The cushing’s collaborative patient survey results

2020 ◽  
Author(s):  
Elena Valassi ◽  
Antoine Tabarin ◽  
Iacopo Chiodini ◽  
Richard Feelders ◽  
Cornelie Andela
Keyword(s):  
Patient Survey ◽  
Survey Results

scholarly journals Feedback of patient survey on medication improves the management of polypharmacy: a pilot trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yuta Hirose ◽  
Kiyoshi Shikino ◽  
Yoshiyuki Ohira ◽  
Sumihide Matsuoka ◽  
Chihiro Mikami ◽  
...  
Keyword(s):  
Health Professionals ◽  
Questionnaire Survey ◽  
Pilot Trial ◽  
Patient Survey ◽  
Contributing Factors ◽  
Chi Square ◽  
Oral Medications ◽  
Medical Institutions ◽  
Chi Square Test ◽  
Survey Results

Abstract Background Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed to conduct a patient survey to examine factors contributing to polypharmacy, feedback the results to health professionals, and analyze the resulting changes in the number of polypharmacy patients and prescribed medications. Methods After conducting a questionnaire survey of patients in Study 1, we provided its results to the healthcare professionals, and then surveyed the number of polypharmacy patients and oral medications using a before-after comparative study design in Study 2. In Study 1, we examined polypharmacy and its contributing factors by performing logistic regression analysis. In Study 2, we performed a t-test and a chi-square test. Results In the questionnaire survey, significant differences were found in the following 3 items: age (odds ratio (OR) = 3.14; 95% confidence interval (CI) = 2.01–4.91), number of medical institutions (OR = 2.34; 95%CI = 1.50–3.64), and patients’ difficulty with asking their doctors to deprescribe their medications (OR = 2.21; 95%CI = 1.25–3.90). After the feedback, the number of polypharmacy patients decreased from 175 to 159 individuals and the mean number of prescribed medications per patient decreased from 8.2 to 7.7 (p < 0.001, respectively). Conclusions Providing feedback to health professionals on polypharmacy survey results may lead to a decrease in the number of polypharmacy patients. Factors contributing to polypharmacy included age (75 years or older), the number of medical institutions (2 or more institutions), and patients’ difficulty with asking their physicians to deprescribe their medications. Feedback to health professionals reduced the percentage of polypharmacy patients and the number of prescribed medications. Trial registration UMIN. Registered 21 June 2020 - Retrospectively registered, https://www.umin.ac.jp/ctr/index-j.htm

PATIENT SURVEY RESULTS FROM PATCH TESTING AT THE MAYO CLINIC

Dermatitis ◽  
2006 ◽  
Vol 17 (2) ◽  
pp. 101
Author(s):  
Leigh Ann Scalf ◽  
Mark D.P. Davis
Keyword(s):  
Patch Testing ◽  
Mayo Clinic ◽  
Patient Survey ◽  
Survey Results

scholarly journals The Value of OpenNotes for Pediatric Patients, Their Families and Impact on the Patient–Physician Relationship

2021 ◽  
Vol 12 (01) ◽  
pp. 076-081
Author(s):  
Chethan Sarabu ◽  
Tzielan Lee ◽  
Adam Hogan ◽  
Natalie Pageler
Keyword(s):  
Pediatric Patients ◽  
Pediatric Population ◽  
Patient Survey ◽  
Clinic Visit ◽  
Outpatient Setting ◽  
Patient Portal ◽  
Clinical Notes ◽  
Final Rule ◽  
Survey Results ◽  
Pediatric Populations

Abstract Background OpenNotes, the sharing of medical notes via a patient portal, has been extensively studied in adults but not in pediatric populations. This has been a contributing factor in the slower adoption of OpenNotes by children's hospitals. The 21st Century Cures Act Final Rule has mandated the sharing of clinical notes electronically to all patients and as health systems prepare to comply, some concerns remain particularly with OpenNotes for pediatric populations. Objectives After a gradual implementation of OpenNotes at an academic pediatric center, we sought to better understand how pediatric patients and families perceived OpenNotes. This article presents the detailed steps of this informatics-led rollout and patient survey results with a focus on pediatric-specific concerns. Methods We adapted a previous OpenNotes survey used for adult populations to a pediatric outpatient setting (with parents of children <12 years old). The survey was sent to patients and families via a notification email sent as a standard practice after a clinic visit, in English or Spanish. Results Approximately 7% of patients/families with access to OpenNotes read the note during the study period, and 159 (20%) of those patients responded to the survey. Of the survey respondents, 141 (89%) of patients and families understood their notes; 126 (80%) found the notes always or usually accurate; 24 (15%) contacted their clinicians after reading a note; and 153 (97%) patients/families felt the same or better about their doctor after reading the note. Conclusion Although limited by relatively low survey response rate, OpenNotes was well-received by parents of pediatric patients without untoward consequences. The main concerns pediatricians raise about OpenNotes proved to not be issues in the pediatric population. Our results demonstrate clear benefits to adoption of OpenNotes. This provides reassurance that the transition to sharing notes with pediatric patients can be successful and value additive.

scholarly journals New Approach to a Modeling Actions of New Dietary Meals Creation

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 709-709
Author(s):  
Rolandas Drejeris
Keyword(s):  
Scientific Literature ◽  
Wide Spectrum ◽  
Patient Survey ◽  
Portion Size ◽  
New Approach ◽  
Funding Sources ◽  
Special Scientific ◽  
Hospital Patients ◽  
Survey Results ◽  
Assess Quality

Abstract Objectives Objective of the research is to provide a reasonable model of new meals designing for hospitals food departments. Methods On summarizing the information presented in a wide spectrum of special scientific literature, after assessing it from the perspective of practical adaptability, the original model for new dietary meals designing was presented. The model was tested in the two biggest clinical hospitals of Lithuania, then a patient survey was conducted and appropriate decisions were made. Results The model consists of the following key components: research and assessment of the patients’ needs (customs, traditions or hobbies), processing survey results (generalization of them in order to identify unified and general trends for the different groups of population and health disorders), selection and adaptation of appropriate resources according to the nature of the patients disease (according requirements of the dietary nutrition), choice of suitable processing procedures correspondingly a sufferings of the patients, calculation of the portion size (amounts of an ingredients), planning of the quality (decoration, components arrangement, equipment selection), technology description and approval by head of the department. The model was tested in Kaunas clinical hospital. Patients aged 60–70 in the pulmonology department were interviewed about nutrition. Patients had to assess quality in 10 points system. Freshness of the salads was only 7,45, although freshness was checked very carefully. By the model we found, crispness of any food always adds to the impression of freshness. So salads (beets, carrots, parsnips, celery, etc.) were supplemented with dried vegetable ingredient after conformity assessment of products’ energy value. Patients evaluated the new created meal very positively. Conclusions Use of the model reduces the failure chance and affect the decisions of new dietary meals creation. Application of the suggested model will allow food production departments in hospitals to be consistent in new dietary meals creation and increase the likelihood of their patients’ success of recovery. Funding Sources Any funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, and in the decision to publish the results.

scholarly journals Feedback of patient survey on medication improves the management of polypharmacy: A pilot trial

2021 ◽  
Author(s):  
Yuta Hirose ◽  
Kiyoshi Shikino ◽  
Yoshiyuki Ohira ◽  
Sumihide Matsuoka ◽  
Chihiro Mikami ◽  
...  
Keyword(s):  
Health Professionals ◽  
Questionnaire Survey ◽  
Pilot Trial ◽  
Patient Survey ◽  
Contributing Factors ◽  
Chi Square ◽  
Medical Institutions ◽  
Chi Square Test ◽  
Survey Results ◽  
The Mean

Abstract Background: Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed to conduct a patient survey to examine factors contributing to polypharmacy, feedback the results to health professionals, and analyze the resulting changes in the number of polypharmacy patients and prescribed medications. Methods: We conducted a questionnaire survey of patients in Study 1, while feedback of survey results health professionals, and before-after scrutiny of medical receipt data comprised polypharmacy in Study 2. In Study 1, we examined polypharmacy and its contributing factors by performing logistic regression analysis. In Study 2, we performe a t-test and a chi-square test. Results: In the questionnaire survey, significant differences were found in the following 3 items: age (odds ratio (OR)=3.14; 95% confidence interval (CI)=2.01-4.91), number of medical institutions (OR=2.34; 95%CI=1.50-3.64), and patients' difficulty with asking their doctors to deprescribe their medications (OR=2.21; 95%CI=1.25-3.90). After the feedback, the percentage of polypharmacy patients decreased from 21.5% to 20.1% and the mean number of prescribed medications per patient decreased from 8.2 to 7.7 (p<0.001, respectively). Conclusions: Providing feedback to health professionals on polypharmacy survey results may lead to a decrease in the number of polypharmacy patients. Factors contributing to polypharmacy included age (75 years or older), the number of medical institutions (2 or more institutions), and patients' difficulty with asking their physicians to deprescribe their medications. Feedback to health professionals reduced the percentage of polypharmacy patients and the number of prescribed medications.

Incorporation of a patient question prompt list into a pancreatic cancer pathway.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 20-20
Author(s):  
Peter G. Ellis ◽  
Kathleen Lokay ◽  
Melinda Krebs
Keyword(s):  
Pancreatic Cancer ◽  
Point Of Care ◽  
Patient Survey ◽  
Cancer Therapies ◽  
Web Based ◽  
Survey Results ◽  
Question Prompt List ◽  
Advance Care ◽  
Automated Delivery ◽  
Question Prompt

20 Background: Metastatic pancreatic cancer is an aggressive disease affording a life expectancy of less than 6 months (Worni et al., 2013). Timely end-of-life discussions are critical. Patient question prompt lists (QPL) have been shown to facilitate discussions around distressing topics and increase patient satisfaction (Brandes et al., 2014; Clayton et al., 2007). We evaluated the use of a QPL embedded in a pancreatic pathway provided by Via Pathways (VP) to enhance communication between oncologists and patients with metastatic disease. Methods: VP are disease-specific decision support algorithms delivered in a web-based portal and used by oncologists at the point of care. Through a committee of oncologists and palliative care specialists, a QPL was developed and incorporated into the VP pancreatic pathway. The goal of the QPL was to empower patients to have informed discussions of available cancer therapies, treatment goals, and personal preferences. Users of the pathway were required to indicate if the QPL was used, then had to provide it to the patient. The QPL prompt was placed in the first line metastatic branch of the pancreatic pathway and piloted from 12/1/14 to 2/28/15. Following the pilot, users were surveyed through email. Results: Results are shown in the table. Conclusions: Based on the results, the pilot had limited success. Although there was an even distribution of those indicating the QPL was and was not provided to the patient, survey results suggested the majority of providers were unaware of the QPL. Our conclusion is that our approach must be less of a burden to the oncologist. Current focus is on automated delivery of advance care planning materials directly to the patient, removing that task from the oncologist workflow. [Table: see text]

scholarly journals Patient Survey on Polypharmacy in the Clinic and Its Impact on Health Professionals' Management of Polypharmacy: a Before-after Study

2020 ◽  
Author(s):  
Yuta Hirose ◽  
Kiyoshi Shikino ◽  
Yoshiyuki Ohira ◽  
Sumihide Matsuoka ◽  
Chihiro Mikami ◽  
...  
Keyword(s):  
Health Professionals ◽  
Questionnaire Survey ◽  
Patient Survey ◽  
Contributing Factors ◽  
Chi Square ◽  
Medical Institutions ◽  
Before And After ◽  
Chi Square Test ◽  
Survey Results ◽  
The Mean

Abstract Background: Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed to conduct a patient survey to examine factors contributing to polypharmacy, feedback the results to health professionals, and analyze the resulting changes in the number of polypharmacy patients and prescribed medications. Methods: Study 1: In July 2016, we conducted a questionnaire survey among adult patients receiving medical care at Minamihama clinic. We examined polypharmacy and its contributing factors by performing logistic regression analysis. Study 2: We sent feedback of survey results to 12 health professionals. Performing a t-test and a chi-square test on medical fee receipts, we analyzed changes in the percentage of polypharmacy patients and the number of prescribed medications during one month before and after the feedback. Results: In the questionnaire survey, significant differences were found in the following 3 items: age (odds ratio (OR)=3.14; 95% confidence interval (CI)=2.01-4.91), number of medical institutions (OR=2.34; 95%CI=1.50-3.64), and patients' difficulty with asking their doctors to deprescribe their medications (OR=2.21; 95%CI=1.25-3.90). After the feedback, the percentage of polypharmacy patients decreased from 21.5% to 20.1% and the mean number of prescribed medications per patient decreased from 8.2 to 7.7 (p<0.001, respectively).Conclusions: Providing feedback to health professionals on polypharmacy survey results may lead to a decrease in the number of polypharmacy patients. Factors contributing to polypharmacy included age (75 years or older), the number of medical institutions (2 or more institutions), and patients' difficulty with asking their physicians to deprescribe their medications. Feedback to health professionals reduced the percentage of polypharmacy patients and the number of prescribed medications. Trial registration: UMIN. Registered 21 June 2020 - Retrospectively registered, https://www.umin.ac.jp/ctr/index-j.htm

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