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Clinical Microbiology and Infection :... Jan 2018
Topics: Communicable Disease Control; Communicable Diseases; Europe; Evidence-Based Medicine; Humans; International Cooperation; Patient Care; Public Health; Societies, Medical
PubMed: 28583741
DOI: 10.1016/j.cmi.2017.05.024 -
American Journal of Pharmaceutical... May 2016Empathy can have strong positive effects on patient outcomes, increase patient satisfaction, and reduce malpractice litigation. With modern advances in technology,... (Review)
Review
Empathy can have strong positive effects on patient outcomes, increase patient satisfaction, and reduce malpractice litigation. With modern advances in technology, however, the appropriate expression of empathy in today's age is being threatened, largely as a result of psychological processes that form online disinhibition. The digitization of health care and the corresponding decrease in the expression of empathy may be cause for concern. Because empathy is strongly correlated to positive health outcomes and is an important part of health professions in general, the construct of digital empathy should be considered for integration into health professions curricula.
Topics: Communication; Education, Pharmacy; Empathy; Humans; Patient Care; Social Media
PubMed: 27293225
DOI: 10.5688/ajpe80458 -
Annals of the Royal College of Surgeons... Sep 2017
Topics: Awards and Prizes; Biomedical Research; General Surgery; Humans; Patient Care; Publishing
PubMed: 28853607
DOI: 10.1308/rcsann.2017.0160 -
American Family Physician May 2021More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU...
More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should be prepared to provide ongoing care and screening for post-ICU complications. Risk factors for complications after ICU discharge include previous ICU admissions, preexisting mental illness, greater number of comorbidities, and prolonged mechanical ventilation or higher opioid exposure while in the ICU. Early nutritional support and mobilization in the ICU decrease the risk of complications. After ICU discharge, patients should be screened for depression, anxiety, insomnia, and cognitive impairment using standardized screening tools. Physicians should also inquire about weakness, fatigue, neuropathy, and functional impairment and perform a targeted physical examination and laboratory evaluation as indicated; treatment depends on the underlying cause. Exercise regimens are beneficial for reducing several post-ICU complications. Patients who were treated for COVID-19 in the ICU may require additional instruction on reducing the risk of virus transmission. Telemedicine and telerehabilitation allow patients with COVID-19 to receive effective care without increasing exposure risk in communities, hospitals, and medical offices.
Topics: Aftercare; Ambulatory Care; COVID-19; Cognitive Dysfunction; Continuity of Patient Care; Critical Care; Health Services Needs and Demand; Humans; Intensive Care Units; Patient Discharge; Physical Functional Performance; Quality Improvement; SARS-CoV-2; United States
PubMed: 33983005
DOI: No ID Found -
Heart Failure Clinics Jul 2015Clinical practice guidelines endorse the use of palliative care in patients with symptomatic heart failure. Palliative care is conceptualized as supportive care afforded... (Review)
Review
Clinical practice guidelines endorse the use of palliative care in patients with symptomatic heart failure. Palliative care is conceptualized as supportive care afforded to most patients with chronic, life-limiting illness. However, the optimal content and delivery of palliative care interventions remains unknown and its integration into existing heart failure disease management continues to be a challenge. Therefore, this article comments on the current state of multidisciplinary care for such patients, explores evidence supporting a team-based approach to palliative and end-of-life care for patients with heart failure, and identifies high-priority areas for research.
Topics: Heart Failure; Hospice Care; Humans; Palliative Care; Patient Care Team; Patient-Centered Care; Terminal Care
PubMed: 26142643
DOI: 10.1016/j.hfc.2015.03.010 -
Journal of Orthopaedic Research :... Mar 2008
Topics: Conflict of Interest; Health Care Sector; Humans; Orthopedics; Patient Care; Physician-Patient Relations; Professional Role
PubMed: 18273897
DOI: 10.1002/jor.20613 -
Blood Purification 2019Kidney disease is a global public health problem, affecting over 750 million persons worldwide. The burden of kidney disease varies substantially across the world. In... (Review)
Review
Kidney disease is a global public health problem, affecting over 750 million persons worldwide. The burden of kidney disease varies substantially across the world. In many settings, rates of kidney disease and the provision of its care are defined by socioeconomic, cultural, and political factors leading to significant disparities. World Kidney Day 2019 offers an opportunity to raise awareness of kidney disease and highlight disparities in its burden and current state of global capacity for prevention and management. Here, we highlight the need for strengthening basic infrastructure for kidney care services for early detection and management of acute kidney injury and chronic kidney disease across all countries and advocate for more pragmatic approaches to providing renal replacement therapies. Achieving universal health coverage worldwide by 2030 is a World Health Organization Sustainable Development Goal. While universal health coverage may not include all elements of kidney care in all countries, understanding what is locally feasible and important with a focus on reducing the burden and consequences of kidney disease would be an important step towards achieving kidney health equity.
Topics: Cost of Illness; Health Policy; Health Services Accessibility; Health Workforce; Healthcare Disparities; Humans; Kidney Diseases; Patient Care; Renal Replacement Therapy; Risk Factors
PubMed: 30836351
DOI: 10.1159/000497498 -
Critical Care (London, England) Feb 2012Use of nurse practitioners and physician assistants ("affiliates") is increasing significantly in the intensive care unit (ICU). Despite this, few data exist on how...
INTRODUCTION
Use of nurse practitioners and physician assistants ("affiliates") is increasing significantly in the intensive care unit (ICU). Despite this, few data exist on how affiliates allocate their time in the ICU. The purpose of this study was to understand the allocation of affiliate time into patient-care and non-patient-care activity, further dividing the time devoted to patient care into billable service and equally important but nonbillable care.
METHODS
We conducted a quasi experimental study in seven ICUs in an academic hospital and a hybrid academic/community hospital. After a period of self-reporting, a one-time monetary incentive of $2,500 was offered to 39 affiliates in each ICU in which every affiliate documented greater than 75% of their time devoted to patient care over a 6-month period in an effort to understand how affiliates allocated their time throughout a shift. Documentation included billable time (critical care, evaluation and management, procedures) and a new category ("zero charge time"), which facilitated record keeping of other patient-care activities.
RESULTS
At baseline, no ICUs had documentation of 75% patient-care time by all of its affiliates. In the 6 months in which reporting was tied to a group incentive, six of seven ICUs had every affiliate document greater than 75% of their time. Individual time documentation increased from 53% to 84%. Zero-charge time accounted for an average of 21% of each shift. The most common reason was rounding, which accounted for nearly half of all zero-charge time. Sign out, chart review, and teaching were the next most common zero-charge activities. Documentation of time spent on billable activities also increased from 53% of an affiliate's shift to 63%. Time documentation was similar regardless of during which shift an affiliate worked.
CONCLUSIONS
Approximately two thirds of an affiliate's shift is spent providing billable services to patients. Greater than 20% of each shift is spent providing equally important but not reimbursable patient care. Understanding how affiliates spend their time and what proportion of time is spent in billable activities can be used to plan the financial impact of staffing ICUs with affiliates.
Topics: Documentation; Humans; Intensive Care Units; Nurse Practitioners; Patient Care; Patient Care Team; Personnel Staffing and Scheduling; Physician Assistants; Time Factors
PubMed: 22336491
DOI: 10.1186/cc11195 -
Annals of Internal Medicine Jan 1999
Topics: Anecdotes as Topic; Curriculum; Education, Medical; Exploratory Behavior; Humans; Patient Care; Physician-Patient Relations
PubMed: 9890857
DOI: 10.7326/0003-4819-130-1-199901050-00015 -
RoFo : Fortschritte Auf Dem Gebiete Der... Mar 2023
Topics: Humans; Patient Care; Health Services
PubMed: 36796381
DOI: 10.1055/a-2007-8293