scholarly journals A TEAM APPROACH TO THE IMPLEMENTATION OF THE ANNUAL WELLNESS VISIT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S393-S393
Author(s):  
Lucy Guerra
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Practice Change ◽  
Team Approach ◽  
Change Initiative ◽  
Virtual Training ◽  
Highly Effective ◽  
To Come ◽  
Improve Patient

Abstract The success of any practice change initiative is dependent upon a highly effective team. This presentation will focus on the “secret sauce” of our implementation of the AWV in collaboration with the Dartmouth GWEP. Participating in both asynchronous and live virtual training enabled our team to come together to successfully implement the AWV using a team based model. Using the principles of highly effective teaming and a rapid cycle QI approach we have been able to improve patient outcomes in primary care.

scholarly journals Multidisciplinary Approach to PAD: Who's on Your Team?

2018 ◽  
Vol 35 (05) ◽  
pp. 378-383
Author(s):  
Sabeen Dhand
Keyword(s):  
Patient Outcomes ◽  
Orthopedic Surgery ◽  
Multidisciplinary Approach ◽  
Wound Care ◽  
Arterial Disease ◽  
Team Approach ◽  
Peripheral Arterial ◽  
Treat All ◽  
Improve Patient ◽  
Care Nursing

AbstractThe complexity of peripheral arterial disease (PAD) and its multiorgan involvement requires the utilization of a multispecialty team approach. Members of this team include a vascular specialty (interventional radiology, cardiology, and vascular surgery), podiatry, orthopedic surgery, primary care, infectious disease, endocrinology, plastic surgery, wound care nursing, and dietetics. A team approach has been proven to significantly improve patient outcomes as well as decreasing amputation rates. In order to promote collaboration and avoid duplication of care, the team can be broken down into three main pillars: medical management, wound care, and revascularization. A complete team approach is vital for this population, with an overall goal to treat all manifestations of the disease and prevent further progression and risk of major sequelae of the disease.

scholarly journals Gout in primary care: Can we improve patient outcomes?

2017 ◽  
Vol 6 (1) ◽  
pp. u210130.w4918 ◽  
Author(s):  
Jacqueline Callear ◽  
Georgina Blakey ◽  
Alexandra Callear ◽  
Linda Sloan
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Improve Patient

scholarly journals 002 Gout in primary care: can we improve patient outcomes?

Rheumatology ◽  
2019 ◽  
Vol 58 (Supplement_3) ◽  
Author(s):  
Georgina Blakey ◽  
Jacqueline Callear
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Improve Patient

Ulcerative colitis

2019 ◽  
Vol 12 (9) ◽  
pp. 501-506
Author(s):  
Charlie Andrews
Keyword(s):  
Quality Of Life ◽  
Ulcerative Colitis ◽  
Primary Care ◽  
Patient Outcomes ◽  
Colon And Rectum ◽  
Inflammatory Bowel ◽  
Primary Care Clinicians ◽  
Improve Patient ◽  
Prompt Diagnosis

Ulcerative colitis is a form of inflammatory bowel disease. It is a chronic relapsing condition affecting the colon and rectum and can cause a variety of symptoms, the commonest of which is bloody diarrhoea. Prompt diagnosis, as well as flare identification and management by primary care clinicians can improve patient outcomes such as disease progression and effects on quality of life.

How prescribers can use technology to improve patient care

2019 ◽  
Vol 1 (4) ◽  
pp. 198-203
Author(s):  
Sam Shah ◽  
James Coughlan
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Information Technologies ◽  
Mobile Apps ◽  
Clinical Decision Support Systems ◽  
Improve Patient Care ◽  
Clinical Decision ◽  
Electronic Prescribing ◽  
Health Information Technologies ◽  
Improve Patient

Health information technologies (HITs) have become increasingly used in the NHS and offer prescribers the opportunity to prescribe in a more consistent and reliable way. There is a growing use of electronic prescribing systems, especially in primary care. This will likely reduce prescription errors, but evidence is unclear if it will improve patient outcomes. Clinical decision support systems can reduce variability and alert clinicians when prescriptions could cause patients harm; however, automation bias can create new errors to prescribers who over-rely on the system. HITs can better communication by improving discharge letters, facilitating telehealth appointments and supporting those working in remote settings. Mobile apps offer a way to engage patients in their own care and allow remote monitoring of chronic conditions in primary care, and acute conditions in emergency care settings. There are challenges in realising these benefits, with inconsistent infrastructure and a 10-year delay in realising predicted efficiency savings.

scholarly journals A case report of an incidental finding of congenital oesophageal diverticulum in a patient presenting with stridor

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Raju Limbu ◽  
Sabrina Brar ◽  
Prince Modayil
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Paediatric Patient ◽  
Patient Outcomes ◽  
Incidental Finding ◽  
Team Approach ◽  
Atypical Presentation ◽  
Chest Discomfort ◽  
Multidisciplinary Team Approach ◽  
Improve Patient

Abstract Congenital oesophageal diverticulum is incredibly rare and has not commonly been published in the literature. Oesophageal diverticulum can be asymptomatic; however, symptoms such as dysphagia, regurgitation and chest discomfort may be present. We describe the case of a paediatric patient presenting with biphasic stridor, respiratory distress and cyanosis at birth, who was found to have a supraglottic cyst and later the presence of an oesophageal diverticulum shown on ultrasound imaging. There has been one other case reported in the literature of an oesophageal diverticulum presenting with stridor, and we therefore believe this is one of only two cases to illustrate this atypical presentation of congenital oesophageal diverticulum. It highlights the importance of a meticulous multidisciplinary team approach to patient care, as well as conducting appropriate investigations to aid early diagnosis to improve patient outcomes.

scholarly journals Exploring patient views of empathic optimistic communication for osteoarthritis in primary care: A qualitative interview study using vignettes

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0014
Author(s):  
Emily Lyness ◽  
Jane Louise Vennik ◽  
Felicity Bishop ◽  
Pranati Misurya ◽  
Jeremy Howick ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Structured Interviews ◽  
Knee Oa ◽  
Qualitative Interview Study ◽  
Empathic Communication ◽  
Case Vignettes ◽  
Digital Training ◽  
Improve Patient

BackgroundOsteoarthritis (OA) causes pain and disability. An empathic optimistic consultation approach can improve patient quality of life, satisfaction with care, and reduce pain. However, expressing empathic optimism may be overlooked in busy primary care consultations and there is limited understanding of patients’ views about this approach.AimTo explore patients’ perspectives on clinician communication of empathy and optimism in primary care OA consultations.Design & settingVignette study with qualitative semi-structured interviews.SettingPurposefully sampled patients (n=33) aged 45+ with hip/knee OA from Wessex GP practices.MethodFifteen participants watched two filmed OA consultations with a GP, and eighteen participants read two case vignettes. In both formats, one GP depicted an empathic optimistic approach and one GP had a ‘neutral’ approach. Semi-structured interviews were conducted with all participants and analysed using thematic analysis.ResultsPatients recognised that empathic communication enhanced interactions, helping to engender a sense of trust in their clinician. They felt it was acceptable for GPs to convey optimism only if it was realistic, personalised and embedded within an empathic consultation. Discussing patients’ experiences and views with them, and conveying an accurate understanding of these experiences improves the credibility of optimistic messages.ConclusionPatients value communication with empathy and optimism, but it requires a fine balance to ensure messages remain realistic and trustworthy. Increased use of a realistic optimistic approach within an empathic consultation could enhance consultations for OA and other chronic conditions, and improve patient outcomes. Digital training to help GPs implement these findings is being developed.

Cognition and Cognitive Screeners in Audiological Management

2020 ◽  
Vol 5 (6) ◽  
pp. 1716-1721
Author(s):  
Karah Gottschalk ◽  
Anne Olson
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Primary Care Physicians ◽  
Essential Elements ◽  
Clinical Settings ◽  
Clinical Use ◽  
Face To Face ◽  
Face Time ◽  
Improve Patient ◽  
Insight Into

Purpose Cognition is essential to communication, yet this topic is often neglected in discussions with aging patients in most clinical settings. Audiologists, however, represent a crucial role in assisting primary care physicians in the prevention of overlooking early signs of dementia. Audiologists can be viewed as the gatekeepers to an older adult's cognitive care due to more face-to-face time with patients and conversations that focus around communication. Therefore, it is important for audiologists to be familiar with the essential elements of cognition as well as how to screen for cognitive impairment. There are a number of cognitive screeners available for clinical use in audiology settings, with each screener having its own benefits and drawbacks. This clinical focus article discusses both of these concepts with the intent of increasing the appreciation of the complexity of cognition and its role in audiological management. Conclusions Cognitive screeners provide useful insight into understanding issues that our aging patients are experiencing. While there are benefits and downfalls to all cognitive screeners, each audiology practice has to determine which screening best fits their practice. By discussing cognition and utilizing cognitive screeners in practice, audiologists may be better able to meet their patient's needs and improve patient outcomes in relation to communication and overall health.

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