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Adalja Amesh A - - 2013
Medicine for Policymakers is a Journal column that provides decision makers with brief explanations of the meaning and implications for biosecurity of clinical issues. The articles describe, for a nonmedical audience, hospital practices, medical challenges, healthcare delivery issues, and other topics of current interest. Readers may submit ideas to the ...
Smutney Chad C - - 2013
The use of orally inhaled dry powder technologies is one way of delivering medicines to the lung for treating local conditions or for achieving systemic effect. These involve dry powder formulations containing an active pharmaceutical ingredient together with inhaler devices. These powder/device systems enable patients to inhale and aerosolize the ...
Welland Tom - - 2013
In the latest of a series of technical guidance articles to be published in HEJ this year, Tom Welland, conformance and regulatory affairs manager at fire safety product and system specialist, Fireco, looks at the key duties of those responsible for fire safety practice and procedures within healthcare estates and ...
Wang Peng - - 2013
Abstract Traditional Chinese medicine (TCM) is a comprehensive system of medical practice that has been used to diagnose, treat, and prevent illnesses for more than 3000 years. ZHENG (also known as "syndrome") differentiation remains the essence of TCM. In China, TCM shares equal status, and integrated with Western medicine in ...
Blacher Jacques - - 2013
To improve the management of hypertension in the French population, the French Society of Hypertension has decided to issue a new set of guidelines that include the following practical characteristics: usefulness for clinical practice, short, easy-to-read format, comprehensive writing for non-physicians, wide dissemination among healthcare professionals and the hypertensive population, ...
Thomas Sarah K SK The Medical School, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, - - 2013
Direct Healthcare Professional Communications (DHPCs) aim to quickly disseminate information to key healthcare professionals to inform practice and minimize patient harm. The Medicines and Healthcare products Regulatory Agency (MHRA) issues warnings and alerts to communicate safety information effectively in the UK. To investigate the impact of MHRA DHPCs on prescribing ...
Chen Mingsheng - - 2013
Before the new round of healthcare reform in China, primary healthcare providers could obtain a fixed 15 % or greater mark-up of profits by prescribing and selling medicines. There were concerns that this perverse incentive was a key cause of irrational medicine use. China's new Essential Medicines Program (EMP) was launched ...
Wente Sarah J K - - 2013
The uptake of evidence in practice remains a challenge for healthcare professionals including nurses and providers. Increased use of evidence-based practices (EBPs) in healthcare settings may improve patient conditions such as pain and decrease the cost of health care. The relationship between context in the practice environment and uptake of ...
Alrasheedy Alian A AA Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, 11800 Penang, - - 2013
The escalating healthcare expenditure is a major challenge to sustainability of the healthcare systems. To confront the escalating health expenditure in general and medicines expenditure in particular, many countries promoted the use of generic medicines. To promote generic medicines, many countries have adopted a generic substitution (GS) policy and generic ...
Schreiber Judith A - - 2013
Since the early 2000s, significant discussion about evidence-based practice (EBP) has occurred in the healthcare arena and early steps have been taken toward it; however, searching the EBP literature can be overwhelming. A MEDLINE® (EBSCO) search for evidence-based practice yielded interesting results. When limited to 1999 or prior, 635 articles ...
Deans Robert - - 2013
Robert Deans speaks to Alexandra Hemsley, Commissioning Editor Robert Deans has led Athersys Inc.'s (OH, USA) regenerative medicine research and development activities since February 2003 and has served as Vice President of Regenerative Medicine since October 2003. He was named Executive Vice President of Regenerative Medicine in April 2011. Deans ...
O'Leary John - - 2013
In the latest of our series of articles designed to provide healthcare engineers with sound technical guidance on equipment or technology-related topics, John O'Leary, key account manager at Trend Controls (who in April's HEJ discussed the benefits of natural ventilation in healthcare settings), explains the functions of a building energy ...
Baum Neil - - 2013
For many centuries, medicine has practiced in a vacuum, and the healthcare profession has been isolated from other scientific disciplines. Beginning in the 20th century, doctors and scientists have looked to others for ideas, suggestions, innovations, and new technologies. Probably no one in the past hundred years has done so ...
Teich Sorin T - - 2013
The evolution of production systems is tightly linked to the story of Toyota Motor Company (TMC) that has its roots around 1918. The term "lean" was coined in 1990 following the exploration of the Toyota model that led to the "transference" thesis sustaining the concept that manufacturing problems and technologies ...
Zhang Aihua - - 2013
For World Health Organization proposed 'Health for All', we should be to promote the use of traditional medicine. Traditional Chinese acupuncture has a history over 3000 years and is effective in the treatment of many conditions with few side effects. Acupuncture, an intrinsic part of traditional Chinese medicine (TCM), which ...
Miranda Jezid E - - 2013
OBJECTIVE: To determine whether healthcare providers performed active management of the third stage of labor (AMTSL) as defined by FIGO/ICM and WHO, and as described by the Cochrane Collaboration. METHODS: In a prospective observational study, a questionnaire regarding knowledge of AMTSL was administered to healthcare providers in the largest maternity ...
Hitchings Andrew W - - 2013
AIMS: On 3 September 2012, the UK Medicines and Healthcare Products Regulatory Agency (MHRA) notified healthcare professionals of immediate changes to the intravenous acetylcysteine license terms, altering the treatment pathway for paracetamol poisoning. We sought to evaluate awareness of this amongst healthcare professionals. METHODS: We surveyed doctors, nurses and pharmacists ...
French Anna - - 2013
'Commercialisation of your regenerative medicine research; lessons from spin out successes' was hosted by Oxbridge Biotech Roundtable (OBR) (Oxford, UK) at the University of Oxford in February 2013, attracting a multi-stakeholder audience, spanning academia and industry. The event featured case studies from Gregg Sando, CEO, Cell Medica (London, UK), John ...
Idowu Ibijoke Adeola - - 2013
Proper management and safe disposal of medical waste (MW) is vital in the reduction of infection or illness through contact with discarded material and in the prevention of environmental contamination in hospital facilities. The management practices for MW in selected healthcare facilities in Lagos, Nigeria were assessed. The cross-sectional study ...
Spiteri Maria M Department of Pharmacy, Faculty of Medicine and Surgery, University of Malta, Msida, - - 2013
Today, the use of herbal medicine for primary healthcare has increased considerably. Since local pharmacists graduate with little knowledge on herbal medicine, the majority are ill-equipped to provide pharmaceutical advice. To develop and evaluate a herbal medicine formulary to aid healthcare professionals (HCPs) in the prescribing, dispensing and counselling responsibilities. ...
Speed Cathy - - 2013
High performance sports medicine involves the medical care of athletes, who are extraordinary individuals and who are exposed to intensive physical and psychological stresses during training and competition. The physician has a broad remit and acts as a 'medical guardian' to optimise health while minimising risks. This review describes this ...
Kirschner Chelsea M - - 2013
Advances in hydrogel design have revolutionized the way biomaterials are applied to address biomedical needs. Hydrogels were introduced in medicine over 50 years ago and have evolved from static, bioinert materials to dynamic, bioactive microenvironments, which can be used to direct specific biological responses such as cellular ingrowth in wound ...
Ozkan Aysun - - 2013
Healthcare waste should be managed carefully because of infected, pathological, etc. content especially in developing countries. Applied management systems must be the most appropriate solution from a technical, environmental, economic and social point of view. The main objective of this study was to analyse the current status of healthcare waste ...
Williams Stephen P - - 2013
Perhaps individual wishes are not always acknowledged or accepted when it comes to end-of-life care. This possibility, in conjunction with the experiences of healthcare risk managers, should cause concern in the healthcare risk management community. One particularly concerning issue where a persistent failure to honor a patient's wishes exists is ...
Zachariadis Markos - - 2013
To explore the relational challenges for general practitioner (GP) leaders setting up new network-centric commissioning organisations in the recent health policy reform in England, we use innovation network theory to identify key network leadership practices that facilitate healthcare innovation. Mixed-method, multisite and case study research. Six clinical commissioning groups and ...
Youm Jiwon - - 2013
The Institute of Medicine outlined a standard for patient-centered care, which has become the centerpiece of healthcare reform in the United States. Shared decision-making interventions, which include decision and communication aids, are formal embodiments of this philosophy. Although the concept of shared decision making has been shown to be an ...
Mosadeghrad Ali Mohammad - - 2013
Many healthcare organisations have found it difficult to implement total quality management (TQM) successfully. The aim of this paper is to explore the barriers to TQM successful implementation in the healthcare sector. This paper reports a literature review exploring the major reasons for the failure of TQM programmes in healthcare ...
Bergman Edward J - - 2013
This article describes, analyzes, and advocates for management of clinical healthcare conflict by a process commonly referred to as bioethics mediation. Section I provides a brief introduction to classical mediation outside the realm of clinical healthcare. Section II highlights certain distinguishing characteristics of bioethics mediation. Section III chronicles the history ...
Jonas Wayne B - - 2013
Medical practices that reside outside the mainstream medical structures have existed for centuries, often waxing and waning in prominence and use for various reasons. Recently, there has been a resurgence in interest and use of such practices in the USA generally referred to under the label of 'complementary and alternative ...
Sørup Christian Michel - - 2013
The purpose of this study is to first create an overview of relevant factors directly influencing employee absence in the healthcare sector. The overview is used to further investigate the factors identified using employee satisfaction survey scores exclusively. The result of the overall objective is a management framework that allows ...
Adams Richard - - 2013
The purpose of the study is to test the utility of a taxonomy of innovation based on perceived characteristics in the context of healthcare by exploring the extent to which discrete innovation types could be distinguished from each other in terms of process antecedents. A qualitative approach was adopted to ...
Payne Julianne - - 2013
Since the 1970s, the healthcare industry has undergone significant changes. Using neo-institutional and resource dependency theories, the purpose of this paper is to explore how managers perceive constraint and enact agency amidst these historic challenges--perhaps most significantly, declining funding and increasing regulation. The data come from ten interviews with healthcare ...
Bauer Jeffrey C - - 2013
Few health professionals need to stay up-to-date on as many different problems and solutions as risk managers do. Consequently, a single solution that resolves several problems at once is really helpful for job performance, especially when it doesn't require duplicating effort in multiple areas. This article summarizes current literature about ...
Shiffman R N - - 2013
Clinical decision support (CDS) is a key tool for enabling evidence-based medicine and improving the quality of healthcare. However, effective CDS faces a variety of challenges, including those relating to knowledge synthesis, capture, transformation, localization and maintenance. If not properly addressed, these challenges can limit the effectiveness of CDS, and ...
Pachocki Krzysztof A - - 2013
Through its use of ionising radiation, the field of nuclear medicine forms a unique and significant part of medical diagnostics and patient treatment. Objectives. To assess the operational potential of nuclear medicine in Poland based on existing database/literature sources together with conducting a survey on the relevant healthcare facilities available, ...
McKinnies Richard C RC Southern Illinois University, Carbondale, College of Applied Science and Arts, School of Allied Health, USA. - - 2013
This study is a reanalysis of employer incentives for healthcare managers. In 2007, a survey was administered to determine the top incentives used in healthcare as well as which individuals are receiving the most creative incentive packages; technical, managerial, or executive employees. A similar survey was distributed in 2012 in ...
Scott Jason J Witham Health Services, Lebanon, IN, USA. - - 2013
How leaders deal with a variety of feelings will deduce how successful they are in dealing with the daily challenges of being in a leadership position. Successful healthcare leaders are those who lead with heart and possess the soft skills needed to positively influence others. All humans have two minds: ...
Ubbink Dirk T DT Department of Quality Assurance & Process Innovation, Academic Medical Center, Amsterdam, The - - 2013
Evidence-based practice (EBP) may help improve healthcare quality. However, not all healthcare professionals and managers use EBP in their daily practice. We systematically reviewed the literature to summarise self-reported appreciation of EBP and organisational infrastructure solutions proposed to promote EBP. Systematic review. Two investigators independently performed the systematic reviewing process. ...
Hu Shanlian - - 2012
Abstract Objective: To analyze the achievements, issues and policy recommendations for implementing essential medicine system in China after a 3-year effort. Methods: Policy documents analysis and Literature reviews are conducted. Results: From 2009-2011, a series of national essential medicine (EM) policies has been established which contain EM list, organizing production, ...
May Carl - - 2012
An innovation is almost never a thing-in-itself. To be sure, there is often what looks like a thing - a newly invented or modified way of thinking or acting, or an artifact, or a system - that is identified in everyday talk as something new. In healthcare, as in almost ...
Lavoie-Tremblay Mélanie - - 2012
Purpose: The recent introduction of a project management office (PMO) in a major healthcare center, led by a nurse, provides a unique opportunity to understand how a PMO facilitates successful implementation of evidence-based practices in care delivery. Design: A case study with embedded units (individuals, projects, and organization). In this ...
Morris Heather - - 2012
Most babies are likely to get nappy rash at some time. It's usually a mild condition which can easily be treated, but understandably is a cause for concern to parents. Community healthcare professionals are likely to be asked for advice and this article aims to give a practical overview of ...
McAllister Todd N - - 2012
Cell-based therapies (CBTs) have been hailed for the last two decades as the next pillar of healthcare, yet the clinical and commercial potential of regenerative medicine has yet to live up to the hype. While recent analysis has suggested that regenerative medicine is maturing into a multibillion dollar industry, examples ...
Hugman Bruce B Uppsala Monitoring Centre, Sweden. - - 2012
The history and characteristics of bureaucracy1 are examined with a view to understanding the impact of the bureaucratic mindset on medicines' regulation, the pharmaceutical industry and healthcare delivery with a focus on risk communication, pharmacovigilance and patient safety. Controversies and allegations relating to common, negative effects of bureaucratic regulatory and ...
Snook Robert - - 2012
Robert Snook, director and general manager of Portakabin Hire, offers some practical advice to, as he puts it, 'help healthcare providers rapidly expand hospital facilities to reduce patient waiting times with no compromise on the quality of the accommodation'. He argues that hired modular buildings can offer a considerably faster ...
Perna Gabriel - - 2012
Thanks to the rampant digitization of healthcare data, breaches have become commonplace in an industry that lacks advanced security practices. In this industry-wide report, those who have dealt with breaches implore others to shore up internal security practices and be transparent. As one CIO keenly notes, "we're all in this ...
Reilly Nick - - 2012
Excellent standards of cleanliness are more important for healthcare facilities than in virtually every other type of building, and well-managed drainage systems play a crucial part in this. business and commercial, utilities, public sector, and facilities management clients. Nick Reilly, director at UKDN Waterflow, discusses best practice in this area ...
Zacharias David G - - 2012
Embryonic stem cell (ES) technology has advanced considerably within the past three decades and has gained prominent distinction within the emerging field of regenerative medicine. As it now enters the nascent stages of clinical application, many hopes and expectations arise along with questions as to where the technology will go. ...
Panughpath Sridhar G - - 2012
The use of mobile devices is revolutionizing the way we communicate, interact, are entertained, and organize our lives. With healthcare in general and radiology in particular becoming increasingly digital, the use of such devices in radiologic practice is inevitable. This article reviews the current status of the use of mobile ...
Frolic Andrea - - 2012
Canadian ethicists have a long legacy of leadership in advocating for standards and quality in healthcare ethics. Continuing this tradition, a grassroots organization of practicing healthcare ethicists (PHEs) concerned about the lack of standardization in the field recently formed to explore potential options related to professionalization. This group calls itself ...
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