Base de dados : MEDLINE
Pesquisa : N02.421.608 [Categoria DeCS]
Referências encontradas : 133 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 14 ir para página                         

  1 / 133 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
[PMID]:24624520
[Au] Autor:Lightfoot K
[Ti] Título:A study at Manchester Dental Hospital, of the compliance of IV sedation patients and their escorts.
[So] Source:SAAD Dig;30:25-8, 2014 Jan.
[Is] ISSN:0049-1160
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Oral surgery, under intravenous sedation, is carried out on a daily basis at Manchester Dental Hospital. This essay discusses the background of conscious sedation in the dental setting and looks at the compliance of patients (and escorts) when having intravenous sedation. The patient journey, from pre-operative assessment through to treatment is considered. Hospital instructions indicate an obligation for patients to attend with a responsible adult (eighteen or over) who remains with them throughout their treatment, escorts them home,and arranges their care for the next twenty-four hours. By following these instructions the patient should receive optimal care. Two questionnaires were devised and given to patients/escorts to assess their compliance with Manchester Dental Hospital postoperative protocols. 100% compliance was the set standard, with results presented as pie charts. This work began during the undergraduate summer vacation of 2012 and continued over a five-month period. Initial results suggested that compliance was generally good but certain improvements could be made. Suggestions for future development are presented. These aim to give clarity to all patients/escorts and their specific roles in the anticipated treatment.
[Mh] Termos MeSH primário: Sedação Consciente
Hipnóticos e Sedativos/administração & dosagem
Cooperação do Paciente
Serviço de Acompanhamento de Pacientes
Cirurgia Bucal
[Mh] Termos MeSH secundário: Adolescente
Adulto
Sedação Consciente/psicologia
Clínicas Odontológicas
Inglaterra
Seres Humanos
Infusões Intravenosas
Educação de Pacientes como Assunto
Cuidados Pós-Operatórios
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Hypnotics and Sedatives)
[Em] Mês de entrada:1404
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:140315
[St] Status:MEDLINE


  2 / 133 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:24168884
[Au] Autor:Coote P; Wall M; Dinh MM
[Ad] Endereço:From the *Department of Paediatrics, Royal Prince Alfred Hospital; †Newborn and Paediatric Emergency Transport Service, and ‡Emergency Department, Royal Prince Alfred Hospital, New South Wales, Australia.
[Ti] Título:Interhospital transport of children with confirmed or suspected intussusception: experience at the New South Wales Newborn and Paediatric Emergency Transport Service over 10 years.
[So] Source:Pediatr Emerg Care;29(11):1166-9, 2013 Nov.
[Is] ISSN:1535-1815
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The objective of this study was to compare medical and paramedic retrieval of children requiring interhospital transport with suspected or confirmed intussusception. METHODS: Cases of confirmed or suspected intussusception referred to the New South Wales Newborn and Paediatric Emergency Transport Service from January 2001 to August 2011 were identified retrospectively using the Newborn and Paediatric Emergency Transport Service database. Univariate analyses were used to compare patients transported by medical and paramedic escort teams, and multivariable logistic regression was used to determine independent predictors of the decision to use medical escort teams. RESULTS: Two hundred twenty-two cases were identified over the 10-year period. Paramedic escort teams were used in 48% of cases. There were no major complications recorded during retrieval by medical and paramedic escort teams. Only the presence of blood-stained stools (odds ratio, 1.9; 95% confidence interval, 0.93-3.86; P = 0.08) and increasing heart rate (odds ratio, 1.03; 95% confidence interval, 1.01-1.04; P = 0.002) were found to be predictors of the decision to use a medical escort retrieval team. No factors were found to be associated with increased medical intervention in the subgroup of patients transported by a medical escort team. CONCLUSIONS: Well children requiring interhospital transport for suspected or confirmed intussusception can be transported safely without a medical escort team if they have normal heart rates.
[Mh] Termos MeSH primário: Emergências
Serviços Médicos de Emergência/organização & administração
Hospitais Pediátricos/organização & administração
Intussuscepção/epidemiologia
Serviço de Acompanhamento de Pacientes/utilização
Transferência de Pacientes/estatística & dados numéricos
Centros de Atenção Terciária/organização & administração
[Mh] Termos MeSH secundário: Serviços Médicos de Emergência/estatística & dados numéricos
Serviços Médicos de Emergência/utilização
Feminino
Hemorragia Gastrointestinal/etiologia
Frequência Cardíaca
Hospitais Pediátricos/estatística & dados numéricos
Seres Humanos
Lactente
Intussuscepção/complicações
Intussuscepção/diagnóstico
Intussuscepção/cirurgia
Modelos Logísticos
Masculino
New South Wales/epidemiologia
Transferência de Pacientes/organização & administração
Transferência de Pacientes/utilização
Encaminhamento e Consulta
Estudos Retrospectivos
Centros de Atenção Terciária/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1406
[Cu] Atualização por classe:131107
[Lr] Data última revisão:
131107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:131031
[St] Status:MEDLINE
[do] DOI:10.1097/PEC.0b013e3182a9e78a


  3 / 133 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:22362826
[Au] Autor:Kyle E; Aitken P; Elcock M; Barneveld M
[Ad] Endereço:Emergency Department, Townsville Hospital, PO Box 670, Townsville, QLD 4810, Australia. Elizabeth_kyle@health.qld.gov.au
[Ti] Título:Use of telehealth for patients referred to a retrieval service: timing, destination, mode of transport, escort level and patient care.
[So] Source:J Telemed Telecare;18(3):147-50, 2012 Apr.
[Is] ISSN:1758-1109
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:We examined the utility of telehealth in assisting the decision-making processes of aeromedical coordinators, with particular focus on the timing, destination, mode of transport and escort level. Medical coordinators from the Northern Operations site of the Queensland emergency retrieval service were asked to complete a survey form about the changes that telehealth made to their retrieval decision-making process. Information was collected in six areas: diagnosis, severity, priority, crew, mode of transport and destination. During a 12-month period, there were 403 emergency referrals from the five participating sites. There were 136 eligible patient referrals for analysis, of which 90 did not have teleconsultations performed; the most common reasons were that the medical coordinator was too busy with other work or the new procedure was forgotten (n = 39, 43%). The remaining 46 patients had a teleconsultation during the trial and 44 data sheets were available for analysis. In 21 cases some component of the decision-making process was altered by the use of telehealth, with decisions being significantly altered in nine cases. Most alterations were for severity of patient condition, then diagnosis and priority of transfer. The use of telehealth was thought to be beneficial in confirming the original decision in 30 cases. Telehealth was not of assistance in seven cases. Telehealth appears to assist in accurate decision-making during the medical coordination of aeromedical retrievals.
[Mh] Termos MeSH primário: Resgate Aéreo
Serviço de Acompanhamento de Pacientes
Telemedicina
[Mh] Termos MeSH secundário: Seres Humanos
Queensland
Encaminhamento e Consulta
Telemedicina/métodos
Fatores de Tempo
Transporte de Pacientes/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1301
[Cu] Atualização por classe:130506
[Lr] Data última revisão:
130506
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:120225
[St] Status:MEDLINE
[do] DOI:10.1258/jtt.2012.SFT106


  4 / 133 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:21574534
[Au] Autor:Allen M
[Ad] Endereço:Ravenswood Family Health Center, East Palo Alto, California, USA.
[Ti] Título:Chaperones for all?
[So] Source:JAAPA;24(5):60, 2011 May.
[Is] ISSN:1547-1896
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviço de Acompanhamento de Pacientes/psicologia
Exame Físico/psicologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Relações Profissional-Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1107
[Cu] Atualização por classe:110517
[Lr] Data última revisão:
110517
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:110518
[St] Status:MEDLINE


  5 / 133 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:21183520
[Au] Autor:Hands C; Thomas J; Sokol D; Khatib M; Marikar D; Little T; Mitha N; Sriranjan R; Yarwood D; Zinna S
[Ti] Título:Use of chaperones for intimate examinations in the emergency department.
[So] Source:Emerg Med J;28(5):446-7, 2011 May.
[Is] ISSN:1472-0213
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência
Serviço de Acompanhamento de Pacientes
Exame Físico
[Mh] Termos MeSH secundário: Seres Humanos
Política Organizacional
Reino Unido
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1109
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:101225
[St] Status:MEDLINE
[do] DOI:10.1136/emj.2010.105650


  6 / 133 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:24888173
[Au] Autor:Wallis J
[Ti] Título:The use of a chaperone.
[So] Source:Midwives;:21, 2010 Sep.
[Is] ISSN:1479-2915
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Ginecologia
Obstetrícia
Serviço de Acompanhamento de Pacientes/psicologia
Satisfação do Paciente
Exame Físico/psicologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:COMMENT; JOURNAL ARTICLE
[Em] Mês de entrada:1408
[Cu] Atualização por classe:151111
[Lr] Data última revisão:
151111
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:140604
[St] Status:MEDLINE


  7 / 133 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:20720252
[Au] Autor:Metcalfe NH; Moores KL; Murphy NP; Pring DW
[Ad] Endereço:Springbank Surgery, Green Hammerton, York, UK. neilmetcalfe@doctors.org.uk
[Ti] Título:The extent to which chaperone policies are used in acute hospital trusts in England.
[So] Source:Postgrad Med J;86(1021):636-40, 2010 Nov.
[Is] ISSN:1469-0756
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine whether the Ayling Inquiry's recommendations (2004) concerning chaperone policy implementation in acute hospital trusts in England has been implemented. METHODS: A quantitative questionnaire based on the Ayling Inquiry was posted to medical directors of all acute hospital trusts in England during December 2005 to March 2006 to determine whether their trusts had implemented the inquiry's recommendations by 1 December 2005. The same questionnaire was resent between December 2007 and March 2008 to determine whether their trusts had implemented the inquiry's recommendations by 1 December 2007. RESULTS: The total response rates were 59.4% and 47.7% for the first and second cohorts, respectively. The percentage of trusts having a chaperone policy increased from 41.3% in December 2005 to 56.5% in December 2007. By the end of 2007, 17.3% had accredited training for chaperones, 57.7% had a management lead and 71.2% of trusts formally investigated a breach of the chaperone policy, the latter being a fall from 88.4% in December 2005. Informing patients verbally of the policy was the most common method of distributing the information in both cohorts. By 1 December 2007, 50.0% of trusts did not use any resources towards their chaperone policy. Of the trusts without a chaperone policy by 1 December 2007, 52.5% intend to start a policy. CONCLUSION: Despite a public inquiry, only a small majority of acute trusts in England have a chaperone policy in place, which may have severe medico-legal repercussions in the future. Commencing a chaperone policy is a must for acute trusts and regular auditing necessary to ensure recommendations be maintained.
[Mh] Termos MeSH primário: Política de Saúde
Política Organizacional
Serviço de Acompanhamento de Pacientes
Exame Físico
[Mh] Termos MeSH secundário: Inglaterra
Hospitalização
Hospitais Públicos/legislação & jurisprudência
Seres Humanos
Serviço de Acompanhamento de Pacientes/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1102
[Cu] Atualização por classe:101101
[Lr] Data última revisão:
101101
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:100820
[St] Status:MEDLINE
[do] DOI:10.1136/pgmj.2009.090282


  8 / 133 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:20666083
[Au] Autor:Afaneh I; Sharma V; McVey R; Murphy C; Geary M
[Ad] Endereço:The Rotunda Hospital, Parnell Square, Dublin 1. iyadafaneh@physicians.ie
[Ti] Título:The use of a chaperone in obstetrical and gynaecological practice.
[So] Source:Ir Med J;103(5):137-9, 2010 May.
[Is] ISSN:0332-3102
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to assess the use of a chaperone in obstetrical and gynaecological practice in Ireland and to explore patients' opinions. Two questionnaires were designed; one for patients and the other one was sent to 145 gynaecologists in Ireland. One hundred and fifty two women took part in this survey of whom 74 were gynaecological and 78 were obstetric patients. Ninety five (65%) patients felt no need for a chaperone during a vaginal examination (VE) by a male doctor. On the other hand 34 (23%) participating women would request a chaperone if being examined by a female doctor. Among clinicians 116 (80%) responded by returning the questionnaire. Overall 60 (52%) always used a chaperone in public practice, in contrast to 24 (27%) in private practice. The study demonstrated that most patients do not wish to have a chaperone during a VE but a small proportion would still request one regardless of the examiner's gender. Patients should be offered the choice of having a chaperone and their opinion should be respected and documented.
[Mh] Termos MeSH primário: Ginecologia
Obstetrícia
Serviço de Acompanhamento de Pacientes/psicologia
Satisfação do Paciente
Exame Físico/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Irlanda
Masculino
Relações Médico-Paciente
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1009
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:100730
[St] Status:MEDLINE


  9 / 133 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:20663772
[Au] Autor:Pydah KL; Howard J
[Ad] Endereço:Hungerford Medical Centre, Crewe, UK. dl_kanthi@yahoo.com
[Ti] Título:The awareness and use of chaperones by patients in an English general practice.
[So] Source:J Med Ethics;36(8):512-3, 2010 Aug.
[Is] ISSN:1473-4257
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To ascertain and improve the understanding and use of chaperones among the patients of an English general practice (GP). BACKGROUND: Doctors have long been advised to have a third party present during intimate physical examinations. Little is known about the understanding of the term in the general population in England and the consequences of this for the promotion and use of chaperones in GP. We audited the understanding and use of chaperones in an English GP. The aim of the study was to increase the awareness of the availability of chaperones in our population. METHODS: A questionnaire was given randomly to 100 patients attending the GP surgery. Participants were asked about their awareness of and frequency of requesting a chaperone while undergoing intimate examinations. Based on the initial results, a poster was designed for the waiting room to increase awareness. Data were collected with the same questionnaire to see if the new poster altered surgery attendees understanding and likely subsequent use of chaperones. RESULTS: In the initial audit, 29% of patients were unaware of the term chaperone, and only one person (1%) had ever requested a chaperone. After the introduction of a specially designed poster, the results showed an improvement in awareness from 71% to 89%, and the likely frequency of using a chaperone increased from 1% to 4%. CONCLUSION: There is a need to improve the understanding of the general population about chaperones if we are to see greater use of chaperones in GP.
[Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde
Serviço de Acompanhamento de Pacientes/utilização
Exame Físico
Relações Médico-Paciente/ética
[Mh] Termos MeSH secundário: Adulto
Inglaterra
Medicina de Família e Comunidade/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Guias de Prática Clínica como Assunto
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1111
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:E; IM
[Da] Data de entrada para processamento:100729
[St] Status:MEDLINE
[do] DOI:10.1136/jme.2010.035824


  10 / 133 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:19948927
[Au] Autor:Al-Gaai EA; Hammami MM
[Ad] Endereço:Centre for Clinical Studies and Empirical Ethics (CCSEE), King Faisal Specialist Hospital and Research Centre, Riyadh 11211, Saudi Arabia.
[Ti] Título:Medical chaperoning at a tertiary care hospital in Saudi Arabia: survey of physicians.
[So] Source:J Med Ethics;35(12):729-32, 2009 Dec.
[Is] ISSN:1473-4257
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Medical chaperones (MC) are underutilised. The influence of Islamic culture on the use of MC is not known. AIM: To examine physicians' use and perception of MC in Islamic culture. SETTING: A major tertiary care hospital in Saudi Arabia. METHODS: 315 self-administered questionnaires were distributed to attendees of grand rounds of 13 departments. RESULTS: 186 (59%) questionnaires were completed. 64.5% of the respondents were 30-49 years old, 75.8% were men and 31.2% were in training; 79% had a clinic load of under 50 patients per week and 47.8% had postgraduate training (PGT) in an Islamic country. MC were reported to be infrequently (< or =25% of the time) used by 44.1% (69.2% female vs 39% male physicians, p = 0.001; 58.6% in training vs 36.8% attending, p = 0.007; 52.1% PGT in Islamic vs 35.6% in western countries, p = 0.027), offered by 52.7% (78.9% female vs 46.8% male physicians, p<0.001) and requested by 79% of patients. MC were reported to be commonly (>75% of the time) used, offered by physicians and requested by patients by 38.2%, 29% and 7.5% of respondents, respectively. The most frequently cited reasons for not using MC were privacy/confidentiality (36.6%) and understaffing (30.5%). Equal numbers of respondents perceived MC use as a protection for physicians or patients (67.7% and 65.6%, respectively). CONCLUSIONS: MC are underutilised even in Islamic culture, especially among female physicians. Training in western countries is favourably associated with MC use. Underutilisation appears to be related to privacy/confidentiality, understaffing and failure of patients to request a MC.
[Mh] Termos MeSH primário: Islamismo/psicologia
Corpo Clínico Hospitalar/psicologia
Recursos Humanos de Enfermagem no Hospital/psicologia
Relações Médico-Paciente/ética
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde/etnologia
Feminino
Fidelidade a Diretrizes
Seres Humanos
Masculino
Corpo Clínico Hospitalar/ética
Meia-Idade
Recursos Humanos de Enfermagem no Hospital/ética
Serviço de Acompanhamento de Pacientes/psicologia
Padrões de Prática Médica
Religião e Medicina
Arábia Saudita
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1004
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:E; IM
[Da] Data de entrada para processamento:091202
[St] Status:MEDLINE
[do] DOI:10.1136/jme.2009.030163



página 1 de 14 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde