Prioritizing pharmacogenomics implementation initiates – survey of healthcare professionals

2021 ◽  
Author(s):  
Teresa T Ho ◽  
Maja Gift ◽  
Earnest Alexander
Keyword(s):  
Clinical Practice ◽  
Patient Care ◽  
General Hospital ◽  
Healthcare Professionals ◽  
South Florida ◽  
Advanced Practice ◽  
The Past ◽  
The University

Aim: Characterize current perceptions, practices, preferences and barriers to integrating pharmacogenomics into patient care at an institution with an established pharmacogenomics clinic. Materials & methods: A 16-item anonymous survey was sent to healthcare professionals practicing at Tampa General Hospital and the University of South Florida Health. Results: Survey participants consisted of nine advanced practice providers, 41 pharmacists and 64 physicians. Majority of survey participants did not feel confident in their ability to interpret and apply pharmacogenomic results. In the past 12 months, 27% of physicians reported ordering a pharmacogenomic test. The greatest reported barrier to integrating pharmacogenomics was the absence of established guidelines or protocols. Conclusion: Most clinicians believed pharmacogenomics would be useful in their clinical practice but do not feel prepared to interpret pharmacogenomic results.

scholarly journals Introduction of a Research component in the undergraduate medical curriculum – Review of a trend

2012 ◽  
Vol 2 (3) ◽  
pp. 200-4 ◽  
Author(s):  
Jayadevan Sreedharan
Keyword(s):  
Clinical Practice ◽  
Patient Care ◽  
Medical Curriculum ◽  
Medical Graduate ◽  
Undergraduate Medical Curriculum ◽  
Curriculum Review ◽  
The Past ◽  
Teaching Administration ◽  
Medical Person

The question of whether a research component should be an integral part of medical curriculum has been debated in the past and is still controversial. Patient care is the most important aspect of a medical graduate but teaching, administration and research are also essential aspects. The implementation of a research component is more important at a student level as it helps to develop a judicious insight in their academic and clinical practice, which every medical person should possess.DOI: http://dx.doi.org/10.3126/nje.v2i3.6901Nepal Journal of Epidemiology 2012;2(3):200-4

Simulation to Standardize Patient Care and Maintain Procedural Competency

2015 ◽  
Vol 34 (1) ◽  
pp. 18-30 ◽  
Author(s):  
Meggan Butler-O’Hara ◽  
Margaret Marasco ◽  
Rita Dadiz
Keyword(s):  
Patient Care ◽  
Medical Center ◽  
Standardize Patient ◽  
Advanced Practice ◽  
Invasive Procedures ◽  
Simulated Environment ◽  
Simulation Based ◽  
Rochester Medical ◽  
Heath Care ◽  
The University

ABSTRACTSimulation-based training is a means to teach procedural skills and to help advanced practice providers maintain procedural competency and credentialing. There is growing recognition of the importance of requiring providers to demonstrate competency of invasive procedures in a simulated environment prior to performing these high-risk procedures on patients. This article describes the development and implementation of the Simulation Procedural Program at the University of Rochester Medical Center. In addition to contributing to the education of our providers, such a program can lead to improved patient quality, safety, and outcomes through the standardization of patient care. The innovative use of simulation can lead to effective heath care education and improvement in patient safety.

scholarly journals Grandon.com Got Hacked!

10.28945/3914 ◽  
2017 ◽  
Vol 2 ◽  
pp. 001-025 ◽  
Keyword(s):  
Information Systems ◽  
South Florida ◽  
The Other ◽  
Previous Experience ◽  
Domain Name ◽  
Critical Information ◽  
Decision Sciences ◽  
The Past ◽  
The University

Dr. T. Grandon Gill, a Professor in the Information Systems and Decision Sciences Department at the University of South Florida, was traveling with his family in England when he received a strange phone message. Not being able to respond, he ignored it until—a couple of days later—he was notified that access to his personal website had been suspended (see Exhibit 1). Grandon.com had, once again, been hacked–for the 7th time. Getting his website hacked was not a new experience for Grandon Gill. In the past, however, getting the site back up and running had been a quick fix involving replacing the corrupted files. This time it was different. Based on the email and his service provider’s response, his site now contained links to PayPal phishing sites. Without significant changes, he could become complicit in fraud if the situation was not remedied. This was a problem that could no longer be ignored. After Gill had re-read the email, he pondered the various options available to him. Given the amount of trouble it was causing him, he wondered if he needed the website at all. To maintain the domain name grandon.com, which he had held for more than 20 years, all he needed to do was to put up a simple landing page with a message: “Hi, I am Grandon—go to my school account to find out more.” At the other extreme, he could completely re-engineer the site to make it much less vulnerable—a process that could take days, if not weeks. Between the two extremes, there were many other possibilities. These included changing hosts, simplifying the site so that it contained only the most critical information, dropping its WordPress component, or even going to a pure WordPress model. He had a suspicion, based on previous experience, that vulnerabilities in WordPress may have been the source of the hack. But were these vulnerabilities intrinsic to the application, or were they simply the result of his inattentive management? Whatever he decided, he needed to take action soon. It was very embarrassing, and perhaps professionally damaging, to have his site showing an unavailable message. He thought back to a popular ironic quote that said: “Good decisions come from experience, and experience comes from bad decisions.” What should he do now?

scholarly journals COMEPA (COVID-19 Medicina Policlinico Palermo): a study in hospitalized patients

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
The COMEPA group
Keyword(s):  
Internal Medicine ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Prognostic Factors ◽  
Clinical Practice ◽  
Medical Records ◽  
University Hospital ◽  
Efficacy And Safety ◽  
The Past ◽  
The University

Coronavirus disease 2019 (COVID-19) has dramatically changed our lives. In the past months, hospitals were saturated of patients; therefore, it is still important to have simple and standardized prognostic factors and to evaluate the efficacy and safety of medications commonly used for COVID-19. We aimed to collect data of the patients hospitalized in Internal Medicine and Geriatrics Wards at the University Hospital (Policlinico) ‘P. Giaccone’ in Palermo, Italy (COMEPA, COVID-19 Medicina Policlinico Palermo), with the main purpose of finding prognostic tools that can be easily used in clinical practice in order to identify patients hospitalized for/with COVID-19 at higher risk of negative outcomes, such as mortality, transfer to Intensive Care Unit (ICU) and institutionalization, as well as evaluating the efficacy/safety of medications commonly used for COVID-19. For reaching these aims, the medical records of approximately 600 patients will be recorded, having data on several parameters and including as outcomes mortality, ICU placement, institutionalization. With the COMEPA study, we therefore plan to update current literature, giving new data on prognostic factors and on the efficacy/safety of some medications used for COVID-19.

Influence of clinicians' values and perceptions on use of clinical practice guidelines for sedation and neuromuscular blockade in patients receiving mechanical ventilation

2000 ◽  
Vol 9 (6) ◽  
pp. 412-418 ◽  
Author(s):  
J Slomka ◽  
L Hoffman-Hogg ◽  
LC Mion ◽  
N Bair ◽  
MB Bobek ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Clinical Practice ◽  
Patient Care ◽  
Neuromuscular Blockade ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Medical Records ◽  
Healthcare Professionals ◽  
Adherence Rate ◽  
Nurses And Physicians

BACKGROUND: Although popular, clinical practice guidelines are not universally accepted by healthcare professionals. OBJECTIVES: To compare nurses' and physicians' actual and perceived rates of adherence to practice guidelines used in sedation of patients receiving mechanical ventilation and to describe nurses' and physicians' perceptions of guideline use. METHODS: Pairs of fellows and nurses caring for 60 eligible patients were asked separately about their rationale for medicating patients, effectiveness of medication, and their perceived adherence to the guidelines. Actual adherence was determined independently by review of medical records. An additional 18 nurses and 11 physicians were interviewed about perceptions of guideline use. RESULTS: Use of mechanical ventilation was the most common reason given by physicians (53%) and nurses (48%) for medicating patients, although reasons for administering medication to a given patient differed in up to 30% of cases. Physicians and nurses disagreed on the effectiveness of medication in 42% (P = .01) of cases. Physicians reported following guidelines in 69% of cases, but their actual adherence rate was only 20%. Clinicians sometimes had difficulty distinguishing among anxiety, pain, and delirium. Clinicians justified variations from guidelines by citing the value of individualized patient care. Nurses and physicians sometimes had different goals in the use of sedation. CONCLUSIONS: Physicians may think they are following sedation guidelines when they are not, and they may prescribe incorrect medications if the cause of agitation is misdiagnosed. Differences between physicians and nurses in values and perceptions may hamper implementation of clinical practice guidelines.

scholarly journals Take Care and Care Well

2017 ◽  
Vol 49 (2) ◽  
pp. 43-45
Author(s):  
Mary Coughlin McNeil
Keyword(s):  
Clinical Practice ◽  
Best Practices ◽  
Patient Care ◽  
Patient Outcomes ◽  
Healthcare Professionals ◽  
Care Process ◽  
Evidence Based ◽  
Quality And Safety ◽  
Patient Values ◽  
Patient Care Process

Evidence-based practice supports the patient care process by integrating patient values and preferences with clinician expertise and the best available evidence. This approach to patient care focuses on quality and safety with the aim of improving patient outcomes. Despite its obvious value, healthcare professionals struggle to integrate evidence-based best practices into their clinical practice

scholarly journals The Future of Pharmacist Centered Patient Care at the University of South Florida Is Here!

10.28945/4074 ◽  
2018 ◽  
Vol 3 ◽  
pp. 001-022
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Clinical Decision Making ◽  
New Technologies ◽  
Clinical Decision ◽  
South Florida ◽  
Biometric Data ◽  
Health Group ◽  
The Future ◽  
The University

“What if we took pharmacy back to its DNA… back to its essence… and then we prescribed empowerment, innovation, creativity, teamwork and personalization?” –USF Health Website Having pondered this question, which had been his guide and vision throughout his career, Dr. Kevin Sneed asked himself how technology could be used toward the next advancement of pharmacy related health care. As the Founding Dean of the University of South Florida College of Pharmacy (USF COP), Dr. Sneed was instrumental in hiring a team of pharmacists to join him in becoming catalysts for change in all levels of healthcare. Despite the wealth of knowledge his team at the USF COP had, he realized that they also required a review of many existing technologies, including those that improved collaboration with physicians, prevented drug interaction conflicts, reduced patient medication usage over time, and verified drug appropriateness through automated biometric data. Dr. Sneed’s passion was, in part, influenced by preventable patient care failures that pharmacists were exposed to. He was familiar with scenarios where patients were exposed to unnecessary medical conditions and reliance on medication that could have been avoided with the involvement of pharmacists in a team based clinical decision-making platform. Dr. Sneed argued that it was too prevalent that pharmacists were only known as prescription fillers. With the right processes in place, pharmacists could play a vital role in reducing drug interactions, providing education to both patients and other healthcare professionals about medications, as well as assisting with monitoring the efficacy of medications prescribed to patients. Dr. Sneed and the COP team were part of the USF Health group, which was comprised of over 20 specialty centers, in areas like preventative medicine, primary care, skin care and physical therapy (“USF Health Morsani Center,” n.d.). The USF Health group had achieved a patient care breakthrough when it decided to invest in Epic, a software that allowed for its many divisions to record critical patient medical data. Due to the establishment of Pharmacy Plus, dubbed the “Pharmacy of the Future,” Dr. Sneed indicated the time had come to modify Epic and/or expand USF Health COP into new technologies designed to address the issues of improved pharmacy centered patient care. Dr. Sneed knew he had to decide about how, could and should additional healthcare technology platforms be implemented within USF Health COP to further his guiding vision of improved health care.

Ethical aspects of dying and death in clinical practice in anaesthesiology and intensive medicine departments

Human Affairs ◽  
2020 ◽  
Vol 31 (1) ◽  
pp. 89-98
Author(s):  
Jozef Firment ◽  
Marián Bednár
Keyword(s):  
Clinical Practice ◽  
Technological Progress ◽  
Healthcare Professionals ◽  
Modern Medicine ◽  
Specific Situation ◽  
Ethical Aspects ◽  
The Past ◽  
Sensitive Issue ◽  
Intensive Medicine ◽  
Intensive Procedures

Abstract In clinical practice, modern medicine, especially intensive medicine, has made outstanding technological progress that has changed diagnostic and therapeutic paradigms. Nowadays, some patients for whom there were no treatments in the past not only survive but return to active life thanks to intensive medicine. However, in some cases intensive care will not help patients in a critical condition and merely prolong death. In such situations, the treatment is terminated or not extended, and the patient is allowed to die in dignity. In this specific situation all intensive procedures are terminated. Palliative care is the next stage. This is a sensitive issue that should be discussed with healthcare professionals and experts from other areas of life to ensure it is communicated appropriately to patients and their relatives.

Ankyloglossia management: a collaborative approach to educating healthcare professionals

2021 ◽  
Vol 29 (12) ◽  
pp. 706-711
Author(s):  
Alexandra Birch ◽  
Nicola Bowen ◽  
Hilary Lumsden ◽  
Katy Penn ◽  
Lisa Williams
Keyword(s):  
Clinical Practice ◽  
Nursing Practice ◽  
Healthcare Professionals ◽  
Clinical Skills ◽  
Collaborative Approach ◽  
Training Course ◽  
Online Study ◽  
Neonatal Nursing ◽  
The Uk ◽  
The University

The University of Wolverhampton are currently the only university in the UK to offer an accredited training course in advanced clinical skills in tongue tie (ankyloglossia) management (including frenulotomy) and attracts applicants from across the UK (and beyond). The 1-year programme, offered in collaboration with The Dudley Group NHS Foundation Trust, prepares healthcare practitioners to practise safely and effectively as a tongue tie practitioner and is suitable for professionals from a variety of settings including midwifery, health visiting, advanced neonatal nursing practice, dentistry and paediatrics. The course comprises two online study days and the remainder of the 12 months is dedicated to clinical practice. The programme allows practitioners to gain an understanding of the underpinning theory of ankyloglossia (commonly known as tongue tie) and its management, as well as being able to achieve competency in clinical practice.

scholarly journals Grandon.com Got Hacked!

10.28945/3926 ◽  
2017 ◽  
Vol 6 ◽  
pp. 10
Author(s):  
Taufeeq Mohammed ◽  
Utkarsh Shrivastava ◽  
Ashish K Das ◽  
Quynh Thi Nguyen
Keyword(s):  
Information Systems ◽  
South Florida ◽  
The Other ◽  
Previous Experience ◽  
Domain Name ◽  
Critical Information ◽  
Decision Sciences ◽  
The Past ◽  
The University ◽  
First Time

A professor in information systems discovers that his personal website has been hacked. Even worse, his ISP has suspended his site because the defacement included a PayPal phishing scheme. This is not the first time this has happened. How should he recover? Dr. T. Grandon Gill, a Professor in the Information Systems and Decision Sciences Department at the University of South Florida, was traveling with his family in England when he received a strange phone message. Not being able to respond, he ignored it until—a couple of days later—he was notified that access to his personal website had been suspended (see Exhibit 1). Grandon.com had, once again, been hacked–for the 7th time. Getting his website hacked was not a new experience for Grandon Gill. In the past, however, getting the site back up and running had been a quick fix involving replacing the corrupted files. This time it was different. Based on the email and his service provider’s response, his site now contained links to PayPal phishing sites. Without significant changes, he could become complicit in fraud if the situation was not remedied. This was a problem that could no longer be ignored. After Gill had re-read the email, he pondered the various options available to him. Given the amount of trouble it was causing him, he wondered if he needed the website at all. To maintain the domain name grandon.com, which he had held for more than 20 years, all he needed to do was to put up a simple landing page with a message: “Hi, I am Grandon—go to my school account to find out more.” At the other extreme, he could completely re-engineer the site to make it much less vulnerable—a process that could take days, if not weeks. Between the two extremes, there were many other possibilities. These included changing hosts, simplifying the site so that it contained only the most critical information, dropping its WordPress component, or even going to a pure WordPress model. He had a suspicion, based on previous experience, that vulnerabilities in WordPress may have been the source of the hack. But were these vulnerabilities intrinsic to the application, or were they simply the result of his inattentive management? Whatever he decided, he needed to take action soon. It was very embarrassing, and perhaps professionally damaging, to have his site showing an unavailable message. He thought back to a popular ironic quote that said: “Good decisions come from experience, and experience comes from bad decisions.” What should he do now?

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