scholarly journals The Laboratory-Clinician Team: A Professional Call to Action to Improve Communication and Collaboration for Optimal Patient Care in Chromosomal Microarray Testing

2012 ◽  
Vol 21 (5) ◽  
pp. 631-637 ◽  
Author(s):  
Karen E. Wain ◽  
Erin Riggs ◽  
Karen Hanson ◽  
Melissa Savage ◽  
Darlene Riethmaier ◽  
...  
Keyword(s):  
Patient Care ◽  
Chromosomal Microarray ◽  
Call To Action ◽  
Optimal Patient Care

scholarly journals Prioritizing intraprofessional collaboration for optimal patient care: A call to action

2018 ◽  
Vol 151 (3) ◽  
pp. 170-175 ◽  
Author(s):  
Barbara Gobis ◽  
Annie Yu ◽  
Jillian Reardon ◽  
Martha Nystrom ◽  
Kelly Grindrod ◽  
...  
Keyword(s):  
Patient Care ◽  
Call To Action ◽  
Optimal Patient Care ◽  
Intraprofessional Collaboration

Commentary on Chaplain-Physician Interactions From the Chaplain’s Perspective: A Mixed Method Analysis

2021 ◽  
pp. 104990912110030
Author(s):  
Rev George Handzo ◽  
Rev Brian Hughes
Keyword(s):  
Best Practices ◽  
Health System ◽  
Patient Care ◽  
Health Systems ◽  
Mixed Method ◽  
Effective Strategies ◽  
Optimal Patient Care ◽  
Relationship Of ◽  
The Relationship ◽  
Method Analysis

Gomez and her colleagues have presented a helpful study of the relationship of the chaplains in her health system to physicians which highlights several barriers to a well-integrated relationship and thus to more optimal patient care. We have seen these same barriers as we have consulted with health systems nationally and have also identified many best practices that mediate or even eliminate many of these barriers. This commentary describes some of what we have seen as chaplain-generated causes of those barriers and effective strategies that have been employed to overcome them. We also provide some resources for chaplains who wish to institute some of these best practices themselves.

scholarly journals Linking the Unitary Paradigm to Policy through a Synthesis of Caring Science and Integrative Nursing

2017 ◽  
Vol 30 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Mary S. Koithan ◽  
Mary Jo Kreitzer ◽  
Jean Watson
Keyword(s):  
Patient Care ◽  
Healthcare System ◽  
Care Delivery ◽  
Healthcare Policy ◽  
Patient Centered ◽  
Nursing Knowledge ◽  
Call To Action ◽  
Caring Science ◽  
Patient Care Delivery

The principles of integrative nursing and caring science align with the unitary paradigm in a way that can inform and shape nursing knowledge, patient care delivery across populations and settings, and new healthcare policy. The proposed policies may transform the healthcare system in a way that supports nursing praxis and honors the discipline’s unitary paradigm. This call to action provides a distinct and hopeful vision of a healthcare system that is accessible, equitable, safe, patient-centered, and affordable. In these challenging times, it is the unitary paradigm and nursing wisdom that offer a clear path forward.

scholarly journals Common ECG Lead Placement Errors. Part II: Precordial Misplacements

2014 ◽  
Vol 2 (3) ◽  
pp. 99-103 ◽  
Author(s):  
Allison V. Rosen ◽  
Sahil Koppikar ◽  
Catherine Shaw ◽  
Adrian Baranchuk
Keyword(s):  
Healthy Subject ◽  
Patient Care ◽  
Diagnostic Tool ◽  
Pathological Findings ◽  
Precordial Lead ◽  
Single Male ◽  
Lead Placement ◽  
Optimal Patient Care ◽  
Ecg Leads ◽  
Ecg Interpretation

Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs were recorded in a single male healthy subject in his mid 20s. Various precordial lead misplacements were compared to ECG recordings from correct lead placement. Results: Precordial misplacements caused classical changes in ECG patterns. Techniques of differentiating these ECG patterns from true pathological findings were described. Conclusion: As in Part I of this series, recognition and interpretation of common ECG placement errors is critical in providing optimal patient care.

scholarly journals Common ECG Lead Placement Errors. Part I: Limb lead Reversals

2014 ◽  
Vol 2 (3) ◽  
pp. 92-98 ◽  
Author(s):  
Allison V. Rosen ◽  
Sahil Koppikar ◽  
Catherine Shaw ◽  
Adrian Baranchuk
Keyword(s):  
Healthy Subject ◽  
Patient Care ◽  
Diagnostic Tool ◽  
Pathological Findings ◽  
Precordial Lead ◽  
Single Male ◽  
Lead Placement ◽  
Optimal Patient Care ◽  
Ecg Leads ◽  
Ecg Interpretation

Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs were recorded in a single male healthy subject in his mid 20s. Various precordial lead misplacements were compared to ECG recordings from correct lead placement. Results: Precordial misplacements caused classical changes in ECG patterns. Techniques of differentiating these ECG patterns from true pathological findings were described. Conclusion: As in Part I of this series, recognition and interpretation of common ECG placement errors is critical in providing optimal patient care.

Physicians' Reactions to Training in a Pediatric Intensive Care Unit

PEDIATRICS ◽  
1974 ◽  
Vol 53 (3) ◽  
pp. 375-383
Author(s):  
I. David Todres ◽  
Mary C. Howell ◽  
Daniel C. Shannon
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patient Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Emotional Reactions ◽  
Training Period ◽  
Patient Death ◽  
Training Experience ◽  
Optimal Patient Care

Physician trainees working in a pediatric intensive care unit (ICU) were interviewed early in their training experience, at the end of their training, and 1 to 12 months after their training had ended. Pediatricians responded significantly differently from anesthesiologists: they commented more often about their own feelings, and less often about procedural-intellectual-technical matters as contrasted with feelings and relationships. Pediatricians were also more likely than anesthesiologists to mention their own emotional reactions to ill children, their sense that patient death meant physician failure, and their dismay early in the training period about the stressful intensity of the work. Physicians who were parents differed from those who were not parents by commenting more frequently about their work with the parents of patients, and about the necessity for teamwork. Physician trainees interviewed early in the training period were less reflective about the experience, and less likely to comment on feelings and relationships, compared to those interviewed later. Analysis of the sources of satisfaction and discontent with work in the ICU, as stated by the physician trainees, has been useful in efforts to improve the climate of work and learning in the unit, and to provide optimal patient care.

Prehospital Information for Optimal Patient Care

2013 ◽  
Vol 79 (4) ◽  
pp. 441-443
Author(s):  
James S. Davis ◽  
Jill Graygo ◽  
Jeffrey Augenstein ◽  
Carl I. Schulman
Keyword(s):  
Patient Care ◽  
Optimal Patient Care

Harmonisation of seven common enzyme results through EQA

2014 ◽  
Vol 0 (0) ◽  
Author(s):  
Cas Weykamp ◽  
Paul Franck ◽  
Jacqueline Klein Gunnewiek ◽  
Robert de Jonge ◽  
Aldy Kuypers ◽  
...  
Keyword(s):  
Patient Care ◽  
Human Serum ◽  
Parallel Study ◽  
Recombinant Enzymes ◽  
Serum Samples ◽  
Reference Measurement ◽  
Human Serum Samples ◽  
Target Values ◽  
Optimal Patient Care

AbstractEquivalent results between different laboratories enable optimal patient care and can be achieved with harmonisation. We report on EQA-initiated national harmonisation of seven enzymes using commutable samples.EQA samples were prepared from human serum spiked with human recombinant enzymes. Target values were assigned with the IFCC Reference Measurement Procedures. The same samples were included at four occasions in the EQA programmes of 2012 and 2013. Laboratories were encouraged to report IFCC traceable results. A parallel study was done to confirm commutability of the samples.Of the 223 participating laboratories, 95% reported IFCC traceable results, ranging from 98% (ASAT) to 87% (amylase). Users of Roche and Siemens (97%) more frequently reported in IFCC traceable results than users of Abbott (91%), Beckman (90%), and Olympus (87%). The success of harmonisation, expressed as the recovery of assigned values and the inter-laboratory CV was: ALAT (recovery 100%; inter-lab CV 4%), ASAT (102%; 4%), LD (98%; 3%), CK (101%; 5%), GGT (98%; 4%), AP (96%; 6%), amylase (99%; 4%). There were no significant differences between the manufacturers. Commutability was demonstrated in the parallel study. Equal results in the same sample in the 2012 and 2013 EQA programmes demonstrated stability of the samples.The EQA-initiated national harmonisation of seven enzymes, using stable, commutable human serum samples, spiked with human recombinant enzymes, and targeted with the IFCC Reference Measurement Procedures, was successful in terms of implementation of IFCC traceable results (95%), recovery of the target (99%), and inter-laboratory CV (4%).

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