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[PMID]:27246106
[Au] Autor:O'Connell A; Flabouris A; Kim SW; Horwood C; Hakendorf P; Thompson CH
[Ad] Endereço:Discipline of Medicine, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia.
[Ti] Título:A newly designed observation and response chart's effect upon adverse inpatient outcomes and rapid response team activity.
[So] Source:Intern Med J;46(8):909-16, 2016 Aug.
[Is] ISSN:1445-5994
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Adverse inpatient events may diminish with earlier response to clinical deterioration. Observation and response charts with a tiered escalation response are recommended for use. AIMS: To examine the impact of an observation and response chart and altered calling criteria on rapid response team (RRT) calls, cardiac arrests and intensive care unit (ICU) admissions from the ward and hospital deaths. METHODS: Linked administrative and clinical data from an Australian, adult tertiary hospital for August 2007 to June 2013 (pre-chart) and July 2013 to December 2014 (post-chart) and analysed using interrupted time series analysis. RESULTS: Pre-chart RRT calls were increasing by 1.7 calls per 10 000 hospital admissions per month, whilst ICU admissions from the ward, deaths and cardiac arrests were decreasing by 0.3, 0.25 and 0.079 per 10 000 admissions per month respectively. Immediately upon chart introduction, the RRT call rate increased by 82% (66-98% CI; P < 0.01), the ward admissions to ICU rate increased by 41% (14-67% CI; P < 0.01) and the rates of deaths and cardiac arrests did not change. In the post chart period, both the pre-chart increasing trend in the rate of RRT and decreasing trend in the rate of ICU admissions changed significantly to become constant. The pre chart trends in the cardiac arrest rate and hospital mortality did not change. CONCLUSION: Observation and response charts increased RRT and ICU workload without improving cardiac arrest rate or mortality. Future chart evaluation should identify features beneficial to patient outcomes and refine those that consume critical care resources that are not associated with improved patient outcomes.
[Mh] Termos MeSH primário: Parada Cardíaca/mortalidade
Mortalidade Hospitalar/tendências
Equipe de Respostas Rápidas de Hospitais/organização & administração
Registros Médicos
Carga de Trabalho
[Mh] Termos MeSH secundário: Serviços de Atendimento
Seres Humanos
Pacientes Internados
Unidades de Terapia Intensiva
Admissão do Paciente
Análise de Regressão
Austrália do Sul
Centros de Atenção Terciária
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170824
[Lr] Data última revisão:
170824
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160602
[St] Status:MEDLINE
[do] DOI:10.1111/imj.13137


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[PMID]:27159939
[Au] Autor:Monaco J
[Ti] Título:What If My Patient Needs Emergency Treatment After Hours?
[So] Source:J N J Dent Assoc;87(1):8, 2016.
[Is] ISSN:0093-7347
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Plantão Médico
Assistência Odontológica
Tratamento de Emergência
[Mh] Termos MeSH secundário: Serviços de Atendimento
Comunicação
Relações Dentista-Paciente
Seres Humanos
New Jersey
Educação de Pacientes como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1606
[Cu] Atualização por classe:160510
[Lr] Data última revisão:
160510
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:160511
[St] Status:MEDLINE


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[PMID]:24652919
[Au] Autor:Yagil D; Cohen M; Beer JD
[Ad] Endereço:University of Haifa, Israel.
[Ti] Título:Older Adults' Coping With the Stress Involved in the Use of Everyday Technologies.
[So] Source:J Appl Gerontol;35(2):131-49, 2016 Feb.
[Is] ISSN:1552-4523
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: This study was conducted to examine the frequency of reported use of everyday technologies (EDT) and its associations with self-efficacy, stress appraisal, and coping strategies. DESIGN AND METHODS: Cross-sectional data were collected from 150 participants (aged ≥ 65 years), measuring use of EDT by means of self-report questionnaires and a computerized simulator of an automatic teller machine (ATM), and EDT-related self-efficacy, stress appraisal, and coping strategies questionnaires. RESULTS: Structured equation modeling analysis showed that EDT-related self-efficacy was related to higher use of EDT, through the mediation of EDT-related stress and coping strategies. Logistic regression showed that use of ATM simulator was predicted by self-efficacy, younger age, and female gender. IMPLICATIONS: Enhancing EDT-self efficacy is suggested to increase the use of EDT among elder adults. The use of simulators may be an efficient mean to promote EDT self-efficacy and use.
[Mh] Termos MeSH primário: Adaptação Psicológica
Sistemas Homem-Máquina
Autoeficácia
Estresse Psicológico/prevenção & controle
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Serviços de Atendimento/utilização
Conta Bancária/utilização
Telefone Celular/utilização
Computadores/utilização
Estudos Transversais
Feminino
Seres Humanos
Masculino
Autorrelato
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140322
[St] Status:MEDLINE
[do] DOI:10.1177/0733464813515089


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Registro de Ensaios Clínicos
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[PMID]:24812071
[Au] Autor:Flax VL; Negerie M; Ibrahim AU; Leatherman S; Daza EJ; Bentley ME
[Ad] Endereço:Carolina Population Center and Departments of Nutrition, flax@unc.edu.
[Ti] Título:Integrating group counseling, cell phone messaging, and participant-generated songs and dramas into a microcredit program increases Nigerian women's adherence to international breastfeeding recommendations.
[So] Source:J Nutr;144(7):1120-4, 2014 Jul.
[Is] ISSN:1541-6100
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In northern Nigeria, interventions are urgently needed to narrow the large gap between international breastfeeding recommendations and actual breastfeeding practices. Studies of integrated microcredit and community health interventions documented success in modifying health behaviors but typically had uncontrolled designs. We conducted a cluster-randomized controlled trial in Bauchi State, Nigeria, with the aim of increasing early breastfeeding initiation and exclusive breastfeeding among female microcredit clients. The intervention had 3 components. Trained credit officers led monthly breastfeeding learning sessions during regularly scheduled microcredit meetings for 10 mo. Text and voice messages were sent out weekly to a cell phone provided to small groups of microcredit clients (5-7 women). The small groups prepared songs or dramas about the messages and presented them at the monthly microcredit meetings. The control arm continued with the regular microcredit program. Randomization occurred at the level of the monthly meeting groups. Pregnant clients were recruited at baseline and interviewed again when their infants were aged ≥6 mo. Logistic regression models accounting for clustering were used to estimate the odds of performing recommended behaviors. Among the clients who completed the final survey (n = 390), the odds of exclusive breastfeeding to 6 mo (OR: 2.4; 95% CI: 1.4, 4.0) and timely breastfeeding initiation (OR: 2.6; 95% CI: 1.6, 4.1) were increased in the intervention vs. control arm. Delayed introduction of water explained most of the increase in exclusive breastfeeding among clients receiving the intervention. In conclusion, a breastfeeding promotion intervention integrated into microcredit increased the likelihood that women adopted recommended breastfeeding practices. This intervention could be scaled up in Nigeria, where local organizations provide microcredit to >500,000 clients. Furthermore, the intervention could be adopted more widely given that >150 million women, many of childbearing age, are involved in microfinance globally.
[Mh] Termos MeSH primário: Aleitamento Materno
Criatividade
Desenvolvimento Econômico
Promoção da Saúde
Musicoterapia
Cooperação do Paciente
Psicoterapia de Grupo
[Mh] Termos MeSH secundário: Adulto
Serviços de Atendimento
Aleitamento Materno/economia
Aleitamento Materno/etnologia
Aconselhamento
Países em Desenvolvimento
Drama
Feminino
Conhecimentos, Atitudes e Prática em Saúde/etnologia
Seres Humanos
Nigéria
Cooperação do Paciente/etnologia
Educação de Pacientes como Assunto
Gravidez
Mensagem de Texto
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1409
[Cu] Atualização por classe:161215
[Lr] Data última revisão:
161215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140510
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.3945/jn.113.190124


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[PMID]:24279087
[Au] Autor:Farran H
[Ti] Título:Five things every practice should do in today's economy.
[So] Source:J Okla Dent Assoc;104(6):35-6, 2013 Sep.
[Is] ISSN:0164-9442
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Administração da Prática Odontológica/economia
[Mh] Termos MeSH secundário: Serviços de Atendimento
Tratamento de Emergência
Administração Financeira/organização & administração
Seres Humanos
Marketing de Serviços de Saúde
Oklahoma
Propriedade
Crédito e Cobrança de Pacientes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1401
[Cu] Atualização por classe:131127
[Lr] Data última revisão:
131127
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:131128
[St] Status:MEDLINE


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[PMID]:23691605
[Au] Autor:Finkbeiner BL; Leeuw W
[Ad] Endereço:Emeritus of Washtenaw Community College, Ann Arbor, MI, USA.
[Ti] Título:Communication in dental office. Part II: Effective telecommunications.
[So] Source:Dent Assist;82(2):26, 28-33; quiz 34-5, 2013 Mar-Apr.
[Is] ISSN:1088-3886
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Comunicação
Consultórios Odontológicos
Relações Profissional-Paciente
Telecomunicações
[Mh] Termos MeSH secundário: Serviços de Atendimento
Telefone Celular
Confidencialidade
Consultórios Odontológicos/organização & administração
Seres Humanos
Telecomunicações/classificação
Telecomunicações/organização & administração
Telefacsimile
Telefone/classificação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1306
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:130523
[St] Status:MEDLINE


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[PMID]:23335953
[Au] Autor:Spaulding AB; Radi D; Macleod H; Lynfield R; Larson M; Hyduke T; Dehnel P; DeVries AS
[Ad] Endereço:School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
[Ti] Título:Satisfaction and public health cost of a statewide influenza nurse triage line in response to pandemic H1N1 influenza.
[So] Source:PLoS One;8(1):e50492, 2013.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The 2009 H1N1 pandemic strained healthcare systems. There was a need for supportive services, rapid antiviral access, and minimization of unnecessary healthcare contacts particularly face-to-face interactions. In response, the Minnesota Department of Health (MDH) launched a telephone-based nurse triage line (NTL) called the Minnesota FluLine coordinating all major MN healthcare systems with NTLs to form a single toll-free number triage service. Callers were evaluated for symptoms of influenza-like illness (ILI) and were prescribed an antiviral if indicated, using nurse administered protocols. METHODS: To determine caller outcomes, associated healthcare seeking, and satisfaction a telephone survey of Minnesota FluLine callers was conducted using a 5% random sample of those who completed the protocol and those who did not. RESULTS: Of 6,122 callers with ILI who began the nurse protocol administered by the contract NTL, 1,221 people were contacted for the survey and 325 agreed to participate; response rate was 26%. Of those who completed the nurse protocol 73% said they would have sought healthcare without the Minnesota FluLine, 89% reported the service was moderately or very helpful, and 91% reported being satisfied or very satisfied. Of those not completing the protocol, 50% reported the service was moderately or very helpful and 50% reported being satisfied or very satisfied. 72% of qualitative responses to open-ended questions were positive regarding the MN FluLine. Cost to MDH for operating the Minnesota FluLine service was $331,226 to service 27,391 callers ($12.09/call). DISCUSSION: The Minnesota FluLine diverted patients with mild ILI symptoms away from acute care visits at low cost and had a high rate of satisfaction among callers. Early intervention likely prevented morbidity and possibly additional cases. NTLs are powerful and flexible tools for pandemic response and should be considered as an important tool for future emergency responses.
[Mh] Termos MeSH primário: Custos de Cuidados de Saúde
Vírus da Influenza A Subtipo H1N1
Influenza Humana/economia
Satisfação do Paciente
Saúde Pública/economia
Triagem/economia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Serviços de Atendimento
Criança
Pré-Escolar
Estudos de Avaliação como Assunto
Feminino
Inquéritos Epidemiológicos
Linhas Diretas
Seres Humanos
Lactente
Recém-Nascido
Influenza Humana/epidemiologia
Masculino
Meia-Idade
Minnesota/epidemiologia
Enfermeiras e Enfermeiros
Pandemias
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1306
[Cu] Atualização por classe:161019
[Lr] Data última revisão:
161019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130122
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0050492


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[PMID]:22964830
[Au] Autor:Bridler R; Orosz A; Cattapan K; Stassen HH
[Ad] Endereço:Psychiatrische Privatklinik Sanatorium Kilchberg, Kilchberg, Switzerland. r.bridler@sanatorium-kilchberg.ch
[Ti] Título:In need of psychiatric help--leave a message after the beep.
[So] Source:Psychopathology;46(3):201-5, 2013.
[Is] ISSN:1423-033X
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/AIM: Every day, a substantial proportion of the general population experiences the distressing and frightening signs of an upcoming psychiatric illness. The consequences can be enormous because severe psychiatric disorders typically cause the loss of the ability to work and often mean a long-term burden for both the patients and their families. Even though most developed countries have an exceptionally high density of general practitioners and psychiatrists in private practice, getting a mental health appointment and seeing a doctor is often very difficult for patients with acute psychiatric symptoms. This study aimed at quantifying the time delay involved in seeking medical attendance when psychiatric disorders begin to develop. METHODS: Two female actors with well-proven experiences of realistically simulating the clinical presentation of depression and psychotic disorders made systematic phone calls to 106 psychiatrists in private practice and 106 general practitioners (GPs) of the Zurich City area. The actors asked for an appointment at the doctor's earliest convenience due to acute psychiatric symptoms. We assessed (1) the number of phone calls it took to reach each doctor; (2) the time it took to book an appointment; (3) the time span between the first phone call and the earliest available appointment, and (4) the possibility of personal contact with a doctor prior to booking the appointment. RESULTS: A total of 383 phone calls were made by the two actors (227 to psychiatrists and 156 to GPs) which resulted in analyzable data from 102 psychiatrist and 106 GP practices. Two thirds (68%) of the phone calls to the psychiatrists in private practice were answered by voice mail, compared to 21% among the GPs. A personal contact was established with 56% of the psychiatrists and 95% of the GPs. On average, 7.3 phone calls were necessary to successfully book an appointment with a psychiatrist. Almost half of the psychiatrists (45.6%) were not accepting new patients so appointments were able to be booked in less than one third of cases (30.4%). The situation was significantly better with GPs (p < 0.002) but depended on clinical diagnosis (p < 0.01). The waiting time to seeing a psychiatrist often far exceeded 7 days. CONCLUSIONS: A high density of psychiatrists in private practice does not necessarily improve the long and troublesome circumstances of obtaining a mental health appointment in acute psychiatric situations. Under these circumstances, a considerable proportion of patients might give up prior to seeing a doctor. This has important implications--many patients could miss the potential benefits from timely therapeutic interventions which can significantly modify both the acute and long-term course of the illness. The situation might be improved if psychiatrists and GPs joined forces in the form of group practices or networks as this would readily ensure (1) a rapid mental health triage by assessing and categorizing the urgency of mental health-related problems, and (2) timely therapeutic interventions whenever indicated.
[Mh] Termos MeSH primário: Clínicos Gerais/estatística & dados numéricos
Transtornos Mentais/diagnóstico
Transtornos Mentais/terapia
Psiquiatria/estatística & dados numéricos
Telefone
Listas de Espera
[Mh] Termos MeSH secundário: Idoso
Serviços de Atendimento
Feminino
Seres Humanos
Masculino
Transtornos Mentais/epidemiologia
Meia-Idade
Simulação de Paciente
Padrões de Prática Médica
Transtornos Psicóticos/diagnóstico
Transtornos Psicóticos/terapia
Suíça/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1403
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:120912
[St] Status:MEDLINE
[do] DOI:10.1159/000341729


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[PMID]:22573208
[Au] Autor:Mancuso JM; Manchester E; Zamborini L; Knippel B; Hart G; Radtke S; Haberman V
[Ad] Endereço:Clement J. Zablocki VA Medical Center, Milwaukee, WI 53295, USA. josephine.mancuso@va.gov
[Ti] Título:Veteran satisfaction with RN voice-mail greeting.
[So] Source:J Nurs Care Qual;27(4):325-32, 2012 Oct-Dec.
[Is] ISSN:1550-5065
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Voice-mail communication is often used to convey information between the registered nurse (RN) and the Veteran. Using a pretest-posttest design, this study examined whether implementation of a standardized voice-mail greeting had an impact on Veteran satisfaction and the number of messages left on the RN voice-mail. Veterans were more satisfied and there was a significant decrease in RN voice-mail messages post-implementation. This study highlights effects of the voice-mail greeting and has implications for other health care settings.
[Mh] Termos MeSH primário: Serviços de Atendimento
Relações Enfermeiro-Paciente
Satisfação do Paciente
Veteranos
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Serviços de Atendimento/normas
Feminino
Seres Humanos
Masculino
Meia-Idade
Meio-Oeste dos Estados Unidos
Padrões de Referência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1302
[Cu] Atualização por classe:120829
[Lr] Data última revisão:
120829
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:120511
[St] Status:MEDLINE
[do] DOI:10.1097/NCQ.0b013e31825961ca


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[PMID]:22163772
[Au] Autor:Shahriar MS; de Souza P; Timms G
[Ad] Endereço:Tasmanian ICT Centre, CSIRO, Hobart, Tasmania 7001, Australia. mdsumon.shahriar@csiro.au
[Ti] Título:Smart query answering for marine sensor data.
[So] Source:Sensors (Basel);11(3):2885-97, 2011.
[Is] ISSN:1424-8220
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:We review existing query answering systems for sensor data. We then propose an extended query answering approach termed smart query, specifically for marine sensor data. The smart query answering system integrates pattern queries and continuous queries. The proposed smart query system considers both streaming data and historical data from marine sensor networks. The smart query also uses query relaxation technique and semantics from domain knowledge as a recommender system. The proposed smart query benefits in building data and information systems for marine sensor networks.
[Mh] Termos MeSH primário: Serviços de Atendimento/instrumentação
Ferramenta de Busca/métodos
Água do Mar/análise
Estatística como Assunto/instrumentação
[Mh] Termos MeSH secundário: Bases de Dados como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1206
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:111214
[St] Status:MEDLINE
[do] DOI:10.3390/s110302885



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