scholarly journals The Impact of Mobile Handheld Technology on Hospital Physicians' Work Practices and Patient Care: A Systematic Review

2009 ◽  
Vol 16 (6) ◽  
pp. 792-801 ◽  
Author(s):  
M. Prgomet ◽  
A. Georgiou ◽  
J. I. Westbrook
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Work Practices ◽  
Handheld Technology ◽  
Hospital Physicians ◽  
The Impact

scholarly journals Effectiveness of early assessment and intervention by interdisciplinary teams including health and social care professionals in the emergency department: protocol for a systematic review

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e023464 ◽  
Author(s):  
Marica Cassarino ◽  
Katie Robinson ◽  
Rosie Quinn ◽  
Breda Naddy ◽  
Andrew O’Regan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Patient Care ◽  
Systematic Reviews ◽  
Social Care ◽  
Interdisciplinary Teams ◽  
Cochrane Library ◽  
Early Assessment ◽  
Health And Social Care ◽  
The Impact

IntroductionFinding cost-effective strategies to improve patient care in the emergency department (ED) is an increasing imperative given growing numbers of ED attendees. Encouraging evidence indicates that interdisciplinary teams including health and social care professionals (HSCPs) enhance patient care across a variety of healthcare settings. However, to date no systematic reviews of the effectiveness of early assessment and/or interventions carried by such teams in the ED exist. This systematic review aims to explore the impact of early assessment and/or intervention carried out by interdisciplinary teams including HSCPs in the ED on the quality, safety and cost-effectiveness of care, and to define the content of the assessment and/or intervention offered by HSCPs.Methods and analysisUsing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standardised guidelines, we will conduct a systematic review of randomised controlled trials (RCTs), non-RCTs, controlled before–after studies, interrupted time series and repeated measures studies that report the impact of early assessment and/or intervention provided to adults aged 18+ by interdisciplinary teams including HSCPs in the ED. Searches will be carried in Cumulative Index of Nursing and Allied Health Literature, Embase, Cochrane Library and MEDLINE from inception to March 2018. We will also hand-search the reference lists of relevant studies. Following a two-step screening process, two independent reviewers will extract data on the type of population, intervention, comparison, outcomes and study design. The quality of the studies will be appraised using the Cochrane Risk of Bias Tool. The findings will be synthesised in a narrative summary, and a meta-analysis will be conducted where appropriate.Ethics and disseminationEthical approval will not be sought since it is not required for systematic reviews. The results of this review will be disseminated through publication in a peer-review journal and presented at relevant conferences.Trial registration numberCRD42018091794.

The impact of machine learning on patient care: A systematic review

2020 ◽  
Vol 103 ◽  
pp. 101785 ◽  
Author(s):  
David Ben-Israel ◽  
W. Bradley Jacobs ◽  
Steve Casha ◽  
Stefan Lang ◽  
Won Hyung A. Ryu ◽  
...  
Keyword(s):  
Machine Learning ◽  
Systematic Review ◽  
Patient Care ◽  
The Impact

scholarly journals Pharmacists as Care Providers for Stroke Patients: A Systematic Review

2017 ◽  
Vol 45 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Jade E. Basaraba ◽  
Michelle Picard ◽  
Kirsten George-Phillips ◽  
Tania Mysak
Keyword(s):  
Systematic Review ◽  
Risk Factor ◽  
Acute Stroke ◽  
Patient Care ◽  
Patient Outcomes ◽  
Stroke Patient ◽  
Full Text ◽  
Stroke Patients ◽  
Pharmacist Interventions ◽  
The Impact

AbstractBackground:Pharmacists have become an integral member of the multidisciplinary team providing clinical patient care in various healthcare settings. Although evidence supporting their role in the care of patients with other disease states is well-established, minimal literature has been published evaluating pharmacist interventions in stroke patients. The purpose of this systematic review is to summarize the evidence evaluating the impact of pharmacist interventions on stroke patient outcomes.Methods: Study abstracts and full-text articles evaluating the impact of a pharmacist intervention on outcomes in patients with an acute stroke/transient ischemic attack (TIA) or a history of an acute stroke/TIA were identified and a qualitative analysis performed.Results: A total of 20 abstracts and full-text studies were included. The included studies provided evidence supporting pharmacist interventions in multiple settings, including emergency departments, inpatient, outpatient, and community pharmacy settings. In a significant proportion of the studies, pharmacist care was collaborative with other healthcare professionals. Some of the pharmacist interventions included participation in a stroke response team, assessment for thrombolytic use, medication reconciliation, participation in patient rounds, identification and resolution of drug therapy problems, risk-factor reduction, and patient education. Pharmacist involvement was associated with increased use of evidence-based therapies, medication adherence, risk-factor target achievement, and maintenance of health-related quality of life.Conclusions: Available evidence suggests that a variety of pharmacist interventions can have a positive impact on stroke patient outcomes. Pharmacists should be considered an integral member of the stroke patient care team.

scholarly journals The Effect of Head Inclination on Intraocular Pressure in the Prone Position

2017 ◽  
Author(s):  
Vanessa Marzilli
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Situation Awareness ◽  
High Reliability ◽  
Healthcare Providers ◽  
Information Management System ◽  
Future Research ◽  
Staff Satisfaction ◽  
Patient Handoff ◽  
The Impact

Patient safety relies on effective and efficient communication among healthcare providers. Tools, such as standardized checklists, ensure information sharing in a consistent, predictable format. In the perioperative setting, where handoffs occur at several points and among various disciplines, high reliability is essential. This systematic review focused on the impact of standardized communication practices on perioperative staff satisfaction as it relates to sustainability of the new practice. The electronic databases PubMed and Google Scholar were used. Six articles met inclusion for the systematic review and of these six, four were determined to be of high quality through the application of The CASE Worksheet. The handoff tools implemented in these four studies were the electronic anesthesia information management system (AIMS), I-PASS mnemonic that described the illness, patient summary, action list, situation awareness and synthesis by receiver, Peri-op Handoff Protocol and a variation of the ‘Surgical Safety Checklist’ originally developed by WHO. Results of this systematic review suggest that these standardized communication methods are effective in improving perioperative staff satisfaction. Further research may prove helpful to determine if one handoff tool design is superior to the others. While future research could be performed to provide a larger sample size, the limited data gathered from this systematic review shows promising results. Implementing a standardized approach to perioperative communication and patient handoff has been shown in these studies to be beneficial in terms of staff satisfaction. Furthermore, it would be valuable to examine the indirect impact these communication tools have on patient care. Healthcare providers have the responsibility and opportunity to improve patient care through the adoption of standardized communication processes.

scholarly journals A Systematic Review of the Impact of Physicians’ Occupational Well-Being on the Quality of Patient Care

2015 ◽  
Vol 22 (6) ◽  
pp. 683-698 ◽  
Author(s):  
Renée A. Scheepers ◽  
Benjamin C. M. Boerebach ◽  
Onyebuchi A. Arah ◽  
Maas Jan Heineman ◽  
Kiki M. J. M. H. Lombarts
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Well Being ◽  
Quality Of Patient Care ◽  
The Impact

scholarly journals ‘Time to clean’: A systematic review and observational study on the time required to clean items of reusable communal patient care equipment

2017 ◽  
Vol 18 (6) ◽  
pp. 289-294 ◽  
Author(s):  
David Scott ◽  
Hayley Kane ◽  
Annette Rankin
Keyword(s):  
Systematic Review ◽  
Observational Study ◽  
Nosocomial Infection ◽  
Patient Care ◽  
Infection Rates ◽  
Protected Time ◽  
Pressure Cuff ◽  
Hospital Patients ◽  
Time Required ◽  
The Impact

Background: Concerns have been raised over poor standards of hospital cleanliness and insufficient time for staff to clean reusable communal patient care equipment. These items may then act as vectors for the transmission of nosocomial pathogens between hospital patients. Aim: To evaluate the impact of cleaning duration on nosocomial infection rates and estimate the time required to clean care equipment in accordance with national specifications (i.e. a ‘time to clean’). Methods: A systematic review of the published literature on cleaning times and an observational study in which nine healthcare workers cleaned seven items of care equipment while the duration of time taken to clean each item was measured. Results: A limited volume of low-quality evidence indicates that increased cleaning times in hospitals can reduce the incidence of healthcare-associated infections (HCAIs). The mean ‘time to clean’ for care equipment ranged from 166.3 s (95% confidence interval [CI] = 117.8–214.7) for a bed frame to 29.0 s (95% CI = 13.4–44.6) for a blood pressure cuff. Discussion: ‘Time to clean’ estimates for care equipment provide an indication of how much protected time is necessary to ensure acceptable standards of cleanliness. Clinical trials are needed to further evaluate the impact of increased cleaning times on nosocomial infection rates.

scholarly journals The impact of clinicians' personality and their interpersonal behaviors on the quality of patient care: a systematic review

2014 ◽  
Vol 26 (4) ◽  
pp. 426-481 ◽  
Author(s):  
Benjamin C.M. Boerebach ◽  
Renée A. Scheepers ◽  
Renée M. van der Leeuw ◽  
Maas Jan Heineman ◽  
Onyebuchi A. Arah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Interpersonal Behaviors ◽  
Quality Of Patient Care ◽  
The Impact

scholarly journals The Role of Electronic Medical Records in Reducing Unwarranted Clinical Variation in Acute Health Care: Systematic Review (Preprint)

2021 ◽  
Author(s):  
Tobias Hodgson ◽  
Andrew Burton-Jones ◽  
Raelene Donovan ◽  
Clair Sullivan
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Patient Care ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Health Care Outcomes ◽  
Quadruple Aim ◽  
Care Outcomes ◽  
Clinical Variation ◽  
The Impact

BACKGROUND The use of electronic medical records (EMRs)/electronic health records (EHRs) provides potential to reduce unwarranted clinical variation and thereby improve patient health care outcomes. Minimization of unwarranted clinical variation may raise and refine the standard of patient care provided and satisfy the quadruple aim of health care. OBJECTIVE A systematic review of the impact of EMRs and specific subcomponents (PowerPlans/SmartSets) on variation in clinical care processes in hospital settings was undertaken to summarize the existing literature on the effects of EMRs on clinical variation and patient outcomes. METHODS Articles from January 2000 to November 2020 were identified through a comprehensive search that examined EMRs/EHRs and clinical variation or PowerPlans/SmartSets. Thirty-six articles met the inclusion criteria. Articles were examined for evidence for EMR-induced changes in variation and effects on health care outcomes and mapped to the quadruple aim of health care. RESULTS Most of the studies reported positive effects of EMR-related interventions (30/36, 83%). All of the 36 included studies discussed clinical variation, but only half measured it (18/36, 50%). Those studies that measured variation generally examined how changes to variation affected individual patient care (11/36, 31%) or costs (9/36, 25%), while other outcomes (population health and clinician experience) were seldom studied. High-quality study designs were rare. CONCLUSIONS The literature provides some evidence that EMRs can help reduce unwarranted clinical variation and thereby improve health care outcomes. However, the evidence is surprisingly thin because of insufficient attention to the measurement of clinical variation, and to the chain of evidence from EMRs to variation in clinical practices to health care outcomes.

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