scholarly journals Hospital pharmacists’ experiences of participating in a partnered pharmacist medication charting credentialing program: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hannah Beks ◽  
Kevin Mc Namara ◽  
Elizabeth Manias ◽  
Andrew Dalton ◽  
Erica Tong ◽  
...  
Keyword(s):  
Medical Officer ◽  
Hospital Setting ◽  
Qualitative Evaluation ◽  
Clinical Settings ◽  
Medication History ◽  
Local Adaptations ◽  
Policies And Procedures ◽  
Essential Components ◽  
Key Issues ◽  
Implementation Data

Abstract Background Medication-related errors are one of the most frequently reported incidents in hospitals. With the aim of reducing the medication error rate, a Partnered Pharmacist Medication Charting (PPMC) model was trialled in seven Australian hospitals from 2016 to 2017. Participating pharmacists completed a credentialing program to equip them with skills to participate in the trial as a medication-charting pharmacist. Skills included obtaining a comprehensive medication history to chart pre-admission medications in collaboration with an admitting medical officer. The program involved both theoretical and practical components to assess the competency of pharmacists. Methods A qualitative evaluation of the multi-site PPMC implementation trial was undertaken. Pharmacists and key informants involved in the trial participated in an interview or focus group session to share their experiences and attitudes regarding the PPMC credentialing program. An interview schedule was used to guide sessions. Transcripts were analysed using a pragmatic inductive-deductive thematic approach. Results A total of 125 participants were involved in interviews or focus groups during early and late implementation data collection periods. Three themes pertaining to the PPMC credentialing program were identified: (1) credentialing as an upskilling opportunity, (2) identifying the essential components of credentialing, and (3) implementing and sustaining the PPMC credentialing program. Conclusions The PPMC credentialing program provided pharmacists with an opportunity to expand their scope of practice and consolidate clinical knowledge. Local adaptations to the PPMC credentialing program enabled pharmacists to meet the varying needs and capacities of hospitals, including the policies and procedures of different clinical settings. These findings highlight key issues to consider when implementation a credentialing program for pharmacists in the hospital setting.

scholarly journals Clinician checklist for assessing suitability of machine learning applications in healthcare

2021 ◽  
Vol 28 (1) ◽  
pp. e100251
Author(s):  
Ian Scott ◽  
Stacey Carter ◽  
Enrico Coiera
Keyword(s):  
Machine Learning ◽  
Large Scale ◽  
Clinical Decision Making ◽  
Improve Patient Care ◽  
Clinical Decision ◽  
Routine Care ◽  
Machine Learning Algorithms ◽  
Clinical Settings ◽  
Machine Learning Applications ◽  
Key Issues

Machine learning algorithms are being used to screen and diagnose disease, prognosticate and predict therapeutic responses. Hundreds of new algorithms are being developed, but whether they improve clinical decision making and patient outcomes remains uncertain. If clinicians are to use algorithms, they need to be reassured that key issues relating to their validity, utility, feasibility, safety and ethical use have been addressed. We propose a checklist of 10 questions that clinicians can ask of those advocating for the use of a particular algorithm, but which do not expect clinicians, as non-experts, to demonstrate mastery over what can be highly complex statistical and computational concepts. The questions are: (1) What is the purpose and context of the algorithm? (2) How good were the data used to train the algorithm? (3) Were there sufficient data to train the algorithm? (4) How well does the algorithm perform? (5) Is the algorithm transferable to new clinical settings? (6) Are the outputs of the algorithm clinically intelligible? (7) How will this algorithm fit into and complement current workflows? (8) Has use of the algorithm been shown to improve patient care and outcomes? (9) Could the algorithm cause patient harm? and (10) Does use of the algorithm raise ethical, legal or social concerns? We provide examples where an algorithm may raise concerns and apply the checklist to a recent review of diagnostic imaging applications. This checklist aims to assist clinicians in assessing algorithm readiness for routine care and identify situations where further refinement and evaluation is required prior to large-scale use.

scholarly journals The Current Status and Problems with the Implementation of Interprofessional Education in Japan.

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Sachiko Ogawa ◽  
Yoshinori Takahashi ◽  
Misako Miyazaki
Keyword(s):  
Community Development ◽  
Interprofessional Education ◽  
Social Care ◽  
Current Status ◽  
Future Research ◽  
Clinical Settings ◽  
Community Based ◽  
Social Settings ◽  
Health And Social Care ◽  
Key Issues

Background: Although interprofessional education (IPE) has come to be considered essential in health and social care education programs, most IPE programs in Japan focus on clinical settings. However, following the 2011 Great East Japan Earthquake, IPE programs are considered essential for community development, especially in disaster-affected areas. To identify key issues for the development of IPE, we aimed to clarify the current status of IPE programs and problems in their implementation using an original questionnaire. Methods and Findings: The targets were 865 undergraduate courses that qualify students to take national registered health/social care examinations. Effective responses were received from 284 targets. Of these 284 respondents, 103 respondents had already implemented an IPE program and 181 respondents had not. Among the 103 respondents who had already implemented an IPE program, we found a tendency to collaborate with partners in clinical settings or in social settings. Furthermore, respondents who had implemented or were planning to implement an IPE program had difficulty with ‘interdisciplinary and/or extramural collaboration’ and ‘educational factors’. Conclusions: These difficulties could be considered barriers to developing effective IPE programs for community-based collaboration between health and social care professionals. Future research should investigate more specific solutions to these problems.

scholarly journals Processes and Procedures for Data Publication: A Case Study in the Geosciences

2013 ◽  
Vol 8 (1) ◽  
pp. 193-203 ◽  
Author(s):  
Sarah Callaghan ◽  
Fiona Murphy ◽  
Jonathan Tedds ◽  
Rob Allan ◽  
John Kunze ◽  
...  
Keyword(s):  
Earth Sciences ◽  
Research Data ◽  
Academic Publishing ◽  
Data Repository ◽  
Data Publication ◽  
The Earth ◽  
Policies And Procedures ◽  
Wide Range ◽  
Key Issues ◽  
Work Done

The Peer REview for Publication and Accreditation of Research Data in the Earth sciences (PREPARDE) project is a JISC and NERC funded project which aims to investigate the policies and procedures required for the formal publication of research data, ranging from ingestion into a data repository, through to formal publication in a data journal. It also addresses key issues arising in the data publication paradigm, including, but not limited to, issues related to how one peer reviews a dataset, what criteria are needed for a repository to be considered objectively trustworthy, and how datasets and journal publications can be effectively cross-linked for the benefit of the wider research community. PREPARDE brings together a wide range of experts in the research, academic publishing and data management fields both within the Earth Sciences and in the broader life sciences with the aim of producing general guidelines applicable to a wide range of scientific disciplines and data publication types. This paper provides details of the work done in the first half of the project; the project itself will be completed in June 2013.

scholarly journals All our problems solved? Implementing peer learning in a geriatric hospital setting: A discussion paper

2020 ◽  
pp. 205715852097530
Author(s):  
Cecilia Olsson ◽  
Elisabeth Carlson ◽  
Christina Sundin-Andersson ◽  
Anna Josse-Eklund
Keyword(s):  
Clinical Education ◽  
Hospital Setting ◽  
Peer Learning ◽  
Clinical Settings ◽  
Discussion Paper ◽  
High Quality ◽  
Educational Models ◽  
Geriatric Hospital

Educational models that facilitate an increased number of students while maintaining clinical education of good quality are needed. This discussion paper presents how peer learning was implemented in a geriatric hospital setting allowing for an increase in student numbers. Conclusively, a stringent implementation of peer learning facilitated an effective way of using existing supervision resources, while maintaining a good quality of clinical education. It is also important that the process is anchored in both educational and clinical settings with a clear division of responsibilities. Finally, all collaborative partners need to acknowledge the significance of high-quality clinical education.

scholarly journals Validation of the Human–Animal Interaction Scale (HAIS) in Czech Language

2020 ◽  
Vol 17 (20) ◽  
pp. 7485
Author(s):  
Kristýna Machová ◽  
Veronika Juríčková ◽  
Tereza Nekovářová ◽  
Ivona Svobodová
Keyword(s):  
Internal Consistency ◽  
Hospital Setting ◽  
Semantic Differential ◽  
Companion Animal ◽  
Clinical Settings ◽  
Standardized Measures ◽  
Human Animal ◽  
Human Animal Interaction ◽  
Animal Interaction

Human–Animal interaction (HAI) refers to any contact between humans and animals. Despite the lack of standardized measures of evaluation, one possible tool is the Human Animal Interaction Scale (HAIS). This study aimed to evaluate it in Czech language and to verify its use in clinical settings. One group of participants included 85 non-clinical volunteers; the second included 22 clinical participants, who were hospitalized in a long-term inpatient department All participants filled out the HAIS, the Companion Animal Bonding Scale (CABS) and the Companion Animal Semantic Differential (CASD). The Czech HAIS achieved similarly good psychometric properties as the original scale. The Cronbach’s alpha showed strong internal consistency (α = 0.920) in the sample of volunteers, but low internal consistency (α = 0.656) in the group of clinical participants. In non-clinical volunteers, all scales and subscales correlated mutually at the p < 0.01 level. In the group of clinical participants, the CABS did not show significant correlations with other scales and subscales, nor was there a correlation of total HAIS score with the perceived rapport with animals. The findings of this study suggest that the Czech HAIS may be an effective tool for evaluating HAI with non-clinical contingents, however careful modification is suggested before clinical use. One reason for this is the difficulty in conducting some activities assessed by the scale in a clinical practice or hospital setting.

Pre- and inter-hospital transport of the critically ill and injured

2016 ◽  
Author(s):  
Kelly R. Klein ◽  
Paul E. Pepe
Keyword(s):  
Critical Care ◽  
Hospital Setting ◽  
Optimal Care ◽  
Mortality And Morbidity ◽  
Intensive Monitoring ◽  
Modern Health Care ◽  
Secondary Support ◽  
Key Issues ◽  
Hospital Resources ◽  
Hospital Transport

Pre- and inter-hospital transport medicine has become a highly specialized branch of critical care and emergency medicine practices, and is an integral part of modern health care. It can have a significant impact on mortality and morbidity when used appropriately. However, it also poses very unique challenges involving extension of hospital resources into often unfamiliar and sometimes austere and hostile arenas in the out-of-hospital setting. The very nature of critical care also means that the patient is profoundly ill or injured, and needs intensive monitoring and treatment with limited secondary support and personnel in the limited space of an ambulance, helicopter, or fixed wing aircraft. Accordingly, to optimize safety and patient care under these circumstances, specific guidelines and strict regulations regarding critical care transport have been implemented. Protocols and policies need to be in place to ensure optimal care, and safety for both patients and transport crews with contingencies for unanticipated weather and altitude challenges, and should also address key issues.

Video Methods for Evaluating Physiologic Monitor Alarms And Alarm Responses

2014 ◽  
Vol 48 (3) ◽  
pp. 220-230 ◽  
Author(s):  
Christopher P. Bonafide ◽  
Miriam Zander ◽  
Christian Sarkis Graham ◽  
Christine M. Weirich Paine ◽  
Whitney Rock ◽  
...  
Keyword(s):  
Hospital Setting ◽  
Hospital Environment ◽  
Multidisciplinary Teams ◽  
Clinical Settings ◽  
Alarm Fatigue ◽  
Safety Issues ◽  
Video Cameras ◽  
Expert Review ◽  
Monitor Alarms ◽  
Hardware Failures

False physiologic monitor alarms are extremely common in the hospital environment. High false alarm rates have the potential to lead to alarm fatigue, leading nurses to delay their responses to alarms, ignore alarms, or disable them entirely. Recent evidence from the U.S. Food and Drug Administration (FDA) and The Joint Commission has demonstrated a link between alarm fatigue and patient deaths. Yet, very little scientific effort has focused on the rigorous quantitative measurement of alarms and responses in the hospital setting. We developed a system using multiple temporarily mounted, minimally obtrusive video cameras in hospitalized patients' rooms to characterize physiologic monitor alarms and nurse responses as a proxy for alarm fatigue. This allowed us to efficiently categorize each alarm's cause, technical validity, actionable characteristics, and determine the nurse's response time. We describe and illustrate the methods we used to acquire the video, synchronize and process the video, manage the large digital files, integrate the video with data from the physiologic monitor alarm network, archive the video to secure servers, and perform expert review and annotation using alarm “bookmarks.” We discuss the technical and logistical challenges we encountered, including the root causes of hardware failures as well as issues with consent, confidentiality, protection of the video from litigation, and Hawthorne-like effects. The description of this video method may be useful to multidisciplinary teams interested in evaluating physiologic monitor alarms and alarm responses to better characterize alarm fatigue and other patient safety issues in clinical settings.

scholarly journals How an Audit of Epidural Patients in a Community Hospital Setting Resulted in the Development of a Formal Acute Pain Management Service

2001 ◽  
Vol 6 (1) ◽  
pp. 16-20 ◽  
Author(s):  
David H Goldstein ◽  
Elizabeth G VanDenKerkhof ◽  
Rebecca Sherlock ◽  
Judy Sherlock ◽  
Susan Harper
Keyword(s):  
Pain Management ◽  
Epidural Analgesia ◽  
Acute Pain ◽  
Epidural Morphine ◽  
Community Hospital ◽  
Health Centre ◽  
Hospital Setting ◽  
Management Service ◽  
Acute Pain Management ◽  
Policies And Procedures

PURPOSE: To describe the results of an audit of patients who received epidural analgesics postoperatively and the subsequent development of a formal acute pain management service in a community hospital.METHODS: To understand how epidural analgesia was being used to treat postoperative pain at the Peterborough Regional Health Centre, Peterborough, Ontario, a retrospective chart review was performed. Audits were performed on 178 patients who had received epidural analgesia postoperatively from October 1994 to May 1995. Data pertaining to demographics, epidural analgesia, pain scores and side effects were collected.RESULTS: Sixty-one per cent of patients received bupivacaine/ fentanyl infusions, and 39% received epidural morphine boluses. More than 60% of patients reported no pain postoperatively. Patients who received bupivacaine/fentanyl were more likely than those who received epidural morphine to also receive coanalgesia and transitional analgesia. Patients who received epidural morphine were more likely than those who received bupivacaine fentanyl to experience respiratory depression, hypotension and pruritus. Patients were followed by the anesthesiologist who provided the anesthetic. Anesthesiologists practised independently, and formal policies and procedures did not exist.CONCLUSIONS: As a result of the audit, an acute pain management service was developed. This included a team that did daily rounds and consisted of a nurse clinician and an anesthesiologist who was assigned to the service on a weekly basis. A committee was created, and formalized policies and procedures were established. Standardized order sheets, data sheets and a computerized database were developed. Reports for administrative and quality improvement purposes were generated monthly. Education programs were developed. Coanalgesia and transitional analgesia are now part of routine care, and epidural catheter placement close to the site of incision is encouraged. A postoperative nausea and vomiting algorithm, and a treatment regimen for pruritus have also been implemented.

Utilization of Social Networks for Human Resources Purposes

2018 ◽  
pp. 177-198
Author(s):  
Maryam Haghshenas ◽  
Abouzar Sadeghzadeh
Keyword(s):  
Social Networks ◽  
Social Media ◽  
Human Resources ◽  
Appropriate Use ◽  
Risks And Benefits ◽  
Policies And Procedures ◽  
Key Issues ◽  
Potential Risks ◽  
Share Information ◽  
The Way

Social media is revolutionizing the way people connect and share information. LinkedIn, Facebook, YouTube, Twitter, and other social media are changing the way we interact, and many organizations are struggling to respond. Given the potential risks and benefits of social media in the workplace, it is critical for managers to develop policies and procedures governing its appropriate use. This chapter identifies key issues and poses strategic questions to help guide managers in making more informed decisions when navigating social media issues in their organizations. After a brief introduction, current most popular social websites and tools are described concisely. Relationships between social media and human resources are then discussed. Utilizing social media in organizations are not without risks, which are thoroughly talked about further along with the benefits of such websites for recruitment. Finally, recommendations are made for companies that are considering utilizing social media and for companies that have already benefitted from such networks to improve their strategies.

Spiritual Emergency

2022 ◽  
pp. 301-317
Author(s):  
Rajeev Kumar
Keyword(s):  
Human Body ◽  
Mindfulness Meditation ◽  
Endocrine System ◽  
Clinical Settings ◽  
Spiritual Emergency ◽  
Therapeutic Guidelines ◽  
Essential Components ◽  
Behavioral Manifestation ◽  
Spiritual Emergencies ◽  
Emergency Professionals

Mindfulness meditation has been proven efficient in treating many physical and psychological disorders. Mindfulness meditation techniques are also subjected to specific indications and contraindications. Scanning of gross body, thoughts, emotions, and memories are the essential components of any form of meditation. During those scannings, some unwanted memories and some unusual experiences are very much apparent. There are many energy points in the gross human body, which are correspondent to the endocrine system of the human body, known as Kundalini or Chakra. During meditation, those chakras are stimulated, and hidden energy is exploded; increased psychomotor activities manifest in the behaviors of the person. This behavioral manifestation is called a spiritual emergency. Professionals often confused this behavioral manifestation with psychotic illness. A spiritual emergency requires specific therapeutic management. Against this backdrop, this chapter attempts a review of research articles on spiritual emergencies and therapeutic guidelines to handle them in clinical settings.

Sign in / Sign up

Export Citation Format

Share Document