191 results match your criteria Risk Management and Healthcare Policy [Journal]


Open disclosure of adverse events: exploring the implications of service and policy structures on practice.

Risk Manag Healthc Policy 2019 23;12:5-12. Epub 2019 Jan 23.

Centre for Team-Based Practice and Learning in Health Care, King's College London, London, UK.

Purpose: The aim of this study was to explore the service and policy structures that impact open disclosure (OD) practices in New South Wales (NSW), Australia.

Participants And Methods: An explorative study using semi-structured interviews was undertaken with 12 individuals closely involved in the implementation of OD in hospitals at policy or practice levels within the state of NSW, Australia. Interviews explored the service and policy structures surrounding OD and the perceived impact of these on the implementation of the OD policy. Read More

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https://www.dovepress.com/open-disclosure-of-adverse-events-
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http://dx.doi.org/10.2147/RMHP.S180359DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350650PMC
January 2019
1 Read

Patterns of self-medication among university students - a medical students' analysis.

Risk Manag Healthc Policy 2019 15;12:1-3. Epub 2019 Jan 15.

Faculty of Medicine, St George's, University of London, London, UK,

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http://dx.doi.org/10.2147/RMHP.S190514DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339650PMC
January 2019
1 Read

Arsenic contamination in groundwater in Bangladesh: implications and challenges for healthcare policy.

Risk Manag Healthc Policy 2018 30;11:251-261. Epub 2018 Nov 30.

Department of Occupational and Environmental Health, National Institute of Preventive Medicine, Mohakhali, Dhaka 1212, Bangladesh.

Arsenic contamination of groundwater in Bangladesh has been recognized as a major public problem. The arsenic contamination was first identified in the tubewell water in 1993 in a northern district of Bangladesh. Tubewells are the main source of drinking water in rural areas, and except hilly and terrace upland throughout the Bangladesh, the arsenic-contaminated tube-wells are distributed. Read More

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http://dx.doi.org/10.2147/RMHP.S153188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281155PMC
November 2018
8 Reads

Is methicillin-resistant infection associated with higher mortality and morbidity in hospitalized patients? A cohort study of 551 patients from South Western India.

Risk Manag Healthc Policy 2018 3;11:243-250. Epub 2018 Dec 3.

Department of Medicine, Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, Madhav Nagar, Karnataka, India,

Purpose: To determine morbidity and mortality of methicillin-resistant (MRSA) and methicillin-sensitive (MSSA) infections in a tertiary health care facility.

Methods: A cohort study among hospitalized adult patients with culture proven MRSA or MSSA monoinfection were recruited in a tertiary referral center in South India from November 2011 to December 2012.

Results: Of total 551 subjects, 284 (52%) had MRSA and 267 (48%) MSSA infection. Read More

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http://dx.doi.org/10.2147/RMHP.S176517DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284536PMC
December 2018
3 Reads

Effects of caffeine on sleep quality and daytime functioning.

Risk Manag Healthc Policy 2018 7;11:263-271. Epub 2018 Dec 7.

Child Health Research Centre, Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.

Caffeine (particularly in the form of coffee) is one of the most widely consumed stimulants in the world, with 90% of American adults consuming caffeine-infused beverages almost daily. While there is substantial evidence that caffeine enhances performance, caffeine withdrawal leads to deficits at both the individual (eg, cognitive, emotional, and behavioral processes) and societal (eg, increases in work accidents) level. Scholars for some time have considered that the supposed psychoactive benefits of caffeine may be the result of the mere reversal of deleterious effects of caffeine withdrawal, rather than a net benefit of caffeine ingestion. Read More

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http://dx.doi.org/10.2147/RMHP.S156404DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292246PMC
December 2018
2 Reads

Effects of pesticide exposure on reproductivity of male groundnut farmers in Kyauk Kan village, Nyaung-U, Mandalay region, Myanmar.

Risk Manag Healthc Policy 2018 29;11:235-241. Epub 2018 Nov 29.

Center for Risk Analysis and Health Surveillance (C-RAHS), College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand,

Introduction: Kyauk Kan village of Nyaung-U, Mandalay region, Myanmar is one of the most famous groundnut-growing zones and has been exposed to pesticides.

Methods: This study design provided evaluation of within-person changes in the season across growing and nongrowing periods. A cross-sectional study was performed to identify health problems related to organophosphate pesticide (OP) exposure, to explore the protected use of this pesticide among 400 participants in the community by face-to-face interviews, and to determine the reproductive effects of OP exposure by using biomarkers of 100 male groundnut farmers aged 18-49 years. Read More

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http://dx.doi.org/10.2147/RMHP.S175230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276625PMC
November 2018
3 Reads

Progress and challenges in improving maternal health in the Tibet Autonomous Region, China.

Risk Manag Healthc Policy 2018 14;11:221-231. Epub 2018 Nov 14.

Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hatyai, Songkhla, Thailand,

Background: The maternal mortality ratio (MMR) of the Tibet Autonomous Region (hereinafter "Tibet") is still five times higher than the national average. This study aims to identify the successes and pitfalls of the health system that might be related to the high mortality rate based on the WHO health system building blocks, focusing on human resources for health and health infrastructure and the impact on maternal health and outcomes.

Methods: Sources of information include China's central government and Tibet's local government policies and regulations, health statistical yearbooks, maternal and child health routine reporting system, and English and Chinese online research articles. Read More

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http://dx.doi.org/10.2147/RMHP.S170445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241686PMC
November 2018
1 Read

The evolving Semashko model of primary health care: the case of the Russian Federation.

Risk Manag Healthc Policy 2018 2;11:209-220. Epub 2018 Nov 2.

Center for Health Policy, National Research University Higher School of Economics, Moscow, Russia,

This paper addresses the major developments in primary care in the Russian Federation under the evolving Semashko model. The overview of the original model and its current version indicates some positive characteristics, including the financial accessibility of care, focus on prevention, patient lists, and gatekeeping by primary-care providers. However, in practice these characteristics do not work according to expectations. Read More

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http://dx.doi.org/10.2147/RMHP.S168399DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220729PMC
November 2018
12 Reads

Associations between structures and resources of primary care at the district level and health outcomes: a case study of diabetes mellitus care in Thailand.

Risk Manag Healthc Policy 2018 26;11:199-208. Epub 2018 Oct 26.

Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand,

Background: The structural factors of primary care potentially influence its performance and quality. This study investigated the association between structural factors, including available primary care resources and health outcomes, by using diabetes-related ambulatory care sensitive conditions hospitalizations under the Universal Coverage Scheme in Thailand.

Methods: A 2-year panel study used secondary data compiled at the district level. Read More

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http://dx.doi.org/10.2147/RMHP.S177125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208489PMC
October 2018
10 Reads

Perceived threat and benefit toward community compliance of filariasis' mass drug administration in Pekalongan district, Indonesia.

Risk Manag Healthc Policy 2018 23;11:189-197. Epub 2018 Oct 23.

Department of Epidemiology and Tropical Diseases, Faculty of Public Health, Diponegoro University, Semarang, Indonesia,

Purpose: Lymphatic filariasis (LF) is a chronic infection of , and and is a mosquito-transmitted disease. Mass drug administration (MDA) needs to be done annually to control LF and requires adherence of endemic populations to take medication properly. Maintaining high coverage of MDA is a challenge because the activity needs to be done in several years. Read More

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http://dx.doi.org/10.2147/RMHP.S172860DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208933PMC
October 2018
9 Reads

Incidences and factors associated with perioperative cardiac arrest in trauma patients receiving anesthesia.

Risk Manag Healthc Policy 2018 18;11:177-187. Epub 2018 Oct 18.

Non-communicable Disease Center of Excellence and Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand,

Purpose: The aim of this study was to determine the incidences and factors associated with perioperative cardiac arrest in trauma patients who received anesthesia for emergency surgery.

Patients And Methods: This retrospective cohort study was approved by the medical ethical committee, Faculty of Medicine, Maharaj Nakorn Chiang Mai Hospital, Thailand. Data of 19,683 trauma patients who received anesthesia between January 2007 and December 2016, such as patient characteristics, surgery procedures, anesthesia information, anesthetic drugs, and cardiac arrest outcomes, were analyzed. Read More

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http://dx.doi.org/10.2147/RMHP.S178950DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201994PMC
October 2018
2 Reads

Patterns of self-medication among medical and nonmedical University students in Jordan.

Risk Manag Healthc Policy 2018 12;11:169-176. Epub 2018 Sep 12.

Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.

Background And Objective: Self-medication practice involves consumption of medicines by one's own initiative or on the consultation of others without the guidance of a physician. Self-medication and use of over-the-counter drugs are prevalent worldwide public health concerns. University students of medical and nonmedical disciplines may have different levels of health education. Read More

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https://www.dovepress.com/patterns-of-self-medication-among-
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http://dx.doi.org/10.2147/RMHP.S170181DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143637PMC
September 2018
11 Reads

Violence within mental health services: how to enhance risk management.

Risk Manag Healthc Policy 2018 12;11:159-167. Epub 2018 Sep 12.

School of Applied Psychology, University College Cork, Cork, Ireland.

This paper aims to present best practice in risk management within mental health services. Its purpose is to explore the prevalence of violence within mental health services, to examine the nature of risk, highlight lessons learned and guidance published on safer services, and to identify ways to enhance risk management in mental health care. We reflect on current health care practices in the UK, England and Wales, and Ireland and refer to research and practice from other jurisdictions internationally where it exists. Read More

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http://dx.doi.org/10.2147/RMHP.S131834DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143650PMC
September 2018
2 Reads

The effect of consensus on demand for voluntary micro health insurance in rural India.

Risk Manag Healthc Policy 2018 11;11:139-158. Epub 2018 Sep 11.

Centre for Economic Studies and Planning, School of Social Sciences, Jawaharlal Nehru University, New Delhi, India.

Introduction: This study deals with examining factors that catalyze demand for community-based micro health insurance (MHI) schemes. We hypothesize that demand for health insurance is a collective decision in the context of informality and poverty. Our hypothesis challenges the classical theory of demand which posits individual expected diminishing utility. Read More

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http://dx.doi.org/10.2147/RMHP.S170299DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140740PMC
September 2018
1 Read

Improving access to specialized care for first-episode psychosis: an ecological model.

Risk Manag Healthc Policy 2018 30;11:127-138. Epub 2018 Aug 30.

Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, OH, USA,

Psychotic spectrum disorders are serious illnesses with symptoms that significantly impact functioning and quality of life. An accumulating body of literature has demonstrated that specialized treatments that are offered early after symptom onset are disproportionately more effective in managing symptoms and improving outcomes than when these same treatments are provided later in the course of illness. Specialized, multicomponent treatment packages are of particular importance, which are comprised of services offered as soon as possible after the onset of psychosis with the goal of addressing multiple care needs within a single care setting. Read More

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http://dx.doi.org/10.2147/RMHP.S131833DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6121768PMC
August 2018
7 Reads

Stroke prevention in Europe: how are 11 European countries progressing toward the European Society of Cardiology (ESC) recommendations?

Risk Manag Healthc Policy 2018 22;11:117-125. Epub 2018 Aug 22.

The Economist Intelligence Unit (EIU), London, UK,

Purpose: Stroke is a leading cause of death and disability, although studies show that 90% of strokes can be prevented. The evidence base for stroke prevention is well established, and this study aimed to investigate how well European countries are adopting the European Society of Cardiology (ESC) guidelines, particularly toward implementation of the recommended best practice in stroke prevention.

Materials And Methods: We developed a stroke prevention scorecard - populated with World Health Organization (WHO) data, secondary research, time-series data, and a survey of 550 physicians - to benchmark 11 European countries in the context of the ESC guidelines. Read More

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http://dx.doi.org/10.2147/RMHP.S163439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112781PMC
August 2018
4 Reads

Gabapentin use, abuse, and the US opioid epidemic: the case for reclassification as a controlled substance and the need for pharmacovigilance.

Risk Manag Healthc Policy 2018 17;11:109-116. Epub 2018 Aug 17.

Department of Pharmacy Practice, Midwestern University College of Pharmacy-Glendale, Glendale, AZ, USA,

The abuse potential of gabapentin is well documented; with gabapentin having been noted as an agent highly sought after for use in potentiating opioids. When combined with opioids, the risk of respiratory depression and opioid-related mortality increases significantly. In the US, gabapentin was approved by the Food and Drug Administration as a non-controlled substance. Read More

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http://dx.doi.org/10.2147/RMHP.S168504DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103607PMC
August 2018
4 Reads

Safety-net institutions in the US grapple with new cholesterol treatment guidelines: a qualitative analysis from the PHoENIX Network.

Risk Manag Healthc Policy 2018 12;11:99-108. Epub 2018 Jul 12.

UCSF Center for Vulnerable Populations at San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA,

Background: Clinical performance measures, such as for cholesterol control targets, have played an integral role in assessing the value of care and translating evidence into clinical practice. New guidelines often require development of corresponding performance metrics and systems changes that can be especially challenging in safety-net health care institutions. Understanding how public health care institutions respond to changing practice guidelines may be critical to informing how we adopt evolving evidence in clinical settings that care for the most vulnerable populations. Read More

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http://dx.doi.org/10.2147/RMHP.S156311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047605PMC
July 2018
5 Reads

Changing patient safety culture in China: a case study of an experimental Chinese hospital from a comparative perspective.

Risk Manag Healthc Policy 2018 1;11:83-98. Epub 2018 May 1.

Clinical Service Department, The University of Hong Kong - Shenzhen Hospital, Shenzhen, Guangdong, People's Republic of China.

Background: The World Health Organization highlights that patient safety interventions are not lacking but that the local context affects their successful implementation. Increasing attention is being paid to patient safety in Mainland China, yet few studies focus on patient safety in organizations with mixed cultures. This paper evaluates the current patient safety culture in an experimental Chinese hospital with a Hong Kong hospital management culture, and it aims to explore the application of Hong Kong's patient safety strategies in the context of Mainland China. Read More

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http://dx.doi.org/10.2147/RMHP.S151902DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5935469PMC
May 2018
10 Reads

Assessing the costs and benefits of perioperative iron deficiency anemia management with ferric carboxymaltose in Germany.

Risk Manag Healthc Policy 2018 24;11:77-82. Epub 2018 Apr 24.

Unit of PharmacoEpidemiology and PharmacoEconomics, Department of Pharmacy, University of Groningen, Groningen, the Netherlands.

Background: Perioperative administration of ferric carboxymaltose (FCM) was previously shown to reduce both the need for transfusions and the hospital length of stay in patients with preoperative iron deficiency anemia (IDA). In this study, we estimated the economic consequences of perioperative administration using FCM vs usual care in patients with IDA from the perspective of a German hospital using decision-analytic modeling.

Materials And Methods: The model was populated with clinical inputs (transfusion rates, blood units transfused, hospital length of stay) from a previously reported randomized trial comparing FCM vs usual care for managing IDA patients undergoing elective abdominal surgery. Read More

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http://dx.doi.org/10.2147/RMHP.S157379DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5923254PMC
April 2018
3 Reads

Knowledge and practice of parents and guardians about childhood asthma at King Abdulaziz Medical City for National Guard, Riyadh, Saudi Arabia.

Risk Manag Healthc Policy 2018 13;11:67-75. Epub 2018 Apr 13.

King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Ministry of the National Guard, Health Affairs, Department of Family Medicine and Primary Health Care, Riyadh, Saudi Arabia.

Background: Family management of asthmatic children is affected by several factors, primarily the parent's knowledge and attitude toward asthma.

Objective: The aim of this study was to explore the knowledge and practice of parents and guardians about asthma in their children.

Methods: Two hundred and thirty-one self-administered questionnaires were distributed to parents and guardians attending, with their children, general pediatric and pediatric pulmonology outpatient clinics at King Abdullah Specialist Children's Hospital, King Abdulaziz Medical City for National Guard, Riyadh, Saudi Arabia, during the period from August 2016 to March 2017. Read More

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http://dx.doi.org/10.2147/RMHP.S143829DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907886PMC
April 2018
5 Reads

Triptych of the Hermit Saints: pneumococcal polysaccharide vaccines for the elderly.

Risk Manag Healthc Policy 2018 27;11:55-65. Epub 2018 Mar 27.

Department of Science, University College Roosevelt, Middelburg, the Netherlands.

Pneumococcal pneumonia is a serious disease with considerable morbidity and mortality in the elderly. Despite adequate antibiotic treatment, the long-term mortality of pneumococcal pneumonia remains high. Preventive measures in the form of vaccination, therefore, are warranted. Read More

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http://dx.doi.org/10.2147/RMHP.S130405DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881283PMC
March 2018
7 Reads

Implementing a Social Knowledge Networking (SKN) system to enable meaningful use of an EHR medication reconciliation system.

Risk Manag Healthc Policy 2018 26;11:45-53. Epub 2018 Mar 26.

College of Allied Health Sciences, Augusta University, Georgia, GA, USA.

Background: Despite the regulatory impetus toward meaningful use of electronic health record (EHR) Medication Reconciliation (MedRec) to prevent medication errors during care transitions, hospital adherence has lagged for one chief reason: low physician engagement, stemming from lack of consensus about which physician is responsible for managing a patient's medication list. In October 2016, Augusta University received a 2-year grant from the Agency for Healthcare Research and Quality to implement a Social Knowledge Networking (SKN) system for enabling its health system (AU Health) to progress from "limited use" of EHR MedRec technology to "meaningful use." The hypothesis is that SKN would bring together a diverse group of practitioners, to facilitate tacit knowledge exchange on issues related to EHR MedRec, which in turn is expected to increase practitioners' engagement in addressing those issues and enable meaningful use of EHR. Read More

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http://dx.doi.org/10.2147/RMHP.S152313DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875398PMC
March 2018
2 Reads

Occupational health risk of working in garages: comparative study on blood pressure and hematological parameters between garage workers and Haramaya University community, Harar, eastern Ethiopia.

Risk Manag Healthc Policy 2018 13;11:35-44. Epub 2018 Mar 13.

School of Medical Laboratory Science, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Occupational exposure to chemicals in garages causes a wide range of biological effects, depending upon the level and duration of exposure. In Ethiopia, there have been few studies conducted to assess the exposure of garage workers to chemicals. Preceding studies have not explored the effect of working in garage on blood pressure and hematological parameters. Read More

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http://dx.doi.org/10.2147/RMHP.S154611DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856037PMC
March 2018
12 Reads

Cost and quality of life of overlooked eye care needs of children.

Risk Manag Healthc Policy 2018 23;11:25-33. Epub 2018 Feb 23.

Department of Ophthalmology, Ivey Eye Institute, St. Joseph's Hospital.

Background: The objective of this research was to conduct a systematic review and cost analysis to summarize, from the Ministry of Health perspective, the costs families might incur because of their child's prescription for refractive errors and amblyopia correction.

Methods: Databases including MEDLINE, Embase, BIOSIS, CINAHL, HEED, ISI Web of Science, and the Cochrane Library as well as the gray literature were searched. Systematic review was conducted using EPPI-Reviewer 4. Read More

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http://dx.doi.org/10.2147/RMHP.S141659DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5825995PMC
February 2018
5 Reads

Opinions, practice patterns, and perceived barriers to lung cancer screening among attending and resident primary care physicians.

Risk Manag Healthc Policy 2017 22;10:189-195. Epub 2018 Jan 22.

Department of Medicine.

Introduction: The US Preventive Services Task Force recommended annual lung cancer screening with low-dose computed tomography (LDCT) for high-risk patients in December 2013. We compared lung cancer screening-related opinions and practices among attending and resident primary care physicians (PCPs).

Methods: In 2015, we conducted a 23-item survey among physicians at a large academic medical center. Read More

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http://dx.doi.org/10.2147/RMHP.S143152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5784747PMC
January 2018
6 Reads

Implementing a geographical information system to assess endemic fluoride areas in Lamphun, Thailand.

Risk Manag Healthc Policy 2018 25;11:15-24. Epub 2018 Jan 25.

Ban Thi District Public Health Office, Lamphun, Thailand.

Introduction: Many studies have shown that fluoride can cross the placenta and that exposure to high fluoride during pregnancy may result in premature birth and/or a low birth weight. Lamphun is one of six provinces in Thailand where natural water fluoride (WF) concentrations >10.0 mg/L were found, and it was also found that >50% of households used water with high fluoride levels. Read More

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http://dx.doi.org/10.2147/RMHP.S147016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5793896PMC
January 2018
8 Reads

Is medical treatment of Alcohol Withdrawal Syndrome a Stag Hunt? Challenges and opportunities in managing risk and uncertainty in addiction cessation.

Risk Manag Healthc Policy 2018 21;11:1-14. Epub 2017 Dec 21.

School of Business, Wilmington University, New Castle, DE, USA.

Purpose: While the individual and social costs of alcoholism or alcohol use disorder are well established, few are aware that medical problems can arise during detoxification, some of which can be life-threatening. This study determines if sustained treatment for Alcohol Withdrawal Syndrome (AWS) might be based on the strategic choices and expectations of patients and health care providers alike, as well as the risk mitigation options available to them.

Design/approach: AWS was modeled as a Stag Hunt to explain both risk and decision-making in medical treatments for detoxification, since it can deduce a set of equilibrium strategies available to both patient and provider. Read More

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http://dx.doi.org/10.2147/RMHP.S144831DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5743126PMC
December 2017
9 Reads

The NHS Bowel Cancer Screening Program: current perspectives on strategies for improvement.

Risk Manag Healthc Policy 2017 4;10:177-187. Epub 2017 Dec 4.

Department of Gastroenterology, South Tyneside District Hospital, South Shields.

Colorectal cancer (CRC) is the third most common cancer in the UK. The English National Health Service (NHS) Bowel Cancer Screening Program (BCSP) was introduced in 2006 to improve CRC mortality by earlier detection of CRC. It is now offered to patients aged 60-74 years and involves a home-based guaiac fecal occult blood test (gFOBt) biennially, and if positive, patients are offered a colonoscopy. Read More

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http://dx.doi.org/10.2147/RMHP.S109116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720037PMC
December 2017
9 Reads
1 Citation

Health promotion, psychological distress, and disease prevention in the workplace: a cross-sectional study of Italian adults.

Risk Manag Healthc Policy 2017 14;10:167-175. Epub 2017 Aug 14.

Occupational Medicine, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.

Background: Job insecurity resulting from new types of employment contracts, together with organizational dynamics such as restructuring and internationalization, is emerging as an important source of organizational and individual stress, often transforming the workplace into a hostile and, above all, extremely demanding context from a psychological point of view.

Materials And Methods: The aim of this study was to identify the possible relationships between individual and organizational dimensions of work (such as engagement, autonomy, personal and collective efficacy at work, and satisfaction) and their impact on stress levels. The survey involved 120 Italian workers: 72 females (60%) and 48 males (40%), with a mean age of 41. Read More

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https://www.dovepress.com/health-promotion-psychological-dis
Publisher Site
http://dx.doi.org/10.2147/RMHP.S139756DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565380PMC
August 2017
7 Reads

Aviation's Normal Operations Safety Audit: a safety management and educational tool for health care? Results of a small-scale trial.

Authors:
Simon A Bennett

Risk Manag Healthc Policy 2017 8;10:147-165. Epub 2017 Aug 8.

Civil Safety and Security Unit, School of Business, University of Leicester, Leicester, UK.

Background: A National Health Service (NHS) contingent liability for medical error claims of over £26 billion.

Objectives: To evaluate the safety management and educational benefits of adapting aviation's Normal Operations Safety Audit (NOSA) to health care.

Methods: In vivo research, a NOSA was performed by medical students at an English NHS Trust. Read More

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http://dx.doi.org/10.2147/RMHP.S131763DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558587PMC
August 2017
9 Reads

Assessment of counseling practice in medicine retail outlets in Mekelle City, Northern Ethiopia.

Risk Manag Healthc Policy 2017 7;10:137-146. Epub 2017 Aug 7.

Federal Democratic Republic of Ethiopia Pharmaceutical Fund and Supply Agency, Central Office, Addis Ababa, Ethiopia.

Introduction: Patient counseling can ideally be providing medication information orally or in written form to patients or their attendants, and it helps to form a concordant approach on encouraging patient involvement in the pharmaceutical care process and to explore patient's knowledge and understanding. Lack of adequate knowledge on drugs and up-to-date drug information are the major factor that hinders counseling services. This study assessed counseling practice of pharmacy professionals in Mekelle City. Read More

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http://dx.doi.org/10.2147/RMHP.S138300DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5557119PMC
August 2017
12 Reads

Beneficiaries of conflict: a qualitative study of people's trust in the private health care system in Mogadishu, Somalia.

Risk Manag Healthc Policy 2017 1;10:127-135. Epub 2017 Aug 1.

Department for Research, Norwegian Centre for Minority Health Research, Oslo, Norway.

Background: In 2005, the World Health Conference called for all nations to move toward universal health coverage, which is defined as "access to adequate health care for all at an affordable price". Despite this, an estimated 90% of Somalia's largely impoverished population use private health care. Therefore, considering that the private health care system is the dominant health care system in Mogadishu, Somalia, exploring the accessibility to, as well as people's trust in, the private sector is essential to help contribute an equitable and affordable health care system in the country. Read More

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http://dx.doi.org/10.2147/RMHP.S136170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548277PMC
August 2017
17 Reads

Fractures in Kuwait: incidence and distribution.

Authors:
Fawaz Y Azizieh

Risk Manag Healthc Policy 2017 14;10:117-125. Epub 2017 Jun 14.

Department of Mathematics and Natural Sciences, International Centre for Applied Mathematics and Computational Bioengineering, College of Arts and Sciences, Gulf University for Science and Technology, Mubarak Al-Abdullah, Hawally, State of Kuwait.

The absence of descriptive epidemiological data on the frequency and distribution of fractures in a population is serious and may underestimate the actual importance of this public health problem. In this study, we report the crude and standardized incidence rates of fractures in the population of Kuwait during the period 2009-2012. Using the Ministry of Public Health's national registry, demographic data of all fracture cases between 2009 and 2012 were retrieved. Read More

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https://www.dovepress.com/fractures-in-kuwait-incidence-and-
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http://dx.doi.org/10.2147/RMHP.S136844DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5476756PMC
June 2017
5 Reads

Human taeniasis: current insights into prevention and management strategies in endemic countries.

Risk Manag Healthc Policy 2017 1;10:107-116. Epub 2017 Jun 1.

Independent Consultant, Lusaka, Zambia.

Human taeniasis is a zoonotic condition resulting from infection with the adult stages of ("beef tapeworm"), ("pork tapeworm") or ("Asian tapeworm"). Although these parasites have a worldwide distribution, the overwhelming burden is felt by communities in low- and middle-income countries. This is particularly true for , whereby infection of the central nervous system with the larval stage of the parasite (neurocysticercosis) is a major cause of acquired epilepsy in low-resource settings. Read More

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http://dx.doi.org/10.2147/RMHP.S116545DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461055PMC
June 2017
4 Reads

Household flood preparedness and associated factors in the flood-prone community of Dembia district, Amhara National Regional State, northwest Ethiopia.

Risk Manag Healthc Policy 2017 31;10:95-106. Epub 2017 May 31.

Department of Epidemiology and Bio-Statistics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

Background: Flood preparedness empowers the community to respond effectively to related hazards. However, there was no research done in the country concerning household flood preparedness. Therefore, the aim of this study was to assess household flood preparedness and associated factors in the flood-prone community of Dembia district, northwest Ethiopia. Read More

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http://dx.doi.org/10.2147/RMHP.S127511DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5460977PMC
May 2017
9 Reads

Handover checklist: testing a standardization process in an Italian hospital.

Risk Manag Healthc Policy 2017 22;10:87-93. Epub 2017 May 22.

Interdisciplinary Department of Medicine.

Objectives: This study aimed to standardize and rationalize the handover, a critical and essential moment in common health care practices, through the realization of an efficient and standardized checklist, which could be used daily to ensure complete, thorough and effective handover. The principal purpose of the implementation of the handover is to reduce errors due to superficial and insufficient communication.

Methods: The "operative group" defined the phases to the realization of the delineated aims: at first, the direct observation and the consequent realization of a handover checklist model and then, the experimental phases (trials). Read More

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http://dx.doi.org/10.2147/RMHP.S129652DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449138PMC
May 2017
5 Reads

Good intentions getting out of hand - is there a future for health care guidelines?

Risk Manag Healthc Policy 2017 11;10:81-85. Epub 2017 May 11.

Tilburg School of Social and Behavioural Sciences, Tranzo, Scientific Centre for Transformation in Care and Welfare, Tilburg University, Tilburg.

To date, the focus of research on guidelines has been directed toward professionals, and hospitals have merely served as the context. Little research has been performed on the dilemmas of guideline adherence in hospitals, as a setting in which multiple professional guidelines have to be implemented simultaneously; also, it is still unclear which clinical guidelines have to be aligned with other external demands, such as rules, regulations, standards, indicators, norms, and so on. Hence, different ways of studying the issue of guideline implementation are called for. Read More

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http://dx.doi.org/10.2147/RMHP.S134835DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436755PMC
May 2017
6 Reads

Effectiveness of a participatory eye care program in reducing eye strain among staff computer users in Thailand.

Risk Manag Healthc Policy 2017 11;10:71-80. Epub 2017 May 11.

Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Background: The increased usage of computers results in a variety of health problems, particularly eye strain, which is the most common workplace complaint today.

Objectives: This study aimed to evaluate the effectiveness of a participatory eye care (PEC) program by comparing eye care knowledge, attitude, and practice (KAP), as well as eye strain symptoms in staff computer users at Sukhothai Thammathirat Open University, Thailand.

Methods: A participatory approach was held by organizing a meeting of 26 stakeholders to get opinions for developing the PEC program. Read More

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https://www.dovepress.com/effectiveness-of-a-participatory-e
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http://dx.doi.org/10.2147/RMHP.S134940DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436759PMC
May 2017
22 Reads

Economic burden of hospitalizations of Medicare beneficiaries with heart failure.

Risk Manag Healthc Policy 2017 10;10:63-70. Epub 2017 May 10.

Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL.

Objective: The objective of this study was to assess the costs associated with the hospitalization and the cumulative 30-, 60-, and 90-day readmission rates in a cohort of Medicare beneficiaries with heart failure (HF).

Methods: This was a retrospective, observational study based on data from the national 5% sample of Medicare beneficiaries. Inpatient data were gathered for Medicare beneficiaries with at least one HF-related hospitalization between July 1, 2005, and December 31, 2011. Read More

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http://dx.doi.org/10.2147/RMHP.S130341DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436769PMC
May 2017
19 Reads

Evolution and complexity of government policies to protect the health of undocumented/illegal migrants in Thailand - the unsolved challenges.

Risk Manag Healthc Policy 2017 15;10:49-62. Epub 2017 Apr 15.

International Health Policy Program (IHPP), The Ministry of Public Health, Nonthaburi.

Background: Of the 65 million residents in Thailand, >1.5 million are undocumented/illegal migrants from neighboring countries. Despite several policies being launched to improve access to care for these migrants, policy implementation has always faced numerous challenges. Read More

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http://dx.doi.org/10.2147/RMHP.S130442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5402917PMC
April 2017
28 Reads

Environmental arsenic exposure and risk of diabetes type 2 in Ron Phibun subdistrict, Nakhon Si Thammarat Province, Thailand: unmatched and matched case-control studies.

Risk Manag Healthc Policy 2017 11;10:41-48. Epub 2017 Apr 11.

College of Public Health Sciences, Chulalongkorn University, Bangkok.

Background: There are inconsistent findings on associations between low-to-moderate level of arsenic in water and diabetes risk from previous epidemiological reports. In Ron Phibun subdistrict, Nakhon Si Thammarat Province, Thailand, a low level of arsenic exposure among population was observed and increased diabetes mellitus (DM) rate was identified.

Objectives: We aimed to investigate the association between determinants (including low-level water arsenic exposure) of DM type 2 risk among residents of three villages of Ron Phibun subdistrict, Nakhon Si Thammarat Province. Read More

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http://dx.doi.org/10.2147/RMHP.S128277DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396935PMC
April 2017
24 Reads

Patient web portals, disease management, and primary prevention.

Risk Manag Healthc Policy 2017 7;10:33-40. Epub 2017 Apr 7.

Department of Clinical and Digital Health Sciences, College of Allied Health Sciences, Augusta University, Augusta, GA.

Background: Efforts aimed at health care reform and continued advances in information technologies have prompted interest among providers and researchers in patient web portals. Patient web portals are password-protected online websites that offer the patients 24-hour access to personal health information from anywhere with an Internet connection.

Methods: This article, which is based upon bibliographic searches in PubMed, reviews important developments in web portals for primary and secondary disease prevention, including patient web portals tethered to electronic medical records, disease-specific portals, health disparities, and health-related community web portals. Read More

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http://dx.doi.org/10.2147/RMHP.S130431DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5391175PMC
April 2017
12 Reads

Legislative activity related to the human papillomavirus (HPV) vaccine in the United States (2006-2015): a need for evidence-based policy.

Risk Manag Healthc Policy 2017 13;10:29-32. Epub 2017 Mar 13.

School of Nursing; Department of Pediatrics.

State-based policies to mandate HPV vaccination are politically challenging and have received broad criticisms. There is a critical need to understand the legislative activities that underpin subsequent policy implementation. The objective of this policy analysis was to analyze state legislation that focused on HPV vaccination from 2006-2015. Read More

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http://dx.doi.org/10.2147/RMHP.S128247DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5356918PMC
March 2017
6 Reads

Salt reduction in China: a state-of-the-art review.

Risk Manag Healthc Policy 2017 22;10:17-28. Epub 2017 Feb 22.

Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, China; Duke Global Health Institute.

Objective: This study aimed to reveal the latest evidence on salt reduction initiatives in China in order to identify the contextual cost-effective interventions, as well as the barriers encountered during China's long march to reach its population salt reduction goal.

Background: Population-based salt reduction has been considered as one of the most cost-effective strategies in the world for the prevention and control of noncommunicable diseases. China, along with its sustained economic growth, faces increasing burdens from chronic diseases such as cardiovascular and kidney diseases. Read More

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http://dx.doi.org/10.2147/RMHP.S75918DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5328139PMC
February 2017
41 Reads
1 Citation

Injured workers' perception of loss and gain in the return to work process.

Risk Manag Healthc Policy 2017 7;10:7-16. Epub 2017 Feb 7.

Applied Cognitive Neuroscience Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.

When a worker is injured at work, he has to face a tough decision-making process about when and how to return to work (RTW). This study tests how the prospect theory can be applied to influence the injured workers' perceptions about this important choice. One hundred forty-one injured workers were presented with wage- and pain-related information in four different message framing (negatively or positively) and precision (smaller or larger number) conditions. Read More

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http://dx.doi.org/10.2147/RMHP.S119479DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5304984PMC
February 2017
11 Reads

Management of obstetric postpartum hemorrhage: a national service evaluation of current practice in the UK.

Risk Manag Healthc Policy 2017 17;10:1-6. Epub 2017 Jan 17.

Academic Centre for Women's Health, North Bristol NHS Trust, Bristol, UK.

Background: Postpartum hemorrhage (PPH) continues to be one of the major causes of maternal mortality and morbidity in obstetrics. Variations in practice often lead to adverse maternity outcomes following PPH. Our objective was to assess the current practice in managing PPH in the UK. Read More

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http://dx.doi.org/10.2147/RMHP.S121737DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5261839PMC
January 2017
21 Reads

Effectiveness of the multidimensional ergonomic intervention model to reduce musculoskeletal discomfort among street sweepers in Chiang Rai Province, Thailand.

Risk Manag Healthc Policy 2016 9;9:275-283. Epub 2016 Dec 9.

College of Public Health Sciences, Chulalongkorn University, Bangkok.

The aim of this study was to evaluate the effectiveness of multidimensional ergonomic intervention (MEI) model to reduce musculoskeletal discomfort (MSD) among street sweepers. A quasi-experimental study was conducted in Chiang Rai Province. The MEI model was designed on the basis of four core components: cognitive behavior therapy, ergonomic education training, stretching exercise, and the foam sleeve broom handle grip. Read More

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https://www.dovepress.com/effectiveness-of-the-multidimensio
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http://dx.doi.org/10.2147/RMHP.S110864DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5158141PMC
December 2016
13 Reads

Physician distribution and attrition in the public health sector of Ethiopia.

Risk Manag Healthc Policy 2016 7;9:285-295. Epub 2016 Dec 7.

College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.

Background: Shortages and imbalances in physician workforce distribution between urban and rural and among the different regions in Ethiopia are enormous. However, with the recent rapid expansion in medical education training, it is expected that the country can make progress in physician workforce supply. Therefore, the aim of this study was to examine the distribution of physician workforce in Ethiopia and assess the role of retention mechanisms in the reduction of physician migration from the public health sector of Ethiopia. Read More

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http://dx.doi.org/10.2147/RMHP.S117943DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5153314PMC
December 2016
10 Reads
4 Citations