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[PMID]:29364824
[Au] Autor:Fry R
[Ad] Endereço:University of Southern California, Los Angeles; University of the Pacific, San Francisco, CA; New York University, New York City; Private Practice of Orthodontics at Fry Orthodontic Specialists in Overland Park, KS. bobfryortho@gmail.com.
[Ti] Título:Weekly aligner changes to improve Invisalign treatment efficiency.
[So] Source:J Clin Orthod;51(12):786-791, 2017 Dec.
[Is] ISSN:0022-3875
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Agendamento de Consultas
Aparelhos Ortodônticos Removíveis
Ortodontia Corretiva/instrumentação
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE


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[PMID]:29406630
[Au] Autor:Touch J; Berg JP
[Ti] Título:Parent Perspectives on Appointment Nonattendance: A Descriptive Study.
[So] Source:Pediatr Nurs;42(4):181-8, 2016 Jul-Aug.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Appointment nonattendance is a phenomenon that has been studied in a variety of settings. Increased nonattendance rates may result in lost productivity, patient and provider dissatisfaction, and difficulty recruiting staff and physicians. In addition, needed care for patients may be delayed. The purpose of this descriptive study was to examine parental perspectives regarding appointment nonattendance in pediatric specialty care clinics in order to better understand the facilitators and barriers to successful appointment attendance. An exploratory, descriptive approach was chosen for this study. Eight parents of children ages five years and younger were interviewed regarding appointment attendance in specialty care clinics, and conventional content analysis was used to identify themes. Findings suggest that multiple factors are associated with nonattendance, including child/family system and provider/healthcare system factors. Reducing wait times for specialty appointments (from time of scheduling to appointment date), coordinating multiple services, and offering convenient appointment times may be beneficial in optimizing appointment attendance.
[Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial/estatística & dados numéricos
Agendamento de Consultas
Hospitais Pediátricos/estatística & dados numéricos
Pais/psicologia
Cooperação do Paciente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29461352
[Au] Autor:Omogbai T; Milner KA
[Ad] Endereço:Author Affiliations: Nurse Manager (Mr Omogbai), Hudson Valley Veteran Affairs Healthcare System, New York; Associate Professor (Dr Milner), College of Nursing, Sacred Heart University, Fairfield, Connecticut.
[Ti] Título:Implementation and Evaluation of Shared Medical Appointments in Veterans With Diabetes: A Quality Improvement Study.
[So] Source:J Nurs Adm;48(3):154-159, 2018 Mar.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this study is to implement and evaluate shared medical appointments (SMA) in veterans with diabetes. BACKGROUND: Health systems are challenged to meet the complex care needs of veterans with diabetes. Use of SMA has resulted in significant improvements in A1c, blood pressure, and self-management skills in this population. METHODS: Shared medical appointments were implemented in a Veterans Administration Health System. A1c, blood pressure, total cholesterol, high-density lipoprotein, low-density lipoprotein, triglycerides, weight, and height were collected at baseline, 3 months, and 6 months; hospitalization anytime; and veteran satisfaction at baseline and 6 months. RESULTS: From October 15, 2015, to March 15, 2016, 30 male veterans with diabetes participated in monthly SMA. Outcome measures except for high-density lipoprotein improved significantly (P < .02) from baseline to 6 months. No veterans were hospitalized. Veteran satisfaction increased significantly (P < .001). CONCLUSION: Shared medical appointment can be a highly effective intervention for veterans with diabetes. Nursing leaders need to be at the forefront of implementing SMA for populations with chronic conditions.
[Mh] Termos MeSH primário: Agendamento de Consultas
Doenças Cardiovasculares/prevenção & controle
Diabetes Mellitus/terapia
Avaliação de Processos e Resultados (Cuidados de Saúde)/estatística & dados numéricos
Melhoria de Qualidade/organização & administração
Saúde dos Veteranos/estatística & dados numéricos
[Mh] Termos MeSH secundário: Doenças Cardiovasculares/diagnóstico
Doenças Cardiovasculares/epidemiologia
Comorbidade
Complicações do Diabetes/prevenção & controle
Complicações do Diabetes/terapia
Processos Grupais
Pesquisas sobre Serviços de Saúde
Implementação de Plano de Saúde
Seres Humanos
Masculino
Registros Médicos
New York
Estudos de Casos Organizacionais
Avaliação de Processos e Resultados (Cuidados de Saúde)/métodos
Avaliação de Programas e Projetos de Saúde
Melhoria de Qualidade/normas
Estudos Retrospectivos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180221
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000590


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[PMID]:29400914
[Au] Autor:Davies S
[Ti] Título:Do You Want Fries With That? Decoding All the 'Extras' in Physician Visits.
[So] Source:J AHIMA;87(9):64-5, 2016 09.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Agendamento de Consultas
Codificação Clínica
Medicina de Família e Comunidade
Administração da Prática Médica/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180206
[St] Status:MEDLINE


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[PMID]:29269481
[Au] Autor:Warner G
[Ad] Endereço:Romsey SO51 0NU, UK.
[Ti] Título:Daily number of patient contacts as alternative measure of workload in general practice.
[So] Source:BMJ;359:j5770, 2017 12 21.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Agendamento de Consultas
Medicina de Família e Comunidade
Carga de Trabalho
[Mh] Termos MeSH secundário: Esgotamento Profissional/prevenção & controle
Seres Humanos
Estresse Psicológico/prevenção & controle
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5770


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[PMID]:29253440
[Au] Autor:Ellis DA; McQueenie R; McConnachie A; Wilson P; Williamson AE
[Ad] Endereço:Department of Psychology, Lancaster University, Lancaster, UK.
[Ti] Título:Demographic and practice factors predicting repeated non-attendance in primary care: a national retrospective cohort analysis.
[So] Source:Lancet Public Health;2(12):e551-e559, 2017 Dec.
[Is] ISSN:2468-2667
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Addressing the causes of low engagement in health care is a prerequisite for reducing health inequalities. People who miss multiple appointments are an under-researched group who might have substantial unmet health needs. Individual-level patterns of missed general practice appointments might thus provide a risk marker for vulnerability and poor health outcomes. We sought to ascertain the contributions of patient and practice factors to the likelihood of missing general practice appointments. METHODS: For this national retrospective cohort analysis, we extracted UK National Health Service general practice data that were routinely collected across Scotland between Sept 5, 2013, and Sept 5, 2016. We calculated the per-patient number of missed appointments from individual appointments and investigated the risk of missing a general practice appointment using a negative binomial model offset by number of appointments made. We then analysed the effect of patient-level factors (including age, sex, and socioeconomic status) and practice-level factors (including appointment availability and geographical location) on the risk of missing appointments. FINDINGS: The full dataset included information from 909 073 patients, of whom 550 083 were included in the analysis after processing. We observed that 104 461 (19·0%) patients missed more than two appointments in the 3 year study period. After controlling for the number of appointments made, patterns of non-attendance could be differentiated, with patients who were aged 16-30 years (relative risk ratio [RRR] 1·21, 95% CI 1·19-1·23) or older than 90 years (2·20, 2·09-2·29), and of low socioeconomic status (Scottish Index of Multiple Deprivation decile 1: RRR 2·27, 2·22-2·31) significantly more likely to miss multiple appointments. Men missed fewer appointments overall than women, but were somewhat more likely to miss appointments in the adjusted model (1·05, 1·04-1·06). Practice factors also substantially affected attendance patterns, with urban practices in affluent areas that typically have appointment waiting times of 2-3 days the most likely to have patients who serially miss appointments. The combination of both patient and practice factors to predict appointments missed gave a higher pseudo R value (0·66) than models using either group of factors separately (patients only R =0·54; practice only R =0·63). INTERPRETATION: The findings that both patient and practice characteristics contribute to non-attendance of general practice appointments raise important questions for both the management of patients who miss multiple appointments and the effectiveness of existing strategies that aim to increase attendance. Addressing these issues should lead to improvements in provision of services and public health. FUNDING: Scottish Government Chief Scientist Office and Data Sharing and Linkage Service of the Scottish Government.
[Mh] Termos MeSH primário: Agendamento de Consultas
Medicina Geral
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Atenção Primária à Saúde/utilização
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Estudos Retrospectivos
Escócia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


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[PMID]:29240348
[Au] Autor:Wehner SD; Saiz YV; Woodard H; Garcia D
[Ti] Título:Avoiding Same-Day Cystoscopy Cancellations by Veterans: Nurse-Led Education Improved Efficiency for Cystoscopy in VA Urology Clinics.
[So] Source:Urol Nurs;36(6):275-81, 2016 Nov-Dec.
[Is] ISSN:1053-816X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Same-day cancellation of outpatient cystoscopy was recognized as a growing problem in a New Mexico Veterans Administration regional urology clinic. A multidisciplinary team initiated a performance improvement project using the VA-TAMMCS method to address the problem. The resulting changes in patient education significantly reduced cystoscopy cancellations and improved overall patient satisfaction.
[Mh] Termos MeSH primário: Agendamento de Consultas
Cistoscopia
Enfermagem em Nefrologia
Educação de Pacientes como Assunto/métodos
Satisfação do Paciente
Veteranos
[Mh] Termos MeSH secundário: Seres Humanos
Padrões de Prática em Enfermagem
Estados Unidos
United States Department of Veterans Affairs
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE


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[PMID]:29217024
[Au] Autor:Nazarali S; Mathura P; Harris K; Damji KF
[Ad] Endereço:Faculty of Medicine, University of Ottawa, Ontario, Canada.
[Ti] Título:Improving patient identification in an ophthalmology clinic using name alerts.
[So] Source:Can J Ophthalmol;52(6):564-569, 2017 Dec.
[Is] ISSN:1715-3360
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To develop a standardized process for reviewing daily patient lists and identifying potential risks of misidentification. Our goal was to develop a proactive approach to identify and eliminate risks of patient misidentification. METHODS: Assessment of current patient identification practices took place over a period of 4 weeks. Using a process map, a patient survey was developed to determine the encounter points when patient identification was confirmed. This information was used to develop a standardized protocol for review of daily appointment lists. RESULTS: Review of daily appointment lists was completed to identify potential similar/same name risks. A standardized manual process of chart review, flagging, and tracking was developed. CONCLUSIONS: The name alert process resulted in a simple manual process for identifying which patients have a higher name risk and allowed care providers to take preventative action to decrease potential risk of incorrect diagnostic testing, procedure, or medication administration.
[Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial
Erros Médicos/prevenção & controle
Sistemas de Registro de Ordens Médicas
Nomes
Oftalmologia
Sistemas de Identificação de Pacientes/métodos
Segurança do Paciente
[Mh] Termos MeSH secundário: Agendamento de Consultas
Seres Humanos
Listas de Espera
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE


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[PMID]:29196331
[Au] Autor:Rodriguez KD; Bartoloni JA; Hendricson WD
[Ad] Endereço:Dr. Rodriguez was a Class of 2017 dental student, School of Dentistry, University of Texas Health Science Center at San Antonio at the time of this study; Dr. Bartoloni is Clinical Associate Professor, Department of Comprehensive Dentistry, School of Dentistry, University of Texas Health Science Center at San Antonio; and Mr. Hendricson is Assistant Dean for Education and Faculty Development, School of Dentistry, University of Texas Health Science Center at San Antonio.
[Ti] Título:Is Dental Students' Clinical Productivity Associated with Their Personality Profile?
[So] Source:J Dent Educ;81(12):1436-1443, 2017 Dec.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to assess the relationship between personality preferences of incoming fourth-year dental students at the University of Texas Health Science Center at San Antonio as measured by the Keirsey Temperament Sorter II and their third-year clinical productivity and percentage of broken appointments. All 105 incoming fourth-year dental students in 2016 were invited to participate in the study, and 92 students completed the temperament questionnaire, for a response rate of 87.5%. Those students' clinical activity during their third year was measured by production points and percentage of broken appointments extracted from the electronic health record. The results showed that the majority of the respondents were extroverts rather than introverts and that the extroverts had significantly higher production points and significantly fewer broken appointments than the introverts. The most common personality preferences were sensing and judging. More than two-thirds of the respondents represented the Guardian temperament, one of four categories on the temperament measure. These findings help highlight the traits that may contribute to success in clinical training during dental school and support the notion that clinical success may be influenced by certain personality characteristics as well as the technical and specialized skills of dentistry.
[Mh] Termos MeSH primário: Personalidade
Estudantes de Odontologia/psicologia
[Mh] Termos MeSH secundário: Agendamento de Consultas
Competência Clínica
Extroversão (Psicologia)
Seres Humanos
Introversão (Psicologia)
Inquéritos e Questionários
Temperamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.104


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[PMID]:29112559
[Au] Autor:Wanis KN; Patel SVB; Brackstone M
[Ad] Endereço:Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada.
[Ti] Título:Do Moderate Surgical Treatment Delays Influence Survival in Colon Cancer?
[So] Source:Dis Colon Rectum;60(12):1241-1249, 2017 Dec.
[Is] ISSN:1530-0358
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Studies examining treatment delay and survival after surgical treatment of colon cancer have varied in quality and outcome, with little evidence available regarding the safety of longer surgical treatment wait times. OBJECTIVE: Our study examined the effect of surgical treatment wait times on survival for patients with stage I to III colon cancer. DESIGN: A subset cohort analysis was performed using data from a prospectively maintained database. SETTINGS: The study was conducted at a tertiary referral center. PATIENTS: Data on all of the patients undergoing elective surgery for stage I to III colon cancer from 2006 to 2015 were collected from a prospectively maintained clinical and administrative database. MAIN OUTCOME MEASURES: We examined the impact of prolonged wait time to surgery on disease-free and overall survival. Patients were divided into 2 groups based on a treatment wait time of ≤30 or >30 days and were compared using a Cox proportional hazards model. A subgroup analysis was performed using alternative treatment delay cutoffs of 60 and 90 days. RESULTS: There were 908 patients with stage I to III colon cancer treated over the study period, with a median treatment wait time of 38 days (interquartile range, 21-61 days); 368 patients were treated within 30 days, and 540 were treated beyond 30 days from diagnosis. In adjusted multivariate analysis, a treatment delay of >30 days was not associated with decreased disease-free survival (HR = 0.89 (95% CI, 0.61-1.3); p = 0.52) or overall survival (HR = 0.82 (95% CI, 0.63-1.1); p = 0.16). Likewise, subgroup analysis using alternative treatment delay cutoffs of 60 and 90 days did not demonstrate an adverse effect on survival. LIMITATIONS: This study was limited by retrospective analysis. CONCLUSIONS: Despite longer median treatment wait times from diagnosis to surgery, with the majority of patients exceeding 30 days and many experiencing delays of 2 to 3 months, no adverse impact on survival was observed. Patients who require additional consultations or investigations preoperatively may safely have their surgery moderately delayed to minimize their perioperative risk without any evidence that this will compromise treatment outcomes. See Video Abstract at http://links.lww.com/DCR/A397.
[Mh] Termos MeSH primário: Agendamento de Consultas
Neoplasias do Colo/mortalidade
Neoplasias do Colo/cirurgia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Neoplasias do Colo/patologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Estadiamento de Neoplasias
Ontário/epidemiologia
Estudos Prospectivos
Estudos Retrospectivos
Taxa de Sobrevida
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171108
[St] Status:MEDLINE
[do] DOI:10.1097/DCR.0000000000000857



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