Search results for "patient care"
showing 10 items of 175 documents
Team dynamics in emergency surgery teams: results from a first international survey
2021
Abstract Background Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma’s causes or the patient’s personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. Methods An online survey was conducted among the World Society of Emergency Surgery members in early 2021. 402 fully filled questionnaires on the topics of knowledge translation dynamics and tools, non-technical skills, and difficulties in teamwork were collected. Data were analyzed using the softwa…
Soft tissue sarcoma in Italy: From epidemiological data to clinical networking to improve patient care and outcomes
2019
Sarcomas are rare malignant neoplasms that develop from mesenchymal cells and include a heterogeneous and large group of histological subtypes that may occur at any anatomical site. Soft tissue sarcomas (STS), the focus of this review, account for ≈70‒80% of sarcomas and represent <1% of all cancers. The heterogeneity of STS applies to both their topography and morphology, and 5-year survival can vary widely depending on disease stage and the complex interplay between anatomical site and histology for different STS subtypes. The rarity and heterogeneity of STS, together with other factors, such as the lack of clinical expertise often lead to difficulties and delays in making an accurate …
2SPD-025 Application of hazard vulnerability analysis to evaluate the risk level of medicine shortages
2020
Background and importance Drug shortages have become a worldwide phenomenon which has repercussions on patient care and on the hospital’s budget. Aim and objectives The aim of our study was to assess the risk of shortages of drugs included in our hospital therapeutic formulary (HTF), for which there is shortage reporting, using a hazard vulnerability analysis (HVA). Material and methods We performed an HVA on 43 drugs in our HTF, which were also included in the Italian Medicines Agency list of shortages. The HVA used to assign the risk of shortage (ROS) included three macro areas: probability that the shortages will occur based on shortages in the past 2 years; magnitude factors which incre…
[Analysis of patient safety culture in an out of hours primary care service.]
2020
Background: Aim of this study, part of a European collaborative research project, was to evaluate the "patient safety culture" (PSC) in a primary care out of hours service in order to provide the management with a baseline for improvement interventions. Methods: Cross sectional study with the administration of the Safety Attitude Questionnaire Ambulatory Version (SAQ-AV) administered to all the 56 doctors working out of hours in the ULSS 20 Verona Local Health Trust in April/May 2015. For each item of the questionnaire the average score, standard deviation, non-applicability, percentage of agreement, percentage of disagreement were calculated. Results: Doctors working out of hours appreciat…
Resting-State Functional Magnetic Resonance Imaging for Brain Tumor Surgical Planning: Feasibility in Clinical Setting.
2019
The aim of this study was to introduce resting-state functional magnetic resonance imaging (rest-fMRI) capability for brain tumor surgical planning. rest-fMRI is an emerging functional neuroimaging technique potentially able to provide new insights into brain physiology and to provide useful information regarding brain tumors in preoperative and postoperative settings. rest-fMRI evaluates low-frequency fluctuations in the blood oxygen level–dependent signal while the subject is at rest during magnetic resonance imaging examination. Multiple resting-state networks have been identified, including the somatosensory, language, and visual networks, which are of primary importance for surgical pl…
The Effect of Physical Activity and High Body Mass Index on Health-Related Quality of Life in Individuals with Metabolic Syndrome
2020
© 2020 by the authors.
Muscle Function Differences between Patients with Bulbar and Spinal Onset Amyotrophic Lateral Sclerosis. Does It Depend on Peripheral Glucose?
2021
Background: One of the pathogenic mechanisms of ALS disease is perturbed energy metabolism particularly glucose metabolism. Given the substantial difference in the severity and the prognosis of the disease, depending on whether it has a bulbar or spinal onset, the aim of the study was to determine metabolic differences between both types of ALS, as well as the possible relationship with muscle function. Materials and Methods: A descriptive, analytical, quantitative, and transversal study was carried out in hospitals and Primary Care centers in the region of Valencia, Spain. Fasting glucose and alkaline phosphatase (AP) levels in venous blood, muscle percentage, fat percentage, muscle streng…
Pacientu aprūpe pēc kakla skriemeļu lūzuma intensīvās terapijas nodaļā agrīnajā pēcoperācijas periodā
2019
Bakalaura darba tēma – Pacientu aprūpe pēc kakla skriemeļu lūzuma intensīvās terapijas nodaļā agrīnajā pēcoperācijas periodā. Problēma ir aktuāla, jo mugurkaula kakla daļas traumas Latvijā ir bieži sastopamas, ik gadu aptuveni 15–20 jauni cilvēki, visbiežāk vecumā no 18 līdz 40 gadiem, gūst smagas mugurkaula traumas ar sekojošu nopietnu invaliditāti. Mugurkaula traumas, it sevišķi mugurkaula kakla daļas traumas, ir ļoti smagas un komplicētas. Pacientiem ar šādām traumām ir nepieciešama īpaša aprūpe, lai pēc iespējas pilnvērtīgāk noritētu atveseļošanās process, kas būtiski ietekmē pacienta tālāko dzīves kvalitāti pēc traumas. Pētījuma mērķis – Analizēt pacientu aprūpi pēc kakla skriemeļu lūz…
Dance movement therapy in the treatment of depression : change in body image and mood - a clinical practice based study
2018
This dissertation includes four studies of the use of dance movement therapy (DMT) in a group form in the treatment of depression at a psychiatric outpatient clinic. DMT is based on exploring the embodied experience in the here and now in the encounter between patient(s), therapist and the dance/movement. DMT is a method to develop awareness of embodiment. This dissertation presents data from ten DMT groups, involving 62 patients who participated in and completed DMT groups during the years 2007-2013 at one psychiatric outpatient clinic. The age range of the participants was 21-61 years. To allow comparisons between DMT and treatment as usual (TAU), a control group of 12 patients was part o…
Effects of a computerized decision support system on care planning for pressure ulcers and malnutrition in nursing homes: an intervention study.
2013
Author's accepted version (post-print). Background: Nursing documentation is essential for facilitating the flow of information to guarantee continuity, quality and safety in care. High-quality nursing documentation is frequently lacking; the implementation of computerized decision support systems is expected to improve clinical practice and nursing documentation. Aim: The present study aimed at investigate the effects of a computerized decision support system and an educational program as intervention strategies for improved nursing documentation practice on pressure ulcers and malnutrition in nursing homes. Design, setting and participants: An intervention study with two intervention grou…