphia, PA.
FAU - Wahbeh, Ghassan
AU - Wahbeh G
AD - Inflammatory Bowel Disease Center, Seattle Children's Hospital, University of
Washington, Seattle, WA.

FAU - Park, K T
AU - Park KT
AD - Stanford Children's Inflammatory Bowel Disease Center, Division of
Gastroenterology,
Department of Pediatrics, Stanford University School of Medicine, Stanford,
CA.
LA - eng
GR - K08 DK094868/DK/NIDDK NIH HHS/United States
TA - J Pediatr Gastroenterol Nutr
JT - Journal of pediatric gastroenterology and nutrition
JID - 8211545
RN - 0 (Biological Products)
SB - IM
MH - Biological Products/standards/*therapeutic use
MH - Child
MH - Humans
MH - Inflammatory Bowel Diseases/*drug therapy
MH - North America
MH - Societies, Medical
MH - United States
PMC - PMC5866197
MID - NIHMS932852
COIS- Potential Conflicts of Interest: RS has received research support from
Janssen and
AbbVie Inc., and is a consultant for Protagonist. EH received research
support from
Janssen. SS is on the Speaker’s Bureau for AbbVie, Inc. SK was a consultant
with
Abbott (education programs and speaker) until 10/31/16. JM is on the
Speaker’s
bureau for AbbVie Inc. GW receives research support from AbbVie Inc and
Janssen, is
on the advisory board for Janssen, and is a consultant/DMC for AbbVie Inc.
KTP has
received research support from Janssen, Takeda, AbbVie Inc., and is supported
by
NIDDK094868.
EDAT- 2018/01/13 06:00
MHDA- 2019/04/24 06:00
CRDT- 2018/01/12 06:00
PHST- 2018/01/13 06:00 [pubmed]
PHST- 2019/04/24 06:00 [medline]
PHST- 2018/01/12 06:00 [entrez]
AID - 10.1097/MPG.0000000000001890 [doi]
PST - ppublish
SO - J Pediatr Gastroenterol Nutr. 2018 Apr;66(4):680-686. doi:
10.1097/MPG.0000000000001890.
PMID- 26473027
OWN - NLM
DCOM- 20151016
LR - 20181113
IS - 2045-4015 (Print)
IS - 2045-4015 (Linking)
VI - 4
DP - 2015
TI - Organizational factors affecting length of stay in the emergency department:
initial
PG - 38
LID - 10.1186/s13584-015-0035-6 [doi]
LID - 38
AB - BACKGROUND: Length of stay (LOS) is considered a key measure of emergency
department
throughput, and from the perspective of the patient, it is perceived as a
measure of
healthcare service quality. Prolonged LOS can be caused by various internal
and
external factors. This study examined LOS in the emergency department and
explored
the main factors that influence LOS and cause delay in patient care. METHODS:
Observations of 105 patients were performed over a 3-month period at the
emergency
room of a community urban hospital. Observers monitored patients from the
moment of
entrance to the department until discharge or admission to another hospital
ward.
RESULTS: Analysis revealed a general average total emergency department LOS
of 438
min. Significant differences in average LOS were found between admitted
patients
(Mean = 544 min, SD = 323 min) and discharged patients (Mean = 291 min, SD =
286
min). In addition, nurse and physician change of shifts and admissions to
hospital
wards were found to be significant factors associated with LOS. Using an
Ishikawa
causal diagram, we explored various latent organizational factors that may
prolong
this time. CONCLUSIONS: The study identified several factors that are
associated
with high average emergency department LOS. High LOS may lead to increases in
expenditures and may have implications for patient safety, whereas certain
organizational changes, communication improvement, and time management may
have a
positive effect on it. Interdisciplinary methods can be used to explore
factors
causing prolonged emergency department LOS and contribute to a better
understanding
of them.
FAU - Bashkin, Osnat
AU - Bashkin O
AD - Department of Public Health, School of Health Sciences, Ashkelon Academic
College,
Ashkelon, Israel.
FAU - Caspi, Sigalit
AU - Caspi S
AD - Department of Emergency Medicine, Hadassah Medical Center-Mt. Scopus,
Jerusalem,
Israel.
FAU - Haligoa, Rachel
AU - Haligoa R
AD - Department of Industrial Engineering & Management, Azrieli College of
Engineering,
Jerusalem, Israel.
FAU - Mizrahi, Sari
AU - Mizrahi S
AD - Department of Industrial Engineering & Management, Azrieli College of
Engineering,
Jerusalem, Israel.
FAU - Stalnikowicz, Ruth
AU - Stalnikowicz R
AD - Department of Emergency Medicine, Hadassah Medical Center-Mt. Scopus,
Jerusalem,
Israel.
LA - eng
DEP - 20151015
TA - Isr J Health Policy Res
JT - Israel journal of health policy research
JID - 101584158
PMC - PMC4606993
OTO - NOTNLM
OT - Ishikawa causal diagram
OT - Length of stay
OT - Organizational factors
EDAT- 2015/10/17 06:00
MHDA- 2015/10/17 06:01
CRDT- 2015/10/17 06:00
PHST- 2014/04/15 00:00 [received]
PHST- 2015/07/22 00:00 [accepted]
PHST- 2015/10/17 06:00 [entrez]
PHST- 2015/10/17 06:00 [pubmed]
PHST- 2015/10/17 06:01 [medline]
AID - 35 [pii]
AID - 10.1186/s13584-015-0035-6 [doi]
PST - epublish
SO - Isr J Health Policy Res. 2015 Oct 15;4:38. doi: 10.1186/s13584-015-0035-6.
eCollection 2015.
PMID- 25366414
OWN - NLM
STAT- MEDLINE
DCOM- 20150126
LR - 20181113
IS - 0002-8614 (Print)
IS - 0002-8614 (Linking)
VI - 62
IP - 11
DP - 2014 Nov
TI - Electronic surveillance and pharmacist intervention for vulnerable older
inpatients
on high-risk medication regimens.
PG - 2148-52
LID - 10.1111/jgs.13057 [doi]
AB - OBJECTIVES: To develop and evaluate an electronic tool to assist clinical
pharmacists with reviewing potentially inappropriate medications (PIMs) in
hospitalized elderly adults. DESIGN: Pilot intervention. SETTING: Academic
tertiary
care hospital. PARTICIPANTS: Hospitalized adults aged 65 and older admitted
to the
general medicine, orthopedics, and urology services during a 3-week period in
2011
who were administered at least one medication from a list of 240 PIMs.
INTERVENTION:
A computerized PIMS dashboard flagged individuals with at least one
administered PIM
or a high calculated anticholinergic score. The dashboard also displayed 48-
hour
cumulative narcotic and benzodiazepine administration. Participants were
ranked to
reflect the estimated risk of an adverse event using logical combinations of
data
(e.g., use of multiple sedatives in a nonmonitored location). In a pilot
implementation, a clinical pharmacist reviewed the flagged records and
delivered an
immediate point-of-care intervention for the treating physician.
MEASUREMENTS:
Clinician response to pharmacist intervention. RESULTS: The PIMS dashboard
flagged
179 of 797 individuals (22%) admitted over a 3-week period and 485
participant-medication pairs for review by the clinical pharmacist. Seventy-
one
participant records with 139 participant-medication pairs required additional
manual
review of the electronic medical record. Twenty-two participants receiving 40
inappropriate medication orders were judged to warrant an intervention, which

was
delivered by personal communication over the telephone or text message.
Clinicians
enacted 31 of 40 (78%) pharmacist recommendations. CONCLUSION: An electronic
PIM
dashboard provided an efficient mechanism for clinical pharmacists to rapidly
screen
the medication regimens of hospitalized elderly adults and deliver a timely
point-of-care intervention when indicated.
Geriatrics
Society.
FAU - Peterson, Josh F
AU - Peterson JF
AD - Department of Biomedical Informatics, School of Medicine, Vanderbilt
University,
Nashville, Tennessee; Department of Medicine, School of Medicine, Vanderbilt
University, Nashville, Tennessee.
AU - Kripalani S
FAU - Danciu, Ioana
AU - Danciu I
FAU - Harrell, Debbie
AU - Harrell D
FAU - Marvanova, Marketa
AU - Marvanova M
FAU - Mixon, Amanda S
AU - Mixon AS
FAU - Rodriguez, Carmen
AU - Rodriguez C
FAU - Powers, James S
AU - Powers JS
LA - eng
GR - UL1 RR024975/RR/NCRR NIH HHS/United States
GR - 1D31HP08823-01-00/PHS HHS/United States
DEP - 20141103
JID - 7503062
SB - IM
MH - Aged
MH - Female
MH - *Frail Elderly
MH - Humans
MH - Inappropriate Prescribing/*prevention & control
MH - *Inpatients
MH - Male
MH - *Medical Order Entry Systems
MH - Medication Reconciliation/*methods
MH - Medication Systems, Hospital/*organization & administration
MH - Medication Therapy Management/*organization & administration
MH - *Pharmacists
MH - Pilot Projects
MH - Tennessee
PMC - PMC4337022
MID - NIHMS612153
OTO - NOTNLM
OT - acute care
OT - clinical informatics
OT - geriatrics
OT - pharmacy intervention
OT - vulnerable elderly
COIS- Conflict of Interest: Marketa Marvanova: Occasional educational lectures
(Honoraria); Pharmacy consultant for American Academy of Neurology
publication
Continuum:Lifelong learning in neurology (Consultant); Occasionally, last in
2012
(Expert Testimony) James Powers: Geriatric Education Centers (HRSA);
Occasional
educational lectures; Health Spring Pharmacy Advisory Committee
EDAT- 2014/11/05 06:00
MHDA- 2015/01/27 06:00
CRDT- 2014/11/05 06:00
PHST- 2014/11/05 06:00 [entrez]
PHST- 2014/11/05 06:00 [pubmed]
PHST- 2015/01/27 06:00 [medline]
AID - 10.1111/jgs.13057 [doi]
PST - ppublish
SO - J Am Geriatr Soc. 2014 Nov;62(11):2148-52. doi: 10.1111/jgs.13057. Epub 2014
Nov 3.
PMID- 31156972
OWN - NLM
LR - 20200225
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 24
IP - 6
DP - 2017 Nov
TI - Towards patient safety: assessment of medication errors in the intensive care
unit
in a developing country's tertiary care teaching hospital.
PG - 361-365
LID - 10.1136/ejhpharm-2016-001083 [doi]
AB - OBJECTIVES: To determine the incidence, causes, patterns and outcomes of
medication
errors (MEs) in the intensive care unit. METHODS: The ME reporting system was
established using the principles based on prospective, voluntary, open,

anonymous
and stand-alone surveillance in a tertiary care teaching hospital located in
southern India. MEs involving patients of either sex were included in the
study, and
the reporters were given the choice to remain anonymous. The analysis was
carried
out to determine the patterns, causes and outcomes of the reported errors and
was
discussed with healthcare professionals (HCPs) to minimise the recurrence of
MEs.
RESULTS: A total of 292 MEs were reported voluntarily among 5137 admitted
patients
and the incidence of MEs was 5.6%. Administration errors (n=143, 49%) were
the most
common type of MEs reported followed by prescription errors (n=56, 19%) and
dispensing errors (n=43, 15%). Factors responsible for MEs were related to
performance deficit of HCPs due to excessive workload, fatigue, unclear
interpersonnel communications and patient-related factors, which accounted
for
37.6%, 13.1%, 9.6% and 7.7%, respectively. The majority of the reported MEs
had an
outcome of category C and A, based on the National Coordinating Council for
ME
Reporting and Prevention (NCC MERP) outcome category scale, amounting to
42.2% and
41.7%, respectively. CONCLUSIONS: Although the majority of MEs that reached
the
patients did not cause any harm, providing continuous education and awareness
of MEs
to HCPs and patients may minimise the scope of the factors that may
contribute to
MEs and improve overall patient safety.
FAU - Chalasani, Sri Harsha
AU - Chalasani SH
AD - Department of Pharmacy Practice, JSS College of Pharmacy Practice, JSS
University,
Mysuru, Karnataka, India.
FAU - Ramesh, Madhan
AU - Ramesh M
AD - Department of Pharmacy Practice, JSS College of Pharmacy Practice, JSS
University,
Mysuru, Karnataka, India.
LA - eng
DEP - 20161122
JID - 101578294
PMC - PMC6451462
OTO - NOTNLM
OT - Clinical Pharmacist initiated medication error reporting programme
OT - Medication Error Rporting Programme
OT - Medication Errors in Developing Country
OT - Medication Errors in ICU
EDAT- 2017/11/01 00:00
MHDA- 2017/11/01 00:01
CRDT- 2019/06/04 06:00
PHST- 2016/08/14 00:00 [received]
PHST- 2016/09/17 00:00 [revised]
PHST- 2016/10/31 00:00 [accepted]
PHST- 2019/06/04 06:00 [entrez]
PHST- 2017/11/01 00:00 [pubmed]
PHST- 2017/11/01 00:01 [medline]
AID - 10.1136/ejhpharm-2016-001083 [doi]
PST - ppublish
Epub
2016 Nov 22.
PMID- 26650823
OWN - NLM
STAT- MEDLINE
DCOM- 20170413
LR - 20181113
IS - 1932-6203 (Linking)
VI - 10
IP - 12
DP - 2015
TI - Can Patient Safety Incident Reports Be Used to Compare Hospital Safety?
Results from
a Quantitative Analysis of the English National Reporting and Learning System
Data.
PG - e0144107
LID - e0144107
AB - BACKGROUND: The National Reporting and Learning System (NRLS) collects
reports about
patient safety incidents in England. Government regulators use NRLS data to
assess
the safety of hospitals. This study aims to examine whether annual hospital
incident
reporting rates can be used as a surrogate indicator of individual hospital
safety.
Secondly assesses which hospital characteristics are correlated with high
incident
reporting rates and whether a high reporting hospital is safer than those
lower
reporting hospitals. Finally, it assesses which health-care professionals
report
more incidents of patient harm, which report more near miss incidents and
what
hospital factors encourage reporting. These findings may suggest methods for
increasing the utility of reporting systems. METHODS: This study used a mix
methods
approach for assessing NRLS data. The data were investigated using Pareto
analysis
and regression models to establish which patients are most vulnerable to
reported
harm. Hospital factors were correlated with institutional reporting rates
over one
year to examine what factors influenced reporting. Staff survey findings
regarding
hospital safety culture were correlated with reported rates of incidents
causing
harm; no harm and death to understand what barriers influence error
disclosure.
FINDINGS: 5,879,954 incident reports were collected from acute hospitals over
the
decade. 70.3% of incidents produced no harm to the patient and 0.9% were
judged by
the reporter to have caused severe harm or death. Obstetrics and Gynaecology
reported the most no harm events [OR 1.61(95%CI: 1.12 to 2.27), p<0.01] and
pharmacy
was the hospital location where most near-misses were captured [OR
3.03(95%CI: 2.04
to 4.55), p<0.01]. Clinicians were significantly more likely to report death
than
other staff [OR 3.04(95%CI: 2.43 to 3.80) p<0.01]. A higher ratio of
clinicians to
beds correlated with reduced rate of harm reported [RR = -1.78(95%Cl: -3.33
to
-0.23), p = 0.03]. Litigation claims per bed were significantly negatively
associated with incident reports. Patient satisfaction and mortality outcomes
were
not significantly associated with reporting rates. Staff survey responses
revealed
that keeping reports confidential, keeping staff informed about incidents and
giving
feedback on safety initiatives increased reporting rates [r = 0.26 (p<0.01),
r =
0.17 (p = 0.04), r = 0.23 (p = 0.01), r = 0.20 (p = 0.02)]. CONCLUSION: The
NRLS is
the largest patient safety reporting system in the world. This study did not
demonstrate many hospital characteristics to significantly influence overall
reporting rate. There were no association between size of hospital, number of
staff,
mortality outcomes or patient satisfaction outcomes and incident reporting
rate. The
study did show that hospitals where staff reported more incidents had reduced
litigation claims and when clinician staffing is increased fewer incidents

reporting
patient harm are reported, whilst near misses remain the same. Certain
specialties
report more near misses than others, and doctors report more harm incidents
than
near misses. Staff survey results showed that open environments and reduced
fear of
punitive response increases incident reporting. We suggest that reporting
rates
should not be used to assess hospital safety. Different healthcare
professionals
focus on different types of safety incidents and focusing on these areas
whilst
creating a responsive, confidential learning environment will increase staff
engagement with error disclosure.
FAU - Howell, Ann-Marie
AU - Howell AM
AD - Department of Surgery and Cancer, Imperial College, St Mary's Hospital,
London,
United Kingdom.
FAU - Burns, Elaine M
AU - Burns EM
London,
United Kingdom.
FAU - Bouras, George
AU - Bouras G
London,
United Kingdom.
FAU - Donaldson, Liam J
AU - Donaldson LJ
AD - Institute of Global Health Innovation, Imperial College, St Mary's Hospital,
London,
United Kingdom.
FAU - Athanasiou, Thanos
AU - Athanasiou T
London,
United Kingdom.
FAU - Darzi, Ara
AU - Darzi A
London,
United Kingdom.
AD - Institute of Global Health Innovation, Imperial College, St Mary's Hospital,
London,
United Kingdom.
LA - eng
DEP - 20151209
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - England
MH - Government Agencies
MH - Humans
MH - Learning
MH - Medical Errors/prevention & control/*trends
MH - Risk Management/*statistics & numerical data
MH - Safety Management/*statistics & numerical data
PMC - PMC4674095
exist.
EDAT- 2015/12/10 06:00
MHDA- 2017/04/14 06:00
CRDT- 2015/12/10 06:00
PHST- 2015/01/24 00:00 [received]
PHST- 2015/11/15 00:00 [accepted]
PHST- 2015/12/10 06:00 [entrez]
PHST- 2015/12/10 06:00 [pubmed]
PHST- 2017/04/14 06:00 [medline]
PST - epublish
SO - PLoS One. 2015 Dec 9;10(12):e0144107. doi: 10.1371/journal.pone.0144107.
eCollection
2015.
PMID- 25756416
OWN - NLM
STAT- MEDLINE
DCOM- 20150625
LR - 20181113
IS - 0090-3493 (Print)
IS - 0090-3493 (Linking)
VI - 43
IP - 5
DP - 2015 May
TI - One fourth of unplanned transfers to a higher level of care are associated
with a
highly preventable adverse event: a patient record review in six Belgian
hospitals.
PG - 1053-61
LID - 10.1097/CCM.0000000000000932 [doi]
AB - OBJECTIVE: The objectives of this study are to determine the prevalence and
preventability of adverse events requiring an unplanned higher level of care,
defined as an unplanned transfer to the ICU or an in-hospital medical

emergency team
intervention, and to assess the type and the level of harm of each adverse
event.
DESIGN: A three-stage retrospective review process of screening, record
review, and
consensus judgment was performed. SETTING: Six Belgian acute hospitals.
PATIENTS:
During a 6-month period, all patients with an unplanned need for a higher
level of
care were selected. INTERVENTIONS: The records 6-month period, the records of
all
patients with an unplanned need for a higher level of care were assessed by a
trained clinical team consisting of a research nurse, a physician, and a

clinical
pharmacist. MEASUREMENTS AND MAIN RESULTS: Adverse events were found in 465
of the
830 reviewed patient records (56%). Of these, 215 (46%) were highly
preventable. The
overall incidence rate of patients being transferred to a higher level of
care
involving an adverse event was 117.6 (95% CI, 106.9-128.3) per 100,000
patient days
at risk, of which 54.4 (95% CI, 47.15-61.65) per 100,000 patient days at risk
involving a highly preventable adverse event. This means that 25.9% of all
unplanned
transfers to a higher level of care were associated with a highly preventable
adverse event. The adverse events were mainly associated with drug therapy
(25.6%),
surgery (23.7%), diagnosis (12.4%), and system issues (12.4%). The level of
harm
varied from temporary harm (55.7%) to long-term or permanent impairment
(19.1%) and
death (25.2%). Although the direct causality is often hard to prove, it is
reasonable to consider these adverse events as a contributing factor.
CONCLUSION:
Adverse events were found in 56% of the reviewed records, of which almost
half were
considered highly preventable. This means that one fourth of all unplanned
transfers
to a higher level of care were associated with a highly preventable adverse
event.
FAU - Marquet, Kristel
AU - Marquet K
AD - 1Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek,
Belgium.
2Antwerp Management School, Health Care Management, Antwerp, Belgium. 3Vzw
Jessa
ziekenhuis, Hasselt, Belgium. 4Ziekenhuis Oost Limburg, Genk, Belgium.
5Algemeen
Ziekenhuis Turnhout, Turnhout, Belgium. 6Center for Health Services and
Nursing
Research, Catholic University Leuven, Belgium.
FAU - Claes, Neree
AU - Claes N
FAU - De Troy, Elke
AU - De Troy E
FAU - Kox, Gaby
AU - Kox G
FAU - Droogmans, Martijn
AU - Droogmans M
FAU - Schrooten, Ward
AU - Schrooten W
FAU - Weekers, Frank
AU - Weekers F
FAU - Vlayen, Annemie
AU - Vlayen A
FAU - Vandersteen, Marjan
AU - Vandersteen M
FAU - Vleugels, Arthur
AU - Vleugels A
LA - eng
TA - Crit Care Med
JT - Critical care medicine
JID - 0355501
SB - AIM
SB - IM
MH - Adult
MH - Aged
MH - Belgium
MH - Comorbidity
MH - Critical Care/*statistics & numerical data
MH - Female
MH - Hospital Administration/*statistics & numerical data
MH - Hospital Rapid Response Team/statistics & numerical data
MH - Humans
MH - Male
MH - Medical Errors/classification/*statistics & numerical data
MH - Middle Aged
MH - Patient Transfer/*statistics & numerical data
MH - Prevalence
PMC - PMC4403974
EDAT- 2015/03/11 06:00
MHDA- 2015/06/26 06:00
CRDT- 2015/03/11 06:00
PHST- 2015/03/11 06:00 [entrez]
PHST- 2015/03/11 06:00 [pubmed]
PHST- 2015/06/26 06:00 [medline]
AID - 10.1097/CCM.0000000000000932 [doi]
PST - ppublish
SO - Crit Care Med. 2015 May;43(5):1053-61. doi: 10.1097/CCM.0000000000000932.
PMID- 23507335
OWN - NLM
STAT- MEDLINE
DCOM- 20140515
LR - 20181202
IS - 0210-5691 (Linking)
VI - 37
IP - 4
DP - 2013 May
TI - [The 2013 Seville Consensus Document on alternatives to allogenic blood
transfusion.
An update on the Seville Document].
PG - 259-83
LID - S0210-5691(13)00018-1 [pii]
LID - 10.1016/j.medin.2012.12.013 [doi]
AB - Since allogeneic blood transfusion (ABT) is not harmless, multiple
alternatives to
ABT (AABT) have emerged, though there is great variability in their
indications and
appropriate use. This variability results from the interaction of a number of
factors, including the specialty of the physician, knowledge and preferences,

the
degree of anemia, transfusion policy, and AABT availability. Since AABTs are
not
harmless and may not meet cost-effectiveness criteria, such variability is
unacceptable. The Spanish Societies of Anesthesiology (SEDAR), Hematology and
Hemotherapy (SEHH), Hospital Pharmacy (SEFH), Critical Care Medicine

(SEMICYUC),
Thrombosis and Hemostasis (SETH) and Blood Transfusion (SETS) have developed
a
Consensus Document for the proper use of AABTs. A panel of experts convened
by these
6 Societies have conducted a systematic review of the medical literature and
have
developed the 2013 Seville Consensus Document on Alternatives to Allogeneic
Blood
Transfusion, which only considers those AABT aimed at decreasing the
transfusion of
packed red cells. AABTs are defined as any pharmacological or non-
pharmacological
measure aimed at decreasing the transfusion of red blood cell concentrates,
while
preserving patient safety. For each AABT, the main question formulated,
positively
or negatively, is: « Does this particular AABT reduce the transfusion rate or
not?»
All the recommendations on the use of AABTs were formulated according to the
Grades
of Recommendation Assessment, Development and Evaluation (GRADE) methodology.
CI - Copyright © 2012 Elsevier España, S.L. and SEMICYUC. All rights reserved.
FAU - Leal-Noval, S R
AU - Leal-Noval SR
AD - Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias.
srlealnoval@gmail.com
FAU - Muñoz, M
AU - Muñoz M
FAU - Asuero, M
AU - Asuero M
FAU - Contreras, E
AU - Contreras E
FAU - García-Erce, J A
AU - García-Erce JA
FAU - Llau, J V
AU - Llau JV
FAU - Moral, V
AU - Moral V
FAU - Páramo, J A
AU - Páramo JA
FAU - Quintana, M
AU - Quintana M
FAU - Basora, M
AU - Basora M
FAU - Bautista-Paloma, F J
AU - Bautista-Paloma FJ
FAU - Bisbe, E
AU - Bisbe E
FAU - Bóveda, J L
AU - Bóveda JL
FAU - Castillo-Muñoz, A
AU - Castillo-Muñoz A
FAU - Colomina, M J
AU - Colomina MJ
FAU - Fernández, C
AU - Fernández C
FAU - Fernández-Mondéjar, E
AU - Fernández-Mondéjar E
FAU - Ferrándiz, C
AU - Ferrándiz C
FAU - García de Lorenzo, A
AU - García de Lorenzo A
FAU - Gomar, C
AU - Gomar C
FAU - Gómez-Luque, A
AU -Gómez-Luque A
FAU -Izuel, M
AU -Izuel M
FAU -Jiménez-Yuste, V
AU -Jiménez-Yuste V
FAU -López-Briz, E
AU -López-Briz E
FAU -López-Fernández, M L
AU -López-Fernández ML
FAU -Martín-Conde, J A
AU -Martín-Conde JA
FAU -Montoro-Ronsano, B
AU -Montoro-Ronsano B
FAU -Paniagua, C
AU -Paniagua C
FAU -Romero-Garrido, J A
AU -Romero-Garrido JA
FAU -Ruiz, J C
AU -Ruiz JC
FAU -Salinas-Argente, R
AU -Salinas-Argente R
FAU -Sánchez, C
AU -Sánchez C
FAU -Torrabadella, P
AU -Torrabadella P
FAU -Arellano, V
AU -Arellano V
FAU -Candela, A
AU -Candela A
FAU -Fernández, J A
AU -Fernández JA
FAU -Fernández-Hinojosa, E
AU -Fernández-Hinojosa E
FAU -Puppo, A
AU -Puppo A
CN -Sociedades Españolas de Anestesiología y Reanimación (SEDAR), Hematología y
Hemoterapia (SEHH), Farmacia Hospitalaria (SEFH), Medicina Intensiva y
Unidades
Coronarias (SEMICYUC), Trombosis y Hemostasia (SETH) y Transfusiones
Sanguíneas
(SETS)
LA - spa
TT - 2013. Documento Sevilla de Consenso sobre Alternativas a la Transfusión de
Sangre
Alogénica. Actualización del Documento Sevilla.
DEP - 20130316
PL - Spain
TA - Med Intensiva
JT - Medicina intensiva
JID - 9207689
SB - IM
MH - Blood Transfusion/*standards
MH - *Complementary Therapies
MH - Humans
MH - Patient Safety
MH - Surgical Procedures, Operative
EDAT- 2013/03/20 06:00
MHDA- 2014/05/16 06:00
CRDT- 2013/03/20 06:00
PHST- 2012/12/09 00:00 [received]
PHST- 2012/12/12 00:00 [revised]
PHST- 2012/12/19 00:00 [accepted]
PHST- 2013/03/20 06:00 [entrez]
PHST- 2013/03/20 06:00 [pubmed]
PHST- 2014/05/16 06:00 [medline]
AID - S0210-5691(13)00018-1 [pii]
AID - 10.1016/j.medin.2012.12.013 [doi]
PST - ppublish
SO - Med Intensiva. 2013 May;37(4):259-83. doi: 10.1016/j.medin.2012.12.013. Epub
2013
Mar 16.
PMID- 24734083
OWN - NLM
DCOM- 20140415
LR - 20201001
IS - 1735-0328 (Print)
IS - 1726-6882 (Linking)
VI - 13
IP - 1
DP - 2014 Winter
TI - Increasing the number of adverse drug reactions reporting: the role of
clinical
pharmacy residents.
PG - 291-7
AB - Detection of adverse drug reactions (ADRs) in hospitals provides an important
measure of the burden of drug related morbidity on the healthcare system.

Spontaneous reporting of ADRs is scare and several obstacles to such
reporting have
been identified formerly. This study aimed to determine the role of clinical
pharmacy residents in ADR reporting within a hospital setting. Clinical
pharmacy
residents were trained to report all suspected ADRs through ADR-reporting
yellow
cards. The incidence, pattern, seriousness, and preventability of the
reported ADRs
were analyzed. During the period of 12 months, for 8559 patients, 202 ADR
reports
were received. The most frequently reported reactions were due to anti-
infective
agents (38.38%). Rifampin accounted for the highest number of the reported
ADRs
among anti-infective agents. The gastro-intestinal system was the most
frequently
affected system (21.56%) of all reactions. Fifty four of the ADRs were
reported as
serious reactions. Eighteen of the ADRs were classified as preventable.
Clinical
pharmacy residents' involvement in the ADR reporting program could improve
the ADR
reporting system.
FAU - Baniasadi, Shadi
AU - Baniasadi S
AD - Virology Research Center, NRITLD, Masih Daneshvari Hospital, Shahid Beheshti
FAU - Habibi, Maryam
AU - Habibi M
AD - Chronic Respiratory Disease Research Center, NRITLD, Masih Daneshvari
Hospital,
Shahid Beheshti University of Medical Sciences, Tehran, Iran.
FAU - Haghgoo, Roodabeh
AU - Haghgoo R
Hospital,
Shahid Beheshti University of Medical Sciences, Tehran, Iran.
FAU - Karimi Gamishan, Masoumeh
AU - Karimi Gamishan M
AD - Importing and Exporting Office, Food and Drug Organization, Ministry of
Health and
Medical Education, Tehran, Iran.
FAU - Dabaghzadeh, Fatemeh
AU - Dabaghzadeh F
AD - Faculty of Pharmacy and Pharmaceutical Sciences, Kerman Medical University,
Kerman,
Iran.
FAU - Farasatinasab, Maryam
AU - Farasatinasab M
AD - Clinical Pharmacy Department, School of Pharmacy, Shahid Beheshti University
of
FAU - Farsaei, Shadi
AU - Farsaei S
AD - Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy and

Iran.
FAU - Gharekhani, Afshin
AU - Gharekhani A
AD - Clinical Pharmacy Department, School of Pharmacy, Tehran University of
Medical
Sciences, Tehran, Iran.
FAU - Kafi, Hamidreza
AU - Kafi H
of
FAU - Karimzadeh, Iman
AU - Karimzadeh I
Medical
FAU - Kharazmkia, Ali
AU - Kharazmkia A
AD - Lorestan University of Medical Sciences, Khorramabad, Iran.
FAU - Najmeddin, Farhad
AU - Najmeddin F
Medical
FAU - Nikvarz, Naemeh
AU - Nikvarz N
AD - Faculty of Pharmacy and Pharmaceutical Sciences, Kerman Medical University,
Kerman,
Iran.
FAU - Oghazian, Mohammad Bagher
AU - Oghazian MB
Medical
FAU - Rezaee, Haleh
AU - Rezaee H
AD - Infectious Diseases and Tropical Medicine Research Center, Department of
Clinical
Pharmacy, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz,
Iran.
FAU - Sadeghi, Kourosh
AU - Sadeghi K
Medical
FAU - Tafazzoli, Ali
AU - Tafazzoli A
of
FAU - Shahsavari, Nahid
AU - Shahsavari N
of
FAU - Fahimi, Fanak
AU - Fahimi F
Hospital,
Shahid Beheshti University of Medical Sciences, Tehran, Iran. ; Clinical
Pharmacy
Department, School of Pharmacy, Shahid Beheshti University of Medical
Sciences,
Tehran, Iran.
LA - eng
JID - 101208407
PMC - PMC3985255
OTO - NOTNLM
OT - Adverse drug reaction
OT - Clinical pharmacist
OT - Hospital
OT - Pharmacovigilance
OT - Pharmacy resident
OT - Spontaneous reporting
EDAT- 2014/04/16 06:00
MHDA- 2014/04/16 06:01
CRDT- 2014/04/16 06:00
PHST- 2014/04/16 06:00 [entrez]
PHST- 2014/04/16 06:00 [pubmed]
PHST- 2014/04/16 06:01 [medline]
AID - ijpr-13-291 [pii]
PST - ppublish
SO - Iran J Pharm Res. 2014 Winter;13(1):291-7.
PMID- 22713115
OWN - NLM
STAT- MEDLINE
DCOM- 20150413
LR - 20181202
IS - 1062-2551 (Print)
IS - 1062-2551 (Linking)
VI - 36
IP - 2
DP - 2014 Mar-Apr
TI - Nurse reports on resource adequacy in hospitals that care for acutely ill
children.
PG - 25-32
LID - 10.1111/j.1945-1474.2012.00212.x [doi]
AB - Despite the estimated 1.8 million children admitted to hospitals annually,
little is
known about the quality of care and the adequacy of resources in hospitals
that care
for acutely ill infants and children. Using survey data from 3,819 pediatric
nurses
working in 498 hospitals, we found that nursing resources vary significantly
across
different types of hospitals that care for children. Nurses working in a
children's
hospital within a hospital, and on a pediatric unit in a general hospital
were more
likely than nurses in freestanding children's hospitals to report inadequate
nursing
resources. We also found that inadequate nursing resources were associated
with
surveillance left undone and missed changes in patients' condition. These
findings
have implications for the quality and safety of pediatric care.
CI - © 2012 National Association for Healthcare Quality.
AU - Cimiotti JP
FAU - Barton, Sharon J
AU - Barton SJ
FAU - Chavanu Gorman, Kathleen E
AU - Chavanu Gorman KE
AU - Sloane DM
AU - Aiken LH
LA - eng
DEP - 20120619
TA - J Healthc Qual
JT - Journal for healthcare quality : official publication of the National
Association
for Healthcare Quality
JID - 9202994
SB - H
MH - Child
MH - Health Resources/*organization & administration
MH - *Hospitals, General/organization & administration
MH - *Hospitals, Pediatric/organization & administration
MH - Humans
MH - Nursing Staff, Hospital/*organization & administration
MH - United States
MH - Workforce
PMC - PMC3687020
MID - NIHMS370440
OTO - NOTNLM
OT - nursing
OT - patient safety
OT - pediatrics
EDAT- 2012/06/21 06:00
MHDA- 2015/04/14 06:00
CRDT- 2012/06/21 06:00
PHST- 2012/06/21 06:00 [entrez]
PHST- 2012/06/21 06:00 [pubmed]
PHST- 2015/04/14 06:00 [medline]
AID - 10.1111/j.1945-1474.2012.00212.x [doi]
PST - ppublish
SO - J Healthc Qual. 2014 Mar-Apr;36(2):25-32. doi: 10.1111/j.1945-
1474.2012.00212.x.
Epub 2012 Jun 19.
PMID- 23577195
OWN - NLM
STAT- MEDLINE
DCOM- 20131022
LR - 20181113
IS - 1932-6203 (Linking)
VI - 8
IP - 4
DP - 2013
TI - Can inpatient hospital experiences predict central line-associated
bloodstream
infections?
PG - e61097
LID - e61097
AB - BACKGROUND: Factors that increase the risk of central line-associated
bloodstream
infections (CLABSIs) are not fully understood. Recently, Hospital Compare
began
compiling data from hospital-required reporting to the CDC's National
Healthcare
Safety Network on CLABSIs in intensive care units (ICUs), at over 4,000
Medicare-certified hospitals in the United States, and made this data
accessible on
a central website. Also available on the same website are results from the
Hospital
Consumer Assessment of Healthcare Providers and Systems survey of patients'
hospital
experiences. Utilizing both databases, our objective was to determine whether
patients' hospital experiences were significantly associated with increased

risk for
reported ICU CLABSI. METHODS AND FINDINGS: We conducted a zero-inflated
Poisson
regression analysis at the hospital level on CLABSI-observed cases by ICUs in
acute
care hospitals (n = 1987) in the United States between January 1, 2011, and
December
31, 2011. During this period there were a total of 10,866 CLABSI cases and
9,543,765
central line days. In our final model, the percent of patients who reported
that
they "sometimes" or "never" received help as soon as they wanted was
significantly
associated with an increased risk for CLABSIs. CONCLUSIONS: Using national
datasets,
we found that inpatients' hospital experiences were significantly associated
with an
increased risk of ICU reported CLABSIs. This study suggests that hospitals
with
lower staff responsiveness, perhaps because of an understaffing of nurse and
supportive personnel, are at an increased risk for CLABSIs. This study
bolsters the
evidence that patient surveys may be a useful surrogate to predicting the
incidence
of hospital acquired conditions, including CLABSIs. Moreover, our study found
that
poor staff responsiveness may be indicative of greater hospital problems and
generally poorly performing hospitals; and that this finding may be a symptom
of
hospitals with a multitude of problems, including patient safety problems,
and not a
direct cause.
FAU - Saman, Daniel M
AU - Saman DM
AD - Essentia Institute of Rural Health, Duluth, Minnesota, USA. dsaman@eirh.org
FAU - Kavanagh, Kevin T
AU - Kavanagh KT
FAU - Johnson, Brian
AU - Johnson B
FAU - Lutfiyya, M Nawal
AU - Lutfiyya MN
LA - eng
DEP - 20130405
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Bacteremia/*epidemiology
MH - Cross Infection/*epidemiology
MH - Hospitalization/*statistics & numerical data
MH - Humans
MH - Inpatients
MH - Risk
PMC - PMC3618432
exist.
EDAT- 2013/04/12 06:00
MHDA- 2013/10/23 06:00
CRDT- 2013/04/12 06:00
PHST- 2012/11/20 00:00 [received]
PHST- 2013/03/05 00:00 [accepted]
PHST- 2013/04/12 06:00 [entrez]
PHST- 2013/04/12 06:00 [pubmed]
PHST- 2013/10/23 06:00 [medline]
PST - ppublish
SO - PLoS One. 2013;8(4):e61097. doi: 10.1371/journal.pone.0061097. Epub 2013 Apr
5.
PMID- 25283444
OWN - NLM
STAT- MEDLINE
DCOM- 20150520
LR - 20190727
IS - 0040-8727 (Linking)
VI - 234
IP - 2
DP - 2014 Oct
TI - Disclosing unavoidable causes of adverse events improves patients' feelings
towards
doctors.
PG - 161-8
AB - The process of medical mediation involves the reconstruction of doctor-
patient
relationships through sharing mutual truthful information and encouraging
dialogue
between doctors and their patients. This study was designed to examine the
effects
of disclosing the avoidable as well as unavoidable causes of doctors'
behavior
following malpractice or perceived inconsiderate behavior on patients'
feelings in
medical mediation. An avoidable cause was defined as doctor's behavior that
was
incautious or showed insufficient empathy. An unavoidable one, however, was
defined
as any cause other than doctors' behavior. A questionnaire was administered
to 385
Japanese hospital outpatients, in which participants were presented a range
of
scenarios with the above two causes for doctor's behavior or an adverse
event.
Participants' feelings toward the doctor in each scenario were measured on a
seven-point scale following disclosure of each cause. The five scenarios
provoking
negative feelings toward doctors involved "(the patient) being ignored,"
"refusal of
a request," "dominating behavior," "a minor incident," and "an adverse
event." The
valid response rate was 62.9% (242/385). Negative feelings were evoked in all
five
scenarios. After disclosure of avoidable causes, scores for negative feelings
significantly increased between 3% and 33%. In contrast, after disclosure of

unavoidable causes, scores for negative feelings significantly decreased
between 11%
and 43%. These findings imply that disclosure of causal information in
medical
mediation will provide the opportunity to reevaluate unexpected doctors'
behavior
and change patients' negative feelings. Therefore, disclosures should be made
in the
case of not only unavoidable causes but also avoidable ones.
FAU - Nakanishi, Toshimi
AU - Nakanishi T
AD - General Medical Education Center, Faculty of Medicine, Yamagata University.
LA - eng
PL - Japan
TA - Tohoku J Exp Med
JT - The Tohoku journal of experimental medicine
JID - 0417355
SB - IM
MH - Adult
MH - Aged
MH - Communication
MH - Female
MH - Humans
MH - Male
MH - Malpractice
MH - Middle Aged
MH - Perception
MH - *Truth Disclosure
MH - Young Adult
EDAT- 2014/10/07 06:00
MHDA- 2015/05/21 06:00
CRDT- 2014/10/07 06:00
PHST- 2014/10/07 06:00 [entrez]
PHST- 2014/10/07 06:00 [pubmed]
PHST- 2015/05/21 06:00 [medline]
AID - DN/JST.JSTAGE/tjem/234.161 [pii]
AID - 10.1620/tjem.234.161 [doi]
PST - ppublish
SO - Tohoku J Exp Med. 2014 Oct;234(2):161-8. doi: 10.1620/tjem.234.161.
PMID- 25783418
OWN - NLM
STAT- MEDLINE
DCOM- 20151116
LR - 20181113
IS - 2044-6055 (Linking)
VI - 5
IP - 3
DP - 2015 Mar 17
TI - Estimation of perinatal mortality rate for institutional births in Rajasthan
state,
India, using capture-recapture technique.
PG - e005966
LID - 10.1136/bmjopen-2014-005966 [doi]
LID - e005966
AB - OBJECTIVE: The objective of our investigation was to estimate the perinatal
mortality rate among institutional births and to compare the sensitivities of
different data collection methods. SETTING: A hospital-based prospective

cohort
study was undertaken during late-2012 in 21 public sector health facilities
of 10
districts of the northern state of Rajasthan, India. PARTICIPANTS: A total of
6872
births were included in this epidemiological study. PRIMARY AND SECONDARY
OUTCOME
MEASURES: Perinatal mortality rate of institutional births was the primary
outcome.
Sensitivities of 'active' and passive' data collection methods were the
secondary
outcome measures. METHODS: All stillbirth data were from routine government
records
('passive system'); early neonatal outcome data from government records
('passive')
were compared against the method of 'phone-tracking' of outcomes through the
community health worker ('active system'). The Lincoln-Petersen formula for
capture-recapture method was used to calculate the probable missing number of
early
neonatal deaths and thereby estimate the institutional perinatal mortality
rate.
RESULTS: Ratio of births in district:subdistrict facilities was 55:45. The
estimated
perinatal mortality rate (95% CI) by capture-recapture method was 35.8 (34 to
37)
per 1000 births. The sensitivity of the passive system was 87-89% while the
sensitivity of the active system was 91%. Three-fourths of perinatal deaths
were
documented as stillbirths. However, for these reported intrauterine deaths or
stillbirths, clinical classification by typologies (term vs preterm;

intrapartum vs
antepartum; macerated vs fresh; with or without congenital anomalies) was
absent in
the recording system. CONCLUSIONS: Capture-recapture technique can be used to
estimate the institutional perinatal mortality rate and also to assess the
level of
under-reporting by the 'passive' government reporting system. This can
subsequently
be used for monitoring of trends and studying the impact of health
interventions.
Accurate clinical categorisation of perinatal deaths is also recommended for
improving quality of care.
not
FAU - Mony, Prem K
AU - Mony PK
AD - Division of Epidemiology, Biostatistics & Population Health, St John's
Research
Institute, Bangalore, Karnataka, India.
FAU - Varghese, Beena
AU - Varghese B
Research
Institute, Bangalore, Karnataka, India Public Health Foundation of India, New
Delhi,
India.
FAU - Thomas, Tinku
AU - Thomas T
Research
Institute, Bangalore, Karnataka, India.
LA - eng
DEP - 20150317
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adult
MH - Cohort Studies
MH - Female
MH - Humans
MH - India/epidemiology
MH - Infant
MH - *Infant Mortality
MH - Male
MH - *Perinatal Death
MH - *Perinatal Mortality
MH - Pregnancy
MH - Stillbirth/*epidemiology
MH - Young Adult
PMC - PMC4369003
OTO - NOTNLM
OT - EPIDEMIOLOGY
OT - PAEDIATRICS
OT - PUBLIC HEALTH
EDAT- 2015/03/19 06:00
MHDA- 2015/11/17 06:00
CRDT- 2015/03/19 06:00
PHST- 2015/03/19 06:00 [entrez]
PHST- 2015/03/19 06:00 [pubmed]
PHST- 2015/11/17 06:00 [medline]
AID - 10.1136/bmjopen-2014-005966 [doi]
PST - epublish
SO - BMJ Open. 2015 Mar 17;5(3):e005966. doi: 10.1136/bmjopen-2014-005966.
PMID- 25290866
OWN - NLM
STAT- MEDLINE
DCOM- 20150511
LR - 20181113
IS - 0017-9124 (Print)
IS - 0017-9124 (Linking)
VI - 50
IP - 2
DP - 2015 Apr
TI - Modeling hospital-acquired pressure ulcer prevalence on medical-surgical
units:
nurse workload, expertise, and clinical processes of care.
PG - 351-73
LID - 10.1111/1475-6773.12244 [doi]
AB - OBJECTIVE: This study modeled the predictive power of unit/patient
characteristics,
nurse workload, nurse expertise, and hospital-acquired pressure ulcer (HAPU)
preventive clinical processes of care on unit-level prevalence of HAPUs. DATA
SOURCES: Seven hundred and eighty-nine medical-surgical units (215 hospitals)

in
2009. STUDY DESIGN: Using unit-level data, HAPUs were modeled with Poisson
regression with zero-inflation (due to low prevalence of HAPUs) with
significant
covariates as predictors. DATA COLLECTION/EXTRACTION METHODS: Hospitals
submitted
data on NQF endorsed ongoing performance measures to CALNOC registry.
PRINCIPAL
FINDINGS: Fewer HAPUs were predicted by a combination of unit/patient
characteristics (shorter length of stay, fewer patients at-risk, fewer male
patients), RN workload (more hours of care, greater patient [bed] turnover),
RN
expertise (more years of experience, fewer contract staff hours), and
processes of
care (more risk assessment completed). CONCLUSIONS: Unit/patient
characteristics
were potent HAPU predictors yet generally are not modifiable. RN workload,
nurse
expertise, and processes of care (risk assessment/interventions) are
significant
predictors that can be addressed to reduce HAPU. Support strategies may be
needed
for units where experienced full-time nurses are not available for HAPU
prevention.
Further research is warranted to test these finding in the context of higher
HAPU
prevalence.
FAU - Aydin, Carolyn
AU - Aydin C
AD - Cedars-Sinai Medical Center and Burns and Allen Research Institute, 8700
Beverly
Blvd., Los Angeles, CA; Collaborative Alliance for Nursing Outcomes, San
Ramon, CA.
FAU - Donaldson, Nancy
AU - Donaldson N
FAU - Stotts, Nancy A
AU - Stotts NA
FAU - Fridman, Moshe
AU - Fridman M
FAU - Brown, Diane Storer
AU - Brown DS
LA - eng
DEP - 20141007
JID - 0053006
SB - IM
MH - Aged
MH - Clinical Protocols
MH - Female
MH - Hospital Administration/*statistics & numerical data
MH - Humans
MH - Male
MH - Middle Aged
MH - Personnel Staffing and Scheduling/statistics & numerical data
MH - Pressure Ulcer/*epidemiology
MH - Prevalence
PMC - PMC4369213
OTO - NOTNLM
OT - Nursing
OT - acute inpatient care
OT - modeling
OT - quality of care/patient safety (measurement)
EDAT- 2014/10/08 06:00
MHDA- 2015/05/12 06:00
CRDT- 2014/10/08 06:00
PHST- 2014/10/08 06:00 [entrez]
PHST- 2014/10/08 06:00 [pubmed]
PHST- 2015/05/12 06:00 [medline]
AID - 10.1111/1475-6773.12244 [doi]
PST - ppublish
SO - Health Serv Res. 2015 Apr;50(2):351-73. doi: 10.1111/1475-6773.12244. Epub
2014 Oct
7.
PMID- 21605359
OWN - NLM
STAT- MEDLINE
DCOM- 20110929
LR - 20181201
IS - 1472-6963 (Linking)
VI - 11
DP - 2011 May 23
TI - Missing clinical information in NHS hospital outpatient clinics: prevalence,
causes
and effects on patient care.
PG - 114
LID - 10.1186/1472-6963-11-114 [doi]
AB - BACKGROUND: In Britain over 39,000 reports were received by the National
Patient
Safety Agency relating to failures in documentation in 2007 and the UK Health
Services Journal estimated in 2008 that over a million hospital outpatient

visits
each year might take place without the full record available. Despite these
high
numbers, the impact of missing clinical information has not been investigated
for
hospital outpatients in the UK.Studies in primary care in the USA have found
13.6%
of patient consultations have missing clinical information, with this
adversely
affecting care in about half of cases, and in Australia 1.8% of medical
errors were
found to be due to the unavailability of clinical information.Our objectives
were to
assess the frequency, nature and potential impact on patient care of missing
clinical information in NHS hospital outpatients and to assess the principal
causes.
This is the first study to present such figures for the UK and the first to
look at
how clinicians respond, including the associated impact on patient care.
METHODS:
Prospective descriptive study of missing information reported by surgeons,
supplemented by interviews on the causes.Data were collected by surgeons in
general,
gastrointestinal, colorectal and vascular surgical clinics in three teaching
hospitals across the UK for over a thousand outpatient appointments. Fifteen
interviews were conducted with those involved in collating clinical
information for
these clinics.The study had ethics approval (Hammersmith and Queen
Charlotte's &
Chelsea Research Ethics Committee), reference number (09/H0707/27).
Participants
involved in the interviews signed a consent form and were offered the
opportunity to
review and agree the transcript of their interview before analysis. No
patients were
involved in this research. RESULTS: In 15% of outpatient consultations key
items of
clinical information were missing. Of these patients, 32% experienced a delay
or
disruption to their care and 20% had a risk of harm. In over half of cases
the
doctor relied on the patient for the information, making a clinical decision
despite
the information being missing in 20% of cases. Hospital mergers, temporary
staff and
non-integrated IT systems were contributing factors. CONCLUSIONS: If these
findings
are replicated across the NHS then almost 10 million outpatients are seen
each year
without key clinical information, creating over a million unnecessary
appointments,
and putting nearly 2 million patients at risk of harm. There is a need for a
systematic, regular audit of the prevalence of missing clinical information.
Only
then will we know the impact on clinical decision making and patient care of
new
technology, service reorganisations and, crucially given the present
financial
climate, temporary or reduced staffing levels. Further research is needed to
assess
the relationship between missing clinical information and diagnostic errors;
to
examine the issue in primary care; and to consider the patients perspective.
FAU - Burnett, Susan J
AU - Burnett SJ
AD - Centre for Patient Safety and Service Quality, Imperial College London,
Department
of Surgery, Division of Surgery and Cancer, Faculty of Medicine, St Mary's
Campus,
Norfolk Place, London, UK. s.burnett@imperial.ac.uk
FAU - Deelchand, Vashist
AU - Deelchand V
AU - Franklin BD
FAU - Moorthy, Krishna
AU - Moorthy K
AU - Vincent C
LA - eng
DEP - 20110523
JID - 101088677
SB - IM
MH - Confidence Intervals
MH - *Health Records, Personal
MH - Humans
MH - Outpatient Clinics, Hospital/*statistics & numerical data
MH - Outpatients/*statistics & numerical data
MH - Patient Care/*methods/statistics & numerical data
MH - Prevalence
MH - Referral and Consultation/*statistics & numerical data
MH - Risk Factors
MH - State Medicine
MH - Systems Analysis
MH - United Kingdom
PMC - PMC3118108
EDAT- 2011/05/25 06:00
MHDA- 2011/10/01 06:00
CRDT- 2011/05/25 06:00
PHST- 2010/10/08 00:00 [received]
PHST- 2011/05/23 00:00 [accepted]
PHST- 2011/05/25 06:00 [entrez]
PHST- 2011/05/25 06:00 [pubmed]
PHST- 2011/10/01 06:00 [medline]
AID - 1472-6963-11-114 [pii]
AID - 10.1186/1472-6963-11-114 [doi]
PST - epublish
SO - BMC Health Serv Res. 2011 May 23;11:114. doi: 10.1186/1472-6963-11-114.
PMID- 23789799
OWN - NLM
STAT- MEDLINE
DCOM- 20140825
LR - 20181203
IS - 1130-6343 (Linking)
VI - 37
IP - 3
DP - 2013 May-Jun
TI - [2013: The Seville document on consensus on the alternatives to allogenic
blood
transfusion. Update to the Seville document. Spanish Societies of
Anaesthesiology
(SEDAR), Haematology and Haemotherapy (SEHH), Hospital Pharmacy (SEFH),
Critical
Care Medicine (SEMICYUC), Thrombosis and Haemostasis (SETH) and Blood
Transfusion
(SETS)].
PG - 209-35
LID - 10.7399/FH.2013.37.3.133 [doi]
AB - As allogeneic blood transfusion (ABT) is not harmless, multiple alternatives
to TSA
(AABT) have emerged, but there is a huge variability with respect to their
indications and appropriate use. This variability results from the interplay
of a
number of factors, which include physicians specialty, knowledge and
preferences,
degree of anaemia, transfusion policy, and AABT availability. Since the ABBT
are not
harmless and may not meet costeffectiveness criteria, such avariability is
unacceptable. The Spanish Societies of Anaesthesiology (SEDAR), Haematology
and
Haemotherapy (SEHH), Hospital Pharmacy (SEFH), Critical Care Medicine
(SEMICYUC),
Thrombosis and Haemostasis (SETH) and Blood Transfusion (SETS) have developed
a
Consensus Document for the proper use of AABTs. A panel of experts convened
by these
six Societies have conducted a systematic review of the medical literature
and
developed the «2013. Seville Document of Consensus on Alternatives to
Allogeneic
Blood Transfusion», which only considers those AABT aimed to decrease the
transfusion of packed red cells. The AABTs are defined as any pharmacological
and
non-pharmacological measure aimed to decrease the transfusion of of red blood
cell
concentrates, while preserving the patient safety. For each AABT, the main
question
is formulated, positively or negatively, as: «Does or does not this
particular AABT
reduce the transfusion rate?» All the recommendations on the use of AABTs
were
formulated according to the GRADE (Grades of Recommendation Assessment,
Development
and Evaluation) methodology.
CI - Copyright © 2013 SEFH. Published by AULA MEDICA. All rights reserved.
FAU - Leal-Noval, S R
AU - Leal-Noval SR
FAU - Muñoz, M
AU - Muñoz M
FAU - Asuero, M
AU - Asuero M
FAU - Contreras, E
AU - Contreras E
FAU - García-Erce, J A
AU - García-Erce JA
FAU - Llau, J V
AU - Llau JV
FAU - Moral, V
AU - Moral V
FAU - Páramo, J A
AU - Páramo JA
FAU - Quintana, M
AU - Quintana M
CN - Spanish Society of Anaesthesiology and Reanimation (SEDAR)
CN - Spanish Society of Haematology and Haemotherapy (SEHH)
CN - Spanish Society of Hospital Pharmacy (SEFH)
CN - Spanish Society of Intensive Care, Critical and Coronary Units (SEMICYUC)
CN - Spanish Society of Thrombosis and Haemostasis (SETH)
CN - Spanish Society of Blood Transfusion (SETS)
LA - spa
TT - 2013: Documento «Sevilla» de Consenso sobre Alternativas a la Transfusión de
Sangre
Alogénica. Actualización del Documento Sevilla.
PL - Spain
TA - Farm Hosp

JID - 9440679
RN - 0 (Blood Substitutes)
SB - IM
MH - Blood Loss, Surgical
MH - Blood Substitutes/adverse effects/therapeutic use
MH - Bloodless Medical and Surgical Procedures/adverse effects/*standards
MH - Erythrocyte Transfusion/adverse effects
MH - Humans
MH - Operative Blood Salvage/standards
MH - Thrombelastography
MH - *Transfusion Reaction
FIR - Basora, M
IR - Basora M
FIR - Bautista-Paloma, F J
IR - Bautista-Paloma FJ
FIR - Bisbe, E
IR - Bisbe E
FIR - Bóveda, J L
IR - Bóveda JL
FIR - Castillo-Muñoz, A
IR - Castillo-Muñoz A
FIR - Colomina, M J
IR - Colomina MJ
FIR - Fernández, C
IR - Fernández C
FIR - Fernández-Mondéjar, E
IR - Fernández-Mondéjar E
FIR - Ferrándiz, C
IR - Ferrándiz C
FIR - García de Lorenzo, A
IR - García de Lorenzo A
FIR - Gomar, C
IR - Gomar C
FIR - Gómez-Luque, A
IR - Gómez-Luque A
FIR - Izuel, M
IR - Izuel M
FIR - Jiménez-Yuste, V
IR - Jiménez-Yuste V
FIR - López-Briz, E
IR - López-Briz E
FIR - López-Fernández, M L
IR - López-Fernández ML
FIR - Martín-Conde, J A
IR - Martín-Conde JA
FIR - Montoro-Ronsano, B
IR - Montoro-Ronsano B
FIR - Paniagua, C
IR - Paniagua C
FIR - Romero-Garrido, J A
IR - Romero-Garrido JA
FIR - Ruiz, J C
IR - Ruiz JC
FIR - Salinas-Argente, R
IR - Salinas-Argente R
FIR - Sánchez, C
IR - Sánchez C
FIR - Torrabadella, P
IR - Torrabadella P
FIR - Arellano, V
IR - Arellano V
FIR - Candela, A
IR - Candela A
FIR - Fernández, J A
IR - Fernández JA
FIR - Fernández-Hinojosa, E
IR - Fernández-Hinojosa E
FIR - Puppo, A
IR - Puppo A
EDAT- 2013/06/25 06:00
MHDA- 2014/08/26 06:00
CRDT- 2013/06/25 06:00
PHST- 2013/06/25 06:00 [entrez]
PHST- 2013/06/25 06:00 [pubmed]
PHST- 2014/08/26 06:00 [medline]
AID - 10.7399/FH.2013.37.3.133 [doi]
PST - ppublish
SO - Farm Hosp. 2013 May-Jun;37(3):209-35. doi: 10.7399/FH.2013.37.3.133.
PMID- 25473331
OWN - NLM
DCOM- 20141204
LR - 20200930
IS - 1319-0164 (Print)
IS - 1319-0164 (Linking)
VI - 22
IP - 5
DP - 2014 Nov
TI - Factors contributing to the identification and prevention of incorrect drug
prescribing errors in outpatient setting.
PG - 429-32
LID - 10.1016/j.jsps.2013.11.003 [doi]
AB - PURPOSE: Medication errors in prescribing are common and could lead to high
morbidity and mortality. The objective of the current study was to explore
factors
that help pharmacists identify and thus prevent harm from incorrect drug
prescribing
errors in an ambulatory care setting. METHODS: At the King Faisal Specialist
Hospital and Research Center, a tertiary care referral hospital in Riyadh,
Saudi
Arabia, medication error reports from the pharmacy are initiated by the
pharmacist
and reviewed by the quality control department and medication safety officer.
This
was a retrospective study in the hospital ambulatory care pharmacies
including
incorrect drug error reports from January 2011 until September 2012. Reports
were
reviewed by two pharmacists to ensure the accuracy of data classification.
Factors
contributing to the identification of incorrect drug prescribing errors were
identified. RESULTS: During the study period, a total of 2073 prescribing
errors
were included in the hospital Safety Reporting System. Incorrect drug
prescribing
errors identified by pharmacists comprised 203 reports (10%). Factors
contributing
to the identification of incorrect drug prescribing errors were: matching the
drug
with the indication for prescribing included in the prescription (34%),
reviewing
the patient's medication history (27%), patient counseling and review of
medication
history (9%), patient counseling during dispensing (8%), others (15%), and
not
specified by the reporter (7%). CONCLUSIONS: Pharmacists reviewing and
matching the
indication for prescribing the prescribed drug and reviewing patient
medication
history before dispensing were the major factors (60%) found that allowed
pharmacists to detect and thus prevent incorrect drug prescribing errors.
Therefore,
including the indication in the prescription as a mandatory field is
important for
patient safety.
FAU - Al-Khani, Salma
AU - Al-Khani S
AD - King Faisal Specialist Hospital and Research Center, Pharmaceutical Services
Division, Riyadh, Saudi Arabia.
FAU - Moharram, Amani
AU - Moharram A
AD - King Faisal Specialist Hospital and Research Center, Pharmaceutical Services
Division, Riyadh, Saudi Arabia.
FAU - Aljadhey, Hisham
AU - Aljadhey H
AD - Medication Safety Research Chair, King Saud University, Riyadh, Saudi Arabia.
LA - eng
DEP - 20131119
TA - Saudi Pharm J
JID - 9705695
PMC - PMC4246412
OTO - NOTNLM
OT - Medication indication
OT - Wrong drug
EDAT- 2014/12/05 06:00
MHDA- 2014/12/05 06:01
CRDT- 2014/12/05 06:00
PHST- 2013/08/18 00:00 [received]
PHST- 2013/11/10 00:00 [accepted]
PHST- 2014/12/05 06:00 [entrez]
PHST- 2014/12/05 06:00 [pubmed]
PHST- 2014/12/05 06:01 [medline]
AID - S1319-0164(13)00110-2 [pii]
AID - 10.1016/j.jsps.2013.11.003 [doi]
PST - ppublish
SO - Saudi Pharm J. 2014 Nov;22(5):429-32. doi: 10.1016/j.jsps.2013.11.003. Epub
2013 Nov
19.
PMID- 30456132
OWN - NLM
LR - 20201001
IS - 2211-419X (Print)
VI - 7
IP - 4
DP - 2017 Dec
TI - A quality improvement study of the emergency centre triage in a tertiary
teaching
hospital in northern Ethiopia.
PG - 160-166
LID - 10.1016/j.afjem.2017.05.009 [doi]
AB - INTRODUCTION: An effective emergency triage system should prioritize both
trauma and
non-trauma patients according to level of acuity, while also addressing local
disease burden and resource availability. In March 2012, an adapted version

of the
South African Triage Scale was introduced in the emergency centre (EC) of
Ayder
Comprehensive Specialized Hospital in northern Ethiopia. METHODS: This
quality
improvement study was conducted to evaluate the implementation of nurse-led
emergency triage in a large Ethiopian teaching hospital using the Donabedian
model.
A 45% random sample was selected from all adult emergency patients during the
study
period, May 10th to May 25th 2015. Patient charts were collected and
retrospectively
reviewed. Presence and proper completion of the triage form were appraised.
Triage
level was abstracted and compared with patient outcome (dichotomized as
"admitted to
hospital or died" and "discharged alive from emergency centre") to quantify
over-
and under-triage triage. RESULTS: From 251 randomly selected patients, 107
(42.6%)
charts were retrieved. From these, only 45/107 (42.1%) contained the triage
form
filled within the chart. None of the triage forms were filled out completely.
From
13 (28.9%) admitted or deceased patients, the under-triage rate was 30.7% and
from
32 (71.1%) patients discharged alive from the EC the over-triage rate was
21.9%.
DISCUSSION: The under-triage rate observed in this study exceeds the
recommended
threshold of 5% and is a serious patient safety concern. However, under-
triage may
have been magnified by irregularities in the hospital admission process.
Haphazard
medical record handling, poor documentation, erroneous triage decisions, and
poor
rapport between nurses and physicians were the main process-related
challenges that
must be addressed through intensive training and improved human resource
management
approaches to enhance the quality of triage in the emergency centre.
FAU - Abdelwahab, Rehab
AU - Abdelwahab R
AD - Yale University, 956 Chapel Street, New Haven, CT 06510, USA.
FAU - Yang, Hannah
AU - Yang H
AD - Mekelle University College of Health Sciences, PO Box 1871, Mekelle, Tigray,
Ethiopia.
AD - Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore,
MD
21205, USA.
FAU - Teka, Hareya Gebremedhin
AU - Teka HG
AD - Mekelle University College of Health Sciences, PO Box 1871, Mekelle, Tigray,
Ethiopia.
LA - eng
DEP - 20170808
TA - Afr J Emerg Med
JT - African journal of emergency medicine : Revue africaine de la medecine
d'urgence
JID - 101572277
PMC - PMC6234140
OTO - NOTNLM
OT - Emergency medicine
OT - Ethiopia
OT - Over-triage
OT - Quality
OT - Triage
OT - Under-Triage
EDAT- 2018/11/21 06:00
MHDA- 2018/11/21 06:01
CRDT- 2018/11/21 06:00
PHST- 2016/12/06 00:00 [received]
PHST- 2017/04/08 00:00 [revised]
PHST- 2017/05/29 00:00 [accepted]
PHST- 2018/11/21 06:00 [entrez]
PHST- 2018/11/21 06:00 [pubmed]
PHST- 2018/11/21 06:01 [medline]
AID - S2211-419X(16)30209-9 [pii]
AID - 10.1016/j.afjem.2017.05.009 [doi]
PST - ppublish
SO - Afr J Emerg Med. 2017 Dec;7(4):160-166. doi: 10.1016/j.afjem.2017.05.009.
Epub 2017
Aug 8.
PMID- 29768477
OWN - NLM
STAT- MEDLINE
DCOM- 20180731
LR - 20181114
IS - 1932-6203 (Linking)
VI - 13
IP - 5
DP - 2018
TI - Faster clinical response to the onset of adverse events: A wearable
metacognitive
attention aid for nurse triage of clinical alarms.
PG - e0197157
LID - e0197157
AB - OBJECTIVE: This study evaluates the potential for improving patient safety by
introducing a metacognitive attention aid that enables clinicians to more

easily
access and use existing alarm/alert information. It is hypothesized that this
introduction will enable clinicians to easily triage alarm/alert events and

quickly
recognize emergent opportunities to adapt care delivery. The resulting faster
response to clinically important alarms/alerts has the potential to prevent

adverse
events and reduce healthcare costs. MATERIALS AND METHODS: A randomized
within-subjects single-factor clinical experiment was conducted in a high-
fidelity
20-bed simulated acute care hospital unit. Sixteen registered nurses, four at
a
time, cared for five simulated patients each. A two-part highly realistic
clinical
scenario was used that included representative: tasking; information; and
alarms/alerts. The treatment condition introduced an integrated wearable
attention
aid that leveraged metacognition methods from proven military systems. The
primary
metric was time for nurses to respond to important alarms/alerts. RESULTS:
Use of
the wearable attention aid resulted in a median relative within-subject
improvement
for individual nurses of 118% (W = 183, p = 0.006). The top quarter of
relative
improvement was 3,303% faster (mean; 17.76 minutes reduced to 1.33). For all
unit
sessions, there was an overall 148% median faster response time to important
alarms
(8.12 minutes reduced to 3.27; U = 2.401, p = 0.016), with 153% median
improvement
in consistency across nurses (F = 11.670, p = 0.001). DISCUSSION AND
CONCLUSION:
Existing device-centric alarm/alert notification solutions can require too
much time
and effort for nurses to access and understand. As a result, nurses may
ignore
alarms/alerts as they focus on other important work. There has been extensive
research on reducing alarm frequency in healthcare. However, alarm safety

remains a
top problem. Empirical observations reported here highlight the potential of
improving patient safety by supporting the meta-work of checking alarms.
FAU - McFarlane, Daniel C
AU - McFarlane DC
AUID- ORCID: 0000-0002-0561-2634
AD - Patient Care & Monitoring Solutions, Innovation Office, Royal Philips,
Andover,
Massachusetts, United States of America.
FAU - Doig, Alexa K
AU - Doig AK
AD - College of Nursing, University of Utah, Salt Lake City, Utah, United States
of
America.
FAU - Agutter, James A
AU - Agutter JA
AD - College of Architecture & Planning, University of Utah, Salt Lake City, Utah,
United
States of America.
AD - Applied Medical Visualizations (Medvis), Salt Lake City, Utah, United States
of
America.
FAU - Brewer, Lara M
AU - Brewer LM
AD - Department of Anesthesiology, University of Utah Health Sciences Center, Salt
Lake
City, Utah, United States of America.
FAU - Syroid, Noah D
AU - Syroid ND
AD - Applied Medical Visualizations (Medvis), Salt Lake City, Utah, United States
of
America.
AD - Anesthesiology Center for Patient Simulation, University of Utah, Salt Lake
City,
Utah, United States of America.
FAU - Mittu, Ranjeev
AU - Mittu R
AD - Information Technology Division, Information Management and Decision
Architectures
Branch, United States Naval Research Laboratory, Washington, District of
Columbia,
LA - eng
PT - Clinical Trial
PT - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20180516
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - *Attention
MH - Clinical Alarms/*economics
MH - Female
MH - Humans
MH - Male
MH - *Metacognition
MH - *Nurses
MH - *Triage/economics/methods
MH - Wearable Electronic Devices/*economics
PMC - PMC5955574
COIS- Competing Interests: The authors declare that three of the authors are
affiliated to
Patient Care & Monitoring Solutions, Innovation Office, Royal Philips and
Applied
Medical Visualizations (Medvis). This does not alter our adherence to PLOS
ONE
policies on sharing data and materials.
EDAT- 2018/05/17 06:00
MHDA- 2018/08/01 06:00
CRDT- 2018/05/17 06:00
PHST- 2017/04/04 00:00 [received]
PHST- 2018/04/27 00:00 [accepted]
PHST- 2018/05/17 06:00 [entrez]
PHST- 2018/05/17 06:00 [pubmed]
PHST- 2018/08/01 06:00 [medline]
PST - epublish
SO - PLoS One. 2018 May 16;13(5):e0197157. doi: 10.1371/journal.pone.0197157.
eCollection
2018.
PMID- 23024255
OWN - NLM
DCOM- 20121002
LR - 20181113
IS - 2044-6055 (Linking)
VI - 2
IP - 5
DP - 2012
TI - The Cancer Patient Experiences Questionnaire (CPEQ): reliability and
construct
validity following a national survey to assess hospital cancer care from the
patient
perspective.
LID - 10.1136/bmjopen-2012-001437 [doi]
LID - e001437
AB - OBJECTIVES: Patient experience questionnaires have been criticised owing to
the lack
of supporting psychometric evidence. The objective of this study was to
describe the
development and psychometric evaluation of the Cancer Patient Experiences
Questionnaire (CPEQ) in Norway. DESIGN: Questionnaire development was based
on a
literature review of existing questionnaires, patient interviews, expert-
group
consultations, pretesting of questionnaire items and a national survey.
Psychometric
evaluation included exploratory and confirmatory factor analysis, and tests
of
internal consistency reliability and test-retest reliability. SETTING: Data
were
collected using a postal survey of cancer patients attending 54 hospitals in
all 4
health regions. The subjects were 14 227 adult cancer patients who had
attended an
outpatient clinic or who had been discharged from an inpatient ward. Patients
with
all types of cancer were included. Data quality, internal consistency
reliability
and construct validity were assessed. RESULTS: Of the 13 846 patients who
received
the CPEQ, 7212 (52%) responded. Exploratory factor analysis identified six
scales of
outpatient experiences relating to nurse contact, doctor contact,
information,
organisation, patient safety and contact with next of kin, and seven scales
of
inpatient experiences, with the addition of hospital standard to the
aforementioned
scales. All but two of the scales met the criterion of 0.70 for Cronbach's α
testing, and test-retest correlations ranged from 0.57 to 0.85. Confirmatory
factor
analysis supported the interpretation of six and seven scales for outpatients
and
inpatients, respectively. Statistically significant associations based on
explicit
hypotheses provided evidence for the construct validity of the scales. One
additional scale measuring the hospital level was identified (α=0.85).
CONCLUSIONS:
The CPEQ is a self-report instrument that includes the most important aspects
of
patient experiences with cancer care at hospitals. The instrument was tested
following a national survey in Norway; good evidence is provided herein for
the
internal consistency reliability, test-retest reliability and construct
validity.
FAU - Iversen, Hilde Hestad
AU - Iversen HH
AD - Department for Quality Measurement and Patient Safety, Norwegian Knowledge
Centre
FAU - Holmboe, Olaf
AU - Holmboe O
FAU - Bjertnæs, Oyvind Andresen
AU - Bjertnæs OA
LA - eng
DEP - 20120927
TA - BMJ Open
JT - BMJ open
JID - 101552874
PMC - PMC3488707
EDAT- 2012/10/02 06:00
MHDA- 2012/10/02 06:01
CRDT- 2012/10/02 06:00
PHST- 2012/10/02 06:00 [entrez]
PHST- 2012/10/02 06:00 [pubmed]
PHST- 2012/10/02 06:01 [medline]
AID - 10.1136/bmjopen-2012-001437 [doi]
PST - epublish
SO - BMJ Open. 2012 Sep 27;2(5):e001437. doi: 10.1136/bmjopen-2012-001437. Print
2012.
PMID- 30010697
OWN - NLM
STAT- MEDLINE
DCOM- 20191105
LR - 20191105
IS - 0002-0729 (Print)
IS - 0002-0729 (Linking)
VI - 47
IP - 6
DP - 2018 Nov 1
TI - Do portable nursing stations within bays of hospital wards reduce the rate of
inpatient falls? An interrupted time-series analysis.

PG - 818-824
LID - 10.1093/ageing/afy097 [doi]
AB - BACKGROUND: falls can negatively affect patients, resulting in loss of
independence
and functional decline and have substantial healthcare costs. Hospitals are a
high-risk falls environment and regularly introduce, but seldom evaluate,

policies
to reduce inpatient falls. This study evaluated whether introducing portable
nursing
stations in ward bays to maximise nurse-patient contact time reduced
inpatient
falls. METHODS: inpatient falls data from local hospital incident reporting
software
(Datix) were collected monthly (April 2014-December 2017) from 17 wards in
Stoke
Mandeville and Wycombe General Hospitals, the UK. Portable nursing stations
were
introduced in bays on these wards from April 2016. We used a natural
experimental
study design and interrupted time series analysis to evaluate changes in fall
rates,
measured by the monthly rate of falls per 1000 occupied bed days (OBDs).
RESULTS:
the wards reported 2875 falls (April 2014-December 2017). The fallers' mean
age was
78 (SD = 13) and 58% (1624/2817) were men. Most falls, 99.41% (2858/2875),
resulted
in none, low or moderate harm, 0.45% (13/2875) in severe harm and 0.14%
(4/2875) in
death. The monthly falls rate increased by 0.119 per 1000 OBDs (95% CI:
0.045,
0.194; P = 0.002) before April 2016, then decreased by 0.222 per 1000 OBDs
(95% CI:
-0.350, -0.093; P = 0.001) until December 2017. At 12 months post-
intervention, the
absolute difference between the estimated post-intervention trend and
pre-intervention projected estimate was 2.84 falls per 1000 OBDs, a relative
reduction of 26.71%. CONCLUSION: portable nursing stations were associated
with
lower monthly falls rates and could reduce inpatient falls across the NHS.
FAU - Ali, U M
AU - Ali UM
AD - Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal
Sciences,
Centre for Statistics in Medicine, University of Oxford, Oxford, UK.
Sciences,
Centre for Rehabilitation Research in Oxford, University of Oxford, Oxford,
UK.
FAU - Judge, A
AU - Judge A
Sciences,
AD - Musculoskeletal Research Unit, Translational Health Sciences, University of
Bristol,
Southmead Hospital, Bristol, UK.
FAU - Foster, C
AU - Foster C
AD - Buckinghamshire Healthcare NHS Trust, Buckinghamshire, UK.
FAU - Brooke, A
AU - Brooke A
AD - Buckinghamshire Healthcare NHS Trust, Buckinghamshire, UK.
FAU - James, K
AU - James K
AD - Oxford Academic Health Sciences Network, Oxford, UK.
FAU - Marriott, T
AU - Marriott T
AD - Oxford Academic Health Sciences Network, Oxford, UK.
FAU - Lamb, S E
AU - Lamb SE
Sciences,
Sciences,
Centre for Rehabilitation Research in Oxford, University of Oxford, Oxford,
UK.
LA - eng
TA - Age Ageing
JT - Age and ageing
JID - 0375655
SB - IM
CIN - Evid Based Nurs. 2020 Jan;23(1):29. PMID: 31122934
MH - Accidental Falls/mortality/*prevention & control
MH - Age Factors
MH - Aged
MH - Female
MH - Humans
MH - *Inpatients
MH - Interrupted Time Series Analysis
MH - Male
MH - Middle Aged
MH - Nurse's Role
MH - Nurse-Patient Relations
MH - *Nursing Stations
MH - Protective Factors
MH - Risk Factors
MH - Time Factors
PMC - PMC6201822
EDAT- 2018/07/17 06:00
MHDA- 2019/11/07 06:00
CRDT- 2018/07/17 06:00
PHST- 2018/01/31 00:00 [received]
PHST- 2018/06/14 00:00 [accepted]
PHST- 2018/07/17 06:00 [pubmed]
PHST- 2019/11/07 06:00 [medline]
PHST- 2018/07/17 06:00 [entrez]
AID - 5054440 [pii]
AID - afy097 [pii]
AID - 10.1093/ageing/afy097 [doi]
PST - ppublish
SO - Age Ageing. 2018 Nov 1;47(6):818-824. doi: 10.1093/ageing/afy097.
PMID- 26289950
OWN - NLM
STAT- MEDLINE
DCOM- 20160201
LR - 20181202
IS - 1472-6963 (Linking)
VI - 15
DP - 2015 Aug 20
TI - The effect on potential adverse drug events of a pharmacist-acquired
medication
history in an emergency department: a multicentre, double-blind, randomised,
controlled, parallel-group study.
PG - 337
LID - 10.1186/s12913-015-0990-1 [doi]
LID - 337
AB - BACKGROUND: Potential adverse drug events (PADEs) are defined as being
potentially
harmful unintentional medication discrepancies. Discrepancies regarding
medication
history (MH) often occur when a patient is being admitted to a hospital's
emergency
department (ED); they are clinically important and represent a significant
source of
data regarding adverse drug events occurring during emergency admission to
hospital.
This study sought to measure the impact of pharmacist-acquired MH during
admission
to an ED; it focused on whether a patient's current home medication regimen
being
available for a doctor when consulting a patient in an ED would have reduced
potential adverse drug events. METHOD: A multicentre, double-blind,
randomised,
controlled parallel-group study was carried out at 3 large teaching hospitals
in
Bogota, Colombia. Two hundred and seventy patients who had been admitted to
an ED
were enrolled; each had a standardised, comprehensive MH interview, focusing
on a
patient's current home medication regimen prior to being seen by a doctor.
Data
recorded on the admission medication order form was available to be used by a
doctor
during consultation in the ED. The main outcome dealt with comparing the
intervention and control groups regarding the percentage of patients having
at least
1 potential adverse drug event. RESULTS: There were 811 PADE (3.35 per
patient), 528
(65%) on the standard care arm and 283 (35%) on an intervention arm. Most
PADEs were
judged to have had the potential to cause moderate discomfort (42.6%), 33.4%
were
deemed unlikely to have caused harm and 23.9% were judged to have had the
potential
to cause clinical deterioration. CONCLUSION: Many patients suffer potentially
adverse drugs events during the transition of care from home to a hospital.
Patient
safety-focused medication reconciliation during admission to an ED involving
a
pharmacist and drawing up a history of complete medication could contribute
towards
reducing the risk of PADES occurring and improve follow-up of patients'
medication-based therapy. TRIAL REGISTRATION: 28/10/2012, ISRCTN63455839.
FAU - Becerra-Camargo, Jesus
AU - Becerra-Camargo J
AD - Universidad Nacional de Colombia, Ciudad Universitaria Edificio 450 Oficina
204,
Bogota, 111321, Cundinamarca, Colombia. jbecerrac@unal.edu.co.
FAU - Martínez-Martínez, Fernando
AU - Martínez-Martínez F
AD - Pharmacy Department, Universidad de Granada, Granada University's
Pharmaceutical
Care Research Institute, Paseo Cartuja, S/N, 18071, Granada, Spain.
femartin@ugr.es.
FAU - García-Jiménez, Emilio
AU - García-Jiménez E
AD - Pharmacy Department, Universidad de Granada, Granada University's
Pharmaceutical
Care Research Institute, Paseo Cartuja, S/N, 18071, Granada, Spain.
emiliogarciajimenez@gmail.com.
LA - eng
DEP - 20150820
JID - 101088677
SB - IM
MH - Aged
MH - Colombia
MH - Double-Blind Method
MH - Drug-Related Side Effects and Adverse Reactions/*epidemiology
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - Patient Safety
MH - *Pharmacists
MH - Referral and Consultation
PMC - PMC4545909
EDAT- 2015/08/21 06:00
MHDA- 2016/02/02 06:00
CRDT- 2015/08/21 06:00
PHST- 2014/08/28 00:00 [received]
PHST- 2015/08/05 00:00 [accepted]
PHST- 2015/08/21 06:00 [entrez]
PHST- 2015/08/21 06:00 [pubmed]
PHST- 2016/02/02 06:00 [medline]
AID - 10.1186/s12913-015-0990-1 [pii]
AID - 990 [pii]
AID - 10.1186/s12913-015-0990-1 [doi]
PST - epublish
SO - BMC Health Serv Res. 2015 Aug 20;15:337. doi: 10.1186/s12913-015-0990-1.
PMID- 25565852
OWN - NLM
DCOM- 20150108
LR - 20200929
IS - 1176-6336 (Print)
IS - 1176-6336 (Linking)
VI - 11
DP - 2015
TI - Patient risk factors for developing a drug-related problem in a cardiology
ward.
PG - 9-15
LID - 10.2147/TCRM.S71749 [doi]
AB - BACKGROUND: Because of the high incidence of drug-related problems (DRPs)
among
hospitalized patients with cardiovascular diseases and their potential impact
on
morbidity and mortality, it is important to identify the most susceptible
patients,
who therefore require closer monitoring of drug therapy. PURPOSE: To identify
the
profile of patients at higher risk of developing at least one DRP during
hospitalization in a cardiology ward. METHOD: We consecutively included all
patients
hospitalized in the cardiology ward of a teaching hospital in 2009. DRPs were
identified through a computerized warning system designed by the pharmacy

department
and integrated into the electronic medical record. RESULTS: A total of 964
admissions were included, and at least one DRP was detected in 29.8%. The
variables
associated with a higher risk of these events were polypharmacy (odds ratio
[OR]=1.228; 95% confidence interval [CI]=1.153-1.308), female sex (OR=1.496;
95%
CI=1.026-2.180), and first admission (OR=1.494; 95% CI=1.005-2.221).
CONCLUSION:
Monitoring patients through a computerized warning system allowed the
detection of
at least one DRP in one-third of the patients. Knowledge of the risk factors
for
developing these problems in patients admitted to hospital for cardiovascular
problems helps in identifying the most susceptible patients.

FAU - Urbina, Olatz
AU - Urbina O
AD - Pharmacy Department, Hospital Universitari del Mar, Barcelona, Spain.
FAU - Ferrández, Olivia
AU - Ferrández O
FAU - Luque, Sònia
AU - Luque S
FAU - Grau, Santiago
AU - Grau S
AD - Pharmacy Department, Hospital Universitari del Mar, Barcelona, Spain ;
Universitat
Autònoma de Barcelona, Barcelona, Spain.
FAU - Mojal, Sergi
AU - Mojal S
AD - Department of Statistics, Institut Hospital del Mar d'Investigacions
Mèdiques,
Barcelona, Spain.
FAU - Pellicer, Rosa
AU - Pellicer R
FAU - Riu, Marta
AU - Riu M
AD - Department of Epidemiology and Health Services Evaluation, CIBER de
Epidemiología y
Salud Pública (CIBERESP), Hospital Universitari del Mar, Barcelona, Spain.
FAU - Salas, Esther
AU - Salas E
FAU - Comin-Colet, Josep
AU - Comin-Colet J
AD - Heart Failure Unit, Cardiology Department, Hospital Universitari del Mar,
Barcelona,
Spain.
LA - eng
DEP - 20141217
TA - Ther Clin Risk Manag
JT - Therapeutics and clinical risk management
JID - 101253281
PMC - PMC4275111
OTO - NOTNLM
OT - cardiovascular diseases
OT - clinical pharmacist
OT - computerized provider order entry
OT - drug therapy monitoring
OT - patient safety
OT - pharmacy warning system
EDAT- 2015/01/08 06:00
MHDA- 2015/01/08 06:01
CRDT- 2015/01/08 06:00
PHST- 2015/01/08 06:00 [entrez]
PHST- 2015/01/08 06:00 [pubmed]
PHST- 2015/01/08 06:01 [medline]
AID - tcrm-11-009 [pii]
AID - 10.2147/TCRM.S71749 [doi]
PST - epublish
SO - Ther Clin Risk Manag. 2014 Dec 17;11:9-15. doi: 10.2147/TCRM.S71749.
eCollection
2015.
PMID- 26940104
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR - 20210109
IS - 2044-6055 (Linking)
VI - 6
IP - 3
DP - 2016 Mar 3
TI - Exploring the Current Landscape of Intravenous Infusion Practices and Errors
(ECLIPSE): protocol for a mixed-methods observational study.
PG - e009777
LID - 10.1136/bmjopen-2015-009777 [doi]
LID - e009777
AB - INTRODUCTION: Intravenous medication is essential for many hospital
inpatients.
However, providing intravenous therapy is complex and errors are common.
'Smart
pumps' incorporating dose error reduction software have been widely advocated
to
reduce error. However, little is known about their effect on patient safety,
how
they are used or their likely impact. This study will explore the landscape
of
intravenous medication infusion practices and errors in English hospitals and
how
smart pumps may relate to the prevalence of medication administration errors.
METHODS AND ANALYSIS: This is a mixed-methods study involving an

observational
quantitative point prevalence study to determine the frequency and types of
errors
that occur in the infusion of intravenous medication, and qualitative
interviews
with hospital staff to better understand infusion practices and the contexts
in
which errors occur. The study will involve 5 clinical areas (critical care,
general
medicine, general surgery, paediatrics and oncology), across 14 purposively
sampled
acute hospitals and 2 paediatric hospitals to cover a range of intravenous
infusion
practices. Data collectors will compare each infusion running at the time of
data
collection against the patient's medication orders to identify any
discrepancies.
The potential clinical importance of errors will be assessed. Quantitative
data will
be analysed descriptively; interviews will be analysed using thematic
analysis.
ETHICS AND DISSEMINATION: Ethical approval has been obtained from an NHS
Research
Ethics Committee (14/SC/0290); local approvals will be sought from each
participating organisation. Findings will be published in peer-reviewed
journals and
presented at conferences for academic and health professional audiences.
Results
will also be fed back to participating organisations to inform local policy,
training and procurement. Aggregated findings will inform the debate on costs
and
benefits of the NHS investing in smart pump technology, and what other
changes may
need to be made to ensure effectiveness of such an investment.
not
FAU - Blandford, Ann
AU - Blandford A
AD - UCL Interaction Centre, London, UK.
AU - Furniss D
FAU - Lyons, Imogen
AU - Lyons I
AUID- ORCID: 0000-0002-9802-1795
FAU - Chumbley, Gill
AU - Chumbley G
NHS
Trust, London, UK.
FAU - Iacovides, Ioanna
AU - Iacovides I
FAU - Wei, Li
AU - Wei L
AD - Research Department of Practice and Policy, UCL School of Pharmacy, London,
UK.
FAU - Cox, Anna
AU - Cox A
FAU - Mayer, Astrid
AU - Mayer A
AD - UCL Medical School, University College London, London, UK.
FAU - Schnock, Kumiko
AU - Schnock K
AD - Brigham and Women's Hospital, Boston, Massachusetts, USA.
FAU - Bates, David Westfall
AU - Bates DW
FAU - Dykes, Patricia C
AU - Dykes PC
FAU - Bell, Helen
AU - Bell H
NHS
Trust, London, UK.
AU - Franklin BD
NHS
Trust, London, UK Research Department of Practice and Policy, UCL School of
Pharmacy, London, UK.
LA - eng
GR - MR/K006584/1/MRC_/Medical Research Council/United Kingdom
DEP - 20160303
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Child
MH - Humans
MH - *Infusion Pumps
MH - Infusions, Intravenous/*adverse effects
MH - State Medicine
PMC - PMC4785301
OTO - NOTNLM
OT - AUDIT
EDAT- 2016/03/05 06:00
MHDA- 2016/12/15 06:00
CRDT- 2016/03/05 06:00
PHST- 2016/03/05 06:00 [entrez]
PHST- 2016/03/05 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - 10.1136/bmjopen-2015-009777 [doi]
PST - epublish
PMID- 25650191
OWN - NLM
STAT- MEDLINE
DCOM- 20160825
LR - 20200225
IS - 1470-2118 (Print)
IS - 1470-2118 (Linking)
VI - 15
IP - 1
DP - 2015 Feb
TI - Omitted medications: a continuing problem.
PG - 12-4
AB - Failure to provide prescribed medicines to inpatients has the potential to
cause
significant patient harm, to delay the resolution of the pathology and to
increase
the length of hospital stay. We measured the frequency at which medications
were
omitted in the non-admitting medical wards of a district general hospital,
using two
point-prevalence studies spaced one month apart. The results showed that the
omission of prescribed medications remains a problem throughout the hospital
stay of
the patient. Among the charts studied, 73% had omitted medications. The most
common
cause of omission was patients' refusal (47.22%), followed by patients'
inability to
take the medicine (22.7%). Medication unavailability came third (17.04%).
Increased
communication between medical, nursing and pharmacy staff, along with regular
review
of the patients by the patient team, with a view of reducing medication
omission
will go a long way in reducing the incidence of this problem.
FAU - Shandilya, Saurabh
AU - Shandilya S
AD - Wrexham Maelor Hospital, Wrexham, UK drshandilya@gmail.com.
FAU - Nizamuddin, Khwaja
AU - Nizamuddin K
AD - Wrexham Maelor Hospital, Wrexham, UK.
FAU - Faisal, Mohammad Waqar
AU - Faisal MW
AD - Bradford Royal Infirmary, Bradford, UK.
FAU - Noor, Sajjad
AU - Noor S
FAU - Abraham, Sam
AU - Abraham S
LA - eng
JID - 101092853
SB - IM
MH - Adult
MH - Aged
MH - Cohort Studies
MH - Drug Prescriptions/statistics & numerical data
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - Patient Safety
PMC - PMC4954515
OTO - NOTNLM
OT - Omitted medications
OT - hospital admission
OT - hospital prescriptions
OT - medicine reconciliation
EDAT- 2015/02/05 06:00
MHDA- 2016/08/26 06:00
CRDT- 2015/02/05 06:00
PHST- 2015/02/05 06:00 [entrez]
PHST- 2015/02/05 06:00 [pubmed]
PHST- 2016/08/26 06:00 [medline]
AID - 15/1/12 [pii]
PST - ppublish
SO - Clin Med (Lond). 2015 Feb;15(1):12-4. doi: 10.7861/clinmedicine.15-1-12.
PMID- 26734393
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - Optimising the Pre-Operative Investigative Work Up for Elective Surgical
Patients.
LID - u206272.w2608
AB - Effective pre-operative assessment of patients awaiting elective surgery
should
entail appropriate use of scarce NHS resources, as well as underpin patient
safety.
The pre-operative admissions service in district general hospitals is often
junior
doctor led, with a new cohort of clinicians taking over its running every
four
months. Lack of familiarity on the part of these clinicians with the
investigative
work up required for certain surgical procedures often results in over
investigation
of patients in the pre-admission setting, wasting time and NHS resources. A
retrospective audit of 53 patients who underwent laparoscopic cholecystectomy
over a
representative two month period demonstrated that 33% of patients received
unnecessary pre-admission blood tests, including clotting screen and 'group
and
save'. Design and implementation of a "Pre-Admission Handbook", for use by
junior
doctors and nurse practitioners in the pre-operative setting, reduced the
rate of
over investigation to 12% in a subsequent, prospective audit cycle of 50
patients,
and has improved patient care by standardising the pre-admissions process for
elective surgery at Gloucester Royal Hospital.

FAU - Hack-Adams, Nadine
AU - Hack-Adams N
AD - Gloucestershire Hospitals NHS Foundation Trust, United Kingdom.
FAU - King, Natalie
AU - King N
FAU - Ahuja, Manisha
AU - Ahuja M
FAU - M Higgs, Simon
AU - M Higgs S
LA - eng
DEP - 20150624
JID - 101629512
PMC - PMC4693043
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2014/10/20 00:00 [received]
PHST- 2015/06/18 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2015 Jun 24;4(1):u206272.w2608. doi:
PMID- 26495373
OWN - NLM
DCOM- 20151023
LR - 20201001
IS - 2345-4563 (Print)
IS - 2345-4563 (Linking)
VI - 2
IP - 4
DP - 2014 Fall
TI - A Survey of Patients' Satisfaction in Emergency Department of Rasht Poursina
Hospital.
PG - 162-5
AB - INTRODUCTION: Patients' satisfaction (PS) is one of the important indicators
of
emergency care quality and outcomes of health care services. Some researchers
believe that improve the work processes and hospital quality are not possible
without caring to comments, requirements, expectations, and satisfaction of

patients. The percent study was aimed to assess the emergency department (ED)
PS of
Poursina hospital, Rasht, Iran. METHODS: In this descriptive cross sectional
study,
the samples was selected from 378 patients admitted to ED of Poursina
Hospital,
Rasht, Iran, 2013. For each patient a check list and a questionnaire,
including 37
questions about PS, were filled that had categories like physical comfort and
residential aspects, physicians care, nurse care, behavioral aspect, and

waiting
time for service presentation. Data were analyzed by SPSS version 16.
RESULTS:
Entirely, 378 patients were entered to the study with mean age of 38.44±17.8
(60.8%
male). The mean score of total satisfaction of ED patients was 106.94±13.62
(range:
72-144). The mean score of physical comfort was 33.25±4.76 out of the highest
obtainable score of 55, nurse care 25.33±5.13 out of 40, physician care
24.34±3.38
out of 40, waiting time for services 13.42±5.48 out of 30, and behavioral
aspects
10.58±2.66 out of 20. There were significant relation among PS, sex
(P=0.0001), and
the shift of admission (P=0.023). CONCLUSION: The findings of percent study
showed
that giving services to emergency clients in various fields such as physical
comfort
and residential aspects, physicians care, nurse care, and the total ED
satisfaction
is relatively agreeable. The periodic and continuous assessment as well as
comparison of satisfaction and dissatisfaction parameters during the time,
before
and after performing the changes, could be effectual.
FAU - Zohrevandi, Behzad
AU - Zohrevandi B
AD - Road trauma Research Center, Guilan University of Medical Sciences, Rasht,
Iran.
FAU - Tajik, Hosna
AU - Tajik H
AD - Road trauma Research Center, Guilan University of Medical Sciences, Rasht,
Iran.
LA - eng
TA - Emerg (Tehran)
JT - Emergency (Tehran, Iran)
JID - 101648866
PMC - PMC4614566
OTO - NOTNLM
OT - access
OT - and evaluation
OT - emergency service
OT - health care quality
OT - hospital
OT - patient safety
EDAT- 2015/10/27 06:00
MHDA- 2015/10/27 06:01
CRDT- 2015/10/24 06:00
PHST- 2015/10/24 06:00 [entrez]
PHST- 2015/10/27 06:00 [pubmed]
PHST- 2015/10/27 06:01 [medline]
AID - emerg-2-162 [pii]
PST - ppublish
SO - Emerg (Tehran). 2014 Fall;2(4):162-5.
PMID- 22719796
OWN - NLM
STAT- Publisher
LR - 20191120
IS - 1869-0327 (Linking)
VI - 3
IP - 2
DP - 2012 Jan 1
TI - Real-time pharmacy surveillance and clinical decision support to reduce
adverse drug
events in acute kidney injury: a randomized, controlled trial.
PG - 221-238
AB - OBJECTIVES: Clinical decision support (CDS), such as computerized alerts,
improves
prescribing in the setting of acute kidney injury (AKI), but considerable
opportunity remains to improve patient safety. The authors sought to
determine
whether pharmacy surveillance of AKI patients could detect and prevent
medication
errors that are not corrected by automated interventions. METHODS: The
authors
conducted a randomized clinical trial among 396 patients admitted to an
academic,
tertiary care hospital between June 1, 2010 and August 31, 2010 with an acute
0.5
mg/dl change in serum creatinine over 48 hours and a nephrotoxic or renally
cleared
medication order. Patients randomly assigned to the intervention group
received
surveillance from a clinical pharmacist using a web-based surveillance tool
to
monitor drug prescribing and kidney function trends. CDS alerting and
standard
pharmacy services were active in both study arms. Outcome measures included
blinded
adjudication of potential adverse drug events (pADEs), adverse drug events
(ADEs)
and time to provider modification or discontinuation of targeted nephrotoxic
or
renally cleared medications. RESULTS: Potential ADEs or ADEs occurred for 104
(8.0%)
of control and 99 (7.1%) of intervention patient-medication pairs (p=0.4).
Additionally, the time to provider modification or discontinuation of
targeted
nephrotoxic or renally cleared medications did not differ between control and
intervention patients (33.4 hrs vs. 30.3 hrs, p=0.3). CONCLUSIONS: Pharmacy
surveillance had no incremental benefit over previously implemented CDS
alerts.
FAU - McCoy, Allison B
AU - McCoy AB
AD - Department of Biomedical Informatics, Vanderbilt University School of
Medicine,
Nashville, TN.
FAU - Cox, Zachary L
AU - Cox ZL
FAU - Neal, Erin B
AU - Neal EB
FAU - Waitman, Lemuel R
AU - Waitman LR
FAU - Peterson, Neeraja B
AU - Peterson NB
FAU - Bhave, Gautam
AU - Bhave G
FAU - Siew, Edward D
AU - Siew ED
FAU - Danciu, Ioana
AU - Danciu I
FAU - Lewis, Julia B
AU - Lewis JB
FAU - Peterson, Josh F
AU - Peterson JF
LA - eng
GR - P30 DK092986/DK/NIDDK NIH HHS/United States
GR - TL1 RR024978/RR/NCRR NIH HHS/United States
GR - KL2 RR024977/RR/NCRR NIH HHS/United States
GR - R01 LM009965/LM/NLM NIH HHS/United States
DEP - 20120613
TA - Appl Clin Inform
JT - Applied clinical informatics
JID - 101537732
PMC - PMC3377180
MID - NIHMS381202
EDAT- 2012/06/22 06:00
MHDA- 2012/06/22 06:00
CRDT- 2012/06/22 06:00
PHST- 2012/06/22 06:00 [entrez]
PHST- 2012/06/22 06:00 [pubmed]
PHST- 2012/06/22 06:00 [medline]
AID - 10.4338/ACI-2012-03-RA-0009 [doi]
PST - ppublish
SO - Appl Clin Inform. 2012 Jan 1;3(2):221-238. doi: 10.4338/ACI-2012-03-RA-0009.
Epub
2012 Jun 13.
PMID- 26734248
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 2
IP - 2
DP - 2014
TI - Improving hospital weekend handover: a user-centered, standardised approach.
LID - u202861.w1655
AB - Clinical Handover remains one of the most perilous procedures in medicine
(1).
Weekend handover has emerged as a key area of concern with high variability
in
handover processes across hospitals (1,2,4, 5-10). Studying weekend handover
processes within medicine at an acute teaching hospital revealed huge
variability in
documented content and structure. A total of 12 different pro formas were in
use by
the medical day-team to handover to the weekend team on-call. A Likert-survey
of
doctors revealed 93% felt the current handover system needed improvement with
71%
stating that it did not ensure patient safety (Chi-squared, p-value <0.001,
n=32).
Semi-structured interviews of doctors identified common themes including "a
lack of
consistency in approach" "poor standardization" and "high variability".
Seeking to
address concerns of standardization, a standardized handover pro forma was
developed
using Royal College of Physician (RCP) guidelines (2), with direct end-user
input.
Results following implementation revealed a considerable improvement in
documented
ceiling of care, urgency of task and team member assignment with 100% uptake
of the
new proforma at both 4-week and 6-month post-implementation analyses. 88% of
doctors
surveyed perceived that the new proforma improved patient safety (p<0.01,
n=25),
with 62% highlighting that it allowed doctors to work more efficiently.
Results also
revealed that 44% felt further improvements were needed and highlighted
electronic
solutions and handover training as main priorities. Handover briefing was
subsequently incorporated into junior doctor induction and education modules
delivered, with good feedback. Following collaboration with key stakeholders
and
with end-user input, integrated electronic handover software was designed and
funding secured. The software is currently under final development.

Introducing a
standardized handover proforma can be an effective initial step in improving
weekend
handover. Handover education and end-user involvement are key in improving
the
process. Electronic handover solutions have been shown to significantly
increase the
quality of handover and are worth considering (9, 10).
FAU - Mehra, Avi
AU - Mehra A
AD - Brighton & Sussex University Hospitals NHS Trust.
FAU - Henein, Christin
AU - Henein C
AD - Brighton & Sussex University Hospitals NHS Trust.
LA - eng
DEP - 20140204
JID - 101629512
PMC - PMC4663852
EDAT- 2014/01/01 00:00
MHDA- 2014/01/01 00:01
CRDT- 2016/01/07 06:00
PHST- 2013/12/17 00:00 [received]
PHST- 2014/01/14 00:00 [revised]
PHST- 2014/01/28 00:00 [accepted]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2014/01/01 00:01 [medline]
PST - epublish
PMID- 23462829
OWN - NLM
STAT- MEDLINE
DCOM- 20131223
LR - 20190608
IS - 0037-5675 (Print)
IS - 0037-5675 (Linking)
VI - 54
IP - 2
DP - 2013 Feb
TI - Audits and critical incident reporting in paediatric anaesthesia: lessons
from
75,331 anaesthetics.
PG - 69-74
AB - INTRODUCTION: This study reports our experience of audit and critical
incidents
observed by paediatric anaesthetics from 2000 to 2010 at a paediatric
teaching
hospital in Singapore. METHODS: Data pertaining to patient demographics,
practices
and critical incidents during anaesthesia and in the perioperative period
were
prospectively collected via an audit form and retrospectively analysed
thereafter.
RESULTS: A total of 2,519 incidents were noted at the 75,331 anaesthetics
performed
during the study period. There were nine deaths reported. The majority of
incidents
reported were respiratory critical incidents (n = 1,757, 69.8%), followed by
cardiovascular incidents (n = 238, 9.5%). Risk factors for critical incidents
included age less than one year, and preterm and former preterm children.
CONCLUSION: Critical incident reporting has value, as it provides insights
into the
system and helps to identify active and system errors, thus enabling the
formulation
of effective preventive strategies. By creating and maintaining an
environment that
encourages reporting, we have maintained a high and consistent reporting rate
through the years. The teaching of analysis of critical incidents should be

regarded
by all clinicians as an important tool for improving patient safety.
FAU - Wan, Sharon
AU - Wan S
AD - Department of Paediatric Anaesthesia, KK Women's and Children's Hospital, 100
Bukit
Timah Road, Singapore. yuankwan28@yahoo.com.sg
FAU - Siow, Yew Nam
AU - Siow YN
FAU - Lee, Su Min
AU - Lee SM
FAU - Ng, Agnes
AU - Ng A
LA - eng
PL - Singapore
TA - Singapore Med J
JT - Singapore medical journal
JID - 0404516
SB - IM
MH - Adolescent
MH - Adult
MH - Anesthesia/adverse effects/*methods
MH - Anesthesiology/*methods
MH - Child
MH - Humans
MH - Infant
MH - Medical Errors/prevention & control/*statistics & numerical data
MH - Pediatrics/*methods
MH - Quality Assurance, Health Care
MH - Risk Factors
MH - Singapore
MH - Young Adult
EDAT- 2013/03/07 06:00
MHDA- 2013/12/24 06:00
CRDT- 2013/03/07 06:00
PHST- 2013/03/07 06:00 [entrez]
PHST- 2013/03/07 06:00 [pubmed]
PHST- 2013/12/24 06:00 [medline]
AID - 10.11622/smedj.2013027 [doi]
PST - ppublish
SO - Singapore Med J. 2013 Feb;54(2):69-74. doi: 10.11622/smedj.2013027.
PMID- 29450286
OWN - NLM
LR - 20191120
IS - 2399-6641 (Linking)
VI - 6
IP - 2
DP - 2017
TI - From research to practice: results of 7300 mortality retrospective case
record
reviews in four acute hospitals in the North-East of England.
PG - e000123
LID - 10.1136/bmjoq-2017-000123 [doi]
LID - e000123
AB - INTRODUCTION: Monitoring hospital mortality using retrospective case record
review
(RCRR) is being adopted throughout the National Health Service (NHS) in
England with
publication of estimates of avoidable mortality beginning in 2017. We
describe our
experience of reviewing the care records of inpatients who died following
admission
to hospital in four acute hospital NHS Foundation Trusts in the North-East of
England. METHODS: RCRR of 7370 patients who died between January 2012 and
December
2015. Cases were reviewed by consultant reviewers with support from other
disciplines and graded in terms of quality of care and preventability of
deaths.
Results were compared with the estimates published in the Preventable
Incidents,
Survival and Mortality (PRISM) studies, which established the original
method.
RESULTS: 34 patients (0.5%, 95% CI 0.3% to 0.6%) were judged to have a
greater than
50% probability of death being preventable. 1680 patients (22.3%, 95% CI
22.4% to
23.3%) were judged to have room for improvement in clinical, organisational
(or
both) aspects of care or less than satisfactory care. CONCLUSIONS: Reviews
using
clinicians within trusts produce lower estimates of preventable deaths than
published results using external clinicians. More research is needed to
understand
the reasons for this, but as the requirement for NHS Trusts to publish
estimates of
preventable mortality is based on reviews by consultants working for those
trusts,
lower estimates of preventable mortality can be expected. Room for
improvement in
the quality of care is more common than preventability of death and so
mortality
reviews contribute to improvement activity although the outcome of care
cannot be
changed. RCRR conducted internally is a feasible mechanism for delivering
quantitative analysis and in the future can provide qualitative insights
relating to
inhospital deaths.
FAU - Roberts, Anthony Paul
AU - Roberts AP
AD - South Tees Hospitals NHS Foundation Trust, The James Cook University
Hospital,
Middlesbrough, UK.
FAU - Morrow, Gerry
AU - Morrow G
AD - Clarity Informatics Ltd, Newcastle upon Tyne, UK.
FAU - Walkley, Michael
AU - Walkley M
AD - South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
FAU - Flavell, Linda
AU - Flavell L
FAU - Phillips, Terry
AU - Phillips T
FAU - Sykes, Eliot
AU - Sykes E
AD - Northumbria Healthcare NHS Foundation Trust, North Shields, UK.
FAU - Kirkpatrick, Graeme
AU - Kirkpatrick G
AD - County Durham and Darlington NHS Foundation Trust, Darlington, UK.
FAU - Monkhouse, Diane
AU - Monkhouse D
AD - South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
FAU - Laws, David
AU - Laws D
AD - City Hospitals Sunderland NHS Foundation Trust, Sunderland, UK.
FAU - Gray, Christopher
AU - Gray C
AD - County Durham and Darlington NHS Foundation Trust, Darlington, UK.
LA - eng
DEP - 20170924
TA - BMJ Open Qual
JID - 101710381
PMC - PMC5699137
OTO - NOTNLM
OT - morbidity and mortality rounds
OT - patient safety
OT - performance measures
OT - quality measurement
EDAT- 2018/02/17 06:00
MHDA- 2018/02/17 06:01
CRDT- 2018/02/17 06:00
PHST- 2017/05/18 00:00 [received]
PHST- 2017/08/17 00:00 [revised]
PHST- 2017/08/18 00:00 [accepted]
PHST- 2018/02/17 06:00 [entrez]
PHST- 2018/02/17 06:00 [pubmed]
PHST- 2018/02/17 06:01 [medline]
AID - bmjoq-2017-000123 [pii]
AID - 10.1136/bmjoq-2017-000123 [doi]
PST - epublish
eCollection
2017.
PMID- 25795686
OWN - NLM
STAT- MEDLINE
DCOM- 20151221
LR - 20181113
IS - 2044-6055 (Linking)
VI - 5
IP - 3
DP - 2015 Mar 20
TI - Determination of risk factors for drug-related problems: a multidisciplinary
triangulation process.
PG - e006376
LID - 10.1136/bmjopen-2014-006376 [doi]
LID - e006376
AB - INTRODUCTION AND OBJECTIVES: Drug-related problems (DRPs) constitute a
frequent
safety issue among hospitalised patients leading to patient harm and
increased
healthcare costs. Because many DRPs are preventable, the specific risk
factors that
facilitate their occurrence are of considerable interest. The objective of
our study
was to assess risk factors for the occurrence of DRPs with the intention to
identify
patients at risk for DRPs to guide and target preventive measures where they
are
needed most in patients. DESIGN: Triangulation process using a mixed methods
approach. METHODS: We conducted an expert panel, using the nominal group
technique
(NGT) and a qualitative analysis, to gather risk factors for DRPs. The expert
panel
consisted of two consultant hospital physicians (internal medicine and
geriatrics),
one emergency physician, one independent general practitioner, one clinical
pharmacologist, one clinical pharmacist, one registered nurse, one home care
nurse
and two independent community pharmacists. The literature was searched for
additional risk factors. Gathered factors from the literature search and the
NGT
were assembled and validated in a two-round Delphi questionnaire. RESULTS:
The NGT
resulted in the identification of 33 items with 13 additional risk factors
from the
qualitative analysis of the discussion. The literature search delivered
another 39
risk factors. The 85 risk factors were refined to produce 42 statements for
the
Delphi online questionnaire. Of these, 27 risk factors were judged to be
'important'
or 'rather important'. CONCLUSIONS: The gathered risk factors may help to
characterise and identify patients at risk for DRPs and may enable clinical
pharmacists to guide and target preventive measures in order to limit the
occurrence
of DRPs. As a further step, these risk factors will serve as the basis for a
screening tool to identify patients at risk for DRPs.
not
FAU - Kaufmann, Carole P
AU - Kaufmann CP
AD - Pharmaceutical Care Research Group, University of Basel, Basel, Switzerland
Clinical
Pharmacy, Kantonsspital Baselland, Bruderholz, Switzerland.
FAU - Stämpfli, Dominik
AU - Stämpfli D
AD - Pharmaceutical Care Research Group, University of Basel, Basel, Switzerland.
FAU - Hersberger, Kurt E
AU - Hersberger KE
AD - Pharmaceutical Care Research Group, University of Basel, Basel, Switzerland.
FAU - Lampert, Markus L
AU - Lampert ML
AD - Pharmaceutical Care Research Group, University of Basel, Basel, Switzerland
Clinical
Pharmacy, Kantonsspital Baselland, Bruderholz, Switzerland.
LA - eng
DEP - 20150320
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - *Drug-Related Side Effects and Adverse Reactions
MH - Humans
MH - Pharmacy Service, Hospital
MH - *Quality Assurance, Health Care
MH - Risk Factors
PMC - PMC4368979
EDAT- 2015/03/22 06:00
MHDA- 2015/12/22 06:00
CRDT- 2015/03/22 06:00
PHST- 2015/03/22 06:00 [entrez]
PHST- 2015/03/22 06:00 [pubmed]
PHST- 2015/12/22 06:00 [medline]
AID - 10.1136/bmjopen-2014-006376 [doi]
PST - epublish
PMID- 23672665
OWN - NLM
DCOM- 20130604
LR - 20200930
IS - 1754-9493 (Print)
IS - 1754-9493 (Linking)
VI - 7
IP - 1
DP - 2013 May 14
TI - Surgical checklists: the human factor.
PG - 14
LID - 10.1186/1754-9493-7-14 [doi]
AB - BACKGROUND: Surgical checklists has been shown to improve patient safety and
teamwork in the operating theatre. However, despite the known benefits of the
use of
checklists in surgery, in some cases the practical implementation has been
found to
be less than universal. A questionnaire methodology was used to
quantitatively
evaluate the attitudes of theatre staff towards a modified version of the
World
Health Organisation (WHO) surgical checklist with relation to: beliefs about
levels
of compliance and support, impact on patient safety and teamwork, and
barriers to
the use of the checklist. METHODS: Using the theory of planned behaviour as a
framework, 14 semi-structured interviews were conducted with theatre

personnel
regarding their attitudes towards, and levels of compliance with, a
checklist. Based
upon the interviews, a 27-item questionnaire was developed and distribute to
all
theatre personnel in an Irish hospital. RESULTS: Responses were obtained from
107
theatre staff (42.6% response rate). Particularly for nurses, the overall
attitudes
towards the effect of the checklist on safety and teamworking were positive.
However, there was a lack of rigour with which the checklist was being
applied.
Nurses were significantly more sensitive to the barriers to the use of the
checklist
than anaesthetists or surgeons. Moreover, anaesthetists were not as
positively
disposed to the surgical checklist as surgeons and nurse. This finding was
attributed to the tendency for the checklist to be completed during a period
of high
workload for the anaesthetists, resulting in a lack of engagement with the
process.
CONCLUSION: In order to improve the rigour with which the surgical checklist
is
applied, there is a need for: the involvement of all members of the theatre
team in
the checklist process, demonstrated support for the checklist from senior
personnel,
on-going education and training, and barriers to the implementation of the
checklist
to be addressed.
FAU - O'Connor, Paul
AU - O'Connor P
AD - Department of General Practice, National University of Ireland, Galway,
Ireland.
paul.oconnor@nuigalway.ie.
FAU - Reddin, Catriona
AU - Reddin C
FAU - O'Sullivan, Michael
AU - O'Sullivan M
FAU - O'Duffy, Fergal
AU - O'Duffy F
FAU - Keogh, Ivan
AU - Keogh I
LA - eng
DEP - 20130514
TA - Patient Saf Surg
JT - Patient safety in surgery
JID - 101319176
PMC - PMC3669630
EDAT- 2013/05/16 06:00
MHDA- 2013/05/16 06:01
CRDT- 2013/05/16 06:00
PHST- 2013/03/29 00:00 [received]
PHST- 2013/05/08 00:00 [accepted]
PHST- 2013/05/16 06:00 [entrez]
PHST- 2013/05/16 06:00 [pubmed]
PHST- 2013/05/16 06:01 [medline]
AID - 1754-9493-7-14 [pii]
AID - 10.1186/1754-9493-7-14 [doi]
PST - epublish
SO - Patient Saf Surg. 2013 May 14;7(1):14. doi: 10.1186/1754-9493-7-14.
PMID- 28223862
OWN - NLM
LR - 20200930
IS - 1319-0164 (Print)
IS - 1319-0164 (Linking)
VI - 25
IP - 1
DP - 2017 Jan
TI - Whose responsibility is medication reconciliation: Physicians, pharmacists or
nurses? A survey in an academic tertiary care hospital.

PG - 52-58
LID - 10.1016/j.jsps.2015.06.012 [doi]
AB - Background: Medication errors occur frequently at transitions in care and can
result
in morbidity and mortality. Medication reconciliation is a recognized
hospital
accreditation requirement and designed to limit errors in transitions in
care.
Objectives: To identify beliefs, perceived roles and responsibilities of
physicians,
pharmacists and nurses prior to the implementation of a standardized
medication
reconciliation process. Methods: A survey was distributed to the three
professions:
pharmacists in the pharmacy and physicians and nurses in hospital in-patient
units.
It contained questions about the current level of medication reconciliation
practices, as well as perceived roles and responsibilities of each profession
when a
standardized process is implemented. Value, barriers to implementing
medication
reconciliation and the role of information technology were also assessed.
Analyses
were performed using univariate statistics. Results: There was a lack of
clarity of
current medication reconciliation practices as well as lack of agreement
between the
three professions. Physicians and pharmacists considered their professions as
the
main providers while nurses considered physicians followed by themselves as
the main
providers with limited roles for pharmacists. The three professions recognize
the
values and benefits of medication reconciliation yet pharmacists, more than
others,
stated limited time to implement reconciliation is a major barrier. Obstacles
such
as unreliable sources of medication history, patient knowledge and lack of
coordination and communication between the three professions were expressed.
Conclusions: The three health care professions recognize the value of
medication
reconciliation and want to see it implemented in the hospital, yet there is a
lack
of agreement with regard to roles and responsibilities of each profession
within the
process. This needs to be addressed by the hospital administration to design
clear
procedures and defined roles for each profession within a standardized
medication
reconciliation process.
FAU - Al-Hashar, Amna
AU - Al-Hashar A
Sciences, Sultan Qaboos University, Muscat, Oman.
FAU - Al-Zakwani, Ibrahim
AU - Al-Zakwani I
FAU - Eriksson, Tommy
AU - Eriksson T
AD - Department of Clinical Pharmacology, Laboratory Medicine, Lund University,
Lund,
Sweden.
FAU - Al Za'abi, Mohammed
AU - Al Za'abi M
LA - eng
DEP - 20150707
TA - Saudi Pharm J
JID - 9705695
PMC - PMC5310138
OTO - NOTNLM
OT - ACI, Accreditation Canada International
OT - Arabs
OT - Health care surveys
OT - Health personnel
OT - JCI, Joint Commission International
OT - Oman
OT - Patient safety
OT - Pharmacist
OT - SQUH, Sultan Qaboos University Hospital
EDAT- 2017/02/23 06:00
MHDA- 2017/02/23 06:01
CRDT- 2017/02/23 06:00
PHST- 2015/04/02 00:00 [received]
PHST- 2015/06/28 00:00 [accepted]
PHST- 2017/02/23 06:00 [entrez]
PHST- 2017/02/23 06:00 [pubmed]
PHST- 2017/02/23 06:01 [medline]
AID - S1319-0164(15)00123-1 [pii]
AID - 10.1016/j.jsps.2015.06.012 [doi]
PST - ppublish
SO - Saudi Pharm J. 2017 Jan;25(1):52-58. doi: 10.1016/j.jsps.2015.06.012. Epub
2015 Jul
7.
PMID- 24099314
OWN - NLM
STAT- MEDLINE
DCOM- 20140728
LR - 20181113
IS - 1472-6963 (Linking)
VI - 13
DP - 2013 Oct 7
TI - The impact of nurse working hours on patient safety culture: a cross-national
survey
including Japan, the United States and Chinese Taiwan using the Hospital
Survey on
Patient Safety Culture.
PG - 394
LID - 10.1186/1472-6963-13-394 [doi]
AB - BACKGROUND: A positive patient safety culture (PSC) is one of the most
critical
components to improve healthcare quality and safety. The Hospital Survey on
Patient
Safety Culture (HSOPS), developed by the US Agency for Healthcare Research
and
Quality, has been used to assess PSC in 31 countries. However, little is
known about
the impact of nurse working hours on PSC. We hypothesized that long nurse
working
hours would deteriorate PSC, and that the deterioration patterns would vary
between
countries. Moreover, the common trends observed in Japan, the US and Chinese
Taiwan
may be useful to improve PSC in other countries. The purpose of this study
was to
clarify the impact of long nurse working hours on PSC in Japan, the US, and
Chinese
Taiwan using HSOPS. METHODS: The HSOPS questionnaire measures 12 sub-
dimensions of
PSC, with higher scores indicating a more positive PSC. Odds ratios (ORs)
were
calculated using a generalized linear mixed model to evaluate the impact of
working
hours on PSC outcome measures (patient safety grade and number of events
reported).
Tukey's test and Cohen's d values were used to verify the relationships
between
nurse working hours and the 12 sub-dimensions of PSC. RESULTS: Nurses working
≥60
h/week in Japan and the US had a significantly lower OR for patient safety
grade
than those working <40 h/week. In the three countries, nurses working ≥40
h/week had
a significantly higher OR for the number of events reported. The mean score
on
'staffing' was significantly lower in the ≥60-h group than in the <40-h group
in all
the three countries. The mean score for 'teamwork within units' was
significantly
lower in the ≥60-h group than in the <40-h group in Japan and Chinese Taiwan.
CONCLUSIONS: Patient safety grade deteriorated and the number of events

reported
increased with long working hours. Among the 12 sub-dimensions of PSC, long
working
hours had an impact on 'staffing' and 'teamwork within units' in Japan, the
US and
Chinese Taiwan.
FAU - Wu, Yinghui
AU - Wu Y
AD - Division of Health Policy & Health Service Research, Department of Social
Medicine,
Toho University School of Medicine, 5-21-16 Omori-Nishi, Ota-ku, Tokyo 143-
8540,
Japan. tommie@med.toho-u.ac.jp.
FAU - Fujita, Shigeru
AU - Fujita S
FAU - Seto, Kanako
AU - Seto K
FAU - Ito, Shinya
AU - Ito S
FAU - Matsumoto, Kunichika
AU - Matsumoto K
FAU - Huang, Chiu-Chin
AU - Huang CC
FAU - Hasegawa, Tomonori
AU - Hasegawa T
LA - eng
GR - HHSA 290200710024C/PHS HHS/United States
DEP - 20131007
JID - 101088677
SB - IM
MH - Humans
MH - Japan/epidemiology
MH - Personnel Staffing and Scheduling/standards/*statistics & numerical data
MH - Taiwan/epidemiology
PMC - PMC3852210
EDAT- 2013/10/09 06:00
MHDA- 2014/07/30 06:00
CRDT- 2013/10/09 06:00
PHST- 2013/03/08 00:00 [received]
PHST- 2013/09/30 00:00 [accepted]
PHST- 2013/10/09 06:00 [entrez]
PHST- 2013/10/09 06:00 [pubmed]
PHST- 2014/07/30 06:00 [medline]
AID - 1472-6963-13-394 [pii]
AID - 10.1186/1472-6963-13-394 [doi]
PST - epublish
SO - BMC Health Serv Res. 2013 Oct 7;13:394. doi: 10.1186/1472-6963-13-394.
PMID- 24898694
OWN - NLM
STAT- MEDLINE
DCOM- 20141021
LR - 20181113
IS - 1472-6947 (Linking)
VI - 14
DP - 2014 Jun 5
TI - Participatory eHealth development to support nurses in antimicrobial
stewardship.
PG - 45
LID - 10.1186/1472-6947-14-45 [doi]
AB - BACKGROUND: Antimicrobial resistance poses a threat to patient safety
worldwide. To
stop antimicrobial resistance, Antimicrobial Stewardship Programs (ASPs;
programs
for optimizing antimicrobial use), need to be implemented. Within these
programs,
nurses are important actors, as they put antimicrobial treatment into effect.
To
optimally support nurses in ASPs, they should have access to information that
supports them in their preparation, administration and monitoring tasks. In

addition, it should help them to detect possible risks or adverse events
associated
with antimicrobial therapy. In this formative study, we investigate how
nurses' can
be supported in ASPs by means of an eHealth intervention that targets their
information needs. METHODS: We applied a participatory development approach
that
involves iterative cycles in which health care workers, mostly nurses,
participate.
Focus groups, observations, prototype evaluations (via a card sort task and a
scenario-based information searching task) and interviews are done with

stakeholders
(nurses, managers, pharmacist, and microbiologist) on two pulmonary wards of
a
1000-bed teaching hospital. RESULTS: To perform the complex antimicrobial-
related
tasks well, nurses need to consult various information sources on a myriad of
occasions. In addition, the current information infrastructure is

unsupportive of
ASP-related tasks, mainly because information is not structured to match
nurse
tasks, is hard to find, out of date, and insufficiently supportive of
awareness.
Based our findings, we created a concept for a nurse information application.
We
attuned the application's functionality, content, and structure to nurse work
practice and tasks. CONCLUSIONS: By applying a participatory development

approach,
we showed that task support is a basic need for nurses. Participatory
development
proved useful regarding several aspects. First, it allows for combining
bottom-up
needs (nurses') and top-down legislations (medical protocols). Second, it
enabled us
to fragmentise and analyse tasks and to reduce and translate extensive
information
into task-oriented content. Third, this facilitated a tailored application to
support awareness and enhance patient safety. Finally, the involvement of

stakeholders created commitment and ownership, and helped to weigh needs from
multiple perspectives.
FAU - Wentzel, Jobke
AU - Wentzel J
AD - Department of Psychology, Health & Technology, University of Twente,
Enschede, the
Netherlands. m.j.wentzel@utwente.nl.
FAU - van Velsen, Lex
AU - van Velsen L
FAU - van Limburg, Maarten
AU - van Limburg M
FAU - de Jong, Nienke
AU - de Jong N
FAU - Karreman, Joyce
AU - Karreman J
FAU - Hendrix, Ron
AU - Hendrix R
FAU - van Gemert-Pijnen, Julia Elisabeth Wilhelmina Cornelia
AU - van Gemert-Pijnen JE
LA - eng
DEP - 20140605
TA - BMC Med Inform Decis Mak
JT - BMC medical informatics and decision making
JID - 101088682
RN - 0 (Anti-Infective Agents)
SB - IM
MH - Adult
MH - Anti-Infective Agents/*therapeutic use
MH - Focus Groups
MH - Humans
MH - Nursing/*methods/standards
MH - Practice Guidelines as Topic/*standards
MH - Program Development/*methods
MH - Telemedicine/*methods
PMC - PMC4074392
EDAT- 2014/06/06 06:00
MHDA- 2014/10/22 06:00
CRDT- 2014/06/06 06:00
PHST- 2013/06/03 00:00 [received]
PHST- 2014/05/23 00:00 [accepted]
PHST- 2014/06/06 06:00 [entrez]
PHST- 2014/06/06 06:00 [pubmed]
PHST- 2014/10/22 06:00 [medline]
AID - 1472-6947-14-45 [pii]
AID - 10.1186/1472-6947-14-45 [doi]
PST - epublish
SO - BMC Med Inform Decis Mak. 2014 Jun 5;14:45. doi: 10.1186/1472-6947-14-45.
PMID- 25883691
OWN - NLM
DCOM- 20150417
LR - 20200929
IS - 1885-642X (Print)
VI - 13
IP - 1
DP - 2015 Jan-Mar
TI - Description of medication errors detected at a drug information centre in
Southern
Brazil.
PG - 524
LID - 524
AB - OBJECTIVE: To identify and describe actual or potential medication errors
related to
drug information inquiries made by staff members of a teaching hospital to a
Drug
Information Centre from January 2012 to December 2013. METHODS: Data were
collected
from the records of inquiries made by health care professionals to the Drug
Information Centre throughout this period. RESULTS: During the study period,
the
Drug Information Centre received 3,500 inquiries. Of these, 114 inquiries had
medication errors. Most errors were related to prescribing, preparation, and

administration and were classified according to severity as category B (57%)
(potential errors) and categories C (26.3%) and D (15.8%) (actual errors that
did
not result in harm to the patient). Error causes included overdose (13.2%),
wrong
route of administration (11.4%), inadequate drug storage (11.4%), and wrong
dosage
form (8.8%). The drugs most frequently involved in errors were vitamin K
(4.4%),
vancomycin (3.5%), and meropenem (3.5%). CONCLUSION: In this study, it was
not
possible to measure the reduction in error rate involving medication use
because of
the lack of previous data on this process in the institution. However, our
findings
indicate that the Drug Information Centre may be used as a strategy to seek
improvements in processes involving medication use.
FAU - Dos Santos, Luciana
AU - Dos Santos L
AD - Drug Information Centre, Hospital de Clínicas de Porto Alegre. Porto Alegre,
RS (
Brazil ). lusantos@hcpa.ufrgs.br.
FAU - Winkler, Natália
AU - Winkler N
AD - Pontifícia Universidade Católica do Rio Grande do Sul. Porto Alegre RS
( Brazil ).
nataliawinkler_478@hotmail.com.
FAU - Dos Santos, Marlise A
AU - Dos Santos MA
AD - Pontifícia Universidade Católica do Rio Grande do Sul . Porto Alegre RS
( Brazil ).
marlise.santos@pucrs.br.
FAU - Martinbiancho, Jacqueline K
AU - Martinbiancho JK
AD - Information Centre, Hospital de Clínicas de Porto Alegre. Porto Alegre, RS
( Brazil
). Jmartinbiancho@hcpa.ufrgs.br.
LA - eng
DEP - 20150315
JID - 101530029
PMC - PMC4384269
OTO - NOTNLM
OT - Brazil
OT - Drug Information Services
OT - Hospital
OT - Patient Safety
OT - Pharmacy Service
COIS- CONFLICT OF INTEREST The authors report no conflicts of interest. Financial
Support:
FIPE – Hospital de Clínicas de Porto Alegre.
EDAT- 2015/04/18 06:00
MHDA- 2015/04/18 06:01
CRDT- 2015/04/18 06:00
PHST- 2014/10/17 00:00 [received]
PHST- 2015/02/28 00:00 [accepted]
PHST- 2015/04/18 06:00 [entrez]
PHST- 2015/04/18 06:00 [pubmed]
PHST- 2015/04/18 06:01 [medline]
AID - PhP-524 [pii]
AID - 10.18549/pharmpract.2015.01.524 [doi]
PST - ppublish
SO - Pharm Pract (Granada). 2015 Jan-Mar;13(1):524. doi:
10.18549/pharmpract.2015.01.524.
Epub 2015 Mar 15.
PMID- 26637190
OWN - NLM
STAT- MEDLINE
DCOM- 20160914
LR - 20191210
IS - 1472-6963 (Linking)
VI - 15
DP - 2015 Dec 4
TI - A longitudinal examination of the association between nurse staffing levels,
the
practice environment and nurse-sensitive patient outcomes in hospitals.
PG - 538
LID - 10.1186/s12913-015-1198-0 [doi]
LID - 538
AB - BACKGROUND: The level of patient safety and outcomes accomplished depends on
the
quality of care provided. Previous studies found that nurse-to-patient ratio,
practice environment, and nursing education were significant predictors of

patient
outcomes. However, the outcomes measured in previous studies were mainly
inpatient
mortality and failure-to-rescue rates. Few nurse-sensitive patient outcomes
have
been measured that quantify nurses' contribution to patient care. Selecting
appropriate outcomes that reflect the clinically relevant effect of nursing
care is
important. Moreover previous studies were largely cross-sectional and
retrospective.
These research designs are limited in their ability to explain the casual
links
between the variables examined. This study is aimed at determining the
associations
among staffing levels, skill mix of baccalaureate-prepared registered nurses,
and
practice environment on nurse-sensitive outcomes for medical and surgical
patients
in public hospitals in Hong Kong. METHOD/DESIGNS: A multi-method research
design
will be adopted. The sample includes all medical and surgical wards of four
major
public hospitals that offer 24-h accident and emergency services. Multiple
responses
from registered nurses who work in the study wards will be collected over 12
months
to examine their individual characteristics and perceptions of the practice
environment. A 12-month prospective observational study will be performed to
determine the association between nurse staffing levels, the practice
environment,
and nurse-sensitive patient outcomes including pressure ulcers, falls and
restraint
prevalence, urinary catheter-associated urinary tract infections, and central
line
catheter-associated bloodstream infections. Multilevel Cox proportional
hazards
models will be employed to examine the association between these patient
outcomes
and the explanatory nursing factors of primary interest (nurse staffing
levels,
education composition, and practice environment), with adjustment for all
patient-,
ward- and hospital-level potential confounders (age, sex, diagnosis,
comorbidities,
level of surgical invasiveness, mortality, length of stay, and type of
admission).
DISCUSSION: It is anticipated that knowledge of the association between nurse
staffing levels, the practice environment, and nurse-sensitive outcomes will

inform
the provision of quality and timely patient care. This study will provide a
landmark
report that is of relevance and importance to patients and to hospital
stakeholders
and managers, health policy makers, nurses, and educators who advocate
patient
benefits. TRIAL REGISTRATION: Clinical Trials Registry CCTCTR CUHK_CCT00460 .
Date
of trial registration: 02 July 2015.
FAU - Chau, Janita P C
AU - Chau JP
AD - The Nethersole School of Nursing, Faculty of Medicine, The Chinese University
of
Hong Kong, 8/F, Esther Lee Building, Shatin, NT, Hong Kong.
janitachau@cuhk.edu.hk.
FAU - Lo, Suzanne H S
AU - Lo SH
of
suzannelo@cuhk.edu.hk.
FAU - Choi, K C
AU - Choi KC
of
kchoi@cuhk.edu.hk.
FAU - Chan, Eric L S
AU - Chan EL
AD - Department of Health Sciences, Caritas Bianchi College of Careers, Caritas
Institute
of Higher Education, 18 Chui Ling Road, Tseung Kwan O, NT, Hong Kong.
lschan@cihe.edu.hk.
AU - McHugh MD
AD - School of Nursing; Center for Health Outcomes and Policy Research, University
of
Pennsylvania, Room 379, Fagin Hall, 418 Curie Blvd., Philadelphia,
Pennsylvania,
19104-4217, United States. mchughm@nursing.upenn.edu.
FAU - Tong, Danny W K
AU - Tong DW
AD - Infectious Disease Centre, Princess Margaret Hospital, Hospital Authority,
Kowloon,
Hong Kong. tongwk2@ha.org.hk.
FAU - Kwok, Angela M L
AU - Kwok AM
AD - Department of Medicine and Therapeutics, Prince of Wales Hospital, Hospital
Authority, NT, Hong Kong. kml539@ha.org.hk.
FAU - Ip, W Y
AU - Ip WY
of
ip2013@cuhk.edu.hk.
FAU - Lee, Iris F K
AU - Lee IF
of
fk95lee@cuhk.edu.hk.
FAU - Lee, Diana T F
AU - Lee DT
of
tzefanlee@cuhk.edu.hk.
LA - eng
DEP - 20151204
JID - 101088677
SB - IM
MH - Adult
MH - Aged
MH - Female
MH - Hong Kong
MH - Humans
MH - Male
MH - Middle Aged
MH - Patient Safety
MH - Pressure Ulcer
PMC - PMC4670525
EDAT- 2015/12/08 06:00
MHDA- 2016/09/15 06:00
CRDT- 2015/12/06 06:00
PHST- 2015/08/17 00:00 [received]
PHST- 2015/11/25 00:00 [accepted]
PHST- 2015/12/06 06:00 [entrez]
PHST- 2015/12/08 06:00 [pubmed]
PHST- 2016/09/15 06:00 [medline]
AID - 10.1186/s12913-015-1198-0 [pii]
AID - 1198 [pii]
AID - 10.1186/s12913-015-1198-0 [doi]
PST - epublish
SO - BMC Health Serv Res. 2015 Dec 4;15:538. doi: 10.1186/s12913-015-1198-0.
PMID- 25253542
OWN - NLM
STAT- MEDLINE
DCOM- 20150512
LR - 20181113
IS - 1472-6963 (Linking)
VI - 14
DP - 2014 Sep 24
TI - Workflow interruptions and mental workload in hospital pediatricians: an
PG - 433
LID - 10.1186/1472-6963-14-433 [doi]
LID - 433
AB - BACKGROUND: Pediatricians' workload is increasingly thought to affect
pediatricians'
quality of work life and patient safety. Workflow interruptions are a
frequent
stressor in clinical work, impeding clinicians' attention and contributing to
clinical malpractice. We aimed to investigate prospective associations of

workflow
interruptions with multiple dimensions of mental workload in pediatricians
during
clinical day shifts. METHODS: In an Academic Children's Hospital a
prospective study
of 28 full shift observations was conducted among pediatricians providing
ward
coverage. The prevalence of workflow interruptions was based on expert
observation
using a validated observation instrument. Concurrently, Pediatricians'
workload
ratings were assessed with three workload dimensions of the well-validated
NASA-Task
Load Index: mental demands, effort, and frustration. RESULTS: Observed
pediatricians
were, on average, disrupted 4.7 times per hour. Most frequent were
interruptions by
colleagues (30.2%), nursing staff (29.7%), and by telephone/beeper calls
(16.3%).
Interruption measures were correlated with two workload outcomes of interest:
frequent workflow interruptions were related to less cognitive demands, but

frequent
interruptions were associated with increased frustration. With regard to
single
sources, interruptions by colleagues showed the strongest associations to
workload.
CONCLUSIONS: The findings provide insights into specific pathways between
different
types of interruptions and pediatricians' mental workload. These findings
suggest
further research and yield a number of work and organization re-design
suggestions
for pediatric care.
FAU - Weigl, Matthias
AU - Weigl M
AD - Institute and Outpatient Clinic for Occupational, Social, and Environmental
Medicine, Ludwig-Maximilians-University, Munich, Germany.
matthias.weigl@med.lmu.de.
FAU - Müller, Andreas
AU - Müller A
FAU - Angerer, Peter
AU - Angerer P
FAU - Hoffmann, Florian
AU - Hoffmann F
LA - eng
DEP - 20140924
JID - 101088677
SB - IM
MH - Female
MH - Germany
MH - Humans
MH - Male
MH - *Pediatrics/organization & administration
MH - *Stress, Psychological
MH - *Workflow
PMC - PMC4263126
EDAT- 2014/09/26 06:00
MHDA- 2015/05/13 06:00
CRDT- 2014/09/26 06:00
PHST- 2014/05/22 00:00 [received]
PHST- 2014/09/11 00:00 [accepted]
PHST- 2014/09/26 06:00 [entrez]
PHST- 2014/09/26 06:00 [pubmed]
PHST- 2015/05/13 06:00 [medline]
AID - 1472-6963-14-433 [pii]
AID - 3520 [pii]
AID - 10.1186/1472-6963-14-433 [doi]
PST - epublish
SO - BMC Health Serv Res. 2014 Sep 24;14:433. doi: 10.1186/1472-6963-14-433.
PMID- 27747683
OWN - NLM
LR - 20200930
IS - 2199-1162 (Print)
IS - 2199-1162 (Linking)
VI - 3
IP - 1
DP - 2016 Dec
TI - Difficulty Using Smart Pump Logs to Recreate a Patient Safety Event: Case
Study and
Considerations for Pump Enhancements.
PG - 3
LID - 3
AB - The authors present a case in which a physical anomaly with an infusion pump
resulted in an unforeseen fault that the nurse's attempts to resolve
unknowingly
exacerbated. This case study presents the first report in the literature to
detail
the difficulty in recreating a patient safety event using smart pump logs,
support
server continuous quality improvement (CQI) data, and the drug order entry
system to
elucidate the clinical scenario. A 75-year-old male patient presented to a
major
teaching hospital and was admitted to the intensive care unit (ICU) with a
massive
gastrointestinal bleed and myocardial infarction, then stabilized. One of the
patient's pumps alarmed "communication error" on the display. The display

gave no
explicit instructions about how to resolve the issue, and resolution was not
intuitive. Attempts to clear the alarm failed, so the module was disconnected
to
reprogram the infusion, causing an interruption in the dopamine. Over the
course of
approximately 2 min of troubleshooting, the patient's blood pressure
decreased from
109/50 to 60/30, with a rapid pulse change from a consistent 95 up to 115 and
subsequently 135 beats per minute. A cardiac arrest ensued and a code blue
was
called. All cardiac drugs, including the dopamine, were suspended during the
code.
Cardiopulmonary resuscitation was performed and the patient survived the
code.
Post-code, the dopamine and epinephrine were restarted, and the
norepinephrine was
discontinued. The patient's condition remained very unstable. Pump logs and
the
server database were queried to locate relevant equipment. It was concluded
that
dirty contacts on the inter-unit interface (IUI) connectors between the PC
unit
(PCU) and the modules caused the alarm message "communication error" to
appear on
the PCU display. Learning yielded a nursing practice alert to clarify how a
nurse
should resolve a "communication error", and appropriate cleaning protocols
were
promptly implemented. The investigation found smart pump event logs and
proprietary
software are not designed with any forethought as to retrospective
reconstruction of
incident investigations, leaving facilities to cobble together pieces of
information
from multiple sources to determine what occurred. The authors also suggest
further
pump enhancements, challenging pump manufacturers to go to the next level of
integration and enable greater patient safety with smart infusion pumps.
FAU - Ibey, Andrew A M
AU - Ibey AA
AUID- ORCID: 0000-0003-1632-8038
AD - Department of Biomedical Engineering, Providence Healthcare, Vancouver
General
Hospital, 855 West 12th Ave, Vancouver, BC, V5Z 1M9, Canada.
aibey@providencehealth.bc.ca.
FAU - Andrews, Derek
AU - Andrews D
AD - Department of Pharmacy, Vancouver Coastal Health, Lions Gate Hospital, North
Vancouver, BC, Canada.
FAU - Ferreira, Barb
AU - Ferreira B
AD - Department of Acute and Chronic Health, Vancouver Coastal Health, Lions Gate
Hospital, North Vancouver, BC, Canada.
LA - eng
TA - Drug Saf Case Rep
JT - Drug safety - case reports
JID - 101674544
PMC - PMC5005606
COIS- Compliance with Ethical Standards Written informed consent was obtained from
the
patient’s next of kin for the publication of this case report. A copy of the
written
consent may be requested for review from the corresponding author. The views
and
opinions expressed in this article are those of the author alone and do not
necessarily represent the views or opinions of CareFusion or Becton,
Dickinson and
Company. Funding No financial support was received for the conduct of this
study or
preparation of this manuscript.
EDAT- 2016/10/18 06:00
MHDA- 2016/10/18 06:01
CRDT- 2016/10/18 06:00
PHST- 2016/10/18 06:00 [entrez]
PHST- 2016/10/18 06:00 [pubmed]
PHST- 2016/10/18 06:01 [medline]
AID - 10.1007/s40800-016-0026-8 [pii]
AID - 26 [pii]
AID - 10.1007/s40800-016-0026-8 [doi]
PST - ppublish
SO - Drug Saf Case Rep. 2016 Dec;3(1):3. doi: 10.1007/s40800-016-0026-8.
PMID- 24918185
OWN - NLM
STAT- MEDLINE
DCOM- 20140812
LR - 20140611
IS - 2040-2295 (Print)
IS - 2040-2295 (Linking)
VI - 5
IP - 2
DP - 2014
TI - Reducing hospital ICU noise: a behavior-based approach.
PG - 229-46
LID - 10.1260/2040-2295.5.2.229 [doi]
AB - Noise in Intensive Care Units (ICUs) is gaining increasing attention as a
significant source of stress and fatigue for nursing staff. Extensive
research
indicates that hospital noise also has negative impact on patients. The
objective of
this study was to analyze noise variations as experienced by both nursing
staff and
patients, to gain a better understanding of noise levels and frequencies
observed in
ICU settings over extended (week-long) durations, and to implement a low cost
behavior modification program to reduce noise. The results of our study

indicate
that behavioral modification alone is not adequate to control excessive
noise. There
is a need for further research involving the supportive involvement by
clinicians,
ICU staff, along with effective medical device alarm management, and
continuous
process improvement methods.
FAU - Konkani, Avinash
AU - Konkani A
AD - Department of Industrial and Systems Engineering, Oakland University,
Rochester, MI,
USA Department of Clinical Engineering, University of Virginia Health System,
Charlottesville, VA, USA.

FAU - Oakley, Barbara
AU - Oakley B
AD - Department of Industrial and Systems Engineering, Oakland University,
Rochester, MI,
USA.
FAU - Penprase, Barbara
AU - Penprase B
AD - School of Nursing, Oakland University, Rochester, MI, USA.
LA - eng
PL - England
TA - J Healthc Eng
JT - Journal of healthcare engineering
JID - 101528166
SB - IM
MH - Environmental Monitoring
MH - Humans
MH - Length of Stay
MH - Noise, Occupational/*prevention & control
MH - Nurses/psychology/statistics & numerical data
MH - *Occupational Health
MH - Patients' Rooms
OTO - NOTNLM
OT - hospital noise
OT - noise pollution
OT - occupational noise
OT - occupational stress
OT - patient safety
OT - performance obstacle
EDAT- 2014/06/12 06:00
MHDA- 2014/08/13 06:00
CRDT- 2014/06/12 06:00
PHST- 2014/06/12 06:00 [entrez]
PHST- 2014/06/12 06:00 [pubmed]
PHST- 2014/08/13 06:00 [medline]
AID - 1W42831765N63817 [pii]
AID - 10.1260/2040-2295.5.2.229 [doi]
PST - ppublish
SO - J Healthc Eng. 2014;5(2):229-46. doi: 10.1260/2040-2295.5.2.229.
PMID- 26208535
OWN - NLM
STAT- MEDLINE
DCOM- 20170317
LR - 20181113
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 25
IP - 5
DP - 2016 May
TI - Psychometric properties of the AHRQ Community Pharmacy Survey on Patient
Safety
Culture: a factor analysis.
PG - 355-63
LID - 10.1136/bmjqs-2015-004001 [doi]
AB - BACKGROUND: The U.S. Agency for Healthcare Research and Quality (AHRQ)
developed a
hospital patient safety culture survey in 2004 and has adapted this survey to
other
healthcare settings, such as nursing homes and medical offices, and most
recently,
community pharmacies. However, it is unknown whether safety culture
dimensions
developed for hospitals can be transferred to community pharmacies. The aim
of this
study was to assess the psychometric properties of the Community Pharmacy
Survey on
Patient Safety Culture. METHOD: The survey was administered to 543 community
pharmacists in Wisconsin, USA. Confirmatory factor analysis was used to
assess the
fit of our data with the proposed AHRQ model. Exploratory factor analysis was
used
to determine the underlying factor structure. Internal consistency
reliabilities
were calculated. RESULTS: A total of 433 usable surveys were returned
(response rate
80%). Results from the confirmatory factor analysis showed inadequate model
fit for
the original 36 item, 11-factor structure. Exploratory factor analysis showed
that a
modified 27-item, four-factor structure better reflected the underlying
safety
culture dimensions in community pharmacies. The communication openness
factor, with
three items, dropped in its entirety while six items dropped from multiple
factors.
The remaining 27 items redistributed to form the four-factor structure:
safety-related communication, staff training and work environment,
organisational
response to safety events, and staffing, work pressure and pace. Cronbach's α
of
0.95 suggested good internal consistency. CONCLUSIONS: Our findings suggest
that
validation studies need to be conducted before applying safety dimensions
from other
healthcare settings into community pharmacies.
not
FAU - Aboneh, Ephrem A
AU - Aboneh EA
AD - Social & Administrative Sciences Division, School of Pharmacy, University of
Wisconsin-Madison, Madison, Wisconsin, USA.
FAU - Look, Kevin A
AU - Look KA
FAU - Stone, Jamie A
AU - Stone JA
FAU - Lester, Corey A
AU - Lester CA
FAU - Chui, Michelle A
AU - Chui MA
LA - eng
DEP - 20150724
TA - BMJ Qual Saf
JID - 101546984
SB - H
MH - Community Health Services
MH - Female
MH - Humans
MH - Male
MH - Patient Safety
MH - Pharmacies/*organization & administration
MH - *Psychometrics
MH - Wisconsin
PMC - PMC4786462
MID - NIHMS764608
OTO - NOTNLM
OT - Patient safety
OT - Safety culture
EDAT- 2015/07/26 06:00
MHDA- 2017/03/18 06:00
CRDT- 2015/07/26 06:00
PHST- 2015/01/23 00:00 [received]
PHST- 2015/07/03 00:00 [accepted]
PHST- 2015/07/26 06:00 [entrez]
PHST- 2015/07/26 06:00 [pubmed]
PHST- 2017/03/18 06:00 [medline]
AID - bmjqs-2015-004001 [pii]
AID - 10.1136/bmjqs-2015-004001 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2016 May;25(5):355-63. doi: 10.1136/bmjqs-2015-004001. Epub
2015 Jul
24.
PMID- 22687736
OWN - NLM
STAT- MEDLINE
DCOM- 20130408
LR - 20190724
IS - 0031-6903 (Linking)
VI - 132
IP - 6
DP - 2012
TI - [Establishment of an educational program concerning adverse drug reaction
reporting-system in long-term practical training at a hospital].
PG - 769-75
AB - The model core curriculum for pharmaceutical education specifies the specific
behavioral objectives (SBOs) concerning adverse drug reactions, which aims to

train
pharmacy students to manage adverse drug reactions. Fukuoka University
Hospital has
developed a problem-based learning (PBL) program concerning adverse drug
reactions
as long-term practical training to collect adverse event information,
identify
adverse effects, and acquire management skills. Students' level of
satisfaction with
the program was high (approximately 90%), and the mean self-evaluation score
for the
SBOs concerning adverse reaction was 4.4 (5-grade scale), showing a high
level of
understanding. In addition, students' will of participation to the adverse
drug
reaction-reporting system was significantly improved after the PBL program,
showing
the usefulness of this program (p=0.02). However, the results of the PBL
program
revealed students' insufficient knowledge of adverse reactions and lack of
reviewing
skills, suggesting the need to improve the education system whereby students
can
learn adverse drug reactions in clinical settings.
FAU - Yamamoto, Tomoka
AU - Yamamoto T
AD - Department of Pharmacy, Fukuoka University Hospital, Japan. tomokay@fukuoka-
u.ac.jp
FAU - Ueno, Masayo
AU - Ueno M
FAU - Ueyama, Miho
AU - Ueyama M
FAU - Okamura, Asami
AU - Okamura A
FAU - Washiyama, Atsushi
AU - Washiyama A
FAU - Shibaguchi, Hirotomo
AU - Shibaguchi H
FAU - Futagami, Koujiro
AU - Futagami K
LA - jpn
PL - Japan
TA - Yakugaku Zasshi
JT - Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan
JID - 0413613
SB - IM
MH - *Adverse Drug Reaction Reporting Systems
MH - Diagnostic Self Evaluation
MH - Drug-Related Side Effects and Adverse Reactions/epidemiology
MH - *Education, Pharmacy
MH - Humans
MH - Japan
MH - Personal Satisfaction
MH - *Problem-Based Learning
MH - *Students, Pharmacy/psychology
MH - Time Factors
EDAT- 2012/06/13 06:00
MHDA- 2013/04/09 06:00
CRDT- 2012/06/13 06:00
PHST- 2012/06/13 06:00 [entrez]
PHST- 2012/06/13 06:00 [pubmed]
PHST- 2013/04/09 06:00 [medline]
AID - DN/JST.JSTAGE/yakushi/132.769 [pii]
AID - 10.1248/yakushi.132.769 [doi]
PST - ppublish
SO - Yakugaku Zasshi. 2012;132(6):769-75. doi: 10.1248/yakushi.132.769.
PMID- 27578187
OWN - NLM
STAT- MEDLINE
DCOM- 20180102
LR - 20181113
IS - 0103-0582 (Print)
IS - 0103-0582 (Linking)
VI - 34
IP - 4
DP - 2016 Dec
TI - Relation between safe use of medicines and Clinical Pharmacy Services at
Pediatric
Intensive Care Units.
PG - 397-402
LID - S0103-0582(16)30002-8 [pii]
LID - 10.1016/j.rpped.2016.03.004 [doi]
AB - OBJECTIVE: Clinical Pharmacy Services (CPS) are considered standard of care
and they
are endorsed by the Joint Commission International, the American Academy of
Pediatrics, and the American College of Clinical Pharmacy. In Brazil, single
experiences have been discreetly arising and the importance of these services
to
children and adolescents care has led to interesting results, but certainly
are
under reported. This short report aims to discuss the effect of implementing
a
bedside CPS at a Brazilian Pediatric Intensive Care Unit (PICU). METHODS:
This is a
cross-sectional study conducted in a 12 bed PICU community hospital, from
Campo
Largo/Brazil. Subjects with<18 years old admitted to PICU were included for
descriptive analysis if received a CPS intervention. RESULTS: Of 53 patients
accompanied, we detected 141 preventable drug-related problems (DRPs) which
were
solved within clinicians (89% acceptance of all interventions). The most
common
interventions performed to improve drug therapy included: preventing
incompatible
intravenous solutions (21%) and a composite of inadequate doses (17% due to
low,
high and non-optimized doses). Among the top ten medications associated with
DRPs,
five were antimicrobials. By analyzing the correlation between DRPs and PICU
length
of stay, we found that 74% of all variations on length of stay were
associated with
the number of DRPs. CONCLUSIONS: Adverse drug reactions due to avoidable DRPs
can be
prevented by CPS in a multifaceted collaboration with other health care
professionals, who should attempt to use active and evidence-based strategies
to
reduce morbidity related to medications.
CI - Copyright © 2016. Publicado por Elsevier Editora Ltda.
FAU - Okumura, Lucas Miyake
AU - Okumura LM
AD - Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil. Electronic
address:
lucasokumura@yahoo.com.br.
FAU - Silva, Daniella Matsubara da
AU - Silva DM
AD - Hospital Infantil Waldemar Monastier, Campo Largo, PR, Brasil.
FAU - Comarella, Larissa
AU - Comarella L
AD - Hospital Infantil Waldemar Monastier, Campo Largo, PR, Brasil.
LA - eng
LA - por
TT - Relação entre o uso seguro de medicamentos e Serviços de Farmácia Clínica em
Unidades de Cuidados Intensivos Pediátricos.
DEP - 20160812
TA - Rev Paul Pediatr
JT - Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de
Sao Paulo
JID - 9109353
SB - IM
MH - Brazil
MH - Female
MH - Humans
MH - Infant
MH - *Intensive Care Units, Pediatric
MH - Male
PMC - PMC5176057
OABL- por
OTO - NOTNLM
OT - Critical care
OT - Cuidados intensivos
OT - Drug‐related side effects and adverse reactions
OT - Efeitos colaterais relacionados a medicamentos e reações adversas
OT - Erros de medicação
OT - Intensive Care Units, Pediatric
OT - Patient safety
OT - Pharmacy Service, Hospital
OT - Segurança do paciente
OT - Serviço de Farmácia, Hospital
OT - Unidades de Cuidado Intensivo Pediátrico
EDAT- 2016/09/01 06:00
MHDA- 2018/01/03 06:00
CRDT- 2016/09/01 06:00
PHST- 2016/01/15 00:00 [received]
PHST- 2016/03/11 00:00 [revised]
PHST- 2016/03/17 00:00 [accepted]
PHST- 2016/09/01 06:00 [pubmed]
PHST- 2018/01/03 06:00 [medline]
PHST- 2016/09/01 06:00 [entrez]
AID - S0103-0582(16)30002-8 [pii]
AID - 10.1016/j.rpped.2016.03.004 [doi]
PST - ppublish
SO - Rev Paul Pediatr. 2016 Dec;34(4):397-402. doi: 10.1016/j.rpped.2016.03.004.
Epub
2016 Aug 12.
PMID- 26761245
OWN - NLM
DCOM- 20160115
LR - 20160114
IS - 1679-4508 (Print)
IS - 1679-4508 (Linking)
VI - 9
IP - 4
DP - 2011 Dec
TI - Implementation and progress of clinical pharmacy in the rational medication
use in a
large tertiary hospital.
PG - 456-60
LID - S1679-45082011000400456 [pii]
LID - 10.1590/S1679-45082011AO2140 [doi]
AB - OBJECTIVE: To show developments and contributions of a clinical pharmacy
service in
safety and rational use of medications in a large tertiary hospital. METHODS:
Clinical pharmacists were responsible for all issues using medications at the
hospital. In the beginning this professional was responsible for analyzing

medical
prescriptions, horizontal visits, and to set up protocols. Afterwards, other
activities were designated such as monitoring for drug safety, participating
in
committees and managed routines. If problems were found, the pharmacist
reported
them for the physician and, after intervention, registered the management on
the
prescription or in medical records. The data collected were presented as
reports to
medical managers. RESULTS: There was an increase of clinical pharmacist
employed in
2010, reaching 22 individuals. Interventions types also increased from 1,706
in 2003
to 30,727 in 2010. The adhesion observed in medical team in 2003 was 93.4%,
reaching
99.5% of adhesion in 2010. CONCLUSION: Clinical pharmacy service shows a
positive
impact when it comes to performed interventions. It also promotes a rational
use of
medicines and increase patient safety. Pharmacists were included and their
importance confirmed within the multidisciplinary team and in the process of
patient
safety.
FAU - Ferracini, Fábio Teixeira
AU - Ferracini FT
AD - Hospital Israelita Albert Einstein - HIAE, São Paulo, SP, BR.
FAU - Almeida, Silvana Maria de
AU - Almeida SM
FAU - Locatelli, Juliana
AU - Locatelli J
FAU - Petriccione, Sandra
AU - Petriccione S
FAU - Haga, Celina Setsuko
AU - Haga CS
LA - eng
LA - por
PL - Brazil
JID - 101281800
EDAT- 2011/12/01 00:00
MHDA- 2011/12/01 00:01
CRDT- 2016/01/14 06:00
PHST- 2011/06/13 00:00 [received]
PHST- 2011/11/08 00:00 [accepted]
PHST- 2016/01/14 06:00 [entrez]
PHST- 2011/12/01 00:00 [pubmed]
PHST- 2011/12/01 00:01 [medline]
AID - S1679-45082011000400456 [pii]
AID - 10.1590/S1679-45082011AO2140 [doi]
PST - ppublish
SO - Einstein (Sao Paulo). 2011 Dec;9(4):456-60. doi: 10.1590/S1679-
45082011AO2140.
PMID- 31156847
OWN - NLM
LR - 20200225
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 23
IP - 4
DP - 2016 Jul
TI - An automated medication system reduces errors in the medication
administration
process: results from a Danish hospital study.
PG - 189-196
LID - 10.1136/ejhpharm-2015-000749 [doi]
AB - OBJECTIVES: Improvements in a hospital's medication administration process
might
reduce the prevalence of medication errors and improve patient safety. The
objective
of this study was to evaluate the success of an automated medication system
in
reducing medication administration errors. METHODS: A controlled before-and-
after
study with follow-up after 4 months was conducted in two Danish
haematological
hospital wards. The occurrence of administration errors was observed in two
3-week
periods. The error rate was calculated by dividing the number of doses with
one or
more errors by the number of doses (opportunities for errors). Logistic
regression
was used to assess changes in error rates after implementation of the
automated
medication system with time, group, and interaction between time and group as
independent variables. The estimated parameter for the interaction term was
interpreted as the incremental change ('difference-in-difference') caused by
the new
dispensing system. RESULTS: A total of 697 doses with one or more errors were
identified out of 2245 doses. The error rate decreased from 0.35 at baseline
to 0.17
at follow-up in the intervention ward and from 0.37 to 0.35 in the control
ward. The
overall risk of errors was reduced by 57% in the intervention ward compared
with the
control ward (OR 0.43; 95% CI 0.30 to 0.63). CONCLUSIONS: The automated
medication
system reduced the error rate of the medication administration process and
thus
improved patient safety in the medication process.
FAU - Risør, Bettina Wulff
AU - Risør BW
AD - Department of Public Health, Centre for Health Economics Research (COHERE),
University of Southern Denmark, Odense C, Denmark.
AD - Hospital Pharmacy, Central Denmark Region, Aarhus C, Denmark.
FAU - Lisby, Marianne
AU - Lisby M
AD - Research Centre of Emergency Medicine, Aarhus University Hospital, Aarhus C,
Denmark.
FAU - Sørensen, Jan
AU - Sørensen J
AD - Department of Public Health, Centre for Health Economics Research (COHERE),
University of Southern Denmark, Odense C, Denmark.
LA - eng
DEP - 20151127
JID - 101578294
PMC - PMC6451540
OTO - NOTNLM
OT - MEDICAL ERRORS
EDAT- 2016/07/01 00:00
MHDA- 2016/07/01 00:01
CRDT- 2019/06/04 06:00
PHST- 2015/07/11 00:00 [received]
PHST- 2015/09/09 00:00 [revised]
PHST- 2015/11/02 00:00 [accepted]
PHST- 2019/06/04 06:00 [entrez]
PHST- 2016/07/01 00:00 [pubmed]
PHST- 2016/07/01 00:01 [medline]
AID - 10.1136/ejhpharm-2015-000749 [doi]
PST - ppublish
SO - Eur J Hosp Pharm. 2016 Jul;23(4):189-196. doi: 10.1136/ejhpharm-2015-000749.
Epub
2015 Nov 27.
PMID- 26759617
OWN - NLM
DCOM- 20160113
LR - 20201001
IS - 1885-642X (Print)
VI - 13
IP - 4
DP - 2015 Oct-Dec
TI - Impact of pharmacy-led medication reconciliation on medication errors during
transition in the hospital setting.
PG - 634
LID - 634
AB - OBJECTIVE: To assess if the pharmacy department should be more involved in
the
medication reconciliation process to assist in the reduction of medication
errors
that occur during transition of care points in the hospital setting. METHODS:
This
was an observational prospective cohort study at a 531-bed hospital in
Pensacola, FL
from June 1, 2014 to August 31, 2014. Patients were included in the study if
they
had health insurance and were taking five or more medications. Patients with
congestive heart failure were excluded from the study. Student pharmacists
collected
and evaluated medication histories obtained from patients' community
pharmacies, and
directed patient interviews. Primary care providers were only contacted on an
as
needed basis. The information collected was presented to the clinical
pharmacist,
where interventions were made utilizing clinical judgment. RESULTS: During
the three
month study, 1045 home medications were reviewed by student pharmacist. Of
these,
290 discrepancies were discovered (27.8%; p=0.02). The most common medication
discrepancy found was dose optimization (45.5%). The remaining discrepancies

included: added therapy (27.6%), other (15.2%), and discontinued therapy
(11.7%).
Pharmacists made 143 interventions based on clinical judgment (49.3%;
p=0.04).
CONCLUSION: Involvement of pharmacy personnel during the medication
reconciliation
process can be an essential component in reducing medical errors. With the
addition
of the pharmacy department during the admission process, accuracy, cost
savings, and
patient safety across all phases and transition points of care were achieved.
FAU - Smith, Lillian
AU - Smith L
AD - Assistant Professor of Pharmacy Practice. Florida Agricultural & Mechanical
University . Tallahassee, FL ( United States ). Lillian.smith@famu.edu.
FAU - Mosley, Juan
AU - Mosley J
AD - Assistant Professor of Pharmacy Practice. Florida Agricultural & Mechanical
University . Tallahassee, FL ( United States ). juan.mosley@famu.edu.
FAU - Lott, Sonia
AU - Lott S
AD - Director of Pharmacy and Co-Ethics & Compliance Officer. West Florida
Hospital
Pharmacy. Pensacola, FL ( United States ). sonia.lott@hcahealthcare.com.
FAU - Cyr, Ernie Jr
AU - Cyr E Jr
AD - Clinical Coordinator and Residency Program Director. West Florida Hospital.
Pensacola, FL ( United States ). ernie.cyr@hcahealthcare.com.
FAU - Amin, Raid
AU - Amin R
AD - Department of Mathematics and Statistics Professor. University of West
Florida .
Pensacola, FL ( United States ). ramin@uwf.edu.
FAU - Everton, Emily
AU - Everton E
AD - Florida Agricultural & Mechanical University . Tallahassee, FL ( United
States ).
emily1.everton@famu.edu.
FAU - Islami, Abdullah
AU - Islami A
States ).
abdullah1.islami@famu.edu.
FAU - Phan, Linh
AU - Phan L
States ).
linh1.phan@famu.edu.
FAU - Komolafe, Opeyemi
AU - Komolafe O
States ).
opeyemi1.komolafe@famu.edu.
LA - eng
DEP - 20151215
JID - 101530029
PMC - PMC4696120
OTO - NOTNLM
OT - Hospital
OT - Medication Reconciliation
OT - Patient Admission
OT - Pharmacists
OT - Pharmacy
OT - Pharmacy Service
OT - Students
OT - United States
COIS- CONFLICT OF INTEREST The authors of this manuscript report no conflicts of
interest
including, but not limited to, consulting fees, paid expert testimony,
employment,
grants, honoraria, patents, royalties, stocks, or other financial or material
gain
that may involve the subject matter of the manuscript.
EDAT- 2016/01/14 06:00
MHDA- 2016/01/14 06:01
CRDT- 2016/01/14 06:00
PHST- 2015/07/06 00:00 [received]
PHST- 2015/12/02 00:00 [accepted]
PHST- 2016/01/14 06:00 [entrez]
PHST- 2016/01/14 06:00 [pubmed]
PHST- 2016/01/14 06:01 [medline]
PST - ppublish
SO - Pharm Pract (Granada). 2015 Oct-Dec;13(4):634. doi:
10.18549/PharmPract.2015.04.634.
Epub 2015 Dec 15.
PMID- 24678854
OWN - NLM
DCOM- 20140520
LR - 20200930
IS - 1754-9493 (Print)
IS - 1754-9493 (Linking)
VI - 8
DP - 2014
TI - Implementation of the WHO Surgical Safety Checklist in an Ethiopian Referral
Hospital.
PG - 16
LID - 10.1186/1754-9493-8-16 [doi]
AB - BACKGROUND: The WHO Surgical Safety Checklist has a growing evidence base to
support
its role in improving perioperative safety, although its impact is likely to
be
directly related to the effectiveness of its implementation. There remains a
paucity
of documented experience from low-resource settings on Checklist
implementation
approaches. We report an implementation strategy in a public referral
hospital in
Addis Ababa, Ethiopia, based on consultation, local leadership, formal
introduction,
and supported supervision with subsequent audit and feedback. METHODS:
Planning,
implementation and assessment took place from December 2011 to December 2012.
The
planning phase, from December 2011 until April 2012, involved a
multidisciplinary
consultative approach using local leaders, volunteer clinicians, and staff
from
non-governmental organisations, to draw up a locally agreed and appropriate
Checklist. Implementation in April 2012 involved formal teaching and
discussion,
simulation sessions and role play, with supportive supervision following
implementation. Assessment was performed using completed Checklist analysis
and
staff satisfaction questionnaires at one month and further Checklist analysis
combined with semi-structured interviews in December 2012. RESULTS AND

DISCUSSION:
Checklist compliance rates were 83% for general anaesthetics at one month
after
implementation, with an overall compliance rate of 65% at eight months. There
was a
decrease in Checklist compliance over the period of the study to less than
20% by
the end of the study period. The 'Sign out' section was reported as being the
most
difficult section of the Checklist to complete, and was missed completely in
21% of
cases. The most commonly missed single item was the team introduction at the
start
of each case. However, we report high staff satisfaction with the Checklist
and
enthusiasm for its continued use. CONCLUSION: We report a detailed
implementation
strategy for introducing the WHO Surgical Safety Checklist to a low-resource
setting. We show that this approach can lead to high completion rates and
high staff
satisfaction, albeit with a drop in completion rates over time. We argue that
maximal benefit of the Surgical Safety Checklist is likely to be when it

engenders a
conversation around patient safety within a department, and when there is
local
ownership of this process.
FAU - Bashford, Tom
AU - Bashford T
AD - Division of Anaesthesia, Addenbrooke's Hospital, University of Cambridge,
Cambridge
CB2 0QQ, UK.
FAU - Reshamwalla, Sophie
AU - Reshamwalla S
AD - Lifebox Foundation, London, UK.
FAU - McAuley, Jacqueline
AU - McAuley J
AD - School of Nursing & Midwifery, Glasgow Caledonian University, Glasgow, UK.
FAU - Allen, Nikole H
AU - Allen NH
AD - Global Health Leadership Institute, Yale University, New Haven, Connecticut,
USA.
FAU - McNatt, Zahirah
AU - McNatt Z
AD - Global Health Leadership Institute, Yale University, New Haven, Connecticut,
USA.
FAU - Gebremedhen, Yohannes D
AU - Gebremedhen YD
AD - Department of Plastic and Reconstructive Surgery, Yekatit 12 Hospital, Addis
Ababa,
Ethiopia.
LA - eng
DEP - 20140328
JID - 101319176
PMC - PMC4022152
OTO - NOTNLM
OT - Anaesthesia
OT - Checklists
OT - Ethiopia
OT - Low-resource settings
OT - Patient safety
OT - Surgery
EDAT- 2014/04/01 06:00
MHDA- 2014/04/01 06:01
CRDT- 2014/04/01 06:00
PHST- 2014/01/28 00:00 [received]
PHST- 2014/03/22 00:00 [accepted]
PHST- 2014/04/01 06:00 [entrez]
PHST- 2014/04/01 06:00 [pubmed]
PHST- 2014/04/01 06:01 [medline]
AID - 1754-9493-8-16 [pii]
AID - 10.1186/1754-9493-8-16 [doi]
PST - epublish
SO - Patient Saf Surg. 2014 Mar 28;8:16. doi: 10.1186/1754-9493-8-16. eCollection
2014.
PMID- 22479087
OWN - NLM
DCOM- 20120823
LR - 20190608
IS - 0008-4123 (Print)
IS - 0008-4123 (Linking)
VI - 64
IP - 5
DP - 2011 Sep
TI - Retrospective audit of medication order turnaround time after implementation
of
standardized definitions.
PG - 346-53
AB - BACKGROUND: Standardizing the interpretation of "stat", "emergent", "urgent",
and
"now" medication orders can improve patient safety. However, the effect of
implementing standardized definitions on the turnaround time for medication
orders
in hospital pharmacy dispensaries has not been studied. OBJECTIVES: To
examine the
effects of using formal definitions for "stat", "emergent", "urgent", and
"now" on
turnaround time for medication orders within a pharmacy dispensary. METHODS:
Definitions for "stat", "emergent", "urgent", and "now" orders, as well as
for
"turnaround time", were developed from the formal literature and the grey
literature. The definitions were implemented by educating all pharmacy staff.
Retrospective audits of turnaround time were conducted at baseline (for all

orders
over a 1-month period) and after implementation of the definitions (for a
total of
28 days over a 3-month period). Health records and medication orders were
used to
calculate time from prescribing to administration (total turnaround time) and
time
from prescribing to departure from the dispensary (dispensary turnaround
time).
Differences between total and dispensary turnaround times were compared with
nonparametric statistics. RESULTS: During the baseline audit period, 84
(1.1%) of
7787 orders were identified as "stat", "emergent", "urgent", or "now". After
implementation of the formal definitions, 142 (2.6%) of 5365 orders were
identified
by one of these terms. The percentage of orders meeting the target dispensary
turnaround time of less than 15 min was at least 90% both at baseline (76/84
[90%])
and after implementation (129/142 [91%]) (p = 0.80). Median dispensary
turnaround
time for stat and emergent medication orders combined (10 versus 9 min, p =
0.27)
and for urgent and now medication orders combined (10 versus 12 min, p =
0.09) did
not change after implementation of formal definitions. Similarly, median
total
turnaround time did not change for stat and emergent medication orders
combined (30
versus 45 min, p = 0.32), but it increased for urgent and now orders combined
(35
versus 45 min, p = 0.041). CONCLUSIONS: Implementing standardized definitions
for
"stat", "emergent", "urgent", and "now" had no significant effect on
dispensary
turnaround time. However, the majority of orders with these designations met
the
expected target for dispensary turnaround time. Further interventions aimed
at other
health care professionals may be needed to reduce total turnaround time. This
research supports the concept of interdisciplinary interventions for reducing

total
turnaround time.
FAU - Naylor, Heather
AU - Naylor H
AD - , BScPharm, ACPR, is with the Winnipeg Regional Health Authority Pharmacy
Program,
Seven Oaks General Hospital Site, Winnipeg, Manitoba.
FAU - Woloschuk, Donna M M
AU - Woloschuk DM
FAU - Fitch, Patrick
AU - Fitch P
FAU - Miller, Sarah
AU - Miller S
LA - eng
JID - 0215645
PMC - PMC3203827
OABL- fre
OTO - NOTNLM
OT - medication
OT - stat
OT - turnaround time
OT - urgent
EDAT- 2012/04/06 06:00
MHDA- 2012/04/06 06:01
CRDT- 2012/04/06 06:00
PHST- 2012/04/06 06:00 [entrez]
PHST- 2012/04/06 06:00 [pubmed]
PHST- 2012/04/06 06:01 [medline]
AID - 10.4212/cjhp.v64i5.1070 [doi]
PST - ppublish
SO - Can J Hosp Pharm. 2011 Sep;64(5):346-53. doi: 10.4212/cjhp.v64i5.1070.
PMID- 28114911
OWN - NLM
STAT- MEDLINE
DCOM- 20171004
LR - 20181113
IS - 1472-6939 (Linking)
VI - 18
IP - 1
DP - 2017 Jan 23
TI - The intention to disclose medical errors among doctors in a referral hospital
in
North Malaysia.
PG - 3
LID - 10.1186/s12910-016-0161-x [doi]
LID - 3
AB - BACKGROUND: In this study, medical errors are defined as unintentional
patient harm
caused by a doctor's mistake. This topic, due to limited research, is poorly
understood in Malaysia. The objective of this study was to determine the
proportion
of doctors intending to disclose medical errors, and their
attitudes/perception
pertaining to medical errors. METHODS: This cross-sectional study was
conducted at a
tertiary public hospital from July- December 2015 among 276 randomly selected
doctors. Data was collected using a standardized and validated self-

administered
questionnaire intending to measure disclosure and attitudes/perceptions. The
scale
had four vignettes in total two medical and two surgical. Each vignette
consisted of
five questions and each question measured the disclosure. Disclosure was
categorised
as "No Disclosure", "Partial Disclosure" or "Full Disclosure". Data was keyed
in and
analysed using STATA v 13.0. RESULTS: Only 10.1% (n = 28) intended to
disclose
medical errors. Most respondents felt that they possessed an
attitude/perception of
adequately disclosing errors to patients. There was a statistically
significant
difference (p < 0.001) when comparing the intention of disclosure with
perceived
disclosures. Most respondents were in common agreement that disclosing an
error
would make them less likely to get sued, that minor errors should be reported
and
that they experienced relief from disclosing errors. CONCLUSION: Most doctors
in
this study would not disclose medical errors although they perceived that the
errors
were serious and felt responsible for it. Poor disclosure could be due the
fear of
litigations and improper mechanisms/procedures available for disclosure.
FAU - Hs, Arvinder-Singh
AU - Hs AS
AD - Masters in Health Research (RCSI, Hons), Penang Medical College, Georgetown,
Pulau
Pinang, Malaysia. arvinder.singh.r@gmail.com.
AD - Clinical Research Centre (Perak), 4th Floor Ambulatory Care Centre (ACC),
Raja
Permaisuri Bainun Hospital, Jalan Raja Ashman Shah, Ipoh, 30450, Perak,
Malaysia.
arvinder.singh.r@gmail.com.
FAU - Rashid, Abdul
AU - Rashid A
AD - Department of Public Health, Penang Medical College, Georgetown, Pulau
Pinang,
Malaysia.
LA - eng
DEP - 20170123
TA - BMC Med Ethics
JT - BMC medical ethics
JID - 101088680
SB - E
SB - IM
MH - Adult
MH - Female
MH - Hospitals
MH - Humans
MH - *Intention
MH - Malaysia
MH - Male
MH - Physicians
MH - *Truth Disclosure
PMC - PMC5259943
EDAT- 2017/01/25 06:00
MHDA- 2017/10/05 06:00
CRDT- 2017/01/25 06:00
PHST- 2016/09/10 00:00 [received]
PHST- 2016/12/22 00:00 [accepted]
PHST- 2017/01/25 06:00 [entrez]
PHST- 2017/01/25 06:00 [pubmed]
PHST- 2017/10/05 06:00 [medline]
AID - 10.1186/s12910-016-0161-x [pii]
AID - 161 [pii]
AID - 10.1186/s12910-016-0161-x [doi]
PST - epublish
SO - BMC Med Ethics. 2017 Jan 23;18(1):3. doi: 10.1186/s12910-016-0161-x.
PMID- 25873486
OWN - NLM
STAT- MEDLINE
DCOM- 20160226
LR - 20181202
IS - 1553-5592 (Print)
IS - 1553-5592 (Linking)
VI - 10
IP - 6
DP - 2015 Jun
TI - Association between exposure to nonactionable physiologic monitor alarms and
response time in a children's hospital.
PG - 345-51
LID - 10.1002/jhm.2331 [doi]
AB - BACKGROUND: Alarm fatigue is reported to be a major threat to patient safety,
yet
little empirical data support its existence in the hospital. OBJECTIVE: To
determine
if nurses exposed to high rates of nonactionable physiologic monitor alarms
respond
more slowly to subsequent alarms that could represent life-threatening
conditions.
DESIGN: Observational study using video. SETTING: Freestanding children's
hospital.
PATIENTS: Pediatric intensive care unit (PICU) patients requiring inotropic
support
and/or mechanical ventilation, and medical ward patients. INTERVENTION: None.
MEASUREMENTS: Actionable alarms were defined as correctly identifying

physiologic
status and warranting clinical intervention or consultation. We measured
response
time to alarms occurring while there were no clinicians in the patient's
room. We
evaluated the association between the number of nonactionable alarms the
patient had
in the preceding 120 minutes (categorized as 0-29, 30-79, or 80+ alarms) and
response time to subsequent alarms in the same patient using a log-rank test
that
accounts for within-nurse clustering. RESULTS: We observed 36 nurses for 210
hours
with 5070 alarms; 87.1% of PICU and 99.0% of ward clinical alarms were
nonactionable. Kaplan-Meier plots showed incremental increases in response
time as
the number of nonactionable alarms in the preceding 120 minutes increased
(log-rank
test stratified by nurse P < 0.001 in PICU, P = 0.009 in the ward).
CONCLUSIONS:
Most alarms were nonactionable, and response time increased as nonactionable
alarm
exposure increased. Alarm fatigue could explain these findings. Future
studies
should evaluate the simultaneous influence of workload and other factors that
can
impact response time.
FAU - Bonafide, Christopher P
AU - Bonafide CP
FAU - Lin, Richard
AU - Lin R
AD - Department of Anesthesiology and Critical Care Medicine, The Children's
Hospital of
AD - Department of Anesthesiology and Critical Care, Perelman School of Medicine
at the
University of Pennsylvania, Philadelphia, Pennsylvania.
FAU - Zander, Miriam
AU - Zander M
FAU - Graham, Christian Sarkis
AU - Graham CS
FAU - Paine, Christine W
AU - Paine CW
FAU - Rock, Whitney
AU - Rock W
AD - Department of Biomedical Engineering, The Children's Hospital of
Philadelphia,
FAU - Rich, Andrew
AU - Rich A
AD - Department of Biomedical Engineering, The Children's Hospital of
Philadelphia,
FAU - Roberts, Kathryn E
AU - Roberts KE
AD - Department of Nursing, The Children's Hospital of Philadelphia, Philadelphia,
Pennsylvania.
FAU - Fortino, Margaret
AU - Fortino M
AD - Department of Nursing, Hospital of the University of Pennsylvania,
Philadelphia,
Pennsylvania.
FAU - Nadkarni, Vinay M
AU - Nadkarni VM
AD - Department of Anesthesiology and Critical Care Medicine, The Children's
Hospital of
AD - Department of Anesthesiology and Critical Care, Perelman School of Medicine
at the
FAU - Localio, A Russell
AU - Localio AR
AD - Department of Biostatistics and Epidemiology, Perelman School of Medicine at
the
FAU - Keren, Ron
AU - Keren R
LA - eng
DEP - 20150415
TA - J Hosp Med
JID - 101271025
SB - IM
CIN - J Hosp Med. 2015 Jun;10(6):409-10. PMID: 25879176
MH - Adolescent
MH - Child
MH - Clinical Alarms/classification/standards/*statistics & numerical data
MH - Critical Care Nursing/standards/statistics & numerical data
MH - Heart Failure/nursing
MH - Hospitals, Pediatric
MH - Humans
MH - Infant
MH - Intensive Care Units, Pediatric/standards/*statistics & numerical data
MH - Monitoring, Physiologic/instrumentation/*nursing
MH - Nursing Care/psychology/standards/*statistics & numerical data
MH - Pediatric Nursing/standards/statistics & numerical data
MH - *Reaction Time
MH - Respiratory Insufficiency/nursing
MH - Workforce
PMC - PMC4456276
MID - NIHMS663793
EDAT- 2015/04/16 06:00
MHDA- 2016/02/27 06:00
CRDT- 2015/04/16 06:00
PHST- 2014/10/05 00:00 [received]
PHST- 2014/11/25 00:00 [revised]
PHST- 2014/12/07 00:00 [accepted]
PHST- 2015/04/16 06:00 [entrez]
PHST- 2015/04/16 06:00 [pubmed]
PHST- 2016/02/27 06:00 [medline]
AID - 10.1002/jhm.2331 [doi]
PST - ppublish
SO - J Hosp Med. 2015 Jun;10(6):345-51. doi: 10.1002/jhm.2331. Epub 2015 Apr 15.
PMID- 23687461
OWN - NLM
DCOM- 20130521
LR - 20200929
IS - 1512-7680 (Print)
IS - 1512-7680 (Linking)
VI - 25
IP - 1
DP - 2013
TI - Applying theory of planned behavior in predicting of patient safety behaviors
of
nurses.
PG - 52-5
LID - 10.5455/msm.2013.25.52-55 [doi]
AB - BACKGROUND: Patient safety has become a major concern throughout the world.
It is
the absence of preventable harm to a patient during the process of health
care,
ensuring safer care is an enormous challenge, psychosocial variables
influences
behaviors of human. The theory of planned behavior (TPB) is a well-validated
behavioral decision-making model that has been used to predict social and
health
behaviors. This study is aimed to investigate predictors of nurse's patient
safety
intentions and behavior, using a TPB framework. METHODS: Stratified sampling
technique was used to choose 124 nurses who worked at the selected hospitals
of
Isfahan in 2011. Study tool was a questionnaire, designed by researchers team
including 3 nurses a physician and a psychologist based on guideline of TPB

model.
Questionnaire Validity was confirmed by experts and its reliability was
assessed by
Cronbach's alpha as 0.87. Binary logistic regression analysis was performed
to
evaluate how well each TPB variables predicted the variance in patient safety
behavior. Analyzing was done by SPSS18. RESULTS: Finding revealed that

"normative
beliefs" had the greatest influence on nurses intention to implement patient
safety
behaviors. Analyzing data by hospital types and workplace wards showed that
both in
public and private hospitals normative beliefs has affected safety behaviors
of
nurses more than other variables. Also in surgical wards, nurses behaviors
have been
affected by "control beliefs" and in medical wards by normative beliefs.
CONCLUSION:
Normative beliefs, and subjective norms were the most influential factor of
safety
behavior of nurses in this study. Considering the role of cultural context in
these
issues, it seemseducation of managers and top individuals about patient
safety and
its importance is a priority also control believes were another important
predicting
factor of behavior in surgical wards and intensive care units. Regarding the
complexity of work in these spaces, applying medical guidelines and effective
supervision must be seriously followed.

FAU - Javadi, Marzieh
AU - Javadi M
AD - Health Management and Economic Research Center, Isfahan University of Medical
Sciences, Isfahan, Iran.

FAU - Kadkhodaee, Maryam
AU - Kadkhodaee M
FAU - Yaghoubi, Maryam
AU - Yaghoubi M
FAU - Maroufi, Maryam
AU - Maroufi M
FAU - Shams, Asadollah
AU - Shams A
LA - eng
TA - Mater Sociomed
JT - Materia socio-medica
JID - 101281595
PMC - PMC3655788
OTO - NOTNLM
OT - nurses
OT - patient safety
OT - psychology
OT - theory of planned behavior (TPB).
EDAT- 2013/05/21 06:00
MHDA- 2013/05/21 06:01
CRDT- 2013/05/21 06:00
PHST- 2013/01/01 00:00 [received]
PHST- 2013/02/28 00:00 [accepted]
PHST- 2013/05/21 06:00 [entrez]
PHST- 2013/05/21 06:00 [pubmed]
PHST- 2013/05/21 06:01 [medline]
AID - MSM-25-52 [pii]
AID - 10.5455/msm.2013.25.52-55 [doi]
PST - ppublish
SO - Mater Sociomed. 2013;25(1):52-5. doi: 10.5455/msm.2013.25.52-55.
PMID- 27913245
OWN - NLM
STAT- MEDLINE
DCOM- 20180115
LR - 20181202
IS - 1532-0464 (Linking)
VI - 65
DP - 2017 Jan
TI - Contextual Computing: A Bluetooth based approach for tracking healthcare
providers
in the emergency room.
PG - 97-104
LID - S1532-0464(16)30171-X [pii]
LID - 10.1016/j.jbi.2016.11.008 [doi]
AB - Hospital Emergency Departments (EDs) frequently experience crowding. One of
the
factors that contributes to this crowding is the "door to doctor time", which
is the
time from a patient's registration to when the patient is first seen by a
physician.
This is also one of the Meaningful Use (MU) performance measures that
emergency
departments report to the Center for Medicare and Medicaid Services (CMS).
Current
documentation methods for this measure are inaccurate due to the imprecision
in
manual data collection. We describe a method for automatically (in real time)
and
more accurately documenting the door to physician time. Using sensor-based
technology, the distance between the physician and the computer is calculated
by
using the single board computers installed in patient rooms that log each
time a
Bluetooth signal is seen from a device that the physicians carry. This
distance is
compared automatically with the accepted room radius to determine if the
physicians
are present in the room at the time logged to provide greater precision. The
logged
times, accurate to the second, were compared with physicians' handwritten
times,
showing automatic recordings to be more precise. This real time automatic
method
will free the physician from extra cognitive load of manually recording data.
This
method for evaluation of performance is generic and can be used in any other
setting
outside the ED, and for purposes other than measuring physician time.
FAU - Frisby, Joshua
AU - Frisby J
AD - School of Computing, Informatics, and Decision Systems Engineering, Arizona
State
University, Phoenix, AZ, United States. Electronic address:
joshua.frisby@asu.edu.
FAU - Smith, Vernon
AU - Smith V
AD - Department of Emergency Medicine, Mayo Clinic, Phoenix, AZ, United States.
Electronic address: smith.vernon@gmail.com.
FAU - Traub, Stephen
AU - Traub S
AD - Department of Emergency Medicine, Mayo Clinic, Phoenix, AZ, United States.
Electronic address: Traub.Stephen@mayo.edu.
FAU - Patel, Vimla L
AU - Patel VL
AD - Department of Biomedical Informatics, Arizona State University, Phoenix, AZ,
United
States; Center for Cognitive Studies in Medicine and Public Health, The New
York
Academy of Medicine, New York, NY, United States. Electronic address:
vimla.patel@asu.edu.
LA - eng
DEP - 20161129
PL - United States
JID - 100970413
SB - IM
MH - *Automation
MH - *Crowding
MH - *Data Collection
MH - Documentation
MH - Electronics
MH - Humans
MH - Meaningful Use
MH - Physicians
MH - Time Factors
OTO - NOTNLM
OT - *Clinical workflow
OT - *Contextual Computing
OT - *Meaningful Use
OT - *Sensor-based tracking
EDAT- 2016/12/04 06:00
MHDA- 2018/01/16 06:00
CRDT- 2016/12/04 06:00
PHST- 2016/07/15 00:00 [received]
PHST- 2016/11/24 00:00 [revised]
PHST- 2016/11/26 00:00 [accepted]
PHST- 2016/12/04 06:00 [pubmed]
PHST- 2018/01/16 06:00 [medline]
PHST- 2016/12/04 06:00 [entrez]
AID - S1532-0464(16)30171-X [pii]
AID - 10.1016/j.jbi.2016.11.008 [doi]
PST - ppublish
SO - J Biomed Inform. 2017 Jan;65:97-104. doi: 10.1016/j.jbi.2016.11.008. Epub
2016 Nov
29.
PMID- 22134591
OWN - NLM
STAT- MEDLINE
DCOM- 20120328
LR - 20181113
IS - 0950-222X (Print)
VI - 26
IP - 2
DP - 2012 Feb
TI - MRSA: why have we got it and can we do anything about it?
PG - 218-21
LID - 10.1038/eye.2011.314 [doi]
AB - MRSA, first identified in 1960, became a major cause of healthcare-associated
infection with the emergence of epidemic strains EMRSA 15 and 16 in the 1990
s. MRSA
bacteraemia surveillance in England showed a peak of 7700 in 2003-2004. A
target was
set to halve MRSA bacteraemias by 2008 backed by a central improvement
programme for
infection prevention and control. Healthcare-associated infection is a
patient
safety issue with joint responsibility between: clinicians responsible for
patient
care; managers responsible for the organisation of services; and the
government/Department of Health responsible for national strategy,
prioritisation
and performance management, together with introducing a statutory Code of
Practice.
By 2011, the number of MRSA bacteraemias had reduced by 80% to 1481. The key
drivers
of improvement were management responsibility, enhanced surveillance,
adherence to
clinical protocols and care bundles for invasive procedures, hand hygiene and
environmental cleaning, and improved isolation procedures and antibiotic

stewardship. The target has been translated into an ongoing MRSA objective,
and
further control of MRSA is supported by a screening programme aimed at all
relevant
hospital admissions. Sustaining the reduction will depend upon joint
responsibility
between management maintaining compliance assurance with policies and
individual
clinicians keeping it as a priority in patient safety.
FAU - Duerden, B I
AU - Duerden BI
AD - Department of Medical Microbiology, Cardiff University, Chepstow, UK.
bduerden@doctors.org.uk
LA - eng
DEP - 20111202
TA - Eye (Lond)
JT - Eye (London, England)
JID - 8703986
SB - IM
MH - Bacteremia/epidemiology/microbiology/prevention & control
MH - Carrier State/microbiology
MH - Cross Infection/epidemiology/*prevention & control
MH - Humans
MH - *Infection Control/legislation & jurisprudence/methods
MH - *Methicillin-Resistant Staphylococcus aureus
MH - Population Surveillance/methods
MH - Staphylococcal Infections/epidemiology/*prevention & control
PMC - PMC3272211
EDAT- 2011/12/03 06:00
MHDA- 2012/03/29 06:00
CRDT- 2011/12/03 06:00
PHST- 2011/12/03 06:00 [entrez]
PHST- 2011/12/03 06:00 [pubmed]
PHST- 2012/03/29 06:00 [medline]
AID - eye2011314 [pii]
AID - 10.1038/eye.2011.314 [doi]
PST - ppublish
SO - Eye (Lond). 2012 Feb;26(2):218-21. doi: 10.1038/eye.2011.314. Epub 2011 Dec
2.
PMID- 24427488
OWN - NLM
DCOM- 20140115
LR - 20200930
IS - 2008-0387 (Print)
IS - 2008-0387 (Linking)
VI - 6
DP - 2013
TI - Medication errors of nurses in the emergency department.
PG - 11
LID - 11
AB - Patient safety is one of the main concepts in the field of healthcare
provision and
a major component of health services quality. One of the important stages in
promotion of the safety level of patients is identification of medication
errors and
their causes. Medical errors such as medication errors are the most prevalent
errors
that threaten health and are a global problem. Execution of medication orders
is an
important part of the treatment and care process and is regarded as the main
part of
the nurses' performance. The purpose of this study was to explore the
medication
error reporting rate, error types and their causes among nurses in the
emergency
department. In this descriptive study, 94 nurses of the emergency department
of Imam
Khomeini Hospital Complex were selected based on census in 2010-2011. Data
collection tool was a researcher-made questionnaire consisting of two parts:
demographic information, and types and causes of medication errors. After
confirming
content-face validity, reliability of the questionnaire was determined to be
0.91
using Cronbach's alpha test. Data analyses were performed by descriptive
statistics
and inferential statistics. SPSS-16 software was used in this study and P
values
less than 0.05 were considered significant. The mean age of the nurses was
27.7 ±
3.4 years, and their working experience was 7.3 ± 3.4 years. Of participants
46.8%
had committed medication errors in the past year, and the majority (69.04%)
had
committed the errors only once. Thirty two nurses (72.7%) had not reported
medication errors to head nurses or the nursing office. The most prevalent
types of
medication errors were related to infusion rates (33.3%) and administering
two doses
of medicine instead of one (23.8%). The most important causes of medication
errors
were shortage of nurses (47.6%) and lack of sufficient pharmacological
information
(30.9%). This study showed that the risk of medication errors among nurses is
high
and medication errors are a major problem of nursing in the emergency
department. We
recommend increasing the number of nurses, adjusting the workload of the
nursing
staff in the emergency department, retraining courses to improve the staff's
pharmacological information, modification of the education process,
encouraging
nurses to report medical errors and encouraging hospital managers to respond
to
errors in a constructive manner in order to enhance patient safety.
FAU - Ehsani, Seyyedeh Roghayeh
AU - Ehsani SR
AD - Department of Nursing, Imam Khomeini Hospital Complex, Tehran University of
Medical
Sciences, Tehran, Iran;
FAU - Cheraghi, Mohammad Ali
AU - Cheraghi MA
AD - Associate Professor, Department of Nursing, Faculty of Nursing and Midwifery,
Tehran
University of Medical Sciences, Tehran, Iran;
FAU - Nejati, Amir
AU - Nejati A
AD - Assistant Professor, Department of Emergency Medicine, Imam Khomeini Hospital
Complex, Tehran University of Medical Sciences, Tehran, Iran;

FAU - Salari, Amir
AU - Salari A
AD - PhD Student in Disaster & Emergency Health, Department of Disaster Public
Health,
School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;
FAU - Esmaeilpoor, Ayeshe Haji
AU - Esmaeilpoor AH
AD - Department of Medical Surgery, Faculty of Nursing & Midwifery, Medical Branch
of
Islamic Azad University, Tehran, Iran;
FAU - Nejad, Esmaeil Mohammad
AU - Nejad EM
AD - PhD candidate in Nursing, International Branch, Shahid Beheshti University of

LA - eng
DEP - 20131124
TA - J Med Ethics Hist Med
JT - Journal of medical ethics and history of medicine
JID - 101606442
PMC - PMC3885144
OTO - NOTNLM
OT - nurse
OT - patient safety
EDAT- 2014/01/16 06:00
MHDA- 2014/01/16 06:01
CRDT- 2014/01/16 06:00
PHST- 2013/11/08 00:00 [received]
PHST- 2013/11/11 00:00 [accepted]
PHST- 2014/01/16 06:00 [entrez]
PHST- 2014/01/16 06:00 [pubmed]
PHST- 2014/01/16 06:01 [medline]
AID - jmehm-6-11 [pii]
PST - epublish
SO - J Med Ethics Hist Med. 2013 Nov 24;6:11. eCollection 2013.
PMID- 24125740
OWN - NLM
STAT- MEDLINE
DCOM- 20150413
LR - 20181113
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 23
IP - 3
DP - 2014 Mar
TI - Staffing and resource adequacy strongly related to RNs' assessment of patient
safety: a national study of RNs working in acute-care hospitals in Sweden.

PG - 242-9
LID - 10.1136/bmjqs-2012-001734 [doi]
AB - INTRODUCTION: Although registered nurses (RNs) are central in patient care,
we have
not found prior research that specifically addresses how RNs assess the
safety of
patient care at their workplace and how factors in RNs' work environment are
related
to their assessments. This study aims to address these issues. METHODS: 9236
RNs
working with inpatient care in 79 acute-care hospitals in Sweden completed a
national population-based survey, including Practice Environment Scale of the
Nursing Work Index-Revised and items from Agency for Healthcare Research and
Quality's Hospital Survey on Patient Safety Culture. Correlation coefficients
(Pearson and Spearman) and proportional odds regression were used for
analysis.
RESULTS: Nursing work environment factors were strongly related to RNs'
assessments
of patient safety. RNs' perception of having adequate staffing and resources
improved their assessment of patient safety by at least two and a half times
(OR
2.74 CI 2.52 to 2.97). RNs with a higher level of involvement in direct
patient care
gave a better patient safety grade than RNs with a more supervisory role.
Most, but
not all, patient safety culture items were related to RNs' assessed patient
safety
grade. We found that work experience seemed to have no influence on RNs'
patient
safety assessment. CONCLUSIONS: While previous research emphasises patient-
to-nurse
ratios in strengthening patient safety practices, this study complements this
by
emphasising RNs' own perception of having enough staff and resources to
provide
quality nursing care, as well as having good collegial nurse-physician
relations and
the presence of visible and competent nursing leadership-all factors highly
related
to RNs' assessment of the safety of patient care at their workplace.
FAU - Smeds Alenius, Lisa
AU - Smeds Alenius L
AD - Department of Learning, Informatics, Management and Ethics, Medical
Management
Centre, Karolinska Institutet, , Stockholm, Sweden.
AU - Tishelman C
FAU - Runesdotter, Sara
AU - Runesdotter S
AU - Lindqvist R
LA - eng
DEP - 20131014
TA - BMJ Qual Saf
JID - 101546984
SB - H
MH - Adult
MH - Female
MH - Humans
MH - Male
MH - Sweden
PMC - PMC3932760
OTO - NOTNLM
OT - Health Services Research
OT - Healthcare Quality Improvement
OT - Management
OT - Nurses
OT - Patient Safety
EDAT- 2013/10/16 06:00
MHDA- 2015/04/14 06:00
CRDT- 2013/10/16 06:00
PHST- 2013/10/16 06:00 [entrez]
PHST- 2013/10/16 06:00 [pubmed]
PHST- 2015/04/14 06:00 [medline]
AID - bmjqs-2012-001734 [pii]
AID - 10.1136/bmjqs-2012-001734 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2014 Mar;23(3):242-9. doi: 10.1136/bmjqs-2012-001734. Epub 2013
Oct
14.
PMID- 33468248
OWN - NLM
LR - 20210123
IS - 2052-3211 (Print)
IS - 2052-3211 (Linking)
VI - 14
IP - 1
DP - 2021 Jan 19
TI - Avoiding a Med-Wreck: a structured medication reconciliation framework and
standardized auditing tool utilized to optimize patient safety and reallocate
hospital resources.
PG - 10
LID - 10.1186/s40545-021-00296-w [doi]
LID - 10
AB - BACKGROUND: The incidence of preventable adverse drug events (ADE) is
approximately
one medication error per patient per hospital-day. A quality medication
reconciliation (MedRec) process is a crucial intervention used to reduce ADE
in the
hospital and community setting. Amid the coronavirus disease 2019 (COVID-19)
pandemic, preventing medication errors is vital to avoid patient readmission,
reduce
disease complications, and reduce cost and patient burden on the healthcare
system.
OBJECTIVES: To develop a standardized MedRec framework that can be
implemented in
all healthcare settings to reduce patient and staff harm during COVID-19.
Also, to
create a standardized auditing tool used to assess the quality of the MedRec
process
and allow for continuous quality improvement. METHODS: A multi-site gap
analysis
(MGA) was performed to collect observational data that were collected from
four
different healthcare sites (two hospitals, a long-term care facility, and a
community pharmacy). MGA consists of collecting data across several sites
which
answer a standardized questionnaire. A standardized MedRec framework and
auditing
tool were developed based on the gaps observed in each site and literature
reviews.
RESULTS: A standardized MedRec process was not implemented in any of the
observed
sites. The healthcare sites lacked a designated MedRec team and training
related to
the MedRec process leading to multiple discrepancies at discharge. Patients
were not
counselled on changes to home medications, and a discharge report was often
not
provided upon discharge. Communication mechanisms between community
pharmacies and
hospital physicians are not available or easily accessible. CONCLUSION: The
proposed
structured MedRec framework is vital to reduce medication errors and patient
harm
amid COVID-19. Moreover, the comprehensive auditing tool developed in this
study
allows for continuous quality improvement resulting in superior quality care,
reduction of workflow inefficiencies, cost savings on hospital readmissions,

and
overall enhanced healthcare system performance.
FAU - Elbeddini, Ali
AU - Elbeddini A
AUID- ORCID: 0000-0002-3339-6203
AD - Winchester District Memorial Hospital, 566 Louise Street, Winchester, ON,
KK0C2K0,
Canada. elbeddini.a@gmail.com.
FAU - Almasalkhi, Sarah
AU - Almasalkhi S
AD - Leslie Dan Faculty of Pharmacy, University of Toronto, 144 College St,
Toronto, M5S
3M2, Canada.
FAU - Prabaharan, Thulasika
AU - Prabaharan T
Toronto, M5S
3M2, Canada.
FAU - Tran, Cindy
AU - Tran C
Toronto, M5S
3M2, Canada.
FAU - Gazarin, Mohamed
AU - Gazarin M
AD - Winchester District Memorial Hospital, 566 Louise Street, Winchester, ON,
KK0C2K0,
Canada.
FAU - Elshahawi, Ahmed
AU - Elshahawi A
AD - University of Toronto, Medical Sciences Building, Room 3157, 1 King's College
Circle, Toronto, ON, M5S 1A8, Canada.

LA - eng
DEP - 20210119
TA - J Pharm Policy Pract
JT - Journal of pharmaceutical policy and practice
JID - 101627192
PMC - PMC7814270
OTO - NOTNLM
OT - Auditing tool
OT - COVID-19
OT - Cost-effective analysis
COIS- No known competing interest to declare.
EDAT- 2021/01/21 06:00
MHDA- 2021/01/21 06:01
CRDT- 2021/01/20 05:38
PHST- 2020/05/22 00:00 [received]
PHST- 2021/01/04 00:00 [accepted]
PHST- 2021/01/20 05:38 [entrez]
PHST- 2021/01/21 06:00 [pubmed]
PHST- 2021/01/21 06:01 [medline]
AID - 10.1186/s40545-021-00296-w [pii]
AID - 296 [pii]
AID - 10.1186/s40545-021-00296-w [doi]
PST - epublish
SO - J Pharm Policy Pract. 2021 Jan 19;14(1):10. doi: 10.1186/s40545-021-00296-w.
PMID- 23614706
OWN - NLM
STAT- MEDLINE
DCOM- 20160627
LR - 20181113
IS - 1369-6513 (Print)
IS - 1369-6513 (Linking)
VI - 18
IP - 5
DP - 2015 Oct
TI - Expect the unexpected: patients' and families' expectations and experiences
of new
clinical procedures.
PG - 918-28
LID - 10.1111/hex.12065 [doi]
AB - BACKGROUND: Early stage clinical innovation often occurs 'under the radar' of
governance systems for established procedures. Previously impossible or

unavailable
techniques still being developed involve additional uncertainty and unknown
risks
and benefits compared with standard procedures. Patient and family
expectations,
perceptions and experiences of these new procedures and their possible
impacts on
aspects of patient safety are under-researched. OBJECTIVE: To explore patient
and
family expectations and experiences of undergoing new clinical procedures.
SETTING:
A large UK Hospital NHS Foundation Trust with a range of clinically
innovative
specialties. METHODS: We interviewed 15 patients who received new clinical
procedures in a variety of medical and surgical specialties. Qualitative
interviews
were used to facilitate in-depth exploration of patient and family views and
experiences. Topics included patient and family access to and expectations of
the
procedure, informed decision making regarding acceptance of new procedures
and
post-procedure experiences. RESULTS: Some patients sought out specific
interventions, while others accepted new treatment options that clinicians
proposed.
Most participants reported that explanations about the procedure and risks
were
clear, and there were opportunities to ask questions prior to the procedure.
Most
participants also regarded their procedures as successful. However, post-
procedure
information follow-up was often reported as lacking and some outcomes were
considerably problematic and raised patient safety issues. DISCUSSION: The
importance of patients' and family views in evaluating health care are
increasingly
recognized. We discuss the implications of our findings for informed decision
making
and post-intervention follow-up.
FAU - Ehrich, Kathryn
AU - Ehrich K
AD - Women's Health Academic Centre, King's College London, UK.
FAU - Cowie, Luke
AU - Cowie L
AD - Institute of Primary Care & Public Health, Cardiff University School of
Medicine,
Cardiff, UK.
FAU - Sandall, Jane
AU - Sandall J
AD - Women's Health, Division of Women's Health, King's College London, Women's
Health
Academic Centre, King's Health Partners, North Wing, St. Thomas' Hospital,
London,
UK.
LA - eng
DEP - 20130424
TA - Health Expect
health
JID - 9815926
SB - IM
MH - *Delivery of Health Care
MH - *Family
MH - Humans
MH - Patient Safety
MH - *Therapies, Investigational/methods/psychology
MH - United Kingdom
PMC - PMC5060887
OTO - NOTNLM
OT - innovation
OT - new clinical procedures
OT - patient involvement
OT - patient safety
EDAT- 2013/04/26 06:00
MHDA- 2016/06/28 06:00
CRDT- 2013/04/26 06:00
PHST- 2013/03/29 00:00 [accepted]
PHST- 2013/04/26 06:00 [entrez]
PHST- 2013/04/26 06:00 [pubmed]
PHST- 2016/06/28 06:00 [medline]
AID - 10.1111/hex.12065 [doi]
PST - ppublish
SO - Health Expect. 2015 Oct;18(5):918-28. doi: 10.1111/hex.12065. Epub 2013 Apr
24.
PMID- 24064444
OWN - NLM
STAT- MEDLINE
DCOM- 20140313
LR - 20181113
IS - 1067-5027 (Print)
IS - 1067-5027 (Linking)
VI - 21
IP - e1
DP - 2014 Feb
TI - Classification of medication incidents associated with information
technology.
PG - e63-70
LID - 10.1136/amiajnl-2013-001818 [doi]
AB - INTRODUCTION: Information technology (IT) plays a pivotal role in improving
patient
safety, but can also cause new problems for patient safety. This study
analyzed the
nature and consequences of a large sample of IT-related medication incidents,
as
reported by healthcare professionals in community pharmacies and hospitals.
METHODS:
The medication incidents submitted to the Dutch central medication incidents
registration (CMR) reporting system were analyzed from the perspective of the
healthcare professional with the Magrabi classification. During

classification new
terms were added, if necessary. MAIN MEASURES: The principal source of the
IT-related problem, nature of error. Additional measures: consequences of
incidents,
IT systems, phases of the medication process. RESULTS: From March 2010 to
February
2011 the CMR received 4161 incidents: 1643 (39.5%) from community pharmacies
and
2518 (60.5%) from hospitals. Eventually one of six incidents (16.1%, n=668)
were
related to IT; in community pharmacies more incidents (21.5%, n=351) were
related to
IT than in hospitals (12.6%, n=317). In community pharmacies 41.0% (n=150) of
the
incidents were about choosing the wrong medicine. Most of the erroneous
exchanges
were associated with confusion of medicine names and poor design of screens.
In
hospitals 55.3% (n=187) of incidents concerned human-machine interaction-
related
input during the use of computerized prescriber order entry. These use
problems were
also a major problem in pharmacy information systems outside the hospital.
CONCLUSIONS: A large sample of incidents shows that many of the incidents are
related to IT, both in community pharmacies and hospitals. The interaction

between
human and machine plays a pivotal role in IT incidents in both settings.
FAU - Cheung, Ka-Chun
AU - Cheung KC
AD - Scientific Institute for Quality of Healthcare, Radboud University Nijmegen
Medical
Centre, Nijmegen, The Netherlands.
FAU - van der Veen, Willem
AU - van der Veen W
FAU - Bouvy, Marcel L
AU - Bouvy ML
FAU - Wensing, Michel
AU - Wensing M
FAU - van den Bemt, Patricia M L A
AU - van den Bemt PM
FAU - de Smet, Peter A G M
AU - de Smet PA
LA - eng
DEP - 20130924
JID - 9430800
SB - IM
MH - Hospital Administration
MH - Humans
MH - *Information Systems
MH - *Medical Informatics
MH - Medical Order Entry Systems
MH - Medication Errors/*classification/statistics & numerical data
MH - Netherlands
MH - Pharmacies/organization & administration
PMC - PMC3957393
OTO - NOTNLM
OT - Health information technology
OT - Incidents reporting
OT - Medical informatics
OT - Patient safety
EDAT- 2013/09/26 06:00
MHDA- 2014/03/14 06:00
CRDT- 2013/09/26 06:00
PHST- 2013/09/26 06:00 [entrez]
PHST- 2013/09/26 06:00 [pubmed]
PHST- 2014/03/14 06:00 [medline]
AID - amiajnl-2013-001818 [pii]
AID - 10.1136/amiajnl-2013-001818 [doi]
PST - ppublish
SO - J Am Med Inform Assoc. 2014 Feb;21(e1):e63-70. doi: 10.1136/amiajnl-2013-
001818.
Epub 2013 Sep 24.
PMID- 28482770
OWN - NLM
STAT- MEDLINE
DCOM- 20180503
LR - 20181202
IS - 1477-7266 (Linking)
VI - 31
IP - 2
DP - 2017 Apr 10
TI - Can hospital dashboards provide visibility of information from bedside to
board? A
case study approach.
PG - 142-161
LID - 10.1108/JHOM-11-2016-0229 [doi]
AB - Purpose The purpose of this paper is to analyse hospital dashboards'
visibility of
information at different management levels to improve quality and performance
in an
acute general hospital. Design/methodology/approach Data were generated via
21
semi-structured interviews across different management levels. Findings All
management levels had greater visibility of information, could make informed
decisions, and registered performance improvement. Specifically, waiting time
improved, however since introduction of hospital dashboards was work-in-

progress at
time of study, managers could not record improvement in terms of cost
reductions,
clinical effectiveness, patient safety and patient satisfaction. Different
managerial levels had different visibility with top management having the
greatest.
Research limitations/implications In single case studies, where only one
context is
used, the findings cannot be reproduced in different contexts; even though
most of
the results could be matched with the current literature. Practical
implications The
need to have balanced key performance indicators that take into account other
facets
of improvements, apart from time, has been emphasised. Furthermore, if middle
and
departmental managers have greater visibility, this would allow them to work
towards
a strategic fit between the departments that they manage with the rest of the
hospital. Originality/value There is scant literature regarding performance

dashboards' enhancement of visibility of information at different management
levels.
Furthermore, according to the authors' knowledge, no other paper has tried to
identify and discuss the different levels of information, which should be

visible
from bedside to board namely to management, clinicians and public.
FAU - Pace, Adriana
AU - Pace A
AD - Department of Health Services Management, University of Malta , Msida, Malta.
FAU - Buttigieg, Sandra C
AU - Buttigieg SC
AD - Department of Health Services Management, University of Malta , Msida, Malta.
AD - School of Social Policy, College of Social Sciences, University of Birmingham
,
Birmingham, UK.
LA - eng
PL - England
JID - 101179473
SB - H
MH - *Disclosure
MH - *Hospital Information Systems
MH - Hospitals
MH - Humans
MH - Patient Safety
MH - Statistics as Topic
OTO - NOTNLM
OT - Dashboards
OT - Healthcare
OT - Key performance indicators
OT - Visibility of information
EDAT- 2017/05/10 06:00
MHDA- 2018/05/04 06:00
CRDT- 2017/05/10 06:00
PHST- 2017/05/10 06:00 [entrez]
PHST- 2017/05/10 06:00 [pubmed]
PHST- 2018/05/04 06:00 [medline]
AID - 10.1108/JHOM-11-2016-0229 [doi]
PST - ppublish
SO - J Health Organ Manag. 2017 Apr 10;31(2):142-161. doi: 10.1108/JHOM-11-2016-
0229.
PMID- 26043923
OWN - NLM
STAT- MEDLINE
DCOM- 20160805
LR - 20181202
IS - 1472-6963 (Linking)
VI - 15
DP - 2015 Jun 6
TI - How can we improve the recognition, reporting and resolution of medical
device-related incidents in hospitals? A qualitative study of physicians and
registered nurses.
PG - 220
LID - 10.1186/s12913-015-0886-0 [doi]
LID - 220
AB - BACKGROUND: To explore factors that influence and to identify initiatives to
improve
the recognition, reporting and resolution of device-related incidents.
METHODS:
Semi-structured telephone interviews with 16 health professionals in two
tertiary
care hospitals were conducted. Purposive sampling was used to identify
appropriate
study participants. Transcribed interviews were read independently by one
individual
to identify, define and organize themes and verified by another reviewer.
RESULTS:
Themes related to incident recognition were the hospital staff's knowledge
and
professional experience, medical device performance and clinical
manifestations of
patients, while incident reporting was influenced by error severity, personal
attitudes of clinicians, feedback received on the error reported. Physicians

often
discontinued using medical devices if they malfunctioned. Education and
training and
the implementation of registries were discussed as important initiatives to
improve
medical device surveillance in clinical practice. CONCLUSIONS: Results from
the
telephone interviews suggest that multiple factors that influence
participation in
medical device surveillance activities are consistent with results for
medical
errors as reported in previous studies. The study results helped to propose a
conceptual framework for a medical device surveillance system in a hospital

context
that would enhance patient safety and health care delivery.
FAU - Polisena, Julie
AU - Polisena J
Ottawa, ON, K1S 5S8, Canada. Juliep@cadth.ca.

University
of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8 M5, Canada. Juliep@cadth.ca.
FAU - Gagliardi, Anna
AU - Gagliardi A
Street,
Toronto, ON, M5G 2C4, Canada. anna.gagliardi@uhnresearch.ca.
FAU - Clifford, Tammy
AU - Clifford T
Ottawa, ON, K1S 5S8, Canada. tammyc@cadth.ca.

University
of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8 M5, Canada. tammyc@cadth.ca.
LA - eng
DEP - 20150606
JID - 101088677
SB - IM
MH - Adult
MH - Attitude
MH - *Equipment Failure
MH - Health Personnel
MH - Hospitals
MH - Humans
MH - Leadership
MH - *Mandatory Reporting
MH - Nurses/*psychology
PMC - PMC4456786
EDAT- 2015/06/06 06:00
MHDA- 2016/08/06 06:00
CRDT- 2015/06/06 06:00
PHST- 2014/05/14 00:00 [received]
PHST- 2015/05/20 00:00 [accepted]
PHST- 2015/06/06 06:00 [entrez]
PHST- 2015/06/06 06:00 [pubmed]
PHST- 2016/08/06 06:00 [medline]
AID - 10.1186/s12913-015-0886-0 [pii]
AID - 886 [pii]
AID - 10.1186/s12913-015-0886-0 [doi]
PST - epublish
SO - BMC Health Serv Res. 2015 Jun 6;15:220. doi: 10.1186/s12913-015-0886-0.
PMID- 24656760
OWN - NLM
STAT- MEDLINE
DCOM- 20140630
LR - 20181202
IS - 0196-0644 (Linking)
VI - 63
IP - 6
DP - 2014 Jun
TI - Avoiding potential harm by improving appropriateness of urinary catheter use
in 18
emergency departments.
PG - 761-8.e1
LID - S0196-0644(14)00123-1 [pii]
LID - 10.1016/j.annemergmed.2014.02.013 [doi]
AB - STUDY OBJECTIVE: Urinary catheters are often placed in the emergency
department (ED)
and are associated with an increased safety risk for hospitalized patients.
We
evaluate the effect of an intervention to reduce unnecessary placement of
urinary
catheters in the ED. METHODS: Eighteen EDs from 1 health system underwent the
intervention and established institutional guidelines for urinary catheter

placement, provided education, and identified physician and nurse champions
to lead
the work. The project included baseline (7 days), implementation (14 days),
and
postimplementation (6 months, data sampled 1 day per month). Changes in
urinary
catheter use, indications for use, and presence of physician order were
evaluated,
comparing the 3 periods. RESULTS: Sampled patients (13,215) admitted through
the ED
were evaluated, with 891 (6.7%; 95% confidence interval [CI] 6.3% to 7.2%)
having a
catheter placed. Newly placed catheters decreased from 309 of 3,381 (9.1%)
baseline
compared with 424 of 6,896 (6.1%) implementation (Δ 3.0%; 95% CI 1.9% to
4.1%), and
158 of 2,938 (5.4%) postimplementation periods (Δ 3.8%; 95% CI 2.5% to 5.0%).
The
appropriateness of newly placed urinary catheters improved from baseline
(228/308;
74%) compared with implementation (385/421; 91.4%; Δ 17.4%; 95% CI 11.9% to
23.1%)
and postimplementation periods (145/158; 91.8%; Δ 23.9%; 95% CI 18% to
29.3%).
Physician order documentation in the presence of the urinary catheter was 785
of 889
(88.3%), with no visible change over time. Improvements were noted for
different-size hospitals and were more pronounced for hospitals with higher
urinary
catheter placement baseline. CONCLUSION: The implementation of institutional
guidelines for urinary catheter placement in the ED, coupled with the support
of
clearly identified physician and nurse champions, is associated with a
reduction in
unnecessary urinary catheter placement. The effort has a substantial
potential of
reducing patient harm hospital-wide.
CI - Copyright © 2014 American College of Emergency Physicians. Published by
Mosby, Inc.
All rights reserved.
FAU - Fakih, Mohamad G
AU - Fakih MG
AD - Department of Infection Prevention and Control, St John Hospital and Medical
Center,
Detroit, MI; Wayne State University School of Medicine, Detroit, MI.
Electronic
address: mohamad.fakih@stjohn.org.
FAU - Heavens, Michelle
AU - Heavens M
AD - Clinical Excellence, Ascension Health, St. Louis, MO.
FAU - Grotemeyer, Julie
AU - Grotemeyer J
FAU - Szpunar, Susanna M
AU - Szpunar SM
AD - Department of Medical Education, St John Hospital and Medical Center,
Detroit, MI.
FAU - Groves, Clariecia
AU - Groves C
FAU - Hendrich, Ann
AU - Hendrich A
LA - eng
DEP - 20140320
PL - United States
TA - Ann Emerg Med
JT - Annals of emergency medicine
JID - 8002646
SB - AIM
SB - IM
MH - Education, Medical, Continuing
MH - Emergency Service, Hospital/standards/*statistics & numerical data
MH - Guideline Adherence/statistics & numerical data
MH - Humans
MH - Quality Improvement/organization & administration/statistics & numerical data
MH - Unnecessary Procedures/*statistics & numerical data
MH - Urinary Catheterization/adverse effects/*statistics & numerical data
EDAT- 2014/03/25 06:00
MHDA- 2014/07/01 06:00
CRDT- 2014/03/25 06:00
PHST- 2013/10/17 00:00 [received]
PHST- 2014/02/03 00:00 [revised]
PHST- 2014/02/12 00:00 [accepted]
PHST- 2014/03/25 06:00 [entrez]
PHST- 2014/03/25 06:00 [pubmed]
PHST- 2014/07/01 06:00 [medline]
AID - S0196-0644(14)00123-1 [pii]
AID - 10.1016/j.annemergmed.2014.02.013 [doi]
PST - ppublish
SO - Ann Emerg Med. 2014 Jun;63(6):761-8.e1. doi:
10.1016/j.annemergmed.2014.02.013. Epub
2014 Mar 20.
PMID- 25940548
OWN - NLM
STAT- MEDLINE
DCOM- 20150806
LR - 20181113
IS - 0002-8614 (Print)
IS - 0002-8614 (Linking)
VI - 63
IP - 5
DP - 2015 May
TI - Consistent differences in medical unit fall rates: implications for research
and
practice.
PG - 983-7
LID - 10.1111/jgs.13387 [doi]
AB - OBJECTIVES: To determine the proportion of variation in long-term fall rates
attributable to variability between rather than within hospital units and to
identify unit- and hospital-level characteristics associated with
persistently low-
and high-fall units. DESIGN: Retrospective study of administrative data on
inpatient
falls. Eighty low-fall and 74 high-fall units were identified based on
monthly
rankings of fall rates. Unit- and hospital-level characteristics of these
units were
compared. SETTING: U.S. general hospitals participating in the National
Database of
Nursing Quality Indicators. PARTICIPANTS: Nonsubspecialty medical units
(n=800) with
24 consecutive months of falls data. MEASUREMENTS: Monthly self-reported unit
fall
rates (falls per 1,000 patient-days). RESULTS: An estimated 87% of variation
in
24-month fall rates was due to between-unit differences. With the exception
of
patient-days, a proxy for unit bed size, low- and high-fall units did not
differ on
nurse staffing or any other unit or hospital characteristic variable.
CONCLUSION:
There are medical units with persistently low and persistently high fall
rates.
High-fall units had higher patient volume, suggesting patient turnover as a
variable
for further study. Understanding additional factors underlying variability in
long-term fall rates could lead to sustainable interventions for reducing

inpatient
falls.
Geriatrics
Society.
FAU - Staggs, Vincent S
AU - Staggs VS
AD - Health Services and Outcomes Research, Children's Mercy Hospitals and
Clinics,
Kansas City, Missouri.
AD - Department of Pediatrics, University of Missouri- Kansas City, Kansas City,
Missouri.
FAU - Mion, Lorraine C
AU - Mion LC
AD - Vanderbilt University School of Nursing, Nashville, Tennessee.
FAU - Shorr, Ronald I
AU - Shorr RI
AD - Department of Epidemiology, University of Florida, Gainesville, Florida.
AD - Geriatric Research, Education and Clinical Center, Malcom Randall Veterans
Administration Medical Center, Gainesville, Florida.
LA - eng
GR - R01-AG033005/AG/NIA NIH HHS/United States
DEP - 20150504
JID - 7503062
SB - IM
MH - Biomedical Research
MH - Hospital Units/*statistics & numerical data
MH - Humans
MH - Inpatients
PMC - PMC4439336
MID - NIHMS661927
OTO - NOTNLM
OT - accidental falls
OT - nursing
OT - patient safety
COIS- Conflict of Interest: The editor in chief has reviewed the conflict of
interest
checklist provided by the authors and has determined that the authors have no
financial or any other kind of personal conflicts with this paper.

EDAT- 2015/05/06 06:00
MHDA- 2015/08/08 06:00
CRDT- 2015/05/06 06:00
PHST- 2015/05/06 06:00 [entrez]
PHST- 2015/05/06 06:00 [pubmed]
PHST- 2015/08/08 06:00 [medline]
AID - 10.1111/jgs.13387 [doi]
PST - ppublish
SO - J Am Geriatr Soc. 2015 May;63(5):983-7. doi: 10.1111/jgs.13387. Epub 2015 May
4.
PMID- 28979532
OWN - NLM
LR - 20200930
IS - 1751-1437 (Print)
IS - 1751-1437 (Linking)
VI - 18
IP - 1
DP - 2017 Feb
TI - Introduction of the identification, situation, background, assessment,
recommendations tool to improve the quality of information transfer during
medical
handover in intensive care.
PG - 17-23
LID - 10.1177/1751143716660982 [doi]
AB - OBJECTIVE: To audit the quality and safety of the current doctor-to-doctor
handover
of patient information in our Cardiothoracic Intensive Care Unit. If
deficient, to
implement a validated handover tool to improve the quality of the handover
process.
METHODS: In Cycle 1 we observed the verbal handover and reviewed the written
handover information transferred for 50 consecutive patients in St George's
Hospital
Cardiothoracic Intensive Care Unit. For each patient's handover, we assessed
whether
each section of the Identification, Situation, Background, Assessment,
Recommendations tool was used on a scale of 0-2. Zero if no information in
that
category was transferred, one if the information was partially transferred
and two
if all relevant information was transferred. Each patient's handover received
a
score from 0 to 10 and thus, each cycle a total score of 0-500. Following the
implementation of the Identification, Situation, Background, Assessment,

Recommendations handover tool in our Intensive Care Unit in Cycle 2, we re-
observed
the handover process for another 50 consecutive patients hence, completing
the audit
cycle. RESULTS: There was a significant difference between the total scores
from
Cycle 1 and 2 (263/500 versus 457/500, p < 0.001). The median handover score
for
Cycle 1 was 5/10 (interquartile range 4-6). The median handover score for
Cycle 2
was 9/10 (interquartile range 9-10). Patient handover scores increased
significantly
between Cycle 1 and 2, U = 13.5, p < 0.001. CONCLUSIONS: The introduction of
a
standardised handover template (Identification, Situation, Background,
Assessment,
Recommendations tool) has improved the quality and safety of the doctor-to-
doctor
handover of patient information in our Intensive Care Unit.
FAU - Ramasubbu, Benjamin
AU - Ramasubbu B
AD - Department of Cardio-Thoracic Intensive Care Medicine and Surgery, St
George's
Hospital, London, UK.
FAU - Stewart, Emma
AU - Stewart E
George's
FAU - Spiritoso, Rosalba
AU - Spiritoso R
George's
LA - eng
DEP - 20170201
TA - J Intensive Care Soc
JT - Journal of the Intensive Care Society
JID - 101538668
PMC - PMC5606352
OTO - NOTNLM
OT - Handover
OT - information transfer
OT - patient safety
EDAT- 2017/10/06 06:00
MHDA- 2017/10/06 06:01
CRDT- 2017/10/06 06:00
PHST- 2017/10/06 06:00 [entrez]
PHST- 2017/10/06 06:00 [pubmed]
PHST- 2017/10/06 06:01 [medline]
AID - 10.1177_1751143716660982 [pii]
AID - 10.1177/1751143716660982 [doi]
PST - ppublish
SO - J Intensive Care Soc. 2017 Feb;18(1):17-23. doi: 10.1177/1751143716660982.
Epub 2017
Feb 1.
PMID- 25948058
OWN - NLM
STAT- MEDLINE
DCOM- 20160111
LR - 20181113
IS - 1478-4491 (Linking)
VI - 13
DP - 2015 May 7
TI - Workplace violence towards workers in the emergency departments of
Palestinian
hospitals: a cross-sectional study.
PG - 28
LID - 10.1186/s12960-015-0018-2 [doi]
LID - 28
AB - BACKGROUND: Workplace violence (WPV) in hospital emergency departments (EDs)
is a
common problem. The objective of this study was to assess the characteristics
(level
and type), associated risk factors, causes, and consequences of WPV against
workers
in Palestinian EDs. METHODS: A cross-sectional study was conducted in 14 out
of the
available 39 EDs in Palestine: 8 from the West Bank and 6 from the Gaza
Strip. Data
were collected using a self-administered questionnaire between July-September
2013.
Multivariate logistic regression models were used to examine risk factors
associated
with exposure to WPV. RESULTS: A total of 444 participants (response rate
74.5%):
161 (32.0%) nurses, 142 (32%) physicians, and 141 (31.7%) administrative
personnel.
The majority (76.1%) experienced a type of WPV in the past 12 months: 35.6%
exposed
to physical and 71.2% to non-physical assaults (69.8% verbal abuses, 48.4%
threats,
and 8.6% sexual harassments). Perpetrators of physical and non-physical
violence
were mainly patients' families/visitors (85.4% and 79.5%, respectively).
Waiting
time, lack of prevention measures, and unmet expectations of patients and
their
families are the main reasons for WPV. The multivariate regression analysis
showed
that younger personnel (OR = 2.29 CI 95% 1.309-4.036), clinicians (nurses and
physicians) (OR = 1.65 CI 95% 0.979-2.797) comparing with administrative, and

less
experienced ED personnel (OR = 2.39 CI 95% 1.141-5.006) are significantly at
higher
risk of exposure to WPV (P < 0.05). Low level (40%) of violence reporting is
evident, largely attributed to not enough actions being taken and fear of
consequences. Violence has been shown to have considerable consequences for
workers'
well-being, patient care, and job retention. CONCLUSIONS: Violence against
workers
in Palestinian EDs is highly common. The effects of violence are
considerable.
Multiple factors cause violence; however, EDs' internal-system-related
factors are
the most amenable to change. Attention should be given to strengthening
violence
prevention policy and measures and improving incident-reporting system.
FAU - Hamdan, Motasem
AU - Hamdan M
AD - School of Public Health, Al-Quds University, Jerusalem, occupied Palestinian
territory. mhamdan@med.alquds.edu.
FAU - Abu Hamra, Asma'a
AU - Abu Hamra A
AD - School of Public Health, Al-Quds University, Gaza, Palestine.
asmaa.hamra@gmail.com.
LA - eng
DEP - 20150507
JID - 101170535
SB - IM
MH - Administrative Personnel
MH - Adult
MH - *Aggression
MH - Arabs
MH - Crime Victims
MH - Female
MH - *Hospitals
MH - Humans
MH - Male
MH - Middle East
MH - Nurses
MH - *Occupational Exposure
MH - *Personnel, Hospital
MH - *Physical Abuse
MH - Physicians
MH - Work
MH - Workplace
MH - *Workplace Violence
PMC - PMC4435901
EDAT- 2015/05/08 06:00
MHDA- 2016/01/12 06:00
CRDT- 2015/05/08 06:00
PHST- 2014/11/30 00:00 [received]
PHST- 2015/04/18 00:00 [accepted]
PHST- 2015/05/08 06:00 [entrez]
PHST- 2015/05/08 06:00 [pubmed]
PHST- 2016/01/12 06:00 [medline]
AID - 10.1186/s12960-015-0018-2 [pii]
AID - 18 [pii]
AID - 10.1186/s12960-015-0018-2 [doi]
PST - epublish
SO - Hum Resour Health. 2015 May 7;13:28. doi: 10.1186/s12960-015-0018-2.
PMID- 22854116
OWN - NLM
STAT- MEDLINE
DCOM- 20140129
LR - 20191008
IS - 0020-7489 (Print)
IS - 0020-7489 (Linking)
VI - 50
IP - 8
DP - 2013 Aug
TI - Factors associated with needlestick and sharp injuries among hospital nurses:
a
cross-sectional questionnaire survey.
PG - 1025-32
LID - S0020-7489(12)00248-9 [pii]
AB - BACKGROUND: The current status of needlestick or sharp injuries of hospital
nurses
and factors associated with the injuries have not been systematically
examined with
representative registered nurse samples in South Korea. OBJECTIVE: To examine
the
incidence to needlestick or sharp injuries and identify the factors
associated with
such injuries among hospital nurses in South Korea. DESIGN, SETTINGS AND
PARTICIPANTS: A cross-sectional survey of hospital nurses in South Korea.
Data were
collected from 3079 registered nurses in 60 acute hospitals in South Korea by
a
stratified random sampling method based on the region and number of beds.
METHODS:
The dependent variable was the occurrence of needlestick or sharp injuries in
the
last year, and the independent variables were protective equipment, nurse
characteristics, and hospital characteristics. This study employed logistic
regression analysis with generalized estimating equation clustering by
hospital to
identify the factors associated with needlestick or sharp injuries. RESULTS:
The
majority (70.4%) of the hospital nurses had experienced needlestick or sharp
injuries in the previous year. The non-use of safety containers for disposal
of
sharps and needles, less working experience as a registered nurse, poor work
environments in regards to staffing and resource adequacy, and high emotional
exhaustion significantly increased risk for needlestick or sharp injuries.

Working
in perioperative units also significantly increased the risk for such
injuries but
working in intensive care units, psychiatry, and obstetrics wards showed a
significantly lower risk than medical-surgical wards. CONCLUSIONS: The
occurrence of
needlestick or sharp injuries of registered nurses was associated with
organizational characteristics as well as protective equipment and nurse
characteristics. Hospitals can prevent or reduce such injuries by
establishing
better work environments in terms of staffing and resource adequacy,
minimizing
emotional exhaustion, and retaining more experienced nurses. All hospitals
should
make safety-engineered equipment available to registered nurses. Hospitals as
well
as specific units showing higher risk for needlestick and sharp injuries
should
implement organizational strategies to prevent such injuries. It is also
necessary
to establish a monitoring system of needlestick and sharp injuries at a
hospital
level and a reporting system at the national level in South Korea.
FAU - Cho, Eunhee
AU - Cho E
AD - College of Nursing, Nursing Policy Research Institute, Yonsei University,
Republic
of Korea.
FAU - Lee, Hyeonkyeong
AU - Lee H
FAU - Choi, Miyoung
AU - Choi M
FAU - Park, Su Ho
AU - Park SH
FAU - Yoo, Il Young
AU - Yoo IY
AU - Aiken LH
LA - eng
GR - P30 NR005043/NR/NINR NIH HHS/United States
GR - P30-NR-005043/NR/NINR NIH HHS/United States
DEP - 20120731
JID - 0400675
SB - IM
SB - N
MH - Adult
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - *Needlestick Injuries
MH - Young Adult
PMC - PMC3996454
MID - NIHMS570116
COIS- Conflict of interest None declared.
EDAT- 2012/08/03 06:00
MHDA- 2014/01/30 06:00
CRDT- 2012/08/03 06:00
PHST- 2012/02/09 00:00 [received]
PHST- 2012/06/29 00:00 [revised]
PHST- 2012/07/11 00:00 [accepted]
PHST- 2012/08/03 06:00 [entrez]
PHST- 2012/08/03 06:00 [pubmed]
PHST- 2014/01/30 06:00 [medline]
AID - S0020-7489(12)00248-9 [pii]
PST - ppublish
SO - Int J Nurs Stud. 2013 Aug;50(8):1025-32. doi: 10.1016/j.ijnurstu.2012.07.009.
Epub
2012 Jul 31.
PMID- 24566249
OWN - NLM
STAT- MEDLINE
DCOM- 20150622
LR - 20181113
IS - 0361-6274 (Print)
IS - 0361-6274 (Linking)
VI - 39
IP - 4
DP - 2014 Oct-Dec
TI - Determinants of hospital fall rate trajectory groups: a longitudinal
assessment of
nurse staffing and organizational characteristics.
PG - 352-60
LID - 10.1097/HMR.0000000000000013 [doi]
AB - BACKGROUND: Patient falls in acute care hospitals represent a significant
patient
safety concern. Although cross-sectional studies have shown that fall rates
vary
widely between acute care hospitals, it is not clear whether hospital fall
rates
remain consistent over time. PURPOSE: The aim of this study was to determine
whether
hospitals can be categorized into fall rate trajectory groups over time and
to
identify nurse staffing and hospital characteristics associated with hospital
fall
rate trajectory groups. METHODOLOGY/APPROACH: We conducted a 54-month (July
2006-December 2010) longitudinal study of U.S. acute care general hospitals
participating in the National Database for Nursing Quality Indicators (2007).
We
used latent class growth modeling to categorize hospitals into groups based
on their
long-term fall rates. Nurse staffing and hospital characteristics associated
with
membership in the highest hospital fall rate group were identified using
logistic
regression. FINDINGS: A sample of 1,529 hospitals (mean fall rate of 3.65 per
1,000
patient days) contributed data to the analysis. Latent class growth modeling
findings classified hospital into three groups based on fall rate
trajectories:
consistently high (mean fall rate of 4.96 per 1,000 patient days),
consistently
medium (mean fall rate of 3.63 per 1,000 patient days), and consistently low
(mean
fall rate of 2.50 per 1,000 patient days). Hospitals with higher total nurse
staffing (odds ratio [OR] = 0.92, 95% confidence interval [CI] [0.85, 0.99]),
Magnet
status (OR = 0.49, 95% CI [0.35, 0.70]), and bed size greater than 300 beds
(OR =
0.70, 95% CI [0.51, 0.94]) were significantly less likely to be categorized
in the
"consistently high" fall rate group. PRACTICE IMPLICATIONS: Over this 54-
month
period, hospitals were categorized into three groups based on long-term fall
rates.
Hospital-level factors differed among these three groups. This suggests that
there
may be hospitals in which "best practices" for fall prevention might be
identified.
In addition, administrators may be able to reduce fall rates by maintaining
greater
nurse staffing ratios as well as fostering an environment consistent with
that of
Magnet hospitals.
FAU - Everhart, Damian
AU - Everhart D
AD - Damian Everhart, PhD, RN, is Assistant Professor, Brooks College of Health,
University of North Florida, Jacksonville. E-mail: damian.everhart@unf.edu.
Jessica
R. Schumacher, PhD, MS, is Associate Director of Analytics, Department of
Population
Health Sciences, University of Wisconsin-Madison. R. Paul Duncan, PhD, MS, is
Malcom
and Christine Randall Professor and Chair, Department of Health Services
Research,
Management and Policy, University of Florida, Gainesville. Allyson G. Hall,
PhD,
MBA, MHS, is Associate Professor, Department of Health Services Research,
Management
and Policy, University of Florida, Gainesville. Donna F. Neff, PhD, RN,
DSNAP, is
Associate Professor, College of Nursing, University of Central Florida,
Orlando.
Ronald I. Shorr, MD, MS, is Professor, Department of Epidemiology, University
of
Florida, Gainesville.
FAU - Schumacher, Jessica R
AU - Schumacher JR
FAU - Duncan, R Paul
AU - Duncan RP
FAU - Hall, Allyson G
AU - Hall AG
FAU - Neff, Donna F
AU - Neff DF
FAU - Shorr, Ronald I
AU - Shorr RI
LA - eng
GR - R01AG03305/AG/NIA NIH HHS/United States
TA - Health Care Manage Rev
JT - Health care management review
JID - 7611530
SB - IM
MH - *Hospital Administration/methods
MH - Humans
MH - *Nursing Staff, Hospital/organization & administration
MH - Risk Factors
PMC - PMC4277236
MID - NIHMS649216
COIS- The authors have disclosed that they have no significant relationship with,
or
financial interest in, any commercial companies pertaining to this article.
EDAT- 2014/02/26 06:00
MHDA- 2015/06/24 06:00
CRDT- 2014/02/26 06:00
PHST- 2014/02/26 06:00 [entrez]
PHST- 2014/02/26 06:00 [pubmed]
PHST- 2015/06/24 06:00 [medline]
AID - 10.1097/HMR.0000000000000013 [doi]
PST - ppublish
SO - Health Care Manage Rev. 2014 Oct-Dec;39(4):352-60. doi:
10.1097/HMR.0000000000000013.
PMID- 26734279
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 3
IP - 1
DP - 2014
TI - Improving the follow-up of microbiology results: the origins of the Pink
Book.
LID - u721.w504
AB - Failure to check microbiology results put patients at risk of prolonged
infections,
resulting in increased morbidity and mortality from sepsis. There are some
electronic systems designed to address this risk although they are rarely
used in
the hospital setting. In many hospitals the follow-up of microbiology results
for
discharged patients is reliant upon individual doctor's vigilance or ad hoc
lists.
Our intervention, the 'Pink Book', provides a simple, cost effective system
to
follow-up microbiology results for discharged patients. This simple paper
based
system enables prompt, effective, efficient follow-up of microbiology
results,
saving our paediatric department an estimated 1.5 hours per week, £17,440 per
year
and helping to prevent one case of inadequately treated infection per month.
This
project highlights how small scale, simple interventions at the local level,
born
out of the frustration at existing inefficient systems, can make great
improvements
to patient safety and the efficiency of healthcare.
FAU - Boyle, Henry
AU - Boyle H
AD - Ashford and St Peter's Hospital NHS Trust.
FAU - Hunt, Charlie
AU - Hunt C
FAU - McIlroy, Catherine
AU - McIlroy C
FAU - Qureshi, Imran
AU - Qureshi I
LA - eng
DEP - 20141029
JID - 101629512
PMC - PMC4645849
EDAT- 2014/01/01 00:00
MHDA- 2014/01/01 00:01
CRDT- 2016/01/07 06:00
PHST- 2014/09/26 00:00 [received]
PHST- 2014/10/08 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2014/01/01 00:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2014 Oct 29;3(1):u721.w504. doi:
10.1136/bmjquality.u721.w504.
eCollection 2014.
PMID- 22931859
OWN - NLM
STAT- MEDLINE
DCOM- 20130530
LR - 20191210
IS - 1756-0500 (Linking)
VI - 5
DP - 2012 Aug 29
TI - Design of a medical record review study on the incidence and preventability
of
adverse events requiring a higher level of care in Belgian hospitals.
PG - 468
LID - 10.1186/1756-0500-5-468 [doi]
AB - BACKGROUND: Adverse events are unintended patient injuries that arise from
healthcare management resulting in disability, prolonged hospital stay or
death.
Adverse events that require intensive care admission imply a considerable
financial
burden to the healthcare system. The epidemiology of adverse events in
Belgian
hospitals has never been assessed systematically. FINDINGS: A multistage
retrospective review study of patients requiring a transfer to a higher level
of
care will be conducted in six hospitals in the province of Limburg. Patient
records
are reviewed starting from January 2012 by a clinical team consisting of a
research
nurse, a physician and a clinical pharmacist. Besides the incidence and the
level of
causation and preventability, also the type of adverse events and their
consequences
(patient harm, mortality and length of stay) will be assessed. Moreover, the
adequacy of the patient records and quality/usefulness of the method of
medical
record review will be evaluated. DISCUSSION: This paper describes the
rationale for
a retrospective review study of adverse events that necessitate a higher
level of
care. More specifically, we are particularly interested in increasing our
understanding in the preventability and root causes of these events in order
to
implement improvement strategies. Attention is paid to the strengths and
limitations
of the study design.
FAU - Vlayen, Annemie
AU - Vlayen A
AD - Hasselt University, Faculty of Medicine, Patient Safety Group, Agoralaan
Building D,
Room D58, Diepenbeek 3590, Belgium. annemie.vlayen@uhasselt.be
FAU - Marquet, Kristel
AU - Marquet K
FAU - Schrooten, Ward
AU - Schrooten W
FAU - Vleugels, Arthur
AU - Vleugels A
FAU - Hellings, Johan
AU - Hellings J
FAU - De Troy, Elke
AU - De Troy E
FAU - Weekers, Frank
AU - Weekers F
FAU - Claes, Neree
AU - Claes N
LA - eng
DEP - 20120829
TA - BMC Res Notes
JT - BMC research notes
JID - 101462768
SB - IM
MH - Belgium/epidemiology
MH - Disability Evaluation
MH - Hospitals
MH - Humans
MH - Iatrogenic Disease/epidemiology/*prevention & control
MH - Incidence
MH - Length of Stay
MH - Medical Audit
MH - Medical Errors/mortality/*prevention & control
MH - *Outcome and Process Assessment, Health Care
MH - Patient Safety
MH - *Patient Transfer
MH - Risk Factors
MH - Time Factors
PMC - PMC3542154
EDAT- 2012/08/31 06:00
MHDA- 2013/06/01 06:00
CRDT- 2012/08/31 06:00
PHST- 2011/12/22 00:00 [received]
PHST- 2012/08/02 00:00 [accepted]
PHST- 2012/08/31 06:00 [entrez]
PHST- 2012/08/31 06:00 [pubmed]
PHST- 2013/06/01 06:00 [medline]
AID - 1756-0500-5-468 [pii]
AID - 10.1186/1756-0500-5-468 [doi]
PST - epublish
SO - BMC Res Notes. 2012 Aug 29;5:468. doi: 10.1186/1756-0500-5-468.
PMID- 22556308
OWN - NLM
STAT- MEDLINE
DCOM- 20121024
LR - 20181113
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 21
IP - 7
DP - 2012 Jul
TI - Mortality and morbidity meetings: an untapped resource for improving the
governance
of patient safety?
PG - 576-85
LID - 10.1136/bmjqs-2011-000603 [doi]
AB - INTRODUCTION: National Health Service hospitals and government agencies are
increasingly using mortality rates to monitor the quality of inpatient care.
Mortality and Morbidity (M&M) meetings, established to review deaths as part
of
professional learning, have the potential to provide hospital boards with the
assurance that patients are not dying as a consequence of unsafe clinical

practices.
This paper examines whether and how these meetings can contribute to the
governance
of patient safety. METHODS: To understand the arrangement and role of M&M
meetings
in an English hospital, non-participant observations of meetings (n=9) and
semistructured interviews with meeting chairs (n=19) were carried out.
Following
this, a structured mortality review process was codesigned and introduced
into three
clinical specialties over 12 months. A qualitative approach of observations
(n=30)
and interviews (n=40) was used to examine the impact on meetings and on
frontline
clinicians, managers and board members. FINDINGS: The initial study of M&M
meetings
showed a considerable variation in the way deaths were reviewed and a lack of
integration of these meetings into the hospital's governance framework. The

introduction of the standardised mortality review process strengthened these
processes. Clinicians supported its inclusion into M&M meetings and managers
and
board members saw that a standardised trust-wide process offered greater
levels of
assurance. CONCLUSION: M&M meetings already exist in many healthcare
organisations
and provide a governance resource that is underutilised. They can improve
accountability of mortality data and support quality improvement without
compromising professional learning, especially when facilitated by a
standardised
mortality review process.
FAU - Higginson, Juliet
AU - Higginson J
Torrington
Place, London, UK.
FAU - Walters, Rhiannon
AU - Walters R
FAU - Fulop, Naomi
AU - Fulop N
LA - eng
DEP - 20120503
TA - BMJ Qual Saf
JID - 101546984
SB - H
MH - Administrative Personnel/ethics/psychology/statistics & numerical data
MH - *Clinical Governance
MH - *Group Processes
MH - Hospital Mortality/trends
MH - Hospitals, Teaching/ethics
MH - Humans
MH - *Medical Staff, Hospital/standards
MH - National Health Programs
MH - Vital Statistics
PMC - PMC3382446
Interest form
(available on request from the corresponding author) and declare: no support
from
any organisation for the submitted work; no financial relationships with any
organisations that might have an interest in the submitted work in the
previous
3 years; and no other relationships or activities that could appear to have
influenced the submitted work.
EDAT- 2012/05/05 06:00
MHDA- 2012/10/25 06:00
CRDT- 2012/05/05 06:00
PHST- 2012/05/05 06:00 [entrez]
PHST- 2012/05/05 06:00 [pubmed]
PHST- 2012/10/25 06:00 [medline]
AID - bmjqs-2011-000603 [pii]
AID - qhc-2011-000603 [pii]
AID - 10.1136/bmjqs-2011-000603 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2012 Jul;21(7):576-85. doi: 10.1136/bmjqs-2011-000603. Epub
2012 May
3.
PMID- 24029437
OWN - NLM
STAT- MEDLINE
DCOM- 20140605
LR - 20170922
IS - 1413-8670 (Linking)
VI - 18
IP - 1
DP - 2014 Jan-Feb
TI - Promotion of hand hygiene strengthening initiative in a Nigerian teaching
hospital:
implication for improved patient safety in low-income health facilities.
PG - 21-7
LID - S1413-8670(13)00194-3 [pii]
LID - 10.1016/j.bjid.2013.04.006 [doi]
AB - BACKGROUND: Health care-associated infection remains a significant hazard for
hospitalized patients. Hand hygiene is a fundamental action for ensuring

patient
safety. OBJECTIVE: To promote adoption of World Health Organization Hand
Hygiene
Guidelines to enhance compliance among doctors and nurses and improve patient
safety. METHODS: The study design was a cross sectional intervention in a

Federal
Teaching Hospital South-eastern Nigeria. Interventions involved
training/education;
introduction of hand rub; and hand hygiene reminders. The impact of
interventions
and hand hygiene compliance were evaluated using World Health Organization
direct
observation technique. RESULTS: The post-intervention hand hygiene compliance
rate
was 65.3%. Hand hygiene indications showed highest compliance rate 'after
body fluid
exposure' (75.3%) and 'after touching a patient' (73.6%) while the least
compliance
rate was recorded 'before touching a patient' (58.0%). Hand hygiene
compliance rate
was significantly higher among nurses (72.9%) compared to doctors (59.7%)
(χ(2)=23.8, p<0.05). Hand hygiene indication with significantly higher
compliance
rate was "before clean/aseptic procedure" (84.4%) (χ(2)=80.74, p<0.05). Out
of the
815 hand hygiene practices recorded 550 (67.5%) were hand rub action.
CONCLUSIONS:
hand hygiene campaigns using the World Health Organization tools and
methodology can
be successfully executed in a tertiary health facility of a low-income
setting with
far reaching improvements in compliance.
CI - Copyright © 2013 Elsevier Editora Ltda. All rights reserved.
FAU - Uneke, Chigozie Jesse
AU - Uneke CJ
AD - Department of Medical Microbiology/Parasitology, Faculty of Clinical
Medicine,
Ebonyi State University, Abakaliki, Nigeria. Electronic address:
unekecj@yahoo.com.
FAU - Ndukwe, Chinwendu Daniel
AU - Ndukwe CD
AD - Department of Community Medicine, Faculty of Clinical Medicine, Ebonyi State
University, Abakaliki, Nigeria.
FAU - Oyibo, Patrick Gold
AU - Oyibo PG
AD - Department of Community Medicine, Faculty of Clinical Medicine, Delta State
University, Abraka, Nigeria.
FAU - Nwakpu, Kingsley Onuoha
AU - Nwakpu KO
AD - Department of Medical Microbiology/Parasitology, Faculty of Clinical
Medicine,
Ebonyi State University, Abakaliki, Nigeria.
FAU - Nnabu, Richard Chukwuka
AU - Nnabu RC
AD - Department of Community Medicine, Faculty of Clinical Medicine, Ebonyi State
University, Abakaliki, Nigeria.
FAU - Prasopa-Plaizier, Nittita
AU - Prasopa-Plaizier N
AD - The World Health Organization Patient Safety Research Programme, Switzerland.
LA - eng
GR - 001/World Health Organization/International
DEP - 20130909
PL - Brazil
TA - Braz J Infect Dis
JT - The Brazilian journal of infectious diseases : an official publication of the
Brazilian Society of Infectious Diseases

JID - 9812937
SB - IM
MH - Hand Disinfection/*methods/standards
MH - Health Facilities
MH - Health Personnel/*statistics & numerical data
MH - Humans
MH - Infection Control/methods/standards
MH - Inservice Training
MH - Medical Staff, Hospital
MH - Nigeria
OTO - NOTNLM
OT - Compliance
OT - Hand hygiene
OT - Health worker
OT - Patient safety
EDAT- 2013/09/14 06:00
MHDA- 2014/06/06 06:00
CRDT- 2013/09/14 06:00
PHST- 2013/01/08 00:00 [received]
PHST- 2013/03/26 00:00 [revised]
PHST- 2013/04/11 00:00 [accepted]
PHST- 2013/09/14 06:00 [entrez]
PHST- 2013/09/14 06:00 [pubmed]
PHST- 2014/06/06 06:00 [medline]
AID - S1413-8670(13)00194-3 [pii]
AID - 10.1016/j.bjid.2013.04.006 [doi]
PST - ppublish
SO - Braz J Infect Dis. 2014 Jan-Feb;18(1):21-7. doi: 10.1016/j.bjid.2013.04.006.
Epub
2013 Sep 9.
PMID- 24790403
OWN - NLM
DCOM- 20140505
LR - 20200930
IS - 1177-5467 (Print)
IS - 1177-5467 (Linking)
VI - 8
DP - 2014
TI - Transformational change: nurses substituting for ophthalmologists for
intravitreal
injections - a quality-improvement report.
PG - 755-61
LID - 10.2147/OPTH.S59982 [doi]
AB - BACKGROUND: The dramatic increase in need for anti-vascular endothelial
growth
factor (anti-VEGF) intravitreal therapy in the treatment of retinal disease
and the
absence of an equivalent increase in ophthalmologists to undertake such
intravitreal
injections created a patient-safety risk. Timing of intravitreal therapy
(IVT) is
critical to prevent vision loss and local clinics lacked capacity to treat
patients
appropriately. We aimed to improve capacity for IVT by nurse injections.
MATERIALS
AND METHODS: A multidisciplinary prospective service-improvement process was
undertaken at two adjacent general hospitals in the northwest of England. IVT
injections by nurses were a principal component of solution development.

After we
had obtained appropriate institutional approval, experienced ophthalmic
nurses were
trained, supervised, and assessed to undertake IVT. Ophthalmologists directly
supervised the first 200 injections, and a retina specialist was always on
site.
RESULTS: Nurses undertook 3,355 intravitreal injections between June 2012 and
November 2013, with minor adverse events (0.3% subconjunctival hemorrhage and
corneal abrasion). There were no patient complaints at either hospital.

CONCLUSION:
Experienced ophthalmic nurses quickly learned how to perform such injections
safely.
IVT by nurses was well accepted by patients and staff. Hospital A trained
three
nurses sequentially for improved flexibility in scheduling. Novel use of
appropriately trained non-medical staff can improve efficiency and access in
an
overburdened service with time-sensitive disease. Retinal assessment was
undertaken
by ophthalmologists only. Improved access to IVT is important, as treatment
with
anti-VEGF therapy reduces blindness at population levels.
FAU - Michelotti, Monica M
AU - Michelotti MM
AD - Ophthalmology Department, Royal Bolton Hospital NHS Foundation Trust, Bolton,
UK.
FAU - Abugreen, Salwa
AU - Abugreen S
AD - Ophthalmology Department, East Lancashire NHS Trust, Blackburn, UK.
FAU - Kelly, Simon P
AU - Kelly SP
UK.
FAU - Morarji, Jiten
AU - Morarji J
UK.
FAU - Myerscough, Debra
AU - Myerscough D
FAU - Boddie, Tina
AU - Boddie T
FAU - Haughton, Ann
AU - Haughton A
UK.
FAU - Nixon, Natalie
AU - Nixon N
FAU - Mason, Brenda
AU - Mason B
UK.
FAU - Sioras, Evangelos
AU - Sioras E
UK.
LA - eng
DEP - 20140415
TA - Clin Ophthalmol
JT - Clinical ophthalmology (Auckland, N.Z.)
JID - 101321512
PMC - PMC3998867
OTO - NOTNLM
OT - age-related macular degeneration
OT - extended roles
OT - nurse
OT - ophthalmology
OT - retina
OT - transformation
EDAT- 2014/05/03 06:00
MHDA- 2014/05/03 06:01
CRDT- 2014/05/03 06:00
PHST- 2014/05/03 06:00 [entrez]
PHST- 2014/05/03 06:00 [pubmed]
PHST- 2014/05/03 06:01 [medline]
AID - opth-8-755 [pii]
AID - 10.2147/OPTH.S59982 [doi]
PST - epublish
SO - Clin Ophthalmol. 2014 Apr 15;8:755-61. doi: 10.2147/OPTH.S59982. eCollection
2014.
PMID- 24523775
OWN - NLM
DCOM- 20140213
LR - 20200929
IS - 1735-0328 (Print)
IS - 1726-6882 (Linking)
VI - 12
IP - 4
DP - 2013 Fall
TI - Medication errors in an emergency department in a large teaching hospital in
tehran.
PG - 937-42
AB - Medication errors have important effects on increased length of
hospitalization,
increased mortality and costs. We assessed the incidence of medication errors
and
characterize the error types in an emergency department in a large teaching
hospital
in Tehran. We also investigated the effect of Emergency Department
pharmacists on
patient safety with regard to recovery of potentially harmful medication
errors. The
study was conducted in the 24 bed emergency department from February to
March, 2010
at a 600-bed teaching hospital. Two hospital pharmacists and two clinical
pharmacy
residents observed care provision and collected data on medication errors.
Demographic data, type of medication error, the recorded stage of error, date
and
time of occurrence and report, who made the error, probability of error were
recorded from medical records. We used chi-squared and independent sample t-
tests
for analyzing the data. We recorded 203 medication errors during 180 hours.
The
incidence of medication errors was 50.5% at various levels in the emergency
department. Significant difference in age means was seen between the patients
with
and without medication errors. Seventy four point nine percent of errors were
recorded as definitely an error. Most recorded errors were made by nurses

(44.5%)
and occurred in administrating stage (63.6%). Given that the rate of the
errors was
relatively high, it seems that the presence of clinical pharmacist can be
beneficial.
FAU - Dabaghzadeh, Fatemeh
AU - Dabaghzadeh F
AD - Department of Clinical Pharmacy, School of Pharmacy, Tehran University of
Medical
Sciences, Tehran, Iran, ; School of Pharmacy, Kerman Medical University,
Kerman,
Iran.
FAU - Rashidian, Arash
AU - Rashidian A
AD - Department of Health Management and Economics, School of Public Health,
Tehran
University of Medical Sciences, Iran.
FAU - Torkamandi, Hassan
AU - Torkamandi H
AD - Pharmaceutical Care Department, Dr. Shariati Hospital, Tehran University of
Medical
Sciences, Iran.
FAU - Alahyari, Sara
AU - Alahyari S
Medical
Sciences, Iran.
FAU - Hanafi, Somayaeh
AU - Hanafi S
Medical
Sciences, Iran.
FAU - Farsaei, Shadi
AU - Farsaei S
Medical
FAU - Javadi, Mohammadreza
AU - Javadi M
Medical
Sciences, Tehran, Iran, ; Research Center for Rational Use of Drugs, Tehran
University of Medical Sciences, Tehran, Iran .
LA - eng
JID - 101208407
PMC - PMC3920714
EDAT- 2014/02/14 06:00
MHDA- 2014/02/14 06:01
CRDT- 2014/02/14 06:00
PHST- 2014/02/14 06:00 [entrez]
PHST- 2014/02/14 06:00 [pubmed]
PHST- 2014/02/14 06:01 [medline]
AID - ijpr-12-937 [pii]
PST - ppublish
SO - Iran J Pharm Res. 2013 Fall;12(4):937-42.
PMID- 22519617
OWN - NLM
STAT- MEDLINE
DCOM- 20120817
LR - 20120423
IS - 0966-0429 (Linking)
VI - 20
IP - 3
DP - 2012 Apr
TI - Assessing RN-to-RN peer review on clinical units.
PG - 390-400
LID - 10.1111/j.1365-2834.2011.01321.x [doi]
AB - AIM: The primary purpose of this study was to measure informal registered
nurse
(RN)-to-RN peer review (defined as collegial communication about the quality
of
nursing care) at the work-unit level. METHODS: Survey design with cluster
sampling
of 28 hospital or ambulatory care units (n = 541 respondents). Results were
compared
with existing patient safety and satisfaction data. A chi-squared test was
used to
compare responses against nurse characteristics. RESULTS: Nurses agreed that
RN-to-RN peer review takes place on their units, but no correlation with
patient
safety and satisfaction data was found. Misunderstandings about the meaning
of peer
review were evident. Open-ended comments revealed barriers to peer review:
fear of
retribution, language barriers and lack of professionalism. CONCLUSIONS:
Nurses need
clarification of peer review. Issues with common language in a professional
environment need to be addressed and nurses can learn collaboration from each
other's cultures. IMPLICATIONS FOR NURSING MANAGEMENT: Managers should

support
RN-to-RN peer review on clinical units. Methods used here may be useful to
assess
current departmental nurse peer review.
FAU - Pfeiffer, Judith A
AU - Pfeiffer JA
AD - Development & Research and Psychiatric Services, UC San Diego Health System,
San
Diego, CA 92103-8929, USA. jpfeiffer@ucsd.edu
FAU - Wickline, Mary A
AU - Wickline MA
FAU - Deetz, Jill
AU - Deetz J
FAU - Berry, Elise S
AU - Berry ES
LA - eng
DEP - 20111130
PL - England
TA - J Nurs Manag
JID - 9306050
SB - N
MH - Adult
MH - Aged
MH - Ambulatory Care/organization & administration
MH - Humans
MH - Middle Aged
MH - Nursing Care/standards
MH - Nursing Evaluation Research
MH - Nursing Methodology Research
MH - Nursing Staff, Hospital/*organization & administration/psychology
MH - *Peer Review
EDAT- 2012/04/24 06:00
MHDA- 2012/08/18 06:00
CRDT- 2012/04/24 06:00
PHST- 2012/04/24 06:00 [entrez]
PHST- 2012/04/24 06:00 [pubmed]
PHST- 2012/08/18 06:00 [medline]
AID - 10.1111/j.1365-2834.2011.01321.x [doi]
PST - ppublish
SO - J Nurs Manag. 2012 Apr;20(3):390-400. doi: 10.1111/j.1365-2834.2011.01321.x.
Epub
2011 Nov 30.
PMID- 23384420
OWN - NLM
STAT- MEDLINE
DCOM- 20130919
LR - 20181113
IS - 1472-6963 (Linking)
VI - 13
DP - 2013 Feb 5
TI - Doctors are to blame for perceived medical adverse events. A cross sectional
population study. The Tromsø Study.
PG - 46
LID - 10.1186/1472-6963-13-46 [doi]
AB - BACKGROUND: Most current knowledge of the incidence of medical adverse events
(AEs)
comes from studies carried out in hospital settings. Little is known about
AEs
occurring outside hospitals, in spite the fact that most of contacts between
patients and health care take place in primary care. Small sample population
studies
report that 4-49% of the general public have experienced AEs related to their
own or
family members´ care.The purpose with the present study was to investigate
the
occurrence of experienced medical adverse events in a large general
population.
METHODS: We invited 19763 inhabitants of a municipality in northern Norway,
age 30
years and older, to fill in a questionnaire. Main outcome measures were life
time
prevalence of AEs experienced by respondents or their first degree relatives,
perceived responsibility for and predictors of such events, as well as formal
complaints as a reaction to the events. RESULTS: The response rate was 66%.
Nine and
10% of the respondents reported self-experienced adverse events, and 15 and
19% (men
and women, respectively) that their relatives had experienced AEs. Logistic
regression models showed that the strongest predictors of reporting self-
experienced
adverse events were: Having been persuaded to accept an unwanted examination
or
treatment, difficulties in getting a referral from primary to specialist
health
care, and inadequate communication with the doctor. Of the respondents who
had
experienced adverse events personally, 62% placed the responsibility for the
event
on the general practitioner, 39% on the hospital doctor, and 19% on failing
routines
or cooperation. Only 7% of men and 14% of women who reported self-experienced
events
handed in a formal complaint. CONCLUSIONS: The public predominantly place the
responsibility for medical adverse events on doctors, in particular general

practitioners, and to a lesser degree on the system. This should be
emphasised by
doctors and managers who communicate with patients who have experienced AEs,
and in
patient safety work. Only a small fraction of adverse events results in a
formal
written complaint. Therefore, such complaints are of limited value as a basis
for
patient safety work.
FAU - Hotvedt, Ragnar
AU - Hotvedt R
AD - Department of Community Medicine, Faculty of Health Sciences, University of
Tromsø,
Tromsø 9037, Norway. ragnar.hotvedt@uit.no
FAU - Førde, Olav Helge
AU - Førde OH
LA - eng
DEP - 20130205
JID - 101088677
SB - IM
MH - Adult
MH - Aged
MH - Confidence Intervals
MH - Female
MH - General Practice
MH - Humans
MH - Male
MH - Medical Staff, Hospital
MH - Middle Aged
MH - Norway
MH - Odds Ratio
MH - Patient Safety
MH - *Scapegoating
PMC - PMC3623705
EDAT- 2013/02/07 06:00
MHDA- 2013/09/21 06:00
CRDT- 2013/02/07 06:00
PHST- 2012/02/14 00:00 [received]
PHST- 2013/02/01 00:00 [accepted]
PHST- 2013/02/07 06:00 [entrez]
PHST- 2013/02/07 06:00 [pubmed]
PHST- 2013/09/21 06:00 [medline]
AID - 1472-6963-13-46 [pii]
AID - 10.1186/1472-6963-13-46 [doi]
PST - epublish
SO - BMC Health Serv Res. 2013 Feb 5;13:46. doi: 10.1186/1472-6963-13-46.
PMID- 22194095
OWN - NLM
DCOM- 20121002
LR - 20200930
IS - 1568-5888 (Print)
IS - 1568-5888 (Linking)
VI - 20
IP - 1
DP - 2012 Jan
TI - Nursing role to improve care to infarct patients and patients undergoing
heart
surgery: 10 years' experience.
PG - 5-11
LID - 10.1007/s12471-011-0225-y [doi]
AB - BACKGROUND: The nurse practitioner may be the ideal healthcare worker to
create a
new environment and may facilitate in the process of expediting discharge and
improving patient safety. They can play an intermediary role between the
consultants, nurses and patients, thereby combining the aspects of care
(nursing)
and cure (physicians). METHOD: We describe the contribution and role of the
nurse
practitioner in a teaching hospital and provide an overview of the changes in
care
and cure that were facilitated by two nurse practitioners in the treatment of
cardiac surgery patients or non-complicated acute coronary syndrome patients.
RESULTS: The nurse-led clinic for postoperative patients has registered 1967
patients in the past 10 years. These patients were transferred at a mean of
5.5 days
after their bypass operation. All patients had an uneventful clinical course
in our
hospital and were discharged alive. The period between discharge and
outpatient
clinic visit could be set at 4 weeks. The post-acute coronary syndrome (ACS)
group
included 1236 patients. Mortality in this patient cohort was 4% while 0.4% of
these
patients experienced a re-myocardial infarction. Additional surgery was
needed in
only 2% of these stable post-infarction patients. The mean length of stay was
5.9 ± 14.5 days. CONCLUSION: This observational study confirms that a nurse-

led
postoperative care unit and post-ACS care unit is feasible and effective for
the
treatment of patients returning from cardiac surgery or transferred after
uncomplicated ACS to a general cardiology ward.
FAU - Wit, M A M
AU - Wit MA
AD - Department of Cardiology, Medical Centre Alkmaar, Alkmaar, the Netherlands.
FAU - Bos-Schaap, A J C M
AU - Bos-Schaap AJ
FAU - Hautvast, R W M
AU - Hautvast RW
FAU - Heestermans, A A C M
AU - Heestermans AA
FAU - Umans, V A W M
AU - Umans VA
LA - eng
TA - Neth Heart J
JT - Netherlands heart journal : monthly journal of the Netherlands Society of
Cardiology
and the Netherlands Heart Foundation
JID - 101095458
PMC - PMC3247632
EDAT- 2011/12/24 06:00
MHDA- 2011/12/24 06:01
CRDT- 2011/12/24 06:00
PHST- 2011/12/24 06:00 [entrez]
PHST- 2011/12/24 06:00 [pubmed]
PHST- 2011/12/24 06:01 [medline]
AID - 225 [pii]
AID - 10.1007/s12471-011-0225-y [doi]
PST - ppublish
SO - Neth Heart J. 2012 Jan;20(1):5-11. doi: 10.1007/s12471-011-0225-y.
PMID- 25548397
OWN - NLM
DCOM- 20141230
LR - 20190609
IS - 0008-4123 (Print)
IS - 0008-4123 (Linking)
VI - 67
IP - 6
DP - 2014 Nov
TI - Decreasing medication turnaround time with digital scanning technology in a
canadian
health region.
PG - 410-5
AB - BACKGROUND: Reducing medication turnaround time can improve efficiency,
patient
safety, and quality of care in the hospital setting. Digital scanning
technology
(DST) can be used to electronically transmit scanned prescriber orders to a
pharmacy
computer queue for verification and processing, which may help to improve
medication
turnaround time. OBJECTIVES: To evaluate medication turnaround time before
and after
implementation of DST for all medications and for antibiotics only. METHODS:
Medication turnaround times were evaluated retrospectively for periods before
(June
6-10, 2011) and after (September 26-30, 2011) implementation of DST at 2
hospital
sites in 1 health region. Medication turnaround time was defined as the time
from
composition of a medication order by the prescriber to its verification by
the
pharmacy (phase 1) and the time from prescriber composition to administration
to the
patient by a nurse (total). Median turnaround times were analyzed with SPSS
software
using the Mann-Whitney U test. RESULTS: In total, 304 and 244 medication
orders were
audited before and after DST implementation, respectively. Median phase 1
turnaround
time for all medications declined significantly, from 2 h 23 min before DST
implementation to 1 h 33 min after DST implementation (p < 0.001).
Antibiotics were
also processed significantly faster (1 h 51 min versus 1 h 9 min, p = 0.015).
However, total turnaround time for all medications did not differ
significantly (5 h
15 min versus 5 h 0 min, p = 0.42). CONCLUSIONS: Implementation of DST was
associated with a 50-min decrease in medication turnaround time for the
period from
when an order was prescribed to the time it was processed by the pharmacy.
Regular
evaluation of medication turnaround times is recommended to compare with
benchmarks,
to ensure that hospital standards are being met, and to measure the effects
of
policy changes and implementation of new technology on medication-use
processes.
FAU - Neville, Heather
AU - Neville H
AD - BScPharm, MSc, is a Drug Utilization Pharmacist with the Capital District
Health
Authority, Halifax, Nova Scotia.
FAU - Nodwell, Lisa
AU - Nodwell L
AD - BScPharm, ACPR, is a Clinical Pharmacist with the Capital District Health
Authority,
Halifax, Nova Scotia.
FAU - Alsharif, Sahar
AU - Alsharif S
AD - PharmD, MHI, is a Pharmacist with the King Faisal Specialist Hospital and
Research
Center, Jeddah, Saudi Arabia.
LA - eng
JID - 0215645
PMC - PMC4275136
OTO - NOTNLM
OT - digital scanning technology
OT - medication turnaround time
OT - order processing
EDAT- 2014/12/31 06:00
MHDA- 2014/12/31 06:01
CRDT- 2014/12/31 06:00
PHST- 2014/12/31 06:00 [entrez]
PHST- 2014/12/31 06:00 [pubmed]
PHST- 2014/12/31 06:01 [medline]
AID - 10.4212/cjhp.v67i6.1402 [doi]
PST - ppublish
SO - Can J Hosp Pharm. 2014 Nov;67(6):410-5. doi: 10.4212/cjhp.v67i6.1402.
PMID- 26958287
OWN - NLM
STAT- MEDLINE
DCOM- 20180216
LR - 20181202
IS - 1559-4076 (Linking)
VI - 2015
DP - 2015
TI - Using High-Fidelity Simulation and Eye Tracking to Characterize EHR Workflow
Patterns among Hospital Physicians.
PG - 1881-9
AB - Modern EHR systems are complex, and end-user behavior and training are highly
variable. The need for clinicians to access key clinical data is a critical
patient
safety issue. This study used a mixed methods approach employing a high-
fidelity EHR
simulation environment, eye and screen tracking, surveys, and semi-structured
interviews to characterize typical EHR usage by hospital physicians

(hospitalists)
as they encounter a new patient. The main findings were: 1) There were strong
similarities across the groups in the information types the physicians looked
at
most frequently, 2) While there was no overall difference in case duration
between
the groups, we observed two distinct workflow types between the groups with
respect
to gathering information in the EHR and creating a note, and 3) A majority of
the
case time was devoted to note composition in both groups. This has
implications for
EHR interface design and raises further questions about what individual user
workflows exist in the EHR.
FAU - Doberne, Julie W
AU - Doberne JW
AD - Department of Medical Informatics & Clinical Epidemiology, Oregon Health &
Science
University, Portland, OR.
FAU - He, Ze
AU - He Z
AD - University of Massachusetts Amherst, Amherst, MA.
FAU - Mohan, Vishnu
AU - Mohan V
Science
FAU - Gold, Jeffrey A
AU - Gold JA
Science
University, Portland, OR; Department of Pulmonology & Critical Care, Oregon
Health &
Science University, Portland, OR.
FAU - Marquard, Jenna
AU - Marquard J
AD - University of Massachusetts Amherst, Amherst, MA.
FAU - Chiang, Michael F
AU - Chiang MF
Science
University, Portland, OR; Department of Ophthalmology, Oregon Health &
Science
LA - eng
DEP - 20151105
TA - AMIA Annu Symp Proc
JT - AMIA ... Annual Symposium proceedings. AMIA Symposium
JID - 101209213
SB - IM
MH - Computer Simulation
MH - *Hospitalists
MH - Humans
MH - *Workflow
PMC - PMC4765617
EDAT- 2015/01/01 00:00
MHDA- 2015/01/01 00:01
CRDT- 2016/03/10 06:00
PHST- 2016/03/10 06:00 [entrez]
PHST- 2015/01/01 00:00 [pubmed]
PHST- 2015/01/01 00:01 [medline]
AID - 2248190 [pii]
PST - epublish
SO - AMIA Annu Symp Proc. 2015 Nov 5;2015:1881-9. eCollection 2015.
PMID- 26734318
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - Improving patient safety by implementing a new general surgical on-call rota
for FY1
doctors.
LID - u206069.w3327
AB - Junior doctors often feel they have little control over their working
environment
and can feel overwhelmed by the numerous barriers to their involvement with
rota
design. This project aimed to overcome these barriers to change by
implementing a
new FY1 on-call rota, designed by junior doctors, for the surgical department
at the
Royal Sussex County Hospital, Brighton. A new rota was necessary since the
department had recently undergone an organisational restructuring that
altered the
out of hours work load for FY1 doctors. To address this, the proposed new
rota
increased FY1 presence during weekend daytime shifts. To assess junior
opinion about
the old rota and the proposed new rota, a survey was sent to 32 FY1 doctors
analysing their views about each rota in terms of safety, the sufficiency of
cover
for various shifts, and their willingness to work the rota. A direct
comparison
between the two rotas was also requested. A statistically significant
(p<0.05, n=12,
two-tailed paired T-test) increase in people agreeing with the following
statements
about the new rota: "The rota is safe", "This rota has sufficient FY1 cover
during
the weekend day shifts", and "I would be prepared to work this rota." A
direct
comparison revealed that FY1 doctors felt that the new rota would be safer,
they
would be more willing to work the new rota, and that the new rota should be
implemented. Implementation occurred for the August 2014 general surgical FY1
intake
and post implementation audits showed that the new FY1s felt that cover
across all
shifts was improved and that the new rota was safe. This project demonstrates
that
altering rotas can improve junior doctor's perception of patient safety, and
also
shows that junior team members, with departmental support, can overcome
barriers to
change and implement new rotas.
FAU - Walton, Henry
AU - Walton H
FAU - Uheba, Mokthar
AU - Uheba M
LA - eng
DEP - 20150319
JID - 101629512
PMC - PMC4645718
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2015/03/04 00:00 [received]
PHST- 2015/03/18 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2015 Mar 19;4(1):u206069.w3327. doi:
PMID- 26733188
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 3
IP - 1
DP - 2014
TI - Improving the quality of weekend handover at Yeovil District Hospital.
LID - u203647.w1613
AB - "Handover of care is one of the most perilous procedures in medicine"
(British
Medical Association, Safe Handover, Safe Patients). The system in place for
weekend
handover at YDH was deemed disorganised, unstructured and frequently missing
key
pieces of information, leaving the on-call Foundation Year 1 (FY1) doctor
with only
vague jobs and management plans. Baseline surveys demonstrated that junior
doctors
felt the system was inadequate, potentially compromised patient safety and
increased
their stress levels. In order to improve this problem a structured weekend
handover
proforma was created, comparable with the "Out of hours handover record
keeping
standards: template" from the Royal College of Physicians. This was made
readily
accessible on the local intranet. Education sessions were organised for the
FY1 and
FY2 doctors. The impact of the newly introduced proforma was measured using
feedback
surveys each week from the FY1 on ward cover for six months. A further change
implemented was the introduction of a Friday Ward Round proforma. The aim was
to
reduce the time required to review notes by the on-call doctor, to minimise
avoidable weekend jobs and to improve compliance with the management plans.
The
results demonstrated 100% compliance with the new proformas. There were
notable
improvements in the presence of a plan (37.5% to 91.7%, max. 100%), a minimum
of two
patient identifiers (68.8% to 100%) and relevant background information
(62.5% to
100%). Qualitative data showed a much higher level of satisfaction with the
new
system. Future plans include rolling out electronic handover to improve
problems
such as illegible handwriting and missing data (enable 'compulsory' fields),
and
also for this system to be implemented Trust-wide.
FAU - Sneller, Sarah
AU - Sneller S
AD - Yeovil District Hospital.
FAU - Lada, Karolina
AU - Lada K
FAU - Turner, Charlotte
AU - Turner C
FAU - Millwood, Sinead
AU - Millwood S
FAU - Jervis, Bethan
AU - Jervis B
FAU - Barr, Julia
AU - Barr J
FAU - Farrell, Louise
AU - Farrell L
LA - eng
DEP - 20140902
JID - 101629512
PMC - PMC4645700
EDAT- 2014/01/01 00:00
MHDA- 2014/01/01 00:01
CRDT- 2016/01/07 06:00
PHST- 2014/05/31 00:00 [received]
PHST- 2014/06/19 00:00 [revised]
PHST- 2014/09/02 00:00 [accepted]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2014/01/01 00:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2014 Sep 2;3(1):u203647.w1613. doi:
PMID- 27525164
OWN - NLM
DCOM- 20160815
LR - 20200930
IS - 2093-3681 (Print)
IS - 2093-3681 (Linking)
VI - 22
IP - 3
DP - 2016 Jul
TI - Pharmacy Information Systems in Teaching Hospitals: A Multi-dimensional
Evaluation
Study.
PG - 231-7
LID - 10.4258/hir.2016.22.3.231 [doi]
AB - OBJECTIVES: In hospitals, the pharmacy information system (PIS) is usually a
sub-system of the hospital information system (HIS). The PIS supports the
distribution and management of drugs, shows drug and medical device
inventory, and
facilitates preparing needed reports. In this study, pharmacy information
systems
implemented in general teaching hospitals affiliated to medical universities
in
Tehran (Iran) were evaluated using a multi-dimensional tool. METHODS: This
was an
evaluation study conducted in 2015. To collect data, a checklist was
developed by
reviewing the relevant literature; this checklist included both general and
specific
criteria to evaluate pharmacy information systems. The checklist was then
validated
by medical informatics experts and pharmacists. The sample of the study
included
five PIS in general-teaching hospitals affiliated to three medical
universities in
Tehran (Iran). Data were collected using the checklist and through observing
the
systems. The findings were presented as tables. RESULTS: Five PIS were
evaluated in
the five general-teaching hospitals that had the highest bed numbers. The
findings
showed that the evaluated pharmacy information systems lacked some important
general
and specific criteria. Among the general evaluation criteria, it was found
that only
two of the PIS studied were capable of restricting repeated attempts made for
unauthorized access to the systems. With respect to the specific evaluation

criteria, no attention was paid to the patient safety aspect. CONCLUSIONS:
The PIS
studied were mainly designed to support financial tasks; little attention was
paid
to clinical and patient safety features.
FAU - Kazemi, Alireza
AU - Kazemi A
AD - Department of Health Information Technology and Management, Faculty of
Paramedical
Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
FAU - Rabiei, Reza
AU - Rabiei R
Paramedical
FAU - Moghaddasi, Hamid
AU - Moghaddasi H
Paramedical
FAU - Deimazar, Ghasem
AU - Deimazar G
AD - Department of Health Information Management, Nursing and Allied Health
Faculty,
Semnan University of Medical Sciences, Semnan, Iran.
LA - eng
PT - Case Reports
DEP - 20160731
TA - Healthc Inform Res
JT - Healthcare informatics research
JID - 101534553
PMC - PMC4981583
OTO - NOTNLM
OT - Clinical Pharmacy Information Systems
OT - Drug Information Services
OT - Evaluation Studies
OT - Hospital Information System
OT - Medical Informatics
COIS- Conflict of Interest: No potential conflict of interest relevant to this
article was
reported.
EDAT- 2016/08/16 06:00
MHDA- 2016/08/16 06:01
CRDT- 2016/08/16 06:00
PHST- 2016/05/10 00:00 [received]
PHST- 2016/06/12 00:00 [revised]
PHST- 2016/07/05 00:00 [accepted]
PHST- 2016/08/16 06:00 [entrez]
PHST- 2016/08/16 06:00 [pubmed]
PHST- 2016/08/16 06:01 [medline]
AID - 10.4258/hir.2016.22.3.231 [doi]
PST - ppublish
SO - Healthc Inform Res. 2016 Jul;22(3):231-7. doi: 10.4258/hir.2016.22.3.231.
Epub 2016
Jul 31.
PMID- 27288369
OWN - NLM
STAT- MEDLINE
DCOM- 20180101
LR - 20190202
IS - 2044-6055 (Linking)
VI - 6
IP - 6
DP - 2016 Jun 9
TI - Applying quality improvement methods to address gaps in medicines
reconciliation at
transfers of care from an acute UK hospital.
PG - e010230
LID - 10.1136/bmjopen-2015-010230 [doi]
LID - e010230
AB - OBJECTIVES: Reliable reconciliation of medicines at admission and discharge
from
hospital is key to reducing unintentional prescribing discrepancies at
transitions
of healthcare. We introduced a team approach to the reconciliation process at
an
acute hospital with the aim of improving the provision of information and
documentation of reliable medication lists to enable clear, timely
communications on
discharge. SETTING: An acute 400-bedded teaching hospital in London, UK.
PARTICIPANTS: The effects of change were measured in a simple random sample
of 10
adult patients a week on the acute admissions unit over 18 months.
INTERVENTIONS:
Quality improvement methods were used throughout. Interventions included
education
and training of staff involved at ward level and in the pharmacy department,
introduction of medication documentation templates for electronic prescribing
and
for communicating information on medicines in discharge summaries co-designed
with
patient representatives. RESULTS: Statistical process control analysis showed
reliable documentation (complete, verified and intentional changes clarified)

of
current medication on 49.2% of patients' discharge summaries. This appears to
have
improved (to 85.2%) according to a poststudy audit the year after the project
end.
Pharmacist involvement in discharge reconciliation increased significantly,
and
improvements in the numbers of medicines prescribed in error, or omitted from
the
discharge prescription, are demonstrated. Variation in weekly measures is
seen
throughout but particularly at periods of changeover of new doctors and
introduction
of new systems. CONCLUSIONS: New processes led to a sustained increase in
reconciled
medications and, thereby, an improvement in the number of patients discharged
from
hospital with unintentional discrepancies (errors or omissions) on their
discharge
prescription. The initiatives were pharmacist-led but involved close working
and
shared understanding about roles and responsibilities between doctors,
nurses,
therapists, patients and their carers.
not
FAU - Marvin, Vanessa
AU - Marvin V
AD - Pharmacy Department, Chelsea and Westminster Hospital NHS Foundation Trust,
London,
UK.
FAU - Kuo, Shirley
AU - Kuo S
AD - Pharmacy Department, Chelsea and Westminster Hospital NHS Foundation Trust,
London,
UK.
FAU - Poots, Alan J
AU - Poots AJ
AUID- ORCID: 0000-0002-2331-0904
AD - National Institute for Health Research (NIHR) Collaboration for Leadership in
Applied Health Research and Care (CLAHRC) North West London (NWL), Imperial
College
London, London, UK.
FAU - Woodcock, Tom
AU - Woodcock T
AUID- ORCID: 0000-0002-4735-4856
AD - NIHR CLAHRC NWL, Imperial College London, London, UK.
FAU - Vaughan, Louella
AU - Vaughan L
AD - NIHR CLAHRC NWL, Imperial College London, London, UK.
FAU - Bell, Derek
AU - Bell D
AUID- ORCID: 0000-0002-9944-1097
AD - Department of Acute Medicine, Chelsea and Westminster Hospital NHS Foundation
Trust,
London, UK.
LA - eng
DEP - 20160609
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Continuity of Patient Care/*standards
MH - Documentation
MH - *Hospitals, Teaching/standards
MH - Humans
MH - London
MH - Male
MH - *Medication Reconciliation/methods/standards
MH - Middle Aged
PMC - PMC4908889
OTO - NOTNLM
OT - *Medication reconciliation
OT - *hospital pharmacist
EDAT- 2016/06/12 06:00
MHDA- 2018/01/02 06:00
CRDT- 2016/06/12 06:00
PHST- 2016/06/12 06:00 [entrez]
PHST- 2016/06/12 06:00 [pubmed]
PHST- 2018/01/02 06:00 [medline]
AID - 10.1136/bmjopen-2015-010230 [doi]
PST - epublish
PMID- 26644128
OWN - NLM
STAT- MEDLINE
DCOM- 20160919
LR - 20191210
IS - 2044-6055 (Linking)
VI - 5
IP - 12
DP - 2015 Dec 7
TI - Deepening our Understanding of Quality in Australia (DUQuA): a study protocol
for a
nationwide, multilevel analysis of relationships between hospital quality
management
systems and patient factors.
PG - e010349
LID - 10.1136/bmjopen-2015-010349 [doi]
LID - e010349
AB - INTRODUCTION: Despite the growing body of research on quality and safety in
healthcare, there is little evidence of the association between the way
hospitals
are organised for quality and patient factors, limiting our understanding of
how to
effect large-scale change. The 'Deepening our Understanding of Quality in
Australia'
(DUQuA) study aims to measure and examine relationships between (1)
organisation and
department-level quality management systems (QMS), clinician leadership and
culture,
and (2) clinical treatment processes, clinical outcomes and patient-reported
perceptions of care within Australian hospitals. METHODS AND ANALYSIS: The
DUQuA
project is a national, multilevel, cross-sectional study with data collection
at
organisation (hospital), department, professional and patient levels. Sample
size
calculations indicate a minimum of 43 hospitals are required to adequately
power the
study. To allow for rejection and attrition, 70 hospitals across all
Australian
jurisdictions that meet the inclusion criteria will be invited to
participate.
Participants will consist of hospital quality management professionals;
clinicians;
and patients with stroke, acute myocardial infarction and hip fracture.
Organisation
and department-level QMS, clinician leadership and culture, patient
perceptions of
safety, clinical treatment processes, and patient outcomes will be assessed
using
validated, evidence-based or consensus-based measurement tools. Data analysis
will
consist of simple correlations, linear and logistic regression and multilevel
modelling. Multilevel modelling methods will enable identification of the

amount of
variation in outcomes attributed to the hospital and department levels, and
the
factors contributing to this variation. ETHICS AND DISSEMINATION: Ethical
approval
has been obtained. Results will be disseminated to individual hospitals in
de-identified national and international benchmarking reports with data-
driven
recommendations. This ground-breaking national study has the potential to
influence
decision-making on the implementation of quality and safety systems and
processes in
Australian and international hospitals.
not
FAU - Taylor, Natalie
AU - Taylor N
AD - Australian Institute of Health Innovation, Macquarie University, New South
Wales,
Australia.
FAU - Clay-Williams, Robyn
AU - Clay-Williams R
Wales,
Australia.
FAU - Hogden, Emily
AU - Hogden E
Wales,
Australia.
FAU - Pye, Victoria
AU - Pye V
Wales,
Australia.
FAU - Li, Zhicheng
AU - Li Z
Wales,
Australia.
FAU - Groene, Oliver
AU - Groene O
AD - Faculty of Public Health and Policy, London School of Hygiene & Tropical
Medicine,
London, UK.
FAU - Suñol, Rosa
AU - Suñol R
AD - Avedis Donabedian Research Institute (FAD), Universitat Autonoma de
Barcelona,
Barcelona, Spain Red de investigación en servicios de salud en enfermedades
crónicas
REDISSEC, Barcelona, Spain.
FAU - Braithwaite, Jeffrey
AU - Braithwaite J
Wales,
Australia.
LA - eng
DEP - 20151207
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Australia
MH - Humans
MH - Linear Models
MH - Multilevel Analysis
MH - Outcome and Process Assessment, Health Care/methods/*organization &
administration
MH - Patient Outcome Assessment
MH - Quality Assurance, Health Care/methods/*organization & administration
PMC - PMC4679999
OTO - NOTNLM
OT - hospital performance
OT - hospital quality management systems
OT - patient level factors
OT - patient safety
EDAT- 2015/12/09 06:00
MHDA- 2016/09/20 06:00
CRDT- 2015/12/09 06:00
PHST- 2015/12/09 06:00 [entrez]
PHST- 2015/12/09 06:00 [pubmed]
PHST- 2016/09/20 06:00 [medline]
AID - 10.1136/bmjopen-2015-010349 [doi]
PST - epublish
PMID- 23960831
OWN - NLM
DCOM- 20130820
LR - 20200930
IS - 1319-0164 (Print)
IS - 1319-0164 (Linking)
VI - 21
IP - 2
DP - 2013 Apr
TI - Hospital versus home treatment of deep vein thrombosis in a tertiary care
hospital
in Saudi Arabia: Are we ready?
PG - 165-8
LID - 10.1016/j.jsps.2012.05.008 [doi]
AB - AIM/BACKGROUND: Treatment of DVT with LMWHs has been shown recently to be as
effective as UFH with suggested lower costs. This study was conducted to
determine
and compare the cost of in-patient hospital treatment versus outpatient
hospital
treatment of patients with DVT. METHOD: All adult patients with acute
proximal DVT
referred to the Emergency Department of King Khalid University Hospital,
Riyadh,
Saudi Arabia between August 2009 and August 2010 were invited to the study.
An
economic analysis was performed to compare the cost impact of outpatients
versus
hospital treatment. RESULTS: Sixty-one patients were included in the study,
31 were
followed in the outpatient setting and 30 as the control group (inpatients).
There
were no significant differences in the outcome between the outpatient and
inpatient
group; three patients (9.7%) in the outpatient group and four patients
(13.3%) in
the inpatient group had recurrent DVT. Mean nursing cost was $55 for the
outpatient
group and $215 for the inpatient group, mean laboratory monitoring cost was
$638 for
outpatient group and $1511 for the inpatient group. Hospital stay and
doctor's fees
amounted to a mean of $1000 for outpatient treatment and $2387 for inpatient
treatment, p < 0.0001. The mean outpatient cost was significantly lower than
the
inpatient cost ($1750 vs. $4338, p < 0.0001). CONCLUSION: Outpatient
treatment of
patients with DVT using LMWHs is cost-effective with no significant
differences in
the outcome of patients. OPD treatment of DVT is feasible in Saudi Arabia
provided
there is enough logistic support from thrombosis clinics and those involved
in DVT
care.
FAU - Algahtani, Farjah
AU - Algahtani F
AD - Hematology-Oncology Division, Department of Medicine, King Khalid University
Hospital, King Saud University, Riyadh, Saudi Arabia.
FAU - Aseri, Zohair Al
AU - Aseri ZA
FAU - Aldiab, Abdurahman
AU - Aldiab A
FAU - Aleem, Aamer
AU - Aleem A
LA - eng
DEP - 20120526
TA - Saudi Pharm J
JID - 9705695
PMC - PMC3745076
OTO - NOTNLM
OT - Anticoagulation
OT - Deep vein thrombosis
OT - Economic evaluation
OT - Outpatient
OT - Patient safety
OT - Treatment
EDAT- 2013/08/21 06:00
MHDA- 2013/08/21 06:01
CRDT- 2013/08/21 06:00
PHST- 2012/04/01 00:00 [received]
PHST- 2012/05/18 00:00 [accepted]
PHST- 2013/08/21 06:00 [entrez]
PHST- 2013/08/21 06:00 [pubmed]
PHST- 2013/08/21 06:01 [medline]
AID - SPJ155 [pii]
AID - 10.1016/j.jsps.2012.05.008 [doi]
PST - ppublish
SO - Saudi Pharm J. 2013 Apr;21(2):165-8. doi: 10.1016/j.jsps.2012.05.008. Epub
2012 May
26.
PMID- 27222462
OWN - NLM
STAT- MEDLINE
DCOM- 20170705
LR - 20170705
IS - 0020-7489 (Linking)
VI - 59
DP - 2016 Jul
TI - Giving voice to quality and safety matters at board level: A qualitative
study of
the experiences of executive nurses working in England and Wales.
PG - 169-76
LID - S0020-7489(16)30027-X [pii]
AB - BACKGROUND: Recent reports into egregious failing in the quality and safety
of
healthcare in the UK have focussed on the ability of executive boards to
discharge
their duties effectively. Inevitably the role of executive nurses, whose
remit
frequently includes responsibility for quality and safety, has become the
object of
increased scrutiny. However, limited evidence exists about the experiences of
the
UK's most senior nurses of working at board level. OBJECTIVE: We aimed to
generate
empirical evidence on the experiences of executive nurses working at board
level in
England and Wales. We posed two research questions: What are the experiences
of
nurse executives working at board level? What strategies and/or processes do
nurse
executives deploy to ensure their views and concerns about quality and safety
are
taken into account at board level? DESIGN: Qualitative interviews using
semi-structured interviews. SETTING: NHS England and Wales. PARTICIPANTS:
Purposive
sample of 40 executive board nurses. METHODS: Semi-structured interviews
followed by
a process of thematic data analysis using NVivo10 and feedback on early
findings
from participants. RESULTS: Our findings are presented under three headings:
the
experiences of executive nurses working with supportive, engaged boards;
their
experiences of being involved with unsupportive, avoidant boards with a poor
understanding of safety, quality and the executive nursing role and the
strategies
deployed by executive nurses to ensure that the nursing voice was heard at
board.
Two prominent and interrelated discursive strategies were used by executive
nurses -
briefing and building relationships and preparing and delivering a credible
case.
Considerable time and effort were invested in these strategies which were
described
as having significant impact on individual board members and collective board
decision making. These strategies, when viewed through the lens of the
concept of
"groupthink", can be seen to protect executive nurses from accusations by
board
colleagues of disloyalty whislt also actively restricting the development of
"groupthink" within the board. Another finding of note was that executive
boards may
not be permanently fixed as either unsupportive or supportive as participants
described how certain boards that were initially unsupportive adopted a more
supportive attitude towards matters of safety and quality. CONCLUSIONS: These
highly
positioned nurses can provide invaluable advice and support to boards around
matters
of quality and safety. However, the work of nurse executives remains an
under-research area and more work is needed to better understand the ebb and
flow of
power and influence at play within hospital boards.
reserved.
FAU - Jones, Aled
AU - Jones A
AD - Workforce, Innovation and Improvement Research Group, School of Healthcare
Sciences,
College of Biomedical and Life Sciences, Cardiff University, 13th Floor
Eastgate
House 35-43 Newport Road, Cardiff CF24 0AB, United Kingdom. Electronic
address:
jonesa97@cardiff.ac.uk.
FAU - Lankshear, Annette
AU - Lankshear A
Sciences,
Eastgate
House 35-43 Newport Road, Cardiff CF24 0AB, United Kingdom.
FAU - Kelly, Daniel
AU - Kelly D
Sciences,
Eastgate
House 35-43 Newport Road, Cardiff CF24 0AB, United Kingdom.
LA - eng
DEP - 20160420
PL - England
JID - 0400675
SB - IM
SB - N
MH - England
MH - Humans
MH - *Nursing Staff
MH - Wales
OTO - NOTNLM
OT - Care quality
OT - Nurse executives
OT - Patient safety
OT - Voice
EDAT- 2016/05/26 06:00
MHDA- 2017/07/06 06:00
CRDT- 2016/05/26 06:00
PHST- 2015/09/23 00:00 [received]
PHST- 2016/03/18 00:00 [revised]
PHST- 2016/04/12 00:00 [accepted]
PHST- 2016/05/26 06:00 [entrez]
PHST- 2016/05/26 06:00 [pubmed]
PHST- 2017/07/06 06:00 [medline]
AID - S0020-7489(16)30027-X [pii]
PST - ppublish
SO - Int J Nurs Stud. 2016 Jul;59:169-76. doi: 10.1016/j.ijnurstu.2016.04.007.
Epub 2016
Apr 20.
PMID- 26734236
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 2
IP - 2
DP - 2014
TI - Bring on the weekend - Improving the quality of junior doctor weekend
handover.
LID - u202379.w1297
AB - While it is widely recognised that communication and handover are a
fundamental
component in providing safe clinical care for hospital patients (1,2.3). The
Royal
College of Physicians found that the majority of hospital doctors are
dissatisfied
with the standard of their handovers (4). These findings were mirrored by the
junior
staff at the Royal United Hospital, who felt that the weekend handover was
inadequate, and detrimental to patient safety. A group of eight junior
doctors at
the Royal United Hospital, Bath utilised The Model For Improvement to
systematically
analyse and improve various aspects of the weekend handover system. Handover
sheets
from a subset of wards were assessed to observe direct effects of staged
interventions over a nine month period, allowing small-scale testing prior to
widespread implementation of a standardised intranet-based weekend handover.

The
effects of interventions were evaluated using a predesigned scoring system
and data
was collected continuously throughout the project. Over a nine month period
the
quality of handovers improved significantly from 76% to 93% (p <0.01): a
success
which was supported by a 100% improvement in formal feedback collected from
hospital
doctors and highlighted by the desire of senior staff and directors to
implement the
system throughout the trust. Using The Model For Improvement a group of
junior
doctors were able to introduce and develop a standardised weekend handover
system
that met their requirements. A structured, efficient and auditable system has
been
successfully produced which improves the quality and safety of patient care.
FAU - Jardine, Alan George Mackenzie
AU - Jardine AG
AD - RUH Bath, England, UK.
FAU - Page, Tristan
AU - Page T
FAU - Bethune, Rob
AU - Bethune R
FAU - Mourant, Philippa
AU - Mourant P
FAU - Deol, Priya
AU - Deol P
FAU - Bowden, Caitlin
AU - Bowden C
FAU - Dahill, Mark
AU - Dahill M
FAU - Mische, Claudia
AU - Mische C
FAU - Cornish, Naomi
AU - Cornish N
FAU - Sanders, Victoria
AU - Sanders V
FAU - Lee, Joanne
AU - Lee J
FAU - Bethune, Rob
AU - Bethune R
LA - eng
DEP - 20140108
JID - 101629512
PMC - PMC4663818
EDAT- 2014/01/01 00:00
MHDA- 2014/01/01 00:01
CRDT- 2016/01/07 06:00
PHST- 2013/11/15 00:00 [received]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2014/01/01 00:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2014 Jan 8;2(2):u202379.w1297. doi:
PMID- 29120385
OWN - NLM
LR - 20200930
IS - 2226-4787 (Linking)
VI - 5
IP - 4
DP - 2017 Nov 9
TI - Hospital Audit as a Useful Tool in the Process of Introducing Falsified
Medicines
Directive (FMD) into Hospital Pharmacy Settings-A Pilot Study.
LID - 63
AB - BACKGROUND: Recently, the European Union has introduced the Falsified
Medicines
Directive (FMD). Additionally, in early 2016, a Delegated Act (DA) related to
the
FMD was published. The main objective of this study was to evaluate the
usefulness
of external audits in the context of implementing new regulations provided by
the
FMD in the secondary care environment. METHODS: The external, in-person
workflow
audits were performed by an authentication company in three Polish hospital
pharmacies. Each audit consisted of a combination of supervision (non-
participant
observation), secondary data analysis, and expert interviews with the use of
an
independently designed authorial Diagnostic Questionnaire. The questionnaire
included information about hospital drug distribution procedures, data
concerning
drug usage, IT systems, medication order systems, the processes of medication
dispensing, and the preparation and administration of hazardous drugs. Data

analysis
included a thorough examination of hospital documentation in regard to drug
management. All data were subjected to qualitative analysis, with the aim of
generating meaningful information through inductive inference. RESULTS: Only
one
dispensing location in the Polish hospitals studied has the potential to be a
primary authentication area. In the audited hospitals, an Automated Drug

Dispensing
System and unit dose were not identified during the study. Hospital wards
contained
an enclosed place within the department dedicated to drug storage under the
direct
supervision of senior nursing staff. An electronic order system was not
available.
In the largest center, unused medications are re-dispensed to different
hospital
departments, or may be sold to various institutions. Additionally, in one
hospital
pharmacy, pharmacists prepared parenteral nutrition and chemotherapeutic
drugs for
patients admitted to the hospital. CONCLUSIONS: External audits might prove
beneficial in the course of introducing new regulations into everyday
settings.
However, such action should be provided before the final implementation of
authentication services. To sum up, FMD can impact several hospital
departments.
FAU - Religioni, Urszula
AU - Religioni U
AD - Department of Public Health, Medical University of Warsaw, Banacha 1a, 02-097
Warsaw, Poland. urszula.religioni@gmail.com.

FAU - Swieczkowski, Damian
AU - Swieczkowski D
AD - First Department of Cardiology, Medical University in Gdansk, Dębinki 7, 80-
952
Gdańsk, Poland. d.swieczkowski@gumed.edu.pl.
FAU - Gawrońska, Anna
AU - Gawrońska A
AD - Institute of Logistics and Warehousing, Ewarysta Estkowskiego 6, 61-755
Poznań,
Poland. anna.gawronska@ilim.poznan.pl.
FAU - Kowalczuk, Anna
AU - Kowalczuk A
AD - National Medicines Institute, Chełmska 30/34, 00-725 Warsaw, Poland.
a.kowalczuk@nil.gov.pl.
FAU - Drozd, Mariola
AU - Drozd M
AD - Department of Applied Pharmacy, Medical University of Lublin, Chodźki 1, 20-
093
Lublin, Poland. marioladrozd@umlub.pl.
FAU - Zerhau, Mikołaj
AU - Zerhau M
AD - Hospital Pharmacy, Mazowiecki Szpitala Specjalistyczny w Ostrołęce, Al. Jana
Pawła
II 120 A, 07-410 Ostrołęka, Poland. mikizerh@gmail.com.
FAU - Smoliński, Dariusz
AU - Smoliński D
AD - Community Pharmacy, Poland. smolinski.d.a@gmail.com.
FAU - Radomiński, Stanisław
AU - Radomiński S
AD - Quizit Sp. z. o. o., Unit Dose, Sprinterów 2/6, 94-022 Łódź, Poland.
s.radominski@quizit.eu.
FAU - Cwalina, Natalia
AU - Cwalina N
952
Gdańsk, Poland. ncwalina@gumed.edu.pl.
FAU - Brindley, David
AU - Brindley D
AD - Department of Paediatrics, University of Oxford, Level 2, Children's
Hospital, John
Radcliffe, Headington, Oxford OX3 9DU, UK.
david.brindley@paediatrics.ox.ac.u.
AD - The Oxford-UCL Centre for the Advancement of Sustainable Medical Innovation
(CASMI),
The University of Oxford, Tavistock Square, London WC1H 9JP, UK.
AD - Centre for Behavioural Medicine, UCL School of Pharmacy, University College
London,
BMA House, Tavistock Square, London WC1H 9JP, UK.
AD - Harvard Stem Cell Institute, Cambridge, MA 02138, USA.
AD - USCF-Stanford Centre of Excellence in Regulatory Science and Innovation
(CERSI), San
Francisco, CA 94158, USA. david.brindley@paediatrics.ox.ac.u.
FAU - Jaguszewski, Miłosz J
AU - Jaguszewski MJ
952
Gdańsk, Poland. mjaguszewski@gumed.edu.pl.
FAU - Merks, Piotr
AU - Merks P
AD - Department of Pharmaceutical Technology, Faculty of Pharmacy Collegium
Medicum in
Bydgoszcz, Nicolaus Copernicus University in Torun, 85-089 Bydgoszcz, Poland.
piotrmerks@gmail.com.
LA - eng
DEP - 20171109
JID - 101678532
PMC - PMC5748544
OTO - NOTNLM
OT - Falsified Medicines Directive
OT - patient safety
OT - pharmaceutical law
OT - pharmacist
OT - point of authentication
COIS- It must be emphasized that this publication was created purely for
theoretical
practice and academic interest and it must not be misconstrued in any way as
an
investment recommendation. Piotr Merks was an employee of Aegate Ltd. in
Poland and
in the United Kingdom (2015–2017). David Brindley was a consultant of Aegate
Ltd.
and is a stockholder in IP Asset Ventures and Translation Ventures Ltd
(Charlbury,
Oxfordshire, UK), a company that provides, among other services, cell therapy
biomanufacturing, along with regulatory and financial advice to clients in

the cell
therapy sector.
EDAT- 2017/11/10 06:00
MHDA- 2017/11/10 06:01
CRDT- 2017/11/10 06:00
PHST- 2017/10/04 00:00 [received]
PHST- 2017/11/05 00:00 [revised]
PHST- 2017/11/06 00:00 [accepted]
PHST- 2017/11/10 06:00 [entrez]
PHST- 2017/11/10 06:00 [pubmed]
PHST- 2017/11/10 06:01 [medline]
PST - epublish
SO - Pharmacy (Basel). 2017 Nov 9;5(4):63. doi: 10.3390/pharmacy5040063.
PMID- 25491889
OWN - NLM
STAT- MEDLINE
DCOM- 20160112
LR - 20181202
IS - 1757-7241 (Linking)
VI - 22
DP - 2014 Dec 10
TI - A pathway care model allowing low-risk patients to gain direct admission to a
hospital medical ward--a pilot study on ambulance nurses and Emergency

Department
physicians.
PG - 72
LID - 10.1186/s13049-014-0072-0 [doi]
LID - 72
AB - A pathway care model allowing low-risk patients to gain rapid admission to a
hospital medical ward - a pilot study on ambulance nurses and Emergency
Department
physicians. BACKGROUND: Patients with non-urgent medical symptoms who
nonetheless
require inpatient hospital treatment often have to wait for an unacceptably
long
time at the Emergency Department (ED). The purpose of this study is to
evaluate the
feasibility and effect on length of delay of a pathway care model for low-
risk
patients who have undergone prehospital assessment by an ambulance nurse and
ED
assessment by a physician within 10 minutes of arrival at the ED. METHODS:
The pilot
study comparing two low-risk groups took place in western Sweden from October
2011
until January 2012. The pathway model for low-risk patients was used
prospectively
in the rapid admission group (N = 51), who were admitted rapidly after being
assessed by the nurse on scene and then assessed by the ED physician on ED
admission. A retrospectively assembled control group (N = 51) received
traditional
care at the ED. All p-values are age-adjusted. RESULTS: Patients in the rapid
admission group were older (mean age 80 years old) than patients in the
control
group (mean age 73 years old) (p = 0.02). The median delay from arrival at
the
patient's side until arrival in a hospital medical ward was 57 minutes for
the rapid
admission group versus 4 hours 13 minutes for the control group (p < 0.0001).
However, the median delay time from the ambulance's arrival at the patient's
side
until the nurse was free for a new assignment was 77 minutes for the rapid
admission
group versus 49 minutes for the control group (p < 0.0001). The 30-day
mortality
rate was 20% for the rapid admission group and only 4% for the control group
(p = 0.16). CONCLUSION: The pathway care model for low-risk patients gaining
rapid
admission to a hospital medical ward shortened length of delay from the first
assessment until arrival at the ward. However, the result was achieved at the
cost
of an increased workload for the ambulance nurse. Furthermore patients who
were
rapidly admitted to a hospital ward had a high age level and a high early
mortality
rate. Patient safety in this new model of fast-track assessment needs to be
further
evaluated.
FAU - Wireklint Sundström, Birgitta
AU - Wireklint Sundström B
AD - School of Health Sciences, Research Centre PreHospen, University of Borås,
The
Prehospital Research Centre of Western Sweden, SE-501 90, Borås, Sweden.
birgitta.wireklint.sundstrom@hb.se.
FAU - Petersson, Emelie
AU - Petersson E
AD - Gothenburg EMS System, Sahlgrenska Academy and University Hospital,
Gothenburg,
Sweden. emsansa@hotmail.com.
FAU - Sjöholm, Marcus
AU - Sjöholm M
Gothenburg,
Sweden. sjoholm66@hotmail.com.
FAU - Gelang, Carita
AU - Gelang C
Gothenburg,
Sweden. carita.gelang@vgregion.se.
AU - Axelsson C
The
christer.axelsson@hb.se.
Gothenburg,
Sweden. christer.axelsson@hb.se.
FAU - Karlsson, Thomas
AU - Karlsson T
AD - Department of Public Health and Community Medicine, Sahlgrenska Academy and
University Hospital, Gothenburg, Sweden. thomas.karlsson@gu.se.
AU - Herlitz J
The
johan.herlitz@hb.se.
LA - eng
DEP - 20141210
JID - 101477511
SB - IM
MH - Aged
MH - Ambulances/*organization & administration
MH - Female
MH - Humans
MH - Male
MH - *Models, Organizational
MH - Nurses/*organization & administration
MH - Physicians/*organization & administration
MH - Pilot Projects
MH - Time Factors
MH - Workforce
PMC - PMC4274724
EDAT- 2014/12/11 06:00
MHDA- 2016/01/13 06:00
CRDT- 2014/12/11 06:00
PHST- 2014/05/19 00:00 [received]
PHST- 2014/11/19 00:00 [accepted]
PHST- 2014/12/11 06:00 [entrez]
PHST- 2014/12/11 06:00 [pubmed]
PHST- 2016/01/13 06:00 [medline]
AID - s13049-014-0072-0 [pii]
AID - 72 [pii]
AID - 10.1186/s13049-014-0072-0 [doi]
PST - epublish
SO - Scand J Trauma Resusc Emerg Med. 2014 Dec 10;22:72. doi: 10.1186/s13049-014-
0072-0.
PMID- 22043183
OWN - NLM
DCOM- 20130704
LR - 20181113
IS - 1554-7477 (Print)
IS - 1554-7477 (Linking)
VI - 7
IP - 4
DP - 2011 Jul
TI - Computerized provider order entry in pediatric oncology: design,
implementation, and
outcomes.
PG - 218-22
LID - 10.1200/JOP.2011.000344 [doi]
AB - PURPOSE: Pediatric oncology is a challenging environment for computerized
provider
order entry (CPOE). Our goal was to build on the proven safety features of
CPOE and
facilitate input of expert clinicians. METHODS: A standard, commercially
available
CPOE system was implemented throughout the hospital. The design of the
pediatric
oncology implementation was a collaborative effort by a multidisciplinary
team of
clinicians and information technology experts. RESULTS: During 9 months of
configuration effort, 30 medical logic modules and 110 order sets were
developed to
support pediatric oncology. The proportion of chemotherapy orders submitted
using
specific research protocol or standard-of-care order sets increased from 57%
to 84%
as the number of active order sets grew to 200. The number of medication-
related
patient safety events decreased 39% after implementation of CPOE in pediatric
oncology. Acceptance of the system is high in all clinical disciplines.

CONCLUSION:
Implementation of CPOE required extensive customization but improved patient
safety
in this highly complex pediatric oncology environment.
FAU - Chen, Allen R
AU - Chen AR
AD - Departments of Oncology and Pediatrics, Johns Hopkins University School of
Medicine,
Baltimore, MD.
FAU - Lehmann, Christoph U
AU - Lehmann CU
LA - eng
TA - J Oncol Pract
JT - Journal of oncology practice
JID - 101261852
PMC - PMC3140441
EDAT- 2011/11/02 06:00
MHDA- 2011/11/02 06:01
CRDT- 2011/11/02 06:00
PHST- 2011/05/22 00:00 [accepted]
PHST- 2011/11/02 06:00 [entrez]
PHST- 2011/11/02 06:00 [pubmed]
PHST- 2011/11/02 06:01 [medline]
AID - 3706349 [pii]
AID - 10.1200/JOP.2011.000344 [doi]
PST - ppublish
SO - J Oncol Pract. 2011 Jul;7(4):218-22. doi: 10.1200/JOP.2011.000344.
PMID- 21979288
OWN - NLM
STAT- MEDLINE
DCOM- 20120214
LR - 20151119
IS - 0125-9326 (Print)
IS - 0125-9326 (Linking)
VI - 43
IP - 3
DP - 2011 Jul
TI - Therapeutic drug monitoring: focus on conditions in Indonesia.
PG - 208-11
AB - It has been long recognized that large inter-individual variability is
commonly
observed in response to drug administration. The large response variability
of
certain drugs with narrow margin of safety may induce toxicity. To avoid this
and to
optimize the result of drug treatment, therapeutic drug monitoring (TDM)
service has
been routinely applied in hospitals in well-developed countries. For certain
drugs,
the TDM service has been shown beneficial and cost-effective. In Indonesia,
the TDM
has not yet been implemented. There are three problems that hamper the
implementation of TDM here, i.e. cost, the limited expertise to provide
interpretation for result of drug assay, and the lack of communication with
the
clinicians. Today the patient safety issue is considered of paramount
importance in
the health care service in all hospitals. Therefore, it is now the time to
commence
the TDM service in Indonesia. This can be started with a pilot project in a
large
hospital, followed by the others. To avoid unnecesary wasting of funds, TDM
should
be limited for drugs which toxicity is not readily observed clinically.
FAU - Setiabudy, Rianto
AU - Setiabudy R
AD - Department of Pharmacology, Faculty of Medicine, University of Indonesia,
Jakarta,
Indonesia. rianto_set@yahoo.com
LA - eng
PL - Indonesia
TA - Acta Med Indones
JT - Acta medica Indonesiana
JID - 7901042
SB - IM
MH - Drug Monitoring/*economics/methods
MH - Humans
MH - Indonesia
MH - Interdisciplinary Communication
MH - Pharmacokinetics
MH - Pharmacological Phenomena
EDAT- 2011/10/08 06:00
MHDA- 2012/02/15 06:00
CRDT- 2011/10/08 06:00
PHST- 2011/10/08 06:00 [entrez]
PHST- 2011/10/08 06:00 [pubmed]
PHST- 2012/02/15 06:00 [medline]
PST - ppublish
SO - Acta Med Indones. 2011 Jul;43(3):208-11.
PMID- 26888702
OWN - NLM
STAT- MEDLINE
DCOM- 20160719
LR - 20191113
IS - 0391-9005 (Print)
IS - 0391-9005 (Linking)
VI - 36
IP - 6
DP - 2015 Nov-Dec
TI - An audit of consenting practices in a district general hospital. Can we
improve?
PG - 263-6
AB - INTRODUCTION: Informed consent, as the declaration of patients' will, forms
the
basis of legality of medical procedures. A standard form based on the
Department of
Health model is widely used in the National Health Service (NHS). The aim of
this
audit process was to assess the current consent practice in comparison to the
UK's
General Medical Council guidance and local policy and make any appropriate
improvements. PATIENTS AND METHODS: 254 adult consent forms were reviewed
during the
patients' admission. Data collected included legible documentation, grade of
health
professional completing the consent form, providing additional written
information,
use of abbreviations, securing the consent form in the medical records and,
providing a copy to the patient. After initial assessment, interventions in
an
attempt to improve adherence to guidelines were introduced. A repeat audit of
a
further set of 110 notes was completed to assess the effectiveness of our
interventions. RESULTS: Our baseline assessment of 254 consent forms
comprised of
198 (78%) elective and 56 (22%) emergency procedures. 87 (34%) consent forms
were
secure in the medical records. Grade of health professional was recorded in
211
(83%). 191 (75%) forms were legible. 48 (19%) patients were given copy of the
consent. Only 24 (9%) patients were given additional written information.

Abbreviations were used in 68 (27%) forms. Only 12 (5%) of consent forms met
all
criteria simultaneously. Re-audit after intervention assessed 110 consent
forms; 30
(27%) for elective and 80 (72%) for emergency procedures. 52 (47%) of consent
forms
were secure in medical records, grade of health professional was recorded in
94
(85%), 101 (75%) forms were legible, 42 (38%) patients received copy of
consent and
41 (37%) of patients received additional written information. CONCLUSION:
Initially
only 5% of consent forms completely met GMC guidelines. This demonstrates an
alarmingly poor adherence to such guidance that plays a vital role in patient
safety, patient ethics autonomy, not to mention potential medico-legal and

clinical
governance implications for surgical practice. Our intervention has improved
the
quality of consenting within our hospital according to these guidelines. With
these
interventions set to continue and further develop, we expect that the quality
of the
consenting process will continue to provide patients with all that it is
designed
to.
FAU - Chohda, E
AU - Chohda E
FAU - Doddi, S
AU - Doddi S
FAU - Sundaramoorthy, S
AU - Sundaramoorthy S
FAU - Manton, R N
AU - Manton RN
FAU - Ahad, A
AU - Ahad A
FAU - Sinha, A
AU - Sinha A
FAU - Khawaja, H
AU - Khawaja H
LA - eng
TA - G Chir
JT - Il Giornale di chirurgia
JID - 9011768
SB - IM
MH - Adult
MH - Clinical Audit
MH - *Consent Forms
MH - *Hospitals, General
MH - Humans
PMC - PMC4767373
EDAT- 2016/02/19 06:00
MHDA- 2016/07/20 06:00
CRDT- 2016/02/19 06:00
PHST- 2016/02/19 06:00 [entrez]
PHST- 2016/02/19 06:00 [pubmed]
PHST- 2016/07/20 06:00 [medline]
AID - 7417 [pii]
AID - 263-266 [pii]
AID - 10.11138/gchir/2015.36.6.263 [doi]
PST - ppublish
SO - G Chir. 2015 Nov-Dec;36(6):263-6. doi: 10.11138/gchir/2015.36.6.263.
PMID- 22134937
OWN - NLM
STAT- MEDLINE
DCOM- 20120126
LR - 20191210
IS - 0025-6196 (Print)
IS - 0025-6196 (Linking)
VI - 86
IP - 12
DP - 2011 Dec
TI - Detecting delayed microbiology results after hospital discharge: improving
patient
safety through an automated medical informatics tool.
PG - 1181-5
LID - 10.4065/mcp.2011.0415 [doi]
AB - We developed a computerized medical informatics tool to identify patients who
had a
culture performed on a sterile body site specimen during their
hospitalization that
subsequently turned positive after hospital dismissal. During a 13-month
period, 533
patients had a positive culture identified by our Computer-Based
Antimicrobial
Monitoring (CBAM) program after hospital dismissal, and 112 (21%) of these
culture
results necessitated an intervention and communication with the primary
health care
professional. Thirty-two (29%) of positive cultures were from the blood.
Thirty-eight (34%) of the CBAM interventions with available outcome data
resulted in
initiation of, change in, or prolongation of outpatient antimicrobial
therapy. The
CBAM program serves an important role in optimizing patient care and
communication
with the health care professional during the transition from inpatient to
outpatient
management.
FAU - Wilson, John W
AU - Wilson JW
AD - Division of Infectious Diseases, Mayo Clinic, Rochester, MN 55905, USA.
wilson.john@mayo.edu
FAU - Marshall, William F
AU - Marshall WF
FAU - Estes, Lynn L
AU - Estes LL
LA - eng
TA - Mayo Clin Proc
JT - Mayo Clinic proceedings
JID - 0405543
SB - AIM
SB - IM
MH - *Bacteria/isolation & purification
MH - Humans
MH - Infections/*diagnosis/microbiology
MH - Microbiological Techniques/*methods
MH - *Outpatients
MH - Time Factors
PMC - PMC3228618
EDAT- 2011/12/03 06:00
MHDA- 2012/01/27 06:00
CRDT- 2011/12/03 06:00
PHST- 2011/12/03 06:00 [entrez]
PHST- 2011/12/03 06:00 [pubmed]
PHST- 2012/01/27 06:00 [medline]
AID - S0025-6196(11)65255-5 [pii]
AID - 10.4065/mcp.2011.0415 [doi]
PST - ppublish
SO - Mayo Clin Proc. 2011 Dec;86(12):1181-5. doi: 10.4065/mcp.2011.0415.
PMID- 28435420
OWN - NLM
LR - 20201001
IS - 1568-4156 (Print)
VI - 16
IP - 3
DP - 2016 Aug 19
TI - Qualitative Evaluation of the Implementation of an Integrated Care Delivery
Model
for Chronic Patients with Multi-Morbidity in the Basque Country.
PG - 9
LID - 10.5334/ijic.1975 [doi]
LID - 9
AB - INTRODUCTION: The objective of this study was to assess a model for improving
healthcare integration for patients with multiple chronic diseases in an

integrated
healthcare organisation in the Basque Country and to propose areas for
improvement.
METHODS: We organised four nominal groups composed of representatives from
different
categories of clinicians involved in the development of an integrated
healthcare
organisation and in the integrated care of patients with multiple diseases,
namely,
internists, general practitioners, and primary care and hospital nurses.
RESULTS:
The aspect rated most positively was the concept itself of an integrated care
model,
which is able to improve communication between levels of care, increase the
quality
of the care provided and enhance patient safety. Additionally, it was agreed
that
the role of assigned clinicians is a key element. The problems identified
mostly
concern its implementation in daily practice. CONCLUSIONS: The results of
this study
made it possible to suggest at least 8 areas of improvement to be
implemented. These
are related to: nurses' roles; care and monitoring of stable patients; team
work;
communication with patients; coordination with social workers and between
internists
and family doctors; as well as the development of an office of medical
services to
lead the integration process.
FAU - Jauregui, María Luz
AU - Jauregui ML
AD - Clinical Management Unit, Tolosaldea Integrated Health Organisation, Basque
Health
Service (Osakidetza), Spain.
FAU - Silvestre, Carmen
AU - Silvestre C
AD - Quality and Clinical Safety Unit, Servicio Navarro de Salud-Osasunbidea,
Spain.
FAU - Valdes, Pedro
AU - Valdes P
AD - General Practitioner, Deusto Primary Health Centre, Osakidetza, Basque
Country,
Spain.
FAU - Gaminde, Idoia
AU - Gaminde I
AD - Research, Innovation and Knowledge Management Unit, Department of Health,
Government
of Navarre, Spain.
LA - eng
DEP - 20160819
TA - Int J Integr Care
JT - International journal of integrated care
JID - 101214424
PMC - PMC5350635
OTO - NOTNLM
OT - family medicine
OT - integrated care
OT - multi-morbidity
OT - qualitative evaluation
EDAT- 2017/04/25 06:00
MHDA- 2017/04/25 06:01
CRDT- 2017/04/25 06:00
PHST- 2017/04/25 06:00 [entrez]
PHST- 2017/04/25 06:00 [pubmed]
PHST- 2017/04/25 06:01 [medline]
AID - 10.5334/ijic.1975 [doi]
PST - epublish
SO - Int J Integr Care. 2016 Aug 19;16(3):9. doi: 10.5334/ijic.1975.
PMID- 22721361
OWN - NLM
STAT- MEDLINE
DCOM- 20130103
LR - 20181113
IS - 1472-6963 (Linking)
VI - 12
DP - 2012 Jun 21
TI - Medication reconciliation at hospital admission and discharge: insufficient
knowledge, unclear task reallocation and lack of collaboration as major
barriers to
medication safety.
PG - 170
LID - 10.1186/1472-6963-12-170 [doi]
AB - BACKGROUND: Medication errors are a leading cause of patient harm. Many of
these
errors result from an incomplete overview of medication either at a patient's
referral to or at discharge from the hospital. One solution is medication

reconciliation, a formal process in which health care professionals partner
with
patients to ensure an accurate and complete transfer of medication
information at
interfaces of care. In 2007, the Dutch government compelled hospitals to
implement a
bundle concerning medication reconciliation at hospital admission and
discharge. But
to date many hospitals have failed to implement this bundle fully. The aim of
this
study was to gain insight into the barriers and drivers of the implementation
process. METHODS: We performed face to face, semi-structured interviews with

twenty
health care professionals and managers from several departments at a 953 bed
university hospital in the Netherlands and also from the surrounding
community
health services. The interviews were analysed using a combined theoretical
framework
of Grol and Cabana to classify the drivers and barriers identified. RESULTS:
There
is lack of awareness and insufficient knowledge of health care professionals
about
the health care problem and the bundle medication reconciliation. These
result in a
lack of support for implementing the bundle. In addition clinicians are
reluctant to
reallocate tasks to nurses or pharmacy technicians. Another major barrier is
a lack
of communication, understanding and collaboration between hospital and
community
caregivers. The introduction of more competitive market forces has made
matters
worse. Major drivers are a good implementation plan, patient awareness, and
obligation by the government. CONCLUSIONS: We identified a wide range of
barriers
and drivers which health care professionals believe influence the
implementation of
medication reconciliation. This reflects the complexity of implementation.
Implementation can be improved if these factors are adequately addressed. The
feasibility and effectiveness of these strategies should be tested in

controlled
trails.
FAU - van Sluisveld, Nelleke
AU - van Sluisveld N
AD - Scientific Institute for Quality of Healthcare (IQ healthcare), Radboud
University
Nijmegen Medical Centre, PO Box 9101, Nijmegen, the Netherlands.
n.vansluisveld@iq.umnc.nl
FAU - Zegers, Marieke
AU - Zegers M
FAU - Natsch, Stephanie
AU - Natsch S
FAU - Wollersheim, Hub
AU - Wollersheim H
LA - eng
DEP - 20120621
JID - 101088677
SB - IM
MH - Humans
MH - Netherlands
PMC - PMC3416693
EDAT- 2012/06/23 06:00
MHDA- 2013/01/04 06:00
CRDT- 2012/06/23 06:00
PHST- 2011/12/15 00:00 [received]
PHST- 2012/06/12 00:00 [accepted]
PHST- 2012/06/23 06:00 [entrez]
PHST- 2012/06/23 06:00 [pubmed]
PHST- 2013/01/04 06:00 [medline]
AID - 1472-6963-12-170 [pii]
AID - 10.1186/1472-6963-12-170 [doi]
PST - epublish
SO - BMC Health Serv Res. 2012 Jun 21;12:170. doi: 10.1186/1472-6963-12-170.
PMID- 24430881
OWN - NLM
STAT- MEDLINE
DCOM- 20160324
LR - 20181113
IS - 2044-6055 (Print)
IS - 2044-6055 (Linking)
VI - 4
IP - 1
DP - 2014 Jan 14
TI - A stepped-wedge cluster randomised controlled trial for evaluating rates of
falls
among inpatients in aged care rehabilitation units receiving tailored
multimedia
education in addition to usual care: a trial protocol.
PG - e004195
LID - 10.1136/bmjopen-2013-004195 [doi]
LID - e004195
AB - INTRODUCTION: Falls are the most frequent adverse event reported in
hospitals.
Approximately 30% of in-hospital falls lead to an injury and up to 2% result
in a
fracture. A large randomised trial found that a trained health professional
providing individualised falls prevention education to older inpatients
reduced
falls in a cognitively intact subgroup. This study aims to investigate
whether this
efficacious intervention can reduce falls and be clinically useful and
cost-effective when delivered in the real-life clinical environment. METHODS:
A
stepped-wedge cluster randomised trial will be used across eight subacute
units
(clusters) which will be randomised to one of four dates to start the
intervention.
Usual care on these units includes patient's screening, assessment and
implementation of individualised falls prevention strategies, ongoing staff
training
and environmental strategies. Patients with better levels of cognition (Mini-
Mental
State Examination >23/30) will receive the individualised education from a
trained
health professional in addition to usual care while patient's feedback
received
during education sessions will be provided to unit staff. Unit staff will
receive
training to assist in intervention delivery and to enhance uptake of
strategies by
patients. Falls data will be collected by two methods: case note audit by
research
assistants and the hospital falls reporting system. Cluster-level data
including
patient's admissions, length of stay and diagnosis will be collected from
hospital
systems. Data will be analysed allowing for correlation of outcomes
(clustering)
within units. An economic analysis will be undertaken which includes an
incremental
cost-effectiveness analysis. ETHICS AND DISSEMINATION: The study was approved
by The
University of Notre Dame Australia Human Research Ethics Committee and local
hospital ethics committees. RESULTS: The results will be disseminated through
local
site networks, and future funding and delivery of falls prevention programmes
within
WA Health will be informed. Results will also be disseminated through peer-
reviewed
publications and medical conferences. TRIAL REGISTRATION: The study is
registered
with the Australian New Zealand Clinical Trials registry
(ACTRN12612000877886).
FAU - Hill, Anne-Marie
AU - Hill AM
AD - School of Physiotherapy, The University of Notre Dame Australia, Fremantle,
Western
Australia, Australia.
FAU - Waldron, Nicholas
AU - Waldron N
FAU - Etherton-Beer, Christopher
AU - Etherton-Beer C
FAU - McPhail, Steven M
AU - McPhail SM
FAU - Ingram, Katharine
AU - Ingram K
FAU - Flicker, Leon
AU - Flicker L
FAU - Haines, Terry P
AU - Haines TP
LA - eng
DEP - 20140114
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Accidental Falls/*prevention & control/statistics & numerical data
MH - Aged
MH - Hospital Units
MH - Humans
MH - *Inpatients
MH - Multimedia
MH - *Patient Education as Topic/economics/methods
MH - Rehabilitation
PMC - PMC3902351
OTO - NOTNLM
OT - Geriatric Medicine
OT - Health Economics
EDAT- 2014/01/17 06:00
MHDA- 2014/01/17 06:01
CRDT- 2014/01/17 06:00
PHST- 2014/01/17 06:00 [entrez]
PHST- 2014/01/17 06:00 [pubmed]
PHST- 2014/01/17 06:01 [medline]
AID - 10.1136/bmjopen-2013-004195 [doi]
PST - epublish
SO - BMJ Open. 2014 Jan 14;4(1):e004195. doi: 10.1136/bmjopen-2013-004195.
PMID- 31343454
OWN - NLM
LR - 20210122
IS - 1549-8417 (Print)
IS - 1549-8417 (Linking)
VI - 17
IP - 1
DP - 2021 Jan 1
TI - Investing in Skilled Specialists to Grow Hospital Infrastructure for Quality
Improvement.
PG - 51-55
LID - 10.1097/PTS.0000000000000623 [doi]
AB - OBJECTIVES: Hospitals can reduce labor costs by hiring lowest skill possible
for the
job, stretching clinical hours, and reducing staff not at bedside. However,
these
labor constraints designed to reduce costs may paradoxically increase costs.
Specialty staff, such as board-certified clinicians, can redesign health
systems to
evaluate the needs of complex patients and prevent complications. The aim of
the
study was to evaluate whether investing in skilled specialists for supporting
hospital quality infrastructure improves value and performance. METHODS: We

evaluated pressure injury rates as an indicator of performance in a
retrospective
observational cohort of 55 U.S. academic hospitals from the Vizient clinical
database between 2007 and 2012. Pressure injuries were defined by U.S. Agency
for
Healthcare Research and Quality (AHRQ) Patient Safety Indicator 3 (PSI-03)
for stage
3, 4, and unstageable pressure injuries not present on admission in
hospitalized
adults. We compared ratios of board-certified wound care nurses per 1000
hospital
beds to hospital-acquired pressure injury rates in these hospitals using
mixed-effects regression of hospital quarters. RESULTS: High-performing
hospitals
invested in prevention infrastructure with skilled specialists and observed
performance improvements. Regression indicated that by adding one board-
certified
wound care nurse per 1000 hospital beds, hospitals had associated decreases
in
pressure injury rates by -17.7% relative to previous quarters, controlling
for other
interruptions. Highest performers supplied fewer skilled specialists and
achieve
improved outcomes. CONCLUSIONS: Skilled specialists bring important value to
health
systems as a representation of investment in infrastructure, and the
proportion of
these specialists could be scaled relative to the hospital's patient
capacity.
Policy should support hospitals to make investments in infrastructure to
drive down
patient costs and improve quality.
CI - Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc.
FAU - Padula, William V
AU - Padula WV
FAU - Nagarajan, Madhuram
AU - Nagarajan M
AD - Department of International Health, Bloomberg School of Public Health, Johns
Hopkins
University, Baltimore, Maryland.
FAU - Davidson, Patricia M
AU - Davidson PM
AD - Department of Acute and Chronic Care, School of Nursing, Johns Hopkins
University.
FAU - Pronovost, Peter J
AU - Pronovost PJ
AD - UH Cleveland, University Hospitals, Cleveland, Ohio.
LA - eng
TA - J Patient Saf
JID - 101233393
SB - IM
PMC - PMC7781087
COIS- The authors disclose no conflict of interest.
EDAT- 2019/07/26 06:00
MHDA- 2019/07/26 06:00
CRDT- 2019/07/26 06:00
PHST- 2019/07/26 06:00 [pubmed]
PHST- 2019/07/26 06:00 [medline]
PHST- 2019/07/26 06:00 [entrez]
AID - 01209203-202101000-00008 [pii]
AID - 10.1097/PTS.0000000000000623 [doi]
PST - ppublish
SO - J Patient Saf. 2021 Jan 1;17(1):51-55. doi: 10.1097/PTS.0000000000000623.
PMID- 26734418
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - Improving the quality of handover by addressing handover culture and
introducing a
new, multi-disciplinary, team-based handover meeting.
LID - u206069.w2989
AB - Handover is a "major preventable cause of patient harm"[1] and this project
aims to
improve the quality of night handover within a teaching hospitals general
medicine
department, resulting in the safe transfer of patient care to the night team.
Quality of handover was assessed both qualitatively, via structured

qualitative
interviews with trainees and a baseline survey assessing doctor's opinions of
night
handover, and quantitatively through the collection of a data set during
regular
observation of night handover. The initial intervention instituted a new
handover
meeting with a set time and new location and invited the night nurse
practitioner to
attend. A prompt card, standardised documentation, defined leadership, and an
attendance register were also introduced. Successive PDSA cycles introduced

technology to the intervention, enabled the nurse night practitioners to
actually
attend and re-branded the prompt card as an agenda. Results show a sustained
reduction in length of handover from 70 minutes (n=7) to 34 minutes (n=13)
post-intervention as well as a reduction in the number of distractions
occurring
during each handover from a mean of 14 to a mean of 8.5. An improved quality
of
handover was also demonstrated with an overall increase in the percentage of
task
handovers containing hospital number, an admitting diagnosis, comorbidities
and a
time allocated for the task to be performed of at least 10%. When trainees
were
surveyed post-implementation they unanimously identified the new handover
system as
safer than the previous handover process (n=30). This project demonstrates
that
replacing an ad-hoc system of handover with a multi-disciplinary, team based
approach to handover improves handover quality. In addition it provides a
useful
guide to introducing a new handover meeting to a department and contains
useful
lessons on how to combat cultural barriers to change within a department.
FAU - Walton, Henry
AU - Walton H
AD - Brighton and Sussex University Hospitals Trust.
FAU - Munro, Wendy
AU - Munro W
AD - Brighton and Sussex University Hospitals Trust.
LA - eng
DEP - 20150714
JID - 101629512
PMC - PMC4693072
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2015/06/04 00:00 [received]
PHST- 2015/07/04 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2015 Jul 14;4(1):u206069.w2989. doi:
PMID- 26734391
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - Mind the gap: Improving discharge communication between secondary and primary
care.
LID - u207936.w3197
AB - Foundation year doctors (FYDs) write most hospital discharge communication,
although
they have minimal training in this skill. Poor quality discharge summaries
increase
the risk of adverse events and rehospitalisation. With a multidisciplinary
team
approach, we developed a list of "golden rules" for good discharge
communication.
Against these standards, we analysed the quality of electronic inpatient
discharge
documentation (eIDD) sent over two months from OUH Trust. We found one third
of
eIDDs were missing details of the discharging doctor. In 68%, changes to
medications
were not documented clearly and follow-up was not completed in 40%. To
improve this
suboptimal state, we implemented interactive teaching sessions for FYDs,
designed an
e-learning module, and suggested software changes to the current electronic
discharge proforma. Early re-audit one month after the first teaching
sessions did
not demonstrate any significant improvement. However, re-auditing after
twelve
months is planned. Through data collection and discussion with key
stakeholders, we
have identified standards for discharge communication. We developed
interventions to
help the trust achieve these standards, aiming to enhance patient safety in
the
peri-discharge period. While discharge communication is delegated to
less-experienced team members, they should receive clear guidance and
training.
FAU - Cresswell, Aynsley
AU - Cresswell A
AD - Oxford University Hospitals NHS Trust, UK.
FAU - Hart, Matthew
AU - Hart M
FAU - Suchanek, Ondrej
AU - Suchanek O
FAU - Young, Tania
AU - Young T
FAU - Leaver, Laurence
AU - Leaver L
FAU - Hibbs, Stephen
AU - Hibbs S
LA - eng
DEP - 20150902
JID - 101629512
PMC - PMC4693041
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2015/02/28 00:00 [received]
PHST- 2015/07/07 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
PST - epublish
PMID- 24421436
OWN - NLM
DCOM- 20140114
LR - 20181113
IS - 0018-5787 (Print)
IS - 0018-5787 (Linking)
VI - 48
IP - 10
DP - 2013 Nov
TI - Implementation of an order set to adhere to national patient safety goals for
warfarin therapy.
PG - 828-32
LID - 10.1310/hpj4810-828 [doi]
AB - BACKGROUND: In 2009, The Joint Commission mandated full compliance with
National
Patient Safety Goal (NPSG) 03.05.01 to reduce the likelihood of patient harm
associated with anticoagulant therapy. METHODS: We conducted a retrospective
chart
review of inpatients receiving warfarin at Methodist Hospital pre and post
implementation of a warfarin order set between January 2008 and July 2011.
The
primary endpoint of this study was overall adherence to laboratory
monitoring.
Secondary endpoints included compliance with individual laboratory
parameters,
percentage of patient educational sessions completed prior to discharge, and
percentage of appropriate follow-up arrangements documented on discharge.
RESULTS: A
total of 707 patients were assessed. Overall adherence to laboratory
monitoring
parameters significantly improved from 71.8% to 87.5% (odds ratio [OR], 2.76;
95%
CI, 1.87- 4.07; P < .001). Additional improvements were seen in patient
education
prior to discharge, and appropriate follow-up arrangements were documented at
discharge. CONCLUSIONS: This analysis demonstrates that implementation of an

order
set assists in adherence to policies and procedures designed to address the
NPSG
03.05.01. Additionally, pharmacy involvement in monitoring, educating, and
arranging
for follow-up may lead to successful completion of these parameters.
FAU - Nisly, Sarah
AU - Nisly S
AD - Clinical Pharmacist, Internal Medicine, Indiana University Health, Methodist
Hospital, and Assistant Professor, Department of Pharmacy Practice, Butler
University College of Pharmacy and Health Sciences, Indianapolis, Indiana;
FAU - Shiltz, Erin D
AU - Shiltz ED
AD - Clinical Pharmacist, Internal Medicine, Indiana University Health, Methodist
Hospital;
FAU - Vanarsdale, Vanessa
AU - Vanarsdale V
AD - Pharmacy Practice Resident, UC Health, University Hospital, Cincinnati, Ohio;
FAU - Laughlin, Jordyn
AU - Laughlin J
AD - Pharmacist, Wabash General Hospital. Mt. Carmel, Illinois. Corresponding
author:
Sarah Nisly, PharmD, BCPS, Butler University College of Pharmacy and Health
Sciences, 4600 Sunset Avenue, Indianapolis, IN 46208; phone: 317-962-3410;
fax:
317-963-5397; e-mail: snisly@butler.edu.
LA - eng
TA - Hosp Pharm
JID - 0043175
PMC - PMC3859278
OTO - NOTNLM
OT - National Patient Safety Goal
OT - follow-up
OT - laboratory monitoring
OT - warfarin
EDAT- 2014/01/15 06:00
MHDA- 2014/01/15 06:01
CRDT- 2014/01/15 06:00
PHST- 2014/01/15 06:00 [entrez]
PHST- 2014/01/15 06:00 [pubmed]
PHST- 2014/01/15 06:01 [medline]
AID - hpj481009 [pii]
AID - 10.1310/hpj4810-828 [doi]
PST - ppublish
SO - Hosp Pharm. 2013 Nov;48(10):828-32. doi: 10.1310/hpj4810-828.
PMID- 26100026
OWN - NLM
STAT- MEDLINE
DCOM- 20160222
LR - 20190202
IS - 2044-6055 (Linking)
VI - 5
IP - 6
DP - 2015 Jun 22
TI - A stepped wedge, cluster controlled trial of an intervention to improve
safety and
quality on medical wards: the HEADS-UP study protocol.
PG - e007510
LID - 10.1136/bmjopen-2014-007510 [doi]
LID - e007510
AB - INTRODUCTION: The majority of preventable deaths in healthcare are due to
errors on
general wards. Staff perceptions of safety correlate with patient survival,
but
effectively translating ward teams' concerns into tangibly improved care
remains
problematic. The Hospital Event Analysis Describing Significant Unanticipated
Problems (HEADS-UP) trial evaluates a structured, multidisciplinary team

briefing,
capturing safety threats and adverse events, with rapid feedback to
clinicians and
service managers. This is the first study to rigorously assess a simpler
intervention for general medical units, alongside an implementation model
applicable
to routine clinical practice. METHODS/ANALYSIS: 7 wards from 2 hospitals will
progressively incorporate the intervention into daily practice over 14

months. Wards
will adopt HEADS-UP in a pragmatic sequence, guided by local clinical
enthusiasm.
Initial implementation will be facilitated by a research lead, but rapidly
delegated
to clinical teams. The primary outcome is excess length of stay (a surplus
stay of
24 h or more, compared to peer institutions' Healthcare Resource Groups-
predicted
length of stay). Secondary outcomes are 30-day readmission or excess length
of stay;
in-hospital death or death/readmission within 30 days; healthcare-acquired
infections; processes of escalation of care; use of traditional incident-
reporting
systems; and patient safety and teamwork climates. HEADS-UP will be analysed
as a
stepped wedge cluster controlled trial. With 7840 patients, using best and
worst
case predictions, the study would achieve between 75% and 100% power to
detect a
2-14% absolute risk reduction in excess length of stay (two-sided p<0.05).
Regression analysis will use generalised linear mixed models or generalised
estimating equations, and a time-to-event regression model. A qualitative
analysis
will evaluate facilitators and barriers to HEADS-UP implementation and
impact.
ETHICS AND DISSEMINATION: Participating institutions' Research and Governance
departments approved the study. Results will be published in peer-reviewed

journals
and at conference presentations. TRIAL REGISTRATION NUMBER: ISRCTN34806867.
not
FAU - Pannick, Samuel
AU - Pannick S
AUID- ORCID: 0000-0001-9381-5556
AD - NIHR Imperial Patient Safety Translational Research Centre, Imperial College
London,
London, UK West Middlesex University Hospital NHS Trust, London, UK.
FAU - Beveridge, Iain
AU - Beveridge I
AD - West Middlesex University Hospital NHS Trust, London, UK.
FAU - Ashrafian, Hutan
AU - Ashrafian H
AD - Department of Surgery & Cancer, Imperial College London, London, UK.
FAU - Long, Susannah J
AU - Long SJ
AD - NIHR Imperial Patient Safety Translational Research Centre, Imperial College
London,
London, UK St Mary's Hospital, Imperial College Healthcare NHS Trust, London,
UK.
FAU - Athanasiou, Thanos
AU - Athanasiou T
AD - Department of Surgery & Cancer, Imperial College London, London, UK.
FAU - Sevdalis, Nick
AU - Sevdalis N
AD - Centre for Implementation Science, Health Service & Population Research
Department,
King's College London, London, UK.
LA - eng
DEP - 20150622
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adult
MH - Humans
MH - Medical Staff, Hospital/standards
MH - Patient Care Team/standards
MH - Patients' Rooms
MH - Pilot Projects
MH - Sample Size
PMC - PMC4479997
OTO - NOTNLM
OT - GENERAL MEDICINE (see Internal Medicine)
EDAT- 2015/06/24 06:00
MHDA- 2016/02/24 06:00
CRDT- 2015/06/24 06:00
PHST- 2015/06/24 06:00 [entrez]
PHST- 2015/06/24 06:00 [pubmed]
PHST- 2016/02/24 06:00 [medline]
AID - 10.1136/bmjopen-2014-007510 [doi]
PST - epublish
PMID- 23372206
OWN - NLM
DCOM- 20130204
LR - 20181113
IS - 0019-5154 (Print)
IS - 0019-5154 (Linking)
VI - 58
IP - 1
DP - 2013 Jan
TI - Evaluation of Cutaneous Drug Reactions in Patients Visiting Out Patient
Departments
of Indira Gandhi Government Medical College and Hospital (IGGMC and H),
Nagpur.
PG - 18-21
LID - 10.4103/0019-5154.105279 [doi]
AB - OBJECTIVES: To detect cutaneous drug reactions through spontaneous reporting
system
in IGGMCand H, Nagpur and analyze them using standard assessment scales.
MATERIALS
AND METHODS: An observational, prospective study was performed in patients
attending
dermatology OPD of IGGMC and H, Nagpur from 1(st) June 05 to 31(st) May 09.
Patients
were examined for cutaneous drug reactions (CDRs) by spontaneous Adverse Drug
Reaction reporting system. RESULTS: Among 2693 total ADRs reported, 872
(33.04%)
were CDRs. Antimicrobials (55.5%) were the main drugs involved followed by
NSAIDs
(18.56%) and steroids (12.61%). Maculopapular rash (37.73%) followed by fixed
drug
eruption (17.2%) and urticaria (14.56%) were the most frequently observed
CDRs. The
common drugs causing CDRs were cotrimoxazole (20.41%), topical steroids
(betamethasone), ibuprofen (7.91%), ampicillin (6.54%), diclofenac (4.7%) and
iron
dextran (3.44%). CONCLUSION: It was observed that commonly used drugs like
antibiotics and NSAIDs lead to maximum number of CDRs. Hence strict vigilance
is
required while using them. This study provides a database of ADRs due to
common
drugs, which will help clinicians in safe use of these drugs.
FAU - Hiware, Sachin
AU - Hiware S
AD - Department of Pharmacology, Indira Gandhi Government Medical College and
Hospital,
Nagpur, India.
FAU - Shrivastava, Meena
AU - Shrivastava M
FAU - Mishra, Dharmendra
AU - Mishra D
FAU - Mukhi, Jayesh
AU - Mukhi J
FAU - Puppalwar, Gaurav
AU - Puppalwar G
LA - eng
TA - Indian J Dermatol
JT - Indian journal of dermatology
JID - 0370750
PMC - PMC3555365
OTO - NOTNLM
OT - Cutaneous drug reactions
OT - spontaneous ADR reporting
COIS- Conflict of Interest: Nil.
EDAT- 2013/02/02 06:00
MHDA- 2013/02/02 06:01
CRDT- 2013/02/02 06:00
PHST- 2013/02/02 06:00 [entrez]
PHST- 2013/02/02 06:00 [pubmed]
PHST- 2013/02/02 06:01 [medline]
AID - IJD-58-18 [pii]
AID - 10.4103/0019-5154.105279 [doi]
PST - ppublish
SO - Indian J Dermatol. 2013 Jan;58(1):18-21. doi: 10.4103/0019-5154.105279.
PMID- 25728149
OWN - NLM
STAT- MEDLINE
DCOM- 20151105
LR - 20201209
IS - 0196-6553 (Print)
IS - 0196-6553 (Linking)
VI - 43
IP - 3
DP - 2015 Mar 1
TI - Understanding the current state of infection prevention to prevent
Clostridium
difficile infection: a human factors and systems engineering approach.
PG - 241-7
LID - S0196-6553(14)01369-8 [pii]
LID - 10.1016/j.ajic.2014.11.026 [doi]
AB - BACKGROUND: Achieving and sustaining high levels of health care worker (HCW)
compliance with contact isolation precautions is challenging. The aim of this
study
was to determine HCW work system barriers to and facilitators of adherence to
contact isolation for patients with suspected or confirmed Clostridium

difficile
infection (CDI) using a human factors and systems engineering approach.
METHODS:
This prospective cohort study took place between September 2013 and November
2013 at
a large academic medical center (hospital A) and an affiliated Veterans
Administration hospital (hospital B). A human factors engineering (HFE) model
for
patient safety, the Systems Engineering Initiative for Patient Safety model,
was
used to guide work system analysis and direct observation data collection.
There
were 288 observations conducted. HCWs and visitors were assessed for
compliance with
all components of contact isolation precautions (hand hygiene, gowning, and
gloving)
before and after patient contact. Time required to complete contact isolation
precautions was measured, and adequacy of contact isolation supplies was

assessed.
RESULTS: Full compliance with contact isolation precautions was low at both
hospitals A (7%) and B (22%). Lack of appropriate hand hygiene prior to room
entry
(compliance for hospital A: 18%; compliance for hospital B: 29%) was the most
common
reason for lack of full compliance. More time was required for full
compliance
compared with compliance with no components of contact isolation precautions
before
patient room entry, inside patient room, and after patient room exit (59.9 vs
3.2
seconds, P < .001; 507.3 vs 149.7 seconds, P = .006; 15.2 vs 1.3 seconds, P <
.001,
respectively). Compliance was lower when contact isolation supplies were
inadequate
(4% vs 16%, P = .005). CONCLUSIONS: Adherence to contact isolation
precautions for
CDI is a complex, time-consuming process. HFE analysis indicates that
multiple work
system components serve as barriers and facilitators to full compliance with
contact
isolation precautions and should be addressed further to prevent CDI.
FAU - Yanke, Eric
AU - Yanke E
AD - Department of Medicine, William S. Middleton Memorial Veterans Hospital,
Madison,
WI.
FAU - Zellmer, Caroline
AU - Zellmer C
AD - College of Agricultural and Life Sciences, University of Wisconsin-Madison,
Madison,
WI.
FAU - Van Hoof, Sarah
AU - Van Hoof S
AD - Department of Infection Control, University of Wisconsin Hospital and
Clinics,
Madison, WI.
FAU - Moriarty, Helene
AU - Moriarty H
AD - Villanova University College of Nursing, Villanova, PA; Philadelphia Veterans
Affairs Medical Center, Philadelphia, PA.

AU - Carayon P
AD - Department of Industrial and Systems Engineering, Center for Quality and
Productivity Improvement, University of Wisconsin-Madison, Madison, WI.
FAU - Safdar, Nasia
AU - Safdar N
AD - William S. Middleton Memorial Veterans Hospital, Madison, WI; Division of
Infectious
Diseases, Department of Medicine, University of Wisconsin Medical School,
Madison,
WI; Infection Control Department, University of Wisconsin-Madison, Madison,
WI.
Electronic address: ns2@medicine.wisc.edu.
LA - eng
GR - 1UL1RR025011/RR/NCRR NIH HHS/United States
GR - 9U54TR000021/TR/NCATS NIH HHS/United States
JID - 8004854
SB - IM
MH - Clostridioides difficile/*isolation & purification
MH - Clostridium Infections/microbiology/*prevention & control
MH - Cohort Studies
MH - Cross Infection/microbiology/*prevention & control
MH - Diarrhea/microbiology/*prevention & control
MH - Hospitals, Veterans
MH - Humans
PMC - PMC4465332
MID - NIHMS686638
OTO - NOTNLM
OT - Clostridium difficile
OT - Contact precautions
OT - Human factors
OT - Infection control
OT - Systems engineering
COIS- Potential conflicts of interest. All authors report no conflicts of interest
relevant to this article.
EDAT- 2015/03/03 06:00
MHDA- 2015/11/06 06:00
CRDT- 2015/03/03 06:00
PHST- 2014/08/27 00:00 [received]
PHST- 2014/11/25 00:00 [revised]
PHST- 2014/11/25 00:00 [accepted]
PHST- 2015/03/03 06:00 [entrez]
PHST- 2015/03/03 06:00 [pubmed]
PHST- 2015/11/06 06:00 [medline]
AID - S0196-6553(14)01369-8 [pii]
AID - 10.1016/j.ajic.2014.11.026 [doi]
PST - ppublish
SO - Am J Infect Control. 2015 Mar 1;43(3):241-7. doi: 10.1016/j.ajic.2014.11.026.
PMID- 24496443
OWN - NLM
STAT- MEDLINE
DCOM- 20160309
LR - 20181202
IS - 1460-4582 (Linking)
VI - 21
IP - 3
DP - 2015 Sep
TI - Implementation of smart pump technology in a paediatric intensive care unit.
PG - 209-22
LID - 10.1177/1460458213518058 [doi]
AB - Patient safety is a matter of major concern that involves every health
professional.
Nowadays, emerging technologies such as smart pumps can diminish medication
errors
as well as standardise and improve clinical practice with the subsequent
benefits
for patients. The aim of this paper was to describe the smart pump
implementation
process in a paediatric intensive care unit (PICU) and to present the most
relevant
infusion-related programming errors that were prevented. This was a
comparative
study between CareFusion Alaris Guardrails(®) and Hospira MedNet(®) systems,
as well
as a prospective and intervention study with analytical components carried
out in
the PICU of Gregorio Marañón General and Teaching Hospital. All intravenous
infusions programmed with a pump in the eleven beds of the unit were
analyzed. A
drug library was developed and subsequently loaded into CareFusion and
Hospira pumps
that were used during a three month period each. The most suitable system for
implementation was selected according to their differences in features and

users'
acceptance. Data stored in the pumps were analyzed to assess user compliance
with
the technology, health care setting and type of errors intercepted. The
implementation process was carried out with CareFusion systems. Compliance
with the
technology was 92% and user acceptance was high. Vacation substitution and
drug
administration periods were significantly associated with a greater number of
infusion-related programming errors. High risk drugs were involved in 48% of

intercepted errors. Based on these results we can conclude that
implementation of
smart pumps proved effective in intercepting infusion-related programming
errors
from reaching patients. User awareness of the importance of programming
infusions
with the drug library is the key to succeed in the implementation process.
FAU - Manrique-Rodríguez, Silvia
AU - Manrique-Rodríguez S
AD - Gregorio Marañón General and Teaching Hospital, Spain
silvia.manrique@salud.madrid.org.
FAU - Sánchez-Galindo, Amelia C
AU - Sánchez-Galindo AC
AD - Gregorio Marañón General and Teaching Hospital, Spain.
FAU - de Lorenzo-Pinto, Ana
AU - de Lorenzo-Pinto A
FAU - González-Vives, Leticia
AU - González-Vives L
FAU - López-Herce, Jesús
AU - López-Herce J
FAU - Carrillo-Álvarez, Ángel
AU - Carrillo-Álvarez Á
FAU - Sanjurjo-Sáez, María
AU - Sanjurjo-Sáez M
FAU - Fernández-Llamazares, Cecilia M
AU - Fernández-Llamazares CM
LA - eng
DEP - 20140204
PL - England
JID - 100883604
SB - IM
MH - Drug Delivery Systems/*standards/statistics & numerical data
MH - Equipment Safety/*nursing
MH - Humans
MH - Infusion Pumps/standards/*statistics & numerical data/trends
MH - Intensive Care Units, Pediatric/*trends
MH - *Technology Assessment, Biomedical
OTO - NOTNLM
OT - drug library
OT - intravenous administration
OT - programming errors
OT - safety
OT - smart pumps
EDAT- 2014/02/06 06:00
MHDA- 2016/03/10 06:00
CRDT- 2014/02/06 06:00
PHST- 2014/02/06 06:00 [entrez]
PHST- 2014/02/06 06:00 [pubmed]
PHST- 2016/03/10 06:00 [medline]
AID - 1460458213518058 [pii]
AID - 10.1177/1460458213518058 [doi]
PST - ppublish
SO - Health Informatics J. 2015 Sep;21(3):209-22. doi: 10.1177/1460458213518058.
Epub
2014 Feb 4.
PMID- 31156927
OWN - NLM
LR - 20200225
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 24
IP - 3
DP - 2017 May
TI - Medicines reconciliation pilot at transfer of care: admission to a community-
based
early supported discharge ('step-down') and prevention of admission ('step-
up')
service.
PG - 152-156
LID - 10.1136/ejhpharm-2016-000950 [doi]
AB - INTRODUCTION: Early supported discharge ('step-down') and prevention of
admission
('step-up') services require safe medicines reconciliation. Medication
discrepancies
at transfer of care are a potential cause of patient harm. There is currently
no
published work examining level of medication discrepancies and associated
risk in
this setting. OBJECTIVES: Working within a 'step-up' and 'step-down'
integrated
service based in the community, caring for patients in their home
to:▸ quantify the
number of medicines discrepancies and allergy status discrepancies▸ ascertain
the
type of discrepancies▸ assess the potential for harm caused by these
discrepancies.
METHODS: Medicines reconciliation was performed by two pharmacists for
patients
within the 'step-up' and 'step-down' service as well as patients recently
discharged
from hospital to a care home. The resulting medication history was compared
with the
original medication history documented in the service's notes. Allergy status
and
medication discrepancies were identified and the type of discrepancy was
recorded.
National Patient Safety Agency (NPSA) risk assessment was used to categorise
the
level of risk of each discrepancy. RESULTS: 20 out of the 54 patients (37%)
did not
have an allergy status recorded at baseline. Of the 573 medications listed
for
patients reviewed following medicines reconciliation, 317 (55%) had a
medication
discrepancy. There was an average of 5.87 (95% CI 4.53 to 7.18) medication
discrepancies per patient of which 49% were classified (NPSA) as moderate,
high or
extreme risk. CONCLUSIONS: There was a high level of medication discrepancies
in
this service with implications for patient safety and cost. Such services
would
benefit from pharmacist-led medicines reconciliation.
FAU - Lang, Sarah-Jane
AU - Lang SJ
AUID- ORCID: 0000-0002-4342-7165
AD - Care of the Elderly, Northwick Park Hospital, London North West Healthcare
NHS
Trust, London, UK.
FAU - Gulhane, Neeta
AU - Gulhane N
AD - Pharmacy Department, Northwick Park Hospital, London North West Healthcare
NHS
Trust, London, UK.
FAU - Khoda Vyas, Hiral
AU - Khoda Vyas H
NHS
Trust, London, UK.
FAU - Barnett, Nina L
AU - Barnett NL
NHS
Trust, London, UK.
LA - eng
DEP - 20160726
JID - 101578294
PMC - PMC6451474
OTO - NOTNLM
OT - Community health services
OT - Pharmacists
OT - Review Drug-use
EDAT- 2017/05/01 00:00
MHDA- 2017/05/01 00:01
CRDT- 2019/06/04 06:00
PHST- 2016/03/31 00:00 [received]
PHST- 2016/06/28 00:00 [revised]
PHST- 2016/07/05 00:00 [accepted]
PHST- 2019/06/04 06:00 [entrez]
PHST- 2017/05/01 00:00 [pubmed]
PHST- 2017/05/01 00:01 [medline]
AID - 10.1136/ejhpharm-2016-000950 [doi]
PST - ppublish
SO - Eur J Hosp Pharm. 2017 May;24(3):152-156. doi: 10.1136/ejhpharm-2016-000950.
Epub
2016 Jul 26.
PMID- 26734247
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 2
IP - 2
DP - 2014
TI - Improving room layouts for venepuncture, cannulation and ABG equipment on
surgical
wards.
LID - u554.w477
AB - The Productive Ward series has effectively helped to standardise the storage
of
equipment in hospital ward treatment rooms; however, in our organisation
equipment
for venepunture and cannulation had been excluded. This resulted in
clinicians
having to navigate several unfamiliar environments while on-call and hence
waste
valuable time searching for basic equipment. We aimed to make it easier to
locate
and identify the basic equipment used for cannulation, venepuncture, and
arterial
blood gas sampling and more efficient to collect. We examined the initial
layout of
equipment on four surgical wards in a large teaching hospital. The time taken
for
junior doctors, nurses, health care assistants, and physician assistants to
gather
equipment on these wards was recorded along with a process map of steps
involved.
Our intervention was to relocate the equipment into adjacent storage and make
it
easily identifiable by the use of a 'red dot'. Following these changes we
repeated
the measurements. There was an overall reduction in the mean time taken to
gather
the equipment required to insert a venous cannula on an unfamiliar ward from
2 min
41 s pre-intervention (range 52 s to 6 mins 58 s, n = 23) to 26 s post-
intervention
(range 8 s to 1 min 20 s, n = 51). Additionally, the number of steps involved
in the
process was reduced from 16 to five. All of the 32 junior doctors surveyed
felt that
faster identification improved patient safety. A significant reduction in the
time
wasted by clinicians searching for venepuncture equipment on surgical wards
has been
achieved by simplifying the storage, layout, and identification of this kit.
The
accumulated benefit includes increased productivity, familiarity, and safety,
which
is paramount when attending unwell patients on unfamiliar wards.
FAU - Pedley, Ryan
AU - Pedley R
AD - St George's Hospital NHS Trust.
FAU - Whitehouse, Anna
AU - Whitehouse A
FAU - Hammond, Sarah
AU - Hammond S
LA - eng
DEP - 20140207
JID - 101629512
PMC - PMC4663844
EDAT- 2014/01/01 00:00
MHDA- 2014/01/01 00:01
CRDT- 2016/01/07 06:00
PHST- 2013/10/10 00:00 [received]
PHST- 2013/11/15 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2014/01/01 00:01 [medline]
PST - epublish
eCollection 2014.
PMID- 27448800
OWN - NLM
STAT- MEDLINE
DCOM- 20170630
LR - 20181202
IS - 1471-2334 (Linking)
VI - 16
DP - 2016 Jul 22
TI - Management of ventilator-associated pneumonia in intensive care units: a
mixed
methods study assessing barriers and facilitators to guideline adherence.
PG - 349
LID - 10.1186/s12879-016-1665-1 [doi]
LID - 349
AB - BACKGROUND: Guidelines from the Infectious Diseases Society of America/The
American
Thoracic Society (IDSA/ATS) provide recommendations for diagnosis and
treatment of
ventilator-associated pneumonia (VAP). However, the mere presence of
guidelines is
rarely sufficient to promote widespread adoption and uptake. Using the
Systems
Engineering Initiative for Patient Safety (SEIPS) model framework, we
undertook a
study to understand barriers and facilitators to the adoption of the IDSA/ATS
guidelines. METHODS: We conducted surveys and focus group discussions of

different
health care providers involved in the management of VAP. The setting was
medical-surgical ICUs at a tertiary academic hospital and a large
multispecialty
rural hospital in Wisconsin, USA. RESULTS: Overall, we found that 55 % of
participants indicated that they were aware of the IDSA/ATS guideline. The
top
ranked barriers to VAP management included: 1) having multiple physician
groups
managing VAP, 2) variation in VAP management by differing ICU services, 3)
physicians and level of training, and 4) renal failure complicating doses of
antibiotics. Facilitators to VAP management included presence of
multidisciplinary
rounds that include nurses, pharmacist and respiratory therapists, and
awareness of
the IDSA/ATS guideline. This awareness was associated with receiving
effective
training on management of VAP, keeping up to date on nosocomial infection
literature, and belief that performing a bronchoscopy to diagnose VAP would
help
with expeditious diagnosis of VAP. CONCLUSIONS: Findings from our study
complement
existing studies by identifying perceptions of the many different types of
healthcare workers in ICU settings. These findings have implications for
antibiotic
stewardship teams, clinicians, and organizational leaders.
FAU - Safdar, Nasia
AU - Safdar N
AD - William S. Middleton Memorial Veterans Hospital, Madison, WI, USA.
ns2@medicine.wisc.edu.
AD - Department of Medicine, University of Wisconsin School of Medicine and Public
Health, Madison, WI, USA. ns2@medicine.wisc.edu.

AD - Department of Infectious Disease, University of Wisconsin Hospital and
Clinics,
Madison, WI, USA. ns2@medicine.wisc.edu.
FAU - Musuuza, Jackson S
AU - Musuuza JS
AD - Institute for Clinical and Translational Research, University of Wisconsin,
Madison,
WI, USA.
FAU - Xie, Anping
AU - Xie A
AD - Armstrong Institute for Patient Safety and Quality, Johns Hopkins University
School
of Medicine, Baltimore, MD, USA.
FAU - Hundt, Ann Schoofs
AU - Hundt AS
Madison,
Madison, WI, USA.
FAU - Hall, Matthew
AU - Hall M
AD - Department of Infectious Medicine, Marshfield Clinic, Marshfield, WI, USA.
FAU - Wood, Kenneth
AU - Wood K
AD - R Adams Cowley Shock Trauma Center, University of Maryland School of
Medicine,
Baltimore, MD, USA.
AU - Carayon P
Madison,
Madison, WI, USA.
LA - eng
DEP - 20160722
TA - BMC Infect Dis
JT - BMC infectious diseases
JID - 100968551
SB - IM
MH - Adult
MH - Aged
MH - Female
MH - Focus Groups
MH - Humans
MH - Intensive Care Units/*standards/statistics & numerical data
MH - Male
MH - Middle Aged
MH - Pneumonia, Ventilator-Associated/*diagnosis/*therapy
MH - Wisconsin
PMC - PMC4957386
OTO - NOTNLM
OT - *Barriers and facilitators
OT - *Guidelines
OT - *Systems Engineering Initiative for Patient Safety
OT - *VAP
OT - *Ventilator-associated pneumonia
EDAT- 2016/07/28 06:00
MHDA- 2017/07/01 06:00
CRDT- 2016/07/25 06:00
PHST- 2015/10/27 00:00 [received]
PHST- 2016/06/24 00:00 [accepted]
PHST- 2016/07/25 06:00 [entrez]
PHST- 2016/07/28 06:00 [pubmed]
PHST- 2017/07/01 06:00 [medline]
AID - 10.1186/s12879-016-1665-1 [pii]
AID - 1665 [pii]
AID - 10.1186/s12879-016-1665-1 [doi]
PST - epublish
SO - BMC Infect Dis. 2016 Jul 22;16:349. doi: 10.1186/s12879-016-1665-1.
PMID- 27353286
OWN - NLM
STAT- MEDLINE
DCOM- 20170406
LR - 20181113
IS - 0037-5675 (Print)
IS - 0037-5675 (Linking)
VI - 57
IP - 6
DP - 2016 Jun
TI - Characteristics of patients who made a return visit within 72 hours to the
emergency
department of a Singapore tertiary hospital.
PG - 301-6
LID - 10.11622/smedj.2016104 [doi]
AB - INTRODUCTION: 72-hour emergency department (ED) reattendance is a widely-used
quality indicator for quality of care and patient safety. It is generally

assumed
that patients who return within 72 hours of ED discharge (72-hour re-
attendees)
received inadequate treatment or evaluation. The current literature also
suggests
considerable variation in probable causes of 72-hour ED reattendances
internationally. This study aimed to understand the characteristics of these
patients at the ED of a Singapore tertiary hospital. METHODS: We conducted a
retrospective cohort study on all ED visits between 1 January 2013 and 31
December
2013. 72-hour re-attendees were compared against non-re-attendees based on
patient
demographics, mode of arrival, patient acuity category status (i.e.
P1/P2/P3/P4),
seniority ranking of doctor-in-charge and medical diagnoses. Multivariate
analysis
using the generalised linear model was conducted on variables associated with
72-hour ED re-attendance. RESULTS: Among 104,751 unique patients, 3,065

(2.93%) were
in the 72-hour re-attendees group. Multivariate analysis showed that the
following
risk factors were associated with higher risk of returning within 72 hours:
male
gender, older age, arrival by ambulance, triaged as P2, diagnoses of heart
problems,
abdominal pain or viral infection (all p < 0.001), and Chinese ethnicity (p =
0.006). There was no significant difference in the seniority ranking of the

doctor-in-charge between both groups (p = 0.419). CONCLUSION: Several patient
and
event factors were associated with higher risk of being a 72-hour re-
attendee. This
study forms the basis for hypothesis generation and further studies to
explore
reasons behind reattendances so that interventions can be developed to target
high-risk groups.
CI - Copyright: © Singapore Medical Association.
FAU - Chan, Amy Hui Sian
AU - Chan AH
AD - Saw Swee Hock School of Public Health, National University of Singapore,
Singapore.
FAU - Ho, Shu Fang
AU - Ho SF
AD - Duke-NUS Graduate Medical School, Singapore.
FAU - Fook-Chong, Stephanie Man Chung
AU - Fook-Chong SM
AD - Division of Research, Singapore General Hospital, Singapore.
FAU - Lian, Sherman Wei Qiang
AU - Lian SW
AD - Department of Emergency Medicine, Singapore General Hospital, Singapore.
FAU - Liu, Nan
AU - Liu N
AD - Centre for Quantitative Medicine, Duke-NUS Graduate Medical School,
Singapore.
FAU - Ong, Marcus Eng Hock
AU - Ong ME
AD - Health Services and Systems Research, Duke-NUS Graduate Medical School,
Singapore.
LA - eng
TA - Singapore Med J
JT - Singapore medical journal
JID - 0404516
SB - IM
MH - Abdominal Pain
MH - Adult
MH - Aged
MH - China
MH - Data Mining
MH - Emergency Medicine/*methods/statistics & numerical data
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - Patient Safety
MH - Risk
MH - Singapore
MH - *Tertiary Care Centers
MH - Triage/methods
MH - Young Adult
PMC - PMC4971448
OTO - NOTNLM
OT - 72-hour emergency department reattendance
OT - 72-hour emergency department return
OT - emergency department reattendance
OT - emergency department return
EDAT- 2016/06/30 06:00
MHDA- 2017/04/07 06:00
CRDT- 2016/06/30 06:00
PHST- 2016/06/30 06:00 [entrez]
PHST- 2016/06/30 06:00 [pubmed]
PHST- 2017/04/07 06:00 [medline]
AID - j57/6/301 [pii]
AID - SMJ-57-301 [pii]
AID - 10.11622/smedj.2016104 [doi]
PST - ppublish
SO - Singapore Med J. 2016 Jun;57(6):301-6. doi: 10.11622/smedj.2016104.
PMID- 25673893
OWN - NLM
DCOM- 20150212
LR - 20181113
IS - 0018-5787 (Print)
IS - 0018-5787 (Linking)
VI - 49
IP - 11
DP - 2014 Dec
TI - Improved pharmacy department workflow with new method of order entry for
single-agent, high-dose methotrexate.
PG - 1039-43
LID - 10.1310/hjp4911-1039 [doi]
AB - PURPOSE: To determine whether a process change impacted the proportion of
orders for
single-agent, high-dose methotrexate entered by chemotherapy pharmacists
instead of
general pharmacy staff. Coordination of antiemetic premedication and
leucovorin
rescue with the new method of order entry was evaluated. METHODS: Adults
treated
with single-agent, high-dose methotrexate were identified retrospectively.
Order
entry of methotrexate and ancillary medications was examined to determine
whether
the old or new method was used and whether it was performed by a chemotherapy
pharmacist. The fundamental difference between the old and new methods for
order
entry is use of the "unscheduled" frequency of medication administration to
replace
the administration frequency of "once" with a specified date and time. Timing
of
antiemetic premedication and leucovorin rescue relative to methotrexate
administration were tallied for the new method. Chi-square analysis was
performed
for the primary objective. Observational statistics were performed otherwise.
RESULTS: The number of evaluable encounters identified was 158. A
chemotherapy
pharmacist entered a greater proportion of orders when the new method was
utilized
(P < .0001). The proportion of orders entered by a chemotherapy pharmacist
increased
during the hours of 0700 and 2259 with the new method. Appropriate
coordination of
antiemetic and leucovorin administration was documented for 96% and 100% of
cases
with the new method of order entry. CONCLUSION: The proportion of orders for
single-agent, high-dose methotrexate entered by a chemotherapy pharmacist was
significantly greater with the use of the new method. Administration of

antiemetic
premedication and leucovorin rescue were appropriately coordinated with the
use of
the new method for order entry of single-agent, high-dose methotrexate.
FAU - Kintzel, Polly E
AU - Kintzel PE
AD - Department of Pharmacy, Spectrum Health Hospitals , Grand Rapids, Michigan.
FAU - VanDyke, Thomas H
AU - VanDyke TH
FAU - Athmann, Paul W
AU - Athmann PW
FAU - Mills, Lisa B
AU - Mills LB
AD - Department of Pharmacy, Coram Healthcare , Oklahoma City, Oklahoma.
FAU - Bonter, Michael P
AU - Bonter MP
AD - Dell Services , Caledonia, Michigan.
FAU - Bremer, Matthew W
AU - Bremer MW
AD - Department of Pharmacy, Trihealth , Cincinnati, Ohio.
FAU - Dougherty, Mary L
AU - Dougherty ML
FAU - Foster, Ryan W
AU - Foster RW
FAU - Knight, Sandra K
AU - Knight SK
FAU - Slot, Martha G
AU - Slot MG
FAU - Steinmetz-Malato, Laura L
AU - Steinmetz-Malato LL
AD - Department of Pharmacy, Swedish Health Services , Seattle, Washington .
LA - eng
TA - Hosp Pharm
JID - 0043175
PMC - PMC4319804
OTO - NOTNLM
OT - antineoplastic agents
OT - hospital
OT - intravenous administration
OT - medication systems
OT - methotrexate
OT - patient safety
OT - workflow
EDAT- 2015/02/13 06:00
MHDA- 2015/02/13 06:01
CRDT- 2015/02/13 06:00
PHST- 2015/02/13 06:00 [entrez]
PHST- 2015/02/13 06:00 [pubmed]
PHST- 2015/02/13 06:01 [medline]
AID - 10.1310/hjp4911-1039 [doi]
PST - ppublish
SO - Hosp Pharm. 2014 Dec;49(11):1039-43. doi: 10.1310/hjp4911-1039.
PMID- 25763202
OWN - NLM
DCOM- 20150312
LR - 20200930
IS - 2074-1804 (Print)
IS - 2074-1804 (Linking)
VI - 16
IP - 10
DP - 2014 Oct
TI - Medication errors of nurses and factors in refusal to report medication
errors among
nurses in a teaching medical center of iran in 2012.
PG - e16600
LID - 10.5812/ircmj.16600 [doi]
LID - e16600
AB - BACKGROUND: About one third of unwanted reported medication consequences are
due to
medication errors, resulting in one-fifth of hospital injuries. OBJECTIVES:
The aim
of this study was determined formal and informal medication errors of nurses
and the
level of importance of factors in refusal to report medication errors among
nurses.
PATIENTS AND METHODS: The cross-sectional study was done on the nursing staff
of
Shohada Tajrish Hospital, Tehran, Iran in 2012. The data was gathered through
a
questionnaire, made by the researchers. The questionnaires' face and content
validity was confirmed by experts and for measuring its reliability test-
retest was
used. The data was analyzed by descriptive statistics. We used SPSS for
related
statistical analyses. RESULTS: The most important factors in refusal to
report
medication errors respectively were: lack of medication error recording and
reporting system in the hospital (3.3%), non-significant error reporting to
hospital
authorities and lack of appropriate feedback (3.1%), and lack of a clear
definition
for a medication error (3%). There were both formal and informal reporting of
medication errors in this study. CONCLUSIONS: Factors pertaining to
management in
hospitals as well as the fear of the consequences of reporting are two broad
fields
among the factors that make nurses not report their medication errors. In
this
regard, providing enough education to nurses, boosting the job security for
nurses,
management support and revising related processes and definitions are some
factors
that can help decreasing medication errors and increasing their report in
case of
occurrence.
FAU - Mostafaei, Davoud
AU - Mostafaei D
AD - Department of Health Economic and Management, School of Public Health, Tehran
University of Medical Sciences, Tehran, IR Iran.

FAU - Barati Marnani, Ahmad
AU - Barati Marnani A
AD - Department of Health Service, School of Medical Information Management,
Health
Management and Economics Research Center, Iran University of Medical
Sciences,
Tehran, IR Iran.
FAU - Mosavi Esfahani, Haleh
AU - Mosavi Esfahani H
AD - Department of Health Services, School of Medical Information Management, Iran
University of Medical Sciences, Tehran, IR Iran.

FAU - Estebsari, Fatemeh
AU - Estebsari F
AD - Department of Health, School of Nursing and Midwifery, Shahid Beheshti
University of
Medical Sciences, Tehran, IR Iran.
FAU - Shahzaidi, Shiva
AU - Shahzaidi S
AD - Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, IR
Iran.
FAU - Jamshidi, Ensiyeh
AU - Jamshidi E
AD - Research Center of Community Based Participatory, Iranian Institute for
Reduction of
High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, IR Iran.
FAU - Aghamiri, Seyed Samad
AU - Aghamiri SS
AD - Ran Helal Institute of Applied Sciences and Technology, Tehran, IR Iran.
LA - eng
DEP - 20141005
TA - Iran Red Crescent Med J
JT - Iranian Red Crescent medical journal
JID - 101319850
PMC - PMC4329755
OTO - NOTNLM
OT - Medication Error
OT - Nurse
OT - Reporting System
EDAT- 2015/03/13 06:00
MHDA- 2015/03/13 06:01
CRDT- 2015/03/13 06:00
PHST- 2013/12/04 00:00 [received]
PHST- 2014/06/21 00:00 [revised]
PHST- 2014/08/30 00:00 [accepted]
PHST- 2015/03/13 06:00 [entrez]
PHST- 2015/03/13 06:00 [pubmed]
PHST- 2015/03/13 06:01 [medline]
AID - 10.5812/ircmj.16600 [doi]
PST - epublish
SO - Iran Red Crescent Med J. 2014 Oct 5;16(10):e16600. doi: 10.5812/ircmj.16600.
eCollection 2014 Oct.
PMID- 23734871
OWN - NLM
STAT- MEDLINE
DCOM- 20150330
LR - 20181113
IS - 1472-6947 (Linking)
VI - 13
DP - 2013 Jun 4
TI - Effects of a computerized feedback intervention on safety performance by
junior
doctors: results from a randomized mixed method study.
PG - 63
LID - 10.1186/1472-6947-13-63 [doi]
AB - BACKGROUND: The behaviour of doctors and their responses to warnings can
inform the
effective design of Clinical Decision Support Systems. We used data from a
University hospital electronic prescribing and laboratory reporting system
with
hierarchical warnings and alerts to explore junior doctors' behaviour. The
objective
of this trial was to establish whether a Junior Doctor Dashboard providing
feedback
on prescription warning information and laboratory alerting acceptance rates
was
effective in changing junior doctors' behaviour. METHODS: A mixed methods
approach
was employed which included a parallel group randomised controlled trial, and
individual and focus group interviews. Junior doctors below the specialty
trainee
level 3 grade were recruited and randomised to two groups. Every doctor (N =
42) in
the intervention group was e-mailed a link to a personal dashboard every week
for
4 months. Nineteen participated in interviews. The 44 control doctors did not
receive any automated feedback. The outcome measures were the difference in
responses to prescribing warnings (of two severities) and laboratory alerting
(of
two severities) between the months before and the months during the
intervention,
analysed as the difference in performance between the intervention and the
control
groups. RESULTS: No significant differences were observed in the rates of
generating
prescription warnings, or in the acceptance of laboratory alarms. However,
responses
to laboratory alerts differed between the pre-intervention and intervention
periods.
For the doctors of Foundation Year 1 grade, this improvement was
significantly
(p = 0.002) greater in the group with access to the dashboard (53.6% ignored
pre-intervention compared to 29.2% post intervention) than in the control
group
(47.9% ignored pre-intervention compared to 47.0% post intervention).
Qualitative
interview data indicated that while junior doctors were positive about the
electronic prescribing functions, they were discriminating in the way they
responded
to other alerts and warnings given that from their perspective these were not
always
immediately clinically relevant or within the scope of their responsibility.
CONCLUSIONS: We have only been able to provide weak evidence that a clinical
dashboard providing individualized feedback data has the potential to improve
safety
behaviour and only in one of several domains. The construction of metrics
used in
clinical dashboards must take account of actual work processes. TRIAL
REGISTRATION
ISRCTN: ISRCTN72253051.
FAU - Redwood, Sabi
AU - Redwood S
FAU - Ngwenya, Nothando B
AU - Ngwenya NB
FAU - Hodson, James
AU - Hodson J
FAU - Ferner, Robin E
AU - Ferner RE
FAU - Coleman, Jamie J
AU - Coleman JJ
LA - eng
DEP - 20130604
JID - 101088682
SB - IM
MH - Adult
MH - Decision Support Systems, Clinical/*standards
MH - *Feedback
MH - Female
MH - Humans
MH - Male
MH - Prescriptions/*standards
PMC - PMC3704711
EDAT- 2013/06/06 06:00
MHDA- 2015/03/31 06:00
CRDT- 2013/06/06 06:00
PHST- 2012/09/10 00:00 [received]
PHST- 2013/05/29 00:00 [accepted]
PHST- 2013/06/06 06:00 [entrez]
PHST- 2013/06/06 06:00 [pubmed]
PHST- 2015/03/31 06:00 [medline]
AID - 1472-6947-13-63 [pii]
AID - 10.1186/1472-6947-13-63 [doi]
PST - epublish
SO - BMC Med Inform Decis Mak. 2013 Jun 4;13:63. doi: 10.1186/1472-6947-13-63.
PMID- 25301904
OWN - NLM
STAT- MEDLINE
DCOM- 20160525
LR - 20200225
IS - 1470-2118 (Print)
IS - 1470-2118 (Linking)
VI - 14
IP - 5
DP - 2014 Oct
TI - Safety in numbers: lack of evidence to indicate the number of physicians
needed to
provide safe acute medical care.
PG - 462-7
AB - Patient safety in hospital is dependent on a multitude of factors. Recent
reports
into the failings of healthcare organisations in the UK have highlighted low
staffing levels as a significant factor. There is research into the impact of
nurse-to-patient ratios on patient safety, but our literature search found

little
published data that would allow healthcare providers to define a minimum
number of
physician staff and skills mix that would assure safety in the largest
hospital
specialty: unscheduled (acute) medicine. Future work should focus on the
evaluation
of existing data on hospital mortality rates and physician staffing levels as
well
as on empirical time and motion studies to ascertain the resources required
to
undertake safe medical care at times of peak demand.
FAU - Sabin, Jodie
AU - Sabin J
AD - Department of Medicine, Ysbyty Gwynedd, Bangor, UK.
FAU - Subbe, Christian P
AU - Subbe CP
AD - Department of Medicine, Ysbyty Gwynedd, Bangor, UK
Christian.Subbe@Wales.NHS.uk.
FAU - Vaughan, Louella
AU - Vaughan L
AD - Department of Medicine, Northwest London Collaboration for Leadership in
Applied
Health Research and Care, London, UK.
FAU - Dowdle, Rhid
AU - Dowdle R
AD - Department of Medicine, Royal Glamorgan Hospital, Llantrisant, UK.
LA - eng
JID - 101092853
SB - IM
MH - Emergency Medical Services/standards
MH - Humans
MH - Workload/*standards
PMC - PMC4951952
OTO - NOTNLM
OT - Mortality
OT - patient safety
OT - personnel staffing and scheduling
OT - workload
EDAT- 2014/10/11 06:00
MHDA- 2016/05/26 06:00
CRDT- 2014/10/11 06:00
PHST- 2014/10/11 06:00 [entrez]
PHST- 2014/10/11 06:00 [pubmed]
PHST- 2016/05/26 06:00 [medline]
AID - 14/5/462 [pii]
PST - ppublish
SO - Clin Med (Lond). 2014 Oct;14(5):462-7. doi: 10.7861/clinmedicine.14-5-462.
PMID- 25889076
OWN - NLM
STAT- MEDLINE
DCOM- 20160404
LR - 20181202
IS - 1472-6947 (Linking)
VI - 15
DP - 2015 Apr 10
TI - A mixed methods study of how clinician 'super users' influence others during
the
implementation of electronic health records.
PG - 26
LID - 10.1186/s12911-015-0154-6 [doi]
LID - 26
AB - BACKGROUND: Despite the potential for electronic health records (EHRs) to
improve
patient safety and quality of care, the intended benefits of EHRs are not
always
realized because of implementation-related challenges. Enlisting clinician
super
users to provide frontline support to employees has been recommended to
foster EHR
implementation success. In some instances, their enlistment has been
associated with
implementation success; in other cases, it has not. Little is known about why
some
super users are more effective than others. The purpose of this study was to
identify super users' mechanisms of influence and examine their effects on
EHR
implementation outcomes. METHODS: We conducted a longitudinal (October 2012 -
June
2013), comparative case study of super users' behaviors on two medical units
of a
large, academic hospital implementing a new EHR system. We assessed super
users'
behaviors by observing 29 clinicians and conducting 24 in-depth interviews.
The
implementation outcome, clinicians' information systems (IS) proficiency, was
assessed using longitudinal survey data collected from 43 clinicians before

and
after the EHR start-date. We used multivariable linear regression to estimate
the
relationship between clinicians' IS proficiency and the clinical unit in
which they
worked. RESULTS: Super users on both units employed behaviors that supported
and
hindered implementation. Four super user behaviors differed between the two
units:
proactivity, depth of explanation, framing, and information-sharing. The unit
in
which super users were more proactive, provided more comprehensive
explanations for
their actions, used positive framing, and shared information more freely
experienced
significantly greater improvement in clinicians' IS proficiency (p =0.03).
Use of
the four behaviors varied as a function of super users' role engagement,
which was
influenced by how the two units' managers selected super users and shaped the
implementation climate. CONCLUSIONS: Super users' behaviors in implementing

EHRs
vary substantively and can have important influence on implementation
success.
FAU - Yuan, Christina T
AU - Yuan CT
AD - Department of Health Policy and Management, Yale School of Public Health, New
Haven,
USA. christina.yuan@yale.edu.
FAU - Bradley, Elizabeth H
AU - Bradley EH
Haven,
USA.
FAU - Nembhard, Ingrid M
AU - Nembhard IM
Haven,
USA.
LA - eng
GR - K01HS018987/HS/AHRQ HHS/United States
GR - T32HS017589/HS/AHRQ HHS/United States
GR - R36HS022201/HS/AHRQ HHS/United States
DEP - 20150410
JID - 101088682
SB - IM
MH - Adult
MH - *Electronic Health Records/statistics & numerical data
MH - Humans
MH - *Professional Competence
PMC - PMC4407776
EDAT- 2015/04/19 06:00
MHDA- 2016/04/05 06:00
CRDT- 2015/04/19 06:00
PHST- 2014/12/05 00:00 [received]
PHST- 2015/03/31 00:00 [accepted]
PHST- 2015/04/19 06:00 [entrez]
PHST- 2015/04/19 06:00 [pubmed]
PHST- 2016/04/05 06:00 [medline]
AID - 10.1186/s12911-015-0154-6 [pii]
AID - 154 [pii]
AID - 10.1186/s12911-015-0154-6 [doi]
PST - epublish
SO - BMC Med Inform Decis Mak. 2015 Apr 10;15:26. doi: 10.1186/s12911-015-0154-6.
PMID- 23193340
OWN - NLM
STAT- MEDLINE
DCOM- 20130503
LR - 20181113
IS - 0002-9459 (Print)
IS - 0002-9459 (Linking)
VI - 76
IP - 9
DP - 2012 Nov 12
TI - Patient simulation to demonstrate students' competency in core domain
abilities
prior to beginning advanced pharmacy practice experiences.
PG - 176
LID - 10.5688/ajpe769176 [doi]
LID - 176
AB - OBJECTIVE: To implement a simulation-based introductory pharmacy practice
experience
(IPPE) and determine its effectiveness in assessing pharmacy students' core
domain
abilities prior to beginning advanced pharmacy practice experience (APPE).
DESIGN: A
60-hour IPPE that used simulation-based techniques to provide clinical
experiences
was implemented. Twenty-eight students were enrolled in this simulation IPPE,
while
60 were enrolled in hospital and specialty IPPEs within the region.
ASSESSMENT: The
IPPE assessed 10 out of 11 of the pre-APPE core domain abilities, and on the
practical examination, 67% of students passed compared to 52% of students in
the
control group. Students performed better on all 6 knowledge quizzes after
completing
the simulation IPPE. Based on scores on the Perception of Preparedness to
Perform
(PREP) survey, students felt more prepared regarding "technical" aspects
after
completing the simulation experience (p<0.001). Ninety-six percent of the
respondents agreed with the statement "I am more aware of medication errors
after
this IPPE." CONCLUSION: Simulation is an effective method for assessing the
pre-APPE
abilities of pharmacy students, preparing them for real clinical encounters,
and for
making them more aware of medication errors and other patient safety issues.
FAU - Vyas, Deepti
AU - Vyas D
AD - California Northstate University, College of Pharmacy, Rancho Cordova, CA,
USA.
vyasd80@gmail.com
FAU - Bhutada, Nilesh S
AU - Bhutada NS
FAU - Feng, Xiaodong
AU - Feng X
LA - eng
TA - Am J Pharm Educ
JT - American journal of pharmaceutical education
JID - 0372650
SB - IM
MH - Curriculum
MH - Education, Pharmacy/*methods
MH - Educational Measurement
MH - Humans
MH - *Patient Simulation
MH - Pharmaceutical Services/*organization & administration
MH - *Students, Pharmacy
PMC - PMC3508490
OTO - NOTNLM
OT - ability
OT - advanced pharmacy practice experience
OT - introductory pharmacy practice experience
OT - simulation
OT - standardized patients
EDAT- 2012/11/30 06:00
MHDA- 2013/05/04 06:00
CRDT- 2012/11/30 06:00
PHST- 2012/05/02 00:00 [received]
PHST- 2012/07/05 00:00 [accepted]
PHST- 2012/11/30 06:00 [entrez]
PHST- 2012/11/30 06:00 [pubmed]
PHST- 2013/05/04 06:00 [medline]
AID - ajpe176 [pii]
AID - 10.5688/ajpe769176 [doi]
PST - ppublish
SO - Am J Pharm Educ. 2012 Nov 12;76(9):176. doi: 10.5688/ajpe769176.
PMID- 23022840
OWN - NLM
STAT- MEDLINE
DCOM- 20121204
LR - 20151119
IS - 2008-6520 (Print)
IS - 2008-6520 (Linking)
VI - 2
IP - 4
DP - 2011 Oct
TI - Sharps injuries among nurses in a Thai regional hospital: prevalence and risk
factors.
PG - 215-23
AB - BACKGROUND: Sharps injuries (SIs) are one of the most serious occupational
accidents
among nurses due to the possible severe consequences, such as the
transmission of
infectious diseases and inducing of mental impairment. OBJECTIVE: To discover
the
prevalence of SIs among nurses in a regional hospital in Thailand and to
identify
factors associated with SIs. METHODS: A cross-sectional study was conducted
in 2011.
Stratified random sampling was used to select the respondents, with wards as
the
strata and the number of nurses selected proportional to the size of the ward
nurse
population. 261 self-administered questionnaires were distributed to nurses
who used
needles, syringes or other sharp medical equipment in their work. Data were
analyzed
using chi-square tests, correlation analysis and multiple logistic regression
analysis. RESULTS: The prevalence of SIs for the previous 12 months was 55.5%
among
the 250 nurses who returned a completed questionnaire. Of these, 91.1% were
with
blood. Needles (52.8%) were the main cause of SIs. The reporting rate of SIs
to the
hospital was 23.8%. SIs had a significant association with each of marital
status,
work duration, work department, attitude regarding SI prevention, and
preventive
management. Using multiple logistic regression analysis, attitude was found
to be
the strongest predictor of SIs when adjusted for other factors. Nurses who
had
negative attitudes towards prevention of SIs were nearly two times more
likely to
have SIs than those with positive attitudes (adjusted odds ratio = 1.86; 95%
CI:
1.03-3.38). CONCLUSION: The study showed a high prevalence of SIs, but a low
reporting rate. This suggests the reporting system requires simplification
and also
should include a quick response management component. Promoting positive
attitudes
to SI prevention, and improving the reporting system would reduce SIs.
FAU - Honda, M
AU - Honda M
AD - ASEAN Institute for Health Development, Mahidol University, Thailand.
FAU - Chompikul, J
AU - Chompikul J
FAU - Rattanapan, C
AU - Rattanapan C
FAU - Wood, G
AU - Wood G
FAU - Klungboonkrong, S
AU - Klungboonkrong S
LA - eng
PL - Iran
TA - Int J Occup Environ Med
JT - The international journal of occupational and environmental medicine
JID - 101535763
SB - IM
MH - Accidents, Occupational/*statistics & numerical data
MH - Adult
MH - Chi-Square Distribution
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - Needlestick Injuries/*epidemiology/prevention & control
MH - *Nurses
MH - Prevalence
MH - Risk Factors
MH - Thailand/epidemiology
EDAT- 2012/10/02 06:00
MHDA- 2012/12/10 06:00
CRDT- 2012/10/02 06:00
PHST- 2011/07/27 00:00 [received]
PHST- 2011/08/07 00:00 [accepted]
PHST- 2012/10/02 06:00 [entrez]
PHST- 2012/10/02 06:00 [pubmed]
PHST- 2012/12/10 06:00 [medline]
AID - 109 [pii]
PST - ppublish
SO - Int J Occup Environ Med. 2011 Oct;2(4):215-23.
PMID- 24625933
OWN - NLM
STAT- MEDLINE
DCOM- 20150406
LR - 20151221
IS - 0022-3859 (Linking)
VI - 60
IP - 1
DP - 2014 Jan-Mar
TI - Medical professionalism from a socio-cultural perspective: evaluating medical
residents communicative attitudes during the medical encounter in malaysia.

PG - 12-5
LID - 10.4103/0022-3859.128799 [doi]
AB - CONTEXT: The practice of medicine requires good communication skills to
foster
excellent rapport in doctor patient relationship. Reports on communication
skills
learning attitude among medical professionals are key essentials toward
improving
patient safety and quality of care. AIMS: We aimed to determine factors
affecting
communication skills learning attitudes among medical residents in Malaysia.
SETTINGS AND DESIGN: Cross-sectional survey, in a Malaysian public health
hospital.
MATERIALS AND METHODS: A total of 191 medical residents across medical and
surgical
based rotations were included. We assessed the validated communication skills
attitude scale among medical residents from different rotations. STATISTICAL

ANALYSIS: Statistical Package of Social Sciences (SPSS®) (version 16.0, IBM,
Armonk,
NY) was used. Cronbach's alpha was used to test the internal consistency of
the
scale. Descriptive analysis was conducted for all variables. Bivariate
analysis was
employed across the socio-demographic variables. RESULTS: Majority of the
residents
believed that communication skills training should be made compulsory in
Malaysia
(78.5%). Medical residents agreed that acquiring good communication skills is
essential to be a good doctor. However, the majority cited time pressures for
not
being able to learn communication skills. Significant differences in
communication
skills learning attitude scores were found between Malays and Chinese.
CONCLUSION:
The majority of medical residents had a positive attitude toward
communication
skills learning. Socio-demographic factors influenced communication skills
learning
attitude among medical residents. Incorporating communicative skills modules
during
hospital Continuous Medical Education for medical residents is essential to
cultivate communicative skills attitudes for effective doctor-patient
relationship
during the routine medical encounters.
FAU - Ganasegeran, K
AU - Ganasegeran K
AD - International Medical School, Management and Science University, Shah Alam,
Selangor, Malaysia.
FAU - Al-Dubai, S A R
AU - Al-Dubai SA
LA - eng
PL - India
TA - J Postgrad Med
JT - Journal of postgraduate medicine
JID - 2985196R
SB - IM
MH - Adult
MH - Attitude of Health Personnel/*ethnology
MH - *Communication
MH - Ethnic Groups
MH - Female
MH - Humans
MH - *Internship and Residency
MH - Learning
MH - Malaysia
MH - Male
MH - Physicians
MH - *Professional Competence
MH - Young Adult
EDAT- 2014/03/15 06:00
MHDA- 2015/04/07 06:00
CRDT- 2014/03/15 06:00
PHST- 2014/03/15 06:00 [entrez]
PHST- 2014/03/15 06:00 [pubmed]
PHST- 2015/04/07 06:00 [medline]
AID - jpgm_2014_60_1_12_128799 [pii]
AID - 10.4103/0022-3859.128799 [doi]
PST - ppublish
SO - J Postgrad Med. 2014 Jan-Mar;60(1):12-5. doi: 10.4103/0022-3859.128799.
PMID- 33544089
OWN - NLM
LR - 20210208
IS - 2292-9495 (Linking)
VI - 8
IP - 1
DP - 2021 Feb 5
TI - Perceptual Gaps Between Clinicians and Technologists on Health Information
Technology-Related Errors in Hospitals: Observational Study.
PG - e21884
LID - 10.2196/21884 [doi]
AB - BACKGROUND: Health information technology (HIT) has been widely adopted in
hospital
settings, contributing to improved patient safety. However, many types of
medical
errors attributable to information technology (IT) have negatively impacted
patient
safety. The continued occurrence of many errors is a reminder that HIT
software
testing and validation is not adequate in ensuring errorless software
functioning
within the health care organization. OBJECTIVE: This pilot study aims to
classify
technology-related medical errors in a hospital setting using an expanded
version of
the sociotechnical framework to understand the significant differences in the
perceptions of clinical and technology stakeholders regarding the potential

causes
of these errors. The paper also provides some recommendations to prevent
future
errors. METHODS: Medical errors were collected from previous studies
identified in
leading health databases. From the main list, we selected errors that
occurred in
hospital settings. Semistructured interviews with 5 medical and 6 IT
professionals
were conducted to map the events on different dimensions of the expanded
sociotechnical framework. RESULTS: Of the 2319 identified publications, 36
were
included in the review. Of the 67 errors collected, 12 occurred in hospital
settings. The classification showed the "gulf" that exists between IT and
medical
professionals in their perspectives on the underlying causes of medical
errors. IT
experts consider technology as the source of most errors and suggest
solutions that
are mostly technical. However, clinicians assigned the source of errors
within the
people, process, and contextual dimensions. For example, for the error
"Copied and
pasted charting in the wrong window: Before, you could not easily get into
someone
else's chart accidentally...because you would have to pull the chart and open
it,"
medical experts highlighted contextual issues, including the number of
patients a
health care provider sees in a short time frame, unfamiliarity with a new
electronic
medical record system, nurse transitions around the time of error, and
confusion due
to patients having the same name. They emphasized process controls, including
failure modes, as a potential fix. Technology experts, in contrast, discussed

the
lack of notification, poor user interface, and lack of end-user training as
critical
factors for this error. CONCLUSIONS: Knowledge of the dimensions of the
sociotechnical framework and their interplay with other dimensions can guide
the
choice of ways to address medical errors. These findings lead us to conclude
that
designers need not only a high degree of HIT know-how but also a strong
understanding of the medical processes and contextual factors. Although
software
development teams have historically included clinicians as business analysts
or
subject matter experts to bridge the gap, development teams will be better
served by
more immersive exposure to clinical environments, leading to better software
design
and implementation, and ultimately to enhanced patient safety.
CI - ©Theophile Ndabu, Pavankumar Mulgund, Raj Sharman, Ranjit Singh. Originally
published in JMIR Human Factors (http://humanfactors.jmir.org), 05.02.2021.
FAU - Ndabu, Theophile
AU - Ndabu T
AUID- ORCID: 0000-0001-7735-5537
AD - Department of Management Science and Systems, School of Management, State
University
of New York at Buffalo, Buffalo, NY, United States.
FAU - Mulgund, Pavankumar
AU - Mulgund P
AUID- ORCID: 0000-0001-8434-5070
University
FAU - Sharman, Raj
AU - Sharman R
AUID- ORCID: 0000-0001-5838-7330
University
FAU - Singh, Ranjit
AU - Singh R
AUID- ORCID: 0000-0003-1826-8913
AD - School of Medicine and Biomedical Sciences, State University of New York at
Buffalo,
Buffalo, NY, United States.
LA - eng
DEP - 20210205
PL - Canada
TA - JMIR Hum Factors
JT - JMIR human factors
JID - 101666561
OTO - NOTNLM
OT - medical errors
OT - patient harm
OT - patient safety
OT - sociotechnical framework
EDAT- 2021/02/06 06:00
MHDA- 2021/02/06 06:01
CRDT- 2021/02/05 12:11
PHST- 2020/06/29 00:00 [received]
PHST- 2020/12/17 00:00 [accepted]
PHST- 2020/11/06 00:00 [revised]
PHST- 2021/02/05 12:11 [entrez]
PHST- 2021/02/06 06:00 [pubmed]
PHST- 2021/02/06 06:01 [medline]
AID - 10.2196/21884 [doi]
PST - epublish
SO - JMIR Hum Factors. 2021 Feb 5;8(1):e21884. doi: 10.2196/21884.
PMID- 21447199
OWN - NLM
STAT- MEDLINE
DCOM- 20110720
LR - 20191210
IS - 1472-6947 (Linking)
VI - 11
DP - 2011 Mar 30
TI - Does electronic clinical microbiology results reporting influence medical
decision
making: a pre- and post-interview study of medical specialists.
PG - 19
LID - 10.1186/1472-6947-11-19 [doi]
AB - BACKGROUND: Clinicians view the accuracy of test results and the turnaround
time as
the two most important service aspects of the clinical microbiology
laboratory.
Because of the time needed for the culturing of infectious agents, final
hardcopy
culture results will often be available too late to have a significant impact
on
early antimicrobial therapy decisions, vital in infectious disease
management. The
clinical microbiologist therefore reports to the clinician clinically
relevant
preliminary results at any moment during the diagnostic process, mostly by
telephone. Telephone reporting is error prone, however. Electronic reporting
of
culture results instead of reporting on paper may shorten the turnaround time
and
may ensure correct communication of results. The purpose of this study was to
assess
the impact of the implementation of electronic reporting of final
microbiology
results on medical decision making. METHODS: In a pre- and post-interview
study
using a semi-structured design we asked medical specialists in our hospital
about
their use and appreciation of clinical microbiology results reporting before
and
after the implementation of an electronic reporting system. RESULTS:
Electronic
reporting was highly appreciated by all interviewed clinicians. Major
advantages
were reduction of hardcopy handling and the possibility to review results in
relation to other patient data. Use and meaning of microbiology reports
differ
significantly between medical specialties. Most clinicians need preliminary
results
for therapy decisions quickly. Therefore, after the implementation of
electronic
reporting, telephone consultation between clinician and microbiologist
remained the
key means of communication. CONCLUSIONS: Overall, electronic reporting
increased the
workflow efficiency of the medical specialists, but did not have an impact on
their
decision-making.
CI - © 2011 Bruins et al; licensee BioMed Central Ltd.
FAU - Bruins, Marjan J
AU - Bruins MJ
AD - Laboratory of Clinical Microbiology and Infectious Diseases, Isala klinieken,
Stilobadstraat 3, 8021 AB Zwolle, The Netherlands. m.j.bruins@isala.nl

FAU - Ruijs, Gijs J H M
AU - Ruijs GJ
FAU - Wolfhagen, Maurice J H M
AU - Wolfhagen MJ
FAU - Bloembergen, Peter
AU - Bloembergen P
FAU - Aarts, Jos E C M
AU - Aarts JE
LA - eng
DEP - 20110330
JID - 101088682
SB - IM
MH - *Clinical Laboratory Information Systems
MH - Electronic Health Records/standards
MH - Humans
MH - Infections/*diagnosis
MH - Medicine
PMC - PMC3073869
EDAT- 2011/03/31 06:00
MHDA- 2011/07/21 06:00
CRDT- 2011/03/31 06:00
PHST- 2010/08/03 00:00 [received]
PHST- 2011/03/30 00:00 [accepted]
PHST- 2011/03/31 06:00 [entrez]
PHST- 2011/03/31 06:00 [pubmed]
PHST- 2011/07/21 06:00 [medline]
AID - 1472-6947-11-19 [pii]
AID - 10.1186/1472-6947-11-19 [doi]
PST - epublish
SO - BMC Med Inform Decis Mak. 2011 Mar 30;11:19. doi: 10.1186/1472-6947-11-19.
PMID- 29030364
OWN - NLM
STAT- MEDLINE
DCOM- 20180604
LR - 20191023
VI - 2017
DP - 2017 Oct 13
TI - So near, yet so far: access to safe abortion services remains elusive for
poor women
in India.
LID - bcr-2017-220980 [pii]
LID - 10.1136/bcr-2017-220980 [doi]
LID - bcr2017220980
AB - In this case study, we describe our experiences with a woman employed as a
housemaid
who sought unsafe abortion services from a private doctor. This was her sixth
pregnancy, after previously giving birth to one son and two daughters and
undergoing
two induced abortions. Her husband remained opposed to the use of
contraception.
Initially, she had sought medical termination of pregnancy through a
government
hospital but was denied because of procedural delays, specifically the
non-availability of an ultrasonography report consequent to a lack of proof
of
identity (ie, the AADHAAR card, a unique identification card for recording
biometric
and demographic data in India). She finally sought the services of an
unqualified
private physician and received oral abortifacient agents. Consequently, she
was
required to seek treatment for bleeding per vaginum from the dispensary staff
at a
government hospital. We note that many such incidents occur in our daily
practice
but remain unnoticed and undocumented. Although this patient was eligible for
sterilisation (ie, tubectomy), her husband was uncooperative. This case

illustrates
the lack of decision-making power experienced by Indian women who have a low
societal status.
CI - © BMJ Publishing Group Ltd (unless otherwise stated in the text of the
article)
2017. All rights reserved. No commercial use is permitted unless otherwise
expressly
granted.
FAU - Bhattacharya, Sudip
AU - Bhattacharya S
AD - School of Public Health, Department of Community Medicine, Post Graduate
Institute
of Medical Education and Research, Chandigarh, India.
FAU - Bashar, Mohammad Abu
AU - Bashar MA
AUID- ORCID: 0000-0002-0868-8335
Institute
FAU - Singh, Amarjeet
AU - Singh A
Institute
LA - eng
PT - Case Reports
DEP - 20171013
TA - BMJ Case Rep
JID - 101526291
SB - IM
MH - Abortion, Induced/*adverse effects
MH - Adult
MH - Female
MH - *Health Services Accessibility
MH - *Healthcare Disparities
MH - Humans
MH - India
MH - Poverty
MH - Pregnancy
MH - Uterine Hemorrhage/*diagnosis/etiology
MH - Women's Health
PMC - PMC5652352
OTO - NOTNLM
OT - drugs: endocrine system
OT - global health
OT - migration and health
OT - primary care
EDAT- 2017/10/17 06:00
MHDA- 2018/06/05 06:00
CRDT- 2017/10/15 06:00
PHST- 2017/10/15 06:00 [entrez]
PHST- 2017/10/17 06:00 [pubmed]
PHST- 2018/06/05 06:00 [medline]
AID - bcr-2017-220980 [pii]
AID - 10.1136/bcr-2017-220980 [doi]
PST - epublish
SO - BMJ Case Rep. 2017 Oct 13;2017:bcr2017220980. doi: 10.1136/bcr-2017-220980.
PMID- 26734398
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - Are we meeting current standards in medicines reconciliation? A study in a
District
General Hospital.
LID - u207508.w3002
AB - INTRODUCTION: Inadequate medicines reconciliation on admission is often
identified
as a major cause of patient morbidity, with poor access to patient's regular
medications often cited as a barrier to care. In the surgical admission unit
of our
district general hospital, drug charts are completed by junior doctors who do
not
have access to the Emergency Care Summary (ECS) thus making it difficult to
accurately complete admission drug charts. METHODS: Our initial measurement
of all
acute surgical admissions revealed that 49% of patients had an accurate
medicines
reconciliation upon admission, increasing to 75% within 24 hours of
admission. It
was clear from this data that our current practice needed improvement in
order to
ensure patient safety. Resultantly the junior medical staff were provided
with ECS
accounts and teaching to aid the process of medicines reconciliation.
RESULTS:
Following the introduction of access to ECS and junior doctor education, a
further
two data cycles were completed. On the first cycle, the number of accurately
completed drug charts increased to 62% on admission and 86% at 24 hours.
After the
second cycle 57% were complete on admission increasing to 84% at 24 hours.
CONCLUSION: Our project has shown that by providing junior doctors with
medicines
reconciliation education and access to patients' pre-admission medications
through a
nationwide electronic system resulted in a considerable increase in the
completion
of medicine reconciliation.
FAU - Iddles, Emma
AU - Iddles E
AD - Hairmyres Hospital, NHS Lanarkshire.
FAU - Williamson, Andrew
AU - Williamson A
FAU - Bradley, Alison
AU - Bradley A
FAU - Khan, Khurram
AU - Khan K
LA - eng
DEP - 20150930
JID - 101629512
PMC - PMC4693049
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2015/05/01 00:00 [received]
PHST- 2015/09/06 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
PST - epublish
PMID- 24598829
OWN - NLM
STAT- MEDLINE
DCOM- 20150511
LR - 20181113
IS - 1067-5027 (Print)
IS - 1067-5027 (Linking)
VI - 21
IP - 6
DP - 2014 Nov-Dec
TI - Lessons learned from the introduction of an electronic safety net to enhance
test
result management in an Australian mothers' hospital.
PG - 1104-8
LID - 10.1136/amiajnl-2013-002466 [doi]
AB - This study describes the implementation and impact of an electronic test
result
acknowledgement (RA) system in the Mater Mothers' Hospital in Brisbane,
Australia.
The Verdi application electronically records clinicians' acknowledgement of
the
review of results. Hospital data (August 2011-August 2012) were extracted to
measure
clinicians' acknowledgement practices. There were 27,354 inpatient test
results for
6855 patients. All test results were acknowledged. 60% (95% CI 59% to 61%) of
laboratory and 44% (95% CI 40% to 48%) of imaging results were acknowledged
within
24 h. The median time between report availability and acknowledgement was
18.1 h for
laboratory and 1 day 18 h for imaging results. The median time from when a
result
was first viewed to its acknowledgement was 7 min for laboratory and 1 min
for
imaging results. The longest recorded time to acknowledgement was 38 days.
Electronic RA provides a safety net to enhance test result management.
not
FAU - Georgiou, Andrew
AU - Georgiou A
AD - Centre for Health Systems and Safety Research, Australian Institute of Health
Innovation, University of New South Wales, Sydney, New South Wales,

Australia.
FAU - Lymer, Sharyn
AU - Lymer S

Australia.
FAU - Forster, Megan
AU - Forster M
AD - Mater Health Services, Raymond Terrace, South Brisbane, Queensland,
Australia.
FAU - Strachan, Michael
AU - Strachan M
Australia.
FAU - Graham, Sara
AU - Graham S
Australia.
FAU - Hirst, Geof
AU - Hirst G
Australia.
FAU - Callen, Joanne
AU - Callen J

Australia.
FAU - Westbrook, Johanna I
AU - Westbrook JI

Australia.
LA - eng
DEP - 20140305
JID - 9430800
SB - IM
MH - *Clinical Laboratory Techniques
MH - Female
MH - Hospitals, Maternity/*organization & administration
MH - Humans
MH - *Medical Staff, Hospital
MH - Queensland
MH - Time Factors
MH - User-Computer Interface
PMC - PMC4215041
OTO - NOTNLM
OT - Patient safety
OT - laboratory
OT - medical imaging
OT - test result follow-up
EDAT- 2014/03/07 06:00
MHDA- 2015/05/12 06:00
CRDT- 2014/03/07 06:00
PHST- 2014/03/07 06:00 [entrez]
PHST- 2014/03/07 06:00 [pubmed]
PHST- 2015/05/12 06:00 [medline]
AID - amiajnl-2013-002466 [pii]
AID - 10.1136/amiajnl-2013-002466 [doi]
PST - ppublish
SO - J Am Med Inform Assoc. 2014 Nov-Dec;21(6):1104-8. doi: 10.1136/amiajnl-2013-
002466.
Epub 2014 Mar 5.
PMID- 30559994
OWN - NLM
LR - 20200929
IS - 2093-7911 (Print)
IS - 2093-7911 (Linking)
VI - 9
IP - 4
DP - 2018 Dec
TI - Impact of Psychosocial Factors on Occurrence of Medication Errors among
Tehran
Public Hospitals Nurses by Evaluating the Balance between Effort and Reward.
PG - 447-453
LID - 10.1016/j.shaw.2017.12.005 [doi]
AB - BACKGROUND: Patient safety and accurate implementation of medication orders
are
among the essential requirements of par nursing profession. In this regard,
it is
necessary to determine and prevent factors influencing medications errors.
Although
many studies have investigated this issue, the effects of psychosocial
factors have
not been examined thoroughly. METHODS: The present study aimed at
investigating the
impact of psychosocial factors on nurses' medication errors by evaluating the
balance between effort and reward. This cross-sectional descriptive study was
conducted in public hospitals of Tehran in 2015. The population of this work

consisted of 379 nurses. A multisection questionnaire was used for data
collection.
RESULTS: In this research, 29% of participating nurses reported medication
errors in
2015. Most frequent errors were related to wrong dosage, drug, and patient.
There
were significant relationships between medications errors and the stress of
imbalance between effort and reward (p < 0.02) and job commitment and stress
(p < 0.027). CONCLUSION: It seems that several factors play a role in the
occurrence
of medication errors, and psychosocial factors play a crucial and major role
in this
regard. Therefore, it is necessary to investigate these factors in more
detail and
take them into account in the hospital management.
FAU - Zaree, Tahere Yeke
AU - Zaree TY
AD - School of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
FAU - Nazari, Jalil
AU - Nazari J
FAU - Asghary Jafarabadi, Mohhamad
AU - Asghary Jafarabadi M
FAU - Alinia, Tahereh
AU - Alinia T
AD - Shahid Beheshti University of Medical Science, Tehran, Iran.
LA - eng
DEP - 20171221
TA - Saf Health Work
JT - Safety and health at work
JID - 101542940
PMC - PMC6284152
OTO - NOTNLM
OT - Balance effort–reward
OT - Nurse
OT - Psychosocial factors
OT - Stress
EDAT- 2018/12/19 06:00
MHDA- 2018/12/19 06:01
CRDT- 2018/12/19 06:00
PHST- 2017/01/09 00:00 [received]
PHST- 2017/11/12 00:00 [revised]
PHST- 2017/12/12 00:00 [accepted]
PHST- 2018/12/19 06:00 [entrez]
PHST- 2018/12/19 06:00 [pubmed]
PHST- 2018/12/19 06:01 [medline]
AID - S2093-7911(17)30008-2 [pii]
AID - 10.1016/j.shaw.2017.12.005 [doi]
PST - ppublish
SO - Saf Health Work. 2018 Dec;9(4):447-453. doi: 10.1016/j.shaw.2017.12.005. Epub
2017
Dec 21.
PMID- 25767393
OWN - NLM
DCOM- 20150313
LR - 20201001
IS - 1176-6336 (Print)
IS - 1176-6336 (Linking)
VI - 11
DP - 2015
TI - Quality improvements in decreasing medication administration errors made by
nursing
staff in an academic medical center hospital: a trend analysis during the
journey to
Joint Commission International accreditation and in the post-accreditation
era.
PG - 393-406
LID - 10.2147/TCRM.S79238 [doi]
AB - BACKGROUND: Medication errors may occur during prescribing, transcribing,
prescription auditing, preparing, dispensing, administration, and monitoring.
Medication administration errors (MAEs) are those that actually reach

patients and
remain a threat to patient safety. The Joint Commission International (JCI)
advocates medication error prevention, but experience in reducing MAEs during
the
period of before and after JCI accreditation has not been reported. METHODS:
An
intervention study, aimed at reducing MAEs in hospitalized patients, was
performed
in the Second Affiliated Hospital of Zhejiang University, Hangzhou, People's
Republic of China, during the journey to JCI accreditation and in the post-
JCI
accreditation era (first half-year of 2011 to first half-year of 2014).
Comprehensive interventions included organizational, information technology,
educational, and process optimization-based measures. Data mining was
performed on
MAEs derived from a compulsory electronic reporting system. RESULTS: The
number of
MAEs continuously decreased from 143 (first half-year of 2012) to 64 (first
half-year of 2014), with a decrease in occurrence rate by 60.9% (0.338%
versus
0.132%, P<0.05). The number of MAEs related to high-alert medications
decreased from
32 (the second half-year of 2011) to 16 (the first half-year of 2014), with a
decrease in occurrence rate by 57.9% (0.0787% versus 0.0331%, P<0.05).

Omission was
the top type of MAE during the first half-year of 2011 to the first half-year
of
2014, with a decrease by 50% (40 cases versus 20 cases). Intravenous
administration
error was the top type of error regarding administration route, but it
continuously
decreased from 64 (first half-year of 2012) to 27 (first half-year of 2014).
More
experienced registered nurses made fewer medication errors. The number of
MAEs in
surgical wards was twice that in medicinal wards. Compared with non-intensive
care
units, the intensive care units exhibited higher occurrence rates of MAEs
(1.81%
versus 0.24%, P<0.001). CONCLUSION: A 3-and-a-half-year intervention program
on MAEs
was confirmed to be effective. MAEs made by nursing staff can be reduced, but
cannot
be eliminated. The depth, breadth, and efficiency of multidiscipline
collaboration
among physicians, pharmacists, nurses, information engineers, and hospital
administrators are pivotal to safety in medication administration. JCI
accreditation
may help health systems enhance the awareness and ability to prevent MAEs and
achieve successful quality improvements.

FAU - Wang, Hua-Fen
AU - Wang HF
AD - Division of Nursing, the Second Affiliated Hospital of Zhejiang University,
School
of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People's
Republic of
China.
FAU - Jin, Jing-Fen
AU - Jin JF
School
Republic of
China.
FAU - Feng, Xiu-Qin
AU - Feng XQ
School
Republic of
China.
FAU - Huang, Xin
AU - Huang X
School
Republic of
China.
FAU - Zhu, Ling-Ling
AU - Zhu LL
AD - Geriatric VIP Ward, Division of Nursing, the Second Affiliated Hospital of
Zhejiang
University, School of Medicine, Zhejiang University, Hangzhou, Zhejiang
Province,
FAU - Zhao, Xiao-Ying
AU - Zhao XY
AD - Office of Quality Administration, the Second Affiliated Hospital of Zhejiang
University, School of Medicine, Zhejiang University, Hangzhou, Zhejiang
Province,
FAU - Zhou, Quan
AU - Zhou Q
AD - Department of Pharmacy, the Second Affiliated Hospital of Zhejiang
University,
School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province,
People's
Republic of China.
LA - eng
DEP - 20150305
JID - 101253281
PMC - PMC4354453
OTO - NOTNLM
OT - medication administration
OT - nurse
OT - quality improvements
EDAT- 2015/03/15 06:00
MHDA- 2015/03/15 06:01
CRDT- 2015/03/14 06:00
PHST- 2015/03/14 06:00 [entrez]
PHST- 2015/03/15 06:00 [pubmed]
PHST- 2015/03/15 06:01 [medline]
AID - 10.2147/TCRM.S79238 [doi]
PST - epublish
SO - Ther Clin Risk Manag. 2015 Mar 5;11:393-406. doi: 10.2147/TCRM.S79238.
eCollection
2015.
PMID- 23088426
OWN - NLM
STAT- MEDLINE
DCOM- 20130708
LR - 20181113
IS - 0017-9124 (Print)
IS - 0017-9124 (Linking)
VI - 48
IP - 3
DP - 2013 Jun
TI - Lower mortality for abdominal aortic aneurysm repair in high-volume hospitals
is
contingent upon nurse staffing.
PG - 972-91
LID - 10.1111/1475-6773.12004 [doi]
AB - OBJECTIVE: To determine whether and to what extent the lower mortality rates
for
patients undergoing abdominal aortic aneurysm (AAA) repair in high-volume
hospitals
is explained by better nursing. DATA SOURCES: State hospital discharge data,
Multi-State Nursing Care and Patient Safety Survey, and hospital
characteristics
from the AHA Annual Survey. STUDY DESIGN: Cross-sectional analysis of linked
patient
outcomes for individuals undergoing AAA repair in four states. DATA
COLLECTION:
Secondary data sources. PRINCIPAL FINDINGS: Favorable nursing practice
environments
and higher hospital volumes of AAA repair are associated with lower mortality
and
fewer failures-to-rescue in main-effects models. Furthermore, nurse staffing
interacts with volume such that there is no mortality advantage observed in
high-volume hospitals with poor nurse staffing. When hospitals have good
nurse
staffing, patients in low-volume hospitals are 3.4 times as likely to die and
2.6
times as likely to die from complications as patients in high-volume
hospitals (p <
.001). CONCLUSIONS: Nursing is part of the explanation for lower mortality
after AAA
repair in high-volume hospitals. Importantly, lower mortality is not found in
high-volume hospitals if nurse staffing is poor.

FAU - Wiltse Nicely, Kelly L
AU - Wiltse Nicely KL
AD - Center for Health Outcomes and Policy Research, University of Pennsylvania,
Philadelphia, PA 19104-4217, USA. wiltse@nursing.upenn.edu
AU - Sloane DM
AU - Aiken LH
LA - eng
GR - R01-NR-004513/NR/NINR NIH HHS/United States
DEP - 20121022
JID - 0053006
SB - IM
MH - Aged
MH - Aortic Aneurysm, Abdominal/*mortality/*surgery
MH - Educational Status
MH - Environment
MH - Female
MH - Hospitals, High-Volume/*statistics & numerical data
MH - Humans
MH - Male
MH - Middle Aged
MH - Nursing Administration Research
MH - United States
MH - Workplace/statistics & numerical data
PMC - PMC3651774
MID - NIHMS457955
EDAT- 2012/10/24 06:00
MHDA- 2013/07/09 06:00
CRDT- 2012/10/24 06:00
PHST- 2012/10/24 06:00 [entrez]
PHST- 2012/10/24 06:00 [pubmed]
PHST- 2013/07/09 06:00 [medline]
AID - 10.1111/1475-6773.12004 [doi]
PST - ppublish
SO - Health Serv Res. 2013 Jun;48(3):972-91. doi: 10.1111/1475-6773.12004. Epub
2012 Oct
22.
PMID- 23459439
OWN - NLM
DCOM- 20130306
LR - 20200930
IS - 1176-6336 (Print)
IS - 1176-6336 (Linking)
VI - 9
DP - 2013
TI - Safe medication use based on knowledge of information about contraindications
concerning cross allergy and comprehensive clinical intervention.

PG - 65-72
LID - 10.2147/TCRM.S42013 [doi]
AB - BACKGROUND: An investigation of safety issues regarding information on
contraindications related to cross allergy was conducted to promote clinical
awareness and prevent medical errors in a 2200-bed tertiary care teaching
hospital.
METHODS: Prescribing information on contraindications concerning cross
allergy was
collected from an information system and package inserts. Data mining and
descriptive analysis were performed. A risk register was used for project
management
and risk assessment. A Plan, Do, Check, Act cycle was used as part of
continuous
quality improvement. Records of drug counseling and medical errors were
collected
from an online reporting system. A pharmacist-led multidisciplinary team
initiated
an intervention program on cross allergy in August 2008. RESULTS: Four years
of risk
management at our hospital achieved successful outcomes, ie, the number of
medical
errors related to cross allergies decreased by 97% (10 cases monthly before
August
2008 versus three cases yearly in 2012) and risk rating decreased
significantly
[initial risk rating: 25(high-risk) before August 2008 versus final risk
rating:6
(medium-risk) in December 2012]. CONCLUSION: We conclude that comprehensive
clinical
interventions are very effective through team cooperation. Medication use has
potential for safety risks if sufficient attention is not paid to

contraindications
concerning cross allergy. The potential for cross allergy involving drugs
which
belong to completely different pharmacological classes is easily overlooked
and can
be dangerous. Pharmacists can play an important role in reducing the risk of
cross
allergy as well as recommending therapeutic alternatives.
FAU - Li, Wei
AU - Li W
AD - Division of Medical Affairs, , School of Medicine, Zhejiang University,
Zhejiang,
FAU - Zhu, Ling-Ling
AU - Zhu LL
FAU - Zhou, Quan
AU - Zhou Q
LA - eng
DEP - 20130226
JID - 101253281
PMC - PMC3585575
OTO - NOTNLM
OT - contraindications
OT - cross allergy
OT - prescribing information
OT - risk management
OT - safe medication use
EDAT- 2013/03/06 06:00
MHDA- 2013/03/06 06:01
CRDT- 2013/03/06 06:00
PHST- 2013/03/06 06:00 [entrez]
PHST- 2013/03/06 06:00 [pubmed]
PHST- 2013/03/06 06:01 [medline]
AID - 10.2147/TCRM.S42013 [doi]
PST - ppublish
SO - Ther Clin Risk Manag. 2013;9:65-72. doi: 10.2147/TCRM.S42013. Epub 2013 Feb
26.
PMID- 24054957
OWN - NLM
STAT- MEDLINE
DCOM- 20131113
LR - 20181202
IS - 0002-9343 (Linking)
VI - 126
IP - 10
DP - 2013 Oct
TI - Effective reduction of blood product use in a community teaching hospital:
when less
is more.
PG - 894-902
LID - S0002-9343(13)00492-0 [pii]
LID - 10.1016/j.amjmed.2013.06.013 [doi]
AB - BACKGROUND: The increased morbidity and mortality associated with liberal
blood
product usage have been convincingly demonstrated. The clinical problems they
pose
have prompted development of more restrictive evidence-based transfusion
criteria.
Education alone has a limited impact on the adoption of these criteria into
practice. New York Methodist Hospital undertook a proactive approach to
reduce
unnecessary transfusions. METHOD: In November 2008, an interventional
monitoring
program to ensure adherence to transfusion criteria for packed red blood
cells
(PRBC), platelets, fresh frozen plasma (FFP), and cryoprecipitate
transfusions was
started. Blood bank technologists routinely monitored transfusion requests
against a
list of established criteria and experienced clinicians reviewed and
adjudicated
transfusion requests when the blood bank technologist's action was appealed.
RESULTS: Transfusion usage decreased sharply in Year 1 (November 2008-October
2009)
and continued to decrease in Year 2 (November 2009-October 2010). PRBC use
decreased
by 30.1% and 37.7%, with a 47.6% decrease in multi-unit transfusions;
platelet use
decreased by 24.3% and 41.2%; fresh frozen plasma use decreased by 41.8% and
31.1%;
and cryoprecipitate use decreased by 38.7% and 56.1% during monitoring Years
1 and
2, respectively. Decreases occurred despite a 4.0% increase in hospital
admissions
during the monitoring years. The decreased blood product usage was
accompanied by
28.6% reduction in complications. A 26.1% decrease in blood product requests
from
Year 1 to Year 2 suggested a practice change by the ordering physicians
themselves.
The total cost of blood products decreased by $2,235,676. CONCLUSION: We
established
a successful method to reduce transfusions of all blood products using strict
adherence to evidence-based criteria and continuous monitoring. Our model

translates
into improved patient safety by decreasing the number of unnecessary
transfusions.
This also led to a significant reduction in hospital expenses.
CI - Copyright © 2013 The Authors. Published by Elsevier Inc. All rights reserved.
FAU - Politsmakher, Alex
AU - Politsmakher A
AD - Department of Medicine, Division of Hematology/Oncology, New York Methodist
Hospital, Brooklyn, NY.
FAU - Doddapaneni, Varun
AU - Doddapaneni V
FAU - Seeratan, Richie
AU - Seeratan R
FAU - Dosik, Harvey
AU - Dosik H
LA - eng
PL - United States
TA - Am J Med
JT - The American journal of medicine
JID - 0267200
SB - AIM
SB - IM
MH - Cost Savings
MH - Erythrocyte Transfusion/economics/*statistics & numerical data
MH - Evidence-Based Medicine
MH - Humans
MH - New York City
MH - Patient Safety
MH - Plasma Exchange/economics/mortality/*statistics & numerical data
MH - Platelet Transfusion/economics/mortality/*statistics & numerical data
OTO - NOTNLM
OT - Blood transfusion
OT - Cost savings
OT - Patient safety
OT - Physician education
OT - Red blood cells
OT - Restrictive blood use
EDAT- 2013/09/24 06:00
MHDA- 2013/11/14 06:00
CRDT- 2013/09/24 06:00
PHST- 2013/01/17 00:00 [received]
PHST- 2013/05/10 00:00 [revised]
PHST- 2013/06/03 00:00 [accepted]
PHST- 2013/09/24 06:00 [entrez]
PHST- 2013/09/24 06:00 [pubmed]
PHST- 2013/11/14 06:00 [medline]
AID - S0002-9343(13)00492-0 [pii]
AID - 10.1016/j.amjmed.2013.06.013 [doi]
PST - ppublish
SO - Am J Med. 2013 Oct;126(10):894-902. doi: 10.1016/j.amjmed.2013.06.013.
PMID- 21890447
OWN - NLM
STAT- MEDLINE
DCOM- 20120207
LR - 20181113
IS - 1933-1711 (Print)
IS - 1878-7436 (Linking)
VI - 5
IP - 6
DP - 2011 Nov-Dec
TI - Intravenous hydralazine for blood pressure management in the hospitalized
patient:
its use is often unjustified.
PG - 473-7
LID - 10.1016/j.jash.2011.07.002 [doi]
AB - Due to observations of increased off-label use of intravenous hydralazine in
area
hospitals, we studied its use in a university teaching hospital. Patients
were
prospectively identified between April and October 2010 with a pharmacy order
for
intravenous hydralazine. Demographic and clinical information, including
pretreatment blood pressure (BP), change in BP and heart rate within 2 hours
after
administration of hydralazine, and adverse events were obtained. Ninety-four
patients (mean age, 69 ± 18 years, 48% women, 89% with known hypertension)
received
201 intravenous hydralazine doses (mean dose of 11.4 ± 4.3 mg). Only 4 (2%)
patients
had evidence of an urgent hypertensive condition. Following hydralazine, BP
was
reduced by 24/9 ± 29/15 mmHg and heart rate increased by 4 ± 13 beats per
minute.
Changes from baseline in BP were related to baseline BP. Seventeen patients
experienced an adverse event, the most common being hypotension (n = 11).
Intravenous hydralazine is commonly prescribed for non-urgent cases of
hypertension
in the hospitalized patient. While changes in systolic BP are related to
baseline BP
values, they are highly variable, and associated with hypotension. Thus, this
agent
may not be useful for treating hypertension in many hospitalized patients and
may
cause harm if used inappropriately.
CI - Copyright © 2011 American Society of Hypertension. Published by Elsevier Inc.
All
rights reserved.
FAU - Campbell, Patrick
AU - Campbell P
AD - Division of Hypertension and Clinical Pharmacology, Calhoun Cardiology
Center,
Farmington, CT, USA.
FAU - Baker, William L
AU - Baker WL
FAU - Bendel, Stephen D
AU - Bendel SD
FAU - White, William B
AU - White WB
LA - eng
GR - R01 DA024667/DA/NIDA NIH HHS/United States
GR - R01 DA024667-03/DA/NIDA NIH HHS/United States
GR - SR01DA024667.03/DA/NIDA NIH HHS/United States
DEP - 20110903
TA - J Am Soc Hypertens
JT - Journal of the American Society of Hypertension : JASH
JID - 101312518
RN - 0 (Antihypertensive Agents)
RN - 26NAK24LS8 (Hydralazine)
SB - IM
MH - Aged
MH - Antihypertensive Agents/*administration & dosage
MH - Blood Pressure/*drug effects
MH - Female
MH - Humans
MH - Hydralazine/*administration & dosage
MH - Inappropriate Prescribing/*statistics & numerical data
MH - Infusions, Intravenous
MH - Male
MH - Middle Aged
PMC - PMC3218202
MID - NIHMS322517
EDAT- 2011/09/06 06:00
MHDA- 2012/02/09 06:00
CRDT- 2011/09/06 06:00
PHST- 2011/06/04 00:00 [received]
PHST- 2011/07/03 00:00 [revised]
PHST- 2011/07/05 00:00 [accepted]
PHST- 2011/09/06 06:00 [entrez]
PHST- 2011/09/06 06:00 [pubmed]
PHST- 2012/02/09 06:00 [medline]
AID - S1933-1711(11)00185-9 [pii]
AID - 10.1016/j.jash.2011.07.002 [doi]
PST - ppublish
SO - J Am Soc Hypertens. 2011 Nov-Dec;5(6):473-7. doi: 10.1016/j.jash.2011.07.002.
Epub
2011 Sep 3.
PMID- 23787234
OWN - NLM
STAT- MEDLINE
DCOM- 20140204
LR - 20140905
IS - 1936-8798 (Linking)
VI - 6
IP - 6
DP - 2013 Jun
TI - The New York State risk score for predicting in-hospital/30-day mortality
following
percutaneous coronary intervention.
PG - 614-22
LID - S1936-8798(13)00749-8 [pii]
LID - 10.1016/j.jcin.2013.02.015 [doi]
AB - OBJECTIVES: This study sought to develop a percutaneous coronary intervention
(PCI)
risk score for in-hospital/30-day mortality. BACKGROUND: Risk scores are
simplified
linear scores that provide clinicians with quick estimates of patients'
short-term
mortality rates for informed consent and to determine the appropriate
intervention.
Earlier PCI risk scores were based on in-hospital mortality. However, for
PCI, a
substantial percentage of patients die within 30 days of the procedure after
discharge. METHODS: New York's Percutaneous Coronary Interventions Reporting
System
was used to develop an in-hospital/30-day logistic regression model for
patients
undergoing PCI in 2010, and this model was converted into a simple linear
risk score
that estimates mortality rates. The score was validated by applying it to
2009 New
York PCI data. Subsequent analyses evaluated the ability of the score to
predict
complications and length of stay. RESULTS: A total of 54,223 patients were
used to
develop the risk score. There are 11 risk factors that make up the score,
with risk
factor scores ranging from 1 to 9, and the highest total score is 34. The
score was
validated based on patients undergoing PCI in the previous year, and
accurately
predicted mortality for all patients as well as patients who recently
suffered a
myocardial infarction (MI). CONCLUSIONS: The PCI risk score developed here
enables
clinicians to estimate in-hospital/30-day mortality very quickly and quite
accurately. It accurately predicts mortality for patients undergoing PCI in
the
previous year and for MI patients, and is also moderately related to
perioperative
complications and length of stay.
CI - Copyright © 2013 American College of Cardiology Foundation. Published by
Elsevier
Inc. All rights reserved.
FAU - Hannan, Edward L
AU - Hannan EL
AD - University at Albany, State University of New York, Albany, New York 12144-
3456,
USA. elh03@health.state.ny.us
FAU - Farrell, Louise Szypulski
AU - Farrell LS
FAU - Walford, Gary
AU - Walford G
FAU - Jacobs, Alice K
AU - Jacobs AK
FAU - Berger, Peter B
AU - Berger PB
FAU - Holmes, David R Jr
AU - Holmes DR Jr
FAU - Stamato, Nicholas J
AU - Stamato NJ
FAU - Sharma, Samin
AU - Sharma S
FAU - King, Spencer B 3rd
AU - King SB 3rd
LA - eng
PL - United States
TA - JACC Cardiovasc Interv
JT - JACC. Cardiovascular interventions
JID - 101467004
SB - IM
CIN - JACC Cardiovasc Interv. 2013 Jun;6(6):623-4. PMID: 23787235
MH - Aged
MH - *Decision Support Techniques
MH - Female
MH - Humans
MH - Length of Stay
MH - Linear Models
MH - Male
MH - Middle Aged
MH - New York/epidemiology
MH - Percutaneous Coronary Intervention/adverse effects/*mortality
MH - Registries
MH - Risk Factors
MH - Time Factors
EDAT- 2013/06/22 06:00
MHDA- 2014/02/05 06:00
CRDT- 2013/06/22 06:00
PHST- 2012/12/07 00:00 [received]
PHST- 2013/01/18 00:00 [revised]
PHST- 2013/02/14 00:00 [accepted]
PHST- 2013/06/22 06:00 [entrez]
PHST- 2013/06/22 06:00 [pubmed]
PHST- 2014/02/05 06:00 [medline]
AID - S1936-8798(13)00749-8 [pii]
AID - 10.1016/j.jcin.2013.02.015 [doi]
PST - ppublish
SO - JACC Cardiovasc Interv. 2013 Jun;6(6):614-22. doi:
10.1016/j.jcin.2013.02.015.
PMID- 27239310
OWN - NLM
DCOM- 20160530
LR - 20200929
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 5
IP - 1
DP - 2016
TI - Survive On Call - A QI Project to Improve Access to Hospital Clinical
Guidelines.
LID - u210274.w4363
AB - Accessing clinical guidelines and telephone numbers can be time consuming for
junior
doctors, particularly during a busy on-call shift. Smartphones allow instant
access
to this information, without leaving a patient's bedside. This overcomes the
relative paucity of fixed desktop computers available in most clinical areas.
In
this project, a trainee doctor developed a clinical smartphone app to improve
the
access of clinical and hospital-specific information. A representative sample
of ten
junior doctors were recruited to quantify the amount of time spent accessing
guidelines using desktop computers, versus the App. The average time to
access a
common guideline (Hypokalaemia management) with the App was 12.4 seconds (95%
CI
2.3), versus 76.8 seconds (95% CI 30.6) using a computer. A difference of
64.4
seconds (p < 0.001). The average time to access an Amiodarone prescribing
guideline
with the App was 25.9 seconds (95% CI 12.9), versus 142.0 seconds (95% CI
44.8)
using a computer. A difference of 116.1 seconds (p < 0.001). User feedback
was
collected after each stage of release within the hospital. Following final
release,
users rated how much time they felt it saved them. 96.1% of respondents felt
it
either saved them time a 'few times a week' (53.85%) or 'significantly saved
time
every day' (42.31%). The project has significantly improved staff
satisfaction with
how easily they can access clinical guidelines and telephone numbers. They
clearly
feel it has improved their working efficiency. This has been supported by
quantitative measures of actual time saved using the App. The ability to
access such
information in as little time as possible may be even more pertinent where
decision-making is time-critical - for example in Anaesthesia and Emergency
Medicine. Further study into these specialties is warranted to determine
whether
mobile information can impact upon patient safety and clinical outcomes.
FAU - Penders, Robert
AU - Penders R
AD - Royal United Hospital, Bath, UK.
FAU - Mallet, Mark
AU - Mallet M
AD - Royal United Hospital, Bath, UK.
LA - eng
DEP - 20160510
JID - 101629512
PMC - PMC4866438
EDAT- 2016/05/31 06:00
MHDA- 2016/05/31 06:01
CRDT- 2016/05/31 06:00
PHST- 2016/01/04 00:00 [received]
PHST- 2016/02/24 00:00 [revised]
PHST- 2016/05/03 00:00 [accepted]
PHST- 2016/05/31 06:00 [entrez]
PHST- 2016/05/31 06:00 [pubmed]
PHST- 2016/05/31 06:01 [medline]
PST - epublish
PMID- 26734212
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 2
IP - 2
DP - 2014
TI - A standardised storage solution for venepuncture/cannulation equipment could
save an
NHS hospital the equivalent of a whole junior doctor.
LID - u202220.w1207
AB - Junior doctors, nursing staff, and phlebotomists spend a large proportion of
their
time taking blood samples and siting (venous) cannulae. Approximately 350
blood
samples are taken daily across 25 wards at the Royal United Hospital Bath NHS
Trust.
There is no standard storage solution for venepuncture or cannulation
equipment.
On-call junior doctors cover most of the hospital's wards. Time is wasted
locating
essential equipment on unfamiliar wards and nurses are frequently interrupted
to
assist. These delays can compromise patient safety in emergencies as well as
contributing to a source of daily inefficiency. Junior doctors were timed
collecting
equipment needed for venepuncture and cannulation on unfamiliar wards.
Initial
results suggested large variation between timings on different wards. The
medical
admissions unit (MAU), which organises items for venepuncture and cannulation
on a
single trolley, was 4 times quicker than the mean of all other wards. MAU
mean time
21.0s vs. Non-standardised wards mean time 103.0s (p<0.0001). Estimates
suggest
approximately 47 hours per week (the equivalent of a fulltime doctor) could
be saved
by implementing a standard trust-wide storage solution. We set out to
introduce the
MAU trolley format to all adult inpatient wards. All ward managers agreed to
implement the trolley. 18 wards (72% of adult inpatient wards) already
possessed the
'MAU style' trolley, which we standardised using an easy-to-follow inventory
and
laminated draw inlays. Feedback was very positive from doctors and ward staff
alike.
We repeated timings to validate the change and successfully presented a
business
case to senior management for a further 10 trolleys (£3623.78) for full adult
inpatient ward coverage. As junior doctors, we identified a common problem,

tested
solutions, and made early simple affordable changes. Initial work helped us
present
a compelling case for patient safety and efficiency improvements, releasing
money to
implement modest trust-wide quality improvement changes.
FAU - Lindley, Steven
AU - Lindley S
AD - Royal United Hospital Bath NHS Trust.
FAU - Robertson, Ian
AU - Robertson I
AD - Royal United Hospital Bath NHS Trust.
LA - eng
DEP - 20131127
JID - 101629512
PMC - PMC4663819
EDAT- 2014/01/01 00:00
MHDA- 2014/01/01 00:01
CRDT- 2016/01/07 06:00
PHST- 2013/10/11 00:00 [received]
PHST- 2013/11/19 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2014/01/01 00:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2013 Nov 27;2(2):u202220.w1207. doi:
PMID- 31098280
OWN - NLM
LR - 20201001
IS - 2055-3323 (Print)
IS - 2055-3323 (Linking)
VI - 4
IP - 1
DP - 2017 Feb
TI - Developing an innovative online medication calculator for patients with
Parkinson's
disease who are nil by mouth.
PG - 27-29
LID - 10.7861/futurehosp.4-1-27 [doi]
AB - Missed Parkinson's disease (PD) medications when patients are admitted to
hospital
are associated with increased -morbidity and mortality. Swallowing
difficulties in
hospitalised PD patients are common and should prompt clinicians to -consider
conversion of a patient's PD medications to a non-oral form - this is,

however,
recognised as a challenging area with potential for error. Northumbria
Healthcare
NHS Foundation Trust's PD service set out to address this patient safety
issue
through the development of an innovative online medication -calculator
(pdmedcalc.co.uk). This article summarises the development process
underpinning the
calculator, presents numerical data on the usage of the calculator and
presents
survey data -relating to user experiences of the calculator. Lastly, we
highlight
how user feedback has been used to refine subsequent iterations of the
calculator
and how use of the calculator has rapidly spread beyond our trust because of
it
being freely accessible online.
FAU - Fisher, James
AU - Fisher J
AD - Northumbria Healthcare NHS Foundation.
FAU - Hand, Annette
AU - Hand A
AD - Northumbria NHS Foundation Trust, North Shields, UK.
FAU - Jamieson, Daniel
AU - Jamieson D
AD - Open Lab School of Computing Science, Newcastle University, Newcastle upon
Tyne, UK.
FAU - Wood, Brian
AU - Wood B
FAU - Walker, Richard W
AU - Walker RW
LA - eng
PT - Case Reports
TA - Future Hosp J
JT - Future hospital journal
JID - 101649350
PMC - PMC6484161
OTO - NOTNLM
OT - Dose calculator
OT - medications
OT - nil by mouth
OT - patient safety
OT - Parkinson's disease
EDAT- 2017/02/01 00:00
MHDA- 2017/02/01 00:01
CRDT- 2019/05/18 06:00
PHST- 2019/05/18 06:00 [entrez]
PHST- 2017/02/01 00:00 [pubmed]
PHST- 2017/02/01 00:01 [medline]
AID - futurehosp [pii]
AID - 10.7861/futurehosp.4-1-27 [doi]
PST - ppublish
SO - Future Hosp J. 2017 Feb;4(1):27-29. doi: 10.7861/futurehosp.4-1-27.
PMID- 25133766
OWN - NLM
STAT- MEDLINE
DCOM- 20160413
LR - 20181202
IS - 1460-4582 (Linking)
VI - 17
IP - 1
DP - 2011 Mar
TI - Rounds reports: Early experiences of using printed summaries of electronic
medical
records in a large teaching medical hospital.
PG - 15-23
LID - 10.1177/1460458210394616 [doi]
AB - This article describes the rationale, processes, technology, and results of
creating
of a paper-based rounds report that is now used by our entire institution for
efficient inpatient work rounds and checkout rounds that are routinely done
in
virtually every hospital, both academic and private, in the US. The results
of a
survey of clinicians suggests that printed rounds reports have markedly
improved
rounding efficiency, saved substantial amounts of physician time,
standardized
checkout processes, and improved patient safety.
FAU - Baba, John
AU - Baba J
AD - University of North Carolina Health Care System and School of Medicine,
Chapel Hill,
North Carolina, USA.
FAU - Thompson, Matthew R
AU - Thompson MR
AD - University of North Carolina, USA.
FAU - Berger, Robert G
AU - Berger RG
AD - University of North Carolina, USA rberger@unch.unc.edu.
LA - eng
PL - England
JID - 100883604
SB - IM
MH - Humans
MH - *Research Report
MH - Teaching Rounds/*methods
OTO - NOTNLM
OT - electronic medical record
OT - patient safety
OT - resident physicians
OT - rounds report
EDAT- 2011/03/01 00:00
MHDA- 2016/04/14 06:00
CRDT- 2014/08/19 06:00
PHST- 2014/08/19 06:00 [entrez]
PHST- 2011/03/01 00:00 [pubmed]
PHST- 2016/04/14 06:00 [medline]
AID - 17/1/15 [pii]
AID - 10.1177/1460458210394616 [doi]
PST - ppublish
SO - Health Informatics J. 2011 Mar;17(1):15-23. doi: 10.1177/1460458210394616.
PMID- 23942935
OWN - NLM
STAT- MEDLINE
DCOM- 20140620
LR - 20181113
IS - 1554-7477 (Print)
IS - 1554-7477 (Linking)
VI - 9
IP - 4
DP - 2013 Jul
TI - Ensuring that guidelines help reduce patient harm.
PG - e172-3
LID - 10.1200/JOP.2012.000780 [doi]
AB - The most important determinant of whether a hospital dramatically reduces
bloodstream infections is whether clinicians believe these infections are
their
problem and they can solve the problem. If clinicians believe, results will
follow.
FAU - Pronovost, Peter J
AU - Pronovost PJ
AD - Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine;
Johns
Hopkins University School of Medicine; Johns Hopkins Bloomberg School of
Public
Health; and Johns Hopkins School of Nursing, Baltimore, MD.
LA - eng
PT - Letter
DEP - 20130205
TA - J Oncol Pract
JT - Journal of oncology practice
JID - 101261852
SB - IM
MH - Humans
MH - *Patient Harm
PMC - PMC3710185
EDAT- 2013/08/15 06:00
MHDA- 2014/06/21 06:00
CRDT- 2013/08/15 06:00
PHST- 2013/08/15 06:00 [entrez]
PHST- 2013/08/15 06:00 [pubmed]
PHST- 2014/06/21 06:00 [medline]
AID - JOP.2012.000780 [pii]
AID - 3815110 [pii]
AID - 10.1200/JOP.2012.000780 [doi]
PST - ppublish
SO - J Oncol Pract. 2013 Jul;9(4):e172-3. doi: 10.1200/JOP.2012.000780. Epub 2013
Feb 5.
PMID- 29485818
STAT- Publisher
DP - 2018 Feb
BTI - The role of digital communication in patient–clinician communication for NHS
providers of specialist clinical services for young people [the Long-term
conditions
Young people Networked Communication (LYNC) study]: a mixed-methods study
AB - BACKGROUND: Young people (aged 16–24 years) with long-term health conditions
tend to
disengage from health services, resulting in poor health outcomes. They are
prolific
users of digital communications. Innovative UK NHS clinicians use digital
communication with these young people. The NHS plans to use digital
communication
with patients more widely. OBJECTIVES: To explore how health-care engagement
can be
improved using digital clinical communication (DCC); understand effects,
impacts,
costs and necessary safeguards; and provide critical analysis of its use,
monitoring
and evaluation. DESIGN: Observational mixed-methods case studies; systematic
scoping
literature reviews; assessment of patient-reported outcome measures (PROMs);
public
and patient involvement; and consensus development through focus groups.
SETTING:
Twenty NHS specialist clinical teams from across England and Wales, providing
care
for 13 different long-term physical or mental health conditions.
PARTICIPANTS: One
hundred and sixty-five young people aged 16–24 years living with a long-term
health
condition; 13 parents; 173 clinical team members; and 16 information
governance
specialists. INTERVENTIONS: Clinical teams and young people variously used
mobile
phone calls, text messages, e-mail and voice over internet protocol. MAIN
OUTCOME
MEASURES: Empirical work – thematic and ethical analysis of qualitative data;
annual
direct costs; did not attend, accident and emergency attendance and hospital
admission rates plus clinic-specific clinical outcomes. Scoping reviews–
patient,
health professional and service delivery outcomes and technical problems.
PROMs:
scale validity, relevance and credibility. DATA SOURCES: Observation,
interview,
structured survey, routinely collected data, focus groups and peer-reviewed
publications. RESULTS: Digital communication enables access for young people
to the
right clinician when it makes a difference for managing their health
condition. This
is valued as additional to traditional clinic appointments. This access
challenges
the nature and boundaries of therapeutic relationships, but can improve them,
increase patient empowerment and enhance activation. Risks include increased

dependence on clinicians, inadvertent disclosure of confidential information
and
communication failures, but clinicians and young people mitigate these risks.
Workload increases and the main cost is staff time. Clinical teams had not
evaluated
the impact of their intervention and analysis of routinely collected data did
not
identify any impact. There are no currently used generic outcome measures,
but the
Patient Activation Measure and the Physicians’ Humanistic Behaviours
Questionnaire
are promising. Scoping reviews suggest DCC is acceptable to young people, but
with
no clear evidence of benefit except for mental health. LIMITATIONS:
Qualitative data
were mostly from clinician enthusiasts. No interviews were achieved with
young
people who do not attend clinics. Clinicians struggled to estimate workload.
Only
eight full sets of routine data were available. CONCLUSIONS: Timely DCC is
perceived
as making a difference to health care and health outcomes for young people
with
long-term conditions, but this is not supported by evidence that measures
health
outcomes. Such communication is challenging and costly to provide, but valued
by
young people. FUTURE WORK: Future development should distinguish digital
communication replacing traditional clinic appointments and additional timely
communication. Evaluation is needed that uses relevant generic outcomes.

STUDY
REGISTRATION: Two of the reviews in this study are registered as PROSPERO
CRD42016035467 and CRD42016038792. FUNDING: The National Institute for Health
Research Health Services and Delivery Research programme.

produced by
Griffiths et al. under the terms of a commissioning contract issued by the
Secretary
of State for Health. This issue may be freely reproduced for the purposes of
private
research and study and extracts (or indeed, the full report) may be included
in
professional journals provided that suitable acknowledgement is made and the
reproduction is not associated with any form of advertising. Applications for

National
Centre,
UK.
FAU - Griffiths, Frances E
AU - Griffiths FE
AUID- ORCID: 0000-0002-4173-1438
AD - Warwick Medical School, University of Warwick, Coventry, UK
FAU - Armoiry, Xavier
AU - Armoiry X
AUID- ORCID: 0000-0002-2145-6723
FAU - Atherton, Helen
AU - Atherton H
AUID- ORCID: 0000-0002-7072-1925
FAU - Bryce, Carol
AU - Bryce C
AUID- ORCID: 0000-0003-1484-9032
FAU - Buckle, Abigail
AU - Buckle A
AUID- ORCID: 0000-0001-7731-0531
FAU - Cave, Jonathan AK
AU - Cave JAK
AUID- ORCID: 0000-0002-9879-6507
AD - Department of Economics, University of Warwick, Coventry, UK
FAU - Court, Rachel
AU - Court R
AUID- ORCID: 0000-0002-4567-2586
FAU - Hamilton, Kathryn
AU - Hamilton K
AD - Florence Nightingale Faculty of Nursing and Midwifery, King’s College London,
London, UK
FAU - Dliwayo, Thandiwe R
AU - Dliwayo TR
AUID- ORCID: 0000-0002-5619-7450
London, UK
FAU - Dritsaki, Melina
AU - Dritsaki M
AUID- ORCID: 0000-0003-3511-1256
FAU - Elder, Patrick
AU - Elder P
AUID- ORCID: 0000-0002-6351-280X
FAU - Forjaz, Vera
AU - Forjaz V
AUID- ORCID: 0000-0001-8754-5289
London, UK
FAU - Fraser, Joe
AU - Fraser J
AD - Patient and public involvement representative, London, UK
FAU - Goodwin, Richard
AU - Goodwin R
AUID- ORCID: 0000-0002-3697-1015
London, UK
FAU - Huxley, Caroline
AU - Huxley C
AUID- ORCID: 0000-0001-9755-6096
FAU - Ignatowicz, Agnieszka
AU - Ignatowicz A
AUID- ORCID: 0000-0002-5863-0828
FAU - Karasouli, Eleni
AU - Karasouli E
AUID- ORCID: 0000-0001-5994-9198
FAU - Kim, Sung Wook
AU - Kim SW
AUID- ORCID: 0000-0002-1254-5038
FAU - Kimani, Peter
AU - Kimani P
AUID- ORCID: 0000-0001-8200-3173
FAU - Madan, Jason J
AU - Madan JJ
AUID- ORCID: 0000-0003-4316-1480
FAU - Matharu, Harjit
AU - Matharu H
AUID- ORCID: 0000-0003-1233-2072
AD - University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
FAU - May, Mike
AU - May M
FAU - Musumadi, Luhanga
AU - Musumadi L
AD - Guy’s and St Thomas’ NHS Foundation Trust, London, UK
FAU - Paul, Moli
AU - Paul M
AUID- ORCID: 0000-0003-2398-4308
AD - Coventry and Warwickshire Partnership Trust, Coventry, UK
FAU - Raut, Gyanu
AU - Raut G
AUID- ORCID: 0000-0002-3039-4237
AD - King’s College Hospital NHS Foundation Trust, London, UK
FAU - Sankaranarayanan, Sailesh
AU - Sankaranarayanan S
AUID- ORCID: 0000-0002-4518-2122
AD - University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
FAU - Slowther, Anne-Marie
AU - Slowther AM
AUID- ORCID: 0000-0002-3338-8457
FAU - Sujan, Mark A
AU - Sujan MA
AUID- ORCID: 0000-0001-6895-946X
FAU - Sutcliffe, Paul A
AU - Sutcliffe PA
AUID- ORCID: 0000-0003-4198-4678
FAU - Svahnstrom, Isabelle
AU - Svahnstrom I
AUID- ORCID: 0000-0002-5471-2148
FAU - Taggart, Frances
AU - Taggart F
FAU - Uddin, Ayesha
AU - Uddin A
FAU - Verran, Alice
AU - Verran A
AUID- ORCID: 0000-0003-1582-1787
FAU - Walker, Leigh
AU - Walker L
AUID- ORCID: 0000-0002-4564-3515
FAU - Sturt, Jackie
AU - Sturt J
AUID- ORCID: 0000-0003-1281-1401
London, UK
LA - eng
PT - Review
PT - Book
RF - 387
OAB - Young people with long-term conditions and health professionals value digital
consulting for improved health-care access and engagement, but express

concerns
about cost, ethics and patient safety.
OABL- eng
EDAT- 2018/02/01 00:00
CRDT- 2018/02/01 00:00
PHST- 2017/04/01 00:00 [accepted]
AID - 10.3310/hsdr06090 [doi]
PMID- 26734394
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - Improving the documentation of nasogastric tube insertion and adherence to
local
enteral nutrition guidelines.
LID - u203207.w1513
AB - Fine bore nasogastric (NG) tubes are often required for patients who have
insufficient nutrition to meet their daily requirements, as well as for
feeding or
medications when there are difficulties with swallowing. "Death or severe
harm as a
result of a naso […] gastric tubes being misplaced in the respiratory tract"
is one
of the Department of Health's list of "never events". Noble's Hospital, Isle
of Man,
has local guidelines based on the National Patient Safety Agency's 2005
guidelines
and 2011 update, regarding the initial insertion and confirmation of
placement of NG
tubes. Retrospective baseline data looking at 13 case notes across 10
hospital wards
showed that the majority of NG tube insertions took place on the stroke unit.
A
three-point quality of guidelines score showed that 8/13 (62%) cases were
following
guidelines appropriately. A seven-point quality of documentation score showed
no
case notes had full documentation. A teaching intervention for junior doctors
and
nurses was devised. However, there was no significant improvement in quality
scores
after 90 days (49 NG tube insertions). Therefore, an NG tube bundle, which
included
a pro forma for the case notes, information poster, and sticker for the nurse
notes,
was trialled on the stroke unit for six weeks. This showed that 10/12 (83%)
cases
were following guidelines appropriately. While only 2/12 (16%) of case notes
had
full documentation, this represented the two occasions when the pro forma was
filled
in and filed correctly. It is hoped that there could be a roll out of the
intervention hospital-wide with identification of ways to improve usage of
the NG
tube bundle.
FAU - Cole, Esther
AU - Cole E
AD - Noble's Hospital, Isle of Man.
LA - eng
DEP - 20150819
JID - 101629512
PMC - PMC4693044
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2015/05/12 00:00 [received]
PHST- 2015/07/16 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2015 Aug 19;4(1):u203207.w1513. doi:
PMID- 27618841
OWN - NLM
STAT- MEDLINE
DCOM- 20170210
LR - 20181113
VI - 16
IP - 1
DP - 2016 Sep 13
TI - Prevalence of medication discrepancies in patients with cirrhosis: a pilot
study.
PG - 114
LID - 10.1186/s12876-016-0530-4 [doi]
LID - 114
AB - BACKGROUND: Cirrhosis patients are prescribed multiple medications for their
liver
disease and comorbidities. Discrepancies between medicines consumed by
patients and
those documented in the medical record may contribute to patient harm and
impair
disease management. The aim of the present study was to assess the magnitude
and
types of discrepancies among patient-reported and medical record-documented
medications in patients with cirrhosis, and examine factors associated with
such
discrepancies. METHODS: Fifty patients who attended a hospital hepatology
outpatient
clinic were interviewed using a questionnaire composed of mixed short-
response and
multiple-choice questions. Patients' reported medication use was compared
with
documentation in the hospital medical records and pharmacy database.
Medication
adherence was assessed using the 8-question ©Morisky Medication Adherence
Scale
(MMAS-8). The multivariate logistic regression model was constructed using
clinically relevant and/or statistically significant variables as determined
by
univariate analysis. All p-values were 2-sided (α = 0.05). RESULTS: Twenty-
seven
patients (54.0 %) had ≥1 discrepancy between reported and documented
medicines.
Patients with ≥1 discrepancy were older (p = 0.04) and multivariate analysis
identified taking ≥5 conventional medicines or having a 'low' or 'medium'
adherence
ranking as independent predictors of discrepancy (adjusted OR 11.0 (95 % CI
1.8-67.4), 20.7 (95 % CI 1.3-337.7) and 49.0 (95 % CI 3.3-718.5)
respectively).
Concordance was highest for liver disease medicines (71.9 %) and lowest for
complementary and alternative medicines (14.5 %) and respiratory medicines
(0 %).
CONCLUSION: There is significant discrepancy between sources of patient
medication
information within the hepatology clinic. Medication reconciliation and
medicines-management intervention may address the complex relationship
between
medication discrepancies, number of medications and patient adherence
identified in
this study.
FAU - Hayward, Kelly L
AU - Hayward KL
AD - School of Medicine, The University of Queensland, Translational Research
Institute,
Brisbane, Australia.
AD - Pharmacy Department, Princess Alexandra Hospital, Brisbane, Australia.
FAU - Valery, Patricia C
AU - Valery PC
AD -
QIMR Berghofer Medical Research Institute, Brisbane, Australia.
FAU -
Cottrell, W Neil
AU -
Cottrell WN
AD -
School of Pharmacy, The University of Queensland, Brisbane, Australia.
FAU -
Irvine, Katharine M
AU -
Irvine KM
AD -
Centre for Liver Disease Research, The University of Queensland, Brisbane,
Australia.
FAU - Horsfall, Leigh U
AU - Horsfall LU
AD - Centre for Liver Disease Research, The University of Queensland, Brisbane,
Australia.
FAU - Tallis, Caroline J
AU - Tallis CJ
AD - Department of Gastroenterology and Hepatology, Princess Alexandra Hospital,
Woolloongabba 4102, Brisbane, Queensland, Australia.
FAU - Chachay, Veronique S
AU - Chachay VS
AD - School of Human Movement and Nutrition Sciences, The University of
Queensland,
Brisbane, Australia.
FAU - Ruffin, Brittany J
AU - Ruffin BJ
Australia.
FAU - Martin, Jennifer H
AU - Martin JH
AD - School of Medicine and Public Health, The University of Newcastle, Newcastle,
Australia.
FAU - Powell, Elizabeth E
AU - Powell EE
Australia. e.powell@uq.edu.au.
AD - Department of Gastroenterology and Hepatology, Princess Alexandra Hospital,
Woolloongabba 4102, Brisbane, Queensland, Australia. e.powell@uq.edu.au.
LA - eng
DEP - 20160913
TA - BMC Gastroenterol
JT - BMC gastroenterology
JID - 100968547
SB - IM
MH - Aged
MH - Australia/epidemiology
MH - Female
MH - Humans
MH - Liver Cirrhosis/*drug therapy/psychology
MH - Male
MH - Medication Adherence/*statistics & numerical data
MH - Medication Reconciliation/methods/*statistics & numerical data
MH - Middle Aged
MH - Pilot Projects
MH - Prevalence
PMC - PMC5020443
OTO - NOTNLM
OT - Ambulatory care
OT - Complementary therapies
OT - Liver cirrhosis
OT - Medication adherence
EDAT- 2016/09/14 06:00
MHDA- 2017/02/12 06:00
CRDT- 2016/09/14 06:00
PHST- 2015/10/20 00:00 [received]
PHST- 2016/09/01 00:00 [accepted]
PHST- 2016/09/14 06:00 [entrez]
PHST- 2016/09/14 06:00 [pubmed]
PHST- 2017/02/12 06:00 [medline]
AID - 10.1186/s12876-016-0530-4 [pii]
AID - 530 [pii]
AID - 10.1186/s12876-016-0530-4 [doi]
PST - epublish
SO - BMC Gastroenterol. 2016 Sep 13;16(1):114. doi: 10.1186/s12876-016-0530-4.
PMID- 31706360
OWN - NLM
STAT- MEDLINE
DCOM- 20200427
LR - 20200427
IS - 1364-8535 (Print)
IS - 1364-8535 (Linking)
VI - 23
IP - 1
DP - 2019 Nov 9
TI - Effects of a swallowing and oral care intervention for patients following
endotracheal extubation: a pre- and post-intervention study.
PG - 350
LID - 10.1186/s13054-019-2623-2 [doi]
LID - 350
AB - BACKGROUND: For patients who survive a critical illness and have their oral
endotracheal tube removed, dysphagia is highly prevalent, and without
intervention,
it may persist far beyond hospital discharge. This pre- and post-intervention
study
with historical controls tested the effects of a swallowing and oral care
(SOC)
intervention on patients' time to resume oral intake and salivary flow
following
endotracheal extubation. METHODS: The sample comprised intensive care unit
patients
(≥ 50 years) successfully extubated after ≥ 48 h endotracheal intubation.
Participants who received usual care (controls, n = 117) were recruited
before 2015,
and those who received usual care plus the intervention (n = 54) were
enrolled after
2015. After extubation, all participants were assessed by a blinded nurse for
daily
intake status (21 days) and whole-mouth unstimulated salivary flow (2, 7, 14
days).
The intervention group received the nurse-administered SOC intervention,
comprising
toothbrushing/salivary gland massage, oral motor exercise, and safe-
swallowing
education daily for 14 days or until hospital discharge. RESULTS: The
intervention
group received 8.3 ± 4.2 days of SOC intervention, taking 15.4 min daily with
no
reported adverse event (coughing, wet voice, or decreased oxygen saturation)
during
and immediately after intervention. Participants who received the
intervention were
significantly more likely than controls to resume total oral intake after
extubation
(aHR 1.77, 95% CI 1.08-2.91). Stratified by age group, older participants
(≥ 65 years) in the SOC group were 2.47-fold more likely than their younger
counterparts to resume total oral intake (aHR 2.47, 95% CI 1.31-4.67). The
SOC group
also had significantly higher salivary flows 14 days following extubation (β
= 0.67,
95% CI 0.29-1.06). CONCLUSIONS: The nurse-administered SOC is safe and
effective,
with greater odds of patients' resuming total oral intake and increased
salivary
flows 14 days following endotracheal extubation. Age matters with SOC; it
more
effectively helped participants ≥ 65 years old resume total oral intake
postextubation. TRIAL REGISTRATION: NCT02334774, registered on January 08,
2015.
FAU - Wu, Chung-Pei
AU - Wu CP
AD - Department of Nursing, National Taiwan University Hospital and National
Taiwan
University College of Medicine, 1, Jen-Ai Rd., Section 1, Taipei, Taiwan,
Republic
of China, 100.
FAU - Xu, Yu-Juan
AU - Xu YJ
Taiwan
Republic
of China, 100.
FAU - Wang, Tyng-Guey
AU - Wang TG
AD - Department of Physical Medicine and Rehabilitation, National Taiwan
University
Hospital and National Taiwan University College of Medicine, Taipei, Taiwan,
Republic of China.
FAU - Ku, Shih-Chi
AU - Ku SC
AD - Department of Internal Medicine, National Taiwan University Hospital and
National
Taiwan University College of Medicine, 1, Jen-Ai Rd., Section 1, Taipei,
Taiwan,
Republic of China, 100. scku1015@gmail.com.
FAU - Chan, Ding-Cheng
AU - Chan DC
AD - Department of Internal Medicine, National Taiwan University Hospital and
National
Taiwan University College of Medicine, 1, Jen-Ai Rd., Section 1, Taipei,
Taiwan,
Republic of China, 100.
AD - Department of Geriatrics and Gerontology, National Taiwan University Hospital
and
National Taiwan University College of Medicine, Taipei, Taiwan, Republic of
China.
AD - Superintendent's Office, National Taiwan University Hospital Zhu-Dong Branch,
Hsinchu, Taiwan, Republic of China.

FAU - Lee, Jang-Jaer
AU - Lee JJ
AD - Department of Dentistry, National Taiwan University Hospital and National
Taiwan
University College of Medicine, Taipei, Taiwan, Republic of China.
FAU - Wei, Yu-Chung
AU - Wei YC
AD - Department of Statistics, Feng Chia University, Taichung, Taiwan, Republic of
China.
FAU - Hsiao, Tzu-Yu
AU - Hsiao TY
AD - Department of Otolaryngology, National Taiwan University Hospital and
National
Taiwan University College of Medicine, Taipei, Taiwan, Republic of China.
FAU - Chen, Cheryl Chia-Hui
AU - Chen CC
Taiwan
Republic
of China, 100. cherylchen@ntu.edu.tw.
LA - eng
GR - Grant # NSC-101-2314-B-002-131-MY3/Taiwan Ministry of Science and Technology
(VN)/International
DEP - 20191109
TA - Crit Care
JT - Critical care (London, England)
JID - 9801902
SB - IM
MH - Aged
MH - Airway Extubation/*adverse effects/methods
MH - Critical Illness/nursing
MH - *Deglutition
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - Mouth/*drug effects/physiopathology
PMC - PMC6842457
OTO - NOTNLM
OT - *Critical illness
OT - *Dysphagia
OT - *Endotracheal intubation
OT - *Oral intake
OT - *Salivation
OT - *Swallowing
EDAT- 2019/11/11 06:00
MHDA- 2020/04/28 06:00
CRDT- 2019/11/11 06:00
PHST- 2019/06/04 00:00 [received]
PHST- 2019/09/23 00:00 [accepted]
PHST- 2019/11/11 06:00 [entrez]
PHST- 2019/11/11 06:00 [pubmed]
PHST- 2020/04/28 06:00 [medline]
AID - 10.1186/s13054-019-2623-2 [pii]
AID - 2623 [pii]
AID - 10.1186/s13054-019-2623-2 [doi]
PST - epublish
SO - Crit Care. 2019 Nov 9;23(1):350. doi: 10.1186/s13054-019-2623-2.
PMID- 28566988
OWN - NLM
STAT- MEDLINE
DCOM- 20180409
LR - 20190126
IS - 1559-4122 (Linking)
VI - 14
IP - Spring
DP - 2017 Spring
TI - The Impact of Order Source Misattribution on Computerized Provider Order
Entry
(CPOE) Performance Metrics.
PG - 1e
LID - 1e
AB - BACKGROUND: One strategy to foster adoption of computerized provider order
entry
(CPOE) by physicians is the monthly distribution of a list identifying the
number
and use rate percentage of orders entered electronically versus on paper by
each
physician in the facility. Physicians care about CPOE use rate reports
because they
support the patient safety and quality improvement objectives of CPOE
implementation. Certain physician groups are also motivated because they
participate
in contracted financial and performance arrangements that include incentive
payments
or financial penalties for meeting (or failing to meet) a specified CPOE use
rate
target. Misattribution of order sources can hinder accurate measurement of
individual physician CPOE use and can thereby undermine providers' confidence
in
their reported performance, as well as their motivation to utilize CPOE.
Misattribution of order sources also has significant patient safety, quality,
and
medicolegal implications. OBJECTIVE: This analysis sought to evaluate the
magnitude
and sources of misattribution among hospitalists with high CPOE use and, if
misattribution was found, to formulate strategies to prevent and reduce its
recurrence, thereby ensuring the integrity and credibility of individual and
facility CPOE use rate reporting. METHODS: A detailed manual order source
review and
validation of all orders issued by one hospitalist group at a midsize
community
hospital was conducted for a one-month study period. RESULTS: We found that a
small
but not dismissible percentage of orders issued by hospitalists-up to 4.18
percent
(95 percent confidence interval, 3.84-4.56 percent) per month-were attributed
inaccurately. Sources of misattribution by department or function were as

follows:
nursing, 42 percent; pharmacy, 38 percent; laboratory, 15 percent; unit
clerk, 3
percent; and radiology, 2 percent. Order management and protocol were the
most
common correct order sources that were incorrectly attributed. CONCLUSION:
Order
source misattribution can negatively affect reported provider CPOE use rates
and
should be investigated if providers perceive discrepancies between reported
rates
and their actual performance. Preventive education and communication efforts
across
departments can help prevent and reduce misattribution.
FAU - Gellert, George A
AU - Gellert GA
AD - Department of Health Informatics at CHRISTUS Health in San Antonio, TX.
FAU - Catzoela, Linda
AU - Catzoela L
AD - CHRISTUS Health in San Antonio, TX.
FAU - Patel, Lajja
AU - Patel L
AD - MedCede Physician Services in San Antonio, TX.
FAU - Bruner, Kylynn
AU - Bruner K
FAU - Friedman, Felix
AU - Friedman F
AD - Eden Prairie, MN.
FAU - Ramirez, Ricardo
AU - Ramirez R
FAU - Saucedo, Lilliana
AU - Saucedo L
FAU - Webster, S Luke
AU - Webster SL
AD - Jvion Inc., in Atlanta GA.
FAU - Gillean, John A
AU - Gillean JA
LA - eng
DEP - 20170401
TA - Perspect Health Inf Manag
JT - Perspectives in health information management
JID - 101219871
SB - IM
MH - Benchmarking/*statistics & numerical data
MH - Hospitals, Community/*statistics & numerical data
MH - Humans
MH - Medical Order Entry Systems/*standards/*statistics & numerical data
MH - Practice Patterns, Physicians'/standards/*statistics & numerical data
PMC - PMC5430133
OTO - NOTNLM
OT - *CPOE attribution error
OT - *CPOE misattribution
OT - *CPOE performance metrics
OT - *computerized provider order entry (CPOE)
EDAT- 2017/06/02 06:00
MHDA- 2018/04/10 06:00
CRDT- 2017/06/02 06:00
PHST- 2017/06/02 06:00 [entrez]
PHST- 2017/06/02 06:00 [pubmed]
PHST- 2018/04/10 06:00 [medline]
AID - phim0014-0001e [pii]
PST - epublish
SO - Perspect Health Inf Manag. 2017 Apr 1;14(Spring):1e. eCollection 2017 Spring.
PMID- 29540512
OWN - NLM
STAT- MEDLINE
DCOM- 20191028
LR - 20210109
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 27
IP - 9
DP - 2018 Sep
TI - Realist synthesis of intentional rounding in hospital wards: exploring the
evidence
of what works, for whom, in what circumstances and why.
PG - 743-757
LID - 10.1136/bmjqs-2017-006757 [doi]
AB - BACKGROUND: Intentional rounding (IR) is a structured process whereby nurses
conduct
one to two hourly checks with every patient using a standardised protocol.
OBJECTIVE: A realist synthesis of the evidence on IR was undertaken to
develop IR
programme theories of what works, for whom, in what circumstances and why.
METHODS:
A three-stage literature search and a stakeholder consultation event was
completed.
A variety of sources were searched, including AMED, CINAHL, MEDLINE,
PsycINFO, HMIC,
Google and Google Scholar, for published and unpublished literature. In line
with
realist synthesis methodology, each study's 'fitness for purpose' was
assessed by
considering its relevance and rigour. RESULTS: A total of 44 papers met the
inclusion criteria. To make the programme theories underpinning IR explicit,
we
identified eight a priori propositions: (1) when implemented in a
comprehensive and
consistent way, IR improves healthcare quality and satisfaction, and reduces
potential harms; (2) embedding IR into daily routine practice gives nurses
'allocated time to care'; (3) documenting IR checks increases accountability
and
raises fundamental standards of care; (4) when workload and staffing levels
permit,
more frequent nurse-patient contact improves relationships and increases
awareness
of patient comfort and safety needs; (5) increasing time when nurses are in
the
direct vicinity of patients promotes vigilance, provides reassurance and
reduces
potential harms; (6) more frequent nurse-patient contact enables nurses to
anticipate patient needs and take pre-emptive action; (7) IR documentation
facilitates teamwork and communication; and (8) IR empowers patients to ask
for what
they need to maintain their comfort and well-being. Given the limited
evidence base,
further research is needed to test and further refine these propositions.
CONCLUSIONS: Despite widespread use of IR, this paper highlights the paradox
that
there is ambiguity surrounding its purpose and limited evidence of how it
works in
practice.
of the
otherwise
expressly granted.
FAU - Sims, Sarah
AU - Sims S
AD - Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care,
King's
College London, London, UK.
FAU - Leamy, Mary
AU - Leamy M
King's
FAU - Davies, Nigel
AU - Davies N
AD - School of Health, Sport and Bioscience, University of East London, London,
UK.
FAU - Schnitzler, Katy
AU - Schnitzler K
AD - Kingston Business School, Kingston University, London, UK.
FAU - Levenson, Ros
AU - Levenson R
AD - Independent Researcher, London, UK.
FAU - Mayer, Felicity
AU - Mayer F
AD - Nurse Development Team, South West London and St George's Mental Health NHS
Trust,
London, UK.
FAU - Grant, Robert
AU - Grant R
AD - Centre for Health and Social Care Research, Kingston University and St
George's
University of London, London, UK.
FAU - Brearley, Sally
AU - Brearley S
George's
FAU - Gourlay, Stephen
AU - Gourlay S
AD - Kingston Business School, Kingston University, London, UK.
FAU - Ross, Fiona
AU - Ross F
George's
FAU - Harris, Ruth
AU - Harris R
King's
LA - eng
DEP - 20180314
TA - BMJ Qual Saf
JID - 101546984
SB - H
MH - Hospital Units
MH - Humans
MH - *Inpatients/psychology
MH - *Nurse-Patient Relations
MH - Nursing Care/*methods
MH - Patient Care/methods
MH - Practice Patterns, Nurses'
MH - United Kingdom
MH - Workload
PMC - PMC6109250
OTO - NOTNLM
OT - *nurses
EDAT- 2018/03/16 06:00
MHDA- 2019/10/29 06:00
CRDT- 2018/03/16 06:00
PHST- 2017/03/30 00:00 [received]
PHST- 2018/01/12 00:00 [revised]
PHST- 2018/01/21 00:00 [accepted]
PHST- 2018/03/16 06:00 [pubmed]
PHST- 2019/10/29 06:00 [medline]
PHST- 2018/03/16 06:00 [entrez]
AID - bmjqs-2017-006757 [pii]
AID - 10.1136/bmjqs-2017-006757 [doi]
PST - ppublish
2018 Mar
14.
PMID- 31110040
OWN - NLM
STAT- MEDLINE
DCOM- 20200504
LR - 20200505
IS - 0020-1324 (Linking)
VI - 64
IP - 6
DP - 2019 Jun
TI - Devices Used for CPAP Delivery.
PG - 723-734
LID - 10.4187/respcare.06625 [doi]
AB - CPAP is a spontaneous mode of ventilation that maintains a constant airway
pressure
during the inspiratory and expiratory phases. This therapeutic modality is
used
across the continuum of care from pre-hospital treatment to intensive and
acute care
units to the home care environment to treat a host of acute and chronic
clinical
conditions. A variety of devices are currently available for the delivery of
CPAP,
including oxygen-conserving valved systems, continuous-flow generators,
portable
demand-flow devices, and mechanical ventilators. The devices used to
administer CPAP
vary in complexity, performance, monitoring capabilities, ability to provide
humidification, and safety features. Regardless of the type of device or
system used
to deliver CPAP, a system that is unable to meet or exceed the patient's flow
demands has the propensity to deliver pressure and oxygen concentrations that
are
lower than intended or set. If undetected, this can contribute to adverse
patient
outcomes. Considerations for device selection depend on the setting (eg,
pre-hospital, acute care, critical care, home care), length of therapy (ie,
short vs
long-term), patient safety (eg, alarms, monitoring devices), and comfort.
Understanding the science and clinical application of CPAP delivery systems
can
assist clinicians in a variety of care settings with selecting the type of
device
that best matches the clinical setting, and thus with optimizing therapeutic
effectiveness by maximizing patient comfort, safety and stability of
pressure, and
F(IO(2)) delivery.
CI - Copyright © 2019 by Daedalus Enterprises.
FAU - Volsko, Teresa A
AU - Volsko TA
AD - Nursing Administration, Akron Children's Hospital, Akron, Ohio.
tvolsko@akronchildrens.org.
LA - eng
PT - Review
PL - United States
TA - Respir Care
JT - Respiratory care
JID - 7510357
SB - IM
MH - Continuous Positive Airway Pressure/*instrumentation
MH - Equipment Design
MH - Humans
OTO - NOTNLM
OT - continuous positive airway pressure
OT - threshold resistors
EDAT- 2019/05/22 06:00
MHDA- 2020/05/06 06:00
CRDT- 2019/05/22 06:00
PHST- 2019/05/22 06:00 [entrez]
PHST- 2019/05/22 06:00 [pubmed]
PHST- 2020/05/06 06:00 [medline]
AID - 64/6/723 [pii]
AID - 10.4187/respcare.06625 [doi]
PST - ppublish
SO - Respir Care. 2019 Jun;64(6):723-734. doi: 10.4187/respcare.06625.
PMID- 29337387
OWN - NLM
STAT- MEDLINE
DCOM- 20190624
LR - 20210109
IS - 0306-5251 (Print)
IS - 0306-5251 (Linking)
VI - 84
IP - 5
DP - 2018 May
TI - Systematic review of predictive risk models for adverse drug events in
hospitalized
patients.
PG - 846-864
LID - 10.1111/bcp.13514 [doi]
AB - AIM: An emerging approach to reducing hospital adverse drug events is the use
of
predictive risk scores. The aim of this systematic review was to critically
appraise
models developed for predicting adverse drug event risk in inpatients.
METHODS:
Embase, PubMed, CINAHL and Scopus databases were used to identify studies of
predictive risk models for hospitalized adult inpatients. Studies had to have
used
multivariable logistic regression for model development, resulting in a score
or
rule with two or more variables, to predict the likelihood of inpatient
adverse drug
events. The Checklist for the critical Appraisal and data extraction for
systematic
Reviews of prediction Modelling Studies (CHARMS) was used to critically
appraise
eligible studies. RESULTS: Eleven studies met the inclusion criteria and were
included in the review. Ten described the development of a new model, whilst
one
study revalidated and updated an existing score. Studies used different
definitions
for outcome but were synonymous with or closely related to adverse drug
events. Four
studies undertook external validation, five internally validated and two
studies did
not validate their model. No studies evaluated impact of risk scores on
patient
outcomes. CONCLUSION: Adverse drug event risk prediction is a complex
endeavour but
could help to improve patient safety and hospital resource management.
Studies in
this review had some limitations in their methods for model development,
reporting
and validation. Two studies, the BADRI and Trivalle's risk scores, used
better model
development and validation methods and reported reasonable performance, and
so could
be considered for further research.
FAU - Falconer, Nazanin
AU - Falconer N
AUID- ORCID: 0000-0003-4682-7890
AD - School of Pharmacy, Pharmacy Australia Centre of Excellence, The University
of
Queensland, Brisbane, QLD, 4102, Australia.
FAU - Barras, Michael
AU - Barras M
AUID- ORCID: 0000-0001-8105-0090
of
AD - Princess Alexandra Hospital, Metro South Health, 199 Ipswich Road,
Woolloongabba,
Brisbane, QLD, 4102, Australia.
FAU - Cottrell, Neil
AU - Cottrell N
AUID- ORCID: 0000-0002-0149-444X
of
LA - eng
DEP - 20180222
JID - 7503323
SB - IM
CIN - Br J Clin Pharmacol. 2018 Aug;84(8):1856. PMID: 29736905
CIN - Br J Clin Pharmacol. 2018 Aug;84(8):1857. PMID: 29873096
MH - Forecasting/*methods
MH - Humans
MH - *Models, Statistical
MH - *Risk
PMC - PMC5903258
OTO - NOTNLM
OT - *adverse drug events
OT - *adverse drug reactions
OT - *clinical pharmacology
OT - *drug related problems
OT - *predictive risk model
OT - *risk score
EDAT- 2018/01/18 06:00
MHDA- 2019/06/25 06:00
CRDT- 2018/01/17 06:00
PHST- 2017/05/08 00:00 [received]
PHST- 2017/10/21 00:00 [revised]
PHST- 2018/01/03 00:00 [accepted]
PHST- 2018/01/18 06:00 [pubmed]
PHST- 2019/06/25 06:00 [medline]
PHST- 2018/01/17 06:00 [entrez]
AID - 10.1111/bcp.13514 [doi]
PST - ppublish
SO - Br J Clin Pharmacol. 2018 May;84(5):846-864. doi: 10.1111/bcp.13514. Epub
2018 Feb
22.
PMID- 29740618
OWN - NLM
LR - 20200930
IS - 2451-8654 (Linking)
VI - 5
DP - 2017 Mar
TI - Comparative effectiveness of pediatric integrative medicine as an adjunct to
usual
care for pediatric inpatients of a North American tertiary care centre: A
study
protocol for a pragmatic cluster controlled trial.
PG - 12-18
LID - 10.1016/j.conctc.2016.11.002 [doi]
AB - BACKGROUND: Some pediatric tertiary care centres in North America supplement
conventional care with complementary therapies, together known as pediatric
integrative medicine (PIM). Evidence to support the safety and efficacy of
PIM is
emerging, but the cost-effectiveness of an inpatient PIM service has yet to
be
assessed. METHODS/DESIGN: This study is a pragmatic cluster controlled
clinical
trial. Usual care will be compared to usual care augmented with PIM in three
pediatric divisions; oncology, general medicine, and cardiology at one large
urban
tertiary care Canadian Children's Hospital. The primary outcome of the
feasibility
study is enrolment; the primary outcome of the main study is cost-
effectiveness.
Other secondary outcomes include the prevalence and severity of key symptoms
(i.e.
pain, nausea/vomiting and anxiety), efficacy of PIM interventions, patient
safety,
and parent satisfaction. DISCUSSION: This trial will be the first to evaluate
the
comparative effectiveness, both clinical and cost, of a PIM inpatient
service. The
evidence from this study will be useful to families, clinicians and decision
makers,
and will describe the clinical and economic value of PIM services for
pediatric
patients admitted to hospital.
FAU - Vohra, Sunita
AU - Vohra S
AD - Department of Pediatrics, Faculty of Medicine & Dentistry, University of
Alberta,
1702 College Plaza, 8215 - 112 Street NW, Edmonton, AB T6G 2C8, Canada.
FAU - Schlegelmilch, Michael
AU - Schlegelmilch M
Alberta,
FAU - Jou, Hsing
AU - Jou H
Alberta,
FAU - Hartfield, Dawn
AU - Hartfield D
Alberta,
3-597 Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, AB T6G 1C9,
Canada.
FAU - Mayan, Maria
AU - Mayan M
AD - Community-University Partnership, Faculty of Extension, University of
Alberta, 2-281
Enterprise Square, 10230 Jasper Avenue, Edmonton, AB T5J 4P6, Canada.
FAU - Ohinmaa, Arto
AU - Ohinmaa A
AD - School of Public Health, University of Alberta, Institute of Health
Economics, 1200
10405 Jasper Avenue, Edmonton, AB T5J 3N4, Canada.
FAU - Wilson, Bev
AU - Wilson B
Alberta,
3-516 Edmonton Clinic Health Academy, 11405 87 Ave NW, Edmonton, AB T6G 1C9,
Canada.
FAU - Spavor, Maria
AU - Spavor M
Alberta,
3-529 Edmonton Clinic Health Academy, 11405 87 Ave NW, Edmonton, AB T6G 1C9,
Canada.
FAU - Grundy, Paul
AU - Grundy P
Alberta,
3-469 Edmonton Clinic Health Academy, 11405-87 Ave NW, Edmonton, AB, T6G 1C9,
Canada.
LA - eng
DEP - 20161123
TA - Contemp Clin Trials Commun
JT - Contemporary clinical trials communications
JID - 101671157
EIN - Contemp Clin Trials Commun. 2017 Apr 21;6:147. PMID: 29741163
PMC - PMC5936744
OTO - NOTNLM
OT - Anxiety
OT - Complementary therapies
OT - Cost-benefit analysis
OT - Integrative medicine
OT - Nausea
OT - Pain
OT - Pediatric
OT - Pragmatic clinical trial
OT - Safety
OT - Satisfaction
OT - Vomiting
EDAT- 2016/11/23 00:00
MHDA- 2016/11/23 00:01
CRDT- 2018/05/10 06:00
PHST- 2016/08/09 00:00 [received]
PHST- 2016/11/17 00:00 [revised]
PHST- 2016/11/22 00:00 [accepted]
PHST- 2018/05/10 06:00 [entrez]
PHST- 2016/11/23 00:00 [pubmed]
PHST- 2016/11/23 00:01 [medline]
AID - S2451-8654(16)30066-7 [pii]
AID - 10.1016/j.conctc.2016.11.002 [doi]
PST - epublish
SO - Contemp Clin Trials Commun. 2016 Nov 23;5:12-18. doi:
10.1016/j.conctc.2016.11.002.
eCollection 2017 Mar.
PMID- 22036628
OWN - NLM
STAT- MEDLINE
DCOM- 20120126
LR - 20181113
IS - 0003-9993 (Print)
IS - 0003-9993 (Linking)
VI - 92
IP - 12
DP - 2011 Dec
TI - Pilot study examining the association between ambulatory activity and falls
among
hospitalized older adults.
PG - 2090-2
LID - 10.1016/j.apmr.2011.06.022 [doi]
AB - OBJECTIVE: To examine the ambulatory activity of older patients who had a
documented
fall during hospitalization for acute illness. DESIGN: A retrospective case-
control
design was used in a pilot study of patients (n=10; ≥65y) who had a
documented fall
during their hospital stay and matched controls (n=25) who did not fall.
SETTING:
Acute care medical/surgical unit. PARTICIPANTS: Men and women 65 years and
older who
wore a step activity monitor while hospitalized. INTERVENTIONS: Not
applicable. MAIN
OUTCOME MEASURES: Fall incidents during the hospital stay were documented by
the
nurse in a standardized patient safety event report in accordance with
hospital
policy. The number of steps per 24-hour interval, time spent walking, and
total
number of activity episodes were determined for patients and controls.
RESULTS: On
average ± SD, patients who fell took 480.3 ± 432.2 steps per hospital day,
spent
53.8 ± 36.9 minutes walking, and engaged in 25.8 ± 16.9 episodes of activity.
Mean
daily steps, time spent walking, and number of activity episodes for patients
who
did not fall were 680.1 ± 876.0, 50.1 ± 58.6, and 21.6 ± 23.8, respectively.
Logistic regression results indicated no association between the fall outcome
and
mean daily steps (odds ratio=.95; 95% confidence interval, 0.84-1.06).
CONCLUSIONS:
Ambulatory activity among patients who fell varied widely. Mean daily steps,
time
spent walking, and number of episodes of activity were comparable with
matched
controls who did not fall. Patient falls were more likely to be associated
with
cognitive and hospital environmental factors than actual amount of walking.
CI - Copyright © 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier
Inc. All rights reserved.
FAU - Fisher, Steve R
AU - Fisher SR
AD - Division of Rehabilitation Sciences, University of Texas Medical Branch,
Galveston,
77555-0460, USA. stfisher@utmb.edu
FAU - Galloway, Rebecca V
AU - Galloway RV
FAU - Kuo, Yong-Fang
AU - Kuo YF
FAU - Graham, James E
AU - Graham JE
FAU - Ottenbacher, Kenneth J
AU - Ottenbacher KJ
FAU - Ostir, Glenn V
AU - Ostir GV
FAU - Goodwin, James S
AU - Goodwin JS
LA - eng
GR - P30 AG024832-06/AG/NIA NIH HHS/United States
GR - K12 HD055929/HD/NICHD NIH HHS/United States
GR - K12 HD055929-04/HD/NICHD NIH HHS/United States
GR - R01 AG031178-04/AG/NIA NIH HHS/United States
DEP - 20111026
TA - Arch Phys Med Rehabil
JT - Archives of physical medicine and rehabilitation
JID - 2985158R
SB - AIM
SB - IM
MH - Accidental Falls/prevention & control/*statistics & numerical data
MH - Aged
MH - Cognitive Dysfunction/epidemiology
MH - Confusion/epidemiology
MH - Female
MH - Humans
MH - Male
MH - Pilot Projects
MH - Walking/*statistics & numerical data
PMC - PMC3229660
MID - NIHMS308772
EDAT- 2011/11/01 06:00
MHDA- 2012/01/27 06:00
CRDT- 2011/11/01 06:00
PHST- 2011/06/16 00:00 [received]
PHST- 2011/06/17 00:00 [accepted]
PHST- 2011/11/01 06:00 [entrez]
PHST- 2011/11/01 06:00 [pubmed]
PHST- 2012/01/27 06:00 [medline]
AID - S0003-9993(11)00416-3 [pii]
AID - 10.1016/j.apmr.2011.06.022 [doi]
PST - ppublish
SO - Arch Phys Med Rehabil. 2011 Dec;92(12):2090-2. doi:
10.1016/j.apmr.2011.06.022. Epub
2011 Oct 26.
PMID- 30202214
OWN - NLM
LR - 20200930
IS - 1319-0164 (Print)
IS - 1319-0164 (Linking)
VI - 26
IP - 6
DP - 2018 Sep
TI - Patterns of antibiotic use and administration in hospitalized patients in
Jordan.
PG - 764-770
LID - 10.1016/j.jsps.2018.04.009 [doi]
AB - BACKGROUND: Inappropriate use of antibiotics is the leading cause of
emergence of
resistance. It has been estimated that two million people in the United
States had
infection with resistant bacteria, resulting in 23,000 deaths annually. In
Jordan,
more than 50% of physicians prescribe antibiotics for inappropriate
indication such
as common cold, and approximately 67% of adult Jordanians believe that
antibiotics
should be used for this purpose. It is essential to follow antibiotics
prescription
guidelines in order to maximize effectiveness and enhance patient safety.
OBJECTIVE:
The study aim was to describe patterns of antibiotics prescription and
adherence to
guidelines of IV to oral antibiotic conversion in elderly patients visiting
King
Abdullah University Hospital (KAUH). METHODS: A retrospective cross sectional
study
was conducted on hospitalized patients who were prescribed IV antibiotics.
Sociodemographic and clinical data in addition to a list of IV prescribed
antibiotics was collected by referring to information technology department
at KAUH.
Patients' eligibility for antibiotic conversion from IV to oral route was
then
evaluated based on Society for Healthcare Epidemiology of America criteria.
RESULTS:
A total of 110 antibiotics were dispensed for 80 patients,
imipenem/cilastatin was
the most prescribed antibiotic (41.25%), followed by cephalosporines which
were
prescribed for 27.5% of the participants. Approximately half of the study
patients
(47.5%) were prescribed IV antibiotics despite their eligibility for oral
conversion. CONCLUSION: This study shows a shortage in the implementation of
guidelines which are important to decrease antibiotic resistance and
improving
clinical outcomes. The clinical Pharmacist needs to be more involved in
antibiotics
prescription with the aim of improving effectiveness and decreasing potential
antimicrobial resistance in hospital settings.

FAU - Jarab, Anan S
AU - Jarab AS
AD - Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of
Science
and Technology, P.O. Box 3030, Irbid 22110, Jordan.
FAU - Mukattash, Tareq L
AU - Mukattash TL
Science
FAU - Nusairat, Buthaina
AU - Nusairat B
Science
FAU - Shawaqfeh, Mohammad
AU - Shawaqfeh M
AD - Department of Pharmacy Practice, College of Pharmacy, King Saud Bin Abdul-
Aziz
University for Health Sciences, Riyadh, Saudi Arabia.
FAU - Farha, Rana Abu
AU - Farha RA
AD - Department of Clinical Pharmacy, Faculty of Pharmacy, Applied Science Private
University, Jordan.
LA -
eng
PT -
Journal Article
DEP -
20180418
TA -
Saudi Pharm J
JT -
JID - 9705695
PMC - PMC6128802
OTO - NOTNLM
OT - Clinical pharmacy
OT - Hospitals
OT - IV antibiotics
OT - Jordan
OT - Oral antibiotics
EDAT- 2018/09/12 06:00
MHDA- 2018/09/12 06:01
CRDT- 2018/09/12 06:00
PHST- 2018/02/22 00:00 [received]
PHST- 2018/04/15 00:00 [accepted]
PHST- 2018/09/12 06:00 [entrez]
PHST- 2018/09/12 06:00 [pubmed]
PHST- 2018/09/12 06:01 [medline]
AID - S1319-0164(18)30089-6 [pii]
AID - 10.1016/j.jsps.2018.04.009 [doi]
PST - ppublish
SO - Saudi Pharm J. 2018 Sep;26(6):764-770. doi: 10.1016/j.jsps.2018.04.009. Epub
2018
Apr 18.
PMID- 27265387
OWN - NLM
STAT- MEDLINE
DCOM- 20180108
LR - 20210109
IS - 0306-5251 (Print)
IS - 0306-5251 (Linking)
VI - 82
IP - 4
DP - 2016 Oct
TI - More than skin deep. Ten year follow-up of delayed cutaneous adverse drug
reactions
(CADR).
PG - 1040-7
LID - 10.1111/bcp.13030 [doi]
AB - AIMS: To determine the gaps in practice regarding appropriate ADR
documentation and
risk communication for patients diagnosed with severe cutaneous adverse drug
reactions (CADR). METHODS: This was a retrospective observational cohort
study
conducted using hospital coding and databases to identify inpatients
diagnosed with
CADR from January 2004 to August 2014. Hospital discharge summaries, ADR
reports and
pharmacy dispensing records were reviewed for ADR documentation. Patients
still
living in Australia and who did not opt out of being contacted were invited
to be
surveyed by telephone to determine their understanding of recommendations,
re-exposure rates and long-term effects. RESULTS: Of 85 patients identified,
median
age was 59 (IQR 44-72) years and 47.1% were male. The most common diagnosis
was TENS
(49.4%). Ten patients (11.8%) died as inpatients. Of the 81 patients with a
drug-related causality, 47 (58%) had appropriate documentation in all three
required
medical record platforms. Of the 56 eligible patients, 38 (67.9%) were
surveyed; 13%
had no information provided upon discharge and 26.3% patients had a mismatch
in
knowledge of implicated medications. No surveyed patient had a relapse of
CADR, but
23.7% had a subsequent unrelated allergic reaction. Thirteen patients (34.2%)
reported long-term effects. CONCLUSIONS: We found gaps in the accuracy of ADR
documentation and communication of risk at discharge, which indicated risks

to
patient safety. Electronic systems are being developed to improve
documentation.
Written information about CADR is being provided at discharge to improve
patient
understanding and knowledge.
FAU - Graudins, Linda Velta
AU - Graudins LV
AD - Pharmacy Department, Alfred Health, 55 Commercial Road, Melbourne, 3004,
Victoria,
Australia. l.graudins@alfred.org.au.
FAU - Ly, Jenny
AU - Ly J
AD - Pharmacy Department, Alfred Health, 55 Commercial Road, Melbourne, 3004,
Victoria,
Australia.
FAU - Trubiano, Jason
AU - Trubiano J
AD - Department of Infectious Diseases, Alfred Health, 55 Commercial Road,
Melbourne,
3004, Victoria, Australia.
AD - Department of Infectious Diseases, Peter MacCallum Cancer Centre, Victoria,
Australia.
AD - Department of Infectious Diseases, Austin Health, 145 Studley Road,
Heidelberg,
AD - Department of Medicine, University of Melbourne, Victoria, Australia.
FAU - Aung, Ar Kar
AU - Aung AK
AD - Department of Infectious Diseases, Alfred Health, 55 Commercial Road,
Melbourne,
AD - Department of General Medicine, Alfred Health and Monash University,
Victoria,
Australia.
LA - eng
DEP - 20160718
JID - 7503323
SB - IM
MH - Adult
MH - Aged
MH - Australia
MH - Communication
MH - Drug-Related Side Effects and Adverse Reactions/*psychology
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - Skin/*drug effects
PMC - PMC5137829
OTO - NOTNLM
OT - *CADR
OT - *Steven-Johnson syndrome
OT - *adverse drug reaction
OT - *cutaneous reactions
OT - *drug allergy
EDAT- 2016/06/07 06:00
MHDA- 2018/01/09 06:00
CRDT- 2016/06/07 06:00
PHST- 2016/02/22 00:00 [received]
PHST- 2016/05/09 00:00 [revised]
PHST- 2016/06/02 00:00 [accepted]
PHST- 2016/06/07 06:00 [entrez]
PHST- 2016/06/07 06:00 [pubmed]
PHST- 2018/01/09 06:00 [medline]
AID - 10.1111/bcp.13030 [doi]
PST - ppublish
SO - Br J Clin Pharmacol. 2016 Oct;82(4):1040-7. doi: 10.1111/bcp.13030. Epub 2016
Jul
18.
PMID- 33240478
OWN - NLM
LR - 20201127
IS - 2042-0986 (Print)
IS - 2042-0986 (Linking)
VI - 11
DP - 2020
TI - Interventions to reduce medication errors in adult medical and surgical
settings: a
systematic review.
PG - 2042098620968309
LID - 10.1177/2042098620968309 [doi]
LID - 2042098620968309
AB - BACKGROUND AND AIMS: Medication errors occur at any point of the medication
management process, and are a major cause of death and harm globally. The
objective
of this review was to compare the effectiveness of different interventions in
reducing prescribing, dispensing and administration medication errors in

acute
medical and surgical settings. METHODS: The protocol for this systematic
review was
registered in PROSPERO (CRD42019124587). The library databases, MEDLINE,
CINAHL,
EMBASE, PsycINFO, Cochrane Database of Systematic Reviews and the Cochrane
Central
Register of Controlled Trials were searched from inception to February 2019.
Studies
were included if they involved testing of an intervention aimed at reducing
medication errors in adult, acute medical or surgical settings. Meta-analyses
were
performed to examine the effectiveness of intervention types. RESULTS: A
total of 34
articles were included with 12 intervention types identified. Meta-analysis
showed
that prescribing errors were reduced by pharmacist-led medication
reconciliation,
computerised medication reconciliation, pharmacist partnership, prescriber
education, medication reconciliation by trained mentors and computerised
physician
order entry (CPOE) as single interventions. Medication administration errors
were
reduced by CPOE and the use of an automated drug distribution system as
single
interventions. Combined interventions were also found to be effective in
reducing
prescribing or administration medication errors. No interventions were found
to
reduce dispensing error rates. Most studies were conducted at single-site
hospitals,
with chart review being the most common method for collecting medication
error data.
Clinical significance of interventions was examined in 21 studies. Since many
studies were conducted in a pre-post format, future studies should include a

concurrent control group. CONCLUSION: The systematic review identified a
number of
single and combined intervention types that were effective in reducing
medication
errors, which clinicians and policymakers could consider for implementation
in
medical and surgical settings. New directions for future research should
examine
interdisciplinary collaborative approaches comprising physicians, pharmacists
and
nurses. LAY SUMMARY: Activities to reduce medication errors in adult medical
and
surgical hospital areas. INTRODUCTION: Medication errors or mistakes may
happen at
any time in hospital, and they are a major reason for death and harm around
the
world. OBJECTIVE: To compare the effectiveness of different activities in
reducing
medication errors occurring with prescribing, giving and supplying
medications in
adult medical and surgical settings in hospital. METHODS: Six library
databases were
examined from the time they were developed to February 2019. Studies were
included
if they involved testing of an activity aimed at reducing medication errors
in adult
medical and surgical settings in hospital. Statistical analysis was used to
look at
the success of different types of activities. RESULTS: A total of 34 studies
were
included with 12 activity types identified. Statistical analysis showed that
prescribing errors were reduced by pharmacists matching medications,
computers
matching medications, partnerships with pharmacists, prescriber education,
medication matching by trained physicians, and computerised physician order
entry
(CPOE). Medication-giving errors were reduced by the use of CPOE and an
automated
medication distribution system. The combination of different activity types
were
also shown to be successful in reducing prescribing or medication-giving
errors. No
activities were found to be successful in reducing errors relating to
supplying
medications. Most studies were conducted at one hospital with reviewing
patient
charts being the most common way for collecting information about medication
errors.
In 21 out of 34 articles, researchers examined the effect of activity types
on
patient harm caused by medication errors. Many studies did not involve the
use of a
control group that does not receive the activity. CONCLUSION: A number of
activity
types were shown to be successful in reducing prescribing and medication-
giving
errors. New directions for future research should examine activities
comprising
health professionals working together.
CI - © The Author(s), 2020.
FAU - Manias, Elizabeth
AU - Manias E
AUID- ORCID: 0000-0002-3747-0087
AD - School of Nursing and Midwifery, Centre for Quality and Patient Safety
Research,
Institute for Health Transformation, Deakin University, 221 Burwood Highway,
Burwood, Victoria 3125, Australia.
FAU - Kusljic, Snezana
AU - Kusljic S
AUID- ORCID: 0000-0002-2465-9884
AD - Department of Nursing, The University of Melbourne, Melbourne, Victoria,
Australia.
FAU - Wu, Angela
AU - Wu A
AD - Melbourne Medical School, The University of Melbourne, Melbourne, Victoria,
Australia.
LA - eng
PT - Review
DEP - 20201112
TA - Ther Adv Drug Saf
JT - Therapeutic advances in drug safety
JID - 101549074
PMC - PMC7672746
OTO - NOTNLM
OT - hospitals
OT - medical order entry systems
OT - medication therapy management
OT - nurses
OT - patient safety
OT - pharmacists
OT - physicians
COIS- Conflict of interest statement: The authors declare that there is no conflict
of
interest.
EDAT- 2020/11/27 06:00
MHDA- 2020/11/27 06:01
CRDT- 2020/11/26 05:46
PHST- 2020/05/27 00:00 [received]
PHST- 2020/09/23 00:00 [accepted]
PHST- 2020/11/26 05:46 [entrez]
PHST- 2020/11/27 06:00 [pubmed]
PHST- 2020/11/27 06:01 [medline]
AID - 10.1177_2042098620968309 [pii]
AID - 10.1177/2042098620968309 [doi]
PST - epublish
SO - Ther Adv Drug Saf. 2020 Nov 12;11:2042098620968309. doi:
10.1177/2042098620968309.
eCollection 2020.
PMID- 25642531
STAT- Publisher
DP - 2013 Dec
BTI - Identifying the factors affecting the implementation of strategies to promote
a
safer environment for patients with learning disabilities in NHS hospitals: a
mixed-methods study
AB - BACKGROUND: There has been consistent evidence that people with learning
disabilities experience health inequalities and poor NHS health-care
provision,
leading to avoidable harm and premature, avoidable death. OBJECTIVES: To
describe
the factors in NHS hospitals that promote or compromise a safe environment
for
patients with learning disabilities, in the light of national recommendations
that
hospitals should (1) identify patients with learning disabilities, (2)
provide
reasonably adjusted services, (3) involve carers as partners in care and (4)
include
patient and carer views in service development. DESIGN: A 21-month mixed-
method
study carried out between 2011 and 2013, using questionnaire surveys,
interviews,
observation and monitoring of safety incidents. SETTING: Six NHS hospitals in
the
south of England. METHODS: The study employed mixed methodologies in three
stages.
Stage I involved mapping the systems and structural changes within each
hospital
site, with senior strategic managers asked to provide data on relevant
policies.
Stage II examined the effectiveness of implemented measures. Methods for this
stage
included an electronic questionnaire survey sent to all clinical staff (n =
990);
face-to-face semi-structured interviews with clinical staff and strategic
hospital
managers (n = 68); semi-structured face-to-face interviews with adults with
learning
disabilities who had used the hospital in a 12-month period (n = 33);
questionnaire
survey (n = 88) and semi-structured interviews (n = 37) with carers of
patients with
learning disabilities who had been a patient during the 12-month period; and
participant observation with patients (n = 8). Stage III assessed
generalisability
to other vulnerable patient groups and involved expert panel discussions with
senior
managers and senior clinicians at four sites (n = 42). RESULTS: Examples of
good
practice were not consistently replicated hospital-wide. The most common
safety
issues were delays and omissions of treatment and basic care. The main
barriers to
better and safer hospital care for people with learning disabilities were (1)
the
invisibility of patients with learning disabilities within hospitals, owing
to a
lack of effective flagging systems and a lack of staff knowledge and
willingness to
flag this group; (2) poor staff understanding of the specific vulnerabilities
of
people with learning disabilities, the reasonable adjustments to services
that these
patients may need and the Mental Capacity Act (Great Britain. Mental Capacity
Act
2005. Chapter 9. London: The Stationery Office; 2005); (3) a lack of
consistent and
effective carer involvement and misunderstanding by staff of the carer role;
and (4)
a lack of clear lines of responsibility and accountability for the care of
each
patient with learning disabilities. The main enablers were the learning
disability
liaison nurse (LDLN), provided that this role was properly supported by
senior
management and carried sufficient authority to change practice; and ward
managers
who facilitated a positive ward culture and ensured consistent implementation
of
reasonable adjustments. CONCLUSIONS: The vulnerabilities of people with
learning
disabilities can, and do, lead to compromised patient safety in NHS
hospitals.
Further research is needed as follows: (1) identifying the most frequently
needed
reasonable adjustments within the hospital care pathways of people with
learning
disabilities and their cost implications; (2) identifying the most effective
structures for ensuring clear lines of responsibility and accountability for
the
care of patients with learning disabilities, including support needed by ward
managers in order to carry day-to-day accountability; (3) investigating

practical
and effective ways of flagging patients with learning disabilities across NHS
services and within NHS hospitals; (4) investigating, implementing and

evaluating
protocols for shared care; (5) evaluating LDLN posts nationwide; and (6)
extending
research recommendations (1) and (3) to patients with dementia and those with
mental
health problems. STUDY REGISTRATION: Comprehensive Clinical Research Network
Portfolio, 10998; Integrated Research Application System Coordinated System
for
gaining NHS Permission, 74907. FUNDING: The National Institute for Health
Research
Health Services and Delivery Research programme.
produced by
Tuffrey-Wijne et al. under the terms of a commissioning contract issued by
the
Secretary of State for Health. This issue may be freely reproduced for the
purposes
of private research and study and extracts (or indeed, the full report) may
be
included in professional journals provided that suitable acknowledgement is
made and
the reproduction is not associated with any form of advertising. Applications
for
National
Centre,
UK.
FAU - Tuffrey-Wijne, I
AU - Tuffrey-Wijne I
AD - Faculty of Health, Social Care and Education, St George’s, University of
London and
Kingston University, London, UK
FAU - Giatras, N
AU - Giatras N
AD - Division of Population Health Sciences and Education, St George’s, University
of
London, London, UK
FAU - Goulding, L
AU - Goulding L
of
London, London, UK
FAU - Abraham, E
AU - Abraham E
of
London, London, UK
AD - Florence Nightingale School of Nursing and Midwifery, King’s College London,
London,
UK
FAU - Fenwick, L
AU - Fenwick L
AD - Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK
FAU - Edwards, C
AU - Edwards C
AD - Institute of Leadership and Management in Health, Kingston University,
London, UK
FAU - Hollins, S
AU - Hollins S
of
London, London, UK
AD - House of Lords, London, UK
LA - eng
PT - Review
PT - Book
OAB - Study found that the vulnerabilities of people with learning disabilities
can, and
do, lead to compromised patient safety in NHS hospitals. Barriers to safer
care
include: a lack of effective flagging systems to identify patients with
learning
disabilities; a lack of staff understanding of learning disability issues;
insufficient carer involvement and staff misunderstanding of the carer role;
and the
absence of clear lines of responsibility and accountability for the care of
patients
with learning disabilities. Learning disability liaison nurses and ward
managers are
key facilitators of better care.
OABL- eng
EDAT- 2013/12/01 00:00
CRDT- 2013/12/01 00:00
AID - 10.3310/hsdr01130 [doi]
PMID- 28511451
OWN - NLM
LR - 20200930
IS - 2249-782X (Print)
VI - 11
IP - 3
DP - 2017 Mar
TI - Attitudes of Mashhad Public Hospital's Nurses and Midwives toward the Causes
and
Rates of Medical Errors Reporting.
PG - QC04-QC07
LID - 10.7860/JCDR/2017/23958.9349 [doi]
AB - INTRODUCTION: Patient's safety is one of the main objective in healthcare
services;
however medical errors are a prevalent potential occurrence for the patients
in
treatment systems. Medical errors lead to an increase in mortality rate of
the
patients and challenges such as prolonging of the inpatient period in the
hospitals
and increased cost. Controlling the medical errors is very important, because
these
errors besides being costly, threaten the patient's safety. AIM: To evaluate
the
attitudes of nurses and midwives toward the causes and rates of medical
errors
reporting. MATERIALS AND METHODS: It was a cross-sectional observational
study. The
study population was 140 midwives and nurses employed in Mashhad Public
Hospitals.
The data collection was done through Goldstone 2001 revised questionnaire.
SPSS 11.5
software was used for data analysis. To analyze data, descriptive and
inferential
analytic statistics were used. Standard deviation and relative frequency
distribution, descriptive statistics were used for calculation of the mean
and the
results were adjusted as tables and charts. Chi-square test was used for the
inferential analysis of the data. RESULTS: Most of midwives and nurses
(39.4%) were
in age range of 25 to 34 years and the lowest percentage (2.2%) were in age
range of
55-59 years. The highest average of medical errors was related to employees
with
three-four years of work experience, while the lowest average was related to
those
with one-two years of work experience. The highest average of medical errors
was
during the evening shift, while the lowest were during the night shift. Three
main
causes of medical errors were considered: illegibile physician prescription
orders,
similarity of names in different drugs and nurse fatigueness. CONCLUSION: The
most
important causes for medical errors from the viewpoints of nurses and
midwives are
illegible physician's order, drug name similarity with other drugs, nurse's
fatigueness and damaged label or packaging of the drug, respectively. Head
nurse
feedback, peer feedback, fear of punishment or job loss were considered as
reasons
for under reporting of medical errors. This research demonstrates the need
for
greater attention to be paid to the causes of medical errors.
FAU - Mobarakabadi, Sedigheh Sedigh
AU - Mobarakabadi SS
AD - Assistant Professor in Reproductive Health, Midwifery, School of Nursing &
Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
FAU - Ebrahimipour, Hosein
AU - Ebrahimipour H
AD - Assistant Professor, Department of Health and Management, Mashhad University
of
Medical Sciences, Mashhad, Iran.
FAU - Najar, Ali Vafaie
AU - Najar AV
AD - Assistant Professor, Department of Health and Management, Mashhad University
of
Medical Sciences, Mashhad, Iran.
FAU - Janghorban, Roksana
AU - Janghorban R
AD - Assistant Professor, Department of Reproductive Health, Maternal Fetal
Medicine
Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
FAU - Azarkish, Fatemeh
AU - Azarkish F
AD - Assistant Professor, Department of Reproductive Health, Iranshahr University
of
Medical Sciences, Iranshahr, Iran.
LA - eng
DEP - 20170301
TA - J Clin Diagn Res
JT - Journal of clinical and diagnostic research : JCDR
JID - 101488993
PMC - PMC5427377
OTO - NOTNLM
OT - Health care personnel
OT - Patient safety
OT - Prescription errors
EDAT- 2017/05/18 06:00
MHDA- 2017/05/18 06:01
CRDT- 2017/05/18 06:00
PHST- 2016/09/05 00:00 [received]
PHST- 2016/11/01 00:00 [accepted]
PHST- 2017/05/18 06:00 [entrez]
PHST- 2017/05/18 06:00 [pubmed]
PHST- 2017/05/18 06:01 [medline]
AID - 10.7860/JCDR/2017/23958.9349 [doi]
PST - ppublish
SO - J Clin Diagn Res. 2017 Mar;11(3):QC04-QC07. doi:
10.7860/JCDR/2017/23958.9349. Epub
2017 Mar 1.
PMID- 31843830
OWN - NLM
STAT- MEDLINE
DCOM- 20201209
LR - 20201214
IS - 2044-6055 (Linking)
VI - 9
IP - 12
DP - 2019 Dec 15
TI - Associations between work satisfaction, engagement and 7-day patient
mortality: a
cross-sectional survey.
PG - e031704
LID - 10.1136/bmjopen-2019-031704 [doi]
LID - e031704
AB - OBJECTIVE: This study examines the association between profession-specific
work
environments and the 7-day mortality of patients admitted to these units with
acute
myocardial infarction (AMI), stroke and hip fracture. DESIGN: A cross-
sectional
study combining patient mortality data extracted from the South-Eastern
Norway
Health Region, and the work environment scores at the hospital ward levels. A
case-mix adjustment model was developed for the comparison between hospital
wards.
SETTING: Fifty-six patient wards in 20 hospitals administered by the South-
Eastern
Norway Regional Health Authority. PARTICIPANTS: In total, 46 026 patients
admitted
to hospitals with AMI, stroke and hip fracture, and supported by 8800 survey
responses from physicians, nurses and managers over a 3-year period (2010-
2012).
PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measures were the
associations between the relative mortality rate for patients admitted with
AMI,
stroke and hip fractures and the profession-specific (ie, nurses, physicians,
middle
managers) mean scores on the 19 organisational factors in a validated cross
sectional, staff survey conducted annually in Norway. The secondary outcome
measures
were the mean scores with SD on the organisational factors in the staff
survey
reported by each profession. RESULTS: The Nurse workload (beta 0.019 (95%
CI0.009-0.028)) and middle manager engagement (beta 0.024 (95% CI0.010-
0.037))
levels were associated with a case-mix adjusted 7-day patient mortality
rates. There
was no significant association between physician work environment scores and
patient
mortality rates. CONCLUSION: 7-day mortality rates in hospital wards were
negatively
correlated with the nurse workload and manager engagement levels. A deeper
understanding of the relationships between patient outcomes, organisational
structure and their underlying cultural barriers is needed because they may
provide
a better understanding of the harm and death risks for patients due to
organisational characteristics.
FAU - Brubakk, Kirsten
AU - Brubakk K
AUID- ORCID: 0000-0002-0618-5873
AD - Department of Human Resources, Helse Sør-Øst RHF, Hamar, Norway
kirsten.brubakk@helse-sorost.no.
FAU - Svendsen, Martin Veel
AU - Svendsen MV
AD - Department of Occupational and Environmental Medicine, Sykehuset Telemark HF,
Skien,
Norway.
FAU - Hofoss, Dag
AU - Hofoss D
AD - Department of Postgraduate Studies, Lovisenberg Diaconal University College,
Oslo,
Norway.
FAU - Hansen, Tonya Moen
AU - Hansen TM
AD - Department of Health Services Research, Folkehelseinstituttet, Oslo, Norway.
FAU - Barach, Paul
AU - Barach P
AUID- ORCID: 0000-0002-7906-698X
AD - Pediatrics, Wayne State University, Detroit, Michigan, USA.
FAU - Tjomsland, Ole
AU - Tjomsland O
AD - Department of Health, Helse Sør-Øst RHF, Hamar, Norway.
LA - eng
DEP - 20191215
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adolescent
MH - Adult
MH - Aged
MH - Child
MH - Female
MH - Hip Fractures/mortality
MH - Humans
MH - Infant
MH - Linear Models
MH - Male
MH - Middle Aged
MH - Myocardial Infarction/mortality
MH - Norway/epidemiology
MH - *Occupational Stress
MH - Quality of Health Care/organization & administration
MH - Stroke/mortality
MH - Workload
MH - Workplace/*psychology
MH - Young Adult
PMC - PMC6924769
OTO - NOTNLM
OT - *patient outcome
OT - *safety climate
OT - *safety culture
OT - *staff engagement
OT - *work environment
EDAT- 2019/12/18 06:00
MHDA- 2020/12/15 06:00
CRDT- 2019/12/18 06:00
PHST- 2019/12/18 06:00 [entrez]
PHST- 2019/12/18 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
AID - 10.1136/bmjopen-2019-031704 [doi]
PST - epublish
PMID- 32696010
OWN - NLM
LR - 20200928
IS - 2639-8028 (Linking)
VI - 2
IP - 6
DP - 2020 Jun
TI - Patient and Care Delivery Characteristics Associated With Harm From
Neuromuscular
Blockade.
PG - e0147
LID - 10.1097/CCE.0000000000000147 [doi]
LID - e0147
AB - OBJECTIVES: To identify the prevalence of and evaluate factors associated
with
down-titration of sedation in patients receiving neuromuscular blockade.
DESIGN:
Retrospective cohort study. SETTING: Tertiary care teaching hospital in
Boston, MA.
PATIENTS: All patients over 18 years old admitted to the medical, surgical,
or
cardiac ICUs from 2013 to 2016, and who received cisatracurium for at least
24
hours. INTERVENTIONS: We examined patients for whom sedation was decreased
despite
accompanying ongoing neuromuscular blockade administration. MEASUREMENTS AND
MAIN
RESULTS: Of the 300 patients who met inclusion criteria (39% female, mean age
of 57
yr old), 168 (56%) had sedation down-titrated while receiving neuromuscular
blockade
with a mean decrease in sedation dose of 18.7%. Factors associated with
down-titration of sedation were bispectral index usage (90/168 [53.6%] vs
50/168
[29.8%] patients; p < 0.01; odds ratio, 1.82; 1.12-2.94), and bolus dose of
neuromuscular blockade prior to continuous infusion (138/168 [82.1%] vs
79/168
[47.0%] patients; p < 0.0001). CONCLUSIONS: Down-titration of sedation among
mechanically ventilated patients receiving neuromuscular blockade was common
and was
correlated with bispectral index monitor usage. Clinicians should be aware of
the
limitations of quantitative electroencephalography monitoring devices and
recognize
their potential to cause inappropriate down-titration of sedation.
Substantial
opportunity exists to improve the quality of care of patients receiving
neuromuscular blockade through development of guidelines and standardized
care
pathways.
CI - Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on
behalf of
the Society of Critical Care Medicine.
FAU - Poole, Brian R
AU - Poole BR
AD - Division of Pulmonary and Critical Care Medicine, Department of Medicine,
University
of Utah, Salt Lake City, UT.
FAU - Reese, Zachary A
AU - Reese ZA
AD - Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
FAU - Dechen, Tenzin
AU - Dechen T
AD - Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center,
Boston, MA.
FAU - Tocci, Noah
AU - Tocci N
Boston, MA.
FAU - Elsamadisi, Pansy
AU - Elsamadisi P
AD - Department of Pharmacy, Beth Israel Deaconess Medical Center, Boston, MA.
FAU - Holland, Susan
AU - Holland S
AD - Department of Nursing, Beth Israel Deaconess Medical Center, Boston, MA.
FAU - Hayes, Margaret M
AU - Hayes MM
AD - Division of Pulmonary, Critical Care, and Sleep Medicine, Department of
Medicine,
Beth Israel Deaconess Medical Center, Boston, MA.
FAU - Stevens, Jennifer P
AU - Stevens JP
Boston, MA.
AD - Division of Pulmonary, Critical Care, and Sleep Medicine, Department of
Medicine,
Beth Israel Deaconess Medical Center, Boston, MA.
LA - eng
DEP - 20200618
TA - Crit Care Explor
JT - Critical care explorations
JID - 101746347
PMC - PMC7314328
OTO - NOTNLM
OT - adult
OT - critical care
OT - deep sedation
OT - neuromuscular blockade
OT - patient harm
OT - retrospective study
COIS- Dr. Stevens was supported by grant number K08HS024288 from the Agency for
Healthcare
Research and Quality; she is also supported by the Doris Duke Charitable
Foundation.
The remaining authors have disclosed that they do not have any potential
conflicts
of interest.
EDAT- 2020/07/23 06:00
MHDA- 2020/07/23 06:01
CRDT- 2020/07/23 06:00
PHST- 2020/07/23 06:00 [entrez]
PHST- 2020/07/23 06:00 [pubmed]
PHST- 2020/07/23 06:01 [medline]
AID - 10.1097/CCE.0000000000000147 [doi]
PST - epublish
SO - Crit Care Explor. 2020 Jun 18;2(6):e0147. doi: 10.1097/CCE.0000000000000147.
eCollection 2020 Jun.
PMID- 25203175
OWN - NLM
STAT- MEDLINE
DCOM- 20150622
LR - 20201209
IS - 0899-823X (Print)
VI - 35
IP - 10
DP - 2014 Oct
TI - Economic impact of redundant antimicrobial therapy in US hospitals.
PG - 1229-35
LID - 10.1086/678066 [doi]
AB - BACKGROUND: Overutilization of antimicrobial therapy places patients at risk
for
harm and contributes to antimicrobial resistance and escalating healthcare
costs.
Focusing on redundant or duplicate antimicrobial therapy is 1 recommended
strategy
to reduce overutilization and its attendant effects on patient safety and
hospital
costs. OBJECTIVE: This study explored the incidence and economic impact of
potentially redundant antimicrobial therapy. METHODS: We conducted a
retrospective
analysis of inpatient administrative data drawn from 505 nonfederal US
hospitals.
All hospitalized patients discharged between January 1, 2008, and December
31, 2011,
were eligible for study inclusion. Potentially redundant antimicrobial
therapy was
identified from pharmacy records and was defined as patients receiving
treatment
with overlapping antibiotic spectra for 2 or more consecutive days. RESULTS:
We
found evidence of potentially inappropriate, redundant antimicrobial coverage
for 23
different antimicrobial combinations in 394 of the 505 (78%) hospitals,
representing
a total of 32,507 cases. High-frequency redundancies were observed in 3
antianaerobic regimens, accounting for 22,701 (70%) of the cases. Of these,
metronidazole and piperacillin-tazobactam accounted for 53% (n = 17,326) of
all
potentially redundant cases. Days of redundant therapy totaled 148,589,
representing
greater than $12 million in potentially avoidable healthcare costs.
CONCLUSIONS: Our
study suggests that there may be pervasive use of redundant antimicrobial
therapy
within US hospitals. Appropriate use of antimicrobials may reduce the risk of
harm
to patients and lower healthcare costs.
FAU - Schultz, Leslie
AU - Schultz L
AD - Premier Safety Institute, Premier, Charlotte, North Carolina.
FAU - Lowe, Timothy J
AU - Lowe TJ
FAU - Srinivasan, Arjun
AU - Srinivasan A
FAU - Neilson, Dwight
AU - Neilson D
FAU - Pugliese, Gina
AU - Pugliese G
LA - eng
TA - Infect Control Hosp Epidemiol
JT - Infection control and hospital epidemiology
JID - 8804099
SB - IM
SB - N
MH - Anti-Bacterial Agents/economics/therapeutic use
MH - Anti-Infective Agents/*economics/therapeutic use
MH - Clostridioides difficile
MH - Clostridium Infections/drug therapy/economics
MH - Drug Costs/statistics & numerical data
MH - *Economics, Hospital/statistics & numerical data
MH - Hospital Costs/statistics & numerical data
MH - Humans
MH - Inappropriate Prescribing/*economics/statistics & numerical data
MH - Methicillin-Resistant Staphylococcus aureus
MH - Staphylococcal Infections/drug therapy/economics
PMC - PMC6487658
MID - NIHMS1024035
EDAT- 2014/09/10 06:00
MHDA- 2015/06/24 06:00
CRDT- 2014/09/10 06:00
PHST- 2014/09/10 06:00 [entrez]
PHST- 2014/09/10 06:00 [pubmed]
PHST- 2015/06/24 06:00 [medline]
AID - S0195941700094315 [pii]
AID - 10.1086/678066 [doi]
PST - ppublish
SO - Infect Control Hosp Epidemiol. 2014 Oct;35(10):1229-35. doi: 10.1086/678066.
PMID- 24672613
OWN - NLM
STAT- MEDLINE
DCOM- 20151030
LR - 20181202
IS - 1936-900X (Print)
VI - 15
IP - 2
DP - 2014 Mar
TI - Staff perceptions of an on-site clinical pharmacist program in an academic
emergency
department after one year.
PG - 205-10
LID - 10.5811/westjem.2013.11.18069 [doi]
AB - INTRODUCTION: Emergency department clinical pharmacists (EPh) serve a
relatively new
clinical role in emergency medicine. New EPh may still face barriers prior to
working in the emergency department (ED), including staff acceptance. We

aimed to
assess staff perceptions of a university hospital EPh program 1 year after
implementation. METHODS: We sent an electronic survey consisting of 7
multiple-choice questions, 17 5-point Likert-scale questions, and 1 free-text
comment section to ED providers and nurses. The qualitatively validated

survey
assessed staff's general perceptions of the EPh and their clinical work.
RESULTS: We
received responses from 14 attending physicians, 34 emergency medicine
residents, 5
mid-level providers, and 51 nurses (80% response rate). Overall, the ED staff
strongly supported the presence of an EPh. All of the respondents consulted

the EPh
at least once in their previous 5 ED shifts. Most respondents (81%) felt the
EPh's
availability for general consultation and aid during resuscitations served as
the
major contribution to medication and patient safety. The participants also
expressed
that they were more likely to consult a pharmacist when they were located in
the ED,
as opposed to having to call the main pharmacy. CONCLUSION: The EPh model of
practice at our institution provides valuable perceived benefit to ED
providers.
FAU - Coralic, Zlatan
AU - Coralic Z
AD - University of California San Francisco, Department of Emergency Medicine, San
Francisco, California ; University of California San Francisco, Department of
Clinical Pharmacy, San Francisco, California.

FAU - Kanzaria, Hemal K
AU - Kanzaria HK
AD - University of California Los Angeles, Department of Emergency Medicine, Los
Angeles,
California.
FAU - Bero, Lisa
AU - Bero L
AD - University of California San Francisco, Department of Clinical Pharmacy, San
FAU - Stein, John
AU - Stein J
AD - University of California San Francisco, Department of Emergency Medicine, San
LA - eng
JID - 101476450
SB - IM
MH - Academic Medical Centers/organization & administration
MH - *Emergency Service, Hospital/organization & administration
MH - Female
MH - Humans
MH - Male
MH - Patient Safety
MH - *Pharmacists
MH - Workforce
PMC - PMC3966455
EDAT- 2014/03/29 06:00
MHDA- 2014/03/29 06:01
CRDT- 2014/03/28 06:00
PHST- 2013/04/29 00:00 [received]
PHST- 2013/11/18 00:00 [revised]
PHST- 2013/11/22 00:00 [accepted]
PHST- 2014/03/28 06:00 [entrez]
PHST- 2014/03/29 06:00 [pubmed]
PHST- 2014/03/29 06:01 [medline]
AID - 10.5811/westjem.2013.11.18069 [doi]
PST - ppublish
SO - West J Emerg Med. 2014 Mar;15(2):205-10. doi: 10.5811/westjem.2013.11.18069.
PMID- 29732380
OWN - NLM
LR - 20200930
IS - 2328-8957 (Print)
IS - 2328-8957 (Linking)
VI - 5
IP - 4
DP - 2018 Apr
TI - Antimicrobial Agent Shortages: The New Norm for Infectious Diseases
Physicians.
PG - ofy068
LID - 10.1093/ofid/ofy068 [doi]
LID - ofy068
AB - BACKGROUND: In 2012, the US Food and Drug Administration (FDA) required drug
manufacturers to give advance notice of impending drug shortages. A survey of
infectious diseases (ID) physicians was undertaken to determine the impact of

this
requirement and to follow-up on prior perceptions of ID physicians on
shortages of
antimicrobial agents. METHODS: We used a web-based survey of ID physician
members of
the Emerging Infections Network in 2016. RESULTS: Of the 701 of 1597 members
(44%)
who responded, 70% reported the need to modify their antimicrobial choice
because of
a shortage in the prior 2 years. A majority (73%) reported the shortages
affected
patient care or outcomes by the use of broader-spectrum (75%), more costly
(58%),
less effective second-line (45%), or more toxic agents (37%). The most
commonly
reported antimicrobials in short supply were piperacillin-tazobactam,
ampicillin-sulbactam, meropenem, cefotaxime, and cefepime. Respondents
learned of
shortages from hospital notification, from a colleague, contact from pharmacy
after
ordering the agent in short supply, or FDA or other website. The
antimicrobial
stewardship programs (ASPs) of a majority (83%) of respondents' institutions
had
developed approaches to deal with shortages. Although 71% indicated that
communications were sufficient, most (87%) did not perceive any improvement
in
communications about shortages since the 2012 FDA requirement. CONCLUSIONS:
The
persistence of antimicrobial agent shortages reported by ID physicians is
disturbing
as is the resulting need to use broader-spectrum or more toxic agents. The
prominent
role of ASPs in helping to deal with shortages, effective communication
channels,
and the lack of perceived improvement in FDA's communication strategy merit
further
consideration.
FAU - Gundlapalli, Adi V
AU - Gundlapalli AV
AD - University of Utah School of Medicine and VA Salt Lake City Health Care
System.
FAU - Beekmann, Susan E
AU - Beekmann SE
AD - University of Iowa Carver College of Medicine, Iowa City.
FAU - Graham, Donald R
AU - Graham DR
AD - Springfield Clinic, Illinois.
FAU - Polgreen, Philip M
AU - Polgreen PM
AD - University of Iowa Carver College of Medicine, Iowa City.
CN - Members of the Emerging Infections Network
LA - eng
DEP - 20180423
TA - Open Forum Infect Dis
JT - Open forum infectious diseases
JID - 101637045
PMC - PMC5917774
OTO - NOTNLM
OT - antimicrobial agents
OT - patient safety
OT - shortages
EDAT- 2018/05/08 06:00
MHDA- 2018/05/08 06:01
CRDT- 2018/05/08 06:00
PHST- 2018/02/27 00:00 [received]
PHST- 2018/04/13 00:00 [accepted]
PHST- 2018/05/08 06:00 [entrez]
PHST- 2018/05/08 06:00 [pubmed]
PHST- 2018/05/08 06:01 [medline]
AID - ofy068 [pii]
AID - 10.1093/ofid/ofy068 [doi]
PST - epublish
SO - Open Forum Infect Dis. 2018 Apr 23;5(4):ofy068. doi: 10.1093/ofid/ofy068.
eCollection 2018 Apr.
PMID- 24482622
OWN - NLM
DCOM- 20140131
LR - 20200930
IS - 1556-3316 (Print)
IS - 1556-3316 (Linking)
VI - 10
IP - 1
DP - 2014 Feb
TI - A computerized order entry system was adopted with high user satisfaction at
an
orthopedic teaching hospital.
PG - 52-8
LID - 10.1007/s11420-013-9377-1 [doi]
AB - BACKGROUND: Computerized provider order entry (CPOE) has been considered
essential
for the reduction of medical errors and increased patient safety. Assessment
of
staff perception regarding a CPOE system is important for satisfaction and
adoption.
Incorporation of user feedback can greatly improve the functionality of a
system and
promote user satisfaction. QUESTIONS/PURPOSES: This study aims to develop an
informatics staff satisfaction survey instrument and to understand what
components
of computerized prescriber order entry (CPOE) contribute to staff
satisfaction and
its variability over time. METHODS: The 22-question survey was developed by a
multidisciplinary group and focused on patient data including demographics,

orders,
medications, laboratory, and radiology data. The questions were designed to
understand if clinicians (1) could easily access the information needed to
properly
take care of patients, (2) could act upon the information once acquired, (3)
could
obtain the information clearly, and (4) were alerted to potential errors. The
survey
was distributed just prior to "go-live," 6 and 12 months after go-live.
Responses
were given on a five-point Likert scale. RESULTS: The survey results
post-implementation showed user satisfaction with CPOE. Satisfaction
regarding the
ease of obtaining orders, medication, and lab data had a significant
improvement at
6 and 12 months post-implementation, p < 0.001. Satisfaction that the
computerized
order entry system provided information needed to take care of their patients
improved, p < 0.01. At 1 year post-implementation, user satisfaction declined

from
6 months earlier but still demonstrated an overall increase in satisfaction
from
pre-implementation. CONCLUSION: Compared prior to go-live, clinicians are
satisfied
or very satisfied across multiple spheres and multiple disciplines. At all
time
points, clinicians were able to obtain information required to take care of
their
patients. However, post-go-live, it was easier to obtain and act upon as well
as
more clear and understandable.
FAU - Murray-Weir, Mary
AU - Murray-Weir M
AD - Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA ;
Rehabilitation Department, Hospital for Special Surgery, 535 East 70th
Street, New
York, NY 10021 USA.
FAU - Magid, Steven
AU - Magid S
AD - Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA.
FAU - Robbins, Laura
AU - Robbins L
FAU - Quinlan, Patricia
AU - Quinlan P
FAU - Sanchez-Villagomez, Pamela
AU - Sanchez-Villagomez P
AD - Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 USA.
FAU - Shaha, Steven H
AU - Shaha SH
AD - Allscripts, Three Ravinia Drive, Atlanta, GA 30346 USA.
LA - eng
DEP - 20140109
TA - HSS J
JT - HSS journal : the musculoskeletal journal of Hospital for Special Surgery
JID - 101273938
PMC - PMC3903951
OTO - NOTNLM
OT - computerized prescriber order entry
OT - implementation
OT - multidisciplinary
OT - potential errors
OT - satisfaction survey
EDAT- 2014/02/01 06:00
MHDA- 2014/02/01 06:01
CRDT- 2014/02/01 06:00
PHST- 2013/09/08 00:00 [received]
PHST- 2013/11/25 00:00 [accepted]
PHST- 2014/02/01 06:00 [entrez]
PHST- 2014/02/01 06:00 [pubmed]
PHST- 2014/02/01 06:01 [medline]
AID - 9377 [pii]
AID - 10.1007/s11420-013-9377-1 [doi]
PST - ppublish
SO - HSS J. 2014 Feb;10(1):52-8. doi: 10.1007/s11420-013-9377-1. Epub 2014 Jan 9.
PMID- 28316433
OWN - NLM
LR - 20200929
IS - 0973-6247 (Print)
IS - 0973-6247 (Linking)
VI - 11
IP - 1
DP - 2017 Jan-Jun
TI - Reporting adverse transfusion reactions: A retrospective study from tertiary
care
hospital from New Delhi, India.
PG - 6-12
LID - 10.4103/0973-6247.200779 [doi]
AB - CONTEXT: Blood transfusion services have achieved newer heights in the last
decade,
with developments in cellular techniques, component separation, and
integration of
molecular methods. However, the system of recording and reporting of the
adverse
events related to blood transfusion is developing countries like India is
grossly
inadequate and voluntary in nature. AIMS: This study was undertaken to
analyze the
retrospective data on adverse events related to blood transfusions in our
hospital.
SUBJECTS AND METHODS: This retrospective study was done to examine all the
transfusion related adverse events reported in a Regional Blood Bank
Transfusion
Centre of North India over a period of 9 years. Adverse transfusion events
related
to whole blood, red cell concentrates (RCCs), and all other components were
analyzed
and classified on the basis of their clinical features and laboratory tests.
Average
rate of transfusion reactions with the components was also assessed.
STATISTICAL
ANALYSIS USED: Categorical variables were analyzed using the Chi-square test.
P <
0.05 was taken to indicate a significant difference. RESULTS: During this
period, a
total of 1,60,973 blood/blood component units were issued by our blood bank
to
various departments of the hospital and 314 immediate transfusion events were
reported. The rate of immediate transfusion reactions during the study was
0.19%.
Average transfusion reaction rate with RCC was 0.25% with febrile
nonhemolytic
reactions being the most common type of adverse event (37.2%). CONCLUSIONS:
Awareness should be increased among clinicians to correctly prevent,
identify, and
report transfusion-related adverse events. These measures should be
implemented to
increase blood transfusion quality and safety.
FAU - Pahuja, Sangeeta
AU - Pahuja S
AD - Department of Pathology, Lady Hardinge Medical College, New Delhi, India.
FAU - Puri, Vandana
AU - Puri V
FAU - Mahajan, Gunjan
AU - Mahajan G
FAU - Gupta, Prajwala
AU - Gupta P
FAU - Jain, Manjula
AU - Jain M
LA - eng
TA - Asian J Transfus Sci
JT - Asian journal of transfusion science
JID - 101306858
PMC - PMC5345284
OTO - NOTNLM
OT - Adverse reactions
OT - blood transfusion
OT - leukodepletion
EDAT- 2017/03/21 06:00
MHDA- 2017/03/21 06:01
CRDT- 2017/03/21 06:00
PHST- 2017/03/21 06:00 [entrez]
PHST- 2017/03/21 06:00 [pubmed]
PHST- 2017/03/21 06:01 [medline]
AID - AJTS-11-6 [pii]
AID - 10.4103/0973-6247.200779 [doi]
PST - ppublish
SO - Asian J Transfus Sci. 2017 Jan-Jun;11(1):6-12. doi: 10.4103/0973-6247.200779.
PMID- 28804150
OWN - NLM
LR - 20191120
IS - 0018-5787 (Print)
IS - 0018-5787 (Linking)
VI - 52
IP - 5
DP - 2017 May
TI - Clinical Pharmacy Discharge Counseling Service and the Impact on Readmission
Rates
in High-Risk Patients.
PG - 348-352
LID - 10.1177/0018578717715355 [doi]
AB - Background: A number of patient safety and transition of care initiatives
have
highlighted the benefits of incorporating a clinical pharmacist in the
discharge
medication process. Numerous studies have identified the prominent and
consequential
role of medication therapy errors occurring at hospital discharge. Objective:
The
objective of this study was to evaluate the effects of a discharge medication
counseling service on readmission rates, emergency department (ED) visits,

and days
to first readmission or ED visit in patients deemed high risk for hospital
readmission. Methods: A retrospective chart review was conducted from October
2014
to December 2014 in adult patients admitted to a general medicine unit and
identified as being at high risk for readmission. Endpoints were compared
between
patients who received discharge counseling (study group) and those who did
not
(control group). Results: Eighty-nine high-risk patient charts were reviewed.
Forty-four patients were in the study group and 45 patients were in the
control
group. There were no differences between the baseline characteristics of both
groups. There were no differences between the study and control groups in 30-
day
readmission rates (18.2% vs 26.7%; P = .45) and in 30-day ED visits (4.6% vs
11.1%;
P = .43). The number of days to first readmission or ED visit between the
study and
control groups was 22 versus 12 (P = .26). Conclusion: Although no
statistical
difference was found between groups in this study, integration of a clinical
pharmacist as part of an interdisciplinary approach in the discharge
medication
process resulted in numerical improvements in outcomes. Additional
investigation is
warranted to further highlight the potential benefits of this service.
FAU - Aniemeke, Emmanuel
AU - Aniemeke E
AD - Select Specialty Hospital, San Antonio, TX, USA.
FAU - Crowther, Barrett
AU - Crowther B
AD - University Health System, San Antonio, TX, USA.
AD - The University of Texas at Austin, USA.
AD - The University of Texas Health Science Center at San Antonio, USA.
FAU - Younts, Stephanie
AU - Younts S
FAU - Hughes, Darrel
AU - Hughes D
FAU - Franco-Martinez, Crystal
AU - Franco-Martinez C
LA - eng
DEP - 20170501
TA - Hosp Pharm
JID - 0043175
PMC - PMC5551633
OTO - NOTNLM
OT - discharge counseling
OT - hospital readmissions
OT - pharmacist
conflicts
this
article.
EDAT- 2017/08/15 06:00
MHDA- 2017/08/15 06:01
CRDT- 2017/08/15 06:00
PHST- 2017/08/15 06:00 [entrez]
PHST- 2017/08/15 06:00 [pubmed]
PHST- 2017/08/15 06:01 [medline]
AID - 10.1177_0018578717715355 [pii]
AID - 10.1177/0018578717715355 [doi]
PST - ppublish
SO - Hosp Pharm. 2017 May;52(5):348-352. doi: 10.1177/0018578717715355. Epub 2017
May 1.
PMID- 33239282
OWN - NLM
STAT- Publisher
LR - 20201201
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
DP - 2020 Nov 25
TI - Prescribing practices of lopinavir/ritonavir, hydroxychloroquine and
azithromycin
during the COVID-19 epidemic crisis and pharmaceutical interventions in a
French
teaching hospital.
LID - ejhpharm-2020-002449 [pii]
LID - 10.1136/ejhpharm-2020-002449 [doi]
AB - OBJECTIVE: The aims of this study were to describe prescribing practices of
lopinavir/ritonavir, hydroxychloroquine and azithromycin during the COVID-19
epidemic crisis (primary endpoint), then to characterise pharmaceutical
interventions (PIs) targeted to these medications and evaluate the impact of
these
PIs on prescribers' practices (secondary end-points). METHODS: This
retrospective
observational study was carried out at the University Hospital of Strasbourg
(France) from March to April 2020. The analysed population excluded patients
from
intensive care units but included all other adult patients with COVID-19 who
received at least one dose of lopinavir/ritonavir combination,
hydroxychloroquine or
azithromycin, while inpatients. Analyses were performed by using data
extracted from
electronic medical records. RESULT: During the study period, 278 patients
were
included. A rapid decrease in lopinavir/ritonavir prescriptions was observed.
This
was accompanied by an increase in hydroxychloroquine and azithromycin
prescriptions
until the end of March, followed by a decrease leading to the disappearance
of these
two medications in April. The pharmaceutical analysis of the prescriptions
resulted
in 59 PIs of which 21 were associated with lopinavir/ritonavir, 32 with
hydroxychloroquine and 6 with azithromycin. Regarding the medication-related
problems, the most frequent ones were incorrect treatment durations (n=32
(54.2%)),
drug interactions with potential torsadogenic reactions (n=14 (23.7%)) and
incorrect
dosing (n=6 (10.2%)). From the 59 PIs, 48 (81.4%) were accepted and
physicians
adjusted the medication regimens in a timely manner. CONCLUSION: This study
demonstrated the value-even more meaningful in a crisis situation-of a strong
synergy between physicians and pharmacists for patient-safety focused

practices.
See
FAU - Gourieux, Benedicte
AU - Gourieux B
AD - Pharmacy, Hopitaux universitaires de Strasbourg, Strasbourg, Alsace, France.
FAU - Reisz, Fanny
AU - Reisz F
AD - Service de Pharmacie, Hopitaux universitaires de Strasbourg, Strasbourg,
Alsace,
France.
FAU - Belmas, Anne Sophie
AU - Belmas AS
Alsace,
France.
FAU - Danion, François
AU - Danion F
AD - Service des Maladies infectieuses et tropicales, Hopitaux universitaires de
Strasbourg, Strasbourg, Alsace, France.
FAU - Fourtage, Marion
AU - Fourtage M
Alsace,
France.
FAU - Nai, Thierry
AU - Nai T
Alsace,
France.
FAU - Reiter-Schatz, Aurélie
AU - Reiter-Schatz A
Alsace,
France.
FAU - Ruch, Yvon
AU - Ruch Y
AD - Service des Maladies infectieuses et tropicales, Hopitaux universitaires de
Strasbourg, Strasbourg, Alsace, France.
FAU - Walther, Julia
AU - Walther J
Alsace,
France.
FAU - Nivoix, Yasmine
AU - Nivoix Y
Alsace,
France.
FAU - Michel, Bruno
AU - Michel B
Alsace,
France bruno.michel@chru-strasbourg.fr.
LA - eng
DEP - 20201125
JID - 101578294
SB - IM
PMC - PMC7689541
OTO - NOTNLM
OT - drug misuse
OT - drug-related side effects and adverse reactions
OT - evidence-based medicine
OT - hospital
OT - pharmacy service
OT - quality of health care
EDAT- 2020/11/27 06:00
MHDA- 2020/11/27 06:00
CRDT- 2020/11/26 05:36
PHST- 2020/07/09 00:00 [received]
PHST- 2020/10/23 00:00 [revised]
PHST- 2020/11/02 00:00 [accepted]
PHST- 2020/11/26 05:36 [entrez]
PHST- 2020/11/27 06:00 [pubmed]
PHST- 2020/11/27 06:00 [medline]
AID - 10.1136/ejhpharm-2020-002449 [doi]
PST - aheadofprint
SO - Eur J Hosp Pharm. 2020 Nov 25:ejhpharm-2020-002449. doi:
10.1136/ejhpharm-2020-002449.
PMID- 30246157
OWN - NLM
LR - 20191120
IS - 2399-6641 (Linking)
VI - 7
IP - 3
DP - 2018
TI - Nursing attitudes towards continuous capnographic monitoring of floor
patients.
PG - e000416
LID - 10.1136/bmjoq-2018-000416 [doi]
LID - e000416
AB - INTRODUCTION: Nurses' perceptions of the utility of capnography monitoring
are
inconsistent in previous studies. We sought to outline the limitations of a
uniform
education effort in bringing about consistent views of capnography among
nurses.
METHODS: A survey was administered to 22 nurses in three subacute care floors
participating in a pragmatic clinical trial employing capnography monitoring

in a
large, urban tertiary care hospital. A 5-point Likert scale was used to
assess the
value and acceptance nurses ascribed to the practice. Means and SD were
calculated
for each response. RESULTS: Survey results indicated inconsistency in the
valuation
of capnography, coupled with varying degrees of acceptance of its use. The
mean for
the level of perceived impact of capnography use on patient safety was 3.86,
yet the
perceived risk of removing capnography was represented by a mean of 2.57. The
levels
of urgency attached to apnoea alarms (mean 3.57, SD 1.57) were lower than
those for
alarms for oxygen saturation violations (mean 3.67, SD 1.32). The necessity
for
pulse oximetry monitoring was perceived as much higher than that for
capnography
monitoring (mean 1.76, SD 1.34), where '1' represented pulse oximetry as more
necessary and '5' represented capnography as more necessary. CONCLUSIONS:

Nursing
acceptance of capnography monitoring is a difficult endpoint to achieve.
There is a
need for better accounting for the external and internal influences on nurse
perceptions and values to have greater success with the implementation of
similar
monitoring.
FAU - Clark, Catherine L
AU - Clark CL
AD - Department of Anesthesiology, Vanderbilt University Medical Center,
Nashville,
Tennessee, USA.
FAU - Weavind, Liza M
AU - Weavind LM
Nashville,
Tennessee, USA.
FAU - Nelson, Sara E
AU - Nelson SE
Nashville,
Tennessee, USA.
FAU - Wilkie, Jennifer L
AU - Wilkie JL
Nashville,
Tennessee, USA.
FAU - Conway, Joel T
AU - Conway JT
Nashville,
Tennessee, USA.
FAU - Freundlich, Robert E
AU - Freundlich RE
AUID- ORCID: 0000-0002-0343-9823
Nashville,
Tennessee, USA.
AD - Biomedical Informatics, Vanderbilt University Medical Center, Nashville,
Tennessee,
USA.
LA - eng
DEP - 20180915
TA - BMJ Open Qual
JID - 101710381
PMC - PMC6144903
OTO - NOTNLM
OT - adverse events, epidemiology and detection
OT - attitudes
OT - cognitive biases
OT - continuing education, continuing professional development
OT - hospital medicine
EDAT- 2018/09/25 06:00
MHDA- 2018/09/25 06:01
CRDT- 2018/09/25 06:00
PHST- 2018/05/01 00:00 [received]
PHST- 2018/08/17 00:00 [revised]
PHST- 2018/08/25 00:00 [accepted]
PHST- 2018/09/25 06:00 [entrez]
PHST- 2018/09/25 06:00 [pubmed]
PHST- 2018/09/25 06:01 [medline]
AID - bmjoq-2018-000416 [pii]
AID - 10.1136/bmjoq-2018-000416 [doi]
PST - epublish
eCollection
2018.
PMID- 23983760
OWN - NLM
DCOM- 20130828
LR - 20200930
IS - 1735-9066 (Print)
IS - 1735-9066 (Linking)
VI - 18
IP - 3
DP - 2013 May
TI - Types and causes of medication errors from nurse's viewpoint.
PG - 228-31
AB - BACKGROUND: The main professional goal of nurses is to provide and improve
human
health. Medication errors are among the most common health threatening
mistakes that
affect patient care. Such mistakes are considered as a global problem which
increases mortality rates, length of hospital stay, and related costs. This
study
was conducted to evaluate the types and causes of nursing medication errors.
MATERIALS AND METHODS: This cross-sectional study was conducted in 2009. A
total
number of 237 nurses were randomly selected from nurses working in Imam
Khomeini
Hospital (Tehran, Iran). They filled out a questionnaire including 10 items
on
demographic characteristics and 7 items about medication errors. Data were
analyzed
using descriptive and inferential statistics in SPSS for Windows 16.0.
RESULTS:
Medication errors had been made by 64.55% of the nurses. In addition, 31.37%
of the
participants reported medication errors on the verge of occurrence. The most
common
types of reported errors were wrong dosage and infusion rate. The most common
causes
were using abbreviations instead of full names of drugs and similar names of
drugs.
Therefore, the most important cause of medication errors was lack of
pharmacological
knowledge. There were no statistically significant relationships between
medication
errors and years of working experience, age, and working shifts. However, a
significant relationship was found between errors in intravenous injections
and
gender. Likewise, errors in oral administration were significantly related
with
number of patients. CONCLUSION: Medication errors are a major problem in
nursing.
Since most cases of medication errors are not reported by nurses, nursing
managers
must demonstrate positive responses to nurses who report medication errors in
order
to improve patient safety.
FAU - Cheragi, Mohammad Ali
AU - Cheragi MA
AD - Nursing and Midwifery Care Research Center, Tehran Nursing and Midwifery
Faculty,
Tehran University of Medical Sciences, Tehran, Iran.
FAU - Manoocheri, Human
AU - Manoocheri H
FAU - Mohammadnejad, Esmaeil
AU - Mohammadnejad E
FAU - Ehsani, Syyedeh R
AU - Ehsani SR
LA - eng
JID - 101558775
PMC - PMC3748543
OTO - NOTNLM
OT - Medicinal errors
OT - nursing profession
OT - reporting
OT - safety
COIS- Conflict of Interest: Nil
EDAT- 2013/08/29 06:00
MHDA- 2013/08/29 06:01
CRDT- 2013/08/29 06:00
PHST- 2013/08/29 06:00 [entrez]
PHST- 2013/08/29 06:00 [pubmed]
PHST- 2013/08/29 06:01 [medline]
PST - ppublish
SO - Iran J Nurs Midwifery Res. 2013 May;18(3):228-31.
PMID- 30217155
OWN - NLM
STAT- MEDLINE
DCOM- 20181211
LR - 20181211
IS - 1472-6963 (Linking)
VI - 18
IP - 1
DP - 2018 Sep 14
TI - Factors associated with unplanned readmissions within 1 day of acute care
discharge:
a retrospective cohort study.
PG - 713
LID - 10.1186/s12913-018-3527-6 [doi]
LID - 713
AB - BACKGROUND: Unplanned hospital readmissions are a quality and safety
indicator. In
Australian, 8% to 11.1% of unplanned readmissions occur ≤1 day of acute care
discharge. The aim of this study was to explore the reasons for unplanned
hospital
readmissions ≤1 day of acute care discharge, and determine what proportion of
such
unplanned hospital readmissions were potentially preventable. METHODS: A
retrospective exploratory cohort design was used to conduct this two phase
study. In
Phase 1, organisational data from 170 readmissions ≤1 day and 1358
readmissions
between 2 and 28 days were compared using the Cochran-Mantel-Haenszel test.
Binary
logistic regression was used to examine factors associated with unplanned
readmission ≤1 day. In Phase 2, a medical record audit of 162 Phase 1
readmissions
≤1 day was conducted and descriptive statistics used to summarise the study
data.
Index discharges occurred between 1 August and 31 December 2015. RESULTS: In
Phase
1, unplanned readmissions ≤1 day were more likely in paediatric patients (<
0.001);
index discharges on weekends (p = 0.006), from short stay unit (SSU) (p <
0.001) or
against health professional advice (p = 0.010); or when the readmission was
for a
Diagnosis Related Group (p < 0.001). The significant predictors of unplanned
readmission ≤1 day were index discharge against advice or from SSU, and 1-5
hospital
admissions in the 6 months preceding index admission. In Phase 2, 88.3%
readmissions
were unpreventable and 11.7% were preventable. The median patient age was
57 years
and comorbidities were uncommon (3.1%). Most patients (94.4%) lived at home
and with
others (78.9%). Friday was the most common day of index discharge (17.3%) and
Saturday was the most common day of unplanned readmission (19.1%). The
majority
(94.4%) of readmissions were via the emergency department: 58.5% were for a
like
diagnosis and pain was the most common reason for readmission. CONCLUSIONS:
Advanced
age, significant comorbidities and social isolation did not feature in
patients with
an unplanned readmission ≤1 day. One quarter of patients were discharged on a
Friday
or weekend, one quarter of readmissions occurred on a weekend, and pain was
the most
common reason for readmission raising issues about access to services and
weekend
discharge planning.
FAU - Considine, Julie
AU - Considine J
AUID- ORCID: 0000-0003-3801-2456
AD - Geelong: School of Nursing and Midwifery and Centre for Quality and Patient
Safety -
Eastern Health Partnership, Deakin University, Geelong, Australia.
julie.considine@deakin.edu.au.
FAU - Berry, Debra
AU - Berry D
AD - Geelong: School of Nursing and Midwifery and Centre for Quality and Patient
Safety -
Eastern Health Partnership, Deakin University, Geelong, Australia.
FAU - Newnham, Evan
AU - Newnham E
AD - Eastern Health, Box Hill, Australia.
FAU - Jiang, Matthew
AU - Jiang M
FAU - Fox, Karen
AU - Fox K
FAU - Plunkett, David
AU - Plunkett D
FAU - Mecner, Melissa
AU - Mecner M
FAU - Darzins, Peteris
AU - Darzins P
AD - Eastern Health Clinical School, Faculty of Medicine, Nursing and Health
Sciences,
Monash University, Melbourne, Australia.
FAU - O'Reilly, Mary
AU - O'Reilly M
AD - Eastern Health Clinical School, Faculty of Medicine, Nursing and Health
Sciences,
Monash University, Melbourne, Australia.
LA - eng
DEP - 20180914
JID - 101088677
SB - IM
MH - Acute Disease/*therapy
MH - Adolescent
MH - Adult
MH - Aged
MH - Child
MH - Chronic Disease/therapy
MH - Critical Care/statistics & numerical data
MH - Female
MH - Humans
MH - Infant
MH - Male
MH - Middle Aged
MH - Risk Factors
MH - Time Factors
MH - Victoria
MH - Young Adult
PMC - PMC6137861
OTO - NOTNLM
OT - Discharge planning
OT - Health services
OT - Hospital readmission
OT - Hospitalization
OT - Patient readmission
OT - Patient safety
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The study was approved by the
Eastern
Health Human Research Ethics Committee (LR22/2017). A waiver of consent was
approved
as a retrospective medical record audit posed minimal risk to participants.
CONSENT
FOR PUBLICATION: Not applicable. COMPETING INTERESTS: None to declare.
PUBLISHER’S

EDAT- 2018/09/16 06:00
MHDA- 2018/12/12 06:00
CRDT- 2018/09/16 06:00
PHST- 2018/02/10 00:00 [received]
PHST- 2018/09/07 00:00 [accepted]
PHST- 2018/09/16 06:00 [entrez]
PHST- 2018/09/16 06:00 [pubmed]
PHST- 2018/12/12 06:00 [medline]
AID - 10.1186/s12913-018-3527-6 [pii]
AID - 3527 [pii]
AID - 10.1186/s12913-018-3527-6 [doi]
PST - epublish
PMID- 30974729
OWN - NLM
STAT- MEDLINE
DCOM- 20190805
LR - 20200309
IS - 1661-7827 (Print)
IS - 1660-4601 (Linking)
VI - 16
IP - 7
DP - 2019 Apr 10
TI - Public Perception on Healthcare Services: Evidence from Social Media
Platforms in
China.
LID - 10.3390/ijerph16071273 [doi]
LID - 1273
AB - Social media has been used as data resource in a growing number of health-
related
research. The objectives of this study were to identify content volume and
sentiment
polarity of social media records relevant to healthcare services in China. A
list of
the key words of healthcare services were used to extract data from WeChat
and
Qzone, between June 2017 and September 2017. The data were put into a corpus,
where
content analyses were performed using Tencent natural language processing
(NLP). The
final corpus contained approximately 29 million records. Records on patient
safety
were the most frequently mentioned topic (approximately 8.73 million, 30.1%
of the
corpus), with the contents on humanistic care having received the least
social media
references (0.43 Million, 1.5%). Sentiment analyses showed 36.1%, 16.4%, and
47.4%
of positive, neutral, and negative emotions, respectively. The doctor-patient
relationship category had the highest proportion of negative contents

(74.9%),
followed by service efficiency (59.5%), and nursing service (53.0%). Neutral
disposition was found to be the highest (30.4%) in the contents on
appointment-booking services. This study added evidence to the magnitude and
direction of public perceptions on healthcare services in China's hospital
and
pointed to the possibility of monitoring healthcare service improvement,
using
readily available data in social media.
FAU - Hu, Guangyu
AU - Hu G
AUID- ORCID: 0000-0002-0339-4522
AD - School of Public Health, Chinese Academy of Medical Sciences and Peking Union
Medical College, Beijing 100730, China. hugy@sph.pumc.edu.cn.

FAU - Han, Xueyan
AU - Han X
Medical College, Beijing 100730, China. hanxueyan611@163.com.

FAU - Zhou, Huixuan
AU - Zhou H
Medical College, Beijing 100730, China. chouhuixuan@live.cn.

FAU - Liu, Yuanli
AU - Liu Y
Medical College, Beijing 100730, China. liuyl_fpo@126.com.

LA - eng
DEP - 20190410
JID - 101238455
MH - Appointments and Schedules
MH - China
MH - *Health Services
MH - Humans
MH - Perception
MH - Public Opinion
MH - *Social Media
PMC - PMC6479867
OTO - NOTNLM
OT - *China
OT - *Qzone
OT - *WeChat
OT - *healthcare
OT - *natural language processing
OT - *social media
EDAT- 2019/04/13 06:00
MHDA- 2019/08/06 06:00
CRDT- 2019/04/13 06:00
PHST- 2019/02/27 00:00 [received]
PHST- 2019/03/25 00:00 [revised]
PHST- 2019/04/08 00:00 [accepted]
PHST- 2019/04/13 06:00 [entrez]
PHST- 2019/04/13 06:00 [pubmed]
PHST- 2019/08/06 06:00 [medline]
AID - 10.3390/ijerph16071273 [doi]
PST - epublish
SO - Int J Environ Res Public Health. 2019 Apr 10;16(7):1273. doi:
10.3390/ijerph16071273.
PMID- 33262186
OWN - NLM
STAT- In-Process
LR - 20210202
IS - 2044-6055 (Linking)
VI - 10
IP - 12
DP - 2020 Dec 1
TI - Exploring the potential for introducing home monitoring of blood pressure
during
pregnancy into maternity care: current views and experiences of staff-a
qualitative
study.
PG - e037874
LID - 10.1136/bmjopen-2020-037874 [doi]
LID - e037874
AB - OBJECTIVE: One in 20 women are affected by pre-eclampsia, a major cause of
maternal
and perinatal morbidity, death and premature birth worldwide. Diagnosis is
made from
monitoring blood pressure (BP) and urine and symptoms at antenatal visits
after 20
weeks of pregnancy. There are no randomised data from contemporary trials to
guide
the efficacy of self-monitoring of BP (SMBP) in pregnancy. We explored the
perspectives of maternity staff to understand the context and health system
challenges to introducing and implementing SMBP in maternity care, ahead of
undertaking a trial. DESIGN: Exploratory study using a qualitative approach.
SETTING: Eight hospitals, English National Health Service. PARTICIPANTS:
Obstetricians, community and hospital midwives, pharmacists, trainee doctors
(n=147). METHODS: Semi-structured interviews with site research team members
and
clinicians, interviews and focus group discussions. Rapid content and
thematic
analysis undertaken. RESULTS: The main themes to emerge around SMBP include
(1)
different BP changes in pregnancy, (2) reliability and accuracy of BP
monitoring,
(3) anticipated impact of SMBP on women, (4) anticipated impact of SMBP on
the
antenatal care system, (5) caution, uncertainty and evidence, (6) concerns
over
action/inaction and patient safety. CONCLUSIONS: The potential impact of SMBP
on
maternity services is profound although nuanced. While introducing SMBP does
not
reduce the responsibility clinicians have for women's health, it may enhance
the
responsibilities and agency of pregnant women, and introduces a new set of
relationships into maternity care. This is a new space for reconfiguration of
roles,
mutual expectations and the relationships between and responsibilities of
healthcare
providers and women. TRIAL REGISTRATION NUMBER: NCT03334149.
Published by
BMJ.
FAU - Hinton, Lisa
AU - Hinton L
AUID- ORCID: 0000-0002-6082-3151
AD - THIS Institute, Department of Public Health and Primary Care, University of
Cambridge, Cambridge, UK lisa.hinton@thisinstitute.cam.ac.uk.
FAU - Hodgkinson, James
AU - Hodgkinson J
AUID- ORCID: 0000-0002-7583-5278
AD - Primary Care Clinical Sciences, Institute of Applied Health Research,
University of
FAU - Tucker, Katherine L
AU - Tucker KL
AUID- ORCID: 0000-0001-6544-8066
AD - Nuffield Department of Primary Care Health Sciences, University of Oxford,
Oxford,
UK.
FAU - Rozmovits, Linda
AU - Rozmovits L
AD - Freelance Researcher, Montreal, Québec, Canada.
FAU - Chappell, Lucy
AU - Chappell L
AD - Women's Health Academic Centre, King's College, London, UK.
FAU - Greenfield, Sheila
AU - Greenfield S
AD - Primary Care Clinical Sciences, Institute of Applied Health Research,
University of
FAU - McCourt, Christine
AU - McCourt C
AD - Department of Midwifery and Child Health, City University of London, London,
UK.
FAU - Sandall, Jane
AU - Sandall J
AD - Department of Women and Children's Health, Kings College, London, UK.
FAU - McManus, Richard J
AU - McManus RJ
AUID- ORCID: 0000-0003-3638-028X
AD - Nuffield Department of Primary Care Health Sciences, University of Oxford,
Oxford,
UK.
LA - eng
DEP - 20201201
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
PMC - PMC7709507
OTO - NOTNLM
OT - *hypertension
OT - *maternal medicine
OT - *organisation of health services
COIS- Competing interests: RJM has received BP monitors for research from Omron.
EDAT- 2020/12/03 06:00
MHDA- 2020/12/03 06:00
CRDT- 2020/12/02 05:25
PHST- 2020/12/02 05:25 [entrez]
PHST- 2020/12/03 06:00 [pubmed]
PHST- 2020/12/03 06:00 [medline]
AID - 10.1136/bmjopen-2020-037874 [doi]
PST - epublish
PMID- 31391313
OWN - NLM
STAT- MEDLINE
DCOM- 20200609
LR - 20200609
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 28
IP - 11
DP - 2019 Nov
TI - Automated detection of wrong-drug prescribing errors.
PG - 908-915
LID - 10.1136/bmjqs-2019-009420 [doi]
AB - BACKGROUND: To assess the specificity of an algorithm designed to detect
look-alike/sound-alike (LASA) medication prescribing errors in electronic
health
record (EHR) data. SETTING: Urban, academic medical centre, comprising a 495-
bed
hospital and outpatient clinic running on the Cerner EHR. We extracted 8
years of
medication orders and diagnostic claims. We licensed a database of medication
indications, refined it and merged it with the medication data. We developed

an
algorithm that triggered for LASA errors based on name similarity, the
frequency
with which a patient received a medication and whether the medication was
justified
by a diagnostic claim. We stratified triggers by similarity. Two clinicians
reviewed
a sample of charts for the presence of a true error, with disagreements
resolved by
a third reviewer. We computed specificity, positive predictive value (PPV)
and
yield. RESULTS: The algorithm analysed 488 481 orders and generated 2404
triggers
(0.5% rate). Clinicians reviewed 506 cases and confirmed the presence of 61
errors,
for an overall PPV of 12.1% (95% CI 10.7% to 13.5%). It was not possible to
measure
sensitivity or the false-negative rate. The specificity of the algorithm
varied as a
function of name similarity and whether the intended and dispensed drugs
shared the
same route of administration. CONCLUSION: Automated detection of LASA
medication
errors is feasible and can reveal errors not currently detected by other
means.
Real-time error detection is not possible with the current system, the main
barrier
being the real-time availability of accurate diagnostic information. Further
development should replicate this analysis in other health systems and on a
larger
set of medications and should decrease clinician time spent reviewing false-
positive
triggers by increasing specificity.
FAU - Lambert, Bruce L
AU - Lambert BL
AD - Department of Communication Studies and Center for Communication and Health,
Northwestern University, Chicago, Illinois, USA
bruce.lambert@northwestern.edu.
FAU - Galanter, William
AU - Galanter W
AD - Department of Medicine, University of Illinois at Chicago, Chicago, Illinois,
USA.
AD - Department of Pharmacy Systems, Outcomes and Policy, University of Illinois
at
Chicago, Chicago, Illinois, USA.
FAU - Liu, King Lup
AU - Liu KL
AD - Independent Consultant, Chicago, Illinois, USA.
FAU - Falck, Suzanne
AU - Falck S
AD - Department of Medicine, University of Illinois at Chicago, Chicago, Illinois,
USA.
FAU - Schiff, Gordon
AU - Schiff G
AD - Division of General Internal Medicine, Brigham and Women's Hospital, Boston,
Massachusetts, USA.
AD - Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
FAU - Rash-Foanio, Christine
AU - Rash-Foanio C
AD - Department of Pharmacy Practice, University of Illinois at Chicago, Chicago,
Illinois, USA.
FAU - Schmidt, Kelly
AU - Schmidt K
AD - Department of Pharmacy Practice, University of Illinois at Chicago, Chicago,
Illinois, USA.
FAU - Shrestha, Neeha
AU - Shrestha N
AUID- ORCID: 0000-0001-8249-5390
AD - Department of Communication Studies and Center for Communication and Health,
Northwestern University, Chicago, Illinois, USA.
FAU - Vaida, Allen J
AU - Vaida AJ
AD - Institute for Safe Medication Practices, Horsham, Pennsylvania, USA.
FAU - Gaunt, Michael J
AU - Gaunt MJ
AD - Institute for Safe Medication Practices, Horsham, Pennsylvania, USA.
LA - eng
DEP - 20190807
TA - BMJ Qual Saf
JID - 101546984
SB - H
MH - *Algorithms
MH - Chicago
MH - Drug Prescriptions
MH - Humans
MH - Medication Systems, Hospital/*statistics & numerical data
PMC - PMC6837246
OTO - NOTNLM
OT - *decision support, computerized
COIS- Competing interests: BLL has an ownership interest in two companies that
provide
software and consulting services related to the detection and prevention of
drug
name confusions. BLL’s companies had no role in the conduct of the studies
described
here.
EDAT- 2019/08/09 06:00
MHDA- 2020/06/10 06:00
CRDT- 2019/08/09 06:00
PHST- 2019/02/06 00:00 [received]
PHST- 2019/07/17 00:00 [revised]
PHST- 2019/07/22 00:00 [accepted]
PHST- 2019/08/09 06:00 [pubmed]
PHST- 2020/06/10 06:00 [medline]
PHST- 2019/08/09 06:00 [entrez]
AID - bmjqs-2019-009420 [pii]
AID - 10.1136/bmjqs-2019-009420 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2019 Nov;28(11):908-915. doi: 10.1136/bmjqs-2019-009420. Epub
2019 Aug
7.
PMID- 32631236
OWN - NLM
STAT- MEDLINE
DCOM- 20201221
LR - 20201221
IS - 1471-2318 (Linking)
VI - 20
IP - 1
DP - 2020 Jul 6
TI - Iranian nurses' perceptions about using physical restraint for hospitalized
elderly
people: a cross-sectional descriptive-correlational study.
PG - 233
LID - 10.1186/s12877-020-01636-2 [doi]
LID - 233
AB - BACKGROUND: Using physical restraint (PR) for hospitalized elderly people is
a major
nursing challenge. It is associated with different physical and mental
complications
and ethical dilemmas, though many nurses still use it to ensure patient
safety.
Nurses' perceptions are one of the most important factors affecting PR use.
This
study aimed to evaluate Iranian nurses' perceptions about PR use for
hospitalized
elderly people. METHODS: This cross-sectional descriptive-correlational study
was
conducted from July to December 2019. Participants were 270 hospital nurses
who were
purposively recruited from intensive care units and medical and surgical
wards of
three teaching hospitals in Kermanshah, Iran. Data were collected using a
demographic questionnaire and the Perceptions of Restraint Use Questionnaire
(PRUQ).
The SPSS software (v. 23.0) was used for data analysis through the
independent-sample t test, the one-way analysis of variance, and the multiple
regression analysis. RESULTS: The total mean score of PRUQ was 4.08 ± 0.12 in
the
possible range of 1-5. The most important reasons for PR use were to prevent
patients from falling out of bed and to prevent them from pulling out
catheters. The
total mean score of PRUQ had significant relationship with participants' age,
work
experience, and history of receiving PR-related educations (P < 0.05), but
had no
significant relationship with their gender, educational degree, and
affiliated
hospital ward (P > 0.05). CONCLUSION: This study suggests that nurses attach
high
importance to PR use for hospitalized elderly people. Healthcare policy-
makers at
national and hospital levels are recommended to provide nurses with PR-
related
educations in order to reduce the rate of PR-related complications.
FAU - Sharifi, Azam
AU - Sharifi A
AD - Nursing Department, University of Social Welfare and Rehabilitation Sciences,
Tehran, Iran.
FAU - Arsalani, Narges
AU - Arsalani N
Tehran, Iran. n.arsalani@yahoo.com.

FAU - Fallahi-Khoshknab, Masoud
AU - Fallahi-Khoshknab M
Tehran, Iran.
FAU - Mohammadi-Shahbolaghi, Farahnaz
AU - Mohammadi-Shahbolaghi F
Tehran, Iran.
FAU - Ebadi, Abbas
AU - Ebadi A
AD - Nursing School, Baqiyatallah University of Medical Sciences, Tehran, Iran.
AD - Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah
University
of Medical Sciences, Tehran, Iran.
LA - eng
GR - Grant No. 982518/University of Social Welfare and Rehabilitation
Sciences/International
DEP - 20200706
TA - BMC Geriatr
JT - BMC geriatrics
JID - 100968548
SB - IM
MH - Aged
MH - Humans
MH - Iran
MH - Perception
MH - *Restraint, Physical
PMC - PMC7339549
OTO - NOTNLM
OT - *Elderly
OT - *Hospital
OT - *Nurse
OT - *Physical restraint
COIS- The authors declared that they have no competing interests.
EDAT- 2020/07/08 06:00
MHDA- 2020/12/22 06:00
CRDT- 2020/07/08 06:00
PHST- 2020/03/11 00:00 [received]
PHST- 2020/07/01 00:00 [accepted]
PHST- 2020/07/08 06:00 [entrez]
PHST- 2020/07/08 06:00 [pubmed]
PHST- 2020/12/22 06:00 [medline]
AID - 10.1186/s12877-020-01636-2 [pii]
AID - 1636 [pii]
AID - 10.1186/s12877-020-01636-2 [doi]
PST - epublish
SO - BMC Geriatr. 2020 Jul 6;20(1):233. doi: 10.1186/s12877-020-01636-2.
PMID- 28801406
OWN - NLM
STAT- MEDLINE
DCOM- 20180515
LR - 20190202
IS - 2044-6055 (Linking)
VI - 7
IP - 8
DP - 2017 Aug 11
TI - Speak-up culture in an intensive care unit in Hong Kong: a cross-sectional
survey
exploring the communication openness perceptions of Chinese doctors and
nurses.
PG - e015721
LID - 10.1136/bmjopen-2016-015721 [doi]
LID - e015721
AB - OBJECTIVES: Despite growing recognition of the importance of speaking up to
protect
patient safety in critical care, little research has been performed in this
area in
an intensive care unit (ICU) context. This study explored the communication
openness
perceptions of Chinese doctors and nurses and identified their perceptions of
issues
in ICU communication, their reasons for speaking up and the possible factors
and
strategies involved in promoting the practice of speaking up. DESIGN: A
mixed-methods design with quantitative and sequential qualitative components
was
used. SETTING AND PARTICIPANTS: Eighty ICU staff members from a large public
hospital in Hong Kong completed a questionnaire regarding their perceptions
of
communication openness. Ten clinicians whose survey responses indicated
support for
open communication were then interviewed about their speak-up practices.
RESULTS:
The participating ICU staff members had similar perceptions of their openness
to
communication. However, the doctors responded more positively than the nurses
to
many aspects of communication openness. The two groups also had different
perceptions of speaking up. The interviewed ICU staff members who indicated a
high
level of communication openness reported that their primary reasons for
speaking up
were to seek and clarify information, which was achieved by asking questions.
Other
factors perceived to influence the motivation to speak up included seniority,
relationships and familiarity with patient cases. CONCLUSIONS: Creating an

atmosphere of safety and equality in which team members feel confident in
expressing
their personal views without fear of reprisal or embarrassment is necessary
to
encourage ICU staff members, regardless of their position, to speak up.
Because
harmony and saving face is valued in Chinese culture, training nurses and
doctors to
speak up by focusing on human factors and values rather than simply
addressing
conflict management is desirable in this context.
of the
otherwise
expressly granted.
FAU - Ng, George Wing Yiu
AU - Ng GWY
AD - Intensive Care Unit, Queen Elizabeth Hospital, Hospital Authority, Hong Kong
SAR,
China.
AD - Multi-disciplinary Simulation and Skills Centre, Queen Elizabeth Hospital,
Hospital
Authority, Hong Kong SAR, China.
FAU - Pun, Jack Kwok Hung
AU - Pun JKH
AD - School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR,
China.
AD - The Institute for Communication in Healthcare, ANU, Canberra, Australia.
AD - Department of Education, St Antony's College, University of Oxford,
Oxfordshire,
Oxford, UK.
FAU - So, Eric Hang Kwong
AU - So EHK
Hospital
FAU - Chiu, Wendy Wai Hang
AU - Chiu WWH
Hospital
FAU - Leung, Avis Siu Ha
AU - Leung ASH
Hospital
FAU - Stone, Yuk Han
AU - Stone YH
Hospital
FAU - Lam, Chung Ling
AU - Lam CL
SAR,
China.
FAU - Lai, Sarah Pui Wa
AU - Lai SPW
SAR,
China.
FAU - Leung, Rowlina Pui Wah
AU - Leung RPW
SAR,
China.
FAU - Luk, Hing Wah
AU - Luk HW
SAR,
China.
FAU - Leung, Anne Kit Hung
AU - Leung AKH
SAR,
China.
FAU - Au Yeung, Kin Wah
AU - Au Yeung KW
SAR,
China.
FAU - Lai, Kang Yiu
AU - Lai KY
SAR,
China.
FAU - Slade, Diana
AU - Slade D
AD - School of Literature, Languages and Linguistics, Australian National
University,
Canberra, Australia.
FAU - Chan, Engle Angela
AU - Chan EA
AD - School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR,
China.
LA - eng
DEP - 20170811
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - *Communication
MH - Female
MH - Hong Kong
MH - Humans
MH - Intensive Care Units/organization & administration
MH - *Interdisciplinary Communication
MH - Male
MH - Middle Aged
MH - Nurses
MH - Physicians
PMC - PMC5724079
OTO - NOTNLM
OT - Chinese
OT - clinicians
OT - communication openness
OT - intensive care unit
OT - speaking up
EDAT- 2017/08/13 06:00
MHDA- 2018/05/16 06:00
CRDT- 2017/08/13 06:00
PHST- 2017/08/13 06:00 [entrez]
PHST- 2017/08/13 06:00 [pubmed]
PHST- 2018/05/16 06:00 [medline]
AID - 10.1136/bmjopen-2016-015721 [doi]
PST - epublish
PMID- 23529627
OWN - NLM
STAT- MEDLINE
DCOM- 20130722
LR - 20191210
IS - 2168-6106 (Print)
IS - 2168-6106 (Linking)
VI - 173
IP - 10
DP - 2013 May 27
TI - Barriers to reducing urinary catheter use: a qualitative assessment of a
statewide
initiative.
PG - 881-6
AB - IMPORTANCE: Preventing catheter-associated urinary tract infection (CAUTI), a
common
health care-associated infection, is important for improving the care of
hospitalized patients and in meeting the goals for reduction of health
care-associated infections set by the US Department of Health and Human
Services.
OBJECTIVE: To identify ways to enhance CAUTI prevention efforts based on the
experiences of hospitals participating in the Michigan Health and Hospital
Association Keystone Center for Patient Safety statewide program to reduce
unnecessary use of urinary catheters (the Bladder Bundle). DESIGN:
Qualitative
assessment of data collected through semistructured telephone interviews with
key
informants at 12 hospitals and in-person interviews and site visits at 3 of
the 12
hospitals. The analysis focused on perceptions and key issues identified by
hospitals as influencing implementation of CAUTI prevention practices as
recommended
by the Bladder Bundle initiative. SETTING: Twelve purposefully sampled
hospitals in
Michigan. PARTICIPANTS: Key informants including infection preventionists,
clinical
personnel, and senior executives. RESULTS: Common barriers to Bladder Bundle
implementation and appropriate urinary catheter use included (1) difficulty
with
nurse and physician engagement, (2) patient and family request for indwelling
catheters, and (3) catheter insertion practices and customs in the emergency
department. Strategies to address these barriers were also identified by
several of
the participating hospitals, including (1) incorporating urinary management
(eg,
planned toileting) as part of other patient safety programs, such as a fall
reduction program, (2) explicitly discussing the risks of indwelling urinary
catheters with patients and families, and (3) engaging with emergency
department
nurses and physicians to implement a process that ensures that appropriate
indications for catheter use are followed. CONCLUSIONS AND RELEVANCE: The
Bladder
Bundle program provides a model for implementing strategies to reduce CAUTI.
These
findings provide actionable information to inform CAUTI prevention-related
activities in hospitals throughout the country.
FAU - Krein, Sarah L
AU - Krein SL
AD - Center for Clinical Management Research, Veterans Affairs Health Services
Research &
Development (Stop Code 152), Veterans Affairs Ann Arbor Healthcare System, PO
Box
130170, Ann Arbor, MI 48113, USA. sarah.krein@va.gov
FAU - Kowalski, Christine P
AU - Kowalski CP
FAU - Harrod, Molly
AU - Harrod M
FAU - Forman, Jane
AU - Forman J
FAU - Saint, Sanjay
AU - Saint S
LA - eng
GR - 1R01NR010700/NR/NINR NIH HHS/United States
JID - 101589534
SB - AIM
SB - IM
MH - Catheter-Related Infections/epidemiology/*prevention & control
MH - Catheters, Indwelling/adverse effects/*statistics & numerical data
MH - Confounding Factors, Epidemiologic
MH - Family
MH - Humans
MH - *Infection Control/methods/organization & administration
MH - Michigan/epidemiology
MH - United States
MH - Urinary Catheterization/adverse effects/methods/standards
MH - Urinary Catheters/adverse effects/*statistics & numerical data
MH - Urinary Tract Infections/epidemiology/etiology/*prevention & control
PMC - PMC3665648
MID - NIHMS445977
EDAT- 2013/03/27 06:00
MHDA- 2013/07/23 06:00
CRDT- 2013/03/27 06:00
PHST- 2013/03/27 06:00 [entrez]
PHST- 2013/03/27 06:00 [pubmed]
PHST- 2013/07/23 06:00 [medline]
AID - 1672274 [pii]
PST - ppublish
SO - JAMA Intern Med. 2013 May 27;173(10):881-6. doi:
PMID- 23083387
OWN - NLM
STAT- MEDLINE
DCOM- 20130325
LR - 20181113
IS - 0962-1067 (Print)
IS - 0962-1067 (Linking)
VI - 21
IP - 21-22
DP - 2012 Nov
TI - Nurses Improving Care for Healthsystem Elders - a model for optimising the
geriatric
nursing practice environment.
PG - 3117-25
LID - 10.1111/j.1365-2702.2012.04259.x [doi]
AB - AIMS AND OBJECTIVES: To explain the relationship between a positive nurse
practice
environment (NPE) and implementation of evidence-based practices. To describe
the
components of NICHE (Nurses Improving Care for Healthsystem Elders)
programmes that
contribute to a positive geriatric nursing practice environment. BACKGROUND:
The NPE
is a system-level intervention for promoting quality and patient safety;
however,
there are population-specific factors that influence the nurses' perception
of their
practice and its' relationship with patient outcomes. Favourable perceptions
of the
geriatric-specific NPE are associated with better perceptions of geriatric
care
quality. DESIGNS: Discursive paper. METHOD: In this selective critical
analysis of
the descriptive and empirical literature, we present the implementation of
geriatric
models in relation to the NPE and components of the NICHE programme that
support
hospitals' systemic capacity to effectively integrate and sustain evidence-
based
geriatric knowledge into practice. RESULTS: Although there are several
geriatric
models and chronic care models available, NICHE has been the most successful
in
recruiting hospital membership as well as contributing to the depth of
geriatric
hospital programming. CONCLUSIONS: Although all geriatric care models require
significant nursing input, only NICHE focuses on the nursing staff's

perception of
the care environment for geriatric practice. Studies in NICHE hospitals
demonstrate
that quality geriatric care requires a NPE in which the structure and
processes of
hospital services focus on specific patient care needs. RELEVANCE TO CLINICAL
PRACTICE: The implementation of evidence-based models addressing the unique

needs of
hospitalised older adults requires programmes such as NICHE that serve as
technical
resources centre and a catalyst for networking among facilities committed to
quality
geriatric care. Unprecedented international growth in the ageing population
compels
us to examine how to adapt the successful components of NICHE to the
distinctive
needs of health systems throughout the world that serve older adults.
FAU - Capezuti, Elizabeth
AU - Capezuti E
AD - New York University College of Nursing, New York, NY, USA. ec65@nyu.edu
FAU - Boltz, Marie
AU - Boltz M
FAU - Cline, Daniel
AU - Cline D
FAU - Dickson, Victoria Vaughn
AU - Dickson VV
FAU - Rosenberg, Marie-Claire
AU - Rosenberg MC
FAU - Wagner, Laura
AU - Wagner L
FAU - Shuluk, Joseph
AU - Shuluk J
FAU - Nigolian, Cindy
AU - Nigolian C
LA - eng
TA - J Clin Nurs
JT - Journal of clinical nursing
JID - 9207302
SB - N
MH - Aged
MH - Geriatric Nursing/*standards
MH - Humans
MH - *Nurses
MH - United States
PMC - PMC3532620
EDAT- 2012/10/23 06:00
MHDA- 2013/03/26 06:00
CRDT- 2012/10/23 06:00
PHST- 2012/10/23 06:00 [entrez]
PHST- 2012/10/23 06:00 [pubmed]
PHST- 2013/03/26 06:00 [medline]
AID - 10.1111/j.1365-2702.2012.04259.x [doi]
PST - ppublish
SO - J Clin Nurs. 2012 Nov;21(21-22):3117-25. doi: 10.1111/j.1365-
2702.2012.04259.x.
PMID- 21367769
OWN - NLM
STAT- MEDLINE
DCOM- 20120111
LR - 20181113
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 20
IP - 9
DP - 2011 Sep
TI - Using prospective clinical surveillance to identify adverse events in
hospital.
PG - 756-63
LID - 10.1136/bmjqs.2010.048694 [doi]
AB - BACKGROUND To improve patient safety, organisations must systematically
measure
avoidable harms. Clinical surveillance-consisting of prospective case finding
and
peer review-could improve identification of adverse events (AEs), preventable
AEs
and potential AEs. The authors sought to describe and compare findings of
clinical
surveillance on four clinical services in an academic hospital. METHODS
Clinical
surveillance was performed by a nurse observer who monitored patients for
prespecified clinical events and collected standard information about each
event. A
multidisciplinary, peer-review committee rated causation for each event.
Events were
subsequently classified in terms of severity and type. RESULTS The authors
monitored
1406 patients during their admission to four hospital services: Cardiac
Surgery
Intensive Care (n=226), Intensive Care (n=211), General Internal Medicine
(n=453)
and Obstetrics (n=516). The authors detected 245 AEs during 9300 patient days
of
observation (2.6 AEs per 100 patient days). 88 AEs (33%) were preventable.
The
proportion of patients experiencing at least one AE, preventable AE or
potential AE
was 13.7%, 6.1% and 5.3%, respectively. AE risk varied between services,
ranging
from 1.4% of Obstetrics to 11% of Internal Medicine and Intensive Care
patients
experiencing at least one preventable AE. The proportion of patients
experiencing
AEs resulting in permanent disability or death varied between services:
ranging from
0.2% on Obstetrics to 4.9% on Cardiac Surgery Intensive Care. No services
shared the
most frequent AE type. CONCLUSIONS Using clinical surveillance, the authors
identified a high risk of AE and significant variation in AE risks and
subtypes
between services. These findings suggest that institutions will need to
evaluate
service-specific safety problems to set priorities and design improvement
strategies.
FAU - Forster, Alan J
AU - Forster AJ
AD - The Ottawa Hospital, ON, Canada. aforster@ohri.ca
FAU - Worthington, Jim R
AU - Worthington JR
FAU - Hawken, Steven
AU - Hawken S
FAU - Bourke, Michael
AU - Bourke M
FAU - Rubens, Fraser
AU - Rubens F
FAU - Shojania, Kaveh
AU - Shojania K
FAU - van Walraven, Carl
AU - van Walraven C
LA - eng
GR - Canadian Institutes of Health Research/Canada
DEP - 20110301
TA - BMJ Qual Saf
JID - 101546984
SB - H
MH - *Academic Medical Centers
MH - Female
MH - Humans
MH - Interdisciplinary Communication
MH - Male
MH - Ontario
MH - Peer Review
MH - Risk Management/*methods
MH - *Sentinel Surveillance
PMC - PMC3161499
EDAT- 2011/03/04 06:00
MHDA- 2012/01/12 06:00
CRDT- 2011/03/04 06:00
PHST- 2011/03/04 06:00 [entrez]
PHST- 2011/03/04 06:00 [pubmed]
PHST- 2012/01/12 06:00 [medline]
AID - bmjqs.2010.048694 [pii]
AID - qhc48694 [pii]
AID - 10.1136/bmjqs.2010.048694 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2011 Sep;20(9):756-63. doi: 10.1136/bmjqs.2010.048694. Epub
2011 Mar
1.
PMID- 30985598
OWN - NLM
STAT- MEDLINE
DCOM- 20200427
LR - 20210109
IS - 0025-7079 (Linking)
VI - 57 Suppl 5 Suppl 1
DP - 2019 May
TI - Engaging Patients and Clinicians in Online Reporting of Adverse Effects
During
Chemotherapy for Cancer: The eRAPID System (Electronic Patient Self-Reporting
of
Adverse Events: Patient Information and aDvice).
PG - S59-S65
LID - 10.1097/MLR.0000000000001085 [doi]
AB - INTRODUCTION: During cancer treatment the timely detection and management of
adverse
events is essential for patient safety and maintaining the quality of life.
Electronic patient self-Reporting of Adverse events: Patient Information and
aDvice
(eRAPID) was devised to support oncology practice, by allowing patients to
self-report symptoms online at home during and beyond cancer treatment.
Fundamentally the eRAPID intervention delivers immediate severity-tailored
feedback
directly to patients to guide self-management strategies or hospital contact.
Patient data are available in electronic health records for hospital staff to
access
and review as part of clinical assessments. METHODS FOR INTERPRETING AND
ADDRESSING
PATIENT-REPORTED OUTCOME (PRO) SCORES:: The eRAPID intervention has 5 main
interconnecting components (clinical integration into standard care pathways,
patient symptom reports, self-management advice, information technology, and

staff/patient training). Following guidance for the development of complex
interventions and using a mixed methods approach, eRAPID was created through
a
number of stages and tested in a series of usability settings before
undergoing
systematic evaluation in a randomized controlled trial. These developmental
stages
are described here with a focus on how decisions were made to enhance patient
and
professional engagement with symptom reports and encourage interpretation and
clinical utilization of the data. DISCUSSION: Clinically embedded PRO

interventions
involve a number of elements and stakeholders with different requirements.
Following
extensive developmental work eRAPID was pragmatically designed to fit into
current
oncology practices for reviewing and managing chemotherapy-related
toxicities.
FAU - Absolom, Kate
AU - Absolom K
AD - Section of Patient Centered Outcomes Research, St James' University Hospital,
Leeds,
United Kingdom.
FAU - Gibson, Andrea
AU - Gibson A
FAU - Velikova, Galina
AU - Velikova G
LA - eng
GR - RP-PG-0611-20008/DH_/Department of Health/United Kingdom
PL - United States
TA - Med Care
JT - Medical care
JID - 0230027
SB - IM
MH - Antineoplastic Agents/adverse effects
MH - Humans
MH - Internet
MH - Neoplasms/*drug therapy
MH - *Patient Reported Outcome Measures
MH - Quality of Life
MH - Self Report
MH - Self-Management
EDAT- 2019/04/16 06:00
MHDA- 2020/04/28 06:00
CRDT- 2019/04/16 06:00
PHST- 2019/04/16 06:00 [entrez]
PHST- 2019/04/16 06:00 [pubmed]
PHST- 2020/04/28 06:00 [medline]
AID - 00005650-201905001-00011 [pii]
AID - 10.1097/MLR.0000000000001085 [doi]
PST - ppublish
SO - Med Care. 2019 May;57 Suppl 5 Suppl 1:S59-S65. doi:
10.1097/MLR.0000000000001085.
PMID- 26315024
OWN - NLM
STAT- MEDLINE
DCOM- 20160404
LR - 20181113
IS - 1472-6947 (Linking)
VI - 15
DP - 2015 Aug 28
TI - Physicians' responses to computerized drug interaction alerts with password
overrides.
PG - 74
LID - 10.1186/s12911-015-0194-y [doi]
LID - 74
AB - BACKGROUND: Although evidence has suggested that computerized drug-drug
interaction
alert systems may reduce the occurrence of drug-drug interactions, the
numerous
reminders and alerts generated by such systems could represent an excessive
burden
for clinicians, resulting in a high override rate of not only unimportant,
but also
important alerts. METHODS: We analyzed physicians' responses to alerts of
relative
contraindications and contraindications for coadministration in a
computerized
drug-drug interaction alert system at Hokkaido University Hospital. In this
system,
the physician must enter a password to override an alert and continue an
order. All
of the drug-drug interaction alerts generated between December 2011 and
November
2012 at Hokkaido University Hospital were included in this study. RESULTS:
The
system generated a total of 170 alerts of relative contraindications and
contraindication for coadministration; 59 (34.7 %) of the corresponding
orders were
cancelled after the alert was accepted, and 111 (65.3 %) were overridden. The
most
frequent contraindication alert was for the combination of
3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors and fibrates. No
incidents involving drug-drug interactions were reported among patients who
were
prescribed contraindicated drug pairs after an override. CONCLUSIONS:
Although
computerized drug-drug interaction alert systems that require password
overrides
appear useful for promoting medication safety, having to enter passwords to
override
alerts may represent an excessive burden for the prescribing physician.
Therefore,
both patient safety and physicians' workloads should be taken into
consideration in
future designs of computerized drug-drug interaction alert systems.
FAU - Nasuhara, Yasuyuki
AU - Nasuhara Y
AD - Division of Hospital Safety Management, Hokkaido University Hospital,
Sapporo,
Japan. nasuhara@med.hokudai.ac.jp.
FAU - Sakushima, Ken
AU - Sakushima K
AD - Department of Regulatory Science, Hokkaido University Graduate School of
Medicine,
Sapporo, Japan.
FAU - Endoh, Akira
AU - Endoh A
AD - Division of Medical Information Planning, Hokkaido University Hospital,
Sapporo,
Japan.
FAU - Umeki, Reona
AU - Umeki R
AD - Division of Medical Information Planning, Hokkaido University Hospital,
Sapporo,
Japan.
FAU - Oki, Hiromitsu
AU - Oki H
AD - Department of Pharmacy, Hokkaido University Hospital, Sapporo, Japan.
FAU - Yamada, Takehiro
AU - Yamada T
FAU - Iseki, Ken
AU - Iseki K
AD - Laboratory of Clinical Pharmaceutics and Therapeutics, Faculty of
Pharmaceutical
Sciences, Hokkaido University, Sapporo, Japan.
FAU - Ishikawa, Makoto
AU - Ishikawa M
AD - Division of Hospital Safety Management, Hokkaido University Hospital,
Sapporo,
Japan.
LA - eng
DEP - 20150828
JID - 101088682
SB - IM
EIN - BMC Med Inform Decis Mak. 2016;16(1):108. PMID: 27511363
MH - Adult
MH - Humans
MH - *Physicians
PMC - PMC4551528
EDAT- 2015/09/01 06:00
MHDA- 2016/04/05 06:00
CRDT- 2015/08/29 06:00
PHST- 2015/04/01 00:00 [received]
PHST- 2015/07/23 00:00 [accepted]
PHST- 2015/08/29 06:00 [entrez]
PHST- 2015/09/01 06:00 [pubmed]
PHST- 2016/04/05 06:00 [medline]
AID - 10.1186/s12911-015-0194-y [pii]
AID - 194 [pii]
AID - 10.1186/s12911-015-0194-y [doi]
PST - epublish
SO - BMC Med Inform Decis Mak. 2015 Aug 28;15:74. doi: 10.1186/s12911-015-0194-y.
PMID- 31634261
OWN - NLM
STAT- MEDLINE
DCOM- 20200330
LR - 20200701
IS - 0002-9270 (Print)
IS - 0002-9270 (Linking)
VI - 114
IP - 11
DP - 2019 Nov
TI - Morbidity and Mortality After Surgery for Nonmalignant Colorectal Polyps: A
10-Year
Nationwide Analysis.
PG - 1802-1810
LID - 10.14309/ajg.0000000000000407 [doi]
AB - OBJECTIVES: Rates of surgery for nonmalignant colorectal polyps are
increasing in
the United States despite evidence that most polyps can be managed
endoscopically.
We aimed to determine nationally representative estimates and to identify
predictors
of in-hospital mortality and morbidity after surgery for nonmalignant
colorectal
polyps. METHODS: Data were analyzed from the National Inpatient Sample for
2005-2014. All discharges for adult patients undergoing surgery for
nonmalignant
colorectal polyps were identified. Rates of in-hospital mortality and
postoperative
wound, infectious, urinary, pulmonary, gastrointestinal, or cardiovascular
adverse
events were calculated. Multivariable logistic regression using survey-
weighted data
was used to evaluate covariables associated with postoperative mortality and
morbidity. RESULTS: An estimated 262,843 surgeries for nonmalignant
colorectal
polyps were analyzed. In-hospital mortality was 0.8% [95% confidence
interval:
0.7%-0.9%] and morbidity was 25.3% [95% confidence interval: 24.2%-26.4%].
Postoperative mortality was associated with open surgical technique (vs
laparoscopic), older age, black race (vs non-Hispanic white), Medicaid use,
and
burden of comorbidities. Female sex and private insurance were associated
with lower
risk. Patients developing a postoperative adverse event had a 106% increase
in mean
hospital length of stay (10.3 vs 5.0 days; P < 0.0001) and 91% increase in
mean
hospitalization cost ($77,015.24 vs $40,258.30; P < 0.0001). DISCUSSION:
Surgery for
nonmalignant colorectal polyps is associated with almost 1% mortality and
common
morbidity. These findings should inform risk vs benefit discussions for
clinicians
and patients, and although confounding by patient selection cannot be
excluded, the
risks associated with surgery support consideration of endoscopic resection
as a
potentially less invasive therapeutic option.
FAU - Ma, Christopher
AU - Ma C
AD - Division of Gastroenterology and Hepatology, University of Calgary, Calgary,
Alberta, Canada.
AD - Robarts Clinical Trials, Inc., London, Ontario, Canada.
FAU - Teriaky, Anouar
AU - Teriaky A
AD - Division of Gastroenterology, Western University, London, Ontario, Canada.
FAU - Sheh, Steven
AU - Sheh S
AD - Department of Gastroenterology, Kaiser Permanente San Francisco, San
Francisco,
California, USA.
FAU - Forbes, Nauzer
AU - Forbes N
Alberta, Canada.
AD - Department of Community Health Sciences, University of Calgary, Calgary,
Alberta,
Canada.
FAU - Heitman, Steven J
AU - Heitman SJ
Alberta, Canada.
AD - Department of Community Health Sciences, University of Calgary, Calgary,
Alberta,
Canada.
FAU - Jue, Terry L
AU - Jue TL
Francisco,
California, USA.
FAU - Munroe, Craig A
AU - Munroe CA
Francisco,
California, USA.
FAU - Jairath, Vipul
AU - Jairath V
AD - Robarts Clinical Trials, Inc., London, Ontario, Canada.
AD - Division of Gastroenterology, Western University, London, Ontario, Canada.
AD - Department of Biostatistics and Epidemiology, Western University, London,
Ontario,
Canada.
FAU - Corley, Douglas A
AU - Corley DA
Francisco,
California, USA.
AD - Division of Research, Kaiser Permanente Northern California, Oakland,
California,
USA.
FAU - Lee, Jeffrey K
AU - Lee JK
Francisco,
California, USA.
AD - Division of Research, Kaiser Permanente Northern California, Oakland,
California,
USA.
LA - eng
GR - K07 CA212057/CA/NCI NIH HHS/United States
GR - UM1 CA222035/CA/NCI NIH HHS/United States
GR - Canadian Institutes for Health Research/International
TA - Am J Gastroenterol
JT - The American journal of gastroenterology
JID - 0421030
SB - IM
MH - Colonic Polyps/diagnosis/surgery
MH - *Digestive System Surgical Procedures/adverse effects/methods/mortality
MH - *Endoscopy, Gastrointestinal/adverse effects/methods
MH - Female
MH - Humans
MH - *Laparoscopy/adverse effects/methods/mortality
MH - Male
MH - Middle Aged
MH - Neoplasms/diagnosis/surgery
MH - Outcome and Process Assessment, Health Care/statistics & numerical data
MH - *Postoperative Complications/classification/diagnosis/etiology/mortality
MH - Risk Factors
PMC - PMC6830963
EDAT- 2019/10/22 06:00
MHDA- 2020/03/31 06:00
CRDT- 2019/10/22 06:00
PHST- 2019/10/22 06:00 [pubmed]
PHST- 2020/03/31 06:00 [medline]
PHST- 2019/10/22 06:00 [entrez]
AID - 00000434-900000000-00001 [pii]
AID - AJG-19-0883 [pii]
AID - 10.14309/ajg.0000000000000407 [doi]
PST - ppublish
SO - Am J Gastroenterol. 2019 Nov;114(11):1802-1810. doi:
10.14309/ajg.0000000000000407.
PMID- 33308290
OWN - NLM
STAT- MEDLINE
DCOM- 20201221
LR - 20201221
IS - 1745-6215 (Linking)
VI - 21
IP - 1
DP - 2020 Dec 11
TI - Death Cafés for prevention of burnout in intensive care unit employees: study
protocol for a randomized controlled trial (STOPTHEBURN).

PG -1019
LID -10.1186/s13063-020-04929-4 [doi]
LID -1019
AB -BACKGROUND: Burnout is an occupational syndrome that leads to mental health
problems, job turnover, and patient safety events. Those caring for
critically ill
patients are especially susceptible due to high patient mortality, long
hours, and
regular encounters with trauma and ethical issues. Interventions to prevent
burnout
in this population are needed. Preliminary studies suggest debriefing
sessions may
reduce burnout. This study aims to assess whether participation in regular
debriefing can prevent burnout in intensive care unit (ICU) clinicians.
METHODS: A
randomized controlled trial will be conducted in two large academic medical
centers.
Two hundred ICU clinicians will be recruited with target enrollment of 100
physicians and 100 non-physicians (nurses, pharmacists, therapists).
Participants
must have worked in the ICU for the equivalent of at least 1 full time work
week in
the preceding 4 weeks. Enrolled subjects will be randomized to virtually
attend
biweekly debriefing sessions facilitated by a psychotherapist for 3 months or
to a
control arm without sessions. Our debriefs are modeled after Death Cafés,
which are
informal discussions focusing on death, dying, loss, grief, and illness.
These
sessions allow for reflection on distressing events and offer community and
collaboration among hospital employees outside of work. The primary outcome
is
clinician burnout as measured by the Maslach Burnout Inventory (MBI) Score.
Secondary outcomes include depression and anxiety, as measured by the Patient
Health
Questionnaire 8 (PHQ-8) and Generalized Anxiety Disorder 7-item scale (GAD-
7),
respectively. Questionnaires will be administered prior to the intervention,
at
1 month, at 3 months, and at 6 months after enrollment. These values will be
compared between groups temporally. Qualitative feedback will also be
collected and
analyzed. DISCUSSION: With ICU clinician burnout rates exceeding 50%, Death
Café
debriefing sessions may prove to be an effective tool to avert this
debilitating
syndrome. With COVID-19 limiting social interactions and overloading ICUs
worldwide,
the virtual administration of the Death Café for ICU clinicians provides an
innovative strategy to potentially mitigate burnout in this vulnerable
population.
TRIAL REGISTRATION: ClinicalTrials.gov NCT04347811 . Registered on 15 April
2020.
FAU - Bateman, Marjorie E
AU - Bateman ME
AUID- ORCID: 0000-0003-3323-2337
AD - Department of Medicine, Tulane University School of Medicine, 1430 Tulane
Avenue,
New Orleans, LA, 70112, USA. mbatema@tulane.edu.
FAU - Hammer, Rachel
AU - Hammer R
Avenue,
New Orleans, LA, 70112, USA.
AD - Department of Psychiatry, Tulane University School of Medicine, New Orleans,
LA,
USA.
FAU - Byrne, Abigail
AU - Byrne A
Avenue,
FAU - Ravindran, Nithya
AU - Ravindran N
AD - Department of Psychiatry, Tulane University School of Medicine, New Orleans,
LA,
USA.
FAU - Chiurco, Jennifer
AU - Chiurco J
Avenue,
FAU - Lasky, Sasha
AU - Lasky S
Avenue,
FAU - Denson, Rebecca
AU - Denson R
Avenue,
FAU - Brown, Margo
AU - Brown M
Avenue,
FAU - Myers, Leann
AU - Myers L
AD - Department of Biostatistics and Data Science, Tulane University School of
Public
Health and Tropical Medicine, New Orleans, LA, USA.
FAU - Zu, Yuanhao
AU - Zu Y
AD - Department of Biostatistics and Data Science, Tulane University School of
Public
Health and Tropical Medicine, New Orleans, LA, USA.
FAU - Denson, Joshua L
AU - Denson JL
Avenue,
AD - Section of Pulmonary Diseases, Critical Care & Environmental Medicine, Tulane
University School of Medicine, New Orleans, LA, USA.

LA - eng
DEP - 20201211
TA - Trials
JT - Trials
JID - 101263253
SB - IM
MH - Anxiety/diagnosis/epidemiology
MH - Awareness/physiology
MH - Burnout, Professional/epidemiology/*prevention & control
MH - COVID-19/epidemiology/virology
MH - Communication
MH - Critical Illness/mortality/psychology
MH - Depression/diagnosis/epidemiology
MH - Humans
MH - Occupational Stress/epidemiology/*psychology
MH - Patient Health Questionnaire/statistics & numerical data
MH - Personnel Turnover/statistics & numerical data
MH - SARS-CoV-2/*genetics
MH - Terminal Care/*psychology
MH - User-Computer Interface
PMC - PMC7729694
OTO - NOTNLM
OT - Anxiety
OT - Behavioral symptoms
OT - Burnout
OT - Critical care
OT - Death Café
OT - Depression
OT - Healthcare workers
OT - Moral distress
OT - Occupational stress
OT - Randomized controlled trial
OT - Teledebriefing
OT - Virtual debriefing
OT - Work place retention
EDAT- 2020/12/15 06:00
MHDA- 2020/12/22 06:00
CRDT- 2020/12/14 09:53
PHST- 2020/05/30 00:00 [received]
PHST- 2020/11/25 00:00 [accepted]
PHST- 2020/12/14 09:53 [entrez]
PHST- 2020/12/15 06:00 [pubmed]
PHST- 2020/12/22 06:00 [medline]
AID - 10.1186/s13063-020-04929-4 [pii]
AID - 4929 [pii]
AID - 10.1186/s13063-020-04929-4 [doi]
PST - epublish
SO - Trials. 2020 Dec 11;21(1):1019. doi: 10.1186/s13063-020-04929-4.
PMID- 33324895
OWN - NLM
LR - 20201217
IS - 2524-3489 (Linking)
VI - 1
DP - 2019
TI - The use of a dedicated neurological triage system improves process times and
resource utilization: a prospective observational study from an
interdisciplinary
PG - 29
LID - 10.1186/s42466-019-0036-y [doi]
LID - 29
AB - BACKGROUND: Patients with neurological symptoms have been contributing to the
increasing rates of emergency department (ED) utilization in recent years.

Existing
triage systems represent neurological symptoms rather crudely, neglecting
subtler
but relevant aspects like temporal evolution or associated symptoms. A
designated
neurological triage system could positively impact patient safety by
identifying
patients with urgent need for medical attention and prevent inadequate
utilization
of ED and hospital resources. METHODS: We compared basic demographic
information,
chief complaint/presenting symptom, door-to-doctor time and length of stay
(LOS) as
well as utilization of ED resources of patients presenting with neurological
symptoms or complaints during a one-month period before as well as after the
introduction of the Heidelberg Neurological Triage System (HEINTS) in our
interdisciplinary ED. In a second step, we compared diagnostic and treatment
processes for both time periods according to assigned acuity. RESULTS: During
the
two assessment periods, 299 and 300 patients were evaluated by a neurologist,
respectively. While demographic features were similar for both groups,

overall LOS
(p < 0.001) was significantly shorter, while CT (p = 0.023), laboratory
examinations
(p = 0.006), ECG (p = 0.011) and consultations (p = 0.004) were performed
significantly less often when assessing with HEINTS. When considering acuity,
an
epileptic seizure was less frequently evaluated as acute with HEINTS than in
the
pre-HEINTS phase (p = 0.002), while vertigo patients were significantly more
often
rated as acute with HEINTS (p < 0.001). In all cases rated as acute,
door-to-doctor-time (DDT) decreased from 41.0 min to 17.7 min (p < 0.001),
and
treatment duration decreased from 304.3 min to 149.4 min (p < 0.001) after
introduction of HEINTS triage. CONCLUSION: A dedicated triage system for
patients
with neurological complaints reduces DDT, LOS and ED resource utilization,
thereby
improving ED diagnostic and treatment processes.
FAU - Hoyer, Carolin
AU - Hoyer C
AUID- ORCID: 0000-0001-5672-0865
AD - Department of Neurology, UniversitätsMedizin Mannheim, Heidelberg University,
Medical Faculty, Theodor-Kutzer-Ufer 1-3, 68135 Mannheim, Germany.

AD - Department of Neurology, University Hospital, Heidelberg University,
Heidelberg,
Germany. ISNI: 0000 0001 2190 4373. GRID: grid.7700.0
FAU - Stein, Patrick
AU - Stein P

Heidelberg,
FAU - Rausch, Hans-Werner
AU - Rausch HW

Heidelberg,
FAU - Alonso, Angelika
AU - Alonso A

Heidelberg,
FAU - Nagel, Simon
AU - Nagel S
Heidelberg,
FAU - Platten, Michael
AU - Platten M

Heidelberg,
FAU - Szabo, Kristina
AU - Szabo K

Heidelberg,
LA - eng
DEP - 20191025
TA - Neurol Res Pract
JT - Neurological research and practice
JID - 101767802
PMC - PMC7650056
OTO - NOTNLM
OT - Neurology
OT - Triage
EDAT- 2019/10/25 00:00
MHDA- 2019/10/25 00:01
CRDT- 2020/12/16 05:38
PHST- 2019/07/10 00:00 [received]
PHST- 2019/07/25 00:00 [accepted]
PHST- 2020/12/16 05:38 [entrez]
PHST- 2019/10/25 00:00 [pubmed]
PHST- 2019/10/25 00:01 [medline]
AID - 36 [pii]
AID - 10.1186/s42466-019-0036-y [doi]
PST - epublish
SO - Neurol Res Pract. 2019 Oct 25;1:29. doi: 10.1186/s42466-019-0036-y.
eCollection
2019.
PMID- 28918412
OWN - NLM
STAT- MEDLINE
DCOM- 20180530
LR - 20190202
IS - 2044-6055 (Linking)
VI - 7
IP - 9
DP - 2017 Sep 15
TI - Prediction of early unplanned intensive care unit readmission in a UK
tertiary care
hospital: a cross-sectional machine learning approach.
PG - e017199
LID - 10.1136/bmjopen-2017-017199 [doi]
LID - e017199
AB - OBJECTIVES: Unplanned readmissions to the intensive care unit (ICU) are
highly
undesirable, increasing variance in care, making resource planning difficult
and
potentially increasing length of stay and mortality in some settings.
Identifying
patients who are likely to suffer unplanned ICU readmission could reduce the
frequency of this adverse event. SETTING: A single academic, tertiary care
hospital
in the UK. PARTICIPANTS: A set of 3326 ICU episodes collected between October
2014
and August 2016. All records were of patients who visited an ICU at some
point
during their stay. We excluded patients who were ≤16 years of age; visited
ICUs
other than the general and neurosciences ICU; were missing crucial electronic
patient record measurements; or had indeterminate ICU discharge outcomes or

very
early or extremely late discharge times. After exclusion, 2018 outcome-
labelled
episodes remained. PRIMARY AND SECONDARY OUTCOME MEASURES: Area under the
receiver
operating characteristic curve (AUROC) for prediction of unplanned ICU
readmission
or in-hospital death within 48 hours of first ICU discharge. RESULTS: In 10-
fold
cross-validation, an ensemble predictor was trained on data from both the
target
hospital and the Medical Information Mart for Intensive Care (MIMIC-III)
database
and tested on the target hospital's data. This predictor discriminated
between
patients with the unplanned ICU readmission or death outcome and those
without this
outcome, attaining mean AUROC of 0.7095 (SE 0.0260), superior to the purpose-
built
Stability and Workload Index for Transfer (SWIFT) score (AUROC=0.6082, SE
0.0249;
p=0.014, pairwise t-test). CONCLUSIONS: Despite the inherent difficulties, we
demonstrate that a novel machine learning algorithm based on transfer

learning could
achieve good discrimination, over and above that of the treating clinicians
or the
value added by the SWIFT score. Accurate prediction of unplanned readmission
could
be used to target resources more efficiently.
of the
otherwise
expressly granted.
FAU - Desautels, Thomas
AU - Desautels T
AD - Dascena Inc., Hayward, California, USA.
FAU - Das, Ritankar
AU - Das R
FAU - Calvert, Jacob
AU - Calvert J
FAU - Trivedi, Monica
AU - Trivedi M
AD - John V Farman Intensive Care Unit, Addenbrooke's Hospital, Cambridge, UK.
FAU - Summers, Charlotte
AU - Summers C
AD - Division of Anaesthesia, University of Cambridge, Addenbrooke's Hospital,
Cambridge,
UK.
FAU - Wales, David J
AU - Wales DJ
AD - Department of Chemistry, University of Cambridge, Cambridge, UK.
FAU - Ercole, Ari
AU - Ercole A
Cambridge,
UK.
LA - eng
DEP - 20170915
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adult
MH - Aged
MH - Area Under Curve
MH - Female
MH - Humans
MH - *Machine Learning
MH - Male
MH - Middle Aged
MH - ROC Curve
MH - Tertiary Care Centers
MH - United Kingdom
PMC - PMC5640090
OTO - NOTNLM
OT - machine learning
OT - prediction
OT - unplanned readmission
COIS- Competing interests: TD, JC and RD are employees or contractors of Dascena
Inc,
developers of the AutoTriage system.
EDAT- 2017/09/18 06:00
MHDA- 2018/05/31 06:00
CRDT- 2017/09/18 06:00
PHST- 2017/09/18 06:00 [entrez]
PHST- 2017/09/18 06:00 [pubmed]
PHST- 2018/05/31 06:00 [medline]
AID - 10.1136/bmjopen-2017-017199 [doi]
PST - epublish
PMID- 31479290
OWN - NLM
LR - 20200420
IS - 1062-8606 (Print)
IS - 1062-8606 (Linking)
VI - 34
IP - 5
DP - 2019 Sep/Oct
TI - Clinical Decision Support for Early Recognition of Sepsis().
PG - 494-501
LID - 10.1177/1062860619873225 [doi]
AB - Sepsis is an inflammatory response triggered by infection, with a high in-
hospital
mortality rate. Early recognition and treatment can reverse the inflammatory
response, with evidence of improved patient outcomes. One challenge
clinicians face
is identifying the inflammatory syndrome against the background of the
patient's
infectious illness and comorbidities. An approach to this problem is
implementation
of computerized early warning tools for sepsis. This multicenter
retrospective study
sought to determine clinimetric performance of a cloud-based computerized
sepsis
clinical decision support system (CDS), understand the epidemiology of
sepsis, and
identify opportunities for quality improvement. Data encompassed 6200 adult
hospitalizations from 2012 through 2013. Of 13% patients screened-in, 51%
were
already suspected to have an infection when the system activated. This study
focused
on a patient cohort screened-in before infection was suspected; median time
from
arrival to CDS activation was 3.5 hours, and system activation to diagnostic
collect
was another 8.6 hours.
FAU - Amland, Robert C
AU - Amland RC
AD - 1 Population Health, Cerner Corporation, Kansas City, MO.
FAU - Hahn-Cover, Kristin E
AU - Hahn-Cover KE
AD - 2 University of Missouri and University of Missouri Health System, Columbia,
MO.
LA - eng
TA - Am J Med Qual
JT - American journal of medical quality : the official journal of the American
College
of Medical Quality
JID - 9300756
SB - IM
RPF - Am J Med Qual. 2016 Mar-Apr;31(2):103-10. PMID: 25385815
PMC - PMC6724457
OTO - NOTNLM
OT - *cloud-based computerized clinical decision support (CDS) system
OT - *early recognition and detection of sepsis
OT - *electronic health record (EHR)
OT - *patient safety and prevention
COIS- Declaration of Conflicting Interests: The authors declared no potential
conflicts of
article.
EDAT- 2019/09/04 06:00
MHDA- 2019/09/04 06:01
CRDT- 2019/09/04 06:00
PHST- 2019/09/04 06:00 [entrez]
PHST- 2019/09/04 06:00 [pubmed]
PHST- 2019/09/04 06:01 [medline]
AID - 10.1177_1062860619873225 [pii]
AID - 10.1177/1062860619873225 [doi]
PST - ppublish
SO - Am J Med Qual. 2019 Sep/Oct;34(5):494-501. doi: 10.1177/1062860619873225.
PMID- 30760508
OWN - NLM
STAT- MEDLINE
DCOM- 20191031
LR - 20200309
IS - 0031-4005 (Print)
IS - 0031-4005 (Linking)
VI - 143
IP - 3
DP - 2019 Mar
TI - Optimizing Drug-Drug Interaction Alerts Using a Multidimensional Approach.
LID - 10.1542/peds.2017-4111 [doi]
LID - e20174111
AB - OBJECTIVES: Excessive alerts are a common concern associated with clinical
decision
support systems that monitor drug-drug interactions (DDIs). To reduce the
number of
low-value interruptive DDI alerts at our hospital, we implemented an
iterative,
multidimensional quality improvement effort, which included an
interdisciplinary
advisory group, alert metrics, and measurement of perceived clinical value.
METHODS:
Alert data analysis indicated that DDIs were the most common interruptive
medication
alert. An interdisciplinary alert advisory group was formed to provide expert
advice
and oversight for alert refinement and ongoing review of alert data. Alert
data were
categorized into drug classes and analyzed to identify DDI alerts for
refinement.
Refinement strategies included alert suppression and modification of alerts
to be
contextually aware. RESULTS: On the basis of historical analysis of
classified DDI
alerts, 26 alert refinements were implemented, representing 47% of all
alerts. Alert
refinement efforts resulted in the following substantial decreases in the
number of
interruptive DDI alerts: 40% for all clinicians (22.9-14 per 100 orders) and
as high
as 82% for attending physicians (6.5-1.2 per 100 orders). Two patient safety
events
related to alert refinements were reported during the project period.
CONCLUSIONS:
Our quality improvement effort refined 47% of all DDI alerts that were firing
during
historical analysis, significantly reduced the number of DDI alerts in a 54-
week
period, and established a model for sustained alert refinements.
FAU - Daniels, Calvin C
AU - Daniels CC
AD - Pharmaceutical Sciences, calvin.daniels@stjude.org.
FAU - Burlison, Jonathan D
AU - Burlison JD
AD - Pharmaceutical Sciences.
FAU - Baker, Donald K
AU - Baker DK
AD - Information Services.
FAU - Robertson, Jennifer
AU - Robertson J
FAU - Sablauer, Andras
AU - Sablauer A
AD - Pathology.
FAU - Flynn, Patricia M
AU - Flynn PM
AD - Office of Quality and Patient Care and Departments of.
AD - Infectious Diseases, and.
FAU - Campbell, Patrick K
AU - Campbell PK
AD - Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
FAU - Hoffman, James M
AU - Hoffman JM
AD - Office of Quality and Patient Care and Departments of.
LA - eng
DEP - 20190213
TA - Pediatrics
JT - Pediatrics
JID - 0376422
SB - AIM
SB - IM
MH - Decision Support Systems, Clinical/standards/trends
MH - Drug Interactions/*physiology
MH - Hospitals, Pediatric/*standards/trends
MH - Humans
MH - Medical Order Entry Systems/*standards/trends
MH - Medication Systems, Hospital/*standards/trends
MH - Reminder Systems/standards/trends
PMC - PMC6398362
potential
EDAT- 2019/02/15 06:00
MHDA- 2019/11/02 06:00
CRDT- 2019/02/15 06:00
PHST- 2018/12/18 00:00 [accepted]
PHST- 2019/02/15 06:00 [pubmed]
PHST- 2019/11/02 06:00 [medline]
PHST- 2019/02/15 06:00 [entrez]
AID - peds.2017-4111 [pii]
AID - 10.1542/peds.2017-4111 [doi]
PST - ppublish
SO - Pediatrics. 2019 Mar;143(3):e20174111. doi: 10.1542/peds.2017-4111. Epub 2019
Feb
13.
PMID- 25385815
OWN - NLM
STAT- MEDLINE
DCOM- 20170228
LR - 20181113
IS - 1062-8606 (Print)
IS - 1062-8606 (Linking)
VI - 31
IP - 2
DP - 2016 Mar-Apr
TI - Clinical Decision Support for Early Recognition of Sepsis.
PG - 103-10
LID - 10.1177/1062860614557636 [doi]
AB - Sepsis is an inflammatory response triggered by infection, with a high in-
hospital
mortality rate. Early recognition and treatment can reverse the inflammatory
response, with evidence of improved patient outcomes. One challenge
clinicians face
is identifying the inflammatory syndrome against the background of the
patient's
infectious illness and comorbidities. An approach to this problem is
implementation
of computerized early warning tools for sepsis. This multicenter
retrospective study
sought to determine clinimetric performance of a cloud-based computerized
sepsis
clinical decision support system (CDS), understand the epidemiology of
sepsis, and
identify opportunities for quality improvement. Data encompassed 6200 adult
hospitalizations from 2012 through 2013. Of 13% patients screened-in, 51%
were
already suspected to have an infection when the system activated. This study
focused
on a patient cohort screened-in before infection was suspected; median time
from
arrival to CDS activation was 3.5 hours, and system activation to diagnostic
collect
was another 8.6 hours.
AU - Amland RC
AD - Population Health, Cerner Corporation, Kansas City, MO Bamland@cerner.com.
FAU - Hahn-Cover, Kristin E
AU - Hahn-Cover KE
AD - University of Missouri and University of Missouri Health System, Columbia,
MO.
LA - eng
DEP - 20141110
TA - Am J Med Qual
JT - American journal of medical quality : the official journal of the American
College
of Medical Quality
JID - 9300756
SB - IM
RPI - Am J Med Qual. 2019 Sep/Oct;34(5):494-501. PMID: 31479290
MH - Adult
MH - Aged
MH - Cloud Computing
MH - Decision Support Systems, Clinical/*organization & administration
MH - Female
MH - Health Status Indicators
MH - Humans
MH - Length of Stay
MH - Male
MH - Middle Aged
MH - Sepsis/*diagnosis/*epidemiology
MH - Systemic Inflammatory Response Syndrome/diagnosis/epidemiology
MH - Time Factors
PMC - PMC4776220
OTO - NOTNLM
OT - *cloud-based computerized clinical decision support (CDS) system
OT - *early recognition and detection of sepsis
OT - *electronic health record (EHR)
OT - *patient safety and prevention
COIS- Declaration of Conflicting Interests: The authors declared no potential
conflicts of
article.
EDAT- 2014/11/12 06:00
MHDA- 2017/03/01 06:00
CRDT- 2014/11/12 06:00
PHST- 2014/11/12 06:00 [entrez]
PHST- 2014/11/12 06:00 [pubmed]
PHST- 2017/03/01 06:00 [medline]
AID - 1062860614557636 [pii]
AID - 10.1177_1062860614557636 [pii]
AID - 10.1177/1062860614557636 [doi]
PST - ppublish
SO - Am J Med Qual. 2016 Mar-Apr;31(2):103-10. doi: 10.1177/1062860614557636. Epub
2014
Nov 10.
PMID- 28824809
OWN - NLM
LR - 20200930
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 6
IP - 1
DP - 2017
TI - Improving medicines reconciliation rates at Ashford and St. Peter's Hospitals
NHS
Foundation Trust.
PG - e000064
LID - 10.1136/bmjquality-2017-000064 [doi]
LID - e000064
AB - Medicines reconciliation is integral to patient safety, symptom control and
reducing
patient anxiety. During a 3-month period on the respiratory ward at St.
Peter's
Hospital, 54% of drug charts were not reconciled with pre-admission medicines
at the
point of discharge for admissions up to 17 days. Only 18% were reconciled
within 24
hours of admission. 50% of drug charts were missing 0-2 pre-admission
medicines and
50% were missing 3-5 pre-admission medicines. The most common medicines that
were
not reconciled included topical applications which included eye, ear, nasal
and skin
applications (14%); vitamins i.e. vitamin B12 and thiamine, analgesia, PRN
inhalers
(11% individually); antidepressants and lipid regulators (6% individually);
amongst
a range of other medications including antiplatelets, calcium channel
blockers, ACE
inhibitors and diuretics. Two interventions were carried out to improve the
rate of
medicines reconciliation onto hospital drug charts with pre-admission
medicines.
These were: 1) a green sticker placed in the medical notes by the pharmacist
when
drug charts were incomplete, which required a date and signature from the
doctor
when the drug chart had been reconciled 2) the placing of the loose medicines
reconciliation record (a list of pre-admission medicines retrieved from a

reliable
source usually by the pharmacist) to the front of the drug chart. These
measures
were designed to alert the doctors that the drug chart was incomplete. After
2 PDSA
cycles, the results showed positive outcomes. In 75% of the cases where the
interventions were used, medicines reconciliation was complete at the point
of
discharge with 34% of drug charts reconciled within 24 hours of admission. Of
the
25% of drug charts that were not reconciled despite the use of the
interventions,
100% of them were missing 0-2 medicines however 0% were missing 3-5
medicines. This
highlights that the interventions were effective in improving the rates of
medicines
reconciliation.
FAU - Doolub, Reshmee
AU - Doolub R
AD - United Kingdom.
LA - eng
DEP - 20170608
JID - 101629512
PMC - PMC5492467
COIS- Declaration of interests: Nothing to declare
EDAT- 2017/08/22 06:00
MHDA- 2017/08/22 06:01
CRDT- 2017/08/22 06:00
PHST- 2017/08/22 06:00 [entrez]
PHST- 2017/08/22 06:00 [pubmed]
PHST- 2017/08/22 06:01 [medline]
AID - bmjquality.2017.000064 [pii]
AID - 10.1136/bmjquality-2017-000064 [doi]
PST - epublish
SO - BMJ Qual Improv Rep. 2017 Jun 8;6(1):e000064. doi: 10.1136/bmjquality-2017-
000064.
eCollection 2017.
PMID- 32801962
OWN - NLM
LR - 20200928
IS - 1179-1594 (Print)
IS - 1179-1594 (Linking)
VI - 13
DP - 2020
TI - Evaluating Surgical Risk Using FMEA and MULTIMOORA Methods under a Single-
Valued
Trapezoidal Neutrosophic Environment.
PG - 865-881
LID - 10.2147/RMHP.S243331 [doi]
AB - BACKGROUND: Human errors during operations may seriously threaten patient
recovery
and safety and affect the doctor-patient relationship. Therefore, risk
evaluation of
the surgical process is critical. Risk evaluation by failure mode and effect
analysis (FMEA) is a prospective technology that can identify and evaluate
potential
failure modes in the surgical process to ensure surgical quality and patient
safety.
In this study, a hybrid surgical risk-evaluation model was proposed using
FMEA and
multiobjective optimization on the basis of ratio analysis plus full
multiplicative
form (MULTIMOORA) method under a single-valued trapezoidal neutrosophic
environment.
This work aimed to determine the most critical risk points during the
surgical
process and analyze corresponding solutions. METHODS: A team for FMEA was
established from domain experts from different departments in a hospital in
Hunan
Province. Single-valued trapezoidal neutrosophic numbers (SVTNNs) were used
to
evaluate potential risk factors in the surgical process. Cmprehensive weights
combining subjective and objective weights were determined by the best-worst

method
and entropy method to differentiate the importance of risk factors. The
SVTNN-MULTIMOORA method was utilized to calculate the risk-priority order of
failure
modes in a surgical process. RESULTS: The hybrid FMEA model under the
SVTNN-MULTIMOORA method was used to calculate the ranking of severity of 21
failure
modes in the surgical process. An unclear diagnosis is the most critical
failure in
the surgical process of a hospital in Hunan Province. CONCLUSION: The
proposed model
can identify and evaluate the most critical potential failure modes of the
surgical
process effectively. In addition, such a model can help hospitals to reduce
surgical
risk and improve the safety of surgery.
CI - © 2020 Cheng et al.
FAU - Cheng, Peng-Fei
AU - Cheng PF
AUID- ORCID: 0000-0001-6121-1002
AD - School of Business, Hunan University of Science and Technology, Xiangtan
411201,
AD - Hunan Engineering Research Center of Intelligent Decision Making and Big Data
on
Industrial Development, Xiangtan 411201, People's Republic of China.
FAU - Li, Dan-Ping
AU - Li DP
411201,
FAU - He, Ji-Qun
AU - He JQ
AUID- ORCID: 0000-0002-7997-0012
AD - Xiangya Hospital, Central South University, Changsha 410008, People's
Republic of
China.
AD - Xiangya Nursing School, Central South University, Changsha 410011, People's
Republic
of China.
FAU - Zhou, Xiang-Hong
AU - Zhou XH
411201,
on
FAU - Wang, Jian-Qiang
AU - Wang JQ
on
AD - School of Business, Central South University, Changsha 410083, People's
Republic of
China.
FAU - Zhang, Hong-Yu
AU - Zhang HY
on
AD - School of Business, Central South University, Changsha 410083, People's
Republic of
China.
LA - eng
DEP - 20200723
TA - Risk Manag Healthc Policy
JT - Risk management and healthcare policy
JID - 101566264
PMC - PMC7384878
OTO - NOTNLM
OT - MULTIMOORA
OT - best–worst method
OT - failure mode and effect analysis
OT - single-valued trapezoidal neutrosophic numbers
OT - surgical process
COIS- Peng-Fei Cheng reports grants and personal fees from the Department of
Science and
Technology of Hunan Province, Social Science Planning Office of Hunan
Province, and
the Department of Education of Hunan Province. Ji-Qun He reports grants and
personal
fees from the Hunan Provincial Natural Science Fund and Hunan Federation of
Social
Sciences during the study. The authors declare that they have no other
possible
conflicts of interest.
EDAT- 2020/08/18 06:00
MHDA- 2020/08/18 06:01
CRDT- 2020/08/18 06:00
PHST- 2019/12/22 00:00 [received]
PHST- 2020/06/23 00:00 [accepted]
PHST- 2020/08/18 06:00 [entrez]
PHST- 2020/08/18 06:00 [pubmed]
PHST- 2020/08/18 06:01 [medline]
AID - 243331 [pii]
AID - 10.2147/RMHP.S243331 [doi]
PST - epublish
SO - Risk Manag Healthc Policy. 2020 Jul 23;13:865-881. doi: 10.2147/RMHP.S243331.
eCollection 2020.
PMID- 26734385
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - Improving medical handover at the weekend: a quality improvement project.
LID - u207153.w2899
AB - In recent years medical handover has been identified as an increasingly
important
area for hospitals to improve upon, in light of the changes in shift patterns
for
doctors. Significant changes to weekday handover had recently been
successfully
introduced at Broomfield hospital. Weekend handover remained a concern, with
an
electronic and paper system being used simultaneously. Our objectives were to
introduce a new electronic handover system for weekend handover at Broomfield
Hospital and improve the organisation of the weekend handover meeting to

promote
patient safety. Doctors involved in weekend handover were surveyed using a
questionnaire, to establish insufficiencies in the weekend handover process;
where
both the electronic ExtraMed system and paper were being used inconsistently.
A new
weekend handover system was introduced together with a new user-friendly
electronic
handover database, addressing the identified difficulties in the current
system.
These changes met the medical handover guidelines set by the Royal College of
Physicians. Three months after the launch of the new system, doctors were
re-surveyed using a modified questionnaire to assess the impact our changes
had
made. Before changes were implemented only 12% of doctors surveyed used the
electronic system for weekend. Eighty-nine percent found sorting through jobs
time
consuming and 67% were handed jobs to them meant for a different grade of
doctor.
Only 41% were aware who to hand weekend discharges to. Subjective assessment
of
safety was 3.18 out of 5. The electronic system was felt to be time consuming
and
complicated. After execution of the new weekend handover process, 100% of
doctors
reported using the electronic system for weekend handover. Only 47% of
doctors felt
sorting through jobs was time consuming and 89% of doctors were aware who to
handover weekend discharges to. Subjective assessment of the safety of
weekend
handover improved to 3.84 out of 5. Informal interviews on the ward revealed
a high
degree of satisfaction with the new weekend handover system. In conclusion we
found
that a structured, well organised weekend handover meeting together with an
effective electronic handover system improves the quality of medical weekend
handover.
FAU - Michael, Emma
AU - Michael E
AD - Broomfield Hospital, MEHT, UK.
FAU - Patel, Chandni
AU - Patel C
AD - Broomfield Hospital, MEHT, UK.
LA - eng
DEP - 20150624
JID - 101629512
PMC - PMC4693034
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2014/11/12 00:00 [received]
PHST- 2015/02/11 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
PST - epublish
PMID- 29354540
OWN - NLM
LR - 20200930
IS - 2230-5254 (Linking)
VI - 5
DP - 2016
TI - Clinical impact of a pharmacist-led inpatient anticoagulation service: a
review of
the literature.
PG - 53-63
LID - 10.2147/IPRP.S93312 [doi]
AB - BACKGROUND: Anticoagulant therapies provide management options for
potentially
life-threatening thromboembolic conditions. They also carry significant
safety
risks, requiring careful consideration of medication dose, close monitoring,
and
follow-up. Inpatients are particularly at risk, considering the widespread
use of
anticoagulants in hospitals. This has prompted the introduction of safety
goals for
anticoagulants in Canada and the USA, which recommend increased pharmacist
involvement to reduce patient harm. The goal of this review is to evaluate
the
efficacy and safety of pharmacist-led inpatient anticoagulation services
compared to
usual or physician-managed care. METHODS: This narrative review includes
articles
identified through a literature search of PubMed, Embase, and International
Pharmaceutical Abstracts databases, as well as hand searches of the
references of
relevant articles. Full publications of pharmacist-managed inpatient
anticoagulation
services were eligible if they were published in English and assessed
clinical
outcomes. RESULTS: Twenty-six studies were included and further divided into
two
categories: 1) autonomous pharmacist-managed anticoagulation programs (PMAPs)
and 2)
pharmacist recommendation. Pharmacist management of heparin and warfarin
appears to
result in improvements in some surrogate outcomes (international normalized
ratio
[INR] stability and time in INR goal range), while results for others are
mixed
(time to therapeutic INR, length of stay, and activated partial
thromboplastin time
[aPTT] measures). There is also some indication that PMAPs may be associated
with
reduced patient mortality. When direct thrombin inhibitors are managed by
pharmacists, there seems to be a shorter time to therapeutic aPTT and a
greater
percentage of time in the therapeutic range, as well as a decrease in the
frequency
of medication errors. Pharmacist recommendation services have generally
resulted in
a greater time in therapeutic INR range, greater INR stability, decreased
length of
stay, and reduced major drug interactions, with no significant differences in
safety
outcomes. CONCLUSION: Pharmacist-led inpatient anticoagulation management
seems to
result in superior outcomes, as compared to usual or physician-managed care.
This
conclusion is limited by small, poorly designed studies lacking statistical
power,
focusing mainly on surrogate outcomes.
FAU - Lee, Tiffany
AU - Lee T
AD - School of Pharmacy, Memorial University, St John's, NL, Canada.
FAU - Davis, Erin
AU - Davis E
FAU - Kielly, Jason
AU - Kielly J
LA - eng
PT - Review
DEP - 20160526
JID - 101656778
PMC - PMC5741038
OTO - NOTNLM
OT - direct thrombin inhibitors
OT - heparin
OT - hospital
OT - venous thromboembolism
OT - warfarin
EDAT- 2016/05/26 00:00
MHDA- 2016/05/26 00:01
CRDT- 2018/01/23 06:00
PHST- 2018/01/23 06:00 [entrez]
PHST- 2016/05/26 00:00 [pubmed]
PHST- 2016/05/26 00:01 [medline]
AID - 10.2147/IPRP.S93312 [doi]
PST - epublish
SO - Integr Pharm Res Pract. 2016 May 26;5:53-63. doi: 10.2147/IPRP.S93312.
eCollection
2016.
PMID- 26732464
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 2
IP - 2
DP - 2014
TI - Improving drug chart documentation in elective surgical patient admissions.
LID - u591.w893
AB - National Institute for Health and Care Excellence (NICE) guidelines state
that all
healthcare organisations should put policies in place for medication
reconciliation
on admission. At Croydon University Hospital a medication history had
previously
been taken in Foundation Year 1 (FY1) preoperative clinics. However, when
these
clinics were deemed unnecessary, this opportunity for drug chart
documentation was
lost, along with an awareness of this responsibility among the FY1s. As a
result
patients were being admitted to wards without adequate drug chart
documentation
which resulted in a serious untoward incident occurring. This project aimed
to
increase awareness among FY1s of this responsibility and as a result increase
drug
chart documentation in postoperative elective surgical patients. The drug
charts of
40 postoperative elective surgical patients admitted to all surgical wards
were
reviewed over a 2 week period. 12.5% (4/32) of patients taking regular
medication
had these correctly prescribed, with 'high risk medication omissions' found
in 7.5%
(3/40). Documentation of an allergy status was absent in 17.5% (7/40) of
patients,
including 5% (2/40) of whom had a known drug allergy. To create awareness of
this
responsibility, first, a presentation was given to the FY1s, second, posters
to
prompt action were placed on the elective surgical wards, and finally, the
Director
of Medical Education emailed the FY1s reiterating these facts. We then
reviewed the
drug charts of 45 elective postoperative patients over a 2 week period
following
these interventions. The results showed: correct prescription of regular
medications
improved to 48% (16/33); 'high risk medication omissions' reduced to 4%
(2/45);
documentation of allergy status on the drug charts increased to 87% (39/45);
failure
to document a known drug allergy on the drug chart fell to 2% (1/45); and
patients
with a 'high risk medication omission' or an undocumented known drug allergy
decreased from 12.5% (5/40) to 7 % (3/45). This study has highlighted an area
in
which medication reconciliation and drug chart documentation were inadequate,
and
posed a risk to patient safety. Interventions designed to educate the FY1s
and
inform them of their responsibility improved standards in regular medication
prescription and allergy documentation. However, leaving the onus with the
FY1s was
not enough to achieve adequate drug chart documentation. Further project
cycles may
therefore require the implementation of a step within the patient admission
protocol
in the preoperative ward that requires the nursing staff to contact the
team's
doctor when the patient arrives in hospital to ensure satisfactory drug chart
documentation. In addition, collaboration with the pharmacists could also

allow a
'best possible medication history' to be taken on the day of admission and
thus
reduce risk to patient safety.
FAU - Thompson, Alice
AU - Thompson A
AD - Croydon University Hospital.
LA - eng
DEP - 20140218
JID - 101629512
PMC - PMC4663846
EDAT- 2014/01/01 00:00
MHDA- 2014/01/01 00:01
CRDT- 2016/01/07 06:00
PHST- 2013/06/18 00:00 [received]
PHST- 2013/10/02 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2014/01/01 00:01 [medline]
PST - epublish
eCollection 2014.
PMID- 22850220
OWN - NLM
STAT- MEDLINE
DCOM- 20130111
LR - 20180126
IS - 0007-0912 (Linking)
VI - 109
IP - 5
DP - 2012 Nov
TI - Errors during the preparation of drug infusions: a randomized controlled
trial.
PG - 729-34
LID - 10.1093/bja/aes257 [doi]
AB - BACKGROUND: We investigated the extent and frequency of dose errors and
treatment
delays made as a consequence of preparing drug infusions at the bedside,
rather than
using pre-filled syringes. METHODS: Forty-eight nurses with critical care
experience
volunteered to take part in this randomized, blinded, controlled study
conducted in
the simulation centre of an urban hospital. They assisted in the management
of a
simulated patient with septic shock. Vasopressor infusions were prepared
either by
diluting concentrated drugs from ampoules or were provided in syringes pre-
filled
beforehand by an intensive care unit resident. RESULTS: The time taken for
the
infusion to be started and the final concentration of the drugs were
measured. We
also measured the concentration of infusions prepared by a pharmacist and a
pharmaceutical company. Nurses took 156 s to start infusions when using pre-
filled
syringes compared with 276 s when preparing them de novo, a mean delay of 106
s [95%
confidence interval (CI) 73-140 s, P<0.0001]. One infusion prepared from
ampoules
contained one-fifth of the expected concentration of epinephrine; another
contained
none at all. Medication errors were 17.0 times less likely when pre-filled
syringes
were used (95% CI 5.2-55.5), and infusions prepared by pharmacy and industry
were
significantly more likely to contain the expected concentration (P<0.001 for
norepinephrine and P=0.001 for epinephrine). CONCLUSIONS: Providing drug
infusions
in syringes pre-filled by pharmacists or pharmaceutical companies would
reduce
medication errors and treatment delays, and improve patient safety. However,
this
approach would have substantial financial implications for healthcare
providers,
especially in less developed countries.
FAU - Adapa, R M
AU - Adapa RM
Cambridge,
UK.
FAU - Mani, V
AU - Mani V
FAU - Murray, L J
AU - Murray LJ
FAU - Degnan, B A
AU - Degnan BA
FAU - Ercole, A
AU - Ercole A
FAU - Cadman, B
AU - Cadman B
FAU - Williams, C E
AU - Williams CE
FAU - Gupta, A K
AU - Gupta AK
FAU - Wheeler, D W
AU - Wheeler DW
LA - eng
DEP - 20120731
PL - England
TA - Br J Anaesth
JID - 0372541
RN - YKH834O4BH (Epinephrine)
SB - IM
CIN - Acta Anaesthesiol Scand. 2016 Aug;60(7):917-24. PMID: 26935817
MH - Critical Care/methods
MH - Drug Compounding/*methods/statistics & numerical data
MH - Drug Packaging
MH - Epinephrine/administration & dosage
MH - Hospitals, Urban
MH - Humans
MH - Infusions, Intravenous
MH - Patient Simulation
MH - Shock, Septic/drug therapy
MH - Single-Blind Method
MH - Syringes
EDAT- 2012/08/02 06:00
MHDA- 2013/01/12 06:00
CRDT- 2012/08/02 06:00
PHST- 2012/08/02 06:00 [entrez]
PHST- 2012/08/02 06:00 [pubmed]
PHST- 2013/01/12 06:00 [medline]
AID - S0007-0912(17)31634-3 [pii]
AID - 10.1093/bja/aes257 [doi]
PST - ppublish
SO - Br J Anaesth. 2012 Nov;109(5):729-34. doi: 10.1093/bja/aes257. Epub 2012 Jul
31.
PMID- 22479055
OWN - NLM
DCOM- 20120823
LR - 20190608
IS - 0008-4123 (Print)
IS - 0008-4123 (Linking)
VI - 64
IP - 3
DP - 2011 May
TI - Development and evaluation of a checklist for medication order review by
pharmacists.
PG - 199-206
AB - BACKGROUND: To create a checklist of the tasks that a pharmacist must perform
during
medication order review in the hospital setting and to evaluate the utility
of and
pharmacists' satisfaction with the checklist. METHODS: An evidence-based
checklist
for medication order review was developed, with items related to order
urgency,
verification of patients' identity, therapeutic review, and actionable items.
Pharmacists were educated about the checklist, and it was made available at 2
community hospitals in an urban setting. Pharmacists completed a nonvalidated
satisfaction survey and participated in focus groups or interviews within 3

months
after implementation of the checklist. Qualitative descriptive theory was
used to
identify themes within the data. Near-miss occurrence reports for the 3
months
before and after implementation of the checklist were quantified. RESULTS: Of
16
pharmacists who were involved in the implementation phase, 14 participated in
focus
groups or an interview, and 11 responded to the survey. All respondents felt
that
the primary role of the checklist was for training. They felt that the
checklist
could be useful when reviewing high-alert or unfamiliar medications or
therapy for
patients with complex medications. The checklist was most helpful when it was
used
as a reminder, on an as-needed basis. Nine (82%) of the 11 survey respondents
indicated that the checklist standardized the process of medication order

review,
the same number felt that it prevented accidental omission of critical
checks, and 8
(73%) felt that it improved patient safety. Education was necessary to
reinforce the
purpose of the checklist and its self-check nature. There was no difference
in the
number of near misses in the pharmacy between the 3-month periods before and
after
implementation of the checklist. CONCLUSION: Pharmacists participating in the
study
felt that a checklist for medication order review had a role in training new
pharmacists and standardizing processes.
FAU - Meyer, Lindsay D
AU - Meyer LD
AD - , BSc, BSP, ACPR, was, at the time this study was completed, a Pharmacy
Resident
with the Winnipeg Regional Health Authority, Winnipeg, Manitoba. She is now a
Clinical Pharmacist with Alberta Health Services, Edmonton, Alberta.

FAU - Raymond, Colette B
AU - Raymond CB
FAU - Rodrigue, Christine M J
AU - Rodrigue CM
LA - eng
JID - 0215645
PMC - PMC3130755
OABL- fre
EDAT- 2012/04/06 06:00
MHDA- 2012/04/06 06:01
CRDT- 2012/04/06 06:00
PHST- 2012/04/06 06:00 [entrez]
PHST- 2012/04/06 06:00 [pubmed]
PHST- 2012/04/06 06:01 [medline]
AID - cjhp-64-3-199 [pii]
AID - 10.4212/cjhp.v64i3.1023 [doi]
PST - ppublish
SO - Can J Hosp Pharm. 2011 May;64(3):199-206. doi: 10.4212/cjhp.v64i3.1023.
PMID- 22509474
OWN - NLM
DCOM- 20120823
LR - 20200930
IS - 2093-3681 (Print)
IS - 2093-3681 (Linking)
VI - 18
IP - 1
DP - 2012 Mar
TI - Comparing the Certification Criteria for CCHIT-Certified Ambulatory EHR with
the
SNUBH's EHR Functionalities.
PG - 57-64
LID - 10.4258/hir.2012.18.1.57 [doi]
AB - OBJECTIVES: This study aims to investigate the suitability of electronic
health
record (EHR) systems in Korea for global certification and to propose
functions for
future global systems by comparing and analyzing the certification criteria
for
Certification Commission for Health Information Technology (CCHIT) Certified
Ambulatory EHR with BESTCare, which is the EHR system at Seoul National
University
Bundang hospital. METHODS: Domain expert groups were formed to analyze the
inclusion
of BESTCare functions and the types of differences for each of the CCHIT
Certified
2011 Ambulatory EHR Certification Criteria. The types of differences were
divided
into differences in functions (F), differences in business processes (B), and
differences in government policies (P). RESULTS: Generally, the criteria that

showed
differences in functions pertained to the connection between the
diagnosis/problem
list and order, the alert and warning functions for medication-diagnosis
interactions, and the reminder/instruction/notification messages related to
the
patient's immunization status; these absent functions were enhanced clinical
decision support system (CDSS) functions related to patient safety and
healthcare
quality. Differences in government policies were found in the pharmacy's
electronic
prescription functions, while differences in business processes were found in
the
functions constrained by the local workflow or internal policy, which require
some
customization. CONCLUSIONS: Functions that differed between the CCHIT
certification
criteria and the BESTCare system in this study should be considered when
developing
a global EHR system. Such a system will need to be easily customizable to
adapt to
various government policies and local business processes. These functions
should be
considered when developing a global EHR system certified by CCHIT in the
future.
FAU - Heo, Eun Young
AU - Heo EY
AD - Medical Informatics Center, Seoul National University Bundang Hospital,
Seongnam,
Korea.
FAU - Hwang, Hee
AU - Hwang H
FAU - Kim, Eun Hye
AU - Kim EH
FAU - Cho, Eun Young
AU - Cho EY
FAU - Lee, Kee Hyuck
AU - Lee KH
FAU - Kim, Tae Hun
AU - Kim TH
FAU - Kim, Ki Dong
AU - Kim KD
FAU - Baek, Rong Min
AU - Baek RM
FAU - Yoo, Sooyoung
AU - Yoo S
LA - eng
DEP - 20120331
TA - Healthc Inform Res
JT - Healthcare informatics research
JID - 101534553
PMC - PMC3324756
OTO - NOTNLM
OT - Certification Commission for Health Information Technology
OT - Electronic Health Record
OT - Functionality
OT - Interoperability
OT - Security
COIS- No potential conflict of interest relevant to this article was reported.
EDAT- 2012/04/18 06:00
MHDA- 2012/04/18 06:01
CRDT- 2012/04/18 06:00
PHST- 2012/03/09 00:00 [received]
PHST- 2012/03/26 00:00 [revised]
PHST- 2012/03/27 00:00 [accepted]
PHST- 2012/04/18 06:00 [entrez]
PHST- 2012/04/18 06:00 [pubmed]
PHST- 2012/04/18 06:01 [medline]
AID - 10.4258/hir.2012.18.1.57 [doi]
PST - ppublish
SO - Healthc Inform Res. 2012 Mar;18(1):57-64. doi: 10.4258/hir.2012.18.1.57. Epub
2012
Mar 31.
PMID- 31156854
OWN - NLM
LR - 20200225
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 23
IP - 4
DP - 2016 Jul
TI - Microbiological quality control of non-sterile compounded medicines prepared
in a
Portuguese hospital centre.
PG - 228-232
LID - 10.1136/ejhpharm-2015-000769 [doi]
AB - OBJECTIVES: This work aimed to evaluate the quality of non-sterile
formulations
compounded at Centro Hospitalar Cova da Beira (Covilhã, Portugal) immediately
after
preparation and up to the defined 'beyond-use date'. METHODS: Microbiological
quality control tests were performed in accordance with monograph 5.1.4 of

the
European Pharmacopoeia 8.0. Samples of compounded products were collected
from
January to December 2014 after preparation and were analysed immediately and
reanalysed after storage under the established conditions, for each
preparation.
RESULTS: In the test period, 392 preparations were analysed, corresponding to
24
different formulations (8 intermediate preparations, 11 oral
solutions/suspensions
and 5 topical preparations). All preparations were in accordance with the
pharmacopoeia specifications immediately after preparation. However, for the
formulations 'prednisolone oral solution (5 mg/mL)' and 'nitroglycerine and
cinchocaine ointment (0.25%/0.5%)', the microbial counts of some batches
exceeded
the defined limits after storage up to the beyond-use date. CONCLUSIONS:
These
results show that the compounding practices implemented at this pharmacy
department
are able to ensure the microbiological quality of compounded products. This
microbiological quality control methodology also allowed identification of
the need
to replace formulations shown not to be stable throughout the storage period.
On the
basis of these results, a monthly routine of microbiological control of a
random
sample of compounded medicines was established in order to ensure their
quality and
safety for use.
FAU - Palmeira-de-Oliveira, R
AU - Palmeira-de-Oliveira R
AD - Centro Hospitalar Cova da Beira, Covilhã, Portugal.
AD - CJCS-UBI: Health Sciences Research Center, Faculty of Health Sciences,
University of
Beira Interior, Covilhã, Portugal.
AD - Labfit-HPRD-Health Products Research and Development, Covilhã, Portugal.
FAU - Luís, C
AU - Luís C
University of
FAU - Gaspar, C
AU - Gaspar C
University of
FAU - Bogas, E
AU - Bogas E
FAU - Morgado, M
AU - Morgado M
University of
FAU - Guardado, M
AU - Guardado M
FAU - Castelo Branco, M
AU - Castelo Branco M
University of
FAU - Fonseca, M O
AU - Fonseca MO
FAU - Palmeira-de-Oliveira, A
AU - Palmeira-de-Oliveira A
University of
LA - eng
DEP - 20160119
JID - 101578294
PMC - PMC6451459
OTO - NOTNLM
OT - European Pharmacopeia
OT - compounding
OT - microbial contamination
OT - microbiological quality
OT - non-sterile preparations
OT - patient safety
EDAT- 2016/07/01 00:00
MHDA- 2016/07/01 00:01
CRDT- 2019/06/04 06:00
PHST- 2015/08/03 00:00 [received]
PHST- 2015/11/23 00:00 [revised]
PHST- 2015/12/08 00:00 [accepted]
PHST- 2019/06/04 06:00 [entrez]
PHST- 2016/07/01 00:00 [pubmed]
PHST- 2016/07/01 00:01 [medline]
AID - 10.1136/ejhpharm-2015-000769 [doi]
PST - ppublish
Epub
2016 Jan 19.
PMID- 24628436
OWN - NLM
STAT- MEDLINE
DCOM- 20141128
LR - 20181113
IS - 0017-9124 (Print)
IS - 0017-9124 (Linking)
VI - 49
IP - 5
DP - 2014 Oct
TI - Characterization of adverse events detected in a large health care delivery
system
using an enhanced global trigger tool over a five-year interval.
PG - 1407-25
LID - 10.1111/1475-6773.12163 [doi]
AB - OBJECTIVE: To report 5 years of adverse events (AEs) identified using an
enhanced
Global Trigger Tool (GTT) in a large health care system. STUDY SETTING:
Records from
monthly random samples of adults admitted to eight acute care hospitals from
2007 to
2011 with lengths of stay ≥3 days were reviewed. STUDY DESIGN: We examined AE
incidence overall and by presence on admission, severity, stemming from care

provided versus omitted, preventability, and category; and the overlap with
commonly
used AE-detection systems. DATA COLLECTION: Professional nurse reviewers
abstracted
9,017 records using the enhanced GTT, recording triggers and AEs. Medical
record/account numbers were matched to identify overlapping voluntary reports
or
AHRQ Patient Safety Indicators (PSIs). PRINCIPAL FINDINGS: Estimated AE rates
were
as follows: 61.4 AEs/1,000 patient-days, 38.1 AEs/100 discharges, and 32.1
percent
of patients with ≥1 AE. Of 1,300 present-on-admission AEs (37.9 percent of
total),
78.5 percent showed NCC-MERP level F harm and 87.6 percent were
"preventable/possibly preventable." Of 2,129 hospital-acquired AEs, 63.3
percent had
level E harm, 70.8 percent were "preventable/possibly preventable"; the most
common
category was "surgical/procedural" (40.5 percent). Voluntary reports and PSIs
captured <5 percent of encounters with hospital-acquired AEs. CONCLUSIONS:

AEs are
common and potentially amenable to prevention. GTT-identified AEs are seldom
caught
by commonly used AE-detection systems.
FAU - Kennerly, Donald A
AU - Kennerly DA
AD - Office of the Chief Quality Officer, Baylor Health Care System, Baylor Scott
and
White Health, 8080 N. Central Expressway, Suite 500, Dallas, TX 75206.
FAU - Kudyakov, Rustam
AU - Kudyakov R
FAU - da Graca, Briget
AU - da Graca B
FAU - Saldaña, Margaret
AU - Saldaña M
FAU - Compton, Jan
AU - Compton J
FAU - Nicewander, David
AU - Nicewander D
FAU - Gilder, Richard
AU - Gilder R
LA - eng
DEP - 20140313
JID - 0053006
SB - IM
CIN - Health Serv Res. 2014 Oct;49(5):1401-6. PMID: 25255819
MH - Adult
MH - Delivery of Health Care, Integrated/*statistics & numerical data
MH - Drug-Related Side Effects and Adverse Reactions/*epidemiology
MH - Humans
MH - Incidence
MH - Medical Records/*statistics & numerical data
MH - Models, Statistical
MH - Texas/epidemiology
PMC - PMC4213042
OTO - NOTNLM
OT - Adverse events
OT - Global Trigger Tool
EDAT- 2014/03/19 06:00
MHDA- 2014/12/15 06:00
CRDT- 2014/03/18 06:00
PHST- 2014/03/18 06:00 [entrez]
PHST- 2014/03/19 06:00 [pubmed]
PHST- 2014/12/15 06:00 [medline]
AID - 10.1111/1475-6773.12163 [doi]
PST - ppublish
SO - Health Serv Res. 2014 Oct;49(5):1407-25. doi: 10.1111/1475-6773.12163. Epub
2014 Mar
13.
PMID- 31427894
OWN - NLM
LR - 20200929
IS - 1472-6955 (Print)
IS - 1472-6955 (Linking)
VI - 18
IP - Suppl 1
DP - 2019
TI - Nursing care activities based on documentation.
PG - 32
LID - 10.1186/s12912-019-0352-0 [doi]
LID - 32
AB - BACKGROUND: Nurses engage in various activities from the time of a patient's
admission to his or her discharge from the hospital, helping patients to meet
their
needs. Each of the activities should be documented properly as authentic and
crucial
evidence. This study aimed to identify nursing activities in the delivery of
nursing
care based on the documentation completed. METHODS: A quantitative design
with a
retrospective approach was used, in which 240 medical records from Dr.
Kariadi
Hospital in Semarang, dating from July through September 2016, were obtained
and
assessed. The records were randomly selected based on the 10 most common
medical and
surgical diseases and a hospital stay of more than 3 days. The instrument for
collecting the data from the patient progress notes used an observations
form. The
data were analyzed using univariate statistics and needed to be at least 80%
of the
values for a certain criteria for it to be considered. The results were
analyzed to
compare the standard of care. RESULTS: It was revealed that nursing
activities in
the delivery of nursing care were insufficient. These activities, according
the
standard of nursing activities, included the assessment of the functional
status of
decubitus risk (20.8%), biological status (0.4%), formulation of a nursing
diagnosis
(20.8%), identification of patients' home needs (41.3%), quality of life
(66.3%),
collaboration intervention in drug administration (60.8%), monitoring of
vital signs
(23.3%), monitoring of daily living activities (37.5%),
mobilization/rehabilitation
(37.5%), outcome (46.7%), and resume activities nursing (0.8%). CONCLUSIONS:
Nursing
activities are very important within the hospital and must solve the problems
that
the patient needs. Every nursing activity should produce documentation with
critical
thinking. If nursing documents are not clear and accurate, inter-professional
communication and an evaluation of nursing care cannot be optimal. Nursing

activity
and documentation should be continuously directed, controlled, and evaluated
by a
nurse manager. The quality of nursing activities should always be good to
increase
patient satisfaction, patient safety, and cost-effectiveness.
FAU - Asmirajanti, Mira
AU - Asmirajanti M
AD - Nursing Program, Faculty of Health Sciences, Esa Unggul University, Jakarta,
11510
Indonesia.
FAU - Hamid, Achir Yani S
AU - Hamid AYS
AD - 2Faculty of Nursing Universitas Indonesia, Jln. Prof. Dr. Bahder Djohan,
Kampus UI,
Depok, West Java 16424 Indonesia. ISNI: 0000000120191471. GRID: grid.9581.5
FAU - Hariyati, Rr Tutik Sri
AU - Hariyati RTS
AD - 2Faculty of Nursing Universitas Indonesia, Jln. Prof. Dr. Bahder Djohan,
Kampus UI,
Depok, West Java 16424 Indonesia. ISNI: 0000000120191471. GRID: grid.9581.5
LA - eng
DEP - 20190816
TA - BMC Nurs
JT - BMC nursing
JID - 101088683
PMC - PMC6696695
OTO - NOTNLM
OT - Nursing activity
OT - Nursing documentation
OT - Quality of nursing
EDAT- 2019/08/21 06:00
MHDA- 2019/08/21 06:01
CRDT- 2019/08/21 06:00
PHST- 2019/08/21 06:00 [entrez]
PHST- 2019/08/21 06:00 [pubmed]
PHST- 2019/08/21 06:01 [medline]
AID - 352 [pii]
AID - 10.1186/s12912-019-0352-0 [doi]
PST - epublish
SO - BMC Nurs. 2019 Aug 16;18(Suppl 1):32. doi: 10.1186/s12912-019-0352-0.
eCollection
2019.
PMID- 30269059
OWN - NLM
STAT- MEDLINE
DCOM- 20200129
LR - 20200309
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 28
IP - 3
DP - 2019 Mar
TI - We want to know: patient comfort speaking up about breakdowns in care and
patient
experience.
PG - 190-197
LID - 10.1136/bmjqs-2018-008159 [doi]
AB - OBJECTIVE: To assess patient comfort speaking up about problems during
hospitalisation and to identify patients at increased risk of having a
problem and
not feeling comfortable speaking up. DESIGN: Cross-sectional study. SETTING:
Eight
hospitals in Maryland and Washington, District of Columbia. PARTICIPANTS:
Patients
hospitalised at any one of eight hospitals who completed the Hospital
Consumer
Assessment of Healthcare Providers and Systems survey postdischarge. MAIN
OUTCOME
MEASURES: Response to the question 'How often did you feel comfortable
speaking up
if you had any problems in your care?' grouped as: (1) no problems during
hospitalisation, (2) always felt comfortable speaking up and (3)
usually/sometimes/never felt comfortable speaking up. RESULTS: Of 10 212
patients
who provided valid responses, 4958 (48.6%) indicated they had experienced a
problem
during hospitalisation. Of these, 1514 (30.5%) did not always feel
comfortable
speaking up. Predictors of having a problem during hospitalisation included
age,
health status and education level. Patients who were older, reported worse
overall
and mental health, were admitted via the Emergency Department and did not
speak
English at home were less likely to always feel comfortable speaking up.
Patients
who were not always comfortable speaking up provided lower ratings of nurse
communication (47.8 vs 80.4; p<0.01), physician communication (57.2 vs 82.6;
p<0.01)
and overall hospital ratings (7.1 vs 8.7; p<0.01). They were significantly
less
likely to definitely recommend the hospital (36.7% vs 71.7 %; p<0.01) than
patients
who were always comfortable speaking up. CONCLUSIONS: Patients frequently
experience
problems in care during hospitalisation and many do not feel comfortable
speaking
up. Creating conditions for patients to be comfortable speaking up may result
in
service recovery opportunities and improved patient experience. Such efforts
should
consider the impact of health literacy and mental health on patient
engagement in
patient-safety activities.

FAU - Fisher, Kimberly A
AU - Fisher KA
AUID- ORCID: 0000-0003-1802-3457
Worcester,
Massachusetts, USA kimberly.fisher@umassmemorial.org.
AD - Meyers Primary Care Institute, a joint endeavor of the University of
Massachusetts
Medical School, Reliant Medical Group, and Fallon Health, Worcester,
Massachusetts,
USA.
FAU - Smith, Kelly M
AU - Smith KM
AD - MedStar Health Research Institute, Hyattsville, Maryland, USA.
AD - System Quality and Patient Safety, MedStar Health, Columbia, MD, USA.
FAU - Gallagher, Thomas H
AU - Gallagher TH
AD - Department of Medicine, University of Washington School of Medicine, Seattle,
Washington, USA.
FAU - Huang, Jim C
AU - Huang JC
AD - Department of Biostatistics and Biomedical Informatics, MedStar Health
Research
Institute, Hyattsville, Maryland, USA.
AD - Center for Clinical and Translational Science, Georgetown-Howard
Universities,
Washington, D.C., USA.
FAU - Borton, James C
AU - Borton JC
AD - MedStar Health, Columbia, Maryland, USA.
FAU - Mazor, Kathleen M
AU - Mazor KM
AD - Meyers Primary Care Institute, a joint endeavor of the University of
Massachusetts
Medical School, Reliant Medical Group, and Fallon Health, Worcester,
Massachusetts,
USA.
LA - eng
DEP - 20180929
TA - BMJ Qual Saf
JID - 101546984
SB - H
CIN - BMJ Qual Saf. 2019 Mar;28(3):172-176. PMID: 30467118
MH - Adult
MH - Aged
MH - Communication
MH - District of Columbia
MH - Female
MH - Hospitals
MH - Humans
MH - Male
MH - Maryland
MH - Middle Aged
MH - *Patient Comfort
MH - Patient Safety
PMC - PMC6449036
MID - NIHMS1009965
OTO - NOTNLM
OT - *patient satisfaction
OT - *patient-centred care
EDAT- 2018/10/01 06:00
MHDA- 2020/01/30 06:00
CRDT- 2018/10/01 06:00
PHST- 2018/04/03 00:00 [received]
PHST- 2018/07/25 00:00 [revised]
PHST- 2018/08/09 00:00 [accepted]
PHST- 2018/10/01 06:00 [pubmed]
PHST- 2020/01/30 06:00 [medline]
PHST- 2018/10/01 06:00 [entrez]
AID - bmjqs-2018-008159 [pii]
AID - 10.1136/bmjqs-2018-008159 [doi]
PST - ppublish
SO - BMJ Qual Saf. 2019 Mar;28(3):190-197. doi: 10.1136/bmjqs-2018-008159. Epub
2018 Sep
29.
PMID- 29558568
OWN - NLM
STAT- MEDLINE
DCOM- 20190910
LR - 20190910
IS - 0002-8614 (Print)
IS - 0002-8614 (Linking)
VI - 66
IP - 6
DP - 2018 Jul
TI - Lower Postsurgical Mortality for Individuals with Dementia with Better-
Educated
Hospital Workforce.
PG - 1137-1143
LID - 10.1111/jgs.15355 [doi]
AB - OBJECTIVES: To investigate whether care in a hospital with more nurses
holding at
least a Bachelor of Science in Nursing (BSN) degree is associated with lower
mortality for individuals with Alzheimer's disease and related dementias
(ADRD)
undergoing surgery ADRD. DESIGN: Cross-sectional data from 2006-07 Medicare
claims
were linked with the Multi-State Nursing Care and Patient Safety Survey of
nurses in
4 states. SETTING: Adult, nonfederal, acute care hospitals in California,
Florida,
New Jersey, and Pennsylvania (N=531). PARTICIPANTS: Medicare beneficiaries
aged 65
and older with and without ADRD undergoing general, orthopedic, or vascular
surgery
(N=353,333; ADRD, n=46,163; no ADRD, n=307,170). MEASUREMENTS: Thirty-day
mortality
and failure to rescue (death after a complication). RESULTS: Controlling for
hospital, procedure, and individual characteristics, each 10% increase in the
proportion of BSN nurses was associated with 4% lower odds of death (odds
ratio
(OR)=0.96, 95% confidence interval (CI)=0.93-0.98) for individuals without
ADRD, but
10% lower odds of death (OR=0.90, 95% CI=0.87-0.94) for those with ADRD. Each
10%
increase in the proportion of nurses holding a BSN degree or higher was
associated
with 5% lower odds of failure to rescue (OR=0.95, 95% CI=0.92-0.98) for
individuals
without ADRD but 10% lower odds of failure to rescue (OR=0.90, 95% CI=0.87-
0.94) for
those with ADRD. CONCLUSION: Individuals undergoing surgery who have
coexisting ADRD
are more likely to die within 30 days of admission and die after a
complication than
those without ADRD. Having more BSN nurses in the hospital improves the odds
of good
outcomes for all individuals and has a much greater effect in individuals
with ADRD.
Geriatrics
Society.
FAU - White, Elizabeth M
AU - White EM
of
AU - Smith JG
of
FAU - Trotta, Rebecca L
AU - Trotta RL
AD - University of Pennsylvania Health System, Philadelphia, Pennsylvania.
AU - McHugh MD
of
LA - eng
GR - P2C HD044964/HD/NICHD NIH HHS/United States
DEP - 20180320
JID - 7503062
SB - IM
MH - Aged
MH - Alzheimer Disease/*epidemiology
MH - Dementia/epidemiology/etiology
MH - Female
MH - Humans
MH - Male
MH - Medicare
MH - Personnel Staffing and Scheduling/organization & administration
MH - *Postoperative Care/methods/standards/statistics & numerical data
MH - Postoperative Complications/*mortality
MH - Workforce/organization & administration/standards
PMC - PMC6105464
MID - NIHMS948760
OTO - NOTNLM
OT - *dementia
OT - *mortality
OT - *nurse education
OT - *workforce
COIS- Conflict of Interest: The authors have no conflicts of interest to declare.
EDAT- 2018/03/21 06:00
MHDA- 2019/09/11 06:00
CRDT- 2018/03/21 06:00
PHST- 2017/12/21 00:00 [received]
PHST- 2018/02/08 00:00 [revised]
PHST- 2018/02/09 00:00 [accepted]
PHST- 2018/03/21 06:00 [pubmed]
PHST- 2019/09/11 06:00 [medline]
PHST- 2018/03/21 06:00 [entrez]
AID - 10.1111/jgs.15355 [doi]
PST - ppublish
SO - J Am Geriatr Soc. 2018 Jul;66(6):1137-1143. doi: 10.1111/jgs.15355. Epub 2018
Mar
20.
PMID- 31259284
OWN - NLM
STAT- MEDLINE
DCOM- 20200608
LR - 20200608
IS - 2399-6641 (Linking)
VI - 8
IP - 2
DP - 2019
TI - Development of a prediction model for 30-day acute readmissions among older
medical
patients: the influence of social factors along with other patient-specific
and
organisational factors.
PG - e000544
LID - 10.1136/bmjoq-2018-000544 [doi]
LID - e000544
AB - BACKGROUND: Readmission rate is one way to measure quality of care for older
patients. Knowledge is sparse on how different social factors can contribute
to
predict readmission. We aimed to develop and internally validate a
comprehensive
model for prediction of acute 30-day readmission among older medical patients
using
various social factors along with demographic, organisational and health-
related
factors. METHODS: We performed an observational prospective study based on a
group
of 770 medical patients aged 65 years or older, who were consecutively
screened for
readmission risk factors at an acute care university hospital during the
period from
February to September 2012. Data on outcome and candidate predictors were
obtained
from clinical screening and administrative registers. We used multiple
logistic
regression analyses with backward selection of predictors. Measures of model
performance and performed internal validation were calculated. RESULTS:
Twenty
percent of patients were readmitted within 30 days from index discharge. The
final
model showed that low educational level, along with male gender, contact with
emergency doctor, specific diagnosis, higher Charlson Comorbidity Index

score,
longer hospital stay, cognitive problems, and medical treatment for thyroid
disease,
acid-related disorders, and glaucoma, predicted acute 30-day readmission.
Area under
the receiver operating characteristic curve (0.70) indicated acceptable
discriminative ability of the model. Calibration slope was 0.98 and
calibration
intercept was 0.01. In internal validation analysis, both discrimination and
calibration measures were stable. CONCLUSIONS: We developed a model for
prediction
of readmission among older medical patients. The model showed that social
factors in
the form of educational level along with demographic, organisational and
health-related factors contributed to prediction of acute 30-day readmissions
among
older medical patients.
FAU - Lehn, Sara Fokdal
AU - Lehn SF
AUID- ORCID: 0000-0002-9872-6162
AD - Department of Medicine, Holbæk University Hospital, Holbæk, Denmark.
AD - National Institute of Public Health, University of Southern Denmark,
Copenhagen,
Denmark.
FAU - Zwisler, Ann-Dorthe
AU - Zwisler AD
AD - Knowledge Center for Rehabilitation and Palliative Care, University of
Southern
Denmark, Nyborg, Denmark.
FAU - Pedersen, Solvejg Gram Henneberg
AU - Pedersen SGH
AD - Department of Medicine, Geriatric Section, Holbæk University Hospital,
Holbæk,
Denmark.
FAU - Gjørup, Thomas
AU - Gjørup T
AD - Emergency Clinic, Gentofte Hospital, Hellerup, Denmark.
FAU - Thygesen, Lau Caspar
AU - Thygesen LC
AD - National Institute of Public Health, University of Southern Denmark,
Copenhagen,
Denmark.
LA - eng
DEP - 20190609
TA - BMJ Open Qual
JID - 101710381
MH - Aged
MH - Area Under Curve
MH - Denmark
MH - Female
MH - Humans
MH - Male
MH - Patient Readmission/statistics & numerical data/*trends
MH - ROC Curve
MH - Risk Assessment/methods/*standards/statistics & numerical data
MH - Risk Factors
MH - Sociological Factors
PMC - PMC6567955
OTO - NOTNLM
OT - *patient-centred care
EDAT- 2019/07/02 06:00
MHDA- 2019/07/02 06:01
CRDT- 2019/07/02 06:00
PHST- 2018/10/03 00:00 [received]
PHST- 2019/01/21 00:00 [revised]
PHST- 2019/05/16 00:00 [accepted]
PHST- 2019/07/02 06:00 [entrez]
PHST- 2019/07/02 06:00 [pubmed]
PHST- 2019/07/02 06:01 [medline]
AID - bmjoq-2018-000544 [pii]
AID - 10.1136/bmjoq-2018-000544 [doi]
PST - epublish
SO - BMJ Open Qual. 2019 Jun 9;8(2):e000544. doi: 10.1136/bmjoq-2018-000544.
eCollection
2019.
PMID- 31375114
OWN - NLM
STAT- MEDLINE
DCOM- 20191127
LR - 20200225
IS - 1472-6963 (Linking)
VI - 19
IP - 1
DP - 2019 Aug 2
TI - Working while sick: validation of the multidimensional presenteeism exposures
and
productivity survey for nurses (MPEPS-N).
PG - 542
LID - 10.1186/s12913-019-4373-x [doi]
LID - 542
AB - BACKGROUND: Presenteeism is the employee behaviour of physically attending
work with
reduced performance due to illness or for other reasons. Nurses are four
times more
likely to exhibit presenteeism compared to other occupations, threatening
patient
safety through increased patient falls, medication errors and staff-to-
patient
disease transmission. There is a paucity of standardized instruments that
quantify
the association between presenteeism with its exposures and related
productivity.
This study aims to validate an instrument that comprehensively measures
presenteeism
workplace and personal exposures specifically for Asian nurses. METHODS:
Questionnaire domain items were selected based on the JD-R framework and a
previously conducted systematic review of pre-existing validated scales
measuring
work attendance exposures used in previous healthcare studies. The
preliminary
questionnaire consisted of two outcomes (presenteeism frequency,
productivity) and
five exposure domains: work resources, work demands, work stress, work
engagement,
personal traits and health. Content validation and back translation
(English-Cantonese Chinese-English) were carried out. Responses from full-
time
nurses working in two acute care hospitals (Preliminary questionnaire at
Hospital 1:
N = 295 and main round questionnaire at Hospital 2: N = 1146) were included
in the
validation study to ensure an adequate sample size of ten cases per indicator
variable for CFA analysis. A random sample of 80 nurses from Hospital 1 were
selected for test-retest reliability 4 weeks post the initial survey.
Internal
consistency, convergent and discriminant validity tests were also tested.
RESULTS:
Satisfactory internal consistency (Cronbach's alpha > 0.7), test-retest
reliability
(ICC > 0.4); and construct validity - convergent and discriminant validity
was
achieved. Confirmatory factor analysis yielded satisfactory fitness indices
(CFI and
TLI > 0.95, RMSEA < 0.08). Presenteeism and productivity significantly
associated
with all work resources, work engagement and work stress constructs in
Hospital 2.
CONCLUSION: A reliable Multidimensional Presenteeism Exposures and
Productivity
Survey (MPEPS-N) has been validated in two distinct hospital environments.
The
instrument helps to identify and quantify organizational or individual
exposures
that significantly associate with presenteeism and its related productivity,
thus
allowing hospital managers to set evidence-based intervention targets for
wellness
programs and formulate human resource policies in reducing presenteeism-
related
productivity loss.
FAU - Lui, Juliana Nga Man
AU - Lui JNM
AD - School of Public Health, Li Ka Shing Faculty of Medicine, The University of
Hong
Kong, G/F Patrick Manson Building (North Wing), 7 Sassoon Road, Pokfulam,
Hong Kong,
Special Administrative Region of China.
FAU - Johnston, Janice Mary
AU - Johnston JM
AUID- ORCID: 0000-0002-6624-867X
AD - School of Public Health, Li Ka Shing Faculty of Medicine, The University of
Hong
Kong, G/F Patrick Manson Building (North Wing), 7 Sassoon Road, Pokfulam,
Hong Kong,
Special Administrative Region of China. jjohnsto@hku.hk.
LA - eng
PT - Validation Study
DEP - 20190802
JID - 101088677
SB - IM
MH - Efficiency
MH - Health Surveys
MH - Humans
MH - Nursing Staff, Hospital/psychology/*supply & distribution
MH - Occupational Health/*statistics & numerical data
MH - Patient Safety
MH - Presenteeism/*statistics & numerical data
MH - Workplace/psychology/statistics & numerical data
PMC - PMC6679450
OTO - NOTNLM
OT - Human resource management
OT - Job demands and resources
OT - Nurse
OT - Presenteeism
OT - Productivity
OT - Work engagement
OT - Work stress
EDAT- 2019/08/04 06:00
MHDA- 2019/11/28 06:00
CRDT- 2019/08/04 06:00
PHST- 2019/01/21 00:00 [received]
PHST- 2019/07/25 00:00 [accepted]
PHST- 2019/08/04 06:00 [entrez]
PHST- 2019/08/04 06:00 [pubmed]
PHST- 2019/11/28 06:00 [medline]
AID - 10.1186/s12913-019-4373-x [pii]
AID - 4373 [pii]
AID - 10.1186/s12913-019-4373-x [doi]
PST - epublish
SO - BMC Health Serv Res. 2019 Aug 2;19(1):542. doi: 10.1186/s12913-019-4373-x.
PMID- 30632973
OWN - NLM
LR - 20201001
IS - 2291-9694 (Print)
VI - 7
IP - 1
DP - 2019 Jan 11
TI - Improving Digital Hospital Transformation: Development of an Outcomes-Based
Infrastructure Maturity Assessment Framework.
PG - e12465
LID - 10.2196/12465 [doi]
LID - e12465
AB - BACKGROUND: Digital transformation in health care is being driven by the need
to
improve quality, reduce costs, and enhance the patient experience of health
care
delivery. It does this through both the direct intervention of technology to
create
new diagnostic and treatment opportunities and also through the improved use
of
information to create more engaging and efficient care processes. OBJECTIVE:
In a
modern digital hospital, improved clinical and business processes are often
driven
through enhancing the information flows that support them. To understand an
organization's ability to transform their information flows requires a clear
understanding of the capabilities of an organization's information technology
infrastructure. To date, hospital facilities have been challenged by the

absence of
uniform ways of describing this infrastructure that would enable them to
benchmark
where they are and create a vision of where they would like to be. While
there is an
industry assessment measure for electronic medical record (EMR) adoption
using the
Healthcare Information and Management Systems Society Analytics EMR Adoption
Model,
there is no equivalent for assessing the infrastructure and associated
technology
capabilities for digital hospitals. Our aim is to fill this gap, as hospital
administrators and clinicians need to know how and why to invest in
information
infrastructure to support health information technology that benefits patient
safety
and care. METHODS: Based on an operational framework for the Capability
Maturity
Model, devised specifically for health care, we applied information use
characteristics to define eight information systems maturity levels and
associated
technology infrastructure capabilities. These levels are mapped to user
experiences
to create a linkage between technology infrastructure and experience
outcomes.
Subsequently, specific technology capabilities are deconstructed to identify
the
technology features required to meet each maturity level. RESULTS: The
resulting
assessment framework clearly defines 164 individual capabilities across the
five
technology domains and eight maturity levels for hospital infrastructure.
These
level-dependent capabilities characterize the ability of the hospital's
information
infrastructure to support the business of digital hospitals including
clinical and
administrative requirements. Further, it allows the addition of a scoring
calculation for each capability, domain, and the overall infrastructure, and
it
identifies critical requirements to meet each of the maturity levels.
CONCLUSIONS:
This new Infrastructure Maturity Assessment framework will allow digital
hospitals
to assess the maturity of their infrastructure in terms of their digital
transformation aligning to business outcomes and supporting the desired level
of
clinical and operational competency. It provides the ability to establish an
international benchmark of hospital infrastructure performance, while
identifying
weaknesses in current infrastructure capability. Further, it provides a
business
case justification through increased functionality and a roadmap for
subsequent
digital transformation while moving from one maturity level to the next. As
such,
this framework will encourage and guide information-driven, digital
transformation
in health care.
CI - ©Patricia AH Williams, Brendan Lovelock, Tony Cabarrus, Marlon Harvey.
Originally
published in JMIR Medical Informatics (http://medinform.jmir.org),
11.01.2019.
FAU - Williams, Patricia Ah
AU - Williams PA
AUID- ORCID: 0000-0003-3479-3523
AD - Flinders Digital Health Research Centre, College of Science and Engineering,
Flinders University, Adelaide, Australia.
FAU - Lovelock, Brendan
AU - Lovelock B
AUID- ORCID: 0000-0001-5855-4506
AD - Cisco Systems Australia, Melbourne, Victoria, Australia.
FAU - Cabarrus, Tony
AU - Cabarrus T
AUID- ORCID: 0000-0003-2313-6579
AD - Cisco Systems Australia, Melbourne, Victoria, Australia.
FAU - Harvey, Marlon
AU - Harvey M
AUID- ORCID: 0000-0003-0826-2657
AD - Cisco Systems, Toronto, ON, Canada.
LA - eng
DEP - 20190111
JID - 101645109
PMC - PMC6329893
OTO - NOTNLM
OT - capability maturity modelling
OT - digital hospitals
OT - eHealth
OT - implementation
OT - information infrastructures
OT - medical informatics
OT - security
COIS- Conflicts of Interest: BL and TC are employed by Cisco Systems Australia. MH
is
employed by Cisco Systems. PAHW is Cisco Chair at Flinders University and
received a
grant for this research.
EDAT- 2019/01/12 06:00
MHDA- 2019/01/12 06:01
CRDT- 2019/01/12 06:00
PHST- 2018/10/10 00:00 [received]
PHST- 2018/12/09 00:00 [accepted]
PHST- 2018/11/29 00:00 [revised]
PHST- 2019/01/12 06:00 [entrez]
PHST- 2019/01/12 06:00 [pubmed]
PHST- 2019/01/12 06:01 [medline]
AID - 10.2196/12465 [doi]
PST - epublish
SO - JMIR Med Inform. 2019 Jan 11;7(1):e12465. doi: 10.2196/12465.
PMID- 24708670
OWN - NLM
STAT- MEDLINE
DCOM- 20151021
LR - 20181113
IS - 1471-2253 (Print)
IS - 1471-2253 (Linking)
VI - 14
DP - 2014
TI - A nationwide postal questionnaire survey: the presence of airway guidelines
in
anaesthesia department in Sweden.
PG - 25
LID - 10.1186/1471-2253-14-25 [doi]
AB - BACKGROUND: In Sweden, airway guidelines aimed toward improving patient
safety have
been recommended by the Swedish Society of Anaesthesia and Intensive Care
Medicine.
Adherence to evidence-based airway guidelines is known to be generally poor
in
Sweden. The aim of this study was to determine whether airway guidelines are
present
in Swedish anaesthesia departments. METHODS: A nationwide postal
questionnaire
inquiring about the presence of airway guidelines was sent out to directors
of
Swedish anaesthesia departments (n = 74). The structured questionnaire was
based on
a review of the Swedish Society of Anaesthesia and Intensive Care voluntary
recommendations of guidelines for airway management. Mean, standard
deviation,
minimum/maximum, percentage (%) and number of general anaesthesia performed
per year
as frequency (n), were used to describe, each hospital type (university,
county,
private). For comparison between hospitals type and available written airway
guidelines were cross tabulation used and analysed using Pearson's Chi-Square
tests.
A p- value of less than 0 .05 was judged significant. RESULTS: In total 68
directors
who were responsible for the anaesthesia departments returned the
questionnaire,
which give a response rate of 92% (n 68 of 74). The presence of guidelines
showing
an airway algorithm was reported by 68% of the departments; 52% reported
having a
written patient information card in case of a difficult airway and guidelines
for
difficult airways, respectively; 43% reported the presence of guidelines for
preoperative assessment; 31% had guidelines for Rapid Sequence Intubation;
26%
reported criteria for performing an awake intubation; and 21% reported
guidelines
for awake fibre-optic intubation. A prescription for the registered nurse
anaesthetist for performing tracheal intubation was reported by 24%. The most
frequently pre-printed preoperative elements in the anaesthesia record form

were
dental status and head and neck mobility. CONCLUSIONS: Despite
recommendations from
the national anaesthesia society, the presence of airway guidelines in
Swedish
anaesthesia departments is low. From the perspective of safety for both
patients and
the anaesthesia staff, airway management guidelines should be considered a
higher
priority.
FAU - Knudsen, Kati
AU - Knudsen K
AD - Department of Public Health and Caring Sciences, Caring Sciences, Uppsala
University, Box 564, Uppsala, SE 751 22, Sweden ; Department of Health and
Caring
Sciences, University of Gävle, Gavle, SE 801 76, Sweden.
FAU - Pöder, Ulrika
AU - Pöder U
AD - Department of Public Health and Caring Sciences, Caring Sciences, Uppsala
University, Box 564, Uppsala, SE 751 22, Sweden.
FAU - Högman, Marieann
AU - Högman M
AD - Department of Medical Sciences, Respiratory Medicine and Allergology, Uppsala
University, Uppsala, SE 751 85, Sweden ; Centre for Research & Development,
Uppsala
University/ County Council of Gävleborg, Gavle, SE 801 88, Sweden.
FAU - Larsson, Anders
AU - Larsson A
AD - Department of surgical sciences, Uppsala University, Anaesthesiology & ICM,
Uppsala
SE 751 85, Sweden.
FAU - Nilsson, Ulrica
AU - Nilsson U
AD - School of Health and Medical Sciences, Örebro University, Örebro SE 701 82,
Sweden.
LA - eng
DEP - 20140407
TA - BMC Anesthesiol
JT - BMC anesthesiology
JID - 100968535
SB - IM
MH - Airway Management/*methods
MH - Algorithms
MH - Anesthesia/*methods/statistics & numerical data
MH - Anesthesia Department, Hospital/statistics & numerical data
MH - *Guideline Adherence
MH - Humans
MH - Sweden
PMC - PMC3996174
OTO - NOTNLM
OT - Airway guidelines
OT - Airway management
OT - Patient safety
EDAT- 2014/04/09 06:00
MHDA- 2014/04/09 06:01
CRDT- 2014/04/09 06:00
PHST- 2013/12/10 00:00 [received]
PHST- 2014/03/26 00:00 [accepted]
PHST- 2014/04/09 06:00 [entrez]
PHST- 2014/04/09 06:00 [pubmed]
PHST- 2014/04/09 06:01 [medline]
AID - 1471-2253-14-25 [pii]
AID - 10.1186/1471-2253-14-25 [doi]
PST - epublish
SO - BMC Anesthesiol. 2014 Apr 7;14:25. doi: 10.1186/1471-2253-14-25. eCollection
2014.
PMID- 23967397
OWN - NLM
DCOM- 20130822
LR - 20200930
IS - 2196-5226 (Print)
IS - 2196-5226 (Linking)
VI - 8
IP - 1
DP - 2013
TI - Questionnaire-based survey on structural quality of hospitals and nursing
homes for
the elderly, their staffing with infection control personal, and
implementation of
infection control measures in Germany.
PG - Doc11
LID - 10.3205/dgkh000211 [doi]
LID - Doc11
AB - From January to May 2012, 1,860 hospitals throughout Germany received a
questionnaire encompassing 77 items. Additionally, 300 outpatient care
services and
310 nursing homes for elderly in Berlin also received a 10-item questionnaire
asking
on their implemented infection control practices. All questionnaires were
anonymous.
A total of 229 completed questionnaires from hospitals, 14 questionnaires
from
outpatient care services, and 16 questionnaires from nursing homes were
eligible for
further analysis. The lack of Infection Control physicians was identified as
the
largest issue. In hospitals sized 400-999 beds a gap of 71%, and in hospitals
sized
≥1,000 beds a gap of 17% was reported. Depending on the number of hospital
beds,
13-29% of hospitals sized ≥100 beds reported not havening one infection
control
nurse. Since based on the number of beds in larger institutions or in
facilities
caring for high-risk patients several infection control nurses may be
required, the
deficiency in infection control nurses may even be higher, particularly in
secondary
and tertiary care facilities. Furthermore, the analysis revealed that the
legal
requirements for surveillance and reporting of notifiable infectious diseases
have
not yet been implemented in 11% of the facilities. The implementation of
antibiotic
strategies did show significant gaps. However, deficiencies in the
implemented
measures for the prevention of surgical site infections were less frequent.
Yet 12%
of the participants did not have a dedicated infection control concept for
their
surgical services. Eight percent of hospitals were not prepared for an
outbreak
management and 10% did not have established regulations for wearing surgical
scrubs.
Deficiencies in waste disposal and the control of air-conditioning systems
were also
noted. Based on the results of this survey, conclusions on the optimal
resource
allocation for further improvement of patient safety may be drawn. While all
participating nursing homes had some sort of infection control consultation,
this
only applied to 12 out of 16 outpatient nursing services. However, all 16
nursing
services worked on the basis of an implemented infection control plan. Though
legally binding hygiene recommendations have not yet been implemented for
nursing
homes, the necessity of infection control to assure patient safety has
obviously
been recognised throughout these services.
FAU - Kramer, A
AU - Kramer A
AD - Institute of Hygiene and Environmental Medicine, University Medicine
Greifswald,
Germany.
FAU - Assadian, O
AU - Assadian O
FAU - Helfrich, J
AU - Helfrich J
FAU - Krüger, C
AU - Krüger C
FAU - Pfenning, I
AU - Pfenning I
FAU - Ryll, S
AU - Ryll S
FAU - Perner, A
AU - Perner A
FAU - Loczenski, B
AU - Loczenski B
LA - eng
DEP - 20130429
TA - GMS Hyg Infect Control
JT - GMS hygiene and infection control
JID - 101609519
PMC - PMC3746605
OTO - NOTNLM
OT - antibiotic stewardship
OT - hospitals
OT - hygiene management
OT - infection control personnel
OT - nursing homes
OT - outpatient care services
OT - questionnaire
OT - surveillance
OT - survey
EDAT- 2013/08/24 06:00
MHDA- 2013/08/24 06:01
CRDT- 2013/08/23 06:00
PHST- 2013/08/23 06:00 [entrez]
PHST- 2013/08/24 06:00 [pubmed]
PHST- 2013/08/24 06:01 [medline]
AID - dgkh000211 [pii]
AID - 10.3205/dgkh000211 [doi]
PST - epublish
SO - GMS Hyg Infect Control. 2013 Apr 29;8(1):Doc11. doi: 10.3205/dgkh000211.
eCollection
2013.
PMID- 33235815
OWN - NLM
LR - 20201208
IS - 2155-6660 (Print)
IS - 2155-6660 (Linking)
VI - 9
IP - 1
DP - 2020 Nov 10
TI - Magnitude and associated factors of medication administration error among
nurses
working in Amhara Region Referral Hospitals, Northwest Ethiopia.
PG - 151-158
LID - 10.1080/21556660.2020.1841495 [doi]
AB - INTRODUCTION: Medication administration errors (MAEs) are common health
problems
that threaten patient safety and raise mortality rates, duration of hospital
stay,
and cost of services. It also influences healthcare professionals performing
the
procedure and healthcare organizations. Its prevalence in Ethiopia is high
ranging
from 51.8% to 90.8%. OBJECTIVE: This study aimed to assess the magnitude and
associated factors of MAE among nurses at Northwest Amhara Region Referral
Hospitals. METHODS: An institution-based cross-sectional study was conducted
from
February to March 2019. A simple random sampling technique was employed to
select
348 nurses. Structured pretested self-administered questionnaires and an
observational checklist were used to collect data. The data were entered in
Epi-info
version 7, analyzed using SPSS version 20 (SPSS Inc., Chicago, IL), and
presented in
tables and graphs. Bivariate and multivariable logistic regressions were
computed to
identify the factors associated with MAEs. p Values <.05 and adjusted odds
ratios
were used to declare the significance and strength of the association.
RESULTS: One
hundred and seventy-eight (54%) of the respondents made MAEs in the last
12 months.
Only 10 (5%) of the 200 observed nurses were administered medications without
any
breach in any of the six rights of medication administration. Factors like
poor
knowledge (AOR = 5.98; 95% CI (2.39,14.94)), poor communication (AOR = 2.94;
95% CI
(1.34, 6.46)), stress (AOR = 5.41; 95% CI (2.53, 11.57)), interruption during
medication administration (AOR = 4.70, 95% CI (2.42, 9.10)), and night shift
(AOR =
2.79, 95% CI (1.42, 5.46)) were significantly associated with MAE.
CONCLUSIONS: The
magnitude of MAE was high. Poor knowledge, poor communication, stress, night
shift,
and interruption were significantly associated with MAEs. Strengthening
institutional medication administration regulations and guidelines and
minimizing
interruption during medication administration would help minimize MAEs.
CI - © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor &
Francis
Group.
FAU - Mekonen, Enyew Getaneh
AU - Mekonen EG
AD - Department of Surgical Nursing, School of Nursing, College of Medicine and
Health
Sciences, University of Gondar, Gondar, Ethiopia.
FAU - Gebrie, Mignote Hailu
AU - Gebrie MH
Health
FAU - Jemberie, Senetsehuf Melkamu
AU - Jemberie SM
Health
LA - eng
DEP - 20201110
TA - J Drug Assess
JT - Journal of drug assessment
JID - 101672979
PMC - PMC7671667
OTO - NOTNLM
OT - Magnitude
OT - medication administration
OT - medication administration error
OT - nurse; Northwest Ethiopia
EDAT- 2020/11/26 06:00
MHDA- 2020/11/26 06:01
CRDT- 2020/11/25 05:46
PHST- 2020/11/25 05:46 [entrez]
PHST- 2020/11/26 06:00 [pubmed]
PHST- 2020/11/26 06:01 [medline]
AID - 1841495 [pii]
AID - 10.1080/21556660.2020.1841495 [doi]
PST - epublish
SO - J Drug Assess. 2020 Nov 10;9(1):151-158. doi: 10.1080/21556660.2020.1841495.
PMID- 31068161
OWN - NLM
STAT- MEDLINE
DCOM- 20190725
LR - 20200423
IS - 1472-6963 (Linking)
VI - 19
IP - 1
DP - 2019 May 8
TI - Redesigning systems to improve teamwork and quality for hospitalized patients
(RESET): study protocol evaluating the effect of mentored implementation to

redesign
clinical microsystems.
PG - 293
LID - 10.1186/s12913-019-4116-z [doi]
LID - 293
AB - BACKGROUND: A number of challenges impede our ability to consistently provide
high
quality care to patients hospitalized with medical conditions. Teams are
large, team
membership continually evolves, and physicians are often spread across
multiple
units and floors. Moreover, patients and family members are generally poorly
informed and lack opportunities to partner in decision making. Prior studies
have
tested interventions to redesign aspects of the care delivery system for
hospitalized medical patients, but the majority have evaluated the effect of
a
single intervention. We believe these interventions represent complementary
and
mutually reinforcing components of a redesigned clinical microsystem. Our
specific
objective for this study is to implement a set of evidence-based
complementary
interventions across a range of clinical microsystems, identify factors and
strategies associated with successful implementation, and evaluate the impact
on
quality. METHODS: The RESET project uses the Advanced and Integrated
MicroSystems
(AIMS) interventions. The AIMS interventions consist of 1) Unit-based
Physician
Teams, 2) Unit Nurse-Physician Co-leadership, 3) Enhanced Interprofessional
Rounds,
4) Unit-level Performance Reports, and 5) Patient Engagement Activities. Four
hospital sites were chosen to receive guidance and resources as they

implement the
AIMS interventions. Each study site has assembled a local leadership team,
consisting of a physician and nurse, and receives mentorship from a physician
and
nurse with experience in leading similar interventions. Primary outcomes
include
teamwork climate, assessed using the Safety Attitudes Questionnaire, and
adverse
events using the Medicare Patient Safety Monitoring System (MPSMS). RESET
uses a
parallel group study design and two group pretest-posttest analyses for
primary
outcomes. We use a multi-method approach to collect and triangulate
qualitative data
collected during 3 visits to study sites. We will use cross-case comparisons
to
consider how site-specific contextual factors interact with the variation in
the
intensity and fidelity of implementation to affect teamwork and patient
outcomes.
DISCUSSION: The RESET study provides mentorship and resources to assist
hospitals as
they implement complementary and mutually reinforcing components to redesign
the
clinical microsystems caring for medical patients. Our findings will be of
interest
and directly applicable to all hospitals providing care to patients with
medical
conditions. TRIAL REGISTRATION: NCT03745677 . Retrospectively registered on
November
19, 2018.
FAU - O'Leary, Kevin J
AU - O'Leary KJ
AUID- ORCID: 0000-0003-4715-5790
AD - Division of Hospital Medicine, Northwestern University Feinberg School of
Medicine,
211 E. Ontario Street, Suite 700, Chicago, IL, 60611, USA. keoleary@nm.org.
FAU - Johnson, Julie K
AU - Johnson JK
AD - Department of Surgery and the Center for Healthcare Studies, Northwestern
University
Feinberg School of Medicine, Chicago, IL, USA.
AU - Manojlovich M
AD - Department of Systems, Populations, and Leadership, University of Michigan
School of
Nursing, Ann Arbor, MI, USA.
FAU - Goldstein, Jenna D
AU - Goldstein JD
AD - Center for Hospital Innovation and Improvement, Society of Hospital Medicine,
Philadelphia, PA, USA.

FAU - Lee, Jungwha
AU - Lee J
AD - Department of Preventative Medicine, Northwestern University Feinberg School
of
Medicine, Chicago, IL, USA.
FAU - Williams, Mark V
AU - Williams MV
AD - Center for Health Services Research, University of Kentucky College of
Medicine,
Lexington, KY, USA.
LA - eng
GR - R18 HS25649/Agency for Healthcare Research and Quality/
DEP - 20190508
JID - 101088677
MH - Delivery of Health Care/*organization & administration
MH - Humans
MH - *Leadership
MH - Mentors
MH - Patient Care Team/*organization & administration/standards
MH - Quality Assurance, Health Care/*organization & administration/standards
PMC - PMC6505207
OTO - NOTNLM
OT - Clinical microsystems
OT - Hospitalization
OT - Interdisciplinary communication
OT - Interpersonal relations
OT - Medical errors
OT - Patient care team
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The Northwestern University
Institutional Review Board approved this study. The need for consent was
waived by
the Northwestern University Institutional Review Board. Each study site has
also
received approval from the appropriate local entities. CONSENT FOR
PUBLICATION: Not
applicable. COMPETING INTERESTS: The authors declare that they have no
competing
interests. PUBLISHER’S NOTE: Springer Nature remains neutral with regard to
jurisdictional claims in published maps and institutional affiliations.
EDAT- 2019/05/10 06:00
MHDA- 2019/07/26 06:00
CRDT- 2019/05/10 06:00
PHST- 2019/03/13 00:00 [received]
PHST- 2019/04/22 00:00 [accepted]
PHST- 2019/05/10 06:00 [entrez]
PHST- 2019/05/10 06:00 [pubmed]
PHST- 2019/07/26 06:00 [medline]
AID - 10.1186/s12913-019-4116-z [pii]
AID - 4116 [pii]
AID - 10.1186/s12913-019-4116-z [doi]
PST - epublish
SO - BMC Health Serv Res. 2019 May 8;19(1):293. doi: 10.1186/s12913-019-4116-z.
PMID- 32005238
OWN - NLM
STAT- MEDLINE
DCOM- 20200507
LR - 20200507
IS - 1472-6963 (Linking)
VI - 20
IP - 1
DP - 2020 Jan 31
TI - Facilitators and barriers for emergency department clinicians using a rapid
chest
pain assessment protocol: qualitative interview research.
PG - 74
LID - 10.1186/s12913-020-4923-2 [doi]
LID - 74
AB - BACKGROUND: Guideline-based processes for the assessment of chest pain are
lengthy
and resource intensive. The IMProved Assessment of Chest Pain Trial (IMPACT)
protocol was introduced in one Australian hospital Emergency Department (ED)
to more
efficiently risk stratify patients. The theoretical domains framework is a
useful
approach to assist in identifying barriers and facilitators to the
implementation of
new guidelines in clinical practice. The aim of this study was to understand
clinicians' perceptions of facilitators and barriers to the use of the IMPACT
protocol. METHODS: Guided by the theoretical domains framework, semi-

structured
interviews with nine ED clinical staff (medical and nursing) were undertaken
in
2016. Content analysis was conducted independently by two researchers to
identify
those theoretical domains that facilitated or hindered protocol use. RESULTS:
Domains most often reported as fundamental to the use of the IMPACT protocol
included 'social/professional role and identity', 'environmental context and
resources' and 'social influences'. These factors seemingly influenced
professional
confidence, with participants noting 'goals' that included standardisation of
practice, enhanced patient safety, and reduced need for unnecessary testing.
The
domain 'environmental context and resources' also contained the most noted
barrier -
the need to inform new members of staff regarding protocol use. Opportunities
to
overcome this barrier included modelling of protocol use by staff at all
levels and
education - both formal and informal. CONCLUSIONS: A range of domains were
identified by ED staff as influencing their chest pain management behaviour.
Fundamental to its use were champions/leaders that were trusted and
accessible, as
well as social influences (other staff within ED and other specialty areas)
that
enabled and supported protocol use. Research investigating the implementation
and
perceived use of the protocol at other sites, of varied geographical
locations, is
warranted.
FAU - Crilly, Julia
AU - Crilly J
AUID- ORCID: 0000-0002-1455-8983
AD - Department of Emergency Medicine, Gold Coast Health, 1 Hospital Blvd,
Southport,
QLD, 4215, Australia. julia.crilly@health.qld.gov.au.
AD - Menzies Health Institute Queensland, Griffith University, Gold Coast, 4222,
QLD,
Australia. julia.crilly@health.qld.gov.au.
FAU - Greenslade, Jaimi H
AU - Greenslade JH
AD - Institute of Health and Biomedical Innovation and School of Public Health and
Social
Work, Faculty of Health, Queensland University of Technology, 60 Musk Avenue,
Kelvin
Grove, QLD, 4059, Australia.
AD - Emergency and Trauma Centre, Royal Brisbane and Women's Hospital, Butterfield
Street, Herston, QLD, 4029, Australia.

FAU - Berndt, Sara
AU - Berndt S

FAU - Hawkins, Tracey
AU - Hawkins T

FAU - Cullen, Louise
AU - Cullen L
AD - Institute of Health and Biomedical Innovation and School of Public Health and
Social
Work, Faculty of Health, Queensland University of Technology, 60 Musk Avenue,
Kelvin
Grove, QLD, 4059, Australia.

AD - School of Medicine, Faculty of Health and Behavioural Sciences, The
University of
Queensland, 288 Herston Road, Herston, QLD, 4006, Australia.
LA - eng
GR - EMSS-221R24-2015/Emergency Medicine Foundation/
DEP - 20200131
JID - 101088677
SB - IM
MH - Adult
MH - *Attitude to Health
MH - Australia
MH - Chest Pain/*diagnosis
MH - Female
MH - *Health Services Accessibility
MH - Humans
MH - Male
MH - Middle Aged
MH - Pain Measurement/*methods
MH - Personnel, Hospital/*psychology/statistics & numerical data
PMC - PMC6995126
OTO - NOTNLM
OT - Acute coronary syndrome
OT - Chest pain
OT - Qualitative
OT - Theoretical domains framework
COIS- LC has received research grants from Beckman’s and Abbot paid to their
institution.
All other authors declare no competing interests.
EDAT- 2020/02/02 06:00
MHDA- 2020/05/08 06:00
CRDT- 2020/02/02 06:00
PHST- 2019/07/29 00:00 [received]
PHST- 2020/01/21 00:00 [accepted]
PHST- 2020/02/02 06:00 [entrez]
PHST- 2020/02/02 06:00 [pubmed]
PHST- 2020/05/08 06:00 [medline]
AID - 10.1186/s12913-020-4923-2 [pii]
AID - 4923 [pii]
AID - 10.1186/s12913-020-4923-2 [doi]
PST - epublish
PMID- 30365509
OWN - NLM
STAT- MEDLINE
DCOM- 20190409
LR - 20190409
IS - 1932-6203 (Linking)
VI - 13
IP - 10
DP - 2018
TI - What causes medication administration errors in a mental health hospital? A
qualitative study with nursing staff.
PG - e0206233
LID - e0206233
AB - OBJECTIVE: Medication administration errors (MAEs) are a common risk to
patient
safety in mental health hospitals, but an absence of in-depth studies to
understand
the underlying causes of these errors limits the development of effective
remedial
interventions. This study aimed to investigate the causes of MAEs affecting
inpatients in a mental health National Health Service (NHS) hospital in the
North
West of England. METHODS: Registered and student mental health nurses working
in
inpatient psychiatric units were identified using a combination of direct
advertisement and incident reports and invited to participate in semi-
structured
interviews utilising the critical incident technique. Interviews were
designed to
capture the participants' experiences of inpatient MAEs. All interviews were
transcribed verbatim and subject to framework analysis to illuminate the
underlying
active failures, error/violation-provoking conditions and latent failures
according
to Reason's model of accident causation. RESULTS: A total of 20 participants
described 26 MAEs (including 5 near misses) during the interviews. The
majority of
MAEs were skill-based slips and lapses (n = 16) or mistakes (n = 5), and were
caused
by a variety of interconnecting error/violation-provoking conditions relating
to the
patient, medicines used, medicines administration task, health care team,
individual
nurse and working environment. Some of these local conditions had origins in
wider
organisational latent failures. Recurrent and influential themes included
inadequate
staffing levels, unbalanced staff skill mix, interruptions/distractions,
concerns
with how the medicines administration task was approached and problems with
communication. CONCLUSIONS: To our knowledge this is the first published in-
depth
qualitative study to investigate the underlying causes of specific MAEs in a
mental
health hospital. Our findings revealed that MAEs may arise due to multiple
interacting error and violation provoking conditions and latent 'system'
failures,
which emphasises the complexity of this everyday task facing practitioners in
clinical practice. Future research should focus on developing and testing

interventions which address key local and wider organisational 'systems'
failures to
reduce error.
FAU - Keers, Richard N
AU - Keers RN
AUID- ORCID: 0000-0001-7854-8154
Optometry,
School of Health Sciences, Manchester Academic Health Sciences Centre
(MAHSC),
AD - NIHR Greater Manchester Patient Safety Translational Research Centre, MAHSC,
AD - Medicines Management Team, Greater Manchester Mental Health NHS Foundation
Trust,
Park House Hospital, North Manchester General Hospital, Manchester, United
Kingdom.
FAU - Plácido, Madalena
AU - Plácido M
AUID- ORCID: 0000-0002-0981-951X
Optometry,
(MAHSC),
FAU - Bennett, Karen
AU - Bennett K
Trust,
Kingdom.
AD - School of Health and Human Sciences, University of Bolton, Bolton, United
Kingdom.
FAU - Clayton, Kristen
AU - Clayton K
Trust,
Kingdom.
FAU - Brown, Petra
AU - Brown P
Trust,
Kingdom.
FAU - Ashcroft, Darren M
AU - Ashcroft DM
Optometry,
(MAHSC),
AD - NIHR Greater Manchester Patient Safety Translational Research Centre, MAHSC,
LA - eng
DEP - 20181026
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Adult
MH - Aged
MH - Clinical Competence/standards/statistics & numerical data
MH - Female
MH - *Hospitals, Psychiatric/standards/statistics & numerical data
MH - Humans
MH - Male
MH - Medication Systems, Hospital/organization &
administration/standards/statistics &
numerical data
MH - Mental Disorders/*drug therapy/*epidemiology/nursing
MH - National Health Programs/standards/statistics & numerical data
MH - *Nursing Staff, Hospital/standards/statistics & numerical data
MH - Patient Safety
MH - Risk Factors
PMC - PMC6203370
EDAT- 2018/10/27 06:00
MHDA- 2019/04/10 06:00
CRDT- 2018/10/27 06:00
PHST- 2018/06/01 00:00 [received]
PHST- 2018/10/09 00:00 [accepted]
PHST- 2018/10/27 06:00 [entrez]
PHST- 2018/10/27 06:00 [pubmed]
PHST- 2019/04/10 06:00 [medline]
PST - epublish
SO - PLoS One. 2018 Oct 26;13(10):e0206233. doi: 10.1371/journal.pone.0206233.
eCollection 2018.
PMID- 29326190
OWN - NLM
STAT- MEDLINE
DCOM- 20180822
LR - 20210109
IS - 2044-6055 (Linking)
VI - 8
IP - 1
DP - 2018 Jan 10
TI - A qualitative study of patients' feedback about Outpatient Parenteral
Antimicrobial
Therapy (OPAT) services in Northern England: implications for service
improvement.
PG - e019099
LID - 10.1136/bmjopen-2017-019099 [doi]
LID - e019099
AB - OBJECTIVE: Outpatient parenteral antimicrobial therapy (OPAT) provides
opportunities
for improved cost savings, but in the UK, implementation is patchy and a
variety of
service models are in use. The slow uptake in the UK and Europe is due to a
number
of clinical, financial and logistical issues, including concern about patient
safety. The measurement of patient experience data is commonly used to inform
commissioning decisions, but these focus on functional aspects of services

and fail
to examine the relational aspects of care. This qualitative study examines
patients'
experiences of OPAT. DESIGN: In-depth, semistructured interviews. SETTING:
Purposive
sample of OPAT patients recruited from four acute National Health Service
(NHS)
Trusts in Northern England. These NHS Trusts between them represented both
well-established and recently set-up services running nurse at home, hospital
outpatient and/or self-administration models. PARTICIPANTS: We undertook 28

semistructured interviews and one focus group (n=4). RESULTS: Despite good
patient
outcomes, experiences were coloured by patients' personal situation and
material
circumstances. Many found looking after themselves at home more difficult
than they
expected, while others continued to work despite their infection. Expensive
car
parking, late running services and the inconvenience of waiting in for the
nurse to
arrive frustrated patients, while efficient services, staffed by nurses with
the
specialist skills needed to manage intravenous treatment had the opposite
effect.
Many patients felt a local, general practitioner or community health centre
based
service would resolve many of the practical difficulties that made OPAT
inconvenient. Patients could find OPAT anxiety provoking but this could be
ameliorated by staff taking the time to reassure patients and provide
tailored
information. CONCLUSION: Services configurations must accommodate the
diversity of
the local population. Poor communication can leave patients lacking the
confidence
needed to be a competent collaborator in their own care and affect their
perceptions
of the service.
of the
otherwise
expressly granted.
FAU - Twiddy, Maureen
AU - Twiddy M
AD - Hull York Medical School, University of Hull, Hull, UK.
FAU - Czoski Murray, Carolyn J
AU - Czoski Murray CJ
AD - Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
FAU - Mason, Samantha J
AU - Mason SJ
AD - Leeds Institute of Cancer and Pathology, University of Leeds, Leeds, UK.
FAU - Meads, David
AU - Meads D
FAU - Wright, Judy M
AU - Wright JM
AUID- ORCID: 0000-0002-5239-0173
FAU - Mitchell, Elizabeth D
AU - Mitchell ED
AUID- ORCID: 0000-0002-2833-1632
AD - Hull York Medical School, University of Hull, Hull, UK.
FAU - Minton, Jane
AU - Minton J
AD - Leeds Teaching Hospitals NHS Trust, Leeds, UK.
CN - CIVAS study team
LA - eng
DEP - 20180110
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adult
MH - Aged
MH - Ambulatory Care/methods/*standards
MH - Anti-Infective Agents/*administration & dosage/therapeutic use
MH - England
MH - Feedback
MH - Female
MH - Humans
MH - Infections/*drug therapy
MH - *Infusions, Intravenous
MH - Male
MH - Middle Aged
MH - State Medicine
PMC - PMC5781150
OTO - NOTNLM
OT - *Health Services Provision
OT - *Opat
OT - *Outpatient Parenteral Anti-microbial Therapy
OT - *Patient Experiences
OT - *Qualitative Research
FIR - Hess, Stephane
IR - Hess S
FIR - Raynor, David Theo
IR - Raynor DT
FIR - Vincent, Rachel
IR - Vincent R
FIR - Stanley, Philip
IR - Stanley P
FIR - Mclintock, Kate
IR - Mclintock K
FIR - Gregson, Angela
IR - Gregson A
EDAT- 2018/01/13 06:00
MHDA- 2018/08/23 06:00
CRDT- 2018/01/13 06:00
PHST- 2018/01/13 06:00 [entrez]
PHST- 2018/01/13 06:00 [pubmed]
PHST- 2018/08/23 06:00 [medline]
AID - 10.1136/bmjopen-2017-019099 [doi]
PST - epublish
PMID- 24548456
OWN - NLM
STAT- MEDLINE
DCOM- 20141117
LR - 20181113
IS - 0196-6553 (Print)
IS - 0196-6553 (Linking)
VI - 42
IP - 4
DP - 2014 Apr
TI - Infection control link nurse program: an interdisciplinary approach in
targeting
health care-acquired infection.
PG - 353-9
LID - S0196-6553(13)01323-0 [pii]
LID - 10.1016/j.ajic.2013.10.007 [doi]
AB - BACKGROUND: We describe a successful interdisciplinary liaison program that
effectively reduced health care-acquired (HCA), methicillin-resistant
Staphylococcus
aureus (MRSA) in a university hospital setting. METHODS: Baseline was from
January
2006 to March 2008, and intervention period was April 2008 to September 2009.
Staff
nurses were trained to be liaisons (link nurses) to infection prevention (IP)
personnel with clearly defined goals assigned and with ongoing monthly
education.
HCA-MRSA incidence per 1,000 patient-days (PD) was compared between baseline
and
intervention period along with total and non-HCA-MRSA, HCA and non-HCA-MRSA
bacteremia, and hand soap/sanitizer usage. Hand hygiene compliance was
assessed.
RESULTS: A reduction in MRSA rates was as follows in intervention period
compared
with baseline: HCA-MRSA decreased by 28% from 0.92 to 0.67 cases per 1,000 PD
(incidence rate ratio, 0.72; 95% confidence interval: 0.62-0.83, P < .001),
and
HCA-MRSA bacteremia rate was reduced by 41% from 0.18 to 0.10 per 1,000 PD
(incidence rate ratio, 0.59; 95% confidence interval: 0.42-0.84, P = .003).
Total
MRSA rate and MRSA bacteremia rate also showed significant reduction with
nonsignificant reductions in overall non-HCA-MRSA and non-HCA-MRSA
bacteremia. Hand
soap/sanitizer usage and compliance with hand hygiene also increased
significantly
during IP. CONCLUSION: Link nurse program effectively reduced HCA-MRSA. Goal-
defined
metrics with ongoing re-education for the nurses by IP personnel helped drive
these
results.
CI - Copyright © 2014 Association for Professionals in Infection Control and
Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.
FAU - Sopirala, Madhuri M
AU - Sopirala MM
AD - Division of Infectious Diseases, The Ohio State University Wexner Medical
Center,
Columbus, OH; Department of Clinical Epidemiology, The Ohio State University
Wexner
Medical Center, Columbus, OH. Electronic address:
madhuri.sopirala@uchealth.com.
FAU - Yahle-Dunbar, Lisa
AU - Yahle-Dunbar L
AD - Department of Clinical Epidemiology, The Ohio State University Wexner Medical
Center, Columbus, OH.

FAU - Smyer, Justin
AU - Smyer J

FAU - Wellington, Linda
AU - Wellington L

FAU - Dickman, Jeanne
AU - Dickman J

FAU - Zikri, Nancy
AU - Zikri N

FAU - Martin, Jennifer
AU - Martin J

FAU - Kulich, Pat
AU - Kulich P

FAU - Taylor, David
AU - Taylor D

FAU - Mekhjian, Hagop
AU - Mekhjian H
AD - Health System Administration, The Ohio State University Wexner Medical
Center,
Columbus, OH.
FAU - Nash, Mary
AU - Nash M
AD - Health System Nursing Administration, The Ohio State University Wexner
Medical
FAU - Mansfield, Jerry
AU - Mansfield J
Medical
FAU - Pancholi, Preeti
AU - Pancholi P
AD - Department of Pathology, The Ohio State University Wexner Medical Center,
Columbus,
OH.
FAU - Howard, Mary
AU - Howard M
Medical
FAU - Chase, Linda
AU - Chase L
Medical
FAU - Brown, Susan
AU - Brown S
Medical
FAU - Kipp, Kristopher
AU - Kipp K
Medical
FAU - Lefeld, Kristen
AU - Lefeld K

FAU - Myers, Amber
AU - Myers A
FAU - Pan, Xueliang
AU - Pan X
AD - Center for Biostatistics, The Ohio State University Wexner Medical Center,
Columbus,
OH.
FAU - Mangino, Julie E
AU - Mangino JE
AD - Division of Infectious Diseases, The Ohio State University Wexner Medical
Center,
Columbus, OH; Department of Clinical Epidemiology, The Ohio State University
Wexner
Medical Center, Columbus, OH.
LA - eng
GR - (8UL1TR000090-05/TR/NCATS NIH HHS/United States
DEP - 20140216
JID - 8004854
RN - 0 (Disinfectants)
SB - IM
MH - Bacteremia/epidemiology/microbiology/prevention & control
MH - Cross Infection/*epidemiology/microbiology/*prevention & control
MH - Disinfectants/administration & dosage
MH - Drug Utilization
MH - Humans
MH - Incidence
MH - Infection Control/*methods/organization & administration
MH - Methicillin-Resistant Staphylococcus aureus/*isolation & purification
MH - *Nurses
MH - Staphylococcal Infections/*epidemiology/microbiology/*prevention & control
PMC - PMC4104989
MID - NIHMS602141
OTO - NOTNLM
OT - Hand hygiene
OT - Handwashing
OT - Infection prevention
OT - Liaison
OT - MRSA
OT - Multi-disciplinary
OT - Nosocomial
OT - Patient safety
COIS- Conflicts of interest: The remaining authors report no conflicts.
EDAT- 2014/02/20 06:00
MHDA- 2014/11/18 06:00
CRDT- 2014/02/20 06:00
PHST- 2013/07/09 00:00 [received]
PHST- 2013/10/08 00:00 [revised]
PHST- 2013/10/09 00:00 [accepted]
PHST- 2014/02/20 06:00 [entrez]
PHST- 2014/02/20 06:00 [pubmed]
PHST- 2014/11/18 06:00 [medline]
AID - S0196-6553(13)01323-0 [pii]
AID - 10.1016/j.ajic.2013.10.007 [doi]
PST - ppublish
SO - Am J Infect Control. 2014 Apr;42(4):353-9. doi: 10.1016/j.ajic.2013.10.007.
Epub
2014 Feb 16.
PMID- 31723537
OWN - NLM
LR - 20200928
IS - 2168-8184 (Print)
IS - 2168-8184 (Linking)
VI - 11
IP - 9
DP - 2019 Sep 26
TI - Fournier´s Gangrene Under Sodium-Glucose Cotransporter 2 Inhibitor Therapy as
a
Life-Threatening Adverse Event: A Case Report and Review of the Literature.
PG - e5778
LID - 10.7759/cureus.5778 [doi]
LID - e5778
AB - Sodium-glucose cotransporter 2 (SGLT2) inhibitors are a relatively new class
of oral
antidiabetic drugs. The US FDA has recently published a new warning about the
safety
of SGLT2 inhibitor administration in type 2 diabetes mellitus patients. There
is an
emerging evidence of an increased risk for developing Fournier´s gangrene
(FG; a
life-threatening complication) while under SGLT2 therapy. However, there are
only
three case reports and a total of 55 patients reported by the FDA to date.
Therefore, there is a lack of evidence-based treatment algorithms for
clinicians. We
present the case of a 39-year-old male patient with diabetes on oral
dapagliflozin,
metformin, and sitagliptin therapy who was admitted with FG to our hospital.
Following emergency scrotal surgery, he had to be transferred to the
intensive care
unit due to respiratory and circulatory insufficiency. After a prolonged 27-
day
hospital stay with delirium, blood glucose imbalance, and five further
surgical
interventions, the patient was stabilized and discharged. Dapagliflozin was
discontinued permanently. This case demonstrates the risks of SGLT2 inhibitor
therapy and the importance of early discontinuation after the occurrence of

severe
adverse events such as FG. According to the evidence in the literature,
deranged
glucose levels before admission are a common risk factor. However, further
studies
are required to identify patients at risks for FG and to investigate a direct
connection with SGLT2 inhibitors.

CI - Copyright © 2019, Rodler et al.
FAU - Rodler, Severin
AU - Rodler S
AD - Department of Urology, University Hospital, Ludwig Maximilian University of
Munich,
Munich, DEU.
FAU - Weig, Thomas
AU - Weig T
AD - Department of Anesthesiology, University Hospital, Ludwig Maximilian
University of
Munich, Munich, DEU.
FAU - Finkenzeller, Christa
AU - Finkenzeller C
AD - Hospital Pharmacy, University Hospital, Ludwig Maximilian University of
Munich,
Munich, DEU.
FAU - Stief, Christian
AU - Stief C
Munich,
Munich, DEU.
FAU - Staehler, Michael
AU - Staehler M
Munich,
Munich, DEU.
LA - eng
PT - Case Reports
DEP - 20190926
TA - Cureus
JT - Cureus
JID - 101596737
PMC - PMC6825492
OTO - NOTNLM
OT - dapagliflozin
OT - fournier's gangrene
OT - sglt2 inhibitor
OT - type 2 diabetes mellitus
OT - urinary tract infections
EDAT- 2019/11/15 06:00
MHDA- 2019/11/15 06:01
CRDT- 2019/11/15 06:00
PHST- 2019/11/15 06:00 [entrez]
PHST- 2019/11/15 06:00 [pubmed]
PHST- 2019/11/15 06:01 [medline]
AID - 10.7759/cureus.5778 [doi]
PST - epublish
SO - Cureus. 2019 Sep 26;11(9):e5778. doi: 10.7759/cureus.5778.
PMID- 27487972
OWN - NLM
STAT- MEDLINE
DCOM- 20171016
LR - 20181113
IS - 0966-0429 (Print)
IS - 0966-0429 (Linking)
VI - 25
IP - 6
DP - 2017 Sep
TI - Organisational strategies to implement hospital pressure ulcer prevention
programmes: findings from a national survey.
PG - 457-467
LID - 10.1111/jonm.12416 [doi]
AB - AIM: To describe the presence and operationalisation of organisational
strategies to
support implementation of pressure ulcer prevention programmes across acute
care
hospitals in a large, integrated health-care system. BACKGROUND:
Comprehensive
pressure ulcer programmes include nursing interventions such as use of a risk
assessment tool and organisational strategies such as policies and

performance
monitoring to embed these interventions into routine care. The current
literature
provides little detail about strategies used to implement pressure ulcer
prevention
programmes. METHODS: Data were collected by an e-mail survey to all chief
nursing
officers in Veterans Health Administration acute care hospitals. Descriptive
and
bivariate statistics were used to summarise survey responses and evaluate
relationships between some variables. RESULTS: Organisational strategies that
support implementation of a pressure ulcer prevention programme (policy,

committee,
staff education, wound care specialists, and use of performance data) were
reported
at high levels. Considerable variations were noted in how these strategies
were
operationalised within individual hospitals. CONCLUSION: Organisational
strategies
to support implementation of pressure ulcer preventive programmes are often
not
optimally operationalised to achieve consistent, sustainable performance.
IMPLICATIONS FOR NURSING MANAGEMENT: The results of the present study
highlight the
role and influence of nurse leaders on pressure ulcer prevention program
implementation.
CI - Published 2016. This article is a U.S. Government work and is in the public
domain
in the USA.
FAU - Soban, Lynn M
AU - Soban LM
AUID- ORCID: 0000-0002-6803-7307
AD - Cedars-Sinai Medical Center, Nursing Research and Development, Los Angeles,
CA, USA.
FAU - Kim, Linda
AU - Kim L
AD - Agency for Healthcare Research and Quality (AHRQ), Los Angeles Area Health
Service
Research (LAAHSR) Training Program, Department of Health Policy & Management,
University of California School of Public Health, Los Angeles, CA, USA.

FAU - Yuan, Anita H
AU - Yuan AH
AD - VA HSR&D Center for the Study of Healthcare Innovation, Implementation and
Policy,
Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
FAU - Miltner, Rebecca S
AU - Miltner RS
AD - Department of Family, Community and Health Systems, School of Nursing,
University of
Alabama at Birmingham, Birmingham, AL, USA.
LA - eng
DEP - 20160804
TA - J Nurs Manag
JID - 9306050
SB - N
MH - Committee Membership
MH - Humans
MH - Nurse Administrators/statistics & numerical data
MH - *Organizational Objectives
MH - Pressure Ulcer/*prevention & control
MH - Program Development/*methods/statistics & numerical data
MH - United States
MH - United States Department of Veterans Affairs/organization &
administration/statistics & numerical data
PMC - PMC5590754
MID - NIHMS902575
OTO - NOTNLM
OT - Institutional management teams
OT - Pressure ulcer prevention
OT - leadership
OT - organizational culture
OT - patient safety
OT - program evaluation
EDAT- 2016/08/05 06:00
MHDA- 2017/10/17 06:00
CRDT- 2016/08/05 06:00
PHST- 2016/06/05 00:00 [accepted]
PHST- 2016/08/05 06:00 [pubmed]
PHST- 2017/10/17 06:00 [medline]
PHST- 2016/08/05 06:00 [entrez]
AID - 10.1111/jonm.12416 [doi]
PST - ppublish
SO - J Nurs Manag. 2017 Sep;25(6):457-467. doi: 10.1111/jonm.12416. Epub 2016 Aug
4.
PMID- 31118388
OWN - NLM
STAT- MEDLINE
DCOM- 20191220
LR - 20191220
IS - 0918-2918 (Print)
IS - 0918-2918 (Linking)
VI - 58
IP - 18
DP - 2019 Sep 15
TI - Association of Adverse Drug Events with Broad-spectrum Antibiotic Use in
Hospitalized Patients: A Single-center Study.
PG - 2621-2625
LID - 10.2169/internalmedicine.2603-18 [doi]
AB - Objective The importance of antimicrobial stewardship is increasingly
highlighted in
this age of antimicrobial resistance. A better comprehension of adverse drug
events
(ADEs) can promote the appropriate use of antibiotics. We aimed to quantify
the
incidence of ADEs associated with broad-spectrum systemic antibiotics in a
hospital
setting. Methods We conducted a six-month prospective, observational study at
Osaka
University Hospital to describe the incidence of ADEs in patients
hospitalized in
general wards undergoing treatment with broad-spectrum antibiotics
[carbapenems,
piperacillin/tazobactam (PIPC/TAZ), and anti-methicillin-resistant
Staphylococcus
aureus agents]. The occurrence of ADE was defined as any cardiac,
gastrointestinal,
hepatobiliary, renal, neurologic, hematologic, dermatologic, or
musculoskeletal
manifestation after 48 hours or more of systemic antibiotic therapy. Results
The 3
most frequently prescribed antibiotics were PIPC/TAZ (242 cases), meropenem
(181
cases), and vancomycin (92 cases). Of 689 patients, 118 (17.1%) experienced
ADEs,
including gastrointestinal (6.4%), hepatobiliary (4.2%), dermatologic (2.5%),
and
renal (2.3%) manifestations. Patients treated with PIPC/TAZ, meropenem,
doripenem,
vancomycin, daptomycin, and teicoplanin developed ADEs at rates of 20.7%,
16.0%,
15.4%, 19.6%, 11.8%, and 10.9%, respectively. Conclusion Our study provides a
quantitative value for the incidence of ADEs associated with broad-spectrum

antibiotics in clinical practice. To optimize patient safety, clinicians need
to be
aware of the risks associated with antibiotic administration.
FAU - Hagiya, Hideharu
AU - Hagiya H
AD - Division of Infection Control and Prevention, Osaka University Hospital,
Japan.
FAU - Kokado, Ryohei
AU - Kokado R
Japan.
AD - Department of Pharmacy, Osaka University Hospital, Japan.
FAU - Ueda, Akiko
AU - Ueda A
AD - Laboratory for Clinical Investigation, Osaka University Hospital, Japan.
FAU - Okuno, Hideo
AU - Okuno H
Japan.
FAU - Morii, Daiichi
AU - Morii D
Japan.
FAU - Hamaguchi, Shigeto
AU - Hamaguchi S
Japan.
FAU - Yamamoto, Norihisa
AU - Yamamoto N
Japan.
FAU - Yoshida, Hisao
AU - Yoshida H
Japan.
FAU - Tomono, Kazunori
AU - Tomono K
Japan.
LA - eng
DEP - 20190522
TA - Intern Med
JT - Internal medicine (Tokyo, Japan)
JID - 9204241
RN - 0 (Carbapenems)
RN - 157044-21-8 (Piperacillin, Tazobactam Drug Combination)
RN - 6Q205EH1VU (Vancomycin)
RN - FV9J3JU8B1 (Meropenem)
SB - IM
MH - Adult
MH - Anti-Bacterial Agents/*adverse effects/therapeutic use
MH - Carbapenems/adverse effects
MH - Drug-Related Side Effects and Adverse Reactions/*epidemiology/etiology
MH - Female
MH - Humans
MH - Incidence
MH - Male
MH - Meropenem/adverse effects
MH - Middle Aged
MH - Piperacillin, Tazobactam Drug Combination/adverse effects
MH - Vancomycin/adverse effects
MH - Young Adult
PMC - PMC6794169
OTO - NOTNLM
OT - adverse drug event
OT - antibiotic stewardship
OT - antimicrobial resistance
OT - choosing wisely
COIS- The authors state that they have no Conflict of Interest (COI).
EDAT- 2019/05/24 06:00
MHDA- 2019/12/21 06:00
CRDT- 2019/05/24 06:00
PHST- 2019/05/24 06:00 [pubmed]
PHST- 2019/12/21 06:00 [medline]
PHST- 2019/05/24 06:00 [entrez]
AID - 10.2169/internalmedicine.2603-18 [doi]
PST - ppublish
SO - Intern Med. 2019 Sep 15;58(18):2621-2625. doi: 10.2169/internalmedicine.2603-
18.
Epub 2019 May 22.
PMID- 25690266
OWN - NLM
STAT- MEDLINE
DCOM- 20151123
LR - 20191210
IS - 1366-5278 (Print)
IS - 1366-5278 (Linking)
VI - 19
IP - 13
DP - 2015 Feb
TI - The clinical effectiveness and cost-effectiveness of telephone triage for
managing
same-day consultation requests in general practice: a cluster randomised
controlled
trial comparing general practitioner-led and nurse-led management systems
with usual
care (the ESTEEM trial).
PG - 1-212, vii-viii
LID - 10.3310/hta19130 [doi]
AB - BACKGROUND: Telephone triage is proposed as a method of managing increasing
demand
for primary care. Previous studies have involved small samples in limited
settings,
and focused on nurse roles. Evidence is limited regarding the impact on
primary care
workload, costs, and patient safety and experience when triage is used to
manage
patients requesting same-day consultations in general practice. OBJECTIVES:
In
comparison with usual care (UC), to assess the impact of GP-led telephone
triage
(GPT) and nurse-led computer-supported telephone triage (NT) on primary care
workload and cost, patient experience of care, and patient safety and health
status
for patients requesting same-day consultations in general practice. DESIGN:
Pragmatic cluster randomised controlled trial, incorporating economic
evaluation and
qualitative process evaluation. SETTING: General practices (n = 42) in four
regions
of England, UK (Devon, Bristol/Somerset, Warwickshire/Coventry,
Norfolk/Suffolk).
PARTICIPANTS: Patients requesting same-day consultations. INTERVENTIONS:
Practices
were randomised to GPT, NT or UC. Data collection was not blinded; however,
analysis
was conducted by a statistician blinded to practice allocation. MAIN OUTCOME
MEASURES: Primary - primary care contacts [general practice, out-of-hours
primary
care, accident and emergency (A&E) and walk-in centre attendances] in the 28
days
following the index consultation request. Secondary - resource use and costs,
patient safety (deaths and emergency hospital admissions within 7 days of

index
request, and A&E attendance within 28 days), health status and experience of
care.
RESULTS: Of 20,990 eligible randomised patients (UC n = 7283; GPT n = 6695;
NT
n = 7012), primary outcome data were analysed for 16,211 patients (UC n =
5572; GPT
n = 5171; NT n = 5468). Compared with UC, GPT and NT increased primary
outcome
contacts (over 28-day follow-up) by 33% [rate ratio (RR) 1.33, 95% confidence
interval (CI) 1.30 to 1.36] and 48% (RR 1.48, 95% CI 1.44 to 1.52),
respectively.
Compared with GPT, NT was associated with a marginal increase in primary
outcome
contacts by 4% (RR 1.04, 95% CI 1.01 to 1.08). Triage was associated with a
redistribution of primary care contacts. Although GPT, compared with UC,
increased
the rate of overall GP contacts (face to face and telephone) over the 28 days
by 38%
(RR 1.38, 95% CI 1.28 to 1.50), GP face-to-face contacts were reduced by 39%
(RR
0.61, 95% CI 0.54 to 0.69). NT reduced the rate of overall GP contacts by 16%
(RR
0.84, 95% CI 0.78 to 0.91) and GP face-to-face contacts by 20% (RR 0.80, 95%
CI 0.71
to 0.90), whereas nurse contacts increased. The increased rate of primary
care
contacts in triage arms is largely attributable to increased telephone
contacts.
Estimated overall patient-clinician contact time on the index day increased
in
triage (GPT = 10.3 minutes; NT = 14.8 minutes; UC = 9.6 minutes), although
patterns
of clinician use varied between arms. Taking account of both the pattern and
duration of primary outcome contacts, overall costs over the 28-day follow-up
were
similar in all three arms (approximately £75 per patient). Triage appeared
safe, and
no differences in patient health status were observed. NT was somewhat less
acceptable to patients than GPT or UC. The process evaluation identified the
complexity associated with introducing triage but found no consistency across
practices about what works and what does not work when implementing it.
CONCLUSIONS:
Introducing GPT or NT was associated with a redistribution of primary care
workload
for patients requesting same-day consultations, and at similar cost to UC.
Although
triage seemed to be safe, investigation of the circumstances of a larger
number of
deaths or admissions after triage might be warranted, and monitoring of these
events
is necessary as triage is implemented. TRIAL REGISTRATION: Current Controlled
Trials
ISRCTN20687662. FUNDING: This project was funded by the NIHR Health
Technology
Assessment programme and will be published in full in Health Technology
Assessment;
Vol. 19, No. 13. See the NIHR Journals Library website for further project
information.
FAU - Campbell, John L
AU - Campbell JL
AD - Primary Care Research Group, University of Exeter Medical School, Exeter, UK.
FAU - Fletcher, Emily
AU - Fletcher E
FAU - Britten, Nicky
AU - Britten N
AD - Institute of Health Service Research, University of Exeter Medical School,
Exeter,
UK.
FAU - Green, Colin
AU - Green C
Exeter,
UK.
FAU - Holt, Tim
AU - Holt T
AD - Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
FAU - Lattimer, Valerie
AU - Lattimer V
AD - School of Nursing Sciences, Faculty of Medicine and Health Sciences,
University of
East Anglia, Norwich, UK.
FAU - Richards, David A
AU - Richards DA
Exeter,
UK.
FAU - Richards, Suzanne H
AU - Richards SH
FAU - Salisbury, Chris
AU - Salisbury C
AD - Centre for Academic Primary Care, School of Social and Community Medicine,
University of Bristol, Bristol, UK.
FAU - Taylor, Rod S
AU - Taylor RS
FAU - Calitri, Raff
AU - Calitri R
FAU - Bowyer, Vicky
AU - Bowyer V
AD - Department of Health Sciences, Warwick Medical School, University of Warwick,
Coventry, UK.
FAU - Chaplin, Katherine
AU - Chaplin K
Exeter,
UK.
FAU - Kandiyali, Rebecca
AU - Kandiyali R
FAU - Murdoch, Jamie
AU - Murdoch J
University of
FAU - Price, Linnie
AU - Price L
FAU - Roscoe, Julia
AU - Roscoe J
AD - Department of Health Sciences, Warwick Medical School, University of Warwick,
Coventry, UK.
FAU - Varley, Anna
AU - Varley A
University of
FAU - Warren, Fiona C
AU - Warren FC
LA - eng
GR - 08/53/15/Department of Health/United Kingdom
TA - Health Technol Assess
JT - Health technology assessment (Winchester, England)
JID - 9706284
SB - IM
MH - Adolescent
MH - Adult
MH - Aged
MH - *Appointments and Schedules
MH - Child
MH - Decision Support Systems, Clinical
MH - Female
MH - General Practitioners/standards/statistics & numerical data
MH - Humans
MH - Infant
MH - Male
MH - Middle Aged
MH - Nurses/standards/statistics & numerical data
MH - *Outcome and Process Assessment, Health Care
MH - Primary Health Care/economics/*methods/organization & administration
MH - Referral and Consultation/economics/statistics & numerical data
MH - State Medicine/economics/standards
MH - Telephone
MH - Time Factors
MH - Triage/economics/*methods
MH - United Kingdom
MH - Workforce
MH - Workload
MH - Young Adult
PMC - PMC4780897
EDAT- 2015/02/19 06:00
MHDA- 2015/12/15 06:00
CRDT- 2015/02/19 06:00
PHST- 2015/02/19 06:00 [entrez]
PHST- 2015/02/19 06:00 [pubmed]
PHST- 2015/12/15 06:00 [medline]
AID - 10.3310/hta19130 [doi]
PST - ppublish
SO - Health Technol Assess. 2015 Feb;19(13):1-212, vii-viii. doi:
10.3310/hta19130.
PMID- 27537689
OWN - NLM
STAT- MEDLINE
DCOM- 20170726
LR - 20181113
IS - 1932-6203 (Linking)
VI - 11
IP - 8
DP - 2016
TI - Delayed Recognition of Deterioration of Patients in General Wards Is Mostly
Caused
by Human Related Monitoring Failures: A Root Cause Analysis of Unplanned ICU
Admissions.
PG - e0161393
LID - e0161393
AB - BACKGROUND: An unplanned ICU admission of an inpatient is a serious adverse
event
(SAE). So far, no in depth-study has been performed to systematically analyse
the
root causes of unplanned ICU-admissions. The primary aim of this study was to
identify the healthcare worker-, organisational-, technical,- disease- and

patient-
related causes that contribute to acute unplanned ICU admissions from general
wards
using a Root-Cause Analysis Tool called PRISMA-medical. Although a Track and
Trigger
System (MEWS) was introduced in our hospital a few years ago, it was
implemented
without a clear protocol. Therefore, the secondary aim was to assess the
adherence
to a Track and Trigger system to identify deterioration on general hospital
wards in
patients eventually transferred to the ICU. METHODS: Retrospective
observational
study in 49 consecutive adult patients acutely admitted to the Intensive Care
Unit
from a general nursing ward. 1. PRISMA-analysis on root causes of unplanned
ICU
admissions 2. Assessment of protocol adherence to the early warning score
system.
RESULTS: Out of 49 cases, 156 root causes were identified. The most frequent
root
causes were healthcare worker related (46%), which were mainly failures in
monitoring the patient. They were followed by disease-related (45%), patient-
related
causes (7, 5%), and organisational root causes (3%). In only 40% of the
patients
vital parameters were monitored as was instructed by the doctor. 477 vital
parameter
sets were found in the 48 hours before ICU admission, in only 1% a correct
MEWS was
explicitly documented in the record. CONCLUSIONS: This in-depth analysis
demonstrates that almost half of the unplanned ICU admissions from the
general ward
had healthcare worker related root causes, mostly due to monitoring failures
in
clinically deteriorating patients. In order to reduce unplanned ICU
admissions,
improving the monitoring of patients is therefore warranted.
FAU - van Galen, Louise S
AU - van Galen LS
AD - Department of Internal Medicine, Section Acute Medicine, VU University
Medical
Center, Amsterdam, The Netherlands.
FAU - Struik, Patricia W
AU - Struik PW
Medical
FAU - Driesen, Babiche E J M
AU - Driesen BE
Medical
FAU - Merten, Hanneke
AU - Merten H
AD - Department of Public and Occupational Health, EMGO Institute for Health and
Care
Research, VU University Medical Centre, Amsterdam, The Netherlands.
FAU - Ludikhuize, Jeroen
AU - Ludikhuize J
AD - Department of Anaesthesiology, Academic Medical Center, Amsterdam, the
Netherlands.
FAU - van der Spoel, Johannes I
AU - van der Spoel JI
AD - Department of Intensive Care, VU University Medical Center, Amsterdam, The
Netherlands.
FAU - Kramer, Mark H H
AU - Kramer MH
Medical
FAU - Nanayakkara, Prabath W B
AU - Nanayakkara PW
Medical
LA - eng
DEP - 20160818
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Adult
MH - Aged
MH - Critical Illness
MH - Delayed Diagnosis/psychology/*statistics & numerical data
MH - Female
MH - Humans
MH - Male
MH - Medical Errors/psychology/statistics & numerical data
MH - Middle Aged
MH - *Monitoring, Physiologic/psychology/statistics & numerical data
MH - Root Cause Analysis
PMC - PMC4990328
exist.
EDAT- 2016/08/19 06:00
MHDA- 2017/07/27 06:00
CRDT- 2016/08/19 06:00
PHST- 2016/05/09 00:00 [received]
PHST- 2016/08/04 00:00 [accepted]
PHST- 2016/08/19 06:00 [entrez]
PHST- 2016/08/19 06:00 [pubmed]
PHST- 2017/07/27 06:00 [medline]
PST - epublish
eCollection
2016.
PMID- 26734300
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 3
IP - 1
DP - 2014
TI - A simple measure to improve the rates of thromboprophylaxis prescription post
surgical fixation of neck of femur fractures in a district general hospital.

LID - u202991.w1956
AB - Neck of femur (NOF) fractures are a major public health concern because of
the
ageing population and higher incidence of fragility fractures. NOF fractures
are
associated with high mortality and morbidity rates, and there is a high risk
of
venous thromboembolism (VTE) after hip fractures (Ref 1). Therefore
thromboprophylaxis is vital. Current NICE guidelines advocate 28 - 35 days of
thromboprophylaxis after NOF fractures (Ref 1, 2). It came to our attention

that
patients post NOF fixation were getting variable prescriptions in regards to
their
thromboprophylaxis. Therefore a retrospective study on prescription of
thromboprophylaxis was conducted from October 2012 to February 2013 within
the
trauma and orthopaedics department at Queens Hospital, Romford. Data was
collected
on all NOF fractures from electronic discharge summaries. Basic descriptive
statistics were used to analysis the data. There were 110 cases of NOF
fractures
during this period. 100 patients were included since two were discounted as
they
were already on long term anticoagulants and eight patients died in hospital.
No
thromboprophylaxis was prescribed for 15 patients (15%). Three patients (3%)
were
prescribed less than 28 days (mean 14 days, range (14 - 14 days)). 69
patients (69%)
received 28 - 35 days of thromprophylaxis, whilst five patients (5%) received
more
than 35 days (mean 42 days, range 40 - 42 days). Formal departmental teaching
and
presentation of the findings was given after the initial study and a small
label
with the message, 'POST NOF #: 28-35 days Enoxaparin', was attached to the
back of
all the junior doctor work phones. After the intervention, data was collected
from
the period of 7th of January to 7th of February 2013. The second study showed
that
50 patients were admitted with NOF fractures in this time period. Four
patients died
in hospital and three patients were discounted as they were on Warfarin. Two
patients were not prescribed thromboprophylaxis (5%). 34 (79%) patients
received 28
- 35 days, whereas seven patients (16%) received 42 days of
thromboprophylaxis. The
older patients with multiple co-morbidities and reduced mobility are at high
risk of
developing thromboembolism post NOF fixation. Our initial study identified
inadequate prescription of thromboprophylaxis post NOF fractures. After
introduction
of simple measures such as the reminder label attached to phones, our repeat
study
found that there was improvement in prescription rates. Our study highlights
that
simple measures can increase awareness and improve patient safety.
FAU - Sinha, Pranab
AU - Sinha P
AD - Queens Hospital, Romford.
FAU - Najefi, Ali-Asgar
AU - Najefi AA
FAU - Hambidge, John
AU - Hambidge J
LA - eng
DEP - 20140516
JID - 101629512
PMC - PMC4645912
EDAT- 2014/01/01 00:00
MHDA- 2014/01/01 00:01
CRDT- 2016/01/07 06:00
PHST- 2014/03/12 00:00 [received]
PHST- 2014/03/28 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2014/01/01 00:01 [medline]
PST - epublish
PMID- 26272411
OWN - NLM
DCOM- 20150814
LR - 20181113
IS - 2291-5222 (Print)
IS - 2291-5222 (Linking)
VI - 3
IP - 3
DP - 2015 Aug 13
TI - Use of Mobile Clinical Decision Support Software by Junior Doctors at a UK
Teaching
Hospital: Identification and Evaluation of Barriers to Engagement.
PG - e80
LID - 10.2196/mhealth.4388 [doi]
LID - e80
AB - BACKGROUND: Clinical decision support (CDS) tools improve clinical diagnostic
decision making and patient safety. The availability of CDS to health care
professionals has grown in line with the increased prevalence of apps and
smart
mobile devices. Despite these benefits, patients may have safety concerns
about the
use of mobile devices around medical equipment. OBJECTIVE: This research
explored
the engagement of junior doctors (JDs) with CDS and the perceptions of
patients
about their use. There were three objectives for this research: (1) to
measure the
actual usage of CDS tools on mobile devices (mCDS) by JDs, (2) to explore the
perceptions of JDs about the drivers and barriers to using mCDS, and (3) to
explore
the perceptions of patients about the use of mCDS. METHODS: This study used a
mixed-methods approach to study the engagement of JDs with CDS accessed

through
mobile devices. Usage data were collected on the number of interactions by
JDs with
mCDS. The perceived drivers and barriers for JDs to using CDS were then
explored by
interviews. Finally, these findings were contrasted with the perception of
patients
about the use of mCDS by JDs. RESULTS: Nine of the 16 JDs made a total of 142
recorded interactions with the mCDS over a 4-month period. Only 27 of the 114
interactions (24%) that could be categorized as on-shift or off-shift

occurred
on-shift. Eight individual, institutional, and cultural barriers to
engagement
emerged from interviews with the user group. In contrast to reported cautions
and
concerns about the impact of clinicians' use of mobile phone on patient
health and
safety, patients had positive perceptions about the use of mCDS. CONCLUSIONS:
Patients reported positive perceptions toward mCDS. The usage of mCDS to

support
clinical decision making was considered to be positive as part of everyday
clinical
practice. The degree of engagement was found to be limited due to a number of
individual, institutional, and cultural barriers. The majority of mCDS

engagement
occurred outside of the workplace. Further research is required to verify
these
findings and assess their implications for future policy and practice.
FAU - Patel, Rakesh
AU - Patel R
AUID- ORCID: 0000-0002-5311-5448
AD - University of Leicester, Department of Medical & Social Care Education,
Leicester,
United Kingdom. rp299@le.ac.uk.
FAU - Green, William
AU - Green W
AUID- ORCID: 0000-0003-4161-4490
FAU - Shahzad, Muhammad Waseem
AU - Shahzad MW
AUID- ORCID: 0000-0002-6003-6000
FAU - Larkin, Chris
AU - Larkin C
AUID- ORCID: 0000-0001-6137-3095
LA - eng
DEP - 20150813
TA - JMIR Mhealth Uhealth
JT - JMIR mHealth and uHealth
JID - 101624439
PMC - PMC4705011
OTO - NOTNLM
OT - clinical decision support systems
OT - health care technology
OT - human-centered computing
OT - medical education
OT - patient safety
OT - ubiquitous and mobile computing
EDAT- 2015/08/15 06:00
MHDA- 2015/08/15 06:01
CRDT- 2015/08/15 06:00
PHST- 2015/02/27 00:00 [received]
PHST- 2015/06/19 00:00 [accepted]
PHST- 2015/06/04 00:00 [revised]
PHST- 2015/08/15 06:00 [entrez]
PHST- 2015/08/15 06:00 [pubmed]
PHST- 2015/08/15 06:01 [medline]
AID - v3i3e80 [pii]
AID - 10.2196/mhealth.4388 [doi]
PST - epublish
SO - JMIR Mhealth Uhealth. 2015 Aug 13;3(3):e80. doi: 10.2196/mhealth.4388.
PMID- 29299602
OWN - NLM
STAT- MEDLINE
DCOM- 20190930
LR - 20190930
IS - 2168-6254 (Print)
IS - 2168-6254 (Linking)
VI - 153
IP - 5
DP - 2018 May 1
TI - Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness
in the
Intensive Care Unit: A Stepped-Wedge Cluster Randomized Clinical Trial.
PG - 464-470
LID - 10.1001/jamasurg.2017.5440 [doi]
LID - e175440
AB - IMPORTANCE: Clinician miscommunication contributes to an estimated 250 000
deaths in
US hospitals per year. Efforts to standardize handoff communication may
reduce
errors and improve patient safety. OBJECTIVE: To determine the effect of a
standardized handoff curriculum, UW-IPASS, on interclinician communication
and
patient outcomes. DESIGN, SETTING, AND PARTICIPANTS: This cluster randomized
stepped-wedge randomized clinical trial was conducted from October 2015 to
May 2016
at 8 medical and surgical intensive care units at 2 hospital systems within
an
academic tertiary referral center. Participants included residents, fellows,
advance-practice clinicians, and attending physicians (n = 106 clinicians,
with 1488
handoff events over 8 months) and data were collected from daily text
message-based
surveys and patient medical records. EXPOSURES: The UW-IPASS standardized
handoff
curriculum. MAIN OUTCOMES AND MEASURES: The primary aim was to assess the
effect of
the UW-IPASS handoff curriculum on perceived adequacy of interclinician
communication. Patient days of mechanical ventilation, intensive care unit
length of
stay, reintubations within 24 hours, and order workflow patterns were also
analyzed.
Mixed-effects logistic regression was used to compute odds ratios and
confidence
intervals with adjustment for location, time period, and clinician. RESULTS:
A total
of 63 residents and advance practice clinicians, 13 fellows, and 30 attending
physicians participated in the study. During the control period, clinicians

reported
being unprepared for their shift because of a poor-quality handoff in 35 of
343
handoffs (10.2%), while UW-IPASS-period residents reported being unprepared
in 53 of
740 handoffs (7.2%) (odds ratio, 0.19; 95% CI, 0.03-0.74; P = .03). Compared
with
the control phase, the perceived duration of handoffs among clinicians using
UW-IPASS was unchanged (+5.5 minutes; 95% CI, 0.34-9.39; P = .30). Early
morning
order entry decreased from 106 per 100 patient-days in the control phase to
78 per
100 patient-days in the intervention period (-28 orders; 95% CI, -55 to -4;
P = .04). Overall, UW-IPASS was not associated with any changes in intensive
care
unit length of stay, duration of mechanical ventilation, or the number of
reintubations. CONCLUSIONS AND RELEVANCE: The UW-IPASS standardized handoff
curriculum was perceived to improve intensive care provider preparedness and
workflow. IPASS-based curricula represent an important step forward in
communication
standardization efforts and may help reduce communication errors and
omissions.
TRIAL REGISTRATION: isrctn.org Identifier: ISRCTN14209509.
FAU - Parent, Brodie
AU - Parent B
AD - Department of Surgery, University of Washington Medical Center, Seattle.
FAU - LaGrone, Lacey N
AU - LaGrone LN
FAU - Albirair, Mohamed T
AU - Albirair MT
AD - Department of General Internal Medicine, University of Washington Medical
Center,
Seattle.
FAU - Serina, Peter T
AU - Serina PT
AD - University of Washington School of Medicine, Seattle.
FAU - Keller, Jonathan M
AU - Keller JM
Center,
Seattle.
FAU - Cuschieri, Joseph
AU - Cuschieri J
FAU - Addison, Erin J
AU - Addison EJ
AD - University of Washington, Seattle.
FAU - Choe, Lapio
AU - Choe L
FAU - Delossantos, Genecelle B
AU - Delossantos GB
FAU - Gaskill, Cameron E
AU - Gaskill CE
FAU - Moon, Sarah D
AU - Moon SD
FAU - MacDonald, Jestine T
AU - MacDonald JT
FAU - Stolzberg, Matthew J
AU - Stolzberg MJ
AD - St Louis University School of Medicine, Surgery, St Louis, Missouri.
FAU - Van Eaton, Erik G
AU - Van Eaton EG
FAU - Zech, Jennifer M
AU - Zech JM
FAU - Kritek, Patricia A
AU - Kritek PA
Center,
Seattle.
LA - eng
TA - JAMA Surg
JT - JAMA surgery
JID - 101589553
SB - AIM
SB - IM
CIN - JAMA Surg. 2018 May 1;153(5):470. PMID: 29299593
MH - Communication
MH - Curriculum/*standards
MH - Humans
MH - *Intensive Care Units/standards
MH - Internship and Residency/*methods
MH - Patient Handoff/*standards
MH - Patient Safety
MH - *Practice Patterns, Physicians'
PMC - PMC5875375
COIS- Conflict of Interest Disclosures: Dr Van Eaton is cofounder of Transformative
Med
Inc, which sells the handoff software used in this randomized clinical trial.
As a
researcher in handoffs, Dr Van Eaton provided advice about the study design,
but had
no approval control of the final design, nor participated in collection or
analysis
of data. No other disclosures were reported.
EDAT- 2018/01/05 06:00
MHDA- 2019/10/01 06:00
CRDT- 2018/01/05 06:00
PHST- 2018/01/05 06:00 [pubmed]
PHST- 2019/10/01 06:00 [medline]
PHST- 2018/01/05 06:00 [entrez]
AID - 2666835 [pii]
AID - soi170115 [pii]
AID - 10.1001/jamasurg.2017.5440 [doi]
PST - ppublish
SO - JAMA Surg. 2018 May 1;153(5):464-470. doi: 10.1001/jamasurg.2017.5440.
PMID- 32000684
OWN - NLM
STAT- MEDLINE
DCOM- 20201223
LR - 20201223
VI - 20
IP - 1
DP - 2020 Jan 30
TI - Patient characteristics, triage utilisation, level of care, and outcomes in
an
unselected adult patient population seen by the emergency medical services: a
prospective observational study.

PG - 7
LID - 10.1186/s12873-020-0302-x [doi]
LID - 7
AB - BACKGROUND: Crowding in the emergency department (ED) is a safety concern,
and
pathways to bypass the ED have been introduced to reduce the time to
definitive
care. Conversely, a number of low-acuity patients in the ED could be assessed
by the
emergency medical services (EMS) as requiring a lower level of care. The
limited
access to primary care in Sweden leaves the EMS nurse to either assess the
patient
as requiring the ED or to stay at the scene. This study aimed to assess
patient
characteristics and evaluate the initial assessment by and utilisation of the
ambulance triage system and the appropriateness of non-transport decisions.

METHODS:
A prospective observational study including 6712 patients aged ≥16 years was
conducted. The patient records with 72 h of follow-up for non-transported
patients
were reviewed. Outcomes of death, time-critical conditions, complications
within
48 h and final hospital assessment were evaluated. The Mann-Whitney U test,
Fisher's
exact test, and Spearman's rank correlation were used for statistical
analysis.
RESULTS: The median patient age was 66 years, and the most common medical
history
was a circulatory diagnosis. Males received a higher priority from
dispatchers and
were more frequently assessed at the scene as requiring hospital care. A
total of
1312 patients (19.7%) were non-transported; a history of psychiatric
disorders or no
medical history was more commonly noted among these patients. Twelve (0.9%)
of the
1312 patients not transported were later admitted with time-critical
conditions.
Full triage was applied in 77.4% of the cases, and older patients were
triaged at
the scene as an 'unspecific condition' more frequently than younger patients.
Overall, the 30-day mortality was 4.1% (n = 274). CONCLUSIONS: Age, sex,
medical
history, and presentation all appear to influence the initial assessment. A
number
of patients transported to ED could be managed at a lower level of care. A
small
proportion of the non-transported patients were later diagnosed with a time-
critical
condition, warranting improved assessment tools at the scene and education of
the
personnel focusing on the elderly population. These results may be useful in
addressing resource allocation issues aiming at increasing patient safety.
AU - Magnusson C
AUID- ORCID: 0000-0002-8037-0014
Sahlgrenska
carl.magnusson@vgregion.se.
AU - Herlitz J
Sahlgrenska
Life and
AU - Axelsson C
Sahlgrenska
Life and
LA - eng
DEP - 20200130
TA - BMC Emerg Med
JID - 100968543
SB - IM
MH - Adolescent
MH - Adult
MH - Age Factors
MH - Aged
MH - Ambulances/*statistics & numerical data
MH - Emergency Medical Services/*organization & administration/statistics &
numerical
data
MH - Female
MH - Humans
MH - Male
MH - Medical History Taking
MH - Mental Disorders/epidemiology
MH - Middle Aged
MH - Nurse's Role
MH - Nurses/*statistics & numerical data
MH - Sex Factors
MH - Sweden/epidemiology
MH - Time Factors
MH - Triage/*organization & administration/statistics & numerical data
MH - Young Adult
PMC - PMC6993445
OTO - NOTNLM
OT - *Emergency medical services
OT - *Non-transport
OT - *Patient assessment
OT - *Prehospital
OT - *Triage
EDAT- 2020/02/01 06:00
MHDA- 2020/12/29 06:00
CRDT- 2020/02/01 06:00
PHST- 2019/10/07 00:00 [received]
PHST- 2020/01/10 00:00 [accepted]
PHST- 2020/02/01 06:00 [entrez]
PHST- 2020/02/01 06:00 [pubmed]
PHST- 2020/12/29 06:00 [medline]
AID - 10.1186/s12873-020-0302-x [pii]
AID - 302 [pii]
AID - 10.1186/s12873-020-0302-x [doi]
PST - epublish
SO - BMC Emerg Med. 2020 Jan 30;20(1):7. doi: 10.1186/s12873-020-0302-x.
PMID- 28199376
OWN - NLM
STAT- MEDLINE
DCOM- 20170828
LR - 20190208
IS - 1932-6203 (Linking)
VI - 12
IP - 2
DP - 2017
TI - Acceptability of the 6-PACK falls prevention program: A pre-implementation
study in
hospitals participating in a cluster randomized controlled trial.
PG - e0172005
LID - e0172005
AB - There is limited evidence to support the effectiveness of falls prevention
interventions in the acute hospital setting. The 6-PACK falls prevention
program
includes a fall-risk tool; 'falls alert' signs; supervision of patients in
the
bathroom; ensuring patients' walking aids are within reach; toileting
regimes;
low-low beds; and bed/chair alarms. This study explored the acceptability of
the
6-PACK program from the perspective of nurses and senior staff prior to its
implementation in a randomised controlled trial. A mixed-methods approach was
applied involving 24 acute wards from six Australian hospitals. Participants

were
nurses working on participating wards and senior hospital staff including:
Nurse
Unit Managers; senior physicians; Directors of Nursing; and senior personnel
involved in quality and safety or falls prevention. Information on program
acceptability (suitability, practicality and benefits) was obtained by
surveys,
focus groups and interviews. Survey data were analysed descriptively, and
focus
group and interview data thematically. The survey response rate was 60%.
Twelve
focus groups (n = 96 nurses) and 24 interviews with senior staff were
conducted.
Falls were identified as a priority patient safety issue and nurses as key
players
in falls prevention. The 6-PACK program was perceived to offer practical
benefits
compared to current practice. Nurses agreed fall-risk tools, low-low beds and
alert
signs were useful for preventing falls (>70%). Views were mixed regarding
positioning patients' walking aid within reach. Practical issues raised
included
access to equipment; and risk of staff injury with low-low bed use. Bathroom
supervision was seen to be beneficial, however not always practical. Views on
the
program appropriateness and benefits were consistent across nurses and senior
staff.
Staff perceived the 6-PACK program as suitable, practical and beneficial, and
were
open to adopting the program. Some practical concerns were raised
highlighting
issues to be addressed by the implementation plan.
FAU - Barker, Anna L
AU - Barker AL
AD - Department of Epidemiology and Preventive Medicine, School of Public Health
and
Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
FAU - Morello, Renata T
AU - Morello RT
and
FAU - Ayton, Darshini R
AU - Ayton DR
and
FAU - Hill, Keith D
AU - Hill KD
AD - School of Physiotherapy and Exercise Science, Curtin University, Bentley,
Western
Australia, Australia.
FAU - Brand, Caroline A
AU - Brand CA
and
FAU - Livingston, Patricia M
AU - Livingston PM
AD - Epworth/Deakin Centre for Clinical Nursing Research, Deakin University,
Richmond,
FAU - Botti, Mari
AU - Botti M
AD - School of Nursing and Midwifery, Deakin University, Burwood, Victoria,
Australia.
LA - eng
DEP - 20170215
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Focus Groups
MH - Hospitals
MH - Humans
MH - Nurses/psychology
MH - *Program Evaluation
PMC - PMC5310900
exist.
EDAT- 2017/02/16 06:00
MHDA- 2017/08/29 06:00
CRDT- 2017/02/16 06:00
PHST- 2016/05/26 00:00 [received]
PHST- 2017/01/30 00:00 [accepted]
PHST- 2017/02/16 06:00 [entrez]
PHST- 2017/02/16 06:00 [pubmed]
PHST- 2017/08/29 06:00 [medline]
PST - epublish
eCollection
2017.
PMID- 27570443
OWN - NLM
LR - 20201001
IS - 1089-9758 (Print)
IS - 1089-9758 (Linking)
VI - 19
DP - 2015 Fall
TI - Impact of Heath Information Technology on the Quality of Patient Care.
LID - http://www.himss.org/impact-heath-information-technology-quality-patient-care
[pii]
AB - OBJECTIVE: To examine the relationships among Electronic Health Record (EHR)
adoption and adverse outcomes and satisfaction in hospitalized patients.
MATERIALS
AND METHODS: This secondary analysis of cross sectional data was compiled
from four
sources: (1) State Inpatient Database from the Healthcare Cost Utilization
Project;
(2) Healthcare Information and Management Systems Society (HIMSS) Dorenfest
Institute; (3) Hospital Consumer Assessment of Healthcare Providers and
Systems
Survey (HCAHPS) and (4) New Jersey nurse survey data. The final analytic
sample
consisted of data on 854,258 adult patients discharged from 70 New Jersey
hospitals
in 2006 and 7,679 nurses working in those same hospitals. The analytic
approach used
ordinary least squares and multiple regression models to estimate the effects
of EHR
adoption stage on the delivery of nursing care and patient outcomes,
controlling for
characteristics of patients, nurses, and hospitals. RESULTS: Advanced EHR
adoption
was independently associated with fewer patients with prolonged length of
stay and
seven-day readmissions. Advanced EHR adoption was not associated with patient
satisfaction even when controlling for the strong relationships between

better
nursing practice environments, particularly staffing and resource adequacy,
and
missed nursing care and more patients reporting "Top-Box," satisfaction
ratings.
CONCLUSIONS: This innovative study demonstrated that advanced stages of EHR
adoption
show some promise in improving important patient outcomes of prolonged length
of
stay and hospital readmissions. Strongly evident by the relationships among
better
nursing work environments, better quality nursing care, and patient
satisfaction is
the importance of supporting the fundamentals of quality nursing care as
technology
is integrated into practice.
FAU - Hessels, Amanda
AU - Hessels A
AD - Postdoctoral Research Fellow at the Center for Interdisciplinary Research to
Prevent
Infections (CIRI), Columbia University, School of Nursing and Nurse Scientist
at
Meridian Health in New Jersey.
FAU - Flynn, Linda
AU - Flynn L
AD - Professor and the Associate Dean of Academic Programs at the University of
Colorado
College Of Nursing.
AU - Cimiotti JP
AD - Associate Professor and the Dorothy M. Smith Endowed Chair at the University
of
Florida College Of Nursing.
FAU - Bakken, Suzanne
AU - Bakken S
AD - Alumni Professor of Nursing and Professor of Biomedical Informatics at
Columbia
University.
FAU - Gershon, Robyn
AU - Gershon R
AD - Professor of Epidemiology and Biostatistics and Core Faculty in the Philip R.
Lee
Institute for Health Policy Studies in the School of Medicine at University
of
California, San Francisco.
LA - eng
DEP - 20151101
TA - Online J Nurs Inform
JT - On-line journal of nursing informatics
JID - 9806523
PMC - PMC5001503
MID - NIHMS773548
OTO - NOTNLM
OT - adverse patient events
OT - electronic health records
OT - nursing practice environment
OT - patient safety
OT - patient satisfaction
EDAT- 2016/08/30 06:00
MHDA- 2016/08/30 06:01
CRDT- 2016/08/30 06:00
PHST- 2016/08/30 06:00 [entrez]
PHST- 2016/08/30 06:00 [pubmed]
PHST- 2016/08/30 06:01 [medline]
AID - http://www.himss.org/impact-heath-information-technology-quality-patient-care
[pii]
PST - ppublish
SO - Online J Nurs Inform. 2015
Fall;19:http://www.himss.org/impact-heath-information-technology-quality-
patient-care.
Epub 2015 Nov 1.
PMID- 25888967
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR - 20181113
IS - 1472-6939 (Linking)
VI - 16
DP - 2015 Mar 19
TI - Ethical violations in the clinical setting: the hidden curriculum learning
experience of Pakistani nurses.
PG - 16
LID - 10.1186/s12910-015-0011-2 [doi]
LID - 16
AB - BACKGROUND: The importance of the hidden curriculum is recognised as a
practical
training ground for the absorption of medical ethics by healthcare
professionals.
Pakistan's healthcare sector is hampered by the exclusion of ethics from
medical and
nursing education curricula and the absence of monitoring of ethical
violations in
the clinical setting. Nurses have significant knowledge of the hidden
curriculum
taught during clinical practice, due to long working hours in the clinic and
front-line interaction with patients and other practitioners. METHODS: The
means of
inquiry for this study was qualitative, with 20 interviews and four focus
group
discussions used to identify nurses' clinical experiences of ethical
violations.
Content analysis was used to discover sub-categories of ethical violations,
as
perceived by nurses, within four pre-defined categories of nursing codes of
ethics:
1) professional guidelines and integrity, 2) patient informed consent, 3)
patient
rights, and 4) co-worker coordination for competency, learning and patient
safety.
RESULTS: Ten sub-categories of ethical violations were found: nursing
students being
used as adjunct staff, nurses having to face frequent violence in the
hospital
setting, patient reluctance to receive treatment from nurses, the near-
absence of
consent taken from patients for most non-surgical medical procedures, the
absence of
patient consent taking for receiving treatment from student nurses, the
practice of
patient discrimination on the basis of a patient's socio-demographic status,
nurses
withdrawing treatment out of fear for their safety, a non-learning culture
and,
finally, blame-shifting and non-reportage of errors. CONCLUSION: Immediate
and
urgent attention is required to reduce ethical violations in the healthcare
sector
in Pakistan through collaborative efforts by the government, the healthcare
sector,
and ethics regulatory bodies. Also, changes in socio-cultural values in
hospital
organisation, public awareness of how to conveniently report ethical
violations by
practitioners and public perceptions of nurse identity are needed.
FAU - Jafree, Sara Rizvi
AU - Jafree SR
AD - Institute of Social and Cultural Studies, University of the Punjab, P.O. Box
54590,
Lahore, Pakistan. sararizvijafree@gmail.com.
AD - Forman Christian College, Sociology Department, University of the Punjab, 21
FCC
Maratib Ali Road, 54000, Gulberg, Lahore, Pakistan.
sararizvijafree@gmail.com.
FAU - Zakar, Rubeena
AU - Zakar R
54590,
Lahore, Pakistan. rubeena499@hotmail.com.
FAU - Fischer, Florian
AU - Fischer F
AD - School of Public Health, Department of Public Health Medicine, Bielefeld
University,
P.O. Box 100 131, 33501, Bielefeld, Germany. f.fischer@uni-bielefeld.de.
FAU - Zakar, Muhammad Zakria
AU - Zakar MZ
54590,
Lahore, Pakistan. mzzakir@yahoo.com.
LA - eng
DEP - 20150319
TA - BMC Med Ethics
JT - BMC medical ethics
JID - 101088680
SB - E
SB - IM
MH - Codes of Ethics
MH - *Curriculum
MH - *Ethics, Medical
MH - *Ethics, Nursing
MH - Focus Groups
MH - Hospitals
MH - Humans
MH - Informed Consent
MH - *Learning
MH - Morals
MH - Nurse's Role
MH - *Nurses
MH - Pakistan
MH - Patient Rights
PMC - PMC4369076
EDAT- 2015/04/19 06:00
MHDA- 2016/12/15 06:00
CRDT- 2015/04/19 06:00
PHST- 2014/10/31 00:00 [received]
PHST- 2015/03/03 00:00 [accepted]
PHST- 2015/04/19 06:00 [entrez]
PHST- 2015/04/19 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - 10.1186/s12910-015-0011-2 [pii]
AID - 11 [pii]
AID - 10.1186/s12910-015-0011-2 [doi]
PST - epublish
SO - BMC Med Ethics. 2015 Mar 19;16:16. doi: 10.1186/s12910-015-0011-2.
PMID- 30593158
OWN - NLM
STAT- MEDLINE
DCOM- 20190104
LR - 20210112
IS - 0025-7974 (Print)
IS - 0025-7974 (Linking)
VI - 97
IP - 52
DP - 2018 Dec
TI - Randomized study of the impact of a therapeutic education program on patients
suffering from chronic low-back pain who are treated with transcutaneous
electrical
nerve stimulation.
PG - e13782
LID - 10.1097/MD.0000000000013782 [doi]
LID - e13782
AB - BACKGROUND: Transcutaneous electrical nerve stimulation (TENS) is often used
for the
treatment of low-back pain (LBP). However, its effectiveness is
controversial.
OBJECTIVE: To determine the efficacy of TENS in the treatment LBP when
associated to
a therapeutic education program (TEP). DESIGN: Open randomized monocentric
study.
SETTING: University hospital between 2010 and 2014. PATIENTS: A total of 97
patients
suffering from LBP. INTERVENTIONS: Routine care (TENS group) or routine care
plus a
therapeutic education program (TENS-TEP group) based on consultation support
by a
pain resource nurse. MAIN OUTCOME MEASURES: EIFEL and Dallas Pain
Questionnaire
scores. RESULTS: Twenty-two patients (44%) were still assessable at the end-
of-study
visit, whereas 33 (70%) were assessable at the same time point in the TENS-
TEP group
(P = .013). The EIFEL score and the Dallas score had a similar evolution over
time
between groups (P = .18 and P = .50 respectively). Similarly, there were no
significant differences between the groups with respect to resting pain
scores
(P = .94 for back pain and P = .16 for leg pain) and movement pain scores (P
= .52
for back pain and P = .56 for leg pain). At Month 6, there was no significant
difference between the groups (P = .85) with regard to analgesics and social
impact.
Two patients presented a serious adverse event during the study (one in each
group)
but non-attributable to the treatment studied. CONCLUSION: This study does
not
support the use of TENS in the treatment of patients with chronic LBP even
though
patients benefited from a therapeutic education program by a pain resource
nurse.
However, the higher number of premature withdrawals in the TENS group may be
due to
early withdrawal of patients who did not experience improvement of their
symptoms.
FAU - Garaud, Thomas
AU - Garaud T
AD - Department of Anesthesiology, Hôpital Foch, Suresnes, France and Université
Versailles Saint-Quentin en Yvelines.
FAU - Gervais, Christine
AU - Gervais C
AD - Pain Management Unit, Hôpital Foch.
FAU - Szekely, Barbara
AU - Szekely B
FAU - Michel-Cherqui, Mireille
AU - Michel-Cherqui M
FAU - Dreyfus, Jean-François
AU - Dreyfus JF
AD - Clinical Research Unit, Hôpital Foch, Suresnes, France.
FAU - Fischler, Marc
AU - Fischler M
LA - eng
JT - Medicine
JID - 2985248R
SB - AIM
SB - IM
MH - Adult
MH - Chronic Pain/psychology/*therapy
MH - Female
MH - Humans
MH - Low Back Pain/psychology/*therapy
MH - Male
MH - Middle Aged
MH - Pain Measurement
MH - Patient Education as Topic/*methods
MH - Transcutaneous Electric Nerve Stimulation/*psychology
PMC - PMC6314771
COIS- The authors have no conflicts of interest to disclose.
EDAT- 2018/12/30 06:00
MHDA- 2019/01/05 06:00
CRDT- 2018/12/30 06:00
PHST- 2018/12/30 06:00 [entrez]
PHST- 2018/12/30 06:00 [pubmed]
PHST- 2019/01/05 06:00 [medline]
AID - 00005792-201812280-00034 [pii]
AID - MD-D-18-02971 [pii]
AID - 10.1097/MD.0000000000013782 [doi]
PST - ppublish
SO - Medicine (Baltimore). 2018 Dec;97(52):e13782. doi:
10.1097/MD.0000000000013782.
PMID- 29991914
OWN - NLM
LR - 20201001
IS - 1319-0164 (Print)
IS - 1319-0164 (Linking)
VI - 26
IP - 5
DP - 2018 Jul
TI - Validation of a score to identify inpatients at risk of a drug-related
problem
during a 4-year period.
PG - 703-708
LID - 10.1016/j.jsps.2018.02.020 [doi]
AB - OBJECTIVE: Drug-related problems (DRP) produce high morbidity and mortality.
It is
therefore essential to identify patients at higher risk of these events. This
study
aimed to validate a DRP risk score in a large number of inpatients. MATERIAL
AND
METHODS: Validation of a previously designed score to identify inpatients at
risk of
experiencing at least one DRP in a tertiary university hospital from 2010 to
2013.
DRP were detected by a pharmacy warning system integrated in the electronic
medical
record. The score included the following variables associated with a higher
risk of
DRP: prescription of a higher number of drugs, greater comorbidity, advanced
age,
specific ATC groups and certain major diagnostic categories. RESULTS: The
study
included a total of 52,987 admissions; of these, at least one DRP occurred in
14.9%.
After validation of the score (period range, 2010-2013: 0.746-0.764), the
area under
the curve (AUC) was 0.751 (95% CI: 0.745-0.756). CONCLUSIONS: This value is
higher
than those reported in other studies describing validation of risk scores.
The score
showed good capacity to identify those patients at higher risk of DRP in a
much
larger sample of inpatients than previously described in the literature. This
tool
allows optimization of drug therapy monitoring in admitted patients.
FAU - Ferrández, O
AU - Ferrández O
AD - Services of Hospital Pharmacy, Hospital Universitari del Mar, Spain.
FAU - Grau, S
AU - Grau S
AD - Universitat Autònoma de Barcelona, Barcelona, Spain.
FAU - Urbina, O
AU - Urbina O
FAU - Mojal, S
AU - Mojal S
AD - Department of Statistics, Institut Hospital del Mar d'Investigacions Mèdiques
(IMIM), Spain.
FAU - Riu, M
AU - Riu M
AD - Direcció de control de gestió, Parc de Salut Mar, Institut Hospital del Mar
d'Investigacions Mèdiques (IMIM), Spain.
FAU - Salas, E
AU - Salas E
LA - eng
DEP - 20180208
TA - Saudi Pharm J
JID - 9705695
PMC - PMC6035315
OTO - NOTNLM
OT - Computerized medical record system
OT - Computerized physician order entry
OT - Drug-related problems
OT - Patient safety
OT - Risk score
EDAT- 2018/07/12 06:00
MHDA- 2018/07/12 06:01
CRDT- 2018/07/12 06:00
PHST- 2017/11/06 00:00 [received]
PHST- 2018/02/05 00:00 [accepted]
PHST- 2018/07/12 06:00 [entrez]
PHST- 2018/07/12 06:00 [pubmed]
PHST- 2018/07/12 06:01 [medline]
AID - S1319-0164(18)30044-6 [pii]
AID - 10.1016/j.jsps.2018.02.020 [doi]
PST - ppublish
SO - Saudi Pharm J. 2018 Jul;26(5):703-708. doi: 10.1016/j.jsps.2018.02.020. Epub
2018
Feb 8.
PMID- 31156850
OWN - NLM
LR - 20200225
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 23
IP - 4
DP - 2016 Jul
TI - The clinical impact of medication reconciliation on admission to a French
hospital:
a prospective observational study.
PG - 207-212
LID - 10.1136/ejhpharm-2015-000745 [doi]
AB - OBJECTIVE: This study was designed to assess the clinical impact of
medication
reconciliation using two criteria: the number of inpatients who had
experienced at
least one medication error; the severity of the potential harm associated
with these
detected errors. METHOD: The study was a prospective observational one. The
eligible
population included patients aged 65 and over subjected to medication
reconciliation
at admission. The potential severity of medication errors was evaluated
independently by the physician in charge of the patient and by the pharmacist
involved in the medication reconciliation process. Severity assessment took

account
of the drug(s) involved in the error, the type of medication error, and the
patient's clinical and biological data. RESULTS: From January 2011 to
September
2012, 1799 medication errors were recorded among the 1670 patients subjected
to
medication reconciliation who were hospitalised from the emergency
department. At
least one medication error occurred for 744 (44.6%) of these patients. There
were 87
medication errors associated with potentially major severity (5.6%). These
concerned
67 patients (4.2%). The most prevalent error was omission. Cardiovascular and
anticoagulant drugs were the drugs most frequently involved in these serious
medication errors. Arrhythmia, haemorrhage, thrombosis, hyperglycaemia and
hypoglycaemia were identified as the most likely harms that could have
occurred.
CONCLUSIONS: The detection of cases of serious potential harm shows the
clinical
impact of medication reconciliation. It would be interesting to perform a
multicentred assessment using indicators such as the number of inpatients
experiencing at least one serious medication error. This could help to
promote
medication reconciliation as essential for patient safety.
FAU - Dufay, Edith
AU - Dufay E
AD - Pôle de Logistique Médicale, Service de pharmacie, Centre Hospitalier de
Lunéville,
Lunéville, France.
FAU - Morice, Sophie
AU - Morice S
AD - Service de pharmacie, Centre Hospitalier Universitaire de Nancy, Nancy,
France.
FAU - Dony, Alexandre
AU - Dony A
Lunéville,
Lunéville, France.
FAU - Baum, Thomas
AU - Baum T
AD - Pôle de Logistique Médicale, Service de la gestion des risques, de
l'évaluation et
de la qualité, Centre Hospitalier de Lunéville, Lunéville, France.
FAU - Doerper, Sébastien
AU - Doerper S
Lunéville,
Lunéville, France.
FAU - Rauss, Alain
AU - Rauss A
AD - Société ARCOSA, Limeil Brévannes, France.
FAU - Piney, David
AU - Piney D
Lunéville,
Lunéville, France.
LA - eng
DEP - 20151216
JID - 101578294
PMC - PMC6451463
OTO - NOTNLM
OT - CARDIOLOGY
OT - DIABETES & ENDOCRINOLOGY
OT - GERIATRIC MEDICINE
EDAT- 2016/07/01 00:00
MHDA- 2016/07/01 00:01
CRDT- 2019/06/04 06:00
PHST- 2015/07/08 00:00 [received]
PHST- 2015/11/06 00:00 [revised]
PHST- 2015/11/11 00:00 [accepted]
PHST- 2019/06/04 06:00 [entrez]
PHST- 2016/07/01 00:00 [pubmed]
PHST- 2016/07/01 00:01 [medline]
AID - 10.1136/ejhpharm-2015-000745 [doi]
PST - ppublish
Epub
2015 Dec 16.
PMID- 25697756
OWN - NLM
STAT- MEDLINE
DCOM- 20160921
LR - 20181113
IS - 1556-9039 (Print)
IS - 1556-9039 (Linking)
VI - 11
IP - 4
DP - 2015 Dec
TI - Variability in Acetaminophen Labeling Practices: a Missed Opportunity to
Enhance
Patient Safety.
PG - 410-4
LID - 10.1007/s13181-015-0464-1 [doi]
AB - Confusion regarding a drug's active ingredient may lead to simultaneous use
of
multiple acetaminophen-containing prescriptions and increase the risk of
unintentional overdose. The objective of this study was to examine
prescription
labeling practices for commonly prescribed acetaminophen-containing
analgesics,
specifically focusing on how active ingredient information and concomitant
use
warnings were conveyed. Patients with new acetaminophen-containing
prescriptions
were recruited upon discharge from an emergency department in Chicago or at
an
outpatient, hospital-based pharmacy in Atlanta. Label information was
transcribed
from prescription bottles and patients' knowledge of active ingredient was
assessed
by in-person interviews. Among the 245 acetaminophen-containing
prescriptions,
hydrocodone was the most common second active ingredient (n = 208, 84.8 %)
followed
by oxycodone (n = 28, 11.4 %). Acetaminophen was identified by its full name
on 6.9
% (n = 17) of labels; various abbreviations were used in 93.1 % of cases. One
hundred forty-seven bottles used auxiliary warning labels with the majority
of
labels (n = 130, 88.4 %) warning about maximum dose and 11.5 % (n = 17) about
concomitant use. Most of the study participants (n = 177, 72.2 %) were not
able to
identify acetaminophen as an active ingredient in their prescription. There
was no
significant association between the use of unabbreviated labels including
warning
information and patients' awareness of acetaminophen as an active ingredient
(36.4
vs. 27.3 %, p = 0.50). We noted high variability in labeling practices and
warning
information conveyed to patients receiving acetaminophen-containing
prescriptions.
Missed opportunities to adequately convey risk information may contribute to
the
burden of acetaminophen-related liver injury.
FAU - King, Jennifer P
AU - King JP
AD - Center for Clinical Epidemiology & Population Health, Marshfield Clinic
Research
Foundation, Marshfield, WI, USA. kingjenniferp@gmail.com.
AD - Feinberg School of Medicine, Division of General Internal Medicine and
Geriatrics,
Health Literacy and Learning Program, Northwestern University, Chicago, IL,
USA.
kingjenniferp@gmail.com.
FAU - McCarthy, Danielle M
AU - McCarthy DM
AD - Department of Emergency Medicine, Northwestern University Feinberg School of
Medicine, Chicago, IL, USA.
FAU - Serper, Marina
AU - Serper M
AD - Division of Gastroenterology and Hepatology, Hospital of the University of
Pennsylvania, Philadelphia, PA, USA.
FAU - Jacobson, Kara L
AU - Jacobson KL
AD - Department of Health Policy and Management/Behavioral Science and Health
Education,
Rollins School of Public Health of Emory University, Atlanta, GA, USA.
FAU - Mullen, Rebecca J
AU - Mullen RJ
Geriatrics,
USA.
FAU - Parker, Ruth M
AU - Parker RM
AD - Division of General, Emory University School of Medicine, Atlanta, GA, USA.
FAU - Wolf, Michael S
AU - Wolf MS
Geriatrics,
USA.
AD - Department of Learning Sciences, School of Education and Social Policy,
Northwestern
University, Evanston, IL, USA.
LA - eng
TA - J Med Toxicol
JT - Journal of medical toxicology : official journal of the American College of
Medical
Toxicology
JID - 101284598
RN - 0 (Analgesics, Non-Narcotic)
RN - 362O9ITL9D (Acetaminophen)
SB - IM
MH - Acetaminophen/*adverse effects
MH - Adult
MH - Analgesics, Non-Narcotic/*adverse effects
MH - *Drug Labeling
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
PMC - PMC4675607
OTO - NOTNLM
OT - Acetaminophen
OT - Drug labeling
OT - Prescription
EDAT- 2015/02/24 06:00
MHDA- 2016/09/23 06:00
CRDT- 2015/02/21 06:00
PHST- 2015/02/21 06:00 [entrez]
PHST- 2015/02/24 06:00 [pubmed]
PHST- 2016/09/23 06:00 [medline]
AID - 10.1007/s13181-015-0464-1 [pii]
AID - 464 [pii]
AID - 10.1007/s13181-015-0464-1 [doi]
PST - ppublish
SO - J Med Toxicol. 2015 Dec;11(4):410-4. doi: 10.1007/s13181-015-0464-1.
PMID- 26603290
OWN - NLM
DCOM- 20151215
LR - 20200930
IS - 2110-5820 (Print)
IS - 2110-5820 (Linking)
VI - 5
IP - 1
DP - 2015 Dec
TI - Important drug classes associated with potential drug-drug interactions in
critically ill patients: highlights for cardiothoracic intensivists.
PG - 44
LID - 10.1186/s13613-015-0086-4 [doi]
LID - 44
AB - BACKGROUND: Patients in the intensive care unit (ICU) are more prone to drug-
drug
interactions (DDIs). The software and charts that indicate all interactions
may not
be proper for clinical usage. This study aimed to identify the main drug
classes
associated with clinically significant DDIs in cardiothoracic ICU and
categorize
DDIs to make cardiothoracic intensivists aware of safe medication usage.
METHODS:
This prospective study was conducted over 6 months in a cardiothoracic ICU of
a
university-affiliated teaching hospital. The presence of potential drug-drug
interactions (pDDIs) was assessed by a clinical pharmacologist using Lexi-
Interact
database. Clinically significant pDDIs were defined according to severity and
reliability rating. Interacting drug classes, mechanisms, and recommendations

were
identified for each interaction. RESULTS: From 1780 administered drugs, 496
lead to
major (D) and contraindicated (X) interactions. Nine drug classes were
responsible
for D and/or X interactions with excellent (E) and/or good (G) reliability.
Anti-infective agents (45.87 %) were the main drug classes that caused
clinically
significant pDDIs followed by central nervous system drugs (14.67 %). Azole
antifungals as the most interacting antimicrobial agents precipitated
metabolism
inhibition of CYP3A substrates. CONCLUSIONS: Clinically significant pDDIs as
potential patient safety risks were prevalent in critically ill patients. The
findings from current study help to improve knowledge and awareness of

clinicians in
this area and minimize adverse events due to pDDIs.
FAU - Baniasadi, Shadi
AU - Baniasadi S
AD - Virology Research Center, National Research Institute of Tuberculosis and
Lung
Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran,
Iran.
sbaniasadi@yahoo.com.
FAU - Farzanegan, Behrooz
AU - Farzanegan B
AD - Tracheal Diseases Research Center, National Research Institute of
Tuberculosis and
Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences,
Tehran,
Iran. farzaneganbehrooz@gmail.com.
FAU - Alehashem, Maryam
AU - Alehashem M
AD - Tracheal Diseases Research Center, National Research Institute of
Tuberculosis and
Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences,
Tehran,
Iran. maryamalehashem@yahoo.com.
LA - eng
DEP - 20151124
TA - Ann Intensive Care
JT - Annals of intensive care
JID - 101562873
PMC - PMC4658340
EDAT- 2015/11/26 06:00
MHDA- 2015/11/26 06:01
CRDT- 2015/11/26 06:00
PHST- 2015/03/19 00:00 [received]
PHST- 2015/11/09 00:00 [accepted]
PHST- 2015/11/26 06:00 [entrez]
PHST- 2015/11/26 06:00 [pubmed]
PHST- 2015/11/26 06:01 [medline]
AID - 10.1186/s13613-015-0086-4 [pii]
AID - 86 [pii]
AID - 10.1186/s13613-015-0086-4 [doi]
PST - ppublish
SO - Ann Intensive Care. 2015 Dec;5(1):44. doi: 10.1186/s13613-015-0086-4. Epub
2015 Nov
24.
PMID- 28938900
OWN - NLM
STAT- MEDLINE
DCOM- 20180409
LR - 20181202
IS - 1472-6947 (Linking)
VI - 17
IP - 1
DP - 2017 Sep 22
TI - The role and benefits of accessing primary care patient records during
unscheduled
care: a systematic review.
PG - 138
LID - 10.1186/s12911-017-0523-4 [doi]
LID - 138
AB - BACKGROUND: The purpose of this study was to assess the impact of accessing
primary
care records on unscheduled care. Unscheduled care is typically delivered in
hospital Emergency Departments. Studies published to December 2014 reporting
on
primary care record access during unscheduled care were retrieved. RESULTS:
Twenty-two articles met inclusion criteria from a pool of 192. Many shared
electronic health records (SEHRs) were large in scale, servicing many
millions of
patients. Reported utilization rates by clinicians was variable, with rates
>20%
amongst health management organizations but much lower in nation-scale
systems. No
study reported on clinical outcomes or patient safety, and no economic
studies of
SEHR access during unscheduled care were available. Design factors that may
affect
utilization included consent and access models, SEHR content, and system
usability
and reliability. CONCLUSIONS: Despite their size and expense, SEHRs designed
to
support unscheduled care have been poorly evaluated, and it is not possible
to draw
conclusions about any likely benefits associated with their use.
Heterogeneity
across the systems and the populations they serve make generalization about
system
design or performance difficult. None of the reviewed studies used a
theoretical
model to guide evaluation. Value of Information models may be a useful
theoretical
approach to design evaluation metrics, facilitating comparison across systems
in
future studies. Well-designed SEHRs should in principle be capable of
improving the
efficiency, quality and safety of unscheduled care, but at present the
evidence for
such benefits is weak, largely because it has not been sought.
FAU - Bowden, Tom
AU - Bowden T
AUID- ORCID: 0000-0002-3056-5817
AD - Centre for Health Informatics Australian Institute of Health Innovation,
Macquarie
University, Sydney, Australia. tom.bowden@mq.edu.au.
AU - Coiera E
AD - Centre for Health Informatics Australian Institute of Health Innovation,
Macquarie
University, Sydney, Australia.
LA - eng
PT - Review
DEP - 20170922
JID - 101088682
SB - IM
MH - Health Information Exchange/statistics & numerical data
MH - Humans
MH - Information Dissemination
MH - Information Storage and Retrieval/*statistics & numerical data
PMC - PMC5610474
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Not applicable. CONSENT FOR
PUBLICATION:
Not Applicable. COMPETING INTERESTS: The authors declare that they have no
competing
EDAT- 2017/09/25 06:00
MHDA- 2018/04/10 06:00
CRDT- 2017/09/24 06:00
PHST- 2016/12/26 00:00 [received]
PHST- 2017/08/08 00:00 [accepted]
PHST- 2017/09/24 06:00 [entrez]
PHST- 2017/09/25 06:00 [pubmed]
PHST- 2018/04/10 06:00 [medline]
AID - 10.1186/s12911-017-0523-4 [pii]
AID - 523 [pii]
AID - 10.1186/s12911-017-0523-4 [doi]
PST - epublish
SO - BMC Med Inform Decis Mak. 2017 Sep 22;17(1):138. doi: 10.1186/s12911-017-
0523-4.
PMID- 30464487
OWN - NLM
LR - 20201001
IS - 1176-6336 (Print)
IS - 1176-6336 (Linking)
VI - 14
DP - 2018
TI - Analysis of a pharmacist-led adverse drug event management model for
pharmacovigilance in an academic medical center hospital in China.
PG - 2139-2147
LID - 10.2147/TCRM.S178297 [doi]
AB - BACKGROUND: Spontaneous reporting of adverse drug events (ADEs) has long been
the
cornerstone of pharmacovigilance. Medical institutions in China have been a
major
source of ADE case reports, but the proportion of reports from tertiary
hospitals is
low due to the serious underreporting of case reports. The same problem
existed in
the Second Affiliated Hospital of Zhejiang University School of Medicine
(SAHZU).
OBJECTIVE: In order to increase the number of ADE reports and promote
hospital
pharmacovigilance, SAHZU's clinical pharmacists established a pharmacist-led
ADE
management model. The aim of this paper is to introduce this management model
and
explore the advantages and disadvantages of the model. METHODS: Pharmacist-
led ADE
management model was gradually formed from 2015 to 2017 in the SAHZU. This
"pharmacist-led" model is reflected not only in the fact that clinical
pharmacists
are the main reporters of SAHZU's ADEs but also in that they are the main
groups to
analyze and manage ADE and drug errors. The sources of ADEs reported by
clinical
pharmacists mainly include pharmacy rounds, ADE-related pharmacist
consultations,
centralized monitoring, ADE warning signal analysis, newly introduced drug
evaluations, and drug safety research. RESULTS: A total of 533 ADEs were
reported by
SAHZU to China's spontaneous reporting system (SRS) in 2017, while the data
in 2012
was 177, with an increase by 201%. In 2012, the proportion of "new" and
"serious"
reports was 16.4%. The proportions during the period from 2015 to 2017 were
41.4%,
60.8%, and 52.2%, respectively, which were statistically significant compared
with
the proportion in 2012. The proportion of ADEs reported by clinical
pharmacists
during the period from 2014 to 2017 were 51.5%, 57.3%, 68.8%, and 90.8%,
respectively, which were statistically significant compared with the
proportion in
2013 (P<0.05). There was a correlation between the proportions of severe ADEs
and
the proportion of ADEs reported by clinical pharmacists (r=0.873, P=0.023).
Four
hundred eighty four ADE cases reported by clinical pharmacists to China's SRS
in
2017 were mainly found in rounds of clinical pharmacists (74.17% [359/484]).
CONCLUSION: The pharmacist-led pharmacovigilance working model significantly
increased the quantity and quality of ADE reporting in SAHZU and promoted
pharmacovigilance. This model is worth developing in Chinese tertiary
hospitals and
the following hospitals, where the physicians working there spend little time
and
energy on ADE reporting or the cost of physicians is high, while the clinical
pharmacist team has strong professional skills.

FAU - He, Wei
AU - He W
AD - Department of Pharmacy, Second Affiliated Hospital, Zhejiang University
School of
Medicine, Hangzhou 310009, China, haibindai@zju.edu.cn.
FAU - Yao, Difei
AU - Yao D
School of
FAU - Hu, Yangmin
AU - Hu Y
School of
FAU - Dai, Haibin
AU - Dai H
School of
LA - eng
DEP - 20181030
JID - 101253281
PMC - PMC6214595
OTO - NOTNLM
OT - active surveillance
OT - clinical pharmacist
OT - new adverse drug events
OT - serious adverse drug events
OT - tertiary hospitals
EDAT- 2018/11/23 06:00
MHDA- 2018/11/23 06:01
CRDT- 2018/11/23 06:00
PHST- 2018/11/23 06:00 [entrez]
PHST- 2018/11/23 06:00 [pubmed]
PHST- 2018/11/23 06:01 [medline]
AID - 10.2147/TCRM.S178297 [doi]
PST - epublish
SO - Ther Clin Risk Manag. 2018 Oct 30;14:2139-2147. doi: 10.2147/TCRM.S178297.
eCollection 2018.
PMID- 31793817
OWN - NLM
STAT- In-Process
LR - 20210203
IS - 1460-4582 (Linking)
VI - 26
IP - 4
DP - 2020 Dec
TI - A comparative study of the utilisation of an electronic test-result
management
system in emergency and intensive care settings.
PG - 3072-3087
LID - 10.1177/1460458219889223 [doi]
AB - The purpose of this qualitative study was to identify differences in the
utilisation
of an electronic medical record test-result management system between two
acute care
departments. Field observations (130 min) and semi-structured interviews (n
= 24)
were conducted in the Intensive Care Unit and Emergency Department of an
Australian
hospital. Work processes identified from audio transcripts were modelled
using
business process modelling. Comparison of the Emergency Department and
Intensive
Care Unit identified the following: (1) test ordering variations according to
clinical roles, (2) differences in the use of electronic medical record

functionality according to specific demands of the clinical environment and
(3) the
non-linear components of the test-result management process. Variations were
identified in the number of process decisions, external collaborations and
temporal
process workflows. Modelling the business processes, collaboration and
communication
needs of individual clinical environments can aid in enhancing the quality
and
appositeness of health information technology interventions and thus
contribute to
improving patient safety. Future health information technology
interventions/evaluations aimed at improving the safety of test-result
management
processes need to address both the nuances of the clinical environment and
accommodate the individual work practices of clinicians within that
environment.
FAU - Thomas, Judith
AU - Thomas J
AUID- ORCID: 0000-0002-0715-9124
AD - Macquarie University, Australia.
FAU - Dahm, Maria R
AU - Dahm MR
FAU - Li, Julie
AU - Li J
FAU - Westbrook, Johanna I
AU - Westbrook JI
FAU - Georgiou, Andrew
AU - Georgiou A
LA - eng
DEP - 20191203
PL - England
JID - 100883604
SB - IM
OTO - NOTNLM
OT - *Business Process Model and Notation
OT - *Emergency Department
OT - *Intensive Care Unit
OT - *business process
OT - *test–result management
EDAT- 2019/12/04 06:00
MHDA- 2019/12/04 06:00
CRDT- 2019/12/04 06:00
PHST- 2019/12/04 06:00 [pubmed]
PHST- 2019/12/04 06:00 [medline]
PHST- 2019/12/04 06:00 [entrez]
AID - 10.1177/1460458219889223 [doi]
PST - ppublish
SO - Health Informatics J. 2020 Dec;26(4):3072-3087. doi:
10.1177/1460458219889223. Epub
2019 Dec 3.
PMID- 30674316
OWN - NLM
STAT- MEDLINE
DCOM- 20190318
LR - 20200225
IS - 1472-6963 (Linking)
VI - 19
IP - 1
DP - 2019 Jan 23
TI - An exploration of workarounds and their perceived impact on antibiotic
stewardship
in the adult medical wards of a referral hospital in Malawi: a qualitative
study.
PG - 64
LID - 10.1186/s12913-019-3900-0 [doi]
LID - 64
AB - BACKGROUND: Antibiotic stewardship, the proper management of antibiotics to
ensure
optimal patient outcomes, is based on quality improvement. Evidence-based
guidelines
and protocols have been developed to improve this process of care. Safe and
timely
patient care also requires optimal coordination of staff, resources,
equipment,
schedules and tasks. However, healthcare workers encounter barriers when
implementing these standards and engage in workarounds to overcome these
barriers.
Workarounds bypass or temporarily 'fix' perceived workflow hindrances to
achieve a
goal more readily. This study examines workaround behaviours that nurses and
doctors
employ to address the challenges encountered during their antibiotic
stewardship
efforts and their impact, at a tertiary hospital in Malawi. METHODS: This was
a
qualitative descriptive case study design and is part of a large mixed
methods study
aimed at understanding nurses' role in antibiotic stewardship and identifying
barriers that informed the development of nurse-focused interventions. For

this
study, we conducted interviews with staff and observations of nurses
antibiotic
stewardship practices on two adult medical wards. We convened three focus
group
discussions with doctors, pharmacists and laboratory technologists (n = 20),
focusing on their attitudes and experiences with nurses' roles in antibiotic
stewardship. We also observed nurses' antibiotic stewardship practices and
interactions duringfour events: shift change handovers (n = 10); antibiotic
preparation (n = 13); antibiotic administration (n = 49 cases); and ward
rounds
(n = 7). After that, the researcher conducted follow up interviews with
purposively
selected observed nurses (n = 13). RESULTS: Using inductive and deductive
approaches
to thematic analysis, we found that nurses established their ways of
overcoming
challenges to achieve the intended task goals with workarounds. We also found
that
nurses' practices influenced doctors' workarounds. We identified six themes
related
to workarounds and grouped them into two categories: "Taking shortcuts by
altering a
procedure" and "Using unauthorized processes". These behaviors may have both
positive and negative impacts on patient care and the health care system.
CONCLUSION: The study provided insight into how nurses and doctors work
around
workflow blocks encountered during patient antibiotic management at a
tertiary
hospital in Malawi. We identified two categories of workaround namely taking
shortcuts by altering a procedure and using unauthorized processes.
Addressing the
blocks in the system by providing adequate resources, training, improving
multidisciplinary teamwork and supportive supervision can minimize
workarounds.
FAU - Mula, Chimwemwe Tusekile
AU - Mula CT
AUID- ORCID: 0000-0002-3191-4951
AD - Department of Clinical Nursing, University of Malawi, Kamuzu College of
Nursing,
Blantyre, Malawi. tusekile69@gmail.com.
AD - School of Nursing and Public Health, College of Health Sciences, University
of
KwaZulu-Natal, Durban, South Africa. tusekile69@gmail.com.
FAU - Human, Nicola
AU - Human N
AD - School of Health Sciences, Department of Pharmacy, University of KwaZulu-
Natal,
Durban, South Africa.
FAU - Middleton, Lyn
AU - Middleton L
AD - School of Health Sciences, Department of Pharmacy, University of KwaZulu-
Natal,
Durban, South Africa.
LA - eng
DEP - 20190123
JID - 101088677
SB - IM
MH - Adult
MH - Antimicrobial Stewardship/*standards/statistics & numerical data
MH - Female
MH - Health Personnel
MH - Humans
MH - Malawi
MH - Male
MH - Nurse's Role
MH - Nursing Staff, Hospital/standards
MH - Perception
MH - Physician's Role
MH - Physicians/standards
MH - *Professional Practice
MH - Referral and Consultation/statistics & numerical data
MH - Tertiary Care Centers/statistics & numerical data
MH - Workflow
PMC - PMC6345002
OTO - NOTNLM
OT - Antibiotic stewardship
OT - Antibiotics
OT - Improvisation
OT - Medication administration
OT - Patient safety
OT - Problem-solving
OT - Shortcut
OT - Standard
OT - Workaround
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: We obtained ethical approval from
University of KwaZulu-Natal Human and Social Science Research Ethics

Committee
(protocol number HSS/0445/0150) and the University Of Malawi College Of
Medicine
Research Ethics Committee (protocol number P.03/15/1707). We obtained an
informed
written Consent from focus group participants and nurses which included
information
that the study may be published. CONSENT FOR PUBLICATION: Not applicable.
COMPETING
INTERESTS: The authors declare that they have no competing interests.
PUBLISHER’S

EDAT- 2019/01/25 06:00
MHDA- 2019/03/19 06:00
CRDT- 2019/01/25 06:00
PHST- 2018/01/03 00:00 [received]
PHST- 2019/01/11 00:00 [accepted]
PHST- 2019/01/25 06:00 [entrez]
PHST- 2019/01/25 06:00 [pubmed]
PHST- 2019/03/19 06:00 [medline]
AID - 10.1186/s12913-019-3900-0 [pii]
AID - 3900 [pii]
AID - 10.1186/s12913-019-3900-0 [doi]
PST - epublish
PMID- 25527905
OWN - NLM
STAT- MEDLINE
DCOM- 20160412
LR - 20181202
IS - 1472-6963 (Linking)
VI - 14
DP - 2014 Dec 21
TI - Validation of triggers and development of a pediatric trigger tool to
identify
adverse events.
PG - 655
LID - 10.1186/s12913-014-0655-5 [doi]
LID - 655
AB - BACKGROUND: Little is known about adverse events (AEs) in pediatric patients.
Record
review is a common methodology for identifying AEs, but in pediatrics the
record
review tools generally have limited focus. The aim of the present study was
to
develop a broadly applicable record review tool to identify AEs in pediatric
inpatients. METHODS: Using a broad literature review and expert opinion with
a
modified Delphi process, a pediatric trigger tool with 88 triggers,
definitions, and
descriptions including AE preventability decision support was developed and
tested
in a random sample of 600 hospitalized pediatric patients admitted in 2010 to
a
single university children's hospital. Four registered nurse-physician teams
performed complete two-stage retrospective reviews of 150 records each from
either
neonatal, surgical/orthopedic, medicine, or emergency medicine units.
RESULTS:
Registered nurse review identified 296 of 600 records with triggers
indicating
potential AEs. Records (n = 121) with only false positive triggers not
indicating
any potential AEs were not forwarded to the next review stage. On subsequent
physician review, 204 (34.0%) of patients were found to have had 563 AEs,
range 1-27
AEs/patient. A total of 442 preventable AEs were found in 161 patients
(26.8%),
range 1-22. Overall, triggers were found 3,598 times in 417 (69.5%) records,
with a
mean of 6 (median 1, range 0-176) triggers per patient. The overall positive
predictive value of the triggers was 22.9%, (range 0.0-100.0%). The final
pediatric
trigger tool, developed with a second Delphi round, required 29 triggers.
CONCLUSIONS: AEs are common in pediatric patients and most are preventable.
The main
contributions of this study are to further develop and adapt trigger
definitions,
including AE preventability decision support, to introduce new triggers in
pediatric
care, as well as to apply pediatric triggers in different clinical
specialties. Our
findings resulted in a national pediatric trigger tool, and might also be
adapted
internationally. The pediatric trigger tool can help healthcare organizations
to
measure and analyze the AEs occurring in hospitalized children in order to
improve
patient safety.
FAU - Unbeck, Maria
AU - Unbeck M
AD - Department of Orthopedics, Danderyd Hospital, 182 88, Stockholm, Sweden.
maria.unbeck@ds.se.
AD - Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet,
182 88,
Stockholm, Sweden. maria.unbeck@ds.se.
FAU - Lindemalm, Synnöve
AU - Lindemalm S
AD - Division of Pediatrics, Astrid Lindgren's Children's Hospital, Karolinska
University
Hospital, 171 76, Stockholm, Sweden. synnove.lindemalm@karolinska.se.
AD - Department of Clinical Science, Intervention and Technology, Karolinska
Institutet,
171 77, Stockholm, Sweden. synnove.lindemalm@karolinska.se.
FAU - Nydert, Per
AU - Nydert P
University
Hospital, 171 76, Stockholm, Sweden. per.nydert@karolinska.se.
AD - Department of Clinical Science, Intervention and Technology, Karolinska
Institutet,
171 77, Stockholm, Sweden. per.nydert@karolinska.se.
FAU - Ygge, Britt-Marie
AU - Ygge BM
University
Hospital, 171 76, Stockholm, Sweden. britt-marie.ygge@karolinska.se.
AD - Department of Women's and Children's Health, Karolinska Institutet, 171 77,
Stockholm, Sweden. britt-marie.ygge@karolinska.se.
FAU - Nylén, Urban
AU - Nylén U
AD - Unit for Quality and Patient Safety, Karolinska University Hospital, 171 76,
Stockholm, Sweden. urban.nylen@karolinska.se.
AD - SALAR (Swedish Association of Local Authorities and Regions), 118 82,
Stockholm,
Sweden. urban.nylen@karolinska.se.
FAU - Berglund, Carina
AU - Berglund C
AD - Unit for Quality and Patient Safety, Karolinska University Hospital, 171 76,
Stockholm, Sweden. carina.berglund@karolinska.se.
AD - SALAR (Swedish Association of Local Authorities and Regions), 118 82,
Stockholm,
Sweden. carina.berglund@karolinska.se.
FAU - Härenstam, Karin Pukk
AU - Härenstam KP
University
Hospital, 171 76, Stockholm, Sweden. karin.pukk-harenstam@karolinska.se.
AD - Medical Management Centre, Karolinska Institutet, 171 77, Stockholm, Sweden.
karin.pukk-harenstam@karolinska.se.
LA - eng
PT - Review
DEP - 20141221
JID - 101088677
SB - IM
MH - Adverse Drug Reaction Reporting Systems/*instrumentation
MH - Child
MH - Child, Hospitalized
MH - Female
MH - Humans
MH - Infant
MH - Male
MH - Medical Errors/*adverse effects
MH - *Pediatrics
MH - Precipitating Factors
PMC - PMC4300839
EDAT- 2014/12/22 06:00
MHDA- 2016/04/14 06:00
CRDT- 2014/12/22 06:00
PHST- 2014/06/27 00:00 [received]
PHST- 2014/12/11 00:00 [accepted]
PHST- 2014/12/22 06:00 [entrez]
PHST- 2014/12/22 06:00 [pubmed]
PHST- 2016/04/14 06:00 [medline]
AID - s12913-014-0655-5 [pii]
AID - 655 [pii]
AID - 10.1186/s12913-014-0655-5 [doi]
PST - epublish
SO - BMC Health Serv Res. 2014 Dec 21;14:655. doi: 10.1186/s12913-014-0655-5.
PMID- 31294860
OWN - NLM
STAT- In-Process
LR - 20200703
IS - 0283-9318 (Print)
IS - 0283-9318 (Linking)
VI - 34
IP - 2
DP - 2020 Jun
TI - Falls in hospital: a case-control study.
PG - 332-339
LID - 10.1111/scs.12733 [doi]
AB - AIMS: Falls among inpatients are common. The method used by The Norwegian
Patient
Safety Campaign to measure the adverse events is the Global Trigger Tool,
which does
not look at the causation for falls. This study was aimed at investigating
major
risk factors for falls in the hospital setting. METHODS: This retrospective
case-control study was conducted at Telemark Hospital in Norway, in the
period from
September 2012 to August 2014. A total of 842 patients from three wards were
included, whereof 172 cases had experienced one or more fall(s) during
hospitalisation and 670 random controls had not fallen. Data were analysed
according
to a pragmatic strategy. RESULTS: Compared with patients who did not fall,
patients
who fell were 21 times more likely to have poor balance (OR = 21.50, 95% CI:
10.26-45.04) and 19 times more likely to have very poor balance (OR = 19.62,
95% CI:
9.55-40.27), twice as likely to be men (OR = 1.82, 95% CI: 1.24-2.68), and
50%
increased probability of fall with every 10 year increase of age (OR = 1.51,
95% CI:
1.34-1.69). Furthermore, the patients who fell were more likely to use
antidepressant drugs (OR = 3.85, 95% CI: 1.09-13.63), antipsychotic drugs
(OR = 3.27, 95% CI: 1.94-5.51), anxiolytic/hypnotic drugs (OR = 1.80, 95% CI:
1.22-2.67) and antiepileptic drugs (OR = 1.13, 95% CI: 1.11-4.06) than

patients who
did not fall. CONCLUSIONS: During hospital stay, patients who fell had a
higher risk
profile than patients who did not fall. Clinicians should work to improve
patients'
safety and reduce the risk of falls by accurately assessing balance and
mobility as
a form of primary prevention. We recommend that a review of the patient
medications
should be conducted upon falling, as a form of a secondary preventive
strategy
against falls.
CI - © 2019 The Authors. Scandinavian Journal of Caring Sciences published by John
Wiley
& Sons Ltd on behalf of Nordic College of Caring Science.
FAU - de Groot, Gudrun Cathrine Lindgren
AU - de Groot GCL
AUID- ORCID: 0000-0001-5222-0281
AD - Department of Medicine, Telemark Hospital, Skien, Norway.
FAU - Al-Fattal, Ahmad
AU - Al-Fattal A
AD - Department of Medicine, Telemark Hospital, Skien, Norway.
FAU - Sandven, Irene
AU - Sandven I
AD - Oslo Centre of Biostatistics and Epidemiology, Research Support Services,
Oslo
University Hospital Sogn Arena, Oslo, Norway.
LA - eng
DEP - 20190711
TA - Scand J Caring Sci
JT - Scandinavian journal of caring sciences
JID - 8804206
SB - N
PMC - PMC7328684
OTO - NOTNLM
OT - antidepressants
OT - balance
OT - drugs
OT - falls
OT - hospital
COIS- The authors report no conflicts of interest in this work. In the preparations
of
this manuscript, all tips for publishing ethics are followed.
EDAT- 2019/07/12 06:00
MHDA- 2019/07/12 06:00
CRDT- 2019/07/12 06:00
PHST- 2018/11/05 00:00 [received]
PHST- 2019/05/01 00:00 [revised]
PHST- 2019/06/02 00:00 [accepted]
PHST- 2019/07/12 06:00 [pubmed]
PHST- 2019/07/12 06:00 [medline]
PHST- 2019/07/12 06:00 [entrez]
AID - SCS12733 [pii]
AID - 10.1111/scs.12733 [doi]
PST - ppublish
SO - Scand J Caring Sci. 2020 Jun;34(2):332-339. doi: 10.1111/scs.12733. Epub 2019
Jul
11.
PMID- 22624490
OWN - NLM
STAT- MEDLINE
DCOM- 20120619
LR - 20131029
IS - 1447-4514 (Print)
IS - 1447-4514 (Linking)
VI - 35
IP - 4
DP - 2011 Dec
TI - Surveillance of adverse events following immunisation: the model of SAEFVIC,
Victoria.
PG - 294-8
AB - State-based adverse events following immunisation (AEFI) reporting systems in
Australia demonstrate marked regional differences in surveillance

methodologies and
reporting rates. To improve AEFI services in Victoria, Surveillance of
Adverse
Events Following Vaccination in the Community (SAEFVIC) was established in
2007.
SAEFVIC comprises a central reporting enhanced passive surveillance system
integrated with clinical services. AEFI may be reported by phone, fax or on-
line.
Immunisation nurse specialists follow up all reports, coupled with physician
review
as required. Supervised re-vaccination in a hospital environment, when
appropriate,
helps ensure clinical support for vaccinees, families and health-care
providers. The
Brighton Collaboration, the Australian Immunisation Handbook and in-house
case
definitions are used to categorise AEFI reports. In the first 3 years (2007-
2010) of
operation 3,265 reports were received, describing 4,293 AEFI. The number of
reports
received increased annually over the 3-year period. Seventy-six per cent of
AEFI met
one of 52 established case definitions and the remainder were recorded
verbatim: 22%
of reported AEFI were considered severe. Of 1,086 persons reporting an AEFI
in 2009,
356 (36%) attended for a clinical consultation and 325 (83%) were
revaccinated, of
which 114 were day stay or overnight patients. Enhanced passive AEFI
surveillance
using integrated clinical services has been shown to improve adverse event
reporting
with reporting rates in Victoria increasing from 2.6 per 100,000 in 2003 to
13.5 per
100,000 per annum in 2009. This report describes the SAEFVIC service model
and
summarises outcomes and lessons learnt in the first 3 years of operation.
FAU - Clothier, Hazel J
AU - Clothier HJ
AD - SAEFVIC, Murdoch Childrens Research Institute, Parkville, Victoria.
Hazel.clothier@mcri.edu.au
FAU - Crawford, Nigel W
AU - Crawford NW
FAU - Kempe, Ann
AU - Kempe A
FAU - Buttery, Jim P
AU - Buttery JP
LA - eng
PL - Australia
TA - Commun Dis Intell Q Rep
JT - Communicable diseases intelligence quarterly report
JID - 101601804
SB - IM
MH - *Adverse Drug Reaction Reporting Systems
MH - Humans
MH - Immunization/*adverse effects
MH - Victoria/epidemiology
EDAT- 2012/05/26 06:00
MHDA- 2012/06/20 06:00
CRDT- 2012/05/26 06:00
PHST- 2012/05/26 06:00 [entrez]
PHST- 2012/05/26 06:00 [pubmed]
PHST- 2012/06/20 06:00 [medline]
PST - ppublish
SO - Commun Dis Intell Q Rep. 2011 Dec;35(4):294-8.
PMID- 31156814
OWN - NLM
LR - 20200225
IS - 2047-9956 (Print)
IS - 2047-9956 (Linking)
VI - 23
IP - 1
DP - 2016 Jan
TI - Aseptic preparation of parenteral medicinal products in healthcare
establishments in
Europe.
PG - 50-53
LID - 10.1136/ejhpharm-2015-000709 [doi]
AB - In many cases, parenteral medicines with a marketing authorisation cannot be
administered directly to patients, that is, they are not presented in
ready-to-administer form. Before administration to patients, these medicines
have to
be reconstituted. Reconstitution has a special position; it can neither be
seen as
industrial manufacture nor as 'regular' pharmacy preparation. There are other
processes in healthcare establishments (eg, parenteral nutrition), related to

the
reconstitution process, where the requirements of national quality assurance
standards for the safe preparation of sterile products are equally important
and
have to be fulfilled. In European healthcare establishments, aseptic
preparation of
parenteral medicinal products is considered to be a process of crucial
importance
for patient safety because errors in the preparation of these medicines may
lead to
a product that can cause immediate damage to patients. Aseptic preparation of
medicinal products is carried out in hospital pharmacies as well as in

clinical
areas in healthcare establishments. The Committee of Experts on Quality and
Safety
Standards for Pharmaceutical Practices and Pharmaceutical Care (Council of
Europe;
hereafter: Committee of Experts), supported by the European Directorate for
the
Quality of Medicines & Healthcare, is undertaking work on the topic of
aseptic
preparation of medicines. The work is carried out in cooperation with the
European
Association of Hospital Pharmacists on the basis of a Resolution CM/Res
AP(2011)1 on
Quality and Safety Assurance requirements for Medicinal Products prepared in
Pharmacies for the Special Needs of Patients, which was adopted by the
Committee of
Ministers on 19 January 2011. The Resolution includes some recommendations
and an
outlook to further work on reconstitution of parenteral medicines. A survey
that was
sent to the different European countries demonstrated that there is no or
just
limited regulation concerning reconstitution in Europe. This article
describes the
risks associated with poor reconstitution practices and the previous work as
well as
the ongoing activities concerning reconstitution at the European level. The
article
emphasises the need for regulation in this area, which is missing at present.
It is
expected that consensus can be reached on a guidance document for
reconstitution at
the European level.
FAU - Scheepers, Hpa
AU - Scheepers H
AD - Department of Health Care Inspectorate, Ministry of Health, Welfare and
Sport,
FAU - Beaney, A M
AU - Beaney AM
AD - Regional Quality Assurance Specialist, Royal Victoria Infirmary, Newcastle
upon
Tyne, UK.
FAU - Le Brun, Pph
AU - Le Brun P
AD - Apotheek Haagse Ziekenhuizen, The Hague, The Netherlands.
FAU - Neerup Handlos, V
AU - Neerup Handlos V
AD - Capital Region Pharmacy, Herlev, Denmark.
FAU - Schutjens, Mdb
AU - Schutjens M
AD - Department of Pharmaceutical Law, University of Utrecht, Utrecht, The
Netherlands.
FAU - Walser, S
AU - Walser S
AD - European Directorate for the Quality of Medicines & HealthCare (EDQM),
Council of
Europe, Strasbourg, France.
FAU - Neef, C
AU - Neef C
AD - Department of Clinical Pharmacy, Maastricht University Medical Centre,
Maastricht,
The Netherlands.
AD - CAPHRI School for Public Health and Primary Care, Maastricht, The
Netherlands.
LA - eng
PT - Review
DEP - 20151012
JID - 101578294
PMC - PMC6451542
OTO - NOTNLM
OT - EDQM (European Directorate for the Quality of Medicines & Healthcare)
OT - Reconstitution
OT - aseptic preparation of medicinal product
OT - regulation on reconstitution
EDAT- 2016/01/01 00:00
MHDA- 2016/01/01 00:01
CRDT- 2019/06/04 06:00
PHST- 2015/05/01 00:00 [received]
PHST- 2015/09/22 00:00 [revised]
PHST- 2015/09/25 00:00 [accepted]
PHST- 2019/06/04 06:00 [entrez]
PHST- 2016/01/01 00:00 [pubmed]
PHST- 2016/01/01 00:01 [medline]
AID - 10.1136/ejhpharm-2015-000709 [doi]
PST - ppublish
SO - Eur J Hosp Pharm. 2016 Jan;23(1):50-53. doi: 10.1136/ejhpharm-2015-000709.
Epub 2015
Oct 12.
PMID- 26469927
OWN - NLM
STAT- MEDLINE
DCOM- 20160119
LR - 20210109
IS - 0025-7974 (Print)
IS - 0025-7974 (Linking)
VI - 94
IP - 41
DP - 2015 Oct
TI - Improving Patient's Primary Medication Adherence: The Value of Pharmaceutical
Counseling.
PG - e1805
LID - 10.1097/MD.0000000000001805 [doi]
LID - e1805
AB - Quality of transitions of care is one of the first concerns in patient
safety.
Redesigning the discharge process to incorporate clinical pharmacy activities
could
reduce the incidence of postdischarge adverse events by improving medication
adherence. The present study investigated the value of pharmacist counseling
sessions on primary medication adherence after hospital discharge.This study
was
conducted in a 1844-bed hospital in France. It was divided in an
observational
period and an interventional period of 3 months each. In both periods, ward-
based
clinical pharmacists performed medication reconciliation and inpatient
follow-up. In
interventional period, initial counseling and discharge counseling sessions
were
added to pharmaceutical care. The primary medication adherence was assessed
by
calling community pharmacists 7 days after patient discharge.We compared the
measure
of adherence between the patients from the observational period (n = 201) and
the
interventional period (n = 193). The rate of patients who were adherent
increased
from 51.0% to 66.7% between both periods (P < 0.01). When discharge
counseling was
performed (n = 78), this rate rose to 79.7% (P < 0.001). The multivariate
regression
performed on data from both periods showed that age of at least 78 years old,
and 3
or less new medications on discharge order were predictive factors of
adherence. New
medications ordered at discharge represented 42.0% (n = 1018/2426) of all
medications on discharge order. The rate of unfilled new medications
decreased from
50.2% in the observational period to 32.5% in the interventional period (P <
10).
However, patients included in the observational period were not significantly
more
often readmitted or visited the emergency department than the patients who
experienced discharge counseling during the interventional period (45.3% vs.
46.2%;
P = 0.89).This study highlights that discharge counseling sessions are
essential to
improve outpatients' primary medication adherence. We identified predictive
factors
of primary nonadherence in order to target the most eligible patients for
discharge
counseling sessions. Moreover, implementation of discharge counseling could
be
facilitated by using Health Information Technology to adapt human resources
and
select patients at risk of nonadherence.
FAU - Leguelinel-Blache, Géraldine
AU - Leguelinel-Blache G
AD - From the Department of Pharmacy, Nîmes University Hospital, Nîmes, France
(GLB, FD,
CRM, FA, JMK); Laboratory of Biostatistics, Epidemiology, Clinical Research
and
Health Economics, EA2415, University Institute of Clinical Research,
Montpellier
University, Montpellier, France (GLB, CRM, CC, JMK); Department of
Biostatistics,
Epidemiology, Clinical Research and Health Economics, Nîmes University
Hospital,
Nîmes, France (SB, CC); Department of General Medicine, Nîmes University
Hospital,
Nîmes, France (VR); and Department of Infectious and Tropical Diseases, Nîmes
University Hospital, Nîmes, France (AS).

FAU - Dubois, Florent
AU - Dubois F
FAU - Bouvet, Sophie
AU - Bouvet S
FAU - Roux-Marson, Clarisse
AU - Roux-Marson C
FAU - Arnaud, Fabrice
AU - Arnaud F
FAU - Castelli, Christel
AU - Castelli C
FAU - Ray, Valérie
AU - Ray V
FAU - Kinowski, Jean-Marie
AU - Kinowski JM
FAU - Sotto, Albert
AU - Sotto A
LA - eng
JT - Medicine
JID - 2985248R
SB - AIM
SB - IM
MH - Adult
MH - Aged
MH - *Counseling
MH - Female
MH - France
MH - Humans
MH - Male
MH - *Medication Adherence
MH - Middle Aged
MH - *Pharmacists
PMC - PMC4616785
EDAT- 2015/10/16 06:00
MHDA- 2016/01/20 06:00
CRDT- 2015/10/16 06:00
PHST- 2015/10/16 06:00 [entrez]
PHST- 2015/10/16 06:00 [pubmed]
PHST- 2016/01/20 06:00 [medline]
AID - 00005792-201510020-00039 [pii]
AID - 10.1097/MD.0000000000001805 [doi]
PST - ppublish
SO - Medicine (Baltimore). 2015 Oct;94(41):e1805. doi:
10.1097/MD.0000000000001805.
PMID- 29293928
OWN - NLM
STAT- MEDLINE
DCOM- 20190902
LR - 20191008
IS - 1058-4838 (Print)
IS - 1058-4838 (Linking)
VI - 66
IP - suppl_1
DP - 2017 Dec 27
TI - Safety and Improved Clinical Outcomes in Patients Treated With New Equine-
Derived
Heptavalent Botulinum Antitoxin.
PG - S57-S64
LID - 10.1093/cid/cix816 [doi]
AB - BACKGROUND: Botulism is a rare, life-threatening paralytic illness. Equine-
derived
heptavalent botulinum antitoxin (HBAT), the only currently available
treatment for
noninfant botulism in the United States, was licensed in 2013. No reports
have
systematically examined safety and clinical benefit of HBAT among botulism
patients.
METHODS: From March 2010 through March 2013, we collected data prospectively
and
through medical record reviews of patients with confirmed or suspected
botulism who
were treated with HBAT under an expanded-access Investigational New Drug
program.
RESULTS: Among 249 HBAT-treated patients, 1 (<1%) child experienced an HBAT-
related
serious adverse event (hemodynamic instability characterized by bradycardia,
tachycardia, and asystole); 22 (9%) patients experienced 38 nonserious
adverse
events reported by physicians to be HBAT related. Twelve (5%) deaths
occurred; all
were determined to be likely unrelated to HBAT. Among 104 (42%) patients with
confirmed botulism, those treated early (≤2 days) spent fewer days in the
hospital
(median, 15 vs 25 days; P < .01) and intensive care (10 vs 17 days; P = .04)
than
those treated later. Improvements in any botulism sign/symptom were detected
a
median of 2.4 days and in muscle strength a median of 4.8 days after HBAT.
CONCLUSIONS: HBAT was safe and provided clinical benefit in treated patients.
HBAT
administration within 2 days of symptom onset was associated with shorter
hospital
and intensive care stays. These results highlight the importance of
maintaining
clinical suspicion for botulism among patients presenting with paralytic
illness to
facilitate early HBAT treatment before laboratory confirmation might be
available.
Clinical consultation and, if indicated, HBAT release, are available to
clinicians
24/7 through their state health department in conjunction with CDC.
CI - Published by Oxford University Press for the Infectious Diseases Society of
America
2017. This work is written by (a) US Government employee(s) and is in the
public
domain in the US.
FAU - Yu, Patricia A
AU - Yu PA
AD - Regulatory Affairs, Centers for Disease Control and Prevention, Atlanta,
Georgia.
FAU - Lin, Neal H
AU - Lin NH
AD - Enteric Diseases Epidemiology Branch, Division of Foodborne, Waterborne, and
Environmental Diseases (DFWED), Centers for Disease Control and Prevention,
Atlanta,
Georgia.
FAU - Mahon, Barbara E
AU - Mahon BE
Atlanta,
Georgia.
FAU - Sobel, Jeremy
AU - Sobel J
AD - DFWED, National Center for Emerging and Zoonotic Infectious Diseases, Centers
for
Disease Control and Prevention, Atlanta, Georgia.
FAU - Yu, Yon
AU - Yu Y
Georgia.
FAU - Mody, Rajal K
AU - Mody RK
Atlanta,
Georgia.
FAU - Gu, Weidong
AU - Gu W
Atlanta,
Georgia.
FAU - Clements, Jennifer
AU - Clements J
Georgia.
FAU - Kim, Hye-Joo
AU - Kim HJ
Georgia.
FAU - Rao, Agam K
AU - Rao AK
Atlanta,
Georgia.
LA - eng
TA - Clin Infect Dis
JT - Clinical infectious diseases : an official publication of the Infectious
Diseases
Society of America
JID - 9203213
RN - 0 (Botulinum Antitoxin)
RN - 0 (botulism antitioxin (Equine) Heptavalent (A,B,C,D,E,F,G))
SB - IM
MH - Adolescent
MH - Adult
MH - Aged
MH - Botulinum Antitoxin/adverse effects/*therapeutic use
MH - Botulism/*drug therapy
MH - Child
MH - Female
MH - Humans
MH - Infant
MH - Male
MH - Middle Aged
MH - Young Adult
PMC - PMC5866099
MID - NIHMS950045
OTO - NOTNLM
OT - *BAT
OT - *HBAT
OT - *botulism
OT - *equine-derived heptavalent botulinum antitoxin
COIS- Potential conflicts of interest. All authors: No potential conflicts of
interest.
All authors have submitted the ICMJE Form for Disclosure of Potential
Conflicts of
Interest. Conflicts that the editors consider relevant to the content of the
manuscript will be disclosed.
EDAT- 2018/01/03 06:00
MHDA- 2019/09/03 06:00
CRDT- 2018/01/03 06:00
PHST- 2018/01/03 06:00 [entrez]
PHST- 2018/01/03 06:00 [pubmed]
PHST- 2019/09/03 06:00 [medline]
AID - 4780425 [pii]
AID - 10.1093/cid/cix816 [doi]
PST - ppublish
SO - Clin Infect Dis. 2017 Dec 27;66(suppl_1):S57-S64. doi: 10.1093/cid/cix816.
PMID- 26734281
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 3
IP - 1
DP - 2014
TI - Improving the management of patients with acute red eyes in a large London
Emergency
Department.
LID - u201656.w1962
AB - Anecdotal evidence suggested that the management of patients with eye
complaints in
the Emergency Department (ED) at King's College Hospital, London was
suboptimal.
Acute ophthalmology is often poorly covered at undergraduate level in the
United
Kingdom which can affect patient safety. Furthermore, it was notoriously
difficult
to obtain specialist advice within working hours. Contact lens (CL) wearers
are
prone to Pseudomonas conjunctivitis which requires certain antibiotics and
mismanagement of this has led to sight-threatening consequences locally.
Junior
doctor surveys suggested under-confidence in managing eye problems and
initial audit
showed that eye assessments are frequently incomplete during ED clerkings.
For
example, CL status and visual acuity were documented in 63% and 77% of cases
respectively; however, these were increased when a dedicated pro forma was
used. To
address these multiple issues, a new 'eye examination pro forma' was created,
along
with integrated clinical guidelines based on local expert practice. This
would
prompt staff to elicit key information to help guide management. A new
referral
pathway was also introduced to facilitate access to ophthalmology services.
On
re-auditing seven months later, the new pro forma was completed for only 28%
of
patients, though this was associated with a higher rate of documentation of
all
parameters. The referral pathways worked efficiently and patients with red
flag
features were identified and managed more appropriately than before. We
learnt that
it is important that someone personally drives the innovations from the
outset,
otherwise prolonged change is difficult. Secondly, junior doctors may not be
proficient with slit lamp use, for instance, so targeted teaching is
required, not
simply new pathways. Full engagement with the pro forma and effective patient
management should then improve simultaneously. Specific teaching is now being
implemented and permanent staff have been recruited to oversee the project.
We plan
to re-audit in November 2014.
FAU - Saifuddin, Aamir
AU - Saifuddin A
AD - King's College Hospital, London.
FAU - Brookes, Rachel
AU - Brookes R
AD - King's College Hospital, London.
LA - eng
DEP - 20140613
JID - 101629512
PMC - PMC4645851
EDAT- 2014/01/01 00:00
MHDA- 2014/01/01 00:01
CRDT- 2016/01/07 06:00
PHST- 2014/04/03 00:00 [received]
PHST- 2014/05/07 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2014/01/01 00:01 [medline]
PST - epublish
PMID- 27227117
OWN - NLM
DCOM- 20160526
LR - 20200929
IS - 2364-3722 (Print)
IS - 2196-9736 (Linking)
VI - 4
IP - 5
DP - 2016 May
TI - The Polyp Manager: a new tool for optimal polyp documentation during
colonoscopy. A
pilot study.
PG - E572-6
LID - 10.1055/s-0042-103414 [doi]
AB - BACKGROUND AND STUDY AIMS: Conventional reporting of polyps is often
incomplete. We
tested the Polyp Manager (PM), a new software application permitting the
endoscopist
to document polyps in real time during colonoscopy. We studied completeness
of polyp
descriptions, user-friendliness and the potential time benefit. PATIENTS AND
METHODS: In two Dutch hospitals colonoscopies were performed with PM (as a
touchscreen endoscopist-operated device or nurse-operated desktop
application).
Completeness of polyp descriptions was compared to a historical group with
conventional reporting (CRH). Prospectively, we compared user-friendliness
(VAS-scores) and time benefit of the endoscopist-operated PM to conventional
reporting (CR) in one hospital. Duration of colonoscopy and time needed to
report
polyps and provide a pathology request were measured. Provided that using PM
does
not prolong colonoscopy, the sum of the latter two was considered as a
potential
time-benefit if the PM were fully integrated into a digital reporting system.
RESULTS: A total of 144 regular colonoscopies were included in the study.

Both
groups were comparable with regard to patient characteristics, duration of
colonoscopy and number of polyps. Using the PM did reduce incomplete
documentation
of the following items in CRH-reports: location (96 % vs 82 %, P = 0.01),
size (95 %
vs 89 %, P = 0.03), aspect (71 % vs 36 %, P < 0.001) and completeness of
removal
(61 % vs 37 %, P < 0.001). In the prospective study 23 PM-colonoscopies where
compared to 28 CR-colonoscopies. VAS-scores were significantly higher in the

endoscopist-operated PM group. Time to report was 01:27 ± 01:43 minutes
(median + interquartile range) in the entire group (PM as CR), reflecting
potential
time benefit per colonoscopy. CONCLUSIONS: The PM is a user-friendly tool
that seems
to improve completeness of polyp reporting. Once integrated with digital
reporting
systems, it is probably time saving as well.
FAU - van de Meeberg, Maartje M
AU - van de Meeberg MM
AD - Department of Gastroenterology and Hepatology, Slingeland Hospital,
Doetinchem, The
Netherlands.
FAU - Ouwendijk, Rob J Th
AU - Ouwendijk RJ
AD - Departement of Gastroenterology and Hepatology, Ikazia Hospital, Rotterdam,
The
Netherlands.
FAU - Ter Borg, Pieter C J
AU - Ter Borg PC
AD - Departement of Gastroenterology and Hepatology, Ikazia Hospital, Rotterdam,
The
Netherlands.
FAU - van den Hazel, Sven J
AU - van den Hazel SJ
Doetinchem, The
Netherlands.
FAU - van de Meeberg, Paul C
AU - van de Meeberg PC
Doetinchem, The
Netherlands.
LA - eng
DEP - 20160421
TA - Endosc Int Open
JT - Endoscopy international open
JID - 101639919
PMC - PMC4874792
COIS- Competing interests: None
EDAT- 2016/05/27 06:00
MHDA- 2016/05/27 06:01
CRDT- 2016/05/27 06:00
PHST- 2015/07/18 00:00 [received]
PHST- 2016/02/08 00:00 [accepted]
PHST- 2016/05/27 06:00 [entrez]
PHST- 2016/05/27 06:00 [pubmed]
PHST- 2016/05/27 06:01 [medline]
AID - 10.1055/s-0042-103414 [doi]
PST - ppublish
SO - Endosc Int Open. 2016 May;4(5):E572-6. doi: 10.1055/s-0042-103414. Epub 2016
Apr 21.
PMID- 29237289
OWN - NLM
STAT- MEDLINE
DCOM- 20190726
LR - 20190726
IS - 1932-2968 (Linking)
VI - 12
IP - 1
DP - 2018 Jan
TI - Safely Converting an Entire Academic Medical Center From Sliding Scale to
Basal
Bolus Insulin via Implementation of the eGlycemic Management System.
PG - 53-59
LID - 10.1177/1932296817747619 [doi]
AB - OBJECTIVE: Hyperglycemia is common in the inpatient setting and providers
frequently
rely on sliding scale insulin. This case study reviews the experience of one
hospital moving from high utilization of sliding scale to basal bolus insulin
therapy. METHOD: This Retrospective Quality Improvement Study describes the

journey
of clinicians at a 580-bed hospital to convert from high usage of SSI to BBI.
Hyperglycemic adult patients prescribed insulin, with/without a diagnosis of

diabetes, were included. RESULTS: Data over the first year showed that
patients
treated with Glucommander (GM) spent more time in the target range of 70-180
mg/dL
than patients treated with non-Glucommander (non-GM), with 2,434 fewer
hypoglycemic
events and 40,589 fewer hyperglycemic events. Prior to implementation of GM,
SSI was
close to 95%, BBI at 5%. Within the first month of use, 96% usage of BBI was
achieved. Reduction of hypoglycemic events (% of BG < 70 mg/dL) by 21% with
2.16%
non-GM compared to GM at 1.74% and severe Hypoglycemia (% of BG < 50 mg/dL)
by 50%
in the ICU 3% non-GM compared to GM at 1.5%. In addition, patients treated
with GM
had a shorter LOS than patients treated with non-GM by 3.18 days and used
47.4% less
point of care tests per patient. CONCLUSION: Glycemic management improved
with use
of eGMS. The conversion from SSI to BBI enhanced overall patient safety,
eliminated
the time and effort otherwise required when manually titrating insulin and
reduced
overall cost of care for patients on insulin therapy.
FAU - Newsom, Rosalina
AU - Newsom R
AD - 1 Kaweah Delta Health Care District, Visalia, CA, USA.
FAU - Patty, Christopher
AU - Patty C
FAU - Camarena, Emma
AU - Camarena E
FAU - Sawyer, Regina
AU - Sawyer R
FAU - McFarland, Raymie
AU - McFarland R
AD - 2 Department of Quality Initiatives & Clinical Excellence, Glytec, Waltham,
MA.
FAU - Gray, Thomas
AU - Gray T
FAU - Mabrey, Melanie
AU - Mabrey M
AD - 2 Department of Quality Initiatives & Clinical Excellence, Glytec, Waltham,
MA.
LA - eng
DEP - 20171213
TA - J Diabetes Sci Technol
JT - Journal of diabetes science and technology
JID - 101306166
RN - 0 (Blood Glucose)
RN - 0 (Hypoglycemic Agents)
RN - 0 (Insulin)
MH - Aged
MH - Algorithms
MH - Blood Glucose
MH - Disease Management
MH - Female
MH - Humans
MH - Hyperglycemia/blood/*drug therapy
MH - Hypoglycemic Agents/*administration & dosage/therapeutic use
MH - Insulin/*administration & dosage/therapeutic use
MH - Male
MH - Middle Aged
MH - Patient Safety
MH - Practice Patterns, Physicians'
PMC - PMC5761993
OTO - NOTNLM
OT - *Glucommander
OT - *basal bolus
OT - *computerized insulin algorithm
OT - *diabetes
OT - *electronic glycemia management
OT - *glycemic management
OT - *hypoglycemia
OT - *insulin IV
OT - *length of stay
OT - *sliding scale
OT - *subcutaneous insulin
COIS- Declaration of Conflicting Interests: The author(s) declared the following
potential
conflicts of interest with respect to the research, authorship, and/or
publication
of this article: MM and RM are full-time employees of Glytec. No other
disclosures.
EDAT- 2017/12/15 06:00
MHDA- 2019/07/28 06:00
CRDT- 2017/12/15 06:00
PHST- 2017/12/15 06:00 [pubmed]
PHST- 2019/07/28 06:00 [medline]
PHST- 2017/12/15 06:00 [entrez]
AID - 10.1177_1932296817747619 [pii]
AID - 10.1177/1932296817747619 [doi]
PST - ppublish
SO - J Diabetes Sci Technol. 2018 Jan;12(1):53-59. doi: 10.1177/1932296817747619.
Epub
2017 Dec 13.
PMID- 31706546
OWN - NLM
STAT- MEDLINE
DCOM- 20210120
LR - 20210120
IS - 0196-6553 (Print)
IS - 0196-6553 (Linking)
VI - 48
IP - 1
DP - 2020 Jan
TI - Psychological safety and infection prevention practices: Results from a
national
survey.
PG - 2-6
LID - S0196-6553(19)30889-2 [pii]
LID - 10.1016/j.ajic.2019.09.027 [doi]
AB - BACKGROUND: Psychological safety is a critical factor in team learning that
positively impacts patient safety. We sought to examine the influence of
psychological safety on using recommended health care-associated infection
(HAI)
prevention practices within US hospitals. METHODS: We mailed surveys to
infection
preventionists in a random sample of nearly 900 US acute care hospitals in
2017. Our
survey asked about hospital and infection control program characteristics,
organizational factors, and the use of practices to prevent common HAIs.
Hospitals
that scored 4 or 5 (5-point Likert scale) on 7 psychological safety questions
were
classified as high psychological safety. Using sample weights, we conducted
multivariable regression to determine associations between psychological
safety and
the use of select HAI prevention practices. RESULTS: Survey response rate was
59%.
High psychological safety was reported in approximately 38% of responding
hospitals,
and was associated with increased odds of regularly using urinary catheter
reminders
or stop-orders and/or nurse-initiated urinary catheter discontinuation (odds
ratio,
2.37; P = .002) for catheter-associated urinary tract infection prevention,
and
regularly using sedation vacation (odds ratio, 1.93; P = .04) for
ventilator-associated pneumonia prevention. CONCLUSIONS: We provide a
snapshot of
psychological safety in US hospitals and how this characteristic influences
the use
of select HAI prevention practices. A culture of psychological safety should
be
considered an integral part of HAI prevention efforts.
FAU - Greene, M Todd
AU - Greene MT
AD - VA Ann Arbor Healthcare System, Ann Arbor, MI; Department of Internal
Medicine,
University of Michigan Medical School, Ann Arbor, MI; VA/UM Patient Safety
Enhancement Program, Ann Arbor, MI. Electronic address:
mtgreene@med.umich.edu.
FAU - Gilmartin, Heather M
AU - Gilmartin HM
AD - Denver-Seattle Center of Innovation for Veteran-Centered and Value-Driven
Care, VA
Eastern Colorado Health Care System, Aurora, CO; Department of Health
Systems,
Management, and Policy, Colorado School of Public Health, University of
Colorado
Anschutz Medical Campus, Aurora, CO.
FAU - Saint, Sanjay
AU - Saint S
AD - VA Ann Arbor Healthcare System, Ann Arbor, MI; Department of Internal
Medicine,
University of Michigan Medical School, Ann Arbor, MI; VA/UM Patient Safety
Enhancement Program, Ann Arbor, MI.
LA - eng
GR - IK2 HX002567/HX/HSRD VA/United States
DEP - 20191107
JID - 8004854
SB - IM
MH - Adult
MH - Female
MH - Humans
MH - Infection Control Practitioners/*psychology
MH - Male
MH - Middle Aged
MH - United States
MH - Workplace/organization & administration/*psychology
PMC - PMC7549331
MID - NIHMS1634649
OTO - NOTNLM
OT - *Health care–associated infection
OT - *Infection control
COIS- Conflicts of interest: None to report.
EDAT- 2019/11/11 06:00
MHDA- 2021/01/21 06:00
CRDT- 2019/11/11 06:00
PHST- 2019/07/22 00:00 [received]
PHST- 2019/09/26 00:00 [revised]
PHST- 2019/09/26 00:00 [accepted]
PHST- 2019/11/11 06:00 [pubmed]
PHST- 2021/01/21 06:00 [medline]
PHST- 2019/11/11 06:00 [entrez]
AID - S0196-6553(19)30889-2 [pii]
AID - 10.1016/j.ajic.2019.09.027 [doi]
PST - ppublish
SO - Am J Infect Control. 2020 Jan;48(1):2-6. doi: 10.1016/j.ajic.2019.09.027.
Epub 2019
Nov 7.
PMID- 24457494
OWN - NLM
STAT- MEDLINE
DCOM- 20140918
LR - 20181113
IS - 0749-5161 (Print)
IS - 0749-5161 (Linking)
VI - 30
IP - 2
DP - 2014 Feb
TI - Providing adolescent sexual health care in the pediatric emergency
department: views
of health care providers.
PG - 84-90
LID - 10.1097/PEC.0000000000000076 [doi]
AB - OBJECTIVES: The purpose of this study was to explore health care providers'
(HCPs')
attitudes and beliefs about adolescent sexual health care provision in the
emergency
department (ED) and to identify barriers to a health educator-based
intervention.
METHODS: We conducted focused, semistructured interviews of HCPs from the ED
and
adolescent clinic of a children's hospital. The interview guide was based on
the
theory of planned behavior and its constructs: attitudes, subjective norms,
perceived behavioral control, and intention to facilitate care. We used
purposive
sampling and enrollment continued until themes were saturated. Interviews
were
recorded and transcribed. Transcripts were analyzed using directed content
analysis.
RESULTS: Twenty-nine interviews were required for saturation. Participants
were 12
physicians, 12 nurses, 3 nurse practitioners, and 2 social workers; the
majority
(83%) were female. Intention to facilitate care was influenced by HCP
perception of
(1) their professional role, (2) the role of the ED (focused vs expanded
care), and
(3) need for patient safety. Health care providers identified 3 practice
referents:
patients/families, peers and administrators, and professional organizations.
Health
care providers perceived limited behavioral control over care delivery
because of
time constraints, confidentiality issues, and comfort level. There was
overall
support for a health educator, and many felt the educator could help overcome
barriers to care. CONCLUSIONS: Despite challenges unique to the ED, HCPs were
supportive of the intervention and perceived the health educator as a

resource to
improve adolescent care and services. Future research should evaluate
efficacy and
costs of a health educator in this setting.
FAU - Miller, Melissa K
AU - Miller MK
AD - From the *Division of Emergency Medical Services, Children's Mercy Hospital,
Kansas
City, MO; †Pediatrics/Division of Emergency Medicine, Children's Hospital of
Philadelphia, Philadelphia, PA; ‡Department of Psychology, University of
Wisconsin,
Stevens Point, WI; and §Department of Psychology and ∥School of Nursing,
University
of Missouri, Kansas City, MO.
FAU - Mollen, Cynthia J
AU - Mollen CJ
FAU - O'Malley, Donna
AU - O'Malley D
FAU - Owens, Rhea L
AU - Owens RL
FAU - Maliszewski, Genevieve A
AU - Maliszewski GA
FAU - Goggin, Kathy
AU - Goggin K
FAU - Kelly, Patricia
AU - Kelly P
LA - eng
GR - RC4 MD005738/MD/NIMHD NIH HHS/United States
TA - Pediatr Emerg Care
JT - Pediatric emergency care
JID - 8507560
SB - IM
MH - Adolescent
MH - Confidentiality
MH - Female
MH - Humans
MH - Male
MH - *Reproductive Health
MH - Reproductive Medicine
PMC - PMC4266236
MID - NIHMS647293
EDAT- 2014/01/25 06:00
MHDA- 2014/09/19 06:00
CRDT- 2014/01/25 06:00
PHST- 2014/01/25 06:00 [entrez]
PHST- 2014/01/25 06:00 [pubmed]
PHST- 2014/09/19 06:00 [medline]
AID - 10.1097/PEC.0000000000000076 [doi]
PST - ppublish
SO - Pediatr Emerg Care. 2014 Feb;30(2):84-90. doi: 10.1097/PEC.0000000000000076.
PMID- 27981124
OWN - NLM
LR - 20200929
IS - 2347-5625 (Print)
IS - 2347-5625 (Linking)
VI - 2
IP - 4
DP - 2015 Oct-Dec
TI - Oncology nurses awareness of drug interactions.
PG - 271-275
AB - OBJECTIVE: The aim of this study was to determine oncology nurses awareness
of drug
interactions. METHODS: This descriptive study was conducted with nurses
working in
the oncology clinics who are a member of Oncology Nursing Association of
Turkey. A
total of 115 nurses (response rate %20) were responded to the online survey
that
consists of 28 questions. RESULTS: The mean age of the nurses was 33 ± 6.8.
The
majority of nurses work in university hospital (60%) as a clinical nurse
(62.6%) and
have a Bachelor Degree in Nursing (63.5%). The mean working years in oncology
was 4
years. Half of them stated receiving information on drug interactions mostly
through
in-service education and courses/congresses in last 5 years. The majority of
them
(84.3%) indicated that they are considering the possibility of drug
interactions
when they are scheduling the medication administration time. More than half
of the
responders (59.1%) encountered drug interactions; however, few explored drug
interactions with food, drinks, and nutritional supplements. Their practices
to
assess possibility of drug interactions were reviewing the drug prospectus
(78.3%);
consulting with their colleagues (58.3%) and searching on the available
website
(42.6%) and looking at the drug interaction (39.1%). More than half (65.2%)
stated
lack of any system to identify drug interactions in their workplace. Nearly
half of
them indicated to including the drug interaction into patient education
mostly for
food-drug (73.9%) and drug-drug (63.5%) interactions. CONCLUSIONS: Almost all
indicated the needs for further education on drug interactions and suggested
to have
guideline/packet guide.
FAU - Karahan, Azize
AU - Karahan A
AD - Department of Nursing, Baskent University, Faculty of Health Sciences,
Ankara,
Turkey.
FAU - Isik, Sevcan Avcı
AU - Isik SA
Ankara,
Turkey.
FAU - Kav, Sultan
AU - Kav S
Ankara,
Turkey.
FAU - Abbasoglu, Aysel
AU - Abbasoglu A
Ankara,
Turkey.
LA - eng
TA - Asia Pac J Oncol Nurs
JT - Asia-Pacific journal of oncology nursing
JID - 101673157
PMC - PMC5123511
OTO - NOTNLM
OT - Drug interaction
OT - oncology nursing
OT - oncology patients
OT - patient safety
EDAT- 2015/01/01 00:00
MHDA- 2015/01/01 00:01
CRDT- 2016/12/17 06:00
PHST- 2016/12/17 06:00 [entrez]
PHST- 2015/01/01 00:00 [pubmed]
PHST- 2015/01/01 00:01 [medline]
AID - APJON-2-271 [pii]
AID - 10.4103/2347-5625.164998 [doi]
PST - ppublish
SO - Asia Pac J Oncol Nurs. 2015 Oct-Dec;2(4):271-275. doi: 10.4103/2347-
5625.164998.
PMID- 27045413
OWN - NLM
LR - 20191120
IS - 1916-9736 (Print)
IS - 1916-9736 (Linking)
VI - 8
IP - 8
DP - 2016 Aug 1
TI - Investigating the Causes of Medication Errors and Strategies to Prevention of
Them
from Nurses and Nursing Student Viewpoint.
PG - 54448
LID - 10.5539/gjhs.v8n8p220 [doi]
AB - INTRODUCTION & AIM: Medication errors as a serious problem in world and one
of the
most common medical errors that threaten patient safety and may lead to even
death
of them. The purpose of this study was to investigate the causes of
medication
errors and strategies to prevention of them from nurses and nursing student
viewpoint. MATERIALS & METHODS: This cross-sectional descriptive study was
conducted
on 327 nursing staff of khatam-al-anbia hospital and 62 intern nursing
students in
nursing and midwifery school of Zahedan, Iran, enrolled through the
availability
sampling in 2015. The data were collected by the valid and reliable
questionnaire.
To analyze the data, descriptive statistics, T-test and ANOVA were applied by
use of
SPSS16 software. FINDINGS: The results showed that the most common causes of
medications errors in nursing were tiredness due increased workload (97.8%),
and in
nursing students were drug calculation, (77.4%). The most important way for
prevention in nurses and nursing student opinion, was reducing the work
pressure by
increasing the personnel, proportional to the number and condition of
patients and
also creating a unit as medication calculation. Also there was a significant
relationship between the type of ward and the mean of medication errors in
two
groups. CONCLUSION: Based on the results it is recommended that nurse-
managers
resolve the human resources problem, provide workshops and in-service
education
about preparing medications, side-effects of drugs and pharmacological
knowledge.
Using electronic medications cards is a measure which reduces medications
errors.
FAU - Gorgich, Enam Alhagh Charkhat
AU - Gorgich EA
AD - Student Scientific Research Center, Pregnancy Health Research Center, Zahedan
University of Medical Sciences, Zahedan, Iran. myaghooobi@yahoo.com.

FAU - Barfroshan, Sanam
AU - Barfroshan S
FAU - Ghoreishi, Gholamreza
AU - Ghoreishi G
FAU - Yaghoobi, Maryam
AU - Yaghoobi M
LA - eng
DEP - 20160801
TA - Glob J Health Sci
JT - Global journal of health science
JID - 101519495
SB - IM
PMC - PMC5016359
COIS- The authors declare that there is no conflict of interests regarding the
publication
of this paper.
EDAT- 2015/01/01 00:00
MHDA- 2015/01/01 00:01
CRDT- 2016/04/06 06:00
PHST- 2015/10/28 00:00 [received]
PHST- 2015/11/25 00:00 [accepted]
PHST- 2016/04/06 06:00 [entrez]
PHST- 2015/01/01 00:00 [pubmed]
PHST- 2015/01/01 00:01 [medline]
AID - GJHS-8-220 [pii]
AID - 10.5539/gjhs.v8n8p220 [doi]
PST - epublish
SO - Glob J Health Sci. 2016 Aug 1;8(8):54448. doi: 10.5539/gjhs.v8n8p220.
PMID- 29340148
OWN - NLM
STAT- MEDLINE
DCOM- 20190624
LR - 20200319
IS - 2047-2994 (Linking)
VI - 7
DP - 2018
TI - Reducing unnecessary culturing: a systems approach to evaluating urine
culture
ordering and collection practices among nurses in two acute care settings.
PG - 4
LID - 10.1186/s13756-017-0278-9 [doi]
LID - 4
AB - BACKGROUND: Inappropriate ordering and acquisition of urine cultures leads to
unnecessary treatment of asymptomatic bacteriuria (ASB). Treatment of ASB

contributes to antimicrobial resistance particularly among hospital-acquired
organisms. Our objective was to investigate urine culture ordering and
collection
practices among nurses to identify key system-level and human factor barriers
and
facilitators that affect optimal ordering and collection practices. METHODS:
We
conducted two focus groups, one with ED nurses and the other with ICU nurses.
Questions were developed using the Systems Engineering Initiative for Patient
Safety
(SEIPS) framework. We used iterative categorization (directed content
analysis
followed by summative content analysis) to code and analyze the data both
deductively (using SEIPS domains) and inductively (emerging themes). RESULTS:
Factors affecting optimal urine ordering and collection included barriers at

the
person, process, and task levels. For ED nurses, barriers included patient
factors,
physician communication, reflex culture protocols, the electronic health
record,
urinary symptoms, and ED throughput. For ICU nurses, barriers included
physician
notification of urinalysis results, personal protective equipment, collection
technique, patient body habitus, and Foley catheter issues. CONCLUSIONS: We
identified multiple potential process barriers to nurse adherence with
evidence-based recommendations for ordering and collecting urine cultures in
the ICU
and ED. A systems approach to identifying barriers and facilitators can be
useful to
design interventions for improving urine ordering and collection practices.
FAU - Redwood, Robert
AU - Redwood R
AD - Division of Infectious Disease, Department of Medicine, University of
Wisconsin-Madison School of Medicine and Public Health, 750 Highland Ave,
Madison,
Wisconsin 53705 USA.
FAU - Knobloch, Mary Jo
AU - Knobloch MJ
Madison,
AD - William S. Middleton Memorial Veterans Hospital, 2500 Overlook Terrace,
Madison,
FAU - Pellegrini, Daniela C
AU - Pellegrini DC
AD - Department of Infectious Disease, University of Chicago Medical Center, 5841
S
Maryland Ave, Chicago, Illinois 60637 USA.
FAU - Ziegler, Matthew J
AU - Ziegler MJ
AD - Division of Infectious Disease, Perelman School of Medicine, University of
Pennsylvania, 3400 Civic Center Blvd, Philadelphia, Pennsylvania 19104 USA.
FAU - Pulia, Michael
AU - Pulia M
AD - BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison
School
of Medicine and Public Health, 800 University Bay Drive, Madison, Wisconsin
53705
USA.
FAU - Safdar, Nasia
AU - Safdar N
Madison,
AD - William S. Middleton Memorial Veterans Hospital, 2500 Overlook Terrace,
Madison,
LA - eng
DEP - 20180108
JID - 101585411
SB - IM
MH - Adult
MH - Bacteriuria/diagnosis
MH - *Critical Care
MH - Female
MH - Focus Groups
MH - Humans
MH - Inappropriate Prescribing/prevention & control
MH - Male
MH - Middle Aged
MH - *Nurses
MH - Patient Safety
MH - Practice Patterns, Physicians'
MH - *Systems Analysis
MH - *Unnecessary Procedures
MH - Urinalysis/*methods
MH - Young Adult
PMC - PMC5759376
OTO - NOTNLM
OT - *Acute care
OT - *Antibacterial agents
OT - *Asymptomatic bacteriuria
OT - *Inappropriate prescribing
OT - *Intensive care unit
OT - *Nursing
OT - *Prevention & Control
OT - *SEIPS
OT - *Urinalysis
OT - *Urine culture
COIS- This was a QI project which was deemed exempt from IRB review.Not
applicable.The
authors declare that they have no competing interests.Springer Nature remains
neutral with regard to jurisdictional claims in published maps and

institutional
affiliations.
EDAT- 2018/01/18 06:00
MHDA- 2019/06/25 06:00
CRDT- 2018/01/18 06:00
PHST- 2017/07/31 00:00 [received]
PHST- 2017/11/14 00:00 [accepted]
PHST- 2018/01/18 06:00 [entrez]
PHST- 2018/01/18 06:00 [pubmed]
PHST- 2019/06/25 06:00 [medline]
AID - 278 [pii]
AID - 10.1186/s13756-017-0278-9 [doi]
PST - epublish
SO - Antimicrob Resist Infect Control. 2018 Jan 8;7:4. doi: 10.1186/s13756-017-
0278-9.
eCollection 2018.
PMID- 28924304
OWN - NLM
STAT- MEDLINE
DCOM- 20180905
LR - 20181113
IS - 0120-8322 (Print)
IS - 0120-8322 (Linking)
VI - 48
IP - 2
DP - 2017 Jun 30
TI - NEDOCS vs subjective evaluation, ¿Is the health personnel of the emergency
department aware of its overcrowding?
PG - 53-57
AB - INTRODUCTION: An emergency department (ED) is considered to be "overcrowded"
when
the number of patients exceeds its treatment capacity and it does not have
the
conditions to meet the needs of the next patient to be treated. This study
evaluates
overcrowding in the emergency department of a hospital in Colombia.
OBJECTIVE: To
compare the objective NEDOCS scale with a subjective evaluation by ED health
staff
in order to evaluate the differences between the two. METHODS: The NEDOCS
scale was
applied and a subjective overcrowding survey was administered to the medical
staff
and the charge nurse on duty 6 times per day (6:00 a.m., 9:00 a.m., 12:00
p.m., 3:00
p.m., 6:00 p.m. and 9:00 p.m.) for three consecutive weeks. The results were
evaluated with a correlation analysis and measurement of agreement. RESULTS:
A
median NEDOCS score of 137 was obtained for the total data. There was a
moderately
positive correlation between the NEDOCS and the subjective scales, with a rho
of
0.58 (p (0.001). During times when the ED was the most crowded, 87% of the
total
subjective health staff evaluations underestimated the level of overcrowding.
CONCLUSIONS: Health staff do not perceive a risk due to ED overcrowding when

the
NEDOCS scores correspond to overcrowding categories equal to or over 5
(severely
crowded and dangerously crowded), which poses a risk to patient safety and
care.
FAU - Garcia-Romero, Mauricio
AU - Garcia-Romero M
AD - Departamento de Urgencias, Fundación Cardiovascular de Colombia,
Floridablanca,
Colombia.
FAU - Rita-Gáfaro, Claudia Geraldine
AU - Rita-Gáfaro CG
Floridablanca,
Colombia.
FAU - Quintero-Manzano, Jairo
AU - Quintero-Manzano J
Floridablanca,
Colombia.
FAU - Angarita, Anderson Bermon
AU - Angarita AB
AD - Centro de Investigaciones de la Fundación Cardiovascular de Colombia,
Floridablanca,
Colombia.
AD - Estudiante PhD Epidemiología y Bioestadística, Universidad CES, Medellín,
Colombia.
LA - eng
DEP - 20170630
TA - Colomb Med (Cali)
JT - Colombia medica (Cali, Colombia)
JID - 9212578
SB - IM
MH - Colombia
MH - *Crowding
MH - Health Personnel/*statistics & numerical data
MH - Humans
MH - Time Factors
PMC - PMC5597093
OTO - NOTNLM
OT - Emergency medical services
OT - attitude of health personnel
OT - crowding
OT - health services needs and demands
OT - social perception
OT - surge capacity
EDAT- 2017/09/20 06:00
MHDA- 2018/09/06 06:00
CRDT- 2017/09/20 06:00
PHST- 2017/09/20 06:00 [entrez]
PHST- 2017/09/20 06:00 [pubmed]
PHST- 2018/09/06 06:00 [medline]
AID - 00004 [pii]
PST - epublish
SO - Colomb Med (Cali). 2017 Jun 30;48(2):53-57.
PMID- 25095876
OWN - NLM
STAT- MEDLINE
DCOM- 20150929
LR - 20181113
IS - 2044-6055 (Linking)
VI - 4
IP - 8
DP - 2014 Aug 5
TI - The impact of hospital accreditation on clinical documentation compliance: a
life
cycle explanation using interrupted time series analysis.
PG - e005240
LID - 10.1136/bmjopen-2014-005240 [doi]
LID - e005240
AB - OBJECTIVE: To evaluate whether accredited hospitals maintain quality and
patient
safety standards over the accreditation cycle by testing a life cycle
explanation of
accreditation on quality measures. Four distinct phases of the accreditation
life
cycle were defined based on the Joint Commission International process.
Predictions
concerning the time series trend of compliance during each phase were
specified and
tested. DESIGN: Interrupted time series (ITS) regression analysis of 23
quality and
accreditation compliance measures. SETTING: A 150-bed multispecialty hospital
in Abu
Dhabi, UAE. PARTICIPANTS: Each month (over 48 months) a simple random sample
of 24%
of patient records was audited, resulting in 276,000 observations collected
from
12,000 patient records, drawn from a population of 50,000. INTERVENTIONS: The
impact
of hospital accreditation on the 23 quality measures was observed for 48
months,
1 year preaccreditation (2009) and 3-year postaccreditation (2010-2012). MAIN
OUTCOME MEASURES: The Life Cycle Model was evaluated by aggregating the data
for 23
quality measures to produce a composite score (YC) and fitting an ITS
regression
equation to the unweighted monthly mean of the series. RESULTS: The four
phases of
the life cycle are as follows: the initiation phase, the presurvey phase, the
postaccreditation slump phase and the stagnation phase. The Life Cycle Model
explains 87% of the variation in quality compliance measures (R(2)=0.87). The
ITS
model not only contains three significant variables (β1, β2 and β3)
(p≤0.001), but
also the size of the coefficients indicates that the effects of these
variables are
substantial (β1=2.19, β2=-3.95 (95% CI -6.39 to -1.51) and β3=-2.16 (95% CI
-2.52 to
-1.80). CONCLUSIONS: Although there was a reduction in compliance immediately
after
the accreditation survey, the lack of subsequent fading in quality
performance
should be a reassurance to researchers, managers, clinicians and accreditors.
not
FAU - Devkaran, Subashnie
AU - Devkaran S
AD - Quality and Patient Safety, Al Noor Hospitals Group, Abu Dhabi, UAE.
FAU - O'Farrell, Patrick N
AU - O'Farrell PN
AD - Department of Economics, Edinburgh Business School, Heriot-Watt University,
Edinburgh, UK.
LA - eng
DEP - 20140805
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - *Accreditation/standards
MH - Documentation
MH - *Guideline Adherence/standards
MH - Humans
MH - Interrupted Time Series Analysis
MH - *Medical Records/legislation & jurisprudence/standards/statistics & numerical
data
MH - Patient Safety
MH - Quality Assurance, Health Care/*standards
MH - United Arab Emirates
PMC - PMC4127940
OTO - NOTNLM
OT - AUDIT
OT - HEALTH SERVICES ADMINISTRATION & MANAGEMENT
EDAT- 2014/08/07 06:00
MHDA- 2015/09/30 06:00
CRDT- 2014/08/07 06:00
PHST- 2014/08/07 06:00 [entrez]
PHST- 2014/08/07 06:00 [pubmed]
PHST- 2015/09/30 06:00 [medline]
AID - 10.1136/bmjopen-2014-005240 [doi]
PST - epublish
PMID- 25525391
OWN - NLM
DCOM- 20141219
LR - 20200930
IS - 1179-1365 (Print)
IS - 1179-1365 (Linking)
VI - 6
DP - 2014
TI - Frequency of medication errors in an emergency department of a large teaching
hospital in southern Iran.

PG - 179-84
LID - 10.2147/DHPS.S75223 [doi]
AB - This study was conducted with the purpose of determining the frequency of
medication
errors (MEs) occurring in tertiary care emergency department (ED) of a large
academic hospital in Iran. The incidence of MEs was determined through the
disguised
direct observation method conducted by a trained observer. A total of 1,031
medication doses administered to 202 patients admitted to the tertiary care
ED were
observed over a course of 54 6-hour shifts. Following collection of the data
and
analysis of the errors with the assistance of a clinical pharmacist,
frequency of
errors in the different stages was reported and analyzed in SPSS-21 software.
For
the 202 patients and the 1,031 medication doses evaluated in the present
study, 707
(68.5%) MEs were recorded in total. In other words, 3.5 errors per patient
and
almost 0.69 errors per medication are reported to have occurred, with the
highest
frequency of errors pertaining to cardiovascular (27.2%) and antimicrobial
(23.6%)
medications. The highest rate of errors occurred during the administration
phase of
the medication use process with a share of 37.6%, followed by errors of
prescription
and transcription with a share of 21.1% and 10% of errors, respectively.
Omission
(7.6%) and wrong time error (4.4%) were the most frequent administration
errors. The
less-experienced nurses (P=0.04), higher patient-to-nurse ratio (P=0.017),
and the
morning shifts (P=0.035) were positively related to administration errors.
Administration errors marked the highest share of MEs occurring in the
different
medication use processes. Increasing the number of nurses and employing the
more
experienced of them in EDs can help reduce nursing errors. Addressing the
shortcomings with further research should result in reduction of MEs in EDs.
FAU - Vazin, Afsaneh
AU - Vazin A
AD - Department of Clinical Pharmacy, Faculty of Pharmacy, Shiraz University of
Medical
FAU - Zamani, Zahra
AU - Zamani Z
AD - Department of Clinical Pharmacy, Faculty of Pharmacy, Shiraz University of
Medical
FAU - Hatam, Nahid
AU - Hatam N
AD - School of Management and Medical Information Sciences, Shiraz University of
Medical
LA - eng
DEP - 20141211
TA - Drug Healthc Patient Saf
JT - Drug, healthcare and patient safety
JID - 101544775
PMC - PMC4266248
OTO - NOTNLM
OT - frequency
OT - patient safety
EDAT- 2014/12/20 06:00
MHDA- 2014/12/20 06:01
CRDT- 2014/12/20 06:00
PHST- 2014/12/20 06:00 [entrez]
PHST- 2014/12/20 06:00 [pubmed]
PHST- 2014/12/20 06:01 [medline]
AID - dhps-6-179 [pii]
AID - 10.2147/DHPS.S75223 [doi]
PST - epublish
SO - Drug Healthc Patient Saf. 2014 Dec 11;6:179-84. doi: 10.2147/DHPS.S75223.
eCollection 2014.
PMID- 30755503
OWN - NLM
STAT- MEDLINE
DCOM- 20200721
LR - 20200721
IS - 1083-7159 (Print)
IS - 1083-7159 (Linking)
VI - 24
IP - 9
DP - 2019 Sep
TI - Can Peripherally Inserted Central Catheters Be Safely Placed in Patients with
Cancer
Receiving Chemotherapy? A Retrospective Study of Almost 400,000 Catheter-
Days.
PG - e953-e959
LID - 10.1634/theoncologist.2018-0281 [doi]
AB - BACKGROUND: Peripherally inserted central catheters (PICCs) are central
venous
catheters (CVCs) that are commonly used in onco-hematologic settings for
chemotherapy administration. As there is insufficient evidence to recommend a
specific CVC for chemotherapy administration, we aimed to ascertain PICC-

related
adverse events (AEs) and identify independent predictors of PICC removal in
patients
with cancer receiving chemotherapy. MATERIALS AND METHODS: Information on
adult
patients with cancer with a PICC inserted for chemotherapy administration
between
September 2007 and December 2014 was extracted from six hospital databases.
The
primary outcome was PICC removal due to PICC-related AEs (occlusion,
infection, or
symptomatic thrombosis). Independent predictors of PICC removal were
identified
using a multivariate Cox regression model. RESULTS: Among the 2,477 included
patients, 419 PICC-related AEs (16.9%; 1.09 AEs per 1,000 PICC-days) were
reported.
AEs increased when PICC was inserted at the brachial site (hazard ratio [HR],
1.37;
95% confidence interval [CI], 1.02-1.84) and with open systems (HR, 1.89; 95%
CI,
1.24-2.88) and decreased in older men (HR, 0.63; 95% CI, 0.49-0.81).
CONCLUSION: Use
of PICC for chemotherapy administration was associated with a low all-AEs
rate. The
basilic vein was the safer site, and valved systems had fewer AEs than open
systems.
More research is needed to explore the interaction between AEs, sex, and age.
IMPLICATIONS FOR PRACTICE: These findings provide clinicians with evidence

that
peripherally inserted central catheters (PICCs) are safe for chemotherapy
administration. They also suggest that clinicians should limit the use of
open
systems when long chemotherapy regimens are scheduled. Moreover, alternatives
to
PICCs should be considered when administering chemotherapy to young men.
CI - © AlphaMed Press 2019.
FAU - Campagna, Sara
AU - Campagna S
AD - Department of Public Health and Pediatrics, University of Torino, Torino,
Italy.
FAU - Gonella, Silvia
AU - Gonella S
AD - Azienda Ospedaliero Universitaria Città della Salute e della Scienza di
Torino,
Torino, Italy silvia.gonella@unito.it.
FAU - Berchialla, Paola
AU - Berchialla P
AD - Department of Clinical and Biological Sciences, University of Torino, Torino,
Italy.
FAU - Morano, Giacomo
AU - Morano G
AD - Azienda Policlinico Umberto I, Rome, Italy.
FAU - Rigo, Carla
AU - Rigo C
AD - Azienda Ospedaliero Universitaria Maggiore della Carità, Novara, Italy.
FAU - Zerla, Pietro Antonio
AU - Zerla PA
AD - Azienda Socio Sanitaria Territoriale Melegnano e della Martesana, Vizzolo
Predabissi, Italy.
FAU - Fuzzi, Raffaella
AU - Fuzzi R
AD - Azienda Unità Sanitaria Locale Romagna sede di Forlì, Forlì, Italy.
FAU - Corona, Gianvito
AU - Corona G
AD - Azienda Sanitaria Provinciale Potenza, Potenza, Italy.
FAU - Storto, Silvana
AU - Storto S
AD - Azienda Policlinico Umberto I, Rome, Italy.
FAU - Dimonte, Valerio
AU - Dimonte V
AD - Department of Public Health and Pediatrics, University of Torino, Torino,
Italy.
Torino,
Torino, Italy.
FAU - Mussa, Baudolino
AU - Mussa B
Torino,
Torino, Italy.
LA - eng
DEP - 20190212
TA - Oncologist
JT - The oncologist
JID - 9607837
SB - IM
MH - Aged
MH - Catheterization, Peripheral/*adverse effects
MH - Central Venous Catheters/*adverse effects
MH - Drug Therapy
MH - Drug-Related Side Effects and Adverse Reactions/drug therapy/pathology
MH - Female
MH - Hematologic Neoplasms/complications/*drug therapy/epidemiology/pathology
MH - Humans
MH - Male
MH - Middle Aged
MH - Proportional Hazards Models
MH - Risk Factors
MH - Thrombosis/epidemiology/etiology/*pathology
PMC - PMC6738314
OTO - NOTNLM
OT - *Complications
OT - *Hematologic neoplasms
OT - *Medical oncology
OT - *Peripheral catheterization
OT - *Vascular access devices
COIS- Disclosures of potential conflicts of interest may be found at the end of
this
article.
EDAT- 2019/02/14 06:00
MHDA- 2020/07/22 06:00
CRDT- 2019/02/14 06:00
PHST- 2018/05/09 00:00 [received]
PHST- 2018/11/21 00:00 [accepted]
PHST- 2019/02/14 06:00 [pubmed]
PHST- 2020/07/22 06:00 [medline]
PHST- 2019/02/14 06:00 [entrez]
AID - theoncologist.2018-0281 [pii]
AID - ONCO12844 [pii]
AID - 10.1634/theoncologist.2018-0281 [doi]
PST - ppublish
SO - Oncologist. 2019 Sep;24(9):e953-e959. doi: 10.1634/theoncologist.2018-0281.
Epub
2019 Feb 12.
PMID- 30684419
OWN - NLM
LR - 20200930
VI - 2
IP - 2
DP - 2018 Sep 24
TI - A Locally Developed Electronic Health Platform in Uganda: Development and
Implementation of Stre@mline.
PG - e20
LID - 10.2196/formative.9658 [doi]
LID - e20
AB - BACKGROUND: Electronic health records (EHRs) are especially important in
low-resource settings due to their potential to address unique challenges
such as a
high number of patients requiring long-term treatments who are lost to
follow-up,
the frequent shortages of essential drugs, poor maintenance and storage of
records,
and inefficient clinical triaging. However, there is a lack of affordable and
practical EHR solutions. Stre@mline is an EHR platform that has been locally
developed by Ugandan clinicians and engineers in Southwestern Uganda. It is
tailored
to the specific context and needs of low-resource hospitals. It operates
without
internet access, incorporates locally relevant standards and key patient
safety
features, has a medication inventory management component, has local
technical
support available, and is economically sustainable without funding from
international donors. Stre@mline is currently used by over 60,000 patients at
2
hospitals, with plans to expand across Uganda. OBJECTIVE: The purpose of this
article is to describe the key opportunities and challenges in EHR

development in
sub-Saharan Africa and to summarize the development and implementation of a
"Made-for-Africa" EHR, Stre@mline, and how it has led to improved care for
over
60,000 vulnerable patients in a rural region of Southwestern Uganda. METHODS:
A
quantitative user survey consisting of a set of 33 questions on usability and
performance was conducted at Kisiizi Hospital. Users responded to each

question
through a Likert scale with the values of strongly disagree, disagree, agree,
and
strongly agree. Through purposive sampling, 30 users were identified and 28
users
completed the survey. RESULTS: We found that users were generally very
satisfied
with the ease of use of Stre@mline, with 96% (27/28) finding it easy to learn
and
100% (28/28) finding it easy to use. Users found that Stre@mline was helpful
in
improving both clinical efficiency and enhancing patient care. CONCLUSIONS:
The
partnership of local clinicians and developers is crucial to the design and
adoption
of user-centered technologies tailored to the specific needs of low-resource
settings. The EHR described here could serve as a model for the development
of
future technologies suitable for developing countries.
CI - ©Li Liang, Matthew O Wiens, Phaisal Lubega, Ian Spillman, Samuel Mugisha.
Originally
published in JMIR Formative Research (http://formative.jmir.org), 24.09.2018.
FAU - Liang, Li
AU - Liang L
AUID- ORCID: 0000-0002-6377-7920
AD - Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
FAU - Wiens, Matthew O
AU - Wiens MO
AUID- ORCID: 0000-0002-3287-5181
AD - University of British Columbia, Vancouver, BC, Canada.
FAU - Lubega, Phaisal
AU - Lubega P
AUID- ORCID: 0000-0002-6760-6846
AD - Mbarara University of Science and Technology, Mbarara, Uganda.
FAU - Spillman, Ian
AU - Spillman I
AUID- ORCID: 0000-0002-4529-0289
AD - Kisiizi Hospital, Kisiizi, Uganda.
FAU - Mugisha, Samuel
AU - Mugisha S
AUID- ORCID: 0000-0003-4294-8281
AD - Innovation Streams Limited, Mbarara, Uganda.
LA - eng
DEP - 20180924
TA - JMIR Form Res
JT - JMIR formative research
JID - 101726394
PMC - PMC6334711
OTO - NOTNLM
OT - appropriate technology
OT - eHealth in low-resource settings
OT - electronic health record
OT - locally developed technology
EDAT- 2019/01/27 06:00
MHDA- 2019/01/27 06:01
CRDT- 2019/01/27 06:00
PHST- 2017/12/15 00:00 [received]
PHST- 2018/07/26 00:00 [accepted]
PHST- 2018/03/14 00:00 [revised]
PHST- 2019/01/27 06:00 [entrez]
PHST- 2019/01/27 06:00 [pubmed]
PHST- 2019/01/27 06:01 [medline]
AID - v2i2e20 [pii]
AID - 10.2196/formative.9658 [doi]
PST - epublish
SO - JMIR Form Res. 2018 Sep 24;2(2):e20. doi: 10.2196/formative.9658.
PMID- 29930813
OWN - NLM
LR - 20200929
IS - 2052-3211 (Print)
IS - 2052-3211 (Linking)
VI - 11
DP - 2018
TI - Assessment of primary labeling of medicines manufactured by Nepalese
pharmaceutical
industries.
PG - 13
LID - 10.1186/s40545-018-0139-9 [doi]
LID - 13
AB - BACKGROUND: Appropriate labeling of marketed medicines is necessary to
fulfill the
regulatory provisions and ensure patient medication safety. This study aimed
to
assess the primary labeling of medicines manufactured and marketed by
Nepalese
pharmaceutical industries. METHODS: We assessed the primary labeling of all
medicines available at the pharmacy of Chitwan Medical College Teaching
Hospital
(CMCTH), Chitwan, Nepal, between November 2017 to December 2017. Medicines
were
assessed as required by Drug Standard Regulation, 2043 (1986 AD) of Nepal.
Appropriate classification of all the medicines and content of over-the-
counter
(OTC) medicines (where certain information should be in Nepali language) was
also
assessed. Descriptive statistics was performed. RESULTS: Seven hundred fifty-
nine
medicines manufactured by 37 Nepalese pharmaceutical industries were
assessed. While
all pharmaceutical products had the name of the drug (brand), only76.8% of
them
stated drug quantity. Almost all products were found to declare category of
the
drug, with only a few (4.1%) mentioning the sub-category. The system of
medicine was
stated in 9.9% of the products. Active ingredients and their quantity,
manufacturer's information, serial number for the production of drug and the
date of
production, storing methods, and information on the quantity used were
mentioned in
almost all the products. Similarly, all the products had batch number and the
date
of expiry. But, 11% of the products lacked the name of pharmacopoeia to which
the
drug belongs and all the products lacked the serial number for establishment
of
pharmaceutical industry. Similarly, 5.3% of the products did not list their
price,
and 2.4% of prescription medicines lacked caution labeling. Unfortunately,
the
majority of the products (84.4%) did not provide the directions of use.
Appropriate
drug classification was found in 89.6% of products. None of the over-the-
counter
medicines totally adhered to the requirements for writing certain information
in
Nepali language. CONCLUSIONS: Majority of the products did not meet the
regulatory
standards of primary labeling of Nepalese pharmaceutical products. This study
highlights the necessities for improvement from all stakeholders.

FAU - Poudel, Ramesh Sharma
AU - Poudel RS
AD - 1Hospital Pharmacy, Chitwan Medical College Teaching Hospital, Bharatpur,
Chitwan
Nepal. ISNI: 0000 0004 5998 7153. GRID: grid.488411.0
FAU - Shrestha, Shakti
AU - Shrestha S
AD - Department of Pharmacy, Shree Medical and Technical College, Bharatpur,
Chitwan
Nepal.
FAU - Thapa, Santosh
AU - Thapa S
AD - Hospital Pharmacy, Ashwins Medical College and Hospitals Pvt. Ltd, Lalitpur,
Nepal.
FAU - Poudel, Bhupendra Kumar
AU - Poudel BK
AD - Department of Drug Administration, Ministry of Health, Kathmandu, Nepal.
FAU - Chhetri, Muniraj
AU - Chhetri M
AD - 5School of Public Health, Chitwan Medical College Teaching Hospital,
Bharatpur,
Chitwan Nepal. ISNI: 0000 0004 5998 7153. GRID: grid.488411.0
LA - eng
DEP - 20180607
TA - J Pharm Policy Pract
JT - Journal of pharmaceutical policy and practice
JID - 101627192
PMC - PMC5991432
OTO - NOTNLM
OT - Counterfeit drug
OT - Labeling
OT - Low-income countries
OT - Nepal
OT - Patient safety
OT - Pharmaceutical industry
OT - Regulatory standard
COIS- Not applicable.The authors declare that they have no competing
interests.Springer
Nature remains neutral with regard to jurisdictional claims in published maps
and
institutional affiliations.
EDAT- 2018/06/23 06:00
MHDA- 2018/06/23 06:01
CRDT- 2018/06/23 06:00
PHST- 2018/01/18 00:00 [received]
PHST- 2018/03/28 00:00 [accepted]
PHST- 2018/06/23 06:00 [entrez]
PHST- 2018/06/23 06:00 [pubmed]
PHST- 2018/06/23 06:01 [medline]
AID - 139 [pii]
AID - 10.1186/s40545-018-0139-9 [doi]
PST - epublish
SO - J Pharm Policy Pract. 2018 Jun 7;11:13. doi: 10.1186/s40545-018-0139-9.
eCollection
2018.
PMID- 30057956
OWN - NLM
LR - 20191120
IS - 2399-6641 (Linking)
VI - 7
IP - 3
DP - 2018
TI - Implementing a non-steroidal anti-inflammatory drugs communication bundle in
remote
and rural pharmacies and dispensing practices.
PG - e000303
LID - 10.1136/bmjoq-2017-000303 [doi]
LID - e000303
AB - Non-steroidal anti-inflammatory drugs (NSAIDs) are associated with more
emergency
hospital admissions due to adverse drug reactions than any other class of
medicine.
One way to tackle this is to ensure that patients understand how to take
their
NSAIDs in the safest way possible. The aim of this project was to ensure that
key
safety information is given to every patient, every time an NSAID is sold or
dispensed. The project started as part of the Scottish Patient Safety
Programme's
Pharmacy in Primary Care Collaborative. An NSAIDs bundle was developed,
tested and
implemented using the Model for Improvement as a framework, including
multiple Plan,
Do, Study, Act cycles. The bundle, and associated improvement package, was
developed
during phase I of the project and tested by seven teams (five pharmacies and
two
dispensing practices). Phase II tested the spread of the defined improvement
package
across an additional five community pharmacies and eight dispensing general
practitioner practices. The project has resulted in the development of a
simple
package to improve communication with patients about NSAIDs, which should
enable
patients to take NSAIDs safely. Three key safety messages were developed,
typical
for a care bundle approach, and simple tools were employed to ensure every
patient
received these three key messages every time. The project aim of 95%
compliance with
the NSAIDs bundle within the seven initial sites by December 2015 was
achieved (when
an exclusion was applied). The spread of the defined improvement package to a
further 13 sites was achieved by December 2016. By December 2017, all 81

community
pharmacies in National Health Service (NHS) Highland had agreed to implement
the
NSAIDs bundle. In June 2018, a national NSAIDs bundle, based on the NHS
Highland
work, was introduced in community pharmacies across Scotland. We also believe
that
the approach could be replicated for other high-risk medicines.
FAU - Morrison, Clare
AU - Morrison C
AD - North and West Highland, NHS Highland, Ross-shire, UK.
FAU - Beauchamp, Tracy
AU - Beauchamp T
FAU - MacDonald, Helen
AU - MacDonald H
FAU - Beattie, Michelle
AU - Beattie M
AD - Department of Nursing, University of the Highlands and Islands, Inverness,
UK.
LA - eng
DEP - 20180721
TA - BMJ Open Qual
JID - 101710381
PMC - PMC6059272
OTO - NOTNLM
OT - continuous quality improvement
OT - patient education
OT - pharmacists
EDAT- 2018/07/31 06:00
MHDA- 2018/07/31 06:01
CRDT- 2018/07/31 06:00
PHST- 2017/12/22 00:00 [received]
PHST- 2018/06/08 00:00 [revised]
PHST- 2018/06/30 00:00 [accepted]
PHST- 2018/07/31 06:00 [entrez]
PHST- 2018/07/31 06:00 [pubmed]
PHST- 2018/07/31 06:01 [medline]
AID - bmjoq-2017-000303 [pii]
AID - 10.1136/bmjoq-2017-000303 [doi]
PST - epublish
SO - BMJ Open Qual. 2018 Jul 21;7(3):e000303. doi: 10.1136/bmjoq-2017-000303.
eCollection
2018.
PMID- 33138084
OWN - NLM
STAT- MEDLINE
DCOM- 20201231
LR - 20201231
IS - 1661-7827 (Print)
IS - 1660-4601 (Linking)
VI - 17
IP - 21
DP - 2020 Oct 29
TI - Interest in Working as an Infection Prevention and Control Nurse and
Perception of
This Position by Nursing Students-Results of a Pilot Study.
LID - 10.3390/ijerph17217943 [doi]
LID - 7943
AB - Background: The results of several studies in the area of infection control
in
Poland are disturbing. The situation may be shaped by many factors. However,
the key
factor for effective infection prevention and control is dedicated personnel,
especially infection prevention and control nurses (IPCN). Nevertheless,

based on
the available published data and the authors' experience, in many Polish
hospitals
infection control is not sufficiently appreciated by managers, it is
consequently
underfunded, and treated by medical staff as a nuisance. This may influence
the
nurses willingness to work as IPCN. The aim of the study was to assess the
nursing
students' perception of the work of IPCN and their interest in employment in
this
position, as well as the potential reasons for choosing this particular
specialization. Materials and methods: The study was conducted using the
authors'
anonymous questionnaire conducted among nursing students of three Polish
universities. The questionnaire was prepared by a panel of experts working in
the
field of infection control, including nurses working both as academic
teachers and
infection control nurses in hospitals. The design of the questionnaire was
based on
the authors' own experience, knowledge, and exchanging information with the
practitioners in infection control in Poland. The reliability of the
questionnaire
was confirmed by the Cronbach alpha test. The raw alpha values and 95% CI for
two
main questions concerning opinion were: 0.76 (0.72-0.81) and 0.69 (0.63-
0.75).
Results: The study was conducted among 253 students, mostly women (98%) of
full-time
(31.4%) and extramural (68.6%) studies. The age range of the respondents was
20-58
years, median = 26 years, IQR = 19 years. To the key item in the
questionnaire,
i.e., "Would you like to work as an IPCN?", 84.6% (214 respondents; first
group) of
the respondents answered "no" and 15.4% (39 respondents, second group)
answered
"yes". The results revealed no significant differences between the two groups
concerning the position responsibilities and appreciation by other medical

staff.
Additionally, for respondents willing to work as ICPN the most important
issues were
the influence on patient safety, expected salary, and possibility of
professional
development; for the respondents from the other group the most important
issue was
lack of contact with patients. The results concerning the students' opinion
on the
perception of IPCN by medical personnel proved to be peculiar. About 80% of
the
respondents confirmed the IPCNs' key role in ensuring patient and personnel
safety,
while only 31.6% declared their high standing in the hospital hierarchy.
Conclusions: The obtained results indicate the necessity of thorough studies
on the
organization and structure of infection control in Polish hospitals, with a
particular emphasis on building a positive perception of IPCNs by medical
staff, as
well as implementing an education campaign on infection control in the
hospital
environment.
FAU - Jaślan, Dorota
AU - Jaślan D
AD - Department of Infection Control and Mycology, Jagiellonian University Medical
College, 31121 Krakow, Poland.

FAU - Rosiński, Jerzy
AU - Rosiński J
AUID- ORCID: 0000-0002-8348-2839
AD - Faculty of Management and Social Communication, Institute of Economics,
Finance and
Management, Jagiellonian University, 30348 Kraków, Poland.
FAU - Siewierska, Małgorzata
AU - Siewierska M
AD - Department of Ophthalmology, St. Rose Hospital, 30396 Krakow, Poland.
FAU - Szczypta, Anna
AU - Szczypta A
AD - Faculty of Health and Medicine, Andrzej Frycz Modrzewski Krakow University,
30705
Kraków, Poland.
FAU - Wałaszek, Marta
AU - Wałaszek M
AD - Health Department, State Higher Vocational School, 33100 Tarnow, Poland.
FAU - Wójkowska-Mach, Jadwiga
AU - Wójkowska-Mach J
AUID- ORCID: 0000-0003-0756-1639

FAU - Gniadek, Agnieszka
AU - Gniadek A
AD - Faculty of Health Science, Jagiellonian University Medical College, 31126
Kraków,
Poland.
FAU - Majewska, Renata
AU - Majewska R
AD - Department of Epidemiology, Jagiellonian University Medical College, 31034
Kraków,
Poland.
FAU - Różańska, Anna
AU - Różańska A

LA - eng
DEP - 20201029
JID - 101238455
SB - IM
MH - Adult
MH - Education, Nursing
MH - Female
MH - Humans
MH - *Infection Control
MH - Infection Control Practitioners/*education
MH - Male
MH - Middle Aged
MH - Perception
MH - Pilot Projects
MH - Poland
MH - Students, Nursing/*psychology
MH - Young Adult
PMC - PMC7662272
OTO - NOTNLM
OT - *attitude of healthcare personnel
OT - *infection control
OT - *infection control practitioners
OT - *nursing
OT - *students
COIS- Authors declare no conflict of interest.
EDAT- 2020/11/04 06:00
MHDA- 2021/01/01 06:00
CRDT- 2020/11/03 01:02
PHST- 2020/09/21 00:00 [received]
PHST- 2020/10/19 00:00 [revised]
PHST- 2020/10/23 00:00 [accepted]
PHST- 2020/11/03 01:02 [entrez]
PHST- 2020/11/04 06:00 [pubmed]
PHST- 2021/01/01 06:00 [medline]
AID - 10.3390/ijerph17217943 [doi]
PST - epublish
SO - Int J Environ Res Public Health. 2020 Oct 29;17(21):7943. doi:
10.3390/ijerph17217943.
PMID- 31429775
OWN - NLM
STAT- MEDLINE
DCOM- 20200210
LR - 20200225
VI - 14
IP - 1
DP - 2019 Aug 20
TI - Blood management in fast-track orthopedic surgery: an evidence-based
narrative
review.
PG - 263
LID - 10.1186/s13018-019-1296-5 [doi]
LID - 263
AB - BACKGROUND AND PURPOSE: Innovations able to maintain patient safety while
reducing
the amount of transfusion add value to orthopedic procedures. Opportunities
for
improvement arise especially in elective procedures, as long as room for
planning is
available. Although many strategies have been proposed, there is no consensus
about
the most successful combination. The purpose of this investigation is to
identify
information to support blood management strategies in fast-track total joint
arthroplasty (TJA) pathway, to (i) support clinical decision making according
to
current evidence and best practices, and (ii) identify critical issues which
need
further research. METHODS AND MATERIALS: We identified conventional blood
management
strategies in elective orthopedic procedures. We performed an electronic
search
about blood management strategies in fast-track TJA. We designed tables to
match
every step of the former with the latter. We submitted the findings to
clinicians
who operate using fast-track surgery protocols in TJA at our research
hospital.
RESULTS: Preoperative anemia detection and treatment, blood
anticoagulants/aggregants consumption, transfusion trigger, anesthetic
technique,
local infiltration analgesia, drainage clamping and removals, and
postoperative
multimodal thromboprophylaxis are the factors which can add best value to a
fast-track pathway, since they provide significant room for planning and
prediction.
CONCLUSION: The difference between conventional and fast-track pathways does
not lie
in the contents of blood management, which are related to surgeons/surgeries,
materials used and patients, but in the way these contents are integrated
into each
other, since elective orthopedic procedures offer significant room for
planning.
Further studies are needed to identify optimal regimens.
FAU - Pennestrì, Federico
AU - Pennestrì F
AD - IRCCS Orthopedic Institute Galeazzi, Scientific Direction, Milan, Italy.
FAU - Maffulli, Nicola
AU - Maffulli N
AUID- ORCID: 0000-0002-5327-3702
AD - Department of Musculoskeletal Disorders, School of Medicine and Surgery,
University
of Salerno, Fisciano, Italy. n.maffulli@qmul.ac.uk.
AD - San Giovanni di Dio e Ruggi D'Aragona Hospital "Clinica Orthopedica"
Department,
Hospital of Salerno, Salerno, Italy. n.maffulli@qmul.ac.uk.
AD - Queen Mary University of London, Barts and the London School of Medicine and
Dentistry, Centre for Sports and Exercise Medicine, London, England.
n.maffulli@qmul.ac.uk.
FAU - Sirtori, Paolo
AU - Sirtori P
FAU - Perazzo, Paolo
AU - Perazzo P
FAU - Negrini, Francesco
AU - Negrini F
FAU - Banfi, Giuseppe
AU - Banfi G
AD - Vita-Salute San Raffaele University, Scientific Direction, Milan, Italy.
FAU - Peretti, Giuseppe M
AU - Peretti GM
AD - University of Milan, Department of Biomedical Sciences for Health, Milan,
Italy.
LA - eng
PT - Review
DEP - 20190820
TA - J Orthop Surg Res
JT - Journal of orthopaedic surgery and research
JID - 101265112
RN - 0 (Anticoagulants)
SB - IM
MH - Anemia/diagnosis/therapy
MH - Anticoagulants/*administration & dosage/adverse effects
MH - Blood Transfusion/methods/*trends
MH - Clinical Trials as Topic/methods
MH - Elective Surgical Procedures/adverse effects/trends
MH - Evidence-Based Medicine/methods/*trends
MH - Humans
MH - Orthopedic Procedures/adverse effects/*trends
MH - Time Factors
PMC - PMC6701001
OTO - NOTNLM
OT - Blood management
OT - Ethics
OT - Fast-track surgery
OT - Health care value
OT - Joint replacement
OT - Orthopedics
EDAT- 2019/08/21 06:00
MHDA- 2020/02/11 06:00
CRDT- 2019/08/21 06:00
PHST- 2019/06/09 00:00 [received]
PHST- 2019/07/25 00:00 [accepted]
PHST- 2019/08/21 06:00 [entrez]
PHST- 2019/08/21 06:00 [pubmed]
PHST- 2020/02/11 06:00 [medline]
AID - 10.1186/s13018-019-1296-5 [pii]
AID - 1296 [pii]
AID - 10.1186/s13018-019-1296-5 [doi]
PST - epublish
SO - J Orthop Surg Res. 2019 Aug 20;14(1):263. doi: 10.1186/s13018-019-1296-5.
PMID- 29177454
OWN - NLM
STAT- MEDLINE
DCOM- 20180711
LR - 20181207
IS - 1353-4505 (Print)
IS - 1353-4505 (Linking)
VI - 29
IP - 8
DP - 2017 Dec 1
TI - Factors influencing the activation of the rapid response system for
clinically
deteriorating patients by frontline ward clinicians: a systematic review.
PG - 981-998
LID - 10.1093/intqhc/mzx149 [doi]
AB - PURPOSE: To synthesize factors influencing the activation of the rapid
response
system (RRS) and reasons for suboptimal RRS activation by ward nurses and
junior
physicians. DATA SOURCES: Nine electronic databases were searched for
articles
published between January 1995 and January 2016 in addition to a hand-search
of
reference lists and relevant journals. STUDY SELECTION: Published primary
studies
conducted in adult general ward settings and involved the experiences and
views of
ward nurses and/or junior physicians in RRS activation were included. DATA
EXTRACTION: Data on design, methods and key findings were extracted and
collated.
RESULTS OF DATA SYNTHESIS: Thirty studies were included for the review. The
process
to RRS activation was influenced by the perceptions and clinical experiences
of ward
nurses and physicians, and facilitated by tools and technologies, including
the
sensitivity and specificity of the activation criteria, and monitoring
technology.
However, the task of enacting the RRS activations was challenged by seeking
further
justification, deliberating over reactions from the rapid response team and
the
impact of workload and staffing. Finally, adherence to the traditional model
of
escalation of care, support from colleagues and hospital leaders, and staff
training
were organizational factors that influence RRS activation. CONCLUSION: This
review
suggests that the factors influencing RRS activation originated from a
combination
of socio-cultural, organizational and technical aspects. Institutions that
strive
for improvements in the existing RRS or are considering to adopt the RRS
should
consider the complex interactions between people and the elements of
technologies,
tasks, environment and organization in healthcare settings.
CI - © The Author 2017. Published by Oxford University Press in association with
the
International Society for Quality in Health Care. All rights reserved. For
permissions, please e-mail: journals.permissions@oup.com
FAU - Chua, Wei Ling
AU - Chua WL
AD - Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine,
National
University of Singapore, Singapore.
FAU - See, Min Ting Alicia
AU - See MTA
National
FAU - Legio-Quigley, Helena
AU - Legio-Quigley H
AD - Saw Swee Hock School of Public Health, National University of Singapore,
Singapore.
AD - London School of Hygiene and Tropical Medicine, London, UK.
FAU - Jones, Daryl
AU - Jones D
AD - Department of Epidemiology and Preventive Medicine, Monash University,
Melbourne,
VIC, Australia.
AD - University of Melbourne, Melbourne, VIC, Australia.
AD - Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia.
FAU - Tee, Augustine
AU - Tee A
AD - Department of Respiratory and Critical Care Medicine, Changi General
Hospital,
Singapore.
FAU - Liaw, Sok Ying
AU - Liaw SY
National
LA - eng
PT - Review
TA - Int J Qual Health Care
JT - International journal for quality in health care : journal of the
International
Society for Quality in Health Care
JID - 9434628
SB - IM
EIN - Int J Qual Health Care. 2018 Jul 1;30(6):492. PMID: 29548028
MH - *Clinical Deterioration
MH - Critical Care
MH - Delivery of Health Care/*organization & administration
MH - Hospital Rapid Response Team/*organization & administration
MH - Humans
MH - Medical Staff, Hospital/organization & administration
MH - Patient Safety
MH - Workload
PMC - PMC6216047
OTO - NOTNLM
OT - early warning scoring system
OT - human factors
OT - patient safety
OT - rapid response system
EDAT- 2017/11/28 06:00
MHDA- 2018/07/12 06:00
CRDT- 2017/11/28 06:00
PHST- 2016/12/01 00:00 [received]
PHST- 2017/10/26 00:00 [accepted]
PHST- 2017/11/28 06:00 [pubmed]
PHST- 2018/07/12 06:00 [medline]
PHST- 2017/11/28 06:00 [entrez]
AID - 4643383 [pii]
AID - mzx149 [pii]
AID - 10.1093/intqhc/mzx149 [doi]
PST - ppublish
SO - Int J Qual Health Care. 2017 Dec 1;29(8):981-998. doi: 10.1093/intqhc/mzx149.
PMID- 28974068
OWN - NLM
STAT- MEDLINE
DCOM- 20181211
LR - 20181211
IS - 0007-0912 (Linking)
VI - 119
IP - 1
DP - 2017 Jul 1
TI - Continuous monitoring and feedback of quality of recovery indicators for
anaesthetists: a qualitative investigation of reported effects on
professional
behaviour.
PG - 115-124
LID - 10.1093/bja/aex136 [doi]
AB - BACKGROUND: Research suggests that providing clinicians with feedback on
their
performance can result in professional behaviour change and improved clinical
outcomes. Departments would benefit from understanding which characteristics

of
feedback support effective quality monitoring, professional behaviour change
and
service improvement. This study aimed to report the experience of
anaesthetists
participating in a long-term initiative to provide comprehensive personalized
feedback to consultants on patient-reported quality of recovery indicators in

a
large London teaching hospital. METHODS: Semi-structured interviews were
conducted
with 13 consultant anaesthetists, six surgical nursing leads, the theatre
manager
and the clinical coordinator for recovery. Transcripts were qualitatively
analysed
for themes linked to the perceived value of the initiative, its acceptability
and
its effects upon professional practice. RESULTS: Analysis of qualitative data
from
participant interviews suggested that effective quality indicators must
address
areas that are within the control of the anaesthetist. Graphical data
presentation,
both longitudinal (personal variation over time) and comparative (peer-group
distributions), was found to be preferable to summary statistics and provided
useful
and complementary perspectives for improvement. Developing trust in the
reliability
and credibility of the data through co-development of data reports with
clinical
input into areas such as case-mix adjustment was important for engagement.
Making
feedback specifically relevant to the recipient supported professional
learning
within a supportive and open collaborative environment. CONCLUSIONS: This
study
investigated the requirements for effective feedback on quality of
anaesthetic care
for anaesthetists, highlighting the mechanisms by which feedback may
translate into
improvements in practice at the individual and peer-group level.
CI - © The Author 2017. Published by Oxford University Press on behalf of the
British
Journal of Anaesthesia. All rights reserved. For Permissions, please email:
journals.permissions@oup.com
FAU - D'Lima, D
AU - D'Lima D
Torrington
FAU - Arnold, G
AU - Arnold G
AD - Department of Anaesthesia, Imperial College Healthcare NHS Trust, London, UK.
FAU - Brett, S J
AU - Brett SJ
AD - Centre for Perioperative Medicine and Critical Care Research, Imperial
College
Healthcare NHS Trust, London, UK.
FAU - Bottle, A
AU - Bottle A
AD - School of Public Health, Imperial College London, UK.
FAU - Smith, A
AU - Smith A
AD - Department of Anaesthesia, Royal Lancaster Infirmary, UK.
FAU - Benn, J
AU - Benn J
AD - Patient Safety Translational Research Centre, Imperial College London, UK.
LA - eng
GR - 11/1015/21/Department of Health/United Kingdom
PL - England
TA - Br J Anaesth
JID - 0372541
SB - IM
MH - *Anesthetists
MH - Feedback
MH - Humans
OTO - NOTNLM
OT - patient safety
OT - patient satisfaction
OT - patient-reported outcomes
OT - perioperative care
OT - quality of recovery
EDAT- 2017/10/05 06:00
MHDA- 2018/12/12 06:00
CRDT- 2017/10/05 06:00
PHST- 2017/10/05 06:00 [entrez]
PHST- 2017/10/05 06:00 [pubmed]
PHST- 2018/12/12 06:00 [medline]
AID - S0007-0912(17)33745-5 [pii]
AID - 10.1093/bja/aex136 [doi]
PST - ppublish
SO - Br J Anaesth. 2017 Jul 1;119(1):115-124. doi: 10.1093/bja/aex136.
PMID- 22260242
OWN - NLM
STAT- MEDLINE
DCOM- 20120628
LR - 20181113
IS - 1472-6947 (Linking)
VI - 12
DP - 2012 Jan 19
TI - Is increasing complexity of algorithms the price for higher accuracy? virtual
comparison of three algorithms for tertiary level management of chronic cough

in
people living with HIV in a low-income country.
PG - 2
LID - 10.1186/1472-6947-12-2 [doi]
AB - BACKGROUND: The algorithmic approach to guidelines has been introduced and
promoted
on a large scale since the 1970s. This study aims at comparing the
performance of
three algorithms for the management of chronic cough in patients with HIV
infection,
and at reassessing the current position of algorithmic guidelines in clinical
decision making through an analysis of accuracy, harm and complexity.

METHODS: Data
were collected at the University Hospital of Kigali (CHUK) in a total of 201
HIV-positive hospitalised patients with chronic cough. We simulated
management of
each patient following the three algorithms. The first was locally tailored
by
clinicians from CHUK, the second and third were drawn from publications by
Médecins
sans Frontières (MSF) and the World Health Organisation (WHO). Semantic
analysis
techniques known as Clinical Algorithm Nosology were used to compare them in
terms
of complexity and similarity. For each of them, we assessed the sensitivity,
delay
to diagnosis and hypothetical harm of false positives and false negatives.
RESULTS:
The principal diagnoses were tuberculosis (21%) and pneumocystosis (19%).
Sensitivity, representing the proportion of correct diagnoses made by each
algorithm, was 95.7%, 88% and 70% for CHUK, MSF and WHO, respectively. Mean
time to
appropriate management was 1.86 days for CHUK and 3.46 for the MSF algorithm.
The
CHUK algorithm was the most complex, followed by MSF and WHO. Total harm was
by far
the highest for the WHO algorithm, followed by MSF and CHUK. CONCLUSIONS:
This study
confirms our hypothesis that sensitivity and patient safety (i.e. less
expected
harm) are proportional to the complexity of algorithms, though increased
complexity
may make them difficult to use in practice.
FAU - Mukabatsinda, Constance
AU - Mukabatsinda C
AD - Department of Internal Medicine, Centre Hospitalier Universitaire, Kigali,
Rwanda.
FAU - Nguyen, Jasmine
AU - Nguyen J
FAU - Bisig, Bettina
AU - Bisig B
FAU - Lynen, Lutgarde
AU - Lynen L
FAU - Coppens, Yerma D
AU - Coppens YD
FAU - Asiimwe, Anita
AU - Asiimwe A
FAU - Van den Ende, Jef
AU - Van den Ende J
LA - eng
DEP - 20120119
JID - 101088682
SB - IM
MH - Adolescent
MH - Adult
MH - Aged
MH - *Algorithms
MH - *Cough/etiology/therapy
MH - *Decision Making, Computer-Assisted
MH - *HIV Infections/complications/diagnosis
MH - Humans
MH - Middle Aged
MH - Pneumonia, Pneumocystis/complications/diagnosis
MH - Quality Improvement/*standards
MH - Rwanda
PMC - PMC3342098
EDAT- 2012/01/21 06:00
MHDA- 2012/06/29 06:00
CRDT- 2012/01/21 06:00
PHST- 2011/01/13 00:00 [received]
PHST- 2012/01/19 00:00 [accepted]
PHST- 2012/01/21 06:00 [entrez]
PHST- 2012/01/21 06:00 [pubmed]
PHST- 2012/06/29 06:00 [medline]
AID - 1472-6947-12-2 [pii]
AID - 10.1186/1472-6947-12-2 [doi]
PST - epublish
SO - BMC Med Inform Decis Mak. 2012 Jan 19;12:2. doi: 10.1186/1472-6947-12-2.
PMID- 32051313
OWN - NLM
STAT- In-Process
LR - 20200626
IS - 2044-6055 (Linking)
VI - 10
IP - 2
DP - 2020 Feb 12
TI - Patient data-sharing for immigration enforcement: a qualitative study of
healthcare
providers in England.
PG - e033202
LID - 10.1136/bmjopen-2019-033202 [doi]
LID - e033202
AB - AIM: To explore healthcare providers' perceptions and experiences of the
implications of a patient data-sharing agreement between National Health
Service
(NHS) Digital and the Home Office on access to NHS services and quality of
care
received by migrant patients in England. DESIGN: A qualitative study using
semi-structured interviews, thematic analysis and constant-comparison
approach.
PARTICIPANTS: Eleven healthcare providers and one non-clinical volunteer
working in
community or hospital-based settings who had experience of migrants accessing
NHS
England services. Interviews were carried out in 2018. SETTING: England.
RESULTS:
Awareness and understanding of the patient data-sharing agreement varied
among
participants, who associated this with a perceived lack of transparency by
the
government. Participants provided insight into how they thought the data-
sharing
agreement was negatively influencing migrants' health-seeking behaviour,
their
relationship with clinicians and the safety and quality of their care. They
referred
to the policy as a challenge to their core ethical principles, explicitly
patient
confidentiality and trust, which varied depending on their clinical
specialty.
CONCLUSIONS: A perceived lack of transparency during the policy development
process
can result in suspicion or mistrust towards government among the health
workforce,
patients and public, which is underpinned by a notion of power or control.
The
patient data-sharing agreement was considered a threat to some of the core
principles of the NHS and its implementation as adversely affecting
healthcare
access and patient safety. Future policy development should involve a range
of
stakeholders including civil society, healthcare professionals and ethicists,
and
include more meaningful assessments of the impact on healthcare and public
health.
Published by
BMJ.
FAU - Papageorgiou, Vasiliki
AU - Papageorgiou V
AUID- ORCID: 0000-0002-2387-6780
AD - Patient Experience Research Centre, Imperial College London School of Public
Health,
London, UK vasiliki.papageorgiou17@imperial.ac.uk.
FAU - Wharton-Smith, Alexandra
AU - Wharton-Smith A
AD - Department of Global Health and Development, London School of Hygiene and
Tropical
Medicine Faculty of Public Health and Policy, London, UK.
AD - Migration Health, Health Improvement Directorate, Public Health England,
London, UK.
FAU - Campos-Matos, Ines
AU - Campos-Matos I
AD - Migration Health, Health Improvement Directorate, Public Health England,
London, UK.
AD - Collaborative Centre for Inclusion Health, University College London
Institute of
Epidemiology and Health Care, London, UK.
FAU - Ward, Helen
AU - Ward H
AD - Patient Experience Research Centre, Imperial College London School of Public
Health,
London, UK.
LA - eng
DEP - 20200212
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
PMC - PMC7044876
OTO - NOTNLM
OT - *health policy
OT - *medical ethics
OT - *migrant health
OT - *public health
EDAT- 2020/02/14 06:00
MHDA- 2020/02/14 06:00
CRDT- 2020/02/14 06:00
PHST- 2020/02/14 06:00 [entrez]
PHST- 2020/02/14 06:00 [pubmed]
PHST- 2020/02/14 06:00 [medline]
AID - 10.1136/bmjopen-2019-033202 [doi]
PST - epublish
SO - BMJ Open. 2020 Feb 12;10(2):e033202. doi: 10.1136/bmjopen-2019-033202.
PMID- 32047648
OWN - NLM
LR - 20200928
IS - 2055-5784 (Print)
IS - 2055-5784 (Linking)
VI - 6
DP - 2020
TI - Customized registry tool for tracking adherence to clinical guidelines for
head and
neck cancers: protocol for a pilot study.
PG - 16
LID - 10.1186/s40814-020-0552-0 [doi]
LID - 16
AB - BACKGROUND: Despite recommendations for monitoring patients with chronic and
high-risk conditions, gaps still remain. These gaps are exacerbated in
outpatient
care, where patients and clinicians face challenges related to care
coordination,
multiple electronic health records, and extensive follow-up. In addition,
low-income
and racial/ethnic minority populations that are disproportionately cared for
in
safety net settings are particularly at risk to lapses in monitoring.
METHODS: We
aim to implement and evaluate a health information technology platform
developed
using systems engineering methodologies. The implementation is situated in a
clinic
that monitors patients with head and neck cancer within a large, urban,
publicly
funded hospital. Our study will evaluate the time it takes for patients to
progress
through key treatment milestones prior to and after implementation of the
tool. We
will use models controlling for secular trend to estimate the effect of the
tool on
improving timely and successful completion of guideline-based care processes.
DISCUSSION: This protocol details the evaluation of the effectiveness of a

human-centered health information technology intervention on improving timely
delivery of care for high-risk populations. Other settings, including those

that
face challenges related to limited resources to devote to safety programs and
fragmented health information technology, may benefit from this approach.

TRIAL
REGISTRATION: ClinicalTrials.gov, NCT03546322. "Customized Registry Tool for
Tracking Adherence to Clinical Guidelines for Head and Neck Cancers."
Registered 1
June 2018.
FAU - Hickey, Matthew D
AU - Hickey MD
AD - 1Department of Medicine, University of California San Francisco, School of
Medicine,
San Francisco, CA 94143 USA. GRID: grid.266102.1. ISNI: 0000 0001 2297 6811
FAU - Lisker, Sarah
AU - Lisker S
Medicine,
AD - 2Center for Vulnerable Populations, University of California San Francisco,
San
Francisco, 94110 CA USA. GRID: grid.266102.1. ISNI: 0000 0001 2297 6811
FAU - Brodie, Shauna
AU - Brodie S
AD - 3Department of Otolaryngology - Head and Neck Surgery, University of
California San
Francisco, School of Medicine, San Francisco, CA 94143 USA. GRID:
grid.266102.1.
ISNI: 0000 0001 2297 6811
FAU - Vittinghoff, Eric
AU - Vittinghoff E
AD - 4Department of Epidemiology and Biostatistics, University of California San
grid.266102.1.
ISNI: 0000 0001 2297 6811
FAU - Russell, Marika D
AU - Russell MD
AD - 3Department of Otolaryngology - Head and Neck Surgery, University of
California San
grid.266102.1.
ISNI: 0000 0001 2297 6811
FAU - Sarkar, Urmimala
AU - Sarkar U
AUID- ORCID: 0000-0003-4213-4405
Medicine,
AD - 2Center for Vulnerable Populations, University of California San Francisco,
San
Francisco, 94110 CA USA. GRID: grid.266102.1. ISNI: 0000 0001 2297 6811
LA - eng
DEP - 20200207
TA - Pilot Feasibility Stud
JT - Pilot and feasibility studies
JID - 101676536
PMC - PMC7006155
OTO - NOTNLM
OT - Ambulatory care
OT - Organizational interventions
OT - Patient monitoring
OT - Patient safety
OT - Systems engineering
EDAT- 2020/02/13 06:00
MHDA- 2020/02/13 06:01
CRDT- 2020/02/13 06:00
PHST- 2019/06/10 00:00 [received]
PHST- 2020/01/20 00:00 [accepted]
PHST- 2020/02/13 06:00 [entrez]
PHST- 2020/02/13 06:00 [pubmed]
PHST- 2020/02/13 06:01 [medline]
AID - 552 [pii]
AID - 10.1186/s40814-020-0552-0 [doi]
PST - epublish
SO - Pilot Feasibility Stud. 2020 Feb 7;6:16. doi: 10.1186/s40814-020-0552-0.
eCollection
2020.
PMID- 27956266
OWN - NLM
STAT- MEDLINE
DCOM- 20180115
LR - 20181202
IS - 1532-0464 (Linking)
VI - 65
DP - 2017 Jan
TI - What's Ideal? A case study exploring handoff routines in practice.
PG - 159-167
LID - S1532-0464(16)30176-9 [pii]
LID - 10.1016/j.jbi.2016.12.003 [doi]
AB - BACKGROUND: Handoffs of care in the healthcare system between responsible
providers
have traditionally been conceptualized and studied at the point of patient
transfer.
Thus, clinical practice and associated information systems are designed with
the
concept of the handoff as a solitary event. This viewpoint does not consider
the
routine activities necessary for a successful handoff. We propose expanding
the
analysis of the handoff beyond the single point of transfer to include a
routine of
interrelated activities leading up to the transfer of responsibility. We used
this
expanded definition of handoffs to identify exceptions from standard practice
as
identified by ideal-type handoff routines. METHOD: We used an ethnographic
case
method to study handoffs in an interventional cardiology unit in a Midwestern
community hospital. This involved examining handoffs and their supporting

routines.
We conducted thematic analysis of the handoffs using NVivo, a qualitative
software
analysis program. These analyses include categorization of the types and
causes of
differences in practice and exceptions from ideal-type handoffs. RESULTS:
Observed
handoffs that took place within the clinical unit did not consistently align
with
the ideal-type routine, yet this variation did not necessarily lead to
exceptions.
However, for handoffs between clinical units, although more likely to follow
the
ideal-type routine, differences from the standardized routine more often led
to
exceptions. We found that problems with performing the routine activities
leading up
to the handoff and the context in which the handoff occurred affected whether
the
handoff was successful. CONCLUSIONS: Considering the handoff as a routine
rather
than simply the point of transition gives broader insight about how care
transitions
function. Such consideration helps clinicians better understand how
variations occur
and how differences from ideal-type handoffs can lead to potential exceptions
such
as missing information. This analysis can be used to develop information
systems
that better support handoffs.
FAU - Haque, Saira N
AU - Haque SN
AD - Center for eHealth, Quality and Analytics, RTI International, 3040 E.
Cornwallis
Road, Research Triangle Park, NC 27709-2194, United States. Electronic
address:
shaque@rti.org.
FAU - Østerlund, Carsten S
AU - Østerlund CS
AD - Syracuse University School of Information Studies, United States. Electronic
address: costerlu@syr.edu.
FAU - Fagan, Lawrence M
AU - Fagan LM
AD - Stanford University School of Medicine, United States. Electronic address:
LFagan@stanford.edu.
LA - eng
DEP - 20161209
PL - United States
JID - 100970413
SB - IM
MH - Cardiology
MH - Health Information Systems
MH - Humans
MH - Patient Transfer
OTO - NOTNLM
OT - *Handoffs
OT - *Handovers
OT - *Routines
OT - *Transitions of care
EDAT- 2016/12/14 06:00
MHDA- 2018/01/16 06:00
CRDT- 2016/12/14 06:00
PHST- 2016/06/06 00:00 [received]
PHST- 2016/11/03 00:00 [revised]
PHST- 2016/12/04 00:00 [accepted]
PHST- 2016/12/14 06:00 [pubmed]
PHST- 2018/01/16 06:00 [medline]
PHST- 2016/12/14 06:00 [entrez]
AID - S1532-0464(16)30176-9 [pii]
AID - 10.1016/j.jbi.2016.12.003 [doi]
PST - ppublish
SO - J Biomed Inform. 2017 Jan;65:159-167. doi: 10.1016/j.jbi.2016.12.003. Epub
2016 Dec
9.
PMID- 29450001
OWN - NLM
LR - 20201001
IS - 2059-0628 (Print)
IS - 2059-0628 (Linking)
VI - 1
DP - 2016
TI - Simulation as a toolkit-understanding the perils of blood transfusion in a
complex
health care environment.
PG - 32
LID - 10.1186/s41077-016-0032-z [doi]
LID - 32
AB - BACKGROUND: Administration of blood is a complex process requiring vigilance
and
effective teamwork. Despite strict policies and training on blood
administration,
errors still occur and can lead to mistransfusion with adverse patient
outcomes. We
used an in situ simulated scenario within an operating room (OR) to identify
weaknesses in the current process and hazards that could contribute to
mistransfusion. METHODS: A process checklist of critical steps of safe
transfusion
was developed based on a large academic centre's internal hospital policy and
practice. Ten standardized operating room scenarios were conducted involving

management of postoperative bleeding. Scenarios lasted 20 min or until blood
transfusion was started. Debriefing followed immediately. Video recordings
were
reviewed, scored, and evaluated for team performance. Latent safety threats
were
identified. Focus groups further helped to identify rationale for decisions
made.
Participants completed questionnaires to evaluate the exercise. RESULTS:
Forty-three
experienced OR professionals participated. Of the 19 steps identified as
essential
for the safe administration of blood components, the median number of steps
correctly completed per team was 11. The largest number of errors occurred
when
different team members interacted and during the immediate pre-transfusion
check. We
report that this type of learning immediately increased participants' self-
reported
ability to perform in a team (90%) and to improve clinical care (88%).
CONCLUSIONS:
In situ simulation is valuable in identifying common susceptibilities in
blood
administration error in a complex healthcare organization. Administrators and
clinicians may wish to use simulation as an opportunity for system

improvement in
the delivery of quality care.
FAU - Campbell, Douglas M
AU - Campbell DM
AD - 1St. Michael's Hospital, Toronto, ON Canada. GRID: grid.415502.7
AD - 2University of Toronto, Toronto, ON Canada. GRID: grid.17063.33
AD - 4Department of Pediatrics, University of Toronto, St. Michael's Hospital, 15-
014CC,
30 Bond Street, Toronto, ON M5B 1W8 Canada. GRID: grid.17063.33
FAU - Poost-Foroosh, Laya
AU - Poost-Foroosh L
FAU - Pavenski, Katerina
AU - Pavenski K
FAU - Contreras, Maya
AU - Contreras M
FAU - Alam, Fahad
AU - Alam F
AD - 3Sunnybrook Health Sciences Centre, Toronto, ON Canada. GRID: grid.413104.3.
ISNI:
0000000097431587
FAU - Lee, Jason
AU - Lee J
FAU - Houston, Patricia
AU - Houston P
LA - eng
DEP - 20161208
TA - Adv Simul (Lond)
JT - Advances in simulation (London, England)
JID - 101700425
PMC - PMC5806277
OTO - NOTNLM
OT - Blood transfusion
OT - In situ simulation
OT - Latent hazard
OT - Medical error
OT - Patient safety
OT - Simulation
EDAT- 2016/12/08 00:00
MHDA- 2016/12/08 00:01
CRDT- 2018/02/17 06:00
PHST- 2016/07/07 00:00 [received]
PHST- 2016/11/15 00:00 [accepted]
PHST- 2018/02/17 06:00 [entrez]
PHST- 2016/12/08 00:00 [pubmed]
PHST- 2016/12/08 00:01 [medline]
AID - 32 [pii]
AID - 10.1186/s41077-016-0032-z [doi]
PST - epublish
SO - Adv Simul (Lond). 2016 Dec 8;1:32. doi: 10.1186/s41077-016-0032-z.
eCollection 2016.
PMID- 27606392
STAT- Publisher
CTDT- 20140901
PB - Department of Veterans Affairs (US)
CTI - VA Evidence Synthesis Program Reports
DP - 2011
TI - Evidence Brief: The Quality of Care Provided by Advanced Practice Nurses.
BTI - VA Evidence Synthesis Program Evidence Briefs
AB - The term “Advanced Practice Registered Nurse” (APRN) encompasses the Nurse
Practitioner (NP), Certified Registered Nurse Anesthetist (CRNA), Clinical
Nurse
Specialist (CNS), and Nurse Midwife (NM). Today, most NPs practice in primary
care.
Autonomy or independence has always been central to the concept of a nurse
practitioner as a primary care provider. The National Council of State Boards
of
Nursing defines “independence” as practicing with “no requirement for a
written
collaborative agreement, no supervision, [and] no conditions for practice.”
Although
the authority to diagnose and prescribe are the most frequently mentioned
aspects of
independence, the concept encompasses other dimensions including entry into
practice; authority to bill for services independently; access to diagnostic
services and hospital admitting privileges; and recognition as primary care
providers. Medical licensing is a state function and APRN scope-of-practice
(SOP)
laws vary from state to state. In 16 states, APRNs have the authority to
practice
without a written agreement with a supervising physician, 9 states require
physician
involvement to prescribe but not to diagnose and treat, and in 24 states
physician
oversight is required to prescribe, diagnose, and treat. The definition of
“oversight,” however, varies by state, and most states allow collaboration or
supervision to occur remotely. There is also variation in SOP laws regarding

APRNs'
authority to supervise clinical staff. For example, one article notes a
requirement
in sections 2069–71 of the California Business and Professions Code that
doctors and
selected other professions— but not registered nurses—may supervise
California
medical assistants. While there is disagreement about whether APRNs should
practice
independently, the seemingly arbitrary variation in SOP laws among the states
is
nearly universally criticized. As an editorial from the Commonwealth Fund put
it,
“objectively interpreted data on the competencies of professionals should
guide
policy, not rigid, often antiquated state laws.” The National Governors
Association
and the Institute of Medicine (IOM) have criticized variation in SOP
regulations
among the states, and both argue that nurses should be able to practice to
the “full
extent of their education and training” in order to adapt to the changing
health
care system after the implementation of the Affordable Care Act (ACA), which
authorizes nurse-managed health clinics and other innovations. In March,
2014, a
report from the Federal Trade Commission, relying in large part on the IOM
report,
argued that physician supervision or collaborative practice agreement
requirements
“may sometimes restrict competition unnecessarily, which can be detrimental
to
health care consumers and have broader public health consequence,” that is,
“decreased access to health care services, higher health care costs, reduced
quality
of care, and less innovation in health care delivery.” In the context of the
ACA,
one emergent issue is whether some patient care teams should be led by a
nurse
practitioner instead of only a medical doctor. Other advocates for change
argue
that, nationally, removing restrictions on NP practice would improve access
to
primary care and allow NPs to emerge as leaders of the integrated teams that
are an
important component of new models for delivering primary care.,, THE IMPACT
OF STATE
SOP REGULATION: Despite the strong statements from multiple groups, there has
been
very little formal study of the impact of SOP laws on access to and quality
of care.
The National Governors Association report, supporting the elimination of most
SOP
restrictions for APRNs, notes: Although there is a growing body of evidence
from
health services research that suggests that NPs can deliver certain elements
of
primary care as well as physicians, there is a dearth of rigorous research
that
isolates the effect of NP scope of practice rules on health care quality,
cost, and
access at the state level. More restrictive SOP rules are probably associated
with
slower growth in the number of NPs and in the number of Medicare patients
cared for
by NPs. In both 2006 and 2010, the odds of having an NP as a primary care
provider
were 2.5 times higher in the least restrictive states compared to the most
restrictive states. These findings have not been directly associated with
overall
access to primary care, and it is unclear whether SOP rules exert this effect
directly, or indirectly via the policies of state and private payers. In an

extensive provider survey, “at the point of care, scope-of-practice laws were
not
found to have substantial impact across the study states on what services NPs
can
deliver, despite significant differences across states in the level of NP
autonomy…”
Rather, the study found that payer policies had more impact than SOP laws on
how and
where NPs can practice. Payers in states with restrictive SOP laws often add
additional restrictions, such as not recognizing NPs as primary care
providers, that
make independent NP practice difficult. In addition, Medicare policies do not
permit
a NP to order home health care or durable medical equipment, even in states
in which
NPs practice independently. Other arguments made by advocates for APRNs about
the
adverse effects of SOP restrictions are based on hypothetical reasoning or on
anecdotes concerning inefficient use of time and, in some cases, delay in

needed
care because a physician's approval was required to prescribe, order
equipment, or
admit a patient to the hospital. PHYSICIAN GROUP PERSPECTIVES: Physician
groups that
support SOP restrictions envision a system in which physicians delegate the
care of
less complex patients to (supervised) nurse practitioners; one physician
advocacy
group has estimated that “nurse practitioners and physician assistants are
capable
of providing 70% or more of the care required for adults and 90% in
pediatrics.”
According to J.K. Iglehart, the AMA supports team-based care but argues that
teams
should be led by medical doctors, as integrated systems such as Geisinger,
Kaiser
Permanente, and the VA have done. These groups also argue that physicians may
be
better able to manage complicated diagnostic problems, patients with multiple
chronic conditions, and unstable patients. These claims are plausible—as

Blumenthal
and Abrams note, “[p]hysicians and nurse practitioners receive very different
training, and it would be surprising if their competencies were identical.”

However,
no studies have been done to examine the validity of these beliefs. Physician
groups
also argue that policymakers should take into account that patients prefer
having a
medical doctor as a primary care provider and that use of the title “doctor”
by
APRNs who have completed doctoral training could confuse patients about the
training
of their provider. Evidence about patients' preferences regarding the type of
provider is conflicting. VETERANS HEALTH ADMINISTRATION PRACTICE ENVIRONMENT

AND
PREVIOUS RESEARCH: In the Veterans Health Administration (VHA), the use of
APRNs in
the delivery of health care, including primary, specialty, acute, and home
health
care, expanded greatly after the implementation of the Veterans Integrated
Service
Network (VISN) structure in October 1995 and the Veterans Health Care
Eligibility
Reform Act in 1996 (Public Law 104-262). These changes resulted in a shift to
local
and regional networks grounded in ambulatory and primary care, an increase in
the
number of patients served by the VHA, and an increase in the percentage of
patients
seeking primary care services: 20% in fiscal year 1994 to 76% in fiscal year
1996.
In 1996, 75% of VHA primary care practices reported using NPs and by 1999,
this
proportion had risen to 90%. Today the VHA employs over 4,700 nurse
practitioner
full time equivalents, 786 CRNAs, and 482 CNSs. Currently, although a single
unrestricted license allows APRNs to work at any VA facility, the VHA
observes
state-by-state rules regarding prescribing and admission privileges and
physician
supervision for APRNs. Each VA institution establishes its own policies
regarding
all other aspects of scope of practice. Advocates for “federal supremacy”
argue that
overriding state laws would “increase access to health care services, reduce
costs
and improve the quality and availability of health care” for Veterans by
eliminating
bureaucratic complexity and “artificial barriers” such as supervisory
requirements.,
They note that varying regulations for diagnosing and prescribing can delay
appropriate care and waste time and resources, particularly for CNSs in
cardiology
and other specialties working in VA facilities that serve patients from more
than
one state. Research on APRNs in the VHA has been sporadic, and has focused on
NPs
rather than CRNAs or CNSs. From 1995 to 1999, the VHA HSR&D conducted one
single-center RCT and several observational studies of the impact of NPs on
access
to specialty care, continuity of care, and resource use.- Some studies
demonstrated
improved continuity of and access to care after implementation of an
interdisciplinary firm system,- however, little research was conducted in the
2000s., The best recent data are from a 2011 cross-sectional study of all
VISN 11
primary care patients who had hypertension and/or diabetes. VISN 11 includes
2
states (Illinois, Michigan) with very restrictive scope of practice laws and
2
states (Ohio, Indiana) with moderately restrictive laws. The main findings
were: On
average, primary care NPs cared for less complicated patients than primary
care
physicians. MDs were caring for the more complex patients within the study
sites.
Provider type was not significantly associated with an elevated blood
pressure or
creatinine level in either diabetic or hypertensive patients nor with an
elevated
HbA1c in diabetics. Increased use of resources by NPs was not demonstrated.
NPs were
less likely than physicians to obtain psychiatric referrals. A survey of VISN
11 NPs
and MD providers was also part of this study. The main findings were: Over
80% of
NPs said they assess acutely ill/unstable patients on their own, and about
70% said
they also plan care and make medication changes on their own. VHA NPs and
physicians
reported a high degree of collegiality. Nevertheless, there were “striking
differences” between physicians' and nurses' beliefs about the NPs' scope of
practice. About 50% of physicians (vs 21% of NPs) were apprehensive about the
fact
that NPs function on their own, particularly for acute/unstable patients. A
2012 ESP
report reviewed the evidence on the role of primary care providers' skill
level (MD
vs NP/PA) in ambulatory care settings in influencing patient outcomes from a
VHA
perspective. The authors of the ESP report stated that they “did not review
studies
that examined the effect of skill levels on patient quality of care or
patient
safety as it is widely accepted that medical school or more training
increases
quality of care.” The best evidence the ESP identified came from 2 randomized
controlled trials which consistently found no difference in patient

satisfaction
with provider interaction when seeing a NP/PA instead of an MD. The ESP
report also
noted that a large VA study of patient satisfaction among 1.6 million
veterans seen
in 21 VISNs provided some limited information about impact of skill level:
patient
satisfaction increased in 3 VISNs that hired more NP/PAs. USE OF EVIDENCE IN
POLICY
DEBATES: In a policy paper, Newhouse and colleagues state “[o]nce the issue
of
comparability between APRN care and that delivered by physicians is set aside
in
favor of an integrated team concept, disciplines can focus on…overarching
goals”
such as developing patient-centered team care, reducing quality gaps, and
educating
an interprofessional workforce. Their recent systematic review of RCTs and
observational studies supports the emphasis on team care outlined in their
policy
paper. Including all types of APRNs, intermediate and health outcomes, and
various
patient populations and settings, Newhouse et al concluded that the outcomes
of care
provided by APRNs in collaboration with specialist or primary care physicians
are
similar to, or in some cases better than, the outcomes of care provided by a
physician alone. Although Newhouse et al's emphasis on the role of APRNs in
integrated teams is more relevant to the current organization of primary care
services in VHA, policy discussions about over-riding state SOP laws invoke
the
argument that APRNs working independently provide the same quality of care as
medical doctors.,, The Institute of Medicine, for example, claims that a

large body
of evidence “does not support the conclusion that APRNs are less able than
physicians to provide safe, effective, and efficient care.” Similarly, a
publication
from the Robert Wood Johnson Foundation (RWJF) asserts that “health outcomes
are
comparable for patients treated by primary care NPs and MDs.” Most articles
about
the role of APRNs do not explicitly define the autonomy of the nurses,
compare
non-autonomous nurses with physicians, or evaluate nurse-direct protocol-
driven care
for patients with specific conditions. However, studies like these are often
cited
in support of the claim that APRNs practicing autonomously provide the same
quality
of primary care as medical doctors. For example, the RWJF publication quoted
above
refers to a review by Naylor and Kurtzman that relied on 2 systematic reviews
published in 2002 and 2005, and 2additional randomized trials published in

2009.
Many of the trials included in 2 older systematic reviews were considered by
Naylor
and Kurtzman., The first additional trial comparing NP and general physician
care
was conducted 2 months after the NPs successfully completed a Masters-level
training
program. As nurses were not permitted to prescribe independently, physicians
were
“always available for consultation and to validate prescriptions and
referrals.” The
second randomized trial included in the Naylor and Kurtzman review evaluated
a
4-visit, computer-guided, nurse-led intervention for overweight and obese
patients
conducted in 11 general practice (GP) locations. Most research on APRNs has
evaluated team models of care or interventions designed to enhance care for
patients
with specific conditions (eg, incontinence, bronchiectasis, heart failure,
etc.).,,,
The evidence supporting the contributions of APRNs in team models of care,
protocol-driven care and nurse-led intervention focusing on a specific
patient
population is relevant to VHA and reasonably up-to-date., VA-ESP recently
published
a report that concluded there is strong evidence that nurse-managed protocols
help
to improve health outcomes among patients with moderate severity of diabetes,
hypertension, hyperlipidemia, and chronic heart failure. Nevertheless, the

issue of
the comparability of health outcomes of autonomous APRNs and physicians
continues to
be a cornerstone of the debate regarding state SOP rules. Because no previous
systematic review has focused on this issue, the VHA Office of Quality,
Safety and
Value commissioned the VA Evidence-based Synthesis Program (ESP) Coordinating
Center
to reevaluate recent, original studies that reported health outcomes.
FAU - McCleery, Ellen
AU - McCleery E
FAU - Christensen, Vivian
AU - Christensen V
FAU - Peterson, Kimberly
AU - Peterson K
FAU - Humphrey, Linda
AU - Humphrey L
FAU - Helfand, Mark
AU - Helfand M
LA - eng
PT - Review
PT - Book Chapter
PL - Washington (DC)
EDAT- 2014/09/01 00:00
CRDT- 2014/09/01 00:00
PMID- 28559410
OWN - NLM
STAT- MEDLINE
DCOM- 20180316
LR - 20181113
IS - 1083-7159 (Print)
IS - 1083-7159 (Linking)
VI - 22
IP - 6
DP - 2017 Jun
TI - Case Report: Encephalitis, with Brainstem Involvement, Following Checkpoint
Inhibitor Therapy in Metastatic Melanoma.
PG - 749-753
LID - 10.1634/theoncologist.2016-0366 [doi]
AB - Checkpoint inhibitors are increasingly being used in the treatment of
malignant
melanoma and other cancers. With the use of such therapies, autoimmune-
mediated
adverse events in the central and peripheral nervous system are likely to
occur more
frequently. We report a unique case of brainstem encephalitis with a sudden
lethal
outcome following ipilimumab and pembrolizumab therapy in a patient with
malignant
melanoma. The autopsy showed a diffuse nodular activation of microglia in the
whole
encephalon with prominent intraparenchymal and perivascular lymphocytic
infiltration
of the brainstem. Non-infectious brainstem encephalitis is a well-recognized
subset
of paraneoplastic encephalitis. Brainstem involvement is usually accompanied
by a
wide spectrum of signs and symptoms, which were not observed in this case.
The
timing of the clinical symptoms as well as the histopathological findings
suggest an
autoimmune-adverse event of ipilimumab and pembrolizumab administration
rather than
a paraneoplastic disorder. In the presence of neurological symptoms,
immediate
cessation of the immunotherapy and immunosuppressive therapy may lead to
successful
therapeutic intervention, as described in previous reports. Therefore, it is
crucial
that physicians are aware of the possible side effects of immunotherapies on
the
nervous system. IMPLICATIONS FOR PRACTICE: Metastatic melanoma patients
treated with
the anti-CTLA-4 inhibitor ipilimumab have a high utilization of various types
of
health care services, such as inpatient hospital stays or doctor visits.
There are
differences across countries regarding patterns of health care utilization
and
economic burden of the disease. Health care services are used more frequently
after
patients experience progression of their disease. The study highlights that
better
therapies leading to durable response in patients with metastatic melanoma
have the
potential to decrease health care costs and patient burden in terms of
hospitalizations and other health care services.
CI - © AlphaMed Press 2017.
FAU - Bossart, Simon
AU - Bossart S
AD - Department of Dermatology, University Hospital Zurich, Zurich, Switzerland.
AD - Department of Dermatology, University Hospital Inselspital, Bern,
Switzerland.
FAU - Thurneysen, Selina
AU - Thurneysen S
FAU - Rushing, Elisabeth
AU - Rushing E
AD - Institute of Neuropathology, University Hospital Zurich, Zurich, Switzerland.
FAU - Frontzek, Karl
AU - Frontzek K
FAU - Leske, Henning
AU - Leske H
FAU - Mihic-Probst, Daniela
AU - Mihic-Probst D
AD - Institute of Surgical Pathology, University Hospital Zurich, Zurich,
Switzerland.
FAU - Nagel, Hannes W
AU - Nagel HW
AD - Department of Nuclear Medicine, University Hospital Zurich, Zurich,
Switzerland.
FAU - Mangana, Johanna
AU - Mangana J
FAU - Goldinger, Simone M
AU - Goldinger SM
FAU - Dummer, Reinhard
AU - Dummer R
AD - Department of Dermatology, University Hospital Zurich, Zurich, Switzerland
reinhard.dummer@usz.ch.
LA - eng
PT - Case Reports
DEP - 20170530
TA - Oncologist
JT - The oncologist
JID - 9607837
RN - 0 (Antibodies, Monoclonal)
RN - 0 (Ipilimumab)
SB - IM
MH - Antibodies, Monoclonal/administration & dosage/*adverse effects
MH - Brain Stem/drug effects/pathology
MH - Encephalitis/chemically induced/*physiopathology
MH - Female
MH - Humans
MH - Immunotherapy
MH - Ipilimumab/administration & dosage/*adverse effects
MH - Melanoma/complications/*drug therapy/pathology
MH - Middle Aged
PMC - PMC5469589
COIS- Disclosures of potential conflicts of interest may be found at the end of
this
article.
EDAT- 2017/06/01 06:00
MHDA- 2018/03/17 06:00
CRDT- 2017/06/01 06:00
PHST- 2016/09/26 00:00 [received]
PHST- 2017/02/16 00:00 [accepted]
PHST- 2017/06/01 06:00 [pubmed]
PHST- 2018/03/17 06:00 [medline]
PHST- 2017/06/01 06:00 [entrez]
AID - theoncologist.2016-0366 [pii]
AID - ONCO12127 [pii]
AID - 10.1634/theoncologist.2016-0366 [doi]
PST - ppublish
SO - Oncologist. 2017 Jun;22(6):749-753. doi: 10.1634/theoncologist.2016-0366.
Epub 2017
May 30.
PMID- 21843219
OWN - NLM
STAT- MEDLINE
DCOM- 20120301
LR - 20181201
IS - 1069-6563 (Linking)
VI - 18
IP - 8
DP - 2011 Aug
TI - A population-based study of the association between socioeconomic status and
emergency department utilization in Ontario, Canada.
PG - 836-43
LID - 10.1111/j.1553-2712.2011.01127.x [doi]
AB - OBJECTIVES: The relative effects of socioeconomic status (SES) and health
status on
emergency department (ED) utilization are controversial. The authors examined
this
in a setting with universal health coverage. METHODS: For Ontario
participants age
20-74 years, Canadian Community Health Survey 2000 to 2001 responses were
linked to
Ontario Health Insurance Plan (OHIP) physician utilization data for 1999 to
2001 and
the National Ambulatory Care Reporting System (NACRS) for ED utilization in
2002.
SES was defined primarily according to high school completion and secondarily
according to income. The primary outcome was less urgent ED visit, defined as
Canadian Triage and Acuity Scale (CTAS) 4 or 5 and not admitted to hospital.
RESULTS: The weighted sample was 9,323,217. Overall, 31.4% of the sample used
an
Ontario ED in 2002. The majority of visits (59.1%) were classified as less
urgent.
Fair or poor self-perceived health was the largest predictor of ED use,
regardless
of visit urgency. Respondents with low education were more likely to have
both less
urgent visits (odds ratio [OR] = 1.65, 95% confidence interval [CI] = 1.35 to
1.94)
and more urgent visits (OR = 1.39, 95% CI = 1.09 to 1.68) after controlling
for age,
sex, income, self-perceived health, urban or rural location, regular doctor,
and
non-ED physician visits. Education was not associated with having less urgent
versus
more urgent visits (OR = 0.92, 95% CI = 0.68 to 1.14). CONCLUSIONS: In a
setting
with universal health insurance, worse health status is the largest predictor
of ED
utilization, but low SES is independently associated with increased use of
the ED,
regardless of visit urgency. This study lends support to findings in other
health
systems that those using EDs are more ill and more disadvantaged.
CI - © 2011 by the Society for Academic Emergency Medicine.
FAU - Khan, Yasmin
AU - Khan Y
AD - Division of Emergency Medicine, Department of Medicine, the Dalla Lana School
of
Public Health, University of Toronto, Ontario, Canada. yasmin.khan@uhn.on.ca
FAU - Glazier, Richard H
AU - Glazier RH
FAU - Moineddin, Rahim
AU - Moineddin R
FAU - Schull, Michael J
AU - Schull MJ
LA - eng
PL - United States
TA - Acad Emerg Med
JT - Academic emergency medicine : official journal of the Society for Academic
Emergency
Medicine
JID - 9418450
SB - IM
MH - Adult
MH - Aged
MH - Chronic Disease/therapy
MH - *Emergencies
MH - Female
MH - *Health Status
MH - Health Surveys
MH - Humans
MH - *Income
MH - Male
MH - Middle Aged
MH - Ontario
MH - Socioeconomic Factors
MH - Triage/statistics & numerical data
MH - Universal Health Insurance
MH - Young Adult
EDAT- 2011/08/17 06:00
MHDA- 2012/03/02 06:00
CRDT- 2011/08/17 06:00
PHST- 2011/08/17 06:00 [entrez]
PHST- 2011/08/17 06:00 [pubmed]
PHST- 2012/03/02 06:00 [medline]
AID - 10.1111/j.1553-2712.2011.01127.x [doi]
PST - ppublish
SO - Acad Emerg Med. 2011 Aug;18(8):836-43. doi: 10.1111/j.1553-2712.2011.01127.x.
PMID- 30582719
OWN - NLM
STAT- MEDLINE
DCOM- 20200113
LR - 20210109
IS - 1090-3127 (Linking)
VI - 23
IP - 4
DP - 2019 Jul-Aug
TI - Outcomes for Patients Who Contact the Emergency Ambulance Service and Are Not
Transported to the Emergency Department: A Data Linkage Study.

PG - 566-577
LID - 10.1080/10903127.2018.1549628 [doi]
AB - Objectives: Emergency ambulance services do not transport all patients to
hospital.
International literature reports non-transport rates ranging from 3.7-93.7%.
In
2017, 38% of the 11 million calls received by ambulance services in England
were
attended by ambulance but not transported to an Emergency Department (ED). A
further
10% received clinical advice over the telephone. Little is known about what
happens
to patients following a non-transport decision. We aimed to investigate what
happens
to patients following an emergency ambulance telephone call that resulted in
a
non-transport decision, using a linked routine data-set. Methods: Six-months
individual patient level data from one ambulance service in England, linked
with
Hospital Episode Statistics and national mortality data, were used to
identify
subsequent health events (ambulance re-contact, ED attendance, hospital
admission,
death) within 3 days (primary analysis) and 7 days (secondary analysis) of an
ambulance call ending in non-transport to hospital. Non-clinical staff used a
priority dispatch system e.g. Medical Priority Dispatch System to prioritize

calls
for ambulance dispatch. Non-transport to ED was determined by ambulance crew
members
at scene or clinicians at the emergency operating center when an ambulance
was not
dispatched (telephone advice). Results: The data linkage rate was 85% for
patients
who were discharged at scene (43,108/50,894). After removal of deaths
associated
with end of life care (N = 312), 9% (3,861/42,796) re-contacted the ambulance
service, 12.6% (5,412/42,796) attended ED, 6.3% (2,694/42,796) were admitted

to
hospital, and 0.3% (129/42,796) died within 3 days of the call. Rates were
higher
for events occurring within 7 days. For example, 12% re-contacted the
ambulance
service, 16.1% attended ED, 9.3% were admitted to hospital, and 0.5% died.
The
linkage rate for telephone advice calls was low because ambulance services
record
less information about these patients (24% 2,514/10,634). A sensitivity
analysis
identified a range of subsequent event rates: 2.5-10.5% of patients were
admitted to
hospital and 0.06-0.24% of patient died within 3 days of the call.
Conclusions: Most
non-transported patients did not have subsequent health events. Deaths after
non-transport are an infrequent event that could be selected for more
detailed
review of individual cases, to facilitate learning and improvement.
FAU - Coster, Joanne
AU - Coster J
AUID- ORCID: 0000-0002-0599-4222
FAU - O'Cathain, Alicia
AU - O'Cathain A
FAU - Jacques, Richard
AU - Jacques R
FAU - Crum, Annabel
AU - Crum A
FAU - Siriwardena, A Niroshan
AU - Siriwardena AN
FAU - Turner, Janette
AU - Turner J
LA - eng
DEP - 20190107
PL - England
TA - Prehosp Emerg Care
JT - Prehospital emergency care : official journal of the National Association of
EMS
Physicians and the National Association of State EMS Directors
JID - 9703530
SB - IM
MH - Adolescent
MH - Adult
MH - Aged
MH - Ambulances/*statistics & numerical data
MH - Child
MH - England
MH - Female
MH - Humans
MH - Infant
MH - Information Storage and Retrieval
MH - Male
MH - Middle Aged
MH - Outcome and Process Assessment, Health Care/*statistics & numerical data
MH - Young Adult
OTO - NOTNLM
OT - *ambulance
OT - *non-transport
OT - *patient outcomes
OT - *prehospital care
EDAT- 2018/12/26 06:00
MHDA- 2020/01/14 06:00
CRDT- 2018/12/25 06:00
PHST- 2018/12/26 06:00 [pubmed]
PHST- 2020/01/14 06:00 [medline]
PHST- 2018/12/25 06:00 [entrez]
AID - 10.1080/10903127.2018.1549628 [doi]
PST - ppublish
SO - Prehosp Emerg Care. 2019 Jul-Aug;23(4):566-577. doi:
10.1080/10903127.2018.1549628.
Epub 2019 Jan 7.
PMID- 25872970
OWN - NLM
STAT- MEDLINE
DCOM- 20161216
LR - 20200401
IS - 0099-1767 (Print)
IS - 0099-1767 (Linking)
VI - 41
IP - 5
DP - 2015 Sep
TI - Emergency Department Placement and Management of Indwelling Urinary Catheters
in
Older Adults: Knowledge, Attitudes, and Practice.
PG - 414-22
LID - S0099-1767(15)00115-4 [pii]
LID - 10.1016/j.jen.2015.02.013 [doi]
AB - Indwelling urinary catheters (IUCs) are placed frequently in older adults in
the
emergency department (ED). Though often a critical intervention, IUCs carry
significant risks. Our objective was to examine current knowledge, attitudes,
and
practice of emergency nurses and other providers regarding IUC placement and
management in older adults. METHODS: We surveyed ED providers at a large,
urban,
academic medical center. We developed questionnaires using items from
previously
validated instruments and questions created for this study. We also assessed
providers' management of 25 unique clinical scenarios, each representing an
established appropriate or inappropriate indication for IUC placement.
RESULTS: 129
ED providers participated: 43 nurses and 86 other providers. Ninety-one
percent of
nurses and 87% of other providers reported comfort with appropriate
indications for
IUC placement. Despite this, on the clinical vignettes, nurses correctly
identified
the appropriate approach for IUC placement in only 40% of cases and other
providers
in only 37%. Practice varied widely between individual providers, with the
nurse
participants reporting appropriate practice in 16%-64% of clinical scenarios
and
other providers in 8%-68%. Few nurses or other providers reported reassessing
their
patients for IUC removal at transfer to the hospital (28% of nurses and 7% of
other
providers), admission (24% and 14%), or shift change (14% and 8%).
DISCUSSION:
Although emergency nurses and other providers report comfort with appropriate
indications for IUC placement, reported practice patterns showed

inconsistencies
with established guidelines. Wide practice variation exists between
individual
providers. Moreover, nurses and other providers infrequently consider IUC
removal
after placement.
CI - Copyright © 2015 Emergency Nurses Association. Published by Elsevier Inc. All
rights
reserved.
FAU - Viswanathan, Kartik
AU - Viswanathan K
AD - New York, NY.
FAU - Rosen, Tony
AU - Rosen T
AD - New York, NY. Electronic address: aer2006@med.cornell.edu.
FAU - Mulcare, Mary R
AU - Mulcare MR
AD - New York, NY.
FAU - Clark, Sunday
AU - Clark S
AD - New York, NY.
FAU - Hayes, Jaime
AU - Hayes J
AD - New York, NY.
FAU - Lachs, Mark S
AU - Lachs MS
AD - New York, NY.
FAU - Flomenbaum, Neal E
AU - Flomenbaum NE
AD - New York, NY.
LA - eng
GR - K24 AG022399/AG/NIA NIH HHS/United States
DEP - 20150411
TA - J Emerg Nurs
JT - Journal of emergency nursing
JID - 7605913
SB - N
MH - Aged
MH - Catheters, Indwelling/*statistics & numerical data
MH - Emergency Nursing/*methods
MH - Female
MH - Humans
MH - Male
MH - Nursing Staff, Hospital/psychology/statistics & numerical data
MH - Urinary Catheterization/psychology/*statistics & numerical data
MH - Urinary Catheters/*statistics & numerical data
PMC - PMC4633299
MID - NIHMS731373
OTO - NOTNLM
OT - Catheter-related UTI
OT - Emergency nursing
OT - Geriatrics
OT - Patient safety
OT - Urinary catheters
EDAT- 2015/04/16 06:00
MHDA- 2016/12/17 06:00
CRDT- 2015/04/16 06:00
PHST- 2014/10/07 00:00 [received]
PHST- 2015/02/05 00:00 [revised]
PHST- 2015/02/23 00:00 [accepted]
PHST- 2015/04/16 06:00 [entrez]
PHST- 2015/04/16 06:00 [pubmed]
PHST- 2016/12/17 06:00 [medline]
AID - S0099-1767(15)00115-4 [pii]
AID - 10.1016/j.jen.2015.02.013 [doi]
PST - ppublish
SO - J Emerg Nurs. 2015 Sep;41(5):414-22. doi: 10.1016/j.jen.2015.02.013. Epub
2015 Apr
11.
PMID- 23466910
OWN - NLM
STAT- MEDLINE
DCOM- 20130826
LR - 20181113
IS - 0899-823X (Print)
VI - 34
IP - 4
DP - 2013 Apr
TI - Respiratory virus shedding in a cohort of on-duty healthcare workers
undergoing
prospective surveillance.
PG - 373-8
LID - 10.1086/669857 [doi]
AB - BACKGROUND: Healthcare-associated transmission of respiratory viruses is a
concerning patient safety issue. DESIGN: Surveillance for influenza virus
among a
cohort of healthcare workers (HCWs) was conducted in a tertiary care
children's
hospital from November 2009 through April 2010 using biweekly nasal swab
specimen
collection. If a subject reported respiratory symptoms, an additional
specimen was
collected. Specimens from ill HCWs and a randomly selected sample from
asymptomatic
subjects were tested for additional respiratory viruses by multiplex
polymerase
chain reaction (PCR). RESULTS: A total of 1,404 nasal swab specimens were
collected
from 170 enrolled subjects. Influenza circulated at very low levels during
the
surveillance period, and 74.2% of subjects received influenza vaccination.
Influenza
virus was not detected in any specimen. Multiplex respiratory virus PCR
analysis of
all 119 specimens from symptomatic subjects and 200 specimens from
asymptomatic
subjects yielded a total of 42 positive specimens, including 7 (16.7%) in
asymptomatic subjects. Viral shedding was associated with report of any
symptom
(odds ratio [OR], 13.06 [95% confidence interval, 5.45-31.28]; [Formula: see
text])
and younger age (OR, 0.96 [95% confidence interval, 0.92-0.99]; [Formula: see
text])
when controlled for sex and occupation of physician or nurse. After the
surveillance
period, 46% of subjects reported working while ill with an influenza-like
illness
during the previous influenza season. CONCLUSIONS: In this cohort, HCWs
working
while ill was common, as was viral shedding among those with symptoms.
Asymptomatic
viral shedding was infrequent but did occur. HCWs should refrain from patient
care
duties while ill, and staffing contingencies should accommodate them.
FAU - Esbenshade, Jennifer C
AU - Esbenshade JC
AD - Department of Pediatrics, Vanderbilt University School of Medicine,
Nashville, TN
37232, USA.
FAU - Edwards, Kathryn M
AU - Edwards KM
FAU - Esbenshade, Adam J
AU - Esbenshade AJ
FAU - Rodriguez, Vanessa E
AU - Rodriguez VE
FAU - Talbot, H Keipp
AU - Talbot HK
FAU - Joseph, Marlon F
AU - Joseph MF
FAU - Nwosu, Samuel K
AU - Nwosu SK
FAU - Chappell, James D
AU - Chappell JD
FAU - Gern, James E
AU - Gern JE
FAU - Williams, John V
AU - Williams JV
FAU - Talbot, Thomas R
AU - Talbot TR
LA - eng
GR - 1 UL1 RR024975/RR/NCRR NIH HHS/United States
GR - 1U01 IP000022/IP/NCIRD CDC HHS/United States
GR - 1T32HD060554-01/HD/NICHD NIH HHS/United States
GR - T32 HD060554/HD/NICHD NIH HHS/United States
GR - U01 IP000022/IP/NCIRD CDC HHS/United States
GR - L40 AI084726/AI/NIAID NIH HHS/United States
DEP - 20130208
TA - Infect Control Hosp Epidemiol
JT - Infection control and hospital epidemiology
JID - 8804099
SB - IM
SB - N
MH - Adolescent
MH - Adult
MH - Aged
MH - Asymptomatic Diseases
MH - Cohort Studies
MH - Female
MH - Humans
MH - Infection Control
MH - Influenza, Human/diagnosis/prevention & control
MH - Male
MH - Middle Aged
MH - Multiplex Polymerase Chain Reaction
MH - Nasal Mucosa/*virology
MH - Respiratory Tract Infections/*diagnosis/prevention & control/virology
MH - Single-Blind Method
MH - Tennessee
MH - Vaccination/statistics & numerical data
MH - Virus Diseases/*diagnosis/prevention & control/virology
MH - *Virus Shedding
MH - Young Adult
PMC - PMC3730277
MID - NIHMS493258
EDAT- 2013/03/08 06:00
MHDA- 2013/08/27 06:00
CRDT- 2013/03/08 06:00
PHST- 2013/03/08 06:00 [entrez]
PHST- 2013/03/08 06:00 [pubmed]
PHST- 2013/08/27 06:00 [medline]
AID - 10.1086/669857 [doi]
PST - ppublish
SO - Infect Control Hosp Epidemiol. 2013 Apr;34(4):373-8. doi: 10.1086/669857.
Epub 2013
Feb 8.
PMID- 30552238
OWN - NLM
STAT- MEDLINE
DCOM- 20191104
LR - 20200309
IS - 2044-6055 (Linking)
VI - 8
IP - 12
DP - 2018 Dec 14
TI - Emergency Room Safer Transfer of Patients (ER-STOP): a quality improvement
initiative at a community-based hospital to improve the safety of emergency
room
patient handovers.
PG - e019553
LID - 10.1136/bmjopen-2017-019553 [doi]
LID - e019553
AB - OBJECTIVES: Ensure early identification and timely management of patient
deterioration as essential components of safe effective healthcare. Prompted
by
analyses of incident reports and deterioration events, a multicomponent
organisational rescue from danger system was redesigned to decrease
unexpected
inpatient deterioration. DESIGN: Quality improvement before-after unblinded
trial.
SETTING: 430-bed Canadian community teaching hospital. PARTICIPANTS: All
admitted
adult medical-surgical patients in a before-after 12-month interventional
study.
INTERVENTION: Locally validated checklist (Modified Early Warning
Score+urinary catheter in situ+nurse concern) with an intentional pause and
explicit
management options was deployed as a modification of an existing ward
transfer of
accountability fax report in the emergency department (ED). RESULTS:
Following
deployment of Emergency Room Safer Transfer of Patients (ER-STOP), the risk
of an
unexpected CCRT (critical care response team) response within 24 hours of
admission
from ED to adult medical and surgical wards was significantly decreased (OR
4.1,
95% CI 2.17 to 7.77). Mean (±SD) ED wait times (5.66±1.54vs 5.74±1.04 hours,
p=0.30), intensive care unit admission rate (3.84%, n=233vs 4.61%, n=278,
p=0.06)
and cardiac care unit admission rate (9.51%, n=577vs 9.60%, n=579, p=0.198)
were
unchanged. CONCLUSIONS: ER-STOP improvement was out of proportion to the
predictive
value of the checklist component suggesting that effectiveness of this low-
cost
sustainable tool was related to increased situational awareness, empowering a
culture of patient safety and repurposing of an adjacent ED medical short-

stay unit
use. Local adaptation within existing processes is essential to successful
safety
outcomes.
FAU - Norman, Savannah
AU - Norman S
AD - Department of Medicine, Royal College of Surgeons in Ireland, Dublin,
Ireland.
FAU - DeCicco, Frank
AU - DeCicco F
AD - Operational Excellence and Sustainability, Michael Garron Hospital, Toronto,
Ontario, Canada.
FAU - Sampson, Jennifer
AU - Sampson J
AD - Emergency Medicine, Michael Garron Hospital, Toronto, Ontario, Canada.
FAU - Fraser, Ian M
AU - Fraser IM
AD - Department of Medicine, Division of Respirology, University of Toronto and
Michael
Garron Hospital, Michael Garron Hospital, Toronto, Ontario, Canada.
LA - eng
SI - Dryad/10.5061/dryad.v8kc47p
DEP - 20181214
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adolescent
MH - Adult
MH - Aged
MH - Canada
MH - Checklist
MH - Diagnosis-Related Groups
MH - Emergency Service, Hospital/*organization & administration
MH - Female
MH - Hospitals, Community/*organization & administration
MH - Hospitals, Teaching/*organization & administration
MH - Humans
MH - Male
MH - Middle Aged
MH - Patient Handoff/*organization & administration
MH - Patient Transfer/*organization & administration
MH - Young Adult
PMC - PMC6303585
OTO - NOTNLM
OT - *quality In health care
EDAT- 2018/12/16 06:00
MHDA- 2019/11/05 06:00
CRDT- 2018/12/16 06:00
PHST- 2018/12/16 06:00 [entrez]
PHST- 2018/12/16 06:00 [pubmed]
PHST- 2019/11/05 06:00 [medline]
AID - 10.1136/bmjopen-2017-019553 [doi]
PST - epublish
PMID- 27583910
OWN - NLM
STAT- MEDLINE
DCOM- 20170207
LR - 20210109
IS - 0025-7974 (Print)
IS - 0025-7974 (Linking)
VI - 95
IP - 35
DP - 2016 Aug
TI - Influence of patient and provider factors on the workload of on-call
physicians: A
general internal medicine cohort observational study.
PG - e4719
LID - 10.1097/MD.0000000000004719 [doi]
LID - e4719
AB - Factors associated with the physician workload are scarcely reported. The
study aims
to investigate the associated factors of on-call physician workload based on
a
published conceptual framework.The study was conducted in a general internal
medicine unit of National Taiwan University Hospital. On-call physician
workloads
were recorded on a shift basis from 1198 hospitalized patients between May
2010 and
April 2011. The proxy of on-call workloads included night calls, bedside
evaluation/management (E/M), and performing clinical procedures in a shift.
Multivariable logistic and negative binomial regression models were used to
determine the factors associated with the workloads of on-call
physicians.During the
study period, 378 (31.6%) of patients had night calls with related workloads.
Multivariate analysis showed that the number of patients with unstable

conditions in
a shift (odds ratio [OR] 1.89 and 1.66, respectively) and the intensive care
unit
(ICU) training of the nurse leader (OR 2.87 and 3.08, respectively) resulted
in
higher likelihood of night calls to and bedside E/M visits by the on-call
physician.
However, ICU training of nurses (OR = 0.37, 95% confidence interval: 0.16-
0.86)
decreased the demand of performing clinical procedures by the on-call
physician.
Moreover, number of patients with unstable conditions (risk ratio [RR] 1.52
and
1.55, respectively) had significantly increased the number of night calls and
bedside E/M by on-call physicians by around 50%. Nurses with N1 level (RR
2.16 and
2.71, respectively) were more likely to place night calls and facilitate
bedside E/M
by the on-call physician compared to nurses with N0 level. In addition, the
nurse
leaders with ICU training (RR 1.72 and 3.07, respectively) had significant
increases
in night calls and bedside E/M by the on-call physician compared to those
without
ICU training.On-call physician workload is associated with patient factors
and the
training of nurses. Number of unstable patients in a shift may be considered
in
predicting workload. The training of nurses may improve patient safety and
decrease
demand for clinical procedure.
FAU - Hsu, Nin-Chieh
AU - Hsu NC
AD - Division of Hospital Medicine Department of Internal Medicine Department of
Traumatology Center of Quality Management Department of Surgery, National
Taiwan
University Hospital Institute of Health Policy and Management, College of
Public
Health, National Taiwan University Department of Orthopedics, Kaohsiung
Medical
University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
FAU - Huang, Chun-Che
AU - Huang CC
FAU - Jerng, Jih-Shuin
AU - Jerng JS
FAU - Hsu, Chia-Hao
AU - Hsu CH
FAU - Yang, Ming-Chin
AU - Yang MC
FAU - Chang, Ray-E
AU - Chang RE
FAU - Ko, Wen-Je
AU - Ko WJ
FAU - Yu, Chong-Jen
AU - Yu CJ
LA - eng
JT - Medicine
JID - 2985248R
SB - AIM
SB - IM
MH - Aged
MH - Critical Care
MH - Critical Care Nursing/education
MH - Female
MH - Hospitals, University/organization & administration
MH - Humans
MH - Internal Medicine/*organization & administration
MH - Male
MH - Medical Staff, Hospital/*organization & administration
MH - Patient Safety
MH - Taiwan
MH - *Workload
PMC - PMC5008594
EDAT- 2016/09/02 06:00
MHDA- 2017/02/09 06:00
CRDT- 2016/09/02 06:00
PHST- 2016/09/02 06:00 [entrez]
PHST- 2016/09/02 06:00 [pubmed]
PHST- 2017/02/09 06:00 [medline]
AID - 00005792-201608300-00070 [pii]
AID - 10.1097/MD.0000000000004719 [doi]
PST - ppublish
SO - Medicine (Baltimore). 2016 Aug;95(35):e4719. doi:
10.1097/MD.0000000000004719.
PMID- 26566407
OWN - NLM
DCOM- 20151114
LR - 20200930
IS - 1918-3003 (Print)
IS - 1918-3003 (Linking)
VI - 7
IP - 12
DP - 2015 Dec
TI - Patterns of the Demographics, Clinical Characteristics, and Resource
Utilization
Among Maternal Decedents in Texas, 2001 - 2010: A Population-Based Cohort
Study.
PG - 937-46
LID - 10.14740/jocmr2338w [doi]
AB - BACKGROUND: Contemporary reporting of maternal mortality is focused on
single,
mutually exclusive causes of death among a minority of maternal decedents
(pregnancy-related deaths), reflecting initial events leading to death.
Although
obstetric patients are susceptible to the lethal effects of downstream, more
proximate contributors to death and to conditions not caused or precipitated
by
pregnancy, the burden of both categories and related patients' attributes is
invisible to clinicians and healthcare policy makers with the current
reporting
system. Thus, the population-level demographics, clinical characteristics,
and
resource utilization associated with pregnancy-associated deaths in the
United
States have not been adequately characterized. METHODS: We used the Texas
Inpatient
Public Use Data File to perform a population-based cohort study of the
patterns of
demographics, chronic comorbidity, occurrence of early maternal demise,
potential
contributors to maternal death, and resource utilization among maternal
decedents in
the state during 2001 - 2010. RESULTS: There were 557 maternal decedents
during
study period. Chronic comorbidity was reported in 45.2%. Most women (74.1%)
were
admitted to an ICU. Hemorrhage (27.8%), sepsis (23.5%), and cardiovascular
conditions (22.6%) were the most commonly reported potential contributing
conditions
to maternal death, varying across categories of pregnancy-associated
hospitalizations. More than one condition was reported in 39% of decedents.
One in
three women died during their first day of hospitalization, with no
significant
change over the past decade. The mean hospital length of stay was 7.9 days
and total
hospital charges were $250,000 or higher in 65 (11.7%) women. CONCLUSIONS:
The
findings of the high burden of chronic illness, patterns of occurrence of a
broad
array of potential contributing conditions to pregnancy-associated death, and
the
resource-intensive needs of a large contemporary population-based cohort of
maternal
decedents may better inform preventive and intervention measures at the
bedside and
as healthcare policy priorities. The prevalent and unchanged occurrence of
rapid
maternal demise following presentation for hospitalization supports a special
focus
on means to identify and effectively address front-line clinician- and
healthcare
system-related performance areas that can improve maternal outcomes. The
common
reporting of more than one potential contributing condition underscores the
complexity of determination of causes of maternal death.
FAU - Oud, Lavi
AU - Oud L
AD - Division of Pulmonary and Critical Care Medicine, Department of Internal
Medicine,
Texas Tech University Health Sciences Center at the Permian Basin, Odessa, TX
79763,
USA. Email: lavi.oud@ttuhsc.edu.
LA - eng
DEP - 20151023
TA - J Clin Med Res
JT - Journal of clinical medicine research
JID - 101538301
PMC - PMC4625814
OTO - NOTNLM
OT - Mortality
OT - Pregnancy
OT - Resource utilization
EDAT- 2015/11/14 06:00
MHDA- 2015/11/14 06:01
CRDT- 2015/11/14 06:00
PHST- 2015/09/22 00:00 [accepted]
PHST- 2015/11/14 06:00 [entrez]
PHST- 2015/11/14 06:00 [pubmed]
PHST- 2015/11/14 06:01 [medline]
AID - 10.14740/jocmr2338w [doi]
PST - ppublish
SO - J Clin Med Res. 2015 Dec;7(12):937-46. doi: 10.14740/jocmr2338w. Epub 2015
Oct 23.
PMID- 29735477
OWN - NLM
LR - 20200930
IS - 2291-9694 (Print)
VI - 6
IP - 2
DP - 2018 May 7
TI - Finding Meaning in Medication Reconciliation Using Electronic Health Records:
Qualitative Analysis in Safety Net Primary and Specialty Care.

PG -e10167
LID -10.2196/10167 [doi]
LID -e10167
AB -BACKGROUND: Safety net health systems face barriers to effective ambulatory
medication reconciliation for vulnerable populations. Although some
electronic
health record (EHR) systems offer safety advantages, EHR use may affect the
quality
of patient-provider communication. OBJECTIVE: This mixed-methods
observational study
aimed to develop a conceptual framework of how clinicians balance the demands
and
risks of EHR and communication tasks during medication reconciliation
discussions in
a safety net system. METHODS: This study occurred 3 to 16 (median 9) months
after
new EHR implementation in five academic public hospital clinics. We video
recorded
visits between English-/Spanish-speaking patients and their primary/specialty
care
clinicians. We analyzed the proportion of medications addressed and coded
time spent
on nonverbal tasks during medication reconciliation as "multitasking EHR
use,"
"silent EHR use," "non-EHR multitasking," and "focused patient-clinician
talk."
Finally, we analyzed communication patterns to develop a conceptual
framework.
RESULTS: We examined 35 visits (17%, 6/35 Spanish) between 25 patients (mean
age 57,
SD 11 years; 44%, 11/25 women; 48%, 12/25 Hispanic; and 20%, 5/25 with
limited
health literacy) and 25 clinicians (48%, 12/25 primary care). Patients had
listed a
median of 7 (IQR 5-12) relevant medications, and clinicians addressed a
median of 3
(interquartile range [IQR] 1-5) medications. The median duration of
medication
reconciliation was 2.1 (IQR 1.0-4.2) minutes, comprising a median of 10% (IQR
3%-17%) of visit time. Multitasking EHR use occurred in 47% (IQR 26%-70%) of
the
medication reconciliation time. Silent EHR use and non-EHR multitasking
occurred a
smaller proportion of medication reconciliation time, with a median of 0% for
both.
Focused clinician-patient talk occurred a median of 24% (IQR 0-39%) of
medication
reconciliation time. Five communication patterns with EHR medication
reconciliation
were observed: (1) typical EHR multitasking for medication reconciliation,
(2)
dynamic EHR use to negotiate medication discrepancies, (3) focused patient-
clinician
talk for medication counseling and addressing patient concerns, (4)
responding to
patient concerns while maintaining EHR use, and (5) using EHRs to engage
patients
during medication reconciliation. We developed a conceptual diagram
representing the
dilemma of the multitasking clinician during medication reconciliation.
CONCLUSIONS:
Safety net visits involve multitasking EHR use during almost half of
medication
reconciliation time. The multitasking clinician balances the cognitive and
emotional
demands posed by incoming information from multiple sources, attempts to
synthesize
and act on this information through EHR and communication tasks, and adopts
strategies of silent EHR use and focused patient-clinician talk that may help
mitigate the risks of multitasking. Future studies should explore diverse

patient
perspectives about clinician EHR multitasking, clinical outcomes related to
EHR
multitasking, and human factors and systems engineering interventions to
improve the
safety of EHR use during the complex process of medication reconciliation.
CI - ©George Yaccoub Matta, Elaine C Khoong, Courtney R Lyles, Dean Schillinger,
Neda
Ratanawongsa. Originally published in JMIR Medical Informatics
(http://medinform.jmir.org), 07.05.2018.
FAU - Matta, George Yaccoub
AU - Matta GY
AUID- ORCID: 0000-0003-1745-8934
AD - Division of General Internal Medicine, University of California, San
Francisco, San
Francisco, CA, United States.
AD - UCSF Center for Vulnerable Populations, Zuckerberg San Francisco General
Hospital,
San Francisco, CA, United States.
FAU - Khoong, Elaine C
AU - Khoong EC
AUID- ORCID: 0000-0002-2514-3572
Francisco, San
FAU - Lyles, Courtney R
AU - Lyles CR
AUID- ORCID: 0000-0002-1111-8595
Francisco, San
Hospital,
FAU - Schillinger, Dean
AU - Schillinger D
AUID- ORCID: 0000-0002-7221-7327
Francisco, San
Hospital,
FAU - Ratanawongsa, Neda
AU - Ratanawongsa N
AUID- ORCID: 0000-0001-9944-6923
Francisco, San
Hospital,
LA - eng
GR - R01 LM012355/LM/NLM NIH HHS/United States
GR - P30 DK092924/DK/NIDDK NIH HHS/United States
DEP - 20180507
JID - 101645109
PMC - PMC5962827
OTO - NOTNLM
OT - communication
OT - electronic health records
OT - patient safety
OT - physician-patient relations
EDAT- 2018/05/08 06:00
MHDA- 2018/05/08 06:01
CRDT- 2018/05/09 06:00
PHST- 2018/02/18 00:00 [received]
PHST- 2018/04/22 00:00 [accepted]
PHST- 2018/04/02 00:00 [revised]
PHST- 2018/05/09 06:00 [entrez]
PHST- 2018/05/08 06:00 [pubmed]
PHST- 2018/05/08 06:01 [medline]
AID - 10.2196/10167 [doi]
PST - epublish
SO - JMIR Med Inform. 2018 May 7;6(2):e10167. doi: 10.2196/10167.
PMID- 30094341
OWN - NLM
LR - 20191120
IS - 2399-6641 (Linking)
VI - 7
IP - 3
DP - 2018
TI - Managing alarm systems for quality and safety in the hospital setting.
PG - e000202
LID - 10.1136/bmjoq-2017-000202 [doi]
LID - e000202
AB - OBJECTIVE: To provide an overview of documented studies and initiatives that
demonstrate efforts to manage and improve alarm systems for quality in
healthcare by
human, organisational and technical factors. METHODS: A literature review, a
grey
literature review, interviews and a review of alarm-related standards (IEC
60601-1-8, IEC 62366-1:2015 and ANSI/Advancement of Medical Instrumentation
HE
75:2009/2013) were conducted. Qualitative analysis was conducted to identify
common
themes of improvement elements in the literature and grey literature reviews,
interviews and the review of alarm-related standards. RESULTS: 21 articles

and 7
publications on alarm quality improvement work were included in the
literature and
grey literature reviews, in which 10 themes of improvement elements were
identified.
The 10 themes were categorised into human factors (alarm training and
education,
multidisciplinary teamwork, alarm safety culture), organisational factors
(alarm
protocols and standard procedures, alarm assessment and evaluation, alarm
inventory
and prioritisation, and sharing and learning) and technical factors (machine
learning, alarm configuration and alarm design). 26 clinicians were
interviewed. 9
of the 10 themes were identified from the interview responses. The review of
the
standards identified 3 of the 10 themes. The study findings are also
presented in a
step-by-step guide to optimise implementation of the improvement elements for
healthcare organisations. CONCLUSIONS: Improving alarm safety can be achieved

by
incorporating human, organisational and technical factors in an integrated
approach.
There is still a gap between alarm-related standards and how the standards
are
translated into practice, especially in a clinical environment that uses
multiple
alarming medical devices from different manufacturers. Standardisation across
devices and manufacturers and the use of machine learning in improving alarm
safety
should be discussed in future collaboration between alarm manufacturers, end
users
and regulators.
FAU - Bach, Tita Alissa
AU - Bach TA
AD - Group Technology and Research, Life Sciences program, DNV GL AS, Hovik,
Norway.
FAU - Berglund, Lars-Martin
AU - Berglund LM
Norway.
FAU - Turk, Eva
AU - Turk E
Norway.
LA - eng
DEP - 20180725
TA - BMJ Open Qual
JID - 101710381
PMC - PMC6069923
OTO - NOTNLM
OT - human factors
OT - management
OT - patient safety
EDAT- 2018/08/11 06:00
MHDA- 2018/08/11 06:01
CRDT- 2018/08/11 06:00
PHST- 2017/09/08 00:00 [received]
PHST- 2018/03/19 00:00 [revised]
PHST- 2018/05/25 00:00 [accepted]
PHST- 2018/08/11 06:00 [entrez]
PHST- 2018/08/11 06:00 [pubmed]
PHST- 2018/08/11 06:01 [medline]
AID - bmjoq-2017-000202 [pii]
AID - 10.1136/bmjoq-2017-000202 [doi]
PST - epublish
SO - BMJ Open Qual. 2018 Jul 25;7(3):e000202. doi: 10.1136/bmjoq-2017-000202.
eCollection
2018.
PMID- 30899294
OWN - NLM
LR - 20201001
IS - 1734-1922 (Print)
IS - 1734-1922 (Linking)
VI - 15
IP - 2
DP - 2019 Mar
TI - Standardised electronic algorithms for monitoring prophylaxis of
postoperative
nausea and vomiting.
PG - 408-415
LID - 10.5114/aoms.2019.83293 [doi]
AB - INTRODUCTION: Despite comprehensive guidelines with high-grade evidence,
postoperative nausea and vomiting (PONV) remains a frequent problem in
anaesthesia
care. Anaesthesia information management systems (AIMS) may aid clinicians in
PONV
prevention, but their benefit is critically dependent on the details of
implementation into practice. This study aimed to examine strengths and
weaknesses
of the local AIMS-based algorithm in prevention of PONV. MATERIAL AND
METHODS: This
retrospective study was conducted in the post-anaesthesia care unit (PACU) of
a
university hospital and included 10 604 patients aged 18 or older who were
followed
up in the PACU (intracranial, obstetrical or cardiothoracic surgery excluded)
from
March 2013 until March 2014. The PONV incidence in PACU and AIMS data
validity were
analysed. RESULTS: Adherence to PONV guideline recommendations was
considerably low,
with only 5749 (54%) of the patients receiving correct PONV prophylaxis. Two
thousand seven hundred sixty-six (26%) of the patients received an
insufficient PONV
prophylaxis, which was associated with an excess PONV incidence (11% vs. 4%
with
correct prophylaxis, p < 0.001) in the PACU. Two thousand four hundred forty-
nine
(23%) of all patients were discharged from the PACU with an insufficient PONV
prophylaxis despite perioperative digital PONV prevention algorithms.

CONCLUSIONS:
Adherence to PONV prophylaxis guidelines in the era of AIMS software and
decision
support is still remarkably low. The AIMS data usefulness depends on the
user, the
type of data input and the configuration of the software. Adherence to
correct PONV
prophylaxis should be re-evaluated systematically before discharge from PACU.
FAU - Gillmann, Hans-Jörg
AU - Gillmann HJ
AD - Department of Anaesthesiology and Intensive Care Medicine, Hannover Medical
School,
Hannover, Germany.
FAU - Wasilenko, Sascha
AU - Wasilenko S
School,
Hannover, Germany.
FAU - Züger, Jonathan
AU - Züger J
School,
Hannover, Germany.
FAU - Petersen, Antje
AU - Petersen A
School,
Hannover, Germany.
FAU - Klemann, Anna
AU - Klemann A
School,
Hannover, Germany.
FAU - Leffler, Andreas
AU - Leffler A
School,
Hannover, Germany.
FAU - Stueber, Thomas
AU - Stueber T
School,
Hannover, Germany.
LA - eng
DEP - 20190304
TA - Arch Med Sci
JT - Archives of medical science : AMS
JID - 101258257
PMC - PMC6425213
OTO - NOTNLM
OT - anaesthesia information management systems
OT - anaesthesiology
OT - documentation
OT - patient safety
OT - perioperative management
OT - postoperative nausea and vomiting
EDAT- 2019/03/23 06:00
MHDA- 2019/03/23 06:01
CRDT- 2019/03/23 06:00
PHST- 2017/01/23 00:00 [received]
PHST- 2017/03/28 00:00 [accepted]
PHST- 2019/03/23 06:00 [entrez]
PHST- 2019/03/23 06:00 [pubmed]
PHST- 2019/03/23 06:01 [medline]
AID - 35961 [pii]
AID - 10.5114/aoms.2019.83293 [doi]
PST - ppublish
SO - Arch Med Sci. 2019 Mar;15(2):408-415. doi: 10.5114/aoms.2019.83293. Epub 2019
Mar 4.
PMID- 27449672
OWN - NLM
STAT- MEDLINE
DCOM- 20171107
LR - 20181113
IS - 1471-2296 (Linking)
VI - 17
DP - 2016 Jul 22
TI - Preventing Acute Kidney Injury: a qualitative study exploring 'sick day
rules'
implementation in primary care.
PG - 91
LID - 10.1186/s12875-016-0480-5 [doi]
LID - 91
AB - BACKGROUND: In response to growing demand for urgent care services there is a
need
to implement more effective strategies in primary care to support patients
with
complex care needs. Improving primary care management of kidney health
through the
implementation of 'sick day rules' (i.e. temporary cessation of medicines) to
prevent Acute Kidney Injury (AKI) has the potential to address a major
patient
safety issue and reduce unplanned hospital admissions. The aim of this study
is to
examine processes that may enable or constrain the implementation of 'sick
day
rules' for AKI prevention into routine care delivery in primary care.
METHODS: Forty
semi-structured interviews were conducted with patients with stage 3 chronic
kidney
disease and purposefully sampled, general practitioners, practice nurses and
community pharmacists who either had, or had not, implemented a 'sick day
rule'.
Normalisation Process Theory was used as a framework for data collection and
analysis. RESULTS: Participants tended to express initial enthusiasm for sick
day
rules to prevent AKI, which fitted with the delivery of comprehensive care.
However,
interest tended to diminish with consideration of factors influencing their
implementation. These included engagement within and across services;
consistency of
clinical message; and resources available for implementation. Participants
identified that supporting patients with multiple conditions, particularly
with
chronic heart failure, made tailoring initiatives complex. CONCLUSIONS:
Implementation of AKI initiatives into routine practice requires appropriate
resourcing as well as training support for both patients and clinicians
tailored at
a local level to support system redesign.
FAU - Morris, Rebecca L
AU - Morris RL
AD - NIHR School for Primary Care Research, Centre for Primary Care, University of
Manchester, 5th Floor Williamson Building, Oxford Road, M13 9PL, Manchester,
UK.
Rebecca.morris@manchester.ac.uk.
Centre,
Institute for Population Health, University of Manchester, Manchester, UK.
Rebecca.morris@manchester.ac.uk.
FAU - Ashcroft, Darren
AU - Ashcroft D
Centre,
AD - Centre for Pharmacoepidemiology and Drug Safety, Manchester Pharmacy School,
University of Manchester, Manchester, UK.
FAU - Phipps, Denham
AU - Phipps D
Centre,
AD - Centre for Pharmacoepidemiology and Drug Safety, Manchester Pharmacy School,
University of Manchester, Manchester, UK.
FAU - Bower, Peter
AU - Bower P
Centre,
FAU - O'Donoghue, Donal
AU - O'Donoghue D
AD - Department of Renal Medicine, Salford Royal NHS Foundation Trust, Salford,
UK.
FAU - Roderick, Paul
AU - Roderick P
AD - Faculty of Medicine, University of Southampton, Southampton, UK.
FAU - Harding, Sarah
AU - Harding S
AD - Park Edge Practice, Leeds, UK.
FAU - Lewington, Andrew
AU - Lewington A
AD - Department of Renal Medicine, Lincoln Wing, St James's University Hospital,
Beckett
Street, Leeds, UK.
FAU - Blakeman, Thomas
AU - Blakeman T
AD - NIHR School for Primary Care Research, Centre for Primary Care, University of
Manchester, 5th Floor Williamson Building, Oxford Road, M13 9PL, Manchester,
UK.
AD - NIHR Collaboration for Leadership in Applied Health Research and Care Greater

LA - eng
DEP - 20160722
TA - BMC Fam Pract
JID - 100967792
RN - 0 (Angiotensin Receptor Antagonists)
RN - 0 (Angiotensin-Converting Enzyme Inhibitors)
SB - IM
MH - Acute Kidney Injury/*prevention & control
MH - Adult
MH - Angiotensin Receptor Antagonists/*administration & dosage
MH - Angiotensin-Converting Enzyme Inhibitors/*administration & dosage
MH - Communication
MH - Female
MH - General Practice/*methods/organization & administration
MH - Humans
MH - Male
MH - Middle Aged
MH - Nurses/psychology
MH - Pharmacists/psychology
MH - Physicians/psychology
MH - Primary Health Care/*methods/organization & administration
MH - Program Development
MH - Renal Insufficiency, Chronic/*complications
MH - Self Administration
MH - Young Adult
PMC - PMC4957384
OTO - NOTNLM
OT - *Acute Kidney Injury
OT - *Kidney disease
OT - *Multimorbidity
OT - *Normalisation process theory
OT - *Primary care
OT - *Qualitative
OT - *UK
EDAT- 2016/07/28 06:00
MHDA- 2017/11/08 06:00
CRDT- 2016/07/25 06:00
PHST- 2015/07/06 00:00 [received]
PHST- 2016/07/13 00:00 [accepted]
PHST- 2016/07/25 06:00 [entrez]
PHST- 2016/07/28 06:00 [pubmed]
PHST- 2017/11/08 06:00 [medline]
AID - 10.1186/s12875-016-0480-5 [pii]
AID - 480 [pii]
AID - 10.1186/s12875-016-0480-5 [doi]
PST - epublish
SO - BMC Fam Pract. 2016 Jul 22;17:91. doi: 10.1186/s12875-016-0480-5.
PMID- 24764707
OWN - NLM
DCOM- 20140425
LR - 20190108
IS - 1198-0052 (Print)
IS - 1198-0052 (Linking)
VI - 21
IP - 2
DP - 2014 Apr
TI - Toward successful migration to computerized physician order entry for
chemotherapy.
PG - e221-8
LID - 10.3747/co.21.1759 [doi]
AB - BACKGROUND: Computerized physician order entry (cpoe) systems allow for
medical
order management in a clinical setting. Use of a cpoe has been shown to
significantly improve chemotherapy safety by reducing the number of
prescribing
errors. Usability of these systems has been identified as a critical factor
in their
successful adoption. However, there is a paucity of literature investigating
the
usability of cpoe for chemotherapy and describing the experiences of cancer
care
providers in implementing and using a cpoe system. METHODS: A mixed-methods
study,
including a national survey and a workshop, was conducted to determine the
current
status of cpoe adoption in Canadian oncology institutions, to identify and
prioritize knowledge gaps in cpoe usability and adoption, and to establish a
research agenda to bridge those gaps. Survey respondents were representatives
of
cancer care providers from each Canadian province. The workshop participants
were
oncology clinicians, human factors engineers, patient safety researchers,
policymakers, and hospital administrators from across Canada, with
participation
from the United States. RESULTS: A variety of issues related to implementing
and
using a cpoe for chemotherapy were identified. The major issues concerned the
need
for better understanding of current practices of chemotherapy ordering,
preparation,
and administration; a lack of system selection and procurement guidance; a
lack of
implementation and maintenance guidance; poor cpoe usability and workflow
support;
and other cpoe system design issues. An additional three research themes for
addressing the existing challenges and advancing successful adoption of cpoe
for
chemotherapy were identified: The need to investigate variances in workflows
and
practices in chemotherapy ordering and administrationThe need to develop
best-practice cpoe procurement and implementation guidance specifically for
chemotherapyThe need to measure the effects of cpoe implementation in medical
oncology. CONCLUSIONS: Addressing the existing challenges in cpoe usability

and
adoption for chemotherapy, and accelerating successful migration to cpoe by
cancer
care providers requires future research focusing on workflow variations,
chemotherapy-specific cpoe procurement needs, and implementation guidance
needs.
FAU - Jeon, J
AU - Jeon J
AD - Healthcare Human Factors, University Health Network, Toronto, ON.
FAU - Taneva, S
AU - Taneva S
AD - Healthcare Human Factors, University Health Network, Toronto, ON.
FAU - Kukreti, V
AU - Kukreti V
AD - Department of Medical Oncology and Hematology, University Health Network,
Toronto,
ON. ; Department of Medical Oncology and Hematology, University of Toronto,
Toronto,
ON.
FAU - Trbovich, P
AU - Trbovich P
AD - HumanEra, University Health Network, Toronto, ON. ; Institute of Health
Policy,
Management and Evaluation, University of Toronto, Toronto, ON. ; Institute of
Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON.

FAU - Easty, A C
AU - Easty AC
AD - HumanEra, University Health Network, Toronto, ON. ; Institute of Biomaterials
and
Biomedical Engineering, University of Toronto, Toronto, ON.
FAU - Rossos, P G
AU - Rossos PG
AD - Centre for Global eHealth Innovation, University Health Network, Toronto, ON.
;
Department of Medicine, University of Toronto, Toronto, ON.
FAU - Cafazzo, J A
AU - Cafazzo JA
AD - Healthcare Human Factors, University Health Network, Toronto, ON. ; Institute
of
Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.
;
Institute of Biomaterials and Biomedical Engineering, University of Toronto,
Toronto, ON.
LA - eng
TA - Curr Oncol
JT - Current oncology (Toronto, Ont.)
JID - 9502503
PMC - PMC3997455
OTO - NOTNLM
OT - Chemotherapy
OT - computerized physician order entry
OT - cpoe
OT - usability
EDAT- 2014/04/26 06:00
MHDA- 2014/04/26 06:01
CRDT- 2014/04/26 06:00
PHST- 2014/04/26 06:00 [entrez]
PHST- 2014/04/26 06:00 [pubmed]
PHST- 2014/04/26 06:01 [medline]
AID - conc-21-e221 [pii]
AID - 10.3747/co.21.1759 [doi]
PST - ppublish
SO - Curr Oncol. 2014 Apr;21(2):e221-8. doi: 10.3747/co.21.1759.
PMID- 23890337
OWN - NLM
STAT- MEDLINE
DCOM- 20130911
LR - 20191112
IS - 1476-0320 (Print)
IS - 1475-9985 (Linking)
VI - 20
IP - 4
DP - 2012
TI - Incidence of potential drug interactions in a transplant centre setting and
relevance of electronic alerts for clinical practice support.
PG - 257-62
AB - BACKGROUND: Adverse drug events may occur as a result of drug-drug
interactions
(DDIs). Information technology (IT) systems can be an important decision-
making tool
for healthcare workers to identify DDIs. OBJECTIVE: The aim of the study is
to
analyse drug prescriptions in our main hospital units, in order to measure
the
incidence and severity of potential DDIs. The utility of clinical decision-
support
systems (CDSSs) and computerised physician order entry (CPOE) in term of
alerts
adherence was also assessed. DDIs were assessed using a Micromedex®
healthcare
series database. METHODS: The system, adopted by the hospital, generates
alerts for
prescriptions with negative interactions and thanks to an 'acknowledgement
function'
it is possible to verify physician adherence to alerts. This function,
although used
previously, became mandatory from September 2010. Physician adherence to
alerts and
mean monthly incidence of potential DDIs in analysed units, before and after
the
mandatory 'acknowledgement function', were calculated. RESULTS: The intensive
care
unit (ICU) registered the greatest incidence of potential DDIs (49.0%),
followed by
the abdominal surgery unit and dialysis (43.4 and 42.0%, respectively). The
cardiothoracic surgery unit (41.6%), step-down unit (38.3%) and post-
anaesthesia
care unit (30.0%) were comparable. The operating theatre and endoscopy
registered
the fewest potential DDIs (28.2 and 22.7%, respectively). Adherence to alerts
after
the 'acknowledgement function' increased by 25.0% in the ICU, 54.0% in the
cardiothoracic surgery unit, 52.5% in the abdominal surgery unit, 58.0% in
the
stepdown unit, 67.0% in dialysis, 51.0% in endoscopy and 48.0% in the
post-anaesthesia care unit. In the operating theatre, adherence to alerts
decreased
from 34.0 to 30.0%. The incidence of potential DDIs after mandatory use of
the
'acknowledgement function' decreased slightly in endoscopy (-2.9%), the
abdominal
surgery unit (-2.7%), dialysis (-1.9%) and the step-down unit (-1.4%).
CONCLUSIONS:
Improving DDI alerts will improved patient safety by more appropriately
alerting
clinicians.
FAU - Polidori, Piera
AU - Polidori P
AD - Clinical Pharmacy Department, ISMETT, Palermo, Italy. ppolidori@ismett.edu
FAU - Di Giorgio, Concetta
AU - Di Giorgio C
FAU - Provenzani, Alessio
AU - Provenzani A
LA - eng
PL - England
TA - Inform Prim Care
JT - Informatics in primary care
JID - 101150138
SB - IM
MH - *Clinical Alarms
MH - Decision Support Systems, Clinical/*organization & administration
MH - Hospitals, Special/organization & administration
MH - Humans
MH - Incidence
MH - Medical Order Entry Systems/*organization & administration
MH - Organ Transplantation/methods
EDAT- 2012/01/01 00:00
MHDA- 2013/09/12 06:00
CRDT- 2013/07/30 06:00
PHST- 2013/07/30 06:00 [entrez]
PHST- 2012/01/01 00:00 [pubmed]
PHST- 2013/09/12 06:00 [medline]
AID - 15 [pii]
AID - 10.14236/jhi.v20i4.15 [doi]
PST - ppublish
SO - Inform Prim Care. 2012;20(4):257-62. doi: 10.14236/jhi.v20i4.15.
PMID- 32979978
OWN - NLM
STAT- MEDLINE
DCOM- 20201006
LR - 20210112
IS - 0140-6736 (Print)
IS - 0140-6736 (Linking)
VI - 396
IP - 10255
DP - 2020 Sep 26
TI - Gabapentin for chronic pelvic pain in women (GaPP2): a multicentre,
randomised,
double-blind, placebo-controlled trial.
PG - 909-917
LID - S0140-6736(20)31693-7 [pii]
LID - 10.1016/S0140-6736(20)31693-7 [doi]
AB - BACKGROUND: Chronic pelvic pain affects 2-24% of women worldwide and evidence
for
medical treatments is scarce. Gabapentin is effective in treating some
chronic pain
conditions. We aimed to measure the efficacy and safety of gabapentin in
women with
chronic pelvic pain and no obvious pelvic pathology. METHODS: We performed a
multicentre, randomised, double-blind, placebo-controlled randomised trial in
39 UK
hospital centres. Eligible participants were women with chronic pelvic pain
(with or
without dysmenorrhoea or dyspareunia) of at least 3 months duration.
Inclusion
criteria were 18-50 years of age, use or willingness to use contraception to
avoid
pregnancy, and no obvious pelvic pathology at laparoscopy, which must have
taken
place at least 2 weeks before consent but less than 36 months previously.
Participants were randomly assigned in a 1:1 ratio to receive gabapentin
(titrated
to a maximum dose of 2700 mg daily) or matching placebo for 16 weeks. The
online
randomisation system minimised allocations by presence or absence of
dysmenorrhoea,
psychological distress, current use of hormonal contraceptives, and hospital
centre.
The appearance, route, and administration of the assigned intervention were
identical in both groups. Patients, clinicians, and research staff were
unaware of
the trial group assignments throughout the trial. Participants were unmasked
once
they had provided all outcome data at week 16-17, or sooner if a serious
adverse
event requiring knowledge of the study drug occurred. The dual primary
outcome
measures were worst and average pain scores assessed separately on a
numerical
rating scale in weeks 13-16 after randomisation, in the intention-to-treat
population. Self-reported adverse events were assessed according to
intention-to-treat principles. This trial is registered with the ISRCTN
registry,
ISCRTN77451762. FINDINGS: Participants were screened between Nov 30, 2015,
and March
6, 2019, and 306 were randomly assigned (153 to gabapentin and 153 to
placebo).
There were no significant between-group differences in both worst and average
numerical rating scale (NRS) pain scores at 13-16 weeks after randomisation.
The
mean worst NRS pain score was 7·1 (standard deviation [SD] 2·6) in the
gabapentin
group and 7·4 (SD 2·2) in the placebo group. Mean change from baseline was
-1·4 (SD
2·3) in the gabapentin group and -1·2 (SD 2·1) in the placebo group (adjusted
mean
difference -0·20 [97·5% CI -0·81 to 0·42]; p=0·47). The mean average NRS pain
score
was 4·3 (SD 2·3) in the gabapentin group and 4·5 (SD 2·2) in the placebo
group. Mean
change from baseline was -1·1 (SD 2·0) in the gabapentin group and -0·9 (SD
1·8) in
the placebo group (adjusted mean difference -0·18 [97·5% CI -0·71 to 0·35];
p=0·45).
More women had a serious adverse event in the gabapentin group than in the
placebo
group (10 [7%] of 153 in the gabapentin group compared with 3 [2%] of 153 in
the
placebo group; p=0·04). Dizziness, drowsiness, and visual disturbances were
more
common in the gabapentin group. INTERPRETATION: This study was adequately
powered,
but treatment with gabapentin did not result in significantly lower pain
scores in
women with chronic pelvic pain, and was associated with higher rates of side-
effects
than placebo. Given the increasing reports of abuse and evidence of potential
harms
associated with gabapentin use, it is important that clinicians consider
alternative
treatment options to off-label gabapentin for the management of chronic
pelvic pain
and no obvious pelvic pathology. FUNDING: National Institute for Health
Research.
CI - Copyright © 2020 The Author(s). Published by Elsevier Ltd. This is an Open
Access
article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights
reserved.
FAU - Horne, Andrew W
AU - Horne AW
AD - MRC Centre for Reproductive Health, Queen's Medical Research Institute,
University
of Edinburgh, Edinburgh, UK. Electronic address: andrew.horne@ed.ac.uk.
FAU - Vincent, Katy
AU - Vincent K
AD - Nuffield Department of Women's and Reproductive Health, University of Oxford,
Oxford, UK.
FAU - Hewitt, Catherine A
AU - Hewitt CA
AD - Birmingham Clinical Trials Unit, University of Birmingham, Birmingham, UK.
FAU - Middleton, Lee J
AU - Middleton LJ
AD - Birmingham Clinical Trials Unit, University of Birmingham, Birmingham, UK.
FAU - Koscielniak, Magda
AU - Koscielniak M
University
of Edinburgh, Edinburgh, UK.
FAU - Szubert, Wojciech
AU - Szubert W
University
FAU - Doust, Ann M
AU - Doust AM
University
FAU - Daniels, Jane P
AU - Daniels JP
AD - Nottingham Clinical Trials Unit, University of Nottingham, Nottingham, UK.
CN - GaPP2 collaborative
LA - eng
GR - MRC_/Medical Research Council/United Kingdom
TA - Lancet
JT - Lancet (London, England)
JID - 2985213R
RN - 0 (Analgesics)
RN - 6CW7F3G59X (Gabapentin)
SB - AIM
SB - IM
MH - Adolescent
MH - Adult
MH - Analgesics/*adverse effects/*therapeutic use
MH - Chronic Pain/*drug therapy
MH - Female
MH - Gabapentin/*adverse effects/*therapeutic use
MH - Humans
MH - Off-Label Use
MH - Pelvic Pain/*drug therapy
MH - Young Adult
PMC - PMC7527829
FIR - Abdi, Suraiya
IR - Abdi S
FIR - Acharya, Santanu
IR - Acharya S
FIR - Al-Inizi, Shamma
IR - Al-Inizi S
FIR - Ball, Elizabeth
IR - Ball E
FIR - Baranowski, Andrew
IR - Baranowski A
FIR - Bhal, Nadia
IR - Bhal N
FIR - Bhatia, Kalsang
IR - Bhatia K
FIR - Bhattacharya, Siladitya
IR - Bhattacharya S
FIR - Birch, Judy V
IR - Birch JV
FIR - Carpenter, Tyrone
IR - Carpenter T
FIR - Chalhoub, Tony
IR - Chalhoub T
FIR - Cheong, Ying C
IR - Cheong YC
FIR - Clark, T Justin
IR - Clark TJ
FIR - Cregg, Roman
IR - Cregg R
FIR - Dada, Tunde D
IR - Dada TD
FIR - Datta, Dib
IR - Datta D
FIR - Faraj, Radwan
IR - Faraj R
FIR - Feltham, Max G
IR - Feltham MG
FIR - Gupta, Pratima
IR - Gupta P
FIR - Hapangama, Dharani
IR - Hapangama D
FIR - Hardwick, Chris
IR - Hardwick C
FIR - Hughes, Jon
IR - Hughes J
FIR - Khatri, Pinky
IR - Khatri P
FIR - Kumar, Geeta
IR - Kumar G
FIR - Leighton, Lisa J
IR - Leighton LJ
FIR - Majumder, Kingshuk
IR - Majumder K
FIR - MacFarlane, Gary J
IR - MacFarlane GJ
FIR - Mortimer, Alex
IR - Mortimer A
FIR - Odedra, Smita
IR - Odedra S
FIR - Ramsay, Bruce
IR - Ramsay B
FIR - Raza, Amer
IR - Raza A
FIR - Rea, William
IR - Rea W
FIR - Roy, Somendra
IR - Roy S
FIR - Sajid, Afia
IR - Sajid A
FIR - Saraswat, Lucky
IR - Saraswat L
FIR - Shah, Ahmar
IR - Shah A
FIR - Sivasamy, Jambulingam
IR - Sivasamy J
FIR - Srivastava, Rashmi
IR - Srivastava R
FIR - Stubbs, Clive
IR - Stubbs C
FIR - Swaminathan, Ajay
IR - Swaminathan A
FIR - Thampi, Premila
IR - Thampi P
FIR - Thanoon, Omar
IR - Thanoon O
FIR - Thomas, Tony
IR - Thomas T
FIR - Tracey, Irene
IR - Tracey I
FIR - Underwood, Martyn
IR - Underwood M
FIR - Willocks, Clare
IR - Willocks C
FIR - Williams, Amanda C de C
IR - Williams ACC
FIR - Wood, Simon
IR - Wood S
FIR - Zondervan, Krina
IR - Zondervan K
EDAT- 2020/09/28 06:00
MHDA- 2020/10/07 06:00
CRDT- 2020/09/27 20:19
PHST- 2020/04/29 00:00 [received]
PHST- 2020/07/15 00:00 [revised]
PHST- 2020/07/27 00:00 [accepted]
PHST- 2020/09/27 20:19 [entrez]
PHST- 2020/09/28 06:00 [pubmed]
PHST- 2020/10/07 06:00 [medline]
AID - S0140-6736(20)31693-7 [pii]
AID - 10.1016/S0140-6736(20)31693-7 [doi]
PST - ppublish
SO - Lancet. 2020 Sep 26;396(10255):909-917. doi: 10.1016/S0140-6736(20)31693-7.
PMID- 26806468
OWN - NLM
STAT- MEDLINE
DCOM- 20161020
LR - 20181202
IS - 1069-6563 (Linking)
VI - 23
IP - 4
DP - 2016 Apr
TI - Use of a Dedicated, Non-Physician-led Mental Health Team to Reduce Pediatric
Emergency Department Lengths of Stay.
PG - 440-7
LID - 10.1111/acem.12908 [doi]
AB - OBJECTIVES: Utilization of emergency departments (EDs) for pediatric mental
health
(MH) complaints is increasing. These patients require more resources and have
higher
admission rates than those with nonpsychiatric complaints. METHODS: A
multistage,
multidisciplinary process to reduce length of stay (LOS) and improve the
quality of
care for patients with psychiatric complaints was performed at a tertiary
care
children's hospital's ED using Lean methodology. This process resulted in the
implementation of a dedicated MH team, led by either a social worker or a

psychiatric nurse, to evaluate patients, facilitate admissions, and arrange
discharge planning. We conducted a retrospective, before-and-after study
analyzing
data 1 year before through 1 year after new process implementation (March 28,
2011).
Our primary outcome was mean ED LOS. RESULTS: After process implementation
there was
a statistically significant decrease in mean ED LOS (332 minutes vs.
244 minutes,
p < 0.001). An x-bar chart of mean LOS shows special cause variation.
Significant
decreases were seen in median ED LOS (225 minutes vs. 204 minutes,
p = 0.001),
security physical interventions (2.0% vs. 0.4%, p = 0.004), and restraint use
(1.7%
vs. 0.1%, p < 0.001). No significant change was observed in admission rate,
72-hour
return rate, or patient elopement/agitation events. Staff surveys showed
improved
perception of patient satisfaction, process efficacy, and patient safety.
CONCLUSIONS: Use of quality improvement methodology led to a redesign that
was
associated with a significant reduction in mean LOS of patients with
psychiatric
complaints and improved ED staff perception of care.
CI - © 2016 by the Society for Academic Emergency Medicine.
FAU - Uspal, Neil G
AU - Uspal NG
AD - The Department of Pediatrics Division of Emergency Medicine, University of
Washington, Seattle Children's Hospital, Seattle, WA.
AD - The Center for Clinical and Translational Research, Seattle Children's
Research
Institute, Seattle, WA.
FAU - Rutman, Lori E
AU - Rutman LE
Research
FAU - Kodish, Ian
AU - Kodish I
AD - The Department of Psychiatry, University of Washington, Seattle Children's
Hospital,
Seattle, WA.
AD - The Center for Child Health, Behavior and Development, Seattle Children's
Research
FAU - Moore, Ann
AU - Moore A
AD - Psychiatry and Behavioral Medicine, Seattle Children Hospital, Seattle, WA.
FAU - Migita, Russell T
AU - Migita RT
Research
LA - eng
DEP - 20160322
PL - United States
TA - Acad Emerg Med
JT - Academic emergency medicine : official journal of the Society for Academic
Emergency
Medicine
JID - 9418450
SB - IM
MH - Adolescent
MH - Child
MH - Emergency Service, Hospital/*organization & administration
MH - Female
MH - Hospitals, Pediatric/organization & administration
MH - Humans
MH - Male
MH - Mental Disorders/*diagnosis/*therapy
MH - Mental Health Services/*organization & administration
MH - Psychiatric Nursing/organization & administration
MH - Quality Improvement/organization & administration
MH - Social Workers
MH - Tertiary Care Centers/organization & administration
MH - Time Factors
EDAT- 2016/01/26 06:00
MHDA- 2016/10/21 06:00
CRDT- 2016/01/26 06:00
PHST- 2015/07/10 00:00 [received]
PHST- 2015/10/20 00:00 [revised]
PHST- 2015/11/05 00:00 [accepted]
PHST- 2016/01/26 06:00 [entrez]
PHST- 2016/01/26 06:00 [pubmed]
PHST- 2016/10/21 06:00 [medline]
AID - 10.1111/acem.12908 [doi]
PST - ppublish
SO - Acad Emerg Med. 2016 Apr;23(4):440-7. doi: 10.1111/acem.12908. Epub 2016 Mar
22.
PMID- 29299004
OWN - NLM
LR - 20191120
IS - 0008-4123 (Print)
IS - 0008-4123 (Linking)
VI - 70
IP - 6
DP - 2017 Nov-Dec
TI - Ambulatory Medication Reconciliation in Dialysis Patients: Benefits and
Community
Practitioners' Perspectives.
PG - 443-449
AB - BACKGROUND: Ambulatory medication reconciliation can reduce the frequency of
medication discrepancies and may also reduce adverse drug events. Patients
receiving
dialysis are at high risk for medication discrepancies because they typically
have
multiple comorbid conditions, are taking many medications, and are receiving
care
from many practitioners. Little is known about the potential benefits of
ambulatory
medication reconciliation for these patients. OBJECTIVES: To determine the
number,
type, and potential level of harm associated with medication discrepancies
identified through ambulatory medication reconciliation and to ascertain the
views
of community pharmacists and family physicians about this service. METHODS:
This
retrospective cohort study involved patients initiating hemodialysis who
received
ambulatory medication reconciliation in a hospital renal program over the
period
July 2014 to July 2016. Discrepancies identified on the medication
reconciliation
forms for study patients were extracted and categorized by discrepancy type
and
potential level of harm. The level of harm was determined independently by a
pharmacist and a nurse practitioner using a defined scoring system. In the
event of
disagreement, a nephrologist determined the final score. Surveys were sent to
52
community pharmacists and 44 family physicians involved in the care of study
patients to collect their opinions and perspectives on ambulatory medication
reconciliation. RESULTS: Ambulatory medication reconciliation was conducted
296
times for a total of 147 hemodialysis patients. The mean number of
discrepancies
identified per patient was 1.31 (standard deviation 2.00). Overall, 30% of
these
discrepancies were deemed to have the potential to cause moderate to severe
patient
discomfort or clinical deterioration. Survey results indicated that community
practitioners found ambulatory medication reconciliation valuable for

providing
quality care to dialysis patients. CONCLUSIONS: This study has provided
evidence
that ambulatory medication reconciliation can increase patient safety and
potentially prevent adverse events associated with medication discrepancies.
FAU - Wilson, Jo-Anne S
AU - Wilson JS
AD - , BScPharm, ACPR, PharmD, is with the College of Pharmacy, Faculty of Health
Professions, Dalhousie University, and the Division of Nephrology, Department
of
Medicine, Nova Scotia Health Authority Renal Program, Central Zone, Halifax,
Nova
Scotia.
FAU - Ladda, Matthew A
AU - Ladda MA
AD - , BScPharm, is with the College of Pharmacy, Faculty of Health Professions,
Dalhousie University, Halifax, Nova Scotia.
FAU - Tran, Jaclyn
AU - Tran J
AD - , BScPharm, ACPR, is with the Nova Scotia Health Authority Renal Program,
Central
Zone, Halifax, Nova Scotia.
FAU - Wood, Marsha
AU - Wood M
AD - , RN, NP, is with the Nova Scotia Health Authority Renal Program, Central
Zone,
Halifax, Nova Scotia.
FAU - Poyah, Penelope
AU - Poyah P
AD - , MD, FRCPC, is with the Division of Nephrology, Department of Medicine, Nova
Scotia
Health Authority, and the Division of Nephrology, Faculty of Medicine,
Dalhousie
University, Halifax, Nova Scotia.
FAU - Soroka, Steven
AU - Soroka S
AD - , MD, MSc, FRCPC, is with the Division of Nephrology, Department of Medicine,
Nova
Scotia Health Authority, and the Division of Nephrology, Faculty of Medicine,

FAU - Rodrigues, Glenn
AU - Rodrigues G
AD - , BScPharm, is with the College of Pharmacy, Faculty of Health Professions,
FAU - Tennankore, Karthik
AU - Tennankore K
AD - , MD, MSc, SM, FRCPC, is with the Division of Nephrology, Department of
Medicine,
Nova Scotia Health Authority, and the Division of Nephrology, Faculty of
Medicine,
LA - eng
DEP - 20171221
JID - 0215645
PMC - PMC5737187
OTO - NOTNLM
OT - adverse drug events
OT - hemodialysis
OT - medication discrepancies
OT - survey
EDAT- 2018/01/05 06:00
MHDA- 2018/01/05 06:01
CRDT- 2018/01/05 06:00
PHST- 2018/01/05 06:00 [entrez]
PHST- 2018/01/05 06:00 [pubmed]
PHST- 2018/01/05 06:01 [medline]
AID - 10.4212/cjhp.v70i6.1719 [doi]
PST - ppublish
SO - Can J Hosp Pharm. 2017 Nov-Dec;70(6):443-449. doi: 10.4212/cjhp.v70i6.1719.
Epub
2017 Dec 21.
PMID- 28121093
STAT- Publisher
DP - 2017 Jan
BTI - Researching outcomes from forensic services for people with intellectual or
developmental disabilities: a systematic review, evidence synthesis and
expert and
patient/carer consultation
AB - BACKGROUND: Inpatient services for people with intellectual and other types
of
developmental disabilities (IDD) who also have forensic or risk issues are
largely
provided in secure hospitals. Although this is a health service sector with
high
levels of expenditure, there is limited empirical information on patient
outcomes
from such services. In order for a future substantive longitudinal outcomes
study in
forensic IDD services to be informed and feasible, more needs to be
understood about
the outcome domains that are of relevance and importance and how they should
be
measured. A preliminary series of studies was therefore undertaken.
OBJECTIVES: To
synthesise evidence in relation to the outcome domains that have been
researched in
the existing literature from hospital and community forensic services for
people
with IDD, within the broad domains of service effectiveness, patient safety
and
patient experience. To identify a definitive framework of outcome domains
(and
associated measures and indicators) based both on this research evidence and
on the
views of patients, carers and clinicians. To synthesise the information
gathered in
order to inform design of future multisite longitudinal research in the
sector.
DESIGN: Three linked studies were conducted. Stage 1 was a systematic review
and
evidence synthesis of outcome domains and measures as found within the
forensic IDD
literature. Stage 2 was a consultation exercise with 15 patients with IDD and
six
carers. Stage 3 was a modified Delphi consensus exercise with 15 clinicians
and
experts using the information gathered at stages 1 and 2. RESULTS: At stage
1, 60
studies that researched a range of outcomes in forensic IDD services were
identified
from the literature. This resulted in the construction of an initial
framework of
outcome domains. The consultation with patients and carers at stage 2 added
to these
framework domains that related particularly to carer experience and the level
of
support post discharge in the community. The Delphi process at stage 3
confirmed the
validity of the resulting framework for clinician. This survey also
identified the
outcome measures preferred by clinicians and those that are currently
utilised in
services. Thus, indicators of appropriate measures in some important domains
were
identified, although there was a paucity of measures in other domains.
CONCLUSIONS:
Together, these three linked studies led to the development of an evidence-
based
framework of key outcome domains and subdomains. A provisional list of
associated
measures and indicators was developed, although with the paucity of measures
in some
domains development of specific indicators may be required. With further
refinement
this could eventually be utilised by services and commissioners for
comparative
purposes, and in future empirical research on outcomes in forensic IDD
services. An
outline research proposal closely linked to recent policy initiatives was
proposed.
Limitations of the study include the relatively small number of carers and
patients
and range of experts consulted. FUTURE WORK: This would comprise a national
longitudinal study tracking IDD in patients through hospitalisation and
discharge.
STUDY REGISTRATION: This study is registered as PROSPERO CRD42015016941.
FUNDING:
The National Institute for Health Research Health Services and Delivery
Research
programme.
produced by
Morrissey et al. under the terms of a commissioning contract issued by the
Secretary
of State for Health. This issue may be freely reproduced for the purposes of
private
research and study and extracts (or indeed, the full report) may be included
in
professional journals provided that suitable acknowledgement is made and the
reproduction is not associated with any form of advertising. Applications for

National
Centre,
UK.
FAU - Morrissey, Catrin
AU - Morrissey C
AD - Division of Psychiatry and Applied Psychology, School of Medicine University
of
Nottingham, Nottingham, UK
AD - Community Forensic Service, Lincolnshire Partnership NHS Foundation Trust,
Lincoln,
UK
FAU - Geach, Nicole
AU - Geach N
AD - Division of Psychiatry and Applied Psychology, School of Medicine University
of
Nottingham, Nottingham, UK
FAU - Alexander, Regi
AU - Alexander R
AD - St John’s House, Partnerships in Care, Diss, UK
FAU - Chester, Verity
AU - Chester V
AD - St John’s House, Partnerships in Care, Diss, UK
FAU - Devapriam, John
AU - Devapriam J
AD - Community Learning Disability Service, Leicester Partnership NHS Trust,
Leicester,
UK
FAU - Duggan, Conor
AU - Duggan C
AD - Partnerships in Care, Nottingham, UK
FAU - Langdon, Peter E
AU - Langdon PE
AD - Tizard Centre, University of Kent, Canterbury, UK
AD - Hertfordshire Partnership University NHS Foundation Trust, Norfolk, UK
FAU - Lindsay, Bill
AU - Lindsay B
AD - Danshell Ltd, London, UK
AD - University of the West of Scotland, Paisley, UK
FAU - McCarthy, Jane
AU - McCarthy J
AD - John Howard Centre, East London NHS Foundation Trust, London, UK
FAU - Walker, Dawn-Marie
AU - Walker DM
AD - Faculty of Health Sciences, University of Southampton, Southampton, UK
LA - eng
PT - Review
PT - Book
RF - 83
OAB - The researchers developed an outcomes framework for forensic services for
people
with intellectual or developmental disabilities, that might be used in due
course by
service providers, commissioners and researchers.
OABL- eng
EDAT- 2017/01/01 00:00
CRDT- 2017/01/01 00:00
PHST- 2016/06/01 00:00 [accepted]
AID - 10.3310/hsdr05030 [doi]
PMID- 23956062
OWN - NLM
DCOM- 20130819
LR - 20200930
IS - 1929-0748 (Print)
IS - 1929-0748 (Linking)
VI - 2
IP - 2
DP - 2013 Aug 16
TI - Development, implementation, and evaluation of a structured reporting web
tool for
abdominal aortic aneurysms.
PG - e30
LID - 10.2196/resprot.2417 [doi]
LID - e30
AB - BACKGROUND: The majority of radiological reports are lacking a standard
structure.
Even within a specialized area of radiology, each report has its individual
structure with regards to details and order, often containing too much of
non-relevant information the referring physician is not interested in. For
gathering
relevant clinical key parameters in an efficient way or to support long-term
therapy
monitoring, structured reporting might be advantageous. OBJECTIVE: Despite of
new
technologies in medical information systems, medical reporting is still not
dynamic.
To improve the quality of communication in radiology reports, a new
structured
reporting system was developed for abdominal aortic aneurysms (AAA), intended
to
enhance professional communication by providing the pertinent clinical
information
in a predefined standard. METHODS: Actual state analysis was performed within
the
departments of radiology and vascular surgery by developing a Technology
Acceptance
Model. The SWOT (strengths, weaknesses, opportunities, and threats) analysis
focused
on optimization of the radiology reporting of patients with AAA. Definition
of
clinical parameters was achieved by interviewing experienced clinicians in
radiology
and vascular surgery. For evaluation, a focus group (4 radiologists) looked
at the
reports of 16 patients. The usability and reliability of the method was
validated in
a real-world test environment in the field of radiology. RESULTS: A Web-based
application for radiological "structured reporting" (SR) was successfully

standardized for AAA. Its organization comprises three main categories:
characteristics of pathology and adjacent anatomy, measurements, and
additional
findings. Using different graphical widgets (eg, drop-down menus) in each
category
facilitate predefined data entries. Measurement parameters shown in a diagram
can be
defined for clinical monitoring and be adducted for quick adjudications.
Figures for
optional use to guide and standardize the reporting are embedded. Analysis of
variance shows decreased average time required with SR to obtain a

radiological
report compared to free-text reporting (P=.0001). Questionnaire responses
confirm a
high acceptance rate by the user. CONCLUSIONS: The new SR system may support
efficient radiological reporting for initial diagnosis and follow-up for AAA.
Perceived advantages of our SR platform are ease of use, which may lead to
more
accurate decision support. The new system is open to communicate not only
with
clinical partners but also with Radiology Information and Hospital
Information
Systems.
FAU - Karim, Sulafa
AU - Karim S
AD - German Cancer Research Center, Department of Radiology, Heidelberg, Germany.
FAU - Fegeler, Christian
AU - Fegeler C
FAU - Boeckler, Dittmar
AU - Boeckler D
FAU - H Schwartz, Lawrence
AU - H Schwartz L
FAU - Kauczor, Hans-Ulrich
AU - Kauczor HU
FAU - von Tengg-Kobligk, Hendrik
AU - von Tengg-Kobligk H
LA - eng
DEP - 20130816
TA - JMIR Res Protoc
JT - JMIR research protocols
JID - 101599504
PMC - PMC3758040
OTO - NOTNLM
OT - abdominal aortic aneurysms
OT - radiology
OT - structured reporting
OT - vascular surgery
EDAT- 2013/08/21 06:00
MHDA- 2013/08/21 06:01
CRDT- 2013/08/20 06:00
PHST- 2013/01/23 00:00 [received]
PHST- 2013/04/27 00:00 [accepted]
PHST- 2013/04/08 00:00 [revised]
PHST- 2013/08/20 06:00 [entrez]
PHST- 2013/08/21 06:00 [pubmed]
PHST- 2013/08/21 06:01 [medline]
AID - v2i2e30 [pii]
AID - 10.2196/resprot.2417 [doi]
PST - epublish
SO - JMIR Res Protoc. 2013 Aug 16;2(2):e30. doi: 10.2196/resprot.2417.
PMID- 33192746
OWN - NLM
LR - 20201117
IS - 1664-0640 (Print)
IS - 1664-0640 (Linking)
VI - 11
DP - 2020
TI - Identification of a Set of Patient-Related Features to Foster Safe
Prescribing of
Specific Antipsychotics in the Elderly With Dementia.
PG - 604201
LID - 10.3389/fpsyt.2020.604201 [doi]
LID - 604201
AB - Background: Antipsychotics (APs) are widely used to manage behavioral and
psychiatric symptoms in dementia, although with a variety of adverse drug
reactions.
Therefore, it is important to know which patient-related features should be
considered to foster a safe prescribing of these medications. Objectives: To
compile
and validate a set of patient-related features (PRFs) to foster safe
prescribing of
specific APs in the elderly with dementia; and to evaluate the feasibility of
using
them in clinical practice by analyzing the exhaustiveness of medical records.
Method: A rapid literature review was the starting point, where PRFs were
identified
through a search in PubMed combined with information from the Summary of
Product
Characteristics (SmPCs). In the next step, a two-round e-Delphi survey was
undertaken, where a total of 450 participants were invited by e-mail,
including
prescribers and specialists in benefit-risk assessment. Finally, a cross-
sectional
study was undertaken, where 100 patients were randomly extracted from the
psychiatric hospital database. Outcomes were defined as the assessment of the
clinical relevance and feasibility of the PRFs, and the level of

exhaustiveness of
these features in medical records. Data analysis was performed using
univariate
statistics (IBM SPSS v.23.0). Results: A total of 92 experts participated in
the
e-Delphi. Forty-seven PRFs obtained consensus, where 12 were applicable to
haloperidol, 14 to olanzapine/risperidone, 13 to quetiapine, and 8 to
aripiprazole.
Age, comorbidities, and co-medications were rated as important features
regardless
of the prescribed drug. All PRFs were rated as always or frequently available
and,
if not, they were easy or partially easy to obtain. Age, comorbidities, and
co-medications were always available in the medical records, whereas
cognitive
status (between 41.4 and 78.8%) or hepatic function (between 17.2 and 30.4%)
presented a low-level of exhaustiveness. Conclusions: Even though a high
number of
PRFs were rated as clinically relevant, some of them were identified as
frequently
missing from medical records. This may suggest that medical records should be
complemented with other sources (e.g., nursing and pharmacy records) to

ensure a
safe prescribing of APs.
CI - Copyright © 2020 Aguiar, Bernardo, Gama Marques, Leufkens and Alves da Costa.
FAU - Aguiar, João Pedro
AU - Aguiar JP
AD - Faculdade de Farmácia, Research Institute for Medicines (iMED.ULisboa),
Universidade
de Lisboa, Lisbon, Portugal.
AD - Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto
Universitário
Egas Moniz (IUEM), Caparica, Portugal.
FAU - Bernardo, Catarina
AU - Bernardo C
Universitário
FAU - Gama Marques, João
AU - Gama Marques J
AD - Hospital Júlio de Matos, Centro Hospitalar Psiquiátrico de Lisboa (CHPL),
Lisbon,
Portugal.
AD - Faculdade de Medicina, Clínica Universitária de Psiquiatria e Psicologia
Médica,
Universidade de Lisboa (FMUL), Lisbon, Portugal.
FAU - Leufkens, Hubert
AU - Leufkens H
AD - Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute
for
Pharmaceutical Sciences, Utrecht, Netherlands.
FAU - Alves da Costa, Filipa
AU - Alves da Costa F
AD - Faculdade de Farmácia, Research Institute for Medicines (iMED.ULisboa),
Universidade
de Lisboa, Lisbon, Portugal.
Universitário
LA - eng
DEP - 20201030
TA - Front Psychiatry
JT - Frontiers in psychiatry
JID - 101545006
PMC - PMC7661963
OTO - NOTNLM
OT - antipsychotics
OT - cognitive impairment
OT - health care research
OT - patient safety
OT - prescription
EDAT- 2020/11/17 06:00
MHDA- 2020/11/17 06:01
CRDT- 2020/11/16 08:45
PHST- 2020/09/08 00:00 [received]
PHST- 2020/10/13 00:00 [accepted]
PHST- 2020/11/16 08:45 [entrez]
PHST- 2020/11/17 06:00 [pubmed]
PHST- 2020/11/17 06:01 [medline]
AID - 10.3389/fpsyt.2020.604201 [doi]
PST - epublish
SO - Front Psychiatry. 2020 Oct 30;11:604201. doi: 10.3389/fpsyt.2020.604201.
eCollection
2020.
PMID- 32984901
OWN - NLM
LR - 20201201
IS - 1067-5027 (Print)
IS - 1067-5027 (Linking)
VI - 27
IP - 11
DP - 2020 Nov 1
TI - A machine learning-based clinical decision support system to identify
prescriptions
with a high risk of medication error.
PG - 1688-1694
LID - 10.1093/jamia/ocaa154 [doi]
AB - OBJECTIVE: To improve patient safety and clinical outcomes by reducing the
risk of
prescribing errors, we tested the accuracy of a hybrid clinical decision
support
system in prioritizing prescription checks. MATERIALS AND METHODS: Data from
electronic health records were collated over a period of 18 months. Inferred
scores
at a patient level (probability of a patient's set of active orders to
require a
pharmacist review) were calculated using a hybrid approach (machine learning
and a
rule-based expert system). A clinical pharmacist analyzed randomly selected
prescription orders over a 2-week period to corroborate our findings.
Predicted
scores were compared with the pharmacist's review using the area under the
receiving-operating characteristic curve and area under the precision-recall
curve.
These metrics were compared with existing tools: computerized alerts
generated by a
clinical decision support (CDS) system and a literature-based multicriteria
query
prioritization technique. Data from 10 716 individual patients (133 179
prescription
orders) were used to train the algorithm on the basis of 25 features in a
development dataset. RESULTS: While the pharmacist analyzed 412 individual
patients
(3364 prescription orders) in an independent validation dataset, the areas
under the
receiving-operating characteristic and precision-recall curves of our digital
system
were 0.81 and 0.75, respectively, thus demonstrating greater accuracy than
the CDS
system (0.65 and 0.56, respectively) and multicriteria query techniques (0.68
and
0.56, respectively). DISCUSSION: Our innovative digital tool was notably more
accurate than existing techniques (CDS system and multicriteria query) at

intercepting potential prescription errors. CONCLUSIONS: By primarily
targeting
high-risk patients, this novel hybrid decision support system improved the
accuracy
and reliability of prescription checks in a hospital setting.
American
Medical Informatics Association.
FAU - Corny, Jennifer
AU - Corny J
AD - Pharmacy Department, Groupe Hospitalier Paris Saint Joseph, Paris, France.
FAU - Rajkumar, Asok
AU - Rajkumar A
FAU - Martin, Olivier
AU - Martin O
AD - Lumio Medical, Paris, France.
FAU - Dode, Xavier
AU - Dode X
AD - Centre National Hospitalier d'Information sur le Médicament, Paris, France.
AD - Pharmacy Department, Hospices Civils de Lyon University Hospital, Lyon,
France.
FAU - Lajonchère, Jean-Patrick
AU - Lajonchère JP
AD - Groupe Hospitalier Paris Saint Joseph, Paris, France.
FAU - Billuart, Olivier
AU - Billuart O
AD - Medical Information Department, Groupe Hospitalier Paris Saint Joseph, Paris,
France.
FAU - Bézie, Yvonnick
AU - Bézie Y
FAU - Buronfosse, Anne
AU - Buronfosse A
AD - Medical Information Department, Groupe Hospitalier Paris Saint Joseph, Paris,
France.
LA - eng
JID - 9430800
SB - IM
PMC - PMC7671619
OTO - NOTNLM
OT - clinical
OT - clinical pharmacy information systems
OT - decision support systems
OT - electronic prescribing
OT - supervised machine learning
EDAT- 2020/09/29 06:00
MHDA- 2020/09/29 06:00
CRDT- 2020/09/28 05:48
PHST- 2020/04/03 00:00 [received]
PHST- 2020/06/10 00:00 [revised]
PHST- 2020/06/30 00:00 [accepted]
PHST- 2020/09/29 06:00 [pubmed]
PHST- 2020/09/29 06:00 [medline]
PHST- 2020/09/28 05:48 [entrez]
AID - 5912186 [pii]
AID - ocaa154 [pii]
AID - 10.1093/jamia/ocaa154 [doi]
PST - ppublish
SO - J Am Med Inform Assoc. 2020 Nov 1;27(11):1688-1694. doi:
10.1093/jamia/ocaa154.
PMID- 29289941
OWN - NLM
STAT- MEDLINE
DCOM- 20180822
LR - 20191210
IS - 2044-6055 (Linking)
VI - 7
IP - 12
DP - 2017 Dec 29
TI - Azithromycin to prevent post-discharge morbidity and mortality in Kenyan
children: a
protocol for a randomised, double-blind, placebo-controlled trial (the Toto
Bora
trial).
PG - e019170
LID - 10.1136/bmjopen-2017-019170 [doi]
LID - e019170
AB - INTRODUCTION: Child mortality due to infectious diseases remains unacceptably
high
in much of sub-Saharan Africa. Children who are hospitalised represent an
accessible
population at particularly high risk of death, both during and following
hospitalisation. Hospital discharge may be a critical time point at which
targeted
use of antibiotics could reduce morbidity and mortality in high-risk
children.
METHODS AND ANALYSIS: In this randomised, double-blind, placebo-controlled
trial
(Toto Bora Trial), 1400 children aged 1-59 months discharged from hospitals
in
Western Kenya, in Kisii and Homa Bay, will be randomised to either a 5-day
course of
azithromycin or placebo to determine whether a short course of azithromycin
reduces
rates of rehospitalisation and/or death in the subsequent 6-month period. The
primary analysis will be modified intention-to-treat and will compare the
rates of
rehospitalisation or death in children treated with azithromycin or placebo
using
Cox proportional hazard regression. The trial will also evaluate the effect
of a
short course of azithromycin on enteric and nasopharyngeal infections and
cause-specific morbidities. We will also identify risk factors for
postdischarge
morbidity and mortality and subpopulations most likely to benefit from
postdischarge
antibiotic use. Antibiotic resistance in Escherichia coli and Streptococcus
pneumoniae among enrolled children and their primary caregivers will also be
assessed, and cost-effectiveness analyses will be performed to inform policy
decisions. ETHICS AND DISSEMINATION: Study procedures were reviewed and
approved by
the institutional review boards of the Kenya Medical Research Institute, the
University of Washington and the Kenyan Pharmacy and Poisons Board. The study
is
being externally monitored, and a data safety and monitoring committee has
been
assembled to monitor patient safety and to evaluate the efficacy of the
intervention. The results of this trial will be published in peer-reviewed
scientific journals and presented at relevant academic conferences and to key
stakeholders. TRIAL REGISTRATION NUMBER: NCT02414399.

of the
otherwise
expressly granted.
FAU - Pavlinac, Patricia B
AU - Pavlinac PB
AUID- ORCID: 0000-0002-0051-9131
AD - Department of Global Health, University of Washington, Seattle, Washington,
USA.
FAU - Singa, Benson O
AU - Singa BO
AD - Centre for Clinical Research, Kenya Medical Research Institute, Nairobi,
Kenya.
AD - Childhood Acute Illness and Nutrition Network, Nairobi, Kenya.
FAU - John-Stewart, Grace C
AU - John-Stewart GC
USA.
AD - Department of Epidemiology, University of Washington, Seattle, Washington,
USA.
AD - Department of Pediatrics, University of Washington, Seattle, Washington, USA.
AD - Department of Allergy and Infectious Disease, University of Washington,
Seattle,
Washington, USA.
FAU - Richardson, Barbra A
AU - Richardson BA
USA.
AD - Department of Biostatistics, University of Washington, Seattle, Washington,
USA.
FAU - Brander, Rebecca L
AU - Brander RL
USA.
FAU - McGrath, Christine J
AU - McGrath CJ
USA.
FAU - Tickell, Kirkby D
AU - Tickell KD
USA.
FAU - Amondi, Mary
AU - Amondi M
Kenya.
FAU - Rwigi, Doreen
AU - Rwigi D
Kenya.
FAU - Babigumira, Joseph B
AU - Babigumira JB
USA.
AD - Department of Pharmacy, University of Washington, Seattle, Washington, USA.
FAU - Kariuki, Sam
AU - Kariuki S
AD - Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi,
Kenya.
FAU - Nduati, Ruth
AU - Nduati R
AD - Department of Pediatrics, School of Medicine, University of Nairobi, Nairobi,
Kenya.
FAU - Walson, Judd L
AU - Walson JL
USA.
USA.
AD - Department of Pediatrics, University of Washington, Seattle, Washington, USA.
AD - Department of Allergy and Infectious Disease, University of Washington,
Seattle,
Washington, USA.
LA - eng
GR - Wellcome Trust/United Kingdom
GR - K24 HD054314/HD/NICHD NIH HHS/United States
DEP - 20171229
TA - BMJ Open
JT - BMJ open
JID - 101552874
RN - 83905-01-5 (Azithromycin)
SB - IM
MH - Azithromycin/*therapeutic use
MH - Child
MH - Drug Resistance, Microbial
MH - Escherichia coli
MH - Female
MH - Humans
MH - Infant
MH - Infant Death
MH - Infections/*drug therapy/microbiology/mortality
MH - Kenya
MH - Male
MH - Morbidity
MH - Patient Readmission
MH - Proportional Hazards Models
MH - Streptococcus pneumoniae
PMC - PMC5778294
OTO - NOTNLM
OT - *child mortality
OT - *post-discharge interventions
OT - *targeted empiric antibiotic therapy
OT - *toto bora trial
EDAT- 2018/01/01 06:00
MHDA- 2018/08/23 06:00
CRDT- 2018/01/01 06:00
PHST- 2018/01/01 06:00 [entrez]
PHST- 2018/01/01 06:00 [pubmed]
PHST- 2018/08/23 06:00 [medline]
AID - 10.1136/bmjopen-2017-019170 [doi]
PST - epublish
PMID- 28587644
OWN - NLM
STAT- MEDLINE
DCOM- 20180507
LR - 20181113
IS - 1471-2296 (Linking)
VI - 18
IP - 1
DP - 2017 Jun 6
TI - Current and future perspectives on the management of polypharmacy.
PG - 70
LID - 10.1186/s12875-017-0642-0 [doi]
LID - 70
AB - BACKGROUND: Because of ageing populations, the growth in the number of people
with
multi-morbidity and greater compliance with disease-specific guidelines,
polypharmacy is becoming increasingly common. Although the correct drug
treatment in
patients with complex medical problems can improve clinical outcomes, quality
of
life and life expectancy, polypharmacy is also associated with an increased
risk of
adverse drug events, some severe enough to result in hospital admission and
even
death. Hence, having systems in place to ensure that medications are started
only
when there is a suitable indication, ensuring patients are fully aware of the
benefits and complications that may arise from their treatment, and reviewing
patients regularly to ensure their medication regime remains appropriate, are
essential. DISCUSSION: The development and rapid uptake of electronic patient
records - particularly in primary care settings where the majority of

prescribing
takes place - makes monitoring of patients more straightforward than in the
past;
and allows identification of sub-groups of patients at particularly high risk
of
adverse drug events and complications. It also facilitates 'deprescribing'
the
process by which medications are reviewed and stopped if not clinically
beneficial.
In recent years, we have also seen the development of smartphone 'apps' to
improve
communication between patients and healthcare professionals, improve people's
understanding of their conditions and their treatment, and maintain a record

of
changes made to patient's medication. In the longer term, developments such
as the
introduction of artificial intelligence and clinical decision support systems
also
have the potential to improve prescribing and minimise the risks from
polypharmacy.
Finally, there is considerable scope to improve the quality of prescribing
and
reduce risks from poly-pharmacy using non-medical groups such as pharmacists,
specialist nurses and physician assistants. Polypharmacy has increased in

recent
decades and will continue to increase as populations age and the number of
people
with multiple long-term conditions increases. As with all areas of medicine,
the
evidence-base in this area continues to evolve. Further trials on the impact
on
patients with polypharmacy of new interventions such as technology-based
solutions
and the use of different professional groups are needed to improve the
evidence-base
in this area.
FAU - Molokhia, Mariam
AU - Molokhia M
AD - Department of Primary Care and Public Health Sciences, King's College London,
London, SE1 3QD, UK.

FAU - Majeed, Azeem
AU - Majeed A
AUID- ORCID: 0000-0002-2357-9858
AD - Department of Primary Care and Public Health, Imperial College London, W6
8RP,
London, UK. a.majeed@imperial.ac.uk.
LA - eng
DEP - 20170606
TA - BMC Fam Pract
JID - 100967792
SB - IM
MH - Aged
MH - Drug-Related Side Effects and Adverse Reactions/etiology/prevention & control
MH - Forecasting
MH - Humans
MH - Medication Reconciliation
MH - Multimorbidity/trends
MH - *Polypharmacy
MH - Risk Factors
PMC - PMC5461681
OTO - NOTNLM
OT - Multimorbidity
OT - Patient safety
OT - Polypharmacy
EDAT- 2017/06/08 06:00
MHDA- 2018/05/08 06:00
CRDT- 2017/06/08 06:00
PHST- 2017/01/30 00:00 [received]
PHST- 2017/05/28 00:00 [accepted]
PHST- 2017/06/08 06:00 [entrez]
PHST- 2017/06/08 06:00 [pubmed]
PHST- 2018/05/08 06:00 [medline]
AID - 10.1186/s12875-017-0642-0 [pii]
AID - 642 [pii]
AID - 10.1186/s12875-017-0642-0 [doi]
PST - epublish
SO - BMC Fam Pract. 2017 Jun 6;18(1):70. doi: 10.1186/s12875-017-0642-0.
PMID- 27622486
OWN - NLM
STAT- MEDLINE
DCOM- 20171229
LR - 20181023
IS - 0120-4157 (Linking)
VI - 36
IP - 2
DP - 2016 Jun 3
TI - Medication errors in outpatient care in Colombia, 2005-2013.
PG - 251-7
LID - 10.7705/biomedica.v36i2.2693 [doi]
AB - INTRODUCTION: Medication errors outside the hospital have been poorly studied
despite representing an important threat to patient safety. OBJECTIVE: To

describe
the characteristics of medication errors in outpatient dispensing pharmacists
reported in a pharmaco-surveillance system between 2005 and 2013 in Colombia.
MATERIALS AND METHODS: We conducted a descriptive study by reviewing and

categorizing medication error reports from outpatient pharmacy services to a
national medication dispensing company between January, 2005 and September,
2013.
Variables considered included: process involved (administration, dispensing,
prescription and transcription), wrong drug, time delay for the report, error
type,
cause and severity. The analysis was conducted in the SPSS® software, version
22.0.
RESULTS: A total of 14,873 medication errors were reviewed, of which 67.2% in
fact
occurred, 15.5% reached the patient and 0.7% caused harm. Administration
(OR=93.61,
CI 95%: 48.510-180.655, p<0.001), dispensing (OR=21.58, CI 95%: 16.139-
28.870,
p<0.001), transcription errors (OR=5.64; CI 95%: 3.488-9.142, p<0.001),
medicines
for sensory organs (OR=2.04, CI 95%: 1.519-2.756, p<0.001), anti-infective
drugs for
systemic use (OR=1.99, CI 95%: 1.574-2.525, p0.001), confusion generated with
the
name of the drug (OR=1.28, CI 95%: 1.051-1.560, p=0.014), and trouble
interpreting
prescriptions (OR=1.32, CI 95%: 1.037-1.702, p=0.025) increased the risk for
error
reaching the patient. CONCLUSIONS: It is necessary to develop surveillance
systems
for medication errors in ambulatory care, focusing on the prescription,
transcription and dispensation processes. Special strategies are needed for
the
prevention of medication errors related to anti-infective drugs.
FAU - Machado-Alba, Jorge E
AU - Machado-Alba JE
AD - Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia,
Universidad
Tecnológica de Pereira-Audifarma, S. A., Pereira, Colombia.
machado@utp.edu.co.
FAU - Moncada, Juan Carlos
AU - Moncada JC
FAU - Moreno-Gutiérrez, Paula Andrea
AU - Moreno-Gutiérrez PA
LA - eng
DEP - 20160603
PL - Colombia
TA - Biomedica
JT - Biomedica : revista del Instituto Nacional de Salud
JID - 8205605
RN - 0 (Pharmaceutical Preparations)
SB - IM
MH - *Ambulatory Care
MH - Colombia
MH - Humans
MH - Medication Errors/*prevention & control/*statistics & numerical data
MH - Pharmaceutical Preparations
OTO - NOTNLM
OT - Colombia
OT - adverse drug reaction reporting systems
OT - inappropriate prescribing
OT - pharmaco-surveillance
EDAT- 2016/09/14 06:00
MHDA- 2017/12/30 06:00
CRDT- 2016/09/14 06:00
PHST- 2015/01/30 00:00 [received]
PHST- 2015/09/22 00:00 [revised]
PHST- 2016/09/14 06:00 [entrez]
PHST- 2016/09/14 06:00 [pubmed]
PHST- 2017/12/30 06:00 [medline]
AID - 10.7705/biomedica.v36i2.2693 [doi]
PST - epublish
SO - Biomedica. 2016 Jun 3;36(2):251-7. doi: 10.7705/biomedica.v36i2.2693.
PMID- 33020105
OWN - NLM
STAT- In-Process
LR - 20201215
IS - 2044-6055 (Linking)
VI - 10
IP - 10
DP - 2020 Oct 5
TI - A multicentre, randomised trial of stabilisation with nasal high flow during
neonatal endotracheal intubation (the SHINE trial): a study protocol.
PG - e039230
LID - 10.1136/bmjopen-2020-039230 [doi]
LID - e039230
AB - INTRODUCTION: Neonatal endotracheal intubation is an essential but
potentially
destabilising procedure. With an increased focus on avoiding mechanical
ventilation,
particularly in preterm infants, there are fewer opportunities for clinicians
to
gain proficiency in this important emergency skill. Rates of successful
intubation
at the first attempt are relatively low, and adverse event rates are high,
when
compared with intubations in paediatric and adult populations. Interventions
to
improve operator success and patient stability during neonatal endotracheal
intubations are needed. Using nasal high flow therapy extends the safe apnoea
time
of adults undergoing upper airway surgery and during endotracheal intubation.
This
technique is untested in neonates. METHODS AND ANALYSIS: The Stabilisation
with
nasal High flow during Intubation of NEonates (SHINE) trial is a multicentre,
randomised controlled trial comparing the use of nasal high flow during
neonatal
intubation with standard care (no nasal high flow). Intubations are
randomised
individually, and stratified by site, use of premedications, and
postmenstrual age
(<28 weeks' gestation; ≥28 weeks' gestation). The primary outcome is the
incidence
of successful intubation on the first attempt without physiological
instability of
the infant. Physiological instability is defined as an absolute decrease in
peripheral oxygen saturation >20% from preintubation baseline and/or
bradycardia
(<100 beats per minute). ETHICS AND DISSEMINATION: The SHINE trial received
ethical
approval from the Human Research Ethics Committees of The Royal Women's
Hospital,
Melbourne, Australia and Monash Health, Melbourne, Australia. The trial is
currently
recruiting in these two sites. The findings of this study will be
disseminated via
peer-reviewed journals and presented at national and international
conferences.
TRIAL REGISTRATION NUMBER: ACTRN12618001498280.
FAU - Hodgson, Kate A
AU - Hodgson KA
AUID- ORCID: 0000-0002-2908-1049
AD - Newborn Research Centre, The Royal Women's Hospital, Melbourne, Victoria,
Australia
kate.hodgson@thewomens.org.au.
AD - Department of Obstetrics and Gynaecology, The University of Melbourne,
Melbourne,
FAU - Owen, Louise S
AU - Owen LS
Australia.
Melbourne,
AD - Clinical Sciences, Murdoch Children's Research Institute, Melbourne,
Victoria,
Australia.
FAU - Kamlin, Camille Omar
AU - Kamlin CO
Australia.
Melbourne,
Victoria,
Australia.
FAU - Roberts, Calum T
AU - Roberts CT
AD - Monash Newborn, Monash Children's Hospital, Clayton, Victoria, Australia.
AD - Department of Paediatrics, Monash University, Clayton, Victoria, Australia.
FAU - Donath, Susan M
AU - Donath SM
AD - Clinical Epidemiology and Biostatistics Unit, Murdoch Childrens Research
Institute,
Melbourne, Victoria, Australia.
AD - Department of Paediatrics, University of Melbourne, Melbourne, Victoria,
Australia.
FAU - Davis, Peter G
AU - Davis PG
AUID- ORCID: 0000-0001-6742-7314
Australia.
Melbourne,
Victoria,
Australia.
FAU - Manley, Brett James
AU - Manley BJ
Australia.
Melbourne,
Victoria,
Australia.
LA - eng
SI - ANZCTR/ACTRN12618001498280
DEP - 20201005
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
PMC - PMC7537449
OTO - NOTNLM
OT - *intensive & critical care
OT - *neonatal intensive & critical care
OT - *neonatology
EDAT- 2020/10/07 06:00
MHDA- 2020/10/07 06:00
CRDT- 2020/10/06 05:25
PHST- 2020/10/06 05:25 [entrez]
PHST- 2020/10/07 06:00 [pubmed]
PHST- 2020/10/07 06:00 [medline]
AID - 10.1136/bmjopen-2020-039230 [doi]
PST - epublish
SO - BMJ Open. 2020 Oct 5;10(10):e039230. doi: 10.1136/bmjopen-2020-039230.
PMID- 26402385
OWN - NLM
STAT- MEDLINE
DCOM- 20160927
LR - 20181113
IS - 1044-5463 (Print)
IS - 1044-5463 (Linking)
VI - 25
IP - 8
DP - 2015 Oct
TI - Association Between 5-HTTLPR Polymorphism and Tics after Treatment with
Methylphenidate in Korean Children with Attention-Deficit/Hyperactivity
Disorder.
PG - 633-40
LID - 10.1089/cap.2014.0168 [doi]
AB - OBJECTIVES: The purpose of this study is to examine the relationship between
5-HTTLPR polymorphism (44-bp insertion/deletion polymorphism of serotonin
transporter gene) and methylphenidate (MPH) treatment response, as well as
the
association between the adverse events of MPH treatment and 5-HTTLPR
polymorphism in
children with attention-deficit/hyperactivity disorder (ADHD). METHODS: A
total of
114 children with ADHD (mean age 9.08 ± 1.94 years) were recruited from the
child
psychiatric clinic in a hospital in South Korea. We have extracted the
genomic DNA
of the subjects from their blood lymphocytes and analyzed 5-HTTLPR
polymorphism of
the SLC6A4 gene. All children were treated with MPH for 8 weeks, with
clinicians
monitoring both the improvement of ADHD symptoms and the side effects. We
compared
the response to MPH treatment and adverse events among those with the
genotype of
5-HRRLPR polymorphism. RESULTS: There was no significant association between
the
5-HTTLPR genotype and the response to MPH treatment in children with ADHD.
Subjects
with the S/L+L/L genotype tended to have tics and nail biting (respectively,
p < 0.001, p = 0.017). CONCLUSIONS: The results of this study do not support
the
association between the 5-HTTLPR polymorphism and treatment response with MPH
in
ADHD. However, our findings suggest the association between 5-HTTLPR
polymorphism
and the occurrence of tics and nail-biting as an adverse event of
methylphenidate.
This may aid in our understanding of the genetic contribution and genetic
susceptibility of a particular allele in those ADHD patients with tics or
nail
biting.
FAU - Park, Seo Yeon
AU - Park SY
AD - Department of Psychiatry and Institute of Behavioral Science in Medicine,
Yonsei
University College of Medicine , Seoul, Korea.
FAU - Kim, Eun Joo
AU - Kim EJ
Yonsei
FAU - Cheon, Keun-Ah
AU - Cheon KA
Yonsei
LA - eng
PT - Clinical Trial
DEP - 20150924
TA - J Child Adolesc Psychopharmacol
JT - Journal of child and adolescent psychopharmacology
JID - 9105358
RN - 0 (Central Nervous System Stimulants)
RN - 0 (SLC6A4 protein, human)
RN - 0 (Serotonin Plasma Membrane Transport Proteins)
RN - 207ZZ9QZ49 (Methylphenidate)
SB - IM
MH - Adolescent
MH - Alleles
MH - Attention Deficit Disorder with Hyperactivity/complications/*drug therapy
MH - Central Nervous System Stimulants/adverse effects/therapeutic use
MH - Child
MH - Female
MH - Genotype
MH - Humans
MH - Male
MH - Methylphenidate/*adverse effects/*therapeutic use
MH - *Nail Biting
MH - Polymorphism, Genetic/genetics
MH - Serotonin Plasma Membrane Transport Proteins/*genetics
MH - Tics/*chemically induced/complications/*genetics
PMC - PMC4615776
EDAT- 2015/09/25 06:00
MHDA- 2016/09/28 06:00
CRDT- 2015/09/25 06:00
PHST- 2015/09/25 06:00 [entrez]
PHST- 2015/09/25 06:00 [pubmed]
PHST- 2016/09/28 06:00 [medline]
AID - 10.1089/cap.2014.0168 [pii]
AID - 10.1089/cap.2014.0168 [doi]
PST - ppublish
SO - J Child Adolesc Psychopharmacol. 2015 Oct;25(8):633-40. doi:
10.1089/cap.2014.0168.
Epub 2015 Sep 24.
PMID- 25310260
OWN - NLM
STAT- MEDLINE
DCOM- 20150917
LR - 20181113
IS - 1932-6203 (Linking)
VI - 9
IP - 10
DP - 2014
TI - Geographic variation of failure-to-rescue in public acute hospitals in New
South
Wales, Australia.
PG - e109807
LID - e109807
AB - Despite the wide acceptance of Failure-to-Rescue (FTR) as a patient safety
indicator
(defined as the deaths among surgical patients with treatable complications),
no
study has explored the geographic variation of FTR in a large health
jurisdiction.
Our study aimed to explore the spatiotemporal variations of FTR rates across
New
South Wales (NSW), Australia. We conducted a population-based study using all
admitted surgical patients in public acute hospitals during 2002-2009 in NSW,
Australia. We developed a spatiotemporal Poisson model using Integrated

Nested
Laplace Approximation (INLA) methods in a Bayesian framework to obtain area-
specific
adjusted relative risk. Local Government Area (LGA) was chosen as the areal
unit.
LGA-aggregated covariates included age, gender, socio-economic and remoteness
index
scores, distance between patient residential postcode and the treating
hospital, and
a quadratic time trend. We studied 4,285,494 elective surgical admissions in
82
acute public hospitals over eight years in NSW. Around 14% of patients who
developed
at least one of the six FTR-related complications (58,590) died during
hospitalization. Of 153 LGAs, patients who lived in 31 LGAs, accommodating
48% of
NSW patients at risk, were exposed to an excessive adjusted FTR risk (10% to
50%)
compared to the state-average. They were mostly located in state's centre and
western Sydney. Thirty LGAs with a lower adjusted FTR risk (10% to 30%),
accommodating 8% of patients at risk, were mostly found in the southern parts
of NSW
and Sydney east and south. There were significant spatiotemporal variations
of FTR
rates across NSW over an eight-year span. Areas identified with significantly
high
and low FTR risks provide potential opportunities for policy-makers,
clinicians and
researchers to learn from the success or failure of adopting the best care
for
surgical patients and build a self-learning organisation and health system.
FAU - Assareh, Hassan
AU - Assareh H
AD - Simpson Centre for Health Services Research, Australian Institute of Health
Innovation & South Western Sydney Clinical School, University of New South
Wales,
Sydney, New South Wales, Australia; Epidemiology, Western Sydney Local Health
District, Sydney, New South Wales, Australia.

FAU - Ou, Lixin
AU - Ou L
Wales,
Sydney, New South Wales, Australia.
FAU - Chen, Jack
AU - Chen J
Wales,
FAU - Hillman, Kenneth
AU - Hillman K
Wales,
FAU - Flabouris, Arthas
AU - Flabouris A
AD - Intensive Care Unit, Royal Adelaide Hospital, Adelaide, South Australia,
Australia.
FAU - Hollis, Stephanie J
AU - Hollis SJ
Wales,
LA - eng
DEP - 20141013
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - *Geography
MH - Hospitals, Public/*statistics & numerical data
MH - Humans
MH - Local Government
MH - Mortality
MH - New South Wales
MH - Postoperative Complications/etiology
MH - Risk
MH - Time Factors
PMC - PMC4195695
exist.
EDAT- 2014/10/14 06:00
MHDA- 2015/09/18 06:00
CRDT- 2014/10/14 06:00
PHST- 2013/12/02 00:00 [received]
PHST- 2014/09/14 00:00 [accepted]
PHST- 2014/10/14 06:00 [entrez]
PHST- 2014/10/14 06:00 [pubmed]
PHST- 2015/09/18 06:00 [medline]
PST - epublish
SO - PLoS One. 2014 Oct 13;9(10):e109807. doi: 10.1371/journal.pone.0109807.
eCollection
2014.
PMID- 26256769
OWN - NLM
STAT- MEDLINE
DCOM- 20160916
LR - 20191210
IS - 0740-5472 (Print)
IS - 0740-5472 (Linking)
VI - 60
DP - 2016 Jan
TI - A Multicomponent Intervention to Improve Primary Care Provider Adherence to
Chronic
Opioid Therapy Guidelines and Reduce Opioid Misuse: A Cluster Randomized
Controlled
Trial Protocol.
PG - 101-9
LID - S0740-5472(15)00166-X [pii]
LID - 10.1016/j.jsat.2015.06.018 [doi]
AB - BACKGROUND: Prescription opioid misuse is a significant public health problem
as
well as a patient safety concern. Primary care providers (PCPs) are the
leading
prescribers of opioids for chronic pain, yet few PCPs follow standard
practice
guidelines regarding assessment and monitoring. This cluster randomized
controlled
trial will determine whether four implementation strategies; nurse care
management,
use of a patient registry, academic detailing, and electronic tools, will
increase
PCP adherence to chronic opioid therapy guidelines and reduce opioid misuse
among
patients, relative to electronic tools alone. The implementation strategies
and
intervention content are based on the chronic care model. METHODS: We include
53
PCPs from three Boston-area community health centers and one urban safety-net
hospital-based primary care practice who have at least four patients meeting
the
following inclusion criteria: 1) age≥18; 2) one or more completed visits to
the
primary care practice in the past year; 3) long-term opioid treatment defined
as
three or more opioid prescriptions written at least 21days apart within
6months and
4) an inpatient or outpatient ICD-9-CM diagnosis for musculoskeletal or
neuropathic
pain. We consider PCPs to be study subjects, and obtained a waiver of
informed
consent for patients because the study is promoting an established standard
of care.
We enrolled participants (PCPs) from December 2012 through March 2015. PCPs
were
randomized to receive the intervention, which includes four components: 1)
nurse
care management, 2) use of a patient registry, 3) academic detailing, and 4)
electronic tools, or a control condition, which includes only the use of the
electronic tools. The intervention PCPs receive the services of a nurse-
managed
registry for planning individual patient care and conducting population-based
care
for patients receiving opioids for chronic pain. In academic detailing
visits,
trained co-investigators provide intervention PCPs with individualized
education to
change prescribing practice. Electronic tools, located on a web site external
to the
EMR, www.mytopcare.org, include validated instruments to assess patient
status, and
management resources to facilitate PCP adherence to suggested monitoring.
Electronic
tools are available to PCPs in both study arms. The primary outcomes are PCP
adherence to chronic opioid therapy guidelines and patient opioid misuse.
Secondary
outcomes include measures of substance abuse, possible opioid diversion, and
level
of opioid risk among patients. We will follow PCPs and their estimated 1200
chronic
pain patients for 1year after study enrollment. To determine whether the
intervention condition achieves greater adherence to guidelines and reduced
opioid
misuse after 1year compared to the control condition, we will compare the
baseline
and follow-up measures of the individual patients, stratifying by
intervention
status and noting differences that are statistically significant at the
p=0.05
level. Analyses will be based on intent-to-treat. RESULTS: Randomization
resulted in
groups with similar baseline characteristics. The ages of PCPs are evenly
distributed, with inclusion of both PCPs who have recently completed training
and
those who have been in practice for more than 20years. Two-thirds of enrolled
PCPs
are women, and one-third are non-white. DISCUSSION: The study will determine
the
impact of this multicomponent intervention on improving PCP adherence to
guidelines
and reducing opioid misuse among patients.
FAU - Lasser, Karen E
AU - Lasser KE
AD - Clinical Addiction Research and Education (CARE) Unit, Section of General
Internal
Medicine, Boston Medical Center/Boston University School of Medicine, Boston,
MA;
Department of Community Health Sciences, Boston University School of Public
Health.
Electronic address: karen.lasser@bmc.org.
FAU - Shanahan, Christopher
AU - Shanahan C
Internal
MA.
FAU - Parker, Victoria
AU - Parker V
AD - Department of Health Policy and Management, Boston University School of
Public
Health.
FAU - Beers, Donna
AU - Beers D
Internal
MA.
FAU - Xuan, Ziming
AU - Xuan Z
AD - Department of Community Health Sciences, Boston University School of Public
Health.
FAU - Heymann, Orlaith
AU - Heymann O
Internal
MA.
FAU - Lange, Allison
AU - Lange A
Internal
MA.
FAU - Liebschutz, Jane M
AU - Liebschutz JM
Internal
MA.
LA - eng
GR - R01 DA034252/DA/NIDA NIH HHS/United States
GR - R01DA034252/DA/NIDA NIH HHS/United States
DEP - 20150715
TA - J Subst Abuse Treat
JT - Journal of substance abuse treatment
JID - 8500909
SB - IM
MH - Adult
MH - Boston
MH - *Clinical Protocols
MH - Guideline Adherence/*standards
MH - Health Personnel/*standards
MH - Humans
MH - Opioid-Related Disorders/*prevention & control
MH - Prescription Drug Misuse/*prevention & control
MH - Primary Health Care/*standards
MH - *Registries
PMC - PMC4679615
MID - NIHMS709318
OTO - NOTNLM
OT - Academic detailing
OT - Cluster randomized trial
OT - Nurse care management
OT - Patient registry
OT - Prescription opioid misuse
OT - Primary care
EDAT- 2015/08/11 06:00
MHDA- 2016/09/17 06:00
CRDT- 2015/08/11 06:00
PHST- 2015/02/27 00:00 [received]
PHST- 2015/06/25 00:00 [revised]
PHST- 2015/06/29 00:00 [accepted]
PHST- 2015/08/11 06:00 [entrez]
PHST- 2015/08/11 06:00 [pubmed]
PHST- 2016/09/17 06:00 [medline]
AID - S0740-5472(15)00166-X [pii]
AID - 10.1016/j.jsat.2015.06.018 [doi]
PST - ppublish
SO - J Subst Abuse Treat. 2016 Jan;60:101-9. doi: 10.1016/j.jsat.2015.06.018. Epub
2015
Jul 15.
PMID- 31601187
OWN - NLM
STAT- MEDLINE
DCOM- 20200413
LR - 20200413
VI - 19
IP - 1
DP - 2019 Oct 11
TI - Uncompleted emergency department care and discharge against medical advice in
patients with neurological complaints: a chart review.

PG - 52
LID - 10.1186/s12873-019-0273-y [doi]
LID - 52
AB - BACKGROUND: Uncompleted emergency department care and against-medical-advice
discharge represent relevant medical problems with impact on patient safety
and
potential medicolegal and socioeconomic consequences. They may also indicate
structural or procedural problems in the emergency department (ED) relating
to
patient management and flow. While patients with neurological complaints
frequently
leave the ED against medical advice or without being seen, no dedicated
analysis of
this group of patients aiming at the identification of characteristics
associated
with irregular ED discharge has been performed so far. METHODS: A chart
review was
performed of all patients with neurological complaints presenting to a German
interdisciplinary emergency department between January and December 2017 for

neurological evaluation. Demographics, mode of presentation, process times,
presenting symptoms and diagnosis were recorded. Patients leaving against
medical
advice after an informed consent discussion and signing of documentation
(DAMA) or
leaving prematurely without notifying ED staff (PL) were compared to the
total of
patients who were admitted or discharged (non-DAMA/PL). RESULTS: Of all
patients
presenting with neurological symptoms or complaints, 3% left against medical
advice
and 2.2% left prematurely. DAMA/PL patients were younger (p < .001), and they
were
more frequently self-presenting (p < 0.001). Headaches, seizures and sensory
deficits were the most frequent presenting symptoms in DAMA/PL patients, and
56.1%
of those presenting with a seizure had a history of epilepsy. The most common
documented reason for leaving was the duration of door-to-doctor time.

CONCLUSIONS:
Younger age, self-presenting mode of presentation and presentation with
headache,
seizures or sensory deficits are associated with premature leave or
against-medical-advice discharge of patients with neurological complaints
from the
ED, and long waiting times were given as the major reason for leaving the ED.
Increasing ED staff's awareness of these factors and the optimization of

pre-hospital assessment and demand management, thereby positively impacting
on
patient flow and ED process times, may help to prevent irregular discharges
from the
ED.
FAU - Hoyer, Carolin
AU - Hoyer C
AUID- ORCID: 0000-0001-5672-0865
AD - Department of Neurology, Medical Faculty Mannheim, Universitätsmedizin
Mannheim,
Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68135, Mannheim, Germany.
carolin.hoyer@umm.de.
FAU - Stein, Patrick
AU - Stein P
Mannheim,
FAU - Alonso, Angelika
AU - Alonso A
Mannheim,
FAU - Platten, Michael
AU - Platten M
Mannheim,
FAU - Szabo, Kristina
AU - Szabo K
Mannheim,
LA - eng
DEP - 20191011
TA - BMC Emerg Med
JID - 100968543
SB - IM
MH - Adult
MH - Age Factors
MH - Aged
MH - Comorbidity
MH - Female
MH - Germany
MH - Humans
MH - Male
MH - Middle Aged
MH - Nervous System Diseases/*epidemiology
MH - Patient Discharge/*statistics & numerical data
MH - Sex Factors
MH - Socioeconomic Factors
MH - Treatment Refusal/*psychology
MH - Waiting Lists
PMC - PMC6788079
OTO - NOTNLM
OT - *Neurology
OT - *Patient discharge
EDAT- 2019/10/12 06:00
MHDA- 2020/04/14 06:00
CRDT- 2019/10/12 06:00
PHST- 2019/05/01 00:00 [received]
PHST- 2019/09/25 00:00 [accepted]
PHST- 2019/10/12 06:00 [entrez]
PHST- 2019/10/12 06:00 [pubmed]
PHST- 2020/04/14 06:00 [medline]
AID - 10.1186/s12873-019-0273-y [pii]
AID - 273 [pii]
AID - 10.1186/s12873-019-0273-y [doi]
PST - epublish
SO - BMC Emerg Med. 2019 Oct 11;19(1):52. doi: 10.1186/s12873-019-0273-y.
PMID- 31956293
OWN - NLM
LR - 20200930
IS - 1472-6955 (Print)
IS - 1472-6955 (Linking)
VI - 19
DP - 2020
TI - Medication administration errors and contributing factors among nurses: a
cross
sectional study in tertiary hospitals, Addis Ababa, Ethiopia.
PG - 4
LID - 10.1186/s12912-020-0397-0 [doi]
LID - 4
AB - BACKGROUND: Unsafe medication practices are the leading causes of avoidable
patient
harm in healthcare systems across the world. The largest proportion of which
occurs
during medication administration. Nurses play a significant role in the
occurrence
as well as preventions of medication administration errors. However, only a
few
relevant studies explored the problem in Ethiopia. Therefore, this study
aimed to
assess the magnitude and contributing factors of medication administration
error
among nurses in tertiary care hospitals, Addis Ababa, Ethiopia, 2018.
METHODS: We
conducted a hospital-based, cross-sectional study in Addis Ababa, Ethiopia.
The
study involved 298 randomly selected nurses. We used adopted, self-
administered
survey questionnaire and checklist to collect data via self-reporting and
direct
observation of nurses while administering medications. The tools were expert
reviewed and tested on 5% of the study participants. We analyzed the data
descriptively and analytically using SPSS version 24. We included those
factors with
significant p-values (p ≤ 0.25) in the multivariate logistic regression
model. We
considered those factors, in the final multivariate model, with p < 0.05 at
95%Cl as
significant predictors of medication administration errors as defined by
nurse
self-report. RESULT: Two hundred and ninety eight (98.3%) nurses completed
the
survey questionnaire. Of these, 203 (68.1%) reported committing medication
administration errors in the previous 12 months. Factors such as the lack of
adequate training [AOR = 3.16; 95% CI (1.67,6)], unavailability of a
guideline for
medication administration [AOR = 2.07; 95% CI (1.06,4.06)], inadequate work
experience [AOR = 6.48; 95% CI (1.32,31.78)], interruption during medication
administration [AOR = 2.42, 95% CI (1.3,4.49)] and night duty shift [AOR = 5,
95% CI
(1.82, 13.78)] were significant predictors of medication administration
errors at
p-value < 0.05. CONCLUSION AND RECOMMENDATION: Medication administration
error
prevention is complex but critical to ensure the safety of patients. Based on
our
study, providing a continuous training on safe administration of medications,
making
a medication administration guideline available for nurses to apply, creating
an
enabling environment for nurses to safely administer medications, and
retaining more
experienced nurses may be critical steps to improve the quality and safety of
medication administration.
FAU - Wondmieneh, Adam
AU - Wondmieneh A
AUID- ORCID: 0000-0002-3986-8072
AD - Department of Nursing, College of Health Sciences, Woldia University, Woldia,
Ethiopia.
FAU - Alemu, Wudma
AU - Alemu W
AD - 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa
University, Addis Ababa, Ethiopia. ISNI: 0000 0001 1250 5688. GRID:
grid.7123.7
FAU - Tadele, Niguse
AU - Tadele N
AD - 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa
University, Addis Ababa, Ethiopia. ISNI: 0000 0001 1250 5688. GRID:
grid.7123.7
FAU - Demis, Asmamaw
AU - Demis A
AD - Department of Nursing, College of Health Sciences, Woldia University, Woldia,
Ethiopia.
LA - eng
DEP - 20200113
TA - BMC Nurs
JT - BMC nursing
JID - 101088683
PMC - PMC6958590
OTO - NOTNLM
OT - Factors
OT - Medication administration errors
OT - Nurses
EDAT- 2020/01/21 06:00
MHDA- 2020/01/21 06:01
CRDT- 2020/01/21 06:00
PHST- 2019/01/18 00:00 [received]
PHST- 2020/01/08 00:00 [accepted]
PHST- 2020/01/21 06:00 [entrez]
PHST- 2020/01/21 06:00 [pubmed]
PHST- 2020/01/21 06:01 [medline]
AID - 397 [pii]
AID - 10.1186/s12912-020-0397-0 [doi]
PST - epublish
SO - BMC Nurs. 2020 Jan 13;19:4. doi: 10.1186/s12912-020-0397-0. eCollection 2020.
PMID- 25550289
OWN - NLM
STAT- MEDLINE
DCOM- 20150817
LR - 20190202
IS - 2044-6055 (Linking)
VI - 4
IP - 12
DP - 2014 Dec 30
TI - Protocol compliance of administering parenteral medication in Dutch
hospitals: an
evaluation and cost estimation of the implementation.
PG - e005232
LID - 10.1136/bmjopen-2014-005232 [doi]
LID - e005232
AB - OBJECTIVES: Preventable adverse drug events (ADEs) are closely related to
administration processes of parenteral medication. The Dutch Patient Safety
Program
provided a protocol for administering parenteral medication to reduce the
amount of
ADEs. The execution of the protocol was evaluated and a cost estimation was
performed to provide insight in the associated costs of protocol compliance.
METHODS: A longitudinal evaluation study was performed in secondary care. A
total of
2154 observations of the administration process of parenteral medication were
carried out within 10 measurements in 19 hospitals between November 2011 and

December 2012. The total time needed for the process was measured in a sample
of
five hospitals. Multilevel linear and logistic regression analyses were used
to
analyse the trend over time of the implementation and to assess the
association
between hospital and administration characteristics, and compliance of the
protocol.
A cost estimation provided insight into the costs of performing a complete
administration process and the costs at department level for 1 year. RESULTS:
The
complete protocol was performed in 19% of the observations. The proceeding
'check by
a second nurse' was least performed. Large differences were found between
individual
hospitals in performing the administration protocol. The compliance of the
protocol
was negatively influenced in case of disturbance of the administrator. The
overall
trend over time of completion of the protocol fluctuated during the study
period. On
average, 3 min 26 s were needed to perform the complete protocol, which costs
€2.42.
Extrapolating the costs to department level, including cost for clinical
lessons,
the difference in costs in performing the complete protocol and an incomplete
protocol was €7.891 for 1 year. CONCLUSIONS: The protocol for administering
parenteral medication is still not implemented completely, therefore an
investment
in time and Euros is needed.
not
FAU - Schilp, Janneke
AU - Schilp J
Netherlands.
FAU - Boot, Sanne
AU - Boot S
Netherlands.
FAU - de Blok, Carolien
AU - de Blok C
Netherlands.
FAU - Spreeuwenberg, Peter
AU - Spreeuwenberg P
Netherlands.
FAU - Wagner, Cordula
AU - Wagner C
Netherlands
Department of Public and Occupation Health, EMGO+Institute for Health and
Care
Research, VU University Medical Center (VUmc), Amsterdam, The Netherlands.
LA - eng
DEP - 20141230
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adult
MH - *Guideline Adherence/economics/standards
MH - *Hospital Costs
MH - *Hospitals
MH - Humans
MH - *Injections
MH - Netherlands
PMC - PMC4281535
OTO - NOTNLM
OT - Health & safety < HEALTH SERVICES ADMINISTRATION & MANAGEMENT
EDAT- 2015/01/01 06:00
MHDA- 2015/08/19 06:00
CRDT- 2015/01/01 06:00
PHST- 2015/01/01 06:00 [entrez]
PHST- 2015/01/01 06:00 [pubmed]
PHST- 2015/08/19 06:00 [medline]
AID - 10.1136/bmjopen-2014-005232 [doi]
PST - epublish
PMID- 30886702
OWN - NLM
STAT- MEDLINE
DCOM- 20200420
LR - 20200420
IS - 2047-2994 (Linking)
VI - 8
DP - 2019
TI - Facility type and surgical specialty are associated with suboptimal surgical
antimicrobial prophylaxis practice patterns: a multi-center, retrospective
cohort
study.
PG - 49
LID - 10.1186/s13756-019-0503-9 [doi]
LID - 49
AB - BACKGROUND: Guidelines recommend discontinuation of antimicrobial prophylaxis
within
24 h after incision closure in uninfected patients. However, how facility and
surgical specialty factors affect the implementation of these evidence-based

surgical prophylaxis guidelines in outpatient surgery is unknown. Thus, we
sought to
measure how facility complexity, including ambulatory surgical center (ASC)
status
and availability of ancillary services, impact adherence to guidelines for
timely
discontinuation of antimicrobial prophylaxis after outpatient surgery. A
secondary
aim was to measure the association between surgical specialty and guideline
compliance. METHODS: A multi-center, national Veterans Health Administration
retrospective cohort from 10/1/2015-9/30/2017 including any Veteran
undergoing an
outpatient surgical procedure in any of five specialties (general surgery,
urology,
ophthalmology, ENT, orthopedics) was created. The primary outcome was the
association between facility complexity and proportion of surgeries not
compliant with discontinuation of antimicrobials within 24 h of incision
closure.
Data were analyzed using logistic regression with adjustments for patient and
procedural factors. RESULTS: Among 153,097 outpatient surgeries, 7712 (5.0%)

received antimicrobial prophylaxis lasting > 24 h after surgery; rates ranged
from
0.4% (eye surgeries) to 13.7% (genitourinary surgeries). Cystoscopies and
cystoureteroscopy with lithotripsy procedures had the highest rates (16 and
20%),
while hernia repair, cataract surgeries, and laparoscopic cholecystectomies
had the
lowest (0.2-0.3%). In an adjusted logistic regression model, lower complexity
ASC
and hospital outpatient departments had higher odds of prolonged
antimicrobial
prophylaxis compared to complex hospitals (OR ASC, 1.3, 95% CI: 1.2-1.5).
Patient
factors associated with higher odds of noncompliance with antimicrobial
discontinuation included younger age, female sex, and white race.
Genitourinary and
ear/nose/throat surgeries were associated with the highest odds of prolonged
antimicrobial prophylaxis. CONCLUSIONS: Facility complexity appears to play a
role
in adherence to surgical infection prevention guidelines. Lower complexity
facilities with limited infection prevention and antimicrobial stewardship
resources
may be important targets for quality improvement. Such interventions may be
especially useful for genitourinary and ear/nose/throat surgical
subspecialties.
Increasing pharmacy, antimicrobial stewardship and/or infection prevention
resources
to promote more evidence-based care may support surgical providers in lower
complexity ambulatory surgery centers and hospital outpatient departments in
their
efforts to improve this facet of patient safety.
FAU - Branch-Elliman, Westyn
AU - Branch-Elliman W
AUID- ORCID: 0000-0002-9658-5124
AD - 1Department of Medicine, Section of Infectious Diseases, VA Boston Healthcare
System, MA 1400 VFW Parkway West Roxbury, Boston, MA 02132 USA.

AD - 2Center for Healthcare Organization and Implementation Research (CHOIR), VA
Boston,
Healthcare System, 150 South Huntington Avenue, Boston, MA 02130 USA.
AD - 3Harvard Medical School, 25 Shattuck Street Boston, Boston, MA 02115 USA.
FAU - Pizer, Steven D
AU - Pizer SD
AD - 4Partnered Evidence-based Policy Resource Center (PEPReC), Department of
Veterans
Affairs, 150 South Huntington Avenue Boston, Boston, MA 02130 USA.
AD - 5Department of Health Law, Policy and Management, Boston University School of
Public
Health, 715 Albany Street, Boston, MA 02118 USA.
FAU - Dasinger, Elise A
AU - Dasinger EA
AD - VA Quality Scholars Program, Birmingham VA Medical Center, Birmingham, 700
19th
Street S, AL 35233 England.
FAU - Gold, Howard S
AU - Gold HS
AD - 7Beth Israel Deaconess Medical Center, Division of Infectious Diseases, 110
Francis
Street, Boston, MA 02115 USA.
FAU - Abdulkerim, Hassen
AU - Abdulkerim H
Boston,
FAU - Rosen, Amy K
AU - Rosen AK
Boston,
AD - 8Department of Surgery, Boston University School of Medicine, 88 East Newton
Street,
C515, Boston, MA 02118 USA.
FAU - Charns, Martin P
AU - Charns MP
Boston,
FAU - Hawn, Mary T
AU - Hawn MT
AD - 9Palo Alto VA Medical Center, 3801 Miranda Ave, Palo Alto, CA 95010 USA.
AD - 10Stanford University School of Medicine, 291 Campus Drive Stanford,
Stanford, CA
94305 USA.
FAU - Itani, Kamal M F
AU - Itani KMF
AD - 11Department of Surgery, VA Boston Healthcare System, 1400 VFW Parkway West
Roxbury,
Boston, MA 02132 USA.
Street,
FAU - Mull, Hillary J
AU - Mull HJ
Boston,
Street,
LA - eng
DEP - 20190306
JID - 101585411
SB - IM
MH - Aged
MH - Ambulatory Surgical Procedures/*statistics & numerical data
MH - Antibiotic Prophylaxis/*methods
MH - Antimicrobial Stewardship
MH - Evidence-Based Medicine
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - Surgical Wound Infection/*prevention & control
MH - United States
MH - Veterans Health Services
PMC - PMC6404270
OTO - NOTNLM
OT - *Ambulatory surgery
OT - *Antimicrobial stewardship
OT - *Prophylaxis
OT - *Surgical quality
COIS- This study was approved by the VA Boston IRB prior to data collection and
analysis.
Given the retrospective nature of the work, waiver of consent was
obtained.Not
applicable.KI Received an investigator-initiated award from Pfizer to study
the
epidemiology of Staphylococcus aureus surgical site infections. All other
authors
have no conflicts to report.Springer Nature remains neutral with regard to
EDAT- 2019/03/20 06:00
MHDA- 2020/04/21 06:00
CRDT- 2019/03/20 06:00
PHST- 2018/12/18 00:00 [received]
PHST- 2019/02/27 00:00 [accepted]
PHST- 2019/03/20 06:00 [entrez]
PHST- 2019/03/20 06:00 [pubmed]
PHST- 2020/04/21 06:00 [medline]
AID - 503 [pii]
AID - 10.1186/s13756-019-0503-9 [doi]
PST - epublish
SO - Antimicrob Resist Infect Control. 2019 Mar 6;8:49. doi: 10.1186/s13756-019-
0503-9.
eCollection 2019.
PMID- 32593879
OWN - NLM
STAT- In-Process
LR - 20201005
IS - 0020-7489 (Linking)
VI - 109
DP - 2020 Sep
TI - Lost in translation - Silent reporting and electronic patient records in
nursing
handovers: An ethnographic study.
PG - 103636
LID - S0020-7489(20)30120-6 [pii]
LID - 10.1016/j.ijnurstu.2020.103636 [doi]
AB - BACKGROUND: Electronic patient records are increasingly being implemented in
hospitals around the world to promote a process of sharing information that
is
reliable, more efficient and will promote patient safety. Evidence suggests
that in
practice, adaptations are being made to how such technologies are being used
in
practice. Few studies have explicitly aimed to explore how electronic patient
records influence on nurses' communication of patient information in clinical
practice. OBJECTIVE: To enhance understanding of the impact of electronic

patient
records on nurses' cognitive work, by exploring how nurses engage with the
electronic patient record during handover and the representation of patient
information. METHODS: Ethnographic fieldwork was conducted in a Norwegian
hospital
cancer ward where computer-mediated handover referred to as 'silent
reporting' had
been implemented. The fieldwork included five months of participant
observation and
nine semi-structured interviews with registered nurses. Participating nurses
were
selected to ensure representation by clinical experience. The analysis of
field
notes and transcripts was partly performed in NVivo 11, following thematic
analysis
(Braun and Clarke 2006). FINDINGS: Four themes emerged: 1) nurses' complex
and
dynamic workflow necessitated talk in handovers, 2) oral communication
allowed
nurses to share sensitive information on psychosocial issues, and 3) to solve
uncertainties considered unsuited for the record, and 4) talk facilitated

professional and moral support in clinical decisions-making, as collective
achievements. Talk was thereby found to be essential to nurses' cognitive
work and
professional knowledge, allowing for the translation and interplay between
the
embodied, informal knowledge of the individual nurse, and formal knowledge
inscribed
in record notes. CONCLUSIONS: Silent reporting has implications for nurses'
cognitive work and professional knowledge. With the sole reliance on the
electronic
patient record as handover tools, it is not only information essential to
nurses'
evolving, dynamic, and contextualised understanding of the patient's
situation that
is lost in translation, but also the visibility and legitimacy of nursing
knowledge.
Nurses' continued practices of talk in handovers can be seen as efforts to
counteract these effects in ways that also increased the relevance and
usefulness of
the electronic patient record as a mediator of knowledge.
CI - Copyright © 2020. Published by Elsevier Ltd.
FAU - Ihlebæk, Hanna Marie
AU - Ihlebæk HM
AD - Centre for the Study of Professions, OsloMet - Oslo Metropolitan University,
P.O.
box 4, St. Olavs plass, N-0130 Oslo, Norway; Faculty of Health and Welfare
Sciences,
Østfold University College, P.O. Box 700, NO-1757 Halden, Norway. Electronic
address: postmottak@hiof.no.
LA - eng
DEP - 20200516
PL - England
JID - 0400675
SB - IM
SB - N
OTO - NOTNLM
OT - Cognitive work
OT - Electronic patient records
OT - Ethnography
OT - Handovers
OT - Knowledge
OT - Nurses
OT - Silent reporting
OT - Translation
OT - Visibility
COIS- Conflict of Interest The authors declare that they have no known competing
financial
interests or personal relationships that could have appeared to influence the
work
reported in this paper.
EDAT- 2020/07/01 06:00
MHDA- 2020/07/01 06:00
CRDT- 2020/06/29 06:00
PHST- 2020/01/15 00:00 [received]
PHST- 2020/04/17 00:00 [revised]
PHST- 2020/04/23 00:00 [accepted]
PHST- 2020/07/01 06:00 [pubmed]
PHST- 2020/07/01 06:00 [medline]
PHST- 2020/06/29 06:00 [entrez]
AID - S0020-7489(20)30120-6 [pii]
AID - 10.1016/j.ijnurstu.2020.103636 [doi]
PST - ppublish
SO - Int J Nurs Stud. 2020 Sep;109:103636. doi: 10.1016/j.ijnurstu.2020.103636.
Epub 2020
May 16.
PMID- 28774169
OWN - NLM
STAT- MEDLINE
DCOM- 20170815
LR - 20181113
IS - 2092-7193 (Linking)
VI - 39
DP - 2017
TI - Medication errors among nurses in teaching hospitals in the west of Iran:
what we
need to know about prevalence, types, and barriers to reporting.
PG - e2017022
LID - 10.4178/epih.e2017022 [doi]
LID - e2017022
AB - OBJECTIVES: This study aimed to examine the prevalence and types of
medication
errors (MEs), as well as barriers to reporting MEs, among nurses working in 7
teaching hospitals affiliated with Kermanshah University of Medical Sciences

in
2016. METHODS: A convenience sampling method was used to select the study
participants (n=500 nurses). A self-constructed questionnaire was employed to
collect information on participants' socio-demographic characteristics (10

items),
their perceptions about the main causes of MEs (31 items), and barriers to
reporting
MEs to nurse managers (11 items). Data were collected from September 1 to
November
30, 2016. Negative binomial regression was used to identify the main
predictors of
the frequency of MEs among nurses. RESULTS: The prevalence of MEs was 17.0%
(95%
confidence interval, 13.7 to 20.3%). The most common types of MEs were
administering
medications at the wrong time (24.0%), dosage errors (16.8%), and
administering
medications to the wrong patient (13.8%). A heavy workload and the type of
shift
work were considered to be the main causes of MEs by nursing staff. Our
findings
showed that 45.0% of nurses did not report MEs. A heavy workload due to a
high
number of patients was the most important reason for not reporting MEs (mean
score,
3.57±1.03) among nurses. Being male, having a second unrelated job, and fixed
shift
work significantly increased MEs among nurses (p=0.001). CONCLUSIONS: Our
study
documented a high prevalence of MEs among nurses in the west of Iran. A heavy
workload was considered to be the most important barrier to reporting MEs

among
nurses. Thus, appropriate strategies (e.g., reducing the nursing staff
workload)
should be developed to address MEs and improve patient safety in hospital
settings
in Iran.
FAU - Fathi, Afshin
AU - Fathi A
AUID- ORCID: 0000-0002-9100-5303
AD - Department of Pediatrics, Ardabil University of Medical Sciences, Ardabil,
Iran.
FAU - Hajizadeh, Mohammad
AU - Hajizadeh M
AUID- ORCID: 0000-0003-2461-3162
AD - School of Health Administration, Faculty of Health Professions, Dalhousie
University, Halifax, Canada.
FAU - Moradi, Khalil
AU - Moradi K
AUID- ORCID: 0000-0002-1379-3965
AD - Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah,
Iran.
FAU - Zandian, Hamed
AU - Zandian H
AUID- ORCID: 0000-0002-1284-5823
AD - Health Management and Economics Research Center, Iran University of Medical
FAU - Dezhkameh, Maryam
AU - Dezhkameh M
AUID- ORCID: 0000-0001-5504-2644
Kermanshah,
Iran.
FAU - Kazemzadeh, Shima
AU - Kazemzadeh S
AUID- ORCID: 0000-0002-2267-3228
Kermanshah,
Iran.
FAU - Rezaei, Satar
AU - Rezaei S
AUID- ORCID: 0000-0002-6194-6057
AD - Research Center for Environmental Determinants of Health, Kermanshah
University of
Medical Sciences, Kermanshah, Iran.
LA - eng
DEP - 20170517
TA - Epidemiol Health
JT - Epidemiology and health
JID - 101519472
SB - IM
MH - Adult
MH - Female
MH - Humans
MH - Iran
MH - Male
MH - *Nursing Staff, Hospital/psychology/statistics & numerical data
MH - Prevalence
MH - Young Adult
PMC - PMC5543300
OTO - NOTNLM
OT - Iran
OT - Nurses
OT - Prevalence
COIS- The authors have no conflicts of interest to declare for this study.
EDAT- 2017/08/05 06:00
MHDA- 2017/08/16 06:00
CRDT- 2017/08/05 06:00
PHST- 2017/03/01 00:00 [received]
PHST- 2017/05/17 00:00 [accepted]
PHST- 2017/08/05 06:00 [entrez]
PHST- 2017/08/05 06:00 [pubmed]
PHST- 2017/08/16 06:00 [medline]
AID - epih-39-e2017022 [pii]
AID - 10.4178/epih.e2017022 [doi]
PST - epublish
SO - Epidemiol Health. 2017 May 17;39:e2017022. doi: 10.4178/epih.e2017022.
eCollection
2017.
PMID- 33112250
OWN - NLM
STAT- In-Process
LR - 20210113
IS - 2291-5222 (Linking)
VI - 8
IP - 10
DP - 2020 Oct 28
TI - Home-Based Monitoring and Telemonitoring of Complicated Pregnancies:
Nationwide
Cross-Sectional Survey of Current Practice in the Netherlands.
PG - e18966
LID - 10.2196/18966 [doi]
LID - e18966
AB - BACKGROUND: Daily monitoring of fetal and maternal conditions in complicated
pregnancies leads to recurrent outpatient visits or (prolonged)
hospitalization.
Alternatives for hospital admissions include home-based monitoring with home
visits
by professionals or telemonitoring with self-measurements performed by
pregnant
women and uploaded for in-clinic assessment. For both alternatives,
cardiotocography
and blood pressure measurement can be performed at home. It is unknown to
what
extent, for which reasons, and for which pregnancy complications these
strategies
are used. OBJECTIVE: This study aims to assess the current practice and
attitudes
concerning home-based monitoring (with daily home visits by professionals)
and
telemonitoring (using devices and the internet for daily self-recorded
measurements)
in high-risk pregnancies requiring maternal and fetal monitoring in the
Netherlands.
METHODS: This nationwide cross-sectional study involved sending a web-based
survey
to the obstetrics departments of all 73 hospitals in the Netherlands to be
answered
by 1 representative dedicated to pregnancy monitoring per hospital. The
primary
outcome was the provision of home-based monitoring or telemonitoring using
cardiotocography between 1995 and 2018. The survey further addressed
perspectives
regarding the use of home-based monitoring and telemonitoring, including
(contra)indications, advantages, and disadvantages for pregnant women and
clinicians. RESULTS: The response rate for the provision of either home-based
monitoring or telemonitoring was 100%. In 2018, 38% (28/73) of centers in the
Netherlands offered either home-based monitoring or telemonitoring or both to
pregnant women with complications. Home-based monitoring was offered in 26%

(19/73)
of the centers; telemonitoring, in 23% (17/73); and both in 11% (8/73).
Telemonitoring was first offered in 2009, increasing from 4% (3/73) of
hospitals in
2014 to 23% (17/73) in 2018. Responses were received from 78% (57/73) of the
invited
hospitals and analyzed. Of all 17 centers using telemonitoring, 59% (10/17)
did not
investigate perinatal outcomes, safety, and patient satisfaction prior to
implementation. Other (6/17, 35%) telemonitoring centers are participating in
an
ongoing multicenter randomized clinical trial comparing patient safety,
satisfaction, and costs of telemonitoring with standard hospital admission.
Home-based monitoring and telemonitoring are provided for a wide range of
complications, such as fetal growth restriction, pre-eclampsia, and preterm
rupture
of membranes. The respondents reported advantages of monitoring from home,
such as
reduced stress and increased rest for patients, and reduction of admission
and
possible reduction of costs. The stated barriers included lack of insurance
reimbursement and possible technical issues. CONCLUSIONS: Home-based
monitoring is
provided in 26% (19/73) and telemonitoring, in 23% (17/73) of hospitals in
the
Netherlands to women with pregnancy complications. Altogether, 38% (28/73) of
hospitals offer either home-based monitoring or telemonitoring or both as an

alternative to hospital admission. Future research is warranted to assess
safety and
reimbursement issues before more widespread implementation of this practice.
CI - ©Josephus F M van den Heuvel, Samira Ayubi, Arie Franx, Mireille N Bekker.
Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org),
28.10.2020.
FAU - van den Heuvel, Josephus F M
AU - van den Heuvel JFM
AUID- ORCID: 0000-0002-1285-1019
AD - Department of Obstetrics, University Medical Center, Utrecht University,
Utrecht,
Netherlands.
FAU - Ayubi, Samira
AU - Ayubi S
AUID- ORCID: 0000-0003-2782-722X
Utrecht,
Netherlands.
FAU - Franx, Arie
AU - Franx A
AUID- ORCID: 0000-0001-8801-5546
Utrecht,
Netherlands.
AD - Department of Obstetrics and Gynaecology, Erasmus Medical Center, Erasmus
University, Rotterdam, Netherlands.
FAU - Bekker, Mireille N
AU - Bekker MN
AUID- ORCID: 0000-0002-7372-4291
Utrecht,
Netherlands.
LA - eng
DEP - 20201028
TA - JMIR Mhealth Uhealth
JT - JMIR mHealth and uHealth
JID - 101624439
SB - IM
PMC - PMC7657725
OTO - NOTNLM
OT - *digital health
OT - *mobile health
OT - *pregnancy complications
OT - *telemedicine
OT - *telemonitoring
EDAT- 2020/10/29 06:00
MHDA- 2020/10/29 06:00
CRDT- 2020/10/28 12:10
PHST- 2020/03/30 00:00 [received]
PHST- 2020/09/03 00:00 [accepted]
PHST- 2020/05/29 00:00 [revised]
PHST- 2020/10/28 12:10 [entrez]
PHST- 2020/10/29 06:00 [pubmed]
PHST- 2020/10/29 06:00 [medline]
AID - v8i10e18966 [pii]
AID - 10.2196/18966 [doi]
PST - epublish
SO - JMIR Mhealth Uhealth. 2020 Oct 28;8(10):e18966. doi: 10.2196/18966.
PMID- 30786996
OWN - NLM
STAT- MEDLINE
DCOM- 20190403
LR - 20210109
IS - 0959-8138 (Print)
IS - 0959-8138 (Linking)
VI - 364
DP - 2019 Feb 20
TI - Serious adverse events and lifetime risk of reoperation after elective
shoulder
replacement: population based cohort study using hospital episode statistics
for
England.
PG - l298
LID - 10.1136/bmj.l298 [doi]
LID - l298
AB - OBJECTIVES: To provide accurate risk estimates of serious adverse events
after
elective shoulder replacement surgery for arthritis, including age and sex
specific
estimates of the lifetime risk of revision surgery. DESIGN: Population based
cohort
study. SETTING: Hospital episode statistics for NHS England, including civil
registration mortality data. PARTICIPANTS: 58 054 elective shoulder
replacements in
51 895 adults (aged ≥50 years) between April 1998 and April 2017. MAIN
OUTCOME
MEASURES: The lifetime risk of revision surgery, calculated using an
actuarial life
table approach and the cumulative probability method. Rates of serious
adverse
events at 30 and 90 days post-surgery: pulmonary embolism, myocardial
infarction,
lower respiratory tract infection, acute kidney injury, urinary tract
infection,
cerebrovascular events, and all cause death. Secondary outcome measures were
the
number of surgeries performed each year and Kaplan-Meier estimates of
revision risk
at 3, 5, 10, and 15 years. RESULTS: The number of shoulder replacements
performed
each year increased 5.6-fold between 1998 and 2017. Lifetime risks of
revision
surgery ranged from 1 in 37 (2.7%, 95% confidence interval 2.6% to 2.8%) in
women
aged 85 years and older to 1 in 4 (23.6%, 23.2% to 24.0%) in men aged 55-59
years.
The risks of revision were highest during the first five years after surgery.
The
risk of any serious adverse event at 30 days post-surgery was 1 in 28 (3.5%,
3.4% to
3.7%), and at 90 days post-surgery was 1 in 22 (4.6%, 4.4% to 4.8%). At 30
days, the
relative risk of pulmonary embolism compared with baseline population risk
was 61
(95% confidence interval 50 to 73) for women aged 50-64. Serious adverse
events were
associated with increasing age, comorbidity, and male sex. 1 in 5 (21.2%,
17.9% to
25.1%) men aged 85 years and older experienced at least one serious adverse
event
within 90 days. CONCLUSIONS: Younger patients, particularly men, need to be
aware of
a higher likelihood of early failure of shoulder replacement and the need for
further and more complex revision replacement surgery. All patients should be
counselled about the risks of serious adverse events. These risks are higher
than
previously considered, and for some could outweigh any potential benefits.
Our
findings caution against unchecked expansion of shoulder replacement surgery
in both
younger and older patients. The more accurate age and sex specific estimates
of risk
from this study are long overdue and should improve shared decision making
between
patients and clinicians. STUDY REGISTRATION: ClinicalTrials.gov NCT03573765.
not
FAU - Craig, Richard S
AU - Craig RS
AUID- ORCID: 0000-0003-0792-9288
Sciences,
University of Oxford, Botnar Research Centre, Oxford OX3 7LD, UK
richard.craig@ndorms.ox.ac.uk.
AD - NIHR Oxford Biomedical Research Centre, Oxford, UK.
FAU - Lane, Jennifer C E
AU - Lane JCE
Sciences,
University of Oxford, Botnar Research Centre, Oxford OX3 7LD, UK.
FAU - Carr, Andrew J
AU - Carr AJ
Sciences,
AU - Furniss D
Sciences,
FAU - Collins, Gary S
AU - Collins GS
AD - Centre for Statistics in Medicine, University of Oxford, Oxford, UK.
FAU - Rees, Jonathan L
AU - Rees JL
Sciences,
LA - eng
GR - 21605/VAC_/Versus Arthritis/United Kingdom
GR - MR/J006815/1/MRC_/Medical Research Council/United Kingdom
DEP - 20190220
TA - BMJ
JID - 8900488
SB - AIM
SB - IM
MH - Age Factors
MH - Aged
MH - Arthroplasty, Replacement, Shoulder/*adverse effects/statistics & numerical
data
MH - Episode of Care
MH - Female
MH - Humans
MH - Life Tables
MH - Male
MH - Middle Aged
MH - Postoperative Complications/*epidemiology/surgery
MH - Postoperative Period
MH - Reoperation/*statistics & numerical data
MH - Risk Assessment/*statistics & numerical data
MH - Risk Factors
MH - Sex Factors
MH - Time Factors
MH - Treatment Failure
PMC - PMC6380386
COIS- Competing interests: All authors have completed the ICMJE uniform disclosure
form at
www.icmje.org/coi_disclosure.pdf and declare: no support from any
organisation for
the submitted work other than that listed above; no other financial
relationships
with organisations that might have an interest in the submitted work in the
previous
three years; no other relationships or activities that could appear to have
influenced the submitted work.
EDAT- 2019/02/23 06:00
MHDA- 2019/04/04 06:00
CRDT- 2019/02/22 06:00
PHST- 2019/02/22 06:00 [entrez]
PHST- 2019/02/23 06:00 [pubmed]
PHST- 2019/04/04 06:00 [medline]
AID - crar047835 [pii]
AID - 10.1136/bmj.l298 [doi]
PST - epublish
SO - BMJ. 2019 Feb 20;364:l298. doi: 10.1136/bmj.l298.
PMID- 31278734
OWN - NLM
STAT- MEDLINE
DCOM- 20200429
LR - 20200429
IS - 1439-4456 (Print)
IS - 1438-8871 (Linking)
VI - 21
IP - 7
DP - 2019 Jul 5
TI - A Real-Time Early Warning System for Monitoring Inpatient Mortality Risk:
Prospective Study Using Electronic Medical Record Data.
PG - e13719
LID - 10.2196/13719 [doi]
LID - e13719
AB - BACKGROUND: The rapid deterioration observed in the condition of some
hospitalized
patients can be attributed to either disease progression or imperfect triage
and
level of care assignment after their admission. An early warning system (EWS)
to
identify patients at high risk of subsequent intrahospital death can be an
effective
tool for ensuring patient safety and quality of care and reducing avoidable
harm and
costs. OBJECTIVE: The aim of this study was to prospectively validate a real-
time
EWS designed to predict patients at high risk of inpatient mortality during
their
hospital episodes. METHODS: Data were collected from the system-wide
electronic
medical record (EMR) of two acute Berkshire Health System hospitals,
comprising
54,246 inpatient admissions from January 1, 2015, to September 30, 2017, of
which
2.30% (1248/54,246) resulted in intrahospital deaths. Multiple machine
learning
methods (linear and nonlinear) were explored and compared. The tree-based
random
forest method was selected to develop the predictive application for the
intrahospital mortality assessment. After constructing the model, we
prospectively
validated the algorithms as a real-time inpatient EWS for mortality. RESULTS:
The
EWS algorithm scored patients' daily and long-term risk of inpatient
mortality
probability after admission and stratified them into distinct risk groups. In
the
prospective validation, the EWS prospectively attained a c-statistic of
0.884, where
99 encounters were captured in the highest risk group, 69% (68/99) of whom
died
during the episodes. It accurately predicted the possibility of death for the
top
13.3% (34/255) of the patients at least 40.8 hours before death. Important
clinical
utilization features, together with coded diagnoses, vital signs, and
laboratory
test results were recognized as impactful predictors in the final EWS.
CONCLUSIONS:
In this study, we prospectively demonstrated the capability of the newly-
designed
EWS to monitor and alert clinicians about patients at high risk of in-
hospital death
in real time, thereby providing opportunities for timely interventions. This
real-time EWS is able to assist clinical decision making and enable more
actionable
and effective individualized care for patients' better health outcomes in
target
medical facilities.
CI - ©Chengyin Ye, Oliver Wang, Modi Liu, Le Zheng, Minjie Xia, Shiying Hao, Bo
Jin, Hua
Jin, Chunqing Zhu, Chao Jung Huang, Peng Gao, Gray Ellrodt, Denny Brennan,
Frank
Stearns, Karl G Sylvester, Eric Widen, Doff B McElhinney, Xuefeng Ling.
Originally
published in the Journal of Medical Internet Research (http://www.jmir.org),
05.07.2019.
FAU - Ye, Chengyin
AU - Ye C
AUID- ORCID: 0000-0001-8384-1857
AD - Department of Health Management, Hangzhou Normal University, Hangzhou, China.
FAU - Wang, Oliver
AU - Wang O
AUID- ORCID: 0000-0001-6240-1342
AD - HBI Solutions Inc, Palo Alto, CA, United States.
FAU - Liu, Modi
AU - Liu M
AUID- ORCID: 0000-0002-8066-3351
FAU - Zheng, Le
AU - Zheng L
AUID- ORCID: 0000-0003-4744-367X
AD - Department of Cardiothoracic Surgery, Stanford University, Stanford, CA,
United
States.
AD - Clinical and Translational Research Program, Betty Irene Moore Children's
Heart
Center, Lucile Packard Children's Hospital, Palo Alto, CA, United States.
FAU - Xia, Minjie
AU - Xia M
AUID- ORCID: 0000-0002-0367-1729
FAU - Hao, Shiying
AU - Hao S
AUID- ORCID: 0000-0002-7527-2460
United
States.
Heart
FAU - Jin, Bo
AU - Jin B
AUID- ORCID: 0000-0001-9268-7134
FAU - Jin, Hua
AU - Jin H
AUID- ORCID: 0000-0002-3753-4044
FAU - Zhu, Chunqing
AU - Zhu C
AUID- ORCID: 0000-0003-0649-4403
FAU - Huang, Chao Jung
AU - Huang CJ
AUID- ORCID: 0000-0002-4293-9492
AD - National Taiwan University-Stanford Joint Program Office of AI in
Biotechnology,
Ministry of Science and Technology Joint Research Center for Artificial
Intelligence
Technology and All Vista Healthcare, Taipei, Taiwan.
FAU - Gao, Peng
AU - Gao P
AUID- ORCID: 0000-0003-4750-1008
AD - Shandong University of Traditional Chinese Medicine, Shandong, China.
AD - Department of Surgery, Stanford University, Stanford, CA, United States.
FAU - Ellrodt, Gray
AU - Ellrodt G
AUID- ORCID: 0000-0002-8301-4349
AD - Department of Medicine, Berkshire Medical Center, Pittsfield, MA, United
States.
FAU - Brennan, Denny
AU - Brennan D
AUID- ORCID: 0000-0002-4974-759X
AD - Massachusetts Health Data Consortium, Waltham, CA, United States.
FAU - Stearns, Frank
AU - Stearns F
AUID- ORCID: 0000-0003-2049-9163
FAU - Sylvester, Karl G
AU - Sylvester KG
AUID- ORCID: 0000-0002-8559-0155
FAU - Widen, Eric
AU - Widen E
AUID- ORCID: 0000-0002-8999-4659
FAU - McElhinney, Doff B
AU - McElhinney DB
AUID- ORCID: 0000-0001-7242-0934
United
States.
Heart
FAU - Ling, Xuefeng
AU - Ling X
AUID- ORCID: 0000-0002-5386-3884
Heart
LA - eng
DEP - 20190705
JID - 100959882
SB - IM
MH - Algorithms
MH - Computer Systems/*standards
MH - Electronic Health Records/*standards
MH - Female
MH - Humans
MH - Inpatients
MH - Machine Learning/*standards
MH - Male
MH - Middle Aged
MH - Mortality/*trends
MH - Risk Assessment/*methods
MH - Risk Factors
PMC - PMC6640073
OTO - NOTNLM
OT - *inpatients
OT - *machine learning
OT - *mortality
OT - *risk assessment
COIS- Conflicts of Interest: KGS, EW, and XBL are cofounders and equity holders of
HBI
Solutions, Inc, which is currently developing predictive analytics solutions
for
health care organizations. The research and research results are not, in any
way,
associated with Stanford University. There are no patents, further products
in
development, or marketed products to declare. The remaining authors have no
conflicts of interest to declare.
EDAT- 2019/07/07 06:00
MHDA- 2020/04/30 06:00
CRDT- 2019/07/07 06:00
PHST- 2019/02/15 00:00 [received]
PHST- 2019/05/25 00:00 [accepted]
PHST- 2019/05/08 00:00 [revised]
PHST- 2019/07/07 06:00 [entrez]
PHST- 2019/07/07 06:00 [pubmed]
PHST- 2020/04/30 06:00 [medline]
AID - v21i7e13719 [pii]
AID - 10.2196/13719 [doi]
PST - epublish
SO - J Med Internet Res. 2019 Jul 5;21(7):e13719. doi: 10.2196/13719.
PMID- 28410089
OWN - NLM
STAT- MEDLINE
DCOM- 20170905
LR - 20181215
IS - 0022-3476 (Print)
IS - 0022-3476 (Linking)
VI - 185
DP - 2017 Jun
TI - Mortality and Morbidity after Laparoscopic Surgery in Children with and
without
Congenital Heart Disease.
PG - 88-93.e3
LID - S0022-3476(17)30209-3 [pii]
LID - 10.1016/j.jpeds.2017.02.011 [doi]
AB - OBJECTIVES: To determine the risk of morbidity and mortality after
laparoscopic
surgery among children with congenital heart disease (CHD). STUDY DESIGN:
Cohort
study using the 2013-2014 National Surgical Quality Improvement Program-
Pediatrics,
which prospectively collected data at 56 and 64 hospitals in 2013 and 2014,
respectively. Primary exposure was CHD. Primary outcome was overall in-
hospital
postoperative mortality. Secondary outcomes included 30-day mortality and 30-
day
morbidity (any nondeath adverse event). Among 34?543 children who underwent
laparoscopic surgery, 1349, 1106, and 266 had minor, major, and severe CHD,
respectively. After propensity score matching within each stratum of CHD
severity,
morbidity and mortality were compared between children with and without CHD.
RESULTS: Children with severe CHD had higher overall mortality and 30-day
morbidity
(OR 12.31, 95% CI 1.59-95.01; OR 2.51, 95% CI 1.57-4.01, respectively),
compared
with matched controls. Overall mortality and 30-day morbidity were also
higher among
children with major CHD compared with children without CHD (OR 3.46, 95% CI
1.49-8.06; OR 2.07, 95% CI 1.65-2.61, respectively). Children with minor CHD
had
similar mortality outcomes, but had higher 30-day morbidity compared with
children
without CHD (OR 1.71, 95% CI 1.37-2.13). CONCLUSIONS: Children with major or
severe
CHD have higher morbidity and mortality after laparoscopic surgery.
Clinicians
should consider the increased risks of laparoscopic surgery for these
children
during medical decision making.
FAU - Chu, David I
AU - Chu DI
AD - Department of Surgery, Division of Urology, The Children's Hospital of
Philadelphia,
Philadelphia, PA.
FAU - Tan, Jonathan M
AU - Tan JM
AD - Department of Anesthesia and Critical Care Medicine, Division of General
Anesthesiology, The Children's Hospital of Philadelphia, Philadelphia, PA.
FAU - Mattei, Peter
AU - Mattei P
AD - Department of Surgery, Division of General, Thoracic, and Fetal Surgery, The
Children's Hospital of Philadelphia, Philadelphia, PA.
FAU - Costarino, Andrew T
AU - Costarino AT
AD - Department of Anesthesia and Critical Care Medicine, Division of Cardiac
Critical
Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA.
FAU - Rossano, Joseph W
AU - Rossano JW
AD - Department of Cardiology, Cardiac Center, The Children's Hospital of
Philadelphia,
Philadelphia, PA; Center for Pediatric Clinical Effectiveness, The Children's
Hospital of Philadelphia, Philadelphia, PA.

FAU - Tasian, Gregory E
AU - Tasian GE
AD - Department of Surgery, Division of Urology, The Children's Hospital of
Philadelphia,
Philadelphia, PA; Center for Pediatric Clinical Effectiveness, The Children's
Hospital of Philadelphia, Philadelphia, PA; Department of Epidemiology and

Biostatistics, Perelman School of Medicine at the University of Pennsylvania,
Philadelphia, PA. Electronic address: tasiang@email.chop.edu.

LA - eng
GR - K23 DK106428/DK/NIDDK NIH HHS/United States
GR - T32 DK007785/DK/NIDDK NIH HHS/United States
DEP - 20170303
TA - J Pediatr
JT - The Journal of pediatrics
JID - 0375410
SB - AIM
SB - IM
CIN - J Pediatr. 2017 Jun;185:3. PMID: 28746040
MH - Adolescent
MH - Child
MH - Cohort Studies
MH - Female
MH - Heart Defects, Congenital/*epidemiology
MH - Humans
MH - Infant
MH - Intubation/statistics & numerical data
MH - Laparoscopy/*adverse effects/*mortality
MH - Male
MH - Patient Readmission/statistics & numerical data
MH - Propensity Score
PMC - PMC5529241
MID - NIHMS850708
OTO - NOTNLM
OT - *NSQIP
OT - *laparoscopy
OT - *minimally invasive surgery
OT - *outcomes
OT - *pediatric
COIS- Financial disclosure: The authors have no financial relationship relevant to
this
article to disclose. The authors declare no conflicts of interest.
EDAT- 2017/04/15 06:00
MHDA- 2017/09/07 06:00
CRDT- 2017/04/15 06:00
PHST- 2016/10/19 00:00 [received]
PHST- 2016/12/15 00:00 [revised]
PHST- 2017/02/06 00:00 [accepted]
PHST- 2017/04/15 06:00 [pubmed]
PHST- 2017/09/07 06:00 [medline]
PHST- 2017/04/15 06:00 [entrez]
AID - S0022-3476(17)30209-3 [pii]
AID - 10.1016/j.jpeds.2017.02.011 [doi]
PST - ppublish
SO - J Pediatr. 2017 Jun;185:88-93.e3. doi: 10.1016/j.jpeds.2017.02.011. Epub 2017
Mar 3.
PMID- 29760918
OWN - NLM
LR - 20201001
IS - 2050-3121 (Print)
IS - 2050-3121 (Linking)
VI - 6
DP - 2018
TI - Patient reported adverse events among epileptic patients taking antiepileptic
drugs.
PG - 2050312118772471
LID - 10.1177/2050312118772471 [doi]
LID - 2050312118772471
AB - OBJECTIVE: The aim of this study was to assess patient reported adverse
events and
associated factors among epileptic patients taking antiepileptic drugs on
follow-up
at University of Gondar Referral Hospital. METHODS: Cross-sectional study was
done
on 354 adult epileptic patients. Patients who were on antiepileptic drugs for
epilepsy treatment for less than a year, those who were below 18 years old,
patients
with incomplete information on the chart and those who were involuntary or
uncooperative were excluded from the study. Data were entered in to SPSS
version
20.0 for analysis. Bivariate and multivariate binary logistic regression
analysis
was done to see factors associated with antiepileptic drugs adverse effect.
Level of
statistical significance was declared at p ≤ 0.05. RESULT: Generalized tonic
clonic
seizure was the most common (86.2%) type of epilepsy. A total of 79 adverse
events
were reported. The most frequently encountered adverse events were fatigue
(5.08%),
gastrointestinal disturbance (4.24%) and sedation/depression (4.24%). Adverse
drug
effect of antiepileptic drugs was significantly associated with illiterate
educational status, increased number of antiepileptic drugs, no seizure
during last
follow-up and last year, and 1-5 seizures for the last year. CONCLUSION:
About
one-sixth of epileptic patients reported adverse drug effects. Adverse drug
effects
were more commonly seen in patients with low educational status, increased
number of
antiepileptic drugs, absence of seizure during last follow-up and last year,
and 1-5
seizures for the last year. So clinicians should give emphasis for patients
with
these characteristics to counsel on how to minimize or prevent adverse drug
events
from antiepileptic drugs or giving reassurance about it if it is minor.
FAU - Ayalew, Mohammed Biset
AU - Ayalew MB
AUID- ORCID: 0000-0003-2468-7778
AD - Department of Clinical Pharmacy, School of Pharmacy, College of Medicine &
Health
FAU - Muche, Esileman Abdela
AU - Muche EA
AD - Department of Clinical Pharmacy, School of Pharmacy, College of Medicine &
Health
LA - eng
DEP - 20180504
TA - SAGE Open Med
JT - SAGE open medicine
JID - 101624744
PMC - PMC5946606
OTO - NOTNLM
OT - Adverse event
OT - antiepileptic drug
OT - epilepsy
OT - seizure
OT - side effect
conflicts
this
article.
EDAT- 2018/05/16 06:00
MHDA- 2018/05/16 06:01
CRDT- 2018/05/16 06:00
PHST- 2018/01/11 00:00 [received]
PHST- 2018/03/28 00:00 [accepted]
PHST- 2018/05/16 06:00 [entrez]
PHST- 2018/05/16 06:00 [pubmed]
PHST- 2018/05/16 06:01 [medline]
AID - 10.1177_2050312118772471 [pii]
AID - 10.1177/2050312118772471 [doi]
PST - epublish
SO - SAGE Open Med. 2018 May 4;6:2050312118772471. doi: 10.1177/2050312118772471.
eCollection 2018.
PMID- 31407667
OWN - NLM
LR - 20200930
IS - 2292-9495 (Linking)
VI - 6
IP - 3
DP - 2019 Aug 12
TI - Types and Frequency of Infusion Pump Alarms and Infusion-Interruption to
Infusion-Recovery Times for Critical Short Half-Life Infusions: Retrospective
Data
Analysis.
PG - e14123
LID - 10.2196/14123 [doi]
LID - e14123
AB - BACKGROUND: Alarm fatigue commonly leads to a reduced response to alarms.
Appropriate and timely response to intravenous pump alarms is crucial to
infusion
continuity. The difficulty of filtering out critical short half-life infusion
alarms
from nonurgent alarms is a key challenge for risk management for clinicians.
Critical care areas provide ample opportunities for intravenous medication
error
with the frequent administration of high-alert, critical short half-life
infusions
that require rigorous maintenance for continuity of delivery. Most serious
medication errors in critical care occur during the execution of treatment,
with
performance-level failures outweighing rule-based or knowledge-based
mistakes.
OBJECTIVE: One objective of this study was to establish baseline data for the
types
and frequency of alarms that critical care clinicians are exposed to from a
variety
of infusion devices, including both large volume pumps and syringe drivers.
Another
objective was to identify the volume of these alarms that specifically relate
to
critical short half-life infusions and to evaluate user response times to
alarms
from infusion devices delivering these particular infusions. METHODS: The
event logs
of 1183 infusion pumps used in critical care environments and in general care
areas
within the European region were mined for a range of alarm states. The study
then
focused on a selection of infusion alarms from devices delivering critical
short
half-life infusions that would warrant rapid attention from clinicians in
order to
avoid potentially harmful prolonged infusion interruption. The reaction time
of
clinicians to infusion-interruption states and alarms for the selected
critical
short half-life infusions was then calculated. RESULTS: Initial analysis
showed a
mean average of 4.50 alarms per infusion in the general critical care pump
population as opposed to the whole hospital rate of 1.39. In the pediatric
intensive
care unit (PICU) group, the alarms per infusion value was significantly above
the
mean average for all critical care areas, with 8.61 alarms per infusion.
Infusion-interruption of critical short half-life infusions was found to be a
significant problem in all areas of the general critical care pump

population, with
a significant number of downstream (ie, vein and access) occlusion events
noted.
While the mean and median response times to critical short half-life infusion
interruptions were generally within the half-lives of the selected

medications,
there was a high prevalence of outliers in terms of reaction times for all
the
critical short half-life infusions studied. CONCLUSIONS: This study gives an
indication of what might be expected in critical care environments in terms
of the
volume of general infusion alarms and critical short half-life infusion
alarms, as
well as for clinician reaction times to critical short half-life
infusion-interruption events. This study also identifies potentially
problematic
areas of the hospital for alarm fatigue and for particular issues of infusion
and
infusion-line management. Application of the proposed protocols can help
create
benchmarks for pump alarm management and clinician reaction times. These
protocols
can be applied to studies on the impact of alarm fatigue and for the
evaluation of
protocols, infusion-monitoring strategies, and infusion pump-based medication
safety
software aimed at reducing alarm fatigue and ensuring the maintenance of
critical
short half-life infusions. Given the frequency of infusion alarms seen in
this
study, the risk of alarm fatigue due to the white noise of pump alarms
present in
critical care, to which clinicians are constantly exposed, is very high.
Furthermore, the added difficulties of maintaining critical short half-life
infusions, and other infusions in specialist areas, are made clear by the
high ratio
of downstream occlusion to infusion starts in the neonatal intensive care
unit
(NICU). The ability to quantitatively track the volume of alarms and
clinician
reaction times contributes to a greater understanding of the issues of alarm
fatigue
in intensive care units. This can be applied to clinical audit, can allow for
targeted training to reduce nuisance alarms, and can aid in planning for
improvement
in the key area of maintenance of steady-state plasma levels of critical
short
half-life infusions. One clear conclusion is that the medication
administration
rights should be extended to include right maintenance and ensured delivery
continuity of critical short half-life infusions.
CI - ©James Waterson, Arkadiusz Bedner. Originally published in JMIR Human Factors
(http://humanfactors.jmir.org), 12.08.2019.
FAU - Waterson, James
AU - Waterson J
AUID- ORCID: 0000-0002-4100-5970
AD - Medication Management Solutions, Becton Dickinson Limited, Eysins,
Switzerland.
FAU - Bedner, Arkadiusz
AU - Bedner A
AUID- ORCID: 0000-0001-9020-3773
AD - Medication Management Solutions, Becton Dickinson Limited, Eysins,
Switzerland.
LA - eng
DEP - 20190812
JID - 101666561
PMC - PMC6709565
OTO - NOTNLM
OT - alarm fatigue
OT - alarm management
OT - critical care
OT - critical infusions
OT - critical short half-life infusions
OT - event log
OT - infusion continuity
OT - infusion pump
OT - medical device
OT - patient safety
COIS- Conflicts of Interest: All authors certify that they have no financial
affiliations
with, or involvement in, any organizations or entities with a financial
interest,
beyond their employment at Becton, Dickinson and Company (BD).
EDAT- 2019/08/14 06:00
MHDA- 2019/08/14 06:01
CRDT- 2019/08/14 06:00
PHST- 2019/03/24 00:00 [received]
PHST- 2019/06/19 00:00 [accepted]
PHST- 2019/05/22 00:00 [revised]
PHST- 2019/08/14 06:00 [entrez]
PHST- 2019/08/14 06:00 [pubmed]
PHST- 2019/08/14 06:01 [medline]
AID - 10.2196/14123 [doi]
PST - epublish
SO - JMIR Hum Factors. 2019 Aug 12;6(3):e14123. doi: 10.2196/14123.
PMID- 32213549
OWN - NLM
STAT- MEDLINE
DCOM- 20201125
LR - 20201125
IS - 2399-6641 (Linking)
VI - 9
IP - 1
DP - 2020 Mar
TI - Improving the documentation quality of point-of-care ultrasound scans in the
LID - 10.1136/bmjoq-2019-000636 [doi]
LID - e000636
AB - A point-of-care ultrasound scan (POCUS) is a core element of the Royal
College of
Emergency Medicine (RCEM) specialty training curriculum. However, POCUS
documentation quality can be poor, especially in the time-pressured
environment of
the emergency department (ED). A survey of 10 junior ED clinicians at the
Princess
Royal University Hospital (PRUH) found that total POCUS documentation was as
low as
38% in some examinations.This quality improvement project aimed to increase
the
coverage and quality of POCUS documentation in the ED. This was done by using
a
plan-do-study-act (PDSA) regime to improve the quality of POCUS documentation
from
the original baseline to 80%. There were three discreet PDSA cycles and the
interventions included improving education and training about POCUS
documentation
and the introduction of an original proforma, which incorporated six minimum
requirements for POCUS documentation as per the joint RCEM and Royal College
of
Radiologists (RCR) guidelines for POCUS documentation (patient details,
indications,
findings, conclusions, signature and date).The project team audited the
quality of
all documented scans in the resuscitation department of the PRUH against the
RCEM/RCR guidelines at baseline and following three discrete PDSA cycles.
This was
done over an 8-week period, spanning 696 attendances to the resuscitation
area of
the ED and 42 documented POCUS examinations.Quality recording of the six
RCEM/RCR
elements of POCUS documentation was poor at baseline but improved following
three
successful PDSA cycles. There was a demonstrated improvement in five of six
documentation elements: patient details on POCUS documentation increased from
53.3%
to the 66.7%, indication from 60.0% to 66.7%, conclusion from 13.0% to 83.0%,
signature from 86.7% to 100.0% and date from 46.7% to 66.7%.These results
suggest
that the introduction of a proforma and a vigorous education strategy are
effective
ways to improve the quality of documentation of ED POCUS.
FAU - Aziz, Shadman
AU - Aziz S
AUID- ORCID: 0000-0001-8596-4703
AD - School of Medical Education, King's College London, London, London, UK
shadman.aziz@doctors.net.uk.
FAU - Bottomley, James
AU - Bottomley J
AD - School of Medical Education, King's College London, London, London, UK.
FAU - Mohandas, Vasant
AU - Mohandas V
AD - Emergency Department, Princess Royal University Hospital, Orpington, Kent,
UK.
FAU - Ahmad, Arif
AU - Ahmad A
UK.
FAU - Morelli, Gemma
AU - Morelli G
UK.
FAU - Thenabadu, Sam
AU - Thenabadu S
UK.
LA - eng
TA - BMJ Open Qual
JID - 101710381
SB - H
SB - IM
MH - Documentation/*standards/statistics & numerical data
MH - Humans
MH - Point-of-Care Systems/statistics & numerical data/trends
MH - Ultrasonography/methods/statistics & numerical data/*trends
PMC - PMC7206901
OTO - NOTNLM
OT - *PDSA
EDAT- 2020/03/28 06:00
MHDA- 2020/11/26 06:00
CRDT- 2020/03/28 06:00
PHST- 2019/01/24 00:00 [received]
PHST- 2020/01/15 00:00 [revised]
PHST- 2020/03/10 00:00 [accepted]
PHST- 2020/03/28 06:00 [entrez]
PHST- 2020/03/28 06:00 [pubmed]
PHST- 2020/11/26 06:00 [medline]
AID - bmjoq-2019-000636 [pii]
AID - 10.1136/bmjoq-2019-000636 [doi]
PST - ppublish
SO - BMJ Open Qual. 2020 Mar;9(1):e000636. doi: 10.1136/bmjoq-2019-000636.
PMID- 29421914
OWN - NLM
STAT- MEDLINE
DCOM- 20181010
LR - 20181010
IS - 1130-0108 (Print)
IS - 1130-0108 (Linking)
VI - 110
IP - 4
DP - 2018 Apr
TI - The safety of deep sedation with propofol controlled by the endoscopist in
endoscopic retrograde cholangiopancreatography (ERCP): a prospective study in
a
tertiary hospital.
PG - 217-222
LID - 10.17235/reed.2018.5262/2017 [doi]
AB - INTRODUCTION: propofol administered by an endoscopist with a trained nurse
has
evolved as an alternative to anesthesia monitoring and is increasingly common
in the
routine clinical practice, even in advanced endoscopy. OBJECTIVE: to evaluate
the
safety of deep sedation with endoscopist-controlled propofol in patients
undergoing
endoscopic retrograde cholangiopancreatography (ERCP). MATERIAL AND METHODS:
this
was a prospective study in patients undergoing ERCP under deep sedation with
propofol. Different patient-related variables were included and the initial
and
final data on oxygen saturation (SatO2), blood pressure (BP) and heart rate
(HR)
were recorded in order to determine the presence of adverse events due to
sedation
(hypoxemia, hypotension, or bradycardia). RESULTS: a total of 661 patients
underwent
ERCP under sedation with propofol over a 24-month period. The rate of
recorded
adverse events was 9.7%. The most frequent adverse event was hypoxemia
(5.7%),
followed by bradycardia (2.4%) and hypotension (1.6%). According to the
univariate
analysis, the occurrence of adverse events due to sedation (AES) was
associated with
an ASA score ≥ III (p = 0.026), older patients (p = 0.009), higher body mass
index
(BMI) (p = 0.002) and a longer exploration time (p = 0.034). The induction
dose of
propofol was also associated with a greater likelihood of adverse events (p =
0.045)
but not the total dose of propofol administered (p = 0.153). According to the
multivariate logistic regression analysis, age, body mass index (BMI) and the
duration of the exploration were independent predictors of SAE (p < 0.05).

CONCLUSION: deep sedation with propofol controlled by trained endoscopy staff
is a
safe method in complex endoscopic procedures such as ERCP.
FAU - Luzón Solanas, Lara
AU - Luzón Solanas L
AD - Aparato Digestivo, Hospital Universitario Miguel Servet, España.
FAU - Ollero Domenche, Leticia
AU - Ollero Domenche L
AD - Aparato Digestivo, Hospital Miguel Servet.
FAU - Sierra Moros, Eva María
AU - Sierra Moros EM
AD - Unidad de Endoscopias/Aparato Digestivo, Hospital Universitario Miguel
Servet.
FAU - Val Pérez, José
AU - Val Pérez J
Servet.
FAU - Soria San Teodoro, María Teresa
AU - Soria San Teodoro MT
AD - Unidad de Endoscopias/Aparato Digestivo, Hospial Universitario Miguel Servet.
FAU - Giménez Júlvez, Teresa
AU - Giménez Júlvez T
AD - Medicina Preventiva, Hospital Universitario Miguel Servet.
FAU - Uribarrena Amezaga, Rafael
AU - Uribarrena Amezaga R
Servet.
LA - eng
PL - Spain
TA - Rev Esp Enferm Dig
JT - Revista espanola de enfermedades digestivas : organo oficial de la Sociedad
Espanola
de Patologia Digestiva
JID - 9007566
RN - 0 (Hypnotics and Sedatives)
RN - YI7VU623SF (Propofol)
SB - IM
CIN - Rev Esp Enferm Dig. 2018 Apr;110(4):215-216. PMID: 29620407
CIN - Rev Esp Enferm Dig. 2018 Apr;110(4):263. PMID: 29620412
MH - Aged
MH - Cholangiopancreatography, Endoscopic Retrograde/*adverse effects/*methods
MH - Deep Sedation/*adverse effects/methods
MH - Female
MH - Humans
MH - Hypnotics and Sedatives/*adverse effects
MH - Male
MH - Middle Aged
MH - Propofol/*adverse effects
MH - Tertiary Care Centers
EDAT- 2018/02/10 06:00
MHDA- 2018/10/12 06:00
CRDT- 2018/02/10 06:00
PHST- 2018/02/10 06:00 [pubmed]
PHST- 2018/10/12 06:00 [medline]
PHST- 2018/02/10 06:00 [entrez]
AID - 10.17235/reed.2018.5262/2017 [doi]
PST - ppublish
SO - Rev Esp Enferm Dig. 2018 Apr;110(4):217-222. doi:
10.17235/reed.2018.5262/2017.
PMID- 26467292
OWN - NLM
STAT- MEDLINE
DCOM- 20160809
LR - 20151028
IS - 1155-5645 (Linking)
VI - 25
IP - 12
DP - 2015 Dec
TI - Pain outcomes in children who received intrathecal vs intravenous opioids for
pain
control following major urologic surgery: a retrospective review.
PG - 1280-6
LID - 10.1111/pan.12781 [doi]
AB - BACKGROUND: Intrathecal (IT) opioid administration has been associated with
postoperative benefits including reduced pain and opioid use in children.
However,
the postoperative benefits and risks of IT opioid administration during major
urologic surgery in children remain unclear. AIM: The aim of this study was
to
compare postoperative pain and adverse event outcomes among children who
received IT
vs intravenous (IV) opioids during major urologic surgery. METHODS: We
reviewed the
medical records of children 3-17 years of age who underwent
ureteroneocystostomy or
pyeloplasty between 2006 and 2012. Electronically captured anesthetic and
surgical
data, postanesthesia care recovery unit (PACU) and nursing flowsheets, and
daily
progress notes through hospital discharge were reviewed. Analgesic techniques
(i.e.,
IT or IV patient/nurse controlled opioids), all analgesic drugs and doses
were
recorded. Outcome measures included pain scores, need for rescue analgesics,
opioid-related adverse events, and their treatments. RESULTS: Seventy-seven
children
received IT opioids and 51 received IV opioids. More children in the IV group
required rescue analgesics and had higher pain scores at PACU discharge.
Children in
the IV group required rescue opioids more frequently than the IT group from 0
to 8 h
and 8 to 16 h after PACU discharge, but rates were similar by 16-24 h 70% of
children in IT group transitioned directly to oral opioids. Seven IT
placements were
considered as failed due to early need for rescue opioids. Four (8%) of the
IV group
and seven (9%) of the IT group experienced oxygen desaturation. Two of these,
both
in IT group required naloxone and one was admitted to ICU for observation.
The IT
group experienced a higher incidence of pruritus, constipation and
hypotension.
CONCLUSION: We observed better postoperative pain control in children who
received
IT vs IV opioids for the first 16 h with no discernible difference
thereafter. The
intrathecal group experienced higher incidences of pruritus, constipation,
and
hypotension.
FAU - Putnam, Elizabeth M
AU - Putnam EM
AD - Department of Anesthesiology, University of Michigan Hospital and Health
Systems,
Ann Arbor, MI, USA.
FAU - Koppera, Prabhat
AU - Koppera P
Systems,
Ann Arbor, MI, USA.
FAU - Malviya, Shobha
AU - Malviya S
Systems,
Ann Arbor, MI, USA.
FAU - Voepel-Lewis, Terri
AU - Voepel-Lewis T
Systems,
Ann Arbor, MI, USA.
LA - eng
DEP - 20151015
PL - France
TA - Paediatr Anaesth
JT - Paediatric anaesthesia
JID - 9206575
RN - 0 (Analgesics, Opioid)
SB - IM
MH - Administration, Intravenous
MH - Adolescent
MH - Analgesics, Opioid/*administration & dosage/adverse effects/*therapeutic use
MH - Anesthesia Recovery Period
MH - Child
MH - Female
MH - Humans
MH - Injections, Spinal
MH - Male
MH - Pain Measurement/drug effects
MH - Pain, Postoperative/*drug therapy
MH - Postoperative Complications/epidemiology
MH - Urologic Surgical Procedures/*methods
OTO - NOTNLM
OT - children
OT - intrathecal opioids
OT - postoperative analgesia
OT - urologic surgery
EDAT- 2015/10/16 06:00
MHDA- 2016/08/10 06:00
CRDT- 2015/10/16 06:00
PHST- 2015/08/27 00:00 [accepted]
PHST- 2015/10/16 06:00 [entrez]
PHST- 2015/10/16 06:00 [pubmed]
PHST- 2016/08/10 06:00 [medline]
AID - 10.1111/pan.12781 [doi]
PST - ppublish
SO - Paediatr Anaesth. 2015 Dec;25(12):1280-6. doi: 10.1111/pan.12781. Epub 2015
Oct 15.
PMID- 26474809
OWN - NLM
STAT- MEDLINE
DCOM- 20160307
LR - 20190109
IS - 0140-6736 (Print)
IS - 0140-6736 (Linking)
VI - 387
IP - 10014
DP - 2016 Jan 9
TI - Effectiveness of a nurse-led intensive home-visitation programme for first-
time
teenage mothers (Building Blocks): a pragmatic randomised controlled trial.
PG - 146-55
LID - S0140-6736(15)00392-X [pii]
LID - 10.1016/S0140-6736(15)00392-X [doi]
AB - BACKGROUND: Many countries now offer support to teenage mothers to help them
to
achieve long-term socioeconomic stability and to give a successful start to
their
children. The Family Nurse Partnership (FNP) is a licensed intensive home-
visiting
intervention developed in the USA and introduced into practice in England
that
involves up to 64 structured home visits from early pregnancy until the
child's
second birthday by specially recruited and trained family nurses. We aimed to
assess
the effectiveness of giving the programme to teenage first-time mothers on
infant
and maternal outcomes up to 24 months after birth. METHODS: We did a
pragmatic,
non-blinded, randomised controlled, parallel-group trial in community
midwifery
settings at 18 partnerships between local authorities and primary and
secondary care
organisations in England. Eligible participants were nulliparous and aged 19
years
or younger, and were recruited at less than 25 weeks' gestation. Field-based
researchers randomly allocated mothers (1:1) via remote randomisation
(telephone and
web) to FNP plus usual care (publicly funded health and social care) or to
usual
care alone. Allocation was stratified by site and minimised by gestation (<16
weeks
vs ≥16 weeks), smoking status (yes vs no), and preferred language of data
collection
(English vs non-English). Mothers and assessors (local researchers at
baseline and
24 months' follow-up) were not masked to group allocation, but telephone
interviewers were blinded. Primary endpoints were biomarker-calibrated self-
reported
tobacco use by the mother at late pregnancy, birthweight of the baby, the
proportion
of women with a second pregnancy within 24 months post-partum, and emergency
attendances and hospital admissions for the child within 24 months post-
partum.
Analyses were by intention to treat. This trial is registered with ISRCTN,
number
ISRCTN23019866. FINDINGS: Between June 16, 2009, and July 28, 2010, we
screened 3251
women. After enrolment, 823 women were randomly assigned to receive FNP and
822 to
usual care. All follow-up data were retrieved by April 25, 2014. 304 (56%) of
547
women assigned to FNP and 306 (56%) of 545 assigned to usual care smoked at
late
pregnancy (adjusted odds ratio [AOR] 0·90, 97·5% CI 0·64-1·28). Mean
birthweight of
742 babies with mothers assigned to FNP was 3217·4 g (SD 618·0), whereas
birthweight
of 768 babies assigned to usual care was 3197·5 g (SD 581·5; adjusted mean
difference 20·75 g, 97·5% CI -47·73 to 89·23. 587 (81%) of 725 assessed
children
with mothers assigned to FNP and 577 (77%) of 753 assessed children assigned
to
usual care attended an emergency department or were admitted to hospital at
least
once before their second birthday (AOR 1·32, 97·5% CI 0·99-1·76). 426 (66%)
of 643
assessed women assigned to FNP and 427 (66%) 646 assigned to usual care had a
second
pregnancy within 2 years (AOR 1·01, 0·77-1·33). At least one serious adverse
event
(mainly clinical events associated with pregnancy and infancy period) was
reported
for 310 (38%) of 808 participants (mother-child) in the usual care group and
357
(44%) of 810 in the FNP group, none of which were considered related to the
intervention. INTERPRETATION: Adding FNP to the usually provided health and
social
care provided no additional short-term benefit to our primary outcomes.
Programme
continuation is not justified on the basis of available evidence, but could
be
reconsidered should supportive longer-term evidence emerge. FUNDING:
Department of
Health Policy Research Programme.
CI - Copyright © 2016 Robling et al. Open Access article distributed under the
terms of
CC BY-NC-ND. Published by Elsevier Ltd.. All rights reserved.
FAU - Robling, Michael
AU - Robling M
AD - South East Wales Trials Unit, Centre for Trials Research, Cardiff University,
Cardiff, UK. Electronic address: roblingmr@cardiff.ac.uk.

FAU - Bekkers, Marie-Jet
AU - Bekkers MJ
Cardiff, UK.
FAU - Bell, Kerry
AU - Bell K
AD - York Trials Unit, University of York, York, UK.
FAU - Butler, Christopher C
AU - Butler CC
AD - Nuffield Department of Primary Health Care Sciences, University of Oxford,
Oxford,
UK.
FAU - Cannings-John, Rebecca
AU - Cannings-John R
Cardiff, UK.
FAU - Channon, Sue
AU - Channon S
Cardiff, UK.
FAU - Martin, Belen Corbacho
AU - Martin BC
FAU - Gregory, John W
AU - Gregory JW
AD - School of Medicine, Cardiff University, Cardiff, UK.
FAU - Hood, Kerry
AU - Hood K
Cardiff, UK.
FAU - Kemp, Alison
AU - Kemp A
FAU - Kenkre, Joyce
AU - Kenkre J
AD - Faculty of Life Sciences and Education, University of South Wales,
Pontypridd, UK.
FAU - Montgomery, Alan A
AU - Montgomery AA
AD - Nottingham Clinical Trials Unit, University of Nottingham, Nottingham, UK;
Bristol
Randomised Trials Collaboration, University of Bristol, Bristol, UK.
FAU - Moody, Gwenllian
AU - Moody G
Cardiff, UK.
FAU - Owen-Jones, Eleri
AU - Owen-Jones E
Cardiff, UK.
FAU - Pickett, Kate
AU - Pickett K
FAU - Richardson, Gerry
AU - Richardson G
AD - Centre for Health Economics, University of York, York, UK.
FAU - Roberts, Zoë E S
AU - Roberts ZE
FAU - Ronaldson, Sarah
AU - Ronaldson S
FAU - Sanders, Julia
AU - Sanders J
AD - School of Healthcare Sciences, Cardiff University, Cardiff, UK.
FAU - Stamuli, Eugena
AU - Stamuli E
FAU - Torgerson, David
AU - Torgerson D
LA - eng
GR - CSA/03/07/014/Department of Health/United Kingdom
GR - MR/K023233/1/Medical Research Council/United Kingdom
GR - 006/0060/Department of Health/United Kingdom
PT - Pragmatic Clinical Trial
DEP - 20151022
TA - Lancet
JT - Lancet (London, England)
JID - 2985213R
SB - AIM
SB - IM
CIN - Lancet. 2016 Jan 9;387(10014):105-7. PMID: 26474806
CIN - Lancet. 2016 Apr 16;387(10028):1615-6. PMID: 27116069
CIN - Lancet. 2016 Apr 16;387(10028):1616-7. PMID: 27116070
CIN - Evid Based Med. 2016 Aug;21(4):145. PMID: 27166399
MH - Adolescent
MH - Birth Weight
MH - Breast Feeding
MH - Child Development
MH - *Family Nursing
MH - Female
MH - *Home Care Services
MH - Humans
MH - Infant Welfare
MH - *Maternal-Child Nursing
MH - Pregnancy
MH - Self Efficacy
MH - Smoking/epidemiology
MH - Social Support
MH - Young Adult
PMC - PMC4707160
EDAT- 2015/10/18 06:00
MHDA- 2016/03/08 06:00
CRDT- 2015/10/18 06:00
PHST- 2015/10/18 06:00 [entrez]
PHST- 2015/10/18 06:00 [pubmed]
PHST- 2016/03/08 06:00 [medline]
AID - S0140-6736(15)00392-X [pii]
AID - 10.1016/S0140-6736(15)00392-X [doi]
PST - ppublish
SO - Lancet. 2016 Jan 9;387(10014):146-55. doi: 10.1016/S0140-6736(15)00392-X.
Epub 2015
Oct 22.
PMID- 28735246
OWN - NLM
STAT- MEDLINE
DCOM- 20180710
LR - 20180710
IS - 0020-7489 (Linking)
VI - 75
DP - 2017 Oct
TI - Nurses' reports of staffing adequacy and surgical site infections: A cross-
sectional
multi-centre study.
PG - 58-64
LID - S0020-7489(17)30158-X [pii]
AB - BACKGROUND: It is indicated that healthcare personnel's perceptions of the
work
environment may reflect the clinical outcomes for the patients they care for.
However, the body of evidence is inconsistent when it comes to the

association
between work environment and surgical site infection. OBJECTIVES: The aim of
this
study is to examine the associations between nurse-reported characteristics
of the
work environment and incidence of surgical site infections after total hip
arthroplasty. DESIGN AND SETTINGS: This is a cross-sectional multicentre
study
conducted in 16 Norwegian hospitals. PARTICIPANTS: Clinical outcomes for 2885
patients >18years that underwent total hip arthroplasty are combined with
work
environment descriptions from 320 nurses. MATERIALS AND METHODS: We combine
data
about surgical site infections from The Norwegian Surveillance System for
Antibiotic
Consumption and Healthcare-Associated Infections and hospital characteristics
such
as overall survival probability (from administrative patient data) and
nurses'
reports of characteristics of the work environment (from a multicentre survey
among
nurses in Norwegian hospitals). Stepwise mixed-effects logistic regression
model was
performed to examine the associations between characteristics of the work
environment and surgical site infections. RESULTS: The incidence of surgical
site
infection among 2885 patients undergoing total hip arthroplasty in 16
Norwegian
hospitals was 2.6%. Older age, elective procedures and high scores for
staffing
adequacy were associated with risk for surgical site infection. The
association
between high scores for adequate staffing and low risk for surgical site
infections
was present for patients that were admitted for an elective procedure, but
not for
patients admitted for a non-elective procedure. CONCLUSION: Our results show
that
the risk of surgical site infections after elective total hip arthroplasty
was lower
in hospitals where nurses assessed staffing as adequate. Our findings add to
the
existing literature that examines the linkage between work environment and
clinical
outcomes.
CI - Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights
reserved.
AU - Tvedt C
AD - Lovisenberg Diaconal University College, Lovisenberggata 15b, 0456 Oslo,
Norway.
Electronic address: christine.raaen.tvedt@ldh.no.
AU - Sjetne IS
AD - Norwegian Institute of Public Health, PO Box 4404, Nydalen, 0403 Oslo,
Norway.
AU - Helgeland J
Norway.
FAU - Løwer, Hege Line
AU - Løwer HL
Norway.
FAU - Bukholm, Geir
AU - Bukholm G
Norway;
Norwegian University of Life Sciences, PO Box 5003, 1432 Ås, Norway.
LA - eng
DEP - 20170714
PL - England
JID - 0400675
SB - IM
SB - N
MH - Adult
MH - Arthroplasty, Replacement, Hip/adverse effects
MH - Female
MH - Humans
MH - Incidence
MH - Male
MH - Middle Aged
MH - Norway/epidemiology
MH - Patient Safety
MH - Physician-Nurse Relations
MH - Surgical Wound Infection/drug therapy/*epidemiology
MH - Survival Analysis
MH - Workplace
OTO - NOTNLM
OT - Patient safety
OT - Surgical wound infection
OT - Work environment
EDAT- 2017/07/25 06:00
MHDA- 2018/07/11 06:00
CRDT- 2017/07/24 06:00
PHST- 2017/02/01 00:00 [received]
PHST- 2017/07/04 00:00 [revised]
PHST- 2017/07/09 00:00 [accepted]
PHST- 2017/07/25 06:00 [pubmed]
PHST- 2018/07/11 06:00 [medline]
PHST- 2017/07/24 06:00 [entrez]
AID - S0020-7489(17)30158-X [pii]
PST - ppublish
SO - Int J Nurs Stud. 2017 Oct;75:58-64. doi: 10.1016/j.ijnurstu.2017.07.008. Epub
2017
Jul 14.
PMID- 24050986
OWN - NLM
STAT- MEDLINE
DCOM- 20140916
LR - 20181113
IS - 2044-5415 (Print)
IS - 2044-5415 (Linking)
VI - 23
IP - 1
DP - 2014 Jan
TI - Characterising the complexity of medication safety using a human factors
approach:
an observational study in two intensive care units.
PG - 56-65
LID - 10.1136/bmjqs-2013-001828 [doi]
AB - OBJECTIVE: To examine medication safety in two intensive care units (ICU),
and to
assess the complexity of medication errors and adverse drug events (ADE) in
ICUs
across the stages of the medication-management process. METHODS: Four trained
nurse
data collectors gathered data on medication errors and ADEs between October
2006 and
March 2007. Patient care documents (eg, medication order sheets, notes) and
incident
reports were used to identify medication errors and ADEs in a 24-bed adult
medical/surgical ICU and an 18-bed cardiac ICU in a tertiary care, community
teaching hospital. In this cross-sectional study, a total of 630 consecutive
ICU
patient admissions were assessed to produce data on the number, rates and
types of
potential and preventable ADEs across stages of the medication-management
process.
RESULTS: An average of 2.9 preventable or potential ADEs occurred in each
admission,
that is, 0.4 events per patient-day. Preventable or potential ADEs occurred
in 2.6%
of the medication orders. The rate of potential ADEs per 1000 patient-days
was 276,
whereas the rate of preventable ADEs per 1000 patient-days was 9.2. Most
medication
errors occur at the ordering (32%) and administration stages (39%). In 16-24%
of
potential and preventable ADEs, clusters of errors occurred either as a
sequence of
errors (eg, delay in medication dispensing leading to delay in medication
administration) or grouped errors (eg, route and frequency errors in the
order for a
medication). Many of the sequences led to administration errors that were
caused by
errors earlier in the medication-management process. CONCLUSIONS:
Understanding the
complexity of the vulnerabilities of the medication-management process is
important
to devise solutions to improve patient safety. Electronic health record
technology
with computerised physician order entry may be one step necessary to improve
medication safety in ICUs. Solutions that target multiple stages of the
medication-management process are necessary to address sequential errors.
AU - Carayon P
Madison, ,
Madison, Wisconsin, USA.
FAU - Wetterneck, Tosha B
AU - Wetterneck TB
FAU - Cartmill, Randi
AU - Cartmill R
FAU - Blosky, Mary Ann
AU - Blosky MA
FAU - Brown, Roger
AU - Brown R
FAU - Kim, Robert
AU - Kim R
FAU - Kukreja, Sandeep
AU - Kukreja S
FAU - Johnson, Mark
AU - Johnson M
FAU - Paris, Bonnie
AU - Paris B
FAU - Wood, Kenneth E
AU - Wood KE
FAU - Walker, James
AU - Walker J
LA - eng
GR - K12 RR017614/RR/NCRR NIH HHS/United States
GR - 5 T32 HS000083-10/HS/AHRQ HHS/United States
GR - 1UL1RR025011/RR/NCRR NIH HHS/United States
GR - K12 RR017614-01/RR/NCRR NIH HHS/United States
DEP - 20130919
TA - BMJ Qual Saf
JID - 101546984
SB - H
CIN - BMJ Qual Saf. 2014 May;23(5):e1. PMID: 24578524
MH - Clinical Audit
MH - *Drug-Related Side Effects and Adverse Reactions/epidemiology
MH - Female
MH - Humans
MH - *Intensive Care Units
MH - Male
MH - *Medication Therapy Management
MH - New England/epidemiology
MH - Patient Care Management/*standards
MH - Time Factors
PMC - PMC3938094
MID - NIHMS554878
OTO - NOTNLM
OT - Critical Care
OT - Human Factors
OT - Medication Safety
COIS- Conflict of interest disclosures: No conflict of interest.
EDAT- 2013/09/21 06:00
MHDA- 2014/09/17 06:00
CRDT- 2013/09/21 06:00
PHST- 2013/09/21 06:00 [entrez]
PHST- 2013/09/21 06:00 [pubmed]
PHST- 2014/09/17 06:00 [medline]
AID - bmjqs-2013-001828 [pii]
AID - 10.1136/bmjqs-2013-001828 [doi]
PST - ppublish
Sep
19.
PMID- 28464815
OWN - NLM
STAT- MEDLINE
DCOM- 20171221
LR - 20191210
IS - 1472-6963 (Linking)
VI - 17
IP - 1
DP - 2017 May 2
TI - Avoiding inappropriate urinary catheter use and catheter-associated urinary
tract
infection (CAUTI): a pre-post control intervention study.
PG - 314
LID - 10.1186/s12913-017-2268-2 [doi]
LID - 314
AB - BACKGROUND: Urinary tract infection (UTI) as the most common healthcare-
associated
infection accounts for up to 36% of all healthcare-associated infections.
Catheter-associated urinary tract infection (CAUTI) accounts for up to 80% of
these.
In many instances indwelling urinary catheter (IDC) insertions may be
unjustified or
inappropriate, creating potentially avoidable and significant patient
distress,
embarrassment, discomfort, pain and activity restrictions, together with
substantial
care burden, costs and hospitalisation. Multifaceted interventions combining
best
practice guidelines with staff engagement, education and monitoring have been
shown
to be more effective in bringing about practice change than those that focus
on a
single intervention. This study builds on a nurse-led initiative that
identified
that significant benefits could be achieved through a systematic approach to
implementation of evidence-based practice. METHODS: The primary aim of the
study is
to reduce IDC usage rates by reducing inappropriate urinary catheterisation
and
duration of catheterisation. The study will employ a multiple pre-post
control
intervention design using a phased mixed method approach. A multifaceted
intervention will be implemented and evaluated in four acute care hospitals
in NSW,
Australia. The study design is novel and strengthened by a phased approach
across
sites which allows for a built-in control mechanism and also reduces secular
effects. Feedback of point prevalence data will be utilised to engage staff
and
improve compliance. Ward-based champions will help to steward the change and
maintain focus. DISCUSSION: This study will improve patient safety through
implementation and robust evaluation of clinical practice and practice
change. It is
anticipated that it will contribute to a significant improvement in patient
experiences and health care outcomes. The provision of baseline data will
provide a
platform from which to ensure ongoing improvement and normalisation of best
practice. This study will add to the evidence base through enhancing
understanding
of interventions to reduce CAUTI and provides a prototype for other studies
focussed
on reduction of hospital acquired harms. Study findings will inform
undergraduate
and continuing education for health professionals. TRIAL REGISTRATION:
ACTRN12617000090314 . Registered 17 January 2017. Retrospectively registered.
FAU - Parker, Vicki
AU - Parker V
AD - School of Nursing, University of New England, Armidale, NSW, Australia, 2351.
FAU - Giles, Michelle
AU - Giles M
AD - Hunter New England Nursing and Midwifery Research Centre, James Fletcher
Campus,
Gate Cottage, 72 Watt St, Newcastle, NSW, Australia, 2300.
Michelle.giles@hnehealth.nsw.gov.au.
FAU - Graham, Laura
AU - Graham L
Campus,
FAU - Suthers, Belinda
AU - Suthers B
AD - Respiratory and General Medicine, John Hunter Hospital, Locked Bag 1 HRMC,
New
Lambton Heights, NSW, Australia, 2310.
FAU - Watts, Wendy
AU - Watts W
Campus,
FAU - O'Brien, Tony
AU - O'Brien T
AD - School of Nursing and Midwifery, University of Newcastle, Callaghan, NSW,
Australia,
2308.
FAU - Searles, Andrew
AU - Searles A
AD - Hunter Medical Research Institute (HMRI), New Lambton Heights, NSW,
Australia, 2305.
LA - eng
SI - ANZCTR/ACTRN12617000090314
DEP - 20170502
JID - 101088677
SB - IM
MH - Australia
MH - Catheter-Related Infections/epidemiology/*prevention & control
MH - Cross Infection/epidemiology/prevention & control
MH - Hospitals
MH - Humans
MH - Incidence
MH - Medical Overuse/*prevention & control
MH - Unnecessary Procedures
MH - Urinary Catheterization/adverse effects/*statistics & numerical data
MH - Urinary Tract Infections/epidemiology/*prevention & control
PMC - PMC5414128
OTO - NOTNLM
OT - *Catheter-associated urinary tract infection
OT - *Evidence-based practice
OT - *Healthcare-associated infection
OT - *Multifaceted intervention
EDAT- 2017/05/04 06:00
MHDA- 2017/12/22 06:00
CRDT- 2017/05/04 06:00
PHST- 2017/02/02 00:00 [received]
PHST- 2017/04/26 00:00 [accepted]
PHST- 2017/05/04 06:00 [entrez]
PHST- 2017/05/04 06:00 [pubmed]
PHST- 2017/12/22 06:00 [medline]
AID - 10.1186/s12913-017-2268-2 [pii]
AID - 2268 [pii]
AID - 10.1186/s12913-017-2268-2 [doi]
PST - epublish
SO - BMC Health Serv Res. 2017 May 2;17(1):314. doi: 10.1186/s12913-017-2268-2.
PMID- 26688744
OWN - NLM
DCOM- 20151221
LR - 20201001
IS - 2054-2704 (Print)
IS - 2054-2704 (Linking)
VI - 6
IP - 10
DP - 2015 Oct
TI - A two-stage clinical decision support system for early recognition and
stratification of patients with sepsis: an observational cohort study.
PG - 2054270415609004
LID - 10.1177/2054270415609004 [doi]
LID - 2054270415609004
AB - OBJECTIVE: To examine the diagnostic accuracy of a two-stage clinical
decision
support system for early recognition and stratification of patients with
sepsis.
DESIGN: Observational cohort study employing a two-stage sepsis clinical
decision
support to recognise and stratify patients with sepsis. The stage one
component was
comprised of a cloud-based clinical decision support with 24/7 surveillance
to
detect patients at risk of sepsis. The cloud-based clinical decision support
delivered notifications to the patients' designated nurse, who then
electronically
contacted a provider. The second stage component comprised a sepsis screening
and
stratification form integrated into the patient electronic health record,
essentially an evidence-based decision aid, used by providers to assess
patients at
bedside. SETTING: Urban, 284 acute bed community hospital in the USA; 16,000
hospitalisations annually. PARTICIPANTS: Data on 2620 adult patients were
collected
retrospectively in 2014 after the clinical decision support was implemented.
MAIN
OUTCOME MEASURE: 'Suspected infection' was the established gold standard to
assess
clinical decision support clinimetric performance. RESULTS: A sepsis alert
activated
on 417 (16%) of 2620 adult patients hospitalised. Applying 'suspected
infection' as
standard, the patient population characteristics showed 72% sensitivity and
73%
positive predictive value. A postalert screening conducted by providers at
bedside
of 417 patients achieved 81% sensitivity and 94% positive predictive value.
Providers documented against 89% patients with an alert activated by clinical
decision support and completed 75% of bedside screening and stratification of
patients with sepsis within one hour from notification. CONCLUSION: A

clinical
decision support binary alarm system with cross-checking functionality
improves
early recognition and facilitates stratification of patients with sepsis.
AU - Amland RC
AD - Population Health, Cerner Corporation, Kansas City, 64117 USA.
FAU - Lyons, Jason J
AU - Lyons JJ
AD - Pulmonary Division, Department of Medicine, Unity Hospital, Rochester, 14626
USA.
FAU - Greene, Tracy L
AU - Greene TL
AD - Business Intelligence and Long Term Care, Rochester Regional Health System;
Rochester, 14626 USA.
FAU - Haley, James M
AU - Haley JM
AD - Department of Medicine, Unity Hospital, Rochester, 14626 USA.
LA - eng
DEP - 20151008
TA - JRSM Open
JT - JRSM open
JID - 101625786
PMC - PMC4601128
OTO - NOTNLM
OT - Early recognition
OT - cloud-based computerised clinical decision support system
OT - detection and stratification of patients with sepsis
OT - electronic health record
OT - patient safety
OT - quality and prevention
EDAT- 2015/12/22 06:00
MHDA- 2015/12/22 06:01
CRDT- 2015/12/22 06:00
PHST- 2015/12/22 06:00 [entrez]
PHST- 2015/12/22 06:00 [pubmed]
PHST- 2015/12/22 06:01 [medline]
AID - 10.1177_2054270415609004 [pii]
AID - 10.1177/2054270415609004 [doi]
PST - epublish
SO - JRSM Open. 2015 Oct 8;6(10):2054270415609004. doi: 10.1177/2054270415609004.
PMID- 25234932
OWN - NLM
STAT- MEDLINE
DCOM- 20150615
LR - 20181113
IS - 1472-6963 (Linking)
VI - 14
DP - 2014 Sep 18
TI - Effect of a care transition intervention by pharmacists: an RCT.
PG - 406
LID - 10.1186/1472-6963-14-406 [doi]
LID - 406
AB - BACKGROUND: Pharmacists may improve medication-related outcomes during
transitions
of care. The aim of the Iowa Continuity of Care Study was to determine if a
pharmacist case manager (PCM) providing a faxed discharge medication care
plan from
a tertiary care institution to primary care could improve medication
appropriateness
and reduce adverse events, rehospitalization and emergency department visits.
METHODS: Design. Randomized, controlled trial of 945 participants assigned to
enhanced, minimal and usual care groups conducted 2007 to 2012. Subjects.
Participants with cardiovascular-related conditions and/or asthma or chronic
obstructive pulmonary disease were recruited from the University of Iowa
Hospital
and Clinics following admission to general medicine, family medicine,
cardiology or
orthopedics. Intervention. The minimal group received admission history,
medication
reconciliation, patient education, discharge medication list and medication
recommendations to inpatient team. The enhanced group also received a faxed
medication care plan to their community physician and pharmacy and telephone
call
3-5 days post-discharge. Participants were followed for 90 days post-
discharge. Main
Outcomes and Measures. Medication appropriateness index (MAI), adverse
events,
adverse drug events and post-discharge healthcare utilization were compared
by study
group using linear and logistic regression, as models accommodating random
effects
due to pharmacists indicated little clustering. RESULTS: Study groups were
similar
at baseline and the intervention fidelity was high. There were no
statistically
significant differences by study group in medication appropriateness, adverse
events
or adverse drug events at discharge, 30-day and 90-day post-discharge. The
average
MAI per medication as 0.53 at discharge and increased to 0.75 at 90 days, and
this
was true across all study groups. Post-discharge, about 16% of all
participants
experienced an adverse event, and this did not differ by study group (p >
0.05).
Almost one-third of all participants had any type of healthcare utilization
within
30 days post-discharge, where 15% of all participants had a 30-day
readmission.
Healthcare utilization post-discharge was not statistically significant
different at
30 or 90 days by study group. CONCLUSION: The pharmacist case manager did not
affect
medication use outcomes post-discharge perhaps because quality of care
measures were
high in all study groups. TRIAL REGISTRATION: Clinicaltrials.gov
registration:
NCT00513903, August 7, 2007.
FAU - Farris, Karen B
AU - Farris KB
AD - College of Pharmacy, University of Michigan, 428 Church St, Ann Arbor MI
48109-1065,
USA. kfarris@umich.edu.
FAU - Carter, Barry L
AU - Carter BL
FAU - Xu, Yinghui
AU - Xu Y
FAU - Dawson, Jeffrey D
AU - Dawson JD
FAU - Shelsky, Constance
AU - Shelsky C
FAU - Weetman, David B
AU - Weetman DB
FAU - Kaboli, Peter J
AU - Kaboli PJ
FAU - James, Paul A
AU - James PA
FAU - Christensen, Alan J
AU - Christensen AJ
FAU - Brooks, John M
AU - Brooks JM
LA - eng
GR - R01 HL082711/HL/NHLBI NIH HHS/United States
GR - 1R01 HL082711/HL/NHLBI NIH HHS/United States
DEP - 20140918
JID - 101088677
SB - IM
MH - Asthma/*drug therapy
MH - Cardiovascular Diseases/*drug therapy
MH - Case Management/*organization & administration
MH - Female
MH - Humans
MH - Iowa
MH - Male
MH - Middle Aged
MH - *Pharmacists
MH - Pulmonary Disease, Chronic Obstructive/*drug therapy
PMC - PMC4262237
EDAT- 2014/09/23 06:00
MHDA- 2015/06/16 06:00
CRDT- 2014/09/20 06:00
PHST- 2014/04/24 00:00 [received]
PHST- 2014/09/10 00:00 [accepted]
PHST- 2014/09/20 06:00 [entrez]
PHST- 2014/09/23 06:00 [pubmed]
PHST- 2015/06/16 06:00 [medline]
AID - 1472-6963-14-406 [pii]
AID - 3640 [pii]
AID - 10.1186/1472-6963-14-406 [doi]
PST - epublish
SO - BMC Health Serv Res. 2014 Sep 18;14:406. doi: 10.1186/1472-6963-14-406.
PMID- 24327944
OWN - NLM
DCOM- 20131211
LR - 20200929
IS - 2196-5226 (Print)
IS - 2196-5226 (Linking)
VI - 8
IP - 2
DP - 2013
TI - Improving patient safety during insertion of peripheral venous catheters: an
observational intervention study.
PG - Doc18
LID - 10.3205/dgkh000218 [doi]
LID - Doc18
AB - BACKGROUND: Peripheral venous catheters are frequently used in hospitalized
patients
but increase the risk of nosocomial bloodstream infection. Evidence-based
guidelines
describe specific steps that are known to reduce infection risk. However, the
degree
of guideline implementation in clinical practice is not known. The aim of
this study
was to determine the use of specific steps for insertion of peripheral venous
catheters in clinical practice and to implement a multimodal intervention

aimed at
improving both compliance and the optimum order of the steps. METHODS: The
study was
conducted at University Hospital Hamburg. An optimum procedure for inserting
a
peripheral venous catheter was defined based on three evidence-based
guidelines
(WHO, CDC, RKI) including five steps with 1A or 1B level of evidence: hand
disinfection before patient contact, skin antisepsis of the puncture site, no
palpation of treated puncture site, hand disinfection before aseptic

procedure, and
sterile dressing on the puncture site. A research nurse observed and recorded
procedures for peripheral venous catheter insertion for healthcare workers in

four
different departments (endoscopy, central emergency admissions, pediatrics,
and
dermatology). A multimodal intervention with 5 elements was established
(teaching
session, dummy training, e-learning tool, tablet and poster, and direct
feedback),
followed by a second observation period. During the last observation week,
participants evaluated the intervention. RESULTS: In the control period, 207
insertions were observed, and 202 in the intervention period. Compliance
improved
significantly for four of five steps (e.g., from 11.6% to 57.9% for hand
disinfection before patient contact; p<0.001, chi-square test). Compliance
with skin
antisepsis of the puncture site was high before and after intervention (99.5%
before
and 99.0% after). Performance of specific steps in the correct order also
improved
(e.g., from 7.7% to 68.6% when three of five steps were done; p<0.001). The
intervention was described as helpful by 46.8% of the participants, as
neutral by
46.8%, and as disruptive by 6.4%. CONCLUSIONS: A multimodal strategy to
improve both
compliance with safety steps for peripheral venous catheter insertion and
performance of an optimum procedure was effective and was regarded helpful by
healthcare workers.
FAU - Kampf, Günter
AU - Kampf G
AD - Bode Science Center, Bode Chemie GmbH, Hamburg, Germany ; Institut für
Hygiene und
Umweltmedizin, Ernst-Moritz-Arndt Universität Greifswald, Germany.
FAU - Reise, Gesche
AU - Reise G
FAU - James, Claudia
AU - James C
FAU - Gittelbauer, Kirsten
AU - Gittelbauer K
FAU - Gosch, Jutta
AU - Gosch J
FAU - Alpers, Birgit
AU - Alpers B
LA - eng
DEP - 20131106
TA - GMS Hyg Infect Control
JT - GMS hygiene and infection control
JID - 101609519
PMC - PMC3850230
OTO - NOTNLM
OT - compliance
OT - hand hygiene
OT - insertion
OT - peripheral venous catheter
OT - standard operating procedure
EDAT- 2013/12/12 06:00
MHDA- 2013/12/12 06:01
CRDT- 2013/12/12 06:00
PHST- 2013/12/12 06:00 [entrez]
PHST- 2013/12/12 06:00 [pubmed]
PHST- 2013/12/12 06:01 [medline]
AID - dgkh000218 [pii]
AID - 10.3205/dgkh000218 [doi]
PST - epublish
SO - GMS Hyg Infect Control. 2013 Nov 6;8(2):Doc18. doi: 10.3205/dgkh000218.
eCollection
2013.
PMID- 31206142
OWN - NLM
STAT- Publisher
LR - 20200617
IS - 2168-6106 (Print)
IS - 2168-6106 (Linking)
VI - 179
IP - 8
DP - 2019 Jun 17
TI - Comparison of Hospitals Affiliated With PPS-Exempt Cancer Centers, Other
Hospitals
Affiliated With NCI-Designated Cancer Centers, and Other Hospitals That
Provide
Cancer Care.
PG - 1043-51
AB - IMPORTANCE: Congress has exempted 11 specialized cancer centers in the United
States
from the Prospective Payment System (PPS). These centers are also exempt from
reporting many of the process-of-care and outcome measures to the Centers for
Medicare & Medicaid Services that are required for hospitals in the PPS. It
is not
known how hospitals affiliated with PPS-exempt cancer centers differ from
other
hospitals affiliated with National Cancer Institute cancer centers (NCI-CCs)
or
other US hospitals that provide cancer care. OBJECTIVE: To examine
differences
between hospitals affiliated with PPS-exempt cancer centers, other hospitals
affiliated with NCI-CCs, and other hospitals that provide cancer care on
metrics
that could be used in public reporting. DESIGN, SETTING, AND PARTICIPANTS:
This
retrospective cohort study compared hospital characteristics and cancer-
related
services using data from the American Hospital Association Annual Survey and
US News
Best Hospitals rankings. With a 100% sample of Medicare beneficiaries who
underwent
1 of 9 cancer operations (brain tumor resection, colorectal resection,
cystectomy,
esophagectomy, gastrectomy, liver resection, lung resection, pancreatic
resection,
prostatectomy) from January 1, 2011, to May 31, 2015, we used hierarchical
logistic
regression methods to compare differences in 18 postoperative outcomes. Data
analysis was conducted from February 2018 to August 2018. MAIN OUTCOMES AND
MEASURES: This study evaluated hospital characteristics, including cancer-
specific
services, patient comorbidity burden, and cancer surgery postoperative
outcomes,
from PPS-exempt cancer centers, NCI-affiliated cancer centers, and other US
hospitals that provide cancer care. RESULTS: Hospitals affiliated with PPS-
exempt
cancer centers (n = 15) and NCI-CCs (n = 54) were similar in hospital
characteristics, basic cancer-related services, and patient comorbidity
burden.
Compared with NCI-CCs, PPS-exempt cancer centers had significantly higher US
News
reputation scores (mean [SD], 17.5 [24.0] vs 2.6 [4.8]; P < .001) but no
differences
in oncology patient volume, patient safety ratings, comorbidity burden, nurse
staffing, US News total cancer scores, or US News survival scores. Hospitals

affiliated with PPS-exempt cancer centers and NCI-CCs had similar adjusted
postoperative outcomes for 15 of 18 measures, including mortality,
readmission, and
surgical site infections. Compared with hospitals affiliated with PPS-exempt
cancer
centers, patients treated at NCI-CCs were more likely to have postoperative
sepsis
(3.1% vs 1.7%; P = .002), acute renal failure (6.2% vs 3.9%; P = .01), and
urinary
tract infection (6.4% vs 4.0%; P = .002). Compared with the other hospitals
that
provide cancer care (n = 3578), PPS-exempt cancer center status was
associated with
improved outcomes for 7 of 18 measures, including mortality, sepsis, acute
renal
failure, pulmonary failure, and failure to rescue. CONCLUSIONS AND RELEVANCE:
Hospitals affiliated with PPS-exempt cancer centers and NCI-CCs had generally
similar hospital characteristics, patient comorbidity burden, and cancer

surgery
outcomes. These findings raise questions about why some cancer centers are
designated as PPS-exempt and why most hospitals are not required to publicly
report
cancer-specific quality metrics.
FAU - Merkow, Ryan P
AU - Merkow RP
AD - Surgical Outcomes and Quality Improvement Center (SOQIC), Department of
Surgery and
Center for Healthcare Studies, Feinberg School of Medicine, Northwestern
University,
Chicago, Illinois.
AD - Northwestern Institute for Comparative Effectiveness Research in Oncology
(NICER
Onc), Robert H. Lurie Comprehensive Cancer Center, Feinberg School of
Medicine,
Northwestern University, Chicago, Illinois.
FAU - Yang, Anthony D
AU - Yang AD
Surgery and
University,
Chicago, Illinois.
(NICER
Medicine,
FAU - Pavey, Emily
AU - Pavey E
Surgery and
University,
Chicago, Illinois.
FAU - Song, Min-Woong
AU - Song MW
AD - Department of Public Health Sciences, University of Virginia School of
Medicine,
Charlottesville.
FAU - Chung, Jeanette W
AU - Chung JW
Surgery and
University,
Chicago, Illinois.
(NICER
Medicine,
FAU - Bentrem, David J
AU - Bentrem DJ
Surgery and
University,
Chicago, Illinois.
(NICER
Medicine,
AD - Jesse Brown VA Medical Center, Chicago, Illinois.
FAU - Bilimoria, Karl Y
AU - Bilimoria KY
Surgery and
University,
Chicago, Illinois.
(NICER
Medicine,
LA - eng
DEP - 20190617
JID - 101589534
CIN - J Urol. 2020 Apr;203(4):652-653. PMID: 31928449
PMC - PMC6580440
COIS- Conflict of Interest Disclosures: Dr Merkow reported support from the Agency
for
Healthcare Research and Quality and the American Cancer Society. Dr Bilimoria
reported support from the National Institutes of Health, Agency for

Healthcare
Research and Quality, American Board of Surgery, American College of
Surgeons,
Accreditation Council for Graduate Medical Education, Health Care. No other
disclosures reported.
EDAT- 2019/06/18 06:00
MHDA- 2019/06/18 06:00
CRDT- 2019/06/18 06:00
PHST- 2019/06/18 06:00 [entrez]
PHST- 2019/06/18 06:00 [pubmed]
PHST- 2019/06/18 06:00 [medline]
AID - 2735987 [pii]
AID - ioi190029 [pii]
PST - aheadofprint
SO - JAMA Intern Med. 2019 Jun 17;179(8):1043-51. doi:
PMID- 26170769
OWN - NLM
DCOM- 20150714
LR - 20200930
IS - 1551-6776 (Print)
IS - 1551-6776 (Linking)
VI - 20
IP - 3
DP - 2015 May-Jun
TI - Evaluation of an Alternative Intravenous N-Acetylcysteine Regimen in
Pediatric
Patients.
PG - 178-85
LID - 10.5863/1551-6776-20.3.178 [doi]
AB - OBJECTIVE: Conventionally, intravenous N-acetylcysteine (IV-NAC)
administration is a
3-bag regimen administered over the course of 21 hours, which increases the
risk of
reconstitution and administration errors. To minimize errors, an alternative
IV-NAC
regimen consists of a loading dose (150 mg/kg) followed by a maintenance
infusion
(15 mg/kg/hr) until termination criteria are met. The aim was to determine
the
clinical outcomes of an alternative IV-NAC regimen in pediatric patients.
METHODS: A
retrospective review of pharmacy dispensing records and diagnostic codes at a
pediatric hospital identified patients who received alternative IV-NAC dosing

from
March 1, 2008, to September 10, 2012, for acetaminophen overdoses. Exclusion
criteria included chronic liver disease, initiation of oral or other IV-NAC
regimens, and initiation of standard IV-NAC infusion prior to facility
transfer.
Clinical and laboratory data were abstracted from the electronic medical
record.
Descriptive statistics were utilized. Clinical outcomes and adverse drug
reaction
incidences were compared between the alternative and Food and Drug
Administration
(FDA)-approved IV-NAC regimens. RESULTS: Fifty-nine patients (mean age 13.4 ±
4.3
years; range: 2 months-18 years) with acetaminophen overdoses were
identified. Upon
IV-NAC discontinuation, 45 patients had normal alanine transaminase (ALT)
concentrations, while 14 patients' ALT concentrations remained elevated
(median 140
units/L) but were trending downward. Two patients (3.4%) developed
hepatotoxicity
(aspartate transaminase/ALT > 1000 units/L). No patients developed hepatic
failure,
were listed for a liver transplant, were intubated, underwent hemodialysis,
or died.
Two patients (3.4%) developed anaphylactoid reactions. No known medication or
administration errors occurred. Clinical outcome incidences of the studied

endpoints
with the alternative IV-NAC regimen are at the lower end of published
incidence
ranges compared to the FDA IV-NAC regimen for acetaminophen overdoses.
CONCLUSIONS:
This alternative IV-NAC regimen appears to be effective and well tolerated
among
pediatric patients when compared to the FDA-approved regimen. It may also
result in
fewer reconstitution and administration errors, leading to improved patient
safety.
FAU - Pauley, Kathryn A
AU - Pauley KA
AD - Department of Pharmacy, Children's Mercy Hospital, Kansas City, Missouri.
FAU - Sandritter, Tracy L
AU - Sandritter TL
AD - Division of Clinical Pharmacology and Therapeutic Innovations, Children's
Mercy
Hospital, Kansas City, Missouri.
FAU - Lowry, Jennifer A
AU - Lowry JA
Mercy
FAU - Algren, D Adam
AU - Algren DA
Mercy
LA - eng
TA - J Pediatr Pharmacol Ther
JT - The journal of pediatric pharmacology and therapeutics : JPPT : the official
journal
of PPAG
JID - 101089851
PMC - PMC4471711
OTO - NOTNLM
OT - N-acetylcysteine
OT - acetaminophen
OT - anaphylactoid
OT - hepatotoxicity
OT - pediatrics
EDAT- 2015/07/15 06:00
MHDA- 2015/07/15 06:01
CRDT- 2015/07/15 06:00
PHST- 2015/07/15 06:00 [entrez]
PHST- 2015/07/15 06:00 [pubmed]
PHST- 2015/07/15 06:01 [medline]
AID - 10.5863/1551-6776-20.3.178 [doi]
PST - ppublish
SO - J Pediatr Pharmacol Ther. 2015 May-Jun;20(3):178-85. doi:
10.5863/1551-6776-20.3.178.
PMID- 24568120
OWN - NLM
STAT- MEDLINE
DCOM- 20141028
LR - 20181113
IS - 2050-6511 (Linking)
VI - 15
DP - 2014 Feb 26
TI - An outpatient antibacterial stewardship intervention during the journey to
JCI
accreditation.
PG - 8
LID - 10.1186/2050-6511-15-8 [doi]
AB - BACKGROUND: Antibacterial overuse, misuse and resistance have become a major
global
threat. The Joint Commission International (JCI) accreditation standards
include
quality improvement and patient safety, which is exemplified by antimicrobial
stewardship. There are currently few reports on interventions to improve the

quality
of outpatient antibacterial prescribing. METHODS: A before-after intervention
study,
aiming at antibacterial use in outpatients, was performed in a university-
affiliated
hospital with 2.8 million outpatient visits annually during the journey to
JCI
accreditation (March of 2012 - March of 2013). Comprehensive intervention
measures
included formulary adjustment, classification management, motivational,
information
technological, educational and organizational measures. A defined daily dose
(DDD)
methodology was applied. Pharmacoeconomic data and drug-related problems
(DRPs) were
statistically compared between the two phases. RESULTS: The variety of
antibacterials available in outpatient pharmacy decreased from 38 to 16. The
proportion of antibacterial prescriptions significantly decreased (12.7%
versus
9.9%, P < 0.01). The proportion of prescriptions containing the restricted
antibacterials was 30.4% in the second phase, significantly lower than the
value of
44.7% in the first phase (P < 0.01). The overall proportion of oral versus
all
antibacterial prescriptions increased (94.0% to 100%, P < 0.01) when measured
as
defined daily doses. Statistically significant increases in relative
percentage of
DDDs of oral antibacterials (i.e., DDDs of individual oral antibacterial
divided by
the sum of DDDs of all antibacterials) were observed with moxifloxacin,
levofloxacin, cefuroxime axetil, ornidazole, clindamycin palmitate, cefaclor,
amoxicillin and clarithromycin. Occurrence rate of DRPs decreased from 13.6%

to 4.0%
(P < 0.01), with a larger decrease seen in surgical clinics (surgical: 19.5%
versus
5.6%; internal medicine: 8.4% versus 2.8%, P < 0.01). The total expenditure
on
antibacterials for outpatients decreased by 34.7% and the intervention
program saved
about 6 million Chinese Yuan Renminbi (CNY) annually. CONCLUSION: The one-
year
intervention program on outpatient antibacterial use during the journey to
JCI
accreditation reduced the expenditure on antibacterials, improved the
appropriateness of antibacterial prescriptions. Quality improvements need
integrated
multifaceted intervention measures and long-term adherence to the antibiotic
stewardship. Approach of i.v. to oral antibacterial switch, classification
management, and motivational measures may play the most efficient role in
changing
antibacterial prescription practices.
FAU - Song, Ping
AU - Song P
FAU - Li, Wei
AU - Li W
FAU - Zhou, Quan
AU - Zhou Q
AD - Department of Pharmacy, the Second Affiliated Hospital, School of Medicine,
Zhejiang
University, Jiefang Road No, 88, Hangzhou, Zhejiang 310009, China.
zhouquan142602@zju.edu.cn.
LA - eng
DEP - 20140226
TA - BMC Pharmacol Toxicol
JT - BMC pharmacology & toxicology
JID - 101590449
SB - IM
MH - Accreditation
MH - Anti-Bacterial Agents/economics/*therapeutic use
MH - China
MH - Drug Costs/statistics & numerical data
MH - Drug Prescriptions/economics/statistics & numerical data
MH - Hospitals, University/economics/standards/*statistics & numerical data
MH - Humans
MH - Outpatients/statistics & numerical data
MH - Pharmacy Service, Hospital/economics/standards/*statistics & numerical data
PMC - PMC3937530
EDAT- 2014/02/27 06:00
MHDA- 2014/10/29 06:00
CRDT- 2014/02/27 06:00
PHST- 2013/09/30 00:00 [received]
PHST- 2014/02/20 00:00 [accepted]
PHST- 2014/02/27 06:00 [entrez]
PHST- 2014/02/27 06:00 [pubmed]
PHST- 2014/10/29 06:00 [medline]
AID - 2050-6511-15-8 [pii]
AID - 10.1186/2050-6511-15-8 [doi]
PST - epublish
SO - BMC Pharmacol Toxicol. 2014 Feb 26;15:8. doi: 10.1186/2050-6511-15-8.
PMID- 31162917
STAT- Publisher
DP - 2019 May
BTI - The role of physician associates in secondary care: the PA-SCER mixed-methods
study
AB - BACKGROUND: Increasing demand for hospital services and staff shortages has
led NHS
organisations to review workforce configurations. One solution has been to
employ
physician associates (PAs). PAs are trained over 2 years at postgraduate
level to
work to a supervising doctor. Little is currently known about the roles and
impact
of PAs working in hospitals in England. OBJECTIVES: (1) To investigate the
factors
influencing the adoption and deployment of PAs within medical and surgical
teams in
secondary care and (2) to explore the contribution of PAs, including their
impact on
patient experiences, organisation of services, working practices,
professional
relationships and service costs, in acute hospital care. METHODS: This was a
mixed-methods, multiphase study. It comprised a systematic review, a policy
review,
national surveys of medical directors and PAs, case studies within six
hospitals
utilising PAs in England and a pragmatic retrospective record review of
patients in
emergency departments (EDs) attended by PAs and Foundation Year 2 (FY2)
doctors.
RESULTS: The surveys found that a small but growing number of hospitals
employed
PAs. From the case study element, it was found that medical and surgical
teams
mainly used PAs to provide continuity to the inpatient wards. Their
continuous
presence contributed to smoothing patient flow, accessibility for patients
and
nurses in communicating with doctors and releasing doctors’ (of all grades)
time for
more complex patients and for attending to patients in clinic and theatre
settings.
PAs undertook significant amounts of ward-based clinical administration
related to
patients’ care. The lack of authority to prescribe or order ionising
radiation
restricted the extent to which PAs assisted with the doctors’ workloads,
although
the extent of limitation varied between teams. A few consultants in high-
dependency
specialties considered that junior doctors fitted their team better. PAs were
reported to be safe, as was also identified from the review of ED patient

records. A
comparison of a random sample of patient records in the ED found no
difference in
the rate of unplanned return for the same problem between those seen by PAs
and
those seen by FY2 doctors (odds ratio 1.33, 95% confidence interval 0.69 to
2.57;
p = 0.40). In the ED, PAs were also valued for the continuity they brought
and, as
elsewhere, their input in inducting doctors in training into local clinical
and
hospital processes. Patients were positive about the care PAs provided,
although
they were not able to identify what or who a PA was; they simply saw them as
part of
the medical or surgical team looking after them. Although the inclusion of
PAs was
thought to reduce the need for more expensive locum junior doctors, the use
of PAs
was primarily discussed in terms of their contribution to patient safety and
patient
experience in contrast to utilising temporary staff. LIMITATIONS: PAs work
within
medical and surgical teams, such that their specific impact cannot be
distinguished
from that of the whole team. CONCLUSIONS: PAs can provide a flexible advanced
clinical practitioner addition to the secondary care workforce without

drawing from
existing professions. However, their utility in the hospital setting is
unlikely to
be fully realised without the appropriate level of regulation and attendant
authority to prescribe medicines and order ionising radiation within their
scope of
practice. FUTURE RESEARCH: Comparative investigation is required of patient
experience, outcomes and service costs in single, secondary care specialties
with
and without PAs and in comparison with other types of advanced clinical
practitioners. STUDY REGISTRATION: The systematic review component of this
study is
registered as PROSPERO CRD42016032895. FUNDING: The National Institute for
Health
Research Health Services and Delivery Research programme.
produced by
Drennan et al. under the terms of a commissioning contract issued by the
Secretary
of State for Health and Social Care. This issue may be freely reproduced for
the
purposes of private research and study and extracts (or indeed, the full
report) may
be included in professional journals provided that suitable acknowledgement
is made
and the reproduction is not associated with any form of advertising.
Applications
for commercial reproduction should be addressed to: NIHR Journals Library,
National
Centre,
UK.
FAU - Drennan, Vari M
AU - Drennan VM
AUID- ORCID: 0000-0002-8915-5185
AD - Centre for Health and Social Care Research, Joint Faculty of Kingston
University and
St George’s, University of London, London, UK
FAU - Halter, Mary
AU - Halter M
AUID- ORCID: 0000-0001-6636-0621
University and
FAU - Wheeler, Carly
AU - Wheeler C
AUID- ORCID: 0000-0001-8190-9491
University and
FAU - Nice, Laura
AU - Nice L
AUID- ORCID: 0000-0001-9654-8799
AD - Institute of Clinical Sciences, University of Birmingham, Birmingham, UK
FAU - Brearley, Sally
AU - Brearley S
AD - Centre for Public Engagement, Joint Faculty of Kingston University and St
George’s,
University of London, London, UK
FAU - Ennis, James
AU - Ennis J
AUID- ORCID: 0000-0003-1291-8970
FAU - Gabe, Jon
AU - Gabe J
AUID- ORCID: 0000-0002-3765-4935
AD - Royal Holloway, University of London, Egham, UK
FAU - Gage, Heather
AU - Gage H
AUID- ORCID: 0000-0002-2049-9406
AD - Department of Clinical and Experimental Medicine, University of Surrey,
Guildford,
UK
FAU - Levenson, Ros
AU - Levenson R
AD - Independent researcher, London, UK
FAU - de Lusignan, Simon
AU - de Lusignan S
AUID- ORCID: 0000-0002-8553-2641
AD - Department of Clinical and Experimental Medicine, University of Surrey,
Guildford,
UK
FAU - Begg, Phil
AU - Begg P
AUID- ORCID: 0000-0002-6175-7168
AD - The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK
FAU - Parle, Jim
AU - Parle J
AUID- ORCID: 0000-0002-8196-448X
LA - eng
PT - Review
PT - Book
RF - 180
OAB - Physician associates positively contributed to the medical and surgical team,
patient experience and flow, to supporting the clinical teams’ workload and
have
potential to add further with expansion of their role.
OABL- eng
EDAT- 2019/05/01 00:00
CRDT- 2019/05/01 00:00
PHST- 2018/10/01 00:00 [accepted]
AID - 10.3310/hsdr07190 [doi]
PMID- 33043119
OWN - NLM
LR - 20201013
IS - 2364-3722 (Print)
IS - 2196-9736 (Linking)
VI - 8
IP - 10
DP - 2020 Oct
TI - Risk of ambulatory colonoscopy in patients with cirrhosis: a propensity-score
matched cohort study.

PG - E1495-E1501
LID - 10.1055/a-1242-9958 [doi]
AB - Background and study aims Patients with cirrhosis demonstrate alterations in
physiology, hemodynamics, and immunity which may increase procedural risk.

There
exist sparse data regarding the safety of performing ambulatory colonoscopy
in
patients with cirrhosis. Patients and methods From a population-based sample
of
three North American states (California, Florida, and New York), we collected
data
on 3,590 patients with cirrhosis who underwent ambulatory colonoscopy from
2009 to
2014. We created a control cohort propensity score-matched for cirrhotic
severity
who did not undergo colonoscopy (N = 3,590) in order to calculate the
attributable
risk for adverse events. The primary endpoint was the rate of unplanned
hospital
encounters (UHEs) within 14 days of colonoscopy (or from a synthetic index
date for
the control cohort). Predictors for UHE were assessed in multivariable
regression.
Results The attributable risk for any UHE following colonoscopy was 3.1 %
(confidence interval [CI] 2.1-4.1 %, P < 0.001). There was increased risk
for
infection (0.9 %, CI 0.7-1.1 %), spontaneous bacterial peritonitis (0.1 %, CI
0.0-0.3 %), decompensation of ascites (0.3 %, CI 0.2-0.4 %), and

cardiovascular
event (0.4 %, CI 0.3-0.5 %). There was no increased attributable risk for
gastrointestinal bleeding, perforation, or development of the hepatorenal
syndrome.
The presence of ascites at time of procedure was the only predictor for UHE
in the
fully-adjusted model (OR 2.6, CI 1.9-3.5, P < 0.001). Conclusions There is
a
moderate though detectable increase in risk for adverse event following
ambulatory
colonoscopy in patients with cirrhosis. The presence of ascites in particular
portends higher risk. These data may guide clinicians when counseling
patients with
cirrhosis on the choice of colorectal cancer screening modality.
CI - The Author(s). This is an open access article published by Thieme under the
terms of
the Creative Commons Attribution-NonDerivative-NonCommercial License,
permitting
copying and reproduction so long as the original work is given appropriate
credit.
Contents may not be used for commecial purposes, or adapted, remixed,
transformed or
built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
FAU - Huang, Robert J
AU - Huang RJ
AD - Division of Gastroenterology and Hepatology, Stanford University, Stanford,
California, United States.
FAU - Banerjee, Subhas
AU - Banerjee S
FAU - Friedland, Shai
AU - Friedland S
AD - The Veterans Affairs Palo Alto Health Care System, Palo Alto, California,
United
States.
FAU - Ladabaum, Uri
AU - Ladabaum U
LA - eng
DEP - 20201007
TA - Endosc Int Open
JT - Endoscopy international open
JID - 101639919
PMC - PMC7541192
COIS- Competing interests The authors declare that they have no conflict of
interest.
EDAT- 2020/10/13 06:00
MHDA- 2020/10/13 06:01
CRDT- 2020/10/12 05:33
PHST- 2020/04/30 00:00 [received]
PHST- 2020/07/31 00:00 [accepted]
PHST- 2020/10/12 05:33 [entrez]
PHST- 2020/10/13 06:00 [pubmed]
PHST- 2020/10/13 06:01 [medline]
AID - 10.1055/a-1242-9958 [doi]
PST - ppublish
SO - Endosc Int Open. 2020 Oct;8(10):E1495-E1501. doi: 10.1055/a-1242-9958. Epub
2020 Oct
7.
PMID- 22232535
OWN - NLM
STAT- MEDLINE
DCOM- 20120221
LR - 20181113
IS - 0959-8138 (Print)
IS - 0959-8138 (Linking)
VI - 344
DP - 2012 Jan 9
TI - Short term outcomes of prostate biopsy in men tested for cancer by prostate
specific
antigen: prospective evaluation within ProtecT study.
PG - d7894
LID - bmj.d7894 [pii]
LID - 10.1136/bmj.d7894 [doi]
LID - d7894
AB - OBJECTIVES: To measure the effect of the adverse events within 35 days of
transrectal ultrasound guided biopsy from the perspective of asymptomatic men
having
prostate specific antigen (PSA) testing; to assess early attitude to re-
biopsy; to
estimate healthcare resource use associated with adverse events due to
biopsy; and
to develop a classification scheme for reporting adverse events after
prostate
biopsy. DESIGN: Prospective cohort study (Prostate Biopsy Effects: ProBE)
nested
within Prostate Testing for Cancer and Treatment (ProtecT) study.
Participants
Between 1999 and 2008, 227,000 community dwelling men aged 50-69 years were
identified at 352 practices and invited to counselling about PSA testing.
111,148
attended a nurse led clinic in the community, and 10,297 with PSA
concentrations of
3-20 ng/mL were offered biopsy within ProtecT. Between February 2006 and May
2008,
1147/1753 (65%) eligible men (mean age 62.1 years, mean PSA 5.4 ng/mL) having
10
core transrectal ultrasound guided biopsy under antibiotic cover in the
context of
ProtecT were recruited to the ProBE study. OUTCOME MEASURES: Purpose designed
questionnaire administered at biopsy and 7 and 35 days after the procedure to
measure frequency and effect of symptoms related to pain, infection, and

bleeding;
patients' attitude to repeat biopsy assessed immediately after biopsy and 7
days
later; participants' healthcare resource use within 35 days of biopsy
evaluated by
questionnaire, telephone follow-up, and medical note review; each man's
adverse
event profile graded according to symptoms and healthcare use. RESULTS: Pain
was
reported by 429/984 (43.6%), fever by 172/985 (17.5%), haematuria by 642/976
(65.8%), haematochezia by 356/967 (36.8%), and haemoejaculate by 605/653
(92.6%) men
during the 35 days after biopsy. Fewer men rated these symptoms as a
major/moderate
problem-71/977 (7.3%) for pain, 54/981 (5.5%) for fever, 59/958 (6.2%) for
haematuria, 24/951 (2.5%) for haematochezia, and 172/646 (26.6%) for
haemoejaculate.
Immediately after biopsy, 124/1142 (10.9%, 95% confidence interval 9.2 to
12.8) men
reported that they would consider further biopsy a major or moderate problem:
seven
days after biopsy, this proportion had increased to 213/1085 (19.6%, 17.4% to
22.1%). A negative attitude to repeat biopsy was associated with unfavourable
experience after the first biopsy, particularly pain at biopsy (odds ratio
8.2,
P<0.001) and symptoms related to infection (7.9, P<0.001) and bleeding (4.2,
P<0.001); differences were evident between centres (P<0.001). 119/1147
(10.4%, 8.7%
to 12.3%) men reported consultation with a healthcare professional (usually
their
general practitioner), most commonly for infective symptoms. Complete data
for all
index symptoms at all time points were available in 851 participants.
Symptoms and
healthcare use could be used to grade these men as follows: grade 0 (no
symptoms/contact) 18 (2.1%, 1.3% to 3.3%); grade 1 (minor problem/no contact)
550
(64.6%, 61.4% to 67.8%); grade 2 (moderate/major problem or contact) 271
(31.8%,
28.8% to 35.1%); grade 3 (hospital admission) 12 (1.4%, 0.8% to 2.4%); and
grade 4
(death) 0. Grade of adverse event was associated with an unfavourable
attitude to
repeat biopsy (Kendall's τ-b ordinal by ordinal 0.29, P<0.001). CONCLUSION:
This
study with a high response rate of 89% at 35 days in men undergoing biopsy in
the
context of a randomised controlled trial has shown that although prostate
biopsy is
well tolerated by most men, it is associated with significant symptoms in a
minority
and affects attitudes to repeat biopsy and primary care resource use. These
findings
will inform men who seek PSA testing for detection of prostate cancer and
assist
their physicians during counselling about the potential risks and effect of
biopsy.
Variability in the adverse event profile between centres suggests that
patients'
outcomes could be improved and healthcare use reduced with more effective
administration of local anaesthetic and antibiotics. Trial registration
Current
Controlled Trials ISRCTN20141297.
FAU - Rosario, Derek J
AU - Rosario DJ
AD - Academic Urology Unit, Department of Oncology, Royal Hallamshire Hospital,
University of Sheffield, Sheffield S10 2JF, UK. d.j.rosario@shef.ac.uk
FAU - Lane, J Athene
AU - Lane JA
FAU - Metcalfe, Chris
AU - Metcalfe C
FAU - Donovan, Jenny L
AU - Donovan JL
FAU - Doble, Andy
AU - Doble A
FAU - Goodwin, Louise
AU - Goodwin L
FAU - Davis, Michael
AU - Davis M
FAU - Catto, James W F
AU - Catto JW
FAU - Avery, Kerry
AU - Avery K
FAU - Neal, David E
AU - Neal DE
FAU - Hamdy, Freddie C
AU - Hamdy FC
LA - eng
GR - G0800800/Medical Research Council/United Kingdom
DEP - 20120109
TA - BMJ
JID - 8900488
RN - EC 3.4.21.77 (Prostate-Specific Antigen)
SB - AIM
SB - IM
CIN - BMJ. 2012;344:d8201. PMID: 22232534
CIN - J Urol. 2012 Sep;188(3):811-3. PMID: 22883760
CIN - Eur Urol. 2014 Feb;65(2):498. PMID: 24407206
MH - Aged
MH - Attitude to Health
MH - Biopsy/adverse effects/methods
MH - Humans
MH - Male
MH - Middle Aged
MH - Postoperative Complications/epidemiology/etiology
MH - Prostate/*pathology
MH - Prostate-Specific Antigen/blood
MH - Prostatic Neoplasms/blood/*pathology
MH - Time Factors
MH - Ultrasonography, Interventional
PMC - PMC3253765
Interest form
at www.icmje.org/coi_disclosure.pdf (available on request from the
corresponding
author) and declare: no support from any organisation for the submitted work;
no
financial relationships with any organisations that might have an interest in
the
submitted work in the previous three years; and no other relationships or
activities
that could appear to have influenced the submitted work.
EDAT- 2012/01/11 06:00
MHDA- 2012/02/22 06:00
CRDT- 2012/01/11 06:00
PHST- 2012/01/11 06:00 [entrez]
PHST- 2012/01/11 06:00 [pubmed]
PHST- 2012/02/22 06:00 [medline]
AID - bmj.d7894 [pii]
AID - rosd828574 [pii]
AID - 10.1136/bmj.d7894 [doi]
PST - epublish
SO - BMJ. 2012 Jan 9;344:d7894. doi: 10.1136/bmj.d7894.
PMID- 32778064
OWN - NLM
STAT- MEDLINE
DCOM- 20210115
LR - 20210115
IS - 1471-2407 (Linking)
VI - 20
IP - 1
DP - 2020 Aug 10
TI - Immunotherapy and associated immune-related adverse events at a large UK
centre: a
mixed methods study.
PG - 743
LID - 10.1186/s12885-020-07215-3 [doi]
LID - 743
AB - BACKGROUND: The development and rapid uptake of immune checkpoint inhibitors
(CPI)
has changed the outlook for patients with cancer. However, CPIs have
different
adverse event (AE) profiles to other systemic therapies, and prompt AE
management is
essential to assure optimal outcomes. In order to understand what and when
adverse
events are experienced, reported and managed during CPI treatment, a mixed
methods
study was conducted, including a case note review of patients who were
receiving
immunotherapy and semi-structured interviews with patients to understand
their
experience, management and reporting of AEs after receiving immune CPI
treatment.
METHODS: This mixed methods study was conducted at a large cancer hospital in
the
United Kingdom. A case note review identified how and where patients reported
AEs.
Data relating to patients with lung, bladder, prostate and head & neck
cancers who
received CPI treatment between 01/04/2015 and 31/07/2018 were extracted from
e-prescribing databases and clinical data were included for analysis at a
single
time point (31 July 2018). Semi-structured interviews were conducted with
patients
receiving CPI treatment, exploring experience of AEs and reasons for delays
in AE
reporting and management. RESULTS: Sixty-two patients were included in the
case note
review, with 78 AEs being experienced by 36 patients (58%), including one
patient
experiencing 10 AEs. Serious AEs were experienced by 12 patients (19%) and
ten AEs
(17%) required oral steroids as treatment. The majority of AEs were reported
to
clinicians prior to further dosing, although milder AEs were often not
addressed
until subsequent clinic appointments. Interviews with 13 patients yielded
major
themes: variability, causality, decision making and impact. CONCLUSION: Most
CPI-associated AEs are manageable if reported and treated promptly. Both the
case
note review and interviews found that reporting of non-serious AEs is often
left
until routine clinic visits, despite impacting patient experience, leaving
the
opportunity for AEs to be left unreported and implying a potential benefit
for real
time monitoring. Our study highlights a need to provide patients with
reminders
around AEs and their timely reporting even when apparently innocuous;
patients must
understand that AEs can occur at any cycle and even following treatment
completion.
FAU - Jamieson, Liz
AU - Jamieson L
AD - UCL School of Pharmacy / UCL/UCLH Centre for Medicines Optimisation Research
and
Education, 29-39, Brunswick Square, London, WC1N 1AX, UK.
FAU - Forster, Martin D
AU - Forster MD
AD - Department of Oncology, UCL Cancer Institute, 72 Huntley Street, London, WC1
6DD,
UK.
AD - NIHR UCLH Clinical Research Facility, 170 Tottenham Court Road, London, W1T
7HA, UK.
AD - University College London Hospitals NHS Foundation Trust, 235 Euston Road,
London,
NW1 2BU, UK.
FAU - Zaki, Kam
AU - Zaki K
7HA, UK.
FAU - Mithra, Sanjena
AU - Mithra S
7HA, UK.
FAU - Alli, Heena
AU - Alli H
London,
NW1 2BU, UK.
FAU - O'Connor, Anne
AU - O'Connor A
London,
NW1 2BU, UK.
FAU - Patel, Apini
AU - Patel A
London,
NW1 2BU, UK.
FAU - Wong, Ian C K
AU - Wong ICK
and
AD - Department of Pharmacology and Pharmacy, The University of Hong Kong, L02-56,
2/F,
21 Sassoon Road, Li Ka Shing Faculty of Medicine, Laboratory Block, Faculty
of
Medicine Building, Hong Kong, China.
FAU - Chambers, Pinkie
AU - Chambers P
AUID- ORCID: 0000-0002-6669-9411
and
p.chambers@ucl.ac.uk.
London,
NW1 2BU, UK. p.chambers@ucl.ac.uk.
LA - eng
GR - 245995/Bristol-Myers Squibb/
DEP - 20200810
TA - BMC Cancer
JT - BMC cancer
JID - 100967800
RN - 0 (Immune Checkpoint Inhibitors)
SB - IM
MH - Aged
MH - Female
MH - Head and Neck Neoplasms/therapy
MH - Humans
MH - Immune Checkpoint Inhibitors/*adverse effects
MH - Immunotherapy, Adoptive/*adverse effects/methods
MH - Lung Neoplasms/therapy
MH - Male
MH - Middle Aged
MH - Neoplasms/*therapy
MH - Prostatic Neoplasms/therapy
MH - United Kingdom
MH - Urinary Bladder Neoplasms/therapy
PMC - PMC7416581
OTO - NOTNLM
OT - Immune checkpoint inhibitors
OT - Immune-related adverse events
OT - Immunotherapy
OT - Lung cancer
COIS- All authors report the grant from Bristol Myers Squibb for the conduct of the
study;
MDF additionally reports grants and honoraria from Achilles, AstraZeneca,
Bristol
Myers Squibb, Celgene, Eli-Lilly, Merck, MSD, Nanobiotix, Novartis, Pfizer,
PharmaMar, Roche and Takeda; outside the submitted work. PC reports research
grants
from Tessaro, and Janssen; outside the submitted work. Professor Wong reports
research grants from Janssen; outside the submitted work.

EDAT- 2020/08/12 06:00
MHDA- 2021/01/16 06:00
CRDT- 2020/08/12 06:00
PHST- 2019/10/05 00:00 [received]
PHST- 2020/07/26 00:00 [accepted]
PHST- 2020/08/12 06:00 [entrez]
PHST- 2020/08/12 06:00 [pubmed]
PHST- 2021/01/16 06:00 [medline]
AID - 10.1186/s12885-020-07215-3 [pii]
AID - 7215 [pii]
AID - 10.1186/s12885-020-07215-3 [doi]
PST - epublish
SO - BMC Cancer. 2020 Aug 10;20(1):743. doi: 10.1186/s12885-020-07215-3.
PMID- 26895723
OWN - NLM
STAT- MEDLINE
DCOM- 20160926
LR - 20181202
IS - 1439-4456 (Print)
IS - 1438-8871 (Linking)
VI - 18
IP - 2
DP - 2016 Feb 19
TI - Effectiveness of a Web-Based Simulation in Improving Nurses' Workplace
Practice With
Deteriorating Ward Patients: A Pre- and Postintervention Study.
PG - e37
LID - 10.2196/jmir.5294 [doi]
LID - e37
AB - BACKGROUND: Nurses play an important role in detecting patients with clinical
deterioration. However, the problem of nurses failing to trigger

deteriorating ward
patients still persists despite the implementation of a patient safety
initiative,
the Rapid Response System. A Web-based simulation was developed to enhance
nurses'
role in recognizing and responding to deteriorating patients. While studies
have
evaluated the effectiveness of the Web-based simulation on nurses' clinical
performance in a simulated environment, no study has examined its impact on
nurses'
actual practice in the clinical setting. OBJECTIVE: The objective of this
study was
to evaluate the impact of Web-based simulation on nurses' recognition of and
response to deteriorating patients in clinical settings. The outcomes were
measured
across all levels of Kirkpatrick's 4-level evaluation model with clinical
outcome on
triggering rates of deteriorating patients as the primary outcome measure.
METHODS:
A before-and-after study was conducted on two general wards at an acute care
tertiary hospital over a 14-month period. All nurses from the two study wards
who
undertook the Web-based simulation as part of their continuing nursing
education
were invited to complete questionnaires at various time points to measure
their
motivational reaction, knowledge, and perceived transfer of learning.
Clinical
records on cases triggered by ward nurses from the two study wards were
evaluated
for frequency and types of triggers over a period of 6 months pre- and 6
months
postintervention. RESULTS: The number of deteriorating patients triggered by
ward
nurses in a medical general ward increased significantly (P<.001) from pre-
(84/937,
8.96%) to postintervention (91/624, 14.58%). The nurses reported positively
on the
transfer of learning (mean 3.89, SD 0.49) from the Web-based simulation to
clinical
practice. A significant increase (P<.001) on knowledge posttest score from
pretest
score was also reported. The nurses also perceived positively their
motivation (mean
3.78, SD 0.56) to engage in the Web-based simulation. CONCLUSIONS: This study
provides evidence on the effectiveness of Web-based simulation in improving

nursing
practice when recognizing and responding to deteriorating patients. This
educational
tool could be implemented by nurse educators worldwide to address the
educational
needs of a large group of hospital nurses responsible for patients in
clinical
deterioration.
FAU - Liaw, Sok Ying
AU - Liaw SY
AUID- ORCID: 0000-0002-8326-4049
AD - National University of Singapore, Singapore, Singapore. nurliaw@nus.edu.sg.
FAU - Wong, Lai Fun
AU - Wong LF
AUID- ORCID: 0000-0002-5208-2322
FAU - Lim, Eunice Ya Ping
AU - Lim EY
AUID- ORCID: 0000-0002-3196-1205
FAU - Ang, Sophia Bee Leng
AU - Ang SB
AUID- ORCID: 0000-0003-1916-6177
FAU - Mujumdar, Sandhya
AU - Mujumdar S
AUID- ORCID: 0000-0002-5445-0715
FAU - Ho, Jasmine Tze Yin
AU - Ho JT
AUID- ORCID: 0000-0001-9472-1543
FAU - Mordiffi, Siti Zubaidah
AU - Mordiffi SZ
AUID- ORCID: 0000-0002-3005-3088
FAU - Ang, Emily Neo Kim
AU - Ang EN
AUID- ORCID: 0000-0002-1956-8427
LA - eng
DEP - 20160219
JID - 100959882
SB - IM
MH - Adult
MH - Female
MH - Humans
MH - Internet/*statistics & numerical data
MH - *Learning
MH - Male
MH - Nurses/*standards
MH - Workplace/*standards
PMC - PMC4779162
OTO - NOTNLM
OT - Web-based simulation
OT - nursing education
OT - nursing practice
OT - online learning
OT - transfer of learning
COIS- Conflicts of Interest: The first author is the owner and developer of e-
RAPIDS.
EDAT- 2016/02/21 06:00
MHDA- 2016/09/27 06:00
CRDT- 2016/02/21 06:00
PHST- 2015/10/30 00:00 [received]
PHST- 2016/01/03 00:00 [accepted]
PHST- 2015/12/10 00:00 [revised]
PHST- 2016/02/21 06:00 [entrez]
PHST- 2016/02/21 06:00 [pubmed]
PHST- 2016/09/27 06:00 [medline]
AID - 10.2196/jmir.5294 [doi]
PST - epublish
SO - J Med Internet Res. 2016 Feb 19;18(2):e37. doi: 10.2196/jmir.5294.
PMID- 24878451
OWN - NLM
STAT- MEDLINE
DCOM- 20150609
LR - 20181113
IS - 1090-3127 (Print)
IS - 1090-3127 (Linking)
VI - 18
IP - 4
DP - 2014 Oct-Dec
TI - A comparative assessment of adverse event classification in the out-of-
hospital
setting.
PG - 495-504
LID - 10.3109/10903127.2014.916022 [doi]
AB - OBJECTIVES: We sought to test reliability of two approaches to classify
adverse
events (AEs) associated with helicopter EMS (HEMS) transport. METHODS: The
first
approach for AE classification involved flight nurses and paramedics
(RN/Medics) and
mid-career emergency physicians (MC-EMPs) independently reviewing 50 randomly
selected HEMS medical records. The second approach involved RN/Medics and MC-
EMPs
meeting as a group to openly discuss 20 additional medical records and reach
consensus-based AE decision. We compared all AE decisions to a reference
criterion
based on the decision of three senior emergency physicians (Sr-EMPs). We
designed a
study to detect an improvement in agreement (reliability) from fair (kappa =
0.2) to
moderate (kappa = 0.5). We calculated sensitivity, specificity, percent
agreement,
and positive and negative predictive values (PPV/NPV). RESULTS: For the
independent
reviews, the Sr-EMP group identified 26 AEs while individual clinician
reviewers
identified between 19 and 50 AEs. Agreement on the presence/absence of an AE
between
Sr-EMPs and three MC-EMPs ranged from κ = 0.20 to κ = 0.25. Agreement between
Sr-EMPs and three RN/Medics ranged from κ = 0.11 to κ = 0.19. For the
consensus/open-discussion approach, the Sr-EMPs identified 13 AEs, the MC-EMP
group
identified 18 AEs, and RN/medic group identified 36 AEs. Agreement between
Sr-EMPs
and MC-EMP group was (κ = 0.30 95%CI -0.12, 0.72), whereas agreement between
Sr-EMPs
and RN/medic group was (κ = 0.40 95%CI 0.01, 0.79). Agreement between all
three
groups was fair (κ = 0.33, 95%CI 0.06, 0.66). Percent agreement (58-68%) and
NPV
(63-76%) was moderately dissimilar between clinicians, while sensitivity (25-
80%),
specificity (43-97%), and PPV (48-83%) varied. CONCLUSIONS: We identified a
higher
level of agreement/reliability in AE decisions utilizing a consensus-based
approach
for review rather than independent reviews.
FAU - Patterson, P Daniel
AU - Patterson PD
FAU - Lave, Judith R
AU - Lave JR
FAU - Weaver, Matthew D
AU - Weaver MD
FAU - Guyette, Francis X
AU - Guyette FX
FAU - Arnold, Robert M
AU - Arnold RM
FAU - Martin-Gill, Christian
AU - Martin-Gill C
FAU - Rittenberger, Jon C
AU - Rittenberger JC
FAU - Krackhardt, David
AU - Krackhardt D
FAU - Mosesso, Vincent N
AU - Mosesso VN
FAU - Roth, Ronald N
AU - Roth RN
FAU - Wadas, Richard J
AU - Wadas RJ
FAU - Yealy, Donald M
AU - Yealy DM
LA - eng
DEP - 20140530
TA - Prehosp Emerg Care
JT - Prehospital emergency care : official journal of the National Association of
EMS
Physicians and the National Association of State EMS Directors
JID - 9703530
SB - IM
MH - Air Ambulances/*statistics & numerical data
MH - Consensus
MH - Emergency Medical Services/*statistics & numerical data
MH - Humans
MH - Predictive Value of Tests
MH - United States
PMC - PMC4410777
MID - NIHMS592958
OTO - NOTNLM
OT - adverse events
OT - measurement
OT - reliability
OT - safety
EDAT- 2014/06/01 06:00
MHDA- 2015/06/10 06:00
CRDT- 2014/06/01 06:00
PHST- 2014/06/01 06:00 [entrez]
PHST- 2014/06/01 06:00 [pubmed]
PHST- 2015/06/10 06:00 [medline]
AID - 10.3109/10903127.2014.916022 [doi]
PST - ppublish
SO - Prehosp Emerg Care. 2014 Oct-Dec;18(4):495-504. doi:
10.3109/10903127.2014.916022.
Epub 2014 May 30.
PMID- 29326197
OWN - NLM
STAT- MEDLINE
DCOM- 20180822
LR - 20181113
IS - 2044-6055 (Linking)
VI - 8
IP - 1
DP - 2018 Jan 10
TI - PARENTS 2 study protocol: pilot of Parents' Active Role and ENgagement in the
review
of Their Stillbirth/perinatal death.
PG - e020164
LID - 10.1136/bmjopen-2017-020164 [doi]
LID - e020164
AB - BACKGROUND: The perinatal mortality review meeting that takes place within
the
hospital following a stillbirth or neonatal death enables clinicians to learn
vital
lessons to improve care for women and their families for the future. Recent
evidence
suggests that parents are unaware that a formal review following the death of
their
baby takes place. Many would welcome the opportunity to feedback into the
meeting
itself. Parental involvement in the perinatal mortality review meeting has
the
potential to improve patient satisfaction, drive improvements in patient
safety and
promote an open culture within healthcare. Yet evidence on the feasibility of
involving bereaved parents in the review process is lacking. This paper

describes
the protocol for the Parents' Active Role and Engangement iN the review of
their
Stillbirth/perinatal death study (PARENTS 2) , whereby healthcare
professionals' and
stakeholders' perceptions of parental involvement will be investigated, and
parental
involvement in the perinatal mortality review will be piloted and evaluated
at two
hospitals. METHODS AND ANALYSIS: We will investigate perceptions of parental
involvement in the perinatal mortality review process by conducting four
focus
groups. A three-round modified Delphi technique will be employed to gain a
consensus
on principles of parental involvement in the perinatal mortality review
process. We
will use three sequential rounds, including a national consensus meeting
workshop
with experts in stillbirth, neonatal death and bereavement care, and a two-
stage
anonymous online questionnaire. We will pilot a new perinatal mortality
review
process with parental involvement over a 6-month study period. The impact of
the new
process will be evaluated by assessing parents' experiences of their care and
parents' and staff perceptions of their involvement in the process by

conducting
further focus groups and using a Parent Generated Index questionnaire. ETHICS
AND
DISSEMINATION: This study has ethical approval from the UK Health Research
Authority. We will disseminate the findings through national and
international
conferences and international peer-reviewed journals.
of the
otherwise
expressly granted.
FAU - Bakhbakhi, Danya
AU - Bakhbakhi D
AUID- ORCID: 0000-0003-1906-5069
AD - Centre for Academic Women's Health, University of Bristol, Women's Health,
Southmead
Hospital, Bristol, UK.
FAU - Siassakos, Dimitrios
AU - Siassakos D
Southmead
FAU - Storey, Claire
AU - Storey C
AD - International Stillbirth Alliance, Bristol, UK.
FAU - Heazell, Alexander
AU - Heazell A
AD - Maternal and Fetal Health Research Centre, School of Medical Sciences,
Faculty of
Biological, Medicine and Health, University of Manchester, Manchester, UK.
AD - Central Manchester University Hospitals NHS Foundation Trust, Manchester
Academic
Health Science Centre, St Mary's Hospital, Manchester, UK.
FAU - Lynch, Mary
AU - Lynch M
Southmead
FAU - Timlin, Laura
AU - Timlin L
Southmead
FAU - Burden, Christy
AU - Burden C
Southmead
LA - eng
DEP - 20180110
TA - BMJ Open
JT - BMJ open
JID - 101552874
SB - IM
MH - Adult
MH - *Bereavement
MH - Communication
MH - Female
MH - Focus Groups
MH - Hospice Care
MH - *Hospital-Patient Relations
MH - Hospitals
MH - Humans
MH - Male
MH - *Parents
MH - *Patient Participation
MH - *Perinatal Death
MH - Pilot Projects
MH - Pregnancy
MH - *Stillbirth
PMC - PMC5781014
OTO - NOTNLM
OT - *healthcare improvement
OT - *neonatal death
OT - *parental involvement
OT - *perinatal mortality review process
OT - *stillbirth
EDAT- 2018/01/13 06:00
MHDA- 2018/08/23 06:00
CRDT- 2018/01/13 06:00
PHST- 2018/01/13 06:00 [entrez]
PHST- 2018/01/13 06:00 [pubmed]
PHST- 2018/08/23 06:00 [medline]
AID - 10.1136/bmjopen-2017-020164 [doi]
PST - epublish
PMID- 25030702
OWN - NLM
STAT- MEDLINE
DCOM- 20160411
LR - 20181113
IS - 1471-2393 (Linking)
VI - 14
DP - 2014 Jul 16
TI - A root-cause analysis of maternal deaths in Botswana: towards developing a
culture
of patient safety and quality improvement.
PG - 231
LID - 10.1186/1471-2393-14-231 [doi]
AB - BACKGROUND: In 2007, 95% of women in Botswana delivered in health facilities
with
73% attending at least 4 antenatal care visits. HIV-prevalence in pregnant
women was
28.7%. The maternal mortality ratio in 2010 was 163 deaths per 100,000 live
births
versus the government target of 130 for that year, indicating that the
Millennium
Development Goal 5 was unlikely to be met. A root-cause analysis was carried
out
with the aim of determining the underlying causes of maternal deaths reported
in
2010, to categorise contributory factors and to prioritise appropriate
interventions
based on the identified causes, to prevent further deaths. METHODS: Case-
notes for
maternal deaths were reviewed by a panel of five clinicians, initially
independently
then discussed together to achieve consensus on assigning contributory
factors,
cause of death and whether each death was avoidable or not at presentation to
hospital. Factors contributing to maternal deaths were categorised into

organisational/management, personnel, technology/equipment/supplies,
environment and
barriers to accessing healthcare. RESULTS: Fifty-six case notes were
available for
review from 82 deaths notified in 2010, with 0-4 contributory factors in 19
deaths,
5-9 in 27 deaths and 9-14 in nine. The cause of death in one case was not
ascertainable since the notes were incomplete. The high number of
contributory
factors demonstrates poor quality of care even where deaths were not
avoidable:
14/23 (61%) of direct deaths were considered avoidable compared to 12/32
(38%)
indirect deaths. Highest ranking categories were: failure to recognise
seriousness
of patients' condition (71% of cases); lack of knowledge (67%); failure to
follow
recommended practice (53%); lack of or failure to implement policies,
protocols and
guidelines (44%); and poor organisational arrangements (35%). Half the deaths
had
some barrier to accessing health services. CONCLUSIONS: Root-cause analysis
demonstrates the interactions between patients, health professionals and
health
system in generating adverse outcomes for patients. The lessons provided
indicate
where training of undergraduate and postgraduate medical, midwifery and
nursing
students need to be intensified, with emphasis on evidence-based practice and
adherence to protocols. Action plans and interventions aimed at changing the

circumstances that led to maternal deaths can be implemented and re-
evaluated.
FAU - Madzimbamuto, Farai D
AU - Madzimbamuto FD
AD - School of Medicine University of Botswana, Gaborone, Botswana.
faraitose@hotmail.com.
FAU - Ray, Sunanda C
AU - Ray SC
FAU - Mogobe, Keitshokile D
AU - Mogobe KD
FAU - Ramogola-Masire, Doreen
AU - Ramogola-Masire D
FAU - Phillips, Raina
AU - Phillips R
FAU - Haverkamp, Miriam
AU - Haverkamp M
FAU - Mokotedi, Mosidi
AU - Mokotedi M
FAU - Motana, Mpho
AU - Motana M
LA - eng
GR - T84HA21125/PHS HHS/United States
GR - PEPFAR/United States
DEP - 20140716
TA - BMC Pregnancy Childbirth
JT - BMC pregnancy and childbirth
JID - 100967799
SB - IM
MH - Adult
MH - Botswana
MH - Female
MH - Health Services Accessibility
MH - Humans
MH - *Maternal Death
MH - Maternal Health Services/organization & administration/*standards
MH - Medical Audit
MH - Obstetrics/organization & administration/*standards
MH - Patient Safety
MH - Pregnancy
MH - Pregnancy Complications/*diagnosis/*therapy
MH - Risk Factors
MH - Root Cause Analysis
PMC - PMC4223720
EDAT- 2014/07/18 06:00
MHDA- 2016/04/12 06:00
CRDT- 2014/07/18 06:00
PHST- 2014/02/02 00:00 [received]
PHST- 2014/07/11 00:00 [accepted]
PHST- 2014/07/18 06:00 [entrez]
PHST- 2014/07/18 06:00 [pubmed]
PHST- 2016/04/12 06:00 [medline]
AID - 1471-2393-14-231 [pii]
AID - 10.1186/1471-2393-14-231 [doi]
PST - epublish
SO - BMC Pregnancy Childbirth. 2014 Jul 16;14:231. doi: 10.1186/1471-2393-14-231.
PMID- 32404082
OWN - NLM
STAT- MEDLINE
DCOM- 20201109
LR - 20201109
VI - 20
IP - 1
DP - 2020 May 13
TI - Perceptions of procedural justice and coercion among forensic psychiatric
patients:
a study protocol for a prospective, mixed-methods investigation.
PG - 230
LID - 10.1186/s12888-020-02629-6 [doi]
LID - 230
AB - BACKGROUND: The risk and recovery paradigms are the dominant frameworks
informing
forensic mental health services and have been the focus of increasing
research
interest. Despite this, there are significant gaps in our understanding of
the
nature of mental health recovery in forensic settings (i.e., 'secure
recovery'), and
specifically, the key elements of recovery as perceived by forensic patients
and
their treatment providers. Importantly, we know little about how patients
perceive
the forensic mental health system, to what extent they see it as fair and
legitimate, and how these perceptions impact upon treatment engagement, risk
for
adversity, and progress in recovery. METHODS: In this prospective, mixed-
methods
study, we investigate patient perceptions of procedural justice and coercion
within
the context of the forensic mental health system in Ontario, Canada (final N
= 120
forensic patients and their primary care providers). We elicit patient
self-assessments of risk and progress in recovery, and assess the degree of
concordance with clinician-rated estimates of these constructs. Both
qualitative and
quantitative methods are used to assess the degree to which patient
perceptions of
coercion, fairness and legitimacy impact upon their level of treatment
engagement,
risk for adversity and progress in recovery. A prospective, two-year follow-
up will
investigate the impact of patient and clinician perspectives on outcomes in
the
domains of forensic hospital readmission, criminal reoffending, and rate of
progress
through the forensic system. DISCUSSION: Results from this mixed-methods
study will
yield a rich and detailed account of patient perceptions of the forensic
mental
health system, and specifically whether perceptions of procedural fairness,
justice
and legitimacy, as well as perceived coercion, systematically influence
patients'
risk for adversity, their ability to progress in their recovery, and
ultimately,
advance through the forensic system towards successful community living.
Findings
will provide conceptual clarity to the key elements of secure recovery, and
illuminate areas of similarity and divergence with respect to how patients
and
clinicians assess risk and recovery needs. In doing so, knowledge from this
study
will provide a deep understanding of factors that promote patient safety and
recovery, and provide a foundation for optimizing the forensic mental health
system
to improve patient outcomes.
FAU - Simpson, Alexander I F
AU - Simpson AIF
AUID- ORCID: 0000-0003-0478-2583
AD - Complex Care and Recovery Program, Centre for Addiction and Mental Health,
1001
Queen Street West, Toronto, Ontario, M6J 1H4, Canada. sandy.simpson@camh.ca.
AD - Department of Psychiatry, University of Toronto, Toronto, Canada.
sandy.simpson@camh.ca.
FAU - Boldt, Irene
AU - Boldt I
1001
Queen Street West, Toronto, Ontario, M6J 1H4, Canada.
AD - Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto,
Canada.
FAU - Penney, Stephanie
AU - Penney S
1001
FAU - Jones, Roland
AU - Jones R
1001
FAU - Kidd, Sean
AU - Kidd S
1001
FAU - Nakhost, Arash
AU - Nakhost A
AD - Community Mental Health Services, St. Michael's Hospital, 30 Bond St,
Toronto,
Ontario, M5B 1W8, Canada.
FAU - Wilkie, Treena
AU - Wilkie T
1001
LA - eng
GR - RE092/K Grey Foundation/International
DEP - 20200513
TA - BMC Psychiatry
JT - BMC psychiatry
JID - 100968559
SB - IM
MH - Adult
MH - *Coercion
MH - Female
MH - Humans
MH - Male
MH - *Mental Disorders
MH - Ontario
MH - Patients/*psychology
MH - *Social Justice
PMC - PMC7222335
OTO - NOTNLM
OT - *Coercion
OT - *Forensic mental health
OT - *Procedural justice
OT - *Protective factors
OT - *Recidivism
OT - *Recovery
OT - *Risk assessment
OT - *Violence
COIS- The researchers declare no competing interests.
EDAT- 2020/05/15 06:00
MHDA- 2020/11/11 06:00
CRDT- 2020/05/15 06:00
PHST- 2019/05/14 00:00 [received]
PHST- 2020/04/28 00:00 [accepted]
PHST- 2020/05/15 06:00 [entrez]
PHST- 2020/05/15 06:00 [pubmed]
PHST- 2020/11/11 06:00 [medline]
AID - 10.1186/s12888-020-02629-6 [pii]
AID - 2629 [pii]
AID - 10.1186/s12888-020-02629-6 [doi]
PST - epublish
SO - BMC Psychiatry. 2020 May 13;20(1):230. doi: 10.1186/s12888-020-02629-6.
PMID- 33145537
OWN - NLM
LR - 20201105
IS - 2688-1152 (Linking)
VI - 1
IP - 5
DP - 2020 Oct
TI - Using a rule-based system to define error in the emergency department.
PG - 887-897
LID - 10.1002/emp2.12165 [doi]
AB - INTRODUCTION: The evaluation of peer-reviewed cases for error is key to
quality
assurance (QA) in emergency medicine, but defining error to ensure reviewer
agreement and reproducibility remains elusive. The objective of this study
was to
create a consensus-based set of rules to systematically identify medical
errors.
METHODS: This is a prospective, observational study of all cases presented
for peer
review at an urban, tertiary care, academic medical center emergency
department (ED)
quality assurance (QA) committee between October 13, 2015, and September 14,
2016.
Our hospital uses an electronic system enabling staff to self-identify QA
issues for
subsequent review. In addition, physician or patient complaints, 72-hour
returns
with admission, death within 24 hours, floor transfers to ICU < 24 hours, and
morbidity and mortality conference cases are automatic triggers for review.
Trained
reviewers not involved in the patient's care use a structured 8-point Likert
scale
to assess for error and preventable or non-preventable adverse events. Cases
where
reviewers perceived a need for additional treatment, or that caused patient
harm,
are referred to a 20-member committee of emergency department leadership,
attendings, residents, and nurses for consensus review. For this study,
"rules" were
proposed by the reviewers identifying the error and validated by consensus
during
each meeting. The committee then decided if a rule had been broken (error) or
not
broken (judgment call). If an error could not be phrased in terms of a rule
broken,
then it would not be considered an error. The rules were then evaluated by 2
reviewers and organized by theme into categories to determine common errors
in
emergency medicine. RESULTS: We identified 108 episodes of rules broken in
103 cases
within a database of 920 QA reviewed cases. In cases where a rule was broken
and
therefore an error was scored, the following 5 major themes emerged: (1) not
acquiring necessary information (eg, not completing a relevant physical
exam),
N = 33 (31%); (2) not acting on data that were acquired (eg, abnormal vital
signs or
labs), N = 25 (23%); (3) knowledge gaps by clinicians (eg, not knowing to
reduce a
hernia), N = 16 (15%); (4) communication gaps (eg, discharge instructions),
N = 17
(16%); and (5) systems issues (eg, improper patient registration), N = 17
(16%).
CONCLUSION: The development of consensus-based rules may result in a more
standardized and practical definition of error in emergency medicine to be
used as a
QA tool and a basis for research. The most common type of rule broken was not
acquiring necessary information. A rule-based definition of medical error in

emergency medicine may identify key areas for risk reduction strategies, help
standardize medical QA, and improve patient care and physician education.
CI - © 2020 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf
of the
American College of Emergency Physicians.
FAU - Gurley, Kiersten L
AU - Gurley KL
AUID- ORCID: 0000-0002-1671-0571
AD - Emergency Medicine Harvard Medical School Boston Massachusetts USA.
AD - Department of Emergency Medicine Beth Israel Deaconess Medical Center Boston
Massachusetts USA.
AD - Department of Emergency Medicine Mount Auburn Hospital Cambridge
Massachusetts USA.
FAU - Burstein, Jonathan L
AU - Burstein JL
Massachusetts USA.
FAU - Wolfe, Richard E
AU - Wolfe RE
Massachusetts USA.
FAU - Grossman, Shamai A
AU - Grossman SA
Massachusetts USA.
LA - eng
DEP - 20200703
TA - J Am Coll Emerg Physicians Open
JT - Journal of the American College of Emergency Physicians open
JID - 101764779
PMC - PMC7593504
OTO - NOTNLM
OT - adverse events
OT - emergency medicine education
OT - medical error
OT - quality assurance
OT - risk reduction
EDAT- 2020/11/05 06:00
MHDA- 2020/11/05 06:01
CRDT- 2020/11/04 05:50
PHST- 2020/03/18 00:00 [received]
PHST- 2020/05/27 00:00 [revised]
PHST- 2020/06/01 00:00 [accepted]
PHST- 2020/11/04 05:50 [entrez]
PHST- 2020/11/05 06:00 [pubmed]
PHST- 2020/11/05 06:01 [medline]
AID - EMP212165 [pii]
AID - 10.1002/emp2.12165 [doi]
PST - epublish
SO - J Am Coll Emerg Physicians Open. 2020 Jul 3;1(5):887-897. doi:
10.1002/emp2.12165.
PMID- 23587448
OWN - NLM
DCOM- 20130430
LR - 20200930
IS - 1754-9493 (Print)
IS - 1754-9493 (Linking)
VI - 7
IP - 1
DP - 2013 Apr 15
TI - Is detection of adverse events affected by record review methodology? an
evaluation
of the "Harvard Medical Practice Study" method and the "Global Trigger Tool".
PG - 10
LID - 10.1186/1754-9493-7-10 [doi]
AB - BACKGROUND: There has been a theoretical debate as to which retrospective
record
review method is the most valid, reliable, cost efficient and feasible for
detecting
adverse events. The aim of the present study was to evaluate the feasibility
and
capability of two common retrospective record review methods, the "Harvard
Medical
Practice Study" method and the "Global Trigger Tool" in detecting adverse
events in
adult orthopaedic inpatients. METHODS: We performed a three-stage structured
retrospective record review process in a random sample of 350 orthopaedic
admissions
during 2009 at a Swedish university hospital. Two teams comprised each of a
registered nurse and two physicians were assigned, one to each method. All
records
were primarily reviewed by registered nurses. Records containing a potential
adverse
event were forwarded to physicians for review in stage 2. Physicians made an
independent review regarding, for example, healthcare causation,
preventability and
severity. In the third review stage all adverse events that were found with
the two
methods together were compared and all discrepancies after review stage 2
were
analysed. Events that had not been identified by one of the methods in the
first two
review stages were reviewed by the respective physicians. RESULTS:
Altogether, 160
different adverse events were identified in 105 (30.0%) of the 350 records
with both
methods combined. The "Harvard Medical Practice Study" method identified 155
of the
160 (96.9%, 95% CI: 92.9-99.0) adverse events in 104 (29.7%) records compared
with
137 (85.6%, 95% CI: 79.2-90.7) adverse events in 98 (28.0%) records using the
"Global Trigger Tool". Adverse events "causing harm without permanent

disability"
accounted for most of the observed difference. The overall positive
predictive value
for criteria and triggers using the "Harvard Medical Practice Study" method
and the
"Global Trigger Tool" was 40.3% and 30.4%, respectively. CONCLUSIONS: More
adverse
events were identified using the "Harvard Medical Practice Study" method than
using
the "Global Trigger Tool". Differences in review methodology, perception of
less
severe adverse events and context knowledge may explain the observed
difference
between two expert review teams in the detection of adverse events.
FAU - Unbeck, Maria
AU - Unbeck M
AD - Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital,
Division
of Orthopaedics, Stockholm, Sweden. maria.unbeck@ds.se.
FAU - Schildmeijer, Kristina
AU - Schildmeijer K
FAU - Henriksson, Peter
AU - Henriksson P
FAU - Jürgensen, Urban
AU - Jürgensen U
FAU - Muren, Olav
AU - Muren O
FAU - Nilsson, Lena
AU - Nilsson L
FAU - Pukk Härenstam, Karin
AU - Pukk Härenstam K
LA - eng
DEP - 20130415
JID - 101319176
PMC - PMC3637606
EDAT- 2013/04/17 06:00
MHDA- 2013/04/17 06:01
CRDT- 2013/04/17 06:00
PHST- 2012/12/18 00:00 [received]
PHST- 2013/03/26 00:00 [accepted]
PHST- 2013/04/17 06:00 [entrez]
PHST- 2013/04/17 06:00 [pubmed]
PHST- 2013/04/17 06:01 [medline]
AID - 1754-9493-7-10 [pii]
AID - 10.1186/1754-9493-7-10 [doi]
PST - epublish
SO - Patient Saf Surg. 2013 Apr 15;7(1):10. doi: 10.1186/1754-9493-7-10.
PMID- 31719790
OWN - NLM
LR - 20200929
IS - 1348-8945 (Print)
IS - 1348-8945 (Linking)
VI - 47
DP - 2019
TI - Burden of hydrocoele assessed from medical and surgical records in a
lymphatic
filariasis endemic country, Samoa.
PG - 51
LID - 10.1186/s41182-019-0179-0 [doi]
LID - 51
AB - BACKGROUND: Samoa is a Pacific Island country that has long been known to
have a
high burden of lymphatic filariasis. Little has been documented about the
burden of
disability due to the chronic complications of the disease. We examined the
rates of
hydrocoele amongst the Samoan male population to better understand the
situation.
METHODS: Information on numbers of suspected hydrocoele cases in men aged 18
years
and older from 2006 to 2013 was sought using ICD-10 codes and/or keywords
from three
sources: the hospital patient information system plus the surgical clinic and
operating theater records in Tupua Tamasese Meaole and Malietoa Tanumafili II
hospitals in Samoa. Chart review of suspected hydrocoele cases was used to

confirm
the diagnosis of hydrocoele amongst suspected cases. The following data items
were
extracted from patient records where available: date of diagnosis, age,
village,
hydrocoele characteristics (duration, size, and volume), history and cause of
injuries, whether lymphatic filariasis was a differential diagnosis, whether

ultrasound scan was used to verify diagnosis, and details of any surgery
performed.
Population data were obtained from the Samoa Bureau of Statistics. RESULTS:
There
were 535 suspected cases identified from the 3 sources between 2006 and 2013,
of
which 328 were diagnosed as hydrocoele; charts for 56 suspected cases (10.5%)
could
not be located. The mean age of men with hydrocoele was 49.2 years. The
proportion
of men aged ≥ 18 years diagnosed with hydrocoele over the study period was
0.62%
(328/52,944). North West Upolu had the highest proportion amongst the four
regions
of Samoa (p < 0.001). The proportion of men presenting with hydrocoele
increased
with age (p < 0.001). 14.3% of patients had an injury that could have
contributed to
the hydrocoele. Only 4.0% of all patient records had lymphatic filariasis
recorded
as a differential diagnosis. 60.7% of all patients with hydrocoele had some
form of
surgery, with no difference between regions (p = 0.276). The majority of
surgeries
were hydrocoelectomies, where the tunica vaginalis is everted. The mean age
of
patients that had surgery was 48.2 years. It was difficult to estimate
hydrocoele
size and duration due to non-standardized way of reporting. CONCLUSIONS: This
study
used multiple sources to document the number of hydrocoele cases that
presented
annually to medical facilities in Samoa. This represents a minimum estimate
of the
burden since some cases may have not presented for treatment. The numbers
presenting
have fluctuated over the years (2006 to 2013), and improvements in the
reporting
system are needed. The health system needs to consider ways to address a
large
number of patients that still require surgery, as well as conducting follow-
up of
those that did receive surgery. Additionally, clinicians should consider
lymphatic
filariasis as a differential diagnosis for hydrocoeles.
FAU - Ah Leong-Lui, Tile A
AU - Ah Leong-Lui TA
AD - Ah Leong Clinic, Apia, Samoa.
FAU - Graves, Patricia M
AU - Graves PM
AUID- ORCID: 0000-0002-5215-3901
AD - 2James Cook University, Cairns, Australia. ISNI: 0000 0004 0474 1797. GRID:
grid.1011.1
FAU - Naseri, Take
AU - Naseri T
AD - Ministry of Health, Apia, Samoa.
LA - eng
DEP - 20191106
TA - Trop Med Health
JT - Tropical medicine and health
JID - 101215093
PMC - PMC6836510
OTO - NOTNLM
OT - Health information systems
OT - Hydrocoele
OT - Lymphatic filariasis
OT - Samoa
OT - Surgery
EDAT- 2019/11/14 06:00
MHDA- 2019/11/14 06:01
CRDT- 2019/11/14 06:00
PHST- 2019/04/25 00:00 [received]
PHST- 2019/09/26 00:00 [accepted]
PHST- 2019/11/14 06:00 [entrez]
PHST- 2019/11/14 06:00 [pubmed]
PHST- 2019/11/14 06:01 [medline]
AID - 179 [pii]
AID - 10.1186/s41182-019-0179-0 [doi]
PST - epublish
SO - Trop Med Health. 2019 Nov 6;47:51. doi: 10.1186/s41182-019-0179-0.
eCollection 2019.
PMID- 28764696
OWN - NLM
STAT- MEDLINE
DCOM- 20180319
LR - 20181202
IS - 1472-6963 (Linking)
VI - 17
IP - 1
DP - 2017 Aug 1
TI - Healthcare Quality Improvement and 'work engagement'; concluding results from
a
national, longitudinal, cross-sectional study of the 'Productive Ward-
Releasing Time
to Care' Programme.
PG - 510
LID - 10.1186/s12913-017-2446-2 [doi]
LID - 510
AB - BACKGROUND: Concerns about patient safety and reducing harm have led to a
particular
focus on initiatives that improve healthcare quality. However Quality
Improvement
(QI) initiatives have in the past typically faltered because they fail to
fully
engage healthcare professionals, resulting in apathy and resistance amongst
this
group of key stakeholders. Productive Ward: Releasing Time to Care (PW) is a
ward-based QI programme created to help ward-based teams redesign and
streamline the
way that they work; leaving more time to care for patients. PW is designed to
engage
and empower ward-based teams to improve the safety, quality and delivery of
care.
METHODS: The main objective of this study was to explore whether PW sustains
the
'engagement' of ward-based teams by examining the longitudinal effect that
the
national QI programme had on the 'work-engagement' of ward-based teams in
Ireland.
Utilising the Utrecht Work Engagement Scale questionnaire (UWES-17), we
surveyed
nine PW (intervention) sites from typical acute Medical/Surgical,
Rehabilitation and
Elderly services (representing the entire cohort of a national phase of PW
implementation in Ireland) and a cohort of matched control sites. The numbers
surveyed from the PW group at T1 (up to 3 months after commencing the

programme)
totalled 253 ward-team members and 249 from the control group. At T2
(12 months
later), the survey was repeated with 233 ward-team members from the PW sites
and 236
from the control group. RESULTS: Overall findings demonstrated that those
involved
in the QI initiative had higher 'engagement' scores at T1 and T2 in
comparison to
the control group. Total 'engagement' score (TES), and its 3 dimensions, were
all
significantly higher in the PW group at T1, but only the Vigour dimension
remained
significantly higher at T2 (p = 0.006). CONCLUSION: Our results lend some
support to
the assertions of the PW initiative itself and suggest that when compared to
a
control group, ward-based teams involved in the QI programme are more likely
to be
'engaged' by it and its associated improvement activities and that this is
maintained over time. However, only the Vigour dimension of 'engagement'
remained
significantly higher in the PW over time.
FAU - White, Mark
AU - White M
AUID- ORCID: 0000-0002-3947-3070
AD - Director, Nursing and Midwifery Planning and Development Unit, Office
Complex,
Kilcreene Hospital, Kilkenny, R95 DK07, Ireland. whiteser@eircom.net.
FAU - Butterworth, Tony
AU - Butterworth T
AD - Emeritus Professor of Healthcare Workforce Innovation, University of Lincoln,
Lincoln, UK.
FAU - Wells, John Sg
AU - Wells JS
AD - Head of School of Health Science, Waterford Institute of Technology,
Waterford,
Ireland.
LA - eng
DEP - 20170801
JID - 101088677
SB - IM
MH - Adult
MH - Aged
MH - Efficiency
MH - Hospital Units/organization & administration
MH - Humans
MH - Ireland
MH - Middle Aged
MH - Patient Safety
MH - Patients' Rooms/*organization & administration
MH - *Work Engagement
MH - Young Adult
PMC - PMC5540515
OTO - NOTNLM
OT - *Employee engagement
OT - *Health service research
OT - *Hospital units
OT - *Lean healthcare
OT - *Multidisciplinary care team
OT - *Nurse attitudes
OT - *Productive ward
OT - *Program implementation
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Ethics approval was obtained for
all
phases of this study in the first instance from Waterford Institute of
Technology
and then for each participating PW and control site, via their overseeing
ethics
committee (HSE North-East, South-East, West, Mid-West Regional ethics
committees and
at the National Rehabilitation Hospital, Dublin and the Mercy University
Hospital,
Cork). All staff members in the intervention and control sites were invited
to
participate and provided with: a detailed information sheet about the study,
a
formal invitation to participate and an information guide how to engage and
consent
with the study, decline or withdraw from the study. Completed and returned
questionnaires were accepted as implied consent to participate. CONSENT FOR
PUBLICATION: N/A. COMPETING INTERESTS: The authors declare that they have no
competing interests. PUBLISHER’S NOTE: Springer Nature remains neutral with
regard
to jurisdictional claims in published maps and institutional affiliations.
EDAT- 2017/08/03 06:00
MHDA- 2018/03/20 06:00
CRDT- 2017/08/03 06:00
PHST- 2016/06/14 00:00 [received]
PHST- 2017/07/12 00:00 [accepted]
PHST- 2017/08/03 06:00 [entrez]
PHST- 2017/08/03 06:00 [pubmed]
PHST- 2018/03/20 06:00 [medline]
AID - 10.1186/s12913-017-2446-2 [pii]
AID - 2446 [pii]
AID - 10.1186/s12913-017-2446-2 [doi]
PST - epublish
SO - BMC Health Serv Res. 2017 Aug 1;17(1):510. doi: 10.1186/s12913-017-2446-2.
PMID- 27025940
OWN - NLM
DCOM- 20160330
LR - 20200930
IS - 2292-9495 (Print)
IS - 2292-9495 (Linking)
VI - 2
IP - 1
DP - 2015 Mar 16
TI - Nurses' Perceptions and Practices Toward Clinical Alarms in a Transplant
Cardiac
Intensive Care Unit: Exploring Key Issues Leading to Alarm Fatigue.
PG - e3
LID - 10.2196/humanfactors.4196 [doi]
LID - e3
AB - BACKGROUND: Intensive care units (ICUs) are complex work environments where
false
alarms occur more frequently than on non-critical care units. The Joint
Commission
National Patient Safety Goal .06.01.01 targeted improving the safety of
clinical
alarm systems and required health care facilities to establish alarm systems
safety
as a hospital priority by July 2014. An important initial step toward this
requirement is identifying ICU nurses' perceptions and common clinical
practices
toward clinical alarms, where little information is available. OBJECTIVE: Our
aim
was to determine perceptions and practices of transplant/cardiac ICU (TCICU)
nurses
toward clinical alarms and benchmark the results against the 2011 Healthcare
Technology Foundation's (HTF) Clinical Alarms Committee Survey. METHODS: A
quality
improvement project was conducted on a 20-bed TCICU with 39 full- and part-
time
nurses. Nurses were surveyed about their perceptions and attitudes toward and
practices on clinical alarms using an adapted HTF clinical alarms survey.

Results
were compared to the 2011 HTF data. Correlations among variables were
examined.
RESULTS: All TCICU nurses provided usable responses (N=39, 100%). Almost all
nurses
(95%-98%) believed that false alarms are frequent, disrupt care, and reduce
trust in
alarm systems, causing nurses to inappropriately disable them. Unlike the
2011 HTF
clinical alarms survey results, a significantly higher percentage of our
TCICU
nurses believed that existing devices are complex, questioned the ability and
adequacy of the new monitoring systems to solve alarm management issues,

pointed to
the lack of prompt response to alarms, and indicated the lack of clinical
policy on
alarm management (P<.01). Major themes in the narrative data focused on
nurses'
frustration related to the excessive number of alarms and poor usability of
the
cardiac monitors. A lack of standardized approaches exists in changing
patients'
electrodes and individualizing parameters. Around 60% of nurses indicated
they
received insufficient training on bedside and central cardiac monitors. A
correlation also showed the need for training on cardiac monitors,
specifically for
older nurses (P=.01). CONCLUSIONS: False and non-actionable alarms continue
to
desensitize TCICU nurses, perhaps resulting in missing fatal alarms. Nurses'
attitudes and practices related to clinical alarms are key elements for
designing
contextually sensitive quality initiatives to fight alarm fatigue. Alarm
management
in ICUs is a multidimensional complex process involving usability of
monitoring
devices, and unit, clinicians, training, and policy-related factors. This
indicates
the need for a multi-method approach to decrease alarm fatigue and improve
alarm
systems safety.
FAU - Sowan, Azizeh Khaled
AU - Sowan AK
AUID- ORCID: 0000-0001-7719-2037
AD - University of Texas Health Science Center at San Antonio, School of Nursing,
Department of Health Restoration and Care Systems Management, San Antonio,
TX,
United States. sowan@uthscsa.edu.
FAU - Tarriela, Albert Fajardo
AU - Tarriela AF
AUID- ORCID: 0000-0001-9012-4303
FAU - Gomez, Tiffany Michelle
AU - Gomez TM
AUID- ORCID: 0000-0002-9099-6133
FAU - Reed, Charles Calhoun
AU - Reed CC
AUID- ORCID: 0000-0001-6037-538X
FAU - Rapp, Kami Marie
AU - Rapp KM
AUID- ORCID: 0000-0002-1329-9190
LA - eng
DEP - 20150316
JID - 101666561
PMC - PMC4797660
OTO - NOTNLM
OT - alarm fatigue
OT - clinical alarms
OT - critical care
OT - nursing
OT - physiologic monitors
OT - survey
EDAT- 2015/01/01 00:00
MHDA- 2015/01/01 00:01
CRDT- 2016/03/31 06:00
PHST- 2015/01/10 00:00 [received]
PHST- 2015/02/25 00:00 [accepted]
PHST- 2015/02/24 00:00 [revised]
PHST- 2016/03/31 06:00 [entrez]
PHST- 2015/01/01 00:00 [pubmed]
PHST- 2015/01/01 00:01 [medline]
AID - v2i1e3 [pii]
AID - 10.2196/humanfactors.4196 [doi]
PST - epublish
SO - JMIR Hum Factors. 2015 Mar 16;2(1):e3. doi: 10.2196/humanfactors.4196.
PMID- 31411663
OWN - NLM
STAT- MEDLINE
DCOM- 20200713
LR - 20210110
IS - 2168-6254 (Print)
IS - 2168-6254 (Linking)
VI - 154
IP - 11
DP - 2019 Nov 1
TI - Association of Discretionary Hospital Volume Standards for High-risk Cancer
Surgery
With Patient Outcomes and Access, 2005-2016.
PG - 1005-1012
LID - 10.1001/jamasurg.2019.3017 [doi]
AB - IMPORTANCE: Various clinical societies and patient advocacy organizations
continue
to encourage minimum volume standards at hospitals that perform certain high-
risk
operations. Although many clinicians and quality and safety experts believe
this can
improve outcomes, the extent to which hospitals have responded to these
discretionary standards remains unclear. OBJECTIVE: To evaluate the
association
between short-term clinical outcomes and hospitals' adherence to the Leapfrog
Group's minimum volume standards for high-risk cancer surgery. DESIGN,

SETTING, AND
PARTICIPANTS: Longitudinal cohort study using 100% of the Medicare claims for
516 392 patients undergoing pancreatic, esophageal, rectal, or lung resection

for
cancer between January 1, 2005, and December 31, 2016. Data were accessed
between
December 1, 2018, and April 30, 2019. EXPOSURES: High-risk cancer surgery in
hospitals meeting and not meeting the minimum volume standards. MAIN OUTCOMES
AND
MEASURES: Patients having surgery in hospitals meeting the volume standard
and
30-day and in-hospital mortality and complication rates. RESULTS: Overall, a
total
of 516 392 procedures (47 318 pancreatic resections, 29 812 esophageal
resections,
116 383 rectal resections, and 322 879 lung resections) were included in the
study,
and patient mean (SD) age was 73.1 (7.5) years. Outcomes improved over time
in both
hospitals meeting and not meeting the minimum volume standards. Mortality
after
pancreatic resection decreased from 5.5% in 2005 to 4.8% in 2016 (P for trend
<.001). Mortality after esophageal resection decreased from in 6.7% 2005 to

5.0% in
2016 (P for trend <.001). Mortality after rectal resection decreased from
3.6% in
2005 to 2.7 % in 2016 (P for trend <.001). Mortality after lung resection
decreased
from 4.2% in 2005 to 2.7 % in 2016 (P for trend <.001). Throughout the study
period,
there were no statistically significant differences in risk-adjusted
mortality
between hospitals meeting and not meeting the volume standards for
esophageal, lung,
and rectal cancer resections. Mortality rates after pancreatic resection were
consistently lower at hospitals meeting the volume standard, although

mortality at
all hospitals decreased over the study period. For example, in 2016, risk-
adjusted
mortality rates for hospitals meeting the volume standard were 3.8% (95% CI,
3.3%-4.3%) compared with 5.7% (95% CI, 5.1%-6.5%) for hospitals that did not.
Although an increasing majority of patients underwent surgery in hospitals

meeting
the Leapfrog volume standards over time, the overall proportion of hospitals
meeting
the standards in 2016 ranged from 5.6% for esophageal resection to 23.3% for
pancreatic resection. CONCLUSIONS AND RELEVANCE: Although volume remains an
important factor for patient safety, the Leapfrog Group's minimum volume
standards
did not differentiate hospitals based on mortality for 3 of the 4 high-risk
cancer
operations assessed, and few hospitals were able to meet these standards.
These
findings highlight important tradeoffs between setting effective volume
thresholds
and practical expectations for hospital adherence and patient access to
centers that
meet those standards.
FAU - Sheetz, Kyle H
AU - Sheetz KH
AD - Department of Surgery, University of Michigan, Ann Arbor.
AD - Center for Healthcare Outcomes and Policy, Institute for Healthcare Policy
and
Innovation, University of Michigan, Ann Arbor.
FAU - Chhabra, Karan R
AU - Chhabra KR
and
AD - Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
AD - National Clinician Scholars Program, Institute for Healthcare Policy and
Innovation,
University of Michigan, Ann Arbor.
FAU - Smith, Margaret E
AU - Smith ME
and
FAU - Dimick, Justin B
AU - Dimick JB
and
AD - Surgical Innovation Editor.
FAU - Nathan, Hari
AU - Nathan H
and
LA - eng
TA - JAMA Surg
JT - JAMA surgery
JID - 101589553
SB - AIM
SB - IM
CIN - JAMA Surg. 2019 Nov 1;154(11):1012-1013. PMID: 31411656
MH - Aged
MH - Digestive System Neoplasms/*surgery
MH - Esophagectomy/standards/statistics & numerical data
MH - Health Services Accessibility/standards/statistics & numerical data
MH - Hospitals, High-Volume/standards/statistics & numerical data
MH - Hospitals, Low-Volume/standards/statistics & numerical data
MH - Humans
MH - Lung Neoplasms/*surgery
MH - Medicare/statistics & numerical data
MH - Pancreatectomy/standards/statistics & numerical data
MH - Proctectomy/standards/statistics & numerical data
MH - Risk Factors
MH - United States
PMC - PMC6694402
COIS- Conflict of Interest Disclosures: Dr Dimick reported receiving personal fees
from
ArborMetrix outside the submitted work. No other disclosures were reported.
EDAT- 2019/08/15 06:00
MHDA- 2020/07/14 06:00
CRDT- 2019/08/15 06:00
PHST- 2019/08/15 06:00 [pubmed]
PHST- 2020/07/14 06:00 [medline]
PHST- 2019/08/15 06:00 [entrez]
AID - 2747844 [pii]
AID - soi190052 [pii]
AID - 10.1001/jamasurg.2019.3017 [doi]
PST - ppublish
SO - JAMA Surg. 2019 Nov 1;154(11):1005-1012. doi: 10.1001/jamasurg.2019.3017.
PMID- 28962599
OWN - NLM
STAT- MEDLINE
DCOM- 20180308
LR - 20181202
IS - 1471-2334 (Linking)
VI - 17
IP - 1
DP - 2017 Sep 29
TI - Predictors of unsuccessful interim treatment outcomes of multidrug resistant
tuberculosis patients.
PG - 655
LID - 10.1186/s12879-017-2746-5 [doi]
LID - 655
AB - BACKGROUND: Interim treatment outcomes at 6-months for multidrug-resistant
tuberculosis (MDR-TB) treatment are among the most basic performance
monitoring and
key evaluation indicators in the Stop and End TB strategy of the World Health
Organization (WHO). Therefore, this study was conducted to evaluate the

interim
treatment outcomes of MDR-TB patients in Pakistan. METHODS: This study was
conducted
at the Programmatic Management Unit for Drug-resistance TB (PMDT) site of the
National Tuberculosis Program (NTP), Pakistan. It is located in the Chest

Disease
Unit (CDU) of the Bahawal Victoria Hospital (BVH), Bahawalpur, Punjab,
Pakistan.
Data was collected between April 1, 2014 and December 31, 2015. The medical
records,
Electronic Nominal Recording Reporting System (ENRS) data and MRD-TB
notification
forms of the MDR-TB patients registered at the PMDT site were reviewed to
obtain
data. For reporting and calculation of interim treatment outcomes,
standardized WHO
methodology was adopted. Simple logistic regression analysis was used to
examine the
possible association between the dependent variable (i.e. unsuccessful
interim
treatment outcome) and selected socio-demographic and clinical variables.
RESULTS: A
total of 100 drug-resistant TB (DR-TB) patients (all types) were registered
during
the study period. Out of these, 80 were MDR-TB patients for whom interim
results
were available. Out of the 80 MDR-TB cases, 48 (60%) were classified under
the
successful interim treatment outcome category. The remaining 40% had
unsuccessful
6-month treatment outcomes and 12 (15%) patients died, while nine (11.3%)
were lost
to follow-up by six months. The final predictors of unsuccessful interim
treatment
outcomes were; being resistant to ofloxacin (AOR 3.23, 95% CI 0.96-10.89;
p-value = 0.04), having above normal baseline serum creatinine levels (AOR
6.49, 95%
CI 1.39-30.27; p-value = 0.02), and being culture positive at the second
month of
treatment (AOR 6.94, 95% CI 2-24.12; p-value = 0.01). CONCLUSIONS: Despite
free
treatment and programmatic efforts to ensure patient adherence, the high rate
of
unsuccessful interim treatment outcomes is concerning. The identified risk
factors
for unsuccessful interim treatment outcomes in the current study provides
clinicians
an opportunity to identify high-risk patients and ensure enhanced clinical
management and greater treatment success rates.
FAU - Atif, Muhammad
AU - Atif M
AD - Department of Pharmacy, The Islamia University of Bahawalpur, Bahawalpur,
Pakistan.
pharmacist_atif@yahoo.com.
FAU - Bashir, Arslan
AU - Bashir A
AD - Department of Pharmacy, The Islamia University of Bahawalpur, Bahawalpur,
Pakistan.
FAU - Ahmad, Nafees
AU - Ahmad N
AD - Faculty of Pharmacy and Health Sciences, University of Balochistan, Quetta,
Pakistan.
FAU - Fatima, Razia Kaneez
AU - Fatima RK
AD - Research Unit, National Tuberculosis Control Program of Pakistan, Islamabad,
Pakistan.
FAU - Saba, Sehar
AU - Saba S
AD - Chest Disease Unit, Bahawal Victoria Hospital, Bahawalpur, Pakistan.
FAU - Scahill, Shane
AU - Scahill S
AD - School of Management, Massey University, Auckland, New Zealand.
LA - eng
DEP - 20170929
TA - BMC Infect Dis
JID - 100968551
RN - 0 (Antitubercular Agents)
RN - A4P49JAZ9H (Ofloxacin)
RN - AYI8EX34EU (Creatinine)
SB - IM
MH - Adolescent
MH - Adult
MH - Antitubercular Agents/adverse effects/*therapeutic use
MH - Cohort Studies
MH - Creatinine/blood
MH - Drug Resistance, Multiple, Bacterial/drug effects
MH - Female
MH - Humans
MH - Lost to Follow-Up
MH - Male
MH - Microbial Sensitivity Tests
MH - Middle Aged
MH - Ofloxacin/therapeutic use
MH - Pakistan
MH - Patient Compliance
MH - Risk Factors
MH - Tuberculosis, Multidrug-Resistant/*drug therapy
PMC - PMC5622487
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Permission to conduct this study
was
obtained from the Medical Superintendent and Head of CDU, BVH, Bahawalpur,
Punjab,
Pakistan (Reference number: 14,848; Dated: September 19 2015). The study was
based
on the Code of Ethics of the Declaration of Helsinki. Ethical approval for
this
study was granted by the Pharmacy Research Ethics Committee (PREC) at the
Islamia
University Bahawalpur (Reference number: 107–2015/PREC; Dated October 20,
2015). In
this study, the phrases ‘suspected DR−/MDR-TB patients’ and ‘National
Tuberculosis
Control Program’ were replaced with ‘patients with presumptive/possible
DR−/MDR-TB’
and with ‘National Tuberculosis Program’, respectively, in an effort to avoid
the
use of inappropriate language in TB services [50]. CONSENT FOR PUBLICATION:
Not
applicable. COMPETING INTERESTS: The authors declare that they have no
competing
EDAT- 2017/10/01 06:00
MHDA- 2018/03/09 06:00
CRDT- 2017/10/01 06:00
PHST- 2016/12/27 00:00 [received]
PHST- 2017/09/19 00:00 [accepted]
PHST- 2017/10/01 06:00 [entrez]
PHST- 2017/10/01 06:00 [pubmed]
PHST- 2018/03/09 06:00 [medline]
AID - 10.1186/s12879-017-2746-5 [pii]
AID - 2746 [pii]
AID - 10.1186/s12879-017-2746-5 [doi]
PST - epublish
SO - BMC Infect Dis. 2017 Sep 29;17(1):655. doi: 10.1186/s12879-017-2746-5.
PMID- 26645895
OWN - NLM
STAT- MEDLINE
DCOM- 20160225
LR - 20181113
IS - 0959-8138 (Print)
IS - 0959-8138 (Linking)
VI - 351
DP - 2015 Dec 8
TI - Safety of live attenuated influenza vaccine in young people with egg allergy:
multicentre prospective cohort study.

PG - h6291
LID - 10.1136/bmj.h6291 [doi]
LID - h6291
AB - STUDY QUESTION: How safe is live attenuated influenza vaccine (LAIV), which
contains
egg protein, in young people with egg allergy? METHODS: In this open label,
phase IV
intervention study, 779 young people (2-18 years) with egg allergy were
recruited
from 30 UK allergy centres and immunised with LAIV. The cohort included 270
(34.7%)
young people with previous anaphylaxis to egg, of whom 157 (20.1%) had
experienced
respiratory and/or cardiovascular symptoms. 445 (57.1%) had doctor diagnosed
asthma
or recurrent wheeze. Participants were observed for at least 30 minutes after
vaccination and followed-up by telephone 72 hours later. Participants with a

history
of recurrent wheeze or asthma underwent further follow-up four weeks later.
The main
outcome measure was incidence of an adverse event within two hours of
vaccination in
young people with egg allergy. STUDY ANSWER AND LIMITATIONS: No systemic
allergic
reactions occurred (upper 95% confidence interval for population 0.47% and in
participants with anaphylaxis to egg 1.36%). Nine participants (1.2%, 95% CI

0.5% to
2.2%) experienced mild symptoms, potentially consistent with a local, IgE
mediated
allergic reaction. Delayed events potentially related to the vaccine were
reported
in 221 participants. 62 participants (8.1%, 95% CI for population 6.3% to
10.3%)
experienced lower respiratory tract symptoms within 72 hours, including 29
with
parent reported wheeze. No participants were admitted to hospital. No
increase in
lower respiratory tract symptoms occurred in the four weeks after vaccination
(assessed with asthma control test). The study cohort may represent young
people
with more severe allergy requiring specialist input, since they were
recruited from
secondary and tertiary allergy centres. WHAT THIS STUDY ADDS: LAIV is
associated
with a low risk of systemic allergic reactions in young people with egg
allergy. The
vaccine seems to be well tolerated in those with well controlled asthma or
recurrent
wheeze. FUNDING, COMPETING INTERESTS, DATA SHARING: This report is
independent
research commissioned and funded by a Department of Health policy research
programme
grant to the National Vaccine Evaluation Consortium. Additional funding was
provided
by the NIHR Clinical Research Networks, Health Protection Scotland (Edinburgh
site),
and Health & Social Care Services in Northern Ireland (Belfast site). PJT and
MEL
had support from the Department of Health for the submitted work; PJT has
received
research grants from the Medical Research Council and NIHR. No additional
data
available.Study registration ClinicalTrials.gov (NCT02111512) and the EU
Clinical
Trials Register EudraCT (2014-001537-92).
CI - © Turner et al 2015.
FAU - Turner, Paul J
AU - Turner PJ
AD - Section of Paediatrics, Imperial College London, London W2 1PG, UK
Immunisation
Hepatitis and Blood Safety Department, Public Health England, London, UK
p.turner@imperial.ac.uk.
FAU - Southern, Jo
AU - Southern J
AD - Immunisation Hepatitis and Blood Safety Department, Public Health England,
London,
UK.
FAU - Andrews, Nick J
AU - Andrews NJ
London,
UK.
FAU - Miller, Elizabeth
AU - Miller E
London,
UK.
FAU - Erlewyn-Lajeunesse, Michel
AU - Erlewyn-Lajeunesse M
AD - Paediatric Allergy and Immunology, Southampton University Hospital,
Southampton, UK.
CN - SNIFFLE-2 Study Investigators
LA - eng
SI - EudraCT/2014-001537-92
GR - MR/K010468/1/Medical Research Council/United Kingdom
PT - Clinical Trial, Phase IV
DEP - 20151208
TA - BMJ
JID - 8900488
RN - 0 (Influenza Vaccines)
RN - 0 (Vaccines, Attenuated)
SB - AIM
SB - IM
CIN - BMJ. 2015;351:h6656. PMID: 26657778
CIN - Evid Based Med. 2016 Jun;21(3):113. PMID: 27012268
MH - Adolescent
MH - Child
MH - Dose-Response Relationship, Drug
MH - Egg Hypersensitivity/*complications
MH - Female
MH - Humans
MH - Influenza A virus/*immunology
MH - Influenza Vaccines/*administration & dosage
MH - Influenza, Human/complications/*prevention & control
MH - Male
MH - United Kingdom
MH - Vaccination/*methods
MH - Vaccines, Attenuated/administration & dosage
PMC - PMC4673102
COIS- Competing interests: All authors have completed the ICMJE uniform disclosure
form at
www.icmje.org/coi_disclosure.pdf and declare: PJT and MEL had financial
support from
the Department of Health for the submitted work; PJT has received research
grants
from the Medical Research Council and NIHR. All authors declare no financial
relationships with any organisations that might have an interest in the
submitted
work in the previous three years; no other relationships or activities that
could
appear to have influenced the submitted work.
FIR - Briggs, Richard
IR - Briggs R
FIR - Chapman, John
IR - Chapman J
FIR - Chodhari, Rahul
IR - Chodhari R
FIR - Cohen, Jonathan
IR - Cohen J
FIR - Darwood, Iain
IR - Darwood I
FIR - DeWitt, Brenda
IR - DeWitt B
FIR - Doyle, Christine
IR - Doyle C
FIR - Erlewyn-Lajeunesse, Michel
IR - Erlewyn-Lajeunesse M
FIR - Fitzsimons, Roisin
IR - Fitzsimons R
FIR - Foote, Keith
IR - Foote K
FIR - Gardner, James
IR - Gardner J
FIR - Heath, Paul T
IR - Heath PT
FIR - Hodge, Donald
IR - Hodge D
FIR - Hughes, Stephen M
IR - Hughes SM
FIR - Jay, Nicola
IR - Jay N
FIR - Leech, Susan
IR - Leech S
FIR - Lumsden, Colin
IR - Lumsden C
FIR - Makwana, Nick
IR - Makwana N
FIR - Michaelis, Louise J
IR - Michaelis LJ
FIR - Minshall, Eleanor
IR - Minshall E
FIR - Modi, Anita
IR - Modi A
FIR - Noimark, Lee
IR - Noimark L
FIR - Ramesh, K P
IR - Ramesh KP
FIR - Rees, Martyn
IR - Rees M
FIR - Schwarze, Jürgen
IR - Schwarze J
FIR - Snape, Matthew D
IR - Snape MD
FIR - Stiefel, Gary
IR - Stiefel G
FIR - Thomas, Huw M
IR - Thomas HM
FIR - Turner, Paul J
IR - Turner PJ
FIR - Williams, Lynette
IR - Williams L
FIR - Zurick, Natasha
IR - Zurick N
EDAT- 2015/12/10 06:00
MHDA- 2016/02/26 06:00
CRDT- 2015/12/10 06:00
PHST- 2015/12/10 06:00 [entrez]
PHST- 2015/12/10 06:00 [pubmed]
PHST- 2016/02/26 06:00 [medline]
AID - turp029119 [pii]
AID - 10.1136/bmj.h6291 [doi]
PST - epublish
SO - BMJ. 2015 Dec 8;351:h6291. doi: 10.1136/bmj.h6291.
PMID- 26734315
OWN - NLM
DCOM- 20160106
LR - 20201001
IS - 2050-1315 (Print)
IS - 2050-1315 (Linking)
VI - 4
IP - 1
DP - 2015
TI - Improving compliance with iron infusion therapy in the treatment of chronic
anemia
in haemodialysis patients with chronic kidney disease.
LID - u204642.w2177
AB - This quality improvement project was conducted at the haemodialysis unit in
the
paediatric nephrology department at Noah's Ark Children's Hospital, Cardiff.
Stakeholders involved were the medical and nursing staff at the haemodialysis
unit,
responsible for the care of children with chronic kidney disease CKD. Anaemia
is
prevalent among children with CKD. Iron infusion is administered to such
children
with chronic anaemia. Children on haemodialysis attending the Children's
Kidney
Center receive iron infusion if they satisfy the criteria based on
haemoglobin and
serum ferritin values according to departmental guidelines. This involves
measurement of c-reactive protein and serum ferritin prior to iron
administration.
High iron exposure is detrimental to end organ function and hence warrants
regular
monitoring in conjunction with CRP, another inflammatory marker. We suspect
that
some children may be receiving iron infusions despite being iron replete.
Also, we
may be over-investigating these children with anaemia. We identified all
children
receiving iron infusion in the haemodialysis unit over a four week period. We
retrospectively enquired blood investigations done, prior to and after iron

infusion. Blood investigations lagged on pre and post infusion times. We
devised a
checklist for nursing staff to follow, primarily looking at set times for
measuring
haemoglobin, serum ferritin, and CRP during the month (at the start of the
first and
third week of the month) and also tabulating the ferritin values that would
trigger
frequency of iron infusions. These were aimed to: 1. Prevent iron overloading
in
patients with chronic anemia 2. Regularise the checking of bloods in those
receiving
iron infusions 3. Empower the nursing staff to independently take decisions
on iron
infusion delivery. The strategy for change encompassed multiple PDSA cycles.
Plan:
empower decision making on iron infusion by haemodialysis nursing staff Do:
formulate a checklist for iron infusion based on the recommended set values
of
ferritin, CRP and haemoglobin Study: analyse adherence to checklist in three
months
time Act: make appropriate changes to workplace behaviour based on findings
of the
PDSA cycle We analysed 13 patient episodes prior to the intervention and a
total of
19 patient episodes after the improvement cycles. The checklist was improved
based
on feedback obtained after the first PDSA cycle. A second cycle showed that
investigations done were optimised. The third cycle showed improved adherence
and
compliance with prevention of over-treatment with iron infusion. There was
100%
adherence to the investigations done prior to infusion and complied well with
the
department guidelines. This meant that the required number of blood tests
were done
on a more regular basis and it did not exceed from those done previously.
Nursing
behaviour with regard to initiation and maintenance of iron infusion became
more
independent. This empowered nursing decision making skills and consequently
freed
doctor-time. It also resulted in improving team morale and ultimately patient
safety
by mitigating human errors. For any QI project, interventions should be
carefully
designed. Stakeholder buy-in and easy accessibility of the intervention
improves
sustainability. Multiple PDSA cycles and incorporating stakeholder feedback
into the
cycle are key to success.
FAU - Nuti, Amith
AU - Nuti A
AD - United Kingdom.
LA - eng
DEP - 20150306
JID - 101629512
PMC - PMC4645701
EDAT- 2016/01/07 06:00
MHDA- 2016/01/07 06:01
CRDT- 2016/01/07 06:00
PHST- 2015/01/16 00:00 [received]
PHST- 2015/03/05 00:00 [revised]
PHST- 2016/01/07 06:00 [entrez]
PHST- 2016/01/07 06:00 [pubmed]
PHST- 2016/01/07 06:01 [medline]
PST - epublish
SO - BMJ Qual Improv Rep. 2015 Mar 6;4(1):u204642.w2177. doi:
PMID- 25340226
STAT- Publisher
PB - National Institute for Health and Care Excellence (UK)
CTI - National Institute for Health and Clinical Excellence: Guidance
DP - 2014 Sep
BTI - Drug Allergy: Diagnosis and Management of Drug Allergy in Adults, Children
and Young
People
AB - All drugs have the potential to cause side effects, also known as ‘adverse
drug
reactions’, but not all of these are allergic in nature. Other reactions are
idiosyncratic, pseudo-allergic or caused by drug intolerance. The British
Society
for Allergy and Clinical Immunology (BSACI) defines drug allergy as an
adverse drug
reaction with an established immunological mechanism. The mechanism at
presentation
may not be apparent from the clinical history and it cannot always be
established
whether a drug reaction is allergic or non-allergic without investigation.
Therefore, this guideline has defined drug allergy as any reaction caused by
a drug
with clinical features compatible with an immunological mechanism. Hospital
Episode
Statistics from 1996 to 2000 reported that drug allergies and adverse drug
reactions
accounted for approximately 62,000 hospital admissions in England each year.
There
is also evidence that these reactions are increasing: between 1998 and 2005
serious
adverse drug reactions rose 2.6-fold.116 Up to 15% of inpatients have their
hospital
stay prolonged as a result of an adverse drug reaction. About half a million
people
admitted to NHS hospitals each year have a diagnostic ‘label’ of drug
allergy, with
the most common being penicillin allergy. About 10% of the general population
claim
to have a penicillin allergy; this has often been because of a skin rash that
occurred during a course of penicillin in childhood. Fewer than 10% of people

who
think they are allergic to penicillin are truly allergic. Therefore,
penicillin
allergy can potentially be excluded in 9% of the population. Studies have
shown that
those with a label of penicillin allergy are more likely to be treated with
broad-spectrum antibiotics, such as quinolones, vancomycin, and third-
generation
cephalosporins (Lee, 2000). Use of broad-spectrum antibiotics is associated
with an
increased rate of clinical complications, such as antibiotic resistance and
Clostridium difficile leading to increased hospital stay (Macy,2014).
Patients in
intensive care who developed vancomycin-resistant enterococcus (VRE) were 5
times
more likely to have been treated with vancomycin and third generation
cephalosporins
during the previous month (Martinez, 2003)108. Therefore, an unsubstantiated
label
of penicillin allergy may lead to the inappropriate use of broad spectrum,
non-penicillin antibiotics leading to antibiotic resistance and in some cases
sub-optimal therapy. Allergic reactions to non-steroidal anti-inflammatory

drugs
(NSAIDs), such as ibuprofen, diclofenac, naproxen and aspirin are common. In
particular, 5–10% of people with asthma are affected. About one-third of
people with
chronic urticaria have severe reactions to NSAIDs, involving angioedema and
anaphylaxis after administration of NSAIDs. Anaphylaxis-type reactions occur
in
approximately 1 in 1000 of the general population. Anaphylaxis during general
anaesthesia occurs in between 1 in 10,000–20,000 anaesthetics. These patients

may be
denied general anaesthesia in the future unless a safe combination of drugs
can be
identified. Major issues identified by this guideline include poor clinical
documentation of drug allergy and a lack of patient information. Computerised
primary care record systems are often unable to distinguish between

intolerance and
drug allergy and this can lead to a false label of drug allergy, particularly
if the
person’s reaction took place many years previously and details about their
reaction
have been lost. Furthermore, there is no routine system in place for people
to keep
a record of their own drug allergies. This can lead to confusion over which
drugs
can be taken safely and can result in people inadvertently taking a drug they
are
allergic to, particularly when buying over-the-counter preparations from a
pharmacy.
Analysis of patient safety incidents reported to the National Reporting and
Learning
System between 2005 and 2013 identified 18,079 incidents involving drug
allergy.
These included 6 deaths, 19 ‘severe harms’, 4980 ‘other harms’ and 13,071
‘near-misses’. The majority of these incidents involved a drug that was
prescribed,
dispensed or administered to a patient with a previously known allergy to
that drug
or drug class. Diagnosing drug allergy can be challenging and there is
considerable
variation both in how drug allergy is managed and in geographical access to
treatment. This can lead to under-diagnosis, misdiagnosis and self-diagnosis.
This
variation may be caused by insufficient awareness of available services or by
a lack
of local provision of drug allergy centres. Some people are never offered
referral
to specialist services and instead stay in primary care while others have
their drug
allergy managed in other disciplines. Therefore, only a small proportion of
people
are treated in specialist allergy centres. In view of the variation in
provision of
care for people with drug allergy, the scope of this guideline identified a
need for
guidance to improve clinical management for people affected by drug allergy.
Although NICE guidance would normally refer to the term ‘medicine’ rather
than
‘drug’, in this instance the term ‘drug allergy’ has been adopted as this is
the
term widely recognised and in common usage, and reflects the focus on drug
treatments rather than other preparations. This guideline has been developed
for use
by healthcare professionals at all levels of healthcare and offers best
practice
advice on the diagnosis, documentation and communication of drug allergy in
adults,
children and young people.
CI - Copyright © National Clinical Guideline Centre, 2014.
CN - National Clinical Guideline Centre (UK)
LA - eng
PT - Review
PT - Book
PL - London
EDAT- 2014/09/01 00:00
CRDT- 2014/09/01 00:00
PMID- 33284335
OWN - NLM
STAT- MEDLINE
DCOM- 20210201
LR - 20210201
IS - 2574-3805 (Linking)
VI - 3
IP - 12
DP - 2020 Dec 1
TI - Association of Unexpected Newborn Deaths With Changes in Obstetric and
Neonatal
Process of Care.
PG - e2024589
LID - 10.1001/jamanetworkopen.2020.24589 [doi]
AB - IMPORTANCE: The death of a healthy term infant may signal patient safety and
quality
issues. Various initiatives aim to encourage clinicians to learn from these
events,
but little evidence exists regarding how exposure to an unexpected newborn
death may
alter clinician practice. OBJECTIVE: To examine the association between an
unexpected newborn death and changes in obstetric and newborn procedures that
may be
used in response to potential fetal distress or newborn complications.
DESIGN,
SETTING, AND PARTICIPANTS: This cross-sectional study used difference-in-
differences
analysis of 2011 to 2017 US vital statistics data from 477 US counties
experiencing
an unexpected newborn death during the study period. All in-hospital live
births in
the 477 counties during the study period were included. Data were analyzed
from
September 2019 to September 2020. EXPOSURES: The death of an infant aged 0 to
7 days
following an unremarkable pregnancy owing to causes other than birth defects,
accidents/assaults, or sudden infant death syndrome. MAIN OUTCOMES AND

MEASURES:
Primary outcomes included binary variables capturing intervention in
labor/delivery
(induction, augmentation, cesarean delivery, forceps/vacuum) and procedures
to avert
and mitigate newborn complications (assisted ventilation, surfactant
replacement
therapy, antibiotics for suspected sepsis, neonatal intensive care unit
admission).
RESULTS: The main sample included 5.72 million births (2.54 million during
preexposure time). Mean (SD) maternal age was 27.3 (5.8) years; 67% of
mothers were
White, and 12% were Black. Associations varied across the 4 estimated models.
Following an unexpected newborn death, there was no significant increase in

the
probability of cesarean delivery in the full sample model (0.28 percentage
points
[pp]; 95% CI, -0.01 to 0.57 pp), but a significant increase in the other 3
models,
with values ranging from 0.55 pp (95% CI, 0.21 to 0.88 pp) in the full sample
model
with matching to 0.66 pp (95% CI, 0.13 to 1.19 pp) in the 1-hospital county
subsample with matching. There was a significant increase in the probability
of
newborn assisted ventilation in the full sample model with matching (0.46 pp;
95%
CI, 0.08 to 0.83 pp), but no significant increase in the other 3 models, with
estimates ranging from 0.33 pp (95% CI, -0.04 to 0.71 pp) to 0.69 pp (95% CI,
-0.02
to 1.40 pp). An unexpected newborn death was not associated with a
significant
increase in antibiotic use in the full sample models (without matching: 0.19
pp; 95%
CI, -0.00 to 0.39 pp; with matching: 0.22 pp; 95% CI: -0.02 to 0.46 pp), but
was
associated with a significant increase in both of the 1-hospital county
subsample
models (without matching: 0.38 pp; 95% CI, 0.02 to 0.73 pp; with matching:
0.39 pp;
95% CI, 0.01 to 0.77 pp). CONCLUSIONS AND RELEVANCE: In some study models, an
unexpected newborn death was associated with statistically significant

increases in
subsequent use of procedures to avert and mitigate fetal distress and newborn
complications, which could reflect increases in identifying and proactively

addressing serious potential complications or increased clinician caution
applied
across all cases. Future research should address whether these changes affect
patient outcomes.
FAU - Han, Dan
AU - Han D
AD - Lee Kuan Yew School of Public Policy, National University of Singapore,
Singapore.
FAU - Khadka, Aayush
AU - Khadka A
AD - Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
FAU - McConnell, Margaret
AU - McConnell M
FAU - Cohen, Jessica
AU - Cohen J
LA - eng
DEP - 20201201
PL - United States
TA - JAMA Netw Open
JT - JAMA network open
JID - 101729235
SB - IM
MH - Adult
MH - Cesarean Section/adverse effects/*statistics & numerical data
MH - Delivery, Obstetric/*adverse effects/*statistics & numerical data
MH - Female
MH - Hospitals
MH - Humans
MH - Infant
MH - Infant Care/methods
MH - *Infant Mortality
MH - Male
MH - Maternal Health Services
MH - Pregnancy
MH - Risk Factors
MH - Young Adult
EDAT- 2020/12/08 06:00
MHDA- 2021/02/02 06:00
CRDT- 2020/12/07 12:10
PHST- 2020/12/07 12:10 [entrez]
PHST- 2020/12/08 06:00 [pubmed]
PHST- 2021/02/02 06:00 [medline]
AID - 2773773 [pii]
AID - 10.1001/jamanetworkopen.2020.24589 [doi]
PST - epublish
SO - JAMA Netw Open. 2020 Dec 1;3(12):e2024589. doi:
10.1001/jamanetworkopen.2020.24589.
PMID- 32183875
OWN - NLM
STAT- In-Process
LR - 20200907
IS - 1757-6512 (Linking)
VI - 11
IP - 1
DP - 2020 Mar 17
TI - Autologous adipose-derived stem cells for the treatment of Crohn's fistula-
in-ano:
an open-label, controlled trial.
PG - 124
LID - 10.1186/s13287-020-01636-4 [doi]
LID - 124
AB - BACKGROUND: Crohn's fistula-in-ano is a refractory disease in colorectal and
anal
surgery. Although autologous adipose-derived stem cell (ADSC) has been used
in the
treatment of Crohn's fistula-in-ano because of its convenience, non-incision
of
normal tissue, good tolerance, repeatability, quick recovery, less pain, less
damage
to anal function, and high quality of life during the perioperative period,
there
are no reports of its use in China. This is the first clinical trial in China
on the
treatment of Crohn's fistula-in-ano with ADSC to evaluate its efficacy and
safety.
METHODS: A total of 22 patients with Crohn's fistula-in-ano were enrolled in
this
study from January 2018 to October 2018 in the Colorectal Disease Center of
Nanjing
Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese
Medicine.
Patients were divided (1:1) into an observation group (ADSC) and a control
group
(incision-thread-drawing procedure). Primary efficacy endpoint evaluated at
months
3, 6, and 12 was the closure of fistulas (closure of all treated fistulas at
baseline, confirmed by doctor's clinical assessment and magnetic resonance
imaging
or transrectal ultrasonography). The patients additionally completed some
scoring
scales at each follow-up including simplified Crohn's Disease Activity Index
(CDAI),
Perianal Disease Activity Index (PDAI), Inflammatory Bowel Disease
Questionnaire
(IBDQ), pain scores with visual analog score (VAS), and Wexner score. The
data of
inflammatory indexes were also collected. RESULTS: The healing rates of the
observation group and the control group at months 3, 6, and 12 were as
follows:
10/11(90.9%) vs 5/11(45.5%), 8/11(72.7%) vs 6/11(54.5%), and 7/11(63.6%) vs
6/11(54.5%), respectively. There was no statistical difference between the
two
groups. In addition, the improvement in simplified CDAI, PDAI, IBDQ, VAS, and
Wexner
score of the observation group were better than that of the control group at
each
follow-up. The inflammatory indexes decreased in both the observation group
and the
control group at 3 months follow-up. And there were no significant
differences in
the changes of inflammatory indexes between two groups at month 3 compared
with the
baseline. Safety was maintained throughout month 12, and adverse events
occurred in
63.6% of patients in the observation group and 100% patients in the control
group.
And no adverse event associated with ADSC injection was observed in the
study.
CONCLUSION: ADSC is a feasible and effective treatment for Crohn's fistula-
in-ano,
compared with traditional incision and thread-drawing. It can protect anal
function
of patients, relieve pain, allow quick recovery, be well-tolerated, and
improve the
quality of life during perioperative period. TRIAL REGISTRATION: China
Clinical
Trials Registry, No. ChiCTR1800014599. Registered 23 January 2018.
FAU - Zhou, Chungen
AU - Zhou C
AD - Graduate School of Nanjing University of Chinese Medicine, Nanjing, 210029,
Jiangsu
Province, China.
FAU - Li, Meng
AU - Li M
AD - Colorectal Disease Center of Nanjing Hospital of Chinese Medicine Affiliated
to
Nanjing University of Chinese Medicine, Nanjing, 210022, Jiangsu Province,
China.
FAU - Zhang, Yang
AU - Zhang Y
to
China.
FAU - Ni, Min
AU - Ni M
to
China.
FAU - Wang, Yehuang
AU - Wang Y
to
China.
FAU - Xu, Dachao
AU - Xu D
to
China.
FAU - Shi, Yang
AU - Shi Y
AD - Reaserch Institute of Jiangsu Decon Bio-science Technologies Company Ltd.,
Nanjing,
210000, Jiangsu Province, China.
FAU - Zhang, Bo
AU - Zhang B
AD - Zhongda Hospital Southeast University, Nanjing, 210009, Jiangsu Province,
China.
FAU - Chen, Yanni
AU - Chen Y
AD - Zhongda Hospital Southeast University, Nanjing, 210009, Jiangsu Province,
China.
FAU - Huang, Yan
AU - Huang Y
AD - Yale School of Engineering & Applied Science, New Haven, 06520-8292,
Connecticut,
USA. 1091523245@qq.com.
FAU - Zhang, Sumin
AU - Zhang S
to
China.
chenmin740@hotmail.com.
FAU - Shi, Hongzhen
AU - Shi H
AD - Reaserch Institute of Jiangsu Decon Bio-science Technologies Company Ltd.,
Nanjing,
210000, Jiangsu Province, China. shi_hongzhen@deconbio.com.
FAU - Jiang, Bin
AU - Jiang B
to
China.
jbfirsth@aliyun.com.
LA - eng
GR - ZKX17034/Key Medical Science and Technology Development Projects of Nanjing
Commission of Health/International
DEP - 20200317
TA - Stem Cell Res Ther
JT - Stem cell research & therapy
JID - 101527581
SB - IM
PMC - PMC7079384
OTO - NOTNLM
OT - *Autologous adipose-derived stem cells
OT - *Crohn’s fistula-in-ano
OT - *Efficacy
OT - *Safety
OT - *Stem cell transplantation
EDAT- 2020/03/19 06:00
MHDA- 2020/03/19 06:00
CRDT- 2020/03/19 06:00
PHST- 2019/11/25 00:00 [received]
PHST- 2020/03/05 00:00 [accepted]
PHST- 2020/02/13 00:00 [revised]
PHST- 2020/03/19 06:00 [entrez]
PHST- 2020/03/19 06:00 [pubmed]
PHST- 2020/03/19 06:00 [medline]
AID - 10.1186/s13287-020-01636-4 [pii]
AID - 1636 [pii]
AID - 10.1186/s13287-020-01636-4 [doi]
PST - epublish
SO - Stem Cell Res Ther. 2020 Mar 17;11(1):124. doi: 10.1186/s13287-020-01636-4.
PMID- 33316274
OWN - NLM
STAT- Publisher
LR - 20210124
IS - 0002-9378 (Linking)
DP - 2020 Dec 13
TI - Outcomes of the novel Odon Device in indicated operative vaginal birth.
LID - S0002-9378(20)31392-2 [pii]
LID - 10.1016/j.ajog.2020.12.017 [doi]
AB - BACKGROUND: No new method of assisting vaginal birth has been introduced into
clinical practice since the development of the vacuum extractor in the 1950s.
The
Odon Device is a new device that employs a circumferential air cuff over the
fetal
head to assist birth. In this study, the Odon Device has been used to assist
vaginal
birth for standard clinical indications. OBJECTIVE: This study aimed to
investigate
the clinical impact, safety, and acceptability of the Odon Device to women,
their
babies, and clinicians and to assess the feasibility of recruiting women to
an
interventional intrapartum research study. STUDY DESIGN: This is a
nonrandomized,
single-arm interventional feasibility study of the Odon Device for operative
vaginal
birth undertaken in a single maternity unit: Southmead Hospital, Bristol,
United
Kingdom. The Odon Device was used to assist birth in 40 women who required
the birth
to be assisted for suspected fetal compromise and/or prolonged second stage
of
labor. The primary clinical outcome was the proportion of births successfully
assisted with the Odon Device, and the primary feasibility outcome was the
proportion of eligible women who were approached and who agreed to
participate.
Neonatal outcome data were reviewed at day 28, and maternal outcomes were
investigated up to day 90. RESULTS: Between October 2018 and January 2019,
298 of
384 approached, eligible women (77.6%) consented to participate. Of these
women, 40
received the intervention-the use of the Odon Device. Birth was assisted in
all
cephalic (occiput anterior, occiput transverse, and occiput posterior) fetal
positions, at all stations at or below the ischial spine and with or without
regional analgesia. The Odon Device was effective in 19 of 40 cases (48%). Of
the 40
births, 21 (52.5%) required additional assistance: 18 of 40 births (45%) were
completed using nonrotational forceps, 1 of 40 births (3%) required

rotational
forceps, and 2 of 40 births (5%) required an emergency cesarean delivery.
There was
no serious maternal or neonatal adverse event related to the use of the
device, and
there was no serious adverse device effect. There were 4 devices (10%) that
were
ineffective because of a manufacturing fault. Furthermore, 39 of 40 women
(98%)
reported a high birth perception score. All practitioners were able to use
the
device as intended, although some steps in using the device were reported to
be
easier to perform (setup and deflation of air chamber) than others
(application of
the device and withdrawal of the applicator). CONCLUSION: Recruitment to an
interventional study of a new device for operative vaginal birth was
feasible; 78%
of eligible women were willing to participate, often expressing an aspiration
for an
alternative to forceps and vacuum. The success rate of the Odon Device was
lower
than reported success rates of vacuum and forceps; however, in this study,
the
device had been used to assist birth for standard clinical indications. There
was no
significant maternal or neonatal safety concern associated with the use of
the
device, although the number of births studied was small. Further feasibility
study
to establish iterative changes to the device, technique, and clinical
indications is
necessary.
CI - Copyright © 2020 The Author(s). Published by Elsevier Inc. All rights
reserved.
FAU - Hotton, Emily J
AU - Hotton EJ
AD - Women and Children's Research Centre, Southmead Hospital, Bristol, United
Kingdom;
Translational Health Science, University of Bristol, Southmead Hospital,
Bristol,
United Kingdom. Electronic address: Emily.hotton@nhs.net.
FAU - Lenguerrand, Erik
AU - Lenguerrand E
AD - Translational Health Science, University of Bristol, Southmead Hospital,
Bristol,
United Kingdom.
FAU - Alvarez, Mary
AU - Alvarez M
Kingdom;
Population Health Science, University of Bristol, Bristol, United Kingdom.
FAU - O'Brien, Stephen
AU - O'Brien S
AD - Maternity Unit, Royal United Hospitals Bath NHS Foundation Trust, Bath,
United
Kingdom.
FAU - Draycott, Tim J
AU - Draycott TJ
Kingdom.
FAU - Crofts, Joanna F
AU - Crofts JF
Kingdom.
CN - ASSIST Study Team
LA - eng
DEP - 20201213
PL - United States
TA - Am J Obstet Gynecol
JT - American journal of obstetrics and gynecology
JID - 0370476
SB - AIM
SB - IM
OTO - NOTNLM
OT - assisted vaginal birth
OT - feasibility
OT - fetal compromise
OT - intrapartum research
OT - management of second stage of labor
OT - medical device
OT - nonreassuring fetal heart tracing
OT - obstetrical forceps
OT - prolonged second stage of labor
OT - safety
OT - vacuum
OT - ventouse
FIR - Alvarez, Mary
IR - Alvarez M
FIR - Arulkumaran, Sabaratnam
IR - Arulkumaran S
FIR - Bale, Nichola
IR - Bale N
FIR - Blencowe, Natalie S
IR - Blencowe NS
FIR - Crofts, Joanna F
IR - Crofts JF
FIR - Draycott, Timothy J
IR - Draycott TJ
FIR - Exell, Lily
IR - Exell L
FIR - Glover, Anne
IR - Glover A
FIR - Hall, Sally
IR - Hall S
FIR - Hotton, Emily J
IR - Hotton EJ
FIR - Lenguerrand, Erik
IR - Lenguerrand E
FIR - Lewis-White, Helen
IR - Lewis-White H
FIR - Mallinson, Naomi
IR - Mallinson N
FIR - Mayer, Michelle
IR - Mayer M
FIR - McKeown-Keegan, Sadie
IR - McKeown-Keegan S
FIR - Mola, Glen
IR - Mola G
FIR - O'Brien, Stephen
IR - O'Brien S
FIR - Pike, Alison
IR - Pike A
FIR - Smith, Iona
IR - Smith I
FIR - Rose, Claire
IR - Rose C
FIR - Villis, Sherrie
IR - Villis S
FIR - Wade, Julia
IR - Wade J
FIR - White, Paul
IR - White P
FIR - Winter, Cathy
IR - Winter C
EDAT- 2020/12/15 06:00
MHDA- 2020/12/15 06:00
CRDT- 2020/12/14 20:09
PHST- 2020/09/11 00:00 [received]
PHST- 2020/11/20 00:00 [revised]
PHST- 2020/12/04 00:00 [accepted]
PHST- 2020/12/15 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
PHST- 2020/12/14 20:09 [entrez]
AID - S0002-9378(20)31392-2 [pii]
AID - 10.1016/j.ajog.2020.12.017 [doi]
PST - aheadofprint
SO - Am J Obstet Gynecol. 2020 Dec 13:S0002-9378(20)31392-2. doi:
10.1016/j.ajog.2020.12.017.
PMID- 31763205
OWN - NLM
LR - 20201001
IS - 0253-8253 (Print)
IS - 0253-8253 (Linking)
VI - 2019
IP - 2
DP - 2019
TI - Critical Care Network in the State of Qatar.
PG - 2
LID - 10.5339/qmj.2019.qccc.2 [doi]
LID - 2
AB - Critical care is a multidisciplinary and interprofessional specialty
providing
comprehensive care to patients in an acute life-threatening, but treatable
condition.(1) The aim is to prevent further physiological deterioration while
the
failing organ is treated. Patients admitted to a critical care unit normally
need
constant attention from specialist nursing and therapy staff at an
appropriate
ratio, continuous, uninterrupted physiological monitoring supervised by staff
that
are able to interpret and immediately act on the information, continuous
clinical
direction and care from a specialist consultant-led medical team trained and
able to
provide appropriate cover for each critical care unit, and artificial organ
support
and advanced therapies which are only safe to administer in the above
environment.
It is an important aspect of medical care within a hospital as it is an
underpinning
service without which a hospital would not be able to conduct most or all of
its
planned and unplanned activities. As such, critical care requires a very
intensive
input of human, physical, and financial resources.(2) It occupies a
proportionately
large fraction of a hospital's estate and infrastructure for a small number
of
patients. The resources that are invested into a critical care bed should
therefore
be valued against the activities and care throughout the hospital that the
availability of that bed allows to happen. Given that demand for critical
care beds
will continue to grow, providing more critical care beds is unlikely to work
on its
own since experience has shown that additional capacity is soon absorbed
within
routine provision.(3) Attention must therefore be given to maximising the
efficient
and effective use of existing critical care beds, necessitating an ability to
cope
with peaks in demand. Historically the world over, the development of
critical care
units has been unplanned and haphazard and largely relied on the interest of
local
clinicians to drive development. However, there is now an eminent body of
opinion
that supports an alternative approach to critical care provision - namely
through a
managed Critical Care Network with an agenda of integrated working and the
focus on
facilitating safe quality care that is cost-effective and patient-focused for
acutely and critically ill patients across the various constituent

organisations of
a healthcare system. The Critical Care Service in Hamad Medical Corporation
(HMC)
has developed rapidly to address the increasing demand linked to the
population
growth in the State of Qatar with the aim of meeting the vision of the
National
Health Strategy (NHS). It is paralleled with HMC's vision to improve the
delivery of
critical care to patients and their families in a way that meets the highest
international standards such as those set by the Joint Commission
International by
whom the Corporation has been accredited since 2007.(4) For this reason, the
organisation took the lead to perform a gap analysis with expert auditors
from the
United States of America and the United Kingdom who have experience in
critical care
service provision. The aim was to assess the Critical Care Service within HMC
and
identify potential short-term, medium-term, and long-term opportunities for
improvement. This assessment focused on a very broad range of aspects such
as: bed
capacity, facilities and equipment, medical, nursing and allied healthcare
staffing
levels and their education, career development pathways, patient safety,
quality
metrics, clinical governance structure, clinical protocols and pathways,
critical
care outreach, and future planning for critical care at HMC. As a result of
extensive review for the Critical Care Services at HMC, the Critical Care
Network
(CCNW) in the State of Qatar was established in 2014. It is a strategic and
operational delivery network, which includes 12 hospitals across the country.
The
network functions through a combination of strategic programmes, working
groups, and
large multidisciplinary governance and professional development events.
Through
collaborative working with the leadership of the various facilities and
critical
care clinicians, the network reviews services and makes improvements where
they are
required, ensuring delivery of patient-focused care by appropriately educated
and
trained healthcare professionals as well as the appropriate utilisation of
critical
care beds for those patients who require such care. Detailed involvement and
engagement from the clinical membership at every event and in the various
working
groups ensures that all decisions, reports, and improvement programmes are
clinically-focused and benefit from a diversity of opinions that can be
considered
for implementation. All of this is carefully aligned to the requirements of
the
latest Qatar National Health Strategy.(5) It aims to adopt evidence-based
best
practices to deliver the safest, most effective and most compassionate care
to our
critical care patients by setting the most appropriate care pathway to
transform
Critical Care Services across HMC hospitals. The key aims of the CCNW as
stated in
its Terms of Reference document are listed in Table 1.(6) This enhances the
quality
and safety of patient care across HMC, promotes staff satisfaction, and
improves
customer service and patient outcome. The CCNW is structured in a way that
involves
all Critical Care Service stakeholders to maintain the stability and
sustainability
of delivering the best care to critically ill patients. The CCNW is steered
by a
multidisciplinary committee (Figure 1) that is empowered with the generative,
managerial, and fiscal responsibilities to enable the required changes to

take
place. The committee oversees the HMC Critical Care Services through
coordinating
and standardising their activities and governance arrangements across the
complete
HMC healthcare system. It provides HMC clinical and managerial leadership at
a
corporate and local level, the opportunity to jointly develop critical care
standards, policies, and operating procedures. In doing so, the CCNW decides
on and
implements recommendations on how to best plan and deliver critical care
services
using evidence-based practice set against the context of national and
international
practices. The HMC CCNW gives recommendations to various committees to
improve the
services in the following areas: 1. Defining the level of care and critical
care
core standards for HMC: The CCNW standardises critical care across the
Corporation
regardless of where it is being delivered. As such it develops the critical
care
core standards for the critical care units and gives recommendations
regarding
future critical care core facility planning within HMC. The CCNW helps the
Ministry
of Public Health (MoPH) develop the National Critical Care Core Standards.
2. Quality and safety: The CCNW works collaboratively with HMC leaders to
ensure a
culture of quality is embedded within all critical care services delivered
within
HMC. There is a continuous evaluation process in place to measure the quality
of
care for high performance critical care which is the goal. This is based upon
ongoing observations, robust data collection and analysis, and a change

management
strategy implemented as required. 3. Clinical pathways, guidelines, and
protocols:
The CCNW develops, according to international best practice, clinical care
pathways,
guidelines, and protocols that govern critical care units throughout HMC.
Critical
care clinical practice is audited against these standards, compared with the
international benchmark, and updated as required to ensure currency of all
patient
care aspects. 4. Transfer and transportation of critically ill patients: The
CCNW
develops HMC-wide criteria for patient intramural, extramural, and
international
transfers, and sets standards of care during transportation in collaboration
with
the HMC Ambulance Service Transfer and Retrieval team. This includes HMC-wide
bed
management consideration with the senior consultants on call, review of the
patient's condition and medical needs, and assessment of the mission
associated
risks and mitigating strategies. This involves significant planning on the
part of
the team, clear communication and handovers, and the use of checklists at
several
stages to ensure the provision of safe and efficient patient transfers.
5. Education: The CCNW develops educational plans and ensures corresponding
courses
accredited by the Qatar Council for Healthcare Practitioners (QCHP) are
designed and
delivered to address the training needs of clinicians. The portfolio of
courses is
regularly reviewed to meet identified needs so clinicians always possess the
appropriate knowledge and skills to manage critically ill patients.
6. Research and
Critical Care Data Registry development: Being a key player in an Academic
Health
System, HMC fosters a relatively young but growing research environment(4) of
which
the CCNW forms an integral part. Creating opportunities for epidemiological
research
and also fulfilling the needs for quality monitoring and benchmarking, the
CCNW has
enabled the creation of critical care data registries. Such registries
provide a
valuable source of information and have already been exploited at HMC to
better
understand the type of patients a service cares for and patient outcomes with
respects various factors.(7) The establishment of a CCNW at a corporate level

(with
membership from local leaders across HMC) has provided a level of oversight
and
leadership which has significantly contributed to optimizing and reshaping
the way
acutely ill patients are cared for. It has enabled the adoption of evidence-
based
best practices across the various critical care services of HMC as well as
created a
multidisciplinary forum for dialogue and collaboration. Innovative work
focusing on
providing effective, up-to-date, and patient-focused care are ongoing as well
as
HMC's pursuit of various international accreditation awards by prestigious
organisations and professional bodies.
CI - © 2019 Hijjeh, Al Shaikh, Alinier, Selwood, Malmstrom, Hassan, licensee HBKU
Press.
FAU - Hijjeh, Majed
AU - Hijjeh M
AD - Corporate Nursing and Midwifery, Hamad Medical Corporation, Doha, Qatar.
FAU - Al Shaikh, Loua
AU - Al Shaikh L
AD - Hamad Medical Corporation Ambulance Service, Doha, Qatar.
FAU - Alinier, Guillaume
AU - Alinier G
FAU - Selwood, David
AU - Selwood D
AD - Hamad General Hospital Administration, Hamad Medical Corporation, Doha,
Qatar.
FAU - Malmstrom, Faisal
AU - Malmstrom F
AD - Department of Anaesthesia, ICU and Perioperative Medicine, Hamad General
Hospital,
Hamad Medical Corporation, Doha, Qatar.
FAU - Hassan, Ibrahim Fawzy
AU - Hassan IF
AD - Weill Cornell Medicine Qatar, Doha, Qatar.
AD - Corporate Critical Care Centre, Hamad Medical Corporation, Doha, Qatar.
LA - eng
PT - Editorial
DEP - 20191107
TA - Qatar Med J
JT - Qatar medical journal
JID - 8101648
PMC - PMC6851898
OTO - NOTNLM
OT - Qatar Critical Care Network
OT - clinical pathway
OT - healthcare
OT - intensive care unit
OT - multidisciplinary
EDAT- 2019/11/26 06:00
MHDA- 2019/11/26 06:01
CRDT- 2019/11/26 06:00
PHST- 2019/11/26 06:00 [entrez]
PHST- 2019/11/26 06:00 [pubmed]
PHST- 2019/11/26 06:01 [medline]
AID - qmj.2019.qccc.2 [pii]
AID - 10.5339/qmj.2019.qccc.2 [doi]
PST - epublish
SO - Qatar Med J. 2019 Nov 7;2019(2):2. doi: 10.5339/qmj.2019.qccc.2. eCollection
2019.
PMID- 30325305
OWN - NLM
STAT- MEDLINE
DCOM- 20190409
LR - 20210109
IS - 1366-5278 (Print)
IS - 1366-5278 (Linking)
VI - 22
IP - 55
DP - 2018 Oct
TI - AVURT: aspirin versus placebo for the treatment of venous leg ulcers - a
Phase II
pilot randomised controlled trial.
PG - 1-138
LID - 10.3310/hta22550 [doi]
AB - BACKGROUND: Venous leg ulcers (VLUs) are the most common cause of leg
ulceration,
affecting 1 in 100 adults. VLUs may take many months to heal (25% fail to
heal).
Estimated prevalence is between 1% and 3% of the elderly population.
Compression is
the mainstay of treatment and few additional therapies exist to improve
healing. Two
previous trials have indicated that low-dose aspirin, as an adjunct to
standard
care, may improve healing time, but these trials were insufficiently robust.
Aspirin
is an inexpensive, widely used medication but its safety and efficacy in the
treatment of VLUs remains to be established. OBJECTIVES: Primary objective -
to
assess the effects of 300 mg of aspirin (daily) versus placebo on the time to
healing of the reference VLU. Secondary objectives - to assess the

feasibility of
leading into a larger pragmatic Phase III trial and the safety of aspirin in
this
population. DESIGN: A multicentred, pilot, Phase II randomised double-blind,
parallel-group, placebo-controlled efficacy trial. SETTING: Community leg
ulcer
clinics or services, hospital outpatient clinics, leg ulcer clinics, tissue
viability clinics and wound clinics in England, Wales and Scotland.
PARTICIPANTS:
Patients aged ≥ 18 years with a chronic VLU (i.e. the VLU is > 6 weeks in
duration
or the patient has a history of VLU) and who are not regularly taking
aspirin.
INTERVENTIONS: 300 mg of daily oral aspirin versus placebo. All patients were
offered care in accordance with Scottish Intercollegiate Guidelines Network

(SIGN)
guidance with multicomponent compression therapy aiming to deliver 40 mmHg at
the
ankle when possible. RANDOMISATION: Participants were allocated in a 1 : 1
(aspirin : placebo) ratio by the Research Pharmacy, St George's University
Hospitals
NHS Foundation Trust, using a randomisation schedule generated in advance by
the
investigational medicinal product manufacturer. Randomisation was stratified
according to ulcer size (≤ 5cm(2) or > 5cm(2)). MAIN OUTCOME MEASURE: The
primary
outcome was time to healing of the largest eligible ulcer (reference ulcer).
FEASIBILITY RESULTS – RECRUITMENT: 27 patients were recruited from eight
sites over
a period of 8 months. The target of 100 patients was not achieved and two
sites did
not recruit. Barriers to recruitment included a short recruitment window and
a large
proportion of participants failing to meet the eligibility criteria. RESULTS:
The
average age of the 27 randomised participants (placebo, n = 13; aspirin, n =
14) was
62 years (standard deviation 13 years), and two-thirds were male (n = 18).
Participants had their reference ulcer for a median of 15 months, and the
median
size of ulcer was 17.1 cm(2). There was no evidence of a difference in time
to
healing of the reference ulcer between groups in an adjusted analysis for
log-ulcer
area and duration (hazard ratio 0.58, 95% confidence interval 0.18 to 1.85;
p = 0.357). One expected, related serious adverse event was recorded for a
participant in the aspirin group. LIMITATIONS: The trial under-recruited
because
many patients did not meet the eligibility criteria. CONCLUSIONS: There was
no
evidence that aspirin was efficacious in hastening the healing of chronic
VLUs. It
can be concluded that a larger Phase III (effectiveness) trial would not be
feasible. TRIAL REGISTRATION: Clinical Trials.gov NCT02333123; European
Clinical
Trials Database (EudraCT) 2014-003979-39. FUNDING: This project was funded by
the
National Institute for Health Research (NIHR) Health Technology Assessment
programme
and will be published in full in Health Technology Assessment; Vol. 22, No.
55. See
the NIHR Journals Library website for further project information.
FAU - Tilbrook, Helen
AU - Tilbrook H
AD - York Trials Unit, Department of Health Sciences, University of York, York,
UK.
FAU - Clark, Laura
AU - Clark L
UK.
FAU - Cook, Liz
AU - Cook L
UK.
FAU - Bland, Martin
AU - Bland M
FAU - Buckley, Hannah
AU - Buckley H
AD - Cancer Division, Clinical Trials Research Unit, Leeds Institute of Clinical
Trials
Research, University of Leeds, Leeds, UK.
FAU - Chetter, Ian
AU - Chetter I
AD - Academic Vascular Surgical Unit, Hull Royal Infirmary, Hull, UK.
FAU - Dumville, Jo
AU - Dumville J
AD - Division of Nursing, Midwifery and Social Work, School of Health Sciences,
Faculty
of Biology, Medicine and Health, University of Manchester, Manchester, UK.
FAU - Fenner, Chris
AU - Fenner C
AD - Orthopaedic Department, West Middlesex Hospital, Isleworth, UK.
FAU - Forsythe, Rachael
AU - Forsythe R
AD - Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
FAU - Gabe, Rhian
AU - Gabe R
AD - Hull York Medical School and York Trials Unit, Department of Health Sciences,
University of York, York, UK.

FAU - Harding, Keith
AU - Harding K
AD - Wound Healing, School of Medicine, Cardiff University, Cardiff, UK.
FAU - Layton, Alison
AU - Layton A
AD - Harrogate and District NHS Foundation Trust, Harrogate, UK.
FAU - Lindsay, Ellie
AU - Lindsay E
AD - The Lindsay Leg Club Foundation, Ipswich, UK.
FAU - McDaid, Catriona
AU - McDaid C
UK.
FAU - Moffatt, Christine
AU - Moffatt C
AD - School of Health Sciences, University of Nottingham, Royal Derby Hospital,
Derby,
UK.
FAU - Rolfe, Debbie
AU - Rolfe D
AD - Joint Research and Enterprise Office, St George's University of London,
London, UK.
FAU - Sbizzera, Illary
AU - Sbizzera I
UK.
FAU - Stansby, Gerard
AU - Stansby G
AD - Freeman Hospital, Newcastle upon Tyne, UK.
FAU - Torgerson, David
AU - Torgerson D
UK.
FAU - Vowden, Peter
AU - Vowden P
AD - Bradford Teaching Hospitals NHS Foundation Trust, Bradford Royal Infirmary,
Bradford, UK.
FAU - Williams, Laurie
AU - Williams L
AD - Lay representative.
FAU - Hinchliffe, Robert
AU - Hinchliffe R
AD - Bristol Centre for Surgical Research, National Institute for Health Research
(NIHR)
Biomedical Research Centre, University of Bristol, Bristol, UK.
LA - eng
SI - EudraCT/2014-003979-39
GR - HTA/13/87/08/DH_/Department of Health/United Kingdom
PT - Clinical Trial, Phase II
TA - Health Technol Assess
JT - Health technology assessment (Winchester, England)
JID - 9706284
RN - R16CO5Y76E (Aspirin)
SB - IM
MH - Aged
MH - Aspirin/administration & dosage/adverse effects/*therapeutic use
MH - Compression Bandages
MH - Female
MH - Humans
MH - Male
MH - Middle Aged
MH - Patient Compliance
MH - Pilot Projects
MH - United Kingdom
MH - Varicose Ulcer/*drug therapy/therapy
MH - Wound Healing/*drug effects
PMC - PMC6204573
COIS- Catriona McDaid is a member of the National Institute for Health Research
Health
Technology Assessment and Efficacy and Mechanism Evaluation Editorial Board.
Christine Moffatt has received grant funding from 3M UK PLC and Smith and
Nephew,
two health science-based technology companies, outside the submitted work.
EDAT- 2018/10/17 06:00
MHDA- 2019/04/10 06:00
CRDT- 2018/10/17 06:00
PHST- 2018/10/17 06:00 [entrez]
PHST- 2018/10/17 06:00 [pubmed]
PHST- 2019/04/10 06:00 [medline]
AID - 10.3310/hta22550 [doi]
PST - ppublish
SO - Health Technol Assess. 2018 Oct;22(55):1-138. doi: 10.3310/hta22550.
PMID- 31684697
OWN - NLM
STAT- MEDLINE
DCOM- 20200224
LR - 20210110
IS - 1361-6137 (Linking)
VI - 2019
IP - 10
DP - 2019 Oct 28
TI - Interventions for involving older patients with multi-morbidity in decision-
making
during primary care consultations.
LID - 10.1002/14651858.CD013124.pub2 [doi]
LID - CD013124
AB - BACKGROUND: Older patients with multiple health problems (multi-morbidity)
value
being involved in decision-making about their health care. However, they are
less
frequently involved than younger patients. To maximise quality of life, day-
to-day
function, and patient safety, older patients require support to identify
unmet
healthcare needs and to prioritise treatment options. OBJECTIVES: To assess
the
effects of interventions for older patients with multi-morbidity aiming to
involve
them in decision-making about their health care during primary care
consultations.
SEARCH METHODS: We searched the Cochrane Central Register of Controlled
Trials
(CENTRAL; all years to August 2018), in the Cochrane Library; MEDLINE
(OvidSP) (1966
to August 2018); Embase (OvidSP) (1988 to August 2018); PsycINFO (OvidSP)
(1806 to
August 2018); the Cumulative Index to Nursing and Allied Health Literature
(CINAHL)
(Ovid) (1982 to September 2008), then in Ebsco (2009 to August 2018); Centre
for
Reviews and Dissemination Databases (Database of Abstracts and Reviews of
Effects
(DARE)) (all years to August 2018); the Health Technology Assessment (HTA)
Database
(all years to August 2018); the Ongoing Reviews Database (all years to August
2018);
and Dissertation Abstracts International (1861 to August 2018). SELECTION
CRITERIA:
We sought randomised controlled trials (RCTs), cluster-RCTs, and quasi-RCTs
of
interventions to involve patients in decision-making about their health care
versus
usual care/control/another intervention, for patients aged 65 years and older
with
multi-morbidity in primary care. DATA COLLECTION AND ANALYSIS: We used
standard
Cochrane methodological procedures. Meta-analysis was not possible; therefore
we
prepared a narrative synthesis. MAIN RESULTS: We included three studies
involving
1879 participants: two RCTs and one cluster-RCT. Interventions consisted of:
·
patient workshop and individual coaching using behaviour change techniques; ·
individual patient coaching utilising cognitive-behavioural therapy and

motivational
interviewing; and · holistic patient review, multi-disciplinary practitioner
training, and organisational change. No studies reported the primary outcome
'patient involvement in decision-making' or the primary adverse outcome 'less
patient involvement as a result of the intervention'. Comparing interventions
(patient workshop and individual coaching, holistic patient review plus

practitioner
training, and organisational change) to usual care: we are uncertain whether
interventions had any effect on patient reports of high self-rated health
(risk
ratio (RR) 1.40, 95% confidence interval (CI) 0.36 to 5.49; very low-
certainty
evidence) or on patient enablement (mean difference (MD) 0.60, 95% CI -9.23
to
10.43; very low-certainty evidence) compared with usual care. Interventions
probably
had no effect on health-related quality of life (adjusted difference in means
0.00,
95% CI -0.02 to 0.02; moderate-certainty evidence) or on medication adherence
(MD
0.06, 95% CI -0.05 to 0.17; moderate-certainty evidence) but probably
improved the
number of patients discussing their priorities (adjusted odds ratio 1.85, 95%
CI
1.44 to 2.38; moderate-certainty evidence) and probably increased the number
of
nurse consultations (incident rate ratio from adjusted multi-level Poisson
model
1.37, 95% CI 1.17 to 1.61; moderate-certainty evidence) compared with usual
care.
Practitioner outcomes were not measured. Interventions were not reported to
adversely affect rates of participant death or anxiety, emergency department
attendance, or hospital admission compared with usual care. Comparing
interventions
(patient workshop and coaching, individual patient coaching) to attention-
control
conditions: we are uncertain whether interventions affect patient-reported
high
self-rated health (RR 0.38, 95% CI 0.15 to 1.00, favouring attention control,
with
very low-certainty evidence; RR 2.17, 95% CI 0.85 to 5.52, favouring the
intervention, with very low-certainty evidence). We are uncertain whether
interventions affect patient enablement and engagement by increasing either
patient
activation (MD 1.20, 95% CI -8.21 to 10.61; very low-certainty evidence) or
self-efficacy (MD 0.29, 95% CI -0.21 to 0.79; very low-certainty evidence);
or
whether interventions affect the number of general practice visits (MD 0.51,
95% CI
-0.34 to 1.36; very low-certainty evidence), compared to attention-control
conditions. The intervention may however lead to more patient-reported
changes in
management of their health conditions (RR 1.82, 95% CI 1.35 to 2.44; low-
certainty
evidence). Practitioner outcomes were not measured. Interventions were not
reported
to adversely affect emergency department attendance nor hospital admission
when
compared with attention control. Comparing one form of intervention with
another:
not measured. There was 'unclear' risk across studies for performance bias,
detection bias, and reporting bias; however, no aspects were 'high' risk.
Evidence
was downgraded via GRADE, most often because of 'small sample size' and
'evidence
from a single study'. AUTHORS' CONCLUSIONS: Limited available evidence does
not
allow a robust conclusion regarding the objectives of this review. Whilst
patient
involvement in decision-making is seen as a key mechanism for improving care,
it is
rarely examined as an intervention and was not measured by included studies.
Consistency in design, analysis, and evaluation of interventions would enable
a
greater likelihood of robust conclusions in future reviews.
CI - Copyright © 2019 The Cochrane Collaboration. Published by John Wiley & Sons,
Ltd.
FAU - Butterworth, Joanne E
AU - Butterworth JE
AD - University of Exeter Medical School, University of Exeter Collaboration for
Academic
Primary Care (APEx), Smeall Building, St Luke's Campus, Exeter, Devon, UK,
EX1 2LU.
FAU - Hays, Rebecca
AU - Hays R
AD - University of Manchester, NIHR School for Primary Care Research, Manchester
Academic
Health Science Centre, Division of Population Health, Health Services
Research and
Primary Care, 5th Floor, Williamson Building, Oxford Road, Manchester, UK,
M13 9PL.
FAU - McDonagh, Sinead Tj
AU - McDonagh ST
Academic
EX1 2LU.
FAU - Richards, Suzanne H
AU - Richards SH
AD - University of Leeds, Leeds Institute of Health Sciences, Charles Thackrah
Building,
101 Clarendon Road, Leeds, UK, LS2 9LJ.
FAU - Bower, Peter
AU - Bower P
AD - University of Manchester, NIHR School for Primary Care Research, Manchester
Academic
Health Science Centre, Division of Population Health, Health Services
Research and
Primary Care, 5th Floor, Williamson Building, Oxford Road, Manchester, UK,
M13 9PL.
FAU - Campbell, John
AU - Campbell J
Academic
EX1 2LU.
LA - eng
GR - DRF-2017-10-005/DH_/Department of Health/United Kingdom
GR - DRF-2017-10-038/DH_/Department of Health/United Kingdom
GR - PB-PG-0816-20035/DH_/Department of Health/United Kingdom
PT - Meta-Analysis
DEP - 20191028
TA - Cochrane Database Syst Rev
JT - The Cochrane database of systematic reviews
JID - 100909747
SB - IM
UOF - doi: 10.1002/14651858.CD013124
MH - Aged
MH - Anxiety
MH - *Decision Making
MH - Hospitalization/*statistics & numerical data
MH - Humans
MH - Morbidity
MH - Quality of Life
MH - Referral and Consultation
PMC - PMC6815935
COIS- JB: none known. RH: none known. SM: none known SR: none known. PB has
received
grants from the Department of Health, Medical Research Council, and National
Institute of Health Research, and royalty payments from Cambridge University
Press.
PB was a co‐author on one of the included studies (Salisbury 2018); Peter
Bower was
not involved in data extraction and/or quality assessment of the study for
which he
is a named co‐author. JC: none known.
EDAT- 2019/11/07 06:00
MHDA- 2020/02/25 06:00
CRDT- 2019/11/06 06:00
PHST- 2019/11/06 06:00 [entrez]
PHST- 2019/11/07 06:00 [pubmed]
PHST- 2020/02/25 06:00 [medline]
AID - CD013124.pub2 [pii]
AID - 10.1002/14651858.CD013124.pub2 [doi]
PST - epublish
SO - Cochrane Database Syst Rev. 2019 Oct 28;2019(10):CD013124. doi:
10.1002/14651858.CD013124.pub2.
PMID- 29083473
OWN - NLM
STAT- MEDLINE
DCOM- 20181004
LR - 20210109
IS - 1361-6137 (Linking)
VI - 10
IP - 10
DP - 2017 Oct 30
TI - Intracavity lavage and wound irrigation for prevention of surgical site
infection.
PG - CD012234
LID - 10.1002/14651858.CD012234.pub2 [doi]
LID - CD012234
AB - BACKGROUND: Surgical site infections (SSIs) are wound infections that occur
after an
operative procedure. A preventable complication, they are costly and
associated with
poorer patient outcomes, increased mortality, morbidity and reoperation
rates.
Surgical wound irrigation is an intraoperative technique, which may reduce
the rate
of SSIs through removal of dead or damaged tissue, metabolic waste, and wound
exudate. Irrigation can be undertaken prior to wound closure or

postoperatively.
Intracavity lavage is a similar technique used in operations that expose a
bodily
cavity; such as procedures on the abdominal cavity and during joint
replacement
surgery. OBJECTIVES: To assess the effects of wound irrigation and
intracavity
lavage on the prevention of surgical site infection (SSI). SEARCH METHODS: In
February 2017 we searched the Cochrane Wounds Specialised Register; the

Cochrane
Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE; Ovid Embase
and EBSCO
CINAHL Plus. We also searched three clinical trials registries and references
of
included studies and relevant systematic reviews. There were no restrictions
on
language, date of publication or study setting. SELECTION CRITERIA: We
included all
randomised controlled trials (RCTs) of participants undergoing surgical
procedures
in which the use of a particular type of intraoperative washout (irrigation
or
lavage) was the only systematic difference between groups, and in which
wounds
underwent primary closure. The primary outcomes were SSI and wound
dehiscence.
Secondary outcomes were mortality, use of systemic antibiotics, antibiotic
resistance, adverse events, re-intervention, length of hospital stay, and
readmissions. DATA COLLECTION AND ANALYSIS: Two review authors independently
assessed studies for inclusion at each stage. Two review authors also
undertook data
extraction, assessment of risk of bias and GRADE assessment. We calculated
risk
ratios or differences in means with 95% confidence intervals where possible.
MAIN
RESULTS: We included 59 RCTs with 14,738 participants. Studies assessed
comparisons
between irrigation and no irrigation, between antibacterial and non-
antibacterial
irrigation, between different antibiotics, different antiseptics or different
non-antibacterial agents, or between different methods of irrigation

delivery. No
studies compared antiseptic with antibiotic irrigation. Surgical site
infectionIrrigation compared with no irrigation (20 studies; 7192
participants):
there is no clear difference in risk of SSI between irrigation and no
irrigation (RR
0.87, 95% CI 0.68 to 1.11; I(2) = 28%; 14 studies, 6106 participants). This
would
represent an absolute difference of 13 fewer SSIs per 1000 people treated
with
irrigation compared with no irrigation; the 95% CI spanned from 31 fewer to
10 more
SSIs. This was low-certainty evidence downgraded for risk of bias and
imprecision.Antibacterial irrigation compared with non-antibacterial
irrigation (36
studies, 6163 participants): there may be a lower incidence of SSI in
participants
treated with antibacterial irrigation compared with non-antibacterial
irrigation (RR
0.57, 95% CI 0.44 to 0.75; I(2) = 53%; 30 studies, 5141 participants). This
would
represent an absolute difference of 60 fewer SSIs per 1000 people treated
with
antibacterial irrigation than with non-antibacterial (95% CI 35 fewer to 78
fewer).
This was low-certainty evidence downgraded for risk of bias and suspected
publication bias.Comparison of irrigation of two agents of the same class (10
studies; 2118 participants): there may be a higher incidence of SSI in
participants
treated with povidone iodine compared with superoxidised water (Dermacyn) (RR
2.80,
95% CI 1.05 to 7.47; low-certainty evidence from one study, 190
participants). This
would represent an absolute difference of 95 more SSIs per 1000 people
treated with
povidone iodine than with superoxidised water (95% CI 3 more to 341 more).
All other
comparisons found low- or very low-certainty evidence of no clear difference
between
groups.Comparison of two irrigation techniques: two studies compared standard
(non-pulsed) methods with pulsatile methods. There may, on average, be fewer

SSIs in
participants treated with pulsatile methods compared with standard methods
(RR 0.34,
95% CI 0.19 to 0.62; I(2) = 0%; two studies, 484 participants). This would
represent
an absolute difference of 109 fewer SSIs occurring per 1000 with pulsatile
irrigation compared with standard (95% CI 62 fewer to 134 fewer). This was
low-certainty evidence downgraded twice for risks of bias across multiple
domains.
Wound dehiscenceFew studies reported wound dehiscence. No comparison had
evidence
for a difference between intervention groups. This included comparisons
between
irrigation and no irrigation (one study, low-certainty evidence);
antibacterial and
non-antibacterial irrigation (three studies, very low-certainty evidence) and
pulsatile and standard irrigation (one study, low-certainty evidence).

Secondary
outcomesFew studies reported outcomes such as use of systemic antibiotics and
antibiotic resistance and they were poorly and incompletely reported. There
was
limited reporting of mortality; this may have been partially due to failure
to
specify zero events in participants at low risk of death. Adverse event
reporting
was variable and often limited to individual event types. The evidence for
the
impact of interventions on length of hospital stay was low or moderate
certainty;
where differences were seen they were too small to be clinically important.
AUTHORS'
CONCLUSIONS: The evidence base for intracavity lavage and wound irrigation is
generally of low certainty. Therefore where we identified a possible

difference in
the incidence of SSI (in comparisons of antibacterial and non-antibacterial
interventions, and pulsatile versus standard methods) these should be
considered in
the context of uncertainty, particularly given the possibility of publication
bias
for the comparison of antibacterial and non-antibacterial interventions.
Clinicians
should also consider whether the evidence is relevant to the surgical
populations
under consideration, the varying reporting of other prophylactic antibiotics,
and
concerns about antibiotic resistance.We did not identify any trials that
compared an
antibiotic with an antiseptic. This gap in the direct evidence base may merit
further investigation, potentially using network meta-analysis; to inform the
direction of new primary research. Any new trial should be adequately powered
to
detect a difference in SSIs in eligible participants, should use robust
research
methodology to reduce the risks of bias and internationally recognised
criteria for
diagnosis of SSI, and should have adequate duration and follow-up.
FAU - Norman, Gill
AU - Norman G
AD - Division of Nursing, Midwifery & Social Work, School of Health Sciences,
Faculty of
Biology, Medicine & Health, University of Manchester, Manchester Academic
Health
Science Centre, Jean McFarlane Building, Oxford Road, Manchester, UK, M13
9PL.
FAU - Atkinson, Ross A
AU - Atkinson RA
FAU - Smith, Tanya A
AU - Smith TA
FAU - Rowlands, Ceri
AU - Rowlands C
FAU - Rithalia, Amber D
AU - Rithalia AD
FAU - Crosbie, Emma J
AU - Crosbie EJ
FAU - Dumville, Jo C
AU - Dumville JC
LA - eng
GR - NIHR-CS-012-009/DH_/Department of Health/United Kingdom
PT - Meta-Analysis
PT - Review
DEP - 20171030
TA - Cochrane Database Syst Rev
JT - The Cochrane database of systematic reviews
JID - 100909747
RN - 0 (Anti-Infective Agents, Local)
RN - 0 (Drug Combinations)
RN - 0 (dermacyn)
RN - 712K4CDC10 (Hypochlorous Acid)
RN - 85H0HZU99M (Povidone-Iodine)
RN - DY38VHM5OD (Sodium Hypochlorite)
SB - IM
UOF - doi: 10.1002/14651858.CD012234
MH - Abscess/epidemiology
MH - Anti-Bacterial Agents/administration & dosage
MH - Anti-Infective Agents, Local/administration & dosage
MH - Drug Combinations
MH - Humans
MH - Hypochlorous Acid/administration & dosage
MH - Incidence
MH - Povidone-Iodine/administration & dosage
MH - Sodium Hypochlorite/administration & dosage
MH - Surgical Wound Dehiscence/epidemiology
MH - Surgical Wound Infection/epidemiology/*prevention & control
MH - Therapeutic Irrigation/methods
PMC - PMC5686649
COIS- Gill Norman: my employment at the University of Manchester is supported by a
grant
from National Institute for Health Research (NIHR), UK (NIHR Cochrane
Programme
Grant 13/89/08‐High Priority Cochrane Reviews in Wound Prevention and
Treatment).
Ross Atkinson: none known. Tanya Smith: none known. Ceri Rowlands: none
known. Amber
Rithalia: none known. Emma Crosbie: I have received funding from an NIHR
Clinician
Scientist Award, the HTA, Wellbeing of Women/the Wellcome Trust and Central
Manchester University Hospitals NHS Foundation Trust. I am an employee of the
University of Manchester. Jo Dumville: I receive research funding from the

NIHR for
the production of systematic reviews focusing on high priority Cochrane
Reviews in
the prevention and treatment of wounds. Work on this review was also partly
funded
by the National Institute for Health Research Collaboration for Leadership in
Applied Health Research and Care (NIHR CLAHRC) Greater Manchester and the
NIHR
Manchester Biomedical Research Centre (BRC).
EDAT- 2017/10/31 06:00
MHDA- 2018/10/05 06:00
CRDT- 2017/10/31 06:00
PHST- 2017/10/31 06:00 [pubmed]
PHST- 2018/10/05 06:00 [medline]
PHST- 2017/10/31 06:00 [entrez]
AID - CD012234 [pii]
AID - 10.1002/14651858.CD012234.pub2 [doi]
PST - epublish
SO - Cochrane Database Syst Rev. 2017 Oct 30;10(10):CD012234. doi:
10.1002/14651858.CD012234.pub2.
PMID- 27356504
OWN - NLM
LR - 20191120
IS - 1471-2334 (Linking)
VI - 16 Suppl 3
IP - Suppl 3
DP - 2016 Jun 27
TI - Proceedings of The 8th Romanian National HIV/AIDS Congress and The 3rd
Central
European HIV Forum : Sibiu, Romania. 5-7 May 2016.
PG - 290
LID - 10.1186/s12879-016-1480-8 [doi]
LID - 290
AB - O1 HIV-1 diversity in Bulgaria (current molecular epidemiological picture)
Ivailo
Alexiev, Reneta Dimitrova, Anna Gancheva, Asya Kostadinova, Mariyana
Stoycheva,
Daniela Nikolova, Ivaylo Elenkov O2 Knowledge, attitudes and practices of the
general population on HIV/AIDS, hepatitis B and C in Romania Cătălin

Tilișcan,
Mioara Predescu, Bogdan Păunescu, Anca Streinu-Cercel, Oana Săndulescu,
Claudiu
Mihai Șchiopu, Mădălina Hristache, Lăcrămioara Aurelia Brîndușe, Adrian
Streinu-Cercel O3 The prevalence of human leukocyte antigen-B*57:01 allele
carriers
and CXCR4 tropism among newly diagnosed HIV infected patients in Serbia
Marija
Todorovic, Marina Siljic, Dubravka Salemovic, Valentina Nikolic, Ivana
Pesic-Pavlovic, Jovan Ranin, Djordje Jevtovic, Maja Stanojevic O4 HIV
transmission
among stable serodiscordant couples from the former Pediatric Cohort follow
up in
the National Institute of Infectious Diseases Ana Maria Tudor, Delia Vlad,
Mariana
Mărdărescu, Sorin Petrea, Cristina Petre, Ruxandra Neagu-Drăghicenoiu, Rodica
Ungurianu, Alina Cibea, Odette Chirilă, Cristian Anghelina, Ileana Coserea O5
Unemployment is associated with syringe sharing among people who inject drugs
in
Greece Pantelia-Amalia Krikelli, Eirini Pavlitina, Mina Psichogiou, Demetris
Lamnisos, Leslie Williams, Anya Korobchuk, Britt Skaathun, Pavlo Smyrnov,
John
Schneider, Vana Sypsa, Dimitrios Paraskevis, Angelos Hatzakis, Samuel R.
Friedman,
Georgios K. Nikolopoulos O6 Correlation of adipocytokine levels in different
types
of lipodystrophy in HIV/AIDS patients Gordana Dragović, Danica Srdić, Al
Musalhi
Khawla, Ivan Soldatović, Jelena Nikolić, Djordje Jevtović, Devaki Nair O7
IP10 – a
possible biomarker for the progression of HIV infection Aura Temereanca,
Adelina
Rosca, Luminita Ene, Benchawa Soontornniyomkij, Carmen Diaconu, Claudia Dita,
Cristian Achim, Simona Ruta O8 A permanent challenge: persistent low viremia

in HIV
positive patients on ART Șerban Benea, Ruxandra Moroti, Raluca Jipa, Eliza
Manea,
Andrada Stan, Elisabeta Benea, Dan Oțelea, Adriana Hristea O9 Infections in
IDUs
according to their HIV status Adriana Hristea, Irina Lăpădat, Raluca Jipa,
Ruxandra
Moroti, Șerban Benea, Doina Antonică, Irina Panait, Roxana Petre O10 Trends
in
combined antiretroviral therapy used in methadone program integrated with HIV
care -
20 years of experience Justyna D. Kowalska, Ewa Pietraszkiewicz, Ewa Grycner,
Ewa
Firlag-Burkacka, Andrzej Horban O11 Extracellular cyclophilin A –
inflammatory
mediator in HIV infected patients Ovidiu Vlaicu, Leontina Bănică, Simona
Paraschiv,
Ana-Maria Tudor, Ruxandra Moroti, Dan Oțelea O12 High cardiovascular disease
risk in
Serbian population, an issue of concern Bojana Dimitrijević, Ivan Soldatović,
Đorđe
Jevtović, Jovana Kusić, Dubravka Salemović, Jovan Ranin, Gordana Dragović O13
Genotypic rifampicin resistance in HIV/ tuberculosis coinfected patients from

a
tertiary level infectious diseases hospital Dragoș Florea, Ioana Bădicuț,
Alexandru
Rafila, Cornel Camburu, Adriana Histrea, Mihaela Frățilă, Dan Oțelea O14
Occurrence
of residual HCV RNA in liver and peripheral blood mononuclear cells among
patients
with chronic hepatitis C infection and/or HCV/HIV coinfection after IFN-based
therapy Ivana Gmizic, Dubravka Salemovic, Ivana Pesic-Pavlovic, Marina

Siljic,
Valentina Nikolic, Miljana Djonin-Nenezic, Ivana Milosevic, Branko Brmbolic,
Maja
Stanojevic O15 Romanian nationwide screening for infection with HIV and
hepatitis B
and C viruses Anca Streinu-Cercel, Oana Săndulescu, Alina Cristina Neguț,
Mioara
Predescu, Alexandra Mărdărescu, Mihai Săndulescu, Adrian Streinu-Cercel O16
Treatment emergent variants to combined direct antiviral agents therapy
against
hepatitis C virus Ana Belen Pérez, Natalia Chueca, Marta Álvarez, Juan Carlos
Alados, Antonio Rivero, Francisco Vera, Marcial Delgado, Javier Salmeron,

Miguel
Jiménez, Maria José Blanco, Moises Diago, Miguel Garcia-deltoro, Marta
Alvarez,
Francisco Téllez, Federico García O17 Clinical and epidemiological aspects in
tuberculosis/HIV coinfected patients Diana Tănase, Eliza Manea, Rodica

Bacruban,
Dragoș Florea, Dan Oțelea, Alexandru Rafila, Mariana Mărdărescu, Adriana
Hristea O18
Resistance to NS3 protease inhibitors in persons with chronic hepatitis C
infected
with hepatitis C virus subtype 1a from Croatia Ivana Grgic, Ana Planinic,
Maja
Santak, Lana Gorenec, Snjezana Zidovec Lepej, Adriana Vince O19 Analysis of a
simplified diagnostic score for tuberculous meningitis in HIV-infected adults

with
meningitis Eliza Manea, Adriana Hristea, Șerban Benea, Ruxandra Moroti, Diana
Tănase, Cristian M. Niculae, Simona Merisor, Raluca Jipa O20 Molecular

tracing of
the origin of HIV-1 infection among persons who inject drugs in Athens: a
phyloethnic study Dimitrios Paraskevis, Evangelia Kostaki, Georgios K.
Nikolopoulos,
Vana Sypsa, Mina Psichogiou, Dimitra Paraskeva, Athanassios Skoutelis, Meni
Malliori, Samuel R. Friedman, Angelos Hatzakis O21 The dynamics of
virological
response to HIV-1 infection and antiretroviral therapy initiation in patients
with
and without HLA-B*5701 Allele Malgorzata Hackiewicz, Piotr Zabek, Ewa
Firlag-Burkacka, Andrzej Horban, Justyna Dominika Kowalska O22 Increase in
the
numbers of non-B subtypes and potential recombinant forms circulating among
Slovenian MSM in the recent years Maja M. Lunar, Jana Mlakar, Mario Poljak
O23
Genotyping intrahost polymorphisms in hepatitis C virus E2 protein associated
with
resistance to antibody neutralization Leontina Bănică, Eliza Martin, Valeriu
Gheorghiță, Andrei Petrescu, Dan Oțelea, Costin-Ioan Popescu, Simona
Paraschiv O24
Genotyping of HCV NS3 protease inhibitors resistance and phenotyping of rare
double
resistance mutations in HCV cell culture system Emil Neaga, Vlaicu Ovidiu,
Andrei
Juncu, Leontina Bănică, Simona Paraschiv, Dan Oțelea, Costin-Ioan Popescu O25
Employment status controls the relationship between neurocognitive impairment

and
depression in a cohort of young HIV-infected adults since childhood Adrian
Luca,
Florin Lazăr, Anca Elena Luca, Luminița Ene, Cristian Achim O26 Predictors of
survival in parenterally-infected HIV positive children and youth diagnosed

with
progressive multifocal leukoencephalopathy Cosmina Gingăraş, Ștefan Adrian
Anton,
Roxana Rădoi, Simona Tetradov, Grațiela Țârdei, Maria Nica, Razvan Alexandru
Capşa,
Cristian L. Achim, Cristiana Oprea, Luminița Ene O27 Neurocognitive and brain
functioning in HIV-infected young MSM treated with cART Bogna Szymańska,

Natalia
Gawron, Agnieszka Pluta, Emilia Łojek, Ewa Firląg – Burkacka, Andrzej Horban,
Robert
Bornstein, et HARMONIA3 Study Group O28 Clinical value of RT-PCR detection of
Toxoplasma gondii DNA in cerebrospinal fluid Olivia Burcoș, Simona Manuela

Erscoiu,
Filofteia Bănicioiu Cojanu, Andreea Toderan, Maria Nica, Ionuț Cristian Popa,
Emanoil Ceaușu, Petre Iacob Calistru O29 Characteristics of sleep disorders

in
Romanian adults infected with human immunodeficiency virus Manuela Arbune,
Mirela
Alexandrache, Anca-Adriana Arbune, Doina-Carina Voinescu O30 Diagnosing
neuroHIV:
the rift between clinicians and pathologists Ioan-Alexandru Diaconu,
Laurențiu
Stratan, Victoria Aramă, Luciana Nichita, Alexandra Diaconu, Anca Negru,
Alina
Orfanu, Anca Leuștean, Daniela Adriana Ion O31 A challenging neurological
complication in a HIV-infected young woman with multiple opportunistic
infections
Irina Ianache, Cristiana Oprea O32 Brain abscess with uncertain etiology in a
late-presenter HIV infected patient Anca Leuștean, Cristina Popescu, Alina

Orfanu,
Anca Negru, Remulus Catana, Cristina Murariu, Ioan-Alexandru Diaconu, Mihaela
Rădulescu, Cătălin Tilișcan, Victoria Aramă O33 Cerebral toxoplasmosis and

left
crural monoparesis with fatal evolution in a noncompliant patient with AIDS
C3 Iosif
Marincu, Patricia Poptelecan, Valeria Bică, Florin Lazăr, Livius Tirnea O34
Opportunistic infections still a problem in HIV-infected patients in cART
era: a
Romanian single center experience Irina Ianache, Roxana Rădoi, Manuela Nica,
Grațiela Țârdei, Luminița Ene, Emanoil Ceaușu, Petre Calistru, Cristiana
Oprea P1:
Epidemiological aspects of co-infection of HIV/TB in Moldova Iurie Osoianu,
Ala
Halacu P2 Perinatal exposure at HIV infection in Oltenia region Andreea
Cristina
Stoian, Florentina Dumitrescu, Iulian Diaconescu, Augustin Cupșa, Lucian
Giubelan,
Loredana Ionescu, Irina Niculescu P3 Women living with HIV in Mureș county
Carmen
Chiriac, Nina Șincu, Iringo Zaharia Kezdi, Anca Georgescu, Brândușa Țilea,
Cristina
Girbovan, Andrea Incze, Andrea Fodor P4 Late diagnosis of HIV infection in
children
- a challenge for Romania Alina Cibea, Mariana Mărdărescu, Cristina Petre,
Ruxandra
Drăghicenoiu, Rodica Ungurianu, Ana Maria Tudor, Delia Vlad, Carina Matei P5
Cirrhosis Assessment in Patients Co-infected HIV-Hepatitis B Virus Elena
Dumea,
Lucian Cristian Petcu, Simona Claudia Cambrea P6 HIV late presenters in
Craiova
Regional Center, Romania Florentina Dumitrescu, Augustin Cupsa, Andreea
Cristina
Stoian, Lucian Giubelan, Irina Niculescu, Iulian Diaconescu, Dan Hurezeanu,
Livia
Dragonu, Mioara Cotulbea P7 Some aspects of malignancies in patients HIV /
AIDS
Simona Manuela Erscoiu, Ionuț Cristian Popa, Denisa Stroie, Petronela
Ionescu,
Nedeea Duță, Camelia Dobrea, Irina Voican, Emanoil Ceaușu, Petre Iacob
Calistru P8
Factors associated with resilience among people living with HIV in Romania
Florin
Lazăr P9 Fever in HIV-infected patients: a thorny problem to be solved by the
clinicians Lucian Giubelan, Augustin Cupșa, Iulian Diaconescu, Florentina

Dumitrescu, Dan Hurezeanu, Livia Dragonu, Irina Niculescu, Andreea Cristina
Stoian,
Oana Obretin, Mariana Stănescu, Mihai Jianu P10 Th1, Th2, Th9, Th17 and Th22
cytokines in acute and chronic HIV-1 infection Lana Gorenec, Snjezana Zidovec
Lepej,
Ivana Grgic, Ana Planinic, Janja Iscic Bes, Adriana Vince, Josip Begovac P11
Dyslipidemia in HIV-infected patients treated with protease inhibitors – case
report
Luminița Elena Horga P12 Why use less treatment for the metabolic
abnormalities in
HIV patients-too many drugs? Corina Itu, Luminița Elena Horga, Laura Augusta
David-Aldea, Anca Ciorogar, Cristian Jianu, Mihaela Lupșe P13 Sacral Herpes
Zoster,
with hyperalgesic form, in a patient with C3 stage HIV infection Iuliana
Caramangiu,
Ovidiu Roșca, Monica Cialma, Andreea Ardeleanu, Iosif Marincu P14 Factors
associated
with in-hospital mortality in tuberculous and cryptococcal meningitis Raluca
Jipa,
Eliza Manea, Șerban Benea, Irina Lăpădat, Nicoleta Irimescu, Irina Panait,
Cristian
Niculae, Adriana Hristea P15 Lipodystrophy: still present adverse event in
resource-limited settings Jovana Kusic, Djordje Jevtovic, Dubravka Salemovic,
Jovan
Ranin, Bozana Dimitrijevic, Gordana Dragovic P16 TB and HIV coinfected
patient, an
emergent challenge - case report Laura-Augusta Aldea-David P17 Efficacy of
prophylactic antiretroviral treatment in new-born infants from HIV-positive
mothers
in 2012-2014, for the North-Eastern part of Romania Carmen Manciuc, Cristina
Nicolau, Liviu Prisăcariu, Alexandra Largu P18 Surveillance of mother to
child
transmission of HIV in Romania – 31 December 2015 Mariana Mărdărescu, Adrian
Streinu-Cercel, Cristina Petre, Marieta Iancu, Sanda Vintilă, Daniela
Vitelaru,
Iosif Ionel, Claudiu Mihai Șchiopu, Alexandra-Henriette Mărdărescu P19 The
antiretroviral therapy failure and the need to select the effective treatment
in the
Republic of Moldova Pavel Micsanschi, Tiberiu Holban, Ina Bîstrițchi, Lucia
Pârțână,
Angela Nagîț, Svetlana Popovici, Maria Talmaci, Irina Cucerova P20
Disseminated
cryptococcosis in a patient with C3 HIV stage and multiresistant to
antiretroviral
therapy with lethal evolution Sorina Georgiana Mitrescu, Dana Mihalcea, Iulia
Caramangiu, Ovidiu Roșca, Iosif Maricu P21 Aspects of tuberculosis infection

in
HIV-positive patients from Romania – our experience Anca Negru, Daniela
Munteanu,
Victoria Aramă, Raluca Mihăilescu, Ioan Diaconu, Remulus Catana, Cristina
Popescu,
Alina Orfanu, Anca Leuștean, Mihaela Rădulescu, Cătălin Tilișcan, Raluca
Năstase,
Violeta Molagic, Irina Duport, Cristina Dragomirescu, Ștefan Sorin Aramă P22
Dyslipidemia in HIV-infected patients Nicoleta M Negruț P23 Challenges in the
management of an HIV seropositive patient with psoriasis undergoing

immunomodulator
therapy Violeta Elena Niță, Daniela Ioana Munteanu, Raluca Mihăilescu, Ioan
Diaconu,
Anca Negru, Cristina Popescu, Victoria Aramă P24 Acute peritonitis as a sign
of IRIS
in an HIV-infected patient with MAC latent infection Alina Orfanu, Cristina
Popescu,
Anca Leuștean, Anca Negru, Remulus Catana, Ioan Diaconu, Cătălin Tilișcan,
Victoria
Aramă, Sorin Ștefan Aramă P25 The virologic outcome of the treatment of
chronic
hepatitis B among HIV co-infected patients on HAART Ivana Pesic Pavlovia,
Dubravka
Salemovic, Jovan Ranin, Djordje Jevtovic P26 A case of HIV encephalopathy
with
aphasia, agnosia, apraxia and right homonymous hemianopsia Ovidiu Roșca,
Andreea
Ardeleanu, Iulia Caramangiu, Daniela Desaga, Valerica Bică, Sorina Mitrescu,
Iosif
Marincu P27 Molecular footprints on human immunodeficiency virus -1 genome
and
association with phylogenetic clustering among subtype B infected patients in
Serbia
Marina Siljic, Dubravka Salemovic, Valentina Nikolic, Djordje Jevtovic, Ivana
Pesic-Pavlovic, Jovan Ranin, Marija Todorovic , Maja Stanojevic P28

Neurosyphilis
and human immunodeficiency virus infection: double challenge Nina-Ioana
Șincu, Anca
Georgescu, Brândușa Țilea, Iringo Zaharia Kezdi, Andrea Incze, Cristina
Gârbovan,
Carmen Lucia Chiriac P29 Differences between HIV-infected adults since
childhood and
non HIV-infected persons on managing everyday life Anca Elena Luca, Florin
Lazăr,
Adrian Luca, Luminița Ene, Roxana Rădoi, Adina Talnariu, Silvia Suciu,
Cristian
Achim P30 Molecular detection of Bartonella quintana in a HIV immunodepressed
patient with fever and isolated lymphadenopathy - Case report Diana Gabriela
Iacob,
Dragoș Florea, Simona Iacob P31 Present epidemiological characteristics of
HIV/AIDS
newly diagnosed cases in South-Eastern Romania Manuela Arbune, Miruna
Drăgănescu,
Alina Iancu P32 The gender’s preferences among opportunists? Ruxandra Moroti,
Cristian M Niculae, Simona Merisor, Eliza Manea, Serban Benea, Andrada Stan,
Raluca
Hrisca, Raluca Jipa, Diana Tanase, Adriana Hristea P33 Polymorphism of
interleukin-28B gene in persons with chronic hepatitis C from Croatia Ivana
Grgic,
Ana Planinic, Lana Gorenec, Snjezana Zidovec Lepej, Adriana Vince
FAU - Alexiev, Ivailo
AU - Alexiev I
AD - National HIV Reference Laboratory, National Center of Infectious and
Parasitic
Diseases, Sofia, Bulgaria
FAU - Dimitrova, Reneta
AU - Dimitrova R
Parasitic
FAU - Gancheva, Anna
AU - Gancheva A
Parasitic
FAU - Kostadinova, Asya
AU - Kostadinova A
Parasitic
FAU - Stoycheva, Mariyana
AU - Stoycheva M
AD - Department of Infectious Diseases, Medical University, Plovdiv, Bulgaria
FAU - Nikolova, Daniela
AU - Nikolova D
AD - Clinic of Infectious Diseases, Medical University, Varna, Bulgaria
FAU - Elenkov, Ivaylo
AU - Elenkov I
AD - Hospital for Infectious and Parasitic Diseases, Sofia, Bulgaria
FAU - Tilișcan, Cătălin
AU - Tilișcan C
AD - National Institute for Infectious Diseases “Prof. Dr. Matei Balș”, Bucharest,
Romania
AD - Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
FAU - Predescu, Mioara
AU - Predescu M
Romania
FAU - Păunescu, Bogdan
AU - Păunescu B
AD - Totem Communications, Bucharest, Romania
FAU - Streinu-Cercel, Anca
AU - Streinu-Cercel A
Romania
FAU - Săndulescu, Oana
AU - Săndulescu O
Romania
FAU - Șchiopu, Claudiu Mihai
AU - Șchiopu CM
Romania
FAU - Hristache, Mădălina
AU - Hristache M
Romania
FAU - Brîndușe, Lăcrămioara Aurelia
AU - Brîndușe LA
AD - National Institute of Public Health, Bucharest, Romania
FAU - Streinu-Cercel, Adrian
Romania
FAU - Todorovic, Marija
AU - Todorovic M
AD - University of Belgrade Faculty of Medicine, Belgrade, Serbia
FAU - Siljic, Marina
AU - Siljic M
FAU - Salemovic, Dubravka
AU - Salemovic D
AD - Infectious and Tropical Diseases University Hospital, Clinical Center Serbia,
HIV/AIDS Unit, Belgrade, Serbia

FAU - Nikolic, Valentina
AU - Nikolic V
FAU - Pesic-Pavlovic, Ivana
AU - Pesic-Pavlovic I
AD - Virology Department, Clinical Center Serbia, Belgrade, Serbia
FAU - Ranin, Jovan
AU - Ranin J

FAU - Jevtovic, Djordje
AU - Jevtovic D

FAU - Stanojevic, Maja
AU - Stanojevic M
FAU - Tudor, Ana Maria
AU - Tudor AM
Romania
FAU - Vlad, Delia
AU - Vlad D
Romania
FAU - Mărdărescu, Mariana
AU - Mărdărescu M
Romania
FAU - Petrea, Sorin
AU - Petrea S
Romania
FAU - Petre, Cristina
AU - Petre C
Romania
FAU - Neagu-Drăghicenoiu, Ruxandra
AU - Neagu-Drăghicenoiu R
Romania
FAU - Ungurianu, Rodica
AU - Ungurianu R
Romania
FAU - Cibea, Alina
AU - Cibea A
Romania
FAU - Chirilă, Odette
AU - Chirilă O
Romania
FAU - Anghelina, Cristian
AU - Anghelina C
Romania
FAU - Coserea, Ileana
AU - Coserea I
Romania
FAU - Krikelli, Pantelia-Amalia
AU - Krikelli PA
AD - European University of Cyprus, Nicosia, Cyprus
FAU - Pavlitina, Eirini
AU - Pavlitina E
AD - Transmission Reduction Intervention Project, Athens, Greece
FAU - Psichogiou, Mina
AU - Psichogiou M
AD - Laikon General Hospital, Department of Propedeutic Medicine, Athens, Greece
FAU - Lamnisos, Demetris
AU - Lamnisos D
AD - European University of Cyprus, Nicosia, Cyprus
FAU - Williams, Leslie
AU - Williams L
AD - National Development and Research Institutes, New York, NY USA
FAU - Korobchuk, Anya
AU - Korobchuk A
AD - Alliance for Public Health, Kyiv, Ukraine
FAU - Skaathun, Britt
AU - Skaathun B
AD - University of Chicago Medical Center, Center for AIDS Elimination, Chicago,
IL USA
FAU - Smyrnov, Pavlo
AU - Smyrnov P
AD - Alliance for Public Health, Kyiv, Ukraine
FAU - Schneider, John
AU - Schneider J
AD - University of Chicago Medical Center, Center for AIDS Elimination, Chicago,
IL USA
FAU - Sypsa, Vana
AU - Sypsa V
AD - Medical School, University of Athens, Athens, Greece
FAU - Paraskevis, Dimitrios
AU - Paraskevis D
FAU - Hatzakis, Angelos
AU - Hatzakis A
FAU - Friedman, Samuel R
AU - Friedman SR
AD - National Development and Research Institutes, New York, NY USA
FAU - Nikolopoulos, Georgios K
AU - Nikolopoulos GK
AD - Transmission Reduction Intervention Project, Athens, Greece
AD - Hellenic Centre for Disease Control and Prevention, Amarousio, Greece
FAU - Dragović, Gordana
AU - Dragović G
AD - Department of Pharmacology, Clinical Pharmacology and Toxicology, School of
Medicine, University of Belgrade, Belgrade, Serbia
FAU - Srdić, Danica
AU - Srdić D
FAU - Khawla, Al Musalhi
AU - Khawla AM
AD - Department of Clinical Biochemistry, Royal Free Hospital and University
College
London, London, UK
FAU - Soldatović, Ivan
AU - Soldatović I
AD - Institute for Biomedical Statistics, School of Medicine, University of
Belgrade,
Belgrade, Serbia
FAU - Nikolić, Jelena
AU - Nikolić J
AD - Infectious and Tropical Diseases Hospital, School of Medicine, University of
Belgrade, Belgrade, Serbia
FAU - Jevtović, Djordje
AU - Jevtović D
FAU - Nair, Devaki
AU - Nair D
AD - Department of Clinical Biochemistry, Royal Free Hospital and University
College
London, London, UK
FAU - Temereanca, Aura
AU - Temereanca A
AD - “Stefan S. Nicolau” Institute of Virology, Bucharest, Romania
FAU - Rosca, Adelina
AU - Rosca A
FAU - Ene, Luminita
AU - Ene L
AD - “Dr Victor Babes” Hospital for Infectious and Tropical Diseases, Bucharest,
Romania
FAU - Soontornniyomkij, Benchawa
AU - Soontornniyomkij B
AD - University of California San Diego, La Jolla, San Diego, CA USA
FAU - Diaconu, Carmen
AU - Diaconu C
FAU - Dita, Claudia
AU - Dita C
FAU - Achim, Cristian
AU - Achim C
AD - University of California San Diego, La Jolla, San Diego, CA USA
FAU - Ruta, Simona
AU - Ruta S
FAU - Benea, Șerban
AU - Benea Ș
AD - National Institute for Infectious Diseases “Prof Dr Matei Balș”, Bucharest,
Romania
FAU - Moroti, Ruxandra
AU - Moroti R
Romania
FAU - Jipa, Raluca
AU - Jipa R
Romania
FAU - Manea, Eliza
AU - Manea E
Romania
FAU - Stan, Andrada
AU - Stan A
Romania
FAU - Benea, Elisabeta
AU - Benea E
Romania
FAU - Oțelea, Dan
AU - Oțelea D
Romania
FAU - Hristea, Adriana
AU - Hristea A
Romania
AU - Hristea A
Romania
FAU - Lăpădat, Irina
AU - Lăpădat I
Romania
FAU - Jipa, Raluca
AU - Jipa R
Romania
AU - Moroti R
Romania
AU - Benea Ș
Romania
FAU - Antonică, Doina
AU - Antonică D
Romania
FAU - Panait, Irina
AU - Panait I
Romania
FAU - Petre, Roxana
AU - Petre R
AD - National Institute of Aerospace Medicine, Bucharest, Romania
FAU - Kowalska, Justyna D
AU - Kowalska JD
AD - Hospital for Infectious Diseases, HIV Out-Patient Clinic, Warsaw, Poland
AD - Department for Adult’s Infectious Diseases, Medical University of Warsaw,
Warsaw,
Poland
FAU - Pietraszkiewicz, Ewa
AU - Pietraszkiewicz E
Warsaw,
Poland
FAU - Grycner, Ewa
AU - Grycner E
FAU - Firlag-Burkacka, Ewa
AU - Firlag-Burkacka E
FAU - Horban, Andrzej
AU - Horban A
Warsaw,
Poland
FAU - Vlaicu, Ovidiu
AU - Vlaicu O
AD - Molecular Diagnostic Laboratory, National Institute for Infectious Diseases
“Prof.
Dr. Matei Balș”, Bucharest, Romania
FAU - Bănică, Leontina
AU - Bănică L
“Prof.
FAU - Paraschiv, Simona
AU - Paraschiv S
“Prof.
FAU - Tudor, Ana-Maria
AU - Tudor AM
AD - Pediatric Department, National Institute for Infectious Diseases “Prof. Dr.
Matei
Balș”, Bucharest, Romania
AU - Moroti R
AD - Clinical Department III, National Institute for Infectious Diseases “Prof.
Dr. Matei
FAU - Oțelea, Dan
AU - Oțelea D
“Prof.
FAU - Dimitrijević, Bojana
AU - Dimitrijević B
FAU - Soldatović, Ivan
AU - Soldatović I
AD - Institute for Biomedical Statistics, School of Medicine, University of
Belgrade,
Belgrade, Serbia
FAU - Jevtović, Đorđe
AU - Jevtović Đ
FAU - Kusić, Jovana
AU - Kusić J
FAU - Salemović, Dubravka
AU - Salemović D
FAU - Ranin, Jovan
AU - Ranin J
FAU - Dragović, Gordana
AU - Dragović G
FAU - Florea, Dragoș
AU - Florea D
Romania
FAU - Bădicuț, Ioana
AU - Bădicuț I
Romania
FAU - Rafila, Alexandru
AU - Rafila A
Romania
FAU - Camburu, Cornel
AU - Camburu C
Romania
FAU - Histrea, Adriana
AU - Histrea A
Romania
FAU - Frățilă, Mihaela
AU - Frățilă M
Romania
FAU - Oțelea, Dan
AU - Oțelea D
Romania
FAU - Gmizic, Ivana
AU - Gmizic I
AD - Clinic for Infectious and Tropical Diseases, Clinical Centre of Serbia,
Belgrade,
Serbia
AD - Faculty of Medicine, University of Belgrade, Belgrade, Serbia
AU - Salemovic D
Belgrade,
Serbia
Belgrade,
Serbia
AU - Siljic M
AU - Nikolic V
FAU - Djonin-Nenezic, Miljana
AU - Djonin-Nenezic M
Belgrade,
Serbia
FAU - Milosevic, Ivana
AU - Milosevic I
Belgrade,
Serbia
FAU - Brmbolic, Branko
AU - Brmbolic B
Belgrade,
Serbia
AU - Stanojevic M
FAU - Streinu-Cercel, Anca
Romania
FAU - Săndulescu, Oana
AU - Săndulescu O
Romania
FAU - Neguț, Alina Cristina
AU - Neguț AC
Romania
FAU - Predescu, Mioara
AU - Predescu M
Romania
FAU - Mărdărescu, Alexandra
AU - Mărdărescu A
AD - Romanian HIV Center, Bucharest, Romania
FAU - Săndulescu, Mihai
AU - Săndulescu M
Romania
FAU - Pérez, Ana Belen
AU - Pérez AB
AD - Servicio de Microbiologia. CHUG, Hospital San Cecilio, Instituto de
investigacion
IBS, Granada, Spain
FAU - Chueca, Natalia
AU - Chueca N
investigacion
IBS, Granada, Spain
FAU - Álvarez, Marta
AU - Álvarez M
investigacion
IBS, Granada, Spain
FAU - Alados, Juan Carlos
AU - Alados JC
AD - Servicio de Microbiologia. Hospital de Jerez de la Frontera, Cádiz, Spain
FAU - Rivero, Antonio
AU - Rivero A
AD - Servicio de Enfermedades Infecciosas, Hospital Reina Sofia, Cordoba, Spain
FAU - Vera, Francisco
AU - Vera F
AD - Servicio de Enfermedades Infecciosas, Hospital Santa Lucia, Cartagena, Spain
FAU - Delgado, Marcial
AU - Delgado M
AD - Servicio de Enfermedades Infecciosas, Hospital Regional Carlos Haya, Malaga,
Spain
FAU - Salmeron, Javier
AU - Salmeron J
AD - UGC Digestivo, HUSC, Granada, Spain
FAU - Jiménez, Miguel
AU - Jiménez M
AD - UGC Digestivo, Hospital Regional Carlos Haya, Malaga, Spain
FAU - Blanco, Maria José
AU - Blanco MJ
AD - UGC Enfermedades Digestivas, Hospital de Jerez de la Frontera, Cádiz, Spain
FAU - Diago, Moises
AU - Diago M
AD - Servicio de Ap. Digestivo, H General de Valencia, Valencia, Spain
FAU - Garcia-deltoro, Miguel
AU - Garcia-deltoro M
AD - Unidad de Enfermedades Infecciosas, H General de Valencia, Valencia, Spain
FAU - Alvarez, Marta
AU - Alvarez M
AD - Servicio de Ap. Digestivo, H de Poniente, El Ejido, Almeria, Spain
FAU - Téllez, Francisco
AU - Téllez F
AD - Servicio de Medicina Interna, Hospital de la Linea, Cadiz, Spain
FAU - García, Federico
AU - García F
investigacion
IBS, Granada, Spain
AD - Servicio de Ap. Digestivo, H Arnau de Vilanova, Valencia, Spain
FAU - Tănase, Diana
AU - Tănase D
Romania
FAU - Manea, Eliza
AU - Manea E
Romania
FAU - Bacruban, Rodica
AU - Bacruban R
Romania
AU - Florea D
Romania
FAU - Oțelea, Dan
AU - Oțelea D
Romania
FAU - Rafila, Alexandru
AU - Rafila A
Romania
AU - Mărdărescu M
Romania
AU - Hristea A
Romania
FAU - Grgic, Ivana
AU - Grgic I
AD - Department for Molecular Diagnostic And Flow Cytometry, University Hospital
for
Infectious Diseases Zagreb, Zagreb, Croatia
FAU - Planinic, Ana
AU - Planinic A
for
FAU - Santak, Maja
AU - Santak M
AD - Centre for Research and Knowledge Transfer in Biotechnology, Laboratory for
Molecular Biomedicine, University of Zagreb, Zagreb, Croatia
FAU - Gorenec, Lana
AU - Gorenec L
for
FAU - Lepej, Snjezana Zidovec
AU - Lepej SZ
for
FAU - Vince, Adriana
AU - Vince A
AD - Department of Viral Hepatitis, University Hospital for Infectious Diseases
Zagreb,
Zagreb, Croatia
FAU - Manea, Eliza
AU - Manea E
Romania
AU - Hristea A
Romania
AU - Benea Ș
Romania
AU - Moroti R
Romania
FAU - Tănase, Diana
AU - Tănase D
Romania
FAU - Niculae, Cristian M
AU - Niculae CM
Romania
FAU - Merisor, Simona
AU - Merisor S
Romania
FAU - Jipa, Raluca
AU - Jipa R
Romania
FAU - Paraskevis, Dimitrios
AU - Paraskevis D
AD - Department of Hygiene, Epidemiology and Medical Statistics, Medical School,
University of Athens, Athens, Greece
FAU - Kostaki, Evangelia
AU - Kostaki E
FAU - Nikolopoulos, Georgios K
AU - Nikolopoulos GK
AD - Hellenic Center for Disease Control and Prevention, Amarousio, Greece
FAU - Sypsa, Vana
AU - Sypsa V
FAU - Psichogiou, Mina
AU - Psichogiou M
AD - Department of Propedeutic Medicine, Laikon General Hospital, Athens, Greece
FAU - Paraskeva, Dimitra
AU - Paraskeva D
AD - Department of Propedeutic Medicine, Laikon General Hospital, Athens, Greece
FAU - Skoutelis, Athanassios
AU - Skoutelis A
AD - Fifth Department of Internal Medicine and Infectious Diseases, Evangelismos
Hospital
Athens, Athina, Greece
FAU - Malliori, Meni
AU - Malliori M
FAU - Friedman, Samuel R
AU -Friedman SR
AD -National Development and Research Institutes (NDRI), New York, USA
FAU -Hatzakis, Angelos
AU -Hatzakis A
AD -Department of Hygiene, Epidemiology and Medical Statistics, Medical School,
FAU - Hackiewicz, Malgorzata
AU - Hackiewicz M
AD - Department for Adults Infectious Diseases, Medical University of Warsaw,
Warsaw,
Poland
FAU - Zabek, Piotr
AU - Zabek P
AD - HIV Out-Patient Clinic, Hospital for Infectious Diseases, Warsaw, Poland
FAU - Firlag-Burkacka, Ewa
AU - Firlag-Burkacka E
AU - Horban A
Warsaw,
Poland
FAU - Kowalska, Justyna Dominika
AU - Kowalska JD
Warsaw,
Poland
FAU - Lunar, Maja M
AU - Lunar MM
AD - Institute of Microbiology and Immunology, Faculty of Medicine, University of
Ljubljana, Ljubljana, Slovenia
FAU - Mlakar, Jana
AU - Mlakar J
FAU - Poljak, Mario
AU - Poljak M
AU - Bănică L
“Prof.
FAU - Martin, Eliza
AU - Martin E
AD - Institute of Biochemistry of the Romanian Academy, Bucharest, Romania
FAU - Gheorghiță, Valeriu
AU - Gheorghiță V
AD - Clinical Department, National Institute for Infectious Diseases “Prof. Dr.
Matei
FAU - Petrescu, Andrei
AU - Petrescu A
FAU - Oțelea, Dan
AU - Oțelea D
“Prof.
FAU - Popescu, Costin-Ioan
AU - Popescu CI
AU - Paraschiv S
“Prof.
FAU - Neaga, Emil
AU - Neaga E
AD - National Institute of Infectious Disease “Prof. Dr. Matei Balș”, Bucharest,
Romania
FAU - Ovidiu, Vlaicu
AU - Ovidiu V
Romania
FAU - Juncu, Andrei
AU - Juncu A
AU - Bănică L
Romania
AU - Paraschiv S
Romania
FAU - Oțelea, Dan
AU - Oțelea D
Romania
FAU - Popescu, Costin-Ioan
AU - Popescu CI
FAU - Luca, Adrian
AU - Luca A
AD - Faculty of Psychology and Education Sciences, University of Bucharest,
Bucharest,
Romania
FAU - Lazăr, Florin
AU - Lazăr F
AD - Faculty of Sociology and Social Work, University of Bucharest, Bucharest,
Romania
FAU - Luca, Anca Elena
AU - Luca AE
AD - “Dr. Victor Babeș” Hospital for Infectious and Tropical Diseases, Bucharest,
Romania
FAU - Ene, Luminița
AU - Ene L
Romania
AU - Achim C
AD - HIV Neurobehavioral Research Center, University of California, San Diego, USA
FAU - Gingăraş, Cosmina
AU - Gingăraş C
AD - 5th Clinical Department of Infectious Diseases (HIV Department), Dr. Victor
Babeș
Hospital for Infectious and Tropical Diseases, Bucharest, Romania
FAU - Anton, Ștefan Adrian
AU - Anton ȘA
Babeș
FAU - Rădoi, Roxana
AU - Rădoi R
Babeș
FAU - Tetradov, Simona
AU - Tetradov S
Babeș
FAU - Țârdei, Grațiela
AU - Țârdei G
AD - Virology, Immunology, Molecular Biology Department, Dr. Victor Babeș Hospital
for
Infectious and Tropical Diseases, Bucharest, Romania
FAU - Nica, Maria
AU - Nica M
AD - Microbiology Department, Dr. Victor Babeș Hospital for Infectious and
Tropical
Diseases, Bucharest, Romania
FAU - Capşa, Razvan Alexandru
AU - Capşa RA
AD - Dr. Victor Babeș Medical Center for Diagnosis and Treatment, Bucharest,
Romania
AD - Department of Radiology, Fundeni Institute, Bucharest, Romania
FAU - Achim, Cristian L
AU - Achim CL
AD - Departments of Psychiatry and Pathology, UC San Diego, La Jolla, CA USA
FAU - Oprea, Cristiana
AU - Oprea C
Babeș
AU - Ene L
Babeș
FAU - Szymańska, Bogna
AU - Szymańska B
AD - Outpatients Clinic, Hospital for Infectious Diseases, Warsaw, Poland
FAU - Gawron, Natalia
AU - Gawron N
AD - The Faculty of Psychology, University of Warsaw, Warsaw, Poland
FAU - Pluta, Agnieszka
AU - Pluta A
AD - World Hearing Center, Institute of Physiology and Pathology of Hearing,
Nadarzyn,
Poland
FAU - Łojek, Emilia
AU - Łojek E
AD - The Faculty of Psychology, University of Warsaw, Warsaw, Poland
FAU - Firląg-Burkacka, Ewa
AU - Firląg-Burkacka E
AD - Outpatients Clinic, Hospital for Infectious Diseases, Warsaw, Poland
AU - Horban A
AD - Medical University of Warsaw, Warsaw, Poland
FAU - Bornstein, Robert
AU - Bornstein R
AD - Department of Psychiatry and Behavioral Health, Ohio State University,
Columbus, OH
USA
CN - et HARMONIA3 Study Group
FAU - Burcoș, Olivia
AU - Burcoș O
AD - Clinical Hospital for Infectious and Tropical Diseases “Dr. Victor Babeș”,
Bucharest, Romania
FAU - Erscoiu, Simona Manuela
AU - Erscoiu SM
FAU - Cojanu, Filofteia Bănicioiu
AU - Cojanu FB
Bucharest, Romania
FAU - Toderan, Andreea
AU - Toderan A
Bucharest, Romania
FAU - Nica, Maria
AU - Nica M
FAU - Popa, Ionuț Cristian
AU - Popa IC
Bucharest, Romania
FAU - Ceaușu, Emanoil
AU - Ceaușu E
FAU - Calistru, Petre Iacob
AU - Calistru PI
FAU - Arbune, Manuela
AU - Arbune M
AD - Clinical Department, ‘Dunărea de Jos’ University Galați, Galați, Romania
FAU - Alexandrache, Mirela
AU - Alexandrache M
AD - Infectious Diseases Clinical Hospital Iași, Iași, Romania
FAU - Arbune, Anca-Adriana
AU - Arbune AA
AD - Clinical Department 6, Carol Davila University of Medicine and Pharmacy,
Bucharest,
Romania
FAU - Voinescu, Doina-Carina
AU - Voinescu DC
AD - Clinical Department, ‘Dunărea de Jos’ University Galați, Galați, Romania
FAU - Diaconu, Ioan-Alexandru
AU - Diaconu IA
Romania
FAU - Stratan, Laurențiu
AU - Stratan L
Romania
FAU - Aramă, Victoria
AU - Aramă V
Romania
FAU - Nichita, Luciana
AU - Nichita L
AD - Colentina Clinical Hospital, Bucharest, Romania
FAU - Diaconu, Alexandra
AU - Diaconu A
AD - “Marius Nasta” Pneumophtisiology Institute, Bucharest, Romania
FAU - Negru, Anca
AU - Negru A
Romania
FAU - Orfanu, Alina
AU - Orfanu A
Romania
FAU - Leuștean, Anca
AU - Leuștean A
Romania
FAU - Ion, Daniela Adriana
AU - Ion DA
Romania
FAU - Ianache, Irina
AU - Ianache I
AD - 5th Clinical Department for Infectious Diseases (HIV Department), “Victor
Babeș”
AU - Oprea C
AD - 5th Clinical Department for Infectious Diseases (HIV Department), “Victor
Babeș”
AU - Leuștean A
Romania
FAU - Popescu, Cristina
AU - Popescu C
Romania
FAU - Orfanu, Alina
AU - Orfanu A
Romania
FAU - Negru, Anca
AU - Negru A
Romania
FAU - Catana, Remulus
AU - Catana R
Romania
FAU - Murariu, Cristina
AU - Murariu C
Romania
FAU - Diaconu, Ioan-Alexandru
AU - Diaconu IA
Romania
FAU - Rădulescu, Mihaela
AU - Rădulescu M
Romania
AU - Tilișcan C
Romania
AU - Aramă V
Romania
FAU - Marincu, Iosif
AU - Marincu I
AD - Department of Infectious Diseases, Pneumology, Epidemiology and Parasitology,
“Victor Babeș” University of Medicine and Pharmacy, Timișoara, Romania

FAU - Poptelecan, Patricia
AU - Poptelecan P

FAU - Bică, Valeria
AU - Bică V

AU - Lazăr F
Romania
FAU - Tirnea, Livius
AU - Tirnea L

FAU - Ianache, Irina
AU - Ianache I
AD - 5th Clinical Department for Infectious Diseases (HIV Department), “Dr Victor
Babeș”
AU - Rădoi R
Babeș”
FAU - Nica, Manuela
AU - Nica M
AD - Laboratory of Microbiology, “Dr Victor Babeș” Hospital for Infectious and
Tropical
Diseases, Bucharest, Romania
FAU - Țârdei, Grațiela
AU - Țârdei G
AD - Laboratory of Virology, Immunology, Molecular Biology, “Dr Victor Babeș”
Hospital
for Infectious and Tropical Diseases, Bucharest, Romania
AU - Ene L
Babeș”
AU - Ceaușu E
Babeș”
FAU - Calistru, Petre
AU - Calistru P
Babeș”
AU - Oprea C
Babeș”
FAU - Osoianu, Iurie
AU - Osoianu I
AD - National Center of Public Health, Chișinău, Republic of Moldova
FAU - Halacu, Ala
AU - Halacu A
AD - National Center of Public Health, Chișinău, Republic of Moldova
FAU - Stoian, Andreea Cristina
AU - Stoian AC
AD - Department of Infectious Diseases, University of Medicine and Pharmacy from
Craiova,
Craiova, Romania
FAU - Dumitrescu, Florentina
AU - Dumitrescu F
Craiova,
Craiova, Romania
FAU - Diaconescu, Iulian
AU - Diaconescu I
Craiova,
Craiova, Romania
FAU - Cupșa, Augustin
AU - Cupșa A
Craiova,
Craiova, Romania
FAU - Giubelan, Lucian
AU - Giubelan L
Craiova,
Craiova, Romania
FAU - Ionescu, Loredana
AU - Ionescu L
AD - Clinical Hospital of Infectious Diseases from Craiova, Craiova, Romania
FAU - Niculescu, Irina
AU - Niculescu I
Craiova,
Craiova, Romania
FAU - Chiriac, Carmen
AU - Chiriac C
AD - Department of Infectious Diseases, University of Medicine and Pharmacy Tîrgu-
Mureș,
Târgu Mureș, Romania
FAU - Șincu, Nina
AU - Șincu N
Mureș,
FAU - Kezdi, Iringo Zaharia
AU - Kezdi IZ
Mureș,
FAU - Georgescu, Anca
AU - Georgescu A
Mureș,
FAU - Țilea, Brândușa
AU - Țilea B
Mureș,
FAU - Girbovan, Cristina
AU - Girbovan C
Mureș,
FAU - Incze, Andrea
AU - Incze A
Mureș,
FAU - Fodor, Andrea
AU - Fodor A
AD - Department of Laboratory Medicine, University of Medicine and Pharmacy Tîrgu-
Mureș,
FAU - Cibea, Alina
AU - Cibea A
Romania
AU - Mărdărescu M
Romania
AU - Petre C
Romania
FAU - Drăghicenoiu, Ruxandra
AU - Drăghicenoiu R
Romania
FAU - Ungurianu, Rodica
AU - Ungurianu R
Romania
FAU - Tudor, Ana Maria
AU - Tudor AM
Romania
FAU - Vlad, Delia
AU - Vlad D
Romania
FAU - Matei, Carina
AU - Matei C
Romania
FAU - Dumea, Elena
AU - Dumea E
AD - Ovidius University, Constanța, Romania
AD - Infectious Diseases Clinical Hospital, Constanța, Romania
FAU - Petcu, Lucian Cristian
AU - Petcu LC
FAU - Cambrea, Simona Claudia
AU - Cambrea SC
AD - Ovidius University, Constanța, Romania
AU - Dumitrescu F
AD - Infectious Diseases Department, University of Medicine and Pharmacy from
Craiova,
Craiova, Romania
FAU - Cupsa, Augustin
AU - Cupsa A
Craiova,
Craiova, Romania
AU - Stoian AC
Craiova,
Craiova, Romania
AU - Giubelan L
Craiova,
Craiova, Romania
AU - Niculescu I
Craiova,
Craiova, Romania
AU - Diaconescu I
Craiova,
Craiova, Romania
FAU - Hurezeanu, Dan
AU - Hurezeanu D
Craiova,
Craiova, Romania
FAU - Dragonu, Livia
AU - Dragonu L
Craiova,
Craiova, Romania
FAU - Cotulbea, Mioara
AU - Cotulbea M
AD - “Victor Babeș” Hospital of Infectious Diseases and Pneumology, Craiova,
Romania
FAU - Erscoiu, Simona Manuela
AU - Erscoiu SM
AD - Carol Davila University of General Medicine and Pharmacy Bucharest,
Bucharest,
Romania
FAU - Popa, Ionuț Cristian
AU - Popa IC
AD - Clinical Hospital for Infectious and Tropical Diseases Dr. Victor Babeș
Bucharest,
Bucharest, Romania
FAU - Stroie, Denisa
AU - Stroie D
Bucharest,
Bucharest, Romania
FAU - Ionescu, Petronela
AU - Ionescu P
Bucharest,
Bucharest, Romania
FAU - Duță, Nedeea
AU - Duță N
Bucharest,
Bucharest, Romania
FAU - Dobrea, Camelia
AU - Dobrea C
AD - Monza Hospital, Bucharest, Romania
FAU - Voican, Irina
AU - Voican I
AD - Bucharest University Emergency Hospital, Bucharest, Romania
AU - Ceaușu E
Bucharest,
Romania
FAU - Calistru, Petre Iacob
AU - Calistru PI
Bucharest,
Romania
AU - Lazăr F
AD - Bucharest University, Bucharest, Romania
AU - Giubelan L
AD - University of Medicine and Pharmacy, Craiova, Romania
AD - Victor Babeș Hospital of Infectious Diseases and Pneumology, Craiova, Romania
FAU - Cupșa, Augustin
AU - Cupșa A
AU - Diaconescu I
AU - Dumitrescu F
FAU - Hurezeanu, Dan
AU - Hurezeanu D
FAU - Dragonu, Livia
AU - Dragonu L
AU - Niculescu I
AU - Stoian AC
FAU - Obretin, Oana
AU - Obretin O
FAU - Stănescu, Mariana
AU - Stănescu M
FAU - Jianu, Mihai
AU - Jianu M
FAU - Gorenec, Lana
AU - Gorenec L
AD - Department of Molecular Diagnostics and Flow Cytometry, University Hospital
for
AU - Lepej SZ
for
FAU - Grgic, Ivana
AU - Grgic I
for
FAU - Planinic, Ana
AU - Planinic A
for
FAU - Bes, Janja Iscic
AU - Bes JI
for
AU - Vince A
AD - Department of Viral Hepatitis University Hospital for Infectious Diseases
Zagreb,
and University of Zagreb, School of Medicine, Zagreb, Croatia
FAU - Begovac, Josip
AU - Begovac J
AD - Department of HIV/AIDS, University Hospital for Infectious Diseases Zagreb,
and
University of Zagreb, School of Medicine, Zagreb, Croatia
FAU - Horga, Luminița Elena
AU - Horga LE
AD - Infectious Diseases Hospital Cluj-Napoca, Cluj-Napoca, Romania
FAU - Itu, Corina
AU - Itu C
AD - Clinical Hospital for Infectious Diseases, Cluj-Napoca, Romania
FAU - Horga, Luminița Elena
AU - Horga LE
FAU - David-Aldea, Laura Augusta
AU - David-Aldea LA
FAU - Ciorogar, Anca
AU - Ciorogar A
FAU - Jianu, Cristian
AU - Jianu C
FAU - Lupșe, Mihaela
AU - Lupșe M
AD - Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
FAU - Caramangiu, Iuliana
AU - Caramangiu I
AD - Department of Infection Diseases I, “Victor Babeș” Clinical Hospital of
Infectious
Diseases Timișoara, Timișoara, Romania
FAU - Roșca, Ovidiu
AU - Roșca O
AD - Department of Infection Diseases I, University of Medicine and Pharmacy
“Victor
Babeș” Timișoara, Timișoara, Romania
FAU - Cialma, Monica
AU - Cialma M
“Victor
FAU - Ardeleanu, Andreea
AU - Ardeleanu A
Infectious
AU - Marincu I
“Victor
FAU - Jipa, Raluca
AU - Jipa R
AD - National Institute of Infectious Diseases “Prof. Dr. Matei Balș”, Bucharest,
Romania
FAU - Manea, Eliza
AU - Manea E
Romania
AU - Benea Ș
Romania
FAU - Lăpădat, Irina
AU - Lăpădat I
Romania
FAU - Irimescu, Nicoleta
AU - Irimescu N
Romania
FAU - Panait, Irina
AU - Panait I
Romania
FAU - Niculae, Cristian
AU - Niculae C
Romania
AU - Hristea A
Romania
FAU - Kusic, Jovana
AU - Kusic J
AD - The HIV-AIDS Center, Institute of Infectious and Tropical Disease ‘Dr Kosta
Todorovic’, School of Medicine, University of Belgrade, Belgrade, Serbia
AU - Jevtovic D
AU - Salemovic D
FAU - Ranin, Jovan
AU - Ranin J
FAU - Dimitrijevic, Bozana
AU - Dimitrijevic B
AD - Department for Pharmacology, Clinical Pharmacology and Toxicology, School of
FAU - Dragovic, Gordana
AU - Dragovic G
AD - Department for Pharmacology, Clinical Pharmacology and Toxicology, School of
FAU - Aldea-David, Laura-Augusta
AU - Aldea-David LA
AD - Infectious Diseases Hospital, Cluj-Napoca, Romania
FAU - Manciuc, Carmen
AU - Manciuc C
AD - “Sf. Parascheva” Infectious Diseases Clinical Hospital, Iași, Romania
AD - “Gr. T. Popa” University of Medicine and Pharmacy, Iași, Romania
FAU - Nicolau, Cristina
AU - Nicolau C
FAU - Prisăcariu, Liviu
AU - Prisăcariu L
FAU - Largu, Alexandra
AU - Largu A
AD - “Gr. T. Popa” University of Medicine and Pharmacy, Iași, Romania
AU - Mărdărescu M
Romania
AD - Compartment for Monitoring and Evaluation of HIV/AIDS Data in Romania,
Bucharest,
Romania
Romania
Bucharest,
Romania
AU - Petre C
Romania
FAU - Iancu, Marieta
AU - Iancu M
Bucharest,
Romania
FAU - Vintilă, Sanda
AU - Vintilă S
Bucharest,
Romania
FAU - Vitelaru, Daniela
AU - Vitelaru D
Bucharest,
Romania
FAU - Ionel, Iosif
AU - Ionel I
AD - National Institute for Public Health, Romania-National Centre for
Surveillance and
Control of Transmissible Diseases, Bucharest, Romania
FAU - Șchiopu, Claudiu Mihai
AU - Șchiopu CM
Romania
FAU - Mărdărescu, Alexandra-Henriette
AU - Mărdărescu AH
Romania
FAU - Micsanschi, Pavel
AU - Micsanschi P
AD - Department of Infectious Diseases, Parasitology and Tropical Medicine,
Nicolae
Testemițanu State Medical and Pharmacy University, Chișinău, Republic of
Moldova
FAU - Holban, Tiberiu
AU - Holban T
Nicolae
Moldova
FAU - Bîstrițchi, Ina
AU - Bîstrițchi I
Nicolae
Moldova
FAU - Pârțână, Lucia
AU - Pârțână L
AD - Hospital of Dermatology and Communicable Diseases, Chișinău, Republic of
Moldova
FAU - Nagîț, Angela
AU - Nagîț A
Moldova
FAU - Popovici, Svetlana
AU - Popovici S
Moldova
FAU - Talmaci, Maria
AU - Talmaci M
Moldova
FAU - Cucerova, Irina
AU - Cucerova I
Moldova
FAU - Mitrescu, Sorina Georgiana
AU - Mitrescu SG
Infectious
FAU - Mihalcea, Dana
AU - Mihalcea D
Infectious
FAU - Caramangiu, Iulia
AU - Caramangiu I
Infectious
AU - Roșca O
“Victor
FAU - Maricu, Iosif
AU - Maricu I
“Victor
FAU - Negru, Anca
AU - Negru A
AD - Adults 3 Department of Matei Balș National Institute of Infectious Diseases,
Bucharest, Romania
AD - Infectious Diseases Department, Carol Davila University of Medicine and
Pharmacy,
Bucharest, Romania
FAU - Munteanu, Daniela
AU - Munteanu D
Bucharest, Romania
AU - Aramă V
Bucharest, Romania
Pharmacy,
Bucharest, Romania
FAU - Mihăilescu, Raluca
AU - Mihăilescu R
Bucharest, Romania
FAU - Diaconu, Ioan
AU - Diaconu I
Bucharest, Romania
AU - Catana R
Bucharest, Romania
AU - Popescu C
Bucharest, Romania
Pharmacy,
Bucharest, Romania
FAU - Orfanu, Alina
AU - Orfanu A
Bucharest, Romania
Pharmacy,
Bucharest, Romania
AU - Leuștean A
Bucharest, Romania
FAU - Rădulescu, Mihaela
AU - Rădulescu M
Bucharest, Romania
Pharmacy,
Bucharest, Romania
AU - Tilișcan C
Bucharest, Romania
AD - Physiopathology and Immunology Department, Carol Davila University of
Medicine and
Pharmacy, Bucharest, Romania
FAU - Năstase, Raluca
AU - Năstase R
Bucharest, Romania
FAU - Molagic, Violeta
AU - Molagic V
Bucharest, Romania
FAU - Duport, Irina
AU - Duport I
Bucharest, Romania
FAU - Dragomirescu, Cristina
AU - Dragomirescu C
Bucharest, Romania
FAU - Aramă, Ștefan Sorin
AU - Aramă ȘS
AD - Physiopathology and Immunology Department, Carol Davila University of
Medicine and
Pharmacy, Bucharest, Romania
FAU - Negruț, Nicoleta M
AU - Negruț NM
AD - Department of Neuroscience and Recovery, Faculty of Medicine and Pharmacy,
University of Oradea, Oradea, Romania
FAU - Niță, Violeta Elena
AU - Niță VE
Romania
FAU - Munteanu, Daniela Ioana
AU - Munteanu DI
Romania
FAU - Mihăilescu, Raluca
AU - Mihăilescu R
Romania
FAU - Diaconu, Ioan
AU - Diaconu I
Romania
FAU - Negru, Anca
AU - Negru A
Romania
AU - Popescu C
Romania
AU - Aramă V
Romania
FAU - Orfanu, Alina
AU - Orfanu A
Romania
AU - Popescu C
Romania
AU - Leuștean A
Romania
FAU - Negru, Anca
AU - Negru A
Romania
AU - Catana R
Romania
FAU - Diaconu, Ioan
AU - Diaconu I
Romania
AU - Tilișcan C
Romania
AU - Aramă V
Romania
FAU - Aramă, Sorin Ștefan
AU - Aramă SȘ
FAU - Pavlovia, Ivana Pesic
AU - Pavlovia IP
AD - Department of Microbiology, Clinical Centre of Serbia, Belgrade, Serbia
AU - Salemovic D
AD - Belgrade University School of Medicine Infectious & Tropical Diseases
Hospital,
Belgrade, Serbia
FAU - Ranin, Jovan
AU - Ranin J
Hospital,
Belgrade, Serbia
AU - Jevtovic D
Hospital,
Belgrade, Serbia
AU - Roșca O
AD - Department of Infectious Diseases I, “Victor Babeș” University of Medicine
and
Pharmacy Timișoara, Timișoara, Romania
FAU - Ardeleanu, Andreea
AU - Ardeleanu A
AD - Department of Infectious Diseases, Clinical Hospital of Infectious Diseases
and
Pneumology “Victor Babeș”, Timișoara, Romania
FAU - Caramangiu, Iulia
AU - Caramangiu I
and
FAU - Desaga, Daniela
AU - Desaga D
and
FAU - Bică, Valerica
AU - Bică V
and
FAU - Mitrescu, Sorina
AU - Mitrescu S
and
AU - Marincu I
and
AU - Siljic M
AD - Institute of Microbiology and Immunology, University of Belgrade Faculty of
Medicine, Belgrade, Serbia
AU - Salemovic D
AD - University Hospital for Infectious and Tropical Diseases CCS, HIV/AIDS Unit,
Belgrade, Serbia
AU - Nikolic V
AU - Jevtovic D
Belgrade, Serbia
AD - Microbiology Department, Clinical Center Serbia, Belgrade, Serbia
FAU - Ranin, Jovan
AU - Ranin J
Belgrade, Serbia
FAU - Todorovic, Marija
AU - Todorovic M
AU - Stanojevic M
FAU - Șincu, Nina-Ioana
AU - Șincu NI
Mureș,
Tîrgu-Mureș, Romania
FAU - Georgescu, Anca
AU - Georgescu A
Mureș,
FAU - Țilea, Brândușa
AU - Țilea B
Mureș,
FAU - Kezdi, Iringo Zaharia
AU - Kezdi IZ
Mureș,
FAU - Incze, Andrea
AU - Incze A
Mureș,
FAU - Gârbovan, Cristina
AU - Gârbovan C
Mureș,
FAU - Chiriac, Carmen Lucia
AU - Chiriac CL
Mureș,
FAU - Luca, Anca Elena
AU - Luca AE
Romania
AU - Lazăr F
Romania
FAU - Luca, Adrian
AU - Luca A
AD - Faculty of Psychology and Education Sciences, University of Bucharest,
Bucharest,
Romania
AU - Ene L
Romania
AU - Rădoi R
Romania
FAU - Talnariu, Adina
AU - Talnariu A
Romania
FAU - Suciu, Silvia
AU - Suciu S
Romania
AU - Achim C
AD - HIV Neurobehavioral Research Center, University of California, San Diego, USA
FAU - Iacob, Diana Gabriela
AU - Iacob DG
Romania
AU - Florea D
Romania
FAU - Iacob, Simona
AU - Iacob S
Romania
FAU - Arbune, Manuela
AU - Arbune M
AD - Clinical Department, “Dunărea de Jos” University Galați, Galați, Romania
AD - Infectious Diseases Clinical Hospital Galați, Galați, Romania
FAU - Drăgănescu, Miruna
AU - Drăgănescu M
AD - Clinical Department, “Dunărea de Jos” University Galați, Galați, Romania
FAU - Iancu, Alina
AU - Iancu A
AD - Morphologic and Functional Sciences Department, “Dunărea de Jos” University
Galați,
Galați, Romania
AU - Moroti R
Matei
FAU - Niculae, Cristian M
AU - Niculae CM
Matei
FAU - Merisor, Simona
AU - Merisor S
Matei
FAU - Manea, Eliza
AU - Manea E
Matei
FAU - Benea, Serban
AU - Benea S
Matei
FAU - Stan, Andrada
AU - Stan A
Matei
FAU - Hrisca, Raluca
AU - Hrisca R
Matei
FAU - Jipa, Raluca
AU - Jipa R
Matei
FAU - Tanase, Diana
AU - Tanase D
Matei
AU - Hristea A
Matei
FAU - Grgic, Ivana
AU - Grgic I
AD - Department for Molecular Diagnostic and Flow Cytometry, University Hospital
for
FAU - Planinic, Ana
AU - Planinic A
for
FAU - Gorenec, Lana
AU - Gorenec L
for
AU - Lepej SZ
for
AU - Vince A
AD - Department of Viral Hepatitis, University Hospital for Infectious Diseases
Zagreb,
Zagreb, Croatia
LA - eng
DEP - 20160627
TA - BMC Infect Dis
JID - 100968551
SB - IM
PMC - PMC4928154
EDAT- 2016/07/01 06:00
MHDA- 2016/07/01 06:01
CRDT- 2016/07/01 06:00
PHST- 2016/07/01 06:00 [entrez]
PHST- 2016/07/01 06:00 [pubmed]
PHST- 2016/07/01 06:01 [medline]
AID - 10.1186/s12879-016-1480-8 [pii]
AID - 1480 [pii]
AID - 10.1186/s12879-016-1480-8 [doi]
PST - epublish
SO - BMC Infect Dis. 2016 Jun 27;16 Suppl 3(Suppl 3):290. doi: 10.1186/s12879-016-
1480-8.
PMID- 33351435
STAT- Publisher
CTDT- 20201123
DP - 2020 Jan
TI - Suicidal Ideation.
BTI - StatPearls
AB - Suicidal ideations (SI), often called suicidal thoughts or ideas, is a broad
term
used to describe a range of contemplations, wishes, and preoccupations with
death
and suicide. There is no universally accepted consistent definition of SI,
which
leads to ongoing challenges for clinicians, researchers, and educators. For
example, in research studies, SI is frequently given different operational
definitions. This interferes with the ability to compare findings across
studies and
is frequently mentioned as a limitation in meta-analyses associated with
suicidality. Some SI definitions include suicide planning deliberations
while
others consider planning to be a discrete stage. Beyond the lack of clear
nomenclature, there are other concerns. A systematic review of the numerousi
nterprofessional clinical guidelines for suicide yielded no consensus on a
clinical
gold-standard for assessing and managing SI or people at risk of
suicide. Although
scales to measure depression, SI and risk for suicide exist, none produce a
score
that is sufficiently reliable or clinically useful in predicting the very
small
subgroup of suicide ideators whose death by suicide is imminent. (The
American
Psychiatric Association Practice Guidelines for Psychiatric Evaluation of
Adults,
3rd ed. 2016, p. 19). It is evident that suicidal ideations present in a
"waxing and
waning manner", so the magnitude and characteristics of SI fluctuate
dramatically. It is critically important for healthcare professionals to
recognize
that SI is a heterogeneous phenomenon. It varies in intensity, duration, and
character. As there is no "typical" suicide victim, there are no "typical"
suicidal
thoughts and ideations. Unfortunately, healthcare records often document SI
in a
binary yes/no fashion, although it encompasses everything from fleeting
wishes of
falling asleep and never awakening to intensely disturbing preoccupations
with
self-annihilation fueled by delusions. Therefore, thoroughly assessing and
monitoring the pattern, intensity, nature, and impact of SI on the
individual, and
documenting this accordingly is important for all healthcare professionals.
It is
also important to reassess SI frequently due to its fluctuating pattern. The
magnitude of SI fluctuations was studied using an ecological momentary
assessment
method. Individuals who attempted suicide in the past year plus a sample of
suicidal
in-patients recorded the intensity of their suicidal thoughts from hour to
hour for
four weeks. Analysis of these data showed dramatic fluctuations in the
intensity of
SI by all participants. All participants had SI which varied in its
intensity,
either upwards or downwards, by one standard deviation on most days. Many had
one
standard deviation fluctuations several hours apart within the same day. This
knowledge is important for all healthcare professionals to consider and

highlights
the need to monitor fluctuations and not dismiss the possibility of sudden
increases
in suicidal urges, even when the current level is mild and the individual
currently
has control over them. Additionally, SI is considered a better predictor of
lifetime
risk for suicide than imminent risk, so assessments should include describing
the
characteristics and impact of prior SI as well as current. [8]] The Center
for
Behavioral Health Statistics Quality publishes the results of the American
nationwide household survey, the National Survey of Drug Use and Health
(NSDUH).
Piscopo's 2017 publication summarized the results from the 2009-2014 surveys
which
show that 6% of 18-25-year-olds respond affirmatively to the survey question,
"At
any time in the past 12 months, did you seriously think about trying to kill
yourself?" In contrast, the lowest rate of SI was 1.6% in those aged 65 years
and
above. There is no clear association between endorsing SI and attempting
suicide.
For every 31 Americans with SI, only one individual will attempt suicide. The
rates
of suicide deaths also vary by gender, age, race, and other demographic
variables.
Further evidence of the weak association between reported SI and fatal
suicides is
apparent when comparing the NSDUH results to CDC mortality records. Despite
the low
prevalence of SI in white males over age 75 years, they have the highest rate
of
fatality by suicide (approx. 40 per 100,000). Meanwhile, females over 75
years have
much lower rates (4 per 100,000). The suicide ideators in the 18-25-year-old
group
had significantly fewer suicide deaths (approx. 17.5 per 100,000 for males
and 4 per
100,000 for females). Most people have control over SI and do not attempt
suicide,
even when endorsing SI. Psychiatric Association Practice Guidelines for
Psychiatric
Evaluation of Adults (2016, p. 19) points out that SI is a symptom of another
primary psychiatric diagnosis and suggests that 90% of people who end their
lives by
suicide meet the diagnostic criteria for one or more psychiatric diagnoses.
However,
data clearly show that numerous medical illnesses are associated with
increased odds
of suicide and that suicidal death extends through all demographic groups and
includes virtually all psychiatric and medical diagnoses. The CDC's mortality
records for 2017 reveal over 50% of deaths by suicide were by people with no
known
psychiatric illness. Some criticisms have been made that suicidality should
be
regarded as a distinct psychiatric diagnosis, with its symptoms and unpinning
pathological processes. Although this is beyond the scope of this paper,

this
contention is becoming more widespread. After reviewing all of the existing
clinical guidelines, Bernert et al concluded there is an urgent need for

"easily-accessible best practice guidelines, adaptable to diverse fields of
medicine
and clinical specialties, that may be the first point of contact for risk
detection,
intervention, and prevention." Although this paper aims to focus primarily on
suicidal ideation, it is important to provide context. Therefore, while the
intention is not to broaden the focus to suicide, it is impossible to address
the
significance of SI without also discussing suicidal behaviors and outcomes to
some
extent. It is estimated by the Center for Disease Control and Prevention
(CDC) that
in 2017 there were approximately 10 million people in the USA who experienced
suicidal thoughts. Fortunately, the majority of ideators in the USA and

globally
will never attempt suicide and fewer will use lethal means that result in
death. Of
the 10 million Americans with SI, it is estimated there were 1.4 million
suicide
attempts in 2017, but healthcare was only sought by approximately one-third
of those
who attempted. The degree of suicidal intent and the lethality of means used
during
attempts vary tremendously. One-half of the 47,000 suicides that occurred in
America during 2017 were caused by firearms. (CDC). Globally, the World
Health
Organization (WHO) collects mortality data, including the prevalence and
means of
suicides, for all member nations. Beginning in 2013, after declaring that the
rising
suicide rates constituted a "global public health crisis", they advocated for
evidence-based strategies to prevent suicides globally. In developing

nations, where
the ingestion of pesticides was the leading cause of fatal attempts, suicide
prevention efforts promoted using less toxic pesticides. Evidence exists that
reductions in suicides can be achieved by reducing access to lethal means,

but this
requires a comprehensive systemic approach that includes collaboration
between
policy-makers, healthcare professionals and interventions to reduce
modifiable risk
factors. Primary Care Professionals concerning SI A recent meta-analysis of
44
studies of healthcare services used by suicide victims showed a chief
reliance on
primary care professionals in all countries. Only 31% of suicide decedents
received
inpatient or outpatient mental health services in the year before their
death; 57%
of the decedents had contact with mental health services at some point during
their
lifetime. Primary care professionals are more apt to have an established
relationship with patients and have a more complete understanding of their
health
history. Furthermore, due to having a pre-established relationship, when
patients
experience worsening SI or stressors that may precipitate suicidal behaviors,
they
are more likely to seek help from primary care professionals. Studies show
that
80-90% of suicide decedents increased their contact with primary care
professionals
in the year and months before their suicide; 44% of those who died by suicide
had
contact with primary care in their last month of life. Although the
impetus for
increased contacts is undoubtedly variable, it does indicate opportunities
exist for
healthcare professionals to identify any new risk factors for suicide and
offer
treatment options to address modifiable factors. During their final visit
with
primary care professionals, 90% of suicide victims in a UK study disclosed
their SI
to primary care providers. These same providers were interviewed about their
experience losing a patient in their practice to suicide (n=39). In each

case, the
primary care physician had referred their patient for psychiatric services,
so the
physician's communication with both their patient and the psychiatric service
professionals (physicians and community psychiatric nurses) could be examined

in the
study. Twenty percent of the physicians who heard their patients endorsing
suicidal
thoughts stated they were concerned about their patient's safety during their
final
appointment. The researchers noted that many of the primary care providers
were
uncertain about how to interpret the meaning of SI when expressed by their
patients.
This was particularly evident when the patient had a history of voicing SI.
Examples
of statements from the primary care physicians include; "Although we put her
down as
a moderate suicide risk, none of us thought she’d ever do it because she
talked
about it so much". (p. 263). "He’d done this on numerous occasions. Taken
overdoses,
not as a suicidal attempt but in an attention-seeking, in a [state of] mental
distress, help me, [a] cry for help ... there was never a disorder" . The
limited
understanding of how to assess and treat people with SI was apparent in some
of the
interviews in this UK study, although there was substantial variability
between
physicians. However, similar gaps in knowledge are also evident in other
studies
involving primary care professionals. An observational study of primary care
providers in the Netherlands showed SI was assessed in only 44% of clinically
depressed patients and 66% of new-onset depression patients. The frequent

lack of
suicide risk prevention policies in primary care practices is also apparent
and even
when they do exist, there may be uncertainty regarding what they
entail. Julie
Goldstein Grumet, director of US Health and Behavioral Health Initiatives for
the
Suicide Prevention Resource Center and the director of the Zero Suicide
Institute
published preliminary research data in the Jan. 2019 Journal of Health Care
Compliance. Less than one-third of healthcare providers (n=15,000) who
completed an
optional self-test for the Zero Suicide initiative in the USA
reported feeling
knowledgeable about suicide risk warning signs. Similarly, only 1 in 3 knew
their
organization's procedures for patients at increased risk or felt confident in
their
ability to respond to a suicidal patient. Although standardized tools,
instruments,
and rubrics do not provide a clear indication of imminent suicidal risk, the
American Psychiatric Association Clinical Guidelines for Evaluating
Suicidality
suggests these tools can be useful as prompts when interviewing to ensure
thoroughness in the questions asked during the risk assessment. Grumet et al
reported that only 35.5% of the providers stated they use any of these
available
tools when screening or assessing. Furthermore, only one-third of the
healthcare
professionals responsible for delivering treatment (n = 4,101) indicated they
"strongly agreed" when self-rating their level of confidence or comfort in

treating
patients with elevated suicide risk. Although additional training is
recommended by
many to improve the competence of healthcare professionals, the outcomes from
an
interprofessional course which included how to assess SI produced modest
results.
Students were taught the importance of SI assessments during an online module
and
then required to practice completing suicide risk assessments on standardized
patients. However, later in the semester, only 55% of the students (65.5%
of medical; 54.5% of nursing; 46.4% of pharmacy) completed an SI assessment
on the
depressed standardized patient during their final objective clinical
standardized
exam (OSCE). This emphasizes the importance of reinforcing learning in
academic
settings and monitoring competence and compliance in healthcare
organizations. There
were additional findings in the study of UK primary care physicians that are
pertinent to consider. Multiple barriers with psychiatric services were
described by
the primary care physicians. The primary care providers commented that they
often
felt frustrated when they were left to manage suicidal patients alone or when
the
system created obstacles and referral mazes which made it difficult for them
to
advocate for what they believed was in their patient's best
interests: Examples of
statements from the interviews include; "Because the patient did not attend
his last
psychiatric appointment, the psychiatrist discharged him and sent a letter to
us
stating this. I disagreed [because the patient needed the psychiatrist's
expertise]"
p. 264. "Sometimes we feel like we have to manipulate the system [to expedite
referrals] just to get a patient assessed ... we, therefore, refer to

hospital
[emergency department] as patients will get seen and assessed on the day and
they do
follow-up as their referrals go to the CMHT (Community Mental Health)" p.
265. .
Almost all of the physicians (90%) said they knew their deceased patient
"well", but
this knowledge may have been under-utilized during the subsequent psychiatric
treatment planning. One of the physicians was frustrated about being excluded

from
providing input into the psychiatric treatment plan - a plan he disagreed
with and
which he suggested may have contributed to the suicide. The issues and
conclusions
identified in this UK study are consistent with other studies. A review of
literature focusing on improving primary practice professionals ability to
detect
and treat SI and prevent suicide produced four major recommendations: i)
educating
practitioners on risks for suicidal thoughts and behaviors ii) providing
patient
screening to identify suicide risk and/or mood disturbances iii) using
evidence-based interventions, including collaborative, multi-disciplinary
teams, to
manage depression iv) assessing for the presence of suicide risk factors and
managing suicide risk when symptoms arise. These recommendations are similar
to the
reaction of the American accreditation agency, the Joint Commission (JC) to
address
frequent suicides following contact with ED, PCP and MH services. The Joint
Commission’s Sentinel Event database received 1,089 reports of suicides from
2010 to
2014 among patients receiving care in an accredited hospital or within 72
hours of
hospital discharge or release from an emergency department. Shortcomings in
the
patient's psychiatric assessment were the most frequently cited root-cause.
As of
July 1, 2019, the JC requires the use of validated screening tools to assess
any
patient whose primary reason for seeking treatment or evaluation is for a
behavioral
health problem. However, universal screening was not mandated, although many
organizations may elect to do this. The JC, working with other suicide
reduction
organizations, has numerous resources on its website to assist members to
meet this
accreditation requirement. Their stated rationale for new requirement
included
rising suicide rates, increased empirical knowledge and available risk
assessment
tools, and the non-compliance of over 21% of accredited behavioral health
organizations and 5% of hospitals to meet JC's National Patient Safety Goal
(NPSG)
15.01.01 "Element of Performance 1 – Conduct a risk assessment that
identifies
specific patient characteristics and environmental features that may increase
or
decrease the risk for suicide" (Joint Commission, NPSG 15.01.01) The JC
advised
that all accredited organizations should do the following: 1.) Review each
patient’s
personal and family medical history for suicide risk factors. 2.) Screen all
patients for suicide ideation using a brief, standardized, evidence-based
screening
tool. 3.) Review screening questionnaires before the patient leaves the
appointment
or is discharged. 4.) Take action based on the assessment results to inform
the
level of interventions needed. (The Joint Commission, 2016, p. 3) Active and
Passive Suicidal Ideation "Active" suicidal ideation denotes experiencing

current,
specific, suicidal thoughts. Active SI is present when there is a conscious
desire
to inflict self-harming behaviors and the individual has any level of desire,
above
zero, for death to occur as a consequence. The probable lethality of their
actions,
based on the means used for the suicide attempt, is not the focus. Rather,
the
individual's expectation that their attempt could produce a fatal outcome is
the key
consideration. Example of an Active SI assessment item: Miller et al (1991)
Modified Suicidal Ideation Scale: "Over the past day or two when you have
thought
about suicide did you want to kill yourself? How often? A little? Quite
often? A
lot? Do you want to kill yourself now?" . "Passive" SI refers to a general
wish to
die but when there is no plan of inflicting lethal self-harm to kill oneself.
Passive SI includes indifference to an accidental demise which would occur if

steps
are not taken to maintain one's own life. Passive SI receives less attention
from
clinicians and researchers than active SI. Although most research studies do
not
distinguish between active and passive SI, few studies focus on passive
ideations.
One author pointed out the underlying assumption of healthcare professionals
is that
the desire for death is not typically thought of as a harbinger of more
severe
suicidal outcomes. Examples of Passive SI assessment items: Beck et al
(1979)
Scale for Suicidal Ideation (SSI) was the first to measure "passive suicidal
desire": 0 = Would take measures to save [one's own] life. 1 = Would leave
life/death to chance. 2 = Would avoid steps to necessary to save or maintain
life .
European Depression Scale item, "In the past month, have you ever wished you
were
dead?" . Miller et al (1991) Modified Suicidal Ideation Scale : "Would you
deliberately ignore taking care of your health? Do you feel like trying to
die by
eating too much (too little), drinking too much (too little), or by not
taking
needed medications?" . Passive SI, Death Wishes, and the Older Adult
Population
Assessing SI is an essential component of suicide risk assessment for
individuals
extending beyond those with known psychiatric conditions, especially in the
older
adult populations around the world. Individuals who endorse SI have a higher
lifetime risk of future suicide than individuals who have never experienced
any SI,
although the prediction value is only weak. The value of SI in predicting
imminent
suicide risk has not been shown but does factor into the overall assessment
of
protective versus risk factors in short-term, imminent suicide risk. A
common
misconception is that passive SI has less clinical importance. Large
population-based studies (n>85,000) that compared the odds ratio to predict
suicide
attempts based on reported passive SI or reported active SI show there is no
significant difference. Including questions to assess both active and
passive SI
was recommended as the best clinical practice to predict risk. Compared to
younger
populations, older adults are more apt to endorse passive SI and less
inclined to
express active SI or seek mental health care. Also, the majority die on their
initial attempt. White males over 85 years have the highest rates, largely
due to
the use of lethal means like firearms. A systematic review revealed that
older
adults who died by suicide have very different personality profiles than
younger
suicide victims. Overall, older suicide victims had less evidence of
maladaptive
personalities and the majority did not meet the threshold for psychiatric
diagnosis.
The only significant association was with a relatively small number of older
suicide
victims who had obsessive-compulsive and avoidant personality disorders. The
researchers suggested these personality traits may have made later-life
changes and
transitions more difficult. They also noted that older suicide victims were
more
heterogeneous in both their risk factors and experiences compared to early-
life
suicide victims. Overall, there is a paucity of research addressing the
nature of
SI in older populations, although passive SI is understood to be more
associated
with older adults. However, when searching the literature using analogous
terms like
"death ideation", "death wish" "self-chosen death" and "wish to hasten death"
(WTHD), it becomes more clear that this terminology has been ascribed to
older
adults' ideations. Healthcare professionals should bear in mind the social
constructs and norms that influence the way suicidality is addressed and
indirectly
minimized by the use of these terms to describe SI in this age group. Without
drifting too far into this literature, several examples of recent studies may
help
illuminate this relatively well-researched area of study. Death wishes: A
death
wish was expressed in 9.5% of a large sample (n= >35,000) of New Zealanders
aged 65
and older who were being evaluated for home care services. Depression, poor
self-reported health and loneliness were each independent, predictive
variables of
death wish. . Self-chosen death: Interviews with Dutch older adults (n=25)
who
were 70 years or older, (mean age of 82), who wanted to die because they
considered
their lives complete and no longer worth living. All of these ideators had
age-related debilitation, but none had a terminal disease. They considered
their
death wish to be reasonable and wanted to have the same ability as those with
terminal illnesses to chose death based on the Dutch euthanasia laws. . Wish
to
hasten death: A systematic review of 16 studies examining WTHD in patients
with
advanced illnesses showed that feeling like a burden contributed and may have
triggered the WTHD. . A study of incarcerated prisoners aged 50 years and

older
(n=124) found past alcohol dependence and a self-rating one's health as
poor/fair
were equally associated with both passive (10%) and active (11%) SI. Compared
to
inmates who denied any SI, both groups of ideators had significantly higher
incidences of previous suicide attempts and/or major depressive episodes. A
European study of retired middle-aged and older adults (n >35,000) examined
the
association between health status and passive suicidal ideations. They found
increased odds of passive suicidal ideation when the participant had been
diagnosed
with a heart attack, diabetes/high blood sugar, chronic lung disease,
arthritis,
ulcer, and hip/femoral fractures. Other studies show elevated odds ratios
for
suicide with hepatic disease , CVA physical disability [31]). These findings
suggest a need for all healthcare professionals to be aware that the lack of
adherence to the medication or dietary regime may warrant further exploration
concerning possible SI. Research findings from a community sample of older

adults
(n=1,226) who participated in the PROSPECT study (Prevention of Suicide in
Primary
Care Elderly: Collaborative Trial) showed that SI was present in 29% of
participants
with major depression; 11% with minor depression; and 7% without depression.
The
findings from this study underscore the need to assess SI in older patients,
including those who do not have signs and symptoms of depression. A
systematic
review of self-harm in older adults concluded that more research needs to be
done to
better understand the characteristics of this population's unique
characteristics
and needs. Suicide attempts in this age group are usually fatal in their
first
attempt due to the lethality of their means, existing fragility and lack of
desire
or opportunity for rescue. Because older adults typically have frequent
contact with
PCPs, opportunities to detect SI and provide appropriate interventions.
Suicide
Risk Assessment and Suicide Risk Formulation The suicide
risk assessment (SRA)
focuses on identifying the risk factors and protective factors for any given
individual. This is followed by the suicide risk formulation (SRF) which
assigns a
level of imminent suicide risk. The subsequent triage and treatment plans are
based
on the SRF. One of the concerns discussed in the literature is the emphasis
on the
patient's communication of suicide ideation. The American Psychiatric
Association
(2016) Practice Guidelines for the Psychiatric Evaluation of Adults states
"When the
clinician is communicating with the patient, it is important to remember that
simply
asking about suicidal ideas or other elements of the assessment will not
ensure that
accurate or complete information is received." (p. 21). Not all ideators are
apt to
share their SI. Over a dozen research studies have shown that 75% of patients
who
die by suicide denied SI the final time they were asked by a healthcare
professional. Typically, their death by suicide occurred within the month of
their
last visit. Berman completed chart reviews of 157 patients throughout the
USA who
died by suicide within 30 days of being evaluated by a healthcare
professional. All
victims were either receiving in-patient or out-patient mental health care;
or were
evaluated in an emergency department, or by their primary care professional.
The
Joint Commission requires healthcare professionals in these practice settings
to
assess SI for anybody at risk of suicide. However, despite being asked, the
majority
(66%) denied SI. Within two days, 50% of these individuals who had denied SI
ended
their lives by suicide. [8]] Berman noted that the denial of SI provides a
basis for
patient discharge if the individual was admitted due to SI. While this may be
an
incentive for a patient to deny SI, particularly if they want to be
discharged,
caution should be exercised. Berman states that too frequently clinicians
assume
that SI must exist for suicide to occur when in fact SI is only a risk factor
for
suicide. Additionally, SI is a weak predictor of increased lifetime risk, it
does
not predict imminent risk -- but, then again, nothing does. Ribet et al
examined
the root causes that may have contributed to 141 Veteran suicides within a
week of
their hospital discharge. Flaws in communication were frequently cited. It
was also
noted that almost half of the suicides occurred following an unplanned
discharge.
The Joint Commission released multiple sentinel event warnings over the past
decade
based on reports of patient deaths in hospital or shortly after discharge
from
mental health units or release from emergency departments. They stated,
"there is
no typical suicide victim” and cautioned against assuming only certain
individuals
are at risk based upon their diagnosis or treatment setting. Emergency
Department
Suicidal Ideation Assessments Beginning July 1, 2019, healthcare
professionals are
required by the Joint Commission's NPSG 15.01.01 to use a validated tool to
assess
suicidal risk for all patients whose primary reasons for seeking healthcare
is the
treatment or evaluation of a behavioral health condition. The ability to
accurately
triage patients is both contingent on the reliability of the instruments and
also
the clinician's clinical judgments. Much remains to be learned about the risk
factors for imminent, short-term and long-term suicidal behavior and the best
way to
identify risk. A recent prospective study in Canada compared the risk of
suicide
attempt within 6 months for individuals who presented in ED with SI, but
whose
presentations differed as evident in their responses to screening questions
(n=
5,655). During ED triage screening, some individuals primarily endorsed SI
characterized by an "ambivalence about living" while others expressed active
SI.
Within 6 months, 3% of the initially screened sample presented again in the
ED with
a suicide attempt. Individuals who initially identified with "ambivalence
about
living" had more than double the risk of suicide attempts (odds ratio [OR] =
2.57,
95% CI = 1.64-4.02, P < .001). Those with active suicidal ideation had more
than
triple the risk of an attempt within 6 months compared to non-SI individuals
(OR =
3.75, 95% CI = 2.61-5.34, P < .001) Both active suicidal ideation and
ambivalence
about living are concerning presentations associated with risk of attempt
within 6
months. Clinicians should be mindful that differentiating between
active suicidal ideation and ambivalence about living are presentations that
warrant
follow-up due to the increased 6-month risk of attempts. Data show that 10%
of
people who ended their lives by suicide visited an emergency department
within two
months of inflicting fatal self-harm. People who have psychiatric histories,
substance use disorders or depression were most apt to be assessed for SI but
this
negates the significance of many other known socioeconomic factors. Chart
reviews of
suicide victims who ended their lives within hours to days of being assessed
by a
healthcare professional showed the pitfalls of relying on too much on
patients'
admissions of SI. Berman's review of the victims' charts showed strikingly
similar
profiles between the patients who admitted to SI or denied the presence of
SI.
There were no significant differences in their diagnoses, current
presentations or
current circumstances. Almost all suicide decedents' charts had documentation
showing current anxiety/agitation and sleep problems, current interpersonal

problems
or job/financial strain, current comorbid diagnoses, current social
isolation/withdrawal, plus a history of SI/prior attempts plus many had a
family
history of a mental disorder. Healthcare professionals should bear in mind
that
relying on verbalized or reported SI as a gateway to assessing suicide risk
may be
inadequate, especially when SI is denied. A 2013 study indicated that 0.6%
of
emergency department (ED) visits were due to suicidal thoughts, but when
screening
for SI was done, incidental, occult suicidal ideation was found in over 11%
of
patients who arrived due to medical complaints. Although SI was identified in
medical patients and communicated, no follow-up regarding their SI occurred

while on
the medical unit. The Joint Commission does not require universal screening
of all
patients, but some suicide risk reduction programs, professional
organizations and
healthcare systems are advocating and implementing policies for universal
screening
in ED. A recent study of ED nurses and physicians in ED showed that most felt
confident completing SI screenings, but only 7% of physicians (residents and

attendings) and 37% of nurses reported they did so all of the time or most of
the
time. Focus group interviews with ED nurses produced skepticism that
the risk for
suicide can be more reliably assessed with a brief screening tool question,
such as
'Do you have thoughts or plans to harm yourself?' compared to a clinician's
judgment. The participants described their efforts to improve suicide
screening
during ED triage required an ongoing iterative process of assessing for SI
which
included probing, eliciting, evaluating and reacting to identify occult SI.
Children ages 10-12 years who presented at the ED were screened with the Ask
Suicide-Screening Questions (ASQ) and Suicidal Ideation Questionnaire.
Positive
screen results were present in 54% of patients whose chief complaint was
psychiatric, but screening also showed positive results for 7% who presented
to the
ED with chief medical complaints. The overall rate of SI for these pre-teens
was 29%
with 17% reporting engaging in prior suicidal behaviors. Although this sample
was
small, these findings highlight the potential value of screening children as
young
as 10 years for SI, including those who present with medical concerns. These
findings suggest that a substantial number of individuals who present in ED

may have
occult SI. The interprofessional ED team should bear in mind that some
individuals
may express suicidal thoughts differently, or deny SI when presented in the
form of
a screening tool, and feel more comfortable disclosing it when approached
privately
in a supportive, direct manner. The literature suggests that all healthcare
providers in ED will benefit from additional training to increase their
knowledge,
skills, and confidence. A large meta-analysis (71 studies N= 4,669,303
individuals)
included inpatient and non-inpatient adult populations to examine whether
expressing
SI was associated with subsequent suicides. Only limited sensitivity of SI
for
suicide was found (41% at 95% Confidence Interval (CI) 35–48) which means
approximately 60% of suicide victims did not report experiencing SI. These
authors
examined whether there was a difference between using a structured instrument
to
assess SI versus relying on the healthcare professional's clinical judgment.
Using
structured instruments to assess SI was associated with a non-significantly
lower
pooled odds ratio (2.38, 95% CI 1.14–4.99) than when SI was clinically
defined
(OR = 3.72, 95% CI 2.96–4.67), but a great deal of heterogeneity in the
studies. An
important finding was that having a suicide plan, which was reported in only
four
studies, did significantly increased eight-fold (OR = 8.51, 95% CI 5.51–
13.06). Two
studies used an expressed wish to die as their operational definition of SI
(OR = 3.01, 95% CI 1.49–6.06). 65 studies did not specify the individual's
level of
intent or planning when describing SI. There was a moderately strong but
highly
heterogeneous association between suicidal ideation and later suicide
(n = 71,
OR = 3.41, 95% CI 2.59-4.49, 95% prediction interval 0.42-28.1, I2 = 89.4,
Q-value = 661, d.f.(Q) = 70, P ≤0.001). Suicidal Ideation and Psychosis
Chapman's
(2015) meta-analysis examined whether expressing SI was related to subsequent
suicides for two different groups of individuals -- adults diagnosed with

mood
disorders (11 studies reporting on 860 suicides) and adults diagnosed with
schizophrenia spectrum psychotic disorders (14 studies reporting on 567
suicides).
Results showed that people with schizophrenia spectrum psychosis who
expressed SI
had over a six-fold increase of suicide [14 studies; Odds ratio (OR) 6.49,
95%
confidence interval (CI) 3.82-11.02]. Meanwhile, the association between
expressing
SI and suicide among patients with mood disorders was not significant (11
studies;
OR 1.49, 95% CI 0.92-2.42). Another meta-analysis used data from 50
longitudinal
studies that followed individuals who had experienced psychotic symptoms.
These
researchers attempted to differentiate between the impact of positive and
negative
symptoms of psychosis and their association with SI. Findings showed
that positive
symptoms in psychosis were weakly associated with SI (50 studies; OR = 1.70,
95% CI
1.39-2.08). On the other hand, negative symptoms in psychosis failed to show
significance with SI and were found to be protective factors against death by
suicide. A meta-analysis and systematic review of longitudinal studies of

individuals in the general population (n > 84.000 representing 12 samples
from 23
countries) showed that people who reported having at least one lifetime
psychotic
experience had double the odds of experiencing SI in the future (5 articles;
n = 56,191; OR 2.39, 95% CI,1.62-3.51); triple the odds of a future suicide
attempt
(8 articles; n = 66,967; OR = 3.15 95% CI, 2.23-4.45), and four times the
odds of
future suicide death (1 article; n = 15,049; OR= 4.39 95% CI, 1.63-11.78].
The
authors concluded these elevated risks exceeded what could be explained by
co-occurring psychopathology. suggesting healthcare professionals should be
alert to
the risk of SI in anybody with a history of psychotic experience. These
findings
emphasize the need for healthcare professionals to recognize the importance
of
psychosis as a risk factor for SI and suicidal behaviors.
FAU - Harmer, Bonnie
AU - Harmer B
AD - Saginaw Valley State University
FAU - Lee, Sarah
AU - Lee S
AD - Kaweah Delta Health Care District
FAU - Duong, Truc vi H
AU - Duong TVH
AD - Kaweah Delta
FAU - Saadabadi, Abdolreza
AU - Saadabadi A
AD - Western University/ Kaweah Delta
LA - eng
PT - Review
PT - Book Chapter
EDAT- 2020/11/23 00:00
CRDT- 2020/11/23 00:00
PMID- 27885969
OWN - NLM
LR - 20210203
IS - 1364-8535 (Print)
IS - 1364-8535 (Linking)
VI - 20
IP - Suppl 2
DP - 2016 Apr 20
TI - 36th International Symposium on Intensive Care and Emergency Medicine :
Brussels,
Belgium. 15-18 March 2016.
PG - 94
LID - 94
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decreases erythrocyte oxygen-dependent ATP efflux R. M. Bateman, M. D.
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effects of intravenous immunoglobulin through inhibition of complement

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on sepsis related biomarkers T. Ikeda, S. Suda, Y. Izutani, T. Ueno, S. Ono
P009 -
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combination biomarkers on ICU admission M. V. De la Torre-Prados, A. Garcia-
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Torre, A. Enguix-Armada, A. Puerto-Morlan, V. Perez-Valero, A. Garcia-
Alcantara P016
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infection,
bacteraemia, sepsis or outcome in critically ill patients N. Bolton, J.
Dudziak, S.
Bonney, A. Tridente, P. Nee P017 - Extracellular histone H3 levels are
inversely
correlated with antithrombin levels and platelet counts and are associated
with
mortality in sepsis patients G. Nicolaes, M. Wiewel, M. Schultz, K.
Wildhagen, J.
Horn, R. Schrijver, T. Van der Poll, C. Reutelingsperger P018 - Il-8: is this
a more
reliable biomarker for sepsis severity than CRP, Procalcitonin, E-selectin,
IL-6 and
TNF-[alpha] S. Pillai, G. Davies, G. Mills, R. Aubrey, K. Morris, P.
Williams, P.
Evans P019 - Relation between adrenomedullin and short-term outcome in ICU
patients:
Results from the frog ICU study E. G. Gayat, J. Struck, A. Cariou, N. Deye,
B.
Guidet, S. Jabert, J. Launay, M. Legrand, M. Léone, M. Resche-Rigon, E.
Vicaut, A.
Vieillard-Baron, A. Mebazaa P020 - Impact of disease severity assessment on
performance of heparin-binding protein for the prediction of septic shock R.
Arnold,
M. Capan, A. Linder, P. Akesson P021 - Kinetics and prognostic value of
presepsin
(sCD14) in septic patients. A pilot study M. Popescu, D. Tomescu P022 -
Comparison
of CD64 levels performed by the facs and accellix systems C. L. Sprung, R.
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Morales, G. Munteanu, E. Orenbuch-Harroch, P. Levin, H. Kasdan, A. Reiter, T.
Volker, Y. Himmel, Y. Cohen, J. Meissonnier P023 - Diagnosing sepsis in

5 minutes:
Nanofluidic technology study with pancreatic-stone protein (PSP/ reg) L.
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prevention, diagnosis and treatment I. Herrmann P025 - Il7r transcriptional

expression analysis during septic shock B. Delwarde, E. Peronnet, E. Cerrato,
F.
Venet, A. Lepape, T. Rimmelé, G. Monneret, J. Textoris P026 - Disbalance of
microbial metabolites of aromatic acids affects the severity in critically
ill
patients N. Beloborodova, V. Moroz, A. Osipov, A. Bedova, Y. Sarshor, A.
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in
community patients J. Odermatt, R. Bolliger, L. Hersberger, M. Ottiger, M.
Christ-Crain, B. Mueller, P. Schuetz P028 - Identification of differential
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response in septic patients secondary to community and hospital acquired
pneumonia
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R. Salomao P029 - Monocyte HLA-DR expression in community-acquired bacteremic
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Soluble B- and T-lymphocyte attenuator: A possible prognostic marker in

sepsis A. L.
Lange, J. S. Sundén-Cullberg, A. M. Magnuson, O. H. Hultgren P031 - Fractal
dimension: A new biomarker for quantifying clot microstructure in patients
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coagulation, clot
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P036 -
Does zero heat flux thermometry more accurately identify sepsis on intensive
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P039 - Vasodilatory plant extracts gel as an alternative treatment for fever
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Pneumonia in
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Lung ultrasound before and after fiberbronchoscopy - modifications may
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Impact of FFP transfusion on VAP in ICU patients A. Vakalos, V. Avramidis
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M. Durila, P. Lukas, M. Astraverkhava, J. Jonas P125 - Correction of impaired
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bypass H.
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The implementation of a massive haemorrhage protocol (mhp) for the management
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Bilala, A. Kindawi, H. Ewila P138 - Dexamethasone administration during
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Vasilarou, G. Drossos P139 - Intra-aortic balloon counterpulsation in
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kidney injury C. Mitaka, T. Ohnuma, T. Murayama, F. Kunimoto, M. Nagashima,
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Takei, M. Tomita P141 - Acute kidney injury influence on high sensitive
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P. Sivadasan, H. Othamn, Y. Shouman, R. Singh, A. Al Khulaifi P142 - Complex
evaluation of endothelial dysfunction markers for prognosis of outcomes in
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Svirko, Y. Podoksenov P143 - New-onset atrial fibrillation in intensive care:
incidence, management and outcome S. A. Jenkins, R. Griffin P144 - One single

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measurement of the sublingual microcirculation during acute pulmonary
hypertension
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Assessment of levosimendan as a therapeutic option to recruit the
microcirculation
in cardiogenic shock – initial experience in cardiac ICU A. Taha, A. Shafie,
M.
Mostafa, N. Syed, H. Hon P146 - Terlipressin vs. norepinephrine in the
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Echocardiography in the potential heart donor exposed to substitution
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F. Righetti, E. Colombaroli P148 - Machine learning can reduce rate of
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Lima P151 - Ultrasound guided central venous access technique among French
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pulmonary artery catheter measurements of hemodynamic parameters in critical
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Joris, T. Soupison, B. De Cagny, M. Slama P154 - The volume clamp method for
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femoral vs. jugular central venous catheter: validation of a previously
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correction formula and a proprietary correction formula for global end-
diastolic
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Schmid, T. Lahmer P160 - Dynamic arterial elastance calculated with lidcoplus
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Dynamic arterial elastance calculated with lidcoplus monitor does not predict
changes in arterial pressure after a fluid challenge in postsurgical patients

D.
Bastoni, H. Aya, L. Toscani, L. Pigozzi, A. Rhodes, M. Cecconi P161 -
Analysis of
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Cetina
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Nigeon, M. Lemyze, D. Thevenin, J. Mallat P446 - Palliative care consultation

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who may decide E. Koonthalloor, C. Walsh P449 - Correctly diagnosing death A.
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AD - Medical Faculty of Istanbul, Istanbul University, Anesthesiology and
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AD - MVZ Labor Limbach Gruppe, Berlin, Germany
FAU - Wissmann, C
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AD - ThermoFisher, Hennigsdorf, Germany
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AD - King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
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Kodaira A
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Tokyo Medical University, Tokyo, Japan. ISNI: 0000 0001 0663 3325. GRID:
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AD - St Helens and Knowsley NHS Trust, Merseyside, UK
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AD - Sphingotec, Berlin, Germany
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AD - Hôpital Ambroise Paré, Paris, France. ISNI: 0000 0000 9982 5352. GRID:
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AD - Abionic SA, Lausanne, Switzerland
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AD - Abionic SA, Lausanne, Switzerland
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AU - Herrmann I
AD - Swiss Federal Laboratories (Empa), St. Gallen, Switzerland
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AU - Delwarde B
AD - Pathophysiology of injury induced immunosuppression (PI3) Lab, Lyon 1
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AD - Sírio Libanês Hospital, Sao Paulo, Brazil
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AD - Faculty of Medicine and Health Örebro University, Örebro, Sweden. ISNI: 0000
0001
0738 8966. GRID: grid.15895.30
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FAU - Lange, A L
AU - Lange AL
AD - Faculty of Medicine and Health, Örebro, Sweden
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AU - Linssen J
AD - University Witten/Herdecke, Witten, Germany. ISNI: 0000 0000 9024 6397. GRID:
grid.412581.b
FAU - De Jonge, R
AU - De Jonge R
grid.5645.2
FAU - Duran, S
AU - Duran S
AD - Maasstad Ziekenhuis, Rotterdam, Netherlands. ISNI: 0000 0004 0460 0556. GRID:
grid.416213.3
FAU - Groeneveld, J
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grid.5645.2
FAU - Miller, R III
AU - Miller R III
AD - Intermountain Healthcare, Salt Lake City, USA. ISNI: 0000 0004 0460 774X.
GRID:
grid.420884.2
FAU - Lopansri, B K
AU - Lopansri BK
GRID:
grid.420884.2
FAU - McHugh, L C
AU - McHugh LC
AD - Immunexpress, Seattle, USA
FAU - Seldon, A
AU - Seldon A
AD - Immunexpress, Seattle, USA
FAU - Burke, J P
AU - Burke JP
GRID:
grid.420884.2
FAU - Johnston, J
AU - Johnston J
AD - Lewisham and Greenwich NHS Trust, London, UK. GRID: grid.429537.e
FAU - Reece-Anthony, R
AU - Reece-Anthony R
FAU - Bond, A
AU - Bond A
FAU - Molokhia, A
AU - Molokhia A
FAU - Mcgrath, C
AU - Mcgrath C
AD - Wirral trust, Merseyside, UK
FAU - Nsutebu, E
AU - Nsutebu E
AD - RLBUHT, Liverpool, UK
FAU - Bank Pedersen, P
AU - Bank Pedersen P
AD - Department of Emergency Medicine, Odense University Hospital, Odense C,
Denmark.
ISNI: 0000 0004 0512 5013. GRID: grid.7143.1
FAU - Pilsgaard Henriksen, D
AU - Pilsgaard Henriksen D
AD - Department of Respiratory Medicine, Odense University Hospital, Odense C,
Denmark.
ISNI: 0000 0004 0512 5013. GRID: grid.7143.1
FAU - Mikkelsen, S
AU - Mikkelsen S
AD - Department of Anaesthesiology and Intensive Care Medicine, Odense University
Hospital, Odense C, Denmark. ISNI: 0000 0004 0512 5013. GRID: grid.7143.1
FAU - Touborg Lassen, A
AU - Touborg Lassen A
AD - Wirral trust, Merseyside, UK
FAU - Tincu, R
AU - Tincu R
AD - Bucharest Clinical Emergency Hospital, Bucharest, Romania
FAU - Cobilinschi, C
AU - Cobilinschi C
FAU - Tomescu, D
AU - Tomescu D
AD - Fundeni Clinical Institute, Bucharest, Romania. ISNI: 0000 0004 0540 9980.
GRID:
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FAU - Ghiorghiu, Z
AU - Ghiorghiu Z
FAU - Macovei, R
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FAU - Wiewel, M A
AU - Wiewel MA
AD - Amsterdam Medical Center, Amsterdam, Netherlands. ISNI: 0000000404654431.
GRID:
grid.5650.6
FAU - Harmon, M B
AU - Harmon MB
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grid.5650.6
FAU - Van Vught, L A
AU - Van Vught LA
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grid.5650.6
FAU - Scicluna, B P
AU - Scicluna BP
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grid.5650.6
FAU - Hoogendijk, A J
AU - Hoogendijk AJ
GRID:
grid.5650.6
FAU - Horn, J
AU - Horn J
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grid.5650.6
FAU - Zwinderman, A H
AU - Zwinderman AH
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grid.5650.6
FAU - Cremer, O L
AU - Cremer OL
AD - University Medical Center Utrecht, Utrecht, Netherlands. ISNI:
0000000090126352.
GRID: grid.7692.a
FAU - Bonten, M J
AU - Bonten MJ
AD - University Medical Center Utrecht, Utrecht, Netherlands. ISNI:
0000000090126352.
GRID: grid.7692.a
FAU - Schultz, M J
AU - Schultz MJ
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grid.5650.6
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grid.5650.6
FAU - Juffermans, N P
AU - Juffermans NP
GRID:
grid.5650.6
FAU - Wiersinga, W J
AU - Wiersinga WJ
GRID:
grid.5650.6
FAU - Eren, G
AU - Eren G
AD - Bakirkoy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
ISNI: 0000
0004 0419 1043. GRID: grid.414177.0
FAU - Tekdos, Y
AU - Tekdos Y
ISNI: 0000
0004 0419 1043. GRID: grid.414177.0
FAU - Dogan, M
AU - Dogan M
ISNI: 0000
0004 0419 1043. GRID: grid.414177.0
FAU - Acicbe, O
AU - Acicbe O
ISNI: 0000
0004 0419 1043. GRID: grid.414177.0
FAU - Kaya, E
AU - Kaya E
ISNI: 0000
0004 0419 1043. GRID: grid.414177.0
FAU - Hergunsel, O
AU - Hergunsel O
ISNI: 0000
0004 0419 1043. GRID: grid.414177.0
FAU - Alsolamy, S
AU - Alsolamy S
International Medical Research Center, Riyadh, Saudi Arabia. ISNI: 0000 0004
0608
0662. GRID: grid.412149.b
FAU - Ghamdi, G
AU - Ghamdi G
0608
0662. GRID: grid.412149.b
FAU - Alswaidan, L
AU - Alswaidan L
0608
0662. GRID: grid.412149.b
FAU - Alharbi, S
AU - Alharbi S
0608
0662. GRID: grid.412149.b
FAU - Alenezi, F
AU - Alenezi F
0608
0662. GRID: grid.412149.b
FAU - Arabi, Y
AU - Arabi Y
0608
0662. GRID: grid.412149.b
FAU - Heaton, J
AU - Heaton J
FAU - Boyce, A
AU - Boyce A
FAU - Nolan, L
AU - Nolan L
FAU - Johnston, J
AU - Johnston J
FAU - Dukoff-Gordon, A
AU - Dukoff-Gordon A
FAU - Dean, A
AU - Dean A
FAU - Molokhia, A
AU - Molokhia A
FAU - Mann Ben Yehudah, T
AU - Mann Ben Yehudah T
AD - Assaf Harofeh MC, Beer Yaakov, Israel
FAU - Fleischmann, C
AU - Fleischmann C
AD - Jena University Hopital, Jena, Germany. ISNI: 0000 0001 1939 2794. GRID:
grid.9613.d
FAU - Thomas-Rueddel, D
AU - Thomas-Rueddel D
grid.9613.d
FAU - Haas, C
AU - Haas C
grid.9613.d
FAU - Dennler, U
AU - Dennler U
grid.9613.d
FAU - Reinhart, K
AU - Reinhart K
grid.9613.d
FAU - Suntornlohanakul, O
AU - Suntornlohanakul O
AD - Prince of Songkla University, Hat Yai, Thailand. ISNI: 0000 0004 0470 1162.
GRID:
grid.7130.5
FAU - Khwannimit, B
AU - Khwannimit B
AD - Division of Critical Care Medicine, Hat Yai, Thailand
FAU - Breckenridge, F
AU - Breckenridge F
AD - Glasgow Royal Infirmary, Glasgow, UK. ISNI: 0000 0000 9825 7840. GRID:
grid.411714.6
FAU - Puxty, A
AU - Puxty A
grid.411714.6
FAU - Szturz, P
AU - Szturz P
AD - University Hospital and Faculty of Medicine Ostrava University, Ostrava,
Czech
Republic. ISNI: 0000 0004 0609 0692. GRID: grid.412727.5
FAU - Folwarzcny, P
AU - Folwarzcny P
Czech
FAU - Svancara, J
AU - Svancara J
AD - Institute of Biostatistics and analyses, Masaryk University, Brno, Czech
Republic.
ISNI: 0000 0001 2194 0956. GRID: grid.10267.32
FAU - Kula, R
AU - Kula R
Czech
FAU - Sevcik, P
AU - Sevcik P
Czech
FAU - Caneva, L
AU - Caneva L
AD - Università degli studi di Pavia, scuola di specialità: Anestesia e
Rianimazione,
Pavia, Italy. ISNI: 0000 0004 1762 5736. GRID: grid.8982.b
FAU - Casazza, A
AU - Casazza A
AD - UOC Anestesia e Rianimazione Ospedale Civile di Vigevano, AO Pavia, Vigevano,
Italy
FAU - Bellazzi, E
AU - Bellazzi E
Italy
FAU - Marra, S
AU - Marra S
AD - Università degli studi di Pavia, Pavia, Italy. ISNI: 0000 0004 1762 5736.
GRID:
grid.8982.b
FAU - Pagani, L
AU - Pagani L
AD - Università degli studi di Pavia, Pavia, Italy. ISNI: 0000 0004 1762 5736.
GRID:
grid.8982.b
FAU - Vetere, M
AU - Vetere M
Italy
FAU - Vanzino, R
AU - Vanzino R
Italy
FAU - Ciprandi, D
AU - Ciprandi D
Italy
FAU - Preda, R
AU - Preda R
Italy
FAU - Boschi, R
AU - Boschi R
Italy
FAU - Carnevale, L
AU - Carnevale L
Italy
FAU - Lopez, V
AU - Lopez V
AD - Hospital O’horan, Mérida, Mexico
FAU - Aguilar Arzapalo, M
AU - Aguilar Arzapalo M
FAU - Barradas, L
AU - Barradas L
FAU - Escalante, A
AU - Escalante A
FAU - Gongora, J
AU - Gongora J
FAU - Cetina, M
AU - Cetina M
FAU - Adamik, B
AU - Adamik B
AD - Department of Anaesthesiology and Intensive Therapy, Medical University,
Wroclaw,
Poland. ISNI: 0000 0001 1090 049X. GRID: grid.4495.c
FAU - Jakubczyk, D
AU - Jakubczyk D
Wroclaw,
FAU - Kübler, A
AU - Kübler A
Wroclaw,
FAU - Radford, A
AU - Radford A
AD - AKPA, Waltham, USA
FAU - Lee, T
AU - Lee T
AD - St. Paul’s Hospital, Vancouver, Canada. ISNI: 0000 0000 8589 2327. GRID:
grid.416553.0
FAU - Singer, J
AU - Singer J
grid.416553.0
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grid.416553.0
FAU - Fineberg, D
AU - Fineberg D
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FAU - Russell, J
AU - Russell J
grid.416553.0
FAU - Scarlatescu, E
AU - Scarlatescu E
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grid.415180.9
FAU - Tomescu, D
AU - Tomescu D
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grid.415180.9
FAU - Droc, G
AU - Droc G
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grid.415180.9
FAU - Arama, S
AU - Arama S
AD - University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania. ISNI:
0000
0000 9828 7548. GRID: grid.8194.4
FAU - Müller, M
AU - Müller M
AD - Acedemisch Medisch Centrum, Amsterdam, Netherlands
FAU - Straat, M
AU - Straat M
FAU - Zeerleder, S S
AU - Zeerleder SS
AU - Juffermans NP
FAU - Fuchs, C F
AU - Fuchs CF
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8976.
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8976.
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AD - Division of Infection Control and Prevention, Osaka University Graduate
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FAU - Ojima, M
AU - Ojima M
AD - Department of Traumatology and Acute Critical Medicine, Osaka University
Graduate
School of Medicine, Suita, Japan. ISNI: 0000 0004 0373 3971. GRID:
grid.136593.b
FAU - Hamaguchi, S
AU - Hamaguchi S
School of
FAU - Hirose, T
AU - Hirose T
Graduate
grid.136593.b
FAU - Akeda, Y
AU - Akeda Y
School of
FAU - Takegawa, R
AU - Takegawa R
Graduate
grid.136593.b
FAU - Tasaki, O
AU - Tasaki O
AD - Department of Emergency Medicine, Nagasaki University Graduate School of
Biomedical
Sciences, Nagasaki, Japan. ISNI: 0000 0000 8902 2273. GRID: grid.174567.6
FAU - Shimazu, T
AU - Shimazu T
Graduate
grid.136593.b
FAU - Tomono, K
AU - Tomono K
School of
FAU - Gómez-Sánchez, E
AU - Gómez-Sánchez E
AD - Hospital Clínico Universitario de Valladolid, Valladolid, Spain. ISNI: 0000
0000
9274 367X. GRID: grid.411057.6
FAU - Heredia-Rodríguez, M
AU - Heredia-Rodríguez M
0000
9274 367X. GRID: grid.411057.6
FAU - Álvarez-Fuente, E
AU - Álvarez-Fuente E
0000
9274 367X. GRID: grid.411057.6
FAU - Lorenzo-López, M
AU - Lorenzo-López M
0000
9274 367X. GRID: grid.411057.6
FAU - Gómez-Pesquera, E
AU - Gómez-Pesquera E
0000
9274 367X. GRID: grid.411057.6
FAU - Aragón-Camino, M
AU - Aragón-Camino M
0000
9274 367X. GRID: grid.411057.6
FAU - Liu-Zhu, P
AU - Liu-Zhu P
0000
9274 367X. GRID: grid.411057.6
FAU - Sánchez-López, A
AU - Sánchez-López A
0000
9274 367X. GRID: grid.411057.6
FAU - Hernández-Lozano, A
AU - Hernández-Lozano A
0000
9274 367X. GRID: grid.411057.6
FAU - Peláez-Jareño, M T
AU - Peláez-Jareño MT
0000
9274 367X. GRID: grid.411057.6
FAU - Tamayo, E
AU - Tamayo E
0000
9274 367X. GRID: grid.411057.6
FAU - Thomas-Rüddel, D O
AU - Thomas-Rüddel DO
AD - Jena University Hospital, Jena, Germany. ISNI: 0000 0000 8517 6224. GRID:
grid.275559.9
FAU - Fleischmann, C
AU - Fleischmann C
grid.275559.9
FAU - Haas, C
AU - Haas C
grid.275559.9
FAU - Dennler, U
AU - Dennler U
grid.275559.9
FAU - Reinhart, K
AU - Reinhart K
grid.275559.9
FAU - Adora, V
AU - Adora V
AD - Medica Superspecialty Hospital, Kolkata, West Bengal India
FAU - Kar, A
AU - Kar A
FAU - Chakraborty, A
AU - Chakraborty A
FAU - Roy, S
AU - Roy S
FAU - Bandyopadhyay, A
AU - Bandyopadhyay A
FAU - Das, M
AU - Das M
FAU - Mann Ben Yehudah, T
AU - Mann Ben Yehudah T
FAU - BenYehudah, G
AU - BenYehudah G
FAU - Salim, M
AU - Salim M
AD - DMC, Detroit, USA. ISNI: 0000 0001 0088 6903. GRID: grid.413184.b
FAU - Kumar, N
AU - Kumar N
FAU - Arabi, L
AU - Arabi L
FAU - Burger, T
AU - Burger T
FAU - Lephart, P
AU - Lephart P
FAU - Toth-martin, E
AU - Toth-martin E
AD - Wayne State University, Detroit, USA. ISNI: 0000 0001 1456 7807. GRID:
grid.254444.7
FAU - Valencia, C
AU - Valencia C
AD - Scientific Institute of Public Health (WIV-ISP), Brussels, Belgium. ISNI:
0000 0004
0635 3376. GRID: grid.418170.b
FAU - Hammami, N
AU - Hammami N
0000 0004
0635 3376. GRID: grid.418170.b
FAU - Blot, S
AU - Blot S
AD - Ghent University, Ghent, Belgium. ISNI: 0000 0001 2069 7798. GRID:
grid.5342.0
FAU - Vincent, J L
AU - Vincent JL
AD - Erasme University, Brussels, Belgium
FAU - Lambert, M L
AU - Lambert ML
0000 0004
0635 3376. GRID: grid.418170.b
FAU - Brunke, J
AU - Brunke J
AD - QualityLabs Bt GmbH, Nuremberg, Germany
FAU - Riemann, T
AU - Riemann T
AD - B.Braun Melsungen AG, Melsungen, Germany. ISNI: 0000 0001 0699 8877. GRID:
grid.462046.2
FAU - Roschke, I
AU - Roschke I
AD - Dr. Roschke medical marketing GmbH, Cologne, Germany
FAU - Tincu, R
AU - Tincu R
AU - Cobilinschi C
FAU - Tomescu, D
AU - Tomescu D
GRID:
grid.415180.9
FAU - Ghiorghiu, Z
AU - Ghiorghiu Z
FAU - Macovei, R
AU - Macovei R
FAU - Nimitvilai, S
AU - Nimitvilai S
AD - Nakhonpathom hospital, Nakhonpathom, Thailand
FAU - Jintanapramote, K
AU - Jintanapramote K
FAU - Jarupongprapa, S
AU - Jarupongprapa S
FAU - Adukauskiene, D
AU - Adukauskiene D
AD - Lithuanian University of Health Sciences, Kaunas,, Lithuania. ISNI: 0000 0004
0432
6841. GRID: grid.45083.3a
FAU - Valanciene, D
AU - Valanciene D
AD - Lithuanian University of Health Sciences, Kaunas,, Lithuania. ISNI: 0000 0004
0432
6841. GRID: grid.45083.3a
FAU - Bose, G
AU - Bose G
AD - University Hospital North Midlands, Stoke-on-Trent, UK
FAU - Lostarakos, V
AU - Lostarakos V
FAU - Carr, B
AU - Carr B
FAU - Khedher, S
AU - Khedher S
AD - EPS Charles-Nicolle, Bab Saadoun, Tunisia
FAU - Maaoui, A
AU - Maaoui A
FAU - Ezzamouri, A
AU - Ezzamouri A
FAU - Salem, M
AU - Salem M
FAU - Chen, J
AU - Chen J
AD - Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi County,
Taiwan
FAU - Cranendonk, D R
AU - Cranendonk DR
AD - Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
ISNI:
0000000084992262. GRID: grid.7177.6
FAU - Van Vught, L A
AU - Van Vught LA
AD - Academic Medical Center, University of Amsterdam, Center for Experimental and
Molecular Medicine, Amsterdam, Netherlands

FAU - Wiewel, M A
AU - Wiewel MA

FAU - Cremer, O L
AU - Cremer OL
AD - Department of Intensive Care Medicine, University Medical Center Utrecht,
Utrecht,
Netherlands. ISNI: 0000000090126352. GRID: grid.7692.a
FAU - Horn, J
AU - Horn J
AD - Department of Intensive Care Medicine, Academic Medical Center, University of
Amsterdam, Amsterdam, Netherlands. ISNI: 0000000404654431. GRID: grid.5650.6

FAU - Bonten, M J
AU - Bonten MJ
AD - Department of Medical Microbiology, University Medical Center Utrecht,
Utrecht,
Netherlands. ISNI: 0000000090126352. GRID: grid.7692.a
FAU - Schultz, M J
AU - Schultz MJ
AD - Department of Intensive Care Medicine, Academic Medical Center, University of
Amsterdam, Amsterdam, Netherlands. ISNI: 0000000404654431. GRID: grid.5650.6

AU - Van der Poll T

FAU - Wiersinga, W J
AU - Wiersinga WJ

FAU - Day, M
AU - Day M
grid.411714.6
FAU - Penrice, G
AU - Penrice G
AD - NHS Greater Glasgow and Clyde, Glasgow, UK. ISNI: 0000 0001 0523 9342. GRID:
grid.413301.4
FAU - Roy, K
AU - Roy K
AD - Health Protection Scotland, Glasgow, UK. ISNI: 0000 0001 2232 4338. GRID:
grid.413893.4
FAU - Robertson, P
AU - Robertson P
grid.411714.6
FAU - Godbole, G
AU - Godbole G
AD - Public Health England, London, UK. ISNI: 0000 0001 2196 8713. GRID:
grid.9004.d
FAU - Jones, B
AU - Jones B
grid.411714.6
FAU - Booth, M
AU - Booth M
grid.411714.6
FAU - Donaldson, L
AU - Donaldson L
grid.411714.6
FAU - Kawano, Y
AU - Kawano Y
AD - Fukuoka University Hospital, Fukuoka, Japan. ISNI: 0000 0004 0594 9821. GRID:
grid.411556.2
FAU - Ishikura, H
AU - Ishikura H
AD - Fukuoka University Hospital, Fukuoka, Japan. ISNI: 0000 0004 0594 9821. GRID:
grid.411556.2
FAU - Al-Dorzi, H
AU - Al-Dorzi H
AD - King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Almutairi, M
AU - Almutairi M
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Alhamadi, B
AU - Alhamadi B
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Crizaldo Toledo, A
AU - Crizaldo Toledo A
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Khan, R
AU - Khan R
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Al Raiy, B
AU - Al Raiy B
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0000 0004 0608 0662. GRID: grid.412149.b
FAU - Arabi, Y
AU - Arabi Y
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Talaie, H
AU - Talaie H
AD - Toxicological Research Center, Department of Clinical Toxicology, Loghman-
Hakim
Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. GRID:
grid.411600.2
FAU - Van Oers, J A
AU - Van Oers JA
AD - St. Elisabeth Hospital, Tilburg, Netherlands. GRID: grid.416373.4
FAU - Harts, A
AU - Harts A
FAU - Nieuwkoop, E
AU - Nieuwkoop E
FAU - Vos, P
AU - Vos P
FAU - Boussarsar, Y
AU - Boussarsar Y
AD - Mongi Slim University Hospital, La Marsa, Tunisia
FAU - Boutouta, F
AU - Boutouta F
FAU - Kamoun, S
AU - Kamoun S
FAU - Mezghani, I
AU - Mezghani I
FAU - Koubaji, S
AU - Koubaji S
FAU - Ben Souissi, A
AU - Ben Souissi A
FAU - Riahi, A
AU - Riahi A
FAU - Mebazaa, M S
AU - Mebazaa MS
FAU - Giamarellos-Bourboulis, E
AU - Giamarellos-Bourboulis E
AD - University of Athens, Medical School, Athens, Greece. ISNI: 0000 0001 2155
0800.
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0800.
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0800.
GRID: grid.5216.0
FAU - Katsenos, C
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AD - Korgialeneion Benakeion Hospital, Athens, Greece
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0800.
GRID: grid.5216.0
FAU - Pneumatikos, I
AU - Pneumatikos I
AD - University of Thrace, Alexandroupolis, Greece. ISNI: 0000 0001 2170 8022.
GRID:
grid.12284.3d
FAU - Vlachogiannis, G
AU - Vlachogiannis G
AD - Aghios Dimitrios Hospital, Thessaloniki, Greece
FAU - Theodorou, V
AU - Theodorou V
AD - University of Thrace, Alexandroupolis, Greece. ISNI: 0000 0001 2170 8022.
GRID:
grid.12284.3d
FAU - Prekates, A
AU - Prekates A
AD - Tzaneion Hospital, Piraeus, Greece
FAU - Antypa, E
AU - Antypa E
AD - G.Gennimatas General Hospital, Thessaloniki, Greece. GRID: grid.414012.2
FAU - Koulouras, V
AU - Koulouras V
AD - University of Ioannina, Ioannina, Greece. ISNI: 0000 0001 2108 7481. GRID:
grid.9594.1
FAU - Kapravelos, N
AU - Kapravelos N
AD - G.Papanikolaou General Hospital, Thessaloniki, Greece. ISNI: 0000 0004 0576
574X.
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FAU - Gogos, C
AU - Gogos C
AD - University of Patras, Patras, Greece. ISNI: 0000 0004 0576 5395. GRID:
grid.11047.33
FAU - Antoniadou, E
AU - Antoniadou E
AD - G.Gennimatas General Hospital, Thessaloniki, Greece. GRID: grid.414012.2
FAU - Mandragos, K
AU - Mandragos K
AD - Korgialeneion Benakeion Hospital, Athens, Greece
FAU - Armaganidis, A
AU - Armaganidis A
0800.
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FAU - Robles Caballero, A R
AU - Robles Caballero AR
AD - Hospital Universitario La Paz, Madrid, Spain. ISNI: 0000 0000 8970 9163.
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grid.81821.32
FAU - Civantos, B
AU - Civantos B
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grid.81821.32
FAU - Figueira, J C
AU - Figueira JC
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grid.81821.32
FAU - López, J
AU - López J
GRID:
grid.81821.32
FAU - Silva-Pinto, A
AU - Silva-Pinto A
AD - Centro Hospitalar São João, Porto, Portugal. ISNI: 0000 0000 9375 4688. GRID:
grid.414556.7
FAU - Ceia, F
AU - Ceia F
grid.414556.7
FAU - Sarmento, A
AU - Sarmento A
grid.414556.7
FAU - Santos, L
AU - Santos L
grid.414556.7
FAU - Almekhlafi, G
AU - Almekhlafi G
AD - PSMMC, Riyadh, Saudi Arabia
FAU - Sakr, Y
AU - Sakr Y
AD - UNIKLINIKUM JENA, JENA, Germany
FAU - Al-Dorzi, H
AU - Al-Dorzi H
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Khan, R
AU - Khan R
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0000 0004 0608 0662. GRID: grid.412149.b
FAU - Baharoon, S
AU - Baharoon S
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0000 0004 0608 0662. GRID: grid.412149.b
FAU - Aldawood, A
AU - Aldawood A
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0000 0004 0608 0662. GRID: grid.412149.b
FAU - Matroud, A
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0000 0004 0608 0662. GRID: grid.412149.b
FAU - Alchin, J
AU - Alchin J
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0000 0004 0608 0662. GRID: grid.412149.b
FAU - Al Johani, S
AU - Al Johani S
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0000 0004 0608 0662. GRID: grid.412149.b
FAU - Balkhy, H
AU - Balkhy H
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0000 0004 0608 0662. GRID: grid.412149.b
FAU - Arabi, Y
AU - Arabi Y
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0000 0004 0608 0662. GRID: grid.412149.b
FAU - Alsolamy, S
AU - Alsolamy S
0608
0662. GRID: grid.412149.b
FAU - Yousif, S Y
AU - Yousif SY
0608
0662. GRID: grid.412149.b
FAU - Alotabi, B O
AU - Alotabi BO
AD - King Fahad Medical City, Riyadh, Saudi Arabia. ISNI: 0000 0004 0593 1832.
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FAU - Alsaawi, A S
AU - Alsaawi AS
0608
0662. GRID: grid.412149.b
FAU - Ang, J
AU - Ang J
AD - Addenbrooke’s Hospital, Cambridge, UK. ISNI: 0000 0004 0622 5016. GRID:
grid.120073.7
FAU - Curran, M D
AU - Curran MD
grid.120073.7
FAU - Enoch, D
AU - Enoch D
grid.120073.7
FAU - Navapurkar, V
AU - Navapurkar V
grid.120073.7
FAU - Morris, A
AU - Morris A
AD - University of Cambridge, Cambridge, UK. ISNI: 0000000121885934. GRID:
grid.5335.0
FAU - Sharvill, R
AU - Sharvill R
AD - Royal United Hospital, Bath, UK. ISNI: 0000 0004 0417 0728. GRID:
grid.416091.b
FAU - Astin, J
AU - Astin J
grid.416091.b
FAU - Heredia-Rodríguez, M
AU - Heredia-Rodríguez M
0000
9274 367X. GRID: grid.411057.6
FAU - Gómez-Sánchez, E
AU - Gómez-Sánchez E
0000
9274 367X. GRID: grid.411057.6
FAU - Peláez-Jareño, M T
AU - Peláez-Jareño MT
0000
9274 367X. GRID: grid.411057.6
FAU - Gómez-Pesquera, E
AU - Gómez-Pesquera E
0000
9274 367X. GRID: grid.411057.6
FAU - Lorenzo-López, M
AU - Lorenzo-López M
0000
9274 367X. GRID: grid.411057.6
FAU - Liu-Zhu, P
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0000
9274 367X. GRID: grid.411057.6
FAU - Aragón-Camino, M
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0000
9274 367X. GRID: grid.411057.6
FAU - Hernández-Lozano, A
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0000
9274 367X. GRID: grid.411057.6
FAU - Sánchez-López, A
AU - Sánchez-López A
0000
9274 367X. GRID: grid.411057.6
FAU - Álvarez-Fuente, E
AU - Álvarez-Fuente E
0000
9274 367X. GRID: grid.411057.6
FAU - Tamayo, E
AU - Tamayo E
0000
9274 367X. GRID: grid.411057.6
FAU - Patel, J
AU - Patel J
AD - Salford Royal Hospital, London, UK. ISNI: 0000 0000 8535 2371. GRID:
grid.415721.4
FAU - Kruger, C
AU - Kruger C
AD - Salford Royal Hospital, London, UK. ISNI: 0000 0000 8535 2371. GRID:
grid.415721.4
FAU - O’Neal, J
AU - O’Neal J
AD - Hennepin County Medical Center, Minneapolis, USA. ISNI: 0000 0000 9206 4546.
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grid.414021.2
FAU - Rhodes, H
AU - Rhodes H
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grid.414021.2
FAU - Jancik, J
AU - Jancik J
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grid.414021.2
FAU - François, B
AU - François B
AD - CHU Dupuytren, Limoges, France. ISNI: 0000 0001 1481 5225. GRID:
grid.412212.6
FAU - Laterre, P F
AU - Laterre PF
AD - St Luc University Hospital, Brussels, Belgium. ISNI: 0000 0004 0461 6320.
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grid.48769.34
FAU - Eggimann, P
AU - Eggimann P
AD - CHUV, Lausanne, Switzerland. ISNI: 0000 0001 0423 4662. GRID: grid.8515.9
FAU - Torres, A
AU - Torres A
AD - Hospital Clinic of Barcelona, Barcelona, Spain. ISNI: 0000 0000 9635 9413.
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grid.410458.c
FAU - Sánchez, M
AU - Sánchez M
AD - Hospital Clínico San Carlos, Madrid, Spain. ISNI: 0000 0001 0671 5785. GRID:
grid.411068.a
FAU - Dequin, P F
AU - Dequin PF
AD - Université François Rabelais and CHU Bretonneau, Tours, France. ISNI: 0000
0001 2182
6141. GRID: grid.12366.30
FAU - Bassi, G L
AU - Bassi GL
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grid.410458.c
FAU - Chastre, J
AU - Chastre J
AD - Groupe Hospitalier Pitié-Salpêtrière, Paris, France. ISNI: 0000 0001 2150
9058.
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FAU - Jafri, H S
AU - Jafri HS
AD - MedImmune, Gaithersburg, USA. GRID: grid.418152.b
FAU - Ben Romdhane, M
AU - Ben Romdhane M
FAU - Douira, Z
AU - Douira Z
FAU - Kamoun, S
AU - Kamoun S
FAU - Bousselmi, M
AU - Bousselmi M
AU - Ben Souissi A
FAU - Boussarsar, Y
AU - Boussarsar Y
FAU - Riahi, A
AU - Riahi A
FAU - Mebazaa, M S
AU - Mebazaa MS
FAU - Vakalos, A
AU - Vakalos A
AD - Xanthi General Hospital, Xanthi, Greece
FAU - Avramidis, V
AU - Avramidis V
FAU - Craven, T H
AU - Craven TH
AD - Royal Infirmary of Edinburgh, Edinburgh, UK. ISNI: 0000 0001 0709 1919. GRID:
grid.418716.d
FAU - Wojcik, G
AU - Wojcik G
grid.418716.d
FAU - Kefala, K
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grid.418716.d
FAU - McCoubrey, J
AU - McCoubrey J
grid.418716.d
FAU - Reilly, J
AU - Reilly J
AD - Health Protection Scotland, Glasgow, UK. ISNI: 0000 0001 2232 4338. GRID:
grid.413893.4
FAU - Paterson, R
AU - Paterson R
AD - Western General Hospital, Edinburgh, UK. ISNI: 0000 0004 0624 9907. GRID:
grid.417068.c
FAU - Inverarity, D
AU - Inverarity D
grid.418716.d
FAU - Laurenson, I
AU - Laurenson I
grid.418716.d
FAU - Walsh, T S
AU - Walsh TS
grid.418716.d
FAU - Mongodi, S
AU - Mongodi S
AD - Fondazione IRCCS Policlinico S. Matteo, University of Pavia, Pavia, Italy.
ISNI:
0000 0004 1762 5736. GRID: grid.8982.b
FAU - Bouhemad, B
AU - Bouhemad B
AD - Centre Hospitalier Universitaire Dijon, Dijon, France. GRID: grid.31151.37
FAU - Orlando, A
AU - Orlando A
ISNI:
0000 0004 1762 5736. GRID: grid.8982.b
FAU - Stella, A
AU - Stella A
ISNI:
0000 0004 1762 5736. GRID: grid.8982.b
FAU - Via, G
AU - Via G
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0000 0004 1762 5736. GRID: grid.8982.b
FAU - Iotti, G
AU - Iotti G
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0000 0004 1762 5736. GRID: grid.8982.b
FAU - Braschi, A
AU - Braschi A
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0000 0004 1762 5736. GRID: grid.8982.b
FAU - Mojoli, F
AU - Mojoli F
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0000 0004 1762 5736. GRID: grid.8982.b
FAU - Haliloglu, M
AU - Haliloglu M
AD - Marmara University Pendik Teaching and Research Hospital, Istanbul, Turkey.
ISNI:
0000 0001 0668 8422. GRID: grid.16477.33
FAU - Bilgili, B
AU - Bilgili B
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0000 0001 0668 8422. GRID: grid.16477.33
FAU - Kasapoglu, U
AU - Kasapoglu U
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0000 0001 0668 8422. GRID: grid.16477.33
FAU - Sayan, I
AU - Sayan I
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0000 0001 0668 8422. GRID: grid.16477.33
FAU - Süzer Aslan, M
AU - Süzer Aslan M
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0000 0001 0668 8422. GRID: grid.16477.33
FAU - Yalcın, A
AU - Yalcın A
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0000 0001 0668 8422. GRID: grid.16477.33
FAU - Cinel, I
AU - Cinel I
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0000 0001 0668 8422. GRID: grid.16477.33
FAU - Vakalos, A
AU - Vakalos A
FAU - Avramidis, V
AU - Avramidis V
FAU - Ellis, H E
AU - Ellis HE
AD - Sheffield Teaching Hospital NHS Foundation Trust, Sheffield, UK. GRID:
grid.419135.b
FAU - Bauchmuller, K
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grid.419135.b
FAU - Miller, D
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grid.419135.b
FAU - Temple, A
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grid.419135.b
FAU - Chastre, J
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FAU - François, B
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AD - CHU Dupuytren, Limoges, France. ISNI: 0000 0001 1481 5225. GRID:
grid.412212.6
FAU - Torres, A
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grid.410458.c
FAU - Luyt, C E
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FAU - Sánchez, M
AU - Sánchez M
AD - Hospital Clínico San Carlos, Madrid, Spain. ISNI: 0000 0001 0671 5785. GRID:
grid.411068.a
FAU - Singer, M
AU - Singer M
AD - University College, London, UK
FAU - Jafri, H S
AU - Jafri HS
AD - MedImmune, Gaithersburg, USA. GRID: grid.418152.b
FAU - Nassar, Y
AU - Nassar Y
AD - Cairo University, Giza, Egypt. ISNI: 0000 0004 0639 9286. GRID: grid.7776.1
FAU - Ayad, M S
AU - Ayad MS
AD - Cairo University, Giza, Egypt. ISNI: 0000 0004 0639 9286. GRID: grid.7776.1
FAU - Trifi, A
AU - Trifi A
AD - University hospital Center of La Rabta, Tunis, Tunisia
FAU - Abdellatif, S
AU - Abdellatif S
FAU - Daly, F
AU - Daly F
FAU - Nasri, R
AU - Nasri R
FAU - Ben Lakhal, S
AU - Ben Lakhal S
FAU - Bilgili, B
AU - Bilgili B
ISNI:
0000 0001 0668 8422. GRID: grid.16477.33
FAU - Haliloglu, M
AU - Haliloglu M
ISNI:
0000 0001 0668 8422. GRID: grid.16477.33
FAU - Gul, F
AU - Gul F
ISNI:
0000 0001 0668 8422. GRID: grid.16477.33
FAU - Cinel, I
AU - Cinel I
ISNI:
0000 0001 0668 8422. GRID: grid.16477.33
FAU - Kuzovlev, A
AU - Kuzovlev A
AD - V.A. Negovsky Research Institute of General Reanimatology, Moscow, Russia
FAU - Shabanov, A
AU - Shabanov A
AD - N.V. Sklifosofsky Institute of Emergency Medicine, Moscow, Russia
FAU - Polovnikov, S
AU - Polovnikov S
AD - NN Burdenko Main Military Hospital, Moscow, Russia
FAU - Moroz, V
AU - Moroz V
AD -
V.A. Negovsky Research Institute of General Reanimatology, Moscow, Russia
FAU -
Kadrichu, N
AU -
Kadrichu N
AD -
Novartis Pharmaceuticals, San Carlos, USA. ISNI: 0000 0004 0439 2056. GRID:
grid.418424.f
FAU - Dang, T
AU - Dang T
AD - Novartis Pharmaceuticals, San Carlos, USA. ISNI: 0000 0004 0439 2056. GRID:
grid.418424.f
FAU - Corkery, K
AU - Corkery K
AD - Novartis Pharmaceuticals, San Carlos, USA. ISNI: 0000 0004 0439 2056. GRID:
grid.418424.f
FAU - Challoner, P
AU - Challoner P
AD - Nektar Therapeutics, San Francisco, CA USA. ISNI: 0000 0004 0410 3955. GRID:
grid.476522.0
FAU - Bassi, G Li
AU - Bassi GL
AD - Hospital Clinic, Barcelona, Spain. ISNI: 0000 0000 9635 9413. GRID:
grid.410458.c
FAU - Aguilera, E
AU - Aguilera E
grid.410458.c
FAU - Chiurazzi, C
AU - Chiurazzi C
grid.410458.c
FAU - Travierso, C
AU - Travierso C
grid.410458.c
FAU - Motos, A
AU - Motos A
grid.410458.c
FAU - Fernandez, L
AU - Fernandez L
grid.410458.c
FAU - Amaro, R
AU - Amaro R
grid.410458.c
FAU - Senussi, T
AU - Senussi T
grid.410458.c
FAU - Idone, F
AU - Idone F
grid.410458.c
FAU - Bobi, J
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grid.410458.c
FAU - Rigol, M
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grid.410458.c
FAU - Torres, A
AU - Torres A
grid.410458.c
FAU - Hodiamont, C J
AU - Hodiamont CJ
GRID:
grid.5650.6
AU - Juffermans NP
GRID:
grid.5650.6
FAU - Janssen, J M
AU - Janssen JM
GRID:
grid.5650.6
FAU - Bouman, C S
AU - Bouman CS
GRID:
grid.5650.6
FAU - Mathôt, R A
AU - Mathôt RA
GRID:
grid.5650.6
FAU - De Jong, M D
AU - De Jong MD
GRID:
grid.5650.6
FAU - Van Hest, R M
AU - Van Hest RM
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grid.5650.6
FAU - Payne, L
AU - Payne L
AD - Maine Medical Center, Portland, USA. GRID: grid.240160.1
FAU - Fraser, G L
AU - Fraser GL
AD - Maine Medical Center, Portland, USA. GRID: grid.240160.1
FAU - Tudor, B
AU - Tudor B
AD - Medical University of Vienna, Vienna, Austria. ISNI: 0000 0000 9259 8492.
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grid.22937.3d
FAU - Lahner, M
AU - Lahner M
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grid.22937.3d
FAU - Roth, G
AU - Roth G
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grid.22937.3d
FAU - Krenn, C
AU - Krenn C
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grid.22937.3d
FAU - Talaie, H
AU - Talaie H
Hakim
grid.411600.2
FAU - Jault, P
AU - Jault P
AD - HIA Percy, Clamart, France. ISNI: 0000 0004 1795 3756. GRID: grid.414028.b
FAU - Gabard, J
AU - Gabard J
AD - Pherecydes Pharma, Romainville, France
FAU - Leclerc, T
AU - Leclerc T
AD - HIA Percy, Clamart, France. ISNI: 0000 0004 1795 3756. GRID: grid.414028.b
FAU - Jennes, S
AU - Jennes S
AD - Hôpital Reine Astrid, Brussels, Belgium
FAU - Que, Y
AU - Que Y
FAU - Rousseau, A
AU - Rousseau A
AD - CHU Liege, Liege, Belgium. ISNI: 0000 0000 8607 6858. GRID: grid.411374.4
FAU - Ravat, F
AU - Ravat F
AD - CH Saint Jospeh Saint Luc, Lyon, France
FAU - Al-Dorzi, H
AU - Al-Dorzi H
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Eissa, A
AU - Eissa A
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Al-Harbi, S
AU - Al-Harbi S
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0000 0004 0608 0662. GRID: grid.412149.b
FAU - Aldabbagh, T
AU - Aldabbagh T
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Khan, R
AU - Khan R
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Arabi, Y
AU - Arabi Y
ISNI:
0000 0004 0608 0662. GRID: grid.412149.b
FAU - Trifi, A
AU - Trifi A
AD - University hospital center of La Rabta, Tunis, Tunisia
FAU - Abdellatif., S
AU - Abdellatif. S
FAU - Daly, F
AU - Daly F
FAU - Nasri, R
AU - Nasri R
FAU - Ben Lakhal, S
AU - Ben Lakhal S
FAU - Paramba, F
AU - Paramba F
AD - Hamad Medical Corporation, Doha, Qatar. ISNI: 0000 0004 0571 546X. GRID:
grid.413548.f
FAU - Purayil, N
AU - Purayil N
grid.413548.f
FAU - Naushad, V
AU - Naushad V
grid.413548.f
FAU - Mohammad, O
AU - Mohammad O
grid.413548.f
FAU - Negi, V
AU - Negi V
grid.413548.f
FAU - Chandra, P
AU - Chandra P
grid.413548.f
FAU - Kleinsasser, A
AU - Kleinsasser A
AD - MUI, Innsbruck, Austria. ISNI: 0000 0000 8853 2677. GRID: grid.5361.1
FAU - Witrz, M R
AU - Witrz MR
AD - Academic Medical Centre, Amsterdam, Netherlands. ISNI: 0000000404654431.
GRID:
grid.5650.6
FAU - Buchner-Doeven, J F
AU - Buchner-Doeven JF
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grid.5650.6
FAU - Tuip-de Boer, A M
AU - Tuip-de Boer AM
GRID:
grid.5650.6
FAU - Goslings, J C
AU - Goslings JC
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grid.5650.6
AU - Juffermans NP
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grid.5650.6
FAU - Van Hezel, M
AU - Van Hezel M
AD - Academic Medical Center Amsterdam, Amsterdam, Netherlands. ISNI:
0000000404654431.
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FAU - Straat, M
AU - Straat M
0000000404654431.
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FAU - Boing, A
AU - Boing A
0000000404654431.
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FAU - Van Bruggen, R
AU - Van Bruggen R
AD - Sanquin, Amsterdam, Netherlands. ISNI: 0000 0001 2234 6887. GRID:
grid.417732.4
FAU - Juffermans, N
AU - Juffermans N
0000000404654431.
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FAU - Markopoulou, D
AU - Markopoulou D
AD - KAT Hospital Athens, Kifisia, Greece. ISNI: 0000 0004 0622 8129. GRID:
grid.415070.7
FAU - Venetsanou, K
AU - Venetsanou K
grid.415070.7
FAU - Kaldis, V
AU - Kaldis V
grid.415070.7
FAU - Koutete, D
AU - Koutete D
grid.415070.7
FAU - Chroni, D
AU - Chroni D
grid.415070.7
FAU - Alamanos, I
AU - Alamanos I
AD - ICU-B, KAT Hospital Kifisia, Athens, Greece
FAU - Koch, L
AU - Koch L
GRID:
grid.414021.2
FAU - Jancik, J
AU - Jancik J
GRID:
grid.414021.2
FAU - Rhodes, H
AU - Rhodes H
GRID:
grid.414021.2
FAU - Walter, E
AU - Walter E
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grid.414021.2
FAU - Maekawa, K
AU - Maekawa K
AD - Hokkaido University Hospital, Sapporo, Japan. ISNI: 0000 0004 0378 6088.
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grid.412167.7
FAU - Hayakawa, M
AU - Hayakawa M
AD - Hokkaido University Hospital, Sapporo, Japan. ISNI: 0000 0004 0378 6088.
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grid.412167.7
FAU - Kushimoto, S
AU - Kushimoto S
AD - Tohoku University Graduate School of Medicine, Sendai, Japan. ISNI: 0000 0001
2248
6943. GRID: grid.69566.3a
FAU - Shiraishi, A
AU - Shiraishi A
AD - Tokyo Medical and Dental University Hospital of Medicine, Tokyo, Japan. GRID:
grid.474906.8
FAU - Kato, H
AU - Kato H
AD - National Hospital Organization Disaster Medical Center, Tokyo, Japan. ISNI:
0000
0004 0569 9594. GRID: grid.416797.a
FAU - Sasaki, J
AU - Sasaki J
AD - Keio University School of Medicine, Tokyo, Japan. ISNI: 0000 0004 1936 9959.
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grid.26091.3c
FAU - Ogura, H
AU - Ogura H
AD - Osaka University Graduate School of Medicine, Osaka, Japan. ISNI: 0000 0004
0373
3971. GRID: grid.136593.b
FAU - Matauoka, T
AU - Matauoka T
AD - Rinku General Medical Center, Osaka, Japan
FAU - Uejima, T
AU - Uejima T
AD - Kinki University Faculty of Medicine, Osaka, Japan. ISNI: 0000 0004 1936
9967. GRID:
grid.258622.9
FAU - Morimura, N
AU - Morimura N
AD - Yokohama City University Graduate School of Medicine, Yokohama, Japan. ISNI:
0000
0001 1033 6139. GRID: grid.268441.d
FAU - Ishikura, H
AU - Ishikura H
AD - Faculty of Medicine, Fukuoka University, Fukuoka, Japan. ISNI: 0000 0001 0672
2176.
GRID: grid.411497.e
FAU - Hagiwara, A
AU - Hagiwara A
AD - National Center For Global Health and Medicine, Tokyo, Japan. ISNI: 0000 0004
0489
0290. GRID: grid.45203.30
FAU - Takeda, M
AU - Takeda M
AD - Tokyo Women’s Medical University, Tokyo, Japan. ISNI: 0000 0001 0720 6587.
GRID:
grid.410818.4
FAU - Tarabrin, O
AU - Tarabrin O
AD - Odessa National Medical University, Odessa, Ukraine. GRID: grid.445907.b
FAU - Shcherbakow, S
AU - Shcherbakow S
FAU - Gavrychenko, D
AU - Gavrychenko D
FAU - Mazurenko, G
AU - Mazurenko G
FAU - Ivanova, V
AU - Ivanova V
FAU - Chystikov, O
AU - Chystikov O
FAU - Plourde, C
AU - Plourde C
AD - Hopital Sacré-Coeur de Montréal, Montreal, Canada. ISNI: 0000 0001 2160 7387.
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grid.414056.2
FAU - Lessard, J
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FAU - Chauny, J
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FAU - Daoust, R
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FAU - Shcherbakow, S
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FAU - Tarabrin, O
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FAU - Mazurenko, G
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FAU - Chystikov, O
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FAU - Vakalos, A
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AD - Xanthi General Hospital, Xanth, Greece. GRID: grid.414012.2
FAU - Avramidis, V
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AD - Xanthi General Hospital, Xanth, Greece. GRID: grid.414012.2
FAU - Kropman, L
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AD - Maastricht UMC, Maastricht, Netherlands. GRID: grid.412966.e
FAU - In het Panhuis, L
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Budnik, I
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Shenkman, B
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Sheba Medical Center, Tel-Hashomer, Israel. ISNI: 0000 0001 2107 2845. GRID:
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FAU - Iqbal, R
AU - Iqbal R
AD - Institute of Ageing and Chronic Disease, Liverpool, UK
FAU - Alhamdi, Y
AU - Alhamdi Y
AD - Institute of Infection and Global Health, Liverpool, UK
FAU - Venugopal, N
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FAU - Abrams, S
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FAU - Downey, C
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FAU - Toh, C H
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FAU - Fogagnolo, A
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FAU - Taccone, F
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AD - Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles,
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0004
1757 2064. GRID: grid.8484.0
FAU - Chochliourou, E
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FAU - Wijesuriya, J
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AD - Central London School of Anaesthesia and Intensive Care Medicine, London, UK
FAU - Keogh, S
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AD - University of the Sunshine Coast, Maroochydore, Australia. ISNI: 0000 0001
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FAU - Docherty, A
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FAU - O’Donnell, R
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FAU - Brunskill, S
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AD - John Radcliffe Hospital, Oxford, UK. ISNI: 0000 0001 2306 7492. GRID:
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FAU - Almeida, J
AU - Almeida J
AD - Hospital de Sao Paulo, Sao Paulo, Brazil. GRID: grid.413463.7
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grid.4305.2
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AD - Royal Brompton & Harefield NHS Trust, London, UK. ISNI: 0000 0004 0581 2008.
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FAU - Mansell, J
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AD - Barts Heart Centre, London, UK
FAU - Rogers, A
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FAU - Mitaka, C
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AD - Juntendo University Hospital, Tokyo, Japan. GRID: grid.411966.d
FAU - Ohnuma, T
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FAU - Murayama, T
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FAU - Nagashima, M
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FAU - Takei, T
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FAU - Tomita, M
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FAU - Sivadasan, P
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FAU - Othamn, H
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FAU - Singh, R
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FAU - Al Khulaifi, A
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FAU - Mandel, I
AU - Mandel I
AD - Research Institution for Cardiology, Tomsk, Russia
FAU - Mikheev, S
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FAU - Jenkins, S A
AU - Jenkins SA
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FAU - Griffin, R
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FAU - Tovar Doncel, M S
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AD - University Hospital Rio Hortega, Valladolid, Spain. ISNI: 0000 0001 1842
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FAU - Lima, A
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FAU - Righetti, F
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FAU - Colombaroli, E
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FAU - Castellano, G
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FAU - Righetti, F
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FAU - Frenoy, E
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FAU - Sauneuf, B
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FAU - Nseir, S
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
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0001 2180
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FAU - Martínez González, Ó
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AD - Hospital Universitario del Tajo, Aranjuez, Spain
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AD - Karolinska Institutet, Stockholm, Sweden. ISNI: 0000 0004 1937 0626. GRID:
grid.4714.6
FAU - Wall, O
AU - Wall O
grid.4714.6
FAU - Nyberg, E
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grid.4714.6
FAU - Zeng, R
AU - Zeng R
AD - Wenzhou Medical University, Wenzhou, Zheijang China. ISNI: 0000 0001 0348
3990.
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FAU - Svensen, C
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grid.4714.6
FAU - Mårtensson, J
AU - Mårtensson J
AD - Department of Intensive Care, Austin Hospital, Melbourne, VIC Australia.
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0001 0162 7225. GRID: grid.414094.c
FAU - Joelsson-Alm, E
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grid.4714.6
FAU - Barradas, L
AU - Barradas L
FAU - Lopez, V
AU - Lopez V
FAU - Cetina, M
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FAU - Parenti, N
AU - Parenti N
AD - Policlinico Modena, Bologna, Italy. ISNI: 0000 0004 1769 5275. GRID:
grid.413363.0
FAU - Palazzi, C
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grid.413363.0
FAU - Amidei, L A
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grid.413363.0
FAU - Borrelli, F B
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grid.413363.0
FAU - Campanale, S C
AU - Campanale SC
grid.413363.0
FAU - Tagliazucchi, F T
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grid.413363.0
FAU - Sedoni, G S
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grid.413363.0
FAU - Lucchesi, D L
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grid.413363.0
FAU - Carella, E C
AU - Carella EC
grid.413363.0
FAU - Luciani, A L
AU - Luciani AL
grid.413363.0
FAU - Mackovic, M
AU - Mackovic M
AD - Clinical Hospital Sveti Duh, Zagreb, Croatia
FAU - Maric, N
AU - Maric N
FAU - Bakula, M
AU - Bakula M
FAU - Aya, H
AU - Aya H
FAU - Rhodes, A
AU - Rhodes A
FAU - Grounds, R M
AU - Grounds RM
FAU - Fletcher, N
AU - Fletcher N
FAU - Cecconi, M
AU - Cecconi M
FAU - Avard, B
AU - Avard B
AD - The Canberra Hospital, Hughes, ACT Australia. ISNI: 0000 0000 9984 5644.
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grid.413314.0
FAU - Zhang, P
AU - Zhang P
AD - Australian National University Medical School, Canberra, Australia. ISNI:
0000 0001
2180 7477. GRID: grid.1001.0
FAU - Mezidi, M
AU - Mezidi M
AD - Lapeyronie University Hospital, Montpellier, France. ISNI: 0000 0004 0638
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8990.
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FAU - Capdevila, X
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8990.
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FAU - Hou, P
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AD - Brigham and Women’s Hospital, Boston, USA. ISNI: 0000 0004 0378 8294. GRID:
grid.62560.37
FAU - Linde-Zwirble, W Z
AU - Linde-Zwirble WZ
AD - Trexin Medical, Chicago, USA
FAU - Douglas, I D
AU - Douglas ID
AD - University of Colorado and Denver Health, Denver, USA. ISNI:
0000000107903411. GRID:
grid.241116.1
FAU - Shapiro, N S
AU - Shapiro NS
AD - Beth Isreal Deaconess, Boston, USA
AU - Ben Souissi A
FAU - Mezghani, I
AU - Mezghani I
FAU - Ben Aicha, Y
AU - Ben Aicha Y
FAU - Kamoun, S
AU - Kamoun S
FAU - Laribi, B
AU - Laribi B
FAU - Jeribi, B
AU - Jeribi B
FAU - Riahi, A
AU - Riahi A
FAU - Mebazaa, M S
AU - Mebazaa MS
FAU - Pereira, C
AU - Pereira C
AD - Centro Hospitalar do Porto, Porto, Portugal. ISNI: 0000 0004 0392 7039. GRID:
grid.418340.a
FAU - Marinho, R
AU - Marinho R
grid.418340.a
FAU - Antunes, R
AU - Antunes R
grid.418340.a
FAU - Marinho, A
AU - Marinho A
grid.418340.a
FAU - Crivits, M
AU - Crivits M
AD - University Hospital, Ghent, Belgium. ISNI: 0000 0004 0626 3303. GRID:
grid.410566.0
FAU - Raes, M
AU - Raes M
grid.410566.0
FAU - Decruyenaere, J
AU - Decruyenaere J
grid.410566.0
FAU - Hoste, E
AU - Hoste E
grid.410566.0
FAU - Bagin, V
AU - Bagin V
AD - City Clinical Hospital 40, Yekaterinburg, Russia
FAU - Rudnov, V
AU - Rudnov V
FAU - Savitsky, A
AU - Savitsky A
FAU - Astafyeva, M
AU - Astafyeva M
FAU - Korobko, I
AU - Korobko I
FAU - Vein, V
AU - Vein V
FAU - Kampmeier, T
AU - Kampmeier T
AD - University Hospital Muenster, Muenster, Germany. ISNI: 0000 0004 0551 4246.
GRID:
grid.16149.3b
FAU - Arnemann, P
AU - Arnemann P
GRID:
grid.16149.3b
FAU - Hessler, M
AU - Hessler M
GRID:
grid.16149.3b
FAU - Wald, A
AU - Wald A
AD - Marienhospital Osnabrück, Osnabrück, Germany
FAU - Bockbreder, K
AU - Bockbreder K
AD - Charité, University of Berlin, Berlin, Germany
FAU - Morelli, A
AU - Morelli A
AD - Sapienza University of Rome, Rome, Italy. GRID: grid.7841.a
FAU - Van Aken, H
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FAU - Rehberg, S
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8976.
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FAU - Ertmer, C
AU - Ertmer C
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grid.16149.3b
FAU - Arnemann, P
AU - Arnemann P
AD - University Hospital of Muenster, Muenster, Germany. ISNI: 0000 0004 0551
4246. GRID:
grid.16149.3b
FAU - Hessler, M
AU - Hessler M
4246. GRID:
grid.16149.3b
FAU - Kampmeier, T
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4246. GRID:
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8976.
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FAU - Van Aken, H
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4246. GRID:
grid.16149.3b
FAU - Ince, C
AU - Ince C
AD - Erasmus MC University Hospital Rotterdam, Rotterdam, Netherlands. ISNI:
000000040459992X. GRID: grid.5645.2
FAU - Ertmer, C
AU - Ertmer C
4246. GRID:
grid.16149.3b
FAU - Reddy, S
AU - Reddy S
AD - Medical Research Institute of New Zealand, Wellington, New Zealand. ISNI:
0000 0004
0445 6830. GRID: grid.415117.7
FAU - Bailey, M
AU - Bailey M
AD - Monash University, Melbourne, Australia. ISNI: 0000 0004 1936 7857. GRID:
grid.1002.3
FAU - Beasley, R
AU - Beasley R
0000 0004
0445 6830. GRID: grid.415117.7
FAU - Bellomo, R
AU - Bellomo R
AD - Austin Hospital, Melbourne, Australia. ISNI: 0000 0001 0162 7225. GRID:
grid.414094.c
FAU - Mackle, D
AU - Mackle D
0000 0004
0445 6830. GRID: grid.415117.7
FAU - Psirides, A
AU - Psirides A
AD - Wellington Regional Hospital, Wellington, New Zealand. ISNI: 0000 0000 8862
6892.
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FAU - Young, P
AU - Young P
0000 0004
0445 6830. GRID: grid.415117.7
FAU - Reddy, S
AU - Reddy S
0000 0004
0445 6830. GRID: grid.415117.7
FAU - Bailey, M
AU - Bailey M
AD - Australian and New Zealand Intensive Care Research Centre, Melbourne,
Australia
FAU - Beasley, R
AU - Beasley R
0000 0004
0445 6830. GRID: grid.415117.7
FAU - Bellomo, R
AU - Bellomo R
AD - Austin Hospital, Melbourne, Australia. ISNI: 0000 0001 0162 7225. GRID:
grid.414094.c
FAU - Mackle, D
AU - Mackle D
0000 0004
0445 6830. GRID: grid.415117.7
FAU - Young, P
AU - Young P
0000 0004
0445 6830. GRID: grid.415117.7
FAU - Venkatesh, H
AU - Venkatesh H
AD - Princess of Wales Hospital, Bridgend, UK. ISNI: 0000 0004 0648 9337. GRID:
grid.415249.f
FAU - Ramachandran, S
AU - Ramachandran S
AD - Imperial College London, London, UK. ISNI: 0000 0001 2113 8111. GRID:
grid.7445.2
FAU - Basu, A
AU - Basu A
AD - Glan Clwyd Hospital, Bodelwyddan, UK. ISNI: 0000 0000 9831 5916. GRID:
grid.415564.7
FAU - Nair, H
AU - Nair H
AD - Glan Clwyd Hospital, Bodelwyddan, UK. ISNI: 0000 0000 9831 5916. GRID:
grid.415564.7
FAU - Egan, S
AU - Egan S
AD - University Hospital Galway, Galway, Ireland. ISNI: 0000 0004 0617 9371. GRID:
grid.412440.7
FAU - Bates, J
AU - Bates J
AD - University Hospital Galway, Galway, Ireland. ISNI: 0000 0004 0617 9371. GRID:
grid.412440.7
FAU - Oliveira, S
AU - Oliveira S
AD - Albert Schweitzer State Hospital, Rio de Janeiro, Brazil
FAU - Rangel Neto, N R
AU - Rangel Neto NR
FAU - Reis, F Q
AU - Reis FQ
FAU - Lee, C P
AU - Lee CP
AD - Tan Tock Seng Hospital, Singapore, Singapore. GRID: grid.240988.f
FAU - Lin, X L
AU - Lin XL
AD - National Neuroscience Institute, Singapore, Singapore. ISNI: 0000 0004 0636
696X.
GRID: grid.276809.2
FAU - Choong, C
AU - Choong C
FAU - Eu, K M
AU - Eu KM
FAU - Sim, W Y
AU - Sim WY
FAU - Tee, K S
AU - Tee KS
FAU - Pau, J
AU - Pau J
FAU - Abisheganaden, J
AU - Abisheganaden J
FAU - Maas, K
AU - Maas K
AD - Erasmus Medical Centre, Rotterdam, Netherlands. ISNI: 000000040459992X. GRID:
grid.5645.2
FAU - De Geus, H
AU - De Geus H
AD - Erasmus Medical Centre, Rotterdam, Netherlands. ISNI: 000000040459992X. GRID:
grid.5645.2
FAU - Lafuente, E
AU - Lafuente E
AD - Centro Hospitalar Tamega e Sousa, Penafiel, Portugal. GRID: grid.466592.a
FAU - Marinho, R
AU - Marinho R
grid.418340.a
FAU - Moura, J
AU - Moura J
AD - Unidade Local de Saude do Alto Minho, Viana do Castelo, Portugal
FAU - Antunes, R
AU - Antunes R
grid.418340.a
FAU - Marinho, A
AU - Marinho A
grid.418340.a
FAU - Doris, T E
AU - Doris TE
AD - South Tees NHS Trust, Middlesbrough, UK
FAU - Monkhouse, D
AU - Monkhouse D
FAU - Shipley, T
AU - Shipley T
FAU - Kardasz, S
AU - Kardasz S
FAU - Gonzalez, I
AU - Gonzalez I
FAU - Stads, S
AU - Stads S
AD - Ikazia Hospital, Rotterdam, Netherlands. ISNI: 0000 0004 0568 7120. GRID:
grid.414565.7
FAU - Groeneveld, A J
AU - Groeneveld AJ
FAU - Elsayed, I
AU - Elsayed I
AD - Sheffiled Teaching Hospitals, Sheffield, UK
FAU - Ward, N
AU - Ward N
FAU - Tridente, A
AU - Tridente A
AD - Whiston Hospital, St Helens & Knowsley, UK. ISNI: 0000 0004 0417 1894. GRID:
grid.417083.9
FAU - Raithatha, A
AU - Raithatha A
FAU - Steuber, A
AU - Steuber A
AD - University Hospital Duesseldorf, Düsseldorf, Germany. ISNI: 0000 0000 8922
7789.
GRID: grid.14778.3d
FAU - Pelletier, C
AU - Pelletier C
7789.
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FAU - Schroeder, S
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7789.
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FAU - Michael, E
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7789.
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FAU - Slowinski, T
AU - Slowinski T
AD - Charite University Hospital, Berlin, Germany. ISNI: 0000 0001 2218 4662.
GRID:
grid.6363.0
FAU - Kindgen-Milles, D
AU - Kindgen-Milles D
7789.
GRID: grid.14778.3d
FAU - Ghabina, S
AU - Ghabina S
AD - Royal London Hospital, London, UK. ISNI: 0000 0001 0738 5466. GRID:
grid.416041.6
FAU - Turani, F
AU - Turani F
AD - Aurelia and European Hospital, Rome, Italy. GRID: grid.414645.6
FAU - Belli, A
AU - Belli A
FAU - Busatti, S
AU - Busatti S
FAU - Barettin, G
AU - Barettin G
FAU - Candidi, F
AU - Candidi F
FAU - Gargano, F
AU - Gargano F
FAU - Barchetta, R
AU - Barchetta R
FAU - Falco, M
AU - Falco M
FAU - Demirkiran, O
AU - Demirkiran O
AD - Istanbul University Cerrahpasa Medical School, Istanbul, Turkey. ISNI: 0000
0001
2166 6619. GRID: grid.9601.e
FAU - Kosuk, M
AU - Kosuk M
0001
2166 6619. GRID: grid.9601.e
FAU - Bozbay, S
AU - Bozbay S
0001
2166 6619. GRID: grid.9601.e
FAU - Weber, V
AU - Weber V
AD - Danube University Krems, Krems, Austria. ISNI: 0000 0001 2108 5830. GRID:
grid.15462.34
FAU - Hartmann, J
AU - Hartmann J
grid.15462.34
FAU - Harm, S
AU - Harm S
grid.15462.34
FAU - Linsberger, I
AU - Linsberger I
grid.15462.34
FAU - Eichhorn, T
AU - Eichhorn T
grid.15462.34
FAU - Valicek, G
AU - Valicek G
AD - University Hospital St. Poelten, St. Poelten, Austria
FAU - Miestinger, G
AU - Miestinger G
FAU - Hoermann, C
AU - Hoermann C
FAU - Faenza, S
AU - Faenza S
AD - Teaching Hospital Policlinico S.Orsola-Malpighi, Bologna, Italy. GRID:
grid.412311.4
FAU - Ricci, D
AU - Ricci D
AD - Department of Nephrology, Dialysis, Hypertension, Bologna, Italy
FAU - Mancini, E
AU - Mancini E
AD - Department of Nephrology, Dialysis, Hypertension, Bologna, Italy
FAU - Gemelli, C
AU - Gemelli C
AD - Science and Technology Park for Medicine, Mirandola, Italy
FAU - Cuoghi, A
AU - Cuoghi A
AD - Science and Technology Park for Medicine, Mirandola, Italy
FAU - Magnani, S
AU - Magnani S
AD - Aferetica, Bologna, Italy
FAU - Atti, M
AU - Atti M
AD - Aferetica, Bologna, Italy
FAU - Laddomada, T
AU - Laddomada T
AD - San Marco Hospital, Zingonia, Italy
FAU - Doronzio, A
AU - Doronzio A
FAU - Balicco, B
AU - Balicco B
FAU - Gruda, M C
AU - Gruda MC
AD - CytoSorbents, Monmouth Junction, USA. GRID: grid.428484.6
FAU - O’Sullivan, P
AU - O’Sullivan P
FAU - Dan, V P
AU - Dan VP
FAU - Guliashvili, T
AU - Guliashvili T
FAU - Scheirer, A
AU - Scheirer A
FAU - Golobish, T D
AU - Golobish TD
FAU - Capponi, V J
AU - Capponi VJ
FAU - Chan, P P
AU - Chan PP
FAU - Kogelmann, K
AU - Kogelmann K
AD - Klinikum Emden, Emden, Germany
FAU - Drüner, M
AU - Drüner M
AD - Klinikum Emden, Emden, Germany
FAU - Jarczak, D
AU - Jarczak D
AD - University Hospital Eppendorf, Hamburg, Germany. ISNI: 0000 0001 2180 3484.
GRID:
grid.13648.38
FAU - Turani, F
AU - Turani F
AD - Aurelia Hospital /European Hospital, Rome, Italy. GRID: grid.414077.1
FAU - Belli, A B
AU - Belli AB
FAU - Martni, S M
AU - Martni SM
FAU - Cotticelli, V C
AU - Cotticelli VC
FAU - Mounajergi, F
AU - Mounajergi F
FAU - Barchetta, R
AU - Barchetta R
FAU - Morimoto, S
AU - Morimoto S
AD - Fukuoka University hospital, Fukuoka, Japan. ISNI: 0000 0004 0594 9821. GRID:
grid.411556.2
FAU - Ishikura, H
AU - Ishikura H
AD - Fukuoka University hospital, Fukuoka, Japan. ISNI: 0000 0004 0594 9821. GRID:
grid.411556.2
FAU - Hussain, I
AU - Hussain I
AD - King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
ISNI:
0000 0001 2191 4301. GRID: grid.415310.2
FAU - Salahuddin, N
AU - Salahuddin N
ISNI:
0000 0001 2191 4301. GRID: grid.415310.2
FAU - Nadeem, A
AU - Nadeem A
ISNI:
0000 0001 2191 4301. GRID: grid.415310.2
FAU - Ghorab, K
AU - Ghorab K
ISNI:
0000 0001 2191 4301. GRID: grid.415310.2
FAU - Maghrabi, K
AU - Maghrabi K
ISNI:
0000 0001 2191 4301. GRID: grid.415310.2
FAU - Kloesel, S K
AU - Kloesel SK
AD - GPR Klinikum Ruesselsheim, Ruesselsheim, Hessen Germany
FAU - Goldfuss, C
AU - Goldfuss C
FAU - Stieglitz, A
AU - Stieglitz A
FAU - Stieglitz, A S
AU - Stieglitz AS
FAU - Krstevska, L
AU - Krstevska L
FAU - Albuszies, G
AU - Albuszies G
FAU - Barradas, L
AU - Barradas L
FAU - Lopez, V
AU - Lopez V
FAU - Escalante, A
AU - Escalante A
FAU - Jimmy, G
AU - Jimmy G
FAU - Cetina, M
AU - Cetina M
FAU - Izawa, J
AU - Izawa J
AD - Jikei University School of Medicine, Tokyo, Japan. ISNI: 0000 0001 0661 2073.
GRID:
grid.411898.d
FAU - Iwami, T
AU - Iwami T
AD - Kyoto University, Kyoto, Japan. ISNI: 0000 0004 0372 2033. GRID:
grid.258799.8
FAU - Uchino, S
AU - Uchino S
GRID:
grid.411898.d
FAU - Takinami, M
AU - Takinami M
GRID:
grid.411898.d
FAU - Kitamura, T
AU - Kitamura T
AD - Osaka University, Osaka, Japan. ISNI: 0000 0004 0373 3971. GRID:
grid.136593.b
FAU - Kawamura, T
AU - Kawamura T
AD - Kyoto University, Kyoto, Japan. ISNI: 0000 0004 0372 2033. GRID:
grid.258799.8
FAU - Powell-Tuck, J G
AU - Powell-Tuck JG
AD - Guy’s & St Thomas’ NHS Foundation Trust, London, UK. GRID: grid.420545.2
FAU - Crichton, S
AU - Crichton S
AD - King’s College, London, UK. ISNI: 0000 0001 2322 6764. GRID: grid.13097.3c
FAU - Raimundo, M
AU - Raimundo M
AD - Hospital de Santa Maria, Lisbon, Portugal. ISNI: 0000 0001 2295 9747. GRID:
grid.411265.5
FAU - Camporota, L
AU - Camporota L
FAU - Wyncoll, D
AU - Wyncoll D
FAU - Ostermann, M
AU - Ostermann M
FAU - Hana, A
AU - Hana A
AD - ErasmusMC, Rotterdam, Netherlands. ISNI: 000000040459992X. GRID: grid.5645.2
FAU - De Geus, H R
AU - De Geus HR
FAU - De Geus, H R
AU - De Geus HR
FAU - Hana, A
AU - Hana A
FAU - Aydogdu, M
AU - Aydogdu M
AD - Gazi University Medical Faculty, Ankara, Turkey. ISNI: 0000 0001 2169 7132.
GRID:
grid.25769.3f
FAU - Boyaci, N
AU - Boyaci N
AD - Gazi University School of Medicine, Critical Care Fellowship Programme,
Ankara,
Turkey
FAU - Yuksel, S
AU - Yuksel S
AD - Gazi University School of Medicine Biochemistry Department, Ankara, Turkey.
ISNI:
0000 0001 2169 7132. GRID: grid.25769.3f
FAU - Gursel, G
AU - Gursel G
AD - Gazi University Medical Faculty, Ankara, Turkey. ISNI: 0000 0001 2169 7132.
GRID:
grid.25769.3f
FAU - Cayci Sivri, A B
AU - Cayci Sivri AB
AD - Gazi University School of Medicine Biochemistry Department, Ankara, Turkey.
ISNI:
0000 0001 2169 7132. GRID: grid.25769.3f
FAU - Meza-Márquez, J
AU - Meza-Márquez J
AD - Fundación Clínica Medica Sur, Mexico City, Mexico
FAU - Nava-López, J
AU - Nava-López J
FAU - Carrillo-Esper, R
AU - Carrillo-Esper R
FAU - Dardashti, A
AU - Dardashti A
AD - Lund University and Skane University Hospital, Lund, Sweden. GRID:
grid.411843.b
FAU - Grubb, A
AU - Grubb A
AD - Lund University and Skane University Hospital, Lund, Sweden. GRID:
grid.411843.b
FAU - Maizel, J
AU - Maizel J
FAU - Wetzstein, M
AU - Wetzstein M
FAU - Titeca, D
AU - Titeca D
FAU - Kontar, L
AU - Kontar L
FAU - Brazier, F
AU - Brazier F
FAU - De Cagny, B
AU - De Cagny B
FAU - Riviere, A
AU - Riviere A
FAU - Soupison, T
AU - Soupison T
FAU - Joris, M
AU - Joris M
FAU - Slama, M
AU - Slama M
AD - Radboudumc, Nijmegen, Netherlands. ISNI: 0000 0004 0444 9382. GRID:
grid.10417.33
FAU - Peters, E
AU - Peters E
FAU - Njimi, H
AU - Njimi H
AD - Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. ISNI: 0000
0001
2348 0746. GRID: grid.4989.c
FAU - Pickkers, P
AU - Pickkers P
AD - Radboudumc, Nijmegen, Netherlands. ISNI: 0000 0004 0444 9382. GRID:
grid.10417.33
FAU - Vincent, J L
AU - Vincent JL
AD - Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. ISNI: 0000
0001
2348 0746. GRID: grid.4989.c
FAU - Waraich, M
AU - Waraich M
AD - The Royal Surrey County Hospital, Guildford, UK. ISNI: 0000 0004 0417 0648.
GRID:
grid.416224.7
FAU - Doyle, J
AU - Doyle J
GRID:
grid.416224.7
FAU - Samuels, T
AU - Samuels T
GRID:
grid.416224.7
FAU - Forni, L
AU - Forni L
GRID:
grid.416224.7
FAU - Desai, N
AU - Desai N
AD - Royal National Orthopaedic Hospital, Middlesex, UK. ISNI: 0000 0004 0417
7890. GRID:
grid.416177.2
FAU - Baumber, R
AU - Baumber R
7890. GRID:
grid.416177.2
FAU - Gunning, P
AU - Gunning P
7890. GRID:
grid.416177.2
FAU - Sell, A
AU - Sell A
7890. GRID:
grid.416177.2
FAU - Lin, S
AU - Lin S
AD - Barts Health NHS Trust, London, UK. ISNI: 0000 0001 0372 5777. GRID:
grid.139534.9
FAU - Torrence, H
AU - Torrence H
AD - Queen Mary University of London, London, UK. ISNI: 0000 0001 2171 1133. GRID:
grid.4868.2
FAU - O’Dwyer, M
AU - O’Dwyer M
grid.4868.2
FAU - Kirwan, C
AU - Kirwan C
grid.139534.9
FAU - Prowle, J
AU - Prowle J
grid.4868.2
FAU - Kim, T
AU - Kim T
AD - Asan medical center, Seoul, South Korea. ISNI: 0000 0001 0842 2126. GRID:
grid.413967.e
FAU - O’Connor, M E
AU - O’Connor ME
grid.139534.9
FAU - Hewson, R W
AU - Hewson RW
grid.139534.9
FAU - Kirwan, C J
AU - Kirwan CJ
grid.139534.9
FAU - Pearse, R M
AU - Pearse RM
grid.4868.2
FAU - Prowle, J
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grid.4868.2
FAU - Hanoura, S
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grid.413548.f
FAU - Omar, A
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grid.413548.f
FAU - Othamn, H
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grid.413548.f
FAU - Sudarsanan, S
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grid.413548.f
FAU - Allam, M
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grid.413548.f
FAU - Maksoud, M
AU - Maksoud M
grid.413548.f
FAU - Singh, R
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grid.413548.f
FAU - Al Khulaifi, A
AU - Al Khulaifi A
grid.413548.f
FAU - O’Connor, M E
AU - O’Connor ME
grid.139534.9
FAU - Hewson, R W
AU - Hewson RW
grid.139534.9
FAU - Kirwan, C J
AU - Kirwan CJ
grid.139534.9
FAU - Pearse, R M
AU - Pearse RM
grid.4868.2
FAU - Prowle, J
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grid.4868.2
FAU - Uzundere, O
AU - Uzundere O
AD - Trakya Univ, Edirne, Turkey. ISNI: 0000 0001 2342 6459. GRID: grid.411693.8
FAU - Memis, D
AU - Memis D
FAU - Ýnal, M
AU - Ýnal M
FAU - Gultekin, A
AU - Gultekin A
FAU - Turan, N
AU - Turan N
FAU - Aydin, M A
AU - Aydin MA
AD - General Directorate of Health Services, Ministry of Health, Ankara, Turkey.
GRID:
grid.415700.7
FAU - Basar, H
AU - Basar H
AD - AnkaraNKARA Research and Training Hospital, Ankara, Turkey
FAU - Sencan, I
AU - Sencan I
GRID:
grid.415700.7
FAU - Kapuagasi, A
AU - Kapuagasi A
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grid.415700.7
FAU - Ozturk, M
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grid.415700.7
FAU - Uzundurukan, Z
AU - Uzundurukan Z
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grid.415700.7
FAU - Gokmen, D
AU - Gokmen D
AD - Department of Biostatistics, Faculty of Medicine, Ankara University, Ankara,
Turkey.
ISNI: 0000000109409118. GRID: grid.7256.6
FAU - Ozcan, A
AU - Ozcan A
AD - Ankara Research and Training Hospital, Ankara, Turkey. ISNI: 0000 0004 0642
6432.
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FAU - Kaymak, C
AU - Kaymak C
AD - AnkaraNKARA Research and Training Hospital, Ankara, Turkey
FAU - Artemenko, V A
AU - Artemenko VA
AD - MC Into-Sana, Odessa, Ukraine
FAU - Budnyuk, A
AU - Budnyuk A
AD - MC Into-Sana, Odessa, Ukraine
FAU - Pugh, R
AU - Pugh R
AD - Glan Clwyd Hospital, Rhyl, UK. ISNI: 0000 0000 9831 5916. GRID: grid.415564.7
FAU - Bhandari, S
AU - Bhandari S
AD - Glan Clwyd Hospital, Rhyl, UK. ISNI: 0000 0000 9831 5916. GRID: grid.415564.7
FAU - Mauri, T
AU - Mauri T
AD - Fondazione IRCCS Ca’ Granda, Maggiore Policlinico Hospital, Milan, Italy
FAU - Turrini, C
AU - Turrini C
AD - University of Ferrara, Sant’Anna Hospital, Ferrara, Italy
FAU - Langer, T
AU - Langer T
FAU - Taccone, P
AU - Taccone P
FAU - Volta, C A
AU - Volta CA
AD - University of Ferrara, Sant’Anna Hospital, Ferrara, Italy
FAU - Marenghi, C
AU - Marenghi C
FAU - Gattinoni, L
AU - Gattinoni L
FAU - Pesenti, A
AU - Pesenti A
FAU - Sweeney, L
AU - Sweeney L
AD - Aerogen, Galway, Ireland
FAU - O’Sullivan, A
AU - O’Sullivan A
FAU - Kelly, P
AU - Kelly P
FAU - Mukeria, E
AU - Mukeria E
FAU - MacLoughlin, R
AU - MacLoughlin R
FAU - Pfeffer, M
AU - Pfeffer M
AD - Kaplan Medical Centre, Rehovot, Israel
FAU - Thomas, J T
AU - Thomas JT
AD - West Virginia University, Morgantown, West Virginia USA. ISNI: 0000 0001 2156
6140.
GRID: grid.268154.c
FAU - Bregman, G B
AU - Bregman GB
FAU - Karp, G K
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FAU - Kishinevsky, E K
AU - Kishinevsky EK
FAU - Stavi, D S
AU - Stavi DS
FAU - Adi, N A
AU - Adi NA
FAU - Poropat, T
AU - Poropat T
AD - Rihard Knafelj, Ljubljana, Slovenia
FAU - Knafelj, R
AU - Knafelj R
FAU - Llopart, E
AU - Llopart E
AD - Corporació Sanitària i Universitària Parc Taulí, Universitat Autònoma de
Barcelona,
CIBER Enfermedades Respiratorias, Sabadell, Barcelona, Spain. GRID:
grid.7080.f
FAU - Batlle, M
AU - Batlle M
Barcelona,
grid.7080.f
FAU - De Haro, C
AU - De Haro C
Barcelona,
grid.7080.f
FAU - Mesquida, J
AU - Mesquida J
Barcelona,
grid.7080.f
FAU - Artigas, A
AU - Artigas A
Barcelona,
grid.7080.f
FAU - Pavlovic, D
AU - Pavlovic D
AD - Dalhousie University, Halifax, Canada. ISNI: 0000 0004 1936 8200. GRID:
grid.55602.34
FAU - Lewerentz, L
AU - Lewerentz L
AD - Ernst-Moritz-Arndt-Universität, Greifswald, Germany. GRID: grid.5603.0
FAU - Spassov, A
AU - Spassov A
FAU - Schneider, R
AU - Schneider R
FAU - De Smet, S
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AD - Ghent University Hospital, Gent, Belgium. ISNI: 0000 0004 0626 3303. GRID:
grid.410566.0
FAU - De Raedt, S
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grid.410566.0
FAU - Derom, E
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grid.410566.0
FAU - Depuydt, P
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grid.410566.0
FAU - Oeyen, S
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grid.410566.0
FAU - Benoit, D
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grid.410566.0
FAU - Decruyenaere, J
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grid.410566.0
FAU - Gobatto, A
AU - Gobatto A
AD - Universidade de São Paulo, São Paulo, Brazil. ISNI: 0000 0004 1937 0722.
GRID:
grid.11899.38
FAU - Besen, B
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grid.11899.38
FAU - Tierno, P
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grid.11899.38
FAU - Melro, L
AU - Melro L
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grid.11899.38
FAU - Mendes, P
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grid.11899.38
FAU - Cadamuro, F
AU - Cadamuro F
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grid.11899.38
FAU - Park, M
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grid.11899.38
FAU - Malbouisson, L M
AU - Malbouisson LM
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grid.11899.38
FAU - Civantos, B C
AU - Civantos BC
AD - Hospital La Paz, Madrid, Spain. ISNI: 0000 0000 8970 9163. GRID:
grid.81821.32
FAU - Lopez, J L
AU - Lopez JL
grid.81821.32
FAU - Robles, A
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grid.81821.32
FAU - Figueira, J
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grid.81821.32
FAU - Yus, S
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grid.81821.32
FAU - Garcia, A
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grid.81821.32
FAU - Oglinda, A
AU - Oglinda A
AD - Institute of Mother and Child, Chisinau mun., Moldova
FAU - Ciobanu, G
AU - Ciobanu G
AD - Institute of Emergency Medicine, Chisinau mun., Moldova
FAU - Oglinda, C
AU - Oglinda C
FAU - Schirca, L
AU - Schirca L
FAU - Sertinean, T
AU - Sertinean T
FAU - Lupu, V
AU - Lupu V
AD - State University of Medicine and Pharmacy, Chisinau mun., Moldova
FAU - Kelly, P
AU - Kelly P
AU - O’Sullivan A
FAU - Sweeney, L
AU - Sweeney L
AU - MacLoughlin R
AU - O’Sullivan A
FAU - Kelly, P
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FAU - Sweeney, L
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FAU - Mukeria, E
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FAU - Wolny, M
AU - Wolny M
AU - MacLoughlin R
FAU - Pagano, A
AU - Pagano A
AD - Cardarelli Hospital, Naples, Italy. GRID: grid.413172.2
FAU - Numis, F
AU - Numis F
AD - San Paolo Hospital, Naples, Italy
FAU - Visone, G
AU - Visone G
FAU - Saldamarco, L
AU - Saldamarco L
FAU - Russo, T
AU - Russo T
FAU - Porta, G
AU - Porta G
FAU - Paladino, F
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FAU - Bell, C
AU - Bell C
AD - National University of Ireland, Galway, Galway City, Ireland. ISNI: 0000 0004
0488
0789. GRID: grid.6142.1
FAU - Liu, J
AU - Liu J
AD - Mount Sinai Hospital, Toronto, Canada. ISNI: 0000 0004 0473 9881. GRID:
grid.416166.2
FAU - Debacker, J
AU - Debacker J
grid.416166.2
FAU - Lee, C
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grid.416166.2
FAU - Tamberg, E
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grid.416166.2
FAU - Campbell, V
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grid.416166.2
FAU - Mehta, S
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grid.416166.2
FAU - Silva-Pinto, A
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grid.414556.7
FAU - Sarmento, A
AU - Sarmento A
grid.414556.7
FAU - Santos, L
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grid.414556.7
FAU - Kara, Ý
AU - Kara Ý
AD - Gazi University School of Medicine Respiratory Medicine and Critical Care
Department, Ankara, Turkey. ISNI: 0000 0001 2169 7132. GRID: grid.25769.3f
FAU - Yýldýrým, F
AU - Yýldýrým F
FAU - Zerman, A
AU - Zerman A
AD - Gazi University School of Medicine, Internal Medicine Critical Care
Department,
Ankara, Turkey
FAU - Güllü, Z
AU - Güllü Z
Department,
Ankara, Turkey
FAU - Boyacý, N
AU - Boyacý N
Department,
Ankara, Turkey
FAU - Basarýk Aydogan, B
AU - Basarýk Aydogan B
FAU - Gaygýsýz, Ü
AU - Gaygýsýz Ü
FAU - Gönderen, K
AU - Gönderen K
FAU - Arýk, G
AU - Arýk G
AD - Gazi University School of Medicine, Geriatrics Department, Ankara, Turkey
FAU - Turkoglu, M
AU - Turkoglu M
Department,
Ankara, Turkey
FAU - Aydogdu, M
AU - Aydogdu M
FAU - Aygencel, G
AU - Aygencel G
Department,
Ankara, Turkey
FAU - Ülger, Z
AU - Ülger Z
AD - Gazi University School of Medicine, Geriatrics Department, Ankara, Turkey
FAU - Gursel, G
AU - Gursel G
FAU - Boyacý, N
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FAU - Isýkdogan, Z
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FAU - Özdedeoglu, Ö
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FAU - Güllü, Z
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FAU - Badoglu, M
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FAU - Gaygýsýz, U
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FAU - Aydogdu, M
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FAU - Gursel, G
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FAU - Kongpolprom, N
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AD - Chulalongkorn University, Bangkok, Thailand. ISNI: 0000 0001 0244 7875. GRID:
grid.7922.e
FAU - Sittipunt, C
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grid.7922.e
FAU - Eden, A
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AD - Carmel, Lady Davis Medical Center, Haifa, Israel. GRID: grid.471000.2
FAU - Kokhanovsky, Y
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FAU - Bursztein – De Myttenaere, S
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FAU - Neilans, L
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AD - Duke University, Durham, USA. ISNI: 0000 0004 1936 7961. GRID: grid.26009.3d
FAU - MacIntyre, N
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AD - Duke University, Durham, USA. ISNI: 0000 0004 1936 7961. GRID: grid.26009.3d
FAU - Radosevich, M
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AD - Mayo Clinic, Rochester, USA. ISNI: 0000 0004 0459 167X. GRID: grid.66875.3a
FAU - Wanta, B
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FAU - Weber, V
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FAU - Meyer, T
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FAU - Smischney, N
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FAU - Brown, D
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FAU - Diedrich, D
AU - Diedrich D
FAU - Fuller, A
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AD - St Helens and Knoowsley, Prescot, UK
FAU - McLindon, P
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AD - Royal Infirmary, Edinburgh, UK. ISNI: 0000 0001 0709 1919. GRID:
grid.418716.d
FAU - Sim, K
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FAU - Shoaeir, M
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AD - Alexandria Universitry General Hospital, Alexandria, Egypt. ISNI: 0000 0001
2260
6941. GRID: grid.7155.6
FAU - Noeam, K
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2260
6941. GRID: grid.7155.6
FAU - Mahrous, A
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2260
6941. GRID: grid.7155.6
FAU - Matsa, R
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FAU - Ali, A
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2260
6941. GRID: grid.7155.6
FAU - Dridi, C
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FAU - Koubaji, S
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FAU - Kamoun, S
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FAU - Haddad, F
AU - Haddad F
AU - Ben Souissi A
FAU - Laribi, B
AU - Laribi B
FAU - Riahi, A
AU - Riahi A
FAU - Mebazaa, M S
AU - Mebazaa MS
FAU - Pérez-Calatayud, A
AU - Pérez-Calatayud A
AD - Medica Sur, Mexico City, Mexico. GRID: grid.414741.3
FAU - Carrillo-Esper, R
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FAU - Zepeda-Mendoza, A
AU - Zepeda-Mendoza A
FAU - Diaz-Carrillo, M
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FAU - Arch-Tirado, E
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AD - Instituto Nacional de Rehabilitacion, Mexico City, Mexico. ISNI: 0000 0004
0633
2911. GRID: grid.419223.f
FAU - Carbognin, S
AU - Carbognin S
AD - University of Padua, Padua, Italy. ISNI: 0000 0004 1757 3470. GRID:
grid.5608.b
FAU - Pelacani, L
AU - Pelacani L
AD - Sant Antony hospital, Padua, Italy
FAU - Zannoni, F
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AD - University of Padua, Padua, Italy. ISNI: 0000 0004 1757 3470. GRID:
grid.5608.b
FAU - Agnoli, A
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FAU - Gagliardi, G
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FAU - Cho, R
AU - Cho R
AD - HCMC, Minneapolis, USA. ISNI: 0000 0000 9206 4546. GRID: grid.414021.2
FAU - Adams, A
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FAU - Lunos, S
AU - Lunos S
AD - University of Minnesota, Minneapolis, USA. ISNI: 0000000419368657. GRID:
grid.17635.36
FAU - Ambur, S
AU - Ambur S
FAU - Shapiro, R
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FAU - Prekker, M
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FAU - Thijssen, M
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AD - Viecuri Medical Center, Venlo, Netherlands. ISNI: 0000 0004 0477 5022. GRID:
grid.416856.8
FAU - Janssen, L
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grid.416856.8
FAU - Foudraine, N
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grid.416856.8
FAU - Voscopoulos, C J
AU - Voscopoulos CJ
AD - University of Hawaii, John A. Burns School of Medicine, Honolulu, USA. ISNI:
0000
0001 2188 0957. GRID: grid.410445.0
FAU - Freeman, J
AU - Freeman J
AD - Respiratory Motion Inc., Waltham, USA
AU - Voscopoulos CJ
0000
0001 2188 0957. GRID: grid.410445.0
FAU - Freeman, J
AU - Freeman J
FAU - George, E
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grid.32224.35
AU - Voscopoulos CJ
0000
0001 2188 0957. GRID: grid.410445.0
FAU - Eversole, D
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FAU - Freeman, J
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FAU - George, E
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AD - Massachusetts General Hospital, Boston, USA. ISNI: 0000 0004 0386 9924. GRID:
grid.32224.35
FAU -
Muttini, S
AU -
Muttini S
AD -
AO Desio e Vimercate, Vimercate, Italy
FAU -
Bigi, R
AU -
Bigi R
AD -
AO Desio e Vimercate, Vimercate, Italy
FAU -
Villani, G
AU -
Villani G
AD -
AO Crema, Crema, Italy
FAU -
Patroniti, N
AU -
Patroniti N
AD -
University of Milan-Bicocca, Monza, Italy. ISNI: 0000 0001 2174 1754. GRID:
grid.7563.7
FAU - Williams, G
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AD - UT Health Science Center at Houston, Houston, TX USA. ISNI: 0000 0000 9206
2401.
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AU - Voscopoulos CJ
AD - University of Hawaii, John A. Burns School of Medicine, Honolulu, HI USA.
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0001 2188 0957. GRID: grid.410445.0
FAU - Freeman, J
AU - Freeman J
AD - Respiratory Motion Inc., Waltham, MA USA
FAU - George, E
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AD - Massachusetts General Hospital, Boston, MA USA. ISNI: 0000 0004 0386 9924.
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grid.32224.35
FAU - Waldmann, A
AU - Waldmann A
AD - Swisstom AG, Landquart, Switzerland
FAU - Böhm, S
AU - Böhm S
FAU - Windisch, W
AU - Windisch W
AD - Kliniken der Stadt Köln, Pneumology and Critical Care Medicine, Witten /
Herdecke
University, Ostmerheimer Str. 200, 51109 Cologne, Germany. ISNI: 0000 0000
9024
6397. GRID: grid.412581.b
FAU - Strassmann, S
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Herdecke
9024
6397. GRID: grid.412581.b
FAU - Karagiannidis, C
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Herdecke
9024
6397. GRID: grid.412581.b
FAU - Waldmann, A
AU - Waldmann A
FAU - Böhm, S
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FAU - Windisch, W
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AD - Kliniken der Stadt Köln, Pneumology and Critical Care Medicine, Witten/
Herdecke
9024
6397. GRID: grid.412581.b
FAU - Strassmann, S
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Herdecke
9024
6397. GRID: grid.412581.b
FAU - Karagiannidis, C
AU - Karagiannidis C
Herdecke
9024
6397. GRID: grid.412581.b
FAU - Karagiannidis, C K
AU - Karagiannidis CK
AD - ARDS and ECMO Center Köln-Merheim, Cologne, Germany
FAU - Waldmann, A W
AU - Waldmann AW
AD - Swisstom, Chur, Switzerland
FAU - Böhm, S B
AU - Böhm SB
AD - Swisstom, Chur, Switzerland
FAU - Strassmann, S
AU - Strassmann S
FAU - Windisch, W W
AU - Windisch WW
FAU - Persson, P
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AD - Sahlgrenska Univ Hospital, Göteborg, Sweden. ISNI: 000000009445082X. GRID:
grid.1649.a
FAU - Lundin, S
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grid.1649.a
FAU - Stenqvist, O
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grid.1649.a
FAU - Porta, G
AU - Porta G
AD - Second University of Naples, Naples, Italy. ISNI: 0000 0001 2200 8888. GRID:
grid.9841.4
FAU - Numis, F
AU - Numis F
FAU - Serra, C S
AU - Serra CS
AD - University of Sassari, Sassari, Italy. ISNI: 0000 0001 2097 9138. GRID:
grid.11450.31
FAU - Pagano, A P
AU - Pagano AP
FAU - Masarone, M M
AU - Masarone MM
AD - University of Saerno, Salerno, Italy
FAU - Rinaldi, L R
AU - Rinaldi LR
grid.9841.4
FAU - Amelia, A A
AU - Amelia AA
grid.9841.4
FAU - Fascione, M F
AU - Fascione MF
grid.9841.4
FAU - Adinolfi, L A
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grid.9841.4
FAU - Ruggiero, E R
AU - Ruggiero ER
FAU - Asota, F
AU - Asota F
AD - East Surrey Hospital, Surrey and Sussex NHS Trust, Surrey, UK
FAU - O’Rourke, K
AU - O’Rourke K
FAU - Ranjan, S
AU - Ranjan S
FAU - Morgan, P
AU - Morgan P
FAU - DeBacker, J W
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AD - Mount Sinai Hospital and University of Toronto, Toronto, Canada. ISNI: 0000
0004
0473 9881. GRID: grid.416166.2
FAU - Tamberg, E
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0004
0473 9881. GRID: grid.416166.2
FAU - O’Neill, L
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0004
0473 9881. GRID: grid.416166.2
FAU - Munshi, L
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0004
0473 9881. GRID: grid.416166.2
FAU - Burry, L
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0004
0473 9881. GRID: grid.416166.2
FAU - Fan, E
AU - Fan E
AD - University Health Network-Toronto General Hospital and Univeristy of Toronto,
Toronto, Canada. ISNI: 0000 0001 0661 1177. GRID: grid.417184.f

FAU - Mehta, S
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0473 9881. GRID: grid.416166.2
FAU - Poo, S
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AD - University of Cambridge, Cambridge, UK. ISNI: 0000000121885934. GRID:
grid.5335.0
FAU - Mahendran, K
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grid.417155.3
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grid.417155.3
FAU - Vuylsteke, A
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0489 4320.
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0489 4320.
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0489 4320.
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0489 4320.
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FAU - Hurst, T
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0489 4320.
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0489 4320.
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0489 4320.
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FAU - Auzinger, G
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0489 4320.
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FAU - Borgman, A
AU - Borgman A
AD - Meijer Heart & Vascular Institute, Grand Rapids, USA
FAU - Proudfoot, A G
AU - Proudfoot AG
FAU - Grins, E
AU - Grins E
FAU - Emiley, K E
AU - Emiley KE
FAU - Schuitema, J
AU - Schuitema J
FAU - Fitch, S J
AU - Fitch SJ
FAU - Marco, G
AU - Marco G
FAU - Sturgill, J
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FAU - Dickinson, M G
AU - Dickinson MG
FAU - Strueber, M
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FAU - Khaghani, A
AU - Khaghani A
FAU - Wilton, P
AU - Wilton P
FAU - Jovinge, S M
AU - Jovinge SM
FAU - Sampson, C
AU - Sampson C
AD - Glenfield Hospital, UHL, Leicester, UK. ISNI: 0000 0004 0648 9396. GRID:
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FAU - Harris-Fox, S
AU - Harris-Fox S
AD - Glenfield Hospital, UHL, Leicester, UK. ISNI: 0000 0004 0648 9396. GRID:
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FAU - Cove, M E
AU - Cove ME
AD - National University Hospital, Singapore, Singapore. ISNI: 0000 0004 0621
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FAU - Vu, L H
AU - Vu LH
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6431.
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FAU - Sen, A
AU - Sen A
AD - Mayo Clinic, Phoenix, AZ USA. ISNI: 0000 0000 8875 6339. GRID: grid.417468.8
FAU - Federspiel, W J
AU - Federspiel WJ
AD - University of Pittsburgh, Pittsburgh, PA USA. ISNI: 0000 0004 1936 9000.
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FAU - Kellum, J A
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AD - University of Pittsburgh, Pittsburgh, PA USA. ISNI: 0000 0004 1936 9000.
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AD - Vall D’Hebron University Hospital, Barcelona, Spain. ISNI: 0000 0001 0675
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FAU - Rello, J
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FAU - Kuzovlev, A K
AU - Kuzovlev AK
FAU - Moroz, V
AU - Moroz V
FAU - Goloubev, A
AU - Goloubev A
FAU - Polovnikov, S
AU - Polovnikov S
FAU - Nenchuk, S
AU - Nenchuk S
FAU - Karavana, V
AU - Karavana V
AD - George P. Livanos and Marianthi Simou Laboratories, Athens, Greece
FAU - Glynos, C
AU - Glynos C
FAU - Asimakos, A
AU - Asimakos A
FAU - Pappas, K
AU - Pappas K
FAU - Vrettou, C
AU - Vrettou C
FAU - Magkou, M
AU - Magkou M
AD -
George P. Livanos and Marianthi Simou Laboratories, Athens, Greece
FAU -
Ischaki, E
AU -
Ischaki E
AD -
George P. Livanos and Marianthi Simou Laboratories, Athens, Greece
FAU -
Stathopoulos, G
AU -
Stathopoulos G
AD -
University of Patras, Rio, Achaia Greece. ISNI: 0000 0004 0576 5395. GRID:
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FAU - Zakynthinos, S
AU - Zakynthinos S
FAU - Spadaro, S
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AD - University of Ferrara, Ferrara, Italy. ISNI: 0000 0004 1757 2064. GRID:
grid.8484.0
FAU - Kozhevnikova, I
AU - Kozhevnikova I
grid.8484.0
FAU - Dalla Corte, F
AU - Dalla Corte F
grid.8484.0
FAU - Grasso, S
AU - Grasso S
AD - University of Bari, Bari, Italy. ISNI: 0000 0001 0120 3326. GRID: grid.7644.1
FAU - Casolari, P
AU - Casolari P
grid.8484.0
FAU - Caramori, G
AU - Caramori G
grid.8484.0
FAU - Volta, C
AU - Volta C
grid.8484.0
FAU - Andrianjafiarinoa, T
AU - Andrianjafiarinoa T
AD - CHU HJRA, Antananarivo, Madagascar
FAU - Randriamandrato, T
AU - Randriamandrato T
FAU - Rajaonera, T
AU - Rajaonera T
FAU - El-Dash, S
AU - El-Dash S
AD - Réanimation médicale, Centre Hospitalier Universitaire, Amiens, France. ISNI:
0000
0004 0593 702X. GRID: grid.134996.0
FAU - Costa, E L V
AU - Costa ELV
AD - Cardio-Pulmonary Department, Pulmonary Division, Heart Institute (Incor),
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of São Paulo, São Paulo, Brazil. ISNI: 0000 0004 1937 0722. GRID:
grid.11899.38
FAU - Tucci, M R
AU - Tucci MR
University
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FAU - Leleu, F
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0000
0004 0593 702X. GRID: grid.134996.0
FAU - Kontar, L
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0000
0004 0593 702X. GRID: grid.134996.0
FAU - De Cagny, B
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0000
0004 0593 702X. GRID: grid.134996.0
FAU - Brazier, F
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0000
0004 0593 702X. GRID: grid.134996.0
FAU - Titeca, D
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0000
0004 0593 702X. GRID: grid.134996.0
FAU - Bacari-Risal, G
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0000
0004 0593 702X. GRID: grid.134996.0
FAU - Maizel, J
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0000
0004 0593 702X. GRID: grid.134996.0
FAU - Amato, M
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FAU - Slama, M
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0004 0593 702X. GRID: grid.134996.0
FAU - Mercado, P
AU - Mercado P
FAU - Maizel, J
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FAU - Kontar, L
AU - Kontar L
FAU - Titeca, D
AU - Titeca D
FAU - Brazier, F
AU - Brazier F
FAU - Riviere, A
AU - Riviere A
FAU - Joris, M
AU - Joris M
FAU - Soupison, T
AU - Soupison T
FAU - De Cagny, B
AU - De Cagny B
FAU - El Dash, S
AU - El Dash S
FAU - Slama, M
AU - Slama M
FAU - Remmington
AU - Remmington
AD - Royal Brompton Hospital, London, UK. GRID: grid.439338.6
FAU - Fischer, A
AU - Fischer A
FAU - Squire, S
AU - Squire S
FAU - Boichat, M
AU - Boichat M
FAU - Honzawa, H
AU - Honzawa H
AD - Musashino Red Cross Hospital, Tokyo, Japan. ISNI: 0000 0000 9887 307X. GRID:
grid.416332.1
FAU - Yasuda, H
AU - Yasuda H
grid.416332.1
FAU - Adati, T
AU - Adati T
grid.416332.1
FAU - Suzaki, S
AU - Suzaki S
grid.416332.1
FAU - Horibe, M
AU - Horibe M
AD - JSEPTIC Clinical Trial Group, Tokyo, Japan
FAU - Sasaki, M
AU - Sasaki M
FAU - Sanui, M
AU - Sanui M
FAU - Marinho, R
AU - Marinho R
grid.418340.a
FAU - Daniel, J
AU - Daniel J
grid.418340.a
FAU - Miranda, H
AU - Miranda H
grid.418340.a
FAU - Marinho, A
AU - Marinho A
FAU - Milinis, K
AU - Milinis K
AD - University of Liverpool, Liverpool, UK. ISNI: 0000 0004 1936 8470. GRID:
grid.10025.36
FAU - Cooper, M
AU - Cooper M
AD - Royal Liverpool University Hospital, Liverpool, UK. ISNI: 0000 0004 0417
2395. GRID:
grid.415970.e
FAU - Williams, G R
AU - Williams GR
2395. GRID:
grid.415970.e
FAU - McCarron, E
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2395. GRID:
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FAU - Simants, S
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2395. GRID:
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FAU - Patanwala, I
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2395. GRID:
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FAU - Welters, I
AU - Welters I
grid.10025.36
FAU - Su, Y
AU - Su Y
Taiwan
FAU - Fernández Villanueva, J
AU - Fernández Villanueva J
AD - Hospital Clínico Universitario de Santiago de Compostela, Santiago de
Compostela,
Spain. ISNI: 0000 0000 8816 6945. GRID: grid.411048.8
FAU - Fernández Garda, R
AU - Fernández Garda R
Compostela,
FAU - López Lago, A
AU - López Lago A
Compostela,
FAU - Rodríguez Ruíz, E
AU - Rodríguez Ruíz E
Compostela,
FAU - Hernández Vaquero, R
AU - Hernández Vaquero R
Compostela,
FAU - Tomé Martínez de Rituerto, S
AU - Tomé Martínez de Rituerto S
Compostela,
FAU - Varo Pérez, E
AU - Varo Pérez E
Compostela,
FAU - Lefel, N
AU - Lefel N
AD - MUMC, Maastricht, Netherlands. GRID: grid.412966.e
FAU - Schaap, F
AU - Schaap F
FAU - Bergmans, D
AU - Bergmans D
FAU - Olde Damink, S
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FAU - Tizard, K
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2395. GRID:
grid.415970.e
FAU - Lister, C
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2395. GRID:
grid.415970.e
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AU - Poole L
2395. GRID:
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FAU - Ringaitiene, D
AU - Ringaitiene D
AD - Vilnius University Hospital Santariskiu Clinics, Vilnius, Lithuania. ISNI:
0000 0004
0567 3159. GRID: grid.426597.b
FAU - Gineityte, D
AU - Gineityte D
AD - Vilnius University, Faculty of Medicine, Vilnius, Lithuania
FAU - Vicka, V
AU - Vicka V
AD - Vilnius University, Faculty of Medicine, Vilnius, Lithuania
FAU - Norkiene, I
AU - Norkiene I
0000 0004
0567 3159. GRID: grid.426597.b
FAU - Sipylaite, J
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0000 0004
0567 3159. GRID: grid.426597.b
FAU - O’Loughlin, A
AU - O’Loughlin A
AD - Mercy University Hospital, Cork, Ireland. ISNI: 0000 0004 0575 9497. GRID:
grid.411785.e
FAU - Maraj, V
AU - Maraj V
grid.411785.e
FAU - Dowling, J
AU - Dowling J
grid.411785.e
FAU - Velasco, M B
AU - Velasco MB
AD - Hospital Meridional S.A., Cariacica, Brazil
FAU - Dalcomune, D M
AU - Dalcomune DM
FAU - Dias, E B
AU - Dias EB
FAU - Fernandes, S L
AU - Fernandes SL
FAU - Oshima, T
AU - Oshima T
AD - Geneva Universtiy Hospital, Geneva, Switzerland. ISNI: 0000 0001 0721 9812.
GRID:
grid.150338.c
FAU - Graf, S
AU - Graf S
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grid.150338.c
FAU - Heidegger, C
AU - Heidegger C
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grid.150338.c
FAU - Genton, L
AU - Genton L
GRID:
grid.150338.c
FAU - Karsegard, V
AU - Karsegard V
GRID:
grid.150338.c
FAU - Dupertuis, Y
AU - Dupertuis Y
GRID:
grid.150338.c
FAU - Pichard, C
AU - Pichard C
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grid.150338.c
FAU - Friedli, N
AU - Friedli N
AD - Medical University Department, Kantonsspital Aarau, Aarau, Switzerland. ISNI:
0000
0000 8704 3732. GRID: grid.413357.7
FAU - Stanga, Z
AU - Stanga Z
AD - Department of Endocrinology, Diabetes and Clinical Nutrition, University
Hospital
Bern, Bern, Switzerland. ISNI: 0000 0004 0479 0855. GRID: grid.411656.1
FAU - Mueller, B
AU - Mueller B
0000
0000 8704 3732. GRID: grid.413357.7
FAU - Schuetz, P
AU - Schuetz P
0000
0000 8704 3732. GRID: grid.413357.7
FAU - Vandersteen, L
AU - Vandersteen L
AD - Jessa Ziekenhuis, Hasselt, Belgium. ISNI: 0000 0004 0578 1096. GRID:
grid.414977.8
FAU - Stessel, B
AU - Stessel B
grid.414977.8
FAU - Evers, S
AU - Evers S
grid.414977.8
FAU - Van Assche, A
AU - Van Assche A
grid.414977.8
FAU - Jamaer, L
AU - Jamaer L
grid.414977.8
FAU - Dubois, J
AU - Dubois J
grid.414977.8
FAU - Marinho, R
AU - Marinho R
grid.418340.a
FAU - Castro, H
AU - Castro H
grid.418340.a
FAU -Moura, J
AU -Moura J
AD -Unidade Local de Saude do Alto Minho, Viana do Castelo, Portugal
FAU -Valente, J
AU -Valente J
AD -Unidade de Saude Local de Castelo Branco, Castelo Branco, Portugal
FAU -Martins, P
AU -Martins P
AD -Centro Hospitalar e Universitario de Coimbra, Coimbra, Portugal. ISNI:
0000000106861985. GRID: grid.28911.33
FAU - Casteloes, P
AU - Casteloes P
AD - Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal. ISNI:
0000 0000
8902 4519. GRID: grid.418336.b
FAU - Magalhaes, C
AU - Magalhaes C
AD - Centro Hospitalar do Algarve, Faro, Portugal
FAU - Cabral, S
AU - Cabral S
AD - Instituto Portugues de Oncologia do Porto, Porto, Portugal. GRID:
grid.435544.7
FAU - Santos, M
AU - Santos M
AD - Faculdade de Ciencias da Nutricao e Alimentacao da Universidade do Porto,
Porto,
Portugal. ISNI: 0000 0001 1503 7226. GRID: grid.5808.5
FAU - Oliveira, B
AU - Oliveira B
AD - Faculdade de Ciencias da Nutricao e Alimentacao da Universidade do Porto,
Porto,
FAU - Salgueiro, A
AU - Salgueiro A
AD - Centro Hospitalar e Universitario de Coimbra, Coimbra, Portugal. ISNI:
0000000106861985. GRID: grid.28911.33
FAU - Marinho, A
AU - Marinho A
grid.418340.a
FAU - Marinho, R
AU - Marinho R
grid.418340.a
FAU - Santos, M
AU - Santos M
AD - Faculdade de Ciencias da Nutrição e Alimentação da Universidade do Porto,
Porto,
FAU - Lafuente, E
AU - Lafuente E
AD - Centro Hospitalar Tamega e Sousa, Penafiel, Portugal. GRID: grid.466592.a
FAU - Castro, H
AU - Castro H
grid.418340.a
FAU - Cabral, S
AU - Cabral S
AD - Instituto Português de Oncologia do Porto, Porto, Portugal. ISNI: 0000 0004
0631
0608. GRID: grid.418711.a
FAU - Moura, J
AU - Moura J
FAU - Martins, P
AU - Martins P
AD - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal. ISNI:
0000000106861985. GRID: grid.28911.33
FAU - Oliveira, B
AU - Oliveira B
Porto,
FAU - Salgueiro, A
AU - Salgueiro A
0000000106861985. GRID: grid.28911.33
FAU - Duarte, S
AU - Duarte S
AD - Unidade de Saude Local de Castelo Branco, Castelo Branco, Portugal
FAU - Castro, S
AU - Castro S
FAU - Melo, M
AU - Melo M
AD - Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
FAU - Casteloes, P
AU - Casteloes P
0000 0000
8902 4519. GRID: grid.418336.b
FAU - Marinho, A
AU - Marinho A
grid.418340.a
FAU - Gray, S
AU - Gray S
AD - Nottingham University Hospital NHS Trust, Nottingham, UK. ISNI: 0000 0001
0440 1889.
GRID: grid.240404.6
FAU - Maipang, K
AU - Maipang K
AD - Prince of Songkla University, Songkla, Thailand. ISNI: 0000 0004 0470 1162.
GRID:
grid.7130.5
FAU - Bhurayanontachai, R
AU - Bhurayanontachai R
AD - Prince of Songkla University, Songkla, Thailand. ISNI: 0000 0004 0470 1162.
GRID:
grid.7130.5
FAU - Grädel, L G
AU - Grädel LG
grid.413357.7
FAU - Schütz, P
AU - Schütz P
grid.413357.7
FAU - Langlois, P
AU - Langlois P
AD - Université de Sherbrooke, Sherbrooke, Canada. ISNI: 0000 0000 9064 6198.
GRID:
grid.86715.3d
FAU - Manzanares, W
AU - Manzanares W
AD - University Hospital, Montevideo, Uruguay
FAU - Tincu, R
AU - Tincu R
AU - Cobilinschi C
FAU - Tomescu, D
AU - Tomescu D
GRID:
grid.415180.9
FAU - Ghiorghiu, Z
AU - Ghiorghiu Z
FAU - Macovei, R
AU - Macovei R
FAU - Manzanares, W
AU - Manzanares W
FAU - Langlois, P
AU - Langlois P
GRID:
grid.86715.3d
FAU - Lemieux, M
AU - Lemieux M
AD - Queen’s University, Kingston, Canada. ISNI: 0000 0004 1936 8331. GRID:
grid.410356.5
FAU - Elke, G
AU - Elke G
AD - University Medical Center Schleswig-Holstein, Kiel, Germany. ISNI: 0000 0004
0646
2097. GRID: grid.412468.d
FAU - Bloos, F
AU - Bloos F
AD - University of Jena, Jena, Germany. ISNI: 0000 0001 1939 2794. GRID:
grid.9613.d
FAU - Reinhart, K
AU - Reinhart K
AD - University of Jena, Jena, Germany. ISNI: 0000 0001 1939 2794. GRID:
grid.9613.d
FAU - Heyland, D
AU - Heyland D
grid.410356.5
FAU - Langlois, P
AU - Langlois P
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grid.86715.3d
FAU - Lemieux, M
AU - Lemieux M
grid.410356.5
FAU - Aramendi, I
AU - Aramendi I
FAU - Heyland, D
AU - Heyland D
grid.410356.5
FAU - Manzanares, W
AU - Manzanares W
FAU - Su, Y
AU - Su Y
Taiwan
FAU - Marinho, R
AU - Marinho R
grid.418340.a
FAU - Babo, N
AU - Babo N
grid.418340.a
FAU - Marinho, A
AU - Marinho A
grid.418340.a
FAU - Hoshino, M
AU - Hoshino M
AD - Aida Hospital, Fukushima, Japan
FAU - Haraguchi, Y
AU - Haraguchi Y
AD - Keiyo Hospital, Tokyo, Japan
FAU - Kajiwara, S
AU - Kajiwara S
FAU - Mitsuhashi, T
AU - Mitsuhashi T
AD - Shisei Hospital, Saitama, Japan
FAU - Tsubata, T
AU - Tsubata T
AD - Keiyo Hospital, Tokyo, Japan
FAU - Aida, M
AU - Aida M
FAU - Rattanapraphat, T
AU - Rattanapraphat T
AD - Prince of Songkla University, Hat Yai City, Songkhla Province Thailand. ISNI:
0000
0004 0470 1162. GRID: grid.7130.5
FAU - Bhurayanontachai, R
AU - Bhurayanontachai R
0000
0004 0470 1162. GRID: grid.7130.5
FAU - Kongkamol, C
AU - Kongkamol C
0000
0004 0470 1162. GRID: grid.7130.5
FAU - Khwannimit, B
AU - Khwannimit B
0000
0004 0470 1162. GRID: grid.7130.5
FAU - Marinho, R
AU - Marinho R
grid.418340.a
FAU - Santos, M
AU - Santos M
Porto,
FAU - Castro, H
AU - Castro H
grid.418340.a
FAU -
Lafuente, E
AU -
Lafuente E
AD -
Centro Hospitalar Tamega e Sousa, Penafiel, Portugal. GRID: grid.466592.a
FAU -
Salgueiro, A
AU -
Salgueiro A
AD -
Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal. ISNI:
0000000106861985. GRID: grid.28911.33
FAU - Cabral, S
AU - Cabral S
AD - Instituto Português de Oncologia do Porto, Porto, Portugal. ISNI: 0000 0004
0631
0608. GRID: grid.418711.a
FAU - Martins, P
AU - Martins P
0000000106861985. GRID: grid.28911.33
FAU - Moura, J
AU - Moura J
FAU - Oliveira, B
AU - Oliveira B
Porto,
FAU - Melo, M
AU - Melo M
AD - Centro Hospitalar Baixo Vouga, Aveiro, Portugal
FAU - Xavier, B
AU - Xavier B
AD - Centro Hospitalar Baixo Vouga, Aveiro, Portugal
FAU - Valente, J
AU - Valente J
AD - Unidade de Saude Local de Castelo Branco, Castelo Branco, Portugal
FAU - Magalhaes, C
AU - Magalhaes C
FAU - Casteloes, P
AU - Casteloes P
0000 0000
8902 4519. GRID: grid.418336.b
FAU - Marinho, A
AU - Marinho A
grid.418340.a
FAU - Moisidou, D
AU - Moisidou D
AD - Department of Cardiothoracic Surgery, George Papanikolaou General Hospital,
Thessaloniki, Greece. ISNI: 0000 0004 0576 574X. GRID: grid.415248.e
FAU - Ampatzidou, F
AU - Ampatzidou F
FAU - Koutsogiannidis, C
AU - Koutsogiannidis C
FAU - Moschopoulou, M
AU - Moschopoulou M
FAU - Drossos, G
AU - Drossos G
FAU - Taskin, G
AU - Taskin G
AD - Gülhane Military Medical Academy, Ankara, Turkey. ISNI: 0000 0001 0720 6034.
GRID:
grid.413460.4
FAU - Çakir, M
AU - Çakir M
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grid.413460.4
FAU - Güler, AK
AU - Güler AK
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grid.413460.4
FAU - Taskin, A
AU - Taskin A
AD - Ankara Mevki Military Hospital, Ankara, Turkey. GRID: grid.461837.f
FAU - Öcal, N
AU - Öcal N
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grid.413460.4
FAU - Özer, S
AU - Özer S
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grid.413460.4
FAU - Yamanel, L
AU - Yamanel L
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grid.413460.4
FAU - Wong, J M
AU - Wong JM
AD - St Bartholomew’s Hospital, London, UK. ISNI: 0000 0000 9244 0345. GRID:
grid.416353.6
FAU - Fitton, C
AU - Fitton C
grid.416353.6
FAU - Anwar, S
AU - Anwar S
grid.416353.6
FAU - Stacey, S
AU - Stacey S
grid.416353.6
FAU - Aggou, M
AU - Aggou M
AD - Aristotle Medical School, Thessaloniki, Greece
FAU - Fyntanidou, B
AU - Fyntanidou B
FAU - Patsatzakis, S
AU - Patsatzakis S
FAU - Oloktsidou, E
AU - Oloktsidou E
FAU - Lolakos, K
AU - Lolakos K
FAU - Papapostolou, E
AU - Papapostolou E
FAU - Grosomanidis, V
AU - Grosomanidis V
FAU - Suda, S
AU - Suda S
AD - Tokyo Medical University Hachiosi Medical Center, Tokyo, Japan. ISNI: 0000
0001 0663
3325. GRID: grid.410793.8
FAU - Ikeda, T
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0001 0663
3325. GRID: grid.410793.8
FAU - Ono, S
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0001 0663
3325. GRID: grid.410793.8
FAU - Ueno, T
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0001 0663
3325. GRID: grid.410793.8
FAU - Izutani, Y
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0001 0663
3325. GRID: grid.410793.8
FAU - Gaudry, S
AU - Gaudry S
AD - Hôpital Louis Mourier, Colombes, France. ISNI: 0000 0001 0273 556X. GRID:
grid.414205.6
FAU - Desailly, V
AU - Desailly V
grid.414205.6
FAU - Pasquier, P
AU - Pasquier P
AD - Laboratoire ILUMENS, Paris, France
FAU - Brun, PB
AU - Brun PB
AD - Institut de Hauts de Seine, Nanterre, France
FAU - Tesnieres, AT
AU - Tesnieres AT
FAU - Ricard, JD
AU - Ricard JD
grid.414205.6
FAU - Dreyfuss, D
AU - Dreyfuss D
grid.414205.6
FAU - Mignon, A
AU - Mignon A
FAU - White, J C
AU - White JC
AD - University Hospital Lewisham, London, UK. GRID: grid.439787.6
FAU - Molokhia, A
AU - Molokhia A
FAU - Dean, A
AU - Dean A
AD - Queen Elizabeth Hospital, London, UK. GRID: grid.439484.6
FAU - Stilwell, A
AU - Stilwell A
FAU - Friedlaender, G
AU - Friedlaender G
AD - Minet Green Health Practice, London, UK
FAU - Peters, M
AU - Peters M
AD - Department of Public Health, University of Liège, Liège, Belgium. ISNI: 0000
0001
0805 7253. GRID: grid.4861.b
FAU - Stipulante, S
AU - Stipulante S
0001
0805 7253. GRID: grid.4861.b
FAU - Delfosse, A
AU - Delfosse A
AD - Department of Emergency Medicine, University Hospital of Liège, Liège,
Belgium.
ISNI: 0000 0000 8607 6858. GRID: grid.411374.4
FAU - Donneau, AF
AU - Donneau AF
AD - Department of Medical Biostatistics, University of Liège, Liège, Belgium.
ISNI: 0000
0001 0805 7253. GRID: grid.4861.b
FAU - Ghuysen, A
AU - Ghuysen A
0001
0805 7253. GRID: grid.4861.b
FAU - Feldmann, C
AU - Feldmann C
AD - University Hospital, Philipps University Marburg, Marburg, Germany. ISNI:
0000 0004
1936 9756. GRID: grid.10253.35
FAU - Freitag, D
AU - Freitag D
0000 0004
1936 9756. GRID: grid.10253.35
FAU - Dersch, W
AU - Dersch W
0000 0004
1936 9756. GRID: grid.10253.35
FAU - Irqsusi, M
AU - Irqsusi M
0000 0004
1936 9756. GRID: grid.10253.35
FAU - Eschbach, D
AU - Eschbach D
0000 0004
1936 9756. GRID: grid.10253.35
FAU - Steinfeldt, T
AU - Steinfeldt T
0000 0004
1936 9756. GRID: grid.10253.35
FAU - Wulf, H
AU - Wulf H
0000 0004
1936 9756. GRID: grid.10253.35
FAU - Wiesmann, T
AU - Wiesmann T
0000 0004
1936 9756. GRID: grid.10253.35
AU - Kongpolprom N
grid.7922.e
FAU - Cholkraisuwat, J
AU - Cholkraisuwat J
grid.7922.e
FAU - Beitland, S
AU - Beitland S
AD - Oslo University Hospital, Oslo, Norway. ISNI: 0000 0004 0389 8485. GRID:
grid.55325.34
FAU - Nakstad, E
AU - Nakstad E
grid.55325.34
FAU - Stær-Jensen, H
AU - Stær-Jensen H
grid.55325.34
FAU - Drægni, T
AU - Drægni T
grid.55325.34
FAU - Andersen, G
AU - Andersen G
grid.55325.34
FAU - Jacobsen, D
AU - Jacobsen D
grid.55325.34
FAU - Brunborg, C
AU - Brunborg C
grid.55325.34
FAU - Waldum-Grevbo, B
AU - Waldum-Grevbo B
grid.55325.34
FAU - Sunde, K
AU - Sunde K
grid.55325.34
FAU - Hoyland, K
AU - Hoyland K
AD - William Harvey Hospital, Ashford, UK. ISNI: 0000 0004 0398 7998. GRID:
grid.417122.3
FAU - Pandit, D
AU - Pandit D
grid.417122.3
FAU - Hayakawa, K
AU - Hayakawa K
AD - Kansai Medical University Takii Hospital, Moriguchi, Japan. GRID:
grid.410783.9
FAU - Oloktsidou, E
AU - Oloktsidou E
FAU - Kotzampassi, K
AU - Kotzampassi K
FAU - Fyntanidou, B
AU - Fyntanidou B
AU - Patsatzakis S
FAU - Loukipoudi, L
AU - Loukipoudi L
FAU - Doumaki, E
AU - Doumaki E
AU - Grosomanidis V
FAU - Yasuda, H
AU - Yasuda H
AD - Japanese Red Cross Musashino Hospital, Tokyo, Japan. ISNI: 0000 0004 1762
2623.
GRID: grid.410775.0
FAU - Admiraal, M M
AU - Admiraal MM
GRID:
grid.5650.6
FAU - Van Assen, M
AU - Van Assen M
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grid.5650.6
FAU - Van Putten, M J
AU - Van Putten MJ
AD - Medisch Spectrum Twente, Enschede, Netherlands. ISNI: 0000 0004 0399 8347.
GRID:
grid.415214.7
FAU - Tjepkema-Cloostermans, M
AU - Tjepkema-Cloostermans M
GRID:
grid.415214.7
FAU - Van Rootselaar, A F
AU - Van Rootselaar AF
GRID:
grid.5650.6
FAU - Horn, J
AU - Horn J
GRID:
grid.5650.6
FAU - Ragusa, F
AU - Ragusa F
AD - University Modena, Modena, Italy. ISNI: 0000000121697570. GRID: grid.7548.e
FAU - Marudi, A
AU - Marudi A
AD - Nuovo Ospedale Civile Sant’Agostino Estense, Modena, Italy
FAU - Baroni, S
AU - Baroni S
FAU - Gaspari, A
AU - Gaspari A
FAU - Bertellini, E
AU - Bertellini E
FAU - Taha, A
AU - Taha A
AD - Faculty of Medicine Alexandria University, Alexandria, Egypt. ISNI: 0000 0001
2260
6941. GRID: grid.7155.6
FAU - Abdullah, T
AU - Abdullah T
2260
6941. GRID: grid.7155.6
FAU - Abdel Monem, S
AU - Abdel Monem S
2260
6941. GRID: grid.7155.6
FAU - Alcorn, S
AU - Alcorn S
AD - Victoria Hospital, Kirkcaldy, UK. ISNI: 0000 0004 0624 9667. GRID:
grid.416854.a
FAU - McNeill, S
AU - McNeill S
grid.416854.a
FAU - Russell, S
AU - Russell S
grid.416854.a
FAU - Eertmans, W
AU - Eertmans W
AD - Ziekenhuis Oost-Limburg, Genk, Belgium. ISNI: 0000 0004 0612 7379. GRID:
grid.470040.7
FAU - Genbrugge, C
AU - Genbrugge C
grid.470040.7
FAU - Meex, I
AU - Meex I
grid.470040.7
FAU - Dens, J
AU - Dens J
grid.470040.7
FAU - Jans, F
AU - Jans F
grid.470040.7
FAU - De Deyne, C
AU - De Deyne C
grid.470040.7
FAU - Cholkraisuwat, J
AU - Cholkraisuwat J
grid.7922.e
AU - Kongpolprom N
grid.7922.e
FAU - Avard, B
AU - Avard B
GRID:
grid.413314.0
FAU - Burns, R
AU - Burns R
AD - ANU Medical School, Canberra, Australia. ISNI: 0000 0001 2180 7477. GRID:
grid.1001.0
FAU - Patarchi, A
AU - Patarchi A
AD - “Spirito Santo” Hospital, Pescara, Italy. GRID: grid.416240.5
FAU - Spina, T
AU - Spina T
AD - “Spirito Santo” Hospital, Pescara, Italy. GRID: grid.416240.5
FAU - Tanaka, H
AU - Tanaka H
AD - St Lukes International Hospital, Akashi-Chou Chuo-Ku, Japan. GRID:
grid.430395.8
FAU - Otani, N
AU - Otani N
grid.430395.8
FAU - Ode, S
AU - Ode S
grid.430395.8
FAU - Ishimatsu, S
AU - Ishimatsu S
grid.430395.8
FAU - Cho, J
AU - Cho J
AD - Kangwon National University, Chuncheonsi, South Korea. ISNI: 0000 0001 0707
9039.
GRID: grid.412010.6
FAU - Moon, J B
AU - Moon JB
9039.
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FAU - Park, C W
AU - Park CW
9039.
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FAU - Ohk, T G
AU - Ohk TG
9039.
GRID: grid.412010.6
FAU - Shin, M C
AU - Shin MC
9039.
GRID: grid.412010.6
FAU - Won, M H
AU - Won MH
9039.
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FAU - Dakova, S
AU - Dakova S
AD - Military Medical Academy, Sofia, Bulgaria. ISNI: 0000 0004 0621 0228. GRID:
grid.413126.3
FAU - Ramsheva, Z
AU - Ramsheva Z
grid.413126.3
FAU - Ramshev, K
AU - Ramshev K
grid.413126.3
FAU - Cho, J
AU - Cho J
9039.
GRID: grid.412010.6
FAU - Moon, J B
AU - Moon JB
9039.
GRID: grid.412010.6
FAU - Park, C W
AU - Park CW
9039.
GRID: grid.412010.6
FAU - Ohk, T G
AU - Ohk TG
9039.
GRID: grid.412010.6
FAU - Shin, M C
AU - Shin MC
9039.
GRID: grid.412010.6
FAU - Cho, J
AU - Cho J
9039.
GRID: grid.412010.6
FAU - Moon, J B
AU - Moon JB
9039.
GRID: grid.412010.6
FAU - Park, C W
AU - Park CW
9039.
GRID: grid.412010.6
FAU - Ohk, T G
AU - Ohk TG
9039.
GRID: grid.412010.6
FAU - Shin, M C
AU - Shin MC
9039.
GRID: grid.412010.6
FAU - Marudi, A
AU - Marudi A
FAU - Baroni, S
AU - Baroni S
FAU - Gaspari, A
AU - Gaspari A
FAU - Bertellini, E
AU - Bertellini E
FAU - Orhun, G
AU - Orhun G
AD - Istanbul University, Medical Faculty of Istanbul, Anesthesiology and
Intensive Care,
Istanbul, Turkey
FAU - Senturk, E
AU - Senturk E
Intensive Care,
Istanbul, Turkey
FAU - Ozcan, P E
AU - Ozcan PE
Intensive Care,
Istanbul, Turkey
FAU - Sencer, S
AU - Sencer S
AD - Istanbul University, Medical Faculty of Istanbul, Department of
Neuroradiology,
FAU - Ulusoy, C
AU - Ulusoy C
AD - Istanbul University, Institute of Experimental Medicine, Neuroscience,
Istanbul,
FAU - Tuzun, E
AU - Tuzun E
AD - Istanbul University, Institute of Experimental Medicine, Neuroscience,
Istanbul,
FAU - Esen, F
AU - Esen F
Intensive Care,
Istanbul, Turkey
FAU - Tincu, R
AU - Tincu R
AU - Cobilinschi C
FAU - Tomescu, D
AU - Tomescu D
GRID:
grid.415180.9
FAU - Ghiorghiu, Z
AU - Ghiorghiu Z
FAU - Macovei, R
AU - Macovei R
FAU - Van Assen, M
AU - Van Assen M
GRID:
grid.5650.6
FAU - Admiraal, M M
AU - Admiraal MM
GRID:
grid.5650.6
FAU - Van Putten, M J
AU - Van Putten MJ
GRID:
grid.415214.7
FAU - Tjepkema-Cloostermans, M
AU - Tjepkema-Cloostermans M
GRID:
grid.415214.7
FAU - Van Rootselaar, A F
AU - Van Rootselaar AF
GRID:
grid.5650.6
FAU - Horn, J
AU - Horn J
GRID:
grid.5650.6
FAU - Fallenius, M
AU - Fallenius M
AD - Helsinki University Hospital, Helsinki, Finland. ISNI: 0000 0000 9950 5666.
GRID:
grid.15485.3d
FAU - Skrifvars, M B
AU - Skrifvars MB
GRID:
grid.15485.3d
FAU - Reinikainen, M
AU - Reinikainen M
AD - North Karelia Central Hospital, Joensuu, Finland. ISNI: 0000 0004 0368 0478.
GRID:
grid.416446.5
FAU - Bendel, S
AU - Bendel S
AD - Kuopio University Hospital, Kuopio, Finland. ISNI: 0000 0004 0628 207X. GRID:
grid.410705.7
FAU - Raj, R
AU - Raj R
GRID:
grid.15485.3d
FAU - Abu-Habsa, M
AU - Abu-Habsa M
AD - King’s College Hospital, London, UK. ISNI: 0000 0004 0391 9020. GRID:
grid.46699.34
FAU - Hymers, C
AU - Hymers C
grid.46699.34
FAU - Borowska, A
AU - Borowska A
grid.46699.34
FAU - Sivadhas, H
AU - Sivadhas H
grid.46699.34
FAU - Sahiba, S
AU - Sahiba S
grid.46699.34
FAU - Perkins, S
AU - Perkins S
grid.46699.34
FAU - Rubio, J
AU - Rubio J
AD - Hospital Universitario Puerta del Mar, Cadiz, Spain. ISNI: 0000 0004 1771
1175.
GRID: grid.411342.1
FAU - Rubio, J A
AU - Rubio JA
AD - Hospital Infanta Cristina, Badajoz, Spain. ISNI: 0000 0004 1771 0842. GRID:
grid.411319.f
FAU - Sierra, R
AU - Sierra R
1175.
GRID: grid.411342.1
FAU - English, S
AU - English S
AD - The Ottawa Hospital, Ottawa, Canada. ISNI: 0000 0000 9606 5108. GRID:
grid.412687.e
FAU - Chasse, M
AU - Chasse M
AD - Ulaval, Quebec City, Canada
FAU - Turgeon, A
AU - Turgeon A
FAU - Lauzier, F
AU - Lauzier F
FAU - Griesdale, D
AU - Griesdale D
AD - UBC, Vancouver, Canada. ISNI: 0000 0001 2288 9830. GRID: grid.17091.3e
FAU - Garland, A
AU - Garland A
AD - UManitoba, Winnipeg, Canada
FAU - Fergusson, D
AU - Fergusson D
AD - OHRI, Ottawa, Canada
FAU - Zarychanski, R
AU - Zarychanski R
FAU - Tinmouth, A
AU - Tinmouth A
FAU - Van Walraven, C
AU - Van Walraven C
FAU - Montroy, K
AU - Montroy K
FAU - Ziegler, J
AU - Ziegler J
FAU - Dupont Chouinard, R
AU - Dupont Chouinard R
FAU - Carignan, R
AU - Carignan R
FAU - Dhaliwal, A
AU - Dhaliwal A
FAU - Lum, C
AU - Lum C
FAU - Sinclair, J
AU - Sinclair J
FAU - Pagliarello, G
AU - Pagliarello G
FAU - McIntyre, L
AU - McIntyre L
FAU - English, S
AU - English S
grid.412687.e
FAU - Chasse, M
AU - Chasse M
FAU - Turgeon, A
AU - Turgeon A
FAU - Lauzier, F
AU - Lauzier F
FAU - Griesdale, D
AU - Griesdale D
FAU - Garland, A
AU - Garland A
FAU - Fergusson, D
AU - Fergusson D
AD - Ottawa Hospital Research Institute, Ottawa, Canada. ISNI: 0000 0000 9606
5108. GRID:
grid.412687.e
AU - Zarychanski R
FAU - Tinmouth, A
AU - Tinmouth A
5108. GRID:
grid.412687.e
FAU - Van Walraven, C
AU - Van Walraven C
5108. GRID:
grid.412687.e
FAU - Montroy, K
AU - Montroy K
5108. GRID:
grid.412687.e
FAU - Ziegler, J
AU - Ziegler J
FAU - Dupont Chouinard, R
AU - Dupont Chouinard R
FAU - Carignan, R
AU - Carignan R
FAU - Dhaliwal, A
AU - Dhaliwal A
FAU - Lum, C
AU - Lum C
5108. GRID:
grid.412687.e
FAU - Sinclair, J
AU - Sinclair J
5108. GRID:
grid.412687.e
FAU - Pagliarello, G
AU - Pagliarello G
5108. GRID:
grid.412687.e
FAU - McIntyre, L
AU - McIntyre L
5108. GRID:
grid.412687.e
FAU - Groza, T
AU - Groza T
AD - Cliniques St Luc, Université catholique de Louvain, Brussels, Belgium. ISNI:
0000
0001 2294 713X. GRID: grid.7942.8
FAU - Moreau, N
AU - Moreau N
0000
0001 2294 713X. GRID: grid.7942.8
FAU - Castanares-Zapatero, D
AU - Castanares-Zapatero D
0000
0001 2294 713X. GRID: grid.7942.8
FAU - Hantson, P
AU - Hantson P
0000
0001 2294 713X. GRID: grid.7942.8
FAU - Carbonara, M
AU - Carbonara M
AD - Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy.
ISNI: 0000
0004 1757 8749. GRID: grid.414818.0
FAU - Ortolano, F
AU - Ortolano F
ISNI: 0000
0004 1757 8749. GRID: grid.414818.0
FAU - Zoerle, T
AU - Zoerle T
ISNI: 0000
0004 1757 8749. GRID: grid.414818.0
FAU - Magnoni, S
AU - Magnoni S
ISNI: 0000
0004 1757 8749. GRID: grid.414818.0
FAU - Pifferi, S
AU - Pifferi S
ISNI: 0000
0004 1757 8749. GRID: grid.414818.0
FAU - Conte, V
AU - Conte V
ISNI: 0000
0004 1757 8749. GRID: grid.414818.0
FAU - Stocchetti, N
AU - Stocchetti N
AD - Milan University, Milan, Italy. ISNI: 0000 0004 1757 2822. GRID: grid.4708.b
FAU - Carteron, L
AU - Carteron L
FAU - Suys, T
AU - Suys T
FAU - Patet, C
AU - Patet C
FAU - Quintard, H
AU - Quintard H
AD - CHU de Nice, Nice, France. ISNI: 0000 0001 2322 4179. GRID: grid.410528.a
FAU - Oddo, M
AU - Oddo M
FAU - Rubio, J A
AU - Rubio JA
AD - Hospital Infanta Cristina, Badajoz, Spain. ISNI: 0000 0004 1771 0842. GRID:
grid.411319.f
FAU - Rubio, J
AU - Rubio J
1175.
GRID: grid.411342.1
FAU - Sierra, R
AU - Sierra R
1175.
GRID: grid.411342.1
FAU - Spatenkova, V
AU - Spatenkova V
AD - Regional Hospital, Liberec, Czech Republic. ISNI: 0000 0004 0609 0449. GRID:
grid.447961.9
FAU - Pokorna, E
AU - Pokorna E
AD - Institute of Experimental Medicine, Prague, Czech Republic. ISNI: 0000 0004
0404
6946. GRID: grid.424967.a
FAU - Suchomel, P
AU - Suchomel P
AD - Regional Hospital, Liberec, Czech Republic. ISNI: 0000 0004 0609 0449. GRID:
grid.447961.9
FAU - Ebert, N
AU - Ebert N
GRID:
grid.414021.2
FAU - Jancik, J
AU - Jancik J
GRID:
grid.414021.2
FAU - Rhodes, H
AU - Rhodes H
GRID:
grid.414021.2
FAU - Bylinski, T
AU - Bylinski T
AD - University of Glasgow, Glasgow, UK. ISNI: 0000 0001 2193 314X. GRID:
grid.8756.c
FAU - Hawthorne, C
AU - Hawthorne C
AD - Institute of Neurological Sciences, NHSGGC, Glasgow, UK. ISNI: 0000 0001 0523
9342.
GRID: grid.413301.4
FAU - Shaw, M
AU - Shaw M
AD - Department of Clinical Physics and Bioengineering, NHSGGC, Glasgow, UK. ISNI:
0000
0001 0523 9342. GRID: grid.413301.4
FAU - Piper, I
AU - Piper I
AD - Department of Clinical Physics and Bioengineering, NHSGGC, Glasgow, UK. ISNI:
0000
0001 0523 9342. GRID: grid.413301.4
FAU - Kinsella, J
AU - Kinsella J
AD - Academic Unit of Anaesthesia, Pain and Critical Care Medicine, University of
Glasgow, Glasgow, UK. ISNI: 0000 0001 2193 314X. GRID: grid.8756.c
FAU - Kink, A K
AU - Kink AK
AD - Smartimplant Ltd., Tallinn, Estonia
FAU - Rätsep, I R
AU - Rätsep IR
AD - NEMC, Tallinn, Estonia. ISNI: 0000 0004 0631 377X. GRID: grid.454953.a
FAU - Boutin, A
AU - Boutin A
AD - Universite Laval, Quebec, Canada. ISNI: 0000 0004 1936 8390. GRID:
grid.23856.3a
FAU - Moore, L
AU - Moore L
grid.23856.3a
FAU - Chasse, M
AU - Chasse M
grid.23856.3a
AU - Zarychanski R
AD - University of Manitoba, Winnipeg, Canada. ISNI: 0000 0004 1936 9609. GRID:
grid.21613.37
FAU - Lauzier, F
AU - Lauzier F
grid.23856.3a
FAU - English, S
AU - English S
5108. GRID:
grid.412687.e
FAU - McIntyre, L
AU - McIntyre L
5108. GRID:
grid.412687.e
FAU - Lacroix, J
AU - Lacroix J
AD - Universite de Montreal, Montreal, Canada. ISNI: 0000 0001 2292 3357. GRID:
grid.14848.31
FAU - Griesdale, D
AU - Griesdale D
AD - University of British Columbia, Vancouver, Canada. ISNI: 0000 0001 2288 9830.
GRID:
grid.17091.3e
FAU - Lessard-Bonaventure, P
AU - Lessard-Bonaventure P
grid.23856.3a
FAU - Turgeon, A F
AU - Turgeon AF
grid.23856.3a
FAU - Boutin, A
AU - Boutin A
grid.23856.3a
FAU - Moore, L
AU - Moore L
grid.23856.3a
FAU - Green, R
AU - Green R
grid.55602.34
FAU - Lessard-Bonaventure, P
AU - Lessard-Bonaventure P
grid.23856.3a
FAU - Erdogan, M
AU - Erdogan M
grid.55602.34
FAU - Butler, M
AU - Butler M
grid.55602.34
FAU - Lauzier, F
AU - Lauzier F
grid.23856.3a
FAU - Chasse, M
AU - Chasse M
grid.23856.3a
FAU - English, S
AU - English S
5108. GRID:
grid.412687.e
FAU - McIntyre, L
AU - McIntyre L
5108. GRID:
grid.412687.e
AU - Zarychanski R
AD - University of Manitoba, Winnipeg, Canada. ISNI: 0000 0004 1936 9609. GRID:
grid.21613.37
FAU - Lacroix, J
AU - Lacroix J
AD - Universite de Montreal, Montreal, Canada. ISNI: 0000 0001 2292 3357. GRID:
grid.14848.31
FAU - Griesdale, D
AU - Griesdale D
AD - University of British Columbia, Vancouver, Canada. ISNI: 0000 0001 2288 9830.
GRID:
grid.17091.3e
FAU - Desjardins, P
AU - Desjardins P
grid.23856.3a
FAU - Fergusson, D A
AU - Fergusson DA
5108. GRID:
grid.412687.e
FAU - Turgeon, A F
AU - Turgeon AF
grid.23856.3a
FAU - Goncalves, B
AU - Goncalves B
AD - Hospital Estadual Getulio Vargas, Rio de Janeiro, Brazil
FAU - Vidal, B
AU - Vidal B
FAU - Valdez, C
AU - Valdez C
FAU - Rodrigues, A C
AU - Rodrigues AC
FAU - Miguez, L
AU - Miguez L
FAU - Moralez, G
AU - Moralez G
FAU - Hong, T
AU - Hong T
AD - Yonsei University College of Medicine, Seoul, South Korea. ISNI: 0000 0004
0470
5454. GRID: grid.15444.30
FAU - Kutz, A
AU - Kutz A
grid.413357.7
FAU - Hausfater, P
AU - Hausfater P
AD - Emergency Department, Groupe Hospitalier Pitié-Salpêtrière, Paris, France.
ISNI:
0000 0001 2150 9058. GRID: grid.411439.a
FAU - Amin, D
AU - Amin D
AD - Morton Plant Hospital, Clearwater, USA. ISNI: 0000 0000 8602 0133. GRID:
grid.416123.3
FAU - Struja, T
AU - Struja T
grid.413357.7
FAU - Haubitz, S
AU - Haubitz S
grid.413357.7
FAU - Huber, A
AU - Huber A
AD - Department of Laboratory Medicine, Kantonsspital Aarau, Aarau, Switzerland.
ISNI:
0000 0000 8704 3732. GRID: grid.413357.7
FAU - Mueller, B
AU - Mueller B
grid.413357.7
FAU - Schuetz, P
AU - Schuetz P
grid.413357.7
FAU - Brown, T
AU - Brown T
AD - Royal Cornwall Hospital Trust, Truro, UK. ISNI: 0000 0004 0474 4488. GRID:
grid.412944.e
FAU - Collinson, J
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grid.412944.e
FAU - Pritchett, C
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FAU - Slade, T
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FAU - Le Guen, M
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AD - Manchester Royal Infirmary, Manchester, UK. ISNI: 0000 0004 0641 2823. GRID:
grid.419319.7
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grid.419319.7
FAU - Ramsaran, R
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FAU - Abe, T
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AD - University of Tsukuba, Tsukuba Medical Center Hospital, Tsukuba, Japan. ISNI:
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0004 1764 0856. GRID: grid.417324.7
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FAU - Bahl, R
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FAU - Russell, M Q
AU - Russell MQ
AD - Kent, Surrey & Sussex Air Ambulance Trust, Kent, UK
FAU - Real, K J
AU - Real KJ
AD - Prometheus Delta-Tech, Herefordshire, UK
FAU - Abu-Habsa, M
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grid.46699.34
FAU - Lyon, R M
AU - Lyon RM
AD - Kent, Surrey & Sussex Air Ambulance Trust, Kent, UK
FAU - Oveland, N P
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AD - Stavanger University Hospital, Stavanger, Norway. ISNI: 0000 0004 0627 2891.
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FAU - Talaie, H
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FAU - Laitselart, P
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FAU - Donat, N
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FAU - Nau, A
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AD - Whiston Hospital, Prescot, UK. ISNI: 0000 0004 0417 1894. GRID: grid.417083.9
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grid.56302.32
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0662. GRID: grid.412149.b
FAU - Gundogan, O
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AU - Bor C
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FAU - Akýn Korhan, E
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AD - Katip Celebi University, Health Sciences Faculty, Izmir, Turkey
FAU - Demirag, K
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grid.412190.f
FAU - Uyar, M
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grid.412190.f
FAU - Frame, F
AU - Frame F
AD - Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, UK.
GRID:
grid.415667.7
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FAU - Dilokpattanamongkol, P
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1937
0490. GRID: grid.10223.32
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grid.416091.b
FAU - Penketh, J
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FAU - Patel, S
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AD - The Royal Marsden Hospital, London, UK. ISNI: 0000 0004 0417 0461. GRID:
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FAU - Kuchyn, I
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FAU - Bielka, K
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AD - Bogomolets National Medical University, Kiev, Ukraine. GRID: grid.412081.e
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FAU - Skourtis, C
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FAU - Lee, S D
AU - Lee SD
AD - Royal Liverpool Intensive Care Unit, Liverpool, UK
FAU - Williams, K
AU - Williams K
AD - Royal Liverpool Intensive Care Unit, Liverpool, UK
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grid.10025.36
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AD - Research and Education Institute, Sao Paulo, Brazil
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0490.
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AD - King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
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0001 2191 4301. GRID: grid.415310.2
FAU - Hijazi, M
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0001 2191 4301. GRID: grid.415310.2
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Brazil.
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Brazil.
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AU - Lima MF
AD - Hospital Esperanca Recife, Recife, Brazil
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AU - Hatum R
AD - Hospital Total Cor, Rio de Janeiro, Brazil
FAU - De Marco, F V
AU - De Marco FV
AD - Hospital viValle, São José dos Campos, Brazil
FAU - Alves, A
AU - Alves A
AD - Hospital Rios DOr, Rio de Janeiro, Brazil
FAU - Pinto, J E
AU - Pinto JE
AD - Hospital Norte DOr, Rio de Janeiro, Brazil
FAU - Godoy, M
AU - Godoy M
AD - Hospital Esperanca Olinda, Olinda, Brazil
FAU - Brasil, P E
AU - Brasil PE
AD - DOr Institute for Research and Education - IDOR, Rio de Janeiro, Brazil.
GRID:
grid.472984.4
FAU - Bozza, F A
AU - Bozza FA
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grid.472984.4
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grid.472984.4
FAU - Soares, M
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grid.472984.4
FAU - Krinsley, J
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AD - Stamford Hospital, Stamford, USA. ISNI: 0000 0004 0377 0318. GRID:
grid.416984.6
FAU - Kang, G
AU - Kang G
AD - Stamford Hospital, Stamford, USA. ISNI: 0000 0004 0377 0318. GRID:
grid.416984.6
FAU - Perry, J
AU - Perry J
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grid.413475.0
FAU - Hines, H
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FAU - Wilkinson, K M
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FAU - Sloan, B
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FAU - Moreira, E
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FAU - Barbato, M
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FAU - Torelly, A P
AU - Torelly AP
AD - Sta. Casa de Porto Alegre, Porto Alegre, Brazil
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AD - Sheffield Teaching Hospitals, Sheffield, UK. GRID: grid.419135.b
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AD - Instituto Português de Oncologia Francisco Gil - Porto, Porto, Portugal.
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0004 0631 0608. GRID: grid.418711.a
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0004 0631 0608. GRID: grid.418711.a
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0004 0631 0608. GRID: grid.418711.a
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0004 0631 0608. GRID: grid.418711.a
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0004 0631 0608. GRID: grid.418711.a
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0004 0631 0608. GRID: grid.418711.a
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0000 0004 0608 0662. GRID: grid.412149.b
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0000 0004 0608 0662. GRID: grid.412149.b
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0000 0004 0608 0662. GRID: grid.412149.b
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0000 0004 0608 0662. GRID: grid.412149.b
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0000 0004 0608 0662. GRID: grid.412149.b
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grid.414205.6
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FAU - Ricard, J D
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grid.414205.6
FAU - Guillo, S
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AD - Hôpital Bichat, Paris, France. ISNI: 0000 0000 8588 831X. GRID: grid.411119.d
FAU - Pasquet, B
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grid.414205.6
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0182. GRID: grid.419728.1
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0182. GRID: grid.419728.1
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0182. GRID: grid.419728.1
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FAU - Heyland, D
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AD - Kingston General Hospital, Kingston, Canada. ISNI: 0000 0004 0633 727X. GRID:
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FAU - Kyeremanteng, K
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grid.412687.e
FAU - Murchison, A G
AU - Murchison AG
AD - Milton Keynes Hospital, Milton Keynes, UK. GRID: grid.415667.7
FAU - Swalwell, K
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AD - Imperial College, London, UK. ISNI: 0000 0001 2113 8111. GRID: grid.7445.2
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grid.411714.6
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AD - KU Leuven, Leuven, Belgium. ISNI: 0000 0001 0668 7884. GRID: grid.5596.f
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AU - Thiessen SE
FAU - Güiza, F
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FAU - Hermans, G
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FAU - Vanhorebeek, I
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grid.411714.6
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FAU - Weiler, M
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AD - Ernesto Dornelles Hospital, Porto Alegre, Brazil
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grid.411714.6
FAU - Quasim, T
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grid.411714.6
FAU - Fiks, T
AU - Fiks T
AD - Gelre Ziekenhuizen, Apeldoorn, Netherlands. ISNI: 0000 0004 0370 4214. GRID:
grid.415355.3
FAU - Ruijter, A
AU - Ruijter A
grid.415355.3
FAU - Te Raa, M
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FAU - Chase, J G
AU - Chase JG
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FAU - Hall, T
AU - Hall T
AD - Surrey and Sussex NHS Trust, Redhill, UK
FAU - Ngu, W C
AU - Ngu WC
FAU - Jack, J M
AU - Jack JM
FAU - Morgan, P
AU - Morgan P
FAU - Avard, B
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grid.413314.0
FAU - Pavli, A
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grid.413314.0
FAU - Gee, X
AU - Gee X
AD - ANU Medical School, Canberra, Australia. ISNI: 0000 0001 2180 7477. GRID:
grid.1001.0
FAU - Bor, C
AU - Bor C
AD - Ege University School of Medicine, Izmir, Turkey. ISNI: 0000 0001 1092 2592.
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grid.8302.9
FAU - Akin Korhan, E
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AD - katip Celebi University, Izmir, Turkey. ISNI: 0000 0004 0454 9420. GRID:
grid.411795.f
FAU - Demirag, K
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grid.8302.9
FAU - Uyar, M
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FAU - Shirazy, M
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AD - Alexandria University Faculty of medicine, Alexandria, Egypt. ISNI: 0000 0001
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6941. GRID: grid.7155.6
FAU - Fayed, A
AU - Fayed A
AD - Alexandria University Faculty of medicine, Alexandria, Egypt. ISNI: 0000 0001
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6941. GRID: grid.7155.6
FAU - Gupta, S
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AD - Fortis Escorts Heart Institute, New Delhi, India. ISNI: 0000 0004 1804 7827.
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FAU - Ghosh, E
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AD - Philips Research North America, Cambridge, USA. GRID: grid.417285.d
FAU - Yang, L
AU - Yang L
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grid.411074.7
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grid.62560.37
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grid.62560.37
FAU - Dudziak, J
AU - Dudziak J
AD - St Helens and Knowsley, Liverpool, UK
FAU - Feeney, J
AU - Feeney J
FAU - Wilkinson, K
AU - Wilkinson K
AU - Bauchmuller K
AD - STH, Sheffield, UK
FAU - Shuker, K
AU - Shuker K
FAU - Faulds, M
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FAU - Bryden, D
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FAU - England, L
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FAU - Tridente, A
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FAU - Faulds, M
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AD - Freeman Hospital, Newcastle upon Tyne, UK. ISNI: 0000 0004 0641 3308. GRID:
grid.415050.5
FAU - Matheson, A
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FAU - Gaynor, J
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FAU - Bryden, D
AU - Bryden D
CN - S South Yorkshire Hospitals Research Collaboration
FAU - Ramos, J
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grid.411074.7
FAU - Daglius-Dias, R
AU - Daglius-Dias R
grid.411074.7
FAU - Miranda, L
AU - Miranda L
AD - Hospital Nove de Julho, Sao Paulo, Brazil
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grid.411074.7
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grid.411074.7
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grid.411074.7
FAU - Forte, D
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grid.411074.7
FAU - Kelly, J M
AU - Kelly JM
AD - University Hospital Coventry and Warwickshire, Coventry, UK. GRID:
grid.15628.38
FAU - Neill, A
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AD - Sunnybrook Health Sciences Centre, Toronto, Canada. ISNI: 0000 0000 9743
1587. GRID:
grid.413104.3
FAU - Rubenfeld, G
AU - Rubenfeld G
AD - Sunnybrook Health Sciences Centre, Toronto, Canada. ISNI: 0000 0000 9743
1587. GRID:
grid.413104.3
FAU - Masson, N
AU - Masson N
AD - NHS Scotland, Glasgow, UK. ISNI: 0000 0000 9506 6213. GRID: grid.422655.2
FAU - Min, A
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FAU - Boezeman, E
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grid.5132.5
FAU - Hofhuis, J
AU - Hofhuis J
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grid.415355.3
FAU - Hovingh, A
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FAU - De Vries, R
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AD - VU University Amsterdam, Amsterdam, Netherlands. ISNI: 0000 0004 1754 9227.
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grid.12380.38
FAU - Spronk, P
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grid.415355.3
FAU - Cabral-Campello, G
AU - Cabral-Campello G
AD - Hospital de Santo António, Oporto Hospital Center, Porto, Portugal
FAU - Aragão, I
AU - Aragão I
FAU - Cardoso, T
AU - Cardoso T
FAU - Van Mol, M
AU - Van Mol M
FAU - Nijkamp, M
AU - Nijkamp M
AD - Faculty of Psychology and Educational Sciences, Heerlen, Netherlands
FAU - Kompanje, E
AU - Kompanje E
FAU - Ostrowski, P
AU - Ostrowski P
AD - University of Toronto at Scarborough, Scarborough, ON Canada. ISNI: 0000 0001
2157
2938. GRID: grid.17063.33
FAU - Omar, A
AU - Omar A
grid.413548.f
FAU - Kiss, K
AU - Kiss K
AD - University of Szeged, Szeged, Hungary. ISNI: 0000 0001 1016 9625. GRID:
grid.9008.1
FAU - Köves, B
AU - Köves B
AD - Jahn Ferenc Hospital, Budapest, Hungary
FAU - Csernus, V
AU - Csernus V
AD - University of Pécs, Pécs, Hungary. ISNI: 0000 0001 0663 9479. GRID:
grid.9679.1
FAU - Molnár, Z
AU - Molnár Z
AD - University of Szeged, Szeged, Hungary. ISNI: 0000 0001 1016 9625. GRID:
grid.9008.1
FAU - Hoydonckx, Y
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grid.414977.8
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grid.414977.8
FAU - Stessel, B
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grid.414977.8
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grid.414977.8
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FAU - Medo, V
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AD - Hospital Clinico Universidad de Chile, Santiago, Chile. GRID: grid.412248.9
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FAU - Wigmore, T
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AD - Royal Marsden Hospital, London, UK. ISNI: 0000 0004 0417 0461. GRID:
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FAU - Molmy, P
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grid.411074.7
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grid.411074.7
FAU - Forte, D
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grid.411074.7
FAU - Fernandez, A
AU - Fernandez A
AD - Ntra Sra de Candelaria University Hospital, Santa Cruz de Tenerife, Spain
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AD - University of Texas at Austin, San Antonio, USA. ISNI: 0000 0004 1936 9924.
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grid.89336.37
FAU - Koonthalloor, E
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AD - Beaumont Hospital, Dublin, Ireland. ISNI: 0000 0004 0617 6058. GRID:
grid.414315.6
FAU - Walsh, C
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FAU - Ten Hoopen, M M
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FAU - Sim, K
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AD - University of Calgary, Calgary, Canada. ISNI: 0000 0004 1936 7697. GRID:
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FAU - Doig, C
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FAU - Van Keer, R V
AU - Van Keer RV
AD - Vrije Universiteit Brussel, Brussel, Belgium. ISNI: 0000 0001 2290 8069.
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grid.8767.e
FAU - Deschepper, R D
AU - Deschepper RD
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FAU - Francke, A F
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AD - EMGO+/VU University medical center, Utrecht, Netherlands. ISNI:
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FAU - Dalrymple, C
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AD - Queen Elizabeth Hospital, London, UK. GRID: grid.439484.6
FAU - Molokhia, A
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FAU - Dobru, A
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FAU - Marrinan, E
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AD - Lewisham & Greenwich NHS Trust, London, UK. GRID: grid.429537.e
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FAU - Struthers, R
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grid.413301.4
FAU - Devine, H
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AU - Mactavish P
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AU - Morelli P
AD - National Burn Unit, Montevideo, Uruguay
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FAU - Lemos, F
AU - Lemos F
FAU - MArtinez, V
AU - MArtinez V
FAU - Verga, F
AU - Verga F
FAU - Cabrera, J
AU - Cabrera J
FAU - Burghi, G
AU - Burghi G
FAU - Rutten, A
AU - Rutten A
AD - St Elisabeth Ziekenhuis, Tilburg, Netherlands. GRID: grid.416373.4
FAU - Van Ieperen, S
AU - Van Ieperen S
FAU - De Geer, S
AU - De Geer S
FAU - Van Vugt, M
AU - Van Vugt M
FAU - Der Kinderen, E
AU - Der Kinderen E
FAU - Giannini, A
AU - Giannini A
AD - Fondazione IRCCS Ca’ Granda - Ospedale maggiore Policlinico, Milan, Italy.
ISNI:
0000 0004 1757 8749. GRID: grid.414818.0
FAU - Miccinesi, G
AU - Miccinesi G
AD - Istituto per lo Studio e la Prevenzione Oncologica, Florence, Italy. ISNI:
0000 0004
1758 0566. GRID: grid.417623.5
FAU - Marchesi, T
AU - Marchesi T
ISNI:
0000 0004 1757 8749. GRID: grid.414818.0
FAU - Prandi, E
AU - Prandi E
ISNI:
0000 0004 1757 8749. GRID: grid.414818.0
LA - eng
PT - Congress
PT - Overall
DEP - 20160420
TA - Crit Care
JT - Critical care (London, England)
JID - 9801902
EIN - Crit Care. 2016 Oct 24;20:347. PMID: 31268434
PMC - PMC5493079
EDAT- 2016/11/26 06:00
MHDA- 2016/11/26 06:01
CRDT- 2016/11/26 06:00
PHST- 2016/11/26 06:00 [entrez]
PHST- 2016/11/26 06:00 [pubmed]
PHST- 2016/11/26 06:01 [medline]
AID - 10.1186/s13054-016-1208-6 [pii]
AID - 1208 [pii]
AID - 10.1186/s13054-016-1208-6 [doi]
PST - epublish
SO - Crit Care. 2016 Apr 20;20(Suppl 2):94. doi: 10.1186/s13054-016-1208-6.
PMID- 27409075
OWN - NLM
LR - 20191120
IS - 1472-6963 (Linking)
VI - 16 Suppl 3
IP - Suppl 3
DP - 2016 Jul 6
TI - Proceedings of the 3rd IPLeiria's International Health Congress : Leiria,
Portugal.
6-7 May 2016.
PG - 200
LID - 10.1186/s12913-016-1423-5 [doi]
LID - 200
AB - S1 Health literacy and health education in adolescence Catarina Cardoso Tomás
S2 The
effect of a walking program on the quality of life and well-being of people
with
schizophrenia Emanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C.
Rocha, A.
Teixeira, P. Ferreira S3 Diagnosis and innovative treatments - the way to a
better
medical practice Celeste Alves S4 Simulation-based learning and how it is a
high
contribution Stefan Gisin S5 Formative research about acceptability,
utilization and
promotion of a home fortification programme with micronutrient powders (MNP)
in the
Autonomous Region of Príncipe, São Tomé and Príncipe Elisabete Catarino,
Nelma
Carvalho, Tiago Coucelo, Luís Bonfim, Carina Silva S6 Safety culture of the
patient:
a reflexion about the therapeutic approach on the patient with vocal
pathology
Débora Franco S7 About wine, fortune cookies and patient experience Jesús
Alcoba
González O1 The psychological impact on the emergency crews after the
disaster event
on February 20, 2010 Helena G. Jardim, Rita Silva O2 Musculoskeletal
disorders in
midwives Cristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E.
Cardoso O3 Negative childhood experiences and fears of compassion:

Implications for
psychological difficulties in adolescence Marina Cunha, Joana Mendes, Ana
Xavier,
Ana Galhardo, Margarida Couto O4 Optimal age to give the first dose of
measles
vaccine in Portugal João G. Frade, Carla Nunes, João R. Mesquita, Maria S.
Nascimento, Guilherme Gonçalves O5 Functional assessment of elderly in
primary care
Conceição Castro, Alice Mártires, Mª João Monteiro, Conceição Rainho O6
Smoking and
coronary events in a population of Spanish health-care centre: An
observational
study Francisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M.
Monago,
Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milanés, Mercedes G. Reina,
Ana G.
Villanueva, Ana S. Piñero, Isabel R. Aliseda, Francisco B. Ramirez O7
Prevalence of
musculoskeletal injuries in Portuguese musicians Andrea Ribeiro, Ana Quelhas,
Conceição Manso O8 Hip fractures, psychotropic drug consumption and

comorbidity in
patients of a primary care practice in Spain Francisco P. Caballero, Jose T.
Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G.
Nuñez,
Inmaculada R. Gomez, Mª Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno,
Mª Jesus
Tena Huertas, Francisco B. Ramirez O9 The role of self-criticism and shame in
social
anxiety in a clinical SAD sample Daniel Seabra, Mª Céu Salvador O10
Obstruction and
infiltration: a proposal of a quality indicator Luciene Braga, Pedro
Parreira,
Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, Mª
Adriana
Henriques O11 Balance and anxiety and depression symptoms in old age people
Joana
Santos, Sara Lebre, Alda Marques O12 Prevalence of postural changes and risk
factors
in school children and adolescents in a northern region (Porto) Clarinda
Festas,
Sandra Rodrigues, Andrea Ribeiro, José Lumini O13 Ischemic stroke vs.
haemorrhagic
stroke survival rate Ana G. Figueiredo O14 Chronobiological factors as
responsible
for the appearance of locomotor pathology in adolescents Francisco J.
Hernandez-Martinez, Liliana Campi, Mª Pino Quintana-Montesdeoca, Juan F.
Jimenez-Diaz, Bienvenida C. Rodriguez-De-Vera O15 Risk of malnutrition in the
elderly of Bragança Alexandra Parente, Mª Augusta Mata, Ana Mª Pereira,

Adília
Fernandes, Manuel Brás O16 A Lifestyle Educational Programme for primary care
diabetic patients: the design of a complex nursing intervention Mª Rosário

Pinto,
Pedro Parreira, Marta L. Basto, Ana C. Rei, Lisete M. Mónico O17 Medication
adherence in elderly people Gilberta Sousa, Clementina Morna, Otília Freitas,
Gregório Freitas, Ana Jardim, Rita Vasconcelos O18 Hospitalization for

cervical
cancer of residents in the metropolitan region of Porto Alegre, Southern
Brazil,
2012 to 2014 Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem,
Mariana S.
Siqueira, Ronaldo Bordin O19 Oncologic assistance of high complexity:
evaluation of
regulating accesses Rosiane Kniess, Josimari T. Lacerda O20 Perceived
barriers for
using health care services by the older population as seen by the social
sector:
findings from the Vila Nova de Gaia Gerontological Plan Joana Guedes, Idalina
Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar Ribeiro O21
Sleep
difficulties and depressive symptoms in college students Ana P. Amaral, Ana
Santos,
Joana Monteiro, Mª Clara Rocha, Rui Cruz O22 Psychopathological symptoms and
medication use in higher education Ana P. Amaral, Marina Lourenço, Mª Clara
Rocha,
Rui Cruz O23 Sexually transmitted diseases in higher education institutions
Sandra
Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando
Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes O24 Alcohol

consumption and suicide ideation in higher education students Lídia Cabral,
Manuela
Ferreira, Amadeu Gonçalves O25 Quality of life in university students Tatiana
D.
Luz, Leonardo Luz, Raul Martins O26 Male and female adolescent antisocial
behaviour:
characterizing vulnerabilities in a Portuguese sample Alice Morgado, Maria L.
Vale-Dias O27 Risk factors for mental health in higher education students of
health
sciences Rui Porta-Nova O28 International classification of functioning
disability
and health as reflexive reasoning in primary attention in health Tânia C.
Fleig,
Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L.
Carvalho O29
Risk factors and cardiovascular disease in Portalegre Daniel Guedelha, P.
Coelho, A.
Pereira O30 Health status of the elderly population living in Portalegre
historic
city centre: A longitudinal study António Calha, Raul Cordeiro O31 Student’s
sleep
in higher education: sleep quality among students of the IPB Ana Gonçalves,
Ana
Certo, Ana Galvão, Mª Augusta Mata O32 Trend in mortality from cervical
cancer in
the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, 2000
to
2013 Aline Welter, Elayne Pereira, Sandra Ribeiro, Marcia Kretzer O33
Adherence to
treatment in the elderly in an urban environment in Spain Juan-Fernando
Jiménez-Díaz, Carla Jiménez-Rodríguez, Francisco-José Hernández-Martínez,
Bienvenida-Del-Carmen Rodríguez-De-Vera, Alexandre Marques-Rodrigues O34
Beira Baixa
Blood Pressure Study (Study PABB) Patrícia Coelho, Tiago Bernardes, Alexandre
Pereira O35 Trends in cervical cancer mortality statistics in Santa Catarina

State,
Brazil, by age group and macro-region, from 2000 to 2013 Patrícia Sousa, João
G.
Filho, Nazare Nazario, Marcia Kretzer O36 Sleep problems among Portuguese
adolescents: a public health issue Odete Amaral, António Garrido, Nélio
Veiga, Carla
Nunes, Ana R. Pedro, Carlos Pereira O37 Association between body fat and
health-related quality of life in patients with type 2 diabetes António
Almeia,
Helder M. Fernandes, Carlos Vasconcelos, Nelson Sousa, Victor M. Reis, M.
João
Monteiro, Romeu Mendes O38 Therapy adherence and polypharmacy in
non-institutionalized elderly from Amares county, Portugal Isabel C. Pinto,
Tânia
Pires, João Gama O39 Prevalence of surgical site infection in adults at a
hospital
unit in the North of Portugal Vera Preto, Norberto Silva, Carlos Magalhães,
Matilde
Martins O40 Frailty phenotype in old age: implications to intervention
Mafalda
Duarte, Constança Paúl, Ignácio Martín O41 Portuguese women: sexual symptoms
in
perimenopause Arminda A. Pinheiro O42 Predictive ability of the Perinatal
Depression
Screening and Prevention Tool – preliminary results of the categorical
approach
Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Mariana
Marques,
António Macedo, Ana T. Pereira O43 Aging and muscle strength in patients with
type 2
diabetes: cross sectional analysis José P. Almeida, António Almeida, Josiane
Alves,
Nelson Sousa, Francisco Saavedra, Romeu Mendes O44 Accessibility of the
elderly in
the prevention of hypertension in a family health unit Ana S. Maia, Michelle
T.
Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Luci S. Lopes, Eujcely C.
Santiago
O45 Community Health screenings and self-reported chronic diseases Sílvia
Monteiro,
Ângelo Jesus, Armanda Colaço, António Carvalho, Rita P. Silva, Agostinho Cruz
O46
Evaluation of indoor air quality in Kindergartens Ana Ferreira, Catarina
Marques,
João P. Figueiredo, Susana Paixão O47 Atmospheric exposure to chemical agents
under
the occupational activity of pathology technicians Ana Ferreira, Carla Lopes,
Fernando Moreira, João P. Figueiredo O48 Occupational exposure to air

pollutants in
night entertainment venues workers Ana Ferreira, Diana Ribeiro, Fernando
Moreira,
João P. Figueiredo, Susana Paixão O49 Beliefs and attitudes of young people
towards
breastfeeding Telma Fernandes, Diogo Amado, Jéssica Leal, Marcelo Azevedo,
Sónia
Ramalho O50 Profiling informal caregivers: surveying needs in the care of the
elderly Catarina Mangas, Jaime Ribeiro, Rita Gonçalves O51 Visual health in
teenagers Amélia F Nunes, Ana R. Tuna, Carlos R. Martins, Henriqueta D. Forte
O52
Amenable mortality and the geographic accessibility to healthcare in Portugal
Cláudia Costa, José A. Tenedório, Paula Santana O53 Bacterial contamination

of door
handles in a São Paulo See Metropolitan Cathedral public restrooms in Brazil
J. A.
Andrade, J. L. Pinto, C. Campofiorito, S. Nunes, A. Carmo, A. Kaliniczenco,
B.
Alves, F. Mendes, C. Jesus, F. Fonseca, F. Gehrke O54 Adherence of patients
to
rehabilitation programmes Carlos Albuquerque, Rita Batista, Madalena Cunha,
António
Madureira, Olivério Ribeiro, Rosa Martins O55 Prevalence of malnutrition
among
Portuguese elderly living in nursing homes: preliminary results of the PEN-3S
project Teresa Madeira, Catarina Peixoto-Plácido, Nuno Santos, Osvaldo

Santos,
Astrid Bergland, Asta Bye, Carla Lopes, Violeta Alarcão, Beatriz Goulão, Nuno
Mendonça, Paulo Nicola, João G. Clara O56 Relation between emotional

intelligence
and mental illness in health students João Gomes, Ana Querido, Catarina
Tomás,
Daniel Carvalho, Marina Cordeiro P1 Fall risk factors in people older than
50 years
old – a pilot report Marlene C. Rosa, Alda Marques P2 What about the
Portuguese
oldest old? A global overview using census data Daniela Brandão, Óscar
Ribeiro, Lia
Araújo, Constança Paúl P3 Prevalence of injuries in senior amateur volleyball
athletes in Alentejo and Algarve clubs, Portugal: factors associated Beatriz

Minghelli, Sylvina Richaud P4 Shame feelings and quality of life: the role of
acceptance and decentring Ana L. Mendes, Joana Marta-Simões, Inês A.

Trindade,
Cláudia Ferreira P5 Assessment of social support during deployment in
portuguese
colonial war veterans Teresa Carvalho, Marina Cunha, José Pinto-Gouveia P6
Hospitalization for acute viral bronchiolitis of residents in the
metropolitan
region of Porto Alegre, Southern Brazil, 2012 to 2014 Morgana C. Fernandes,
Roger S.
Rosa, Rita C. Nugem, Luís F. Kranz, Mariana S. Siqueira, Ronaldo Bordin P7
Falls-risk screening – an opportunity for preventing falls in the elderly
from
Nordeste Anabela C. Martins, Anabela Medeiros, Rafaela Pimentel, Andreia
Fernandes,
Carlos Mendonça, Isabel Andrade, Susana Andrade, Ruth L. Menezes P8 Aging
provokes
chronodisruption in mature people in temperature circadian rhythm Rafael
Bravo,
Marta Miranda, Lierni Ugartemendia, José Mª Tena, Francisco L. Pérez-
Caballero,
Lorena Fuentes-Broto, Ana B. Rodríguez, Barriga Carmen P9 The influence of
climate
and pollution factors in dengue cases of great ABC region, São Paulo M. A.
Carneiro,
J. N. Domingues, S. Paixão, J. Figueiredo, V. B. Nascimento, C. Jesus, F
Mendes, F.
Gehrke, B. Alves, L. Azzalis, F. Fonseca P10 Visual function and impact of
visual
therapy in children with learning disabilities: a pilot study Ana R. Martins,
Amélia
Nunes, Arminda Jorge P11 Edentulism and the need of oral rehabilitation among
institutionalized elderly Nélio Veiga, Ana Amorim, André Silva, Liliana
Martinho,
Luís Monteiro, Rafael Silva, Carina Coelho, Odete Amaral, Inês Coelho, Carlos
Pereira, André Correia P12 Therapy adherence of outpatients in the pharmacy

services
of a hospital unit Diana Rodrigues, Nídia Marante, Pedro Silva, Sara
Carvalho, André
Rts Araujo, Maximiano Ribeiro, Paula Coutinho, Sandra Ventura, Fátima Roque
P13
Universal access and comprehensive care of oral health: an availability study
Cristina Calvo, Manoela Reses P14 Is the respiratory function of children a

predictor of air quality? Coimbra as a case study Jorge Conde, Ana Ferreira,
João
Figueiredo P15 Meaning-in-life of college students David Silva, Luís Seiça,
Raquel
Soares, Ricardo Mourão, Teresa Kraus O57 Training needs for nurses in
palliative
care Ana C. Abreu, José M. Padilha, Júlia M. Alves O58 Impact of computerized
information systems in the global nurses’ workload: nurses’ perceptions and

real-time Paulino Sousa, Manuel Oliveira, Joana Sousa O59 The perspective of
health
care professionals on self-care in hereditary neurodegenerative disease: a
qualitative study Sónia Novais, Felismina Mendes O60 Contribution for health-
related
physical fitness reference values in healthy adolescents Joana Pinto, Joana
Cruz,
Alda Marques School of Health Sciences, University of Aveiro, 3810-193
Aveiro,
Portugal O61 Perception of learning, satisfaction and self-efficacy of
nursing
students about High-Fidelity Simulation Hugo Duarte, Maria Dos Anjos Dixe,
Pedro
Sousa O62 Analysis of statements of diagnosis about health deviation in self-
care
requisites customized in a Nursing Practice Support System (SAPE®):
Management of
therapeutic regimen Inês Cruz, Fernanda Bastos, Filipe Pereira O63 Hybrid
management
and hospital governance: doctors and nurses as managers Francisco L.
Carvalho,
Teresa T. Oliveira, Vítor R. Raposo O64 Time management in health
professionals
Conceição Rainho, José C. Ribeiro, Isabel Barroso, Vítor Rodrigues O65
Financial
rewards and wellbeing in primary health care Carmo Neves, Teresa C. Oliveira
O66
Patient safety promotion in the operating room Bárbara Oliveira, Mª Carminda
Morais,
Pilar Baylina O67 Difficulties and needs of pre-graduate nursing students in
the
area of Geriatrics/Gerontology Rogério Rodrigues, Zaida Azeredo, Corália
Vicente O68
Teaching and learning sexuality in nursing education Hélia Dias, Margarida
Sim-Sim
O69 Entrepreneurial Motivations Questionnaire: AFC and CFA in academy Pedro
Parreira, Anabela Salgueiro-Oliveira, Amélia Castilho, Rosa Melo, João
Graveto, José
Gomes, Marina Vaquinhas, Carla Carvalho, Lisete Mónico, Nuno Brito O70
Nursing
intervention to patient with Permanent Pacemakers and Implantable
Cardioverter
Defibrillators: a qualitative analysis Cassilda Sarroeira, José Amendoeira,
Fátima
Cunha, Anabela Cândido, Patrícia Fernandes, Helena R. Silva, Elsa Silva O71
Alcohol
consumption among nursing students: where does education fail? Isabel
Barroso, Leila
Lapa, Cristina Antunes O72 Labour stress in nursing Ana Gonçalves, Ana
Galvão, Mª
José Gomes, Susana R. Escanciano O73 The influence of safe staff nursing in
patient
satisfaction with nursing care Maria Freitas, Pedro Parreira, João Marôco O74
Intention to use eHealth strategies with nursing students Ana R. Fernandes,

Cremilde
Cabral, Samuel Alves, Pedro Sousa O75 Community Based Mental Health:
contributions
of an interdisciplinary international program for students in higher health
education António Ferreira, Fernanda Príncipe, Ulla-Maija Seppänen, Margarida
Ferreira, Maribel Carvalhais, Marilene Silva O76 Study of satisfaction at

work of
graduates in nursing: 2002-2014 Manuela Ferreira, Joana Silva, Jéssica Neves,
Diana
Costa, Bruno Santos, Soraia Duarte O77 Health professionals’ attitudes
towards
breastfeeding Sílvia Marques, Sónia Ramalho, Isabel Mendes O78 Continuity of
nursing
care to person with type 2 diabetes Clarisse Louro, Eva Menino, Maria Dixe,
Sara S.
Dias O79 Stigma toward mental illness among future health professionals
Marina
Cordeiro, Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes O80
Working with
fears and anxieties of medical students in search of a humanized care
Frederico C.
Valim, Joyce O. Costa, Lúcia G. Bernardes P16 Surgical paediatrics patients’
psycho
prophylaxis at a teaching hospital Helena Prebianchi P17 Patient-perceived
outcomes
in physiotherapy – a pilot study Marlene Cristina Rosa P18 Building
competencies for
managers in nursing Narcisa Gonçalves, Maria M. Martins, Paulina Kurcgant P19
Theoretical basis underlying physiotherapy practice in stroke rehabilitation

André
Vieira P20 When the life-cycle ends: the nurse’s confrontation with death
Sandrina
Bento, Sérgio Deodato, Isabel Rabiais P21 Nursing students’ opinion about the
supervision relationship during their first clinical experience Laura Reis

P22
Nursing Relational Laboratory: Pedagogical, dialogic and critical project Ana
Torres, Sérgio Soares, Margarida Ferreira, Pedro Graça P23 Job satisfaction
of
bioscientists at a Lisbon hospital Céu Leitão, Renato Abreu, Fernando Bellém,
Ana
Almeida, Edna Ribeiro-Varandas, Ana Tavares P24 Sociodemographic and
professional
profile of nurses and its relation with the importance of family in nursing
practices João G. Frade, Carolina Henriques, Eva Menino, Clarisse Louro,
Célia
Jordão P25 Professional satisfaction of rehabilitation nurses Sofia Neco,
Carminda
Morais, Pedro Ferreira P26 The person living with a stoma: the formalization
of
knowledge in nursing Carla R. Silva, Alice Brito, Antónia Silva P27
Validation of
the Portuguese versions of the nursing students’ perceptions of learning and
learner
satisfaction with simulation tool Hugo Duarte, Maria Dos Anjos Dixe, Pedro
Sousa P28
Physiotherapists’ perceived knowledge on technologies for electronic health
records
for physiotherapy Gabriela Postolache, Raul Oliveira, Isabel Moreira, Luísa
Pedro,
Sónia Vicente, Samuel Domingos, Octavian Postolache P29 Quality of life and
physical
activity of medicine undergraduate students in the University of Southern
Santa
Catarina, Brazil Darlen Silva, João G. Filho, Nazare Nazario, Marcia Kretzer,
Dulcineia Schneider P30 The curricular skills for decision making education
in a
Nursing Degree Fátima M. Marques P31 Effect of nurses’ mobilization in
satisfaction
at work and turnover: An empirical study in the hospital setting Pedro
Parreira,
Carla Carvalho, Lisete M. Mónico, Carlos Pinto, Sara Vicente, São João Breda
P32
Entrepreneurial skills of students of polytechnic higher education in
Portugal:
Business influences José H. Gomes, Rosa Melo, Pedro Parreira, Anabela
Salgueiro,
João Graveto, Marina Vaquinhas, Amélia Castilho P33 Design and assessment of
e-learning modules for Pharmacology Ângelo Jesus, Nuno Duarte, José C. Lopes,
Hélder
Nunes, Agostinho Cruz P34 Perspective of nurses involved in an action-
research study
on the changes observed in care provision: results from a focus group Anabela
Salgueiro-Oliveira, Pedro Parreira, Marta L. Basto, Luciene M. Braga P35 Use

of peer
feedback by nursing students during clinical training: teacher’s perception
António
Ferreira, Beatriz Araújo, José M. Alves, Margarida Ferreira, Maribel
Carvalhais,
Marilene Silva, Sónia Novais P36 What’s new on endotracheal suctioning
recommendations Ana S. Sousa, Cândida Ferrito P37 Assessment of the nurses
satisfaction on the Central Region of Portugal Pedro L. Ferreira, Alexandre
Rodrigues, Margarida Ferreira, Isabel Oliveira P38 Study of graduate’s
satisfaction
with the school of nursing Manuela Ferreira, Jéssica Neves, Diana Costa,
Soraia
Duarte, Joana Silva, Bruno Santos P39 Partnership between the school of
nursing and
the hospital: Supervisors´ perspectives Cristina Martins, Ana P. Macedo,
Odete
Araújo, Cláudia Augusto, Fátima Braga, Lisa Gomes, Maria A. Silva, Rafaela
Rosário
P40 Coping strategies of college students Luís Pimenta, Diana Carreira,
Patrícia
Teles, Teresa Barros P41 Emotional intelligence and mental health stigma in
health
students Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes, Marina
Cordeiro
P42 Stigma of mental health assessment: Comparison between health courses
Daniel
Carvalho, Ana Querido, Catarina Tomás, João Gomes, Marina Cordeiro O81 Short-
and
long-term effects of pulmonary rehabilitation in mild COPD Cristina Jácome,
Alda
Marques O82 Phonological awareness programme for preschool children Sylvie
Capelas,
Andreia Hall, Dina Alves, Marisa Lousada O83 REforma ATIVA: An efficient
health
promotion program to be implemented during retirement Mª Helena Loureiro, Ana
Camarneiro, Margarida Silva, Aida Mendes, Ana Pedreiro O84 Intervention for
men who
batter women, a case report Anne G.Silva, Elza S. Coelho O85 Immediate
effects of
Bowen Therapy on muscle tone and flexibility Flávio Melo, Fernando Ribeiro,
Rui
Torres, Rui Costa O86 Predictive equation for incremental shuttle walk test
in
adolescents Tânia Pinho, Cristina Jácome, Alda Marques O87 Life satisfaction
and
psychopathology in institutionalized elderly people: The results of an
adapted
Mindfulness-Based Stress Reduction program Bárbara Cruz, Daniel Seabra, Diogo
Carreira, Maria Ventura O88 Outcome changes in COPD rehabilitation: exploring

the
relationship between physical activity and health-related outcomes Joana
Cruz, Dina
Brooks, Alda Marques O89 Assessing the effectiveness of a Complex Nursing
Intervention M Rosário Pinto, Pedro Parreira, Marta Lima-Basto, Miguel Neves,
Lisete
M. Mónico O90 Psychotherapeutic intervention in addiction disorders: Change
in
psychopathological symptoms and emotional states Carla Bizarro, Marina Cunha,
Ana
Galhardo, Couto Margarida, Ana P. Amorim, Eduardo Silva O91 Economic impact
of a
nursing intervention program to promote self-management in COPD Susana Cruz,
José M.
Padilha, Jorge Valente O92 Multimodal acute pain management during uterine
artery
embolization in treatment of uterine myomas José T. Guerrero, Francisco P.
Caballero, Rafael B. Santos, Estefania P. Gonzalez, Fátima M. Monago, Lierni
U.
Ugalde, Marta M. Vélez, Maria J. Tena O93 Fluid administration strategies in
major
surgery: Goal-directed therapy José T. Guerrero, Rafael Bravo, Francisco L.
Pérez-Caballero, Isabel A. Becerra, Mª Elizabeth Agudelo, Guadalupe Acedo,
Roberto
Bajo O94 Development and implementation of a self-management educational
programme
using lay-led’s in adolescents Spina Bifida: A pilot study Isabel Malheiro,
Filomena
Gaspar, Luísa Barros O95 Influence of chair-based yoga exercises on salivary
anti-microbial proteins in institutionalized frail-elderly women: a
preliminary
study Guilherme Furtado, Mateus Uba-Chupel, Mariana Marques, Luís Rama,
Margarida
Braga, José P. Ferreira, Ana Mª Teixeira O96 High intensity interval training
vs
moderate intensity continuous training impact on diabetes 2 João Cruz, Tiago
Barbosa, Ângela Simões, Luís Coelho O97 Family caregiver of people with
pressure
ulcer: Nursing intervention plan Alexandre Rodrigues, Juan-Fernando Jiménez-
Díaz,
Francisco Martinez-Hernández, Bienvenida Rodriguez-De-Vera, Pedro Ferreira,
Alexandrina Rodrigues O98 Chronic effects of exercise on motor memory
consolidation
in elderly people André Ramalho, João Petrica, Pedro Mendes, João Serrano,
Inês
Santo, António Rosado O99 Impression cytology of the ocular surface:
Collection
technique and sample processing Paula Mendonça, Kátia Freitas O100 Does sport
practice affect the reaction time in neuromuscular activity? Dora Ferreira,

António
Brito, Renato Fernandes O101 Efficiency of the enteral administration of
fibbers in
the treatment of chronic obstipation Sofia Gomes, Fernando Moreira, Cláudia
Pinho,
Rita Oliveira, Ana I. Oliveira O102 Fast decalcifier in compact bone and
spongy bone
Paula Mendonça, Ana P. Casimiro, Patrícia Martins, Iryna Silva O103 Health
promotion
in the elderly – Intervention project in dementia Diana Evangelista O104
Prevention
of musculoskeletal disorders through an exercise protocol held in labour
context
Catarina Leitão, Fábia Velosa, Nélio Carecho, Luís Coelho O105 Knowledge of
teachers
and other education agents on diabetes type 1: Effectiveness of an
intervention
program Eva Menino, Anjos Dixe, Helena Catarino, Fátima Soares, Ester Gama,
Clementina Gordo O106 Treatment of diabetic peripheral neuropathic pain: a
systematic review of clinical trials of phase II and III Eliana Moreira,
Cristiana
Midões, Marlene Santos O107 New drugs for osteoporosis treatment: Systematic
review
of clinical trials of phase II and III Sara Machado, Vânia P. Oliveira,
Marlene
Santos O108 Promoting hope at the end of life: Effectiveness of an
Intervention
Programme Ana Querido, Anjos Dixe, Rita Marques, Zaida Charepe P43
Psychomotor
therapy effects on adaptive behaviour and motor proficiency of adults with
intellectual disability Ana Antunes, Sofia Santos P44 The effect of exercise
therapy
in multiple sclerosis – a single study case Marlene C. Rosa P45 Physical
condition
and self-efficacy in people with fall risk – a preliminary study Marlene C.
Rosa,
Silvana F. Marques P46 Shock waves: their effectiveness in improving the
symptoms of
calcifying tendinitis of the shoulder Beatriz Minghelli, Eulália Caro P47
Pacifier –
construction and pilot application of a parenting intervention for parents of
babies
until six months in primary health care Mª José Luís, Teresa Brandão P48 The
influence of Motor Imagery in fine motor skills of individuals with
disabilities
Pedro Mendes, Daniel Marinho, João Petrica, Diogo Monteiro, Rui Paulo, João
Serrano,
Inês Santo P49 Evaluation of the effects of a walking programme on the fall
risk
factors in older people – a longitudinal pilot study Lina Monteiro, Fátima
Ramalho,
Rita Santos-Rocha, Sónia Morgado, Teresa Bento P50 Nursing intervention
programme in
lifestyles of adolescents Gilberta Sousa, Otília Freitas, Isabel Silva,
Gregório
Freitas, Clementina Morna, Rita Vasconcelos P51 The person submitted to hip
replacement rehabilitation, at home Tatiana Azevedo, Salete Soares, Jacinta
Pisco
P52 Effects of Melatonin use in the treatment of neurovegetative diseases
Paulo P.
Ferreira, Efrain O. Olszewer, Michelle T. Oliveira, Anderson R. Sousa, Ana S.
Maia,
Sebastião T. Oliveira P53 Review of Phytotherapy and other natural substances
in
alcohol abuse and alcoholism Erica Santos, Ana I. Oliveira, Carla Maia,
Fernando
Moreira, Joana Santos, Maria F. Mendes, Rita F. Oliveira, Cláudia Pinho P54
Dietary
programme impact on biochemical markers in diabetics: systematic review
Eduarda
Barreira, Ana Pereira, Josiana A. Vaz, André Novo P55 Biological approaches
to knee
osteoarthritis: platelet-rich plasma and hyaluronic acid Luís D. Silva, Bruno
Maia,
Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha P56 Platelet-
rich
plasma and hyaluronic acid intra-articular injections for the treatment of
ankle
osteoarthritis Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires,
Renato
Andrade, Luís Camarinha P57 The impact of preventive measures in the
incidence of
diabetic foot ulcers: a systematic review Ana F. César, Mariana Poço, David
Ventura,
Raquel Loura, Pedro Gomes, Catarina Gomes, Cláudia Silva, Elsa Melo, João
Lindo P58
Dating violence among young adolescents Joana Domingos, Zaida Mendes, Susana
Poeta,
Tiago Carvalho, Catarina Tomás, Helena Catarino, Mª Anjos Dixe P59 Physical
activity
and motor memory in pedal dexterity André Ramalho, António Rosado, Pedro
Mendes, Rui
Paulo, Inês Garcia, João Petrica P60 The effects of whole body vibration on
the
electromyographic activity of thigh muscles Sandra Rodrigues, Rui Meneses,
Carlos
Afonso, Luís Faria, Adérito Seixas P61 Mental health promotion in the
workplace
Marina Cordeiro, Paulo Granjo, José C. Gomes P62 Influence of physical
exercise on
the self-perception of body image in elderly women: A systematic review of
qualitative studies Nelba R. Souza, Guilherme E. Furtado, Saulo V. Rocha,
Paula
Silva, Joana Carvalho O109 Psychometric properties of the Portuguese version
of the
Éxamen Geronto-Psychomoteur (P-EGP) Marina Ana Morais, Sofia Santos, Paula
Lebre,
Ana Antunes O110 Symptoms of depression in the elderly population of
Portugal, Spain
and Italy António Calha O111 Emotion regulation strategies and
psychopathology
symptoms: A comparison between adolescents with and without deliberate self-
harm Ana
Xavier, Marina Cunha, José Pinto-Gouveia O112 Prevalence of physical
disability in
people with leprosy Liana Alencar, Madalena Cunha, António Madureira O113
Quality of
life and self-esteem in type 1 and type 2 diabetes mellitus patients Ilda
Cardoso,
Ana Galhardo, Fernanda Daniel, Vítor Rodrigues O114 Cross-cultural comparison
of
gross motor coordination in children from Brazil and Portugal Leonardo Luz,
Tatiana
Luz, Maurício R. Ramos, Dayse C. Medeiros, Bruno M. Carmo, André Seabra,
Cristina
Padez, Manuel C. Silva O115 Electrocardiographic differences between African
and
Caucasian people António Rodrigues, Patrícia Coelho, Alexandre Coelho O116
Factors
associated with domestic, sexual and other types of violence in the city of
Palhoça
- Brazil Madson Caminha, Filipe Matheus, Elenice Mendes, Jony Correia, Marcia
Kretzer O117 Tinnitus prevalence study of users of a hospital of public

management -
Spain Francisco J. Hernandez-Martinez, Juan F. Jimenez-Diaz, Bienvendida C.
Rodriguez-De-Vera, Carla Jimenez-Rodriguez, Yadira Armas-Gonzalez O118
Difficulties
experienced by parents of children with diabetes mellitus of preschool age in
therapeutic and nutritional management Cátia Rodrigues, Rosa Pedroso O119 E-

mental
health - “nice to have” or “must have”? Exploring the attitudes towards e-
mental
health in the general population Jennifer Apolinário-Hagen, Viktor
Vehreschild O120
Violence against children and adolescents and the role of health
professionals:
Knowing how to identify and care Milene Veloso, Celina Magalhães, Isabel
Cabral,
Maira Ferraz O121 Marital violence. A study in the Algarve population Filipe
Nave,
Emília Costa, Filomena Matos, José Pacheco O122 Clinical factors and
adherence to
treatment in ischemic heart disease António Dias, Carlos Pereira, João
Duarte,
Madalena Cunha, Daniel Silva O123 Can religiosity improve optimism in
participants
in states of illness, when controlling for life satisfaction? Lisete M.
Mónico,
Valentim R. Alferes, Mª São João Brêda, Carla Carvalho, Pedro M. Parreira
O124
Empowerment, knowledge and quality of life of people with diabetes type 2 in
the
Alto Minho Health Local Unit Mª Carminda Morais, Pedro Ferreira, Rui Pimenta,
José
Boavida O125 Antihypertensive therapy adherence among hypertensive patients
from
Bragança county, Portugal Isabel C. Pinto, Tânia Pires, Catarina Silva O126
Subjective perception of sexual achievement - An exploratory study on people
with
overweight Maria Ribeiro, Maria Viega-Branco, Filomena Pereira, Ana Mª
Pereira O127
Physical activity level and associated factors in hypertensive individuals
registered in the family health strategy of a basic health unit from the city
of
Palhoça, Santa Catarina, Brazil Fabrícia M. Almeida, Gustavo L. Estevez,
Sandra
Ribeiro, Marcia R. Kretzer O128 Perception of functional fitness and health
in
non-institutionalised elderly from rural areas Paulo V. João, Paulo Nogueira,
Sandra
Novais, Ana Pereira, Lara Carneiro, Maria Mota O129 Medication adherence in
patients
with type 2 diabetes mellitus treated at primary health care in Coimbra Rui
Cruz,
Luiz Santiago, Carlos Fontes-Ribeiro O130 Multivariate association between
body mass
index and multi-comorbidities in elderly people living in low socio-economic
status
context Guilherme Furtado, Saulo V. Rocha, André P. Coutinho, João S. Neto,
Lélia R.
Vasconcelos, Nelba R. Souza, Estélio Dantas O131 Metacognition, rumination
and
experiential avoidance in Borderline Personality Disorder Alexandra Dinis,
Sérgio
Carvalho, Paula Castilho, José Pinto-Gouveia O132 Health issues in a
vulnerable
population: nursing consultation in a public bathhouse in Lisbon Alexandra
Sarreira-Santos, Amélia Figueiredo, Lurdes Medeiros-Garcia, Paulo Seabra O133
The
perception of quality of life in people with multiple sclerosis accompanied
in
External Consultation of the Local Health Unit of Alto Minho Rosa Rodrigues,
Mª
Carminda Morais, Paula O. Fernandes O134 Representation of interaction
established
between immigrant women and nurse during pregnancy to postpartum, from the
perspective of immigrant women Conceição Santiago, Mª Henriqueta Figueiredo,
Marta
L. Basto O135 Illness perceptions and medication adherence in hypertension
Teresa
Guimarães, André Coelho, Anabela Graça, Ana M. Silva, Ana R. Fonseca O136 A
Portuguese study on adults’ intimate partner violence, interpersonal trust
and hope
Luz Vale-Dias, Bárbara Minas, Graciete Franco-Borges P63 QOL’ predictors of
people
with intellectual disability and general population Cristina Simões, Sofia
Santos
P64 Content validation of the Communication Disability Profile (CDP) -
Portuguese
Version Ana Serra, Maria Matos, Luís Jesus P65 Study of biochemical and
haematological changes in football players Ana S. Tavares, Ana Almeida, Céu
Leitão,
Edna Varandas, Renato Abreu, Fernando Bellém P66 Body image dissatisfaction
in
inflammatory bowel disease: exploring the role of chronic illness-related
shame Inês
A. Trindade, Cláudia Ferreira, José Pinto-Gouveia, Joana Marta-Simões P67
Obesity
and sleep in the adult population - a systematic review Odete Amaral,
Cristiana
Miranda, Pedro Guimarães, Rodrigo Gonçalves, Nélio Veiga, Carlos Pereira P68
Frequency of daytime sleepiness and obstructive sleep apnea risk in COPD
patients
Tânia C. Fleig, Elisabete A. San-Martin, Cássia L. Goulart, Paloma B.
Schneiders,
Natacha F. Miranda, Lisiane L. Carvalho, Andrea G. Silva P69 Working with
immigrant-origin clients: discourses and practices of health professionals
Joana
Topa, Conceição Nogueira, Sofia Neves P70 Systemic Lupus Erythematosus – what
are
audiovestibular changes? Rita Ventura, Cristina Nazaré P71 Mental disorders
in the
oldest old: findings from the Portuguese national hospitalization database
Daniela
Brandão, Alberto Freitas, Óscar Ribeiro, Constança Paúl P72 Recurrence
analysis in
postural control in children with cerebral palsy Cristiana Mercê, Marco
Branco,
Pedro Almeida, Daniela Nascimento, Juliana Pereira, David Catela P73 The
experience
of self-care in the elderly with COPD: contributions to reflect proximity
care Helga
Rafael P74 Culturally competent nurses: managing unpredictability in clinical
practice with immigrants Alcinda C. Reis O137 Paediatric speech and language
screening: An instrument for health professionals Ana Mendes, Ana R. Valente,
Marisa
Lousada O138 Anthropometric and nutritional assessment in bodybuilders Diana
Sousa,
Ana L. Baltazar, Mª Helena Loureiro O139 Computerized adventitious
respiratory
sounds in children with lower respiratory tract infections Ana Oliveira, José
Aparício, Alda Marques O140 Role of computerized respiratory sounds as a

marker in
LRTI Alda Marques, Ana Oliveira, Joana Neves, Rodrigo Ayoub O141 Confirmatory
factor
analysis of the Personal Wellbeing Index in people with chronic kidney
disease Luís
Sousa, Cristina Marques-Vieira, Sandy Severino, Helena José O142 Phonological
awareness skills in school aged children Inês Cadorio, Marisa Lousada O143
Assessment of early memories of warmth and safeness in interaction with
peers: its
relationship with psychopathology in adolescence Marina Cunha, Diogo Andrade,
Ana
Galhardo, Margarida Couto O144 The molecular effects induced by single shot
irradiation on a diffuse large B cell lymphoma cell line Fernando Mendes,
Cátia
Domingues, Susann Schukg, Ana M. Abrantes, Ana C. Gonçalves, Tiago Sales,
Ricardo
Teixo, Rita Silva, Jéssica Estrela, Mafalda Laranjo, João Casalta-Lopes,
Clara
Rocha, Paulo C. Simões, Ana B. Sarmento-Ribeiro, Mª Filomena Botelho, Manuel
S. Rosa
O145 Morpho-functional characterization of cardiac chambers by Transthoracic
Echocardiography, in young athletes of gymnastics competition Virgínia
Fonseca,
Diogo Colaço, Vanessa Neves O146 Prevalence of the antibodies of the new
histo-blood
system – FORS system Carlos Jesus, Camilla Hesse, Clara Rocha, Nádia Osório,
Ana
Valado, Armando Caseiro, António Gabriel, Lola Svensson, Fernando Mendes,
Wafa A.
Siba, Cristina Pereira, Jorge Tomaz O147 Assessment of the war-related
perceived
threat in Portuguese Colonial War Veterans Teresa Carvalho, José Pinto-
Gouveia,
Marina Cunha O148 Pulse transit time estimation for continuous blood pressure
measurement: A comparative study Diana Duarte, Nuno V. Lopes, Rui Fonseca-

Pinto O149
Blood pressure assessment during standard clinical manoeuvres: A non-invasive
PPT
based approach Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto O150
Development and
initial validation of the Activities and Participation Profile related to
Mobility
(APPM) Anabela C. Martins O151 MEASYCare-2010 Standard–A geriatric evaluation
system
in primary health care: Reliability and validity of the latest version in
Portugal
Piedade Brandão, Laura Martins, Margarida Cardoso O152 Interrater and
intrarater
reliability and agreement of the range of shoulder flexion in the standing
upright
position through photographic assessment Nuno Morais, Joana Cruz O153
Three-dimensional biofabrication techniques for tissue regeneration Nuno
Alves,
Paula Faria, Artur Mateus, Pedro Morouço O154 A new computer tool for
biofabrication
applied to tissue engineering Nuno Alves, Nelson Ferreira, Artur Mateus,
Paula
Faria, Pedro Morouço O155 Development and psychometric qualities of a scale
to
measure the functional independence of adolescents with motor impairment
Isabel
Malheiro, Filomena Gaspar, Luísa Barros O156 Organizational Trust in Health
services: Exploratory and Confirmatory factor analysis of the Organizational
Trust
Inventory- Short Form (OTI-SF) Pedro Parreira, Andreia Cardoso, Lisete
Mónico, Carla
Carvalho, Albino Lopes, Anabela Salgueiro-Oliveira O157 Thermal symmetry: An
indicator of occupational task asymmetries in physiotherapy Adérito Seixas,
Valter
Soares, Tiago Dias, Ricardo Vardasca, Joaquim Gabriel, Sandra Rodrigues O158
A study
of ICT active monitoring adoption in stroke rehabilitation Hugo Paredes,
Arsénio
Reis, Sara Marinho, Vítor Filipe, João Barroso O159 Paranoia Checklist
(Portuguese
Version): Preliminary studies in a mixed sample of patients and healthy
controls
Carolina Da Motta, Célia B. Carvalho, José Pinto-Gouveia, Ermelindo Peixoto
O160
Reliability and validity of the Composite Scale on Morningness: European
Portuguese
version, in adolescents and young adults Ana A. Gomes, Vanessa Costa, Diana
Couto,
Daniel R. Marques, José A. Leitão, José Tavares, Maria H. Azevedo, Carlos F.
Silva
O161 Evaluation scale of patient satisfaction with nursing care: Psychometric
properties evaluation João Freitas, Pedro Parreira, João Marôco O162 Impact
of
fibromyalgia on quality of life: Comparing results from generic instruments
and FIQR
Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Gang Chen, Angelo Iezzi,
José A.
Sala, José A. Parraça, Narcis Gusi O163 Preliminary study of the adaptation
and
validation of the Rating Scale of Resilient Self: Resilience, self-harm and
suicidal
ideation in adolescents Jani Sousa, Mariana Marques, Jacinto Jardim, Anabela
Pereira, Sónia Simões, Marina Cunha O164 Development of the first pressure
ulcer in
inpatient setting: Focus on length of stay Pedro Sardo, Jenifer Guedes, João
Lindo,
Paulo Machado, Elsa Melo O165 Forms of Self-Criticizing and Self-Reassuring
Scale:
Adaptation and early findings in a sample of Portuguese children Célia B.
Carvalho,
Joana Benevides, Marina Sousa, Joana Cabral, Carolina Da Motta O166
Predictive
ability of the Perinatal Depression Screening and Prevention Tool –
Preliminary
results of the dimensional approach Ana T. Pereira, Sandra Xavier, Julieta
Azevedo,
Elisabete Bento, Cristiana Marques, Rosa Carvalho, Mariana Marques, António
Macedo
O167 Psychometric properties of the BaSIQS-Basic Scale on insomnia symptoms
and
quality of sleep, in adults and in the elderly Ana M. Silva, Juliana Alves,
Ana A.
Gomes, Daniel R. Marques, Mª Helena Azevedo, Carlos Silva O168 Enlightening
the
human decision in health: The skin melanocytic classification challenge Ana
Mendes,
Huei D. Lee, Newton Spolaôr, Jefferson T. Oliva, Wu F. Chung, Rui Fonseca-
Pinto O169
Test-retest reliability household life study and health questionnaire
Pomerode
(SHIP-BRAZIL) Keila Bairros, Cláudia D. Silva, Clóvis A. Souza, Silvana S.
Schroeder
O170 Characterization of sun exposure behaviours among medical students from
Nova
Medical School Elsa Araújo, Helena Monteiro, Ricardo Costa, Sara S. Dias,
Jorge
Torgal O171 Spirituality in pregnant women Carolina G. Henriques, Luísa
Santos,
Elisa F. Caceiro, Sónia A. Ramalho O172 Polypharmacy in older patients with
cancer
Rita Oliveira, Vera Afreixo, João Santos, Priscilla Mota, Agostinho Cruz,
Francisco
Pimentel O173 Quality of life of caregivers of people with advanced chronic
disease:
Translation and validation of the quality of life in life threatening illness
-
family carer version (QOLLTI-C-PT) Rita Marques, Mª Anjos Dixe, Ana Querido,
Patrícia Sousa O174 The psychometric properties of the brief Other as Shamer
Scale
for Children (OAS-C): preliminary validation studies in a sample of
Portuguese
children Joana Benevides, Carolina Da Motta, Marina Sousa, Suzana N.
Caldeira, Célia
B. Carvalho O175 Measuring emotional intelligence in health care students –
Revalidation of WLEIS-P Ana Querido, Catarina Tomás, Daniel Carvalho, João
Gomes,
Marina Cordeiro O176 Health indicators in prenatal assistance: The impact of
computerization and of under-production in basic health centres Joyce O.
Costa,
Frederico C. Valim, Lígia C. Ribeiro O177 Hope genogram: Assessment of
resources and
interaction patterns in the family of the child with cerebral palsy Zaida
Charepe,
Ana Querido, Mª Henriqueta Figueiredo O178 The influence of childbirth type
in
postpartum quality of life Priscila S. Aquino, Samila G. Ribeiro, Ana B.
Pinheiro,
Paula A. Lessa, Mirna F. Oliveira, Luísa S. Brito, Ítalo N. Pinto, Alessandra
S.
Furtado, Régia B. Castro, Caroline Q. Aquino, Eveliny S. Martins O179 Women’s
beliefs about pap smear test and cervical cancer: influence of social
determinants
Ana B Pinheiro, Priscila S. Aquino, Lara L. Oliveira, Patrícia C. Pinheiro,
Caroline
R. Sousa, Vívien A. Freitas, Tatiane M. Silva, Adman S. Lima, Caroline Q.
Aquino,
Karizia V. Andrade, Camila A. Oliveira, Eglidia F. Vidal O180 Validity of the
Portuguese version of the ASI-3: Is anxiety sensitivity a unidimensional or

multidimensional construct? Ana Ganho-Ávila, Mariana Moura-Ramos, Óscar
Gonçalves,
Jorge Almeida O181 Lifestyles of higher education students: the influence of
self-esteem and psychological well-being Armando Silva, Irma Brito, João
Amado P75
Assessing the quality of life of persons with significant intellectual
disability:
Portuguese version of Escala de San Martín António Rodrigo, Sofia Santos,
Fernando
Gomes P76 Childhood obesity and breastfeeding - A systematic review Marlene
C. Rosa,
Silvana F. Marques P77 Cross-cultural adaptation of the Foot and Ankle
Ability
Measure (FAAM) for the Portuguese population Sara Luís, Luís Cavalheiro,
Pedro
Ferreira, Rui Gonçalves P78 Cross-cultural adaptation of the Patient-Rated
Wrist
Evaluation score (PRWE) for the Portuguese population Rui S. Lopes, Luís
Cavalheiro,
Pedro Ferreira, Rui Gonçalves P79 Cross-cultural adaptation of the Myocardial
Infraction Dimensional Assessment Scale (MIDAS) for Brazilian Portuguese

language
Bruno H. Fiorin, Marina S. Santos, Edmar S. Oliveira, Rita L. Moreira,
Elizabete A.
Oliveira, Braulio L. Filho P80 The revised Portuguese version of the Three-
Factor
Eating Questionnaire: A confirmatory factor analysis Lara Palmeira, Teresa
Garcia,
José Pinto-Gouveia, Marina Cunha P81 Assessing weight-related psychological
inflexibility: An exploratory factor analysis of the AAQW’s Portuguese
version Sara
Cardoso, Lara Palmeira, Marina Cunha; José Pinto-Gouveia P82 Validation of
the Body
Appreciation Scale-2 for Portuguese women Joana Marta-Simões, Ana L. Mendes,
Inês A.
Trindade, Sara Oliveira, Cláudia Ferreira P83 The Portuguese validation of
the
Dietary Intent Scale Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade,
Cláudia
Ferreira P84 Construction and validation of the Inventory of Marital Violence
(IVC)
Filipe Nave P85 Portable continuous blood pressure monitor system Mariana
Campos,
Iris Gaudêncio, Fernando Martins, Lino Ferreira, Nuno Lopes, Rui Fonseca-
Pinto P86
Construction and validation of the Scale of Perception of the Difficulties in
Caring
for the Elderly (SPDCE) Rogério Rodrigues, Zaida Azeredo, Corália Vicente P87
Development and validation of a comfort rating scale for the elderly

hospitalized
with chronic illness Joana Silva, Patrícia Sousa, Rita Marques P88
Construction and
validation of the Postpartum Paternal Quality of Life Questionnaire (PP-QOL)
Isabel
Mendes, Rogério Rodrigues, Zaida Azeredo, Corália Vicente P89 Infrared
thermal
imaging: A tool for assessing diabetic foot ulcers Ricardo Vardasca, Ana R.
Marques,
Adérito Seixas, Rui Carvalho, Joaquim Gabriel P90 Pressure ulcers in an
intensive
care unit: An experience report Paulo P. Ferreira, Michelle T. Oliveira,
Anderson R.
Sousa, Ana S. Maia, Sebastião T. Oliveira, Pablo O. Costa, Maiza M. Silva P91
Validation of figures used in evocations: instrument to capture

representations
Cristina Arreguy-Sena, Nathália Alvarenga-Martins, Paulo F. Pinto, Denize C.
Oliveira, Pedro D. Parreira, Antônio T. Gomes, Luciene M. Braga P92 Telephone
assistance to decrease burden in informal caregivers of stroke older people:

Monitoring and diagnostic evaluation Odete Araújo, Isabel Lage, José Cabrita,
Laetitia Teixeira P93 Hope of informal caregivers of people with chronic and
advanced disease Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa P94
Functionality and quality information from the Portuguese National

Epidemiological
Surveillance System Sara Silva, Eugénio Cordeiro, João Pimentel P95 Resting
metabolic rate objectively measured vs. Harris and Benedict formula Vera
Ferro-Lebres, Juliana A. Souza, Mariline Tavares O182 Characteristics of non-
urgent
patients: Cross-sectional study of an emergency department Mª Anjos Dixe,
Pedro
Sousa, Rui Passadouro, Teresa Peralta, Carlos Ferreira, Georgina Lourenço
O183
Physical fitness and health in children of the 1st Cycle of Education João
Serrano,
João Petrica, Rui Paulo, Samuel Honório, Pedro Mendes O184 The impact of
physical
activity on sleep quality, in children Alexandra Simões, Lucinda Carvalho,
Alexandre
Pereira O185 What is the potential for using Information and Communication
Technologies in Arterial Hypertension self-management? Sara Silva, Paulino
Sousa,
José M. Padilha O186 Exploring psychosocial factors associated with risk of
falling
in older patients undergoing haemodialysis Daniela Figueiredo, Carolina
Valente,
Alda Marques O187 Development of pressure ulcers on the face in patients
undergoing
non-invasive ventilation Patrícia Ribas, Joana Sousa, Frederico Brandão,
Cesar
Sousa, Matilde Martins O188 The elder hospitalized: Limiting factors of
comfort
Patrícia Sousa, Rita Marques O189 Physical activity and health state self-
perception
by Portuguese adults Francisco Mendes, Rosina Fernandes, Emília Martins,
Cátia
Magalhães, Patrícia Araújo O190 Satisfaction with social support in the
elderly of
the district of Bragança Carla Grande, Mª Augusta Mata, Juan G. Vieitez O191
Prevalence of death by traumatic brain injury and associated factors in
intensive
care unit of a general hospital, Brazil Bruna Bianchini, Nazare Nazario, João
G.
Filho, Marcia Kretzer O192 Relation between family caregivers burden and
health
status of elderly dependents Tânia Costa, Armando Almeida, Gabriel Baffour
O193
Phenomena sensitive to nursing care in day centre Armando Almeida, Tânia
Costa,
Gabriel Baffour O194 Frailty: what do the elderly think? Zaida Azeredo,
Carlos
Laranjeira, Magda Guerra, Ana P. Barbeiro O195 The therapeutic self-care as a
nursing-sensitive outcome: A correlational study Regina Ferreira O196

Phonetic-phonological acquisition for the European Portuguese from 18 months
to
6 years and 12 months Sara Lopes, Liliana Nunes, Ana Mendes O197 Quality of
life of
patients undergoing liver transplant surgery Julian Martins, Dulcineia
Schneider,
Marcia Kretzer, Flávio Magajewski O198 Professional competences in health:
views of
older people from different European Countries Célia Soares, António Marques
O199
Life satisfaction of working adults due to the number of hours of weekly
exercise
Marco Batista, Ruth J. Castuera, Helena Mesquita, António Faustino, Jorge
Santos,
Samuel Honório O200 Therapeutic itinerary of women with breast cancer in
Santa Maria
City/RS Betina P. Vizzotto, Leticia Frigo, Hedioneia F. Pivetta O201 The
breastfeeding prevalence at 4 months: Maternal experience as a determining
factor
Dolores Sardo O202 The impact of the transition to parenthood in health and
well-being Cristina Martins, Wilson Abreu, Mª Céu Figueiredo P96 Self-
determined
motivation and well-being in Portuguese active adults of both genders Marco
Batista,
Ruth Jimenez-Castuera, João Petrica, João Serrano, Samuel Honório, Rui Paulo,
Pedro
Mendes P97 The geriatric care: ways and means of comforting Patrícia Sousa,
Rita
Marques P98 The influence of relative age, subcutaneous adiposity and
physical
growth on Castelo Branco under-15 soccer players 2015 António Faustino, Paulo
Silveira, João Serrano, Rui Paulo, Pedro Mendes, Samuel Honório P99 Data for
the
diagnostic process focused on self-care – managing medication regime: An
integrative
literature review Catarina Oliveira, Fernanda Bastos, Inês Cruz P100 Art
therapy as
mental health promotion for children Cláudia K. Rodriguez, Márcia R. Kretzer,
Nazaré
O. Nazário P101 Chemical characterization of fungal chitosan for industrial
applications Pedro Cruz, Daniela C. Vaz, Rui B. Ruben, Francisco Avelelas,
Susana
Silva, Mª Jorge Campos P102 The impact of caring older people at home Maria
Almeida,
Liliana Gonçalves, Lígia Antunes P103 Development of the first pressure ulcer
in an
inpatient setting: Focus on patients’ characteristics Pedro Sardo, Jenifer
Guedes,
João Simões, Paulo Machado, Elsa Melo P104 Association between General Self-
efficacy
and Physical Activity among Adolescents Susana Cardoso, Osvaldo Santos, Carla
Nunes,
Isabel Loureiro O203 Characterization of the habits of online acquisition of
medicinal products in Portugal Flávia Santos, Gilberto Alves O204 Waiting
room – A
space for health education Cláudia Soar, Teresa O. Marsi O205 Safey culture
evaluation in hospitalized children Ernestina Silva, Dora Pedrosa, Andrea
Leça,
Daniel Silva O206 Sexual Self-awareness and Body Image Ana Galvão, Maria
Gomes,
Paula Fernandes, Ana Noné O207 Perception of a Portuguese population
regarding the
acquisition and consumption of functional foods Jaime Combadão, Cátia
Ramalhete,
Paulo Figueiredo, Patrícia Caeiro O208 The work process in primary health
care:
evaluation in municipalities of southern Brazil Karine C. Fontana, Josimari
T.
Lacerda, Patrícia O. Machado O209 Exploration and evaluation of potential
probiotic
lactic acid bacteria isolated from Amazon buffalo milk Raphaelle Borges,
Flávio
Barbosa, Dayse Sá O210 Road safety for children: Using children’s
observation, as a
passenger Germana Brunhoso, Graça Aparício, Amâncio Carvalho O211 Perception
and
application of quality-by-design by the Pharmaceutical industry in Portugal
Ana P.
Garcia, Paula O. Fernandes, Adriana Santos O212 Oral health among Portuguese
children and adolescents: a public health issue Nélio Veiga, Carina Brás,
Inês
Carvalho, Joana Batalha, Margarida Glória, Filipa Bexiga, Inês Coelho, Odete
Amaral,
Carlos Pereira O213 Plant species as a medicinal resource in Igatu-Chapada
Diamantina (Bahia, Brazil) Cláudia Pinho, Nilson Paraíso, Ana I. Oliveira,
Cristóvão
F. Lima, Alberto P. Dias O214 Characterization of cognitive and functional
performance in everyday tasks: Implications for health in institutionalised
older
adults Pedro Silva, Mário Espada, Mário Marques, Ana Pereira O215 BMI and the
perception of the importance given to sexuality in obese and overweight

people Ana
Mª Pereira, Mª Veiga-Branco, Filomena Pereira, Maria Ribeiro O216 Analysis
and
comparison of microbiological contaminations of two different composition
pacifiers
Vera Lima, Ana I. Oliveira, Cláudia Pinho, Graça Cruz, Rita F. Oliveira,
Luísa
Barreiros, Fernando Moreira O217 Experiences of couple relationships in the
transition to retirement Ana Camarneiro, Mª Helena Loureiro, Margarida Silva
O218
Preventive and corrective treatment of drug-induced calcium deficiency: an
analysis
in a community pharmacy setting Catarina Duarte, Ângelo Jesus, Agostinho Cruz
O219
Profile of mood states in physically active elderly subjects: Is there a
relation
with health perception? Maria Mota, Sandra Novais, Paulo Nogueira, Ana
Pereira, Lara
Carneiro, Paulo V. João O220 (Un)Safety behaviour at work: the role of
education
towards a health and safety culture Teresa Maneca Lima O221 Analysis of the
entrepreneurial profile of students attending higher education in Portugal:
the
Carland Entrepreneurship Index application Anabela Salgueiro-Oliveira, Marina
Vaquinhas, Pedro Parreira, Rosa Melo, João Graveto, Amélia Castilho, José H.
Gomes
O222 Evaluation of welfare and quality of life of pregnant working women
regarding
the age of the pregnant María S. Medina, Valeriana G. Blanco O223
Psychological
wellbeing protection among unemployed and temporary workers: Uncovering
effective
community-based interventions with a Delphi panel Osvaldo Santos, Elisa
Lopes, Ana
Virgolino, Alexandra Dinis, Sara Ambrósio, Inês Almeida, Tatiana Marques, Mª
João
Heitor O224 Chilean population norms derived from the Health-related quality
of life
SF-6D Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Pedro R. Olivares,
José A.
Parraça, José A. Sala O225 Motivation of college students toward
Entrepreneurship:
The influence of social and economic instability Amélia Castilho, João
Graveto,
Pedro Parreira, Anabela Oliveira, José H. Gomes, Rosa Melo, Marina Vaquinhas
O226
Use of aromatic and medicinal plants, drugs and herbal products in Bragança
city
Mónia Cheio, Agostinho Cruz, Olívia R. Pereira O227 Edible flowers as new
novel
foods concept for health promotion Sara Pinto, Adriana Oliveira, M. Conceição
Manso,
Carla Sousa, Ana F. Vinha O228 The influence of leisure activities on the
health and
welfare of older people living in nursing homes Mª Manuela Machado, Margarida
Vieira
O229 Risk of falling, fear of falling and functionality in community-dwelling
older
adults Beatriz Fernandes, Teresa Tomás, Diogo Quirino O230 Musculoskeletal
pain and
postural habits in children and teenage students Gustavo Desouzart, Rui
Matos,
Magali Bordini, Pedro Mouroço O231 What's different in Southern Europe? The
question
of citizens’ participation in health systems Ana R. Matos, Mauro Serapioni
O232
Occupational stress in Portuguese police officers Teresa Guimarães, Virgínia
Fonseca, André Costa, João Ribeiro, João Lobato O233 Is occupational therapy
culturally relevant to promote mental health in Burkina Faso? Inmaculada Z.
Martin,
Anita Björklund P105 Pay-for-performance satisfaction and quality in primary
care
Aida I. Tavares, Pedro Ferreira, Rui Passadouro P106 Economic development
through
life expectancy lenses Sónia Morgado P107 What is the effectiveness of
exercise on
smoking cessation to prevent clinical complications of smoking? Nuno Tavares,
João
Valente, Anabela C. Martins P108 A systematic review of the effects of yoga
on
mental health Patrícia Araújo, Rosina Fernandes, Francisco Mendes, Cátia
Magalhães,
Emília Martins P109 Healthy lifestyle: comparison between higher education
students
that lived until adult age in rural and urban environment Pedro Mendes, Rui
Paulo,
António Faustino, Helena Mesquita, Samuel Honório, Marco Batista P110
Evaluation of
the Mobile Emergency Care Service (SAMU) in Brazil Josimari T. Lacerda,
Angela B.
Ortiga, Mª Cristina Calvo, Sônia Natal P111 Bioactive compounds - antioxidant
activity of tropical fruits Marta Pereira P112 Use of non-pharmacological

methods to
relieve pain in labour Manuela Ferreira, Ana R. Prata, Paula Nelas, João
Duarte P113
Mechanical safety of pacifiers sold in Portuguese pharmacies and childcare
stores
Juliana Carneiro, Ana I. Oliveira, Cláudia Pinho, Cristina Couto, Rita F.
Oliveira,
Fernando Moreira P114 The importance of prenatal consultation: Information to
pregnant women given on a unit of primary care Ana S. Maia, Michelle T.

Oliveira,
Anderson R. Sousa, Paulo P. Ferreira, Géssica M. Souza, Lívia F. Almada,
Milena A.
Conceição, Eujcely C. Santiago P115 Influence of different backpack loading
conditions on neck and lumbar muscles activity of elementary school children
Sandra
Rodrigues, Gabriela Domingues, Irina Ferreira, Luís Faria, Adérito Seixas
P116
Efficacy and safety of dry extract Hedera helix in the treatment of
productive cough
Ana R. Costa, Ângelo Jesus, Américo Cardoso, Alexandra Meireles, Armanda
Colaço,
Agostinho Cruz P117 A portrait of the evaluation processes of education
groups in
primary health care Viviane L. Vieira, Kellem R. Vincha, Ana Mª Cervato-
Mancuso P118
Benefits of vitamins C and E in sensorineural hearing loss: a review Melissa
Faria,
Cláudia Reis P119 BODY SNAPSHOT – a web-integrated anthropometric evaluation
system
Marco P. Cova, Rita T. Ascenso, Henrique A. Almeida, Eunice G. Oliveira P120
Anthropometric evaluation and variation during pregnancy Miguel Santana,
Rafael
Pereira, Eunice G. Oliveira, Henrique A. Almeida, Rita T. Ascenso P121
Knowledge of
college students on the amendments of their eating habits and physical
activity
index in the transition to higher education Rita Jesus, Rodrigo Tapadas,
Carolina
Tim-Tim, Catarina Cezanne, Matilde Lagoa, Sara S. Dias, Jorge Torgal P122
Muscular
activity of a rally race car driver João Lopes, Henrique Almeida, Sandra
Amado, Luís
Carrão O234 Literacy and results in health Madalena Cunha, Luís Saboga-Nunes,
Carlos
Albuquerque, Olivério Ribeiro O235 Literacy promotion and empowerment of type
2
diabetics elderly in four family health units of the group of health centers
of Dão
Lafões Suzete Oliveira, Mª Carminda Morais O236 Mediterranean diet, health
and life
quality among Portuguese children Emília Martins, Francisco Mendes, Rosina
Fernandes, Cátia Magalhães, Patrícia Araújo O237 Health literacy, from data
to
action - translation, validation and application of the European Health
Literacy
Survey in Portugal (HLS-EU-PT) Ana R. Pedro, Odete Amaral, Ana Escoval O238
Oral
health literacy evaluation in a Portuguese military population Victor
Assunção,
Henrique Luís, Luís Luís O239 Preferences to Internet-based cognitive
behavioural
therapy – do attachment orientations matter? Jennifer Apolinário-Hagen,
Viktor
Vehreschild O240 A comparative transnational study in health literacy between
Austria and Portugal Ulrike Fotschl, Gerald Lirk, Anabela C. Martins, Isabel
Andrade, Fernando Mendes O241 Health literacy and social behaviours:
relationship
with sexually transmitted diseases? Verónica Mendonça, Sandra Antunes, Isabel
Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela
C.
Martins, Fernando Mendes O242 Parenting styles and attachment to parents:
what
relationships? Paula A. Silva, Lisete M. Mónico, Pedro M. Parreira, Carla
Carvalho
O243 Work-life balance in health professionals and professors: comparative
study of
workers with shift work and fixed schedule Carla Carvalho, Pedro M. Parreira,
Lisete
M. Mónico, Joana Ruivo O244 Technology literacy in self-management of
diabetes Vânia
Silva, Paulino Sousa, José M. Padilha O245 Satisfaction with therapeutic
education
and its relationship with clinical variables in children with type 1 diabetes
Vera
Ferraz, Graça Aparício, João Duarte O246 Nutrition-related knowledge in
middle-age
and older patients with type 2 diabetes Carlos Vasconcelos, António Almeida,
Joel
Neves, Telma Correia, Helena Amorim, Romeu Mendes O247 Validating the HLS-EU-
(PT)
questionnaire to measure health literacy in adolescents (CrAdLiSa project:
HLS-EU-PT) Luís Saboga-Nunes, Madalena Cunha, Carlos Albuquerque O248 Health
education in people with coronary heart disease: Experience of the cardiology
department of a hospital on the outskirts of Lisbon Elsa S. Pereira, Leonino

S.
Santos, Ana S. Reis, Helena R. Silva, João Rombo, Jorge C. Fernandes,
Patrícia
Fernandes O249 Information and training needs of informal caregivers of
individuals
with stroke sequelae: a qualitative survey Jaime Ribeiro, Catarina Mangas,
Ana
Freire O250 Prevention of psychoactive substances consumption in students
from 6th
grade of Albergaria-a-Velha´s School Group Sara Silva, Irene Francisco, Ana
Oliveira
O251 Promoting healthy sexuality: shared responsibility for family, youth and
educators Helena Catarino, Mª Anjos Dixe, Mª Clarisse Louro O252 Sexual risk
behaviour in adolescents and young people Saudade Lopes, Anjos Dixe O253
Knowledge
of school staff on type 1 diabetes Mª Anjos Dixe, Eva Menino, Helena
Catarino,
Fátima Soares, Ana P. Oliveira, Sara Gordo, Teresa Kraus O254 Sexual health
in
adolescents: the impact of information search in literacy Catarina Tomás,
Paulo
Queirós, Teresa Rodrigues P123 Improving basic life support skills in
adolescents
through a training programme Pedro Sousa, João G. Frade, Catarina Lobão P124
Difficulties in sexual education reported by basic education teachers in the
city of
Foz do Iguaçu - Brazil Cynthia B. Moura, Laysa C. Dreyer, Vanize Meneghetti,
Priscila P. Cabral P125 Breast cancer survivors: subjects and resources for
information. A qualitative systematic review Francisca Pinto, Paulino Sousa,
Mª
Raquel Esteves P126 Relationship between health literacy and prevalence of
STI in
Biomedical Laboratory Science students Sofia Galvão, Ite Tytgat, Isabel
Andrade,
Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C.
Martins,
Fernando Mendes P127 Health literacy, risk behaviours and sexually
transmitted
diseases among blood donors Mónica Casas-Novas, Helena Bernardo, Isabel
Andrade,
Gracinda Sousa, Ana P. Sousa, Clara Rocha, Pedro Belo, Nádia Osório, Ana
Valado,
Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes P128
Promoting
literacy in pregnancy health-care Fátima Martins, Montserrat Pulido-Fuentes
P129 The
lifestyles of the operating assistants of education Isabel Barroso, Gil
Cabral, M.
João Monteiro, Conceição Rainho P130 Experiences of service-learning health
and the
literary art: reflections about the health education Alessandro Prado, Yara
M.
Carvalho P131 Life long swimming – a European Erasmus + project Maria Campos,
Liliana Moreira, José Ferreira, Ana Teixeira, Luís Rama
FAU - Tomás, Catarina Cardoso
AU - Tomás CC
AD - Health Sciences Research Unit: Nursing, Collegue of College of Health
Technology of
Coimbra, Coimbra, Portugal
FAU - Oliveira, Emanuel
AU - Oliveira E
AD - Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa
Isabel, Coimbra, Portugal

AD - Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and
Physical Education, University of Coimbra, Coimbra, Portugal
FAU - Sousa, D
AU - Sousa D
AD - Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa
Isabel, Coimbra, Portugal

FAU - Uba-Chupel, M
AU - Uba-Chupel M
FAU - Furtado, G
AU - Furtado G
FAU - Rocha, C
AU - Rocha C
AD - Complementary Sciences- INESCC, Coimbra, Portugal
FAU - Teixeira, A
AU - Teixeira A
FAU - Ferreira, P
AU - Ferreira P
FAU - Alves, Celeste
AU - Alves C
AD - CUF Hospitals, Lisbon, Portugal
AD - Breast Unit, Champalimaud Clinical Center, Lisbon, Portugal
FAU - Gisin, Stefan
AU - Gisin S
AD - Swiss Centre for Medical Simulation & Swiss Association of Simulation in
Healthcare,
4031 Basel, Switzerland
AD - Basel University Hospital, 4056 Basel, Switzerland
FAU - Catarino, Elisabete
AU - Catarino E
AD - HELPO Association, 2750-318 Cascais, Portugal
FAU - Carvalho, Nelma
AU - Carvalho N
FAU - Coucelo, Tiago
AU - Coucelo T
FAU - Bonfim, Luís
AU - Bonfim L
FAU - Silva, Carina
AU - Silva C
FAU - Franco, Débora
AU - Franco D
AD - Centro de Linguística, Universidade de Lisboa, Lisboa, Portugal
FAU - González, Jesús Alcoba
AU - González JA
AD - Centro Superior de Estudios Universitarios La Salle, Madrid, Spain
FAU - Jardim, Helena G
AU - Jardim HG
AD - Universidade da Madeira, 9000-082 Funchal, Portugal
FAU - Silva, Rita
AU - Silva R
AD - Serviço de Saúde da Região Autónoma da Madeira, E.P.E., 9004-514 Funchal,
Portugal
FAU - Baixinho, Cristina L
AU - Baixinho CL
AD - Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal
FAU - Presado, Mª Helena
AU - Presado MªH
FAU - Marques, Mª Fátima
AU - Marques MªF
FAU - Cardoso, Mário E
AU - Cardoso ME
FAU - Cunha, Marina
AU - Cunha M
AD - Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra Portugal
FAU - Mendes, Joana
AU - Mendes J
FAU - Xavier, Ana
AU - Xavier A
AD - Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo
Comportamental,
Universidade de Coimbra, Coimbra, 3001-802 Portugal
FAU - Galhardo, Ana
AU - Galhardo A
FAU - Couto, Margarida
AU - Couto M
FAU - Frade, João G
AU - Frade JG
AD - Escola Superior de Saúde de Leiria & Unidade de Investigação em Saúde,
Instituto
Politécnico de Leiria, 2411-901 Leiria, Portugal
FAU - Nunes, Carla
AU - Nunes C
AD - National School of Public Health & Centro de Investigação em Saúde Pública,
Universidade Nova de Lisboa, 1600-560 Lisboa, Portugal
FAU - Mesquita, João R
AU - Mesquita JR
AD - Agrarian Superior School, Polytechnic Institute of Viseu, 3500-606 Viseu,
Portugal
FAU - Nascimento, Maria S
AU - Nascimento MS
AD - Laboratory of Microbiology, Department of Biological Sciences, Faculty of
Pharmacy,
University of Porto, 4050-313 Porto, Portugal
FAU - Gonçalves, Guilherme
AU - Gonçalves G
AD - Unit for Multidisciplinary Biomedical Research, Institute of Biomedical
Sciences
Abel Salazar, University of Porto, 4050-313 Porto, Portugal
FAU - Castro, Conceição
AU - Castro C
AD - Agrupamento de Centros de Saúde (ACES) Baixo Mondego, 3080-199 Figueira da
Foz,
Portugal
FAU - Mártires, Alice
AU - Mártires A
AD - Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal
FAU - Monteiro, Mª João
AU - Monteiro MªJ
FAU - Rainho, Conceição
AU - Rainho C
FAU - Caballero, Francisco P
AU - Caballero FP
AD - Centro de Salud La Paz, Badajoz, 06011 Badajoz España
FAU - Monago, Fatima M
AU - Monago FM
AD - Centro de Salud San Fernando, Badajoz, 06006 Badajoz España
FAU - Guerrero, Jose T
AU - Guerrero JT
AD - Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz España
FAU - Monago, Rocio M
AU - Monago RM
AD - Hospital Don Benito-Villanueva, Don Benito, 06400 Badajoz España
FAU - Trigo, Africa P
AU - Trigo AP
AD - Hospital Don Benito-Villanueva, Don Benito, 06400 Badajoz España
FAU - Gutierrez, Milagros L
AU - Gutierrez ML
FAU - Milanés, Gemma M
AU - Milanés GM
FAU - Reina, Mercedes G
AU - Reina MG
FAU - Villanueva, Ana G
AU - Villanueva AG
AD - Centro de Salud Villanueva Norte, Villanueva de la Serena, 06700 Badajoz
España
FAU - Piñero, Ana S
AU - Piñero AS
AD - Centro de Salud Gevora, 06180 Gévora, Badajoz España
FAU - Aliseda, Isabel R
AU - Aliseda IR
FAU - Ramirez, Francisco B
AU - Ramirez FB
FAU - Ribeiro, Andrea
AU - Ribeiro A
AD - Universidade Fernando Pessoa, Porto, 4249-004 Portugal
FAU - Quelhas, Ana
AU - Quelhas A
FAU - Manso, Conceição
AU - Manso C
AU - Caballero FP
AD - Centro de Salud La Paz, Badajoz, 06011 España
FAU - Guerrero, Jose T
AU - Guerrero JT
FAU - Monago, Fatima M
AU - Monago FM
FAU - Santos, Rafael B
AU - Santos RB
AD - Universidad de Extremadura, Badajoz, 06071 Badajoz España
FAU - Jimenez, Nuria R
AU - Jimenez NR
FAU - Nuñez, Cristina G
AU - Nuñez CG
FAU - Gomez, Inmaculada R
AU - Gomez IR
FAU - Fernandez, Mª Jose L
AU - Fernandez MªJL
FAU - Marquez, Laura A
AU - Marquez LA
FAU - Moreno, Ana L
AU - Moreno AL
FAU - Huertas, Mª Jesus Tena
AU - Huertas MªJT
FAU - Ramirez, Francisco B
AU - Ramirez FB
FAU - Seabra, Daniel
AU - Seabra D
AD - Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra,
3001-802 Coimbra Portugal

FAU - Salvador, Mª Céu
AU - Salvador MªC

FAU - Braga, Luciene
AU - Braga L
AD - Universidade Federal de Viçosa, Viçosa, Minas Gerais 36570-900 Brasil
FAU - Parreira, Pedro
AU - Parreira P
AD - Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal
FAU - Salgueiro-Oliveira, Anabela
AU - Salgueiro-Oliveira A
FAU - Arreguy-Sena, Cristina
AU - Arreguy-Sena C
AD - Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais 36036-330
Brasil
FAU - Oliveira, Bibiana F
AU - Oliveira BF
AD - Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal
FAU - Henriques, Mª Adriana
AU - Henriques MªA
FAU - Santos, Joana
AU - Santos J
AD - School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal
FAU - Lebre, Sara
AU - Lebre S
FAU - Marques, Alda
AU - Marques A
FAU - Festas, Clarinda
AU - Festas C
AD - Universidade Fernando Pessoa, 4249-004 Porto, Portugal
FAU - Rodrigues, Sandra
AU - Rodrigues S
FAU - Ribeiro, Andrea
AU - Ribeiro A
FAU - Lumini, José
AU - Lumini J
FAU - Figueiredo, Ana G
AU - Figueiredo AG
AD - Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo
Branco,
6000-767 Castelo Branco, Portugal
FAU - Hernandez-Martinez, Francisco J
AU - Hernandez-Martinez FJ
AD - Cabildo de Lanzarote, 35500 Arrecife, Lanzarote, Las Palmas España
FAU - Campi, Liliana
AU - Campi L
AD - Servicio Canario de la Salud, 35500 Arrecife, Lanzarote, Las Palmas España
FAU - Quintana-Montesdeoca, Mª Pino
AU - Quintana-Montesdeoca MªP
AD - Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria,
Las
Palmas España
FAU - Jimenez-Diaz, Juan F
AU - Jimenez-Diaz JF
Las
Palmas España
FAU - Rodriguez-De-Vera, Bienvenida C
AU - Rodriguez-De-Vera BC
Las
Palmas España
FAU - Parente, Alexandra
AU - Parente A
AD - Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121
Bragança,
Portugal
FAU - Mata, Mª Augusta
AU - Mata MªA
Bragança,
Portugal
FAU - Pereira, Ana Mª
AU - Pereira AMª
Bragança,
Portugal
FAU - Fernandes, Adília
AU - Fernandes A
Bragança,
Portugal
FAU - Brás, Manuel
AU - Brás M
Bragança,
Portugal
FAU - Pinto, Mª Rosário
AU - Pinto MªR
AD - Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal
AU - Parreira P
AD - Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal
FAU - Basto, Marta L
AU - Basto ML
AD - Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal
FAU - Rei, Ana C
AU - Rei AC
AD - Hospital Distrital de Santarém, EPE, Santarém, 2005-177 Portugal
FAU - Mónico, Lisete M
AU - Mónico LM
AD - Universidade de Coimbra, 3004-504 Coimbra, Portugal
FAU - Sousa, Gilberta
AU - Sousa G
FAU - Morna, Clementina
AU - Morna C
FAU - Freitas, Otília
AU - Freitas O
FAU - Freitas, Gregório
AU - Freitas G
FAU - Jardim, Ana
AU - Jardim A
FAU - Vasconcelos, Rita
AU - Vasconcelos R
FAU - Horta, Lina G
AU - Horta LG
AD - Federal University of Rio Grande do Sul, Porto Alegre Rio Grande do Sul,
90050-170
Brasil
FAU - Rosa, Roger S
AU - Rosa RS
90050-170
Brasil
FAU - Kranz, Luís F
AU - Kranz LF
90050-170
Brasil
FAU - Nugem, Rita C
AU - Nugem RC
90050-170
Brasil
FAU - Siqueira, Mariana S
AU - Siqueira MS
90050-170
Brasil
FAU - Bordin, Ronaldo
AU - Bordin R
90050-170
Brasil
FAU - Kniess, Rosiane
AU - Kniess R
AD - Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil
FAU - Lacerda, Josimari T
AU - Lacerda JT
FAU - Guedes, Joana
AU - Guedes J
AD - Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora,
Portugal
FAU - Machado, Idalina
AU - Machado I
Portugal
FAU - Almeida, Sidalina
AU - Almeida S
Portugal
FAU - Zilhão, Adriano
AU - Zilhão A
Portugal
FAU - Alves, Helder
AU - Alves H
Portugal
FAU - Ribeiro, Óscar
AU - Ribeiro Ó
Portugal
FAU - Amaral, Ana P
AU - Amaral AP
AD - Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo,
3046-854
Coimbra, Portugal
FAU - Santos, Ana
AU - Santos A
3046-854
Coimbra, Portugal
FAU - Monteiro, Joana
AU - Monteiro J
3046-854
Coimbra, Portugal
FAU - Rocha, Mª Clara
AU - Rocha MªC
3046-854
Coimbra, Portugal
FAU - Cruz, Rui
AU - Cruz R
3046-854
Coimbra, Portugal
FAU - Amaral, Ana P
AU - Amaral AP
3046-854
Coimbra, Portugal
FAU - Lourenço, Marina
AU - Lourenço M
3046-854
Coimbra, Portugal
FAU - Rocha, Mª Clara
AU - Rocha MªC
3046-854
Coimbra, Portugal
FAU - Cruz, Rui
AU - Cruz R
3046-854
Coimbra, Portugal
FAU - Antunes, Sandra
AU - Antunes S
3046-854
Coimbra, Portugal
FAU - Mendonça, Verónica
AU - Mendonça V
3046-854
Coimbra, Portugal
FAU - Andrade, Isabel
AU - Andrade I
3046-854
Coimbra, Portugal
FAU - Osório, Nádia
AU - Osório N
3046-854
Coimbra, Portugal
FAU - Valado, Ana
AU - Valado A
3046-854
Coimbra, Portugal
FAU - Caseiro, Armando
AU - Caseiro A
3046-854
Coimbra, Portugal
FAU - Gabriel, António
AU - Gabriel A
3046-854
Coimbra, Portugal
FAU - Martins, Anabela C
AU - Martins AC
3046-854
Coimbra, Portugal
FAU - Mendes, Fernando
AU - Mendes F
3046-854
Coimbra, Portugal
FAU - Cabral, Lídia
AU - Cabral L
AD - Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu,
Portugal
FAU - Ferreira, Manuela
AU - Ferreira M
Portugal
FAU - Gonçalves, Amadeu
AU - Gonçalves A
Portugal
FAU - Luz, Tatiana D
AU - Luz TD
AD - Universidade Federal de Alagoas, Maceió, Alagoas, 57072-900 Brasil
FAU - Luz, Leonardo
AU - Luz L
AD - Universidade Federal de Alagoas, Maceió, Alagoas, 57072-900 Brasil
FAU - Martins, Raul
AU - Martins R
AD - Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra,
3040-248 Coimbra, Portugal

FAU - Morgado, Alice
AU - Morgado A
3000-115 Portugal
FAU - Vale-Dias, Maria L
AU - Vale-Dias ML
3000-115 Portugal
FAU - Porta-Nova, Rui
AU - Porta-Nova R
AD - Escola Superior da Saúde da Cruz Vermelha Portuguesa, Lisboa, 1300-125
Portugal
FAU - Fleig, Tânia C
AU - Fleig TC
AD - Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul
96815-900
Brasil
FAU - Reuter, Éboni M
AU - Reuter ÉM
96815-900
Brasil
FAU - Froemming, Miriam B
AU - Froemming MB
96815-900
Brasil
FAU - Guerreiro, Sabrina L
AU - Guerreiro SL
96815-900
Brasil
FAU - Carvalho, Lisiane L
AU - Carvalho LL
96815-900
Brasil
FAU - Guedelha, Daniel
AU - Guedelha D
Branco,
FAU - Coelho, P
AU - Coelho P
Branco,
FAU - Pereira, A
AU - Pereira A
Branco,
FAU - Calha, António
AU - Calha A
AD - Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal
FAU - Cordeiro, Raul
AU - Cordeiro R
FAU - Gonçalves, Ana
AU - Gonçalves A
AD - Instituto Politécnico de Bragança, Bragança, 5300-121 Portugal
FAU - Certo, Ana
AU - Certo A
FAU - Galvão, Ana
AU - Galvão A
AU - Mata MªA
FAU - Welter, Aline
AU - Welter A
AD - Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina 88137-270
Brasil
FAU - Pereira, Elayne
AU - Pereira E
Brasil
FAU - Ribeiro, Sandra
AU - Ribeiro S
AD - Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina 88132-149
Brasil
FAU - Kretzer, Marcia
AU - Kretzer M
Brasil
FAU - Jiménez-Díaz, Juan-Fernando
AU - Jiménez-Díaz JF
Las
Palmas España
FAU - Jiménez-Rodríguez, Carla
AU - Jiménez-Rodríguez C
Las
Palmas España
FAU - Hernández-Martínez, Francisco-José
AU - Hernández-Martínez FJ
AD - Cabildo de Lanzarote, 35500 Lanzarote, Las Palmas España
FAU - Rodríguez-De-Vera, Bienvenida-Del-Carmen
AU - Rodríguez-De-Vera BDC
Las
Palmas España
FAU - Marques-Rodrigues, Alexandre
AU - Marques-Rodrigues A
AD - Universidade de Aveiro, 3810-193 Aveiro, Portugal
FAU - Coelho, Patrícia
AU - Coelho P
AD - Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767 Portugal
FAU - Bernardes, Tiago
AU - Bernardes T
FAU - Pereira, Alexandre
AU - Pereira A
FAU - Sousa, Patrícia
AU - Sousa P
Brasil
FAU - Filho, João G
AU - Filho JG
Brasil
FAU - Nazario, Nazare
AU - Nazario N
Brasil
AU - Kretzer M
Brasil
FAU - Amaral, Odete
AU - Amaral O
AD - Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de
Viseu,
3504-510 Viseu, Portugal
FAU - Garrido, António
AU - Garrido A
AD - Casa de Saúde de São Mateus, Viseu, 3500-106 Portugal
FAU - Veiga, Nélio
AU - Veiga N
AD - Universidade Católica Portuguesa, Viseu, 3504-505 Portugal
FAU - Nunes, Carla
AU - Nunes C
AD - Escola Nacional de Saúde Pública, Lisboa, 1600-560 Portugal
FAU - Pedro, Ana R
AU - Pedro AR
FAU - Pereira, Carlos
AU - Pereira C
Viseu,
FAU - Almeia, António
AU - Almeia A
AD - Research Centre Sports Sciences, Health Sciences and Human Development,
University
of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal
FAU - Fernandes, Helder M
AU - Fernandes HM
University
FAU - Vasconcelos, Carlos
AU - Vasconcelos C
University
AD - Polytechnic Institute of Viseu, Viseu, 3504-510 Portugal
FAU - Sousa, Nelson
AU - Sousa N
University
FAU - Reis, Victor M
AU - Reis VM
University
FAU - Monteiro, M João
AU - Monteiro MJ
University
FAU - Mendes, Romeu
AU - Mendes R
University
AD - Unidade de Saúde Pública do ACES Douro I—Marão e Douro Norte, Administração
Regional
de Saúde do Norte, IP, 5000-524 Vila Real, Portugal
FAU - Pinto, Isabel C
AU - Pinto IC
AD - Núcleo de Investigação e Intervenção no Idoso, Departamento de Tecnologias de
Diagnóstico e Terapêutica, Escola Superior de Saúde, Instituto Politécnico de
Bragança, Bragança, 5300-253 Portugal

FAU - Pires, Tânia
AU - Pires T
AD - Centro de Investigação de Montanha, Escola Superior Agrária, Instituto
Politécnico
de Bragança, 5300-253 Bragança, Portugal
FAU - Gama, João
AU - Gama J
Bragança,
Portugal
FAU - Preto, Vera
AU - Preto V
AD - Programa de Prevenção e Controlo de Infeções e de Resistência aos
Antimicrobianos,
Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Portugal
FAU - Silva, Norberto
AU - Silva N
AD - Departamento de Urgência e Emergência Unidade, Unidade Local de Saúde do
Nordeste,
Bragança, 5301-852 Portugal
FAU - Magalhães, Carlos
AU - Magalhães C
AD - Departamento de Enfermagem, Escola Superior de Saúde, Instituto Politécnico
de
Bragança, 5300-121 Bragança, Portugal
FAU - Martins, Matilde
AU - Martins M
AD - Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano,
Departamento de
Enfermagem, Escola Superior de Saúde, Instituto Politécnico de Bragança,
5300-121
Bragança, Portugal
FAU - Duarte, Mafalda
AU - Duarte M
AD - Health Superior School of Alto Ave, 4830-345 Póvoa de Lanhoso, Portugal
FAU - Paúl, Constança
AU - Paúl C
AD - Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de
Ciências
Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal
AD - Center for Health Technology and Services Research, Faculdade de Medicina,
Universidade do Porto, 4200-450 Porto, Portugal
FAU - Martín, Ignácio
AU - Martín I
FAU - Pinheiro, Arminda A
AU - Pinheiro AA
AD - Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057
Portugal
FAU - Xavier, Sandra
AU - Xavier S
AD - Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
FAU - Azevedo, Julieta
AU - Azevedo J
FAU - Bento, Elisabete
AU - Bento E
FAU - Marques, Cristiana
AU - Marques C
FAU - Marques, Mariana
AU - Marques M
AD - Centro de responsabilidade integrado, Serviço Psiquiatria, Centro Hospitalar
e
Universitário de Coimbra, 3000-354 Coimbra, Portugal
FAU - Macedo, António
AU - Macedo A
AD - Centro de responsabilidade integrado, Serviço Psiquiatria, Centro Hospitalar
e
Universitário de Coimbra, 3000-354 Coimbra, Portugal
FAU - Pereira, Ana T
AU - Pereira AT
FAU - Almeida, José P
AU - Almeida JP
AD - University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal
FAU - Almeida, António
AU - Almeida A
University
FAU - Alves, Josiane
AU - Alves J
FAU - Sousa, Nelson
AU - Sousa N
University
FAU - Saavedra, Francisco
AU - Saavedra F
University
FAU - Mendes, Romeu
AU - Mendes R
University
AD - Unidade de Saúde Pública, ACES Douro I, Marão e Douro Norte, Administração
Regional
de Saúde do Norte, 5000-524 Vila Real, Portugal
FAU - Maia, Ana S
AU - Maia AS
AD - Faculdade Nobre, Feira de Santana, Bahia 44001-008 Brasil
FAU - Oliveira, Michelle T
AU - Oliveira MT
FAU - Sousa, Anderson R
AU - Sousa AR
FAU - Ferreira, Paulo P
AU - Ferreira PP
AD - Secretaria de Saúde do Estado da Bahia, Salvador, Bahia 41745-900 Brasil
FAU - Lopes, Luci S
AU - Lopes LS
FAU - Santiago, Eujcely C
AU - Santiago EC
AD - Hospital Estadual da Criança, Vila Valqueire, Rio de Janeiro Brasil
FAU - Monteiro, Sílvia
AU - Monteiro S
AD - Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-
330
Vila Nova de Gaia, Portugal
FAU - Jesus, Ângelo
AU - Jesus Â
330
FAU - Colaço, Armanda
AU - Colaço A
330
AD - Centro Hospitalar de São João, EPE, Porto, 4200-319 Porto Portugal
FAU - Carvalho, António
AU - Carvalho A
330
AD - Centro Hospitalar de São João, EPE, Porto, 4200-319 Porto Portugal
FAU - Silva, Rita P
AU - Silva RP
330
AD - Unidade Local de Saúde de Matosinhos, EPE, 4454 509 Senhora da Hora, Portugal
FAU - Cruz, Agostinho
AU - Cruz A
330
FAU - Ferreira, Ana
AU - Ferreira A
AD - College of Health Technology, Polytechnic Institute of Coimbra, São Martinho
do
Bispo, 3046-854 Coimbra, Portugal
FAU - Marques, Catarina
AU - Marques C
do
FAU - Figueiredo, João P
AU - Figueiredo JP
do
FAU - Paixão, Susana
AU - Paixão S
do
FAU - Ferreira, Ana
AU - Ferreira A
do
FAU - Lopes, Carla
AU - Lopes C
do
FAU - Moreira, Fernando
AU - Moreira F
do
AU - Figueiredo JP
do
FAU - Ferreira, Ana
AU - Ferreira A
do
FAU - Ribeiro, Diana
AU - Ribeiro D
do
AU - Moreira F
do
AU - Figueiredo JP
do
FAU - Paixão, Susana
AU - Paixão S
do
FAU - Fernandes, Telma
AU - Fernandes T
AD - Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901
Leiria, Portugal
FAU - Amado, Diogo
AU - Amado D
Leiria, Portugal
FAU - Leal, Jéssica
AU - Leal J
Leiria, Portugal
FAU - Azevedo, Marcelo
AU - Azevedo M
Leiria, Portugal
FAU - Ramalho, Sónia
AU - Ramalho S
Leiria, Portugal
AD - School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria,
Portugal
FAU - Mangas, Catarina
AU - Mangas C
AD - Unidade de Investigação Inclusão e Acessibilidade em Acção “iACT” e Escola
Superior
Educação e Ciências Sociais, Instituto Politécnico de Leiria, 2411-901
Leiria,
Portugal
FAU - Ribeiro, Jaime
AU - Ribeiro J
AD - Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria eCADR&
Centro
de Investigação Didática e Tecnologia na Formação de Formadores, Universidade
de
Aveiro, 3810-193 Aveiro, Portugal
FAU - Gonçalves, Rita
AU - Gonçalves R
AD - Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal
FAU - Nunes, Amélia F
AU - Nunes AF
AD - Universidade da Beira Interior, Covilhã, 6201-001 Portugal
FAU - Tuna, Ana R
AU - Tuna AR
FAU - Martins, Carlos R
AU - Martins CR
AD - Unidade de Saúde Pública, Agrupamento de Centros de Saúde Cova da Beira,
6200-251
Covilhã, Portugal
FAU - Forte, Henriqueta D
AU - Forte HD
AD - Unidade de Saúde Pública, Agrupamento de Centros de Saúde Cova da Beira,
6200-251
Covilhã, Portugal
FAU - Costa, Cláudia
AU - Costa C
AD - Centre of Studies on Geography and Spatial Planning, University of Coimbra,
3000-043
Coimbra, Portugal
FAU - Tenedório, José A
AU - Tenedório JA
AD - Research Centre for Geography and Regional Planning, Universidade Nova de
Lisboa,
1069-061 Lisboa, Portugal
FAU - Santana, Paula
AU - Santana P
AD - Centre of Studies on Geography and Spatial Planning, University of Coimbra,
3000-043
Coimbra, Portugal
FAU - Andrade, J A
AU - Andrade JA
AD - Biomedical Sciences Department, Paulista University, São Paulo, 04026-002
Brazil
FAU - Pinto, J L
AU - Pinto JL
AD - Pharmacy Department, Paulista University, São Paulo, 04026-002 Brazil
FAU - Campofiorito, C
AU - Campofiorito C
Brazil
FAU - Nunes, S
AU - Nunes S
Brazil
FAU - Carmo, A
AU - Carmo A
AD - Pharmacy Department, Paulista University, São Paulo, 04026-002 Brazil
FAU - Kaliniczenco, A
AU - Kaliniczenco A
Brazil
FAU - Alves, B
AU - Alves B
AD - Molecular Laboratory of Diagnosis, ABC Medical School, Santo André, São Paulo
09080-650 Brazil
FAU - Mendes, F
AU - Mendes F
AD - Biomedical Science Department, College of Health Technology of Coimbra,
Polytechnic
Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal
FAU - Jesus, C
AU - Jesus C
Polytechnic
FAU - Fonseca, F
AU - Fonseca F
AD - Molecular Laboratory of Diagnosis, ABC Medical School, Santo André, São Paulo
09080-650 Brazil
FAU - Gehrke, F
AU - Gehrke F
Brazil
FAU - Albuquerque, Carlos
AU - Albuquerque C
Portugal
FAU - Batista, Rita
AU - Batista R
AD - Hospital Sousa Martins, 6300-858 Guarda, Portugal
FAU - Cunha, Madalena
AU - Cunha M
Portugal
FAU - Madureira, António
AU - Madureira A
Portugal
FAU - Ribeiro, Olivério
AU - Ribeiro O
Portugal
FAU - Martins, Rosa
AU - Martins R
Portugal
FAU - Madeira, Teresa
AU - Madeira T
AD - Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina,
Universidade de Lisboa, 1649-028 Lisboa, Portugal
AD - Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa,
AD - Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal
FAU - Peixoto-Plácido, Catarina
AU - Peixoto-Plácido C
FAU - Santos, Nuno
AU - Santos N
FAU - Santos, Osvaldo
AU - Santos O
FAU - Bergland, Astrid
AU - Bergland A
AD - Oslo and Akershus University College of Applied Sciences, 0167 Oslo, Norway
FAU - Bye, Asta
AU - Bye A
AD - Oslo and Akershus University College of Applied Sciences, 0167 Oslo, Norway
FAU - Lopes, Carla
AU - Lopes C
FAU - Alarcão, Violeta
AU - Alarcão V
FAU - Goulão, Beatriz
AU - Goulão B
FAU - Mendonça, Nuno
AU - Mendonça N
AD - Newcastle University Institute for Ageing, Newcastle upon Tyne, NE4 5PL
United
Kingdom
FAU - Nicola, Paulo
AU - Nicola P
FAU - Clara, João G
AU - Clara JG
FAU - Gomes, João
AU - Gomes J
AD - Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria,
Portugal
Portugal
FAU - Querido, Ana
AU - Querido A
Portugal
FAU - Tomás, Catarina
AU - Tomás C
Portugal
FAU - Carvalho, Daniel
AU - Carvalho D
Portugal
Portugal
FAU - Cordeiro, Marina
AU - Cordeiro M
Portugal
FAU - Rosa, Marlene C
AU - Rosa MC
AD - Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193
Aveiro,
Portugal
FAU - Marques, Alda
AU - Marques A
FAU - Brandão, Daniela
AU - Brandão D
Ciências
AD - Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal
AU - Ribeiro Ó
Ciências
AD - Instituto Superior De Serviço Social Do Porto, 44600-362 Sra. da Hora,
Portugal
FAU - Araújo, Lia
AU - Araújo L
Ciências
AD - Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal
AU - Paúl C
Ciências
FAU - Minghelli, Beatriz
AU - Minghelli B
AD - Research in Education and Community Intervention, Escola Superior de Saúde
Jean
Piaget, Silves, 8300-025 Portugal
AD - Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal
FAU -
Richaud, Sylvina
AU -
Richaud S
AD -
Escola Superior de Saúde Jean Piaget, Silves, 8300-025 Portugal
FAU -
Mendes, Ana L
AU -
Mendes AL
AD -
Cognitive and Behavioural Centre for Research and Intervention, Faculty of
Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra,
Portugal
FAU - Marta-Simões, Joana
AU - Marta-Simões J
AD - Cognitive and Behavioural Centre for Research and Intervention, Faculty of
Portugal
FAU - Trindade, Inês A
AU - Trindade IA
Portugal
FAU - Ferreira, Cláudia
AU - Ferreira C
Portugal
FAU - Carvalho, Teresa
AU - Carvalho T
AD - Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-
Comportamental,
Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra,
3001-802
Coimbra, Portugal
AD - Instituto Superior Miguel Torga, Coimbra, 3000-132 Portugal
FAU - Cunha, Marina
AU - Cunha M
Comportamental,
3001-802
Coimbra, Portugal
FAU - Pinto-Gouveia, José
AU - Pinto-Gouveia J
Comportamental,
3001-802
Coimbra, Portugal
FAU - Fernandes, Morgana C
AU - Fernandes MC
AD - Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul
90050-170
Brasil
FAU - Rosa, Roger S
AU - Rosa RS
90050-170
Brasil
FAU - Nugem, Rita C
AU - Nugem RC
90050-170
Brasil
FAU - Kranz, Luís F
AU - Kranz LF
90050-170
Brasil
FAU - Siqueira, Mariana S
AU - Siqueira MS
90050-170
Brasil
FAU - Bordin, Ronaldo
AU - Bordin R
90050-170
Brasil
AU - Martins AC
3046-854
Coimbra, Portugal
FAU - Medeiros, Anabela
AU - Medeiros A
AD - Municipality of Nordeste, 9630 Nordeste, Azores Portugal
FAU - Pimentel, Rafaela
AU - Pimentel R
FAU - Fernandes, Andreia
AU - Fernandes A
FAU - Mendonça, Carlos
AU - Mendonça C
AU - Andrade I
3046-854
Coimbra, Portugal
FAU - Andrade, Susana
AU - Andrade S
3046-854
Coimbra, Portugal
FAU - Menezes, Ruth L
AU - Menezes RL
AD - University of Brasilia, Brasília, Distrito Federal 70910-900 Brasil
FAU - Bravo, Rafael
AU - Bravo R
AD - Universidad de Extremadura, Badajoz, 06071 España
FAU - Miranda, Marta
AU - Miranda M
AD - Chrononutrition Laboratory, Department of Physiology, Faculty of Science,
University
of Extremadura, Badajoz, 06071 España
FAU - Ugartemendia, Lierni
AU - Ugartemendia L
University
FAU - Tena, José Mª
AU - Tena JMª
AD - Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz,
06080
Badajoz, España
FAU - Pérez-Caballero, Francisco L
AU - Pérez-Caballero FL
FAU - Fuentes-Broto, Lorena
AU - Fuentes-Broto L
AD - Aragon Institute for Health Research, Zaragoza, 50009 España
FAU - Rodríguez, Ana B
AU - Rodríguez AB
University
FAU - Carmen, Barriga
AU - Carmen B
University
FAU - Carneiro, M A
AU - Carneiro MA
AD - ABC Medical School, Santo André, São Paulo 09210-180 Brazil
FAU - Domingues, J N
AU - Domingues JN
AD - Department of Complementary Sciences, College of Health Technology of
Coimbra,
Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra,
Portugal
FAU - Paixão, S
AU - Paixão S
Coimbra,
Portugal
FAU - Figueiredo, J
AU - Figueiredo J
Coimbra,
Portugal
FAU - Nascimento, V B
AU - Nascimento VB
FAU - Jesus, C
AU - Jesus C
Polytechnic
FAU - Mendes, F
AU - Mendes F
Polytechnic
FAU - Gehrke, F
AU - Gehrke F
Brazil
FAU - Alves, B
AU - Alves B
FAU - Azzalis, L
AU - Azzalis L
AD - Federal University of São Paulo, Diadema campus, Diadema, São Paulo 09913-030
Brazil
FAU - Fonseca, F
AU - Fonseca F
FAU - Martins, Ana R
AU - Martins AR
FAU - Nunes, Amélia
AU - Nunes A
FAU - Jorge, Arminda
AU - Jorge A
AD - Centro Hospitalar Cova da Beira, Covilhã, 6200-251 Portugal
FAU - Veiga, Nélio
AU - Veiga N
AD - Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu,
3504-505
Portugal
AD - Centro de Investigação Interdisciplinar em Saúde, Universidade Católica
Portuguesa,
FAU - Amorim, Ana
AU - Amorim A
3504-505
Portugal
FAU - Silva, André
AU - Silva A
3504-505
Portugal
FAU - Martinho, Liliana
AU - Martinho L
3504-505
Portugal
FAU - Monteiro, Luís
AU - Monteiro L
3504-505
Portugal
FAU - Silva, Rafael
AU - Silva R
3504-505
Portugal
FAU - Coelho, Carina
AU - Coelho C
3504-505
Portugal
FAU - Amaral, Odete
AU - Amaral O
Portugal
Viseu,
FAU - Coelho, Inês
AU - Coelho I
AD - Unidade de Saúde Familiar Grão Vasco, Viseu, 3500-177 Portugal
AU - Pereira C
Portugal
Viseu,
FAU - Correia, André
AU - Correia A
3504-505
Portugal
Portuguesa,
FAU - Rodrigues, Diana
AU - Rodrigues D
AD - School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda,
Portugal
FAU - Marante, Nídia
AU - Marante N
Portugal
FAU - Silva, Pedro
AU - Silva P
Portugal
FAU - Carvalho, Sara
AU - Carvalho S
Portugal
FAU - Araujo, André Rts
AU - Araujo AR
Portugal
AD - Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-
559
Guarda, Portugal
FAU - Ribeiro, Maximiano
AU - Ribeiro M
Portugal
559
Guarda, Portugal
FAU - Coutinho, Paula
AU - Coutinho P
Portugal
559
Guarda, Portugal
FAU - Ventura, Sandra
AU - Ventura S
Portugal
559
Guarda, Portugal
FAU - Roque, Fátima
AU - Roque F
Portugal
559
Guarda, Portugal
FAU - Calvo, Cristina
AU - Calvo C
AD - Centro de Ciências da Saúde, Departamento de Saúde Pública, Universidade
Federal de
Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil
FAU - Reses, Manoela
AU - Reses M
AD - Centro de Ciências da Saúde, Departamento de Saúde Pública, Universidade
Federal de
Santa Catarina, Florianópolis, Santa Catarina 88040-900 Brasil
FAU - Conde, Jorge
AU - Conde J
AD - College of Health Technology, Polytechnic Institute of Coimbra, 340-162
Coimbra,
Portugal
FAU - Ferreira, Ana
AU - Ferreira A
Coimbra,
Portugal
FAU - Figueiredo, João
AU - Figueiredo J
Coimbra,
Portugal
FAU - Silva, David
AU - Silva D
Portugal
FAU - Seiça, Luís
AU - Seiça L
Portugal
FAU - Soares, Raquel
AU - Soares R
Portugal
FAU - Mourão, Ricardo
AU - Mourão R
Portugal
FAU - Kraus, Teresa
AU - Kraus T
Portugal
FAU - Abreu, Ana C
AU - Abreu AC
AD - Oporto Portuguese Institute of Oncology FG, EPE, 4200-072 Porto, Portugal
FAU - Padilha, José M
AU - Padilha JM
AD - Porto Nursing School, 4200-072 Porto, Portugal
FAU - Alves, Júlia M
AU - Alves JM
AD - Oporto Central Hospital, 4099-001 Porto, Portugal
FAU - Sousa, Paulino
AU - Sousa P
AD - Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto,
Portugal
FAU - Oliveira, Manuel
AU - Oliveira M
Portugal
FAU - Sousa, Joana
AU - Sousa J
AD - Centro Hospitalar do Porto, 4099-001 Porto, Portugal
FAU - Novais, Sónia
AU - Novais S
AD - Instituto de Ciências da Saúde, Universidade Católica Portuguesa, 1649-023
Lisboa,
Portugal
FAU - Mendes, Felismina
AU - Mendes F
AD - Escola Superior de Enfermagem de S. João de Deus, Universidade de Évora,
7004-516
Évora, Portugal
FAU - Pinto, Joana
AU - Pinto J
FAU - Cruz, Joana
AU - Cruz J
FAU - Marques, Alda
AU - Marques A
FAU - Duarte, Hugo
AU - Duarte H
AD - Health Research Unit & School of Health Sciences, Polytechnic institute of
Leiria,
2411-901 Leiria, Portugal
FAU - Dixe, Maria Dos Anjos
AU - Dixe MDA
Leiria,
FAU - Sousa, Pedro
AU - Sousa P
Leiria,
FAU - Cruz, Inês
AU - Cruz I
AD - Escola Superior de Enfermagem do Porto, Porto, 4200-072 Portugal
FAU - Bastos, Fernanda
AU - Bastos F
FAU - Pereira, Filipe
AU - Pereira F
FAU - Carvalho, Francisco L
AU - Carvalho FL
AD - Faculdade de Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal
FAU - Oliveira, Teresa T
AU - Oliveira TT
FAU - Raposo, Vítor R
AU - Raposo VR
AU - Rainho C
FAU - Ribeiro, José C
AU - Ribeiro JC
AD - Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, 5000-508
Portugal
FAU - Barroso, Isabel
AU - Barroso I
FAU - Rodrigues, Vítor
AU - Rodrigues V
FAU - Neves, Carmo
AU - Neves C
FAU - Oliveira, Teresa C
AU - Oliveira TC
FAU - Oliveira, Bárbara
AU - Oliveira B
FAU - Morais, Mª Carminda
AU - Morais MªC
AD - Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-347
Viana
do Castelo, Portugal
AD - Centro de Estudos e Investigação em Saúde, Universidade de Coimbra, 3004-512
Coimbra, Portugal
FAU - Baylina, Pilar
AU - Baylina P
AD - Escola Superior de Tecnologia da Saúde do Porto, Instituto Politécnico do
Porto,
Vila Nova de Gaia, 4400-330 Portugal
FAU - Rodrigues, Rogério
AU - Rodrigues R
FAU - Azeredo, Zaida
AU - Azeredo Z
Jean
Piaget, 4405-678 Gulpilhares, Vila Nova de Gaia Portugal
FAU - Vicente, Corália
AU - Vicente C
AD - Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-
313
Porto, Portugal
FAU - Dias, Hélia
AU - Dias H
AD - Escola Superior de Saúde, Instituto Politécnico de Santarém, Santarém, 2005-
075
Portugal
FAU - Sim-Sim, Margarida
AU - Sim-Sim M
AD - Escola Superior de Enfermagem S. João de Deus, Universidade de Évora, 7000-
811
Évora, Portugal
AU - Parreira P
FAU - Castilho, Amélia
AU - Castilho A
FAU - Melo, Rosa
AU - Melo R
FAU - Graveto, João
AU - Graveto J
FAU - Gomes, José
AU - Gomes J
FAU - Vaquinhas, Marina
AU - Vaquinhas M
FAU - Carvalho, Carla
AU - Carvalho C
AD - Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra,
3001-802
Coimbra, Portugal
FAU - Mónico, Lisete
AU - Mónico L
3001-802
Coimbra, Portugal
FAU - Brito, Nuno
AU - Brito N
AD - Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo,
Portugal
FAU - Sarroeira, Cassilda
AU - Sarroeira C
AD - Escola Superior de Saúde, Instituto Politécnico de Santarém, 2005-075
Santarém,
Portugal
AD - Unidade de Investigação do Instituto Politécnico de Santarém, 2001-904
Santarém,
Portugal
AD - Unidade de Monitorização de Indicadores em Saúde, Instituto Politécnico de
Santarém,
2005-075 Santarém, Portugal
FAU - Amendoeira, José
AU - Amendoeira J
Santarém,
Portugal
Santarém,
Portugal
Santarém,
AD - Life Quality Research Centre, Instituto Politécnico de Santarém, 2001-904
Santarém,
Portugal
FAU - Cunha, Fátima
AU - Cunha F
Santarém,
Portugal
Santarém,
Portugal
Santarém,
FAU - Cândido, Anabela
AU - Cândido A
Santarém,
Portugal
Santarém,
Portugal
Santarém,
FAU - Fernandes, Patrícia
AU - Fernandes P
AD - Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal
FAU - Silva, Helena R
AU - Silva HR
FAU - Silva, Elsa
AU - Silva E
AU - Barroso I
FAU - Lapa, Leila
AU - Lapa L
FAU - Antunes, Cristina
AU - Antunes C
FAU - Gonçalves, Ana
AU - Gonçalves A
AD - Instituto Politécnico de Bragança, Bragança, 5300-121 Bragança Portugal
FAU - Galvão, Ana
AU - Galvão A
FAU - Gomes, Mª José
AU - Gomes MªJ
FAU - Escanciano, Susana R
AU - Escanciano SR
AD - Universidad de León, 24004 León, España
FAU - Freitas, Maria
AU - Freitas M
AD - Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisboa,
1649-023
Portugal
AU - Parreira P
FAU - Marôco, João
AU - Marôco J
AD - Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, 1149-041
Lisboa, Portugal
FAU - Fernandes, Ana R
AU - Fernandes AR
Portugal
FAU - Cabral, Cremilde
AU - Cabral C
Portugal
FAU - Alves, Samuel
AU - Alves S
Portugal
FAU - Sousa, Pedro
AU - Sousa P
Portugal
FAU - Ferreira, António
AU - Ferreira A
AD - Escola Superior de Enfermagem da Cruz Vermelha Portuguesa de Oliveira de
Azeméis,,
3720-126 Oliveira de Azeméis, Portugal
FAU - Príncipe, Fernanda
AU - Príncipe F
Azeméis,,
FAU - Seppänen, Ulla-Maija
AU - Seppänen UM
AD - Oulu University of Applied Sciences, 90250 Oulu, Finlândia
FAU - Ferreira, Margarida
AU - Ferreira M
Azeméis,,
FAU - Carvalhais, Maribel
AU - Carvalhais M
Azeméis,,
FAU - Silva, Marilene
AU - Silva M
AD - Unidade de Saúde Familiar - Espaço Saúde, Porto, 4100-503 Portugal
AU - Ferreira M
AD - Escola Superior de Enfermagem da Cruz Vermelha Portuguesa, 3720-126 Oliveira
de
Azeméis, Portugal
FAU - Silva, Joana
AU - Silva J
de
Azeméis, Portugal
FAU - Neves, Jéssica
AU - Neves J
de
Azeméis, Portugal
FAU - Costa, Diana
AU - Costa D
de
Azeméis, Portugal
FAU - Santos, Bruno
AU - Santos B
de
Azeméis, Portugal
FAU - Duarte, Soraia
AU - Duarte S
de
Azeméis, Portugal
FAU - Marques, Sílvia
AU - Marques S
AD - Administração Regional de Saúde de Lisboa e Vale do Tejo, 1749-096 Lisboa,
Portugal
FAU - Ramalho, Sónia
AU - Ramalho S
Leiria,
FAU - Mendes, Isabel
AU - Mendes I
FAU - Louro, Clarisse
AU - Louro C
Leiria,
FAU - Menino, Eva
AU - Menino E
Leiria,
FAU - Dixe, Maria
AU - Dixe M
Leiria,
FAU - Dias, Sara S
AU - Dias SS
Leiria,
AD - Departamento de Saúde Pública & Centro de Estudos de Doenças Crónicas,
Faculdade de
Ciências Médicas, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal
AU - Cordeiro M
Portugal
AU - Tomás C
Portugal
FAU - Querido, Ana
AU - Querido A
Portugal
AU - Carvalho D
Portugal
Portugal
FAU - Gomes, João
AU - Gomes J
Portugal
Portugal
FAU - Valim, Frederico C
AU - Valim FC
AD - Faculdade de Medicina, Universidade José do Rosario Vellano, Divinópolis,
Minas
Gerais 35502-634 Brasil
FAU - Costa, Joyce O
AU - Costa JO
Minas
FAU - Bernardes, Lúcia G
AU - Bernardes LG
Minas
FAU - Prebianchi, Helena
AU - Prebianchi H
AD - Pontifícia Universidade Católica de Campinas, Campinas, São Paulo 13086-900
Brasil
FAU - Rosa, Marlene Cristina
AU - Rosa MC
AD - Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, Aveiro, 3810-
193
Portugal
FAU - Gonçalves, Narcisa
AU - Gonçalves N
313
Porto, Portugal
AD - Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal
FAU - Martins, Maria M
AU - Martins MM
313
Porto, Portugal
FAU - Kurcgant, Paulina
AU - Kurcgant P
AD - Universidade de São Paulo, 05403-000 São Paulo, Brasil
FAU - Vieira, André
AU - Vieira A
FAU - Bento, Sandrina
AU - Bento S
AD - Universidade Católica Portuguesa, Lisboa, 1649-023 Portugal
FAU - Deodato, Sérgio
AU - Deodato S
FAU - Rabiais, Isabel
AU - Rabiais I
FAU - Reis, Laura
AU - Reis L
FAU - Torres, Ana
AU - Torres A
Azeméis,
FAU - Soares, Sérgio
AU - Soares S
Azeméis,
AU - Ferreira M
Azeméis,
FAU - Graça, Pedro
AU - Graça P
AD - Academia de Teatro, 4465-095 S. Mamede de Infesta, Portugal
FAU - Leitão, Céu
AU - Leitão C
AD - Escola Superior de Tecnologia da Saúde de Lisboa, 1990-096 Lisboa, Portugal
FAU - Abreu, Renato
AU - Abreu R
FAU - Bellém, Fernando
AU - Bellém F
FAU - Almeida, Ana
AU - Almeida A
FAU - Ribeiro-Varandas, Edna
AU - Ribeiro-Varandas E
FAU - Tavares, Ana
AU - Tavares A
AU - Frade JG
AD - Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria, 2411-
901
Leiria, Portugal
FAU - Henriques, Carolina
AU - Henriques C
901
Leiria, Portugal
FAU - Menino, Eva
AU - Menino E
901
Leiria, Portugal
FAU - Louro, Clarisse
AU - Louro C
901
Leiria, Portugal
FAU - Jordão, Célia
AU - Jordão C
901
Leiria, Portugal
FAU - Neco, Sofia
AU - Neco S
AD - Hospital Santa Maria Maior de Barcelos, 4754-909 Barcelos, Portugal
FAU - Morais, Carminda
AU - Morais C
AD - Centro de Estudos e Investigação em Saúde, Faculdade de Economia,
Universidade de
Coimbra, 3004-512 Coimbra, Portugal
FAU - Ferreira, Pedro
AU - Ferreira P
Universidade de
FAU - Silva, Carla R
AU - Silva CR
AD - Universidade Católica Portuguesa/Porto, 4202-401 Porto, Portugal
FAU - Brito, Alice
AU - Brito A
FAU - Silva, Antónia
AU - Silva A
FAU - Duarte, Hugo
AU - Duarte H
Leiria,
FAU - Dixe, Maria Dos Anjos
AU - Dixe MDA
Leiria,
FAU - Sousa, Pedro
AU - Sousa P
Leiria,
FAU - Postolache, Gabriela
AU - Postolache G
AD - Instituto de Medicina Molecular, Universidade de Lisboa, 1649-028 Lisboa,
Portugal
FAU - Oliveira, Raul
AU - Oliveira R
AD - Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz quebrada, 1499-
002
Lisboa Portugal
FAU - Moreira, Isabel
AU - Moreira I
AD - Faculdade de Medicina, Universidade de Porto, 4200-319 Porto, Portugal
FAU - Pedro, Luísa
AU - Pedro L
AD - Escola Superior de Tecnologias de Saúde, Instituto Politécnico de Lisboa,
1990-096
Lisboa, Portugal
FAU - Vicente, Sónia
AU - Vicente S
AD - Escola Superior de Saúde, Universidade Atlântica, 2745-615 Barcarena,
Portugal
FAU - Domingos, Samuel
AU - Domingos S
AD - Instituto de Telecomunicações, Lisboa, 1049-001 Portugal
FAU - Postolache, Octavian
AU - Postolache O
AD - Instituto de Telecomunicações, Lisboa, 1049-001 Portugal
FAU - Silva, Darlen
AU - Silva D
Brasil
AU - Filho JG
Brasil
AU - Nazario N
Brasil
AU - Kretzer M
Brasil
FAU - Schneider, Dulcineia
AU - Schneider D
AD - Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina 88040-
900
Brasil
FAU - Marques, Fátima M
AU - Marques FM
AU - Parreira P
AU - Carvalho C
3001-802
Coimbra, Portugal
AU - Mónico LM
3001-802
Coimbra, Portugal
FAU - Pinto, Carlos
AU - Pinto C
3001-802
Coimbra, Portugal
FAU - Vicente, Sara
AU - Vicente S
FAU - Breda, São João
AU - Breda SJ
3001-802
Coimbra, Portugal
FAU - Gomes, José H
AU - Gomes JH
FAU - Melo, Rosa
AU - Melo R
AU - Parreira P
FAU - Salgueiro, Anabela
AU - Salgueiro A
AU - Graveto J
AU - Vaquinhas M
AU - Castilho A
AU - Jesus Â
330
FAU - Duarte, Nuno
AU - Duarte N
330
AD - Farmácia Outeiro do Linho, 4440-762 Valongo, Portugal
FAU - Lopes, José C
AU - Lopes JC
330
AD - Hospital Militar Regional n.°1, Porto, 4150-113 Portugal
FAU - Nunes, Hélder
AU - Nunes H
330
AU - Cruz A
330
AU - Parreira P
AU - Basto ML
FAU - Braga, Luciene M
AU - Braga LM
FAU - Ferreira, António
AU - Ferreira A
Azeméis,
FAU - Araújo, Beatriz
AU - Araújo B
AD - Universidade Católica Portuguesa, Porto, 4202-401 Portugal
FAU - Alves, José M
AU - Alves JM
AU - Ferreira M
Azeméis,
FAU - Carvalhais, Maribel
AU - Carvalhais M
Azeméis,
FAU - Silva, Marilene
AU - Silva M
AD - Unidade de Saúde Familiar - Espaço Saúde, Porto, 4100-503 Portugal
FAU - Novais, Sónia
AU - Novais S
AD - Administração Regional de Saúde do Norte, Porto, 4000-447 Portugal
FAU - Sousa, Ana S
AU - Sousa AS
AD - Centro Hospitalar De São João, E.P.E., Porto, 4200-319 Portugal
FAU - Ferrito, Cândida
AU - Ferrito C
AD - Escola Superior de Saúde, Instituto Politécnico de Setúbal, 2910-761 Setúbal,
Portugal
FAU - Ferreira, Pedro L
AU - Ferreira PL
FAU - Rodrigues, Alexandre
AU - Rodrigues A
AU - Ferreira M
Azeméis,
FAU - Oliveira, Isabel
AU - Oliveira I
AD - Ordem dos Enfermeiros da zona Centro, Coimbra, 3000-076 Portugal
AU - Ferreira M
de
Azeméis, Portugal
FAU - Neves, Jéssica
AU - Neves J
de
Azeméis, Portugal
FAU - Costa, Diana
AU - Costa D
de
Azeméis, Portugal
FAU - Duarte, Soraia
AU - Duarte S
de
Azeméis, Portugal
FAU - Silva, Joana
AU - Silva J
de
Azeméis, Portugal
FAU - Santos, Bruno
AU - Santos B
de
Azeméis, Portugal
FAU - Martins, Cristina
AU - Martins C
Portugal
FAU - Macedo, Ana P
AU - Macedo AP
Portugal
FAU - Araújo, Odete
AU - Araújo O
Portugal
FAU - Augusto, Cláudia
AU - Augusto C
Portugal
FAU - Braga, Fátima
AU - Braga F
Portugal
FAU - Gomes, Lisa
AU - Gomes L
Portugal
FAU - Silva, Maria A
AU - Silva MA
Portugal
FAU - Rosário, Rafaela
AU - Rosário R
Portugal
FAU - Pimenta, Luís
AU - Pimenta L
Portugal
FAU - Carreira, Diana
AU - Carreira D
Portugal
FAU - Teles, Patrícia
AU - Teles P
Portugal
FAU - Barros, Teresa
AU - Barros T
Portugal
AU - Tomás C
Portugal
FAU - Querido, Ana
AU - Querido A
Portugal
AU - Carvalho D
Portugal
Portugal
FAU - Gomes, João
AU - Gomes J
Portugal
Portugal
AU - Cordeiro M
Portugal
AU - Carvalho D
Portugal
Portugal
FAU - Querido, Ana
AU - Querido A
Portugal
AU - Tomás C
Portugal
FAU - Gomes, João
AU - Gomes J
Portugal
Portugal
AU - Cordeiro M
Portugal
FAU - Jácome, Cristina
AU - Jácome C
AD - Research Centre in Physical Activity, Health and Leisure, Faculty of Sports,
FAU - Marques, Alda
AU - Marques A
AD - Lab 3R – Respiratory Research and Rehabilitation Laboratory, School of Health
Sciences, University of Aveiro, 3810-193 Aveiro, Portugal

FAU - Capelas, Sylvie
AU - Capelas S
AD - Unidade de Surdos, Escola de Referência para a Educação Bilingue, 3830-195
Ílhavo,
Portugal
FAU - Hall, Andreia
AU - Hall A
AD - Center for Research and Development in Mathematics and Applications,
University of
Aveiro, 3810-193 Aveiro, Portugal
AD - Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal
FAU - Alves, Dina
AU - Alves D
AD - School of Health Care, Polytechnic Institute of Setúbal, 2910-761 Setúbal,
Portugal
AD - Centro de Linguística da Universidade de Lisboa, Faculdade de Letras,
Universidade
de Lisboa, 1600-214 Lisboa, Portugal
FAU - Lousada, Marisa
AU - Lousada M
AD - Center for Health Technology and Services Research, School of Health
Sciences,
University of Aveiro, Aveiro, 3810-193 Portugal
FAU - Loureiro, Mª Helena
AU - Loureiro MªH
FAU - Camarneiro, Ana
AU - Camarneiro A
FAU - Silva, Margarida
AU - Silva M
FAU - Mendes, Aida
AU - Mendes A
FAU - Pedreiro, Ana
AU - Pedreiro A
AD - Unidade de Investigação em Ciências da Saúde: Enfermagem, Escola Superior de
Enfermagem de Coimbra, 3046-851 Coimbra, Portugal
FAU - G.Silva, Anne
AU - G.Silva A
900
Brasil
FAU - Coelho, Elza S
AU - Coelho ES
900
Brasil
FAU - Melo, Flávio
AU - Melo F
AD - School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro,
Portugal
AD - Peroneo Centro Terapêutico Lda, Amieiro, Montemor-o-velho, 3140-021 Arazede
Portugal
FAU - Ribeiro, Fernando
AU - Ribeiro F
Portugal
AD - Institute for Research in Biomedicine, University of Aveiro, Aveiro, 3810-292
Portugal
FAU - Torres, Rui
AU - Torres R
AD - Department of Physiotherapy, North Polytechnic Institute of Health, Gandra,
4585-116
Portugal
FAU - Costa, Rui
AU - Costa R
Portugal
AD - Center for Health Technology and Services Research, University of Aveiro,
Aveiro,
3810-193 Portugal
FAU - Pinho, Tânia
AU - Pinho T
FAU - Jácome, Cristina
AU - Jácome C
AD - Research Centre in Physical Activity, Health and Leisure, Faculty of Sports,
FAU - Marques, Alda
AU - Marques A
FAU - Cruz, Bárbara
AU - Cruz B
AD - Irmandade da Misericórdia de Albergaria-a-Velha, 3850-069 Albergaria-a-Velha,
Portugal
FAU - Seabra, Daniel
AU - Seabra D
3001-802
Coimbra, Portugal
FAU - Carreiras, Diogo
AU - Carreiras D
AD - Gabinete de Apoio Psicológico, Instituto Superior Miguel Torga, Coimbra,
3000-132
Portugal
FAU - Ventura, Maria
AU - Ventura M
AD - Irmandade da Misericórdia de Albergaria-a-Velha, 3850-069 Albergaria-a-Velha,
Portugal
FAU - Cruz, x
AU - Cruz X
FAU - Brooks, Dina
AU - Brooks D
AD - Rehabilitation Science Institute and Department of Physical Therapy,
University of
Toronto, Toronto, Ontario M5S 1A1 Canada
FAU - Marques, Alda
AU - Marques A
FAU - Pinto, M Rosário
AU - Pinto MR
AU - Parreira P
FAU - Lima-Basto, Marta
AU - Lima-Basto M
AD - Unidade de Investigação & Desenvolvimento em Enfermagem, Escola Superior de
Enfermagem de Lisboa, Lisboa, 1700-063 Portugal
FAU - Neves, Miguel
AU - Neves M
AD - Hospital Distrital de Santarém, EPE, Santarém, 2005-177 Portugal
AU - Mónico LM
AD - Universidade de Coimbra, 3004-504 Coimbra, Portugal
FAU - Bizarro, Carla
AU - Bizarro C
FAU - Cunha, Marina
AU - Cunha M
FAU - Galhardo, Ana
AU - Galhardo A
FAU - Margarida, Couto
AU - Margarida C
FAU - Amorim, Ana P
AU - Amorim AP
FAU - Silva, Eduardo
AU - Silva E
AD - Centro de Tratamento Internacional VillaRamadas, 2460-355 Cela, Alcobaça,
Portugal
FAU - Cruz, Susana
AU - Cruz S
AD - Administração Regional de Saúde do Norte, Porto, 4000-447 Portugal
AU - Padilha JM
FAU - Valente, Jorge
AU - Valente J
AD - Faculdade de Economia, Universidade do Porto, 4200-464 Porto, Portugal
FAU - Guerrero, José T
AU - Guerrero JT
AD - Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 España
AU - Caballero FP
FAU - Santos, Rafael B
AU - Santos RB
FAU - Gonzalez, Estefania P
AU - Gonzalez EP
FAU - Monago, Fátima M
AU - Monago FM
AD - Centro de Salud San Fernando, Badajoz, 06006 España
FAU - Ugalde, Lierni U
AU - Ugalde LU
FAU - Vélez, Marta M
AU - Vélez MM
FAU - Tena, Maria J
AU - Tena MJ
FAU - Guerrero, José T
AU - Guerrero JT
06080
Badajoz, España
FAU - Bravo, Rafael
AU - Bravo R
FAU - Pérez-Caballero, Francisco L
AU - Pérez-Caballero FL
FAU - Becerra, Isabel A
AU - Becerra IA
06080
Badajoz, España
FAU - Agudelo, Mª Elizabeth
AU - Agudelo MªE
06080
Badajoz, España
FAU - Acedo, Guadalupe
AU - Acedo G
06080
Badajoz, España
FAU - Bajo, Roberto
AU - Bajo R
06080
Badajoz, España
FAU - Malheiro, Isabel
AU - Malheiro I
FAU - Gaspar, Filomena
AU - Gaspar F
FAU - Barros, Luísa
AU - Barros L
AD - Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal
FAU - Furtado, Guilherme
AU - Furtado G
AD - Centro de Investigação do Desporto e da Atividade Física, Faculdade de
Ciências do
Desporto e Educação Física, 3040-156 Coimbra, Portugal
AD - Fundação Capes, Ministério da Educação, 70.040-020 Brasília, Distrito Federal
Brasil
FAU - Uba-Chupel, Mateus
AU - Uba-Chupel M
Ciências do
Brasil
AU - Marques M
Ciências do
FAU - Rama, Luís
AU - Rama L
Ciências do
FAU - Braga, Margarida
AU - Braga M
Ciências do
AD - Faculty of Medicine, University of Porto, Porto, 4200-450 Portugal
FAU - Ferreira, José P
AU - Ferreira JP
Ciências do
FAU - Teixeira, Ana Mª
AU - Teixeira AMª
Ciências do
FAU - Cruz, João
AU - Cruz J
AD - School of Education and Social Sciences, Polytechnic Institute of Leiria,
Leiria,
2411-901 Portugal
AD - Life Quality Research Centre – IPLeiria Branch, Polytechnic Institute of
Leiria,
Leiria, 2411-901 Portugal
FAU - Barbosa, Tiago
AU - Barbosa T
Leiria,
2411-901 Portugal
FAU - Simões, Ângela
AU - Simões Â
Leiria,
2411-901 Portugal
FAU - Coelho, Luís
AU - Coelho L
Leiria,
2411-901 Portugal
AD - Life Quality Research Centre – IPLeiria Branch, Polytechnic Institute of
Leiria,
Leiria, 2411-901 Portugal
FAU - Rodrigues, Alexandre
AU - Rodrigues A
FAU - Jiménez-Díaz, Juan-Fernando
AU - Jiménez-Díaz JF
España
FAU - Martinez-Hernandez, Francisco
AU - Martinez-Hernandez F
España
FAU - Rodriguez-De-Vera, Bienvenida
AU - Rodriguez-De-Vera B
España
AU - Ferreira P
Universidade de
FAU - Rodrigues, Alexandrina
AU - Rodrigues A
AD - Unidade de Cuidados na Comunidade da Ponte da Barca, 4980-620 Ponte da Barca,
Portugal
FAU - Ramalho, André
AU - Ramalho A
AD - Escola Superior de Educação, Instituto Politécnico de Castelo Branco, 6000-
767
Castelo Branco, Portugal
FAU - Petrica, João
AU - Petrica J
767
AD - Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de Saúde,
Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal

FAU - Mendes, Pedro
AU - Mendes P
767
FAU - Serrano, João
AU - Serrano J
767

FAU - Santo, Inês
AU - Santo I
AD - Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland
FAU - Rosado, António
AU - Rosado A
AD - Faculty of Human Kinetics, University of Lisbon, 1649-028 Lisboa, Portugal
FAU - Mendonça, Paula
AU - Mendonça P
AD - Escola Superior de Tecnologia da Saúde de Lisboa, Instituto Politécnico de
Lisboa,
FAU - Freitas, Kátia
AU - Freitas K
Lisboa,
FAU - Ferreira, Dora
AU - Ferreira D
AD - Escola Superior Desporto De Rio Maior, Instituto Politécnico de Santarém,
2040-413
Rio Maior, Portugal
FAU - Brito, António
AU - Brito A
2040-413
Rio Maior, Portugal
FAU - Fernandes, Renato
AU - Fernandes R
2040-413
Rio Maior, Portugal
FAU - Gomes, Sofia
AU - Gomes S
Porto,
AU - Moreira F
Porto,
AD - Department of Legal Medicine and Forensic Sciences, Faculty of Medicine,
University
of Porto, 4200-319 Porto, Portugal
AD - Portugal & Pharmaceutical Services, Centro Hospitalar de Vila Nova de
Gaia/Espinho,
EPE, Vila Nova de Gaia, 4400-129 Portugal
FAU - Pinho, Cláudia
AU - Pinho C
Porto,
AD - Núcleo de Investigação e Intervenção em Farmácia, Centro de Investigação em
Saúde e
Ambiente, Instituto Politécnico do Porto, Vila Nova de Gaia, 4400-330
Portugal
FAU - Oliveira, Rita
AU - Oliveira R
Porto,
Saúde e
Portugal
AD - Secção Autónoma de Ciências da Saúde, Universidade de Aveiro, 3810-193
Aveiro,
Portugal
FAU - Oliveira, Ana I
AU - Oliveira AI
Porto,
Saúde e
Portugal
FAU - Mendonça, Paula
AU - Mendonça P
Lisboa,
FAU - Casimiro, Ana P
AU - Casimiro AP
AD - Hospital SAMS – Serviços de Assistência Médico-social do Sindicato dos
Bancários,
FAU - Martins, Patrícia
AU - Martins P
Lisboa,
FAU - Silva, Iryna
AU - Silva I
Lisboa,
FAU - Evangelista, Diana
AU - Evangelista D
AD - North Tyneside General Hospital, Tyne and Wear, NE29 8NH Newcastle UK
FAU - Leitão, Catarina
AU - Leitão C
AD - Life Quality Research Centre, Instituto Politécnico de Castelo Branco, 6000-
767
FAU - Velosa, Fábia
AU - Velosa F
2411-901
Leiria, Portugal
FAU - Carecho, Nélio
AU - Carecho N
900
Brasil
FAU - Coelho, Luís
AU - Coelho L
AD - Life Quality Research Centre, Instituto Politécnico de Castelo Branco, 6000-
767
2411-901
Leiria, Portugal
FAU - Menino, Eva
AU - Menino E
Leiria,
FAU - Dixe, Anjos
AU - Dixe A
Leiria,
FAU - Catarino, Helena
AU - Catarino H
Leiria,
FAU - Soares, Fátima
AU - Soares F
AD - Unidade de Saúde Pública, ACES Pinhal Litoral, ARS Centro, 3100-462 Pombal,
Portugal
FAU - Gama, Ester
AU - Gama E
Portugal
FAU - Gordo, Clementina
AU - Gordo C
Leiria,
FAU - Moreira, Eliana
AU - Moreira E
330
FAU - Midões, Cristiana
AU - Midões C
330
FAU - Santos, Marlene
AU - Santos M
330
FAU - Machado, Sara
AU - Machado S
330
FAU - Oliveira, Vânia P
AU - Oliveira VP
330
FAU - Santos, Marlene
AU - Santos M
330
FAU - Querido, Ana
AU - Querido A
AD - Health Research Unit, School of Health Sciences, Polytechnic institute of
Leiria,
FAU - Dixe, Anjos
AU - Dixe A
Leiria,
FAU - Marques, Rita
AU - Marques R
Leiria,
AD - Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 1649-035 Lisboa,
Portugal
FAU - Charepe, Zaida
AU - Charepe Z
FAU - Antunes, Ana
AU - Antunes A
AD - Associação Portuguesa de Pais e Amigos do Cidadão Deficiente Mental, 6200-050
Covilhã, Portugal
FAU - Santos, Sofia
AU - Santos S
002
Lisboa Portugal
AU - Rosa MC
193
Portugal
AU - Rosa MC
Aveiro,
Portugal
FAU - Marques, Silvana F
AU - Marques SF
AD - Unidade de Cuidados na Comunidade, Centro de Saúde de Anadia, 3780-780
Anadia,
Portugal
FAU - Minghelli, Beatriz
AU - Minghelli B
Jean
FAU - CaroMinghelli, Eulália
AU - CaroMinghelli E
Jean
AD - Fisiatris - Recuperação Física, Lda, Sacavém, 2685-010 Portugal
FAU - Luís, Mª José
AU - Luís MªJ
002
Lisboa Portugal
FAU - Brandão, Teresa
AU - Brandão T
002
Lisboa Portugal
FAU - Mendes, Pedro
AU - Mendes P
767
FAU - Marinho, Daniel
AU - Marinho D
AD - Research Centre of Sports Sciences, Health Sciences and Human Development,
Universidade da Beira Interior, Covilhã, 6201-001 Covilhã Portugal
AU - Petrica J
767

FAU - Monteiro, Diogo
AU - Monteiro D
AD - Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém,
2040-413 Rio Maior, Portugal
FAU - Paulo, Rui
AU - Paulo R
767
AD - Research, Education and Community Intervention, Instituto Piaget, 3515-776
Galifonge, Viseu Portugal
AU - Serrano J
767

FAU -
Santo, Inês
AU -
Santo I
AD -
Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland
FAU -
Monteiro, Lina
AU -
Monteiro L
AD -
Escola Superior de Desporto de Rio Maior, Instituto Politécnico de Santarém,
FAU - Ramalho, Fátima
AU - Ramalho F
AD - Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de
Motricidade
Humana, Universidade Nova de Lisboa, 1499-002 Cruz Quebrada, Portugal
FAU - Santos-Rocha, Rita
AU - Santos-Rocha R
AD - Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de
Motricidade
Humana, Universidade Nova de Lisboa, 1499-002 Cruz Quebrada, Portugal
FAU - Morgado, Sónia
AU - Morgado S
AD - Centro de Investigação e Qualidade de Vida, Instituto Politécnico de
Santarém,
FAU - Bento, Teresa
AU - Bento T
AD - Research Centre in Sports Sciences, Health and Human Development, University
of
Trás-os-Montes and Alto Douro, Vila Real, 5001-801 Portugal
FAU - Sousa, Gilberta
AU - Sousa G
FAU - Freitas, Otília
AU - Freitas O
FAU - Silva, Isabel
AU - Silva I
FAU - Freitas, Gregório
AU - Freitas G
FAU - Morna, Clementina
AU - Morna C
FAU - Vasconcelos, Rita
AU - Vasconcelos R
FAU - Azevedo, Tatiana
AU - Azevedo T
AD - Lar Cantinho dos Avós - Santa Casa da Misericórdia de Melgaço, 4960-570
Melgaço,
Portugal
FAU - Soares, Salete
AU - Soares S
Viana
FAU - Pisco, Jacinta
AU - Pisco J
AD - Unidade Local de Saúde do Alto Minho, EPE, 4904-858 Viana do Castelo,
Portugal
AU - Ferreira PP
FAU - Olszewer, Efrain O
AU - Olszewer EO
AD - Fundação de amparo à pesquisa e inovação do Espírito Santo, Vitória, Esprito
Santo
29066-380 Brasil
AU - Oliveira MT
AD - Universidade Estadual de Feira de Santana, Feira de Santana, Bahia 44036-900
Brasil
AU - Sousa AR
FAU - Maia, Ana S
AU - Maia AS
FAU - Oliveira, Sebastião T
AU - Oliveira ST
FAU - Santos, Erica
AU - Santos E
Porto,
AU - Oliveira AI
Porto,
AD - Centro de Investigação em Saúde e Ambiente, Instituto Politécnico do Porto,
Vila
Nova de Gaia, 4400-330 Portugal
FAU - Maia, Carla
AU - Maia C
Porto,
AD - Hospital de Santo Antonio, Centro Hospitalar do Porto, EPE, 4099-001 Porto,
Portugal
AU - Moreira F
Porto,
University
AD - Pharmaceutical Services, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE,
Vila
Nova de Gaia, 4400-129 Portugal
FAU - Santos, Joana
AU - Santos J
Porto,
AD - Centro Hospitalar de São João, EPE, Porto, 4200-319 Portugal
FAU - Mendes, Maria F
AU - Mendes MF
Porto,
Portugal
FAU - Oliveira, Rita F
AU - Oliveira RF
Porto,
Portugal
AU - Pinho C
Porto,
Portugal
FAU - Barreira, Eduarda
AU - Barreira E
AD - Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-
253
Portugal
FAU - Pereira, Ana
AU - Pereira A
253
Portugal
FAU - Vaz, Josiana A
AU - Vaz JA
253
Portugal
FAU - Novo, André
AU - Novo A
253
Portugal
FAU - Silva, Luís D
AU - Silva LD
AD - Unidade Local de Saúde da Guarda, E.P.E, 6300-858 Guarda, Portugal
AD - Clínica Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence,
4350-415 Porto, Portugal
FAU - Maia, Bruno
AU - Maia B
FAU - Ferreira, Eduardo
AU - Ferreira E
FAU - Pires, Filipa
AU - Pires F
FAU - Andrade, Renato
AU - Andrade R
AD - Faculdade de Desporto, Universidade do Porto, 4200-450 Porto, Portugal
FAU - Camarinha, Luís
AU - Camarinha L
FAU - Silva, Luís D
AU - Silva LD
FAU - Maia, Bruno
AU - Maia B
FAU - Ferreira, Eduardo
AU - Ferreira E
FAU - Pires, Filipa
AU - Pires F
FAU - Andrade, Renato
AU - Andrade R
FAU - Camarinha, Luís
AU - Camarinha L
FAU - César, Ana F
AU - César AF
AD - Centro de Ação Social do Concelho de Ílhavo, 3830-201 Ílhavo, Portugal
FAU - Poço, Mariana
AU - Poço M
AD - Zelar, Serviços de Apoio Domiciliário, 3810-232 Aveiro, Portugal
FAU - Ventura, David
AU - Ventura D
AD - Walk’In Clinics, Esgueira, 3800-042 Aveiro, Portugal
FAU - Loura, Raquel
AU - Loura R
AD - São João de Deus Clinic, 1749-098 Lisboa, Portugal
FAU - Gomes, Pedro
AU -
Gomes P
AD -
Arrabida Hospital, 4400-346 Vila Nova de Gaia, Portugal
FAU -
Gomes, Catarina
AU -
Gomes C
AD -
Yasmin Residence, 2500-064 Caldas da Rainha, Portugal
FAU -
Silva, Cláudia
AU -
Silva C
AD -
Faro unit, Algarve Hospital, 8000-386 Faro, Portugal
FAU -
Melo, Elsa
AU -
Melo E
AD -
School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal
FAU -
Lindo, João
AU -
Lindo J
AD -
School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal
FAU -
Domingos, Joana
AU -
Domingos J
AD -
School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901
Portugal
FAU - Mendes, Zaida
AU - Mendes Z
AD - School of Health Sciences, Polytechnic institute of Leiria, Leiria, 2411-901
Portugal
FAU - Poeta, Susana
AU - Poeta S
Portugal
FAU - Carvalho, Tiago
AU - Carvalho T
Portugal
AU - Tomás C
Portugal
AD - Health Research Unit, Polytechnic institute of Leiria, Leiria, 2411-901
Portugal
AU - Catarino H
Portugal
Portugal
FAU - Dixe, Mª Anjos
AU - Dixe MªA
Portugal
Portugal
FAU - Ramalho, André
AU - Ramalho A
767
FAU - Rosado, António
AU - Rosado A
AD - Faculty of Human Kinetics, University of Lisbon, 1649-028 Lisboa, Portugal
FAU - Mendes, Pedro
AU - Mendes P
767
FAU - Paulo, Rui
AU - Paulo R
767
FAU - Garcia, Inês
AU - Garcia I
AD - Studio Osteopatico Franchi, 6512 Giubiasco, Switzerland
AU - Petrica J
767

FAU -
Rodrigues, Sandra
AU -
Rodrigues S
AD -
Universidade Fernando Pessoa, Porto, 4249-004 Portugal
FAU -
Meneses, Rui
AU -
Meneses R
AD -
FAU -
Afonso, Carlos
AU -
Afonso C
AD -
FAU -
Faria, Luís
AU -
Faria L
AD -
FAU -
Seixas, Adérito
AU -
Seixas A
AD -
FAU -
Cordeiro, Marina
AU -
Cordeiro M
AD -
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria,
Portugal
FAU - Granjo, Paulo
AU - Granjo P
AD - Instituto de Ciências Sociais da Universidade de Lisboa, Universidade de
Lisboa,
FAU - Gomes, José C
AU - Gomes JC
Portugal
FAU - Souza, Nelba R
AU - Souza NR
Ciências do
FAU - Furtado, Guilherme E
AU - Furtado GE
Ciências do
FAU - Rocha, Saulo V
AU - Rocha SV
AD - Núcleo de Estudos em Saúde da População, Universidade Estadual do Sudoeste da
Bahia,
Itapetinga, Bahia 45700-000 Brasil
FAU - Silva, Paula
AU - Silva P
FAU - Carvalho, Joana
AU - Carvalho J
FAU - Morais, Marina Ana
AU - Morais MA
002
Lisboa Portugal
FAU - Santos, Sofia
AU - Santos S
002
Lisboa Portugal
FAU - Lebre, Paula
AU - Lebre P
002
Lisboa Portugal
FAU - Antunes, Ana
AU - Antunes A
AD - Casa de Saúde da Idanha, Instituto das Irmãs Hospitaleiras, 2605-077 Belas,
Portugal
FAU - Calha, António
AU - Calha A
FAU - Xavier, Ana
AU - Xavier A
AD - Cognitive-Behavioural Research Centre, Faculty of Psychology and Education
Sciences,
University of Coimbra, 3001-802 Coimbra, Portugal
FAU - Cunha, Marina
AU - Cunha M
Sciences,
FAU - Alencar, Liana
AU - Alencar L
AD - Centro de estudos em educação, tecnologias e saúde, Escola Superior de Saúde,

Portugal
AU - Cunha M

Portugal
FAU - Madureira, António
AU - Madureira A
Portugal
FAU - Cardoso, Ilda
AU - Cardoso I
FAU - Galhardo, Ana
AU - Galhardo A
Comportamental,
Universidade de Coimbra, 3001-802 Coimbra, Portugal
FAU - Daniel, Fernanda
AU - Daniel F
AD - Centre for Health Studies and Research, University of Coimbra, 3004-512
Coimbra,
Portugal
FAU - Rodrigues, Vítor
AU - Rodrigues V
FAU - Luz, Leonardo
AU - Luz L
AD - Universidade Federal de Alagoas, Maceió, 57072-900 Alagoas Brasil
FAU - Luz, Tatiana
AU - Luz T
FAU - Ramos, Maurício R
AU - Ramos MR
AD - Instituto Federal de Alagoas, Maceió, 57035-660 Alagoas Brasil
FAU - Medeiros, Dayse C
AU - Medeiros DC
AD - Centro Universitário Cesmac, Maceió, 57051-160 Alagoas Brasil
FAU - Carmo, Bruno M
AU - Carmo BM
FAU - Seabra, André
AU - Seabra A
AD - Universidade do Porto, Porto, 4099-002 Portugal
FAU - Padez, Cristina
AU - Padez C
AD - Universidade de Coimbra, Coimbra, 3004-504 Portugal
FAU - Silva, Manuel C
AU - Silva MC
AD - Universidade de Coimbra, Coimbra, 3004-504 Portugal
FAU - Rodrigues, António
AU - Rodrigues A
Branco,
Castelo Branco, 6000-767 Portugal
Brasil
FAU - Coelho, Patrícia
AU - Coelho P
Branco,
FAU - Coelho, Alexandre
AU - Coelho A
Branco,
FAU - Caminha, Madson
AU - Caminha M
Branco,
FAU - Matheus, Filipe
AU - Matheus F
Branco,
FAU - Mendes, Elenice
AU - Mendes E
Brasil
FAU - Correia, Jony
AU - Correia J
Brasil
AU - Kretzer M
Branco,
FAU - Hernandez-Martinez, Francisco J
AU - Hernandez-Martinez FJ
AD - Cabildo de Lanzarote, 35500 Arrecife, Lanzarote, Las Palmas España
FAU - Jimenez-Diaz, Juan F
AU - Jimenez-Diaz JF
Las
Palmas España
FAU - Rodriguez-De-Vera, Bienvendida C
AU - Rodriguez-De-Vera BC
Las
Palmas España
FAU - Jimenez-Rodriguez, Carla
AU - Jimenez-Rodriguez C
Las
Palmas España
FAU - Armas-Gonzalez, Yadira
AU - Armas-Gonzalez Y
AD - Servicio Canario de la Salud, 35500 Arrecife, Lanzarote, Las Palmas España
FAU - Rodrigues, Cátia
AU - Rodrigues C
FAU - Pedroso, Rosa
AU - Pedroso R
FAU - Apolinário-Hagen, Jennifer
AU - Apolinário-Hagen J
AD - Department for Health Psychology, FernUniversität in Hagen, 58084 Hagen,
Germany
FAU - Vehreschild, Viktor
AU - Vehreschild V
Germany
FAU - Veloso, Milene
AU - Veloso M
AD - Universidade Federal do Pará, Belém, Pará 66075-110 Brasil
FAU - Magalhães, Celina
AU - Magalhães C
FAU - Cabral, Isabel
AU - Cabral I
FAU - Ferraz, Maira
AU - Ferraz M
FAU - Nave, Filipe
AU - Nave F
AD - Escola Superior de Saúde, Universidade do Algarve, Faro, 8000-510 Portugal
FAU - Costa, Emília
AU - Costa E
FAU - Matos, Filomena
AU - Matos F
FAU - Pacheco, José
AU - Pacheco J
FAU - Dias, António
AU - Dias A

AU - Pereira C

FAU - Duarte, João
AU - Duarte J

AU - Cunha M

FAU - Silva, Daniel
AU - Silva D

AU - Mónico LM
3001-802
Coimbra, Portugal
FAU - Alferes, Valentim R
AU - Alferes VR
3001-802
Coimbra, Portugal
FAU - Brêda, Mª São João
AU - Brêda MªSJ
3001-802
Coimbra, Portugal
AU - Carvalho C
3001-802
Coimbra, Portugal
FAU - Parreira, Pedro M
AU - Parreira PM
AU - Morais MªC
AD - Centro de Estudos e Investigação em Saúde, Faculdade de Economia,,
Universidade de
Viana
AU - Ferreira P
Universidade de
FAU - Pimenta, Rui
AU - Pimenta R
Universidade de
FAU - Boavida, José
AU - Boavida J
AD - Direção geral de Saúde (DGS), 1049-005 Lisboa, Portugal
FAU - Pinto, Isabel C
AU - Pinto IC
FAU - Pires, Tânia
AU - Pires T
AD - Centro de Investigação de Montanha, Escola Superior Agrária, 5300-253
Bragança,
Portugal
FAU - Silva, Catarina
AU - Silva C
FAU - Ribeiro, Maria
AU - Ribeiro M
AD - Escola Superior Agrária, Instituto Politécnico de Bragança, 5300-253
Bragança,
Portugal
AD - Centro de Estudos Transdisciplinares para o Desenvolvimento, Universidade de
Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal
FAU - Viega-Branco, Maria
AU - Viega-Branco M
Bragança,
Portugal
FAU - Pereira, Filomena
AU - Pereira F
AU - Pereira AMª
Bragança,
Portugal
FAU - Almeida, Fabrícia M
AU - Almeida FM
Brasil
FAU - Estevez, Gustavo L
AU - Estevez GL
Brasil
FAU - Ribeiro, Sandra
AU - Ribeiro S
Brasil
FAU - Kretzer, Marcia R
AU - Kretzer MR
Brasil
FAU - João, Paulo V
AU - João PV
AD - Research Centre for Sports Sciences, Health Sciences and Human Development,
University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Portugal
FAU - Nogueira, Paulo
AU - Nogueira P
AD - Department of Sport Sciences, Exercise and Health, University of Trás-os-
Montes e
Alto Douro, Vila Real, 5001-801 Portugal
FAU - Novais, Sandra
AU - Novais S
Montes e
FAU - Pereira, Ana
AU - Pereira A
AD - Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal
FAU - Carneiro, Lara
AU - Carneiro L
Montes e
FAU - Mota, Maria
AU - Mota M
FAU - Cruz, Rui
AU - Cruz R
AD - College of Health Technology of Coimbra, Polytechnic Institute of Coimbra,
São
Martinho do Bispo, 3046-854 Coimbra Portugal
FAU - Santiago, Luiz
AU - Santiago L
FAU - Fontes-Ribeiro, Carlos
AU - Fontes-Ribeiro C
AD - Departamento de Farmacologia e Terapêutica, Faculdade de Medicina,
Universidade de
Coimbra, Coimbra, 3000-548 Portugal
FAU - Furtado, Guilherme
AU - Furtado G
Brasil

FAU - Rocha, Saulo V
AU - Rocha SV
AD - Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia 45700-000
Brasil
FAU - Coutinho, André P
AU - Coutinho AP
900
Brasil
FAU - Neto, João S
AU - Neto JS
900
Brasil
FAU - Vasconcelos, Lélia R
AU - Vasconcelos LR
AD - Universidade Estadual do Sudoeste da Bahia, Itapetinga, Bahia 45700-000
Brasil
FAU - Souza, Nelba R
AU - Souza NR

FAU - Dantas, Estélio
AU - Dantas E
AD - Universidade Tiradentes, Aracaju, Sergipe & Laboratório de Biociências da
Motricidade Humana, 49030-620 Aracaju, Brazil
FAU - Dinis, Alexandra
AU - Dinis A
Sciences,
FAU - Carvalho, Sérgio
AU - Carvalho S
Sciences,
FAU - Castilho, Paula
AU - Castilho P
Sciences,
Sciences,
FAU - Sarreira-Santos, Alexandra
AU - Sarreira-Santos A
1649-023
Portugal
FAU - Figueiredo, Amélia
AU - Figueiredo A
1649-023
Portugal
FAU - Medeiros-Garcia, Lurdes
AU - Medeiros-Garcia L
1649-023
Portugal
FAU - Seabra, Paulo
AU - Seabra P
1649-023
Portugal
FAU - Rodrigues, Rosa
AU - Rodrigues R
Viana
AU - Morais MªC
Viana
FAU - Fernandes, Paula O
AU - Fernandes PO
AD - Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Bragança,
5300-253
Bragança, Portugal
FAU - Santiago, Conceição
AU - Santiago C
FAU - Figueiredo, Mª Henriqueta
AU - Figueiredo MªH
AU - Basto ML
FAU - Guimarães, Teresa
AU - Guimarães T
Lisboa,
FAU - Coelho, André
AU - Coelho A
Lisboa,
FAU - Graça, Anabela
AU - Graça A
Lisboa,
FAU - Silva, Ana M
AU - Silva AM
Lisboa,
FAU - Fonseca, Ana R
AU - Fonseca AR
Lisboa,
FAU - Vale-Dias, Luz
AU - Vale-Dias L
3001-802
Coimbra, Portugal
FAU - Minas, Bárbara
AU - Minas B
3001-802
Coimbra, Portugal
FAU - Franco-Borges, Graciete
AU - Franco-Borges G
3001-802
Coimbra, Portugal
FAU - Simões, Cristina
AU - Simões C
AD - Universidade de Lisboa, 1649-003 Lisboa, Portugal
FAU - Santos, Sofia
AU - Santos S
AD - Universidade de Lisboa, 1649-003 Lisboa, Portugal
FAU - Serra, Ana
AU - Serra A
AD - Universidade de Aveiro, Aveiro, 3810-193 Portugal
FAU - Matos, Maria
AU - Matos M
FAU - Jesus, Luís
AU - Jesus L
FAU - Tavares, Ana S
AU - Tavares AS
AD - Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal
FAU - Almeida, Ana
AU - Almeida A
FAU - Leitão, Céu
AU - Leitão C
FAU - Varandas, Edna
AU -
Varandas E
AD -
Escola superior de tecnologia da saúde de Lisboa, 1990-096 Lisboa, Portugal
FAU -
Abreu, Renato
AU -
Abreu R
AD -
FAU -
Bellém, Fernando
AU -
Bellém F
AD -
FAU -
Trindade, Inês A
AU -
Trindade IA
AD -
Cognitive and Behavioural Centre for Research and Intervention, Faculty of
Portugal
AU - Ferreira C
Portugal
Portugal
Portugal
FAU - Amaral, Odete
AU - Amaral O
Portugal
FAU - Miranda, Cristiana
AU - Miranda C
Portugal
FAU - Guimarães, Pedro
AU - Guimarães P
Portugal
FAU - Gonçalves, Rodrigo
AU - Gonçalves R
Portugal
FAU - Veiga, Nélio
AU - Veiga N
AD - Universidade Católica Portuguesa, Viseu, 3504-505 Portugal
AU - Pereira C
Portugal
FAU - Fleig, Tânia C
AU - Fleig TC
96815-900
Brasil
FAU - San-Martin, Elisabete A
AU - San-Martin EA
96815-900
Brasil
FAU - Goulart, Cássia L
AU - Goulart CL
96815-900
Brasil
FAU - Schneiders, Paloma B
AU - Schneiders PB
96815-900
Brasil
FAU - Miranda, Natacha F
AU - Miranda NF
96815-900
Brasil
FAU - Carvalho, Lisiane L
AU - Carvalho LL
96815-900
Brasil
FAU - Silva, Andrea G
AU - Silva AG
96815-900
Brasil
FAU - Topa, Joana
AU - Topa J
AD - Instituto Superior da Maia, 4475-690 Avioso São Pedro, Portugal
AD - Centro Interdisciplinar de Estudos de Género, Instituto Superior de Ciências
Sociais
e Políticas, 1300-663 Lisboa, Portugal
FAU - Nogueira, Conceição
AU - Nogueira C
3001-802
Coimbra, Portugal
FAU - Neves, Sofia
AU - Neves S
AD - Instituto Superior da Maia, 4475-690 Avioso São Pedro, Portugal
AD - Centro Interdisciplinar de Estudos de Género, Instituto Superior de Ciências
Sociais
e Políticas, 1300-663 Lisboa, Portugal
FAU - Ventura, Rita
AU - Ventura R
do
Bispo, 3046-854 Coimbra Portugal
FAU - Nazaré, Cristina
AU - Nazaré C
do
Bispo, 3046-854 Coimbra Portugal
FAU - Brandão, Daniela
AU - Brandão D
Ciências
AD -
Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal
FAU -
Freitas, Alberto
AU -
Freitas A
AD -
Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal
AD -
Center for Health Technology and Services Research, Faculdade de Medicina,
AU - Ribeiro Ó
Ciências
AD - Universidade de Aveiro, 3810–193 Aveiro, Portugal e Instituto Superior De
Serviço
Social Do Porto, 44600-362 Sra. da Hora, Portugal
AU - Paúl C
FAU - Mercê, Cristiana
AU - Mercê C
FAU - Branco, Marco
AU - Branco M
FAU - Almeida, Pedro
AU - Almeida P
FAU - Nascimento, Daniela
AU - Nascimento D
FAU - Pereira, Juliana
AU - Pereira J
FAU - Catela, David
AU - Catela D
FAU - Rafael, Helga
AU - Rafael H
FAU - Reis, Alcinda C
AU - Reis AC
Santarém,
Portugal
FAU - Mendes, Ana
AU - Mendes A
AD - School of Health Sciences, Polytechnic Institute of Setúbal, 2910-761
Setúbal,
Portugal
AD - Institute of Electronics and Informatics Engineering of Aveiro, 3810-193
Aveiro,
Portugal
FAU - Valente, Ana R
AU - Valente AR
AD - Institute of Electronics and Informatics Engineering of Aveiro, 3810-193
Aveiro,
Portugal
AD - Department of Education, University of Aveiro, 3810-193 Aveiro, Portugal
AU - Lousada M
AD - Center for Health Technology and Services Research & School of Health
Sciences,
University of Aveiro, 3810-193 Aveiro, Portugal
FAU - Sousa, Diana
AU - Sousa D
3046-854
Coimbra, Portugal
FAU - Baltazar, Ana L
AU - Baltazar AL
3046-854
Coimbra, Portugal
AU - Loureiro MªH
3046-854
Coimbra, Portugal
FAU - Oliveira, Ana
AU - Oliveira A
FAU - Aparício, José
AU - Aparício J
FAU - Marques, Alda
AU - Marques A
AD - Pediatrics Emergency Department, Hospital Lusíadas, Porto, 4050 113 Portugal
FAU - Marques, Alda
AU - Marques A
FAU - Oliveira, Ana
AU - Oliveira A
FAU - Neves, Joana
AU - Neves J
AD - Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal
FAU - Ayoub, Rodrigo
AU - Ayoub R
AD - Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Portugal
FAU - Sousa, Luís
AU - Sousa L
AD - Hospital Curry Cabral, Centro Hospitalar Lisboa Central, 1069-166 Lisboa,
Portugal
FAU - Marques-Vieira, Cristina
AU - Marques-Vieira C
1649-023
Portugal
FAU - Severino, Sandy
AU - Severino S
AD - Hospital Curry Cabral, Centro Hospitalar Lisboa Central, 1069-166 Lisboa,
Portugal
FAU - José, Helena
AU - José H
AD - Centro de Formação Multiperfil, Luanda, PR - 56Q Angola
FAU - Cadorio, Inês
AU - Cadorio I
Aveiro,
3810-193 Aveiro Portugal
AU - Lousada M
Aveiro,
3810-193 Aveiro Portugal
FAU - Cunha, Marina
AU - Cunha M
3046-854
Coimbra, Portugal
FAU - Andrade, Diogo
AU - Andrade D
3046-854
Coimbra, Portugal
FAU - Galhardo, Ana
AU - Galhardo A
3046-854
Coimbra, Portugal
FAU - Couto, Margarida
AU - Couto M
3046-854
Coimbra, Portugal
AU - Mendes F
3046-854
Coimbra, Portugal
FAU - Domingues, Cátia
AU - Domingues C
AD - Centre of Investigation in Environment, Genetics and Oncobiology, Faculty of
Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
FAU - Schukg, Susann
AU - Schukg S
AD - Biomedical Laboratory Sciences Department, University of Gothenburg, S-405 30
Gothenburg, Sweden
FAU - Abrantes, Ana M
AU - Abrantes AM
AD - Biophysics and Biomathematics Institute, Institute for Biomedical Imaging and
Life
Sciences, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra,
Portugal
FAU - Gonçalves, Ana C
AU - Gonçalves AC
AD - Oncobiology and Haematology Laboratory of Applied Molecular Biology &
Clinical
University of Hematology, Faculty of Medicine, University of Coimbra, 3000-
354
Coimbra, Portugal
FAU - Sales, Tiago
AU - Sales T
Life
Portugal
FAU - Teixo, Ricardo
AU - Teixo R
Life
Portugal
FAU - Silva, Rita
AU - Silva R
Life
Portugal
FAU - Estrela, Jéssica
AU - Estrela J
3046-854
Coimbra, Portugal
FAU - Laranjo, Mafalda
AU - Laranjo M
Life
Portugal
FAU - Casalta-Lopes, João
AU - Casalta-Lopes J
AD - Radiation Oncology Department, Coimbra Hospital and Universitary Centre,
3000-075
Coimbra, Portugal
FAU - Rocha, Clara
AU - Rocha C
3046-854
Coimbra, Portugal
FAU - Simões, Paulo C
AU - Simões PC
AD - Radiation Oncology Department, Coimbra Hospital and Universitary Centre,
3000-075
Coimbra, Portugal
FAU - Sarmento-Ribeiro, Ana B
AU - Sarmento-Ribeiro AB
AD - Clinical University of Hematology, Coimbra Hospital and Universitary Centre,
FAU - Botelho, Mª Filomena
AU - Botelho MªF
Life
Portugal
FAU - Rosa, Manuel S
AU - Rosa MS
AD - Imunology Institute, Faculty of Medicine, University of Coimbra, 3000-354
Coimbra,
Portugal
FAU - Fonseca, Virgínia
AU - Fonseca V
Lisboa,
Lisboa, 1549-020 Portugal
FAU - Colaço, Diogo
AU - Colaço D
Lisboa,
FAU - Neves, Vanessa
AU - Neves V
Lisboa,
FAU - Jesus, Carlos
AU - Jesus C
Polytechnic
FAU - Hesse, Camilla
AU - Hesse C
AD - Department of Clinical Chemistry and Transfusion Medicine, Sahlgrenska
University
Hospital, Göteborg, 413 45 Göteborg Switzerland
FAU - Rocha, Clara
AU - Rocha C
AD - Complementary Sciences Department, College of Health Technology of Coimbra,
Portugal
AU - Osório N
Polytechnic
FAU - Valado, Ana
AU - Valado A
Polytechnic
AU - Caseiro A
Polytechnic
AU - Gabriel A
Polytechnic
FAU - Svensson, Lola
AU - Svensson L
AD - Department of Clinical Chemistry and Transfusion Medicine, Sahlgrenska
University
Hospital, Göteborg, 413 45 Göteborg Switzerland
AU - Mendes F
Polytechnic
FAU - Siba, Wafa A
AU - Siba WA
AD - Medical Laboratory Sciences Department, Al-Quds University, Abu Dis, P.O Box
89, Abu
Dis, Palestinian National Authority
FAU - Pereira, Cristina
AU - Pereira C
AD - Blood Bank Service, Coimbra Hospital and Universitary Center, 3000-075
Coimbra,
Portugal
FAU - Tomaz, Jorge
AU - Tomaz J
AD - Blood Bank Service, Coimbra Hospital and Universitary Center, 3000-075
Coimbra,
Portugal
FAU - Carvalho, Teresa
AU - Carvalho T
Comportamental,
3001-802
Coimbra, Portugal
Comportamental,
3001-802
Coimbra, Portugal
FAU - Cunha, Marina
AU - Cunha M
Comportamental,
3001-802
Coimbra, Portugal
FAU - Duarte, Diana
AU - Duarte D
AD - Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Leiria,
2411-901
Leiria, Portugal
FAU - Lopes, Nuno V
AU - Lopes NV
2411-901
Leiria, Portugal
AD - Centre for the Research and Technology of Agro-Environmental and Biological
Sciences, University of Trás-os-Montes and Alto Douro, 5001-801 Vila Real,
Portugal
FAU - Fonseca-Pinto, Rui
AU - Fonseca-Pinto R
2411-901
Leiria, Portugal
AD - Instituto de Telecomunicações, Instituto Politécnico de Leiria, 2411-901
Leiria,
Portugal
FAU - Duarte, Diana
AU - Duarte D
2411-901
Leiria, Portugal
FAU - Lopes, Nuno V
AU - Lopes NV
2411-901
Leiria, Portugal
Portugal
2411-901
Leiria, Portugal
Leiria,
Portugal
AU - Martins AC
3046-854
Coimbra Portugal
FAU - Brandão, Piedade
AU - Brandão P
AD - Escola Superior de Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal
AD - Center for Health Technology and Services Research, Universidade do Porto,
4200-450
Porto, Portugal
FAU - Martins, Laura
AU - Martins L
AD - Escola Superior de Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal
FAU - Cardoso, Margarida
AU - Cardoso M
AD - Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto,
4050-313 Porto Portugal
AD - Interdisciplinary Centre of Marine and Environmental Research, Universidade
do
Porto, 4050-123 Porto, Portugal
FAU - Morais, Nuno
AU - Morais N
AD - School of Health Sciences, Polytechnic Institute of Leiria, 2411-901 Leiria,
Portugal
FAU - Cruz, Joana
AU - Cruz J
FAU - Alves, Nuno
AU - Alves N
AD - Centre for Rapid and Sustainable Product Development, Polytechnic Institute
of
Leiria, 2430-028 Marinha Grande, Portugal
FAU - Faria, Paula
AU - Faria P
of
FAU - Mateus, Artur
AU - Mateus A
of
FAU - Morouço, Pedro
AU - Morouço P
of
FAU - Alves, Nuno
AU - Alves N
of
FAU - Ferreira, Nelson
AU - Ferreira N
of
FAU - Mateus, Artur
AU - Mateus A
of
FAU - Faria, Paula
AU - Faria P
of
FAU - Morouço, Pedro
AU - Morouço P
of
FAU - Malheiro, Isabel
AU - Malheiro I
FAU - Gaspar, Filomena
AU - Gaspar F
FAU - Barros, Luísa
AU - Barros L
AD - Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal
AU - Parreira P
FAU - Cardoso, Andreia
AU - Cardoso A
AD - Birmingham Hospitals, Birmingham, B15 2GW United Kingdom
FAU - Mónico, Lisete
AU - Mónico L
3001-802
Coimbra, Portugal
AU - Carvalho C
3001-802
Coimbra, Portugal
FAU - Lopes, Albino
AU - Lopes A
AD - Instituto Superior de Ciências Sociais e Políticas, 1300-663 Lisboa, Portugal
FAU - Seixas, Adérito
AU - Seixas A
AD - Universidade Fernando Pessoa, Porto, 4249-004 Porto Portugal
FAU - Soares, Valter
AU - Soares V
FAU - Dias, Tiago
AU - Dias T
FAU - Vardasca, Ricardo
AU - Vardasca R
AD - Faculdade de Engenharia, Universidade do Porto, 4200-465 Porto, Portugal
FAU - Gabriel, Joaquim
AU - Gabriel J
AU - Rodrigues S
FAU - Paredes, Hugo
AU - Paredes H
AD - Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real,
Portugal
AD - Instituto de Engenharia de Sistemas e Computadores, Tecnologia e Ciência,
4200-465
Porto, Portugal
FAU - Reis, Arsénio
AU - Reis A
Portugal
FAU - Marinho, Sara
AU - Marinho S
Portugal
FAU - Filipe, Vítor
AU - Filipe V
Portugal
FAU - Lains, Jorge
AU - Lains J
AD - Centro de Medicina de Reabilitação da Região Centro - Rovisco Pais, 3064-908
Tocha,
Portugal
FAU - Barroso, João
AU - Barroso J
Portugal
FAU - Da Motta, Carolina
AU - Da Motta C
Sciences,
AD - Azores University, São Miguel, 9501-855 Ponta Delgada Portugal
FAU - Carvalho, Célia B
AU - Carvalho CB
Sciences,
Sciences,
FAU - Peixoto, Ermelindo
AU - Peixoto E
FAU - Gomes, Ana A
AU - Gomes AA
AD - Department of Education and Psychology, University of Aveiro, Aveiro, 3810-
193
Aveiro Portugal
AD - Center for Health Technology and Services Research, Faculty of Medicine,
University
of Porto, Porto, 4200-450 Porto Portugal
FAU - Costa, Vanessa
AU - Costa V

AD - Centro de investigação em educação e ciências do comportamento, Universidade
de
Aveiro, Aveiro, 3810-193 Aveiro Portugal
FAU - Couto, Diana
AU - Couto D
193
Aveiro Portugal
AD - Centro de investigação em educação e ciências do comportamento, Universidade
de
Aveiro, Aveiro, 3810-193 Aveiro Portugal
FAU - Marques, Daniel R
AU - Marques DR
193
Aveiro Portugal
AD - Instituto de Imagem Biomédica e Ciências da Vida, Faculdade de Medicina,
Universidade de Coimbra, Coimbra, 3000-548 Coimbra Portugal
FAU - Leitão, José A
AU - Leitão JA

Comportamental,
FAU - Tavares, José
AU - Tavares J
193
Aveiro Portugal
FAU - Azevedo, Maria H
AU - Azevedo MH
FAU - Silva, Carlos F
AU - Silva CF
193
Aveiro Portugal
University
FAU - Freitas, João
AU - Freitas J
1649-023
Lisboa Portugal
AU - Parreira P
FAU - Marôco, João
AU - Marôco J
AD - Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, 1149-041
Lisboa, Portugal
FAU - Garcia-Gordillo, Miguel A
AU - Garcia-Gordillo MA
AD - University of Extremadura, Badajoz, 06071 Badajoz España
FAU - Collado-Mateo, Daniel
AU - Collado-Mateo D
FAU - Chen, Gang
AU - Chen G
AD - Flinders Health Economics Group, Flinders University, Adelaide, 5001
Australia
FAU - Iezzi, Angelo
AU - Iezzi A
AD - Centre for Health Economics, Monash University, Victoria, 3800 Australia
FAU - Sala, José A
AU - Sala JA
FAU - Parraça, José A
AU - Parraça JA
AD - Universidade de Évora, 7004-516 Évora, Portugal
FAU - Gusi, Narcis
AU - Gusi N
FAU - Sousa, Jani
AU - Sousa J
AU - Marques M
AD - Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal
FAU - Jardim, Jacinto
AU - Jardim J
AD - Centro de Literaturas e Culturas Lusófonas e Europeias, Universidade de
Lisboa,
FAU - Pereira, Anabela
AU - Pereira A
FAU - Simões, Sónia
AU - Simões S
FAU - Cunha, Marina
AU - Cunha M
FAU - Sardo, Pedro
AU - Sardo P
AD - School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Aveiro
Portugal
FAU - Guedes, Jenifer
AU - Guedes J
AD - Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501 Aveiro, Portugal
FAU - Lindo, João
AU - Lindo J
Portugal
FAU - Machado, Paulo
AU - Machado P
AD - Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto Portugal
FAU - Melo, Elsa
AU - Melo E
Portugal
AU - Carvalho CB
Sciences,
FAU - Benevides, Joana
AU - Benevides J
Sciences,
FAU - Sousa, Marina
AU - Sousa M
Sciences,
FAU - Cabral, Joana
AU - Cabral J
Sciences,
AU - Da Motta C
Sciences,
FAU - Pereira, Ana T
AU - Pereira AT
AD - Department of Psychological Medicine, Faculty of Medicine, University of
Coimbra,
FAU - Xavier, Sandra
AU - Xavier S
Coimbra,
FAU - Azevedo, Julieta
AU - Azevedo J
Coimbra,
FAU - Bento, Elisabete
AU - Bento E
Coimbra,
FAU - Marques, Cristiana
AU - Marques C
Coimbra,
FAU - Carvalho, Rosa
AU - Carvalho R
AD - Unidade de Saúde Familiar – Topázio, Eiras, 3020-171 Coimbra Portugal
AU - Marques M
AD - Instituto Superior Miguel Torga, Coimbra, 3000 Coimbra Portugal
FAU - Macedo, António
AU - Macedo A
Coimbra,
FAU - Silva, Ana M
AU - Silva AM
AD - University of Aveiro, Aveiro, 3810-193 Aveiro Portugal
FAU - Alves, Juliana
AU - Alves J
FAU - Gomes, Ana A
AU - Gomes AA
University
FAU - Marques, Daniel R
AU - Marques DR
FAU - Azevedo, Mª Helena
AU - Azevedo MªH
FAU - Silva, Carlos
AU - Silva C
University
FAU - Mendes, Ana
AU - Mendes A
2411-901
Leiria, Portugal
FAU - Lee, Huei D
AU - Lee HD
AD - Laboratory of Bioinformatics, Graduate Program in Engineering and Computing,
West
Paraná State University, Cascavel, Paraná 85819-110 Brasil
AD - Universidade Estadual de Campinas, Campinas, São Paulo 13083-970 Brasil
FAU - Spolaôr, Newton
AU - Spolaôr N
West
FAU - Oliva, Jefferson T
AU - Oliva JT
West
FAU - Chung, Wu F
AU - Chung WF
West
AD - Universidade Estadual de Campinas, Campinas, São Paulo 13083-970 Brasil
2411-901
Leiria, Portugal
Leiria,
Portugal
FAU - Bairros, Keila
AU - Bairros K
AD - Fundação Universidade Regional de Blumenau, Blumenau, Santa Catarina 89012-
900
Brasil
FAU - Silva, Cláudia D
AU - Silva CD
900
Brasil
FAU - Souza, Clóvis A
AU - Souza CA
900
Brasil
FAU - Schroeder, Silvana S
AU - Schroeder SS
900
Brasil
FAU - Araújo, Elsa
AU - Araújo E
AD - Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade
Nova de
Lisboa, 1169-056 Lisboa, Portugal
FAU - Monteiro, Helena
AU - Monteiro H
Nova de
FAU - Costa, Ricardo
AU - Costa R
Nova de
FAU - Dias, Sara S
AU - Dias SS
Nova de
AD - Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa, 1150-082
Lisboa,
Portugal
901
Leiria, Portugal
FAU - Torgal, Jorge
AU - Torgal J
Nova de
FAU - Henriques, Carolina G
AU - Henriques CG
AD - Health Research Unit, Polytechnic institute of Leiria, 2411-901 Leiria,
Portugal
Portugal
FAU - Santos, Luísa
AU - Santos L
Portugal
FAU - Caceiro, Elisa F
AU - Caceiro EF
Portugal
FAU - Ramalho, Sónia A
AU - Ramalho SA
AD - Health Research Unit, Polytechnic institute of Leiria, 2411-901 Leiria,
Portugal
Portugal
FAU - Oliveira, Rita
AU - Oliveira R
330
FAU - Afreixo, Vera
AU - Afreixo V
FAU - Santos, João
AU - Santos J
330
FAU - Mota, Priscilla
AU - Mota P
330
AU - Cruz A
330
FAU - Pimentel, Francisco
AU - Pimentel F
FAU - Marques, Rita
AU - Marques R
Portugal
AU - Dixe MªA
AD - Health Research Unit & School of Health Sciences, Polytechnic Institute of
Leiria,
FAU - Querido, Ana
AU - Querido A
AD - Health Research Unit & School of Health Sciences, Polytechnic Institute of
Leiria,
AU - Sousa P
AD - Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa Portugal
FAU - Benevides, Joana
AU - Benevides J
AU - Da Motta C
Sciences,
FAU - Sousa, Marina
AU - Sousa M
FAU - Caldeira, Suzana N
AU - Caldeira SN
AD - Centro Interdisciplinar de Ciências Sociais, Universidade dos Açores, São
Miguel,
9501-855 Ponta Delgada, Região Autónoma dos Açores Portugal
AU - Carvalho CB
Sciences,
FAU - Querido, Ana
AU - Querido A
Portugal
AU - Tomás C
Portugal
AU - Carvalho D
Portugal
Portugal
FAU - Gomes, João
AU - Gomes J
Portugal
Portugal
AU - Cordeiro M
Portugal
FAU - Costa, Joyce O
AU - Costa JO
Minas
Gerais, 35502-634 Brasil
FAU - Valim, Frederico C
AU - Valim FC
Minas
FAU - Ribeiro, Lígia C
AU - Ribeiro LC
Minas
FAU - Charepe, Zaida
AU - Charepe Z
AD - Universidade Católica Portuguesa, Lisboa, 1649-023 Lisboa, Portugal
FAU - Querido, Ana
AU - Querido A
AD - Health Research Unit, School of Health Sciences, Polytechnic Institute of
Leiria,
FAU - Figueiredo, Mª Henriqueta
AU - Figueiredo MªH
AD - Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto Portugal
FAU - Aquino, Priscila S
AU - Aquino PS
AD - Federal University of Ceará, Fortaleza, Ceará 60020-181 Brazil
FAU - Ribeiro, Samila G
AU - Ribeiro SG
AD - Federal University of Piauí, Teresina, Piauí, 64049-550 Brazil
FAU - Pinheiro, Ana B
AU - Pinheiro AB
FAU - Lessa, Paula A
AU - Lessa PA
AD - Federal Institute of Education, Science and Technology of Ceará, Fortaleza,
Ceará,
60040-531 Brazil
FAU - Oliveira, Mirna F
AU - Oliveira MF
AD - Federal University of Cariri, Juazeiro do Norte, Ceará, 63048-080 Brazil
FAU - Brito, Luísa S
AU - Brito LS
FAU - Pinto, Ítalo N
AU - Pinto ÍN
FAU - Furtado, Alessandra S
AU - Furtado AS
FAU - Castro, Régia B
AU - Castro RB
FAU - Aquino, Caroline Q
AU - Aquino CQ
FAU - Martins, Eveliny S
AU - Martins ES
FAU - Pinheiro, Ana B
AU - Pinheiro AB
FAU - Aquino, Priscila S
AU - Aquino PS
FAU - Oliveira, Lara L
AU - Oliveira LL
FAU - Pinheiro, Patrícia C
AU - Pinheiro PC
FAU - Sousa, Caroline R
AU - Sousa CR
FAU - Freitas, Vívien A
AU - Freitas VA
FAU - Silva, Tatiane M
AU - Silva TM
FAU - Lima, Adman S
AU - Lima AS
FAU - Aquino, Caroline Q
AU - Aquino CQ
FAU - Andrade, Karizia V
AU - Andrade KV
FAU - Oliveira, Camila A
AU - Oliveira CA
FAU - Vidal, Eglidia F
AU - Vidal EF
AD - Federal University of Cariri, Juazeiro do Norte, Ceará 63048-080 Brazil
FAU - Ganho-Ávila, Ana
AU - Ganho-Ávila A
AD - Centro de Investigação em Psicologia, Escola de Psicologia, Universidade do
Minho,
4710-057 Braga, Portugal
FAU - Moura-Ramos, Mariana
AU - Moura-Ramos M
Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra,
Portugal
FAU - Gonçalves, Óscar
AU - Gonçalves Ó
AD - Centro de Investigação em Psicologia, Escola de Psicologia, Universidade do
Minho,
4710-057 Braga, Portugal
FAU - Almeida, Jorge
AU - Almeida J
Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra,
Portugal
AD - PROACTION Laboratory, 3001-802 Coimbra, Portugal
FAU - Silva, Armando
AU - Silva A
FAU - Brito, Irma
AU - Brito I
FAU - Amado, João
AU - Amado J
AD - Universidade Católica Portuguesa, Porto, 4202-401 Porto Portugal
FAU - Rodrigo, António
AU - Rodrigo A
002
Lisboa Portugal
FAU - Santos, Sofia
AU - Santos S
002
Lisboa Portugal
FAU - Gomes, Fernando
AU - Gomes F
002
Lisboa Portugal
AU - Rosa MC
Aveiro,
Portugal
FAU - Marques, Silvana F
AU - Marques SF
AD - Unidade de Cuidados na Comunidade, Centro de Saúde de Anadia, 3780-780
Anadia,
Portugal
FAU - Luís, Sara
AU - Luís S
AD - Cáritas Diocesana de Coimbra - Centro Rainha Santa Isabel, 3030-382 Coimbra,
Portugal
3046-854
Coimbra Portugal
FAU - Cavalheiro, Luís
AU - Cavalheiro L
3046-854
Coimbra Portugal
Universidade de
AU - Ferreira P
Universidade de
FAU - Gonçalves, Rui
AU - Gonçalves R
3046-854
Coimbra Portugal
Universidade de
FAU - Lopes, Rui S
AU - Lopes RS
AD - Cáritas Diocesana de Coimbra, Centro Rainha Santa Isabel, 3030-382 Coimbra
Portugal
AD - Fundação Mário da Cunha Brito, 3360-908 S. Pedro de Alva, Portugal
AD - Escola Superior de Tecnologia da Saúde de Coimbra, Instituto Politécnico de
Coimbra,
São Martinho do Bispo, 3046-854 Coimbra, Portugal
FAU - Cavalheiro, Luís
AU - Cavalheiro L
Coimbra,
AD - Centro de Estudos e Investigação em Saúde da Universidade Coimbra, Faculdade
de
Economia, Universidade de Coimbra, 3004-512 Coimbra, Portugal
AU - Ferreira P
de
FAU - Gonçalves, Rui
AU - Gonçalves R
Coimbra,
de
FAU - Fiorin, Bruno H
AU - Fiorin BH
AD - Universidade Federal de São Paulo, São Paulo, 04021-001 Brasil
AD - Escola superior de Ciências da Santa Casa de Misericórdia de Vitória,
Vitória-
Esprito Santo, 29045-402 Brasil
AD - Faculdade Católica Salesiana do Espírito Santo, Vitória- Esprito Santo,
29017-950
Brasil
FAU - Santos, Marina S
AU - Santos MS
29017-950
Brasil
FAU - Oliveira, Edmar S
AU - Oliveira ES
29017-950
Brasil
FAU - Moreira, Rita L
AU - Moreira RL
FAU - Oliveira, Elizabete A
AU - Oliveira EA
29017-950
Brasil
FAU - Filho, Braulio L
AU - Filho BL
FAU - Palmeira, Lara
AU - Palmeira L
Sciences,
University of Coimbra, Coimbra, 3001-802 Coimbra Portugal
FAU - Garcia, Teresa
AU - Garcia T
Sciences,
Sciences,
FAU - Cunha, Marina
AU - Cunha M
FAU - Cardoso, Sara
AU - Cardoso S
Sciences,
FAU - Palmeira, Lara
AU - Palmeira L
Sciences,
FAU - Cunha, Marina
AU - Cunha M
Sciences,
Portugal
FAU - Mendes, Ana L
AU - Mendes AL
Portugal
AU - Trindade IA
Portugal
FAU - Oliveira, Sara
AU - Oliveira S
Portugal
AU - Ferreira C
Portugal
FAU - Mendes, Ana L
AU - Mendes AL
Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115
Coimbra
Portugal
Coimbra
Portugal
AU - Trindade IA
Coimbra
Portugal
AU - Ferreira C
Coimbra
Portugal
FAU - Nave, Filipe
AU - Nave F
AD - Centro de Estudos em Saúde, Escola Superior de Saúde, Universidade do
Algarve,
8000-510 Faro, Portugal
FAU - Campos, Mariana
AU - Campos M
2411-901
Leiria, Portugal
FAU - Gaudêncio, Iris
AU - Gaudêncio I
2411-901
Leiria, Portugal
FAU - Martins, Fernando
AU - Martins F
2411-901
Leiria, Portugal
FAU - Ferreira, Lino
AU - Ferreira L
2411-901
Leiria, Portugal
Leiria,
Portugal
FAU - Lopes, Nuno
AU - Lopes N
2411-901
Leiria, Portugal
Portugal
2411-901
Leiria, Portugal
Leiria,
Portugal
AU - Rodrigues R
AD - Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Coimbra Portugal
AU - Azeredo Z
Jean
AU - Vicente C
313
Porto, Portugal
FAU - Silva, Joana
AU - Silva J
AU - Sousa P
FAU - Marques, Rita
AU - Marques R
Portugal
FAU - Mendes, Isabel
AU - Mendes I
AU - Rodrigues R
AU - Azeredo Z
Jean
AU - Vicente C
AD - Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto,
4050-313 Porto Portugal
FAU - Vardasca, Ricardo
AU - Vardasca R
FAU - Marques, Ana R
AU - Marques AR
AU - Seixas A
FAU - Carvalho, Rui
AU - Carvalho R
AD - Centro Hospitalar do Porto, Porto, 4099-001 Porto Portugal
FAU - Gabriel, Joaquim
AU - Gabriel J
AU - Ferreira PP
AU - Oliveira MT
AD - Universidade Estadual de Feira de Santana, Feira de Santana, Bahia 44036-900
Brasil
AU - Sousa AR
FAU - Maia, Ana S
AU - Maia AS
FAU - Oliveira, Sebastião T
AU - Oliveira ST
FAU - Costa, Pablo O
AU - Costa PO
FAU - Silva, Maiza M
AU - Silva MM
FAU - Arreguy-Sena, Cristina
AU - Arreguy-Sena C
Brasil
FAU - Alvarenga-Martins, Nathália
AU - Alvarenga-Martins N
Brasil
FAU - Pinto, Paulo F
AU - Pinto PF
Brasil
FAU - Oliveira, Denize C
AU - Oliveira DC
AD - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 20550-900 Brasil
FAU - Parreira, Pedro D
AU - Parreira PD
FAU - Gomes, Antônio T
AU - Gomes AT
AD - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 20550-900 Brasil
FAU - Braga, Luciene M
AU - Braga LM
FAU - Araújo, Odete
AU - Araújo O
Portugal
FAU - Lage, Isabel
AU - Lage I
Portugal
FAU - Cabrita, José
AU - Cabrita J
AD - Faculdade de Farmácia, Universidade de Lisboa, 1649-003 Lisboa, Portugal
FAU - Teixeira, Laetitia
AU - Teixeira L
313
Porto, Portugal
FAU - Marques, Rita
AU - Marques R
Portugal
AU - Dixe MªA
Leiria,
FAU - Querido, Ana
AU - Querido A
Leiria,
AU - Sousa P
FAU - Silva, Sara
AU - Silva S
AD - Unidade de Saúde Pública, Centro Hospitalar do Baixo Vouga, Aveiro, 3814-501
Portugal
FAU - Cordeiro, Eugénio
AU - Cordeiro E
Portugal
FAU - Pimentel, João
AU - Pimentel J
Portugal
FAU - Ferro-Lebres, Vera
AU - Ferro-Lebres V
253
Portugal
FAU - Souza, Juliana A
AU - Souza JA
253
Portugal
FAU - Tavares, Mariline
AU - Tavares M
253
Portugal
AU - Dixe MªA
Portugal
FAU - Sousa, Pedro
AU - Sousa P
Portugal
FAU - Passadouro, Rui
AU - Passadouro R
Portugal
FAU - Peralta, Teresa
AU - Peralta T
Portugal
FAU - Ferreira, Carlos
AU - Ferreira C
Portugal
FAU - Lourenço, Georgina
AU - Lourenço G
Portugal
AU - Serrano J
767
AU - Petrica J
767
FAU - Paulo, Rui
AU - Paulo R
767
FAU - Honório, Samuel
AU - Honório S
767
FAU - Mendes, Pedro
AU - Mendes P
767
FAU - Simões, Alexandra
AU - Simões A
Branco,
FAU - Carvalho, Lucinda
AU - Carvalho L
Branco,
FAU - Pereira, Alexandre
AU - Pereira A
Branco,
FAU - Silva, Sara
AU - Silva S
AD - Centro Hospitalar do Porto, Porto, 4099-001 Portugal
AU - Sousa P
University
of Porto, Porto, 4099-002 Portugal
AU - Padilha JM
FAU - Figueiredo, Daniela
AU - Figueiredo D
FAU - Valente, Carolina
AU - Valente C
FAU - Marques, Alda
AU - Marques A
FAU - Ribas, Patrícia
AU - Ribas P
Bragança,
Portugal
FAU - Sousa, Joana
AU - Sousa J
Bragança,
Portugal
FAU - Brandão, Frederico
AU - Brandão F
AD - Centro Hospitalar Tâmega e Sousa, Penafiel, 4564-007 Portugal
FAU - Sousa, Cesar
AU - Sousa C
AD - Centro Hospitalar Tâmega e Sousa, Penafiel, 4564-007 Portugal
FAU - Martins, Matilde
AU - Martins M
Bragança,
Portugal
AD - Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano, Escola
Superior
de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253 Portugal
AU - Sousa P
FAU - Marques, Rita
AU - Marques R
Portugal
FAU - Mendes, Francisco
AU - Mendes F
AD - Centro de Estudos em Educação, Tecnologias e Saúde, Escola Superior de
Educação de
Viseu, 3504-501 Viseu, Portugal
FAU - Fernandes, Rosina
AU - Fernandes R
Educação de
FAU - Martins, Emília
AU - Martins E
Educação de
FAU - Magalhães, Cátia
AU - Magalhães C
Educação de
FAU - Araújo, Patrícia
AU - Araújo P
AD - Universidade Católica Portuguesa – Porto, 4202-401 Porto, Portugal
FAU - Grande, Carla
AU - Grande C
AD - Unidade Local de Saúde do Nordeste, Bragança, 5301-852 Portugal
AU - Mata MªA
Bragança,
Portugal
FAU - Vieitez, Juan G
AU - Vieitez JG
AD - Universidad de León, 24004 León, España
FAU - Bianchini, Bruna
AU - Bianchini B
Brasil
AU - Nazario N
Brasil
AU - Filho JG
Brasil
AU - Kretzer M
Brasil
FAU - Costa, Tânia
AU - Costa T
AD - Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto,
4202-401
Porto Portugal
FAU - Almeida, Armando
AU - Almeida A
4202-401
Porto Portugal
FAU - Baffour, Gabriel
AU - Baffour G
4202-401
Porto Portugal
FAU - Almeida, Armando
AU - Almeida A
4202-401
Porto Portugal
FAU - Costa, Tânia
AU - Costa T
4202-401
Porto Portugal
FAU - Baffour, Gabriel
AU - Baffour G
4202-401
Porto Portugal
AU - Azeredo Z
Jean
FAU - Laranjeira, Carlos
AU - Laranjeira C
Jean
FAU - Guerra, Magda
AU - Guerra M
Jean
FAU - Barbeiro, Ana P
AU - Barbeiro AP
Jean
FAU - Ferreira, Regina
AU - Ferreira R
AD - Escola Superior de Saúde, Instituto Politécnico de Santarém, Santarém, 2005-
075
Santarém, Portugal
FAU - Lopes, Sara
AU - Lopes S
Setúbal,
Portugal
FAU - Nunes, Liliana
AU - Nunes L
Setúbal,
Portugal
FAU - Mendes, Ana
AU - Mendes A
Setúbal,
Portugal
FAU - Martins, Julian
AU - Martins J
Brasil
FAU - Schneider, Dulcineia
AU - Schneider D
900
Brasil
AU - Kretzer M
Brasil
FAU - Magajewski, Flávio
AU - Magajewski F
Brasil
FAU - Soares, Célia
AU - Soares C
Setúbal,
Portugal
FAU - Marques, António
AU - Marques A
Setúbal,
Portugal
FAU - Batista, Marco
AU - Batista M
AD - Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal
AD - Research in Education and Community Intervention, Instituto Piaget, 3515-776
FAU -Castuera, Ruth J
AU -Castuera RJ
AD -Universidad de Extremadura, 10003 Cáceres, España
FAU -Mesquita, Helena
AU -Mesquita H
AD -Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal
FAU -Faustino, António
AU -Faustino A
FAU -Santos, Jorge
AU -Santos J
FAU -Honório, Samuel
AU -Honório S
AD -Research in Education and Community Intervention, Instituto Piaget, 3515-776
FAU - Vizzotto, Betina P
AU - Vizzotto BP
AD - Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul 97010-032
Brasil
FAU - Frigo, Leticia
AU - Frigo L
AD - Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul 97010-032
Brasil
FAU - Pivetta, Hedioneia F
AU - Pivetta HF
AD - Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul 97105-900
Brasil
FAU - Sardo, Dolores
AU - Sardo D
FAU - Martins, Cristina
AU - Martins C
Portugal
FAU - Abreu, Wilson
AU - Abreu W
FAU - Figueiredo, Mª Céu
AU - Figueiredo MªC
AU - Batista M
FAU - Jimenez-Castuera, Ruth
AU - Jimenez-Castuera R
AD - Universidad de Extremadura, 10003 Cáceres, España
AU - Petrica J
AU - Serrano J
AU - Honório S
FAU - Paulo, Rui
AU - Paulo R
FAU - Mendes, Pedro
AU - Mendes P
AU - Sousa P
FAU - Marques, Rita
AU - Marques R
Portugal
FAU - Faustino, António
AU - Faustino A
767
FAU - Silveira, Paulo
AU - Silveira P
767
AU - Serrano J
767
FAU - Paulo, Rui
AU - Paulo R
767
FAU - Mendes, Pedro
AU - Mendes P
767
AU - Honório S
767
FAU - Oliveira, Catarina
AU - Oliveira C
AD - Unidade de Transplante Hepático e Pancreático, Centro Hospitalar do Porto,
4099-001
Porto, Portugal
FAU - Bastos, Fernanda
AU - Bastos F
FAU - Cruz, Inês
AU - Cruz I
FAU - Rodriguez, Cláudia K
AU - Rodriguez CK
AD - Universidade Estadual Paulista ‘Júlio de Mesquita Filho”, 01049-010 São
Paulo,
Brazil
FAU - Kretzer, Márcia R
AU - Kretzer MR
Brazil
FAU - Nazário, Nazaré O
AU - Nazário NO
Brazil
FAU - Cruz, Pedro
AU - Cruz P
AD - Coimbra Chemistry Centre, Chemistry Department, University of Coimbra, 3004-
535
Coimbra, Portugal
FAU - Vaz, Daniela C
AU - Vaz DC
AD - Coimbra Chemistry Centre, Chemistry Department, University of Coimbra, 3004-
535
Coimbra, Portugal
Leiria,
FAU - Ruben, Rui B
AU - Ruben RB
2411-901
Leiria, Portugal
FAU - Avelelas, Francisco
AU - Avelelas F
AD - MARE, Instituto Politécnico de Leiria, Peniche, 2520-641 Portugal
FAU - Silva, Susana
AU - Silva S
FAU - Campos, Mª Jorge
AU - Campos MªJ
FAU - Almeida, Maria
AU - Almeida M
FAU - Gonçalves, Liliana
AU - Gonçalves L
AD - Hospital Arcebispo João Crisóstomo, Cantanhede, 3060 Cantanhede Portugal
FAU - Antunes, Lígia
AU - Antunes L
AD - Hospital José Luciano de Castro, Anadia, 3780-226 Anadia Portugal
FAU - Sardo, Pedro
AU - Sardo P
AD - School of Health Sciences, University of Aveiro, Aveiro, 3810-193 Portugal
FAU - Guedes, Jenifer
AU - Guedes J
AD - Hospital de Aveiro, Centro Hospitalar do Baixo Vouga E.P.E., Aveiro, 3814-501
Portugal
FAU - Simões, João
AU - Simões J
FAU - Machado, Paulo
AU - Machado P
FAU - Melo, Elsa
AU - Melo E
FAU - Cardoso, Susana
AU - Cardoso S
AU - Santos O
AD - Instituto de Medicina Preventiva, Faculdade de Medicina de Lisboa,
Universidade de
FAU - Nunes, Carla
AU - Nunes C
FAU - Loureiro, Isabel
AU - Loureiro I
FAU - Santos, Flávia
AU - Santos F
AD - Faculty of Health Sciences, University of Beira Interior, Covilhã, 6200-506
Covilhã
Portugal
FAU - Alves, Gilberto
AU - Alves G
AD - Faculty of Health Sciences, University of Beira Interior, Covilhã, 6200-506
Covilhã
Portugal
AD - Health Sciences Research Centre, University of Beira Interior, Covilhã, 6200-
506
Covilhã Portugal
AD - Centre for Neuroscience and Cell Biology, University of Coimbra, 3004-504
Coimbra,
Portugal
FAU - Soar, Cláudia
AU - Soar C
AD - Universidade do Vale do Paraíba, São José dos Campos, São Paulo 12244-000
Brasil
FAU - Marsi, Teresa O
AU - Marsi TO
AD - Universidade do Vale do Paraíba, São José dos Campos, São Paulo 12244-000
Brasil
FAU - Silva, Ernestina
AU - Silva E

FAU - Pedrosa, Dora
AU - Pedrosa D
AD - Maternidade Daniel de Matos, Centro Hospitalar e Universitário de Coimbra,
3000-075
Coimbra, Portugal
FAU - Leça, Andrea
AU - Leça A
AD - Hospital Dr. Nélio Mendonça, Região Autónoma da Madeira, Funchal, 9004-514
Portugal
FAU - Silva, Daniel
AU - Silva D

FAU - Galvão, Ana
AU - Galvão A
Bragança,
Portugal
FAU - Gomes, Maria
AU - Gomes M
Bragança,
Portugal
FAU - Fernandes, Paula
AU - Fernandes P
AD - Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Bragança,
5300-253
Bragança, Portugal
FAU - Noné, Ana
AU - Noné A
Bragança,
Portugal
FAU - Combadão, Jaime
AU - Combadão J
AD - Universidade New Atlântica, 2745-615 Barcarena, Portugal
FAU - Ramalhete, Cátia
AU - Ramalhete C
FAU - Figueiredo, Paulo
AU - Figueiredo P
FAU - Caeiro, Patrícia
AU - Caeiro P
FAU - Fontana, Karine C
AU - Fontana KC
AU - Lacerda JT
FAU - Machado, Patrícia O
AU - Machado PO
FAU - Borges, Raphaelle
AU - Borges R
AD - Universidade Federal do Amapá, Macapá, Amapá 68903-419 Brasil
FAU - Barbosa, Flávio
AU - Barbosa F
AD - Universidade Federal do Sergipe, São Cristóvão, Sergipe 49100-000 Brasil
FAU - Sá, Dayse
AU - Sá D
AD - Universidade Federal do Amapá, Macapá, Amapá 68903-419 Brasil
FAU - Brunhoso, Germana
AU - Brunhoso G
AD - Centro Hospitalar de Trás –os-Montes e Alto Douro, Vila Real, 5000-508
Portugal
FAU - Aparício, Graça
AU - Aparício G

FAU - Carvalho, Amâncio
AU - Carvalho A
AD - Escola Superior de Enfermagem de Vila Real, Universidade de Trás –os-Montes e
Alto
Douro, Vila Real, 5000-232 Lordelo Portugal
FAU - Garcia, Ana P
AU - Garcia AP
AD - Health Sciences Research Centre, Faculty of Health Sciences, University of
Beira
Interior, Covilhã, 6201-001 Portugal
FAU - Fernandes, Paula O
AU - Fernandes PO
AD - Unidade de Investigação Aplicada em Gestão, Instituto Politécnico de
Bragança,
Bragança, 5300-253 Portugal
AD - Research Unit in Business Sciences, University of Beira Interior, Covilhã,
6201-001
Portugal
FAU - Santos, Adriana
AU - Santos A
AD - Health Sciences Research Centre, Faculty of Health Sciences, University of
Beira
Interior, Covilhã, 6201-001 Portugal
FAU - Veiga, Nélio
AU - Veiga N
3504-505
Portugal
Portuguesa,
FAU - Brás, Carina
AU - Brás C
3504-505
Portugal
FAU - Carvalho, Inês
AU - Carvalho I
3504-505
Portugal
FAU - Batalha, Joana
AU - Batalha J
3504-505
Portugal
FAU - Glória, Margarida
AU - Glória M
3504-505
Portugal
FAU - Bexiga, Filipa
AU - Bexiga F
3504-505
Portugal
Portuguesa,
FAU - Coelho, Inês
AU - Coelho I
AD - Unidade de Saúde Familiar Grão Vasco, Viseu, 3500-177 Portugal
FAU - Amaral, Odete
AU - Amaral O
Viseu,
AU - Pereira C
Viseu,
AU - Pinho C
Porto,
Vila Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal
FAU - Paraíso, Nilson
AU - Paraíso N
AD - Universidade Federal da Bahia, Salvador da Bahia, 0170-115 Brazil
AU - Oliveira AI
Porto,
FAU - Lima, Cristóvão F
AU - Lima CF
AD - Centro de Investigação e de Tecnologias Agro-Ambientais e Biológicas,
Universidade
de Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal & Universidade
do
Minho, 4704-553 Braga, Portugal
FAU - Dias, Alberto P
AU - Dias AP
AD - Centro de Investigação e de Tecnologias Agro-Ambientais e Biológicas,
Universidade
de Trás-os-Montes e Alto Douro, 5001-801 Vila Real, Portugal & Universidade
do
Minho, 4704-553 Braga, Portugal
FAU - Silva, Pedro
AU - Silva P
AD - Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal
AD - Associação de Melhoramentos Pró Outeiro, Oliveira de Azeméis, 3720-514
Santiago de
Riba-Ul Portugal
FAU - Espada, Mário
AU - Espada M
AD - School of Education, Polytechnic Institute of Setúbal, 2910-761 Setúbal,
Portugal
AD - Centro Interdisciplinar da Performance Humana, Faculdade de Motricidade
Humana,
Universidade de Lisboa, 1499-002 Cruz Quebrada, Portugal
FAU - Marques, Mário
AU - Marques M
University
of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal
FAU - Pereira, Ana
AU - Pereira A
University
of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal
AU - Pereira AMª
AD - Escola Superior de Saúde de Bragança, Instituto Politécnico de Bragança,
5300-121
Bragança, Portugal
FAU - Veiga-Branco, Mª
AU - Veiga-Branco Mª
5300-121
Bragança, Portugal
FAU - Pereira, Filomena
AU - Pereira F
FAU - Ribeiro, Maria
AU - Ribeiro M
5300-121
Bragança, Portugal
FAU - Lima, Vera
AU - Lima V
Porto,
AU - Oliveira AI
Porto,
Vila
Nova de Gaia, 4400-330 Vila Nova de Gaia, Portugal
AU - Pinho C
Porto,
Vila
FAU - Cruz, Graça
AU - Cruz G
Porto,
AU - Oliveira RF
Porto,
Vila
193
Aveiro, Portugal
FAU - Barreiros, Luísa
AU - Barreiros L
AD - UCBIO-REQUIMTE Rede de Química e Tecnologia, 4051-401 Porto, Portugal
AD - Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do
Porto,
Porto, 4050-313 Porto Portugal
AU - Moreira F
Porto,
University
Vila
FAU - Camarneiro, Ana
AU - Camarneiro A
AU - Loureiro MªH
FAU - Silva, Margarida
AU - Silva M
FAU - Duarte, Catarina
AU - Duarte C
Porto,
Vila Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal
AU - Jesus Â
Porto,
AU - Cruz A
Porto,
FAU - Mota, Maria
AU - Mota M
University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real
Portugal
FAU - Novais, Sandra
AU - Novais S
Montes e
Alto Douro, Vila Real, 5001-801 Vila Real Portugal
FAU - Nogueira, Paulo
AU - Nogueira P
Montes e
FAU - Pereira, Ana
AU - Pereira A
Portugal
AD - Polytechnic Institute of Setúbal, 2910-761 Setúbal, Portugal
FAU - Carneiro, Lara
AU - Carneiro L
Montes e
FAU - João, Paulo V
AU - João PV
Portugal
FAU - Lima, Teresa Maneca
AU - Lima TM
AD - Centro de Estudos Sociais, Universidade de Coimbra, 3000-995 Coimbra,
Portugal
AU - Vaquinhas M
AU - Parreira P
FAU - Melo, Rosa
AU - Melo R
AU - Graveto J
AU - Castilho A
AU - Gomes JH
FAU - Medina, María S
AU - Medina MS
AD - GyM Prevención, Burgos, 09007 Burgos, España
FAU - Blanco, Valeriana G
AU - Blanco VG
AD - Universidad de Burgos, 09001 Burgos, España
AU - Santos O
FAU - Lopes, Elisa
AU - Lopes E
FAU - Virgolino, Ana
AU - Virgolino A
FAU - Dinis, Alexandra
AU - Dinis A
AD - Faculdade de Medicina da Universidade de Lisboa, Lisboa, 1649-028 Lisboa
Portugal
FAU - Ambrósio, Sara
AU - Ambrósio S
Portugal
FAU - Almeida, Inês
AU - Almeida I
Portugal
FAU - Marques, Tatiana
AU - Marques T
Portugal
FAU - Heitor, Mª João
AU - Heitor MªJ
Portugal
AD - Hospital Beatriz Ângelo, Loures, 2674-514 Loures Portugal
FAU - Garcia-Gordillo, Miguel A
AU - Garcia-Gordillo MA
FAU - Collado-Mateo, Daniel
AU - Collado-Mateo D
FAU - Olivares, Pedro R
AU - Olivares PR
AD - Universidad Autonoma de Chile, Talca, 1670 Talca Chile
FAU - Parraça, José A
AU - Parraça JA
AD - Universidade de Évora, 7004-516 Évora, Portugal
FAU - Sala, José A
AU - Sala JA
AU - Castilho A
AU - Graveto J
AU - Parreira P
FAU - Oliveira, Anabela
AU - Oliveira A
AU - Gomes JH
FAU - Melo, Rosa
AU - Melo R
AU - Vaquinhas M
FAU - Cheio, Mónica
AU - Cheio M
330
AU - Cruz A
330
FAU - Pereira, Olívia R
AU - Pereira OR
121
Bragança Portugal
FAU - Pinto, Sara
AU - Pinto S
AD - Unidade de Investigação UFP em Energia, Ambiente e Saúde & Centro de Estudos
em
Biomedicina, Fundação Fernando Pessoa, Porto, 4249-004 Porto Portugal
FAU - Oliveira, Adriana
AU - Oliveira A
em
FAU - Manso, M Conceição
AU - Manso MC
em
AD - REQUIMTE/LAQV, Departamento de Ciências Químicas, Faculdade de Farmácia,
FAU - Sousa, Carla
AU - Sousa C
em
FAU - Vinha, Ana F
AU - Vinha AF
em
AD - REQUIMTE/LAQV, Departamento de Ciências Químicas, Faculdade de Farmácia,
FAU - Machado, Mª Manuela
AU - Machado MªM
AD - Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga
Portugal
FAU - Vieira, Margarida
AU - Vieira M
FAU - Fernandes, Beatriz
AU - Fernandes B
Lisboa,
FAU - Tomás, Teresa
AU - Tomás T
Lisboa,
FAU - Quirino, Diogo
AU - Quirino D
Lisboa,
FAU - Desouzart, Gustavo
AU - Desouzart G
Portugal
FAU - Matos, Rui
AU - Matos R
AD - Life Quality Research Centre, Polytechnic Institute of Santarém, 2001-904
Santarém,
Portugal
AD - Polytechnic Institute of Leiria, 2411-901 Leiria, Portugal
FAU - Bordini, Magali
AU - Bordini M
Portugal
FAU - Mouroço, Pedro
AU - Mouroço P
of
FAU - Matos, Ana R
AU - Matos AR
Portugal
FAU - Serapioni, Mauro
AU - Serapioni M
Portugal
FAU - Guimarães, Teresa
AU - Guimarães T
FAU - Fonseca, Virgínia
AU - Fonseca V
FAU - Costa, André
AU - Costa A
FAU - Ribeiro, João
AU - Ribeiro J
FAU - Lobato, João
AU - Lobato J
FAU - Martin, Inmaculada Z
AU - Martin IZ
AD - Jönköping University Foundation, 551 11 Jönköping, Sweden
FAU - Björklund, Anita
AU - Björklund A
AD - Jönköping University Foundation, 551 11 Jönköping, Sweden
FAU - Tavares, Aida I
AU - Tavares AI
Universidade de
AU - Ferreira P
Universidade de
FAU - Passadouro, Rui
AU - Passadouro R
AD - ACES Pinhal Litoral, ARS Centro, Coimbra, 3001-553 Coimbra Portugal
FAU - Morgado, Sónia
AU - Morgado S
AD - Instituto Superior de Ciências Policiais e Segurança Interna, 1349-040
Lisboa,
Portugal
FAU - Tavares, Nuno
AU - Tavares N
Coimbra,
São Martinho do Bispo, 3046-854 Coimbra Portugal
FAU - Valente, João
AU - Valente J
Coimbra,
AU - Martins AC
Coimbra,
AU - Araújo P
AU - Fernandes R
Educação de
AU - Mendes F
Educação de
AU - Magalhães C
Educação de
AU - Martins E
Educação de
FAU - Mendes, Pedro
AU - Mendes P
767
FAU - Paulo, Rui
AU - Paulo R
767
FAU - Faustino, António
AU - Faustino A
767
FAU - Mesquita, Helena
AU - Mesquita H
767
AU - Honório S
767
AU - Batista M
767
AU - Lacerda JT
FAU - Ortiga, Angela B
AU - Ortiga AB
AD - Secretaria de estado da saúde de Santa Catarina, Florianópolis, Santa
Catarina
88015-130 Brasil
FAU - Calvo, Mª Cristina
AU - Calvo MªC
FAU - Natal, Sônia
AU - Natal S
FAU - Pereira, Marta
AU - Pereira M
AU - Ferreira M
Portugal
FAU - Prata, Ana R
AU - Prata AR
AD - Hospital Pêro da Covilhã, Centro Hospitalar Cova da Beira EPE, 6200-251
Covilhã,
Portugal
FAU - Nelas, Paula
AU - Nelas P
Portugal
FAU - Duarte, João
AU - Duarte J
Portugal
FAU - Carneiro, Juliana
AU - Carneiro J
Porto,
AU - Oliveira AI
Porto,
Vila
Nova de Gaia, 4400-330 Vila Nova de Gaia Portugal
AU - Pinho C
Porto,
Vila
FAU - Couto, Cristina
AU - Couto C
Porto,
AD - Serviços farmacêuticos, Hospital Pedro Hispano, Unidade Local de Saúde de
Matosinhos, EPE, 4454 509 Senhora da Hora, Portugal
AU - Oliveira RF
Porto,
Vila
AU - Moreira F
Porto,
University
Vila
FAU - Maia, Ana S
AU - Maia AS
AD - Faculdade Nobre, Feira de Santana, Bahia, 44001-008 Brasil
AU - Oliveira MT
AU - Sousa AR
AU - Ferreira PP
AD - Secretaria de Saúde do Estado da Bahia, Salvador, Bahia, 41745-900 Brasil
FAU - Souza, Géssica M
AU - Souza GM
FAU - Almada, Lívia F
AU - Almada LF
FAU - Conceição, Milena A
AU - Conceição MA
FAU - Santiago, Eujcely C
AU - Santiago EC
AD - Hospital Estadual da Criança, Vila Valqueire, Rio de Janeiro Brasil
AU - Rodrigues S
FAU - Domingues, Gabriela
AU - Domingues G
FAU - Ferreira, Irina
AU - Ferreira I
FAU - Faria, Luís
AU - Faria L
AU - Seixas A
FAU - Costa, Ana R
AU - Costa AR
AD - Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, Vila
Nova de
Gaia, 4400-330 Vila Nova de Gaia Portugal
AU - Jesus Â
Nova de
FAU - Cardoso, Américo
AU - Cardoso A
Nova de
AD - Instituto Português de Oncologia do Porto FG, EPE, Porto, 4200-072 Porto
Portugal
FAU - Meireles, Alexandra
AU - Meireles A
Nova de
AD - Centro Hospitalar do Porto, Porto, 4099-001 Porto Portugal
FAU - Colaço, Armanda
AU - Colaço A
Nova de
AD - Centro Hospitalar São João, Porto, 4200-319 Porto Portugal
AU - Cruz A
Nova de
FAU - Vieira, Viviane L
AU - Vieira VL
AD - Universidade de São Paulo, São Paulo, 05403-000 Brasil
FAU - Vincha, Kellem R
AU - Vincha KR
FAU - Cervato-Mancuso, Ana Mª
AU - Cervato-Mancuso AMª
FAU - Faria, Melissa
AU - Faria M
3046-854
Coimbra Portugal
FAU - Reis, Cláudia
AU - Reis C
3046-854
Coimbra Portugal
FAU - Cova, Marco P
AU - Cova MP
AD - VOID – Software Development, 2415-767 Leiria, Portugal
FAU - Ascenso, Rita T
AU - Ascenso RT
AD - Centre for Research in Informatics and Communications, Polytechnic Institute
of
Leiria, 2411-901 Leiria, Portugal
2411-901
Leiria, Portugal
FAU - Almeida, Henrique A
AU - Almeida HA
2411-901
Leiria, Portugal
FAU - Oliveira, Eunice G
AU - Oliveira EG
2411-901
Leiria, Portugal
AD - Instituto de Engenharia de Sistemas e Computadores de Coimbra, 3000-033
Coimbra,
Portugal
FAU - Santana, Miguel
AU - Santana M
2411-901
Leiria, Portugal
FAU - Pereira, Rafael
AU - Pereira R
2411-901
Leiria, Portugal
FAU - Oliveira, Eunice G
AU - Oliveira EG
2411-901
Leiria, Portugal
AD - Instituto de Engenharia de Sistemas e Computadores de Coimbra, 3000-033
Coimbra,
Portugal
FAU - Almeida, Henrique A
AU - Almeida HA
2411-901
Leiria, Portugal
FAU - Ascenso, Rita T
AU - Ascenso RT
2411-901
Leiria, Portugal
AD - Centre for Research in Informatics and Communications, Polytechnic Institute
of
Leiria, 2411-901 Leiria, Portugal
FAU - Jesus, Rita
AU - Jesus R
AD - Nova Medical School, Universidade Nova de Lisboa, 1169-056 Lisboa, Portugal
FAU - Tapadas, Rodrigo
AU - Tapadas R
FAU - Tim-Tim, Carolina
AU - Tim-Tim C
FAU - Cezanne, Catarina
AU - Cezanne C
FAU - Lagoa, Matilde
AU - Lagoa M
FAU - Dias, Sara S
AU - Dias SS
AD - Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa, 1150-082
Lisboa,
Portugal
901
Leiria, Portugal
FAU - Torgal, Jorge
AU - Torgal J
FAU - Lopes, João
AU - Lopes J
2411-901
Leiria, Portugal
FAU - Almeida, Henrique
AU - Almeida H
2411-901
Leiria, Portugal
FAU - Amado, Sandra
AU - Amado S
Portugal
FAU - Carrão, Luís
AU - Carrão L
Portugal
AU - Cunha M

FAU - Saboga-Nunes, Luís
AU - Saboga-Nunes L
AD - Escola Nacional de Saúde Publica, Lisboa, 1600-560 Lisboa Portugal
AU - Albuquerque C

FAU - Ribeiro, Olivério
AU - Ribeiro O
Portugal
FAU - Oliveira, Suzete
AU - Oliveira S
AD - Escola Superior de Tecnologia e Saúde, Instituto Politécnico do Porto, 4400-
330 Vila
Nova de Gaia, Portugal
AU - Morais MªC
Viana
AU - Martins E
Educação de
AU - Mendes F
Educação de
AU - Fernandes R
Educação de
AU - Magalhães C
Educação de
AU - Araújo P
FAU - Pedro, Ana R
AU - Pedro AR
AD - Escola Nacional de Saúde Pública, Lisboa, 1600-560 Lisboa Portugal
FAU - Amaral, Odete
AU - Amaral O
Portugal
FAU - Escoval, Ana
AU - Escoval A
AD - Escola Nacional de Saúde Pública, Lisboa, 1600-560 Lisboa Portugal
FAU - Assunção, Victor
AU - Assunção V
AD - Escola Superior de Saúde, Instituto Politécnico de Portalegre, Portalegre,
7301-901
Portalegre Portugal
FAU - Luís, Henrique
AU - Luís H
AD - Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, 1649-003
Lisboa
Portugal
FAU - Luís, Luís
AU - Luís L
AD - Escola Superior de Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria,
Portugal
FAU - Apolinário-Hagen, Jennifer
AU - Apolinário-Hagen J
Germany
FAU - Vehreschild, Viktor
AU - Vehreschild V
Germany
FAU - Fotschl, Ulrike
AU - Fotschl U
AD - Department of Biomedical Sciences, University of Applied Sciences Salzburg,
A-5412
Puch, Salzburg Austria
FAU - Lirk, Gerald
AU - Lirk G
AD - Department of Medical and Bioinformatics, University of Applied Sciences
Upper
Austria, Hagenberg, A-4232 Hagenberg Austria
AU - Martins AC
3046-854
Coimbra, Portugal
AU - Andrade I
3046-854
Coimbra, Portugal
AU - Mendes F
3046-854
Coimbra, Portugal
FAU - Mendonça, Verónica
AU - Mendonça V
3046-854
Coimbra, Portugal
FAU - Antunes, Sandra
AU - Antunes S
3046-854
Coimbra, Portugal
AU - Andrade I
3046-854
Coimbra, Portugal
AU - Osório N
3046-854
Coimbra, Portugal
FAU - Valado, Ana
AU - Valado A
3046-854
Coimbra, Portugal
AU - Caseiro A
3046-854
Coimbra, Portugal
AU - Gabriel A
3046-854
Coimbra, Portugal
AU - Martins AC
3046-854
Coimbra, Portugal
AU - Mendes F
3046-854
Coimbra, Portugal
FAU - Silva, Paula A
AU - Silva PA
AD - Universidad de Extremadura, 10003 Cáceres, España
AU - Mónico LM
3001-802
Coimbra, Portugal
AU - Parreira PM
AU - Carvalho C
3001-802
Coimbra, Portugal
AU - Carvalho C
3001-802
Coimbra, Portugal
AU - Parreira PM
AU - Mónico LM
3001-802
Coimbra, Portugal
FAU - Ruivo, Joana
AU - Ruivo J
3001-802
Coimbra, Portugal
FAU - Silva, Vânia
AU - Silva V
AU - Sousa P
University
AU - Padilha JM
FAU - Ferraz, Vera
AU - Ferraz V
AD - Centro Hospitalar de Trás–os-Montes e Alto Douro, Vila Real, 5000-508
Portugal
FAU - Aparício, Graça
AU - Aparício G

FAU - Duarte, João
AU - Duarte J

FAU - Vasconcelos, Carlos
AU - Vasconcelos C
AD - Polytechnic Institute of Viseu, Viseu, 3504-510 Portugal
FAU - Almeida, António
AU - Almeida A
University
FAU - Neves, Joel
AU - Neves J
FAU - Correia, Telma
AU - Correia T
FAU - Amorim, Helena
AU - Amorim H
FAU - Mendes, Romeu
AU - Mendes R
University
AD - Unidade de Saúde Pública, ACES Douro I, Marão e Douro Norte, Administração
Regional
de Saúde do Norte, 5000-524 Vila Real, Portugal
FAU - Saboga-Nunes, Luís
AU - Saboga-Nunes L
AD - Centro de Investigação em Saúde Pública, Escola Nacional de Saúde Publica,
1600-560
Lisboa, Portugal
AU - Cunha M

AU - Albuquerque C

FAU -
Pereira, Elsa S
AU -
Pereira ES
AD -
Hospital Prof. Doutor Fernando Fonseca E.P.E., Amadora, 2720-276 Portugal
FAU -
Santos, Leonino S
AU -
Santos LS
AD -
FAU -
Reis, Ana S
AU -
Reis AS
AD -
FAU -
Silva, Helena R
AU -
Silva HR
AD -
FAU -
Rombo, João
AU -
Rombo J
AD -
FAU -
Fernandes, Jorge C
AU -
Fernandes JC
AD -
FAU -
Fernandes, Patrícia
AU -
Fernandes P
AD -
FAU -
Ribeiro, Jaime
AU -
Ribeiro J
AD -
Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e
Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193
Aveiro,
Portugal
FAU - Mangas, Catarina
AU - Mangas C
AD - Unidade de Investigação Inclusão e Acessibilidade em Acção “iACT” e Escola
Superior
Educação e Ciências Sociais, Instituto Politécnico de Leiria, 2411-901
Leiria,
Portugal
FAU - Freire, Ana
AU - Freire A
FAU - Silva, Sara
AU - Silva S
Portugal
FAU - Francisco, Irene
AU - Francisco I
Portugal
FAU - Oliveira, Ana
AU - Oliveira A
Portugal
AU - Catarino H
Leiria,
AU - Dixe MªA
Leiria,
FAU - Louro, Mª Clarisse
AU - Louro MªC
Leiria,
FAU - Lopes, Saudade
AU - Lopes S
Leiria,
FAU - Dixe, Anjos
AU - Dixe A
Leiria,
AU - Dixe MªA
Leiria,
FAU - Menino, Eva
AU - Menino E
Leiria,
AU - Catarino H
Leiria,
FAU - Soares, Fátima
AU - Soares F
AD - Unidade de Saúde Pública - ACES Pinhal Litoral, ARS Centro, 3100-462 Pombal,
Portugal
FAU - Oliveira, Ana P
AU - Oliveira AP
AD - Consulta Externa de Pediatria, Centro Hospitalar de Leiria, 2410-197 Leiria,
Portugal
FAU - Gordo, Sara
AU - Gordo S
Leiria,
FAU - Kraus, Teresa
AU - Kraus T
Leiria,
AU - Tomás C
Leiria,
FAU - Queirós, Paulo
AU - Queirós P
FAU - Rodrigues, Teresa
AU - Rodrigues T
Portugal
FAU - Sousa, Pedro
AU - Sousa P
Leiria,
AU - Frade JG
Leiria,
FAU - Lobão, Catarina
AU - Lobão C
Leiria,
FAU - Moura, Cynthia B
AU - Moura CB
AD - Universidade do Oeste do Paraná, Foz do Iguaçu, Paraná 85851-100 Brasil
FAU - Dreyer, Laysa C
AU - Dreyer LC
FAU - Meneghetti, Vanize
AU - Meneghetti V
FAU - Cabral, Priscila P
AU - Cabral PP
FAU - Pinto, Francisca
AU - Pinto F
Portuguesa/Porto, 4202-401 Porto, Portugal
AD - Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da
Saúde,
Cooperativa De Ensino Superior Politécnico Universitário, Instituto
Politécnico de
Saúde do Norte, 4585-116 Gandra, Portugal
AU - Sousa P
AD - Escola Superior de Enfermagem do Porto, Porto, 4200-072 Porto, Portugal
AD - Centre for Health Technology and Services Research, Faculdade de Medicina da
FAU - Esteves, Mª Raquel
AU - Esteves MªR
AD - Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da
Saúde,
Cooperativa De Ensino Superior Politécnico Universitário, Instituto
Politécnico de
Saúde do Norte, 4585-116 Gandra, Portugal
FAU - Galvão, Sofia
AU - Galvão S
3046-854
Coimbra, Portugal
FAU - Tytgat, Ite
AU - Tytgat I
AD - University Thomas More, B - 2800 Mechelen, Belgium
AU - Andrade I
3046-854
Coimbra, Portugal
AU - Osório N
3046-854
Coimbra, Portugal
FAU - Valado, Ana
AU - Valado A
3046-854
Coimbra, Portugal
AU - Caseiro A
3046-854
Coimbra, Portugal
AU - Gabriel A
3046-854
Coimbra, Portugal
AU - Martins AC
3046-854
Coimbra, Portugal
AU - Mendes F
3046-854
Coimbra, Portugal
FAU - Casas-Novas, Mónica
AU - Casas-Novas M
3046-854
Coimbra, Portugal
FAU - Bernardo, Helena
AU - Bernardo H
3046-854
Coimbra, Portugal
AU - Andrade I
3046-854
Coimbra, Portugal
FAU - Sousa, Gracinda
AU - Sousa G
AD - Instituto Português do Sangue e da Transplantação, Lisboa, 1000-208 Portugal
FAU - Sousa, Ana P
AU - Sousa AP
AD - Instituto Português do Sangue e da Transplantação, Lisboa, 1000-208 Portugal
FAU - Rocha, Clara
AU - Rocha C
3046-854
Coimbra, Portugal
FAU - Belo, Pedro
AU - Belo P
3046-854
Coimbra, Portugal
AU - Osório N
3046-854
Coimbra, Portugal
FAU - Valado, Ana
AU - Valado A
3046-854
Coimbra, Portugal
AU - Caseiro A
3046-854
Coimbra, Portugal
AU - Gabriel A
3046-854
Coimbra, Portugal
AU - Martins AC
3046-854
Coimbra, Portugal
AU - Mendes F
3046-854
Coimbra, Portugal
FAU - Martins, Fátima
AU - Martins F
Portugal
FAU - Pulido-Fuentes, Montserrat
AU - Pulido-Fuentes M
AD - Facultad de Terapia Ocupacional, Logopedia y Enfermería, Universidad de
Castilla-La
Mancha, 45600 Talavera de la Reina, Toledo España
AU - Barroso I
FAU - Cabral, Gil
AU - Cabral G
AD - Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, 5000-508
Portugal
FAU - Monteiro, M João
AU - Monteiro MJ
AU - Rainho C
FAU - Prado, Alessandro
AU - Prado A
FAU - Carvalho, Yara M
AU - Carvalho YM
FAU - Campos, Maria
AU - Campos M

FAU - Moreira, Liliana
AU - Moreira L

FAU - Ferreira, José
AU - Ferreira J

FAU - Teixeira, Ana
AU - Teixeira A

FAU - Rama, Luís
AU - Rama L

FAU - Campos, Maria
AU - Campos M

FAU - Moreira, Liliana
AU - Moreira L

FAU - Ferreira, José
AU - Ferreira J

FAU - Teixeira, Ana
AU - Teixeira A

FAU - Rama, Luís
AU - Rama L

LA - eng
DEP - 20160706
JID - 101088677
SB - IM
PMC - PMC4943498
EDAT- 2016/07/15 06:00
MHDA- 2016/07/15 06:01
CRDT- 2016/07/14 06:00
PHST- 2016/07/14 06:00 [entrez]
PHST- 2016/07/15 06:00 [pubmed]
PHST- 2016/07/15 06:01 [medline]
AID - 10.1186/s12913-016-1423-5 [pii]
AID - 1423 [pii]
AID - 10.1186/s12913-016-1423-5 [doi]
PST - epublish
SO - BMC Health Serv Res. 2016 Jul 6;16 Suppl 3(Suppl 3):200. doi:
10.1186/s12913-016-1423-5.
PMID- 27490260
OWN - NLM
LR - 20191120
IS - 1748-5908 (Linking)
VI - 11 Suppl 2
IP - Suppl 2
DP - 2016 Aug 1
TI - Proceedings of the 8th Annual Conference on the Science of Dissemination and
Implementation : Washington, DC, USA. 14-15 December 2015.
PG - 100
LID - 10.1186/s13012-016-0452-0 [doi]
LID - 100
AB - A1 Introduction to the 8(th) Annual Conference on the Science of
Dissemination and
Implementation: Optimizing Personal and Population Health David Chambers,
Lisa
Simpson D1 Discussion forum: Population health D&I research Felicia Hill-
Briggs D2
Discussion forum: Global health D&I research Gila Neta, Cynthia Vinson D3
Discussion
forum: Precision medicine and D&I research David Chambers S1 Predictors of
community
therapists’ use of therapy techniques in a large public mental health system
Rinad
Beidas, Steven Marcus, Gregory Aarons, Kimberly Hoagwood, Sonja Schoenwald,
Arthur
Evans, Matthew Hurford, Ronnie Rubin, Trevor Hadley, Frances Barg, Lucia
Walsh,
Danielle Adams, David Mandell S2 Implementing brief cognitive behavioral
therapy
(CBT) in primary care: Clinicians' experiences from the field Lindsey Martin,
Joseph
Mignogna, Juliette Mott, Natalie Hundt, Michael Kauth, Mark Kunik, Aanand
Naik,
Jeffrey Cully S3 Clinician competence: Natural variation, factors affecting,
and
effect on patient outcomes Alan McGuire, Dominique White, Tom Bartholomew,
John
McGrew, Lauren Luther, Angie Rollins, Michelle Salyers S4 Exploring the
multifaceted
nature of sustainability in community-based prevention: A mixed-method
approach
Brittany Cooper, Angie Funaiole S5 Theory informed behavioral health
integration in
primary care: Mixed methods evaluation of the implementation of routine
depression
and alcohol screening and assessment Julie Richards, Amy Lee, Gwen Lapham,
Ryan
Caldeiro, Paula Lozano, Tory Gildred, Carol Achtmeyer, Evette Ludman, Megan
Addis,
Larry Marx, Katharine Bradley S6 Enhancing the evidence for specialty mental
health
probation through a hybrid efficacy and implementation study Tonya VanDeinse,
Amy
Blank Wilson, Burgin Stacey, Byron Powell, Alicia Bunger, Gary Cuddeback S7
Personalizing evidence-based child mental health care within a fiscally
mandated
policy reform Miya Barnett, Nicole Stadnick, Lauren Brookman-Frazee, Anna Lau
S8
Leveraging an existing resource for technical assistance: Community-based
supervisors in public mental health Shannon Dorsey, Michael Pullmann S9 SBIRT
implementation for adolescents in urban federally qualified health centers:

Implementation outcomes Shannon Mitchell, Robert Schwartz, Arethusa Kirk,
Kristi
Dusek, Marla Oros, Colleen Hosler, Jan Gryczynski, Carolina Barbosa, Laura
Dunlap,
David Lounsbury, Kevin O'Grady, Barry Brown S10 PANEL: Tailoring
Implementation
Strategies to Context - Expert recommendations for tailoring strategies to
context
Laura Damschroder, Thomas Waltz, Byron Powell S11 PANEL: Tailoring
Implementation
Strategies to Context - Extreme facilitation: Helping challenged healthcare
settings
implement complex programs Mona Ritchie S12 PANEL: Tailoring Implementation
Strategies to Context - Using menu-based choice tasks to obtain expert
recommendations for implementing three high-priority practices in the VA
Thomas
Waltz S13 PANEL: The Use of Technology to Improve Efficient Monitoring of
Implementation of Evidence-based Programs - Siri, rate my therapist: Using
technology to automate fidelity ratings of motivational interviewing David
Atkins,
Zac E. Imel, Bo Xiao, Doğan Can, Panayiotis Georgiou, Shrikanth Narayanan S14
PANEL:
The Use of Technology to Improve Efficient Monitoring of Implementation of
Evidence-based Programs - Identifying indicators of implementation quality
for
computer-based ratings Cady Berkel, Carlos Gallo, Irwin Sandler, C. Hendricks
Brown,
Sharlene Wolchik, Anne Marie Mauricio S15 PANEL: The Use of Technology to
Improve
Efficient Monitoring of Implementation of Evidence-based Programs - Improving
implementation of behavioral interventions by monitoring emotion in spoken

speech
Carlos Gallo, C. Hendricks Brown, Sanjay Mehrotra S16 Scorecards and
dashboards to
assure data quality of health management information system (HMIS) using R
Dharmendra Chandurkar, Siddhartha Bora, Arup Das, Anand Tripathi, Niranjan
Saggurti,
Anita Raj S17 A big data approach for discovering and implementing patient
safety
insights Eric Hughes, Brian Jacobs, Eric Kirkendall S18 Improving the
efficacy of a
depression registry for use in a collaborative care model Danielle Loeb, Katy
Trinkley, Michael Yang, Andrew Sprowell, Donald Nease S19 Measurement

feedback
systems as a strategy to support implementation of measurement-based care in
behavioral health Aaron Lyon, Cara Lewis, Meredith Boyd, Abigail Melvin,
Semret
Nicodimos, Freda Liu, Nathanial Jungbluth S20 PANEL: Implementation Science
and
Learning Health Systems: Intersections and Commonalities - Common loop assay:
Methods of supporting learning collaboratives Allen Flynn S21 PANEL:

Implementation
Science and Learning Health Systems: Intersections and Commonalities -
Innovating
audit and feedback using message tailoring models for learning health systems
Zach
Landis-Lewis S22 PANEL: Implementation Science and Learning Health Systems:
Intersections and Commonalities - Implementation science and learning health
systems: Connecting the dots Anne Sales S23 Facilitation activities of
Critical
Access Hospitals during TeamSTEPPS implementation Jure Baloh, Marcia Ward, Xi
Zhu
S24 Organizational and social context of federally qualified health centers
and
variation in maternal depression outcomes Ian Bennett, Jurgen Unutzer, Johnny
Mao,
Enola Proctor, Mindy Vredevoogd, Ya-Fen Chan, Nathaniel Williams, Phillip
Green S25
Decision support to enhance treatment of hospitalized smokers: A randomized
trial
Steven Bernstein, June-Marie Rosner, Michelle DeWitt, Jeanette Tetrault,
James
Dziura, Allen Hsiao, Scott Sussman, Patrick O’Connor, Benjamin Toll S26
PANEL:
Developing Sustainable Strategies for the Implementation of Patient-Centered
Care
across Diverse US Healthcare Systems - A patient-centered approach to
successful
community transition after catastrophic injury Michael Jones, Julie Gassaway
S27
PANEL: Developing Sustainable Strategies for the Implementation of Patient-
Centered
Care across Diverse US Healthcare Systems - Conducting PCOR to integrate
mental
health and cancer screening services in primary care Jonathan Tobin S28
PANEL:
Developing Sustainable Strategies for the Implementation of Patient-Centered
Care
across Diverse US Healthcare Systems - A comparative effectiveness trial of
optimal
patient-centered care for US trauma care systems Douglas Zatzick S29
Preferences for
in-person communication among patients in a multi-center randomized study of
in-person versus telephone communication of genetic test results for cancer
susceptibility Angela R Bradbury, Linda Patrick-Miller, Brian Egleston,
Olufunmilayo
I Olopade, Michael J Hall, Mary B Daly, Linda Fleisher, Generosa Grana,
Pamela
Ganschow, Dominique Fetzer, Amanda Brandt, Dana Farengo-Clark, Andrea Forman,
Rikki
S Gaber, Cassandra Gulden, Janice Horte, Jessica Long, Rachelle Lorenz
Chambers,
Terra Lucas, Shreshtha Madaan, Kristin Mattie, Danielle McKenna, Susan
Montgomery,
Sarah Nielsen, Jacquelyn Powers, Kim Rainey, Christina Rybak, Michelle
Savage,
Christina Seelaus, Jessica Stoll, Jill Stopfer, Shirley Yao and Susan Domchek
S30
Working towards de-implementation: A mixed methods study in breast cancer
surveillance care Erin Hahn, Corrine Munoz-Plaza, Jianjin Wang, Jazmine
Garcia
Delgadillo, Brian Mittman Michael Gould S31Integrating evidence-based
practices for
increasing cancer screenings in safety-net primary care systems: A multiple
case
study using the consolidated framework for implementation research Shuting
(Lily)
Liang, Michelle C. Kegler, Megan Cotter, Emily Phillips, April Hermstad,
Rentonia
Morton, Derrick Beasley, Jeremy Martinez, Kara Riehman S32 Observations from
implementing an mHealth intervention in an FQHC David Gustafson, Lisa Marsch,
Louise
Mares, Andrew Quanbeck, Fiona McTavish, Helene McDowell, Randall Brown,
Chantelle
Thomas, Joseph Glass, Joseph Isham, Dhavan Shah S33 A multicomponent
intervention to
improve primary care provider adherence to chronic opioid therapy guidelines
and
reduce opioid misuse: A cluster randomized controlled trial protocol Jane
Liebschutz, Karen Lasser S34 Implementing collaborative care for substance
use
disorders in primary care: Preliminary findings from the summit study
Katherine
Watkins, Allison Ober, Sarah Hunter, Karen Lamp, Brett Ewing S35 Sustaining a
task-shifting strategy for blood pressure control in Ghana: A stakeholder

analysis
Juliet Iwelunmor, Joyce Gyamfi, Sarah Blackstone, Nana Kofi Quakyi, Jacob
Plange-Rhule, Gbenga Ogedegbe S36 Contextual adaptation of the consolidated
framework for implementation research (CFIR) in a tobacco cessation study in
Vietnam
Pritika Kumar, Nancy Van Devanter, Nam Nguyen, Linh Nguyen, Trang Nguyen,
Nguyet
Phuong, Donna Shelley S37 Evidence check: A knowledge brokering approach to
systematic reviews for policy Sian Rudge S38 Using Evidence Synthesis to
Strengthen
Complex Health Systems in Low- and Middle-Income Countries Etienne Langlois
S39 Does
it matter: timeliness or accuracy of results? The choice of rapid reviews or
systematic reviews to inform decision-making Andrea Tricco S40 Evaluation of
the
veterans choice program using lean six sigma at a VA medical center to
identify
benefits and overcome obstacles Sherry Ball, Anne Lambert-Kerzner, Christine
Sulc,
Carol Simmons, Jeneen Shell-Boyd, Taryn Oestreich, Ashley O'Connor, Emily
Neely,
Marina McCreight, Amy Labebue, Doreen DiFiore, Diana Brostow, P. Michael Ho,
David
Aron S41 The influence of local context on multi-stakeholder alliance quality
improvement activities: A multiple case study Jillian Harvey, Megan McHugh,

Dennis
Scanlon S42 Increasing physical activity in early care and education:
Sustainability
via active garden education (SAGE) Rebecca Lee, Erica Soltero, Nathan Parker,
Lorna
McNeill, Tracey Ledoux S43 Marking a decade of policy implementation: The
successes
and continuing challenges of a provincial school food and nutrition policy in
Canada
Jessie-Lee McIsaac, Kate MacLeod, Nicole Ata, Sherry Jarvis, Sara Kirk S44
Use of
research evidence among state legislators who prioritize mental health and
substance
abuse issues Jonathan Purtle, Elizabeth Dodson, Ross Brownson S45 PANEL:
Effectiveness-Implementation Hybrid Designs: Clarifications, Refinements, and
Additional Guidance Based on a Systematic Review and Reports from the Field -
Hybrid
type 1 designs Brian Mittman, Geoffrey Curran S46 PANEL:
Effectiveness-Implementation Hybrid Designs: Clarifications, Refinements, and
Additional Guidance Based on a Systematic Review and Reports from the Field -
Hybrid
type 2 designs Geoffrey Curran S47 PANEL: Effectiveness-Implementation Hybrid
Designs: Clarifications, Refinements, and Additional Guidance Based on a

Systematic
Review and Reports from the Field - Hybrid type 3 designs Jeffrey Pyne S48
Linking
team level implementation leadership and implementation climate to individual
level
attitudes, behaviors, and implementation outcomes Gregory Aarons, Mark
Ehrhart,
Elisa Torres S49 Pinpointing the specific elements of local context that
matter most
to implementation outcomes: Findings from qualitative comparative analysis in
the
RE-inspire study of VA acute stroke care Edward Miech S50 The GO score: A new
context-sensitive instrument to measure group organization level for

providing and
improving care Edward Miech S51 A research network approach for boosting
implementation and improvement Kathleen Stevens, I.S.R.N. Steering Council
S52
PANEL: Qualitative methods in D&I Research: Value, rigor and challenge - The
value
of qualitative methods in implementation research Alison Hamilton S53 PANEL:
Qualitative methods in D&I Research: Value, rigor and challenge - Learning
evaluation: The role of qualitative methods in dissemination and
implementation
research Deborah Cohen S54 PANEL: Qualitative methods in D&I Research: Value,
rigor
and challenge - Qualitative methods in D&I research Deborah Padgett S55
PANEL: Maps
& models: The promise of network science for clinical D&I - Hospital network
of
sharing patients with acute and chronic diseases in California Alexandra
Morshed S56
PANEL: Maps & models: The promise of network science for clinical D&I - The
use of
social network analysis to identify dissemination targets and enhance D&I
research
study recruitment for pre-exposure prophylaxis for HIV (PrEP) among men who
have sex
with men Rupa Patel S57 PANEL: Maps & models: The promise of network science
for
clinical D&I - Network and organizational factors related to the adoption of
patient
navigation services among rural breast cancer care providers Beth Prusaczyk
S58 A
theory of de-implementation based on the theory of healthcare professionals’
behavior and intention (THPBI) and the becker model of unlearning David C.
Aron,
Divya Gupta, Sherry Ball S59 Observation of registered dietitian
nutritionist-patient encounters by dietetic interns highlights low awareness
and
implementation of evidence-based nutrition practice guidelines Rosa Hand,
Jenica
Abram, Taylor Wolfram S60 Program sustainability action planning: Building
capacity
for program sustainability using the program sustainability assessment tool
Molly
Hastings, Sarah Moreland-Russell S61 A review of D&I study designs in
published
study protocols Rachel Tabak, Alex Ramsey, Ana Baumann, Emily Kryzer,
Katherine
Montgomery, Ericka Lewis, Margaret Padek, Byron Powell, Ross Brownson S62
PANEL:
Geographic variation in the implementation of public health services:
Economic,
organizational, and network determinants - Model simulation techniques to
estimate
the cost of implementing foundational public health services Cezar Brian
Mamaril,
Glen Mays, Keith Branham, Lava Timsina S63 PANEL: Geographic variation in the
implementation of public health services: Economic, organizational, and

network
determinants - Inter-organizational network effects on the implementation of
public
health services Glen Mays, Rachel Hogg S64 PANEL: Building capacity for
implementation and dissemination of the communities that care prevention
system at
scale to promote evidence-based practices in behavioral health -
Implementation
fidelity, coalition functioning, and community prevention system
transformation
using communities that care Abigail Fagan, Valerie Shapiro, Eric Brown S65
PANEL:
Building capacity for implementation and dissemination of the communities
that care
prevention system at scale to promote evidence-based practices in behavioral
health
- Expanding capacity for implementation of communities that care at scale
using a
web-based, video-assisted training system Kevin Haggerty, David Hawkins S66
PANEL:
Building capacity for implementation and dissemination of the communities
that care
prevention system at scale to promote evidence-based practices in behavioral
health
- Effects of communities that care on reducing youth behavioral health
problems
Sabrina Oesterle, David Hawkins, Richard Catalano S68 When interventions end:
the
dynamics of intervention de-adoption and replacement Virginia McKay, M.
Margaret
Dolcini, Lee Hoffer S69 Results from next-d: can a disease specific health
plan
reduce incident diabetes development among a national sample of working-age
adults
with pre-diabetes? Tannaz Moin, Jinnan Li, O. Kenrik Duru, Susan Ettner,
Norman
Turk, Charles Chan, Abigail Keckhafer, Robert Luchs, Sam Ho, Carol Mangione
S70
Implementing smoking cessation interventions in primary care settings (STOP):
using
the interactive systems framework Peter Selby, Laurie Zawertailo, Nadia
Minian,
Dolly Balliunas, Rosa Dragonetti, Sarwar Hussain, Julia Lecce S71 Testing the
Getting To Outcomes implementation support intervention in prevention-

oriented,
community-based settings Matthew Chinman, Joie Acosta, Patricia Ebener,
Patrick S
Malone, Mary Slaughter S72 Examining the reach of a multi-component farmers’
market
implementation approach among low-income consumers in an urban context Darcy
Freedman, Susan Flocke, Eunlye Lee, Kristen Matlack, Erika Trapl, Punam
Ohri-Vachaspati, Morgan Taggart, Elaine Borawski S73 Increasing
implementation of
evidence-based health promotion practices at large workplaces: The CEOs
Challenge
Amanda Parrish, Jeffrey Harris, Marlana Kohn, Kristen Hammerback, Becca
McMillan,
Peggy Hannon S74 A qualitative assessment of barriers to nutrition promotion
and
obesity prevention in childcare Taren Swindle, Geoffrey Curran, Leanne
Whiteside-Mansell, Wendy Ward S75 Documenting institutionalization of a
health
communication intervention in African American churches Cheryl Holt, Sheri
Lou
Santos, Erin Tagai, Mary Ann Scheirer, Roxanne Carter, Janice Bowie,
Muhiuddin
Haider, Jimmie Slade, Min Qi Wang S76 Reduction in hospital utilization by
underserved patients through use of a community-medical home Andrew Masica,
Gerald
Ogola, Candice Berryman, Kathleen Richter S77 Sustainability of evidence-
based lay
health advisor programs in African American communities: A mixed methods
investigation of the National Witness Project Rachel Shelton, Lina Jandorf,
Deborah
Erwin S78 Predicting the long-term uninsured population and analyzing their
gaps in
physical access to healthcare in South Carolina Khoa Truong S79 Using an
evidence-based parenting intervention in churches to prevent behavioral
problems
among Filipino youth: A randomized pilot study Joyce R. Javier, Dean Coffey,
Sheree
M. Schrager, Lawrence Palinkas, Jeanne Miranda S80 Sustainability of
elementary
school-based health centers in three health-disparate southern communities
Veda
Johnson, Valerie Hutcherson, Ruth Ellis S81 Childhood obesity prevention
partnership
in Louisville: creative opportunities to engage families in a multifaceted
approach
to obesity prevention Anna Kharmats, Sandra Marshall-King, Monica LaPradd,
Fannie
Fonseca-Becker S82 Improvements in cervical cancer prevention found after
implementation of evidence-based Latina prevention care management program
Deanna
Kepka, Julia Bodson, Echo Warner, Brynn Fowler S83 The OneFlorida data trust:
Achieving health equity through research & training capacity building

Elizabeth
Shenkman, William Hogan, Folakami Odedina, Jessica De Leon, Monica Hooper,
Olveen
Carrasquillo, Renee Reams, Myra Hurt, Steven Smith, Jose Szapocznik, David
Nelson,
Prabir Mandal S84 Disseminating and sustaining medical-legal partnerships:
Shared
value and social return on investment James Teufel
FAU - Chambers, David
AU - Chambers D
AD - Division of Cancer Control and Population Sciences, National Cancer
Institute,
National Institutes of Health, Rockville, MD 20850 USA
FAU - Simpson, Lisa
AU - Simpson L
AD - AcademyHealth, Washington, DC 20036 USA
FAU - Hill-Briggs, Felicia
AU - Hill-Briggs F
AD - Department of Medicine and Welch Center for Prevention, Epidemiology and
Clinical
Research, Johns Hopkins Medical Institutions, Baltimore, MD 21287 USA
FAU - Neta, Gila
AU - Neta G
Institute,
FAU - Vinson, Cynthia
AU - Vinson C
Institute,
FAU - Chambers, David
AU - Chambers D
Institute,
FAU - Beidas, Rinad
AU - Beidas R
AD - Psychiatry, University of Pennsylvania, Philadelphia, PA 19104 USA
AD - Family Medicine and Community Health, University of Pennsylvania,
Philadelphia, PA
19104 USA
FAU - Marcus, Steven
AU - Marcus S
AD - School of Social Policy and Practice, University of Pennsylvania,
Philadelphia, PA
19103 USA
FAU - Aarons, Gregory
AU - Aarons G
AD - Psychiatry, UC San Diego, La Jolla, CA 92083-0812 USA
FAU - Hoagwood, Kimberly
AU - Hoagwood K
AD - Child & Adolescent Psychiatry, The Child Study Center at NYU Langone Medical
Center,
New York, NY, New York, NY 10016 USA
FAU - Schoenwald, Sonja
AU - Schoenwald S
AD - Psychiatry and Behavioral Sciences, MUSC, Charleston, SC 29425 USA
FAU - Evans, Arthur
AU - Evans A
AD - DBHIDS, City of Philadelphia, Philadelphia, PA 19104 USA
FAU - Hurford, Matthew
AU - Hurford M
AD - DBHIDS, City of Philadelphia, Philadelphia, PA 19104 USA
FAU - Rubin, Ronnie
AU - Rubin R
AD - CBH, City of Philadelphia, Philadelphia, PA 19104 USA
FAU - Hadley, Trevor
AU - Hadley T
FAU - Barg, Frances
AU - Barg F
AD - Psychiatry, University of Pennsylvania Perelman School of Medicine,
Philadelphia, PA
19107 USA
FAU - Walsh, Lucia
AU - Walsh L
FAU - Adams, Danielle
AU - Adams D
FAU - Mandell, David
AU - Mandell D
FAU - Martin, Lindsey
AU - Martin L
AD - Health Services Research & Development, Department of Veterans Affairs &
Baylor
College of Medicine, Houston, TX 77030 USA
FAU - Mignogna, Joseph
AU - Mignogna J
AD - Treatment Core, Department of Veterans Affairs, Waco, TX 76711 USA
FAU - Mott, Juliette
AU - Mott J
AD - National Center for PTSD, Executive Division, Department of Veterans Affairs,
White
River Junction, VT 05009 USA
FAU - Hundt, Natalie
AU - Hundt N
Baylor
FAU - Kauth, Michael
AU - Kauth M
Baylor
FAU - Kunik, Mark
AU - Kunik M
Baylor
FAU - Naik, Aanand
AU - Naik A
Baylor
FAU - Cully, Jeffrey
AU - Cully J
Baylor
FAU - McGuire, Alan
AU - McGuire A
AD - HSR&D, HSR&D Center for Health Information and Communication, Roudebush VA
Medical
Center, Indianapolis, IN 46202 USA
AD - Psychology, Indiana University Purdue University Indianapolis, Indianapolis,
IN
46202 USA
FAU - White, Dominique
AU - White D
IN
46202 USA
FAU - Bartholomew, Tom
AU - Bartholomew T
AD - Department of Psychiatric Rehabilitation and Counseling, Rutgers University,
Newark,
NJ 07107 USA
FAU - McGrew, John
AU - McGrew J
IN
46202 USA
FAU - Luther, Lauren
AU - Luther L
IN
46202 USA
FAU - Rollins, Angie
AU - Rollins A
IN
46202 USA
AD - Health Services Research & Development, Richard L. Roudebush VAMC,
Indianapolis, IN
46202 USA
FAU - Salyers, Michelle
AU - Salyers M
IN
46202 USA
AD - IUPUI Department of Psychology, ACT Center of Indiana, Indianapolis, IN 46202
USA
FAU - Cooper, Brittany
AU - Cooper B
AD - Human Development, Washington State University, Pullman, WA 99164 USA
FAU - Funaiole, Angie
AU - Funaiole A
AD - Prevention Science, Washington State University, Pullman, WA 99164 USA
FAU - Richards, Julie
AU - Richards J
AD - Group Health Research Institute, Group Health, Seattle, WA 98101 USA
FAU - Lee, Amy
AU - Lee A
FAU - Lapham, Gwen
AU - Lapham G
FAU - Caldeiro, Ryan
AU - Caldeiro R
AD - Behavioral Health Services, Group Health, Seattle, WA 98101 USA
FAU - Lozano, Paula
AU - Lozano P
AD - Preventive Care, Group Health, Seattle, WA 98101 USA
FAU - Gildred, Tory
AU - Gildred T
FAU - Achtmeyer, Carol
AU - Achtmeyer C
AD - Health Services Research & Development, Primary and Specialty Medical Care
Service,
VA Puget Sound, Seattle, WA 98108 USA
FAU - Ludman, Evette
AU - Ludman E
FAU - Addis, Megan
AU - Addis M
FAU - Marx, Larry
AU - Marx L
FAU - Bradley, Katharine
AU - Bradley K
FAU - VanDeinse, Tonya
AU - VanDeinse T
AD - School of Social Work, University of North Carolina at Chapel Hill, Chapel
Hill, NC
27599 USA
FAU - Wilson, Amy Blank
AU - Wilson AB
Hill, NC
27599 USA
FAU - Stacey, Burgin
AU - Stacey B
Hill, NC
27599 USA
FAU - Powell, Byron
AU - Powell B
AD - Health Policy & Management, The University of North Carolina at Chapel Hill,
Chapel
Hill, NC 27566-7411 USA
FAU - Bunger, Alicia
AU - Bunger A
AD - College of Social Work, Ohio State University, Columbus, OH 43210 USA
FAU - Cuddeback, Gary
AU - Cuddeback G
Hill, NC
27599 USA
FAU - Barnett, Miya
AU - Barnett M
AD - Psychology, University of California, Los Angeles, Los Angeles, CA 90095 USA
FAU - Stadnick, Nicole
AU - Stadnick N
AD - Psychiatry, University of California, San Diego, La Jolla, CA 92093 USA
FAU - Brookman-Frazee, Lauren
AU - Brookman-Frazee L
AD - Psychiatry, University of California, San Diego, La Jolla, CA 92093 USA
FAU - Lau, Anna
AU - Lau A
AD - Psychology, University of California, Los Angeles, Los Angeles, CA 90095 USA
FAU - Dorsey, Shannon
AU - Dorsey S
AD - Psychology, University of Washington, Seattle, WA 98195 USA
FAU - Pullmann, Michael
AU - Pullmann M
AD - Department of Psychiatry and Behavioral Sciences, Division of Public
Behavioral
Health, University of Washington, Seattle, WA 98102 USA
FAU - Mitchell, Shannon
AU - Mitchell S
AD - Social Research Center, Friends Research Institute, Baltimore, MD 21201 USA
FAU - Schwartz, Robert
AU - Schwartz R
FAU - Kirk, Arethusa
AU - Kirk A
AD - Pediatrics, Total Health Care, Baltimore, MD 21217 USA
FAU - Dusek, Kristi
AU - Dusek K
FAU - Oros, Marla
AU - Oros M
AD - The Mosaic Group, The Mosaic Group, Baltimore, MD 21210 USA
FAU - Hosler, Colleen
AU - Hosler C
AD - The Mosaic Group, The Mosaic Group, Baltimore, MD 21210 USA
FAU - Gryczynski, Jan
AU - Gryczynski J
FAU - Barbosa, Carolina
AU - Barbosa C
AD - Behavioral Health Economics Program, RTI International, Chicago, IL 60606-
4901 USA
FAU - Dunlap, Laura
AU - Dunlap L
AD - Center for Interdisciplinary Substance Abuse Research, Research Triangle
Institute,
Rockville, MD 20852 USA
FAU - Lounsbury, David
AU - Lounsbury D
AD - Epidemiology and Population Health, Albert Einstein College of Medicine,
Bronx, NY
10467 USA
AD - Division of Community Collaboration and Implementation Science, Albert
Einstein
College of Medicine of Yeshiva University, Bronx, NY 10467 USA
FAU - O’Grady, Kevin
AU - O’Grady K
AD - Department of Psychology, University of Maryland, College Park, College Park,
MD
20742 USA
FAU - Brown, Barry
AU - Brown B
AD - Psychology, University of North Carolina at Wilmington, Wilmington, NC 28403
USA
FAU - Damschroder, Laura
AU - Damschroder L
AD - Department of Veterans Affairs, VA Center for Clinical Management Research,
Ann
Arbor, MI 48105 USA
FAU - Waltz, Thomas
AU - Waltz T
AD - Department of Veterans Affairs, VA Center for Clinical Management Research,
Ann
Arbor, MI 48105 USA
AD - Psychology, Eastern Michigan University, Ypsilanti, MI 48197 USA
FAU - Powell, Byron
AU - Powell B
Chapel
Hill, NC 27566 USA
FAU - Ritchie, Mona
AU - Ritchie M
AD - VA QUERI Program for Team-Based Behavioral Health, Department of Veterans
Affairs,
North Little Rock, AR 72114 USA
FAU - Waltz, Thomas
AU - Waltz T
AD - Psychology, Eastern Michigan University, Ypsilanti, MI 48197 USA
AD - Health Services Research & Development, VA Center for Clinical Management
Research,
Ann Arbor, MI 48105 USA
FAU - Atkins, David
AU - Atkins D
AD - Department of Psychiatry and Behavioral Sciences, University of Washington,
Seattle,
WA 98105 USA
FAU - Imel, Zac E
AU - Imel ZE
AD - Educational Psychology, University of Utah, Salt Lake City, UT 84112 USA
FAU - Xiao, Bo
AU - Xiao B
AD - Electrical Engineering, University of Southern California, Los Angeles, CA
90089 USA
FAU - Can, Doğan
AU - Can D
AD - Computer Science, University of Southern California, Los Angeles, CA 90089
USA
FAU - Georgiou, Panayiotis
AU - Georgiou P
AD - Electrical Engineering, University of Southern California, Los Angeles, CA
90089 USA
FAU - Narayanan, Shrikanth
AU - Narayanan S
AD - Electrical Engineering & Computer Science, University of Southern California,
Los
Angeles, CA 90089 USA
FAU - Berkel, Cady
AU - Berkel C
AD - REACH Institute, Arizona State University, Tempe, AZ 85284 USA
FAU - Gallo, Carlos
AU - Gallo C
AD - Center for Prevention Implementation Methodology, Northwestern University,
Chicago,
IL 60611 USA
FAU - Sandler, Irwin
AU - Sandler I
FAU - Brown, C Hendricks
AU - Brown CH
Chicago,
IL 60611 USA
FAU - Wolchik, Sharlene
AU - Wolchik S
FAU - Mauricio, Anne Marie
AU - Mauricio AM
AD - Psychology, Arizona State University, Tempe, AZ 85287 USA
FAU - Gallo, Carlos
AU - Gallo C
Chicago,
IL 60611 USA
FAU - Brown, C Hendricks
AU - Brown CH
Chicago,
IL 60611 USA
FAU - Mehrotra, Sanjay
AU - Mehrotra S
AD - Industrial Engineering, Northwestern University, Chicago, IL 60611 USA
FAU - Chandurkar, Dharmendra
AU - Chandurkar D
AD - Research, Sambodhi Research and Communications Private Limited, Noida, 201301
India
FAU - Bora, Siddhartha
AU - Bora S
AD - Research, Sambodhi Research and Communications Private Limited, Noida, 201301
India
FAU - Das, Arup
AU - Das A
AD - Monitoring and Evaluation, India Health Action Trust, Lucknow, 226001 India
FAU - Tripathi, Anand
AU - Tripathi A
AD - Monitoring and Evaluation, India Health Action Trust, Lucknow, 226001 India
FAU - Saggurti, Niranjan
AU - Saggurti N
AD - Monitoring, Learning and Evaluation, Bill and Melinda Gates Foundation, New
Delhi,
110057 India
FAU - Raj, Anita
AU - Raj A
AD - Division of Global Public Health, Department of Medicine, University of
California,
San Diego, San Diego, CA 92093 USA
FAU - Hughes, Eric
AU - Hughes E
AD - Information Technology, MITRE, Bedford, MA 01730 USA
FAU - Jacobs, Brian
AU - Jacobs B
AD - VP, CMIO, CIO, Children’s National Health System, Washington, DC, 20010 USA
FAU - Kirkendall, Eric
AU - Kirkendall E
AD - Association CMIO, Cincinnati Children’s Hospital and Medical Center,
Cincinnati, OH
45229 USA
FAU - Loeb, Danielle
AU - Loeb D
AD - Department of Medicine/Division of General Internal Medicine, University of
Colorado
School of Medicine, Aurora, CO 80045 USA
FAU - Trinkley, Katy
AU - Trinkley K
AD - Department of Clinical Pharmacy, University of Colorado School of Pharmacy,
Aurora,
CO 80045 USA
FAU - Yang, Michael
AU - Yang M
AD - University of Colorado School of Medicine, Aurora, CO 80045 USA
FAU - Sprowell, Andrew
AU - Sprowell A
AD - University of Colorado School of Medicine, Aurora, CO 80045 USA
FAU - Nease, Donald
AU - Nease D
AD - Department of Family Medicine, University of Colorado School of Medicine,
Aurora, CO
80238 USA
FAU - Lyon, Aaron
AU - Lyon A
AD - Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA
98115 USA
FAU - Lewis, Cara
AU - Lewis C
AD - Psychological and Brain Sciences, Indiana University, Bloomington, IN 47405
USA
FAU - Boyd, Meredith
AU - Boyd M
USA
FAU - Melvin, Abigail
AU - Melvin A
USA
FAU - Nicodimos, Semret
AU - Nicodimos S
98115 USA
FAU - Liu, Freda
AU - Liu F
98115 USA
FAU - Jungbluth, Nathanial
AU - Jungbluth N
FAU - Lyon, Aaron
AU - Lyon A
98115 USA
FAU - Lewis, Cara
AU - Lewis C
USA
FAU - Boyd, Meredith
AU - Boyd M
USA
FAU - Melvin, Abigail
AU - Melvin A
USA
FAU - Nicodimos, Semret
AU - Nicodimos S
98115 USA
FAU - Liu, Freda
AU - Liu F
98115 USA
FAU - Jungbluth, Nathanial
AU - Jungbluth N
FAU - Flynn, Allen
AU - Flynn A
AD - Learning Health Sciences, Medical School, University of Michigan, Ann Arbor,
MI
48109 USA
FAU - Landis-Lewis, Zach
AU - Landis-Lewis Z
AD - Learning Health Sciences, University of Michigan Medical School, Ann Arbor,
MI 48109
USA
FAU - Sales, Anne
AU - Sales A
AD - Learning Health Sciences, University of Michigan, Ann Arbor, MI 48109 USA
AD - Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann
Arbor,
MI 48109 USA
FAU - Baloh, Jure
AU - Baloh J
AD - Department of Health Management and Policy, University of Iowa, Iowa City, IA
52242
USA
FAU - Ward, Marcia
AU - Ward M
52242
USA
FAU - Zhu, Xi
AU - Zhu X
52242
USA
FAU - Bennett, Ian
AU - Bennett I
AD - Family Medicine, University of Washington, Seattle, WA 98105-6099 USA
FAU - Unutzer, Jurgen
AU - Unutzer J
AD - Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA 98195
USA
FAU - Mao, Johnny
AU - Mao J
AD - Center for Clinical and Epidemiological Research, University of Washington,
Seattle,
WA 98101 USA
FAU - Proctor, Enola
AU - Proctor E
AD - George Warren Brown School of Social Work, Washington University in St.
Louis, Saint
Louis, MO 63130 USA
FAU - Vredevoogd, Mindy
AU - Vredevoogd M
USA
FAU - Chan, Ya-Fen
AU - Chan YF
USA
FAU - Williams, Nathaniel
AU - Williams N
AD - Social Work, Boise State University, Boise, ID 83725 USA
FAU - Green, Phillip
AU - Green P
AD - School of Social Work, University of Tennessee, Knoxville, TN 37996 USA
FAU - Bernstein, Steven
AU - Bernstein S
AD - Emergency Medicine, Yale University School of Medicine, New Haven, CT 06519
USA
AD - Cancer Prevention and Control, Yale Cancer Center, New Haven, CT 06519 USA
FAU - Rosner, June-Marie
AU - Rosner JM
USA
FAU - DeWitt, Michelle
AU - DeWitt M
AD - Information Technology Services, Yale-New Haven Hospital, New Haven, CT 06510
USA
FAU - Tetrault, Jeanette
AU - Tetrault J
AD - Medicine, Yale School of Medicine, New Haven, CT 06519 USA
FAU - Dziura, James
AU - Dziura J
USA
FAU - Hsiao, Allen
AU - Hsiao A
AD - Pediatrics and Emergency Medicine, Yale-New Haven Hospital, New Haven, CT
06510 USA
FAU - Sussman, Scott
AU - Sussman S
AD - Medicine, Yale-New Haven Hospital, New Haven, CT 06510 USA
FAU - O’Connor, Patrick
AU - O’Connor P
AD - Internal Medicine, Yale University School of Medicine, New Haven, CT 06520
USA
FAU - Toll, Benjamin
AU - Toll B
AD - Public Health Sciences, Medical University of South Carolina, Charleston, SC
29425
USA
FAU - Jones, Michael
AU - Jones M
AD - Research, Shepherd Center, Atlanta, GA 30312 USA
FAU - Gassaway, Julie
AU - Gassaway J
AD - Virginia C. Crawford Research Institute, Atlanta, GA 30309 USA
FAU - Tobin, Jonathan
AU - Tobin J
AD - Community Engaged Research, Clinical Directors Network, Inc. & The
Rockefeller
University, New York, NY 10018 USA
FAU - Zatzick, Douglas
AU - Zatzick D
AD - Department of Psychiatry and Behavioral Sciences, University of Washington,
Seattle,
WA 98104 USA
FAU - Bradbury, Angela R
AU - Bradbury AR
AD - Division of Hematology-Oncology, Department of Medicine, The University of
Pennsylvania, Philadelphia, PA 19104 USA
AD - Department of Medical Ethics and Health Policy, The University of
Pennsylvania,
Philadelphia, PA 19104 USA
FAU - Patrick-Miller, Linda
AU - Patrick-Miller L
AD - Center for Clinical Cancer Genetics Department of Medicine,
Hematology/Oncology, The
University of Chicago, Chicago, IL 60637 USA
FAU - Egleston, Brian
AU - Egleston B
AD - Biostatistics and Bioinformatics Facility, The Fox Chase Cancer Center,
FAU - Olopade, Olufunmilayo I
AU - Olopade OI
AD - Center for Clinical Cancer Genetics, The University of Chicago, Chicago, IL
60637
USA
FAU - Hall, Michael J
AU - Hall MJ
AD - Clinical Genetics/Gastrointestinal Risk Assessment, The Fox Chase Cancer
Center,
FAU - Daly, Mary B
AU - Daly MB
AD - Department of Clinical Genetics, The Fox Chase Cancer Center, Philadelphia,
PA 19111
USA
FAU - Fleisher, Linda
AU - Fleisher L
AD - Center for Injury Research and Prevention, The Children’s Hospital of
Philadelphia,
FAU - Grana, Generosa
AU - Grana G
AD - Hematology and Medical Oncology, MD Anderson Cancer Center at Cooper, Camden,
NJ
08043 USA
FAU - Ganschow, Pamela
AU - Ganschow P
AD - Internal Medicine, John H. Stroger, Jr. Hospital, Chicago, IL 60612 USA
FAU - Fetzer, Dominique
AU - Fetzer D
AD - Mariann and Robert MacDonald Women’s Cancer Risk Evaluation Program, The
University
of Pennsylvania, Philadelphia, PA 19104 USA
FAU - Brandt, Amanda
AU - Brandt A
University
FAU - Farengo-Clark, Dana
AU - Farengo-Clark D
AD - Cancer Genetics Program, MD Anderson Cancer Center at Cooper, Camden, NJ
08043 USA
FAU - Forman, Andrea
AU - Forman A
PA 19111
USA
FAU - Gaber, Rikki S
AU - Gaber RS
AD - Breast and Cervical Cancer Screening Program, John H. Stroger, Jr. Hospital,
Chicago, IL 60612 USA
FAU - Gulden, Cassandra
AU - Gulden C
60637
USA
FAU - Horte, Janice
AU - Horte J
08043 USA
FAU - Long, Jessica
AU - Long J
University
FAU - Chambers, Rachelle Lorenz
AU - Chambers RL
60637
USA
FAU - Lucas, Terra
AU - Lucas T
AD - Cancer Screening Program, John H. Stroger, Jr. Hospital, Chicago, IL 60612
USA
FAU - Madaan, Shreshtha
AU - Madaan S
AD - Comprehensive Cancer Risk and Prevention Clinic, The University of Chicago,
Chicago,
IL 60637 USA
FAU - Mattie, Kristin
AU - Mattie K
08043 USA
FAU - McKenna, Danielle
AU - McKenna D
University
FAU - Montgomery, Susan
AU - Montgomery S
PA 19111
USA
FAU - Nielsen, Sarah
AU - Nielsen S
60637
USA
FAU - Powers, Jacquelyn
AU - Powers J
University
FAU - Rainey, Kim
AU - Rainey K
PA 19111
USA
FAU - Rybak, Christina
AU - Rybak C
PA 19111
USA
FAU - Savage, Michelle
AU - Savage M
AD - Emory Prevention Research Center, Emory University Rollins School of Public
Health,
Atlanta, GA 30322 USA
FAU - Seelaus, Christina
AU - Seelaus C
FAU - Stoll, Jessica
AU - Stoll J
60637
USA
FAU - Stopfer, Jill
AU - Stopfer J
University
FAU - Yao, Shirley
AU - Yao S
FAU - Domchek, Susan
AU - Domchek S
AD - Division of Hematology-Oncology, Department of Medicine, The University of
Pennsylvania, Philadelphia, PA 19104 USA
FAU - Hahn, Erin
AU - Hahn E
AD - Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA
91101
USA
FAU - Munoz-Plaza, Corrine
AU - Munoz-Plaza C
91101
USA
FAU - Wang, Jianjin
AU - Wang J
91101
USA
FAU - Delgadillo, Jazmine Garcia
AU - Delgadillo JG
91101
USA
FAU - Mittman, Brian
AU - Mittman B
91101
USA
FAU - Gould, Michael
AU - Gould M
91101
USA
FAU - Liang, Shuting (Lily)
AU - Liang S
Health,
AD - Research Institute, Palo Alto Medical Foundation, Palo Alto, CA 94301 USA
FAU - Kegler, Michelle C
AU - Kegler MC
Health,
AD - Department of Behavioral Sciences and Health Education, Emory University
Rollins
School of Public Health, Atlanta, GA 30322 USA
FAU - Cotter, Megan
AU - Cotter M
AD - Behavioral Sciences and Health Education, Rollins School of Public Health,
Emory
Prevention Research Center, Atlanta, GA 30322 USA
FAU - Phillips, Emily
AU - Phillips E
Emory
FAU - Hermstad, April
AU - Hermstad A
Emory
FAU - Morton, Rentonia
AU - Morton R
AD - Statistics and Evaluation Center, American Cancer Society, Atlanta, GA 30303
USA
FAU - Beasley, Derrick
AU - Beasley D
Emory
FAU - Martinez, Jeremy
AU - Martinez J
USA
FAU - Riehman, Kara
AU - Riehman K
USA
FAU - Gustafson, David
AU - Gustafson D
AD - Center for Health Enhancement Systems Studies, University of Wisconsin –
Madison,
Madison, WI 53706 USA
FAU - Marsch, Lisa
AU - Marsch L
AD - Center for Technology and Behavioral Health, Dartmouth College, Dartmouth, NH
03755
USA
FAU - Mares, Louise
AU - Mares L
AD - Communication Arts, University of Wisconsin – Madison, Madison, WI 53706 USA
FAU - Quanbeck, Andrew
AU - Quanbeck A
AD - Industrial and Systems Engineering, University of Wisconsin – Madison,
Madison, WI
53706 USA
FAU - McTavish, Fiona
AU - McTavish F
Madison,
FAU - McDowell, Helene
AU - McDowell H
Madison,
FAU - Brown, Randall
AU - Brown R
AD - Family Medicine, Population Health Sciences, University of Wisconsin School
of
Medicine & Public Health, Madison, WI 53715 USA
FAU - Thomas, Chantelle
AU - Thomas C
AD - Access Community Health Center, Access Community Health Center, Madison, WI
53706
USA
FAU - Glass, Joseph
AU - Glass J
AD - School of Social Work, University of Wisconsin – Madison, Madison, WI 54706
USA
FAU - Isham, Joseph
AU - Isham J
Madison,
FAU - Shah, Dhavan
AU - Shah D
AD - Communication Sciences, University of Wisconsin – Madison, Madison, WI 53706
USA
FAU - Liebschutz, Jane
AU - Liebschutz J
AD - Clinical Addiction Research and Education (CARE) Unit, Boston Medical
Center/Boston
University School of Medicine, Boston, MA 02118 USA
FAU - Lasser, Karen
AU - Lasser K
AD - Clinical Addiction Research and Education (CARE) Unit, Boston Medical
Center/Boston
University School of Medicine, Boston, MA 02118 USA
AD - Boston University School of Public Health, Boston, MA 02118 USA
FAU - Watkins, Katherine
AU - Watkins K
AD - RAND Corporation, RAND Corporation, Santa Monica, CA 90407 USA
FAU - Ober, Allison
AU - Ober A
FAU - Hunter, Sarah
AU - Hunter S
FAU - Lamp, Karen
AU - Lamp K
AD - Venice Family Clinic, Venice Family Clinic, Venice, CA 90291 USA
FAU - Ewing, Brett
AU - Ewing B
FAU - Iwelunmor, Juliet
AU - Iwelunmor J
AD - Kinesiology and Community Health, University of Illinois at Urbana Champaign,
Champaign, IL 61822 USA

FAU - Gyamfi, Joyce
AU - Gyamfi J
AD - Center for Healthful Behavior Change, New York University, New York, NY 10016
USA
FAU - Blackstone, Sarah
AU - Blackstone S
AD - Kinesiology and Community Health, University of Illinois at Urbana Champaign,
Champaign, IL 61822 USA

FAU - Quakyi, Nana Kofi
AU - Quakyi NK
AD - Global Institute of Public Health, New York University, New York, NY 10003
USA
FAU - Plange-Rhule, Jacob
AU - Plange-Rhule J
AD - Physiology, Kwame Nkrumah University of Science and Technology, Kumasi, 00000
Ghana
FAU - Ogedegbe, Gbenga
AU - Ogedegbe G
AD - Center for Healthful Behavior Change, New York University, New York, NY 10016
USA
AD - Population Health and Medicine, New York University, New York, NY 10016 USA
FAU - Kumar, Pritika
AU - Kumar P
AD - Department of Population Health, New York University School of Medicine, New
York,
NY 10016 USA
FAU - Van Devanter, Nancy
AU - Van Devanter N
AD - College of Nursing, New York University, New York, NY 10075 USA
FAU - Nguyen, Nam
AU - Nguyen N
AD - Institute of Social and Medical Sciences, Institute of Social and Medical
Sciences,
Hanoi, Vietnam
FAU - Nguyen, Linh
AU - Nguyen L
Sciences,
Hanoi, Vietnam
FAU - Nguyen, Trang
AU - Nguyen T
Sciences,
Hanoi, Vietnam
FAU - Phuong, Nguyet
AU - Phuong N
Sciences,
Hanoi, Vietnam
FAU - Shelley, Donna
AU - Shelley D
AD - Department of Population Health, New York University School of Medicine, New
York,
NY 10016 USA
FAU - Rudge, Sian
AU - Rudge S
AD - Knowledge Exchange Division, Sax Institute, Ultimo, NSW 2007 Australia
FAU - Langlois, Etienne
AU - Langlois E
AD - Alliance for Health Policy and Systems Research, World Health Organization,
Geneva,
1211 Switzerland
FAU - Tricco, Andrea
AU - Tricco A
AD - Dalla Lana School of Public Health/St Michael’s Hospital, University of
Toronto,
Toronto, ON M5B 1W8 Canada
FAU - Ball, Sherry
AU - Ball S
AD - Research, Department of Veterans Affairs, Cleveland, OH 44106 USA
FAU - Lambert-Kerzner, Anne
AU - Lambert-Kerzner A
AD - Research, Eastern Colorado Health Care System, Department of Veterans
Affairs,
Denver, CO 80220 USA
AD - University of Colorado, Denver, CO 80204 USA
FAU - Sulc, Christine
AU - Sulc C
AD - Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget
Sound
Health Care System, Seattle, WA 98108 USA
FAU - Simmons, Carol
AU - Simmons C
Sound
FAU - Shell-Boyd, Jeneen
AU - Shell-Boyd J
AD - Research Service, Cleveland VA Medical Center, Cleveland, OH 44106 USA
FAU - Oestreich, Taryn
AU - Oestreich T
Sound
FAU - O’Connor, Ashley
AU - O’Connor A
Sound
FAU - Neely, Emily
AU - Neely E
Sound
FAU - McCreight, Marina
AU - McCreight M
Affairs,
FAU - Labebue, Amy
AU - Labebue A
AD - Denver-Seattle Center of Innovation, Eastern Colorado Health Care System,
Aurora, CO
80045 USA
FAU - DiFiore, Doreen
AU - DiFiore D
AD - Research, Cleveland VA Medical Center, Cleveland, OH 44106 USA
FAU - Brostow, Diana
AU - Brostow D
AD - Denver-Seattle Center of Innovation, VA Eastern Colorado Health Care System,
Denver,
CO 80220 USA
FAU - Ho, P Michael
AU - Ho PM
Affairs,
AD - University of Colorado, Denver, CO 80204 USA
FAU - Aron, David
AU - Aron D
AD - Education Department, Louis Stokes Cleveland VA Medical Center, Cleveland, OH
44106
USA
AD - Medicine, Case Western Reserve University School of Medicine, Cleveland, OH
USA
FAU - Harvey, Jillian
AU - Harvey J
AD - Health Professions, Medical University of South Carolina, Charleston, SC
29425 USA
AD - Healthcare Leadership and Management, Medical University of South Carolina,
Charleston, SC 29425 USA
FAU - McHugh, Megan
AU - McHugh M
AD - Center for Healthcare Studies, Northwestern University, Chicago, IL 60611 USA
FAU - Scanlon, Dennis
AU - Scanlon D
AD - Department of Health Policy and Administration, Pennsylvania State
University,
University Park, PA 16802 USA
FAU - Lee, Rebecca
AU - Lee R
AD - College of Nursing and Health Innovation, Arizona State University, Phoenix,
AZ
85004 USA
FAU - Soltero, Erica
AU - Soltero E
AD - Health & Human Performance, University of Houston, Houston, TX 77204 USA
FAU - Parker, Nathan
AU - Parker N
FAU - McNeill, Lorna
AU - McNeill L
AD - Health Disparities Research, The University of Texas MD Anderson Cancer
Center,
Houston, TX 77030 USA
FAU - Ledoux, Tracey
AU - Ledoux T
FAU - McIsaac, Jessie-Lee
AU - McIsaac JL
AD - School of Health and Human Performance, Dalhousie University, Halifax, NS
B3H4R2
Canada
FAU - MacLeod, Kate
AU - MacLeod K
B3H4R2
Canada
FAU - Ata, Nicole
AU - Ata N
B3H4R2
Canada
FAU - Jarvis, Sherry
AU - Jarvis S
B3H4R2
Canada
FAU - Kirk, Sara
AU - Kirk S
B3H4R2
Canada
FAU - Purtle, Jonathan
AU - Purtle J
AD - Health Management &Policy, Drexel University School of Public Health,
Philadelphia,
PA 19130 USA
FAU - Dodson, Elizabeth
AU - Dodson E
AD - Institute for Public Health, Washington University, St. Louis, MO 63112 USA
FAU - Brownson, Ross
AU - Brownson R
AD - Brown School and Prevention Research Center in St. Louis, Washington
University in
St. Louis, Saint Louis, MO 63130 USA
FAU - Mittman, Brian
AU - Mittman B
AD - Research and Evaluation, Kaiser Permanente Southern Calif/US Dept of Veterans
Affairs, Pasadena, CA 91101 USA

FAU - Curran, Geoffrey
AU - Curran G
AD - Department of Pharmacy Practice, University of Arkansas for Medical Sciences,
Little
Rock, AR 72205 USA
AU - Curran G
Little
Rock, AR 72205 USA
FAU - Pyne, Jeffrey
AU - Pyne J
AD - Psychiatry and Behavioral Sciences, University of Arkansas for Medical
Sciences,
Little Rock, AR 72205 USA
FAU - Aarons, Gregory
AU - Aarons G
FAU - Ehrhart, Mark
AU - Ehrhart M
AD - Department of Psychology, San Diego State University, San Diego, CA 92182-
4611 USA
FAU - Torres, Elisa
AU - Torres E
FAU - Miech, Edward
AU - Miech E
AD - HSR&D, Richard L. Roudebush VA Medical Center, Indianapolis, IN 46202 USA
FAU - Miech, Edward
AU - Miech E
AD - HSR&D, Richard L. Roudebush VA Medical Center, Indianapolis, IN 46202 USA
FAU - Stevens, Kathleen
AU - Stevens K
AD - Improvement Science Research Network, University of Texas Health Science
Center San
Antonio, San Antonio, TX 78229 USA
CN - I.S.R.N. Steering Council
AD - Improvement Science Research Network, University of Texas Health Science
Center San
Antonio, San Antonio, TX 78229 USA
FAU - Hamilton, Alison
AU - Hamilton A
AD - HSR&D Center for the Study of Healthcare Innovation, Implementation and
Policy,
Department of Veterans Affairs, Los Angeles, CA 90073 USA
AD - UCLA Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles,
CA
90024 USA
FAU - Cohen, Deborah
AU - Cohen D
AD - Family Medicine, Oregon Health & Science University, Portland, OR 97239 USA
FAU - Padgett, Deborah
AU - Padgett D
AD - Silver School of Social Work, New York University, New York, NY 10003 USA
FAU - Morshed, Alexandra
AU - Morshed A
AD - Brown School, Washington University in St. Louis, Saint Louis, MO 63130 USA
FAU - Patel, Rupa
AU - Patel R
AD - Division of Infectious Diseases, Washington University School of Medicine,
St.
Louis, MO 63110 USA
FAU - Prusaczyk, Beth
AU - Prusaczyk B
AD - Brown School, Washington University in St. Louis, Saint Louis, MO 63110 USA
FAU - Aron, David C
AU - Aron DC
AD - Case Western Reserve University, Cleveland, OH USA
AD - Department of Veterans Affairs, Medicine, Louis Stokes Cleveland Medical
Center,
Cleveland, OH 44106 USA
FAU - Gupta, Divya
AU - Gupta D
AD - Research, Cleveland VA Medical Center, Cleveland, OH 44106 USA
FAU - Ball, Sherry
AU - Ball S
AD - Research, Department of Veterans Affairs, Cleveland, OH 44106 USA
FAU - Hand, Rosa
AU - Hand R
AD - Research, International, and Scientific Affairs, Academy of Nutrition and
Dietetics,
FAU - Abram, Jenica
AU - Abram J
AD - Research, International, and Scientific Affairs, Academy of Nutrition and
Dietetics,
FAU - Wolfram, Taylor
AU - Wolfram T
AD - Web Strategy, Academy of Nutrition and Dietetics, Chicago, IL 60606 USA
FAU - Hastings, Molly
AU - Hastings M
AD - Center for Public Health Systems Science, Washington University in St. Louis,
St.
Louis, MO 63112 USA
FAU - Moreland-Russell, Sarah
AU - Moreland-Russell S
AD - Center for Public Health Systems Science, Washington University in St. Louis,
St.
Louis, MO 63112 USA
FAU - Tabak, Rachel
AU - Tabak R
University in
FAU - Ramsey, Alex
AU - Ramsey A
AD - School of Medicine, Washington University in St. Louis, St. Louis, MO 63110
USA
FAU - Baumann, Ana
AU - Baumann A
AD - Brown School, Washington University in St. Louis, St. Louis, MO 63110 USA
FAU - Kryzer, Emily
AU - Kryzer E
FAU - Montgomery, Katherine
AU - Montgomery K
FAU - Lewis, Ericka
AU - Lewis E
FAU - Padek, Margaret
AU - Padek M
University in
FAU - Powell, Byron
AU - Powell B
Chapel
Hill, NC 27566-7411 USA
FAU - Brownson, Ross
AU - Brownson R
University in
AD - School of Medicine, Washington University in St. Louis, St. Louis, MO 63110
USA
FAU - Mamaril, Cezar Brian
AU - Mamaril CB
AD - Health Management and Policy, University of Kentucky, College of Public
Health,
Lexington, KY 40536 USA
FAU - Mays, Glen
AU - Mays G
AD - Department of Health Services Management, University of Kentucky, College of
Public
Health, Lexington, KY 40536 USA
FAU - Branham, Keith
AU - Branham K
AD - Health Management and Policy, University of Kentucky, College of Public
Health,
Lexington, KY 40536 USA
FAU - Timsina, Lava
AU - Timsina L
AD - Systems for Action National Program Office, University of Kentucky, College
of
Public Health, Lexington, KY 40536 USA
FAU - Mays, Glen
AU - Mays G
AD - Department of Health Services Management, University of Kentucky, College of
Public
Health, Lexington, KY 40536 USA
FAU - Hogg, Rachel
AU - Hogg R
AD - College of Health Sciences, University of Kentucky, Lexington, KY 40536 USA
FAU - Fagan, Abigail
AU - Fagan A
AD - Department of Sociology and Criminology & Law, University of Florida,
Gainesville,
FL 32611 USA
FAU - Shapiro, Valerie
AU - Shapiro V
AD - School of Social Welfare, UC Berkeley, Berkeley, CA 94720 USA
FAU - Brown, Eric
AU - Brown E
AD - Department of Public Health Sciences, University of Miami, Miami, FL 33136
USA
FAU - Haggerty, Kevin
AU - Haggerty K
AD - School of Social Work, University of Washington, Seattle, WA 98115 USA
FAU - Hawkins, David
AU - Hawkins D
FAU - Oesterle, Sabrina
AU - Oesterle S
FAU - Hawkins, David
AU - Hawkins D
FAU - Catalano, Richard
AU - Catalano R
FAU - McKay, Virginia
AU - McKay V
AD - College of Public Health and Human Sciences, Oregon State University,
Corvallis, OR
97331 USA
FAU - Dolcini, M Margaret
AU - Dolcini MM
AD - School of Social and Behavioral Health Sciences, Oregon State University,
Corvallis,
OR 97331 USA
FAU - Hoffer, Lee
AU - Hoffer L
AD - Department of Anthropology, Case Western Reserve University, Cleveland, OH
44106 USA
FAU - Moin, Tannaz
AU - Moin T
AD - Division of General Internal Medicine and Health Services Research, David
Geffen
School of Medicine at University of California, Los Angeles, CA 90024 USA
AD - HSR&D Center for the Study of Healthcare Innovation, Implementation, and
Policy, VA
Greater Los Angeles Healthcare System, Los Angeles, CA 90073 USA
FAU - Li, Jinnan
AU - Li J
Geffen
FAU - Duru, O Kenrik
AU - Duru OK
Geffen
FAU - Ettner, Susan
AU - Ettner S
Geffen
AD - Department of Health Policy and Management, Fielding School of Public Health,
University of California, Los Angeles, CA 90095 USA

FAU - Turk, Norman
AU - Turk N
Geffen
FAU - Chan, Charles
AU - Chan C
AD - Actuarial Pricing, UnitedHealthcare, Minneapolis, MN 55343 USA
FAU - Keckhafer, Abigail
AU - Keckhafer A
FAU - Luchs, Robert
AU - Luchs R
FAU - Ho, Sam
AU - Ho S
AD - Innovations, UnitedHealthcare, Minneapolis, MN 55343 USA
FAU - Mangione, Carol
AU - Mangione C
Geffen
FAU - Selby, Peter
AU - Selby P
AD - Addictions Program, Centre for Addiction and Mental Health, Toronto, ON
M5T1P7
Canada
AD - Family and Community Medicine, University of Toronto, Toronto, ON M5T1P7
Canada
AD - Psychiatry, Dalla Lana School of Public Health, University of Toronto,
Toronto, ON
M5T1P7 Canada
FAU - Zawertailo, Laurie
AU - Zawertailo L
AD - Addictions Program, Centre for Addiction and Mental Health, Toronto, ON
M5T1P7
Canada
AD - Pharmacology and Toxicology, University of Toronto, Toronto, ON M5T1P7 Canada
FAU - Minian, Nadia
AU - Minian N
AD - Addictions Medicine, Centre for Addiction and Mental Health, Toronto, ON M5S
3E3
Canada
FAU - Balliunas, Dolly
AU - Balliunas D
AD - Nicotine Dependence Service, Centre for Addiction and Mental Health, Toronto,
ON M5T
1P7 Canada
FAU - Dragonetti, Rosa
AU - Dragonetti R
AD - Addictions Medicine, Centre for Addiction and Mental Health, Toronto, ON M5S
3E3
Canada
FAU - Hussain, Sarwar
AU - Hussain S
ON M5T
1P7 Canada
FAU - Lecce, Julia
AU - Lecce J
ON M5T
1P7 Canada
FAU - Chinman, Matthew
AU - Chinman M
AD - Health, RAND Corporation, Pittsburgh, PA 15213 USA
AD - VISN 4 MIRECC, VA Pittsburgh Healthcare Center, Pittsburgh, PA 15206 USA
FAU - Acosta, Joie
AU - Acosta J
AD - Health, RAND Corporation, Arlington, VA 22202-5050 USA
FAU - Ebener, Patricia
AU - Ebener P
AD - Health, RAND Corporation, Santa Monica, CA 90407 USA
FAU - Malone, Patrick S
AU - Malone PS
FAU - Slaughter, Mary
AU - Slaughter M
FAU - Freedman, Darcy
AU - Freedman D
AD - Epidemiology and Biostatistics, Case Western Reserve University, Cleveland,
OH 44106
USA
AD - Prevention Research Center for Healthy Neighborhoods, Case Western Reserve
University, Cleveland, OH 44106 USA
FAU - Flocke, Susan
AU - Flocke S
AD - Epidemiology and Biostatistics, Case Western Reserve University, Cleveland,
OH 44106
USA
AD - Family Medicine, Case Western Reserve University, Cleveland, OH 44106 USA
FAU - Lee, Eunlye
AU - Lee E
AD - Mandel School of Applied Social Sciences, Case Western Reserve University,
Cleveland, OH 44106 USA
FAU - Matlack, Kristen
AU - Matlack K
FAU - Trapl, Erika
AU - Trapl E
FAU - Ohri-Vachaspati, Punam
AU - Ohri-Vachaspati P
AD - School of Nutrition and Health Promotion, Arizona State University, Phoenix,
AZ
85004 USA
FAU - Taggart, Morgan
AU - Taggart M
AD - Agreculture, St. Clair Superior Development Corporation, Cleveland, OH 44103
USA
FAU - Borawski, Elaine
AU - Borawski E
FAU - Parrish, Amanda
AU - Parrish A
AD - Department of Health Services, University of Washington, Health Promotion
Research
Center, Seattle, WA 98105 USA
FAU - Harris, Jeffrey
AU - Harris J
AD - Health Promotion Research Center, University of Washington, Seattle, WA 98105
USA
FAU - Kohn, Marlana
AU - Kohn M
Research
FAU - Hammerback, Kristen
AU - Hammerback K
Research
FAU - McMillan, Becca
AU - McMillan B
AD - Partner Relationships, American Cancer Society, Seattle, WA 98109 USA
FAU - Hannon, Peggy
AU - Hannon P
AD - Health Services, University of Washington, Seattle, WA 98105 USA
FAU - Swindle, Taren
AU - Swindle T
AD - Family and Preventive Medicine, University of Arkansas for Medical Sciences,
Little
Rock, AR 72205 USA
AU - Curran G
Little
Rock, AR 72205 USA
FAU - Whiteside-Mansell, Leanne
AU - Whiteside-Mansell L
AD - Family and Preventive Medicine, University of Arkansas for Medical Sciences,
Little
Rock, AR 72205 USA
FAU - Ward, Wendy
AU - Ward W
AD - Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
72205 USA
FAU - Holt, Cheryl
AU - Holt C
AD - Behavioral and Community Health, University of Maryland, College Park, MD
20742 USA
FAU - Santos, Sheri Lou
AU - Santos SL
20742 USA
FAU - Tagai, Erin
AU - Tagai E
20742 USA
FAU - Scheirer, Mary Ann
AU - Scheirer MA
AD - Program Evaluation, Scheirer Consulting, Princeton, NJ 8540 USA
FAU - Carter, Roxanne
AU - Carter R
AD - Community Ministry of Prince George’s County, Upper Marlboro, MD 20772 USA
FAU - Bowie, Janice
AU - Bowie J
AD - Health Behavior and Society, Johns Hopkins University, Baltimore, MD 21205
USA
FAU - Haider, Muhiuddin
AU - Haider M
AD - Maryland Institute for Applied Environmental Health, University of Maryland,
College
Park, MD 20742 USA
FAU - Slade, Jimmie
AU - Slade J
AD - Community Ministry of Prince George’s County, Upper Marlboro, MD 20772 USA
FAU - Wang, Min Qi
AU - Wang MQ
20742 USA
FAU - Masica, Andrew
AU - Masica A
AD - Center for Clinical Effectiveness, Baylor Scott & White Health, Dallas, TX
75206 USA
FAU - Ogola, Gerald
AU - Ogola G
75206 USA
FAU - Berryman, Candice
AU - Berryman C
75206 USA
FAU - Richter, Kathleen
AU - Richter K
75206 USA
FAU - Shelton, Rachel
AU - Shelton R
AD - Department of Sociomedical Sciences, Columbia University Mailman School of
Public
Health, New York, NY 10032 USA
FAU - Jandorf, Lina
AU - Jandorf L
AD - Oncological Sciences, Mount Sinai School of Medicine, New York, NY 10029 USA
FAU - Erwin, Deborah
AU - Erwin D
AD - Division of Cancer Prevention and Population Sciences, Roswell Park Cancer
Institute, Buffalo, NY 14263 USA
FAU - Truong, Khoa
AU - Truong K
AD - Public Health Sciences, Clemson University, Clemson, SC 29634 USA
FAU - Javier, Joyce R
AU - Javier JR
AD - Department of Pediatrics, Division of General Pediatrics, Chidren’s Hospital
Los
Angeles/USC Keck School of Medicine, Los Angeles, CA 90027 USA
FAU - Coffey, Dean
AU - Coffey D
AD - Department of Pediatrics, Division of General Pediatrics, Chidren’s Hospital
Los
Angeles/USC Keck School of Medicine, Los Angeles, CA 90027 USA
FAU - Schrager, Sheree M
AU - Schrager SM
AD - Division of Hospital Medicine, Chidren’s Hospital Los Angeles, Los Angeles,
CA 90027
USA
FAU - Palinkas, Lawrence
AU - Palinkas L
AD - Social Work, University of Southern California, Los Angeles, CA 90089-0411
USA
FAU - Miranda, Jeanne
AU - Miranda J
AD - Semel Institute for Neuroscience and Human Behavior, UCLA Center for Health
Services
and Society, Los Angeles, CA 90024 USA
FAU - Johnson, Veda
AU - Johnson V
AD - Pediatrics, Emory University, Atlanta, GA 30303 USA
AD - Pediatrics, PARTNERS for Equity in Child and Adolescent Health, Atlanta, GA
30303
USA
FAU - Hutcherson, Valerie
AU - Hutcherson V
AD - Johns Creek, GA 30022 USA
FAU - Ellis, Ruth
AU - Ellis R
AD - Pediatrics, Emory University, Atlanta, GA 30303 USA
FAU - Kharmats, Anna
AU - Kharmats A
AD - International Health, Johns Hopkins Bloomberg School of Public Health,
Baltimore, MD
21205 USA
AD - International Health, Global Obesity Prevention Center, Baltimore, MD 21205
USA
FAU - Marshall-King, Sandra
AU - Marshall-King S
AD - Shawnee Christian Health Care Center, Louisville, KY 40212 USA
FAU - LaPradd, Monica
AU - LaPradd M
AD - Shawnee Christian Health Care Center, Louisville, KY 40212 USA
FAU - Fonseca-Becker, Fannie
AU - Fonseca-Becker F
AD - Health, Behavior, & Society, Johns Hopkins Bloomberg School of Public Health,
Baltimore, MD 21202 USA

FAU - Kepka, Deanna
AU - Kepka D
AD - Huntsman Cancer Institute, University of Utah, College of Nursing and
Huntsman
Cancer Institute, Salt Lake City, UT 84112 USA
FAU - Bodson, Julia
AU - Bodson J
AD - Cancer Control and Population Sciences, Huntsman Cancer Institute &
University of
Utah, Salt Lake City, UT 84112 USA
FAU - Warner, Echo
AU - Warner E
University of
FAU - Fowler, Brynn
AU - Fowler B
University of
FAU - Shenkman, Elizabeth
AU - Shenkman E
AD - Department of Health Outcomes and Policy, University of Florida College of
Medicine,
Gainesville, FL 32606 USA
FAU - Hogan, William
AU - Hogan W
AD - Department of Health Outcomes and Policy, University of Florida College of
Medicine,
FAU - Odedina, Folakami
AU - Odedina F
AD - Department of Pharmaceutical Outcomes and Policy, University of Florida,
FAU - De Leon, Jessica
AU - De Leon J
AD - Clinical and Translational Science Institute, Florida State University
College of
Medicine, Tallahassee, FL 32308 USA
FAU - Hooper, Monica
AU - Hooper M
AD - Psychology, University of Miami, Miami, FL 33136 USA
FAU - Carrasquillo, Olveen
AU - Carrasquillo O
AD - Department of Medicine, University of Miami, Miami, FL 33136 USA
FAU - Reams, Renee
AU - Reams R
AD - Department of Pharmaceutical Sciences, Florida A & M University, Tallahassee,
FL
32308 USA
FAU - Hurt, Myra
AU - Hurt M
AD - College of Medicine, Florida State University, Tallahassee, FL 32308 USA
FAU - Smith, Steven
AU - Smith S
AD - Translational Research Institute, Florida Hospital, Orlando, FL 32804 USA
FAU - Szapocznik, Jose
AU - Szapocznik J
AD - Clinical and Translational Science Institute, University of Miami, Miami, FL
33136
USA
FAU - Nelson, David
AU - Nelson D
AD - Clinical and Translational Science Institute, University of Florida,
Gainesville, FL
32606 USA
FAU - Mandal, Prabir
AU - Mandal P
AD - Biology, Edward Waters College, Jacksonville, FL 32309 USA
FAU - Teufel, James
AU - Teufel J
AD - Public Health, Mercyhurst University, Erie, PA 16504 USA
LA - eng
GR - 001/World Health Organization/International
DEP - 20160801
TA - Implement Sci
JT - Implementation science : IS
JID - 101258411
SB - IM
PMC - PMC4977475
EDAT- 2016/08/05 06:00
MHDA- 2016/08/05 06:01
CRDT- 2016/08/05 06:00
PHST- 2016/08/05 06:00 [entrez]
PHST- 2016/08/05 06:00 [pubmed]
PHST- 2016/08/05 06:01 [medline]
AID - 10.1186/s13012-016-0452-0 [pii]
AID - 452 [pii]
AID - 10.1186/s13012-016-0452-0 [doi]
PST - epublish
SO - Implement Sci. 2016 Aug 1;11 Suppl 2(Suppl 2):100. doi: 10.1186/s13012-016-
0452-0.

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PMID- 29763131

introduced several patient safety goals to assist institutions and healthcare

practitioners in creating a safer practice environment for patients and

outcomes that arise as a result of the healthcare process. Potentially

healthcare in an automatic fashion. Communication issues, having no insight

hospitals and clinics result in approximately 100,000 people dying each year.

Medical errors typically include surgical, diagnostic, medication, devices

hospital in Chile. METHOD: quantitative, analytical, cross-sectional research

through review of medical records. The estimation of workload in Intensive

available evidence and extensive clinical experience and provides practical,

Dierkes and Plover); Pennsylvania Hospital, Philadelphia (Dr Hatfield, Mss

between 2005 and 2007 in 75 hospitals in 4 states (Pennsylvania, Florida,

(Greece)), and intention to leave (14% (US) to 49% (Finland, Greece)).

satisfaction. In European hospitals, after adjusting for hospital and nurse

retrospective longitudinal observational study using routinely collected

errors. Its implementation has been beneficial in the National Health

improvement with documentation at 72%. CONCLUSION: The introduction of the

ratios), patient prototype/classification and timed-task approaches. Tools

associated with 30-day case-mix adjusted mortality. An increase in a nurse's

Institutet (KI), Stockholm, Sweden; University of Southampton & National

London, England, United Kingdom.

medication errors are stress, fatigue, increased workload, night shifts,

significant changes in quality of care and patient safety. Improvements in

advanced system usability remain largely unknown, particularly among nurses.

included patient mortality; hospital readmissions, avoidable admissions, and

categories of assistive nursing personnel without professional nurse

included multiple components implemented simultaneously. Although studies

participate; whether a family member/carer/friend is invited; the number of

recommendations for improving the patient hospital experience and the

written health information, (e) collaborate effectively with carers, spouses,

patient harm. METHODS: We developed this program as an instructional method

reported that the presentation was likely or extremely likely to improve

patient. This study aimed at investigating the effect of the

sufficient nursing staff on hospital wards is critical for patient safety,

electronic health record-related patient safety incidents that occurred at 23

hospitals during a 2-year period. A procedure of taxonomy mapping served to

university educational hospital in Tehran with 800 beds during a 9-month

Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.

University of Medical Sciences, Tehran, Iran.

observations in high-acuity patients (incidence rate ratio 0.98, 95% CI 0.97

staffing decisions. Increases in nursing skill mix may be cost-effective for

satisfying. Many research studies were conducted on nurse work environments

strains, job satisfaction, and retention; 2) Associations between healthy

interpersonal relationships at work is rudimental to achieve a healthy work

specific patient indications and diagnoses allows them to practice

cross-sectional, quantitative study, conducted from October to December 2015,

compared with adverse drug events (39 of 64 [60.9%]) or health care-acquired

Sciences, Hacettepe University.

Sciences, Hacettepe University.

dissemination, we assessed physician compliance with this checklist and

physician interviews were conducted at a tertiary children's hospital.

visibility of the checklist (environment), providing schedules for rounding

Health, Madison, Wis.

clinicians. Performed well, clinical handover should ensure that lapses in

regression was performed to identify factors associated with safety

METHODS: We carried out a descriptive cross-sectional study among healthcare

responses than paramedical staff (69.7% versus 53.4%; p=0.01). Positive

Baker); MedStar Health Research Institute, Hyattsville, and MedStar Corporate

Nursing, Columbia, Maryland (Ms Bardsley); Department of Nursing Quality,

Recently enhanced regulatory oversight of compounding may improve adherence

unit-clusters: medical, surgical, combined and step-down units. Descriptive

resulted in four common themes, with some variation in each municipality,

experience at 3 U.S. healthcare centers.