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Marcilly Romaric R INSERM CIC-IT, Lille ; Univ Lille Nord de France ; CHU Lille ; UDSL EA 2694 ; F-59000 Lille, - - 2014
The Medical Device regulation requires manufacturers to anticipate and prevent risks of use errors of their medical device. However, manufacturers experience difficulties to understand the concept of "usability-induced use-errors". Based on a "usability framework" aiming at describing the relationship between usability design principles, usability flaws, usage problems, and outcomes, a ...
Vo Andrew A The Brain and Mind Institute, University of Western Ontario London, ON, Canada ; Department of Psychology, University of Western Ontario London, ON, - - 2014
Cognitive dysfunction is a feature of Parkinson's Disease (PD). Some cognitive functions are impaired by dopaminergic medications prescribed to address the movement symptoms that typify PD. Learning appears to be the cognitive function most frequently worsened by dopaminergic therapy. However, this result could reflect either impairments in learning (i.e., acquisition ...
Makowsky Mark J MJ Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, AB, - - 2014
Pharmacists working in primary care clinics are well positioned to help optimize medication management of community-dwelling patients who are at high risk of experiencing medication-related problems. However, it is often difficult to identify these patients. Our objective was to test the feasibility of a self-administered patient survey, to facilitate identification ...
Sadler John Z - - 2014
The essays on obesity in this issue frequently refer to the recent American Medical Association (AMA) declaration of obesity as a disease. In response to these essays, I describe and explore the significance of 'risk-factor medicalization' and how negative unintended consequences with this approach to disease modeling are exemplified in ...
Koh David D PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam , Gadong , Brunei Darussalam ; SSH School of Public Health, National University of Singapore , Singapore , - - 2014
Periodic occupational health examinations often require venepuncture. Acute psychological and physical stressors during such procedure result in sympathetic stimulation and increased salivary protein secretion, including salivary α-amylase (SAA). We studied SAA response to venepuncture during such examination. Fifty-eight healthy males undergoing periodic medical examination reported perceived stress level (PSL) scores ...
Ramadaniati Hesty Utami HU School of Pharmacy and Curtin Health Innovation Research Institute, Curtin University, Bentley, Western Australia, - - 2014
This study aimed to document and compare the nature of clinical pharmacists' interventions made in different practice settings within a children's hospital. The primary investigator observed and documented all clinical interventions performed by clinical pharmacists for between 35-37 days on each of the five study wards from the three practice ...
Turchin A A Harvard Clinical Research Institute , Boston, MA ; Division of Endocrinology, Brigham and Women's Hospital , Boston, MA ; Harvard Medical School , Boston, - - 2014
To determine whether specific design interventions (changes in the user interface (UI)) of an electronic health record (EHR) medication module are associated with an increase or decrease in the incidence of contradictions between the structured and narrative components of electronic prescriptions (internal prescription discrepancies). We performed a retrospective analysis of ...
Rolston John D JD Department of Neurological Surgery, University of California at San Francisco, San Francisco, CA, - - 2014
Medical errors cause nearly 100,000 deaths per year and cost billions of dollars annually. In order to rationally develop and institute programs to mitigate errors, the relative frequency and costs of different errors must be documented. This analysis will permit the judicious allocation of scarce healthcare resources to address the ...
Luukkonen Irmeli I University of Eastern Finland, School of Computing, Healthcare Information Systems Research and Development, Kuopio, - - 2014
Medication information management (MIM) is a crucial activity for good quality of medication, but unfortunately not without problems. In order to improve medication information management the core activity of medication as a cooperative activity is to be studied as a whole, and the multiprofessional viewpoint for the improvement needs must ...
Warren Jim J Department of Computer - - 2014
The Caring Does Matter (CDM) programme aimed to improve cardiovascular disease risk (CVR) management in Pacific people, targeting medication adherence problems. This paper presents cluster analysis of CDM data to model medication adherence and cardiovascular risk factors in high-CVR patients. Changes in cardiovascular medication adherence status and in physiological measures ...
Heun Xenia X University Medicine Rostock, Institute for Immunology, Rostock, - - 2014
To obtain the German Medical Degree "Dr.med." candidates are required to write a scientific thesis which is usually accomplished during Medical school education. This extra work load for the students amongst a lack of standardization and an M.D. awarded upon graduation in other European and Anglo-Saxon countries leads repeatedly to ...
Redd Andrew A University of Utah, Department of Internal Medicine, Division of - - 2014
Early warning indicators to identify US Veterans at risk of homelessness are currently only inferred from administrative data. References to indicators of risk or instances of homelessness in the free text of medical notes written by Department of Veterans Affairs (VA) providers may precede formal identification of Veterans as being ...
Moncrief Jack W - - 2014
The use of interactive video has been recognized as a means of delivering medical support to isolated areas since the 1950s. The Department of Defense recognized early the capacity of telemedicine to deliver medical care and support to front-line military personnel. In 1989, the Texas Telemedicine Project received grants and ...
Sorrel Amy Lynn - - 2014
TEXPAC is poised to get even tougher in an increasingly difficult political environment. TMA's advocacy arm wants to ensure medicine's voice rings in the Texas Legislature and good health policy prevails. The medical profession needs to be politically active now more than ever.
Carstens Deborah Sater DS Florida Institute of Technology, Nathan M. Bisk College of Business, 150 West University Blvd., Melbourne, FL 32901, - - 2014
Task and error analysis research was performed to identify: a) the process for healthcare organisations in managing healthcare for patients with mental illness or substance abuse; b) how the process can be enhanced and; c) if electronic medical records (EMRs) have a role in this process from a business and ...
Celati Alessandra - - 2014
Many Italian physicians embraced Protestant ideas during the sixteenth Century: this suggests a connection between medical science and religious nonconformity. But why were physicians so exposed to the influence of Protestantism? Can we suppose that their heretical views affected the way in which they conceived medicine? And can we posit ...
Rees Christen C Roche Diagnostics Operations, Indianapolis, IN, USA christen.rees@gmail.com - - 2014
Several studies have shown the usefulness of an automated insulin dose bolus advisor (BA) in achieving improved glycemic control for insulin-using diabetes patients. Although regulatory agencies have approved several BAs over the past decades, these devices are not standardized in their approach to dosage calculation and include many features that ...
Robins Jason A JA The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Department of Radiology, University of Ottawa, Ottawa, Ontario, - - 2014
Resident selection committees must rely on information provided by medical schools in order to evaluate candidates. However, this information varies between institutions, limiting its value in comparing individuals and fairly assessing their quality. This study investigates what is included in candidates' documentation, the heterogeneity therein, as well as its objective ...
Yarmohammadian Mohammad H MH Health Management and Economics Research Center, Isfahan, - - 2014
Nowadays medical errors are one of the serious issues in the health-care system and carry to account of the patient's safety threat. The most important step for achieving safety promotion is identifying errors and their causes in order to recognize, correct and omit them. Concerning about repeating medical errors and ...
Simon Christian C LIMICS (INSERM UMRS 1142), Université Paris 13, Sorbonne Paris Cité, 93017 Bobigny, France, UPMC Université Paris 6, Sorbonne Universités, - - 2014
Physicians have difficulties to access and analyse information in a medical record. In a previous work on drug databanks, we have shown that with an iconic language as VCM, an icon-based presentation can help physicians to access medical information. Our objective, herein, is to study whether VCM can be used ...
Hussain Sajjad S INSERM, U1142, LIMICS, AP-HP, F-75006, Paris, - - 2014
Use of medical terminologies and mappings across them are considered to be crucial pre-requisites for achieving interoperable eHealth applications. Built upon the outcomes of several research projects, we introduce a framework for evaluating and utilizing terminology mappings that offers a platform for i) performing various mappings strategies, ii) representing terminology ...
Hegarty Francis J - - 2014
Medical device interoperability has been identified as a key way of decreasing healthcare costs while improving patient care. 1 This has led to a shift toward placing more medical devices onto information technology (IT) networks. However, placing medical devices onto an IT network may lead to additional risks to safety, ...
Alicante Anita A Department of Electrical Engineering and Technology Information (DIETI), University of Naples Federico - - 2014
Healthcare domain is characterized by a huge amount of data, contained in medical records, reports, test results and so on. In order to give support to healthcare workers and manage relevant data in effective and efficient way, it is important to correctly classify the unstructured parts of text, embedded in ...
Conti Andrea Alberto AA . - - 2014
Court-appointed Technical Consultants (CTCs) are fundamental figures in the Italian judicial system. CTCs are experts appointed by judges in order to supplement their activities by ascertaining, collecting and analyzing facts concerning the specific subject of a lawsuit. These experts formulate opinions, gather motivations and perform checks to provide clear, objective ...
Luukkonen Irmeli I University of Eastern Finland, School of Computing, Healthcare Information Systems Research and Development, Kuopio, - - 2014
Medication treatment and the related information management are central parts of a patient's health care. As a cross-organizational and cooperative process, medication information management is a complex domain for development activities. We studied medication activities and related information management in a regional project in order to produce a shared broad ...
West Courtney C Office of Medical Education, Department of Internal Medicine, Texas A & M University, Health Science Center, College of Medicine, - - 2014
To examine the relationship between study strategies and performance on a high stakes medical licensing exam entitled the United States Medical Licensing Examination Step 1. The action research project included seventy nine student participants at the Texas A & M Health Science Center College of Medicine during their pre-clinical education. ...
Wandji Tchami Ornella O CNRS UMR 8163 STL, Université Lille 3, 59653 Villeneuve d'Ascq, - - 2014
The field of medicine gathers actors with different levels of expertise. These actors must interact, although their mutual understanding is not always completely successful. We propose to study corpora (with high and low levels of expertise) in order to observe their specificities. More specifically, we perform a contrastive analysis of ...
Yilmaz Ayhan Ozan AO Department of Medical Informatics, Informatics Institute, Middle East Technical University, Ankara, - - 2014
This paper proposes a framework designed to interconnect medical imaging facilities and teleradiology service providers on a single access interface. This framework aims to solve the interoperability issues of Picture Archiving and Communication System (PACS), Radiology Information System (RIS) and Hospital Information System (HIS) developed by different vendors and enrich ...
Girela E E Department of Legal and Forensic Medicine, Faculty of Medicine, University of Córdoba, Avenida Menéndez Pidal s/n, 14071 Córdoba, - - 2014
We have studied the use of coercive medical measures (forced medication, isolation, and mechanical restraint) in mentally ill inmates within two secure psychiatric hospitals (SPH) and three regular prisons (RP) in Spain. Variables related to adopted coercive measures were analyzed, such as type of measure, causes of indication, opinion of ...
Nelson D Alan - - 2013
No evidence-based mechanism currently exists to inform U.S. Army clinicians of soldiers at risk of being found "Medically Not Ready" for combat duty. Historically, musculoskeletal conditions represent high-frequency medical problems among Army soldiers. We explored the feasibility of using centrally archived medical and administrative data on Army soldiers in the ...
Gupta Rishu - - 2013
Medications are commonly used during pregnancy; in fact, female patients take an average of 2.9 medications during pregnancy. Due to this high prevalence, malpractice litigation poses a high legal risk to dermatologists who prescribe medications to female patients who are or may become pregnant. This article introduces the medicolegal risks ...
Bozzato Silvia - - 2013
Acutely ill medical patients may be at increased risk of venous thromboembolism, both during hospitalization and after discharge. International guidelines recommend thromboprophylaxis for high-risk medical patients with low bleeding risk for a maximum of 14 days. There are two approaches to identify the high-risk patient: adhering to the inclusion criteria ...
Lee Michael J - - 2013
The possibility and likelihood of a post-operative medical complication after spine surgery undoubtedly play a major role in the decision making of the surgeon and patient alike. While prior study has determined Relative Risk and Odds Ratio values to quantify risk factors, these values may be difficult to translate to ...
Thongbai Thirada T Department of Medicine, Bangkok Metropolitan Administration General Hospital, Bangkok, Thailand. - - 2013
Aspirin is a widely used medication for primary and secondary prevention of cardiovascular and cerebrovascular events. The gastrointestinal risks of aspirin are well known, but the frequency of gastroduodenal mucosal injuries in aspirin users in Thailand is currently unknown. The present study was performed to investigate the prevalence of gastroduodenal ...
Harmon John P - - 2013
Atrial fibrillation and cardiovascular death are increased in end-stage renal disease (ESRD) patients compared to the general population. The effect of anticoagulant and antiplatelet medications for these indications in ESRD is unclear. However, both classes of medications have been used for the preservation of vascular access. This review explores the ...
Newcomer John W - - 2013
The purpose of this project was to provide evidence-based guidance concerning when and how it is appropriate to undertake elective changes in antipsychotic medications in order to reduce adverse effects, with a focus on those adverse effects associated with increased long-term health risks. This project extends the results of the ...
Norris Beverley - - 2013
A multi-disciplinary approach to designing safer healthcare was utilised to investigate risks in the bed-space in elective surgical wards. The Designing Out Medical Error (DOME) project brought together clinicians, designers, psychologists, human factors and business expertise to develop solutions for the highest risk healthcare processes. System mapping and risk assessment ...
Okada Yasushi - - 2014
Since transient ischemic attack (TIA) is regarded as a medical emergency with high risk for early stroke recurrence, the underlying mechanisms should be immediately clarified to conclude a definitive diagnosis and provide early treatment. Early risk stratification using ABCD(2) scores can predict the risk of ischemic stroke occurring after TIA. ...
Coyle Timothy - - 2013
Quality Improvement in the ICU ISESSION TYPE: Original Investigation SlidePRESENTED ON: Monday, October 28, 2013 at 01:45 PM - 03:15 PMPURPOSE: Bronchodilators (BD) and acid blockers (AB) are often administered to ICU patients. Some data suggest that BD and AB are inadvertently continued even after discharge from hospital.METHODS: Records of ...
Davidson Jaime A JA Division of Endocrinology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd. K5.246, Dallas, TX, 75235-8857, USA, - - 2013
Type 2 diabetes is associated with a high prevalence of comorbidities resulting from hypertension, dyslipidemia, and hyperglycemia. Inadequate management of these risk factors will eventually result in detrimental health consequences. Thus, the effect of a drug on factors such as weight, cardiovascular (CV) risk factors, and adherence is important to ...
Harrison Donald C DC Department of Medicine, University of Cincinnati Academic Health Center, Cincinnati, Ohio. Electronic address: - - 2013
The 20-year activities of a medical supervisory panel appointed under the terms of a settlement agreement of the Bowling v. Pfizer class action suit involving the Björk-Shiley convexo-concave (BSCC) heart valve are detailed. Of approximately 86,000 valves implanted, catastrophic failure of the valve was reported in 663 patients from 1978 ...
Gillette Chris - - 2013
The objectives of this study were to: (1) describe the extent to which general pediatric providers discuss risks associated with asthma control medications with families, and (2) examine factors that are associated with risk discussions. This study was a cross-sectional secondary analysis of audio taped medical visits involving 35 pediatric ...
Kelly Aaron S - - 2013
Severe obesity afflicts between 4% and 6% of all youth in the United States, and the prevalence is increasing. Despite the serious immediate and long-term cardiovascular, metabolic, and other health consequences of severe pediatric obesity, current treatments are limited in effectiveness and lack widespread availability. Lifestyle modification/behavior-based treatment interventions in ...
Adachi Kenji - - 2013
Background. Pre-travel health consultations help international travelers manage travel-related illness risks through education, vaccination, and medication. This study evaluated costs and benefits of that portion of the health consultation associated with malaria prevention provided to U.S. travelers bound for West Africa. Methods. The estimated change in disease risk and associated costs and ...
Porter Emily B - - 2013
Figure skating continues to increase in popularity as both a recreational and competitive sport. Skaters continue to "push the envelope" in perfecting more technically difficult skills. With their strenuous training programs, skaters are at risk from chronic overuse injuries, which tend to plague singles skaters more often than acute injuries. ...
Dupnik Kathryn Margaret KM Division of Infectious Diseases and Center for Global Health, Weill Cornell Medical College, New York, NY, - - 2013
The objective was to characterise and identify potential risk factors for intolerance to multi-drug leprosy therapy (MDT) which prompted a medication change in a leprosy referral centre in northeastern Brazil. A retrospective chart review of leprosy patients treated at a state referral centre for leprosy in Natal, Rio Grande do ...
Thomas Maria - - 2013
An effective intervention to decrease medication errors related to high-risk, high-alert medications is to implement double checks and second verification using the five rights of medication administration. To evaluate the effectiveness and use of the Personalized Bar-Code Identification card in verifying high-risk, high-alert medications, the High-Risk, High-Alert Medication Verification Audit ...
Zipursky Robert B - - 2013
The large majority of individuals with a first episode of schizophrenia will experience a remission of symptoms within their first year of treatment. It is not clear how long treatment with antipsychotic medications should be continued in this situation. The possibility that a percentage of patients may not require ongoing ...
Ontaneda Daniel - - 2013
The growing number of disease-modifying medications approved for multiple sclerosis (MS) treatment is a significant step forward and provides new options for our patients. These medications, however, have differing efficacy and risk profiles. Although accurate predictors of efficacy are not available, treatment choices can be guided by patient-specific risk stratification. ...
Cummings Doyle M DM Brody School of Medicine at East Carolina University, Greenville, NC. Electronic address: - - 2013
The extent to which low medication adherence in hypertensive individuals contributes to disparities in stroke and transient ischemic attack (TIA) risk is poorly understood. Investigators examined the relationship between self-reported medication adherence and blood pressure (BP) control (<140/90 mm Hg), Framingham Stroke Risk Score, and physician-adjudicated stroke/TIA incidence in treated hypertensive ...
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