Comparative analysis of an innovative app versus conventional techniques to improve patient compliance after minor oral surgical procedures (Preprint)

2021 ◽  
Author(s):  
Deborah Sybil ◽  
Meenakshi Krishna ◽  
Priyanshu Kumar Shrivastava ◽  
Shradha Singh ◽  
Imran Khan
Keyword(s):  
Tooth Extraction ◽  
Compliance Rate ◽  
Phone Call ◽  
Oral Surgical Procedures ◽  
Operative Care ◽  
The Difference ◽  
Complications Rate ◽  
Study Participants ◽  
Improve Patient

BACKGROUND Certain factors such as compliance, comprehension, retention of instructions, and other unaccounted elements impact the objectives of post-operative care. It is imperative that patients follow the instructions and prescribed regimen diligently for a smooth and placid healing. Keeping the same principles in view, ExoDont was designed by our team, an android-based mHealth app which ensures a smooth post-operative period for the patients after a dental extraction. Besides providing post-operative instructions at defined intervals, the app also sends out drug reminders as an added advantage over other available conventional modes. OBJECTIVE To compare the compliance rate of individuals with respect to the prescribed regimen, postoperative instructions, and additionally, assess any significant changes in post-operative complications rate under the three categories namely Verbal, Verbal plus Written, and ExoDont group. METHODS The patients after tooth extraction were randomly assigned to the aforementioned groups and a one week follow-up through a phone call was planned to obtain the responses from study participants. The result obtained from the three groups was then statistically analyzed. RESULTS The compliance rate in patients for post-operative instructions and prescribed drug adherence was statistically significant in the group using ExoDont app than in Verbal or Verbal plus Written group. However, the difference in the incidence of postoperative complication rate was not significant among the three groups. CONCLUSIONS As evident from the result, it is anticipated that the ExoDont app will be revolutionary in not only circumventing the unaccounted possibilities of missing the prescribed dose and post-operative instructions but also ensure a smooth post-operative phase and easy recovery for the patients.

scholarly journals Mixed Methods: COVID-19 Follow Up Patterns and Concerns in Northwest Indiana

2020 ◽  
Vol 3 ◽  
Author(s):  
Marcy Simpson ◽  
Olajumoke Bamgbose ◽  
Harpriya Singh ◽  
Aaron McKay ◽  
Matthew O'Connor
Keyword(s):  
Course Of Illness ◽  
Community Needs ◽  
The Us ◽  
Hospital Systems ◽  
Short And Long Term ◽  
Study Participants ◽  
Second Wave ◽  
Improve Patient

Background/Hypothesis: Coronavirus 2019 (Covid-19) in the state of Indiana garnered over 50,000 positive cases since the first exposed patient in March 2020. Covid-19 is associated with pneumonia, as well as symptoms such as fevers, cough, shortness of breath, loss of taste/ smell, and fatigue.  A positive COVID diagnosis is prevalent amongst those with comorbidities and has been positively correlated with the severity of the adverse effects caused by Covid-19. As the number of positive cases rise in the US, it’s imperative to understand the potential shortcomings experienced in the care of patients and to address the short and long-term outcomes in those patients. This study aimed to identify patterns in the course of illness, limitations of care, effects on co-morbidities, and overall community needs to improve patient access and outcomes. We hypothesize that subjects with comorbidities will report more serious symptoms at onset and take longer for symptoms to resolve. We also expect to see subjects living in the same zip codes will report similar levels of access to care.    Methods: In order to achieve these goals we conducted semi-structured, one-on-one interviews with study participants, in which telephone based patient follow up interviews were conducted twice a week for 2 weeks or until symptoms were resolved. Inclusion criteria included being a legal adult over 18 years of age, a COVID-19 positive diagnosis via RT-PCR testing, and an ED visit at one of the Methodist Hospital Systems.     Results: Through TACTIC qualitative rapid analysis of the data, results are pending and we hope to find useful patterns within a younger demographic, more indicative of the second wave of COVID spread within our Northwest population.     Potential Impact: Through this study, we aim to identify the barriers to care in the community and then address and provide possible solutions within the community.  

Abstract WP329: Video Conferencing is the Preferred Method for Follow-up Communication for Post-hospital Stroke Patients

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Fred Cohen ◽  
Jackie McCarthy ◽  
Michelle Gribko ◽  
Jeffrey M Katz ◽  
Paul Wright
Keyword(s):  
Patient Satisfaction ◽  
Visual Information ◽  
Medication Compliance ◽  
Video Conferencing ◽  
Treatment Compliance ◽  
Improve Patient Care ◽  
Phone Call ◽  
Stroke Patients ◽  
Improve Patient

Introduction: Close communication with a stroke patient after discharge from a comprehensive stroke center has been shown to be crucial for medication compliance, follow up care and improving patient satisfaction. We aimed to improve post-hospitalization compliance and patient satisfaction by assessing if a video call as a routine follow-up communication modality would be the preferred method of communication. Methods: Admitted stroke patients were asked for their preference in post-hospitalization communications with their attending physician. Results: A total of 52 stroke patients were interviewed, 30 (57.7%) requested a video call, 22 (42.3%) requested a phone call. 100% (14/14) ages 55 and younger requested a video call. 70.3% (19/27) of patients 65 years old and younger requested a video call. Conclusion: There is evidently a strong demand for video conferencing as a method of follow-up communication among the post hospitalized stroke population. Although age appears to influence the demand, the majority of patients expressed greater enthusiasm with the concept of video conferencing. Follow-up video communication could improve patient medication, treatment compliance, risk factor reduction and ultimately improve patient care and satisfaction. Video calls will also provide additional visual information that a routine phone call would miss, potentially reducing readmissions. Therefore, with advancing technology and the strong desire for video conferencing, one should begin to think of ways to provide this service.

75 Community Dnacpr Forms: Opening A Can of Worms

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
J Odone ◽  
R Schiff
Keyword(s):  
Pilot Study ◽  
Phone Call ◽  
Post Intervention ◽  
Patient Understanding ◽  
Cardio Pulmonary Resuscitation ◽  
Pdsa Cycle ◽  
National Guidance ◽  
The Impact ◽  
Improve Patient

Abstract Background There is no national guidance for the transfer of Do Not Attempt Cardio-Pulmonary Resuscitation (DNACPR) decisions between care settings. This issue has been highlighted within our Integrated Care Trust. We reviewed our local process, to improve the transfer of DNACPR decisions between care settings. Method A third PDSA cycle was completed to evaluate intervention. Intervention Frequently asked questions were added to the reverse side of the DNACPR form to improve patient understanding. All patients discharged home were given this updated form during a pilot study. The impact of the intervention was analysed with a follow-up phone call (n = 30) and discussed at a staff focus group. Results No improvement in patient understanding was shown post-intervention, however the intervention was overwhelmingly supported by staff. 60% of patients reported receiving a DNACPR form on discharge and 12% recalled being informed that they would be discharged home with a form. Conclusion Further work is required on the DNACPR pathway across primary and secondary care. The next cycle will involve ensuring that the community form is highlighted in hospital discussions regarding DNACPR decisions.

scholarly journals Application Analysis of Diabetes Health Education in Endocrinology Nursing

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Yu Tao
Keyword(s):  
Health Education ◽  
Compliance Rate ◽  
Routine Care ◽  
Control Group ◽  
Clinical Value ◽  
Before And After ◽  
Patients With Diabetes ◽  
The Difference ◽  
Improve Patient ◽  
Experimental Group

Objectives: To explore the clinical value of applying diabetes health education to endocrinology care. Methods: A total of 122 patients with diabetes admitted to our department from October 2016 to October 2017 were selected. After consulting patients, they were randomly divided into two groups, with 61 cases in each group. The control group performs routine care, and the experimental group provides patients with diabetes-specific health education. After three months, the compliance of the two groups of patients was compared. The ADL scores of the two groups of patients before and after treatment were compared. Results: Experimental group had significantly higher compliance rate than control group in all aspects. The difference was statistically significant (P<0.05). The ADL scores of both groups were significantly improved. The effects before and after the care were compared. The difference was statistically significant (P<0.05). The score of experimental group increased more significantly than that of the control group. The difference was statistically significant (P<0.05). Conclusions: In the endocrinology care, the implementation of diabetes special health education for patients can improve patient compliance and improve patients' daily living ability, which is an ideal nursing measure. It is worth promoting.

scholarly journals Nurse-Led Call Back Program to Improve Patient Follow-Up With Providers After Discharge From the Emergency Department

2020 ◽  
Vol 7 (6) ◽  
pp. 1349-1356
Author(s):  
Ines Luciani-McGillivray ◽  
Julie Cushing ◽  
Rebecca Klug ◽  
Hang Lee ◽  
Jennifer E Cahill
Keyword(s):  
Emergency Department ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Patient Compliance ◽  
Phone Call ◽  
Discharge Instructions ◽  
Phone Calls ◽  
Improve Patient ◽  
Hospital Volunteers

Phone calls to patients after discharge from the emergency department (ED) serve as reminders to schedule medical follow-up, support adherence to discharge instructions, and reduce revisits to already-crowded EDs. An existing, nurse-administered, call-back program contacted randomly selected ED patients 24 to 48 hours following discharge. This program did not improve patient follow-up (48.68%) nor reduce the ED revisit rate (6.7% baseline vs 6.0% postimplementation). Plan-Do-Study-Act methodology tested a modification to the existing program consisting of a second, scripted phone call from a trained volunteer at 72 to 96 hours postdischarge. Volunteers utilized a patient list and script, and nurses provided expertise to eliminate identified barriers to follow-up. Follow-up rate and ED revisit were monitored through the electronic medical record. A total of 894 patients participated between October 2017 and June 2018. Follow-up increased from 48.68% to 65.5% ( P < .0001) and ED revisit decreased significantly (4.5% vs 8.6%, P < .001). This innovative nurse-led, systematic postdischarge call-back program utilizing hospital volunteers increased patient compliance with post-ED medical follow-up while significantly reducing the rate of patient revisit to the ED within 7 days of discharge.

Abstract P264: Excess Heart Age in HIV Outpatient Study Participants

Circulation ◽  
2017 ◽  
Vol 135 (suppl_1) ◽  
Author(s):  
Angela M Thompson-Paul ◽  
Frank J Palella ◽  
Nabil Rayeed ◽  
Matthew D Ritchey ◽  
Kenneth A Lichtenstein ◽  
...  
Keyword(s):  
Chronological Age ◽  
Cvd Risk ◽  
Men And Women ◽  
Weighted Means ◽  
The Difference ◽  
Study Participants ◽  
Statin Drugs ◽  
Outpatient Study ◽  
Heart Age

Cardiovascular disease (CVD) is an important cause of morbidity and mortality among HIV-infected adults. Calculating an individual’s excess heart age, or the difference between their chronological age and predicted heart age, can be useful in describing their risk for developing CVD and motivating behavior change to decrease their CVD risk. The overall mean excess heart age is 7.8 and 5.4 years among U.S. men and women, respectively. We evaluated excess heart age among HIV-infected adults in medical care using sex-specific, cholesterol-based models developed from Framingham general CVD risk prediction equations. Included were HIV Outpatient Study (HOPS) participants aged 30-74 y, who had ≥2 HOPS clinic visits during 2010-2014, had no prior CVD at the start of observation, had >1 y of follow-up, and had non-missing data for all covariates. Age-standardized (2010 U.S. census) and weighted means, prevalence and 95% confidence intervals (CIs) were calculated for participant chronological age, predicted heart age, and excess heart age. From 5,088 HOPS participants assessed for eligibility, 1905 men and 584 women were included in the analysis. Heart age exceeded chronological age by 11.3 and 11.9 y among men and women, respectively (Table). Excess heart age was greatest among non-Hispanic Blacks, persons aged 50-59 y, those with less than high school education, and women with a median CD4+ count ≥500 cells/μL. Predicted heart age was higher than chronological age among HIV-infected men and women and surpassed excess heart age estimates observed in the general U.S. population. Greater excess heart age among HIV-infected adults might result from demographic differences, higher frequency of CVD risk factors including smoking, diabetes, HIV-associated excess chronic inflammation, and possibly lower use rates of antihypertensive or statin drugs. Routine clinical use of heart age calculation may help optimize CVD risk communication and interventions for aging HIV-infected persons.

scholarly journals The Effect of a Simple Phone Call Intervention on FIT-Positive Individuals: An Exploratory Study

2020 ◽  
Author(s):  
Gretel Jianlin Wong ◽  
Jerrald Lau ◽  
Ker-Kan Tan
Keyword(s):  
Patient Outcomes ◽  
University Hospital ◽  
Phone Call ◽  
Telephone Intervention ◽  
Preliminary Screening ◽  
National University ◽  
Study Team ◽  
Immunochemical Test ◽  
Improve Patient

Purpose: Colorectal cancer (CRC) screening has been shown to improve patient outcomes. A widely utilised preliminary screening tool is the Faecal Immunochemical Test (FIT). However, follow-up rates after a positive FIT result remain suboptimal. Methods: In order to improve the compliance of FIT-positive individuals to follow-up consultation and to elucidate barriers to action, a simple 5- to 10-minute telephone intervention with a structured script based on the Protection Motivation Theory (PMT) was conducted. Results: Ninety-two FIT-positive individuals who had previously rejected follow-up consultation in the National University Hospital, Singapore were interviewed by the study team. Individuals reported barriers to action such as the denial of a positive FIT result (41.8%) and a lack of knowledge (34.5%). More than 20% of the participants who had yet to schedule follow-up consultation changed their minds after the intervention. Conclusion: The results suggest that a simple, structured telephone call can potentially encourage more FIT-positive individuals to pursue follow-up investigation.

Re-Increased Male Suicide Rates in the Recovery Phase Following the Great East Japan Earthquake

Crisis ◽  
2020 ◽  
Vol 41 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Masatsugu Orui
Keyword(s):  
Social Connectedness ◽  
Recovery Phase ◽  
Great East Japan Earthquake ◽  
Temporary Housing ◽  
Period Analysis ◽  
Suicide Rates ◽  
Male Suicide ◽  
The Social ◽  
The Difference

Abstract. Background: Monitoring of suicide rates in the recovery phase following a devastating disaster has been limited. Aim: We report on a 7-year follow-up of the suicide rates in the area affected by the Great East Japan Earthquake, which occurred in March 2011. Method: This descriptive study covered the period from March 2009 to February 2018. Period analysis was used to divide the 108-month study period into nine segments, in which suicide rates were compared with national averages using Poisson distribution. Results: Male suicide rates in the affected area from March 2013 to February 2014 increased to a level higher than the national average. After subsequently dropping, the male rates from March 2016 to February 2018 re-increased and showed a greater difference compared with the national averages. The difference became significant in the period from March 2017 to February 2018 ( p = .047). Limitations: Specific reasons for increasing the rates in the recovery phase were not determined. Conclusion: The termination of the provision of free temporary housing might be influential in this context. Provision of temporary housing was terminated from 2016, which increased economic hardship among needy evacuees. Furthermore, disruption of the social connectedness in the temporary housing may have had an influence. Our findings suggest the necessity of suicide rate monitoring even in the recovery phase.

Pediatrics’ Total Parenteral Nutrition: Initiative and implementation of standardized formulation in Saudi Arabia

2018 ◽  
Vol 4 (3) ◽  
pp. 492-496
Author(s):  
Yousef Ahmed Alomi ◽  
Hussam Saad Almalki ◽  
Aisha Omar Fallatah ◽  
Awatif Faraj Alshammari ◽  
Nesreen Al-Shubbar
Keyword(s):  
Saudi Arabia ◽  
Clinical Outcome ◽  
Parenteral Nutrition ◽  
Drug Related Problems ◽  
Kingdom Of Saudi Arabia ◽  
Parental Nutrition ◽  
Management Project ◽  
Improve Patient ◽  
New System

The national total parental nutrition program with an emphasis on pediatrics started before several ago at Ministry of health hospitals In Kingdom of Saudi Arabia. The program covered several regions and consisted from the foundation of Intravenous Admixture and preparation of pediatric parenteral nutrition to administration and follow up of patients outcomes. In addition to the prior system, the new initiative project with the standardized formulation of pediatric’s parenteral nutrition is the complementary project of the parental nutrition for pediatrics. The project initiated to prevent drug-related problems of parental nutrition, improve patient clinical outcome and reduce the unnecessary economic burden on the healthcare system. It is the new system in the Middle East and Gulf counties in additional to Saudi Arabia. The initiatives are the systemic implementation of standardized pediatrics formulation using management project tools of starting new idea until finding in the ground.

Seven-Year Follow-Up of Screening for Hypertension and Diabetes at a Dental Clinic

2019 ◽  
Author(s):  
Göran Friman
Keyword(s):  
Antihypertensive Drugs ◽  
Study Data ◽  
Initial Screening ◽  
Pharmacological Treatments ◽  
Medical Screening ◽  
Follow Up Study ◽  
Undiagnosed Hypertension ◽  
Dental Setting ◽  
Study Participants

Objective: To describe the distribution of risk, diagnosis and pharmacological treatments for diabetes and hypertension after seven years among patients provided with opportunistic medical screening in a dental setting. Material and Methods: The initial screening’s 170 participants were asked to take part in a seven-year follow-up study. Data were collected through self-reported information in a written health declaration. Outcome measures: • Number of study participants who had passed away • Prescription of antidiabetics or antihypertensives • Changes in weight and height to calculate body mass index (BMI) Results: The follow-up study consisted of 151 participants. Twenty had passed away. The risk needs for medicating with antihypertensive drugs after seven years for those not receiving pharmacological treatment at the initial screening was 3.7 times greater (p=0.025 CI 1.2-11.3) for participants with a diastolic blood pressure (BP) ≥ 90 mm Hg (85 for diabetics) than for the others. The risk was 3.9 times greater (p=0.020 CI 1.2-12.6) for those with a systolic BP of 140-159 mm Hg and 54.2 times greater (p<0.0001 CI 9.8-300.3) for those with a systolic BP ≥ 160 mm Hg than for those with a systolic BP 140 mm Hg. There were no changes in BMI. Conclusion: At least one in ten cases of incorrect medication or undiagnosed hypertension may be identifiable through opportunistic medical screening

Sign in / Sign up

Export Citation Format

Share Document