Base de dados : MEDLINE
Pesquisa : E07.325 [Categoria DeCS]
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[PMID]:25816387
[Au] Autor:Bazuin D; Martinez J; Harper K; Okland K; Bergquist P; Kumar S
[Ad] Endereço:Herman Miller, Inc., Holland, MI, USA doug_bazuin@hermanmiller.com.
[Ti] Título:If I were a band-aid, where would I be? Researching the use and location of supplies on two patient units.
[So] Source:HERD;8(2):110-22, 2015.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study was to gain insight into the use and storage of supplies in the neonatal intensive care and women's health units of Parkland Hospital in Dallas, Texas. BACKGROUND: Construction of a new Parkland Hospital is underway, with completion of the 862-bed, 2.5-million square feet hospital in 2014. Leaders from the hospital and representatives from one of its major vendors collaborated on a research study to evaluate the hospital's current supply management system and develop criteria to create an improved system to be implemented at the new hospital. METHOD: Approach includes qualitative and quantitative methods, that is, written survey, researcher observations, focus groups, and evaluation of hospital supply reports. RESULTS: Approaching the ideal location of supplies can be best approached by defining a nurse's activity at the point of care. Determining an optimal supply management system must be approached by understanding the "what" of caregivers' activities and then determining the "where" of the supplies that support those activities. CONCLUSIONS: An ideal supply management system locates supplies as close as possible to the point of use, is organized by activity, and is standardized within and across units.
[Mh] Termos MeSH primário: Equipamentos e Provisões Hospitalares
Unidades de Terapia Intensiva Neonatal/organização & administração
Decoração de Interiores e Mobiliário/normas
Administração de Materiais no Hospital/normas
Recursos Humanos de Enfermagem no Hospital/organização & administração
Serviços de Saúde da Mulher/organização & administração
[Mh] Termos MeSH secundário: Eficiência Organizacional
Estudos de Avaliação como Assunto
Grupos Focais
Pesquisas sobre Serviços de Saúde
Pesquisa sobre Serviços de Saúde/métodos
Pesquisa sobre Serviços de Saúde/organização & administração
Unidades Hospitalares/organização & administração
Seres Humanos
Decoração de Interiores e Mobiliário/métodos
Administração de Materiais no Hospital/métodos
Recursos Humanos de Enfermagem no Hospital/psicologia
Pesquisa Qualitativa
Texas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/1937586714566409


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[PMID]:28806232
[Au] Autor:Locke CL; Pope DS
[Ad] Endereço:Author Affiliations: Clinical Nurse Specialist, Inpatient & Emergency Services Division (Dr Locke), and Nurse Scientist, Department of Nursing Research (Dr Pope), VA Portland Health Care System, Department of Veterans Affairs, Oregon.
[Ti] Título:Assessment of Medical-Surgical Patients' Perception of Hospital Noises and Reported Ability to Rest.
[So] Source:Clin Nurse Spec;31(5):261-267, 2017 Sep/Oct.
[Is] ISSN:1538-9782
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The purpose was to determine if an enhanced privacy curtain (1) impacted ability to rest while hospitalized in the acute care setting and (2) improved patient satisfaction associated with environmental noise. METHODS: The project evaluated a privacy curtain designed to increase speech privacy and intelligibility and reduce reverberation time (echo). The curtain was similar to the existing privacy curtain with 2 exceptions: the curtain panel had pocket inserts that absorbed sound, and curtain panels could be zipped together to reduce sound transmission through gaps. Curtains were evaluated on 2 medical-surgical units. Patients with at least 2 nights' stay and were alert and oriented without behavioral concerns were asked to complete a 12-item restful environment assessment. RESULTS: The project demonstrated some impact on ability to rest. One unit saw an increase in the patient experience sleep measure score and demonstrated a small increase in the patient's self- reported ability to rest during the day and night when using the enhanced curtain. CONCLUSION: Patients on medical-surgical units were bothered by the noises typically heard in those units. Small improvements in patient experience with the enhanced curtain were outweighed by cost and increased housekeeping and laundry staff workload.
[Mh] Termos MeSH primário: Equipamentos e Provisões Hospitalares
Ruído/prevenção & controle
Pacientes/psicologia
Descanso/psicologia
Centro Cirúrgico Hospitalar
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Ruído/efeitos adversos
Satisfação do Paciente/estatística & dados numéricos
Pacientes/estatística & dados numéricos
Privacidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170815
[St] Status:MEDLINE
[do] DOI:10.1097/NUR.0000000000000321


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[PMID]:28787292
[Au] Autor:Bergman LM; Pettersson ME; Chaboyer WP; Carlström ED; Ringdal ML
[Ad] Endereço:1Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. 2The Vascular Department, Sahlgrenska University Hospital/Sahlgrenska, Gothenburg, Sweden. 3Menzies Health Institute Queensland, Griffith University, Southport, QLD, Australia. 4University College of Southeast Norway, Notodden, Norway. 5Department of Anesthesiology and Intensive Care, Kungälvs Hospital, Kungälv, Sweden.
[Ti] Título:Safety Hazards During Intrahospital Transport: A Prospective Observational Study.
[So] Source:Crit Care Med;45(10):e1043-e1049, 2017 Oct.
[Is] ISSN:1530-0293
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To identify, classify, and describe safety hazards during the process of intrahospital transport of critically ill patients. DESIGN: A prospective observational study. Data from participant observations of the intrahospital transport process were collected over a period of 3 months. SETTING: The study was undertaken at two ICUs in one university hospital. PATIENTS: Critically ill patients transported within the hospital by critical care nurses, unlicensed nurses, and physicians. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Content analysis was performed using deductive and inductive approaches. We detected a total of 365 safety hazards (median, 7; interquartile range, 4-10) during 51 intrahospital transports of critically ill patients, 80% of whom were mechanically ventilated. The majority of detected safety hazards were assessed as increasing the risk of harm, compromising patient safety (n = 204). Using the System Engineering Initiative for Patient Safety, we identified safety hazards related to the work system, as follows: team (n = 61), tasks (n = 83), tools and technologies (n = 124), environment (n = 48), and organization (n = 49). Inductive analysis provided an in-depth description of those safety hazards, contributing factors, and process-related outcomes. CONCLUSIONS: Findings suggest that intrahospital transport is a hazardous process for critically ill patients. We have identified several factors that may contribute to transport-related adverse events, which will provide the opportunity for the redesign of systems to enhance patient safety.
[Mh] Termos MeSH primário: Unidades de Terapia Intensiva/organização & administração
Segurança do Paciente
Transferência de Pacientes/organização & administração
[Mh] Termos MeSH secundário: Estado Terminal
Desenho de Equipamento
Equipamentos e Provisões Hospitalares
Hospitais Universitários
Seres Humanos
Transferência da Responsabilidade pelo Paciente
Estudos Prospectivos
Medição de Risco
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170809
[St] Status:MEDLINE
[do] DOI:10.1097/CCM.0000000000002653


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[PMID]:28771132
[Au] Autor:Messika J; Clermont O; Landraud L; Schmidt M; Aubry A; Sougakoff W; Fernandes R; Combes A; Denamur E; Ricard JD
[Ad] Endereço:3​Univ Paris Diderot, IAME, UMR 1137, Sorbonne Paris Cité, F-75018 Paris, France 2​INSERM, IAME, UMR 1137, F-75018 Paris, France 1​AP-HP, Hôpital Louis Mourier, Service de Réanimation Médico-Chirurgicale, F-92700, Colombes, France.
[Ti] Título:Extra-corporeal membrane oxygenation-associated infections: implication of extra-intestinal pathogenic Escherichia coli clones.
[So] Source:J Med Microbiol;66(8):1189-1195, 2017 Aug.
[Is] ISSN:1473-5644
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Extra-corporeal membrane oxygenation (ECMO) is a promising life-saving technique for critically ill patients. Bacterial infection is a frequent complication, and Escherichia coli the predominant causative pathogen, but little is known about the characteristics of E. coli strains in these infections. We therefore conducted a retrospective study of 33 E. coli strains responsible for 33 ECMO-related infections, in 30 subjects. Antimicrobial susceptibility, phylotyping, O-typing, clonal relatedness determination and the screening for four virulence factor genes were conducted. Polymicrobial infections were evidenced in 61.6 % of episodes, irrespective of E. coli characteristics. Extra-intestinal pathogenic strains represented the large majority (69.7 %) of all E. coli isolates. Their advantageous genetic background may explain their predominance in this context. The potential for targeted digestive decontamination should be investigated in these patients for whom infectious complications are a heavy burden.
[Mh] Termos MeSH primário: Equipamentos e Provisões Hospitalares/microbiologia
Infecções por Escherichia coli/microbiologia
Escherichia coli/isolamento & purificação
Oxigenação por Membrana Extracorpórea/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Antibacterianos/farmacologia
Contaminação de Equipamentos
Escherichia coli/classificação
Escherichia coli/efeitos dos fármacos
Escherichia coli/genética
Infecções por Escherichia coli/etiologia
Proteínas de Escherichia coli/genética
Proteínas de Escherichia coli/metabolismo
Feminino
Genótipo
Seres Humanos
Masculino
Testes de Sensibilidade Microbiana
Meia-Idade
Filogenia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Escherichia coli Proteins)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1099/jmm.0.000554


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[PMID]:28562751
[Au] Autor:Raro OHF; Gallo SW; Ferreira CAS; Oliveira SD
[Ad] Endereço:Laboratório de Imunologia e Microbiologia, Faculdade de Biociências, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brasil.
[Ti] Título:Carbapenem-resistant Acinetobacter baumannii contamination in an intensive care unit.
[So] Source:Rev Soc Bras Med Trop;50(2):167-172, 2017 Mar-Apr.
[Is] ISSN:1678-9849
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION:: Acinetobacter baumannii is a major pathogen causing infections in intensive care units (ICUs). In this study, we aimed to evaluate the presence of A. baumannii in an ICU environment and gloves from ICU workers and to characterize the antimicrobial resistance of the isolates in comparison with those isolated from ICU patients at the same hospital. METHODS:: ICU samples were collected from March to November 2010. Isolates biochemically characterized as Acinetobacter calcoaceticus-Acinetobacter baumannii complex were evaluated by PCR targeting the 16S rDNA and bla OXA-51 genes. Antimicrobial susceptibility was determined using the disk diffusion method, and carbapenem-resistant isolates were also evaluated for the minimum inhibitory concentration of imipenem using broth microdilution. The presence of the bla OXA-23 gene was evaluated in isolates with reduced susceptibility to carbapenems. RESULTS:: A. baumannii was detected in 9.5% (84) of the 886 samples collected from the ICU environment, including from furniture, medical devices, and gloves, with bed rails being the most contaminated location (23.8%; 20/84). Multidrug-resistant (MDR) A. baumannii was found in 98.8% (83/84) of non-clinical and 97.8% (45/46) of clinical isolates. Reduced susceptibility to carbapenems was detected in 83.3% (70/84) of non-clinical and 80.4% (37/46) of clinical isolates. All isolates resistant to carbapenems harbored bla OXA-23. CONCLUSIONS:: We found a strong similarity between the antimicrobial susceptibility profiles of non-clinical and clinical A. baumannii isolates. Such data highlight the ICU environment as a potential origin for the persistence of MDR A. baumannii, and hence the ICU may be a source of hospital-acquired infections caused by this microorganism.
[Mh] Termos MeSH primário: Acinetobacter baumannii/efeitos dos fármacos
Antibacterianos/farmacologia
Carbapenêmicos/farmacologia
Microbiologia Ambiental
Equipamentos e Provisões Hospitalares/microbiologia
Luvas Protetoras/microbiologia
Unidades de Terapia Intensiva/estatística & dados numéricos
[Mh] Termos MeSH secundário: Acinetobacter baumannii/enzimologia
Acinetobacter baumannii/isolamento & purificação
Testes de Sensibilidade a Antimicrobianos por Disco-Difusão
Farmacorresistência Bacteriana
Seres Humanos
Reação em Cadeia da Polimerase
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Carbapenems)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170705
[Lr] Data última revisão:
170705
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE


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[PMID]:28319164
[Au] Autor:Simonetti A; Ezzeldin H; Menis M; McKean S; Izurieta H; Anderson SA; Forshee RA
[Ad] Endereço:Office of Biostatistics and Epidemiology, Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD, United States of America.
[Ti] Título:Modeling the potential impact on the US blood supply of transfusing critically ill patients with fresher stored red blood cells.
[So] Source:PLoS One;12(3):e0174033, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although some studies have suggested that transfusion recipients may have better medical outcomes if transfused with red blood cell units stored for a short time, the overall body of evidence shows mixed results. It is important to understand how using fresher stored red blood cell units for certain patient groups may affect blood availability. METHODS: Based on the Stock-and-Flow simulation model of the US blood supply developed by Simonetti et al. 2014, we evaluated a newly implemented allocation method of preferentially transfusing fresher stored red blood cell units to a subset of high-risk group of critically ill patients and its potential impact on supply. RESULTS: Simulation results showed that, depending on the scenario, the US blood total supply might be reduced between 2-42%, when compared to the standard of care in transfusion medicine practice. Among our simulated scenarios, we observed that the number of expired red blood cell units modulated the supply levels. The age threshold of the required red blood cell units was inversely correlated with both the supply levels and the number of transfused units that failed to meet that age threshold. CONCLUSION: To our knowledge, this study represents the first attempt to develop a comprehensive framework to evaluate the impact of preferentially transfusing fresher stored red blood cells to the higher-risk critically ill patients on supply. Model results show the difficulties to identify an optimal scenario.
[Mh] Termos MeSH primário: Bancos de Sangue
Estado Terminal/terapia
Transfusão de Eritrócitos/métodos
Recursos em Saúde
[Mh] Termos MeSH secundário: Doadores de Sangue
Preservação de Sangue/métodos
Simulação por Computador
Equipamentos e Provisões Hospitalares
Seres Humanos
Fatores de Tempo
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170321
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0174033


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[PMID]:28213363
[Au] Autor:Oliver D
[Ad] Endereço:Berkshire.
[Ti] Título:David Oliver: Hotel chains are no answer to hospital bed crises.
[So] Source:BMJ;356:j730, 2017 Feb 17.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Ocupação de Leitos
Hospitais
[Mh] Termos MeSH secundário: Equipamentos e Provisões Hospitalares
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170219
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j730


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[PMID]:28164686
[Au] Autor:Zhu M; Chen R; Zhong S; Qian Y; Huang Q
[Ad] Endereço:Institute of Public Safety Research (IPSR), Tsinghua University, Beijing, China.
[Ti] Título:Medical resource preparation and allocation for humanitarian assistance based on module organization.
[So] Source:Minerva Med;108(1):20-27, 2017 Feb.
[Is] ISSN:1827-1669
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This research aims to associate the allocation of medical resources with the function of the modular organization and the possible needs for humanitarian assistance missions. METHODS: The overseas humanitarian medical assistance mission, which was sent after a disaster on the hospital ship Peace Ark, part of China's People's Liberation Army (PLA) Navy, was considered as study model. The cases used for clustering and matching sample formation were randomly selected from the existing information related to Peace Ark's mission. RESULTS: Categories of the reusable resources clustered by this research met the requirement of the actual consumption almost completely (more than 95%) and the categories of non-reusable resources met the requirement by more than 80%. In the mission's original resource preparing plan, more than 30% of the non-reusable resource categories remained unused during the mission. In the original resource preparing plan, some key non-reusable resources inventories were completely exhausted at the end of the mission, while 5% to 30% of non-reusable resources remained in the resource allocation plan generated by this research at the end of the mission. CONCLUSIONS: The medical resource allocation plan generated here can enhance the supporting level for the humanitarian assistance mission. This research could lay the foundation for an assistant decision-making system for humanitarian assistance mission.
[Mh] Termos MeSH primário: Missões Médicas Oficiais/organização & administração
Socorro em Desastres/organização & administração
[Mh] Termos MeSH secundário: Resgate Aéreo
China
Tempestades Ciclônicas
Desastres
Uso de Medicamentos
Equipamentos e Provisões Hospitalares
Necessidades e Demandas de Serviços de Saúde
Seres Humanos
Medicina/organização & administração
Militares
Modelos Teóricos
Filipinas
Alocação de Recursos
Navios
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170213
[Lr] Data última revisão:
170213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170207
[St] Status:MEDLINE
[do] DOI:10.23736/S0026-4806.16.04889-8


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[PMID]:28121760
[Au] Autor:Disher TC; Benoit B; Inglis D; Burgess SA; Ellsmere B; Hewitt BE; Bishop TM; Sheppard CL; Jangaard KA; Morrison GC; Campbell-Yeo ML
[Ad] Endereço:IWK Health Centre, Halifax, Nova Scotia, Canada (Messrs Disher and Sheppard, Drs Benoit, Jangaard, Morrison, and Campbell-Yeo, and Mss Inglis, Burgess, Ellsmere, Hewitt, and Bishop); and Dalhousie University, Halifax, Nova Scotia, Canada (Mr Disher and Ms Benoit, Drs Jangaard, Morrison, and Campbell-Yeo).
[Ti] Título:Striving for Optimum Noise-Decreasing Strategies in Critical Care: Initial Measurements and Observations.
[So] Source:J Perinat Neonatal Nurs;31(1):58-66, 2017 Jan/Mar.
[Is] ISSN:1550-5073
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To identify baseline sound levels, patterns of sound levels, and potential barriers and facilitators to sound level reduction. The study setting was neonatal and pediatric intensive care units in a tertiary care hospital. Participants were staff in both units and parents of currently hospitalized children or infants. One 24-hour sound measurements and one 4-hour sound measurement linked to observed sound events were conducted in each area of the center's neonatal intensive care unit. Two of each measurement type were conducted in the pediatric intensive care unit. Focus groups were conducted with parents and staff. Transcripts were analyzed with descriptive content analysis and themes were compared against results from quantitative measurements. Sound levels exceeded recommended standards at nearly every time point. The most common code was related to talking. Themes from focus groups included the critical care context and sound levels, effects of sound levels, and reducing sound levels-the way forward. Results are consistent with work conducted in other critical care environments. Staff and families realize that high sound levels can be a problem, but feel that the culture and context are not supportive of a quiet care space. High levels of ambient sound suggest that the largest changes in sound levels are likely to come from design and equipment purchase decisions. L10 and Lmax appear to be the best outcomes for measurement of behavioral interventions.
[Mh] Termos MeSH primário: Exposição Ambiental/prevenção & controle
Unidades de Terapia Intensiva Neonatal/organização & administração
Ruído Ocupacional/efeitos adversos
Recursos Humanos de Enfermagem no Hospital/organização & administração
[Mh] Termos MeSH secundário: Exposição Ambiental/efeitos adversos
Monitoramento Ambiental/métodos
Equipamentos e Provisões Hospitalares
Feminino
Grupos Focais
Seres Humanos
Recém-Nascido
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170126
[St] Status:MEDLINE
[do] DOI:10.1097/JPN.0000000000000229


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[PMID]:28114159
[Au] Autor:Monti J
[Ad] Endereço:Jonathan Monti, DScPA, PA-C, RDMS, is director of the US Army/Baylor Emergency Medicine Physician Assistant Residency Program and deputy director of the Emergency Ultrasound Fellowship Program in the Department of Emergency Medicine, Madigan Army Medical Center, Joint Base Lewis McChord, Tacoma, Washington.
[Ti] Título:Revolution or Evolution? A Proposal for the Integration of Point-of-Care Ultrasound Into Physician Assistant Clinical Practice.
[So] Source:J Physician Assist Educ;28(1):27-32, 2017 Mar.
[Is] ISSN:1941-9430
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Advances in technology and increased affordability of machines have allowed ultrasound to become ubiquitous across the spectrum of medical care. Increasing portability has brought ultrasound to the point of care in multiple medical specialties. Formal ultrasound training is rapidly being incorporated into multispecialty residency programs and undergraduate medical education curricula, yet little formal training exists for physician assistants (PAs) on this emerging clinical adjunct. This article outlines recommendations for and barriers to the incorporation of bedside ultrasound into PA clinical practice.
[Mh] Termos MeSH primário: Instrução por Computador/métodos
Assistentes Médicos/educação
Sistemas Automatizados de Assistência Junto ao Leito/organização & administração
Prática Profissional
[Mh] Termos MeSH secundário: Equipamentos e Provisões Hospitalares
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170124
[St] Status:MEDLINE
[do] DOI:10.1097/JPA.0000000000000101



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