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Wood D N - - 2006
INTRODUCTION: As part of the NHS Plan the UK Department of Health has suggested that both patients and general practitioners (GPs) are written to following hospital consultations. We audited the responses of patients and GPs to this practice. PATIENTS AND METHODS: A total of 160 patients in one consultant urologist's ...
Hugel Heino - - 2006
Management during the diagnostic phase of MND is considered an important influence on the patient's further disease course. Guidelines for the management of MND have been developed, but little is known on how recommended practices influence patients' experience of a new diagnosis of MND. We undertook an interview-based study exploring ...
Spies C D - - 2006
BACKGROUND: There is some evidence that patients' outcomes improve if they are involved in shared decision making (SDM). A chronic pain clinic or premedication visit could be adequate settings for the implementation of SDM. So far, the patients' preference for involvement in decision making and their desire for information have ...
Zickmund Susan L - - 2006
BACKGROUND: Given the importance of the doctor-patient relationship, we examined the prevalence and nature of patients' perceived conflicts with the physicians caring for their congestive heart failure (CHF). METHODS AND RESULTS: This cross-sectional study recruited patients with CHF in the outpatient and inpatient service of a tertiary referral hospital. Patients ...
Zun Leslie S - - 2006
INTRODUCTION: The United States Public Health Service (USPHS) recommends using all available patient encounters to provide preventive healthcare to patients. Many studies have demonstrated the importance of performing preventive care in the emergency department (ED). These studies have used the ED as a location for patient identification and treatment, rather ...
McLafferty Robert B - - 2006
BACKGROUND: This study analyzes specific elements of physician communication that lead patients to not recommend surgeons to family members or friends (FMoFs). METHODS: Patients completed questionnaires after surgery clinic encounters. Questionnaires addressed whether surgeons used optimal communication behaviors and whether patients would recommend the surgeon. RESULTS: A total of 1,514 ...
Bernheim Alain M - - 2006
CardioCard is a CDROM of credit card size containing medical information on cardiac patients. Patient data acquired during hospital stay are stored in PDF format and secured by a password known to patients only. In a consecutive series of patients, we assessed acceptance and utility of this new information medium. ...
Challenor Rachel - - 2006
Genitourinary medicine services have had to modernize to try to meet the growth in demand. Changes should be audited to ensure standards remain high. We introduced a 'comprehensive care nurse-led service' for patients presenting for asymptomatic screening and as asymptomatic contacts (partners of known positive patients). Following implementation we audited ...
Stokes Samantha L - - 2006
Physicians and hospitals should be aware of the ethical duty to disclose a medical error that causes harm to a patient. Disclosure should be made to the affected patient or, when appropriate, to a family member of the patient. The manner in which the disclosure process is performed is also ...
King Diane L - - 2006
OBJECTIVE: To describe in some detail the methods used and outcome of an application of concepts from Lean Thinking in establishing streams for patient flows in a teaching general hospital ED. METHODS: Detailed understanding was gained through process mapping with staff followed by the identification of value streams (those patients ...
Greenly Margaret A - - 2006
The Joint Commission on Accreditation of Healthcare Organizations National Patient Safety Goal 1, which requires the use of at least two patient identifiers, is the foundation for other patient safety goals. St. Francis Hospital involved staff and patients in the "Helping Hippocrates" Project, which used a "game" with staff and ...
Stokes Tim - - 2006
The removal of patients from general practitioners' (GPs) lists in the UK offers important sociological insights into what happens when the doctor-patient relationship 'goes wrong'. An interactionist analysis shows how removers (doctors) and removed (patients) strategically invoke 'rules of conduct' to account for difficulties in the doctor-patient relationship and for ...
Frick E - - 2006
We conducted a phase-I study to test the practicability and usefulness of a short (15-30 min) clinical interview for the assessment of cancer patients' spiritual needs and preferences. Physicians assessed the spirituality of their patients using the semi-structured interview SPIR. The interview focuses on the meaning and effect of spirituality ...
Henry M S - - 2006
The practice of evidence based medicine has changed the role of the physician from information dispenser to gatherer and analyser. Studies and controlled trials that may contain unknown errors, or uncertainties, are the primary sources for evidence based decisions in medicine. These sources may be corrupted by a number of ...
Milligan Frank J - - 2007
This paper argues that the process of making significant moves towards a patient safety culture requires changes in healthcare education. Improvements in patient safety are a shared international priority as too many errors and other forms of unnecessary harm are currently occurring in the process of caring for and treating ...
Tsang Matthew W - - 2006
BACKGROUND: Previous studies have shown long wait-times for general dermatology patients seeking routine appointments. No evidence has been gathered on wait-times for patients with urgent problems or on the impact of physician extenders on access to dermatologic care. OBJECTIVE AND METHODS: To evaluate access for patients with an urgent problem, ...
Simpson Kathleen Rice - - 2006
Methods to measure patient safety include structure, process and outcome measures, safety attitude and climate surveys, focus groups, storytelling, executive walk rounds, and external review. Ideally, measures of patient safety should be meaningful, science based, psychometrically sound, feasible, and actionable. Accurate and timely data feedback to caregivers is critical to ...
McCracken Michael S - - 2006
PURPOSE: To review injection techniques and patient satisfaction with injection of Restylane in various facial areas by American Society of Ophthalmic Plastic and Reconstructive Surgery members. METHODS: Data from 286 patients treated with Restylane in nine American Society of Ophthalmic Plastic and Reconstructive Surgery practices were abstracted to a spreadsheet ...
Hart Anne Marie - - 2006
BACKGROUND: Overprescribing of antibiotics for acute respiratory infections (ARIs) has contributed to antibiotic resistance. Multiple clinician, patient, and system-related factors contribute to the prescribing of antibiotics for ARIs; however, these factors do not explain how clinicians arrive at their decisions to prescribe antibiotics. The purpose of our study was to ...
Stephenson Pamela L - - 2006
Patients experiencing cancer also can experience anxiety. Moderate to severe levels of anxiety can interfere with patients' ability to concentrate and comprehend new information. The condition is particularly troublesome when trying to present educational material related to recommended treatment interventions. Patients' understanding of the material is critical to ensure informed ...
Gladfelter Joanne P - - 2006
Nurses and physicians are the leading advocates of patient education and patient safety. They believe that the more knowledge and understanding patients have about the procedures they are about to undertake, the better their expectations and recovery will be. Even though efforts are taken to ensure that patients have been ...
Krasuski Richard A - - 2006
BACKGROUND: Complementary and alternative medicine (CAM) use is common among patients with cardiovascular disorders and is generally underrecognized by physicians. The attitudes of these patients regarding these therapies and their perceptions of safety and efficacy have not been well defined. METHODS: A written survey was received from a cohort of ...
Breuer Gabriel S - - 2006
BACKGROUND: Complementary and alternative medicine has recently attracted attention due to its widespread use. In a recent study in Israel, almost a half of CAM users in the general population used it for joint diseases or back pain. OBJECTIVE: To evaluate the prevalence of CAM use among patients with defined ...
NAKAMURA, Ryoichi
During the two summer seasons of 1958 and 1959,tests were conducted on the repellents prepared to protect horses from falling victim to "kasen". The results obtained from the series of tests are summarized as follows : 1. In the experiment of 1958,repellents R_1,R_2,R_4 and R_6 were sprayed, during the period ...
Kuzu N - - 2006
AIM: To determine the awareness of a regulation on patients' rights passed in 1998 in Turkey. METHODS: All hospitalized patients in the internal medicine and general surgery wards in three large hospitals during the study period were eligible for the study, which was performed in 2001 in the Denizli province, ...
Lucha Paul A PA - - 2006
Patients evaluated in acute pain will often have narcotics withheld until after the patient has been evaluated by a surgeon and has given informed consent. Concern that the patient would have impaired judgment due to narcotic effects often prevents the administration of timely pain relief. The Hopkins Competency Assessment Tool ...
Oosterhof Thomas - - 2006
Cardiovascular magnetic resonance (CMR) is becoming an important tool in the clinical management of patients with congenital heart disease. Because of the diverse problems patients may face after initial correction for tetralogy of Fallot and the large amount of CMR techniques that can be applied, creating a patient-orientated imaging protocol ...
Andreassen Hege K - - 2006
The introduction of information and communication technology (ICT) into the patient-doctor relationship represents a significant change in modern health care. Communication via computers-e-mediated communication-is affecting the context of patient-doctor interaction, touching core elements of the relationship. Based on data from a qualitative study conducted among Norwegian patients who had used ...
Fisher Mark B - - 2006
OBJECTIVES: To determine patient assumptions and opinions of the billing and reimbursement process in an urban urologic practice. Healthcare policy and physician reimbursement has been discussed in political and economic forums; however, few studies exist that reflect a patient's perspective of reimbursement issues. METHODS: An anonymous, voluntary 11-question survey was ...
Akkazieva Baktygul - - 2006
OBJECTIVES: To illustrate how conjoint analysis can be used to identify patient preferences for healthcare policies, and to measure preferences for healthcare reforms in Hungary. DATA SOURCE/STUDY SETTING: Data was collected via a mail-based survey and a direct survey administered in a rheumatology out-patient centre in Flór Ferenc County Hospital, ...
Zailinawati A H - - 2006
Missed appointments affect patients' health in addition to reducing practice efficiency. This study explored the rate and reasons of non-attendance among patients with chronic illnesses. It was a cross-sectional descriptive study carried out in a family practice clinic over a one-month period in 2004. Those who failed turn up for ...
Hubbard Minda - - 2006
Improving patient adherence to highly active antiretroviral therapy (HAART) is essential to effective treatment and represents a major challenge confronting healthcare providers. Because of their holistic perspective, nurses are uniquely qualified to identify the psychosocial and practical obstacles to full adherence and help patients deal with these problems. Studies have ...
Chacko Vinod - - 2006
Reliable communication of patient information among physicians during shift changes is an important patient safety parameter. The Joint Commission on Accreditation of Healthcare Organizations [JCAHO] recognized the pitfalls in hand off communications by including standardized hand-offs as a National Patient Safety Goals. We are presenting an electronic application called eHand-offs ...
Hildén Hanna-Mari - - 2006
We studied media discussions of end-of-life decision making to find out how the doctor-patient relationship is portrayed and what types of positions the media takes and how it is represented by other discussion participants in this context. The significance of the end-of-life decision making is related to the fact that ...
Pigeon Pierre - - 2006
BACKGROUND AND OBJECTIVES: The PAIN (Paracetamol, Aspirin and Ibuprofen New tolerability) study published in 1999 assessed the tolerability of over-the- counter (OTC) analgesics in a French general practitioner (GP)-controlled population and found no apparent difference between the tolerability of ibuprofen and paracetamol (acetaminophen). However, patient selection in that study could ...
Kahán Zsuzsanna - - 2006
The information needs of breast cancer patients on their disease, its treatment, the prognosis, and their attitude to decision-making concerning treatment were assessed. One hundred and fifty early and 45 metastatic breast cancer patients were recruited into the study. The amount of information and role in the treatment decision-making process ...
Werlinger Kelly D - - 2006
In a busy dermatologic practice, it may be frustrating to encounter a vulvar disease patient, who must fully disrobe for examination. Further, the wet mounts, cultures, biopsies, and patient education required for treatment of vulvar disorders take up considerable time. However, most patients will respond to appropriate therapy, and can ...
El-Ali K - - 2006
Reconstruction of a pigmented nipple-areola complex (NAC) is one of the final steps in rehabilitating patients following mastectomy. We report the results of 40 consecutive patients who had NAC tattooing done by the same surgeon. Assessments were made both subjectively using a questionnaire, and objectively by using a computer software ...
SzymaƄska M - - 2006
PURPOSE: The research aim is to study the working attitude of a physician towards his patient with obstetric failures in the emotional component aspect. MATERIAL AND METHODS: A sample of 164 gynecological doctors was encompassed by the study. The physicians were mainly interviewed during various types of training courses, specialist ...
Deharo J-C - - 2006
The Home Monitoring of implanted cardiac rhythm management devices developed by Biotronik (Berlin, Germany) is a new useful tool for monitoring patients. Home Monitoring provides access to technical and clinical data, allowing almost continuous patient surveillance. The implanted defibrillators and pacemakers transmit encrypted messages, which are automatically analyzed in the ...
Morier-Genoud Claire - - 2006
Primary care physicians underestimate the prevalence of domestic violence and community violence. Victims are therefore at risk of further episodes of violence, with psychological and physical consequences. We used an interview to assess the prevalence of domestic and community violence among Swiss natives and foreigners. In a follow-up study, we ...
Montgomery Anthony J AJ Department of Psychology, Royal College of Surgeons in Ireland-Medical University of Bahrain, PO Box 15503, Manama, Bahrain. - - 2006
To understand why treatment referral rates for ESRF are lower in Ireland than in other European countries, an investigation of factors influencing general practitioner referral of patients developing ESRF was conducted. Randomly selected general practitioners (N = 51) were interviewed using 32 standardised written patient scenarios to elicit referral strategies. ...
Zimmerman Rosanne R Hamilton Health Sciences, Henderson Site, ON. - - 2006
Despite numerous publications outlining the magnitude of patient safety issues, the literature provides limited strategies for organizations to develop comprehensive, effective patient safety programs. Hamilton Health Sciences (HHS) has created a framework to foster local accountability called Patient Safety Triads and Networks. The Networks operationalize patient safety initiatives, develop knowledge ...
van Ryn Michelle - - 2006
A growing body of evidence suggests that provider decisionmaking contributes to racial/ethnic disparities in care. We examined the factors mediating the relationship between patient race/ethnicity and provider recommendations for coronary artery bypass graft surgery. Analyses were conducted with a data set that included medical record, angiogram, and provider survey data ...
Keegan-Doody Mary - - 2005
The objective of this study was to determine patients' perception on the possibility of changing a tradition-based practice to a more patient-empowering service, thus demonstrating that nurses can make a difference in providing a more patient-centred environment. The study revealed that the patients themselves wanted to be included in the ...
Cabral Etenildo Dantas - - 2005
OBJECTIVES: The aim of this study was to investigate the influence of the patient's race on the dentist's decision to extract or retain a decayed tooth. METHODS: A probabilistic random sample of 297 dentists from Recife, Brazil, was used. Two case scenarios were presented to the dentists. Both scenarios showed ...
Harding Richard - - 2005
Although palliative care aims to support family members and informal carers, current evidence suggests that high levels of unmet need persist, and that this population is challenging to work with. This study aimed to 1) measure the proportion of patients that have an informal carer, 2) describe the clinical notes ...
Bos Annemieke - - 2005
OBJECTIVES: The aim of the present study was to investigate the potential of the theory of reasoned action (TRA) for the prediction and understanding of patients' intention to comply during orthodontic treatment and to analyze the effect of two additional variables in the model, namely perceived behavioral control and anticipated ...
Higgins Rosemary O - - 2005
BACKGROUND: Percutaneous coronary intervention patients may require further education to increase their uptake of lifestyle change. Little is known, however, about their preferences for health education. This study aimed to investigate percutaneous coronary intervention patients' preferences regarding information provision and to identify patient characteristics associated with specific preferences. DESIGN AND ...
Carlson Bryant - - 2005
BACKGROUND: Oregon's Death with Dignity Act (ODDA), which legalized physician-assisted suicide (PAS) for terminally ill individuals, was enacted in 1997. Eighty-six percent of the 171 patients who have died by PAS were enrolled in hospice. OBJECTIVE: To survey hospice chaplains regarding their views on the ODDA and experiences working with ...
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