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Lee De-Chih - - 2014
IntroductionThis study sought to examine medical expenditures among non-institutionalized adults in the United States with one or more chronic conditions.MethodUsing data from the 2010 Medical Expenditure Panel Survey (MEPS) Household Component (HC), we explored total and out-of-pocket medical, hospital, physician office, and prescription drug expenditures for non-institutionalized adults 18 and ...
Keiffer Sheryl S The Heart Center, Nationwide Children's Hospital, Columbus, - - 2014
Medication errors resulting in patient harm were reduced from 33 in 2010 to 3 in 2011, 6 in 2012, and 4 in 2013 by initiating the following quality improvement interventions: multidisciplinary cardiothoracic intensive care unit quality committee, nursing education, shift change medication double check, medication error huddles, safety systems checklist, ...
Fergus Thomas A TA Department of Psychology and Neuroscience, Baylor University , Waco, - - 2014
Abstract Individuals frequently use the Internet to search for medical information. For some individuals, repeated searches for medical information on the Internet exacerbate health anxiety. Researchers have termed this phenomenon "cyberchondria" and have suggested that cyberchondria might relate to the excessive use of the Internet for other purposes as well. ...
Moreiras-Plaza M Mercedes - - 2014
Despite the 40 years history, the comparable survival of Hemodialysis and Peritoneal Dialysis (PD), and the improved PD technique survival, the percentage of patients performing PD is low. After a short history review and data description, we analyze the many non-medical factors (“the vicious circle”) that contribute to the underutilization ...
DuBois James M - - 2014
No published curricula in the area of medical business ethics exist. This is surprising given that physicians wrestle daily with business decisions and that professional associations, the Institute of Medicine, Health and Human Services, Congress, and industry have issued related guidelines over the past 5 years. To fill this gap, ...
Stewart Heather H Heather Stewart, Alexandra Malinowski, Leslie Ochs, Kenneth McCall III, and Meghan Sullivan are with the Department of Pharmacy Practice, College of Pharmacy, University of New England, Portland, ME. Jeanie Jaramillo is with Medication Cleanout, Texas Panhandle Poison Center, - - 2014
Objectives. We evaluated the quantity and type of medications obtained in unused-medications return programs and the proportion of medication waste. Methods. We analyzed data collected in 11 Maine cities in 2011 to 2013 during 6 Drug Enforcement Administration (DEA) national medication take-back events. Pharmacy doctoral student volunteers collected data under ...
Williams Tyeasha T Tyeasha Williams is a part-time staff nurse at Duke University Medical Center, Durham, NC, and an NP at a CVS Minute Clinic in Burlington, NC. Melissa W. King is the medication safety manager at Duke University Medical Center. Julie A. Thompson is a consulting associate/statistician in the Duke University School of Nursing, and Mary T. Champagne is the Laurel Chadwick Distinguished Professor of Nursing in the Duke University School of Nursing and professor in the Department of Community and Family Medicine at the Duke University School of Medicine. Contact author: Tyeasha Williams, tyeasha.williams@dm.duke.edu. The authors have disclosed no potential conflicts of interest, financial or - - 2014
While preparing medications in complex health care environments, nurses are frequently distracted or interrupted, which can lead to medication errors that may adversely affect patient outcomes. This pilot quality improvement project, which took place in a 32-bed surgical progressive care unit in an academic medical center, implemented five medication safety ...
Tan B B Department of General Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia, - - 2014
The clinical discharge summary remains a critical, but often poorly implemented tool in communication with primary care. An area of concern is the documentation of medication lists and appropriate follow up of medication changes. To assesses the accuracy of documentation of medication changes and expectations with regard to follow up ...
Monroe Heidi H Heidi Monroe, MS, RN, CNS, CCTN, is CNS/Educator for Organ Transplant at University of Colorado Hospital, Aurora, Colorado. Peggy Plylar, MS, CNS, RN, CRRN, is Business Manager for Ortho/Spine Service Line at Penrose-St. Francis Health Services, Colorado Springs, Colorado. Mary Krugman, PhD, RN, NEA-BC, FAAN, is Director of Nursing Innovation and Outcomes at University of Colorado Hospital, Aurora, - - 2014
Higher patient acuities and more novice nurses on medical-surgical units have Educators focused on achieving positive outcomes with changes in patient condition. An educational program was developed to enhance nurses' knowledge, skill, and confidence in assessing hemodynamics, recognizing early signs of instability, and administering vasoactive medications. The program was successful ...
Kasza Karin A KA Division of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, Buffalo, NY, United - - 2014
To evaluate trends in use of stop-smoking medications (SSMs) before and after varenicline (Chantix™) was introduced to the marketplace in the United States (US), and to determine whether varenicline reached segments of the population unlikely to use other SSMs. Cohort survey SETTING: United States PARTICIPANTS: A nationally representative sample of ...
Smith Maxwell D MD Center for Injury Research and Policy at Nationwide Children's Hospital, Columbus, - - 2014
To investigate out-of-hospital medication errors among young children in the United States. Using data from the National Poison Database System, a retrospective analysis of out-of-hospital medication errors among children <6 years old from 2002 through 2012 was conducted. During 2002-2012, 696 937 children <6 years experienced out-of-hospital medication errors, averaging 63 358 ...
Ramakrishnan Aditi A 1 Medical School, University of Michigan , Ann Arbor, - - 2014
Abstract Although much literature has focused on the status of female physicians in the United States, limited English-language studies have examined the role of women in the medical profession elsewhere in the world. This article synthesizes evidence regarding the status of female physicians in three purposively selected regions outside the ...
Herfs Paul Pgp - - 2014
In most countries of the European Economic Area (EEA), there is no large-scale migration of medical graduates with diplomas obtained outside the EEA, which are international medical graduates (IMGs). In the United Kingdom however, health care is in part dependent on the influx of IMGs. In 2005, of all the ...
Gomathi Kadayam G KG Departments of Biochemistry, Gulf Medical University, Ajman, United Arab - - 2014
The rise in lifestyle diseases has resulted in primary physicians advising more patients on the benefits of nutritional modifications. However, nutrition education has remained more or less unchanged in the undergraduate medical curriculum. This study aimed to assess the perceptions of medical graduates regarding nutrition education in their undergraduate curriculum. ...
Bergen Gwen - - 2014
Motor vehicle crashes are a leading cause of injury and death. Previous research has shown that motor vehicle crashes result in substantial mortality, with 22,912 motor vehicle occupants killed in 2012 in the United States, and an estimated 265,000 years of potential life lost in 2011 (CDC's Web-Based Injury Statistics ...
Holmboe Eric S ES Dr. Holmboe is senior vice president, Milestone Development and Evaluation, Accreditation Council for Graduate Medical Education, Chicago, - - 2014
Competency-based medical education (CBME) places a premium on both educational and clinical outcomes. The Milestones component of the Next Accreditation System represents a fundamental change in medical education in the United States and is part of the drive to realize the full promise of CBME. The Milestones framework provides a ...
Voils Stacy A SA Department of Pharmacotherapy and Translational Research, University of Florida College of Pharmacy, 1225 Center Drive, HPNP Building, Room 3315, PO Box 100486, Gainesville, FL 32610-0486, - - 2014
Adverse drug effects often complicate the care of critically ill patients. Therefore, each patient's medical history, maintenance medication, and new therapies administered in the intensive care unit must be evaluated to prevent unwanted neurologic adverse effects. Optimization of pharmacotherapy in critically ill patients can be achieved by considering the need ...
Davis Corey S CS The Network for Public Health Law-Southeastern Region, Carrboro, - - 2014
Fatal opioid overdose in the United States is at epidemic levels. Naloxone, an effective opioid antidote, is commonly administered by advanced emergency medical services (EMS) personnel in the prehospital setting. While states are rapidly moving to increase access to naloxone for community bystanders, the EMS system remains the primary source ...
West Daniel C DC Dr. West is professor, Department of Pediatrics, UCSF Benioff Children's Hospital and University of California, San Francisco, San Francisco, California. Dr. Robins is professor, Departments of Biomedical Informatics and Medical Education, Family Medicine and Pediatric Dentistry, University of Washington, Seattle, Washington. Dr. Gruppen is professor, Department of Learning Health Sciences, University of Michigan, Ann Arbor, - - 2014
Medicine in the United States is changing as a result of many factors, including the needs and demands of 21st-century society. In this commentary, the authors review the 2014 Research in Medical Education (RIME) articles in the context of these changes and with an eye toward the future. The authors ...
Naritoku Wesley Y WY Department of Pathology, Keck School of Medicine, Los Angeles County-University of Southern California Medical Center, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, - - 2014
The American Society of Cytopathology has provided guidelines for goals and objectives for cytopathology fellows. There are 90 Accreditation Council for Graduate Medical Education-accredited cytopathology fellowship training programs in the United States, each with its own unique curriculum designed to achieve these goals and objectives. The Accreditation Council for Graduate ...
Archer Julian J Dr. Archer is National Institute for Health Research Career Development Fellow, senior clinical lecturer, and director, Collaboration for the Advancement of Medical Education Research and Assessment, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, Devon, United Kingdom. Dr. Regan de Bere is lead for medical humanities and deputy director, Collaboration for the Advancement of Medical Education Research and Assessment, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, Devon, United Kingdom. Dr. Nunn is research fellow, Collaboration for the Advancement of Medical Education Research and Assessment, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, Devon, United Kingdom. Mr. Clark is lecturer in sociology, Plymouth University, Plymouth, Devon, United Kingdom. Dr. Corrigan is honorary fellow, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, Devon, United - - 2014
To analyze prevailing definitions of revalidation (i.e., a recently instituted system of ongoing review for all physicians in the United Kingdom), the circumstances of their origin, and proposed applications, after a protracted and sometimes difficult decade in development. This was to support a more consensual approach to revalidation policy before ...
Gallizzi Michael A MA Department of Orthopaedic Surgery, Duke University, Durham, North Carolina, - - 2014
To correlate the amount and types of pain medications prescribed to CRPS patients, using the Medication Quantification Scale, and patients' subjective pain levels. An international, multisite, retrospective review. University medical centers in the United States, Israel, Germany, and the Netherlands. A total of 89 subjects were enrolled from four different ...
Rondeau-Lutz Murielle M Institut de Recherches Interdisciplinaires sur les Sciences et la Technologie, Université de Strasbourg, 4 rue Kirschleger, 67085, Strasbourg Cedex, - - 2014
The particular situation of the French administrative detention center (ADC) medical units appears to be an exemplary case to study the difficulties facing medical practice. Indeed, the starting point of our inquiry was an amazing observation that needed to be addressed and understood: why are professional interpreters so seldom requested ...
Rousso Daniel E DE Rousso Facial Plastic Surgery Clinic, Birmingham, Alabama2Department of Surgery, University of Alabama at Birmingham, - - 2014
Androgenetic alopecia is a highly prevalent condition that can profoundly impair the quality of life in both men and women. To provide the up-to-date medical and surgical treatment options for patients with androgenetic alopecia. A Medline search of scientific literature was conducted from 1997 to 2013. Search terms included androgenetic ...
He Xinhua X Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, - - 2014
The new medical insurance policy (JRSYF(2010) No.255) was released by the Beijing Municipal Government and became effective on January 1, 2011. Medical expenses incurred during a stay in an emergency department (ED) observation unit can be reimbursed as a hospital admission. The aim of this study was to evaluate the ...
Pascual O O Servicio de Farmacia, Hospital Universitario Miguel Servet, Zaragoza, España. Electronic address: - - 2014
The aim of this study was to assess the rate of discrepancies in medication reconciliation on admission patients in a trauma unit, and identifying potential risk factors associated with these discrepancies. A cross-sectional, observational study was carried out to identify reconciliation errors in a tertiary hospital during the period from ...
Bachhuber Marcus A MA Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania2Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia3Leonard Davis Institute of - - 2014
Opioid analgesic overdose mortality continues to rise in the United States, driven by increases in prescribing for chronic pain. Because chronic pain is a major indication for medical cannabis, laws that establish access to medical cannabis may change overdose mortality related to opioid analgesics in states that have enacted them. ...
Epitropakis Christina C Pediatric registered nurse on the Neurobehavioral Unit at Kennedy Krieger Institute, Baltimore, - - 2014
Pediatric nurses are well aware of patient medication refusal. For a variety of reasons, many pediatric patients are noncompliant with their medication regimen. Medication administration is even more difficult when the population has severe intellectual and behavioral disabilities. An inpatient unit composed of children with these diagnoses presented a unique ...
Kristoffersen Espen Saxhaug ES Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway HØKH, Research Centre, Akershus University Hospital, Lørenskog, - - 2014
Medication-overuse headache (MOH) is common in the general population. We investigated effectiveness of brief intervention (BI) for achieving drug withdrawal in primary care patients with MOH. The study was double-blind, pragmatic and cluster-randomised controlled. A total of 25 486 patients (age 18-50) from 50 general practitioners (GPs) were screened for MOH. ...
Mamudu Hadii M HM Department of Health Services Management and Policy, College of Public Health, East Tennessee State University, S. Dossett Drive, Lamb Hall, P.O. Box 70264, Johnson City, TN 37614, USA. Electronic address: - - 2014
To perform systematic review of the effects of screening for coronary artery calcium (CAC), a subclinical marker of coronary artery disease (CAD), on behavioral or lifestyle modification, risk perception, and medication adherence. We searched through CINAHL, PsychInfo, Web of Science, Cochrane Central Register of Control Trials, and PubMed (Medline) for ...
Leggit Jeffrey C JC Department of Family Medicine, Uniformed Services University of the Health Sciences , Bethesda, - - 2014
Background: Pain is a common diagnosis in both the civilian and military community. Integrative health practices, such as acupuncture, are often used to treat pain as well as other medical conditions. Medical schools must ensure that their students are aware of what patients are using and how the tools of ...
Kuchari Ernest - - 2014
Ibuprofen is a popular over-the-counter, non-steroidal anti-inflammatory medication, frequently used for the relief of fever, headaches, menstrual and other minor pains as well as a major active ingredient in numerous cold preparations. We analyzed sales volume and data obtained from the monitoring of spontaneous reports on the adverse effects of ...
Bohnert Kipling M KM VA Serious Mental Illness Treatment Resource and Evaluation Center (SMITREC), Department of Veterans Affairs Healthcare System, Ann Arbor, MI, United States; Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, United States. Electronic address: - - 2014
Twenty-one states and the District of Columbia have passed legislation allowing for the use of medical cannabis for those individuals with qualifying medical conditions, which include posttraumatic stress disorder (PTSD) for a growing number of states. Little information is available regarding PTSD among medical cannabis patients. This study seeks to ...
Richmond Nicole N Professional Research Assistant with the University of Colorado Denver School of - - 2014
The medical home is associated with key healthcare services. We assessed its association with the pediatric developmental screening among United States (US) children less than or equal to five years. The 2007 national survey of children's health data was analyzed using state clusters, and pediatric developmental screening probability was modeled ...
Malik Fauzia F 1Presbyterian Healthcare Services, Albuquerque, NM, - - 2014
Background. Seven pediatric primary care practices participated in New Mexico's Developmental Screening Initiative in a year-long quality improvement project with the goal of implementing standardized developmental screening tools. Methods. The initiative utilized a learning collaborative approach and the Model for Improvement to promote best practice about developmental screening outlined by ...
Santillanes Genevieve G Department of Emergency Medicine, LAC+USC Medical Center, Keck School of Medicine at the University of Southern California, Los Angeles, - - 2014
Although most studies have found low rates of organic illness in patients with isolated psychiatric complaints, psychiatric patients are frequently brought to emergency departments (EDs) for medical clearance. To assess the utility of ED medical clearance before transfer of pediatric patients on psychiatric holds to inpatient psychiatric facilities, and to ...
Silbert David I DI Vision Science Department, Family eye Group, Lancaster, - - 2014
To evaluate the SureSight autorefractor and compare it to the plusoptiX A09 photoscreener in the detection of amblyopia risk factors in a cohort of Honduran children examined during medical mission work and to assess the utility of both devices in the rural setting. The medical records of patients who had ...
Heron Neil N Department of General Practice and Primary Care, Queen's University, Belfast, Irelan. - - 2014
It is compulsory that domestic football/soccer teams in UEFA competitions organise players' pre-participation medicals. Although screening guidelines have been established, these remain controversial. The findings of medical examinations can have lasting consequences for athletes and doctors. No previous studies have reported UEFA pre-participation screening results in semi-professional footballers. This study ...
Wong Gigi Y C GY , BScPhm, ACPR, was, at the time this study was completed, a Hospital Pharmacy Practice Resident with St Joseph's Health-care Hamilton. She is now a Clinical Pharmacist with the Fraser Health Authority at Langley Memorial Hospital, Langley, British - - 2014
The use of patients' own medications may allow minimization of drug wastage and costs. However, the cost impact of this practice, taking into account the time that pharmacy personnel spend on verification, is unknown. To determine the cost impact of using patients' own multidose medications within a surgical population, relative ...
Bader Pascal - - 2014
More than a hundred epigraphic documents on different writing materials refer to medical staff in the Roman army. This paper focuses on the identity, legal status and origin of the Roman army medical staff--a topic which until now has hardly been studied. Various titles were conferred to a large number ...
Shoucri Rami R Department of Family and Community Medicine, St Michael's Hospital, Toronto, ON, Canada Department of Family and Community Medicine, University of Toronto, Toronto, ON, - - 2014
Pharmaceutical companies are prohibited from marketing medications for off-label uses in both the United States and Canada. In the United States, there have been several recent multi-billion dollar settlements with pharmaceutical companies based, partly, on off-label promotion. Health Canada has not publicized any investigations into, or prosecutions of, pharmaceutical companies ...
Kruer Rachel M RM Department of Pharmacy, The Johns Hopkins Hospital, Baltimore, MD, - - 2014
The Institute of Medicine has reported that medication errors are the single most common type of error in health care, representing 19% of all adverse events, while accounting for over 7,000 deaths annually. The frequency of medication errors in adult intensive care units can be as high as 947 per ...
Dew A - - 2014
Operation PATWIN was the United Kingdom's (UK) response to the disaster caused by Typhoon Haiyan. The UK deployed a force including HMS DARING and HMS ILLUSTRIOUS and this article describes the medical response including the deployment of a Role 2 medical team and the hosting of a UK civilian medical ...
Jiang Sai-Ping SP Department of Pharmacy, Zhejiang University, Hangzhou, People's Republic of - - 2014
Pharmacist interventions and medication errors potentially differ between the People's Republic of China and other countries. This study aimed to report interventions administered by clinical pharmacists and analyze medication errors in an intensive care unit (ICU) in a tertiary hospital in People's Republic of China. A prospective, noncomparative, 6-month observational ...
Stanley Scott E - - 2014
On 3 November 2012, in the wake of Superstorm Sandy, the 227th Preventive Medicine Medical Detachment deployed to support relief operations in New Jersey and New York State. The unit was on the severe weather support mission (SWRF) and ordered to provide preventive medicine support to relief personnel within the ...
Kjeldsen Lene Juel LJ The Research Unit for Hospital Pharmacy, Amgros I/S, Dampfærgevej 22, 2100, Copenhagen, Denmark, - - 2013
Background Risk medications are frequently associated with adverse events and hospitalisations. Objective To evaluate a risk medication screening service for in-patients at Danish hospitals. Setting Danish hospitals. Methods The study was designed as a controlled, prospective intervention study. Inpatients were screened for the use of five risk medications; anticoagulants, digoxin, ...
Huh Jin Won JW 1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. 2Medical Emergency Team, Asan Medical Center, Seoul, - - 2013
To evaluate the efficacy of a medical emergency team activated using 24-hour monitoring by electronic medical record-based screening criteria followed by immediate intervention by a skilled team. Retrospective cohort study. Academic tertiary care hospital with approximately 2,700 beds. A total of 3,030 events activated by a medical emergency team from ...
Varatharaj Aravinthan - - 2013
We describe the case of a woman who presented with seemingly non-specific symptoms, including collapse, but through examination was eventually revealed to have an unusual, potentially fatal, but treatable neurological condition. We share some thoughts on the process of diagnosis, the difficulty of diagnosing a rare disease and the practice ...
Holman Katherine M - - 2013
Erectile dysfunction medications are being prescribed frequently; however, little is known about the amount of sexual health screening occurring in this setting. A retrospective cohort study evaluating sexual health and sexually transmitted infection screening occurring in veterans receiving initial erectile dysfunction medication prescription was conducted. A total of 252 patients ...
Shahani Shilpa A - - 2013
Screening electrocardiograms (EKGs) for attention deficit hyperactivity disorder (ADHD) medication administration is controversial. We reviewed our experience as a community-based cardiology group. We reviewed all ADHD screening EKGs during a 2-year period. We evaluated whether screening EKGs resulted in further consultation and if management was altered. We also evaluated differences ...
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