scholarly journals One Year with the COVID-19 Pandemic - Lessons Learnt? Intersectoral Collaboration Measures Established during the Crisis Could Benefit Capacity and Patient Flow Management in Daily Clinical Practice

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Hiller M ◽  
◽  
Bracht H ◽  
Schroeder S ◽  
◽  
...  
Keyword(s):  
Clinical Practice ◽  
Positive Impact ◽  
Patient Flow ◽  
Resource Planning ◽  
Daily Clinical Practice ◽  
Intersectoral Collaboration ◽  
Patient Pathways ◽  
Patient Flow Management ◽  
One Year ◽  
Communication Culture

The COVID-19 pandemic has changed the way hospitals work. Some of the urgently established measures have proven to be so useful that they should be adopted in standard care. Recent research has assessed patient management, human resource planning and communication measures in terms of their impact and practicality for continuation in daily clinical practice. Strategies that were detached from the boundaries of departments and responsibilities in the COVID-19 pandemic and that have proven themselves under extreme conditions show a beneficial influence on patient flow and resource management as well as on the communication culture. The continuation of closer interdisciplinary and cross-sectoral cooperation in a “new clinical routine” could have a positive impact on personnel concepts, communication strategies, acute care capacities and the management of patient pathways.

One year with the COVID-19 pandemic − Lessons learnt? Intersectoral collaboration measures established during the crisis could benefit capacity and patient flow management in daily clinical practice

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Maike Hiller ◽  
Hendrik Bracht ◽  
Stefan Schroeder
Keyword(s):  
Clinical Practice ◽  
Acute Care ◽  
Patient Flow ◽  
Intersectoral Collaboration ◽  
Open Communication ◽  
Clinical Routine ◽  
Content Type ◽  
Personnel Planning ◽  
Patient Pathways ◽  
The Way

PurposeThe COVID-19 pandemic has changed the way hospitals work. Strategies that were detached from the boundaries of departments and responsibilities in the COVID-19 pandemic have proven themselves under extreme conditions and show a beneficial influence on patient flow and resource management as well as on the communication culture. The continuation of closer interdisciplinary and cross-sectoral co-operation in a “new clinical routine” could have a positive impact on personnel concepts, communication strategies, and the management of acute care capacities and patient pathways.Design/methodology/approachThe aim of the paper is to critically discuss the knowledge gained in the context of the COVID-19 pandemic from the various approaches in patient flow and capacity management as well as interdisciplinary co-operation. More recent research has evaluated patient pathway management, personnel planning and communication measures with regard to their effect and practicability for continuation in everyday clinical practice.FindingsPatient flows and acute care capacities can be more efficiently managed by continuing a culture change towards closer interdisciplinary and intersectoral co-operation and technologies that support this with telemedicine functionalities and regional healthcare data interoperability. Together with a bi-directional, more frequent and open communication and feedback culture, it could form a “new clinical routine”.Originality/valueThis paper discusses a holistic approach on the way away from silo thinking towards cross-departmental collaboration.

scholarly journals The Impact Of Internship Programme And Its Effects On The Physiotherapy Practice In Nigeria

2007 ◽  
Author(s):  
Ayodele Teslim Onigbinde
Keyword(s):  
Clinical Practice ◽  
Clinical Training ◽  
Positive Impact ◽  
Training Programme ◽  
Working Environment ◽  
University Teaching ◽  
Teaching Hospitals ◽  
One Year ◽  
The Impact ◽  
Internship Training

Background: The recent introduction of one year internship training programme is one of the few steps taken to update standard and knowledge of upcoming physiotherapists in Nigeria. It is a compulsory one-year clinical training post-graduation from the university under the supervision of the clinicians. The major importance of introducing the new policy is to promote acquisition and utilization of new skills, and as well, develop skills and confidence already acquired during undergraduate days. Objectives: The aim of this study was to assess and evaluate the new internship-training programme considering welfare package like salary and wages, accommodation, employment opportunities, acceptability and working environment. The study also evaluated the opinion of the supervisors on the impact of the new policy on the profession, government and clinical practice. Method: Structured copies of self-administered questionnaires were distributed to forty-four interns at three accredited University Teaching Hospitals in Nigeria while 30 questionnaires were distributed to supervising physiotherapists in these hospitals. The response rate for interns was 100% while it was 60% for the supervisors. The data obtained from the designed questionnaire were analyzed by descriptive analysis. Results: The result showed that the 52% of the interns were satisfied with the support from their senior colleagues, work load (80%), freedom to plan and manage patients (100%), and supervision from senior colleagues (62%). They were grossly dissatisfied with their salaries (91%), equipment available (79%), pattern of conducting ward rounds (89%), and office environment (58%). The result also revealed that all the supervising physiotherapists (100%) were satisfied with the skill and clinical practice of the interns. The result further showed that the programme has a positive impact in terms of clinical practice, confidence employment opportunity, productivity and government policy (66–100%). Conclusion: This study concluded that the internship programme has a remarkable positive impact on the profession of physiotherapy in Nigeria. However, the intern physiotherapists were not satisfied most especially with their monthly income and pattern of conducting clinical rounds. KEY WORDS: Physiotherapy Internship Programme, Nigerian Physiotherapists.

scholarly journals Development and evaluation of a novel ultrasound score for large joints in rheumatoid arthritis: One year of experience in daily clinical practice

2012 ◽  
Vol 64 (5) ◽  
pp. 675-682 ◽  
Author(s):  
Wolfgang Hartung ◽  
Herbert Kellner ◽  
Johannes Strunk ◽  
Horst Sattler ◽  
Wolfgang A. Schmidt ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Practice ◽  
Daily Clinical Practice ◽  
Ultrasound Score ◽  
One Year

The CSF p-tau181/Aβ42 Ratio Offers a Good Accuracy “In Vivo” in the Differential Diagnosis of Alzheimer’s Dementia

2019 ◽  
Vol 16 (7) ◽  
pp. 587-595 ◽  
Author(s):  
Roberto Santangelo ◽  
Alessandro Dell'Edera ◽  
Arianna Sala ◽  
Giordano Cecchetti ◽  
Federico Masserini ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Diagnosis ◽  
Fdg Pet ◽  
Amyloid Β ◽  
Cost Effective ◽  
Daily Clinical Practice ◽  
Different Types ◽  
Experimental Trials ◽  
Csf Findings

Background: The incoming disease-modifying therapies against Alzheimer’s disease (AD) require reliable diagnostic markers to correctly enroll patients all over the world. CSF AD biomarkers, namely amyloid-β 42 (Aβ42), total tau (t-tau), and tau phosphorylated at threonine 181 (p-tau181), showed good diagnostic accuracy in detecting AD pathology, but their real usefulness in daily clinical practice is still a matter of debate. Therefore, further validation in complex clinical settings, that is patients with different types of dementia, is needed to uphold their future worldwide adoption. Methods: We measured CSF AD biomarkers’ concentrations in a sample of 526 patients with a clinical diagnosis of dementia (277 with AD and 249 with Other Type of Dementia, OTD). Brain FDG-PET was also considered in a subsample of 54 patients with a mismatch between the clinical diagnosis and the CSF findings. Results: A p-tau181/Aβ42 ratio higher than 0.13 showed the best diagnostic performance in differentiating AD from OTD (86% accuracy index, 74% sensitivity, 81% specificity). In cases with a mismatch between clinical diagnosis and CSF findings, brain FDG-PET partially agreed with the p-tau181/Aβ42 ratio, thus determining an increase in CSF accuracy. Conclusions: The p-tau181/Aβ42 ratio alone might reliably detect AD pathology in heterogeneous samples of patients suffering from different types of dementia. It might constitute a simple, cost-effective and reproducible in vivo proxy of AD suitable to be adopted worldwide not only in daily clinical practice but also in future experimental trials, to avoid the enrolment of misdiagnosed AD patients.

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