31 results match your criteria BMJ innovations[Journal]

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Development and evaluation of a novel Vital Signs Alert device for use in pregnancy in low-resource settings.

BMJ Innov 2018 Oct 19;4(4):192-198. Epub 2018 Sep 19.

Department of Women and Children's Health, King's College London, London, UK.

Objectives: Haemorrhage, hypertension, sepsis and abortion complications (often from haemorrhage or sepsis) contribute to 60% of all maternal deaths. Each is associated with vital signs (blood pressure (BP) and pulse) abnormalities, and the majority of deaths are preventable through simple and timely intervention. This paper presents the development and evaluation of the CRADLE Vital Signs Alert (VSA), an accurate, low-cost and easy-to-use device measuring BP and pulse with an integrated traffic light early warning system. Read More

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http://dx.doi.org/10.1136/bmjinnov-2017-000235DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173817PMC
October 2018
3 Reads

Digital health in the Americas: advances and challenges in connected health.

BMJ Innov 2018 Jul 26;4(3):123-127. Epub 2018 May 26.

Faculty of Health Sciences, Universitat Oberta de Catalunya, Barcelona, Spain.

In 2005, all WHO Member States pledged to fight for universal health coverage (UHC). The availability of financial, human and technological resources seems to be necessary to develop efficient health policies and also to offer UHC. One of the main challenges facing the health sector comes from the need to innovate efficiently. Read More

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http://dx.doi.org/10.1136/bmjinnov-2017-000258DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6073915PMC
July 2018
15 Reads

Comparative evaluation of a novel solar powered low-cost ophthalmoscope (Arclight) by eye healthcare workers in Malawi.

BMJ Innov 2018 Apr 12;4(2):98-102. Epub 2018 Feb 12.

Global Health Implementation, School of Medicine, University of St Andrews, St Andrews, UK.

This study compared a novel low-cost solar powered direct ophthalmoscope called the Arclight with a traditional direct ophthalmoscope (TDO). After appropriate training, 25 Malawian eye healthcare workers were asked to examine 12 retinal images placed in a teaching manikin head with both the Arclight ophthalmoscope and a traditional direct ophthalmoscope (Keeler Professional V.2. Read More

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http://dx.doi.org/10.1136/bmjinnov-2017-000225DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890623PMC
April 2018
5 Reads

Temporal prediction of in-hospital falls using tensor factorisation.

BMJ Innov 2018 Apr 9;4(2):75-83. Epub 2018 Mar 9.

Graduate School of Public Health, St. Luke's International University, Tokyo, Japan.

In-hospital fall incidence is a critical indicator of healthcare outcome. Predictive models for fall incidents could facilitate optimal resource planning and allocation for healthcare providers. In this paper, we proposed a tensor factorisation-based framework to capture the latent features for fall incidents prediction over time. Read More

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http://dx.doi.org/10.1136/bmjinnov-2017-000221DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890633PMC
April 2018
2 Reads

Remote biomonitoring of temperatures in mothers and newborns: design, development and testing of a wearable sensor device in a tertiary-care hospital in southern India.

BMJ Innov 2018 Apr 14;4(2):60-67. Epub 2018 Feb 14.

Robert Bosch Center for Cyber Physical Systems, Indian Institute of Science, Bangalore, Karnataka, India.

Objective: Newer technologies such as wearables, sensors, mobile telephony and computing offer opportunities to monitor vital physiological parameters and tackle healthcare problems, thereby improving access and quality of care. We describe the design, development and testing of a wearable sensor device for remote biomonitoring of body temperatures in mothers and newborns in southern India.

Methods: Based on client needs and technological requirements, a wearable sensor device was designed and developed using principles of 'social innovation' design. Read More

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http://dx.doi.org/10.1136/bmjinnov-2016-000153DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890619PMC
April 2018
28 Reads

Innovation for the future of Irish MedTech industry: retrospective qualitative review of impact of BioInnovate Ireland's clinical fellows.

BMJ Innov 2018 Jan 24;4(1):32-38. Epub 2017 Nov 24.

BioInnovate Ireland, National University of Ireland Galway, Galway, Ireland.

Clinicians have historically been integral in innovating and developing technology in medicine and surgery. In recent years, however, in an increasingly complex healthcare system, a doctor with innovative ideas is often left behind. Transition from idea to bedside now entails significant hurdles, which often go unrecognised at the outset, particularly for first-time innovators. Read More

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http://dx.doi.org/10.1136/bmjinnov-2016-000184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867442PMC
January 2018
4 Reads

Autonomic components of Complex Regional Pain Syndrome (CRPS) are favourably affected by Electrical Twitch-Obtaining Intramuscular Stimulation (ETOIMS): effects on blood pressure and heart rate.

BMJ Innov 2017 Jul 4;3(3):176-187. Epub 2017 Sep 4.

Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.

Introduction: Favourable pain relief results on evoking autonomous twitches at myofascial trigger points with Electrical Twitch Obtaining Intramuscular Stimulation (ETOIMS).

Aim: To document autonomic nervous system (ANS) dysfunction in Complex Regional Pain Syndrome (CRPS) from blood pressure (BP) and pulse/heart rate changes with ETOIMS.

Methods And Materials: A patient with persistent pain regularly received serial ETOIMS sessions of 60, 90, 120 or ≥150 min over 24 months. Read More

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http://dx.doi.org/10.1136/bmjinnov-2016-000163DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5754870PMC
July 2017
1 Read

Does this treatment work for me? The patient's role in assessing medical care.

BMJ Innov 2017 Jul 16;3(3):157-162. Epub 2017 Sep 16.

Department of Physical Medicine and Rehabilitation, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Randomised clinical trials are designed to determine whether a particular treatment is appropriate to make a significant difference to the health of a defined population and to aid its approval for use. For an accurate, cheap and simple assessment to see if a treatment benefits an individual person, all that is needed is a pen, paper, simple pocket calculator and daily recording of a few variables. It requires the ability to read and write and to understand addition and division. Read More

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http://dx.doi.org/10.1136/bmjinnov-2016-000177DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5754871PMC
July 2017
2 Reads

Telementoring with project ECHO: a pilot study in Europe.

BMJ Innov 2017 Jul 24;3(3):144-151. Epub 2017 Aug 24.

Department of Genito-urinary Medicine and Infectious, St James's Hospital, Dublin, Ireland.

The Extension of Community Healthcare Outcomes (ECHO) project is a novel educational intervention designed in New Mexico to transfer subspecialty knowledge about hepatitis C virus (HCV) to primary care providers, thereby increasing patient access to HCV care. The ECHO model has been shown to deliver educational benefits and to result in good treatment outcomes for HCV-infected individuals in the USA; however, this approach has not been assessed in a European setting. We sought to evaluate the feasibility, acceptability and implementation of the ECHO model in Ireland using a pilot study. Read More

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http://dx.doi.org/10.1136/bmjinnov-2016-000141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5754872PMC
July 2017
1 Read

American football and other sports injuries may cause migraine/persistent pain decades later and can be treated successfully with electrical twitch-obtaining intramuscular stimulation (ETOIMS).

BMJ Innov 2017 Apr 24;3(2):104-114. Epub 2017 Mar 24.

Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.

Introduction: Autonomous twitch elicitation at myofascial trigger points from spondylotic radiculopathies-induced denervation supersensitivity can provide favourable pain relief using electrical twitch-obtaining intramuscular stimulation (ETOIMS).

Aim: To provide objective evidence that ETOIMS is safe and efficacious in migraine and persistent pain management due to decades-old injuries to head and spine from paediatric American football.

Methods And Materials: An 83-year-old mildly hypertensive patient with 25-year history of refractory migraine and persistent pain self-selected to regularly receive fee-for-service ETOIMS 2/week over 20 months. Read More

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http://innovations.bmj.com/lookup/doi/10.1136/bmjinnov-2016-
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http://dx.doi.org/10.1136/bmjinnov-2016-000151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5468521PMC
April 2017
1 Read

Defining patient centricity with patients for patients and caregivers: a collaborative endeavour.

BMJ Innov 2017 Apr 24;3(2):76-83. Epub 2017 Mar 24.

Formerly AstraZeneca Pharmaceuticals, Macclesfield, UK.

Background: Patient engagement is an essential aspect in the research/development of biopharmaceutical products and disease management. Improving the lives of patients requires a deep understanding of their medical conditions, experiences, needs and priorities. However, a consistent definition of patient centricity is lacking. Read More

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http://dx.doi.org/10.1136/bmjinnov-2016-000157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5468520PMC
April 2017
5 Reads

'Smartscopy' as an alternative device for cervical cancer screening: a pilot study.

BMJ Innov 2017 Apr 30;3(2):123-126. Epub 2017 Mar 30.

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.

The use of smartphones, mobile networks and associated health applications (known as apps) is now almost universal. Countries with low medical resources need assistance in their delivery of healthcare. This is particularly true where there are limited numbers of specialised physicians or nurses with respect to cancer screening. Read More

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http://dx.doi.org/10.1136/bmjinnov-2016-000174DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5543027PMC
April 2017
5 Reads

Necessary but not sufficient: unique author identifiers.

BMJ Innov 2016 Oct 23;2(4):141-143. Epub 2016 Sep 23.

Health Psychology Section, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

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http://dx.doi.org/10.1136/bmjinnov-2016-000135DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5451540PMC
October 2016
78 Reads

PPH Butterfly: a novel device to treat postpartum haemorrhage through uterine compression.

BMJ Innov 2017 Feb 2;3(1):45-54. Epub 2017 Jan 2.

Women's and Children's Health, University of Liverpool , Liverpool , UK.

Objective: Postpartum haemorrhage (PPH) is a significant cause of maternal morbidity and mortality. The most common cause is an inability of the uterus to contract adequately after childbirth. In bimanual compression (BMC), one hand is placed within the vagina and the other hand is on the abdominal wall to compress the uterus. Read More

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http://dx.doi.org/10.1136/bmjinnov-2016-000144DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293860PMC
February 2017
6 Reads

Health hackathons: theatre or substance? A survey assessment of outcomes from healthcare-focused hackathons in three countries.

BMJ Innov 2017 Feb 4;3(1):37-44. Epub 2017 Jan 4.

Oregon Health and Sciences University-Portland State University , Portland, Oregon , USA.

Background: Healthcare-focused hackathons are 48-hour platforms intended to accelerate novel medical technology. However, debate exists about how much they contribute to medical technology innovation. The Consortium for Affordable Medical Technologies (CAMTech) has developed a three-pronged model to maximise their effectiveness. Read More

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http://dx.doi.org/10.1136/bmjinnov-2016-000147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293858PMC
February 2017
7 Reads

Open-source mobile digital platform for clinical trial data collection in low-resource settings.

BMJ Innov 2017 Feb 6;3(1):26-31. Epub 2017 Jan 6.

Kenya Medical Research Institutes and Center for Research in Therapeutic Sciences Strathmore University , Nairobi , Kenya.

Background: Governments, universities and pan-African research networks are building durable infrastructure and capabilities for biomedical research in Africa. This offers the opportunity to adopt from the outset innovative approaches and technologies that would be challenging to retrofit into fully established research infrastructures such as those regularly found in high-income countries. In this context we piloted the use of a novel mobile digital health platform, designed specifically for low-resource environments, to support high-quality data collection in a clinical research study. Read More

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http://dx.doi.org/10.1136/bmjinnov-2016-000164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293854PMC
February 2017
21 Reads

'There were more wires than him': the potential for wireless patient monitoring in neonatal intensive care.

BMJ Innov 2017 Feb 4;3(1):12-18. Epub 2017 Jan 4.

Department of Engineering , University of Cambridge , Cambridge , UK.

Background: The neonatal intensive care unit (NICU) can be one of the most stressful hospital environments. Alongside providing intensive clinical care, it is important that parents have the opportunity for regular physical contact with their babies because the neonatal period is critical for parent-child bonding. At present, monitoring technology in the NICU requires multiple wired sensors to track each baby's vital signs. Read More

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http://dx.doi.org/10.1136/bmjinnov-2016-000145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293857PMC
February 2017
6 Reads

Systematic review of innovation design contests for health: spurring innovation and mass engagement.

BMJ Innov 2017 27;3:227-237. Epub 2017 Oct 27.

Social Entrepreneurship for Sexual Health, University of North Carolina Project-China Office, Guangzhou, China.

We undertook a systematic review evaluating the effectiveness and cost of health-focused innovation design contests. We followed Cochrane guidance and systematically searched eight databases. Articles were included if they reported an open contest focused on improving health, required participants submit finished design solutions and contained a prize structure. Read More

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http://dx.doi.org/10.1136/bmjinnov-2017-000203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5863925PMC
October 2017
1 Read

How does venture capital operate in medical innovation?

BMJ Innov 2016 Jul 15;2(3):111-117. Epub 2016 Apr 15.

School of Public Health of University of Montreal (ESPUM) , Montreal, Quebec , Canada.

While health policy scholars wish to encourage the creation of technologies that bring more value to healthcare, they may not fully understand the mandate of venture capitalists and how they operate. This paper aims to clarify how venture capital operates and to illustrate its influence over the kinds of technologies that make their way into healthcare systems. The paper draws on the international innovation policy scholarship and the lessons our research team learned throughout a 5-year fieldwork conducted in Quebec (Canada). Read More

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http://dx.doi.org/10.1136/bmjinnov-2015-000079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4975839PMC

WhatsApp Doc?

BMJ Innov 2016 Jul 12;2(3):109-110. Epub 2016 Apr 12.

Brain Science Unit, Abraham Cowley Unit, Chertsey, Surrey , UK.

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http://dx.doi.org/10.1136/bmjinnov-2016-000116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4975831PMC
July 2016
1 Read

Open-source hardware for medical devices.

BMJ Innov 2016 Apr 14;2(2):78-83. Epub 2016 Mar 14.

Department of Computer Science , Swansea University , Swansea , UK.

Open-source hardware is hardware whose design is made publicly available so anyone can study, modify, distribute, make and sell the design or the hardware based on that design. Some open-source hardware projects can potentially be used as active medical devices. The open-source approach offers a unique combination of advantages, including reducing costs and faster innovation. Read More

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http://dx.doi.org/10.1136/bmjinnov-2015-000080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4853539PMC

Conducting a fully mobile and randomised clinical trial for depression: access, engagement and expense.

BMJ Innov 2016 Jan;2(1):14-21

Department of Psychiatry and Behavioral Sciences , University of Washington , Seattle, Washington , USA.

Importance: Advances in mobile technology have resulted in federal and industry-level initiatives to facilitate large-scale clinical research using smart devices. Although the benefits of technology to expand data collection are obvious, assumptions about the reach of mobile research methods (), participant willingness to engage in mobile research protocols (), and the cost of this research () remain untested.

Objective: To assess the feasibility of a fully mobile randomised controlled trial using assessments and treatments delivered entirely through mobile devices to depressed individuals. Read More

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http://dx.doi.org/10.1136/bmjinnov-2015-000098DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789688PMC
January 2016
1 Read

The alcohol tracker application: an initial evaluation of user preferences.

BMJ Innov 2016 Jan 9;2(1):8-13. Epub 2015 Oct 9.

E-Health Research Consortium; Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore (NUS).

Background: The prevalence of at-risk drinking and alcohol use disorders is increasing. Advances in technology have resulted in numerous smartphone applications for this disorder. However, there are still concerns about the evidence base of previously developed alcohol applications. Read More

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http://dx.doi.org/10.1136/bmjinnov-2015-000087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789684PMC
January 2016
8 Reads
8 Citations

Development and evaluation of a Smartphone-enabled, caregiver-supported educational intervention for management of physical disabilities following stroke in India: protocol for a formative research study.

BMJ Innov 2015 Jul;1(3):117-126

International Centre for Evidence in Disability, Department of Clinical Research, London School of Hygiene and Tropical Medicine , London , UK.

The incidence and prevalence of stroke in India has reached epidemic proportions. The growing magnitude of disability in patients with stroke in India poses a major public health challenge. Given the nature of the condition, affected individuals often become disabled with profound effects on their quality of life. Read More

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http://dx.doi.org/10.1136/bmjinnov-2015-000042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687506PMC
July 2015
8 Reads

Harnessing smartphone technologies for stroke care, rehabilitation and beyond.

BMJ Innov 2015 Oct;1(4):145-150

Department of Psychological Medicine , National University Healthcare Systems (NUHS) , Singapore , Singapore.

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http://dx.doi.org/10.1136/bmjinnov-2015-000078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4680196PMC
October 2015
4 Reads
3 Citations

Innovating to improve primary care in less developed countries: towards a global model.

BMJ Innov 2015 Oct 23;1(4):196-203. Epub 2015 Jul 23.

Board of Trustees, ICDDR, B, London, UK.

One of the biggest problems in global health is the lack of well trained and supported health workers in less developed settings. In many rural areas there are no physicians, and it is important to find ways to support and empower nurses and other health workers. The Knowledge Translation Unit of the University of Cape Town Lung Institute has spent 14 years developing a series of innovative packages to support and empower nurses and other health workers. Read More

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http://dx.doi.org/10.1136/bmjinnov-2015-000045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4680195PMC
October 2015
1 Read

Assistive technologies for ageing populations in six low-income and middle-income countries: a systematic review.

BMJ Innov 2015 Oct 11;1(4):182-195. Epub 2015 Sep 11.

Innovation for Healthy Ageing, World Health Organization Centre for Health Development (WHO Kobe Centre) , Kobe , Japan.

Despite the benefits derived from the use of assistive technologies (AT), some parts of the world have minimal or no access to AT. In many low-income and middle-income countries (LMIC), only 5-15% of people who require AT have access to them. Rapid demographic changes will exacerbate this situation as populations over 60 years of age, as well as functional limitations among older populations, in LMIC are expected to be higher than in high-income countries in the coming years. Read More

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http://dx.doi.org/10.1136/bmjinnov-2015-000065DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4680721PMC
October 2015
11 Reads
6 Citations

Training for teamwork through simulations.

BMJ Innov 2015 Jul 16;1(3):144. Epub 2015 Jun 16.

RTI International , Research Triangle Park, North Carolina , USA.

simulations allow healthcare teams to practice teamwork and communication as well as clinical management skills in a team's usual work setting with typically available resources and equipment. The purpose of this video is to demonstrate how to plan and conduct simulation training sessions, with particular emphasis on how such training can be used to improve communication and teamwork. The video features an simulation conducted at a labour and delivery unit in response to postpartum hemorrhage. Read More

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http://dx.doi.org/10.1136/bmjinnov-2015-000039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522711PMC
July 2015
7 Reads

'Care for Stroke', a web-based, smartphone-enabled educational intervention for management of physical disabilities following stroke: feasibility in the Indian context.

BMJ Innov 2015 Jul;1(3):127-136

International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine , London , UK.

Introduction: Stroke rehabilitation is a process targeted towards restoration or maintenance of the physical, mental, intellectual and social abilities of an individual affected by stroke. Unlike high-income countries, the resources for stroke rehabilitation are very limited in many low-income and middle-income countries (LMICs). Provision of cost-effective, post-stroke multidisciplinary rehabilitation services for the stroke survivors therefore becomes crucial to address the unmet needs and growing magnitude of disability experienced by the stroke survivors in LMICs. Read More

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http://dx.doi.org/10.1136/bmjinnov-2015-000056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4516008PMC
July 2015
2 Reads

STAAR: improving the reliability of care coordination and reducing hospital readmissions in an academic medical centre.

BMJ Innov 2015 Jul;1(3):75-80

Department of Nursing , Massachusetts General Hospital , Boston, Massachusetts , USA.

Setting: Massachusetts General Hospital embarked on a 4-year project to reduce readmissions in a high volume general medicine unit (November 2009 to September 2013).

Objective: To reduce 30-day readmissions to 10% through improved care coordination.

Design: As a before-after study, a total of 7586 patients admitted to the medicine unit during the intervention period included 2620 inpatients meeting high risk for readmission criteria. Read More

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http://dx.doi.org/10.1136/bmjinnov-2015-000048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515994PMC
July 2015
2 Reads

Innovation in immediate neonatal care: development of the Bedside Assessment, Stabilisation and Initial Cardiorespiratory Support (BASICS) trolley.

BMJ Innov 2015 Apr;1(2):53-58

Nottingham Clinical Trials Unit , University of Nottingham , Nottingham , UK.

Objective: Babies receive oxygen through their umbilical cord while in the uterus and for a few minutes after birth. Currently, if the baby is not breathing well at birth, the cord is cut so as to transfer the newborn to a resuscitation unit. We sought to develop a mobile resuscitation trolley on which newly born babies can be resuscitated while still receiving oxygenated blood and the 'placental transfusion' through the umbilical cord. Read More

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http://dx.doi.org/10.1136/bmjinnov-2014-000017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4467574PMC
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