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The Nursing Clinics of North America Sep 2023Nurses play a key role in promoting successful transitions of patients with heart failure (HF) from the hospital to the ambulatory setting. Engaging patients and... (Review)
Review
Nurses play a key role in promoting successful transitions of patients with heart failure (HF) from the hospital to the ambulatory setting. Engaging patients and caregivers in discharge teaching early in the hospitalization can enhance their understanding of HF as a clinical syndrome and identify precipitants of decompensation. Effective transitional care interventions for patient with HF include a phone call within 48 to 72 hours and a follow-up appointment within 7 days. Early symptom identification and treatment are key aspects of HF care to improve quality of life and minimize risk of hospitalization.
Topics: Humans; Quality of Life; Hospitalization; Patient Discharge; Continuity of Patient Care; Heart Failure
PubMed: 37536781
DOI: 10.1016/j.cnur.2023.05.001 -
Research in Social & Administrative... Jul 2024Health equity and antiracism can contribute to enhanced patient safety in healthcare settings. The Oath of the Pharmacist states, "I will promote inclusion, embrace...
Health equity and antiracism can contribute to enhanced patient safety in healthcare settings. The Oath of the Pharmacist states, "I will promote inclusion, embrace diversity, and advocate for justice to advance health equity." Part of this commitment means upholding these principles in patient care settings. Racial and ethnic harm negatively impact patient safety. Racial and ethnic harm are reviewed in the context of social learning theory, critical race theory, and medical and scientific racism. Pharmacists and healthcare systems must actively prevent and mitigate racial and ethnic harm to patients from personal and organizational levels to create a culture of safety. Part of this strategy involves acknowledging when you have contributed to patient harm, issuing a genuine apology, and offering to mend or re-establish trust between racially and ethnically minoritized patients and the pharmacist or the health system to contribute to patient safety. These strategies may help create a culturally safe space for racially and ethnically marginalized patients in the healthcare system.
Topics: Humans; Patient Safety; Pharmacists; Racism; Patient Care; Ethnicity; Health Equity; Racial Groups; Delivery of Health Care
PubMed: 38670882
DOI: 10.1016/j.sapharm.2024.04.012 -
The American Journal of Hospice &... Nov 2023To demonstrate the trends and variety of research on palliative care during the COVID-19 pandemic. A systematic search of the Web of Science database. Since the outbroke... (Review)
Review
To demonstrate the trends and variety of research on palliative care during the COVID-19 pandemic. A systematic search of the Web of Science database. Since the outbroke of the COVID-19 pandemic, the adjustment of palliative care systems is warranted to maintain a high quality of care. The COVID-19 -related palliative care studies account for approximately 4% of all publications on palliative care. However, there is a dearth of research investigating the nature of these studies. A total of 293 studies were included. Of the included studies, those related to system improvement were the most common (181/293, 61.8%), followed by those related to patient care (79/293, 27.0%), bereavement support for patients or family members (19/293, 6.5%), and the mental health of frontline practitioners (14/293, 4.8%). From these studies, 82, 137, and 74 studies were published in 2020, 2021, and 2022 (until August 1), respectively. The research trends of palliative care demonstrate the flexibility and rapid response of the global palliative care system to the COVID-19 pandemic and show how the palliative care system is evolving. While most studies are interested in system improvement, patient care, and bereavement support, the mental health of frontline practitioners has received less attention. Our findings provide palliative care practitioners with current valuable information and highlight possible future trends.
Topics: Humans; COVID-19; Hospice and Palliative Care Nursing; Palliative Care; Pandemics; Terminal Care
PubMed: 36503251
DOI: 10.1177/10499091221145202 -
Australian Critical Care : Official... Sep 2023
Topics: Humans; Patient Care; Review Literature as Topic
PubMed: 37612019
DOI: 10.1016/j.aucc.2023.07.040 -
Seminars in Musculoskeletal Radiology Feb 2024The integration of biomarkers into medical practice has revolutionized the field of radiology, allowing for enhanced diagnostic accuracy, personalized treatment... (Review)
Review
The integration of biomarkers into medical practice has revolutionized the field of radiology, allowing for enhanced diagnostic accuracy, personalized treatment strategies, and improved patient care outcomes. This review offers radiologists a comprehensive understanding of the diverse applications of biomarkers in medicine. By elucidating the fundamental concepts, challenges, and recent advancements in biomarker utilization, it will serve as a bridge between the disciplines of radiology and epidemiology. Through an exploration of various biomarker types, such as imaging biomarkers, molecular biomarkers, and genetic markers, I outline their roles in disease detection, prognosis prediction, and therapeutic monitoring. I also discuss the significance of robust study designs, blinding, power and sample size calculations, performance metrics, and statistical methodologies in biomarker research. By fostering collaboration between radiologists, statisticians, and epidemiologists, I hope to accelerate the translation of biomarker discoveries into clinical practice, ultimately leading to improved patient care.
Topics: Humans; Biomarkers; Radiography; Diagnostic Imaging; Radiology; Patient Care
PubMed: 38330966
DOI: 10.1055/s-0043-1776426 -
Expert Review of Pharmacoeconomics &... Mar 2024
Topics: Humans; Patient Care; Health Care Costs; Social Support; Caregivers; Cost of Illness
PubMed: 38277261
DOI: 10.1080/14737167.2024.2309926 -
The Veterinary Record Oct 2023
Topics: Animals; Lighting; Patient Care
PubMed: 37800491
DOI: 10.1002/vetr.3521 -
Medicine May 2024Smart hospitals represent the pinnacle of healthcare innovation, leveraging cutting-edge technologies to transform patient care and facility management. This article... (Review)
Review
Smart hospitals represent the pinnacle of healthcare innovation, leveraging cutting-edge technologies to transform patient care and facility management. This article addresses the pressing need for effective implementation of 5G technology in smart hospitals, aiming to enhance connectivity, improve patient outcomes, and drive operational efficiency. The methodology employed involves a comprehensive review of existing literature, case studies, and expert insights to analyze the impact of 5G on various aspects of smart hospital operations. The article highlights the significance of 5G technology in enabling real-time data analytics, remote monitoring, and telemedicine, thus revolutionizing healthcare delivery. By providing high-speed, low-latency connectivity, 5G facilitates seamless communication and collaboration among healthcare providers, leading to more efficient diagnosis, treatment, and patient care. Additionally, the adoption of 5G enables smart hospitals to leverage artificial intelligence (AI)-based solutions for predictive analytics, personalized medicine and enhanced patient engagement. Furthermore, the article explores the potential of 5G-enabled smart hospitals in enhancing disaster preparedness and emergency response efforts. Case studies and examples demonstrate how 5G technology can improve situational awareness, coordinate resources, and deliver timely care during natural disasters and pandemics. Overall, this article underscores the transformative impact of 5G technology on smart hospitals and emphasizes the importance of embracing innovation to meet the evolving needs of patients and communities. By adopting 5G technology, smart hospitals can usher in a new era of healthcare delivery characterized by enhanced connectivity, improved patient outcomes, and unparalleled efficiency.
Topics: Humans; Telemedicine; Artificial Intelligence; Patient Care; Hospitals; Delivery of Health Care; Wireless Technology
PubMed: 38758872
DOI: 10.1097/MD.0000000000038239 -
American Journal of Health-system... Jul 2023
Topics: Humans; Pharmacists; Patient Care; Pharmacy Residencies; Education, Pharmacy, Graduate
PubMed: 36472456
DOI: 10.1093/ajhp/zxac359 -
Journal of General Internal Medicine Apr 2024Hospice positively impacts care at the end of life for patients and their families. However, compared to the general Medicare population, patients on dialysis are half...
IMPORTANCE
Hospice positively impacts care at the end of life for patients and their families. However, compared to the general Medicare population, patients on dialysis are half as likely to receive hospice. Concurrent hospice and dialysis care offers an opportunity to improve care for people living with end-stage kidney disease (ESKD).
OBJECTIVE
We sought to (1) develop a conceptual model of the Program and (2) identify key components, resources, and considerations for further implementation.
DESIGN
We conducted a template analysis of qualitative interviews and convened a community advisory panel (CAP) to get feedback on current concurrent care design and considerations for dissemination and implementation.
PARTICIPANTS
Thirty-nine patients with late-stage chronic kidney disease (CKD), family caregivers, bereaved family caregivers, hospice clinicians, nephrology clinicians, administrators, and policy experts participated in interviews. A purposive subset of 19 interviewees composed the CAP.
MAIN MEASURES
Qualitative feedback on concurrent care design refinements, implementation, and resources.
KEY RESULTS
Participants identified four themes that define an effective model of concurrent hospice and dialysis: it requires (1) timely goals-of-care conversations and (2) an interdisciplinary approach; (3) clear guidelines ensure smooth transitions for patients and families; and (4) hospice payment policy must support concurrent care. CAP participants provided feedback on the phases of an effective model of concurrent hospice and dialysis, and resources, including written and interactive educational materials, communication tools, workflow processes, and order sets.
CONCLUSIONS
We developed a conceptual model for concurrent hospice and dialysis care and a corresponding resource list. In addition to policy changes, clinical implementation and educational resources can facilitate scalable and equitable dissemination of concurrent care. Concurrent hospice and dialysis care must be systematically evaluated via a hybrid implementation-effectiveness trial that includes the resources outlined herein, based on our conceptual model of concurrent care delivery.
Topics: Adult; Aged; Female; Humans; Male; Middle Aged; Bereavement; Family; Hospice Care; Interviews as Topic; Kidney Failure, Chronic; Palliative Care; Patient Care Planning; Patient Care Team; Patients; Qualitative Research; Terminal Care; White; Renal Dialysis; Caregivers; Workflow
PubMed: 37962726
DOI: 10.1007/s11606-023-08504-w