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Artykuły w czasopismach na temat „Outcome assessment (medical care)”

Autor: Grafiati

Data publikacji: 4 czerwca 2021

Data aktualizacji: 27 lipca 2024

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1

Farris, Karen B., and Duane M. Kirking. "Assessing the Quality of Pharmaceutical Care II. Application of Concepts of Quality Assessment from Medical Care." Annals of Pharmacotherapy 27, no. 2 (February 1993): 215–23. http://dx.doi.org/10.1177/106002809302700218.

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Objective To present a framework that facilitates quality assessment of pharmaceutical care (PC) so that the profession and the public may identify pharmacists in ambulatory settings who provide quality care in all aspects of their practices. Data Sources A MEDLINE search augmented by a review of International Pharmacy Abstracts was used to identify pertinent quality assessment and pharmacy practice literature; indexing terms included quality assurance, healthcare, pharmacists, community pharmacy services, ambulatory, pharmacy, and process and outcome assessment. Study Selection All identified

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Granger, Carl V., and Carol M. Brownscheidle. "Outcome Measurement in Medical Rehabilitation." International Journal of Technology Assessment in Health Care 11, no. 2 (1995): 262–68. http://dx.doi.org/10.1017/s0266462300006875.

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AbstarctThe Uniform Data System for Medical Rehabilitation (UDSmr) provides a method for uniform assessment of the severity of patient disability and the outcomes of medical rehabilitative care. The effectiveness and efficiency of medical rehabilitation services may be analyzed using the Functional Independence Measure (FIM), the functional assessment component of the UDS, and other data. Program evaluation models based on the UDSMR and the FIM are useful for measuring resource cost of disability.

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Camacho, Luiz Antonio Bastos, and Haya Rahel Rubin. "Reliability of medical audit in quality assessment of medical care." Cadernos de Saúde Pública 12, suppl 2 (1996): S85—S93. http://dx.doi.org/10.1590/s0102-311x1996000600009.

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Medical audit of hospital records has been a major component of quality of care assessment, although physician judgment is known to have low reliability. We estimated interrater agreement of quality assessment in a sample of patients with cardiac conditions admitted to an American teaching hospital. Physician-reviewers used structured review methods designed to improve quality assessment based on judgment. Chance-corrected agreement for the items considered more relevant to process and outcome of care ranged from low to moderate (0.2 to 0.6), depending on the review item and the principal diag

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4

Bauer, Seth R., and Sandra L. Kane-Gill. "Outcome Assessment of Critical Care Pharmacist Services." Hospital Pharmacy 51, no. 7 (July 2016): 507–13. http://dx.doi.org/10.1310/hpj5107-507.

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Spiridonov, V. A., L. G. Aleksandrova, V. A. Kalyanov, and R. R. Latfullina. "Medical legal assessment of medical care for tick-borne encephalitis with lethal outcome." Kazan medical journal 99, no. 4 (August 8, 2018): 678–84. http://dx.doi.org/10.17816/kmj2018-678.

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Aim. Study of regulatory and legal base according to the criminal case file submitted for expert and medico-legal assessment of a case of failure of health care in tick-borne viral encephalitis in an endemic zone. Methods. During the research, the expert and legal analysis was performed to establish the cause-and-effect relationship between health workers’ actions and lethal outcome of tick-borne viral encephalitis on the basis of standard and legal acts of the Russian Federation. Special authors’ attention was paid to the assessment of influence of quality of preventive measures organiz

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Nelson, Jessica L., Stephanie P. Chambers, Holly E. Brakke, and Jessica H. Hus. "Decreasing the Frequency of Nursing Assessment for Medically Stable Hospitalized Patients." Clinical Nurse Specialist 37, no. 5 (September 2023): 223–27. http://dx.doi.org/10.1097/nur.0000000000000768.

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Purpose/Objectives During the COVID-19 pandemic, a large Midwest tertiary care medical center had prolonged hospitalizations due to strained staffing and few options for post–acute care recovery. Patients deemed medically ready for discharge were receiving the same care interventions as all other hospitalized medical-surgical patients. The study objective was to appropriately match care assessment frequency for these patients with their individual needs by reducing the frequency of routine nursing assessments. Description of the Project/Program This quality improvement initiative reduced the f

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Nakajima, Nobuhisa. "Palliative Care Outcome Scale Assessment for Cancer Patients Eligible for Palliative Care: Perspectives on the Relationship between Patient-Reported Outcome and Objective Assessments." Current Oncology 29, no. 10 (September 28, 2022): 7140–47. http://dx.doi.org/10.3390/curroncol29100561.

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(1) Background: The importance of patient-reported outcome (PRO), i.e., prioritizing patient voice, has increased in cancer treatment, as well as palliative and supportive settings. The Integrated Palliative Care Outcome Scale (IPOS), a hybrid evaluation consisting of “patient evaluation” (PRO) and “peer evaluation” by medical professionals, was developed as a successor version of the Support Team Assessment Schedule (STAS) in 2013 and has been utilized worldwide. The Japanese version of the IPOS (IPOS-J) was developed and released in 2019. The purpose of this study was to explore the applicab

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Gray, James E., Marie C. McCormick, Douglas K. Richardson, and Steven Ringer. "Normal Birth Weight Intensive Care Unit Survivors: Outcome Assessment." Pediatrics 97, no. 6 (June 1, 1996): 832–38. http://dx.doi.org/10.1542/peds.97.6.832.

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Rationale/Objective. Although the short-and long-term outcome of low birth weight neonatal intensive care unit (NICU) survivors has been extensively studied, much less information is available for normal birth weight (NBW) infants (greater than or equal to 2500 g) who require NICU care. Methods. To address this issue, we retrospectively examined the neonatal hospitalizations and 6-month health status of 521 consecutive NBW admissions to a single NICU. Information on the neonatal hospitalization was obtained from a review of medical records. Postdischarge health status was collected by using te

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Suljic, Enra, Admir Mehicevic, and Aida Gavranovic. "Stroke Emergency Medical Care: Initial Assessment, Risk Factors, Triage and Hospitalization Outcome." Materia Socio Medica 25, no. 2 (2013): 83. http://dx.doi.org/10.5455/msm.2013.25.83-87.

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Bontsevich, Roman, Yulia Kirienko, Viktoriya Bogatova, Elena Milutina, Vladimir Kovalenko, Aleksandra A. Melnichenko, Galina Batishcheva, Natalia Goncharova, and Andrey Agapov. "Assessment of senior medical care majors’ knowledge in antimicrobial chemotherapy." Research Results in Pharmacology 4, no. 4 (December 18, 2018): 107–13. http://dx.doi.org/10.3897/rrpharmacology.4.31960.

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Introduction: The resistance of microorganisms to antimicrobials has been gradually increasing since 2011 and is now recognized by the World Health Organization as a global biological threat. Causes of antimicrobial resistance must be actively addressed. Healthcare workers’ awareness of rational antimicrobial prescribing practices is of great importance. The increasing relevance of this issue is considered within this study, which started in 2014. Materials and methods: The article represents the results of anonymous prospective surveys within the framework of the KANT multi-centered research

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Hatton, Jessica, Rachel Chandra, David Lucius, and Elizabeth Ciuchta. "Patient Satisfaction of Pharmacist-Provided Care via Clinical Video Teleconferencing." Journal of Pharmacy Practice 31, no. 5 (July 13, 2017): 429–33. http://dx.doi.org/10.1177/0897190017715561.

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Purpose: Patient satisfaction with the use of telehealth in disease state management provided by pharmacists has not been fully studied. We hypothesized that patient satisfaction with pharmacist-provided consultations via clinical video teleconferencing (CVT) would not differ from face-to-face delivery. Methods: Patients were recruited from 2 primary care provider sites from September 2015 to May 2016. Patients completed a survey to evaluate their satisfaction and quality of provider–patient communication with the method in which consultation with a pharmacist was provided. The survey was a 10

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12

Bloom, Bernard S. "Does It Work? The Outcomes of Medical Interventions." International Journal of Technology Assessment in Health Care 6, no. 2 (January 1990): 326–32. http://dx.doi.org/10.1017/s0266462300000854.

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The focus of this article is on contemporary roots of medical care quality measurement, while it also examines some of the most important historical precedents. Specifically, it singles out Dr. Ernest Avery Codman and his early 20th-century work emphasizing the assessment of outcome as the paramount indicator of medical care quality. The standard that he set for himself and others is the one that late 20th-century researchers must uphold, and to which we must answer.

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Tetzlaff, John E., and David C. Warltier. "Assessment of Competency in Anesthesiology." Anesthesiology 106, no. 4 (April 1, 2007): 812–25. http://dx.doi.org/10.1097/01.anes.0000264778.02286.4d.

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Assessment of competency in traditional graduate medical education has been based on observation of clinical care and classroom teaching. In anesthesiology, this has been relatively easy because of the high volume of care provided by residents under the direct observation of faculty in the operating room. With the movement to create accountability for graduate medical education, there is pressure to move toward assessment of competency. The Outcome Project of the Accreditation Council for Graduate Medical Education has mandated that residency programs teach six core competencies, create reliab

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Khan, AA, J. Lim, B. Janzen, A. Amiraslany, and S. Almubarak. "P.032 The impact of waiting time on the assessment of the first seizure onset in pediatrics." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 44, S2 (June 2017): S21. http://dx.doi.org/10.1017/cjn.2017.117.

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Background: Childhood epilepsy has increased in global incidence. Children with epilepsy require immediate healthcare evaluation and monitoring. Waiting times between first seizure onset and pediatric neurology assessment may impact seizure outcome at follow-up. Quality of medical care for children with first seizure onset will be assessed and the impact of pediatric neurology clinic waiting times on seizure outcomes will be determined Methods: This retrospective study, based on chart review, includes patients with first seizure evaluation at the Royal University Hospital in Saskatoon between

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Spiridonov, V. A., L. G. Alexandrova, A. A. Anisimov, R. R. Latfullina, and E. V. Kulakova. "Clinical case of special legal liability which is the result of a doctor when combination of specialties." Kazan medical journal 102, no. 4 (August 8, 2021): 557–62. http://dx.doi.org/10.17816/kmj2021-557.

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We analyzed a forensic case related to an unfavorable outcome of medical care by a pediatrician. One of the reasons for the unfavorable outcome of medical care was the combination of pediatric and pediatric neurology specialties by the doctor, which, according to experts, contributed to an incorrect assessment of the severity of the childs condition and incorrect assessment of general cerebral symptoms and neurological disorders, without proper differentiation. As a result, the diagnostic was not fully provided, and more serious diseases at the time were not excluded. We determined the objecti

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Sebring, Kelly, Jo Shattuck, Julie Berk, Isabel Boersma, Stefan Sillau, and Benzi M. Kluger. "Assessing the validity of proxy caregiver reporting for potential palliative care outcome measures in Parkinson’s disease." Palliative Medicine 32, no. 9 (July 17, 2018): 1522–28. http://dx.doi.org/10.1177/0269216318785830.

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Background: There is increasing interest in applying palliative care approaches for patients with Parkinson’s disease. Methodological studies are needed to validate palliative care outcome measures for Parkinson’s disease to build this evidence base. As many patients with Parkinson’s disease have cognitive and/or communication issues, proxy outcome measures may improve the inclusivity and relevance of research. Aim: To assess the validity of proxy caregiver reports for several potential palliative care outcome measures. Design: A cross-sectional study of Parkinson’s disease patients and caregi

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Evans, Todd A., and Kenneth C. Lam. "Clinical Outcomes Assessment in Sport Rehabilitation." Journal of Sport Rehabilitation 20, no. 1 (February 2011): 8–16. http://dx.doi.org/10.1123/jsr.20.1.8.

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Evidence-based practice is an established guiding principle in most medical and health care disciplines. Central to establishing evidence-based practice is the assessment of clinical outcomes. Clinical outcomes represent a form of evidence on which to base medical decisions, as well as providing the mechanism for assessing the effectiveness of evidence-based interventions. However, clinical outcomes are not routinely assessed in sport rehabilitation. If sport rehabilitation clinicians fail to incorporate clinical outcomes assessment and, as a result, evidence into daily practice, they may be m

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18

Swing, Susan R., Stephen G. Clyman, Eric S. Holmboe, and Reed G. Williams. "Advancing Resident Assessment in Graduate Medical Education." Journal of Graduate Medical Education 1, no. 2 (December 1, 2009): 278–86. http://dx.doi.org/10.4300/jgme-d-09-00010.1.

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Abstract Background The Outcome Project requires high-quality assessment approaches to provide reliable and valid judgments of the attainment of competencies deemed important for physician practice. Intervention The Accreditation Council for Graduate Medical Education (ACGME) convened the Advisory Committee on Educational Outcome Assessment in 2007–2008 to identify high-quality assessment methods. The assessments selected by this body would form a core set that could be used by all programs in a specialty to assess resident performance and enable initial steps toward establishing national spec

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Bergman, David A. "Thriving in the 21st Century: Outcome Assessment, Practice Parameters, and Accountability." Pediatrics 96, no. 4 (October 1, 1995): 831–35. http://dx.doi.org/10.1542/peds.96.4.831.

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The past two decades have brought about major health care changes that have been driven by an ever-increasing cost of health care, practice variability, and medical malpractice litigation. These changes pose a challenge to pediatricians to contain costs, to reduce inappropriate use of health care services, and to demonstrate improved health care outcomes. To meet this challenge, a new "clinical tool kit" is required, one that will allow the pediatrician to analyze current practices and to document effective interventions. Two of the major tools in this kit are practice guidelines and outcomes

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Cole, Martin G., François J. Primeau, and L. Michel Élie. "Delirium: Prevention, Treatment, and Outcome Studies." Journal of Geriatric Psychiatry and Neurology 11, no. 3 (October 1998): 126–37. http://dx.doi.org/10.1177/089198879801100303.

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The purpose of this paper was to contribute to a new conceptual understanding of delirium by reviewing evidence related to its prevention, treatment, and outcome. The review process involved a systematic search of the literature on each topic, assessment of the validity of the studies retrieved, and examination of their results. The literature search identified 10 studies on prevention, 13 studies on treatment, and 15 studies on outcome. Most studies had methodological limitations. Abroad spectrum of interventions appeared to be modestly effective in preventing delirium in young and old surgic

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Hassan, Layla, Shauna A. M. Cortenraad, Charlotte B. M. Rosenberg, Merel L. Kimman, Michel Haanen, Wim G. van Gemert, and Ruben Gerardus Johannes Visschers. "Protocol for the development of a core outcome set for the optimisation of treatment and follow-up of patients with an anorectal malformation (ARM): The ARM and OUtcome Review (ARMOUR)-project." BMJ Paediatrics Open 7, no. 1 (March 2023): e001691. http://dx.doi.org/10.1136/bmjpo-2022-001691.

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BackgroundPrimary treatment of an anorectal malformation (ARM) is surgical restoration of the anatomy. These children can experience many problems later in life; therefore, a long-term follow-up by an experienced team is needed. The aim of the ARM and OUtcome Review (ARMOUR-study) is to identify the lifetime outcomes that are important from a medical and patients’ perspective and develop a core outcome set (COS) that can be implemented in a care pathway to support individual ARM management decisions.MethodsFirst, a systematic review will identify clinical and patient-reported outcomes describe

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Peschel, Richard E., and Enid Peschel. "Consumerism for Neurobiological Disorders: An Assessment." International Journal of Technology Assessment in Health Care 12, no. 4 (1996): 644–56. http://dx.doi.org/10.1017/s0266462300010941.

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AbstractConsumerism is a growing phenomenon in U.S. health care, yet its exercise is still inhibited by powerful forces within the medical community. Despite the neuroscientific framework that stresses the commonalities between mental and physical illness, consumerism is even more problematic and difficult in mental health care than in other areas of health care. People with severe mental illness and their advocates must contend with limited public understanding of neurobiological disorders, poor definitions of effective treatment, and a paucity of outcome data, especially from prospective ran

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Saral, Swati, and Pawan Ghanghoria. "Assessment of developmental outcome of neonatal seizures at NICU of tertiary care centre hospital." International Journal of Contemporary Pediatrics 4, no. 1 (December 21, 2016): 100. http://dx.doi.org/10.18203/2349-3291.ijcp20164586.

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Background: Seizures are relatively common among first month of life. New-born with neonatal seizures are at risk of developmental delay. The objective of this study was to assess the developmental outcome of neonatal seizures and to study the factors associated with delayed developmental outcome in neonatal seizures.Methods: A prospective observational Study was conducted in 71 term and preterm neonates with documented seizure admitted in Medical college hospital, Jabalpur. A predesigned pretested questionnaire was used. The face to face interview technique was used for collection of data by

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Dhondt, E. L., F. Van utterbeek, C. Ullrich, and M. Debacker. "(A145) Simulation for the Assessment and Optimization of Medical Disaster Management." Prehospital and Disaster Medicine 26, S1 (May 2011): s41—s42. http://dx.doi.org/10.1017/s1049023x11001464.

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BackgroundThe ultimate goal of medical disaster management must be to predictably orchestrate transition from “standard of care” to “sufficiency of care” using evidence-based methods. However, neither descriptive reports of disaster responses nor epidemiological studies investigating disaster risk factors have been able to provide validated outcome measures as to what constitutes a “good” disaster response. Moreover, it either has been considered impossible, ethically inappropriate, or both, to identify experimental and control groups essential for hypothesis testing for the conduct of scienti

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Selby, Debbie, Sally Bean, Elie Isenberg-Grzeda, Blair Henry D. Bioethics, and Amy Nolen. "Medical Assistance in Dying (MAiD): A Descriptive Study From a Canadian Tertiary Care Hospital." American Journal of Hospice and Palliative Medicine® 37, no. 1 (June 30, 2019): 58–64. http://dx.doi.org/10.1177/1049909119859844.

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Background: In June 2016, the Government of Canada passed Bill C-14 decriminalizing medically assisted death. Increasing numbers of Canadians are accessing medical assistance in dying (MAiD) each year, but there is limited information about this population. Objective: To describe the characteristic outcomes of MAiD requests in a cohort of patients at an academic tertiary care center in Toronto, Ontario, Canada. Methods: A retrospective chart review of patients making a formal request for a MAiD eligibility assessment from July 16 to September 18. Data extracted included demographics, diagnosis

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Wagner, Rafaela, Thalita Cecília Lima, Marielen Ribeiro Tavares da Silva, Anna Clara Pereira Rabha, Marinei Campos Ricieri, Mariana Millan Fachi, Rogério Carballo Afonso, and Fábio Araújo Motta. "Assessment of Pediatric Telemedicine Using Remote Physical Examinations With a Mobile Medical Device." JAMA Network Open 6, no. 2 (February 2, 2023): e2252570. http://dx.doi.org/10.1001/jamanetworkopen.2022.52570.

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ImportanceThe number of innovations in health care based on the use of platforms, digital devices, apps, and artificial intelligence has grown exponentially in recent years. When used correctly, these technologies allow inequities in access to health care to be addressed by optimizing care and reducing social and geographic barriers. However, most of the technological health care solutions proposed have not undergone rigorous clinical studies.ObjectiveTo assess the concordance between measurements from a remote physical examination using a mobile medical device and measurements from a conventi

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Daulay, Elvita Rahmi. "Unusual Case of Low-Velocity Large Object Penetrating the Frontal Bone with Favorable Outcome: A Case Report in Pediatric Patient." Open Access Macedonian Journal of Medical Sciences 9, no. C (October 24, 2021): 273–76. http://dx.doi.org/10.3889/oamjms.2021.6805.

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BACKGROUND: Penetrating head injury is one of the deadliest forms of head trauma; the outcome is usually low, and patients who survive long enough require complex medical treatment. Immediate imaging assessment with appropriate management can improve patient recovery. CASE REPORT: We reported a case of head penetration trauma on a 12-year-old child with embedded cylindrical iron that enters the skull without any signs of neurological deficit. CONCLUSIONS: This case shows that aggressive diagnostic imaging and emergency care followed by proper immediate head surgery management and postoperative

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Pu, Dai, Thomas Murry, May C. M. Wong, Edwin M. L. Yiu, and Karen M. K. Chan. "Indicators of Dysphagia in Aged Care Facilities." Journal of Speech, Language, and Hearing Research 60, no. 9 (September 18, 2017): 2416–26. http://dx.doi.org/10.1044/2017_jslhr-s-17-0028.

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Purpose The current cross-sectional study aimed to investigate risk factors for dysphagia in elderly individuals in aged care facilities. Method A total of 878 individuals from 42 aged care facilities were recruited for this study. The dependent outcome was speech therapist-determined swallowing function. Independent factors were Eating Assessment Tool score, oral motor assessment score, Mini-Mental State Examination, medical history, and various functional status ratings. Binomial logistic regression was used to identify independent variables associated with dysphagia in this cohort. Results

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Alshevsky, A. A., A. S. Kataev, and A. S. Suvorov. "FORENSIC MEDICAL ASSESSMENT OF CAUSE-AND-EFFECT RELATIONSHIPS DURING EXAMINATION IN CASES WHERE A DOCTOR HAS CAUSED DEATH OF A PATIENT WITH A NATURAL OUTCOME OF THE EXISTING PATHOLOGY." Bulletin of the Medical Institute of Continuing Education 3, no. 4 (December 15, 2023): 99–102. http://dx.doi.org/10.36107/2782-1714_2023-3-4-99-102.

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Some forensic medical experts believe that during the examination in criminal proceedings in cases where a doctor has caused harm to a patient’s health, in the case of a natural outcome of the existing pathology, it should be limited to resolving the issue of the presence of a defect in the provision of medical care and the causal relationship with the outcome of treatment. In their opinion, it is the prerogative of the investigation to evaluate the doctor's actions, in the event of the patient's death from the existing pathology. Background. Since this point of view significantly affects the

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Goldstein, Laura H., Emily J. Robinson, Izabela Pilecka, Iain Perdue, Iris Mosweu, Julie Read, Harriet Jordan, et al. "Cognitive–behavioural therapy compared with standardised medical care for adults with dissociative non-epileptic seizures: the CODES RCT." Health Technology Assessment 25, no. 43 (June 2021): 1–144. http://dx.doi.org/10.3310/hta25430.

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Background Dissociative (non-epileptic) seizures are potentially treatable by psychotherapeutic interventions; however, the evidence for this is limited. Objectives To evaluate the clinical effectiveness and cost-effectiveness of dissociative seizure-specific cognitive–behavioural therapy for adults with dissociative seizures. Design This was a pragmatic, multicentre, parallel-arm, mixed-methods randomised controlled trial. Setting This took place in 27 UK-based neurology/epilepsy services, 17 liaison psychiatry/neuropsychiatry services and 18 cognitive–behavioural therapy services. Participan

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Rainey, Petrie M. "Outcomes Assessment for Point-of-Care Testing." Clinical Chemistry 44, no. 8 (August 1, 1998): 1595–96. http://dx.doi.org/10.1093/clinchem/44.8.1595.

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Kelly, Sean G., Kunling Wu, Katherine Tassiopoulos, Kristine M. Erlandson, Susan L. Koletar, and Frank J. Palella. "Frailty Is an Independent Risk Factor for Mortality, Cardiovascular Disease, Bone Disease, and Diabetes Among Aging Adults With Human Immunodeficiency Virus." Clinical Infectious Diseases 69, no. 8 (December 24, 2018): 1370–76. http://dx.doi.org/10.1093/cid/ciy1101.

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Abstract Background We characterized associations between frailty and incident cardiovascular disease (CVD), diabetes mellitus (DM), bone disease, and mortality within a cohort of aging persons with human immunodeficiency virus (PWH). Methods Participants underwent frailty evaluations using the Fried frailty assessment (baseline and annually). Frailty was defined as having ≥3 frailty criteria. Clinical outcomes of mortality, CVD events, DM, and bone disease events were recorded throughout the study period (baseline to most recent study or clinic visit, or date of clinical outcome, whichever ca

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Rolf, M. Jane. "Pain Assessment: An Overview." Journal of Pharmacy Practice 16, no. 4 (August 2003): 225–30. http://dx.doi.org/10.1177/0897190003258508.

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Pain assessment is an integral part of providing quality patient care. Treatment of pain is driven by the findings of the pain assessment. Pain assessment provides health care professionals with the information necessary to effectively mange a patient's course of treatment and plan of care. To assess and manage pain with the best possible outcomes, the health care provider must depend on the patient's subjective description in addition to objective tools. Barriers, related to the patient's religion or cultural beliefs, and/or lack of knowledge on the part of the health care providers often imp

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Joseph, Stephen, and Frank Keating. "The role of locus of control in mental health nursing and other healthcare interventions in the UK." British Journal of Mental Health Nursing 12, no. 2 (May 2, 2023): 1–7. http://dx.doi.org/10.12968/bjmh.2023.0002.

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This article explores the role of service users' locus of control in determining the motivation, engagement and outcome in healthcare settings. The article also advocates for incorporating the concept of locus of control in the assessment, planning, implementation and evaluation of health care in the UK, particularly within sectors that cover mental health and wellbeing. It also highlights intervention tools that mental health nurses and other healthcare professionals would find useful for positive patient outcomes.

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Mehendale, Advait, Vidya Nagar, Rahul Radhakrishnan, Divya Kantak, Tahir Akhtar, and Arpita Priyadarshini. "Study of obstetric patients admitted to medical intensive care unit in a tertiary care teaching hospital." Journal of Clinical and Scientific Research 12, no. 3 (2023): 174–79. http://dx.doi.org/10.4103/jcsr.jcsr_179_22.

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Abstract Background: Obstetric critical care is of utmost importance and interventions in intensive care unit (ICU) can improve the maternal outcome. The efficient scoring systems for such critically ill patients are the need of the hour. Methods: We prospectively studied the characteristics and outcome of 75 critically ill obstetrics patients admitted to the ICU of our tertiary care teaching hospital. Results: Their mean age was 27.2 ± 5.0 years. Hypertensive diseases of pregnancy (n = 51; 68%) were the most common reasons for ICU admission; hypothyroidism (13.3%) was the most common comorbid

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MacPherson, Douglas W., Fausto Mariani, Jacqueline Weekers, and Brian D. Gushulak. "Field Epidemiology Assessment for a Medical Evacuation Programme Related to the Crisis in Kosovo, 1999." Prehospital and Disaster Medicine 15, no. 3 (September 2000): 19–24. http://dx.doi.org/10.1017/s1049023x00025140.

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AbstractIn complex human emergency (CHE)-aid situations, the international community responds to provide assistance to reduce morbidity and mortality related to environmental and civil disruptions. The political and social situation in Kosovo, in combination with the military activity from 23 March to 09 June, 1999, created a crisis associated with mass movement of the population of Kosovo into neighbouring provinces and nations. This forced migration of people seeking protection increased demands for -water, food, shelter, and health care in the refugee areas. The United Nations High Commissi

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SUCIU, Nicoleta, Lorena Elena MELIȚ, and Cristina Oana MĂRGINEAN. "Teaching communication in medical students – a cornerstone for patient’s outcome." Romanian Journal of Medical Practice 16, no. 2 (June 30, 2021): 143–47. http://dx.doi.org/10.37897/rjmp.2021.2.6.

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Communication is definitely one of the most important contributing factor for an ideal doctor-patient relationship. The major importance of communication is to build a proper relationship with the patients, in which the empathy and respect play an essential role and can be taught and improved with proper training. This process is defined as cross-culture communication and it has to be taught during medical school. Patient-centered communication is a concept closely related to cross-culture communication and it might be defined by the physician’s ability to tailor communication to each patient’

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Persson, Erika, Christina Haines, and Mia Lang. "Parent assessment of medical student skills in ambulatory pediatrics." Canadian Medical Education Journal 4, no. 2 (September 30, 2013): e18-e27. http://dx.doi.org/10.36834/cmej.36608.

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Background: Partnership with parents is a vital part of pediatric medical education, yet few studies have examined parent attitudes towards learners in pediatric settings. Methods: Questionnaires were used to determine parent and student assessment of professional and clinical skills (primary outcome) and parent attitudes towards 3rd year medical students (secondary outcome) at the University of Alberta. Chi Square, Kendall’s Tau and Kappa coefficients were calculated to compare parent and student responses in 8 areas: communication, respect, knowledge, listening, history taking, physical exam

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*Raman, Sainath, Georgia *Brown, *Equal first authors, Debbie Long, Ben Gelbart, Carmel Delzoppo, Johnny Millar, Simon Erickson, Marino Festa, and Luregn J. Schlapbach. "Priorities for paediatric critical care research: a modified Delphi study by the Australian and New Zealand Intensive Care Society Paediatric Study Group." Critical Care and Resuscitation 23, no. 2 (June 7, 2021): 194–201. http://dx.doi.org/10.51893/2021.2.oa6.

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OBJECTIVE: Most interventions in paediatric critical care lack high grade evidence. We aimed to identify the key research priorities and key clinical outcome measures pertinent to research in paediatric intensive care patients. DESIGN: Modified three-stage Delphi study combining staged online surveys, followed by a face-to-face discussion and final voting. SETTING: Paediatric intensive care units in Australia and New Zealand. PARTICIPANTS: Medical and nursing staff working in intensive care. MAIN OUTCOME MEASUREMENTS: Self-reported priorities for research. RESULTS: 193 respondents provided a t

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Mukhametshin, Rustam F., O. P. Kovtun, N. S. Davydova та A. A. Kurganski. "TRIPS scale as a predictor of outcomes in newborns requiring medical evacuation: оbservational cohort retrospective study". Annals of Critical Care, № 2 (28 квітня 2023): 130–39. http://dx.doi.org/10.21320/1818-474x-2023-2-130-139.

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INTRODUCTION: Assessment of the patient’s condition and prediction of outcomes is critically important during pre-transport stabilization and remains the most complex challenges of the activities of transport teams. A significant variety of scales and different requirements for their application indicates that there is no consensus on the choice of a specific scale and predictive tool. OBJECTIVE: To study hospital outcomes in transported newborns, depending on the assessment on the TRIPS scale (Transport Risk Index of Physiological Stability for Newborn Infants). MATERIALS AND METHODS: The оbs

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Kotsaba, Yuliia, and Liliia Babinets. "Nursing Assessment of Health Status in the Elderly People Care." Family medicine. European practices, no. 4 (December 29, 2023): 42–49. http://dx.doi.org/10.30841/2786-720x.4.2023.297027.

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The article presents the peculiarities of the organization of nursing care for the elderly people. The cornerstone of gerontological nursing care is a complex assessment of patients’ health. It is known that the medical care needs of the elderly people are composite, caused by a combination of age-related changes, chronic diseases, heredity and lifestyle. When assessing and providing assistance to older people, the healthcare team includes doctors from various medical disciplines, medical nurses, social workers, confessors, pharmacists, rehabilitation specialists, etc. Each team member contrib

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Blank, Sebastiaan P., and Ruth M. Blank. "Echocardiography Does not Reduce Mortality in Sepsis: A Re-Evaluation Using the Medical Information Mart for Intensive Care IV Dataset*." Critical Care Medicine 52, no. 2 (October 20, 2023): 248–57. http://dx.doi.org/10.1097/ccm.0000000000006069.

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OBJECTIVES: Echocardiography is commonly used for hemodynamic assessment in sepsis, but data regarding its association with outcome are conflicting. The aim of this study was to evaluate the association between echocardiography and outcomes in patients with septic shock using the Medical Information Mart for Intensive Care IV database. DESIGN: Retrospective cohort study comparing patients who did or did not undergo transthoracic echocardiography within the first 5 days of admission for the primary outcome of 28-day mortality. SETTING: Admissions to the Beth Israel Deaconess Medical Center inte

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Gunzburg, R., M. Szpalski, and J. Van Goethem. "Initial Assessment of Whiplash Patients." Pain Research and Management 8, no. 1 (2003): 24–27. http://dx.doi.org/10.1155/2003/650251.

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The article looks at how for severe trauma, the outcome of treatment depends on the initial medical care. This has now also been accepted for whiplash associated disorders, underlining the importance of a proper initial assessment. Once major injury has been excluded and the diagnosis of whiplash associated disorder has been established, the initial treatment of whiplash in the emergency room can be started. The four key points to remember are described, including reassuring the patient about evolution, no soft collar, nonsteroidal anti-inflammatory drugs and early mobilisation.

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Jacobs, Jeffrey P. "Introduction – Databases and the assessment of complications associated with the treatment of patients with congenital cardiac disease." Cardiology in the Young 18, S2 (December 2008): 1–37. http://dx.doi.org/10.1017/s104795110800334x.

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AbstractThe Multi-Societal Database Committee for Pediatric and Congenital Heart Disease was established in 2005 with the goal of providing the infrastructure, spanning geographical and subspecialty boundaries, for collaboration between health care professionals interested in the analysis of outcomes of treatments provided to patients with congenital cardiac disease, with the ultimate aim of improvement in the quality of care provided to these patients. The purpose of these collaborative efforts is to promote the highest quality comprehensive cardiac care to all patients with congenital heart

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Ekdahl, Anne Wissendorff, Anna Axmon, Magnus Sandberg, and Katarina Steen Carlsson. "Is care based on comprehensive geriatric assessment with mobile teams better than usual care? A study protocol of a randomised controlled trial (The GerMoT study)." BMJ Open 8, no. 10 (October 2018): e023969. http://dx.doi.org/10.1136/bmjopen-2018-023969.

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IntroductionComprehensive geriatric assessment (CGA) is a multidimensional, interdisciplinary diagnostic process used to determine the medical, psychological and functional capabilities of frail older people. The primary aim of our current study is to confirm whether CGA-based outpatient care is superior than usual care in terms of health-related outcomes, resource use and costs.Methods and analysisThe Geriatric Mobile Team trial is designed as a single-centre randomised, controlled, assessor-blinded (at baseline) trial. All participants will be identified via local healthcare registries with

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Gupta, Divya, Premlata Mital, Bhanwar Singh Meena, Devendra Benwal, Saumya, Sunita Singhal, and Richa Ainani. "Comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy at tertiary care centre." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 6 (May 25, 2017): 2395. http://dx.doi.org/10.18203/2320-1770.ijrcog20172319.

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Background: Multiple pregnancy remains one of the highest risk situations for the mother, foetus and neonate despite recent advances in obstetrics, perinatal and neonatal care. Twin pregnancies have increased rates of obstetric and perinatal complications compared to singletons Objective of present study was comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy in Obstetrics and Gynaecology Department of S.M.S. Medical College, Jaipur.Methods: This was a hospital based, prospective observational study done in the Department of Obstetrics and Gynaecology. S.M

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Hedley-Whyte, John. "Frederick Mosteller (1916–2006): Mentoring, A Memoir." International Journal of Technology Assessment in Health Care 23, no. 1 (January 2007): 152–54. http://dx.doi.org/10.1017/s0266462307051707.

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Frederick Mosteller was born in Clarksburg, West Virginia, at the time of the birth of medical technology assessment (10). During a long academic career at Harvard, he, probably more than any other person, contributed to techniques of assessment of therapy and outcome (6;14;29). Much of his seminal writing was published in theInternational Journal of Technology Assessment in Health Care(1;3;8;12;16;17;19;21–23).

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Bibi, Safia, Khanda Gul, Fozia Mohammad Bukhsh, and Palwasha Gul. "Assessment Of Perinatal Outcome Of Breech Presentation At A Tertiary Care Hospital, Quetta." Journal of Bahria University Medical and Dental College 09, no. 03 (September 4, 2019): 218–21. http://dx.doi.org/10.51985/jbumdc2018098.

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Objective: To review the mode of delivery and perinatal outcome in breech presentation in a tertiary care hospital. Study Design and Setting: Retrospective Analytical Study. Department of Obstetrics and Gynecology Unit-4, Bolan Medical Complex Hospital, Quetta, from 1st January 2012 to 31st December, 2016. Methodology: This retrospective analytical study included review of clinical records of all patients who delivered either vaginally or via caesarean section with breech presentation. Results: During the study period, 806 patients presented with breech (2.4%). Vaginal breech delivery was carr

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Beckett, Daniel J., CF Gordon, R. Paterson, S. Chalkley, DC MacLeod, and Derek Bell. "Assessment of clinical risk in the out of hours hospital prior to the introduction of Hospital at Night." Acute Medicine Journal 8, no. 1 (January 1, 2009): 33–38. http://dx.doi.org/10.52964/amja.0229.

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Overnight medical cover in hospital is less than during daylight hours. We aimed to quantify the numbers of patients deteriorating overnight and their clinical outcome. Data was collected in real time on use of the Standardised Early Warning Score (SEWS), ‘time to doctor’, seniority of medical review and clinical outcome. 136 incidents of clinical concern were noted on the general wards with a median response time of 5 minutes for SEWS>4 and 10 minutes if SEWS<4. 159 incidents were recorded in critical care. There was significant inter-speciality variation in median response times and se

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Devernay, Marie, Emmanuel Ecosse, Joël Coste, and Jean-Claude Carel. "Determinants of Medical Care for Young Women with Turner Syndrome." Journal of Clinical Endocrinology & Metabolism 94, no. 9 (September 1, 2009): 3408–13. http://dx.doi.org/10.1210/jc.2009-0495.

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Context: Turner syndrome is associated with reduced life expectancy. Lifelong follow-up is strongly recommended, but follow-up during the transition between pediatric and adult care has been little evaluated. Objective: Our objective was to evaluate the medical follow-up of a population-based cohort of young adult patients. Design, Setting, and Patients: A questionnaire study was conducted with a national cohort of 568 women, aged 22.6 ± 2.6 yr (range, 18.3–31.2), a mean of 6 yr after stopping GH treatment (StaTur cohort). Main Outcome Measures: We assessed the proportion of patients with adeq

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