scholarly journals Burn Unit Design—The Missing Link for Quality and Safety

2021 ◽  
Author(s):  
Eduardo Gus ◽  
Stian Kreken Almeland ◽  
David Barnes ◽  
Moustafa Elmasry ◽  
Yvonne Singer ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Evidence Base ◽  
Evidence Based ◽  
Model Of Care ◽  
Patient Centered ◽  
Historical Cohort ◽  
Unit Design ◽  
Burn Unit ◽  
Control And Prevention

Abstract The relationship between infrastructure, technology, model of care, and human resources influences patient outcomes and safety, staff productivity and satisfaction, retention of personnel, and treatment and social costs. This concept underpins the need for evidence-based design and has been widely adopted to inform hospital infrastructure planning. The aim of this review is to establish evidence-based, universally applicable key features of a burn unit that support function in a comprehensive patient-centered model of care. A literature search in medical, architectural, and engineering databases was conducted. Burn associations’ guidelines and relevant articles published in English, between 1990 and 2020, were included, and the available evidence is summarized in the review. Few studies have been published on burn unit design in the past 30 years. Most of them focus on the role of design in infection control and prevention and consist primarily of descriptive or observational reports, opportunistic historical cohort studies, and reviews. The evidence available in the literature is not sufficient to create a definitive infrastructure guideline to inform burn unit design, and there are considerable difficulties in creating evidence that will be widely applicable. In the absence of a strong evidence base, consensus guidelines on burn unit infrastructure should be developed, to help healthcare providers, architects, and engineers make informed decisions, when designing new or renovated facilities.

631 Burn Unit Design – The Missing Link for Quality and Safety

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S171-S172
Author(s):  
Eduardo Gus ◽  
David Barnes ◽  
Biomed Eng ◽  
Folke Sjöberg ◽  
Ingrid Steinvall ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Evidence Base ◽  
Evidence Based ◽  
Model Of Care ◽  
Historical Cohort ◽  
Unit Design ◽  
Burn Unit ◽  
Control And Prevention ◽  
The Relationship

Abstract Introduction The relationship between infrastructure, technology, model of care and human resources influences patient outcomes and safety, staff productivity and satisfaction, retention of personnel, and treatment and social costs. This concept underpins the need for evidence-based design and has been widely adopted to inform hospital infrastructure planning. The aim of this review is to establish evidence-based, universally applicable key features of a burn unit that support function in a comprehensive patient-centred model of care. Methods A literature search in medical, architectural, and engineering databases was conducted. Burn associations’ guidelines and relevant articles published in English, between 1990 and 2020, were included, and the available evidence is summarized in the review. Results Few studies have been published on burn unit design in the last thirty years. Most of them focus on the role of design in infection control and prevention, and consist primarily of descriptive or observational reports, opportunistic historical cohort studies, and reviews. Conclusions The evidence available in the literature is not sufficient to create a definitive infrastructure guideline to inform burn unit design, and there are considerable difficulties in creating evidence that will be widely applicable. In the absence of a strong evidence base, consensus guidelines on burn unit infrastructure should be developed, to help healthcare providers, architects and engineers make informed decisions, when designing new or renovated facilities.

Caring for Patients with Service Dogs: Information for Healthcare Providers

2016 ◽  
Vol 22 (1) ◽  
Author(s):  
Michelle Krawczyk
Keyword(s):  
Emotional Support ◽  
Healthcare Providers ◽  
Background Information ◽  
Future Research ◽  
Service Dogs ◽  
Patient Centered ◽  
Service Dog ◽  
Healthcare Settings ◽  
Centered Care

People with disabilities use various assistance devices to improve their capacity to lead independent and fulfilling lives. Service dogs can be crucial lifesaving companions for their owners. As the use of service dogs increases, nurses are more likely to encounter them in healthcare settings. Service dogs are often confused with therapy or emotional support dogs. While some of their roles overlap, service dogs have distinct protection under the American Disabilities Act (ADA). Knowing the laws and proper procedures regarding service dogs strengthens the abilities of healthcare providers to deliver holistic, patient-centered care. This article provides background information about use of dogs, and discusses benefits to patients and access challenges for providers. The author reviews ADA laws applicable to service dog use and potential challenges and risks in acute care settings. The role of the healthcare professional is illustrated with an exemplar, along with recommendations for future research and nursing implications related to care of patients with service dogs.

scholarly journals Sources of Support for Studies That Inform Recommendations of the Community Preventive Services Task Force

2020 ◽  
Vol 135 (6) ◽  
pp. 813-822
Author(s):  
Elizabeth Neilson ◽  
Jennifer Villani ◽  
Shawna L. Mercer ◽  
David L. Tilley ◽  
Isaah Vincent ◽  
...  
Keyword(s):  
Public Health ◽  
Systematic Reviews ◽  
Task Force ◽  
Preventive Services ◽  
Evidence Base ◽  
Government Agencies ◽  
Role Of Government ◽  
Control And Prevention ◽  
Sources Of Support

Objectives The Community Preventive Services Task Force (CPSTF) makes evidence-based recommendations about preventive services, programs, and policies in community settings to improve public health. CPSTF recommendations are based on systematic evidence reviews. This study examined the sponsors (ie, sources of financial, material, or intellectual support) for publications included in systematic reviews used by the CPSTF to make recommendations during a 9-year period. Methods We examined systematic evidence reviews (effectiveness reviews and economic reviews) for CPSTF findings issued from January 1, 2010, through December 31, 2018. We assessed study publications used in these reviews for sources of support; we classified sources as government, nonprofit, industry, or no identified support. We also identified country of origin for each sponsor and the most frequently mentioned sponsors. Results The CPSTF issued findings based on 144 systematic reviews (106 effectiveness reviews and 38 economic reviews). These reviews included 3846 publications: 3363 publications in effectiveness reviews and 483 publications in economic reviews. Government agencies supported 57.1% (n = 1919) of publications in effectiveness reviews and 59.2% (n = 286) in economic reviews. More than 1500 study sponsors from 36 countries provided support. The National Institutes of Health was the leading sponsor for effectiveness reviews (21.3%; 718 of 3363) and economic reviews (16.2%; 78 of 480), followed by the Centers for Disease Control and Prevention (7.0%; 234 of 3363 effectiveness reviews and 14.8%; 71 of 480 economic reviews). Conclusions The evidence base used by the CPSTF was supported by an array of sponsors, with government agencies providing the most support. Study findings highlight the need for sponsorship transparency and the role of government as a leading supporter of studies that underpin CPSTF recommendations for improving public health.

scholarly journals Should the healthcare compass in Australia point towards value-based primary healthcare?

2017 ◽  
Vol 41 (1) ◽  
pp. 98 ◽  
Author(s):  
Jodie Oliver-Baxter ◽  
Lynsey Brown ◽  
Paresh Dawda
Keyword(s):  
Quality Improvement ◽  
Primary Healthcare ◽  
Healthcare Providers ◽  
Evidence Base ◽  
Health Networks ◽  
Policy Makers ◽  
Primary Health ◽  
Australian Context

This paper provides an overview of quality improvement in healthcare in an Australian context. Specifically, the paper considers issues around defining, quantifying, recording and incentivising quality improvement and accountability in primary healthcare. The role of newly emerging Primary Health Networks provides a context for the discussion. The paper draws on international learnings that provide a framework for examining the important elements of quality improvement among reforming primary healthcare organisations in order to support healthcare providers and offer an evidence base for policy makers and peak bodies moving forward.

scholarly journals My Hypertension Education and Reaching Target (MyHEART): Development and Dissemination of a Patient-Centered Website for Young Adults with Hypertension (Preprint)

2017 ◽  
Author(s):  
Heather M Johnson ◽  
Jamie N LaMantia ◽  
Colleen M Brown ◽  
Ryan C Warner ◽  
Laura M Zeller ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Young Adults ◽  
Healthcare Providers ◽  
Age Groups ◽  
Clinical Information ◽  
Pressure Control ◽  
Healthcare Research ◽  
Evidence Based ◽  
Patient Centered ◽  
Adult Age

BACKGROUND Young adults (18 to 39 years old) with hypertension have the lowest rates of blood pressure control (defined as blood pressure less than 140/90 mmHg) compared to other adult age groups. Approximately 1 in 15 young adults have high blood pressure, increasing their risk of future heart attack, stroke, congestive heart failure, and/or chronic kidney disease. Many young adults reported having few resources to address their needs for health education on managing cardiovascular risk. OBJECTIVE The goal of our study was to develop and disseminate a website with evidence-based, clinical information and health behavior resources tailored to young adults with hypertension. METHODS In collaboration with young adults, health systems, and community stakeholders, the My Hypertension Education and Reaching Target (MyHEART) website was created. A toolkit was also developed for clinicians and healthcare systems to disseminate the website within their organizations. The dissemination plan was guided by the Dissemination Planning Tool of the Agency for Healthcare Research and Quality (AHRQ). RESULTS Google Analytics data were acquired for January 1, 2017 to June 29, 2017. The MyHEART website received 1090 visits with 2130 page views; 18.99% (207/1090) were returning visitors. The majority (55.96%, 610/1090) approached the website through organic searches, 34.95% (381/1090) accessed the MyHEART website directly, and 5.96% (65/1090) approached through referrals from other sites. There was a spike in site visits around times of increased efforts to disseminate the website. CONCLUSIONS The successfully implemented MyHEART website and toolkit reflect collaborative input from community and healthcare stakeholders to provide evidence-based, portable hypertension education to a hard-to-reach population. The MyHEART website and toolkit can support healthcare providers’ education and counseling with young adults and organizations’ hypertension population health goals.

scholarly journals Optometric Care of the Patient with Diabetes 2008: A Core Document of the Canadian Association of Optometrists

2008 ◽  
Vol 70 (6) ◽  
Author(s):  
Len Koltun
Keyword(s):  
Cost Effective ◽  
Morbidity And Mortality ◽  
Evidence Based ◽  
Eye Care ◽  
Patient Centered ◽  
Healthcare Burden ◽  
Canadian Association ◽  
Effective Role

The objective of this document is to provide the reader with an overview of the epidemic of diabetes currently facing Canada and the morbidity and mortality associated with this growing healthcare burden. Specifically, an evidence based, patient centered, cost effective role of the optometrist in the eye care of Canadians with diabetes will be presented.

Community Development and Place-Based Neighborhood Change

2017 ◽  
Author(s):  
Larry M. Gant
Keyword(s):  
Community Development ◽  
Political Change ◽  
Technical Assistance ◽  
Evidence Base ◽  
Neighborhood Change ◽  
Evidence Based ◽  
Community Practice ◽  
University Of Michigan ◽  
The University

Abstract: This chapter describes the model of community development used by the University of Michigan School of Social Work’s Technical Assistance Center (UMSSW/TAC). The chapter presents a definition and description of community development as a distinct model of community practice. The chapter discusses the goals of community development, core values and principles of community development. The chapter summarizes the role of place based initiatives in community development. The limits and challenges of discerning the evidence base of the effectiveness of community development are reviewed, and an emerging perspective of possibilities of evidence based community development is outlined. The chapter ends with thoughtful considerations about the tactical use of community development within municipal communities during Detroit’s more recent times of turbulent economic, financial and political change.

scholarly journals Pharmacogenomics for Primary Care: An Overview

Genes ◽  
2020 ◽  
Vol 11 (11) ◽  
pp. 1337 ◽  
Author(s):  
Victoria Rollinson ◽  
Richard Turner ◽  
Munir Pirmohamed
Keyword(s):  
Primary Care ◽  
Healthcare Providers ◽  
Evidence Base ◽  
Academic Hospital ◽  
Direct To Consumer ◽  
Gradual Introduction ◽  
Barriers To Implementation ◽  
Primary Healthcare Providers ◽  
Future Practice

Most of the prescribing and dispensing of medicines happens in primary care. Pharmacogenomics (PGx) is the study and clinical application of the role of genetic variation on drug response. Mounting evidence suggests PGx can improve the safety and/or efficacy of several medications commonly prescribed in primary care. However, implementation of PGx has generally been limited to a relatively few academic hospital centres, with little adoption in primary care. Despite this, many primary healthcare providers are optimistic about the role of PGx in their future practice. The increasing prevalence of direct-to-consumer genetic testing and primary care PGx studies herald the plausible gradual introduction of PGx into primary care and highlight the changes needed for optimal translation. In this article, the potential utility of PGx in primary care will be explored and on-going barriers to implementation discussed. The evidence base of several drug-gene pairs relevant to primary care will be outlined with a focus on antidepressants, codeine and tramadol, statins, clopidogrel, warfarin, metoprolol and allopurinol. This review is intended to provide both a general introduction to PGx with a more in-depth overview of elements relevant to primary care.

Evidence based medical ethics: A critical evaluation

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Dr R K Gorea
Keyword(s):  
Medical Ethics ◽  
Health Care Providers ◽  
Ethical Dilemmas ◽  
Medical Profession ◽  
Critical Evaluation ◽  
Healthcare Providers ◽  
Evidence Based ◽  
Care Providers ◽  
Patient Centered ◽  
Evidence Based Practices

<p>Education in the medical colleges in some parts of the world and treatment of the patients in most parts of the<br />world is leaning towards evidence based practices and medical ethics are no exception to this trend. The ethical<br />values of the society are changing since the days of Hippocrates when the moral values were controlling the<br />profession and earning of money by medical professionals. Following these values sometimes lead to lot of<br />dilemmas in the medical profession. Due to increasing investments in the medical establishments and emergence<br />of corporate hospitals aims and visions of healthcare providers are changing and ethical dilemmas are cropping up<br />while treating the patients. Evidence based ethics are definitely a patient centered approach where individual<br />cases can be treated depending upon the available evidence and it will be easy to solve the ethical dilemmas in a<br />way where the interest of patients as well as health care providers are not laid up. It is better to know the good<br />points of any emerging field but simultaneously it is our duty to know the limitations of the same.</p>

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