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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]:28637552
[Au] Autor:Grudziak J; Herndon B; Dancel RD; Arora H; Tignanelli CJ; Phillips MR; Crowner JR; True NA; Kiser AC; Brown RF; Goodell HP; Murty N; Meyers MO; Montgomery SP
[Ti] Título:Standardized, Interdepartmental, Simulation-Based Central Line Insertion Course Closes an Educational Gap and Improves Intern Comfort with the Procedure.
[So] Source:Am Surg;83(6):536-540, 2017 Jun 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Central line placement is a common procedure, routinely performed by junior residents in medical and surgical departments. Before this project, no standardized instructional course on the insertion of central lines existed at our institution, and few interns had received formal ultrasound training. Interns from five departments participated in a simulation-based central line insertion course. Intern familiarity with the procedure and with ultrasound, as well as their prior experience with line placement and their level of comfort, was assessed. Of the 99 interns in participating departments, 45 per cent had been trained as of October 2015. Forty-one per cent were female. The majority (59.5%) had no prior formal ultrasound training, and 46.0 per cent had never placed a line as primary operator. Scores increased significantly, from a precourse score mean of 13.7 to a postcourse score mean of 16.1, P < 0.001. All three of the self-reported measures of comfort with ultrasound also improved significantly. All interns reported the course was "very much" helpful, and 100 per cent reported they felt "somewhat" or "much" more comfortable with the procedure after attendance. To our knowledge, this is the first hospital-wide, standardized, simulation-based central line insertion course in the United States. Preliminary results indicate overwhelming satisfaction with the course, better ultrasound preparedness, and improved comfort with central line insertion.
[Mh] Termos MeSH primário: Cateterismo Venoso Central/normas
Educação Baseada em Competências/métodos
Educação de Pós-Graduação em Medicina
Cirurgia Geral/educação
Relações Interdepartamentais
Internato e Residência/normas
Treinamento por Simulação
[Mh] Termos MeSH secundário: Adulto
Educação de Pós-Graduação em Medicina/métodos
Avaliação Educacional
Feminino
Seres Humanos
Veias Jugulares/cirurgia
Masculino
Manequins
Treinamento por Simulação/métodos
Veia Subclávia/cirurgia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE


  3 / 1276 MEDLINE  
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[PMID]:27170085
[Au] Autor:Mylona E; Brubaker L; Williams VN; Novielli KD; Lyness JM; Pollart SM; Dandar V; Bunton SA
[Ad] Endereço:Eastern Virginia Medical School, Norfolk, VA, USA.
[Ti] Título:Does formal mentoring for faculty members matter? A survey of clinical faculty members.
[So] Source:Med Educ;50(6):670-81, 2016 Jun.
[Is] ISSN:1365-2923
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Mentoring relationships, for all medical school faculty members, are an important component of lifelong development and education, yet an understanding of mentoring among medical school clinical faculty members is incomplete. This study examined associations between formal mentoring relationships and aspects of faculty members' engagement and satisfaction. It then explored the variability of these associations across subgroups of clinical faculty members to understand the status of mentoring and outcomes of mentoring relationships. The authors hypothesised that academic clinical faculty members currently in formal mentoring relationships experience enhanced employee engagement and satisfaction with their department and institution. METHODS: Medical school faculty members at 26 self-selected USA institutions participated in the 2011-2014 Faculty Forward Engagement Survey. Responses from clinical faculty members were analysed for relationships between mentoring status and perceptions of engagement by faculty members. RESULTS: Of the 11 953 clinical faculty respondents, almost one-third reported having a formal mentoring relationship (30%; 3529). Most mentored faculty indicated the relationship was important (86%; n = 3027), and over three-fourths were satisfied with their mentoring experience (77%; n = 2722). Mentored faculty members across ranks reported significantly higher levels of satisfaction and more positive perceptions of their roles in the organisation. Faculty members who were not receiving mentoring reported significantly less satisfaction with their workplace environment and lower overall satisfaction. CONCLUSIONS: Mentored clinical faculty members have significantly greater satisfaction with their department and institution. This multi-institutional study provides evidence that fostering mentoring opportunities may facilitate faculty members' satisfaction and engagement, which, in turn, may help medical schools retain high-quality faculty staff committed to the multidimensional academic mission.
[Mh] Termos MeSH primário: Docentes de Medicina
Tutoria/métodos
Faculdades de Medicina
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos
Atitude do Pessoal de Saúde
Canadá
Escolha da Profissão
Estudos Transversais
Feminino
Seres Humanos
Relações Interdepartamentais
Relações Interprofissionais
Masculino
Percepção
Satisfação Pessoal
Estados Unidos
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; OBSERVATIONAL STUDY
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170531
[Lr] Data última revisão:
170531
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160513
[St] Status:MEDLINE
[do] DOI:10.1111/medu.12972


  4 / 1276 MEDLINE  
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[PMID]:27170084
[Au] Autor:Sawatsky AP; Parekh N; Muula AS; Mbata I; Bui T
[Ad] Endereço:Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
[Ti] Título:Cultural implications of mentoring in sub-Saharan Africa: a qualitative study.
[So] Source:Med Educ;50(6):657-69, 2016 Jun.
[Is] ISSN:1365-2923
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Although many studies have demonstrated the benefits of mentoring in academic medicine, conceptual understanding has been limited to studies performed in North America and Europe. An ecological model of mentoring in academic medicine can provide structure for a broader understanding of the role of culture in mentoring. OBJECTIVE: The goal of this study was to explore the role of culture in the development and maintenance of mentoring relationships within the context of the University of Malawi College of Medicine. METHODS: A qualitative study using in-depth, semi-structured interviews and thematic analysis was conducted to explore the meaning of mentorship at the study institution. Criterion sampling was used to identify and recruit medical students, interns, registrars and faculty members. Study team members developed a codebook through open coding and applied it to all interview transcripts. Thematic analysis was used to identify and categorise themes according to an ecological model. RESULTS: A total of 46 participants from two major centres in Malawi were interviewed. Themes were identified within three domains: the intrapersonal; the interpersonal, and the institutional. Intrapersonal themes included Malawian politeness, mentoring needs, and friendliness and willingness to help. Interpersonal themes included understanding the role of the mentor, respect for elders, personal and professional boundaries, and perceptions of others. Institutional themes included the supervisor versus mentor, time pressures, tension about the scope of training, and the mentoring cycle. CONCLUSIONS: This study highlights the strengths of and challenges imposed by culture to the provision of mentoring relationships at the study institution. It also highlights the central role of culture in mentoring and proposes an updated model for mentoring in academic medicine. This model can inform future research on mentoring and may serve as a model in the larger effort to provide faculty development in mentoring across sub-Saharan Africa.
[Mh] Termos MeSH primário: Cultura
Educação Médica
Tutoria/normas
Mentores/psicologia
Estudantes de Medicina/psicologia
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Estudos Transversais
Docentes
Amigos
Seres Humanos
Relações Interdepartamentais
Relações Interpessoais
Relações Interprofissionais
Malaui
Percepção
Faculdades de Medicina
Fatores de Tempo
Volição
Equilíbrio Trabalho-Vida
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170531
[Lr] Data última revisão:
170531
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160513
[St] Status:MEDLINE
[do] DOI:10.1111/medu.12999


  5 / 1276 MEDLINE  
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[PMID]:26871264
[Au] Autor:Gregan J; Balasingam A; Butler A
[Ad] Endereço:Radiology Department, Christchurch Hospital, Christchurch, New Zealand.
[Ti] Título:Radiology in the Christchurch earthquake of 22 February 2011: Challenges, interim processes and clinical priorities.
[So] Source:J Med Imaging Radiat Oncol;60(2):172-81, 2016 Apr.
[Is] ISSN:1754-9485
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The Canterbury earthquake of 22 February 2011 initiated a mass casualty event for Christchurch Hospital, which suffered damage itself, and faced logistical difficulties in continued operation. Radiology was part of the hospital-wide response. This paper reviews the radiology department response and surveys opinions of emergency doctors to provide an overview of events of the day and thoughts regarding any potential future response. METHODS: Two main approaches were undertaken: (i) informal data gathering and discussions with staff including radiographers, sonographers, radiologists, emergency doctors and others present on the day regarding their experiences; and (ii) survey of emergency doctors regarding their experiences and recommendations. A comparison with other similar events was also conducted. RESULTS: (1) Diagnostic radiology services were initially constrained by a lack of power and lift access. Usual imaging and reporting pathways were interrupted. Alternative processes were initiated to ensure an ongoing radiology service with available resources. Lessons were learned and changes implemented locally.(2) Survey data confirmed several primary outcomes: (i) Ultrasound was crucial while CT was down; (ii) all available imaging modalities remain important in a disaster response; and (iii) preliminary reports from radiologists in the emergency department (ED) were useful in the immediate post-earthquake period. CONCLUSION: Although resources were limited, a diagnostic radiology service remained operational. The Christchurch experience reinforces the need for disaster planning and rehearsal of plans.
[Mh] Termos MeSH primário: Diagnóstico por Imagem
Terremotos
Serviço Hospitalar de Emergência/organização & administração
Incidentes com Feridos em Massa
Serviço Hospitalar de Radiologia/organização & administração
Ferimentos e Lesões/diagnóstico por imagem
[Mh] Termos MeSH secundário: Planejamento em Desastres/organização & administração
Seres Humanos
Relações Interdepartamentais
Nova Zelândia
Ferimentos e Lesões/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170113
[Lr] Data última revisão:
170113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160213
[St] Status:MEDLINE
[do] DOI:10.1111/1754-9485.12315


  6 / 1276 MEDLINE  
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[PMID]:26710198
[Au] Autor:Fleischmann T
[Ti] Título:[Emergency Department Interfaces].
[Ti] Título:Schnittstelle Zentrale Notaufnahme..
[So] Source:Dtsch Med Wochenschr;141(1):19-23, 2016 Jan.
[Is] ISSN:1439-4413
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Emergency Departments ED may be an exceptionally good example of an interface within a hospital. EDs have no patients of their own but pass them over to other institutions, either to specialist departments within the hospital or to primary care providers. Moreover, many doctors, nurses, attendants and institutions take part in the care of emergency department patients, and thus the number of its interfaces is very high. The characteristics of working in an ED, for example shortage of time, high work load, taking care of several patients at the same time and frequently crowding, may compromise the transfer of information via interfaces, sometimes including even vital data. The best way to secure handoff of information may be the formalization and standardization of this process, assuring patient safety and quality of care. Further study is required.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde/organização & administração
Serviço Hospitalar de Emergência/organização & administração
Disseminação de Informação/métodos
Relações Interdepartamentais
Equipe de Assistência ao Paciente/organização & administração
Interface Usuário-Computador
[Mh] Termos MeSH secundário: Administração de Caso/organização & administração
Eficiência Organizacional
Alemanha
Modelos Organizacionais
Transferência de Pacientes/organização & administração
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1604
[Cu] Atualização por classe:151229
[Lr] Data última revisão:
151229
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151229
[St] Status:MEDLINE
[do] DOI:10.1055/s-0041-108906


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[PMID]:26412751
[Au] Autor:Spence SC; Cardenas G; Patel B; Matta E
[Ad] Endereço:Department of Diagnostic and Interventional Imaging, University of Texas Medical School at Houston, Houston, Texas. Electronic address: susanna.c.spence@uth.tmc.edu.
[Ti] Título:Intensive Care Unit Radiography and the Beginning of the Imaging Value Chain.
[So] Source:J Am Coll Radiol;13(4):483-6, 2016 Apr.
[Is] ISSN:1558-349X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cuidados Críticos/organização & administração
Diagnóstico por Imagem/utilização
Unidades de Terapia Intensiva/organização & administração
Serviço Hospitalar de Radiologia/organização & administração
Sistemas de Informação em Radiologia/organização & administração
Encaminhamento e Consulta/organização & administração
[Mh] Termos MeSH secundário: Eficiência Organizacional
Relações Interdepartamentais
Modelos Organizacionais
Texas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170107
[Lr] Data última revisão:
170107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150929
[St] Status:MEDLINE


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[PMID]:26223104
[Au] Autor:Nordby H
[Ti] Título:Management in Ambulance Services: Communicative Challenges.
[So] Source:J Med Pract Manage;30(4):255-7, 2015 Jan-Feb.
[Is] ISSN:8755-0229
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Managers in ambulance services face many communicative challenges in their interaction with employees working as paramedics in prehospital medical practices. This series of three articles will focus on some of these challenges. This first article clarifies the context of manager-employee communication in ambulance work. The second article will present a study of how supervising ambulance managers and paramedics communicate, and the third will discuss how this communication can be improved. All the articles accentuate the same general point: organizational performance in prehospital medical practice depends on successful communication between managers and paramedics.
[Mh] Termos MeSH primário: Ambulâncias
Serviços Médicos de Emergência
Administração da Prática Médica
[Mh] Termos MeSH secundário: Comunicação
Seres Humanos
Relações Interdepartamentais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1510
[Cu] Atualização por classe:150730
[Lr] Data última revisão:
150730
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:150731
[St] Status:MEDLINE


  9 / 1276 MEDLINE  
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[PMID]:26061584
[Au] Autor:Özdemir V
[Ad] Endereço:1 Faculty of Communications and the Department of Industrial Engineering, Office of the President, International Technology and Innovation Policy, Gaziantep University , Üniversite Bulvari, Sehitkamil, Gaziantep, Turkey .
[Ti] Título:New Biology and United Nations Sustainable Development Goals (SDGs) 2016-2030: Values Steering the OMICS: A Journal of Integrative Biology Editorial Flight Deck.
[So] Source:OMICS;19(7):369-71, 2015 Jul.
[Is] ISSN:1557-8100
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Biologia/tendências
Conservação dos Recursos Naturais/tendências
Nações Unidas
[Mh] Termos MeSH secundário: Políticas Editoriais
Metas
Relações Interdepartamentais
Valores Sociais
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1604
[Cu] Atualização por classe:150703
[Lr] Data última revisão:
150703
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150611
[St] Status:MEDLINE
[do] DOI:10.1089/omi.2015.0066


  10 / 1276 MEDLINE  
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[PMID]:25063561
[Au] Autor:Maschio M; Paladin F
[Ad] Endereço:Center for Tumor-related Epilepsy, Area of Supporting Care, Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy, maschio@ifo.it.
[Ti] Título:Taking care of patients with brain tumor-related epilepsy: results from an Italian survey.
[So] Source:Neurol Sci;36(1):125-30, 2015 Jan.
[Is] ISSN:1590-3478
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:UNLABELLED: To date, no data have been published in literature regarding either a "model" or systematic approach to caring for patients with brain tumor-related epilepsy (BTRE). In Italy, there are numerous dedicated centers for epilepsy. STUDY AIMS: to investigate how many BTRE patients were followed by these specialized centers, independent of histological grade; to have a national snapshot of the range of care issues concerning these patients, with surveys completed by Italian centers adhering to the Italian League Against Epilepsy (LICE) study group for BTRE. Each participating Italian center received a survey requesting: description of organizational structure/service model for diagnosis and treatment of epilepsy; number of patients followed (from 1/2010 to 12/2011); services offered, within the same institution or in close proximity; degree of access to colleagues from other disciplines for discussion of cases, with indication of departments/areas of specialization were sought. Thirty out of the 35 centers adhering to LICE study group completed the survey indicating total of 2,528 patients with BTRE had been treated with 940 new patients/year. Data regarding the care model, service offerings, referral sources were collected. This study is a first collaborative project of epilepsy centers throughout Italy, aimed at collecting data on a national scale. Results indicate: (1) 2,528 patients had been followed by participating centers and account for 21 % of estimated patients with BTRE in Italy (2) difficulties in organizing meetings with other specialists (e.g. for discussion of cases/patient briefings); (3) need for multidisciplinary integration with other specialists as a priority area for intervention.
[Mh] Termos MeSH primário: Neoplasias Encefálicas/complicações
Epilepsia/etiologia
Epilepsia/terapia
[Mh] Termos MeSH secundário: Comunicação
Seres Humanos
Relações Interdepartamentais
Itália
Encaminhamento e Consulta
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1509
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140727
[St] Status:MEDLINE
[do] DOI:10.1007/s10072-014-1887-1



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