246 results match your criteria Briefings in bioinformatics[Journal]


Application of the rapid ethical assessment approach to enhance the ethical conduct of longitudinal population based female cancer research in an urban setting in Ethiopia.

BMC Med Ethics 2018 Nov 14;19(1):87. Epub 2018 Nov 14.

School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Rapid Ethical Assessment (REA) is an approach used to design context tailored consent process for voluntary participation of participants in research including human subjects. There is, however, limited evidence on the design of ethical assessment in studies targeting cancer patients in Ethiopia. REA was conducted to explore factors that influence the informed consent process among female cancer patients recruited for longitudinal research from Addis Ababa Population-based Cancer Registry. Read More

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November 2018
3 Reads
1.600 Impact Factor

Qualitative protocol for understanding the contribution of Australian policy in the urban planning, justice, energy and environment sectors to promoting health and health equity.

BMJ Open 2018 Oct 4;8(9):e025358. Epub 2018 Oct 4.

Sustainability Policy Institute, Curtin University, Perth, Western Australia, Australia.

Introduction: A well-established body of literature demonstrates that health and equity are strongly influenced by the consequences of governments' policy and resultant actions (or inactions) outside the health sector. Consequently, the United Nations, and its agency the WHO, have called for national leadership and whole-of-government action to understand and address the health impacts of policies in sectors. This research responds to that call by investigating how policymaking in four sectors-urban planning, justice, energy and environment-may influence the social determinants of health and health equity (SDH/HE). Read More

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October 2018
3 Reads

Analysis of a survey on orthopaedic residency training for fracture treatment in Korea.

Injury 2018 Nov 13;49(11):2018-2023. Epub 2018 Sep 13.

Department of Orthopaedic Surgery, Korea University College of Medicine, Guro Hospital, 97 Gurodong-gil, Guro-gu, Seoul, 08308, Republic of Korea. Electronic address:

Introduction: Fracture surgery is the most frequently performed orthopaedic procedure and is considered an essential surgical procedure for orthopaedic surgeons in general. Although the approach and circumstances of orthopaedic residency training for fracture treatment may differ between countries, the goals of training, which is to educate the residents regarding the principles of the fracture treatment and foster conscientious orthopaedic specialists, remain unchanged. Thus, the aim of the this study was to determine a desirable course of orthopaedic residency training by investigating and analysing the reality of training associated with fracture surgery and treatment during the orthopaedic residency of 4th year orthopaedic residents in Korea. Read More

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November 2018
1 Read

Anchoring and Adjustment in Uncertain Spatial Trajectory Prediction.

Hum Factors 2018 Sep 20:18720818800591. Epub 2018 Sep 20.

Colorado State University, Fort Collins.

Objective: The aim of this study was to explore the impact of prior information on spatial prediction and understanding of variability.

Background: In uncertain spatial prediction tasks, such as hurricane forecasting or planning search-and-rescue operations, decision makers must consider the most likely case and the distribution of possible outcomes. Base performance on these tasks is varied (and in the case of understanding the distribution, often poor). Read More

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September 2018

Perioperative Safety: Keeping Our Children Safe in the Operating Room.

Orthop Clin North Am 2018 Oct;49(4):465-476

Department of Orthopedic Surgery, Akron Children's Hospital, 1 Perkins Square, Akron, OH 44308, USA.

The entire operating room team is responsible for the safety of children in the operating room. As a leader in the operating room, the surgeon is impactful in ensuring that all team members are committed to providing this safe environment. This is achieved by the use of perioperative huddles or briefings, the use of appropriate surgical checklists, operating room standardization, surgeons proficient in the care they provide, and team members that embrace Just Culture. Read More

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October 2018

[Placebo Nocebo Ethics in Communicating with Patients How Anaesthesiologists Should Handle the Psychosomatic Dimension of Briefing].

Anasthesiol Intensivmed Notfallmed Schmerzther 2018 Sep 3;53(9):592-604. Epub 2018 Sep 3.

The briefing of patients is part of the daily routine of clinical anaesthesiologists and a central element for justification of medical treatment. It is increasingly apparent that such conversations can significantly affect the success of treatment by eliciting placebo and nocebo effects. Placebo effects are psychosocially caused clinical improvements, mediated by neurobiological mechanisms, which would be omitted in the case of hidden application. Read More

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September 2018
1 Read

Brexit-an impartial view?

Authors:
David Barlow

BMJ 2018 Jun 22;361:k2743. Epub 2018 Jun 22.

Guy's and St Thomas' Hospital Trust, London SE22 0AH, UK.

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Efficacy of melatonin with behavioural sleep-wake scheduling for delayed sleep-wake phase disorder: A double-blind, randomised clinical trial.

PLoS Med 2018 Jun 18;15(6):e1002587. Epub 2018 Jun 18.

Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Victoria, Australia.

Background: Delayed Sleep-Wake Phase Disorder (DSWPD) is characterised by sleep initiation insomnia when attempting sleep at conventional times and difficulty waking at the required time for daytime commitments. Although there are published therapeutic guidelines for the administration of melatonin for DSWPD, to our knowledge, randomised controlled trials are lacking. This trial tested the efficacy of 0. Read More

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June 2018
8 Reads

Evaluating the impact of an intervention to increase uptake of modern contraceptives among adolescent girls (15-19 years) in Nigeria, Ethiopia and Tanzania: the Adolescents 360 quasi-experimental study protocol.

BMJ Open 2018 May 31;8(5):e021834. Epub 2018 May 31.

MRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK.

Introduction: Nigeria, Ethiopia and Tanzania have some of the highest teenage pregnancy rates and lowest rates of modern contraceptive use among adolescents. The transdisciplinary Adolescents 360 (A360) initiative being rolled out across these three countries uses human-centred design to create context-specific multicomponent interventions with the aim of increasing voluntary modern contraceptive use among girls aged 15-19 years.

Methods: The primary objective of the outcome evaluation is to assess the impact of A360 on the modern contraceptive prevalence rate (mCPR) among sexually active girls aged 15-19 years. Read More

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May 2018
5 Reads

Review of the role of NICE in promoting the adoption of innovative cardiac technologies.

Heart 2018 Nov 17;104(22):1817-1822. Epub 2018 May 17.

Centre for Health Technology Evaluation, National Institute for Health and Care Excellence, London, UK.

The National Institute for Health and Care Excellence (NICE) Medical Technologies Evaluation Programme (MTEP) promotes the adoption of innovative diagnostic and therapeutic technologies into National Health Service (NHS) clinical practice through the publication of guidance and briefing documents. Since the inception of the programme in 2009, there have been 7 medical technologiesguidance, 3 diagnostics guidance and 23 medtechinnovation briefing documents published that are relevant to the heart and circulation. Medical technologies guidance is published by NICE for selected single technologies if they offer plausible additional benefits to patients and the healthcare system. Read More

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November 2018
1 Read

Knowledge and agency in interprofessional care: How nurses contribute to the case-construction in an Intensive Care Unit.

J Interprof Care 2018 Sep 19;32(5):592-602. Epub 2018 Apr 19.

a Department of Education, School of Psychology and Science of Education , University of Bologna , Bologna , IT.

This paper focuses on the epistemic and interactional resources displayed by nurses participating in medical case construction and the ways through which they make a difference in the unfolding of this activity. This paper draws on an ethnographic research in an Italian Intensive Care Unit (ICU) selected according to a purposeful sampling approach out of a national sample of 40 ICUs participating in a larger research project. Our dataset, collected over a period of six months of ethnographic observations, consisted of the observers' field notes and log-books, audio and video-recordings of morning briefings, in-depth interviews, informal conversations and shadowing of bedside practices. Read More

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September 2018
2 Reads

Feasibility of a real-time hand hygiene notification machine learning system in outpatient clinics.

J Hosp Infect 2018 Oct 9;100(2):183-189. Epub 2018 Apr 9.

Medical Innovation and Care Transformation, KK Women's and Children's Hospital, SingHealth Duke - NUS Academic Medical Centre, Singapore; Erasmus School of Health Policy and Management, Erasmus University Rotterdam, The Netherlands; Health Services and Systems Research, Duke-NUS Medical School, Singapore. Electronic address:

Background: Various technologies have been developed to improve hand hygiene (HH) compliance in inpatient settings; however, little is known about the feasibility of machine learning technology for this purpose in outpatient clinics.

Aim: To assess the effectiveness, user experiences, and costs of implementing a real-time HH notification machine learning system in outpatient clinics.

Methods: In our mixed methods study, a multi-disciplinary team co-created an infrared guided sensor system to automatically notify clinicians to perform HH just before first patient contact. Read More

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October 2018
1 Read

Building a safety culture in global health: lessons from Guatemala.

BMJ Glob Health 2018 9;3(2):e000630. Epub 2018 Mar 9.

Duke University Medical Center, Durham, North Carolina, USA.

Programmes to modify the safety culture have led to lasting improvements in patient safety and quality of care in high-income settings around the world, although their use in low-income and middle-income countries (LMICs) has been limited. This analysis explores (1) how to measure the safety culture using a health culture survey in an LMIC and (2) how to use survey data to develop targeted safety initiatives using a paediatric nephrology unit in Guatemala as a field test case. We used the Safety, Communication, Operational Reliability, and Engagement survey to assess staff views towards 13 health climate and engagement domains. Read More

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March 2018
1 Read

Comprehensive Multicenter Graduate Surgical Education Initiative Incorporating Entrustable Professional Activities, Continuous Quality Improvement Cycles, and a Web-Based Platform to Enhance Teaching and Learning.

J Am Coll Surg 2018 Jul 16;227(1):64-76. Epub 2018 Mar 16.

Department of Surgery, Michigan State University College of Human Medicine, Lansing, MI; Spectrum Health, Grand Rapids, MI.

Background: It is increasingly important for faculty to teach deliberately and provide timely, detailed, and formative feedback on surgical trainee performance. We initiated a multicenter study to improve resident evaluative processes and enhance teaching and learning behaviors while engaging residents in their education.

Study Design: Faculty from 7 US postgraduate training programs rated resident operative performances using the perioperative briefing, intraoperative teaching, debriefing model, and rated patient visits/academic performances using the entrustable professional activities model via a web-based platform. Read More

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July 2018
6 Reads

Characteristics of team briefings in gynecological surgery.

Appl Ergon 2018 Feb 24. Epub 2018 Feb 24.

Mayo Clinic, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, MN, USA; Mayo Clinic, Department of Health Sciences Research, Rochester, MN, USA. Electronic address:

Preoperative briefings have been proven beneficial for improving team performance in the operating room. However, there has been minimal research regarding team briefings in specific surgical domains. As part of a larger project to develop a briefing structure for gynecological surgery, the study aimed to better understand the current state of pre-operative team briefings in one department of an academic hospital. Read More

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February 2018

Effects of perioperative briefing and debriefing on patient safety: a prospective intervention study.

BMJ Open 2017 Dec 14;7(12):e018367. Epub 2017 Dec 14.

Department of Anaesthesiology, Pain Center, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Objectives: This study was carried out to improve patient safety in the operating theatre by the introduction of perioperative briefing and debriefing, which focused on an optimal collaboration between surgical team members.

Design: A prospective intervention study with one pretest and two post-test measurements: 1 month before and 4 months and 2.5 years after the implementation of perioperative briefing and debriefing, respectively. Read More

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December 2017

Major epidemiological factors associated with leptospirosis in Malaysia.

Acta Trop 2018 Feb 5;178:242-247. Epub 2017 Dec 5.

Bacteriology Lab, Department of Veterinary Pathology and Microbiology, Faculty of Veterinary Medicine, Universiti Putra Malaysia, Serdang Selangor, 43400, Malaysia; Veterinary Services Division, Ministry of Animal Health and Fisheries Development, Usman Faruk Secretariat Complex, 840245, Sokoto, Nigeria.

Introduction: Leptospirosis is a zoonotic disease caused by a diverse pathogenic leptospira species and serovars. The disease is transmitted directly following contact with infected urine and other body fluids or indirectly after contact with water or soil contaminated with infected urine.

Objectives: While a wide range of domestic and wild animals are known to be reservoirs of the disease, occupation, international travel and recreation are beginning to assume a center stage in the transmission of the disease. Read More

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February 2018
6 Reads

Improved Diagnosis and Care for Rare Diseases through Implementation of Precision Public Health Framework.

Adv Exp Med Biol 2017 ;1031:55-94

School of Pathology and Laboratory Medicine, University of Western Australia, Perth, Western Australia, Australia.

Public health relies on technologies to produce and analyse data, as well as effectively develop and implement policies and practices. An example is the public health practice of epidemiology, which relies on computational technology to monitor the health status of populations, identify disadvantaged or at risk population groups and thereby inform health policy and priority setting. Critical to achieving health improvements for the underserved population of people living with rare diseases is early diagnosis and best care. Read More

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June 2018
49 Reads

The development and implementation of a biopsy safety strategy for oral medicine.

Br Dent J 2017 Nov;223(9):667-673

Liverpool University Dental Hospital, Pembroke Place, Liverpool, L3 5PS.

The development and implementation of a biopsy safety strategy is described in this article. Analysis of previous adverse incidents relating to biopsies acted as a catalyst to review our biopsy pathway at Liverpool University Dental Hospital. Input from all staff involved enabled us to develop a biopsy safety strategy which was divided into five stages: preoperative assessment of patient and procedure, team briefings, biopsy surgical safety checklist, surgical removal and handling of biopsy specimens, and post-biopsy follow-up. Read More

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November 2017

Protocol for establishing an infant feeding database linkable with population-based administrative data: a prospective cohort study in Manitoba, Canada.

BMJ Open 2017 Oct 22;7(10):e017981. Epub 2017 Oct 22.

Department of Surveillance and Epidemiology, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada.

Introduction: Breast feeding is associated with many health benefits for mothers and infants. But despite extensive public health efforts to promote breast feeding, many mothers do not achieve their own breastfeeding goals; and, inequities in breastfeeding rates persist between high and low-income mother-infant dyads. Developing targeted programme to support breastfeeding dyads and reduce inequities between mothers of different socioeconomic status are a priority for public health practitioners and health policy decision-makers; however, many jurisdictions lack the timely and comprehensive population-level data on infant-feeding practices required to monitor trends in breastfeeding initiation and duration. Read More

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October 2017
5 Reads

Association between home visiting interventions and First Nations families' health and social outcomes in Manitoba, Canada: protocol for a study of linked population-based administrative data.

BMJ Open 2017 Oct 10;7(10):e017626. Epub 2017 Oct 10.

Manitoba Centre for Health Policy, Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.

Introduction: First Nations people are descendants of Canada's original inhabitants. In consequence of historical and ongoing structural injustices, many First Nations families struggle with challenging living conditions, including high rates of poverty, poor housing conditions, mental illness and social isolation. These risk factors impede caregivers' abilities to meet their children's basic physical and psychosocial needs. Read More

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October 2017
6 Reads

[Does annual simulation training influence the safety climate of a university hospital? : Prospective 5‑year investigation using dimensions of the safety attitude questionnaire].

Anaesthesist 2017 Dec 2;66(12):910-923. Epub 2017 Oct 2.

Anästhesiologische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland.

Background: Simulation-based training with a focus on non-technical skills can have a positive influence on safety relevant attitudes of participants. If an organization succeeds in training sufficient staff, it may experience a positive change in the safety climate. As the effects of a single training are of a transient nature, annual training sessions may lead to an incremental improvement of safety relevant attitudes of employees over time. Read More

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December 2017
2 Reads

Medical Team Training Improves Team Performance: AOA Critical Issues.

J Bone Joint Surg Am 2017 Sep;99(18):1604-1610

1Department of Orthopaedic Surgery (J.E.C.), University of Michigan (J.P.B.), Ann Arbor, Michigan 2Department of Orthopaedics, Greenville Health System, Greenville, South Carolina.

Effective teamwork and communication can decrease medical errors in environments where the culture of safety is enhanced. Health care can benefit from programs that are based on teamwork, as in other high-stress industries (e.g. Read More

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September 2017
14 Reads

Eliminating Critical Incident Tracking Network Patient Safety Events at a Veterans Affairs Institution Through Crew Resource Management Training.

Am J Med Qual 2017 Sep/Oct;32(5):480-484. Epub 2016 Oct 20.

1 Overton Brooks Veterans Affairs Medical Center, Shreveport, LA.

The objective of this study was to determine whether rates of Critical Incident Tracking Network (CITN) patient safety adverse events change after implementation of crew resource management (CRM) training at a Veterans Affairs (VA) hospital. CRM training was conducted for all surgical staff at a VA hospital. Compliance with briefing and debriefing checklists was assessed for all operating room procedures. Read More

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Struggles Over Antibiotics: Physicians' Stance-Taking Toward a Nonconforming Policy in an Intensive Care Unit.

Qual Health Res 2017 Nov 15;27(13):2006-2018. Epub 2017 Aug 15.

1 Department of Education, University of Bologna, Bologna, Italy.

One of the most pressing contemporary health care challenges consists in rethinking antibiotic use to contrast the increase of multidrug resistant bacteria. Drawing on an ethnographic fieldwork in an Intensive Care Unit that adopts a nonconforming policy of antibiotic stewardship, this article analyzes doctor-doctor interaction concerning infectious disease diagnosis and antibiotic treatment. By analyzing examples of medical decision-making from a corpus of video-recorded morning briefings, we focus on physicians' stance-taking toward the ward's nonconforming policy and illustrate how it is contingently situated along a continuum from strong commitment to overt resistance. Read More

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November 2017
2 Reads

Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial.

BMJ Open 2017 Jul 18;7(7):e014333. Epub 2017 Jul 18.

Centre for Implementation Science, Kings College London, London, UK.

Objectives: Frontline insights into care delivery correlate with patients' clinical outcomes. These outcomes might be improved through near-real time identification and mitigation of staff concerns. We evaluated the effects of a prospective frontline surveillance system on patient and team outcomes. Read More

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Improving staff perception of a safety climate with crew resource management training.

J Surg Res 2017 Jun 23;213:177-183. Epub 2016 Apr 23.

Surgical Service, Center for Innovations in Quality, Outcomes and Patient Safety, Overton Brooks Veterans Affairs Medical Center, Shreveport, Louisiana; Department of Surgery, Louisiana State University School of Medicine, Shreveport, Louisiana.

Background: Communication failure is one of the top root causes in patient safety adverse events. Crew resource management (CRM) is a team building communication process intended to improve patient safety by improving team dynamics. First, to describe implementation of CRM in a Veterans Affair (VA) surgical service. Read More

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June 2017
2 Reads

Evidence Europe 2017. London, UK - February 22-23, 2017.

Authors:
A Kibble

Drugs Today (Barc) 2017 Mar;53(3):203-207

Clarivate Analytics, London, UK.

As the political backdrop changes in both the U.S. and Europe, volatility in the pharma industry is beginning to be felt as the sector becomes sensitive to the uncertainty. Read More

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March 2017
8 Reads

Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards.

BMJ Open 2017 04 5;7(4):e014401. Epub 2017 Apr 5.

Centre for Implementation Science, King's College, London, UK.

Objectives: To understand how frontline reports of day-to-day care failings might be better translated into improvement.

Design: Qualitative evaluation of an interdisciplinary team intervention capitalising on the frontline experience of care delivery. Prospective clinical team surveillance (PCTS) involved structured interdisciplinary briefings to capture challenges in care delivery, facilitated organisational escalation of the issues they identified, and feedback. Read More

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April 2017
1 Read

Reducing Operating Room Turnover Time for Robotic Surgery Using a Motor Racing Pit Stop Model.

World J Surg 2017 08;41(8):1943-1949

Department of Surgery, Cedars-Sinai Medical Center, 99 N. La Cienega Blvd., Suite 307, Beverly Hills, CA, 90211, USA.

Background: Operating room (OR) turnover time, time taken between one patient leaving the OR and the next entering, is an important determinant of OR utilization, a key value metric for hospital administrators. Surgical robots have increased the complexity and number of tasks required during an OR turnover, resulting in highly variable OR turnover times. We sought to streamline the turnover process and decrease robotic OR turnover times and increase efficiency. Read More

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August 2017
3 Reads

Cutaneous vaccination: Briefings of the third skin vaccination summit, September 2-4, 2015, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.

Vaccine 2017 03 8;35(14):1780-1781. Epub 2017 Mar 8.

PATH, 455 Massachusetts Avenue NW, Suite 1000, Washington DC 20001, United States. Electronic address:

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March 2017
6 Reads

The evaluation of a multifaceted intervention to promote "speaking up" and strengthen interprofessional teamwork climate perceptions.

J Interprof Care 2017 Mar 31;31(2):207-217. Epub 2017 Jan 31.

b Coordinator Interprofessional Collaboration and Education , Southlake Regional Health Centre , Newmarket , Ontario , Canada.

Communication failure is a leading cause of error and is often due to inhibition of individuals to speak up in interprofessional healthcare environments. The present study sought to evaluate the impact of a multifaceted intervention designed to promote speaking up on teamwork climate in one clinical department of a large community hospital based in Canada. The multifaceted intervention included a role-playing simulation workshop, teamwork climate data feedback and facilitated discussion with the interprofessional team (discussion briefings), and other department-led initiatives to promote trust, teamwork, and speaking up among interprofessional team members. Read More

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March 2017
1 Read

Evaluating the Role and Contribution of Innovation to Health and Wealth in the UK: A Review of Innovation, Health and Wealth: Phase 1 Final Report.

Rand Health Q 2016 Jun 20;6(1). Epub 2016 Jun 20.

The Department of Health's Innovation, Health and Wealth (IHW) strategy aimed to introduce a more strategic approach to the spread of innovation across the NHS. This study represents the first phase of a three-year evaluation and aims to map progress towards the IHW strategy and its component actions. This evaluation used a combination of quantitative and qualitative methods: document review, key informant interviews and stakeholder survey. Read More

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June 2016
1 Read

Cross-sectional survey on awareness of colorectal cancer and a screening programme for primary health care professionals in Catalonia, Spain.

Eur J Cancer Care (Engl) 2016 Nov 16;25(6):992-1004. Epub 2016 Feb 16.

Public Health, Mental Health and Perinatal Nursing (Barcelona), School of Nursing, University of Barcelona, Hospitalet de Llobregat (Barcelona), Spain.

This study aimed to assess whether primary health care professionals have accurate information regarding colorectal cancer (CRC) screening procedures, surveillance recommendations and referral strategies. This cross-sectional descriptive study was based on a survey conducted among primary health care professionals in Barcelona, Spain. The questionnaire was used to gather information regarding CRC screening procedures as well as demographic and professional characteristics of the study subjects. Read More

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November 2016
5 Reads

Can team training make surgery safer? Lessons for national implementation of a simulation-based programme.

N Z Med J 2016 Oct 14;129(1443):9-17. Epub 2016 Oct 14.

Department of Anaesthesiology, University of Auckland, Auckland.

Aim: Unintended patient harm is a major contributor to poor outcomes for surgical patients and often reflects failures in teamwork. To address this we developed a Multidisciplinary Operating Room Simulation (MORSim) intervention to improve teamwork in the operating room (OR) and piloted it with 20 OR teams in two of the 20 District Health Boards in New Zealand prior to national implementation. In this study, we describe the experience of those exposed to the intervention, challenges to implementing changes in clinical practice and suggestions for successful implementation of the programme at a regional or national level. Read More

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October 2016
2 Reads

Assessment of dental caries prevention program applied to a cohort of elementary school children of Kebemer, a city in Senegal.

J Int Soc Prev Community Dent 2016 Aug;6(Suppl 2):S105-10

Department of Dentistry, Faculty of Medicine, Pharmacy and Dentistry, University of Dakar, Senegal.

Objective: Dental caries is frequently observed in children, particularly among those residing in developing countries. The most adapted strategies against this pathology remains prevention based on information, education, and communication (IEC), as well as on early diagnosis and treatment. We carried out a study that aimed to analyze the development of dental caries in a cohort of school children followed during their primary education. Read More

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August 2016
12 Reads

[Briefing improves the management of a difficult mask ventilation in infants : Simulator study using Web-based decision support].

Anaesthesist 2016 Sep 26;65(9):681-9. Epub 2016 Aug 26.

Anästhesiologische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Krankenhausstraße 12, 91054, Erlangen, Deutschland.

Background: Unanticipated airway problems in infants can rapidly develop into severe hypoxemia. Team members can provide support and suggest steps of action if a shared mental model of the next steps exists. Briefing prior to induction of anaesthesia may create such a shared mental model among all team members. Read More

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September 2016
5 Reads

Surgical safety checklists briefings: Perceived efficacy and team member involvement.

J Perioper Pract 2016 Jun;26(6):138-44

Researchers have shown inconsistencies in compliance, outcomes and attitudes of surgical team members related to surgical safety checklist briefings. The purpose of this study was to examine surgical circulator and scrub practitioners' perceptions of safety checklist briefings and team member involvement, and to identify potential improvements in the process based on those perceptions. An anonymous survey was conducted with members of the Association of periOperative Registered Nurses (AORN) and the Association of Surgical Technologists (AST). Read More

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Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Improvement Collaborative.

Jt Comm J Qual Patient Saf 2016 Aug;42(8):369-76

Division of Neonatology, Department of Pediatrics, John Muir Medical Center, Walnut Creek, California, USA.

Background: The 2015 American Academy of Pediatrics Neonatal Resuscitation Program (NRP) and International Liaison Committee on Resuscitation (ILCOR) resuscitation guidelines state, "It is still suggested that briefing and debriefing techniques be used whenever possible for neonatal resuscitation." Effective communication and reliable delivery of evidence-based best practices are critical aspects of the 2015 NRP guidelines. To promote optimal communication and best practice-focused checklists use during active neonatal resuscitation, the Readiness Bundle (RB) was integrated within the larger change package deployed in the California Perinatal Quality Care Collaborative's (CPQCC) 12-month Delivery Room Management Quality Improvement Collaborative. Read More

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August 2016
2 Reads

Global Forum 2015 dialogue on "From evidence to policy - thinking outside the box": perspectives to improve evidence uptake and good practices in the African Region.

BMC Health Serv Res 2016 07 18;16 Suppl 4:215. Epub 2016 Jul 18.

Health Systems and Services Cluster, World Health Organization, Regional Office for Africa, B. P. 06, Brazzaville, Congo.

Background: The Global Forum 2015 panel session dialogue entitled "From evidence to policy - thinking outside the box" was held on 26 August 2015 in the Philippines to debate why evidence was not fully translated into policy and practice and what could be done to increase its uptake. This paper reports the reasons and possible actions for increasing the uptake of evidence, and highlights the actions partners could take to increase the use of evidence in the African Region.

Discussion: The Global Forum 2015 debate attributed African Region's low uptake of evidence to the big gap in incentives and interests between research for health researchers and public health policy-makers; limited appreciation on the side of researchers that public health decisions are based on multiple and complex considerations; perception among users that research evidence is not relevant to local contexts; absence of knowledge translation platforms; sub-optimal collaboration and engagement between industry and research institutions; lack of involvement of civil society organizations; lack of engagement of communities in the research process; failure to engage the media; limited awareness and debate in national and local parliaments on the importance of investing in research and innovation; and dearth of research and innovation parks in the African Region. Read More

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July 2016
6 Reads

Safe and Effective Deployment of Personnel to Support the Ebola Response - West Africa.

MMWR Suppl 2016 Jul 8;65(3):90-7. Epub 2016 Jul 8.

Division of Emergency Operations, Office of Public Health Preparedness and Response, CDC.

From the initial task of getting "50 deployers within 30 days" into the field to support the 2014-2016 Ebola virus disease (Ebola) epidemic response in West Africa to maintaining well over 200 staff per day in the most affected countries (Guinea, Liberia, and Sierra Leone) during the peak of the response, ensuring the safe and effective deployment of international responders was an unprecedented accomplishment by CDC. Response experiences shared by CDC deployed staff returning from West Africa were quickly incorporated into lessons learned and resulted in new activities to better protect the health, safety, security, and resiliency of responding personnel. Enhanced screening of personnel to better match skill sets and experience with deployment needs was developed as a staffing strategy. Read More

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July 2016
29 Reads

Malaria in British military personnel deployed to Sierra Leone: a case series.

J R Army Med Corps 2017 Feb 27;163(1):65-67. Epub 2016 Jun 27.

RAMC-Health Unit, AMD, Camberley, UK.

From December 2014 to April 2015, seven cases of malaria were seen in 1530 military personnel deployed to Sierra Leone on Operation GRITROCK in response to the West African Ebola outbreak, despite predeployment briefings, prescription of chemoprophylactic agents and bite prevention measures. The cases have prompted discussion regarding the efficacy of current measures and how to prevent future cases in deployed military personnel or more widely, those working in malaria-risk environments. All of the cases have made a full recovery and returned to work. Read More

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February 2017
2 Reads

Legal Briefing: Medicare Coverage of Advance Care Planning.

J Clin Ethics 2015 ;26(4):361-7

Mitchell Hamline School of Law, 875 Summit Avenue, Saint Paul, Minnesota 55105-3076 USA.

This issue's "Legal Briefing" column covers the recent decision by the Centers for Medicare and Medicaid Services (CMS) to expand Medicare coverage of advance care planning, beginning 1 January 2016. Since 2009, most "Legal Briefings" in this journal have covered a wide gamut of judicial, legislative, and regulatory developments concerning a particular topic in clinical ethics. In contrast, this "Legal Briefing" is more narrowly focused on one single legal development. Read More

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Improving the efficacy of elderly patients' hospital discharge through multi-professional safety briefings and behavioural change.

BMJ Qual Improv Rep 2015 9;4(1). Epub 2015 Sep 9.

Leeds Teaching Hospitals NHS Trust, UK.

At Leeds Teaching Hospitals NHS Trust doctors type an electronic discharge advice note (eDAN) which includes a prescription for discharge medication, before a patient can be discharged from hospital. In 2014 staff on the Medical Admissions Unit for Older People identified significant delays in the completion of this document, with an average completion time of 138 minutes. This caused patient harm and exacerbated bed management problems as patients remained in hospital longer than necessary to obtain their discharge medication. Read More

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January 2016
10 Reads

Preoperative Planning in Orthopaedic Surgery. Current Practice and Evolving Applications.

Bull Hosp Jt Dis (2013) 2015 Dec;73(4):257-68

Preoperative planning is an essential prerequisite for the success of orthopaedic procedures. Traditionally, the exercise has involved the written down, step by step "blueprint" of the surgical procedure. Preoperative planning of the technical aspects of the orthopaedic procedure has been performed on hardcopy radiographs using various methods such as copying the radiographic image on tracing papers to practice the planned interventions. Read More

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December 2015
4 Reads

Selling safety: the use of celebrities in improving awareness of safety in commercial aviation.

Ergonomics 2016 Jul 23;59(7):989-94. Epub 2015 Nov 23.

b School of Engineering and Information Technology , University of New South Wales , Canberra , Australia.

The aim of this study was to investigate the influential power of a celebrity to convey key safety messages in commercial aviation using a pre-flight safety briefing video. In addition, the present research sought to examine the effectiveness of subtitles in aiding the recall of these important messages as well as how in-cabin aircraft noise affects recall of this information. A total of 101 participants were randomly divided into four groups (no noise without subtitles, no noise with subtitles, noise without subtitles and noise with subtitles) and following exposure to a pre-recorded pre-flight safety briefing video were tested for recall of key safety messages within that video. Read More

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Analysis of good practice of public health Emergency Operations Centers.

Authors:
Min Xu Shi-Xue Li

Asian Pac J Trop Med 2015 Aug 21;8(8):677-82. Epub 2015 Jul 21.

Department of Public Health, Shandong University, Jinan, Shandong Province 250012, China. Electronic address:

Objective: To study the public health Emergency Operations Centers (EOCs)in the US, the European Union, the UK and Australia, and summarize the good practice for the improvement of National Health Emergency Response Command Center in Chinese National Health and Family Planning Commission.

Methods: Literature review was conducted to explore the EOCs of selected countries.

Results: The study focused on EOC function, organizational structure, human resources and information management. Read More

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Pre-flight safety briefings, mood and information retention.

Appl Ergon 2015 Nov 25;51:377-82. Epub 2015 Jun 25.

School of Aviation, University of New South Wales, Sydney, NSW 2052, Australia. Electronic address:

Mood is a moderating factor that is known to affect performance. For airlines, the delivery of the pre-flight safety briefing prior to a commercial flight is not only an opportunity to inform passengers about the safety features on-board the aircraft they are flying, but an opportunity to positively influence their mood, and hence performance in the unlikely event of an emergency. The present research examined whether indeed the pre-flight safety briefing could be used to positively impact passengers' mood. Read More

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November 2015
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Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective.

Ann Surg 2016 Jan;263(1):9-11

Department of Industrial and Systems Engineering, Wisconsin Surgical Outcomes Research Program, Department of Surgery, University of Wisconsin-Madison, Madison, WI.

Efforts to implement quality improvements in surgery are notoriously problematic. One needs to look no farther than recent attempts to implement checklists, team training, and surgical briefings. These interventions have been empirically shown to improve team communication and performance. Read More

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January 2016