A Web-Based Application That Makes Radiation Therapy Plans and Treatment Details Readily Accessible to Multidisciplinary Care Teams

2018 ◽  
Vol 102 (3) ◽  
pp. e361
Author(s):  
J. Tan ◽  
M.R. Folkert ◽  
Z. Trivedi ◽  
A. Pompos ◽  
Z. Wardak ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Multidisciplinary Care ◽  
Web Based

scholarly journals Pediatric Pharmacy Services in Canadian Adult Hospitals: An Inventory and Prioritization of Services

2019 ◽  
Vol 72 (4) ◽  
Author(s):  
Amanda Burns ◽  
Leslie Manuel ◽  
Andrew Dickie ◽  
Jennifer Bessey
Keyword(s):  
Pediatric Patients ◽  
Adverse Drug Events ◽  
Multidisciplinary Care ◽  
Primary Objective ◽  
Pharmacy Services ◽  
Web Based ◽  
Pediatric Hospitals ◽  
Multidisciplinary Care Team ◽  
Secondary Objective ◽  
Pour Cent

ABSTRACTBackground: The rate of potential adverse drug events is reported to be 3 times higher among pediatric inpatients than among their adult counterparts. Various methods have been suggested to reduce medication errors in pediatric patients. One of the most influential of these strategies is inclusion of a clinical pharmacist on the multidisciplinary care team. However, there is currently no literature describing the inventory of pharmacy services provided to pediatric patients in Canadian adult hospitals.Objectives: The primary objective of this study was to describe pediatric and neonatal pharmacy services provided in adult hospitals in Canada. The secondary objective was to determine whether the services provided correspond to services that pharmacists working in Canadian pediatric hospitals identified as important for adult hospitals that provide pediatric services.Methods: Two web-based surveys were created, focusing on 35 pharmacy services. The first survey was intended for adult hospitals, and the second for pediatric hospitals. The surveys were distributed by e-mail and were completed in January and February 2018.Results: A total of 55 and 43 valid responses were received from respon-dents in adult hospitals and pediatric hospitals, respectively. An inventory of pharmacy services provided by adult hospitals to their pediatric and neonatal patients was obtained. Of the adult hospitals that responded, 61% (33/54) had pharmacists assigned to pediatric or neonatal units. The frequency with which most pharmacy services were provided was comparable to the importance identified by pharmacists working in pediatric hospitals. However, for the provision of education during admission and at discharge and for the provision of medication reconcil-iation at discharge, frequency and importance were not comparable. Conclusions: Adult hospitals with a pharmacist assigned to an inpatient pediatric or neonatal clinical area met most expectations of pharmacists working in pediatric hospitals in terms of pharmacy services provided. However, some services require optimization for this patient population.RÉSUMÉContexte : On rapporte que le taux de réactions indésirables potentielles aux médicaments est trois fois plus élevé chez les enfants hospitalisés que chez les adultes. Diverses méthodes ont été proposées pour réduire les erreurs de médication chez les patients pédiatriques. L’une des stratégies les plus influentes consiste à inclure un pharmacien clinique au sein de l’équipe de soins pluridisciplinaire. Cependant, il n’existe actuellement aucun document dressant l’inventaire des services de pharmacie offerts aux patients pédiatriques dans les hôpitaux canadiens pour adultes. Objectifs : L’objectif principal de cette étude consistait à décrire les services de pharmacie pédiatriques et néonataux offerts dans les hôpitaux pour adultes au Canada. L’objectif secondaire consistait quant à lui à déterminer si les services offerts à la population pédiatrique dans les hôpitaux pour adultes correspondaient à ceux que les pharmaciens travaillant dans les hôpitaux pédiatriques canadiens reconnaissaient comme étant importants.Méthodes : Deux sondages en ligne se focalisant sur 35 services de pharmacie ont été créés. Le premier était destiné aux hôpitaux pour adultes et le deuxième aux hôpitaux pédiatriques. Les sondages ont été distribués par courriel et effectués en janvier et février 2018.Résultats : Cinquante-cinq (55) répondants des hôpitaux pour adultes et 43 des hôpitaux pédiatriques y ont répondu en bonne et due forme. Les investigateurs ont obtenu en outre la liste des services de pharmacie offerts par les hôpitaux pour adultes à leurs patients pédiatriques et néonataux. Soixante et un pour cent (61 %), soit 33 sur 54, des répondants provenant des hôpitaux pour adultes à étaient des pharmaciens affectés aux unités pédiatriques ou néonatales. La fréquence de l’offre de la majorité des services de pharmacie était d’importance comparable à ce que les pharmaciens travaillant dans les hôpitaux pédiatriques ont relevé. Toutefois, pour ce qui est des instructions données au patient à l’admission et au congé et de la prestation du bilan des médicaments au congé, la fréquence et l’importance de ces services n’étaient pas comparables.Conclusions : Les hôpitaux pour adultes disposant d’un pharmacien affecté à un domaine clinique pédiatrique ou néonatal répondaient à la plupart des attentes des pharmaciens travaillant dans les hôpitaux pédiatriques en termes d’offre de services de pharmacie. Cependant, certains services demandent à être optimisés pour cette population de patients. 

scholarly journals Development and Internal Validation of a Web-based Tool to Predict Sexual, Urinary, and Bowel Function Longitudinally After Radiation Therapy, Surgery, or Observation

2020 ◽  
Vol 78 (2) ◽  
pp. 248-255 ◽  
Author(s):  
Aaron A. Laviana ◽  
Zhiguo Zhao ◽  
Li-Ching Huang ◽  
Tatsuki Koyama ◽  
Ralph Conwill ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Bowel Function ◽  
Internal Validation ◽  
Web Based

scholarly journals MP44-07 DEVELOPMENT AND VALIDATION OF A WEB-BASED TOOL TO PREDICT SEXUAL, URINARY, AND BOWEL FUNCTION LONGITUDINALLY AFTER RADIATION THERAPY, SURGERY, OR OBSERVATION

2019 ◽  
Vol 201 (Supplement 4) ◽  
Author(s):  
Aaron Laviana* ◽  
Zhiguo Zhao ◽  
Li-Ching Huang ◽  
Tatsuki Koyama ◽  
Ralph Conwill ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Bowel Function ◽  
Web Based ◽  
Development And Validation

The role of the European haemophilia nurse

2013 ◽  
Vol 1 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Liesbeth Schrijvers ◽  
Martin Bedford ◽  
Petra Elfvinge ◽  
Karin Andritschke ◽  
Bert Leenders ◽  
...  
Keyword(s):  
Nursing Care ◽  
Educational Level ◽  
Multidisciplinary Care ◽  
Access To Treatment ◽  
Web Based ◽  
Training Requirements ◽  
Nursing Experience ◽  
The Future ◽  
Treatment Centre ◽  
Almost All

Abstract Background: A broad scoping exercise was undertaken to assess and quantify haemophilia nursing care in Europe. Methods: A web-based survey in English was sent to known networks of haemophilia nurses working in Europe. This survey included questions concerning the haemophilia treatment centre, educational level, work activities, gaining knowledge/ expertise and development in the future. Results: In total, 94 nurses in 14 countries in Europe completed the survey. Overall, the majority (62%) of the nurses had over 20 years’ nursing experience, with 44% having more than 10 years’ experience in haemophilia. The educational level varied; with highest educational level of attainment being 41% at nondegree level nursing entry qualification, 35% BSc and 24% MSc. 21% worked in a centre where they treat only children, 26% only adults and 53% both. All had good access to treatment. The core activities (rated >80%) of a haemophilia nurse were: prepare and administer medication, venepuncture and CVADuse (except cannulation), providing education and telephone advice, coordination of (multidisciplinary) care and assistance with clinical trials. Furthermore, 35% stated that they initiated and performed nurse-led research. In the future, almost all nurses would like to develop their expertise and knowledge base by studying at Masters level and above, to have more responsibility, and to conduct research. Conclusion: This scoping exercise provides a baseline assessment of haemophilia nursing across Europe. The results may provide a basis for a more thorough investigation of the current role and the principles of haemophilia nursing care; future opportunities, and the training requirements to develop the specialty.

Do urologists and radiation oncologists agree on adjuvant radiation therapy for prostate cancer? A web-based patterns-of-care survey.

2011 ◽  
Vol 29 (7_suppl) ◽  
pp. 76-76
Author(s):  
T. N. Showalter ◽  
K. A. Teti ◽  
K. A. Foley ◽  
S. W. Keith ◽  
E. J. Trabulsi ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Radiation Therapy ◽  
Gleason Score ◽  
Positive Surgical Margin ◽  
Adjuvant Radiation ◽  
Biochemical Control ◽  
Web Based ◽  
Adjuvant Radiation Therapy ◽  
Radiation Oncologists ◽  
Pathologic Features

76 Background: Three randomized trials support adjuvant radiation therapy (ART) over observation after radical prostatectomy (RP) for prostate cancer (PC) patients with adverse pathologic features (APFs), but many clinicians instead favor early salvage RT (SRT) for a rising PSA. We conducted a web-based survey of U.S. radiation oncologists (RO) and urologists (U) regarding ART and SRT. Methods: We designed a web-based survey to evaluate beliefs about post-RP RT and treatment policies. Survey invitations were e-mailed to SUO members and a list of 926 RO ASTRO members with an interest in PC. One email was sent to limit message burden. Only those responses at least 50% complete were included in the analysis. Differences in ART recommendation rates were evaluated by chi square test. Results: Responses were received from 231 RO and 101 U, resulting in 302 analyzable responses (88 U, 214 RO). 79% of U and 32% of RO respondents were academic physicians. ART was recommended based on APF alone (78% RO, 44% U), based on APF plus Gleason score or PSA (14% RO, 35% U), only for detectable PSA (7% RO, 14% U), or never (2% RO, 7% U). When asked the effect of ART on outcomes, most respondents replied “improves survival” (71% RO, 63% U) or “improves biochemical control but not survival” (29% RO, 30% U), but 9% of U replied “delays PSA recurrence, but no durable benefit” or “no improvement in any outcomes” (versus 0% RO). A recommendation for ART based on APFs alone was made for: seminal vesicle invasion (SVI) (76% RO, 59% U; p=0.003), extracapsular extension (ECE) (70% RO, 32% U; p<0.001), positive surgical margin (PSM) (91% RO, 48% U; p<0.002). For patients with Gleason score 8-10 PC, ART was recommended for: SVI (75% RO, 56% U; p=0.001), ECE (73% RO, 45% U; p<0.001), PSM (93% RO, 74% U; p<0.001). Reported PSA threshold for SRT was: any detectable (36% RO, 23% U), 0.2-0.3 (50% RO, 36% U), 0.4-0.5 (9% RO, 30% U), 0.6-0.8 (3% RO, 10% U) ng/mL, or higher (1% RO, 1% U). Conclusions: Despite similar rates of belief that ART improves survival or biochemical control, U were less likely than RO to recommend ART based solely on APFs after RP. Upcoming results of clinical trials of ART versus SRT may provide consensus for decisions in this setting. No significant financial relationships to disclose.

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