472,641 research outputs found

    Osteopathic Digest (May 1948)

    Get PDF
    The May 1948 issue of the Osteopathic Digest includes the following articles: The President\u27s Page The Osteopathic Hospital of Philadelphia Loyal Women\u27s Groups Helped Build Hospital The Graduate School Dr. Frank G. Lankard to be P. C. O. Commencement Orator Osteopathic Meetings Worthy of Support Student Activities School of Nursing Alumni Notes On the Firing Line! - Joseph C. Snyder, D.O. Philadelphia College of Osteopathy Offers Three Courses for Graduateshttps://digitalcommons.pcom.edu/digest/1053/thumbnail.jp

    Osteopathic Digest (September 1946)

    Get PDF
    The September 1946 issue of the Osteopathic Digest includes the following articles: The President\u27s Editorial There are Two Seas a Parabe by Bruce Barton The Osteopathic Foundation of Philadelphia Activities of the Faculty: College News P. C. O. Commencement October 18 Osteopathic Hospital Review and Forecast Student Activities Osteopathic Meetings On the Firing Line! Alexander Levitt, D. O. Activities of the P. C. O. Alumni in the Field Obituaryhttps://digitalcommons.pcom.edu/digest/1049/thumbnail.jp

    Family meetings for older adults in intermediate care settings: the impact of patient cognitive impairment and other characteristics on shared decision making

    Get PDF
    "This is the peer reviewed version of the following article: [Milte CM, Ratcliffe J, Davies O, Whitehead C, Masters S, Crotty M. Family meetings for older adults in intermediate care settings: the impact of patient cognitive impairment and other characteristics on shared decision making. Health Expectations. 2015 Oct;18(5):1030-40. ], which has been published in final form at [http://dx.doi.org/10.1111/hex.12076]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. http://olabout.wiley.com/WileyCDA/Section/id-820227.html#terms"BACKGROUND: Clinicians, older adults and caregivers frequently meet to make decisions around treatment and lifestyle during an acute hospital admission. Patient age, psychological status and health locus of control (HLC) influence patient preference for consultation involvement and information but overall, a shared-decision-making (SDM) approach is favoured. However, it is not known whether these characteristics and the presence of cognitive impairment influence SDM competency during family meetings. OBJECTIVE: To describe meetings between older adults, caregivers and geriatricians in intermediate care and explore patient and meeting characteristics associated with a SDM communication style. METHODS: Fifty-nine family meetings involving geriatricians, patients in an intermediate care setting following an acute hospital admission and their caregivers were rated using the OPTION system for measuring clinician SDM behaviour. The geriatric depression scale and multidimensional HLC scale were completed by patients. The mini-mental state exam (MMSE) assessed patient's level of cognitive impairment. RESULTS: Meetings lasted 38 min (SD 13) and scored 41 (SD 17) of 100 on the OPTION scale. Nine (SD 2.2) topics were discussed during each meeting, and most were initiated by the geriatrician. Meeting length was an important determinant of OPTION score, with higher SDM competency displayed in longer meetings. Patient characteristics, including MMSE, HLC and depression did not explain SDM competency. CONCLUSION: Whilst SDM can be achieved during consultations frail older patients and their caregivers, an increased consultation time is a consequence of this approach

    Where to from here? A quality improvement project investigating burns treatment and rehabilitation practices in India

    Get PDF
    Abstract Objective To describe the capacity of the Indian healthcare system in providing appropriate and effective burns treatment and rehabilitation services. Results Health professionals involved in burns treatment or rehabilitation at seven hospitals from four states in India were invited to participate in consultative meetings. Existing treatment and rehabilitation strategies, barriers and enablers to patient flow across the continuum of care and details on inpatient and outpatient rehabilitation were discussed during the meetings. Seventeen health professionals from various clinical backgrounds were involved in the consultation process. Key themes highlighted (a) a lack of awareness on burn first aid at the community level, (b) a lack of human resource to treat burn injuries in hospital settings, (c) a gap in burn care training for medical staff, (d) poor hospital infrastructure and (e) a variation in treatment practices and rehabilitation services available between hospitals. A number of opportunities exist to improve burns treatment and rehabilitation in India. Improvements would most effectively be achieved through promoting multidisciplinary care across a number of facilities and service providers. Further research is required to develop context-specific burn care models, determining how these can be integrated into the Indian healthcare system

    Osteopathic Digest (October 21, 1931)

    Get PDF
    The October 21, 1931 issue of the Osteopathic Digest includes the following articles: P. C. O. Re-Opens: 34th Year: 420 Students Exercises Mark Opening Day 154 Frosh Enter College The Class of 1935: 14 States Are Represented Here Hospital Association Holds Annual Meeting Faculty Members to Address Convention Ten New Nurses Begin Hospital Training Jersey Society Holds September Meeting County Society Plans October Meeting Elected President Dr. C. P. Snyder Honored at O. AND O. L. Convention Summer School Successful Upper Classes Elect Officers Honored! Student Physician Named Junior Class Organizes for Year Welcome 1935 Faculty Changes and Additions for the Year 1931-32 The Spinal Column Greetings from the Dean Interfraternity Council Rushing Rules Interfraternity Council Organizes Pediatric Clinic at Nineteenth Street New Jersey Society Meetings Program Welcome by the Registrar Parking Violations This Month\u27s Most Interesting Case The Laboratory Method in Teaching Around the Campus P. Chem. Society to Meet Monthly College Calendarhttps://digitalcommons.pcom.edu/digest/1023/thumbnail.jp

    Diagnostic accuracy of a clinical diagnosis of idiopathic pulmonary fibrosis: An international case-cohort study

    Get PDF
    We conducted an international study of idiopathic pulmonary fibrosis (IPF) diagnosis among a large group of physicians and compared their diagnostic performance to a panel of IPF experts.A total of 1141 respiratory physicians and 34 IPF experts participated. Participants evaluated 60 cases of interstitial lung disease (ILD) without interdisciplinary consultation. Diagnostic agreement was measured using the weighted kappa coefficient (κw). Prognostic discrimination between IPF and other ILDs was used to validate diagnostic accuracy for first-choice diagnoses of IPF and were compared using the C-index.A total of 404 physicians completed the study. Agreement for IPF diagnosis was higher among expert physicians (κw=0.65, IQR 0.53–0.72, p less than 0.0001) or physicians with access to multidisciplinary team (MDT) meetings (κw=0.54, IQR 0.45–0.64, p less than 0.0001). The prognostic accuracy of academic physicians with greater than 20 years of experience (C-index=0.72, IQR 0.0–0.73, p=0.229) and non-university hospital physicians with more than 20 years of experience, attending weekly MDT meetings (C-index=0.72, IQR 0.70–0.72, p=0.052), did not differ significantly (p=0.229 and p=0.052 respectively) from the expert panel (C-index=0.74 IQR 0.72–0.75).Experienced respiratory physicians at university-based institutions diagnose IPF with similar prognostic accuracy to IPF experts. Regular MDT meeting attendance improves the prognostic accuracy of experienced non-university practitioners to levels achieved by IPF experts

    Nurses\u27 Perceptions of Structural Empowerment: A Practice Review Process Pilot

    Get PDF
    Nurses are professionally and morally obliged to monitor and evaluate nursing practice via active participation in review mechanisms that are designed to promote patient safety and care delivery, thereby improving patient care quality (American Nurses Association [ANA], 1988, 2001, 2004; O\u27Rourke, 2006). The purpose of this Doctor of Nursing Practice (DNP) project was to develop, pilot, and evaluate a nurse practice review process with frontline nurses within Fresno Heart & Surgical Hospital (FHSH), a small specialty hospital, affiliated with Community Medical Centers (CMC) in Fresno, California. A nurse practice algorithm was subsequently developed and structural empowerment was assessed with the Conditions of Work Effectiveness Questionnaire-II (CWEQ-II) (Laschinger, Finegan, Shamian, & Wilk, 2001). While there was a small sample size, the DNP project evaluation demonstrated that frontline nurses want to participate in improvement activities within the facility and believed the nurse practice review algorithm would effectively monitor and evaluate nursing practice
    • …
    corecore