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Jung Benjamin B Benjamin Jung, Pharm.D., M.P.A., is Health System Pharmacy Administration Resident; Rick Couldry, M.S., B.S.Pharm., is Director of Pharmacy and Postgraduate Year 2 Health System Pharmacy Administration Residency Director; and Samaneh Wilkinson, M.S., Pharm.D., is Clinical Manager and Postgraduate Year 1 Residency Director, University of Kansas Hospital, Kansas City. Dennis Grauer, Ph.D., M.S., is Associate Professor and Graduate Program Director, University of Kansas, Lawrence. - - 2014
The implementation of standardized dosing units for six i.v. medications at an academic medical center is described. During the implementation of an electronic health record system at an academic medical center, it was noticed that providers could order some i.v. medications in multiple dosing units, including epinephrine, isoproterenol, midazolam, nitroglycerin, ...
Keeys Christopher C Christopher Keeys, Pharm. D., BCPS, is Residency Program Director, Sibley Memorial Hospital-Johns Hopkins Medicine, Washington, DC, and Chief Executive Officer, MedNovations, Inc., Laurel, MD. Bamidele Kalejaiye, Pharm. D., is Clinical Pharmacist; and Michelle Skinner, Pharm. D., is Clinical Pharmacist and Training Coordinator, MedNovations, Inc. Mandana Eimen, Pharm.D., is Clinical Pharmacist; JoAnn Neufer, B.S.Pharm., is Director, Pharmacy Services; Gisele Sidbury, Pharm.D., is Clinical Pharmacist; Norman Buster, Pharm.D., is Clinical Pharmacist; and Joan Vincent, M.S.N., is Senior Vice President and Chief Nursing Officer, Patient Care Services, Sibley Memorial Hospital-Johns Hopkins Medicine. - - 2014
The development, implementation, and pilot testing of a discharge medication reconciliation service managed by pharmacists with offsite telepharmacy support are described. Hospitals' efforts to prepare legible, complete, and accurate medication lists to patients prior to discharge continue to be complicated by staffing and time constraints and suboptimal information technology. To ...
Lian Olaug S OS University of Tromsø-The Arctic University of Norway, Tromsø, Norway - - 2014
In this article, we report on a study that seeks to explore how the contested chronic condition myalgic encephalomyelitis (ME), one of the current medical diagnoses for medically unexplained long-term exhaustion, is negotiated within the context of Norwegian internet sites. From an analysis of discussions on 14 internet forums sustained ...
- - 2014
Non-clinical factors such as race and regional variables in hospital care affect whether a person will undergo an intensive medical procedure in the last six months of life, suggests a study in the United States.
Curatolo Niccolo N Service de Pharmacie, Hôpital Antoine Béclère, Assistance Publique des Hôpitaux de Paris (AP-HP), 157 rue de la porte de Trivaux, 92140, Clamart, France, - - 2014
Background In France, medication errors are the third leading cause of serious adverse events. Many studies have shown the positive impact of medication reconciliation (MR) on reducing medication errors at admission but this practice is still rarely implemented in French hospitals. Objective Implement and sustain a MR process at admission ...
Murphy Robert F RF University of Tennessee - Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104. E-mail address for R.F. Murphy: - - 2014
➤ Improvements in medical student physical examination skills and performance on validated musculoskeletal competency examinations correspond with undergraduate curricular reform.➤ Curricular reform success in the United States has been achieved by multidisciplinary collaboration.➤ International efforts are focused on improving medical student physical examination skills through patient partners and structured clinical ...
Fogger Susanne - - 2014
Prescription pain medication has proliferated in the United States in the past 10 years, and opioid agents are the second most commonly abused substance in the United States. The opioid class comprises various prescription medications, including hydrocodone, as well as illicit substances, such as opium and heroin. The current article ...
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 ...
Codish Shlomi S Clinical Research Center, Soroka University Medical Center, Be'er-Sheva, Israel; Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er-Sheva, Israel; Hospital Division, Clalit Health Services, Tel Aviv, Israel. Electronic address: - - 2014
Bedside computing may lead to increased hospital-acquired infections mediated by computer input devices handled immediately after patient contact. We compared 2 decontamination methods in 2 types of wards. We found high baseline contamination rates, which decreased following decontamination, but the rates remained unacceptably high. Decontamination was more effective in intensive ...
Reyes-Ortiz Carlos A CA Division of Geriatric and Palliative Care, Department of Internal Medicine, University of Texas Medical School, 6431 Fannin Street, Houston, TX 77030, - - 2014
Self-neglect, the most common form of elder mistreatment seen by Adult Protective Service Agencies across the United States, is an often unrecognized geriatric syndrome characterized by squalor and unsafe living circumstances. It is a result of medical, neurologic, or psychiatric disorders coupled with lack of capacity for self-care and self-protection ...
Giri Paresh C PC Department of Medicine, Pulmonary and Critical Care, Loma Linda University, Loma Linda, CA, - - 2014
Percutaneous dilatational tracheostomy (PDT) is increasingly becoming the preferred method, compared with open surgical tracheostomy, for patients requiring chronic ventilatory assistance. Little is known regarding the process involved to incorporate PDT as a standard service in the medical intensive care unit. In this report, we describe our experience developing a ...
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 ...
McDonald Emily G EG Division of General Internal Medicine, Department of Medicine, McGill University Health Centre, Montreal, Canada. Electronic address: - - 2014
The US Food and Drug Administration licensed Ezetimibe in 2002 due to its ability to lower LDL-cholesterol levels, a surrogate marker for the risk of coronary artery disease. The negative results of the Effect of Ezetimibe Plus Simvastatin Versus Simvastatin Alone on Atherosclerosis in the Carotid Artery (ENHANCE) trial were ...
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 ...
Conrad Peter P Department of Sociology, MS-71, Brandeis University, Waltham, MA 02454-9110, USA. Electronic address: - - 2014
Attention Deficit Hyperactivity Disorder (ADHD) has been medicalized in the United States since the 1960s. Primarily used in North America until the 1990s, ADHD diagnosis and treatment have increasingly been applied internationally. After documenting the expansion of ADHD in a global context, this paper presents five brief international examples examining ...
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 ...
Inoue Yutaka Y Faculty of Pharmaceutical Sciences, Josai University, 1-1 Keyakidai, Sakado-shi, Saitama 3500295, Japan. Electronic address: - - 2014
It is important to share information about other countries' pharmacists to optimize cross-border medical cooperation. This paper examines the dispensing systems and the work done by pharmacists in the United Kingdom, Germany, France, Thailand, and Malaysia so as to compare these countries' medical practices and develop a cohesive vision for ...
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 ...
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