scholarly journals Optimising electronic prescribing in hospitals: a scoping review protocol

2020 ◽  
Vol 27 (1) ◽  
pp. e100117
Author(s):  
Jac Williams ◽  
David W Bates ◽  
Aziz Sheikh

IntroductionElectronic prescribing (ePrescribing) systems can improve the quality of prescribing decisions and substantially reduce the risk of serious medication errors in hospitals. However, realising these benefits depends on ensuring that relevant sociotechnical considerations are addressed. Optimising ePrescribing systems is essential to maximise the associated benefits and minimise the accompanying risks of these large-scale and expensive health informatics infrastructures.MethodsWe will undertake a systematic scoping review of the literature to identify strategies to achieve optimisation of ePrescribing systems. We will search Medline, Embase and CINAHL for the period 1 January 2010 to 1 June 2019 and the grey literature by using Google Scholar. Independent reviewers will screen the results using predefined inclusion and exclusion criteria and will extract data for narrative and thematic synthesis.DiscussionThis work will be published in a peer-reviewed journal and we will ensure that the findings are both accessible and interpretable to the public, academics, policymakers and National Health Service leaders.

2021 ◽  
Author(s):  
Anmol Shahid ◽  
Brianna K Rosgen ◽  
Karla K Krewulak ◽  
Diane L Lorenzetti ◽  
Nadine Foster ◽  
...  

Abstract Background: Citizen engagement in research is an emerging practice that involves members of the general public in research processes such as priority-setting, planning, decision-making, research conduct, implementation, evaluation, and dissemination. Engaging citizens in research, particularly health research, increases the relevance of study findings, minimizes waste by facilitating stewardship over resources, and builds public trust in the research. While several existing frameworks guide the application of citizen engagement principles to health research, it is unclear how citizen engagement can be utilized to maximize benefits and minimize risks and challenges in health research. To address the gaps in knowledge around citizen engagement in health research, we propose a scoping review to synthesize the state of knowledge on methods to incorporate and evaluate citizen engagement in research. A protocol is presented in this manuscript. Methods: The methodology for our scoping review is guided by Arksey and O’ Malley’s framework for scoping reviews, and additional recommendations by Levac and colleagues. We will include peer-reviewed and grey literature that report on citizen engagement in health research (including biomedical, clinical, health systems and services, and social, cultural, environmental and population health) and report method(s) to conduct, measure, or evaluate citizen engagement. We will systematically search electronic databases (MEDLINE, EMBASE, CINAHL, JSTOR, PsycINFO, Scopus, and Science Direct) and relevant organizations’ websites for additional studies, frameworks, and reports on citizen engagement. Title and abstract and full-text citations will be screened independently and in duplicate. Data will be extracted independently and in duplicate, including: document characteristics, citizen engagement definitions and goals, and outcomes of citizen engagement (e.g., impact, barriers, facilitators). Discussion: This review will synthesize the definitions, goals, methods, outcomes, and significance of citizen engagement in health research, as well as any potential barriers, facilitators, and challenges outlined in existing literature. The findings will provide an evidence-based foundation for developing new or improved guidance for citizen engagement in health research. Overall, we anticipate that our scoping review will be a preliminary step to meaningful engagement of citizens in research and strengthen the relationship between the scientific community and the public through transparency and collaboration.SYSTEMATIC REVIEW REGISTRATION: Not applicable.


2021 ◽  
Author(s):  
Mohammed Zayan Nizam ◽  
Leigh Powell ◽  
Nabil Zary

BACKGROUND Conversational agents can reach people where they are at, existing online, on mobile phones, or even through hardware like Alexa and Siri, making information easier to access and providing an engaging method of interaction. It makes sense that chatbots would also start to emerge to improve public health through health education. While building a chatbot is getting easier, there is still required time and effort. There is also a lack of clarity and consistent terminology about what kinds of chatbots are out there, how they are developed, and the kind of resources needed to develop and sustain them. This lack of clarity makes a daunting task for those seeking to build health education initiatives. Our scoping review seeks to categorize conversational agents in healthcare education in alignment with current classifications and terminology emerging from the marketplace. We will define the terminology of levels of conversational agents, categorize current agents along with these levels and describe the uses, resources, and evaluations common to these levels. OBJECTIVE This scoping review aims to identify literature that reports on the design and implementation of conversational agents to promote and educate the public on matters related to health. METHODS This scoping review will be conducted by employing the Arksey and O’Malley framework. We will also be adhering to the enhancements and updates proposed by Levac et al. and Peters et al. The PRISMA extension for scoping reviews will guide the reporting of this scoping review. A systematic search for published and grey literature will be undertaken from the following databases (1) PubMed, (2) PsychINFO, (2) Embase, (4) Web of Science, (5) SCOPUS, (6) CINAHL, (7) ERIC, (8) MEDLINE, (9) Google Scholar. Data charting will be done using a structured format. RESULTS Initial searches of the databases retrieved 1,480 results. The results will be presented in the final scoping review in both a narrative and illustrative manner. CONCLUSIONS Reviewers have previously explored conversational agents in health. However, to the authors' knowledge, there has been no review conducted in the specific area of our interest –Health Education. Therefore, this review will provide a map of the literature in this area and clarify and define the heterogeneous terms found in the literature. This information will help healthcare professionals and administrators to understand what kinds of chatbots would be appropriate in their setting. And through our charted data could also help them understand what kind of resources or expertise is required for the different chatbots in use.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e046227
Author(s):  
Cícera Renata Diniz Vieira Silva ◽  
Rayssa Horácio Lopes ◽  
Osvaldo de Goes Bay Júnior ◽  
Miguel Fuentealba-Torres ◽  
Ricardo Alexandre Arcêncio ◽  
...  

IntroductionTelemedicine gained strength in primary healthcare (PHC) during the COVID-19 pandemic. Thus, there is a need to know its scope, technologies used and impacts on people’s health. This study will map telemedicine use in PHC around the world and its impacts on quality of care in the context of the COVID-19 pandemic.MethodsThis is a scoping review protocol developed according to Arksey and O'Malley and Levac et al, based on the Joanna Briggs Institute manual, and guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). The records will be mapped in the following multidisciplinary health sciences databases: Virtual Health Library, PubMed, Scopus, Web of Science, CINAHL and Embase. Searches will also be conducted on Google Scholar, preprint repositories and specific COVID-19 databases (grey literature). Quantitative data will be analysed using descriptive statistics, while thematic analysis will be performed for qualitative data. Preliminary findings will be presented to stakeholders to identify missing studies and develop effective dissemination strategies.Ethics and disseminationResults will be disseminated through publication in an open access scientific journal, scientific events, and academic and community newspapers. Ethical approval was obtained due to stakeholder consultation, but will not involve the direct participation of patients. Link to the protocol record in the Open Science Framework (OSF) (osf.io/q94en).


BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e033341
Author(s):  
Rita Quist-Therson ◽  
Desmond Kuupiel ◽  
Khumbulani Hlongwana

IntroductionThe emergence of tuberculosis (TB) and diabetes mellitus (DM) coepidemic threatens the gains made in fighting the prevalence of these two diseases. As a result, in 2011, WHO and the International Union Against Lung Disease launched a framework to address the growing TB-DM coepidemic across the world. The aim of the proposed review study is mapping evidence on the implementation of the WHO collaborative framework for the management of TB-DM using a scoping review.Methodology and analysisThis study will map literature on the global implementation of the WHO collaborative framework for the management of TB-DM, using Arksey and O’Malley’s scoping review framework. An extensive literature search for the peer-reviewed articles, grey literature, unpublished studies, thesis, studies in the press and a list of references from the selected studies will be conducted to find eligible studies. PubMed, Google Scholar, Web of Science, Science Direct, the EBSCOhost platform (Academic search complete, health source: nursing/academic edition, CINAHL with full text) and the WHO library will be used to source literature. The researcher will perform title screening of articles using keywords in the databases, and two independent reviewers will then screen abstracts and full articles. The screening will be guided by the inclusion and exclusion criteria. The Mixed Method Appraisal Tool V.2018 will be used to examine the quality of studies to be included. The findings will be analysed using the thematic content analysis approach and the results presented in the form of a narrative report.Ethics and disseminationThe study did not require ethics approval because it is a scoping review protocol. Findings from this study will be disseminated by print and electronic mediums.


2021 ◽  
Vol 3 (2) ◽  
pp. 61
Author(s):  
Dinar Agustin ◽  
Andari Wuri Astuti

Working mothers faced many challenges and constraints. Despite legislations mandating workplaces to give support, including breastfeeding areas for their employees, a number of hurdles remained, preventing them from achieving exclusive breastfeeding (EBF). Therefore, this review intended to review evidence on the experience of EBF practices among working mothers. This study employed scoping review by using four stages. Firstly, develop the focus of the study through the framework of PEOS (Population, Exposure, Outcome and study design). Secondly, conducted literature search using three relevant databases (PubMed, Science Direct, Wiley Online) and grey literature (Google scholar). Thirdly, selected relevant studies using inclusion and exclusion criteria. Fourthly, conducted critical appraisals using data charting to assess the quality of included articles, followed by analyzing and reporting the results. PRISMA flowchart was used to describe the literature search plot. Based on 12 included articles, twothirds of the included articles were qualitative studies categorized as grade A. The other four articles had grade B where three out of four were non-randomized quantitative studies and one mixed-method study. Some factors identified to be the cause to prevent continued EBF were insufficiency support and facilities from family, husband, coworkers in the workplaces (paid leave, availability of daycare, lactation room, breast milk pumping tools). Two other identified factors were previous breastfeeding experience and knowledge. The implementation of EBF practices were challenging in some developed countries. However, having good knowledge was necessary to reduce the gap between maternal perception and belief in which was occurred in Italy study. In contrary, low knowledge was found as an important obstacle in the developing world such as Bangladesh. Overall, perception and belief related to EBF of working mothers contributed to the practice of EBF.


Pain Medicine ◽  
2021 ◽  
Author(s):  
Daly Geagea ◽  
Zephanie Tyack ◽  
Roy Kimble ◽  
Lars Eriksson ◽  
Vince Polito ◽  
...  

Abstract Objective Inadequately treated pain and distress elicited by medical procedures can put children at higher risks of acute and chronic biopsychosocial sequelae. Children can benefit from hypnotherapy, a psychological tailored intervention, as an adjunct to pharmacological agents to address the multiple components of pain and distress. Despite providing evidence on the effectiveness and potential superiority of hypnotherapy to other psychological interventions, research on hypnotherapy for paediatric procedural pain and distress has been predominantly limited to oncology and needle procedures. Plus, there is a lack of reporting of intervention manuals, factors influencing hypnotic responding, pain unpleasantness outcomes, theoretical frameworks, adverse events, as well as barriers and facilitators to the feasibility of delivering the intervention and study procedures. The proposed review aims to map the range and nature of the evidence on hypnotherapy for procedural pain and distress in children to identify gaps in literature and areas requiring further investigation. Methods This review will follow the Arksey and O'Malley (2005) methodology and incorporate additional scoping review recommendations by The Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses. Relevant studies will be identified through searching published literature databases (PubMed, Cochrane Library, PsycINFO, Embase, CINAHL, Scopus and Web of Science) and grey literature in addition to hand-searching of reference lists and key journals. Two authors will independently screen titles and abstracts of search results followed by full-texts review against eligibility criteria. Conclusion Findings are anticipated to guide future research and inform the development of tailored hypnotic interventions in children.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Issrah Jawad ◽  
Sumayyah Rashan ◽  
Chathurani Sigera ◽  
Jorge Salluh ◽  
Arjen M. Dondorp ◽  
...  

Abstract Background Excess morbidity and mortality following critical illness is increasingly attributed to potentially avoidable complications occurring as a result of complex ICU management (Berenholtz et al., J Crit Care 17:1-2, 2002; De Vos et al., J Crit Care 22:267-74, 2007; Zimmerman J Crit Care 1:12-5, 2002). Routine measurement of quality indicators (QIs) through an Electronic Health Record (EHR) or registries are increasingly used to benchmark care and evaluate improvement interventions. However, existing indicators of quality for intensive care are derived almost exclusively from relatively narrow subsets of ICU patients from high-income healthcare systems. The aim of this scoping review is to systematically review the literature on QIs for evaluating critical care, identify QIs, map their definitions, evidence base, and describe the variances in measurement, and both the reported advantages and challenges of implementation. Method We searched MEDLINE, EMBASE, CINAHL, and the Cochrane libraries from the earliest available date through to January 2019. To increase the sensitivity of the search, grey literature and reference lists were reviewed. Minimum inclusion criteria were a description of one or more QIs designed to evaluate care for patients in ICU captured through a registry platform or EHR adapted for quality of care surveillance. Results The search identified 4780 citations. Review of abstracts led to retrieval of 276 full-text articles, of which 123 articles were accepted. Fifty-one unique QIs in ICU were classified using the three components of health care quality proposed by the High Quality Health Systems (HQSS) framework. Adverse events including hospital acquired infections (13.7%), hospital processes (54.9%), and outcomes (31.4%) were the most common QIs identified. Patient reported outcome QIs accounted for less than 6%. Barriers to the implementation of QIs were described in 35.7% of articles and divided into operational barriers (51%) and acceptability barriers (49%). Conclusions Despite the complexity and risk associated with ICU care, there are only a small number of operational indicators used. Future selection of QIs would benefit from a stakeholder-driven approach, whereby the values of patients and communities and the priorities for actionable improvement as perceived by healthcare providers are prioritized and include greater focus on measuring discriminable processes of care.


BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e046547
Author(s):  
Luke Johnson ◽  
Kerry Gutridge ◽  
Julie Parkes ◽  
Anjana Roy ◽  
Emma Plugge

ObjectiveTo examine the extent, nature and quality of literature on the impact of the COVID-19 pandemic on the mental health of imprisoned people and prison staff.DesignScoping review.Data sourcesPubMed, Embase, CINAHL, Global Health, Cochrane, PsycINFO, PsychExtra, Web of Science and Scopus were searched for any paper from 2019 onwards that focused on the mental health impact of COVID-19 on imprisoned people and prison staff. A grey literature search focused on international and government sources and professional bodies representing healthcare, public health and prison staff was also performed. We also performed hand searching of the reference lists of included studies.Eligibility criteria for selection of studiesAll papers, regardless of study design, were included if they examined the mental health of imprisoned people or prison staff specifically during the COVID-19 pandemic. Imprisoned people could be of any age and from any countries. All languages were included. Two independent reviewers quality assessed appropriate papers.ResultsOf 647 articles found, 83 were eligible for inclusion, the majority (58%) of which were opinion pieces. The articles focused on the challenges to prisoner mental health. Fear of COVID-19, the impact of isolation, discontinuation of prison visits and reduced mental health services were all likely to have an adverse effect on the mental well-being of imprisoned people. The limited research and poor quality of articles included mean that the findings are not conclusive. However, they suggest a significant adverse impact on the mental health and well-being of those who live and work in prisons.ConclusionsIt is key to address the mental health impacts of the pandemic on people who live and work in prisons. These findings are discussed in terms of implications for getting the balance between infection control imperatives and the fundamental human rights of prison populations.


BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e032662 ◽  
Author(s):  
Amélie Frégeau ◽  
Alexis Cournoyer ◽  
Marc-André Maheu-Cadotte ◽  
Massimiliano Iseppon ◽  
Nathalie Soucy ◽  
...  

IntroductionThere is a growing interest in developing interprofessional education (IPE) in the community of healthcare educators. Tabletop exercises (TTX) have been proposed as a mean to cultivate collaborative practice. A TTX simulates an emergent situation in an informal environment. Healthcare professionals need to take charge of this situation as a team through a discussion-based approach. As TTX are gaining in popularity, performing a review about their uses could guide educators and researchers. The aim of this scoping review is to map the uses of TTX in healthcare.Methods and analysisA search of the literature will be conducted using medical subject heading terms and keywords in PubMed, Medline, EBM Reviews (Evidence-Based Medicine Reviews), CINAHL (Cumulative Index of Nursing and Allied Health Literature), Embase and ERIC (Education Resources Information Center), along with a search of the grey literature. The search will be performed after the publication of this protocol (estimated to be January 1st 2020) and will be repeated 1 month prior to the submission for publication of the final review (estimated to be June 1st 2020). Studies reporting on TTX in healthcare and published in English or French will be included. Two reviewers will screen the articles and extract the data. The quality of the included articles will be assessed by two reviewers. To better map their uses, the varying TTX activities will be classified as performed in the context of disaster health or not, for IPE or not and using a board game or not. Moreover, following the same mapping objective, outcomes of TTX will be reported according to the Kirkpatrick model of outcomes of educational programs.Ethics and disseminationNo institutional review board approval is required for this review. Results will be submitted for publication in a peer-reviewed journal. The findings of this review will inform future efforts to TTX into the training of healthcare professionals.


Author(s):  
Yaya Coulibaly ◽  
Fanta Sangho ◽  
Aboubacar Alassane Oumar

Objective: The drug policy of Mali is based on the concept of essential generic drugs. The adoption of generic drugs in a program is often accompanied by irrational use of these drugs precisely because of the availability of these drugs. Thus, this study was initiated to assess the quality of prescribing and dispensing drugs in Mali. Methods: This is a descriptive cross-sectional study was conducted from 2004 to 2013, the survey was conducted in 20 primary health centers and 20 private pharmacies in three regions of the country. In each of these structures, 30 prescriptions filled at the time of the survey were collected. Results: The average number of drugs per prescription was 3.0 ± 1.3 and 2.4 ± 1.2, respectively, in the public and private sectors. Prescription of drugs under international name was 91.6% in the public sector and 37.2% in the private sector. The public sector prescribed 33.7% of injectable drug against 16.2% in the private sector (p <0.001). The average cost of a prescription was lower in the public sector (3415.3 FCFA or 5.21euros) than in the private sector (7111 FCFA or 10.85 euros).Conclusion: Generic drugs are commonly used in the public, but much less in the private sector. The treatment guidelines are already available, should be introduced interactively to medical practitioners, through visits and intensive supervision by more experienced managers in the hierarchy, it would be likely to improve the quality of prescribing practitioners.


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