Abstract
Blood coagulation is the process that results in the formation of a blood clot to stop bleeding from a damaged blood vessel. Various pharmacologic agents can affect the coagulation process. The American College of Chest Physicians' evidence-based practice guidelines for perioperative...
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PMID: 21624525
PDF is available here.
Abstract
John Tingle discusses a recent National Patient Safety Agency Rapid Response Report on essential care after an inpatient fall. To give the discussion a broader perspective and context he also introduces a US analysis of healthcare strategies that can be employed to reduce inpatient h...
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PMID: 21537259
PDF is available here.
Abstract
The diverse health needs of patients presenting to emergency department (EDs) are such that precise handovers between staff are critical to ensure all aspects of care are communicated. The handover process in an ED in south western Sydney, Australia, did not always achieve this, so a new approach, in...
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PMID: 21560894
PDF is available here.
Abstract
Physician requests for additional testing on an existing laboratory specimen (add-ons) are resource intensive and generally require a phone call to the laboratory. Verbal orders such as these have been noted to be associated with errors in accuracy. The aim of this study was to compare a novel comput...
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PMID: 21303296
PDF is available here.
Abstract
The Patient- and Family-Centered Care (PFCC) method and practice has been developed over the past 4 years as a means of improving care experiences by viewing all aspects of a patient's care experience through the eyes of the patient and family. One of the most powerful components of the method, eval...
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PMID: 21157240
PDF is available here.
Abstract
The evolution of the national and European legislation has progressively transformed the working environments into organized environments. Specific models for its management are being proposed, which should be integrated into general management strategies. In the case of hospitals this integration sh...
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PMID: 21468157
PDF is available here.
Abstract
We report on the availability and reliability of clinical information in the primary care records of people with epilepsy (PWE). The medical records of 374 PWE from 53 general practices in the Mid-West region of Ireland were examined. Confirmation of an epilepsy diagnosis by a neurologist was docume...
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PMID: 21957690
PDF is available here.
Abstract
This is the sixth article in a nine-part series describing the Principles of Nursing Practice developed by the Royal College of Nursing (RCN) in collaboration with patient and service user organisations, the Department of Health, the Nursing and Midwifery Council, nurses and other healthcare professi...
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PMID: 21563538
PDF is available here.
Abstract
Recent positive clinical results in cancer immunotherapy point to the potential of immune-based strategies to provide effective treatment of a variety of cancers. In some patients, the responses to cancer immunotherapy are durable, dramatically extending survival. Extensive research...
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PMID: 21929757
PDF is available here.
Abstract
In 2007, a tracheostomy nurse practitioner role was created to facilitate the percutaneous tracheostomy service that was established in 2005 at an urban academic tertiary care facility. The purpose of the tracheostomy nurse practitioner's role was to provide comprehensive care to tracheostomy patient...
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PMID: 21675700
PDF is available here.
Abstract
Research into emergency medicine (EM) diagnostic errors identified imaging as a contributing factor in 94% of cases. Discrepancies between the preliminary (trainee) and the final (attending) diagnostic imaging interpretation represent a system issue that is particularly prone to creating diagnostic e...
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PMID: 21351193
PDF is available here.
Abstract
Research in Montreal's St-Jean-de-Dieu Asylum archives has revealed a number of letters from family members and local physicians pleading for asylum care for married women between 1890 and 1921. When added to other admission documents in patients' medical files, these letters allow a...
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PMID: 21329143
PDF is available here.
Abstract
We conducted a review of the literature to determine the impact of health information technologies (HITs) on nurses and nursing care.
Nurses' effective use of HIT has the potential to produce a positive impact on nursing-sensitive patient outcomes, patient safety, and quality of care.
A review of th...
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PMID: 21084885
PDF is available here.
Abstract
This final rule amends Medicaid regulations to conform with the decision by the United States District Court for the District of Columbia on May 23, 2008 in Alameda County Medical Center, et al. v. Michael O. Leavitt, Secretary, U.S. Department of Health and Human Services, et al., 559 F. Supp. 2d (...
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PMID: 21121183
PDF is available here.
Abstract
Managing the complexity of medical recordkeeping in an occupational health setting has been compared to navigating a shadowy maze. Successful navigation requires knowledge-based clarity and direction. This article provides an overview of regulatory requirements related to medical recordkeeping in oc...
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PMID: 21117530
PDF is available here.
Abstract
²¹⁰Po and ²¹⁰Pb were discovered in tobacco in 1964. This was followed by detailed assessments of the nature of their deposition, and accompanying dose rates to the lungs of cigarette smokers. Subsequent studies revealed: (1) the sources and pathways through which they gain access to tobacco;...
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PMID: 20938238
PDF is available here.
Abstract
Nursing faculty perceptions of teaching undergraduate nursing students documentation skills using either paper-based or electronic health record systems were explored in this study. Twenty-five nursing faculty in a large urban public school of nursing were interviewed using a 13-item survey question...
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PMID: 20509587
PDF is available here.
Abstract
New legislation in the financing of psychiatric hospitals in Germany stipulates the introduction of a new reimbursement system for psychiatric child and adolescent psychiatric and psychosomatic hospitals in Germany by 2013. In several steps norms are to be empirically defined and services to be docu...
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PMID: 21128221
PDF is available here.
Abstract
A revenue integrity plan should address five key areas: Accuracy of patient information. Verification of payer information and policies. Accuracy of documentation. Processing of claims. Accuracy of payment.
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PMID: 21061817
PDF is available here.
Abstract
The DHR (Deutsches Hämophilieregister, German Haemophilia Register) records patient data on haemophilia A, haemophilia B, von Willebrand disease, and other coagulation factor deficiency disorders. The DHR has been online since 2009. The participation in the DHR leads to additional administrative wo...
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PMID: 21042680
PDF is available here.
Abstract
We individualise the therapy of symptoms and structures. The motion pattern generator shows us how to use the possibilities of functional influence on the motion pattern. We have a lot of afferent signals that need individualised functional therapy. This is why we need functional measurements like m...
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PMID: 21042668
PDF is available here.
Abstract
This study investigates the comparative effectiveness of Senior House Officers (SHOs) and Emergency Nurse Practitioners (ENPs) in the application of the Ottawa ankle rules, in a large inner city Emergency Department in the United Kingdom (UK). Sixty patients with ankle injuries were randomly include...
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PMID: 20869659
PDF is available here.
Abstract
Admission rates and incidental finding categories were similar across the 2 time periods. Implementation of a dedicated incidental finding coordinator resulted in more than a 165% increase in incidental finding capture (n = 802 vs n = 302; P < .001). Patient notification was attempted, and appropria...
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PMID: 20705305
PDF is available here.
Julius Cuong Pham,
Sebastiana Gianci,
James Battles,
Paula Beard,
John R Clarke,
Hilary Coates,
Liam Donaldson,
Noel Eldridge,
Martin Fletcher,
Christine A Goeschel,
Eugenie Heitmiller,
Jörgen Hensen,
Edward Kelley,
Jerod Loeb,
William Runciman,
Susan Sheridan,
Albert W Wu and
Peter J Pronovost
Abstract
BACKGROUND: Incident-reporting systems (IRS) collect snapshots of hazards, mistakes and system failures occurring in healthcare. These data repositories are a cornerstone of patient safety improvement. Compared with systems in other high-risk industries, healthcare IRS are fragmented and isolated, a...
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PMID: 20977995
PDF is available here.
Abstract
Migraine is a common, disabling, and underdiagnosed condition. Pharmacists are in an excellent position to help improve migraineur outcomes. The Pharmacists Care of Migraineurs Scale (PCMS) may be useful for documenting migraineur care and in the design and targeting of interventions aimed at improv...
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PMID: 20813336
PDF is available here.
Abstract
: Assessment, charting, and communicating were the most frequent activities, consuming 18.1%, 9.9%, and 11.8% of nurse time, respectively. The duration of 40% of the activities was less than 10 seconds. Timelines revealed that nurses constantly switch activities and locations in a seemingly random pa...
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PMID: 20798619
PDF is available here.
Abstract
One of the largest categories of reported adverse events in hospitals are patient falls, which are estimated to cost more than $20 billion a year. With the goal of preventing falls and reducing the seriousness of injuries from falls, a quality improvement project was initiated. The authors discuss t...
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PMID: 20798621
PDF is available here.
Abstract
The safe prescribing, use, administration, and monitoring of medications are an important component of patient safety efforts and are of particular importance to the obstetrician/gynecologist. Safe use of medications requires a team-based approach focused on medication safety with effective 2-way co...
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PMID: 20661034
PDF is available here.
Abstract
Death certificates provide epidemiologists and other researchers with statistical data regarding causes of death within the community. When the certificates are filled out erroneously they provide misleading and inaccurate information. The aim of our investigation was to determine whether these cert...
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PMID: 20512028
PDF is available here.
Abstract
Risk-adjusted charts for monitoring a surgical or patient care process have recently gained prominence in the literature. To monitor a patient care process, especially to detect deterioration is crucial in saving patients' lives. In this paper, a new charting procedure is developed for monitoring a...
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PMID: 20715306
PDF is available here.
Abstract
Human trichinellosis was first documented in Hungary in 1891 and then there were an increased number of reports up to 1964 when the most severe outbreak occurred. After that, no information was available on the international literature on human trichinellosis which occurred from 1965 up to the prese...
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PMID: 21073141
PDF is available here.
Abstract
The prevalence of difficult or prolonged weaning from the ventilator is increasing due to a growing number of multi-morbid, elderly and pulmonary deficient patients being mechanically ventilated. Intensive care units (ICU) tend to refer difficult to wean patients to specialised weaning facilities. A...
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PMID: 20827645
PDF is available here.
Abstract
Almost one third of the Swiss population smokes. Of these persons a large percentage would like to quit smoking each year. It is well known that the odds to quit successfully are improved by professional counseling and medication support. In order to counsel the numerous smokers interested in quitti...
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PMID: 20687043
PDF is available here.
Abstract
This descriptive study examined the readability levels of Individualized Family Service Plans (IFSPs). The readability of 85 de-identified IFSP documents developed by seven agencies that serve families and children enrolled in a county early intervention program was analyzed using Flesch Kincaid gra...
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PMID: 20608861
PDF is available here.
Abstract
We propose a standard format for documenting models and their analyses: transparent and comprehensive ecological modeling (TRACE) documentation. This standard format will disclose all parts of the modeling process to scrutiny and make modeling itself more efficient and coherent....
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PMID: 20605251
PDF is available here.
Abstract
We searched the IMS Disease Analyzer database, which stores representative information on approximately 4.2 million patients. All documented diagnoses of diabetes mellitus in 2008, based on either ICD-10 (international classification of diseases) codes or free text comments from doctors, were analys...
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PMID: 20852505
PDF is available here.