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Davies K - - 2002
The term 'confusion' can create conflicting images in terms of a patient's level of consciousness, awareness and ability to communicate effectively. In relation to Accident and Emergency (A&E) practice it is crucial that the nurse assessing the patient is not only taking into account the presenting clinical picture, but is ...
Ritz E - - 2002
The incidence of patients with end-stage renal disease and type 2 diabetes has increased tremendously over the past few decades. Unfortunately, many patients with diabetes are referred late to nephrologists. Currently, between a quarter and a third of European patients are referred to a nephrologist less than one month prior ...
Very Mark - - 2002
OBJECTIVES: To evaluate the diagnostic accuracy and satisfaction of patient or family (or both) in the evaluation of hemangiomas and other vascular malformations. STUDY DESIGN: Prospective, relational database. METHODS: Ninety-eight patients participated in a prospective, Institutional Review Board-approved, relational database study in the Hemangioma and Vascular Birthmark Center at the ...
- - 2002
Your patient flow can be dramatically improved with electronic patient tracking systems that give information in real time. If ED staff can spot delays at a glance, steps can be taken to correct the root of the problem before backlog occurs. If specific time goals aren't met, an immediate intervention ...
Masys Daniel - - 2002
The Patient-Centered Access to Secure Systems Online (PCASSO) project is designed to apply state-of-the-art-security to the communication of clinical information over the Internet. The authors report the legal and regulatory issues associated with deploying the system, and results of its use by providers and patients. Human subject protection concerns raised ...
O'Sullivan Sinead S Division of Gastroenterlogy, University of Western Ontario, London, - - 2002
Only the British Society of Gastroenterology has published consent guidelines that are inclusive for endoscopic retrograde cholangiopancreatography (ERCP). Previous research has shown that there are variations in the information discussed with patients who are undergoing ERCP. To examine the informed consent practices for ERCP in Ontario. A self-report questionnaire was ...
Schwartz L - - 2002
It remains unclear what patient advocacy actually entails and what values it ought to embody. It will be useful to ascertain whether advocacy means supporting any decision the patient makes, or if the advocate can claim to represent the patient by asserting well-intentioned paternalistic claims on the patient's behalf. This ...
Sondell Katarina - - 2002
PURPOSE: Dentist-patient verbal communication dimensions on patient satisfaction were investigated in a prosthodontic context, controlling for the age and gender of patients and dentists and the amount of delivered prosthodontic treatment. Two concepts of satisfaction were defined, one for the single visit (satisfaction with care), and one for the overall ...
Legemaate Johan - - 2002
Many initiatives have been taken to advocate, develop and emphasize patients' rights. The existence of legislation, case law or charters in the area of patients' rights does not guarantee that these rights are or will be successfully implemented in everyday practice. The implementation of patients' rights requires specific actions and ...
Nadelson Carol - - 2002
Boundaries in the doctor-patient relationship is an important concept to help health professionals navigate the complex and sometimes difficult experience between patient and doctor where intimacy and power must be balanced in the direction of benefiting patients. This paper reviews the concept of boundary violations and boundary crossings in the ...
Edwards P - - 2001
Is there sufficient evidence to suggest that the wearing of face masks is imperative during surgical procedures for maximum patient protection? Or is it just another ritual that needs to be re-examined in the light of today's emphasis on evidence-based medicine. Should we be re-educating theatre staff that the wearing ...
Mayberry M K - - 2001
OBJECTIVE: To determine the level of knowledge achieved by patients who have read a simple information sheet on gastroscopy and flexible sigmoidoscopy, and to determine the levels of information required by patients and solicitors specializing in clinical negligence. DESIGN: Self-administered questionnaires were sent to 516 patients in Leicester and 79 ...
Sonnenberg A - - 2001
Acquisition of diagnostic knowledge and improvement of patient health often are mutually exclusive goals. A perfect understanding of a disease process is only obtained through unrestricted testing that exposes the patient to adverse events and discomfort. In a patient completely undisturbed by test procedures, the physician remains ignorant about the ...
Naseem A - - 2001
Since the arrival of managed care, there has been a trend toward changing the basic terminology used to address clinicians and patients. Instead of the term "patient", third party payors frequently use terms such as "customer, client, consumer or recipient". One study demonstrated that patients prefer to be called patients. ...
Smart J M - - 2001
AIM: To determine whether the internet is a useful resource for patients seeking information on radiological procedures. MATERIALS AND METHODS: A systematic search of the world wide web was performed by means of four general search engines (AltaVista, Yahoo!, Infoseek and Excite). Twenty-eight suitable patient-directed websites on arteriography were identified ...
Thomas R - - 2001
It is assumed that visiting increases peace of mind and patient's well-being, but this assumption has not yet been formally studied from the patient's viewpoint. The family and close friends are seen as an integral part of the care team for patients receiving palliative care, yet the perception of their ...
Sulmasy D P - - 2001
PURPOSE: To learn how much time hospital staff and families spend at the bedsides of seriously ill patients with poor prognoses. SUBJECTS AND METHODS: An observational study was made of 58 inpatients with cancer, acquired immunodeficiency syndrome, heart failure, obstructive lung disease, or advanced dementia, along with their families and ...
Wenger N K - - 2001
This overview of the management of ambulatory oral anticoagulant therapy addresses the importance of patient education and highlights tested educational techniques; describes issues of documentation of the patient encounter in the medical record; and reviews drug dosage adjustments, the management of patients with high International Normalized Ratio (INR) values, and ...
Soffer T - - 2001
BACKGROUND: "Complementary medicine" incorporates several methods of treatment, all of which aim to promote the health and quality of life of the patient. Public interest and demand for complementary medicine services have increased in recent years in Israel, as they have throughout the western world. OBJECTIVE: To characterize patients attending ...
- - 2001
Giving patients a follow-up telephone call can improve satisfaction, improve outcomes, and even save lives. Patients who left the ED without being seen can be encouraged to return if the problem has persisted or worsened. The nurse who makes the follow-up calls should be trained in giving advice over the ...
Taylor M R MR Division of Genetics and Metabolism, University of Colorado Health Sciences Center, Denver 80218, USA. - - 2001
To characterize use of the Internet by patients and their families referred to general genetics clinics. We developed a survey to assess Internet use among patients visiting urban and rural clinics in Colorado and Wyoming. One hundred eighty-nine surveys were distributed to patients and their family members visiting outpatient general ...
Dowden R V - - 2001
Plastic surgeons' primary responsibility to patients is to inform them sufficiently to permit them to make the necessary decisions in the manner that best meets their own objectives. This makes adequate consultation a lengthy and often confusing experience for patients. One of the most confusing of these is also one ...
Carney T A - - 2001
We describe a 20-year retrospective study of 58 patients with a cross-matched control group in one practice, who initially attended more than 12 times in 1975. The study establishes that frequent attendance is not consistent; the majority of high-attending patients in general practice revert over a short period of time ...
Ellamushi H - - 2001
Internet has recently evolved as a versatile and influential repository of information including those pertaining to neurosurgery. This study was undertaken to find out whether there is good quality information currently available on the Internet for neurosurgery patients and their families. We surveyed the World Wide Web (www) for information ...
D'Alessandro D M - - 2001
BACKGROUND: Literacy is a national and international problem. Studies have shown the readability of adult and pediatric patient education materials to be too high for average adults. Materials should be written at the 8th-grade level or lower. OBJECTIVE: To determine the general readability of pediatric patient education materials designed for ...
Moore C G - - 2001
BACKGROUND: When patients fail to appear for scheduled appointments, the flow of patient care is interrupted, and clinic productivity declines. This study investigated the impact of failed appointments on a clinic by measuring time and money lost after taking into account same-day treatment patients (walk-ins). METHODS: Schedule information was retrieved ...
Xakellis G C GC - - 2001
BACKGROUND: Teaching clinics are the heart of training programs in family practice. It is in these training clinics where residents develop their ambulatory practice habits. Yet, little is known about the efficiency of these teaching clinics. METHODS: We conducted a time-and-motion study of patient flow in a residency teaching clinic. ...
Costello J - - 2001
The aim of this study was to evaluate the participation of patients in classroom-based teaching within a pre-registration programme. The rationale for the research was based on the view that utilizing patients as active participants in teaching and learn ing experiences allows nurses to gain valuable insight into the patient's ...
Fish L - - 2001
OBJECTIVE: This article presents information on the important impact the lack of adherence to prescribed treatments has on the morbidity and mortality of asthma. After reading this article, readers should have an understanding of the significant role clinicians, as well as patients and their families, play in promoting adherence. DATA ...
Bruera E - - 2001
PURPOSE: To examine patient preferences as well as physician perceptions of these preferences for decision making and communication in palliative care. PATIENTS AND METHODS: Medical decision-making preferences (DMPs) were prospectively studied in 78 assessable cancer patients after initial assessment at a palliative care outpatient clinic. DMPs were assessed with a ...
Wylie K R - - 2001
OBJECTIVE: To compare the prescribing pattern and attitude of general practitioners (GPs) in response to a clinic returning a patient referred for erectile dysfunction (ED) to the referrer by two different methods. METHODS: Referrals on a waiting list for an assessment of ED were reviewed and a subgroup of patients ...
Tomlinson A J - - 2001
Induction of labour is a common obstetric intervention. When the cervix is unfavourable ripening agents are used, commonly prostaglandin E2. There are several methods of administration of prostaglandin E2 and little comparative work has been performed as to their acceptability by patients. Patients undergoing induction of labour by prostaglandin E2 ...
Westwood F - - 2001
The end user of all healthcare activity is the patient. But how do we know whether we are providing a good service? Do we take time to listen to our patients, or do we simply hide behind our professional title and pass the buck to someone else? In this, the ...
Hashim M J - - 2001
BACKGROUND: Clinic appointments in which patients do not appear (no-show) result in loss of provider time and revenue. Previous studies have shown variable effectiveness in telephone and mailed reminders to patients. METHODS: We conducted a randomized controlled trial of telephone reminders 1 day before the scheduled appointments in an urban ...
Frasier P Y - - 2001
Medical expenses from intimate partner violence (IPV) total between $3 and $5 billion annually. Many abuse victims are exposed to serious injuries, and are likely to see their physicians more frequently than other patients. Practitioners must have a reliable and realistic approach to counseling patients who are victims of IPV. ...
Kemler M A - - 2001
BACKGROUND: Chronic reflex sympathetic dystrophy (RSD) is a painful and disabling disorder for which no treatment with proven effects exists. Physical therapy (PT) has been demonstrated to be effective for recently diagnosed RSD, but its value in chronic RSD has not yet been studied. OBJECTIVE: To find predictors for successful ...
Maisels L - - 2001
Treatment with highly active antiretroviral therapy (HAART) decreases morbidity and mortality for persons with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and reduces costs of care. Yet many patients for whom HAART is indicated do not receive it. This study investigated the reasons why certain patients of a community health center ...
- - 2001
Senior CHF patients grow accustomed to automated voice technology. Internet-based tools may have a lot to offer, but they don't necessarily get the best results when used with a mostly elderly population. However, a telephonic system that uses automated voice technology has consistently produced first-rate compliance rates while slashing hospitalization ...
Leung G M - - 2001
BACKGROUND AND OBJECTIVES: "Difficult-to-recruit" patients are sometimes less compliant with their care, are more reluctant to seek medical attention and less likely to survive than their "easy-to-recruit" counterparts. They also tend to be excluded from clinical trials. The aim of this paper was to evaluate whether such differences extend to ...
Ferguson P R - - 2001
This article explores whether the experience of participating in a clinical trial was similar to what patient volunteers had expected, prior to agreeing to take part. It also considers patients' views on four aspects of participation that may help to determine whether the decision to become a research subject was ...
Marchand L - - 2001
PURPOSE: Advance directives can assist in end-of-life decision-making. This study explores the factors that influence completion of advance directives. METHODS: Qualitative study using in-depth interviews of 10 patients over age 60 in a rural office practice. RESULTS: Major themes: (1) patient autonomy: the patient and family role as decision maker, ...
Scheulen J J - - 2001
As a method to control patient flow to overburdened hospitals, effective emergency medical services (EMS) systems provide policies for ambulance diversion. The Maryland state EMS system supports two types of alert for general hospital use: red alert, aimed at limiting the delivery of patients who may require intensive care unit ...
Williams T L - - 2001
The objective of this study is to provide a systematic review of studies on patient satisfaction with telemedicine. The review included empirical studies that investigated patient satisfaction with that telemedicine service. The search strategy involved matching at least one of 11 'telemedicine' terms with one of 5 'satisfaction' terms. The ...
Lester B - - 2001
In recent years, patient satisfaction in healthcare has been criticized as much as poor customer satisfaction in other industries. Many times, the financial problems that exist are used as an excuse for poor patient satisfaction. This excuse can never justify treating a patient rudely or with disrespect. Patients are the ...
Casarett D J - - 2001
CONTEXT: Hospice is designed to provide end-of-life care to patients who are terminally ill. However, some patients withdraw from hospice even though they are medically eligible. Little is known about these patients, and the factors associated with their withdrawal have not been described. OBJECTIVES: To identify predictors of withdrawal from ...
Fiscella K - - 2001
BACKGROUND: Patient education has been shown to affect physician performance profiles. It is not known whether census-derived measures of patient socioeconomic status (SES) show comparable effects. OBJECTIVE: The objective of this study was to compare the effects on physician profiles for patient satisfaction and physical and mental health of adjustment ...
Ciechanowski P S - - 2001
OBJECTIVE: Lack of adherence to diabetic self-management regimens is associated with a high risk of diabetes complications. Previous research has shown that the quality of the patient-provider relationship is associated with adherence to diabetes treatment. This study attempts to improve understanding of both patient and provider factors involved in lack ...
Jones M J - - 2001
The Internet is becoming increasingly important as a way for patients to acquire medical information and as a means for patient-physician communication. Questions about appropriate use of this new technology have been brought to the fore by the many patients using the Internet to seek sildenafil prescriptions. To present the ...
Hudak P L - - 2000
Information on patient satisfaction is considered a way of including patients' perspectives in the planning and assessment of services. The study of patient satisfaction is a relatively new field, and despite the surge in popularity and use of satisfaction measures during the past three decades, different issues remain to be ...
Duggan C M - - 2000
OBJECTIVE: To pilot single patient trials designed to improve decision making about stimulant use for attention deficit hyperactivity disorder (ADHD) in general practice. METHOD: Patients previously stabilised on dexamphetamine were enrolled from a general practice. Each undertook a six week same patient randomised, double blind, placebo controlled crossover comparison of ...
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