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[PMID]:28659072
[Au] Autor:Whittle N
[Ad] Endereço:Lewisham Hospital, Lewisham and Greenwich NHS Trust, England.
[Ti] Título:Improving interdepartmental communication following a patient death.
[So] Source:Nurs Manag (Harrow);24(4):23-27, 2017 Jun 29.
[Is] ISSN:1354-5760
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:When patients die in emergency departments (EDs), it is important to record information that can be shared with staff in other departments, such as the mortuary and bereavement office. This can be a time-consuming exercise but, if information is omitted, it can increase families' distress by delaying documents such as death certificates. This article describes how a new, tick-box-style death-in-department checklist was introduced in a London hospital adult ED to increase and improve communication and information sharing between the ED, the mortuary and the bereavement office. Audits undertaken before and after the introduction of the checklist show a 75% increase in the recording and sharing of information between relevant departments. The positive effect of the new checklist has led to its introduction in another, associated ED, and it has been incorporated into the trust's end of life care policy.
[Mh] Termos MeSH primário: Lista de Checagem
Atestado de Óbito
Sistemas de Comunicação no Hospital
Disseminação de Informação
[Mh] Termos MeSH secundário: Seres Humanos
Relações Interdepartamentais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.7748/nm.2017.e1586


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[PMID]:28482818
[Au] Autor:Yoshioka N; Okumura A; Yamamoto Y; Yamaguchi K; Kaga A; Yamada K; Hirosaki T; Ishikawa D; Kunii S; Watanabe K; Utsunomiya S; Hayashi K; Ishigami M; Goto H; Hirooka Y
[Ad] Endereço:Department of Gastroenterology, The Aichi Prefectural Federation of Agricultural Cooperatives for Health and Welfare Kainan Hospital, 396 Minamihonden, Maegasu-cho, Yatomi, Aichi, 498-8502, Japan. town_court_2@yahoo.co.jp.
[Ti] Título:Promoting notification and linkage of HBs antigen and anti-HCV antibody-positive patients through hospital alert system.
[So] Source:BMC Infect Dis;17(1):330, 2017 May 08.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In Japan, approximately 0.9% and 1% of the whole population are infected with HBV and HCV, respectively. Doctors from departments other than gastroenterology often order viral hepatitis tests before an invasive examination or an operation. However, the notification of positive results to the patients and linkage to care is not appropriately performed. The in-hospital alert system was constructed to promote the notification and referral to gastroenterologists for patients with positive viral hepatitis tests, and its efficacy was evaluated. METHODS: The patients who tested HBsAg and anti-HCV antibody by chemiluminescent enzyme immunoassays and chemiluminescent immunoassays were investigated for whether they were notified of the positive results and if they were referred to gastroenterologists at our hospital. The notification and referral rate was compared before (from January to December 2014) and after the introduction of the alert system (from February to September 2016). RESULTS: HBsAg-positive rate was 1.1% (69/6543) before the introduction of the alert system and 0.8% (41/5403) after it. The notification rate has significantly improved from 46% to 73% (p = 0.0061) and the referral rate has improved from 16% to 27%, while not significant. Positive rate of anti-HCV antibody was 2.1% (139/6481) before the introduction of the alert system and 2.4% (128/5322) after it. The rate of notification and referral has significantly improved from 35% to 62% (p < 0.0001) and from 6% to 23% (p < 0.0001), respectively. CONCLUSIONS: The in-hospital alert system increased the rates of notification and referral of the patients with positive viral hepatitis tests. Enlightenment of doctors other than gastroenterologists on viral hepatitis and cooperation of medical staffs would be helpful to improve the notification and referral rates.
[Mh] Termos MeSH primário: Hepatite B/diagnóstico
Hepatite C/diagnóstico
Sistemas de Comunicação no Hospital/organização & administração
[Mh] Termos MeSH secundário: Gastroenterologistas
Hepatite B/epidemiologia
Antígenos de Superfície da Hepatite B/sangue
Hepatite C/epidemiologia
Anticorpos Anti-Hepatite C/sangue
Administração Hospitalar/métodos
Hospitais
Seres Humanos
Japão/epidemiologia
Encaminhamento e Consulta/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Hepatitis B Surface Antigens); 0 (Hepatitis C Antibodies)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-017-2438-1


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[PMID]:28303432
[Au] Autor:Prakash R; Balaji Ganesh A; Sivabalan S
[Ad] Endereço:Electronic System Design Laboratory, TIFAC-CORE, Velammal Engineering College, Chennai, India.
[Ti] Título:Network Coded Cooperative Communication in a Real-Time Wireless Hospital Sensor Network.
[So] Source:J Med Syst;41(5):72, 2017 May.
[Is] ISSN:1573-689X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The paper presents a network coded cooperative communication (NC-CC) enabled wireless hospital sensor network architecture for monitoring health as well as postural activities of a patient. A wearable device, referred as a smartband is interfaced with pulse rate, body temperature sensors and an accelerometer along with wireless protocol services, such as Bluetooth and Radio-Frequency transceiver and Wi-Fi. The energy efficiency of wearable device is improved by embedding a linear acceleration based transmission duty cycling algorithm (NC-DRDC). The real-time demonstration is carried-out in a hospital environment to evaluate the performance characteristics, such as power spectral density, energy consumption, signal to noise ratio, packet delivery ratio and transmission offset. The resource sharing and energy efficiency features of network coding technique are improved by proposing an algorithm referred as network coding based dynamic retransmit/rebroadcast decision control (LA-TDC). From the experimental results, it is observed that the proposed LA-TDC algorithm reduces network traffic and end-to-end delay by an average of 27.8% and 21.6%, respectively than traditional network coded wireless transmission. The wireless architecture is deployed in a hospital environment and results are then successfully validated.
[Mh] Termos MeSH primário: Sistemas de Comunicação no Hospital/organização & administração
Monitorização Fisiológica/métodos
Tecnologia sem Fio/normas
[Mh] Termos MeSH secundário: Sistemas de Comunicação no Hospital/normas
Seres Humanos
Monitorização Fisiológica/instrumentação
Tecnologia sem Fio/instrumentação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171027
[Lr] Data última revisão:
171027
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.1007/s10916-017-0721-8


  4 / 1587 MEDLINE  
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[PMID]:28195836
[Au] Autor:Klemets J; Evjemo TE
[Ad] Endereço:Author Affiliations: Department of Telematics, Norwegian University of Science and Technology (Dr Klemets); and Department of Safety Research, SINTEF Technology and Society (Dr Evjemo), Trondheim, Norway.
[Ti] Título:Understanding Nurses' Strategies to Handle (Un)wanted Nurse Calls: A Resilience Perspective.
[So] Source:Comput Inform Nurs;35(6):289-299, 2017 Jun.
[Is] ISSN:1538-9774
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Nurse calls in a hospital can constitute either positive or negative (wanted or unwanted) interruptions depending on various factors. This study aims to understand nurses' strategies in facilitating the reception of wanted nurse calls and the restriction of unwanted nurse calls. Applying a resilience engineering perspective, nurses' performance variability is investigated as a basis to design appropriate computer support to enhance efficiency and patient safety. A qualitative case study was conducted for a period of 4 years with focus on nurses' use of a wireless nurse call system at a Norwegian university hospital. The study involved various data collection methods such as observations, interviews, and workshops. The collected data were then transcribed and analyzed using a combined inductive and deductive approach. Results indicate that nurses use four main strategies involving a large degree of collaboration to allow or avoid interruptions in the form of nurse calls depending on situation and circumstances. However, these strategies are not supported by the wireless nurse call system, which requires nurses to use suboptimal workarounds to enable the necessary performance variability. Interruptions have been largely perceived as a threat to patient safety. However, nurses' handling of calls illustrates that, when aiming to introduce interventions to manage interruptions, a detailed understanding of work as done is important. Nurses continuously make appropriate adjustments to cope with challenges that characterize hospital work to ensure efficient and safe operations. Hence, technology, in terms of a nurse call system, needs to be designed to afford the adjustments made to support a resilient practice and, as such, leverage patient safety.
[Mh] Termos MeSH primário: Eficiência Organizacional
Recursos Humanos de Enfermagem no Hospital/psicologia
Resiliência Psicológica
Tecnologia sem Fio/utilização
[Mh] Termos MeSH secundário: Telefone Celular/utilização
Sistemas de Comunicação no Hospital/utilização
Seres Humanos
Erros Médicos/prevenção & controle
Noruega
Recursos Humanos de Enfermagem no Hospital/organização & administração
Segurança do Paciente
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170215
[St] Status:MEDLINE
[do] DOI:10.1097/CIN.0000000000000331


  5 / 1587 MEDLINE  
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[PMID]:28084499
[Au] Autor:Soda H; Ziegler V; Shammas L; Griewing B; Kippnich U; Keidel M; Rashid A
[Ad] Endereço:Abteilung Akutneurologie, Stroke Unit und Neurologische Intensivmedizin, Neurologische Klinik, Rhön-Klinikum AG, Campus Bad Neustadt, Bad Neustadt/Saale, Deutschland.
[Ti] Título:[Telemedical prenotification in acute stroke treatment : Experiences from the Stroke Angel initiative from 2004 until the present].
[Ti] Título:Telemedizinische Voranmeldung in der akuten Schlaganfallversorgung : Erfahrungen der Stroke-Angel-Initiative von 2004 bis heute..
[So] Source:Nervenarzt;88(2):120-129, 2017 Feb.
[Is] ISSN:1433-0407
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:OBJECTIVE: The Stroke Angel initiative investigates the implementation of telemedicine for improvement of preclinical communication between emergency medical services (EMS) and stroke units in cases of acute stroke. MATERIAL AND METHODS: Stroke Angel is a technical system for the telemedical prenotification of patients in cases of suspected stroke at a stroke unit by the EMS. Within the framework of an observational study, the team has been investigating the effects of the system on door-to-computed tomography (CT) and door-to-needle times as well as the lysis rate in the neighboring regions of Rhön-Grabfeld and Bad Kissingen since 2005. RESULTS: The system supports the acute treatment of neurological emergencies and functions as a catalyst for the interlinking of medical institutions in the region as well as for communication between emergency physicians/EMS and hospital physicians. The use of a computer-based data collection enables a continuous improvement process leading to an acceleration of internal clinical procedures and an increase of the lysis rate with the mortality rate staying constant. CONCLUSION: Telemedicine is applicable in the preclinical care of acute stroke and, thanks to the computer-based data collection, leads to an increase in process transparency, which helps to improve the internal clinical processes in and around a stroke unit.
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/estatística & dados numéricos
Serviço Hospitalar de Emergência/estatística & dados numéricos
Sistemas de Comunicação no Hospital/estatística & dados numéricos
Acidente Vascular Cerebral/terapia
Telemedicina/estatística & dados numéricos
Tempo para o Tratamento/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Ambulâncias/estatística & dados numéricos
Eficiência Organizacional/estatística & dados numéricos
Feminino
Alemanha
Seres Humanos
Meia-Idade
Telemedicina/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170916
[Lr] Data última revisão:
170916
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170114
[St] Status:MEDLINE
[do] DOI:10.1007/s00115-016-0266-y


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[PMID]:27743142
[Au] Autor:Dibble EH; Swenson DW; Cobb C; Paul TJ; Karn AE; Portelli DC; Movson JS
[Ad] Endereço:Department of Diagnostic Imaging, The Warren Alpert Medical School of Brown University/Rhode Island Hospital, 3rd Floor Main Building, 593 Eddy Street, Providence, RI, 02903, USA. edibble@lifespan.org.
[Ti] Título:The RADCAT-3 system for closing the loop on important non-urgent radiology findings: a multidisciplinary system-wide approach.
[So] Source:Emerg Radiol;24(2):119-125, 2017 Apr.
[Is] ISSN:1438-1435
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The goal of this project was to create a system that was easy for radiologists to use and that could reliably identify, communicate, and track communication of important but non-urgent radiology findings to providers and patients. Prior to 2012, our workflow for communicating important non-urgent diagnostic imaging results was cumbersome, rarely used by our radiologists, and resulted in delays in report turnaround time. In 2012, we developed a new system to communicate important non-urgent findings (the RADiology CATegorization 3 (RADCAT-3) system) that was easy for radiologists to use and documented communication of results in the electronic medical record. To evaluate the performance of the new system, we reviewed our radiology reports before (June 2011-June 2012) and after (June 2012-June 2014) the implementation of the new system to compare utilization by the radiologists and success in communicating these findings. During the 12 months prior to implementation, 250 radiology reports (0.06 % of all reports) entered our workflow for communicating important non-urgent findings. One-hundred percent were successfully communicated. During the 24 months after implementation, 13,158 radiology reports (1.4 % of all reports) entered our new RADCAT-3 workflow (3995 (0.8 % of all reports) during year 1 and 9163 (1.9 % of all reports) during year 2). 99.7 % of those reports were successfully communicated. We created a reliable system to ensure communication of important but non-urgent findings with providers and/or patients and to document that communication in the electronic medical record. The rapid adoption of the new system by radiologists suggests that they found it easy to use and had confidence in its integrity. This system has the potential to improve patient care by improving the likelihood of appropriate follow-up for important non-urgent findings that could become life threatening.
[Mh] Termos MeSH primário: Sistemas de Comunicação no Hospital/organização & administração
Sistemas de Informação em Radiologia/organização & administração
Fluxo de Trabalho
[Mh] Termos MeSH secundário: Registros Eletrônicos de Saúde
Seres Humanos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161016
[St] Status:MEDLINE
[do] DOI:10.1007/s10140-016-1452-8


  7 / 1587 MEDLINE  
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[PMID]:27904009
[Au] Autor:Odaguchi H
[Ti] Título:Introduction of the site for Center of Innovation (COI) program - research and development on Mibyou (disease-oriented condition) control system using safe and high quality Kampo medicine (traditional Japanese medicine) and information and communication technology.
[So] Source:Nihon Yakurigaku Zasshi;148(6):306-309, 2016.
[Is] ISSN:0015-5691
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Mh] Termos MeSH primário: Informática Médica
Medicina Kampo
Medicina Preventiva
[Mh] Termos MeSH secundário: Doença
Sistemas de Comunicação no Hospital
Seres Humanos
Medicina Preventiva/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161202
[St] Status:MEDLINE
[do] DOI:10.1254/fpj.148.306


  8 / 1587 MEDLINE  
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[PMID]:27687466
[Au] Autor:Schulte TE; Roberts EK; Birch K; Lisco SJ
[Ad] Endereço:Department of Anesthesiology, University of Nebraska Medical Center, Omaha, NE 68198-4455. Electronic address: teschult@unmc.edu.
[Ti] Título:Assessing electronic interruptions experienced by an anesthesiology clinical director.
[So] Source:J Clin Anesth;34:658-60, 2016 Nov.
[Is] ISSN:1873-4529
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY OBJECTIVE: The purpose of this study was to assess the workflow interruptions on an anesthesiology clinical director (CD). By assessing the interruptions on the CD, we hypothesize that these frequent interruptions would prohibit the CD from medical direction of residents or certified nurse anesthetists in operating rooms. DESIGN: Cellular phone data were obtained from Verizon Wireless statements over 10 months, August 2012 through May 2013. These data were from a single cellular phone carried by the anesthesia CD and subsequent overnight anesthesiologist 24 hours a day. The data obtained from the billing records included number of calls, date and time call occurred, number of minutes per call, and number of texts received. SETTING: These calls occurred in the operating room. PATIENTS: Not applicable. INTERVENTION: Not applicable. MEASUREMENTS: Phone calls, texts, and pager interruptions. MAIN RESULTS: A total of 19,924 calls and 19,803 texts were received by the CD. The phone calls minutes for this period were 31,236 minutes. A total of 15,831 (80%) of the calls occurred during this period (0600-1800). A total of 24 489 minutes (78%) of the total minutes occurred during this time. CONCLUSION: This study revealed that distracting events are frequent for an anesthesiology CD. The quantity of cellular phone interruptions, both calls and texts, by the anesthesiology CD was considered high. These calls occurred mainly during prime operating room time and utilization. As the CD is an integral part of the perioperative management team, they are expected to answer and return calls and texts promptly. Operating room efficiency and staff satisfaction decline if responses to these calls and texts are delayed. Although the nature of these distractions and interruptions can be viewed as having a positive or negative effect, many of these events are necessary to efficiently run the operating rooms.
[Mh] Termos MeSH primário: Serviço Hospitalar de Anestesia/organização & administração
Telefone Celular
Sistemas de Comunicação no Hospital
Salas Cirúrgicas/organização & administração
Equipe de Assistência ao Paciente/organização & administração
Fluxo de Trabalho
[Mh] Termos MeSH secundário: Anestesiologistas
Eficiência
Seres Humanos
Enfermeiras Anestesistas
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161001
[St] Status:MEDLINE


  9 / 1587 MEDLINE  
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[PMID]:27332375
[Au] Autor:Jo E
[Ad] Endereço:Seoul National University Hospital, Seoul, Korea.
[Ti] Título:The Automated Alert System for the Hospital Infection Control and the Safety of Medical Staff Based on EMR Data.
[So] Source:Stud Health Technol Inform;225:852-3, 2016.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:This report is about planning, developing, and implementing the automated alert system for the Hospital infection control and the safety of medical staffs about information on patients exposed to infection based on EMR Data in a tertiary hospital in Korea.
[Mh] Termos MeSH primário: Infecção Hospitalar/diagnóstico
Infecção Hospitalar/prevenção & controle
Registros Eletrônicos de Saúde/organização & administração
Sistemas de Comunicação no Hospital/organização & administração
Segurança do Paciente
Gestão da Segurança/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Uso Significativo/organização & administração
República da Coreia
Centros de Atenção Terciária/organização & administração
Interface Usuário-Computador
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:160623
[St] Status:MEDLINE


  10 / 1587 MEDLINE  
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[PMID]:27332356
[Au] Autor:Mundt MP; Zakletskaia LI
[Ad] Endereço:University of Wisconsin School of Medicine and Public Health, Madison WI, USA.
[Ti] Título:Electronic Health Record Messaging and Quality of Care for Type 2 Diabetes Patients in Primary Care.
[So] Source:Stud Health Technol Inform;225:815-6, 2016.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Mh] Termos MeSH primário: Diabetes Mellitus Tipo 2/terapia
Registros Eletrônicos de Saúde/utilização
Sistemas de Comunicação no Hospital/utilização
Melhoria de Qualidade/utilização
Qualidade da Assistência à Saúde/utilização
Mensagem de Texto/utilização
[Mh] Termos MeSH secundário: Diabetes Mellitus Tipo 2/diagnóstico
Registros Eletrônicos de Saúde/normas
Sistemas de Comunicação no Hospital/normas
Seres Humanos
Equipe de Assistência ao Paciente/normas
Equipe de Assistência ao Paciente/utilização
Atenção Primária à Saúde/normas
Atenção Primária à Saúde/utilização
Mensagem de Texto/normas
Resultado do Tratamento
Wisconsin
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:160623
[St] Status:MEDLINE



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