Effective patient handoffs are an important factor for ensuring quality and patient safety. TeamHealth physicians Rohit Uppal, MD, and Dennis Deruelle, MD, spoke with Hospital Peer Review about how to ensure good handoffs between service lines.
Objective: To propose approaches to improve nursing handoffs for surgical patients, including standardization. Background: Handoffs, or the transfer of accountability and patient information, can generate potential risks for patient safety. Standardization has been proposed to help improve handoffs. Methods: After observing 333 nursing handoffs in the surgical wards of our institution, we conducted a thematic content analysis, comparing and contrasting the observations. Results: Handoff processes, including the use of support tools, varied among the observations. Common themes in the handoff content suggested possibilities of standardization. About half of the 51 interruptions occurring during the observed handoffs were by healthcare professionals. Conclusions: Standardization to improve handoffs should address both the content and the process. Interruptions were common and should be avoided whenever possible. Future studies should also consider the use of mobile applications to support handoffs and
Youre in the hospital under around-the-clock care for whatever it is that ails you. During any 24-hour period, your physicians and nursing staff will change shifts at least once. When those shift changes occur, those going off shift will need to hand over information about the status of your condition to incoming staff clearly and accurately, or something could go seriously wrong - and things do frequently go wrong. According to a 2012 report by the Joint Commission, an estimated 80% of serious medical errors involve miscommunication between caregivers during the transfer of patients.. The Joint Commission has called for standardization in how handoffs are conducted, regardless of the tools caregivers use - checklists, computerized sign-out systems, mnemonics, and so on. Establishing an unambiguous standard that results in positive outcomes for patients, caregivers, and organizations requires careful evaluation of the various protocols that have been developed and studied.. In their upcoming ...
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These corrections result from the NLM Quality Assurance reviews as well as from user reports to publishers, who then update citations as appropriate. These maintained citations, along with new citations, are then available to MEDLINE data distribution and PubMed users daily.. YEP (year-end processing) encompasses more extensive changes to the MEDLINE citations. This maintenance is primarily for making changes to the Medical Subject Headings (MeSH) on existing MEDLINE citations to conform to the forthcoming years version of MeSH, and also involves other global changes such as those to Supplementary Concept Names.. The annual year-end processing procedures usually start in mid-November and are targeted for completion by the end of November.. During this year-end processing time, the schedule for adding citations newly indexed with MeSH to MEDLINE/PubMed is temporarily interrupted, and no newly indexed MEDLINE citations are added to PubMed. New in process citations, however, continue to be ...
Over the last decade, increased attention has been focused on the transfer of care between clinical teams ("handoffs") as a potentially modifiable factor in preventing adverse patient outcomes. Handoffs occurring in the perioperative setting may be particularly prone to error due to the need to exchange complex information and an environment that emphasizes efficiency and rapid turnovers. In such environments, use of a handoff protocol increases the duration of a handoff only slightly, while decreasing missed surgical information and improving nursing satisfaction.1 A 2012 meta-analysis of best practices for perioperative handoffs by Segall et al.2 identified more than 500 articles on this topic. Interestingly, all focused solely on the transfer of patient care from the operating room (OR) to the intensive care unit (ICU). As anesthesiologists and intensivists, we feel that perioperative handoffs in transfer of patients from the ICU to the OR have been overlooked, but are equally important. To ...
NEW! The Equity Compensation Planning Dilemma For Corporate Executives NEW! A Least-Regret Analysis For Equity Compensation: Maximizing Value While Minimizing Risk UPDATED FOR 2013! Top Ideas For Year-End Tax Planning With Stock Compensation (Parts 1 and 2) UPDATED FOR 2013! Year-End Strategies For Restricted Stock: Ideas To Consider UPDATED FOR 2013! Year-End Strategies For Employee Stock Purchase Plans: Ideas To Consider UPDATED FOR 2013! Stockbrokers Secrets (Part 3): Year-End Planning For NQSOs, Restricted Stock, And RSUs UPDATED FOR 2013! Stockbrokers Secrets (Part 7): Year-End Planning For ISOs UPDATED FOR 2013! What are some year-end strategies for restricted stock and stock options? UPDATED FOR 2013! Next year I may be in a higher tax bracket. I am thinking about exercising my nonqualified stock options before then to accelerate income into this year. What issues do I need to think about? UPDATED FOR 2013! I am thinking about selling some company stock this year, as next year my income ...
SPNB To Start Pilot Project Using AGIBS By Year-End. Last update: 13/09/2017SHAH ALAM, Sept 13 (Bernama) -- Syarikat Perumahan Negara Berhad (SPNB) will start a pilot housing project incorporating the Ajiya Green Integrated Building Solutions (AGIBS) at two Felda settlements in Terengganu by year-end ...
As inpatient care becomes increasingly complex, with complicated medical problems and large volumes of information to transmit, appropriate and efficient communication among physicians is more critical than ever. According to The Joint Commission, communication breakdowns are estimated to contribute to 80% of medical errors.1 Handoffs involve sending and receiving complete information that assists in communication of patient care responsibilities. Handoffs occur in multiple settings and among various providers, including either in-house or on-call coverage for hospitalized patients. Shift changes among physicians protect against sleep deprivation and allow for the informal review of clinical dilemmas, but they also present risks for communication failures and potential medical errors.. The medical literature indicates that handoffs can be improved2-4 and that structured/standardized communication facilitates handoffs among group members and between shifts.5,6 Although much of the literature ...
Patients transitioning from hospital to home are the most critical care transition for healthcare organizations seeking to coordinate care and reduce readmissions, according to this years HIN benchmark survey on care transitions management. The 2015 Healthcare Benchmarks: Care Transitions Management also identifies other critical transitions of care. Click here to view other challenging transitions of care. Management of patient handoffs is a key factor in the delivery of value-based care. Poorly managed care transitions drive avoidable readmissions, ER use, medication errors and healthcare spend. 2015 Healthcare Benchmarks: Care Transitions Management, HINs fourth annual analysis of these cross-continuum initiatives, examines programs, models, protocols and results associated with movement of patients from one care site to another, including the impact of care transitions management on quality metrics and the delivery of value-based care. With a special focus on the patient discharge process ...
Business Associations as Hubs of Inter-Organizational Information Systems for SMEs - The 2Cities Portal: 10.4018/978-1-59140-318-0.ch006: This chapter is a first contribution to the study of the role of a business association (BA) in managing inter-organizational (IO) relationships among its
2009 Year-End Training Report July 2010 Developed by JORDAN INSTITUTE FOR FAMILIES UNC-CH SCHOOL OF SOCIAL WORK AND THE STAFF DEVELOPMENT TEAM CHILD WELFARE SERVICES NC DIVISION OF SOCIAL SERVICESCONTENTS Executive Summary ................................................................................................................ 1 NC DSS Child Welfare Services Statewide Training Partnership .......................................... 2 Chapter 1 1. Strategic Planning for the NC Statewide Training Partnership .............................................. 5 Chapter 2 1. Engage Families and Youth in the Learning System ............................................................. 6 2. Enhance Professional Development of Social Workers ......................................................... 8 3. Enhance Professional Development of Supervisors ............................................................. 12 4. Support Leadership Development among Administration and Management Staff ...
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Over the past two days, Ive discussed a method for optimizing the hand-off process between prehospital providers and the trauma team. Besides improving the quality and completeness of information exchange, it also fosters a good relationship between the two. All too often, the medics feel that "the trauma team is not listening to me" if the procedure is to move the patient onto the ED bed as quickly as possible.. And they are right! As soon as the patient hits the table, the trauma team starts doing what they do so well. Its impossible for humans to multi-task, even though they think they can (look at texting and driving). We switch contexts with our brain, from looking at the patient to listening to EMS, back and forth. And it takes a few extra seconds to switch from one to the other. Team members will not be able to concentrate on the potentially important details that are being relayed.. What should you do if the team doesnt want to wait?. First, educate them. Except for those who are in ...
Deutsche Bank has downgraded its year-end forecast for the price of carbon in Europes emission trading program.. The bank has lowered its year-end 2011 forecast to €12/t from €17/t, as it expects the market will take some time to recover from volatility resulting from concerns about Europes sovereign debt. Deutsche has also lowered its predicted prices for year-end 2012 to €15/t from €19/t.. The bank has retained its prediction that participants in the scheme will see their emissions capped at 395 million tonnes. This may force many companies to switch to less carbon intensive fuels, the bank predicts.. In related news, the EU and Australia are to start talks discussing linking their two emissions trading schemes. European Commission president Jose Manuel Barroso praised Australias system but said that the global recession has shifted focus away from greenhouse gas emissions, Reuters reports.. And in other news, Poland and Japan have announced that the Asian country is to trade energy ...
As our amazing 2017 comes to a close, we ask our sarcoma community to help RIS again with our year-end request, sweetened with a $10,000 challenge gift! If you are still considering a year-end donation, we are excited to announce an additional challenge match of $10,000 made possible by several generous RIS donors. Help us reach our new $40,000 year-end goal! This has been an extraordinary year for Rein in Sarcoma, including expansion of our educational and patient support work and the largest sarcoma research funding in our history. Please take a moment to read the letter that was sent to you in the mail or the pdf. The letter contains two remarkable stories about sarcoma survivors, Miranda Mead and Natalie Wolf who in their words and actions exemplify our fight to find cures for sarcoma cancers.. ...
The importance of standardized handoff communications in preventing errors is underscored by its inclusion as a National Patient Safety Goal, and specific guidelines have been developed to promote safe handoff practices. Despite this, multiple studies demonstrate that signout practices are still suboptimal, particularly at academic hospitals.
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Study heterogeneity also limited our ability to identify which features of a residency program or changeover system are most problematic. In general, studies aggregated data across patient care events or clinical settings in which the resident role in patient care varied markedly. Only a few studies gave specific information about the level of involvement of residents in the specific episode of care (8, 52) or in the clinical setting overall, by adjusting for number of residency programs in the hospital (30) or resident-to-bed or resident-to-discharge ratios (46, 57, 61). Study descriptions of the switch and associated supervisory system also varied. Most did not describe the level of supervision, and for those that did, the degree of supervision varied from 24/7 direct supervision by an attending physician (38, 49-51, 54, 58) to interns initiating supervision as needed (35). Only 1 accounted for level of supervision as a covariate (8). With 1 exception (33), studies did not report whether ...
Tech is so yesterday, long live providers and solutions. 2012 was in some ways a dull technological year - the basic core technologies that are useful when applied to older adult consumers had surfaced in 2011 or before - think mobile PERS, GPS tracking, fall detection, voice activation (say Hi, Siri!), the rise of tablets, longer device battery life (except for smart phones). 2012, on the other hand, was the year in which there was new interest in aging and technology solutions - and thankfully, not just from startups, but included health insurers, communications carriers, and even pharmaceutical companies. As we peer into our 2013 crystal ball, here are some highlights of the past year and predictions about the year ahead:. Tracking growth in Internet and older adults - thats so last year. Although I still make the case for 100% of the older adult population and Internet use, figuring out what that use is may be beyond industry analysts. This year was the first year that Internet use by older ...
STONY BROOK, NY--(Marketwired - December 08, 2015) - Applied DNA Sciences (NASDAQ: APDN) (Twitter: @APDN), a provider of DNA-based supply-chain, anti-counterfeiting and anti-theft technology, product genotyping and product authentication solutions, will host a conference call and webcast on Tuesday, December 15, 2015 at 8:30 AM ET to discuss its fiscal...
Genomic Health, Inc. (Nasdaq: GHDX) today announced that the company will host a conference call and webcast on Wednesday, February 3 at 4:30 p.m. Eastern Time to discuss its fourth
Quality Systems, Inc. (NASDAQ:QSII) announced today results for its fiscal 2017 fourth quarter and fiscal year ended March 31, 2017.
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Justice Equality Supreme…. Ill be honest: despite bringing Justice (formerly known as KNOWxONE) into the fold two years ago, I still have no idea what he looks like, where he lives exactly or how old he is. Hell, for a minute I wasnt even sure if it was a "he" at all. Regardless, the dopehouses resident crate-digger (who also is a part of the clothing company FITTED) provides his top picks. - Meka. ...
At least they had a box at the end to include comments. I suggested that they ask parents about tutoring. Then I asked them how parents can support learning if everything goes into a portfolio and never comes home ...
CORAL GABLES, Fla., March 19, 2014-- Catalyst Pharmaceutical Partners, Inc., a specialty pharmaceutical company focused on developing safe and effective approved medicines targeting orphan neuromuscular and neurological diseases today reported financial results for the fourth quarter and year-ended December 31, 2013.
Acasti Pharma Inc (NASDAQ:ACST) (CVE:ACST) CEO Jan DAlvise speaks to Proactives Andrew Scott after announcing their second Phase III trial for the drug CaPre has reached 100% randomisation - which means the last patients been accepted into the trial and randomised either onto the drug or a placebo.
Heska Corporation (Nasdaq: HSKA) announces the following Webcast: (Logo: http://www.newscom.com/cgi-bin/prnh/20000622/HESKALOGO) If you are unable
Medical isotope company Isoray of Richland, Wash., reported that grosslosses were down amongst product sales increases for its financialresults for the quarter and year, which ended on June 30.
Update personal information. Now is a good time for staff and faculty to review their personal information through [email protected] to ensure it is correct and up to date. This is especially important if you have recently moved or are planning to leave Duke in any capacity. Accurate personal information will help ensure that all tax-related documents for 2011 are sent to the correct location. Call (919) 684-5600 if you need assistance updating personal information ...
Not hearing the alarm at 2:20 in the morning will be amazing! Ill be spending a whole lot more time with my kids getting them ready and off to school as well as putting them to bed at night. Those are things Im looking forward to the most and was unable to do on a morning schedule.". ...
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CONCORD, Calif., Jan. 27 /PRNewswire/ -- Cerus Corporation (Nasdaq: CERS), a leading developer of systems to improve the safety of transfusion blood products through inactivation of viruses, bacteria and other pathogens, today announced results for the fourth quarter and year ended December 31, 1999. For the quarter ended December 31, 1999, the company reported revenue from development agreements and government grants of $0.2 million and a net loss of $7.1 million, or $0.60 per share. These results compare with revenue of $0.3 million and a net loss of $6.2 million, or $0.66 per share for the quarter ended December 31, 1998. The company also reported revenue of $2.4 million and a net loss of $22.6 million, or $2.04 per share for the year ended December 31, 1999. These results compare with revenue of $2.9 million and a net loss of $29.6 million, or $3.17 per share, for the year ended December 31, 1998. As of December 31, 1999, the company had cash, cash equivalents and short- term investments ...
So far in 2017, SevaChild has protected more than 1,300,000 children from the dangers of VADD (Vitamin A Deficiency Disorders), a cluster of potentially deadly
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As the year winds down, do you have funds remaining in your flexible spending account for health care? Or have you spent more than you put into the account?
HAMPTON, N.J., Feb. 24, 2015-- Celldex Therapeutics, Inc. today reported business and financial highlights for the fourth quarter and year ended December 31, 2014. Most recently, based on these data, Rintega was issued Breakthrough Designation from the FDA. The FDA and central European regulatory authorities reviewed the revised protocol design for...
It is understandable that naturalistic thinkers are uneasy with the concept of miracles. So should we all be watchful not to believe too quickly because its easy to get caught up in private reasons and ignore reason itself. Thus has more than one intelligent person been taken by both scams and honest mistakes. By the the same token it is equally a danger that one will remain too long in the skeptical place and become overly committed to doubting everything. From that position the circular reasoning of the naturalist seems so reasonable. Theres never been any proof of miracles before so we cant accept that there is any now. But thats only because we keep making the same assumption and thus have always dismissed the evidence that was valid. At this point most atheists will interject the ECREE issue (or ECREP-extraordinary claims require extraordinary evidence, or "proof"). That would justify the notion of remaining skeptical about miracle evidence even when its good. The ...
Heres the thing, though: I dont know how he already got to be a college kid. I know, I know, this is a refrain from mothers everywhere, and until it happens to you, there is simply no way to explain how it feels. How your home both feels remarkably empty, and yet, somehow, almost cruelly, the air and space fill in. We adjust, I guess. But theres a price. Tiny holes in our heart, that never exactly repair. The years we have our children at home are way too fleeting. But then, so are, just, all the years ...
At least one set of analysts sees Merck returning to the global pharma second tier (i.e., out of the top five) by 2014, and the ascendency of the European-makers, eclipsing even mighty Pfizer, in the same time-frame. Of course, worldwide revenue (the measure used here) is not the same as per-share profitability (EPS), especially when…
Derogatiss next 40:. 11. TV on the Radio, Dear Science (DGC/Interscope). 12. Parts & Labor, Receivers (Jagjaguwar). 13. Jenny Lewis, Acid Tongue (Warner Bros.). 14. Spiritualized Songs in A&E (Fontana). 15. Sigur Ros, Med sud i eyrum vid spilum endalaust (XL). 16. The Black Angels, Directions to See a Ghost (Light in the Attic). 17. Girl Talk, Feed the Animals (Illegal Art). 18. Gnarls Barkley, The Odd Couple (Atlantic). 19. Weezer, Weezer (Geffen). 20. Lou Reed, Berlin: Live at St. Anns Warehouse (Matador). 21. Portishead, Third (Mercury). 22. Q-Tip, The Renaissance (Universal/Motown). 23. Rise Against, Appeal to Reason (DGC/Interscope). 24. Flight of the Conchords, Flight of the Conchords (Sub Pop). 25. Ladytron, Velocifero (Nettwerk). 26. Bob Dylan, Tell Tale Signs: Rare and Unreleased, 1989-2006 (Columbia). 27. Moby, Last Night (Mute/EMI). 28. Lykke Li, Youth Novels (Atlantic). 29. The Gutter Twins, Saturnalia (Sub Pop). 30. Wire, Object 47 (Pink ...
Hello, and welcome to 2018! What a long, strange year was 2017. And what a perfect example of just how tough it can be to predict where life will take you.