Best Practice Recommendations Still Fail to Result in Action: A National 10-Year Follow-up Study of Investigative Interviews in CSA Cases

2015 ◽  
Vol 29 (5) ◽  
pp. 661-668 ◽  
Author(s):  
Miriam Johnson ◽  
Svein Magnussen ◽  
Christian Thoresen ◽  
Kyrre Lønnum ◽  
Lisa Victoria Burrell ◽  
...  
2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S375-S376
Author(s):  
Teresa Fitzgerald ◽  
Regina Nailon ◽  
Kate Tyner ◽  
Sue Beach ◽  
Margaret Drake ◽  
...  

Abstract Background Nebraska (NE) Infection Control Assessment and Promotion Program (ICAP) is a quality improvement initiative supported by the NE Department of Health and Human Services. This initiative utilizes subject matter experts (SMEs) including infectious diseases physicians and certified infection preventionists (IP) to assess and improve infection prevention and control programs (IPCP) in various healthcare settings. NE ICAP conducted on-site surveys and observations of IPCP in many volunteer facilities to include long-term care facilities (LTCF) between November 2015 and July 2017. SMEs provided on-site coaching and made best practice recommendations (BPR) for priority implementation. Impact of this intervention on LTCF IPCP was examined. Methods Using a standardized questionnaire, follow-up phone calls were made with LTCF to evaluate implementation of the BPR one-year post-assessment. Descriptive analyses were performed to examine BPR implementation in LTCF that had follow-up between 4/4/17 to 4/17/18 and to identify factors that promoted or impeded BPR implementation. Results Overall, 45 LTCF were assessed. The top 5 IC categories requiring improvement were audit and feedback practices (28 of 45, 62%), PPE supplies at point of use (62%), IC risk assessments (58%), TB risk assessments (56%), and supply and linen storage practices (56%). Follow-up assessments were completed for 270 recommendations in 25 LTCF. Recommendations reviewed ranged from three to 26 per LTCF (median = 15). The majority of the 270 recommendations (n = 162, 60%) had been either completely (35%) or partially (25%) implemented by the time of the follow-up calls. The ICAP visit itself was reported as the most helpful resource for BPR implementation (77 of 162). Lack of staffing was the most commonly mentioned barrier to implementation when LTCF implemented BPR partially or implementation was not planned (37 of 85). BPR Implementation most frequently involved additional staff training (64 of 162), review of policies and procedures (38 of 162), and implementing audit (34 of 162) and/or feedback (23 of 162) programs. Conclusion Numerous IC gaps exist in LTCF. Peer-to-peer feedback and coaching by SMEs facilitated implementation of many BPR directed toward mitigating identified IC gaps. Disclosures All authors: No reported disclosures.


2017 ◽  
Vol 64 (4) ◽  
pp. 42-46
Author(s):  
Albert Bach ◽  
Jeffrey Goad ◽  
Stephen Nickell

Pharmacists in California are assuming a greater role as independent providers of immunizations for children and adults under Senate Bill 493 (SB 493). One of the requirements for pharmacists as independent providers of immunizations in California is that they must report their administered doses to the California immunization registry system (CAIR). The National Vaccine Advisory Committee Standards for Immunization Practice also supports this practice by recommending that all immunizing providers report vaccinations to their local and state immunization information systems (IIS). This document presents background and specific features of CAIR; best practice recommendations for the use of IIS lookup, forecasting, follow-up, and recall; and documentation features to enhance the delivery of immunization services.


2020 ◽  
Vol 23 ◽  
pp. 100571
Author(s):  
Jennifer Beazer ◽  
Jane Breck ◽  
Caroline Eggerding ◽  
Patricia Gordon ◽  
Stephanie Hacker ◽  
...  

Author(s):  
Robert J. Rogerson ◽  
Fiona Reid ◽  
Rafaelle Nicholson

This paper examines why as part of the 2014 Commonwealth Games in Glasgow, Glasgow Life failed to achieve its aspired legacy of promoting further volunteering by Host City Volunteers (HCVs) despite the implementation of best practice. This practice included providing dedicated funding of a volunteer legacy programme, supporting recruitment from groups generally under-represented amongst regular volunteers, and the provision of a dedicated team to support HCVs before, during and after the event. Drawing on research conducted at the time of the event and a follow up study three years later, the paper suggests that the absence of such legacy arose because, although highly motivated by the one-off prestigious event, the event volunteers were less motivated by other opportunities, many of those involved as event volunteers were already committed volunteers, and were reluctant to take over responsibility for engaging with future volunteering opportunities. The paper considers the wider implications for future event managers seeking to generate volunteering legacies as part of major events. In so doing, it underlines that despite the scheme being constructed around the key characteristics of the much lauded benchmark model of event volunteering associated with the Manchester 2002 Commonwealth Games volunteering legacies cannot be guaranteed. Even when there is success in engaging with people markedly different to the common type of event volunteer in under-represented communities, translating their enthusiasm into post-event volunteering is problematic.


Author(s):  
C. Wolpers ◽  
R. Blaschke

Scanning microscopy was used to study the surface of human gallstones and the surface of fractures. The specimens were obtained by operation, washed with water, dried at room temperature and shadowcasted with carbon and aluminum. Most of the specimens belong to patients from a series of X-ray follow-up study, examined during the last twenty years. So it was possible to evaluate approximately the age of these gallstones and to get information on the intensity of growing and solving.Cholesterol, a group of bile pigment substances and different salts of calcium, are the main components of human gallstones. By X-ray diffraction technique, infra-red spectroscopy and by chemical analysis it was demonstrated that all three components can be found in any gallstone. In the presence of water cholesterol crystallizes in pane-like plates of the triclinic crystal system.


1997 ◽  
Vol 24 (10) ◽  
pp. 713-717 ◽  
Author(s):  
R. NAPANKANGAS ◽  
M.A.M. SALONEN ◽  
A.M. RAUSTIA

2001 ◽  
Vol 120 (5) ◽  
pp. A628-A628
Author(s):  
P CLEMENS ◽  
V HAWIG ◽  
M MUELLER ◽  
J SCAENZLIN ◽  
B KLUMP ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document