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A novel method for identifying care home residents in England: a validation study.

Int J Popul Data Sci 2020 15;5(4):1666. Epub 2021 Sep 15.

Improvement Analytics Unit, The Health Foundation.

Introduction: The ability to identify residents of care homes in routinely collected health care data is key to informing healthcare planning decisions and delivery initiatives targeting the older and frail population. Health-care planning and delivery implications at national level concerning this population subgroup have considerably and suddenly grown in urgency following the onset of the COVID-19 pandemic, which has especially hit care homes. The range of applicability of this information has widened with the increased availability in England of retrospectively collected administrative databases, holding rich patient-level details on health and prognostic status who have made or are in contact with the National Health Service. Read More

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September 2021

Preparing Neurology Residents and Advanced Practice Providers for the COVID-19 ICU-A Neurocritical Care Led Intervention.

Neurohospitalist 2021 Oct 13;11(4):342-347. Epub 2021 May 13.

Department of Neurology, University of California, San Francisco, San Francisco, CA, USA.

Background And Purpose: With the surge of critically ill COVID-19 patients, neurology and neurosurgery residents and advanced practice providers (APPs) were deployed to intensive care units (ICU). These providers lacked relevant critical care training. We investigated whether a focused video-based learning curriculum could effectively teach high priority intensive care topics in this unprecedented setting to these neurology providers. Read More

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October 2021

Impact of New Orleans Saints Football Games on Internal Medicine Admissions.

Ochsner J 2021 ;21(3):245-248

Department of Medicine, Tulane University School of Medicine, New Orleans, LA.

Various studies have reported a decrease in emergency department admissions in correlation with major sporting events. However, these studies limit the investigation of selected variables to the 24-hour periods on game days. For our study, we assessed the impact of New Orleans Saints football team games on medical admissions on game days and also on post-game days. Read More

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January 2021

Exploring Pharmacy Trainee Experiential Learning in a Full Scope Collaborative Rural Primary Care Practice: A Retrospective Chart Review.

Pharmacy (Basel) 2021 Sep 15;9(3). Epub 2021 Sep 15.

School of Pharmacy, University of Waterloo, Kitchener, ON N2G 1C5, Canada.

Despite reported benefits of pharmacy trainees (e.g., pharmacy students, pharmacy residents) in hospital settings, limited research on the impact of these trainees has been conducted in rural primary care. Read More

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September 2021

Perioperative team communication through a mobile app for improving coordination and education in neurosurgery cases.

J Neurosurg 2021 Sep 24:1-7. Epub 2021 Sep 24.

Departments of1Neurosurgery and.

Objective: Miscommunication and poor coordination among surgical teams are known causes of preventable medical harms and operating room inefficiencies and inhibit surgical training. Technology may help overcome these challenges. This study used the personal experience of one of the authors as a former Air Force F-15 pilot to design a combat aviation pre- and postoperative communication workflow in the neurosurgery department and tested its effect on safety, efficiency, and education. Read More

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September 2021

Comparison of the incidence of intra-operative haemorrhage from ovarian vessels during ovariectomy and ovariohysterectomy of dogs and cats performed by inexperienced surgeons using surgeon's and constrictor knots.

N Z Vet J 2021 Sep 24:1-13. Epub 2021 Sep 24.

Department of Small Animal Surgery, VET TEAM, 4030 Grivegnée, Liège, Belgium.

Aims: To compare the incidence of intra-operative haemorrhage from ovarian vessels during ovariectomy (OV) and ovariohysterectomy (OVH) in dogs and cats performed by inexperienced surgeons using surgeon's and constrictor knots to ligate the ovarian pedicles.

Methods: All client-owned female dogs (n=51) and cats (n=102) that presented for OV or OVH at two referral clinics in Belgium and France from January to June 2019 were included. Surgeries were performed by inexperienced surgeons under the supervision of European College of Veterinary Surgeons residents or diplomates. Read More

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September 2021

Simulating for Quality: A Centralized Quality Improvement and Patient Safety Simulation Curriculum for Residents and Fellows.

Acad Med 2021 Sep 21. Epub 2021 Sep 21.

J.T. Luty is assistant professor, Department of Medicine, and medical director of performance improvement for graduate medical education, Oregon Health & Science University, Portland, Oregon; ORCID: https://orcid.org/0000-0002-6040-3448. H. Oldham was chief resident in quality and safety, Veterans Affairs Portland Healthcare System, Portland, Oregon, at the time of writing. He is currently clinical hospitalist, Providence Portland Medical Center, Portland, Oregon. A. Smeraglio is assistant professor, Veterans Affairs Portland Healthcare System, Oregon Health & Science University, Portland, Oregon. M. DiVeronica is assistant professor, Veterans Affairs Portland Healthcare System, Oregon Health & Science University, Portland, Oregon. C. Terndrup is assistant professor, Department of Medicine, Oregon Health & Science University, Portland, Oregon. F.A. Tibayan is associate professor, Department of Surgery, Oregon Health & Science University, Portland, Oregon. J. Engle is performance improvement consultant, School of Medicine, Oregon Health & Science University, Portland, Oregon. K. Lepin was quality manager for graduate medical education, School of Medicine, Oregon Health & Science University, Portland, Oregon, at the time of writing. She is currently director of equity and collaborative impact, Southwest Washington Accountable Community of Health, Vancouver, Washington. S. Nonas is associate professor, Department of Medicine, and medical director of the medical intensive care unit, Oregon Health & Science University, Portland, Oregon.

Problem: Requirements for experiential education in quality improvement and patient safety (QI/PS) in graduate medical education (GME) have recently expanded. Major challenges to meeting these requirements include a lack of faculty with the needed expertise, paucity of standardized curricular models allowing for skill demonstration, and inconsistent access to data for iterative improvement.

Approach: In October 2017, the authors began development of a centralized QI/PS flipped-classroom simulation-based medical education (SBME) curriculum for GME trainees across multiple disciplines at Oregon Health & Science University (OHSU). Read More

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September 2021

The role of a pharmacy residency program in global health: Establishing pediatric clinical pharmacy services in a Malawian hospital.

Am J Health Syst Pharm 2021 Sep 23. Epub 2021 Sep 23.

University of North Carolina Eshelman School of Pharmacy, Chapel Hill, NC, USA.

Disclaimer: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Read More

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September 2021

Impact of an acute geriatric outreach service to residential aged care facilities on hospital admissions.

Aging Med (Milton) 2021 Sep 5;4(3):169-174. Epub 2021 Sep 5.

Aged Care and Rehabilitation Department Bankstown-Lidcombe Hospital Bankstown NSW Australia.

Introduction: Residential aged care facility (RACF) residents frequently present to the emergency department (ED) and are often admitted to hospital. Some presentations and admissions may be avoidable. In 2013, Bankstown-Lidcombe Hospital introduced a subacute geriatric outreach service (SGOS), which had little impact on reducing ED presentations. Read More

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September 2021

Risk Factors for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection and Presence of Anti-SARS-CoV-2 Antibodies Among University Student Dormitory Residents, September-November 2020.

Open Forum Infect Dis 2021 Sep 31;8(9):ofab405. Epub 2021 Jul 31.

COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Background: Multiple severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreaks occurred at universities during Fall 2020, but little is known about risk factors for campus-associated infections or immunity provided by anti-SARS-CoV-2 antibodies in young adults.

Methods: We conducted surveys and serology tests among students living in dormitories in September and November to examine infection risk factors and antibody presence. Using campus weekly reverse-transcription polymerase chain reaction (RT-PCR) test results, the relationship between survey responses, SARS-CoV-2 antibodies, and infections was assessed. Read More

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September 2021

Characteristics associated with hospitalization within 30 days of geriatric intermediate care facility admission.

Geriatr Gerontol Int 2021 Sep 21. Epub 2021 Sep 21.

Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.

Aim: To identify facility-level characteristics associated with hospitalization within 30 days after admission to a geriatric intermediate care facility (GICF) (30-day hospitalization) in Japan.

Methods: This retrospective cohort study used nationwide long-term care insurance claims data and a national survey of long-term geriatric care facilities. The study population was residents admitted to GICFs between October 2016 and February 2018. Read More

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September 2021

Management of COVID-19 in a French Nursing Home: Experiences from a Multidisciplinary Mobile Team.

J Frailty Aging 2021 ;10(4):363-366

Pierre Poupin, MD, Division of Geriatric Medicine, Tours University Medical Center, Tours, France, E-mail: Phone: +33-643-166-637.

Background: Long-term residential care facilities and nursing homes are known to be particularly vulnerable to viral respiratory diseases and have expressed the need for multidisciplinary collaboration to help manage outbreaks when they occur.

Method: In April 2020, Tours University Medical Center created a multidisciplinary mobile team to help local nursing homes deal with outbreaks of coronavirus disease 2019 (COVID-19). The team included a geriatrician, infectious disease experts, and palliative care specialists. Read More

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September 2021

Financial and Work-flow Benefits of Reducing Avoidable Hospitalizations of Nursing Home Residents.

J Nutr Health Aging 2021 ;25(8):971-978

Marilyn Rantz, University of Missouri Sinclair School of Nursing, Columbia, USA,

Objectives: 1) Explain the financial benefit of potential revenue recapture (PRR) for non-billable days due to hospitalizations of nursing home (NH) residents using a six-year longitudinal analysis of 11 of 16 NHs participating in the Missouri Quality Initiative (MOQI); and 2) Discuss the work-flow benefits of early detection of changes in health status using qualitative data from all MOQI homes.

Design: A CMS funded demonstration project with full-time advanced practice registered nurses (APRN) and operations support team focused on reducing avoidable hospitalizations for long stay NH residents (2012-2020).

Setting And Participants: Setting was a sample of 11 of 16 US NHs participating in the CMS project. Read More

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January 2021

Surveillance for peri-elimination trachoma recrudescence: Exploratory studies in Ghana.

PLoS Negl Trop Dis 2021 Sep 20;15(9):e0009744. Epub 2021 Sep 20.

Clinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.

Introduction: To date, eleven countries have been validated as having eliminated trachoma as a public health problem, including Ghana in 2018. Surveillance for recrudescence is needed both pre- and post-validation but evidence-based guidance on appropriate strategies is lacking. We explored two potential surveillance strategies in Ghana. Read More

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September 2021

Individual and organizational factors of nurses' job satisfaction in long-term care: A systematic review.

Int J Nurs Stud 2021 Aug 26;123:104073. Epub 2021 Aug 26.

University of Ottawa - School of Nursing, Ottawa Hospital Research Institute, General Campus, 501 Smyth Rd, Box 711, Ottawa, ON K1H 8L6, Canada. Electronic address:

Background: In long-term care facilities, nurses' job satisfaction predicts staff turnover, which adversely affects resident outcomes. Thus, it is important to develop a comprehensive understanding of factors affecting nurses' job satisfaction in long-term care facilities.

Objectives: To analyze factors associated with job satisfaction among nurses in nursing homes from individual and organizational perspectives utilizing a deductive approach. Read More

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"The Story I will Never Forget": Critical Incident Narratives in Surgical Residency.

Ann Surg 2021 Sep 16. Epub 2021 Sep 16.

Michigan State University College of Human Medicine Michigan Medicine, Department of Surgery Beaumont Health, Department of Surgery Yale University, Department of Surgery.

Objective: We sought to better understand what defines a critical incident experience for the surgical trainee.

Summary Background Data: Critical incidents are formative moments stamped indelibly on one's memory that shape professional identity. The critical incident technique - using participants' narratives to identify patterns and learn from their perceptions - has been explored in some healthcare settings, but there has been no inquiry within surgery. Read More

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September 2021

Experiential QI Activity for Residents to Improve Women's Preventive Services.

PRiMER 2021 27;5:25. Epub 2021 Jul 27.

Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX.

Introduction: The Accreditation Council for Graduate Medical Education (ACGME) requires family medicine residents to complete a quality improvement (QI) project. There is a need for more QI training activities to be shared to meet this requirement. Our objective was to describe an activity for residents to improve women's preventive health services in an underserved clinic. Read More

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Characteristics of nursing home units with high versus low levels of person-centred care in relation to leadership, staff- resident- and facility factors: findings from SWENIS, a cross-sectional study in Sweden.

BMC Geriatr 2021 Sep 16;21(1):498. Epub 2021 Sep 16.

Department of Nursing, Umeå University, SE-901 87, Umeå, Sweden.

Background: The context of care consists of factors that determines the extent to which staff can offer person-centred care. However, few studies have investigated factors that can explain variation in levels of person-centred care among nursing home units. The aim of this study was to explore factors characterizing nursing home units with high and low degree of person-centred care, with focus on leadership, staff, resident and facility factors. Read More

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September 2021

The role of transport and telecommunications technology in the development of the Scottish Highlands and Islands Medical Service: a historical perspective.

Rural Remote Health 2021 Sep 17;21(3):6560. Epub 2021 Sep 17.

Centre for Rural Health, Institute of Applied Health Sciences, University of Aberdeen, Inverness, Scotland IV2 3JH, UK

The Highlands and Islands Medical Service (HIMS) was introduced across the Scottish Highlands and Islands region after the publication of the Dewar Report in 1913. It was the first state-funded medical service in the UK and one of the first in the world. The Dewar Committee recommended the establishment of HIMS following research into healthcare provision in the region, concluding that there was insufficient provision. Read More

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September 2021

Developing the surgical technique reporting checklist and standards: a study protocol.

Gland Surg 2021 Aug;10(8):2591-2599

Editorial Office, AME Publishing Company, Hong Kong, China.

Background: Standardized and transparent reporting of surgical technique is the cornerstone of effective dissemination, implementation and improvement. However, current reporting of surgical techniques is inadequate. The existing guidelines potentially applied to guide surgical technique reporting are with a minimal highlight of the surgical technique, lack requirements explaining what extent and dimensions need to be described in detail, or are unlikely to extrapolate to a wide range of surgical techniques. Read More

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French cross-cultural adaptation and validation of the Quality of Life-Alzheimer's Disease scale in Nursing Homes (QOL-AD NH).

Health Qual Life Outcomes 2021 Sep 15;19(1):219. Epub 2021 Sep 15.

INSERM BPH, UMR 1219, Team "Handicap, Activity, Cognition, Health", University of Bordeaux, Bordeaux, France.

Background: No specific scale to measure Quality of Life in Alzheimer's Disease in Nursing Homes (QoL-AD NH) exists in French. We aimed to translate and culturally adapt the QoL-AD NH participant scale into a French version and evaluate its psychometric properties with residents in French nursing homes (EHPAD).

Methods: First, the QoL-AD NH was cross-culturally adapted into French according to guidelines. Read More

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September 2021

Non-pharmacological measures implemented in the setting of long-term care facilities to prevent SARS-CoV-2 infections and their consequences: a rapid review.

Cochrane Database Syst Rev 2021 09 15;9:CD015085. Epub 2021 Sep 15.

Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany.

Background: Starting in late 2019, COVID-19, caused by the novel coronavirus SARS-CoV-2, spread around the world. Long-term care facilities are at particularly high risk of outbreaks, and the burden of morbidity and mortality is very high among residents living in these facilities.

Objectives: To assess the effects of non-pharmacological measures implemented in long-term care facilities to prevent or reduce the transmission of SARS-CoV-2 infection among residents, staff, and visitors. Read More

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September 2021

Participants' perceptions of a residency teaching certificate program: the quality, impact and benefits.

Pharm Pract (Granada) 2021 Jul-Sep;19(3):2423. Epub 2021 Aug 30.

Raabe College of Pharmacy, Ohio Northern University. Ada, OH (United States).

Background: Currently, there are no accreditation requirements for pharmacy resident teaching certificate programs (RTCPs) but rather suggested guidelines and documents for individual programs to follow. RTCP curriculums are often "handed-down" from past personnel and vary based on individual interpretation. Quality improvement may be overlooked when programs do not report to governing bodies. Read More

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COVID-19 Vaccine Uptake Among Residents and Staff Members of Assisted Living and Residential Care Communities-Pharmacy Partnership for Long-Term Care Program, December 2020-April 2021.

J Am Med Dir Assoc 2021 Aug 25. Epub 2021 Aug 25.

COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA; United States Public Health Service Commissioned Corps, Rockville, MD, USA.

Objectives: In December 2020, CDC launched the Pharmacy Partnership for Long-Term Care Program to facilitate COVID-19 vaccination of residents and staff in long-term care facilities (LTCFs), including assisted living (AL) and other residential care (RC) communities. We aimed to assess vaccine uptake in these communities and identify characteristics that might impact uptake.

Design: Cross-sectional study. Read More

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Team sport participation protects against burnout during neurosurgery training: a cross-sectional survey study.

World Neurosurg 2021 Sep 7. Epub 2021 Sep 7.

Department of Neurological Surgery, Vanderbilt University Medical Center, Medical Center North, Suite T-4224, 1161 21(st) Ave S, Nashville, TN, 37212.

Objective: Burnout is experienced by up to two-thirds of neurosurgery residents. Team sport participation as an adolescent protects against adverse mental health outcomes in adulthood. The objective of this study was to determine whether high school or collegiate team sport participation is associated with improved psychological well-being during neurosurgery residency. Read More

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September 2021

Ecological Analysis of the Decline in Incidence Rates of COVID-19 among Nursing Home Residents Associated with Vaccination, United States, December 2020-January 2021.

J Am Med Dir Assoc 2021 Aug 13. Epub 2021 Aug 13.

Centers for Disease Control and Prevention, Atlanta, GA, USA.

Objective: To evaluate if facility-level vaccination after an initial vaccination clinic was independently associated with COVID-19 incidence adjusted for other factors in January 2021 among nursing home residents.

Design: Ecological analysis of data from the CDC's National Healthcare Safety Network (NHSN) and from the CDC's Pharmacy Partnership for Long-Term Care Program.

Setting And Participants: CMS-certified nursing homes participating in both NHSN and the Pharmacy Partnership for Long-Term Care Program. Read More

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Co-Learning Curriculum in Quality Improvement for Surgical Residents- Five-Year Experience from the University of Toronto.

J Surg Educ 2021 Sep 1. Epub 2021 Sep 1.

Department of Surgery, University of Toronto, Toronto, Ontario, Canada; Division of Thoracic Surgery, Michael Garron Hospital, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Objective: We describe our five-year experience with a novel co-learning curriculum in quality improvement (CCQI) for the largest reported cohort of surgical residents. The program introduces trainees to principles of quality improvement (QI) and empowers them to complete collaborative projects with mentorship from faculty experts.

Design: Each iteration consists of three interactive seminars. Read More

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September 2021

Impact of STAR-VA on Staff Injury and Disruptive Behavior Reports in VA Nursing Homes.

J Am Med Dir Assoc 2021 Aug 30. Epub 2021 Aug 30.

Workplace Violence Prevention Program, Office of Mental Health and Suicide Prevention, Veterans Health Administration Central Office, Washington, DC, USA; Lexington VA Health Care System, Lexington, KY, USA.

Objectives: Workplace disruptive behavior incidents can be costly for organizations, employees, and customers. Persons with dementia living in long-term care settings have a high risk of exhibiting distressed behaviors. We examined whether a resident-centered, behavioral intervention for residents with dementia led to a reduction in reported workplace disruptive behaviors and staff injury rate due to assault. Read More

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Transmission Risk of SARS-CoV-2 Before and After Symptom Onset of the Infector.

Jpn J Infect Dis 2021 Aug 31. Epub 2021 Aug 31.

Center for Surveillance, Immunization, and Epidemiologic Research, National Institute of Infectious Diseases, Japan.

An outbreak of COVID-19 occurred in Ueda City, Nagano prefecture, Japan with a population of 150,000. Because the residents were a population naïve to COVID-19 and many of them had only one chance of exposure, careful epidemiological investigation could reveal attack rates among close contacts on the specific date of exposure. We identified 89 cases and 328 close contacts. Read More

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Co-Development of a Web-Based Hub (eSocial-hub) to Combat Social Isolation and Loneliness in Francophone and Anglophone Older People in the Linguistic Minority Context (Quebec, Manitoba, and New Brunswick): Protocol for a Mixed Methods Interventional Study.

JMIR Res Protoc 2021 Sep 15;10(9):e30802. Epub 2021 Sep 15.

Faculté des sciences infirmières, Université Laval, Québec, QC, Canada.

Background: The first wave of the COVID-19 pandemic has severely hit Canadian nursing facilities (81% of deaths). To this toll, public health measures (eg, visitation restriction) have subsequently deepened the social isolation and loneliness of residents in nursing facilities (NFs), especially those in linguistic minority settings: Anglophone institutions in Quebec and Francophone institutions outside Quebec. However, very few COVID-19 initiatives targeting these populations specifically have been documented. Read More

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September 2021