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Cesta Toni - - 2014
The CMS efficiency measure has once again raised the issues of length of stay management and cost reduction. These have always been a component of the role of the hospital-based case manager. In today's best practice models, these interventions must be correlated with the roles of coordination and facilitation of ...
Harding Sally - - 2014
The RCN is to be congratulated for its excellent and straightforward 'Good practice for handling feedback' guide (News November 19).
Hamirudin Aliza - - 2014
BackgroundNutrition screening in older adults is not routinely performed in Australian primary care settings. Low awareness of the extent of malnutrition in this patient group, lack of training and time constraints are major barriers that practice staff face. This study aimed to demonstrate the feasibility of including a validated nutrition ...
Busch H P - - 2014
A decisive factor in the difference between the success and failure of the development of practices and hospitals is the quality and number of suitable staff members, together with their motivation to devote their skills to the particular organization. Senior management is not required or paid to paint dramatic pictures ...
Mold James W - - 2014
BackgroundFour practice-based research networks (PBRNs) participated in a study to determine whether networks could increase dissemination, implementation, and diffusion of evidence-based treatment guidelines for chronic kidney disease by leveraging early adopter practices.MethodsMotivated practices from four PBRNs received baseline and periodic performance feedback, academic detailing, and weekly practice facilitation for 6 months ...
Trebble Timothy M - - 2014
BackgroundImproved management of clinicians¿ time and practice is advocated to address increasing demands on healthcare provision in the UK National Health Service (NHS). Human resource management (HRM) is associated with improvements in organisational performance and outcomes within and outside of healthcare, but with limited use in managing individual clinicians. This ...
Pinnock Hilary H aAsthma UK Centre for Applied Research, Allergy and Respiratory Research Group, Centre for Population Health Sciences, University of Edinburgh, Edinburgh bPrimary Care and Population Sciences, University of Southampton cNIHR Southampton Respiratory Biomedical Research Unit dNIHR Wessex Collaboration for Leadership in Applied Health Research and Care (CLAHRC), Southampton, - - 2014
Despite effective therapies, asthma outcomes remain suboptimal. Education in self-management is crucial to maintaining control in a variable condition such as asthma and reducing the risk of severe asthma exacerbations, hospitalizations and deaths. This review considers the evidence for supported self-management. Recent systematic reviews have clarified and confirmed the major ...
Martínez-García Carlos Galdino CG Instituto de Ciencias Agropecuarias y Rurales (ICAR), Universidad Autónoma del Estado de México, Instituto Literario #100, Col. Centro, 50000, Toluca, México, - - 2014
This study explored whether technology adoption and changes in management practices were associated with farm structure, household, and farmer characteristics and to identify processes that may foster productivity and sustainability of small-scale dairy farming in the central highlands of Mexico. Factor analysis of survey data from 44 smallholders identified three ...
Block Steven M SM Dr. Block is professor of pediatrics and senior associate dean for faculty affairs, Wake Forest School of Medicine, Winston-Salem, North Carolina. He is also past chair, Association of American Medical Colleges Group on Faculty Affairs Steering Committee. Dr. Sonnino is professor of surgery (pediatric) and vice dean for faculty affairs and professional development, School of Medicine, and associate provost for medical affairs, Wayne State University, Detroit, Michigan. She is also chair, Association of American Medical Colleges Group on Faculty Affairs. Dr. Bellini is professor of medicine and vice dean for faculty affairs, Perelman School of Medicine, University of Pennsylvania, Philadelphia, - - 2014
Academic medicine in the United States is at a crossroads. There are many drivers behind this, including health care reform, decreased federal research funding, a refined understanding of adult learning, and the emergence of disruptive innovations in medicine, science, and education. As faculty members are at the core of all ...
Bank Ilana I From the *Division of Pediatric Emergency Medicine, †Arnold and Blema Steinberg Medical Simulation Center, ‡Center for Medical Education, §Division of General Internal Medicine, and ∥Department of Pediatrics, McGill University, Montreal, Quebec, - - 2014
Improved pediatric crisis resource management (CRM) training is needed in emergency medicine residencies because of the variable nature of exposure to critically ill pediatric patients during training. We created a short, needs-based pediatric CRM simulation workshop with postactivity follow-up to determine retention of CRM knowledge. Our aims were to provide ...
Collins Loel L a Institute of Coaching and Performance , University of Central Lancashire , Preston , - - 2014
Abstract This study examined the integration of professional judgement and decision-making processes in adventure sports coaching. The study utilised a thematic analysis approach to investigate the decision-making practices of a sample of high-level adventure sports coaches over a series of sessions. Results revealed that, in order to make judgements and ...
Rutherford-Hemming Tonya T Author Affiliations: Senior Nurse Researcher (Dr Rutherford-Hemming), Nursing Research and Innovation, Cleveland Clinic, Ohio; Simulation Coordinator and Clinical Associate Professor of Nursing, College of Nursing, The University of Alabama in Huntsville, and Adjunct Faculty, CAE Healthcare Academy (Dr Lioce), Huntsville, Alabama; Clinical Professor and Director, Education-Innovation-Simulation Learning Environment School of Nursing, The University of North Carolina at Chapel Hill (Dr - - 2014
The Standards of Best Practice: Simulation are a resource for quality and consistency of simulation, evaluation of outcomes, and improvement of simulation programs. The Standards provide guidelines for practice and a vital framework for strategic planning, research, and faculty development. This article discusses challenges and shares approaches to enhance implementation ...
Sendlhofer Gerald G Department of Quality and Risk Management, University Hospital Graz, Auenbruggerplatz 1, 8036, Graz, Styria, Austria, - - 2014
For health care systems in recent years, patient safety has increasingly become a priority issue. National and international strategies have been considered to attempt to overcome the most prominent hazards while patients are receiving health care. Thereby, clinical risk management (CRM) plays a dominant role in enabling the identification, analysis, ...
Jianchang Liu L Transport Planning and Research Institute, Ministry of Transport, Building A2 of Shuguangxili,Chaoyang District, Beijing, 100028, China, - - 2015
Agricultural decision-making to control nonpoint source (NPS) water pollution may not be efficiently implemented, if there is no appropriate cost-benefit analysis on agricultural management practices. This paper presents an interval-fuzzy linear programming (IFLP) model to deal with the trade-off between agricultural revenue, NPS pollution control, and alternative practices through land ...
Pathak Krishna P KP a Department of Education and Social Policy, University of Macedonia , Thessaloniki , - - 2014
Objectives: To identify general practitioners' (GPs) knowledge, practices, and obstacles with regard to the diagnosis and management of dementia. Methods: Standardized questionnaires covering knowledge, practices, and obstacles were distributed among a purposive sample of GPs in Kathmandu, Nepal. Three hundred and eighty GPs responded (response rate = 89%). Results: Knowledge ...
Oganesyan Gagik G *Department of Medicine, Division of Dermatology, University of California, San Diego, California; †Sutter Medical Group of the Redwoods, Sutter Pacific Medial Foundation, Santa Rosa, California; ‡Faculty of Medicine Siriraj Hospital, Bangkok, - - 2014
Potential dangers associated with smoke generated during electrosurgery have been described. However, the use of smoke management in dermatology is unknown. There is no objective data showing the amount or the composition of the smoke generated in dermatologic surgeries. To assess the use of smoke management in dermatologic surgery and ...
Berkoff David J DJ Department of Orthopaedics and Emergency Medicine, University of North Carolina, Chapel Hill, North Carolina, - - 2014
The use of point-of-care ultrasound (US) by non-radiologists is not new and the expansion into sports medicine practice is relatively young. US has been used extensively to evaluate the musculoskeletal system including the diagnosis of muscle, tendon and bone injuries. However, as sports medicine practitioners we are responsible for the ...
Beddis H P HP Department of Restorative Dentistry, Leeds Dental Institute, Clarendon Way, Leeds, LS2 - - 2014
A deep overbite is where the vertical overlap of the upper and lower incisors exceeds half of the lower incisal tooth height. Problems associated with the deep overbite can include soft tissue trauma, lack of inter-occlusal space and tooth wear, all of which can present significant challenges for the restorative ...
Griffiths Matt M Birmingham City - - 2014
The Yellow Card reporting system is a way for healthcare professionals and the public to report suspected adverse reactions (side effects) to a medicine, vaccine, herbal or complementary remedy.
Rowe Marie J MJ Lymm, - - 2014
I read with interest editor Graham Scott's editorial, 'Plenty of managers, but where are the leaders?' (October 22), and could not agree more.
Jesse D Elizabeth - - 2014
It is essential to include teaching strategies in midwifery education that address career planning and the business aspects of practice. This article presents the Mini-Midwifery Business Institute (M-MBI), an innovative teaching strategy for midwives that can also be applied to other advanced practice professions. The M-MBI can be integrated into ...
Fang Pengqian - - 2014
IntroductionThis study analyzes the factors that influence the turnover intention of village doctors by investigating village clinic workers in rural areas, particularly in Xiangyang City, Hubei Province.MethodsA total of 1184 village clinics were sampled randomly in Xiangyang City. The research assistants distributed 1930 questionnaires to village doctors. This study had ...
Hassan Tajek B TB Consultant in Emergency Medicine, Leeds Teaching Hospitals NHS Trust, Leeds LS1 - - 2014
Sustainable and satisfying working practices in emergency medicine are vital to produce career longevity and prevent premature 'burnout'. A range of strategies is required to ensure success for the individual and the system in which he/she works.
Powell Suzanne K - - 2014
"Going Forward: What Is Case Management?," a recent HeartBeat of Case Management column in this journal, set off a wave of positive comments to the author. Hospital case management has been at the forefront of many of the changes in the past several decades. Even today, these changes should be ...
Iliffe Steve S Department of Primary Care & Population Health, University College London, - - 2014
Case management may be a feasible solution to the problem of service fragmentation for people with dementia. To adapt a US model of primary care-based case management for people with dementia and test it in general practice. Mixed-methodology case studies of case management implementation in four general practices: one rural, ...
Dewsbury Guy G Independent Research Consultant, gdewsbury ( www.gdewsbury.com ), - - 2014
The role of community nursing services is changing and the ability to adapt to the new roles and challenges using technology is becoming increasingly important. This article considers the positive role that using patient management systems and care registers can play in improving and developing new work patterns through the ...
Towle Elaine L EL Oncology Metrics, a division of Flatiron Health, New York, NY - - 2014
The National Practice Benchmark (NPB) is a unique tool to measure oncology practices against others across the country in a way that allows meaningful comparisons despite differences in practice size or setting. In today's economic environment every oncology practice, regardless of business structure or affiliation, should be able to produce, ...
Finnoff Jonathan T JT Department of Physical Medicine and Rehabilitation, University of California Davis School of Medicine, Sacramento, California, USA Department of Physical Medicine and Rehabilitation, Mayo Clinic Sports Medicine Center, Mayo Clinic School of Medicine, Rochester, Minnesota, - - 2014
The American Medical Society for Sports Medicine (AMSSM) developed a musculoskeletal ultrasound curriculum for sports medicine fellowships in 2010. As the use of diagnostic and interventional ultrasound in sports medicine has evolved, it became clear that the curriculum needed to be updated. Furthermore, the name 'musculoskeletal ultrasound' was changed to ...
Chadés Iadine I CSIRO Land and Water, GPO Box 2583, Brisbane, Queensland, 4001, Australia; ARC Centre of Excellence for Environmental Decisions, NERP Environmental Decisions Hub, Centre for Biodiversity & Conservation Science, University of Queensland, Brisbane, Queensland, 4072, Australia. - - 2014
Conservation decision tools based on cost-effectiveness analysis are used to assess threat management strategies for improving species persistence. These approaches rank alternative strategies by their benefit to cost ratio but may fail to identify the optimal sets of strategies to implement under limited budgets because they do not account for ...
- - 2014
AN INTENSE academic review of knowledge management is provided by this book, covering the nature of knowledge-sharing environments, insights from healthcare workers, and advice on how to initiate and measure knowledge sharing. While many of the contributors are academic leaders in the US, it will translate to the UK and ...
- - 2014
NHS Employers has launched a free online tool to improve the management of staff sick leave in the NHS. The tool is designed to help managers adopt a confident and consistent approach, and provides step-by-step information about what to do when staff call in sick, practical advice on some of ...
Kahvedžić Amila A a National Programme Office for Traffic Medicine, Royal College of Physicians of Ireland - - 2014
ABSTRACT Objective: To investigate changes in attitudes, resources and practices of GPs towards evaluating medical fitness to drive (MFTD) following the publication of national guidelines and an extensive educational programme in traffic medicine. Method: Postal questionnaire-survey to GPs (n = 1,000) in November 2013. Results: The final response rate was ...
Berecha Gezahegn G Division Ecology, Evolution and Biodiversity Conservation, University of Leuven, Kasteelpark Arenberg 31-2435, 3001, Leuven, Belgium, - - 2014
Coffea arabica is an indigenous understorey shrub of the moist evergreen Afromontane forest of SW Ethiopia. Coffee cultivation here occurs under different forest management intensities, ranging from almost no intervention in the 'forest coffee' system to far-reaching interventions that include the removal of competing shrubs and selective thinning of the ...
Wilson Paul P Darent Valley Hospital, Darenth Wood Road, Dartford, Kent, - - 2014
The management of anaemia in patients with chronic kidney disease has been transformed by development of erythropoiesis-stimulating agents (ESAs). Following expiry of the patent of the originator epoetin alfa in Europe, a number of biosimilar ESAs have been licensed for use in the nephrology setting. Biosimilars are biological medicines that ...
- - 2014
Another report from a bunch of inspectors and another predictable conclusion: the biggest single reason that NHS organisations fail is a lack of effective leadership. Who would have guessed it?
Brangan Joan J University of Dublin, Trinity College, Discipline of Occupational Therapy, Trinity Centre for Health Sciences, James' Street, Dublin, - - 2014
ABSTRACT Confidence levels of 136 Irish occupational therapists were measured before and after an evidence based practice training course. Ranked scores on the evidence based practice confidence scale showed statistically significant improvement in all areas between pre and post course. Goals set by therapists to integrate EBP into their practice ...
Baugh Christine M CM Interfaculty Initiative in Health Policy, Harvard University, Cambridge, Massachusetts, USA Division of Sports Medicine, Boston Children's Hospital, Boston, Massachusetts, USA Edmond J. Safra Center for Ethics, Harvard University, Cambridge, Massachusetts, USA - - 2014
In 2010, the National Collegiate Athletic Association (NCAA) adopted its Concussion Policy and Legislation, which applies to more than 450,000 collegiate athletes annually. To date, there has been no examination of school-level compliance with the NCAA Concussion Policy. To examine whether stakeholders at NCAA schools report that their school has ...
Doyle Martin W MW Nicholas School of the Environment, Duke University, Durham, NC, 27708, USA, - - 2014
We develop an analytical approach for more systematically analyzing environmental management problems in order to develop strategic plans. This approach can be deployed by agencies, non-profit organizations, corporations, or other organizations and institutions tasked with improving environmental quality. The analysis relies on assessing the underlying natural processes followed by articulation ...
Colclough Sarah S School of Health and Rehabilitation Sciences, Division of Occupational Therapy, The University of Queensland , Queensland , - - 2014
Abstract Purpose: Hypertonicity practice is challenging due to the high degree of variability in presentation within and among clients. There is limited high-level evidence supporting interventions in practice. This study gathered therapists' views on requirements for competent practice. This information could be used to improve training in this area of ...
Bok Harold G J HG Chair Quality Improvement in Veterinary Education, Faculty of Veterinary Medicine, Utrecht University, 3508 TD Utrecht, The - - 2014
Objective-To determine the perceived importance of specific competencies in professional veterinary practice and education among veterinarians in several countries. Design-Survey-based prospective study. Sample-1,137 veterinarians in 10 countries. Procedures-Veterinarians were invited via email to participate in the study. A framework of 18 competencies grouped into 7 domains (veterinary expertise, communication, collaboration, ...
Lauder Gillian R GR Department of Pediatric Anesthesia, British Columbia's Children's Hospital, Vancouver, BC, - - 2014
Inhalational anesthesia has dominated the practice of pediatric anesthesia. However, as the introduction of agents such as propofol, short-acting opioids, midazolam, and dexmedetomidine a monumental change has occurred. With increasing use, the overwhelming advantages of total intravenous anesthesia (TIVA) have emerged and driven change in practice. These advantages, outlined in ...
Mehdizadeh Leila L Division of University College London Medical School, University College London, London, - - 2014
Doctors who are investigated by the General Medical Council for performance concerns may be required to take a Test of Competence (ToC). The tests are piloted on volunteer doctors before they are used in Fitness to Practise (FtP) investigations. To find out who volunteers to take a pilot ToC and ...
Turenne Marc N MN Arbor Research Collaborative for Health, Ann Arbor, Michigan; - - 2014
Implementation of the Medicare ESRD prospective payment system (PPS) and changes to dosing guidelines for erythropoiesis-stimulating agents (ESAs) in 2011 appear to have influenced use of injectable medications among dialysis patients. Given historically higher ESA and vitamin D use among black patients, we assessed the effect of these policy changes ...
McCarty L Kelsey LK From the Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, - - 2014
Process improvement in healthcare delivery settings can be difficult, even when there is consensus among clinicians about a clinical practice or desired outcome. Airway management is a medical intervention fundamental to the delivery of anesthesia care. Like other medical interventions, a detailed description of the management methods should be documented. ...
Abend Nicholas S NS aDepartments of Neurology and Pediatrics, The Children's Hospital of Philadelphia bPerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania cDivision of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, - - 2014
This review discusses the management of status epilepticus in children, including both anticonvulsant medications and overall management approaches. Rapid management of status epilepticus is associated with a greater likelihood of seizure termination and better outcomes, yet data indicate that there are often management delays. This review discusses an overall management ...
Lekei Elikana E - - 2014
Approximately 300 pesticide retailers are currently registered in Tanzania. Inadequate knowledge and unsafe handling practices among retailers may contribute to human pesticide exposure and environmental contamination. This study investigated pesticide retailers' qualifications, work experience, safety practices and the products distributed so as to identify opportunities for preventing Acute Pesticide Poisoning ...
Meadows N A NA Kinapse, Wimbledon, London, - - 2014
Today, a range of products based on genomics, proteomics and metabolomics have facilitated the development of 'stratified' medicines and companion diagnostics. This investigation profiles a series of targeted medicines and corresponding diagnostics, and their role(s) in supporting evidence-based medicine. Despite their potential benefits we found that scientific, financial and regulatory ...
Durso Francis T FT School of Psychology, Georgia Institute of Technology, 654 Cherry Street, Atlanta, GA 30332, USA. Electronic address: - - 2014
Part of the work of a critical care nurse is to manage the threats that arise that could impede efficient and effective job performance. Nurses manage threats by employing various strategies to keep performance high and workload manageable. We investigated strategic threat management by using the Threat-Strategy Interview. Threats frequently ...
Cohen Marya J MJ John D. Stoeckle Center for Primary Care Innovation, Division of General Internal Medicine, Massachusetts General Hospital, Boston (Drs Cohen and Kormos); Harvard Medical School, Boston, Massachusetts (Drs Cohen and Kormos); National Committee for Quality Assurance, Washington, District of Columbia (Ms Morton and Dr Scholle); and HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Dr - - 2014
Innovation in primary care has increased interest in patient self-management techniques; little is known about the methods practices use to support self-management. This study is a survey of small practices, fewer than 5 physicians, with NCQA (National Committee for Quality Assurance) recognition (response rate 59.1%). Main measures include the number ...
Shroff Swati S Section of General Internal Medicine, Boston Medical Center, Boston, Massachusetts (Dr Shroff); Women's Health Unit, Section of General Internal Medicine, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts (Mss McCoy and Bak and Drs Sherman and Battaglia); and Section of General Internal Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts (Dr - - 2014
Patient navigation (PN) has been used to improve breast cancer outcomes but has not been evaluated in resident practices. The objective of this study was to evaluate the feasibility of PN in resident clinics to improve biennial screening mammography. All participants whose last screening mammogram was at 18 months or ...
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