Mindfulness Training for Healthcare Providers and Healthcare Systems

2022 ◽  
pp. 153-166
Author(s):  
Cheryl L. Woods-Giscombe ◽  
Kessonga K. Giscombe
Keyword(s):  
Healthcare Providers ◽  
Healthcare Systems ◽  
Mindfulness Training

scholarly journals Emergency cricothyrotomy during the COVID-19 pandemic: how to suppress aerosolization

2020 ◽  
Vol 5 (1) ◽  
pp. e000542
Author(s):  
Nabil Issa ◽  
Whitney E Liddy ◽  
Sandeep Samant ◽  
David B Conley ◽  
Robert C Kern ◽  
...  
Keyword(s):  
Potential Risk ◽  
Healthcare Providers ◽  
Healthcare Setting ◽  
Healthcare Systems ◽  
Financial Resources ◽  
Risk Of Infection ◽  
X Ray ◽  
General Surgeons ◽  
Fluorescein Dye ◽  
Nose And Throat

BackgroundCricothyrotomy is associated with significant aerosolization that increases the potential risk of infection among healthcare providers. It is important to identify simple yet effective methods to suppress aerosolization and improve the safety of healthcare providers.Methods5 ear, nose and throat and general surgeons used a locally developed hybrid cricothyrotomy simulator with a porcine trachea to test three draping methods to suppress aerosolization during the procedure: an X-ray cassette drape, dry operating room (OR) towels and wet OR towels. The three methods were judged based on three categories: effectiveness of suppression, availability in all healthcare systems and ease of handling.ResultsAll five surgeons performed the procedure independently using each of the three suppression methods. The wet OR towel drape was found to be an effective method to suppress aerosolization, and it did not hinder the surgeons from performing the procedure accurately. This finding was confirmed by using an atomized fluorescein dye injection into the porcine trachea, representing aerosolized material while performing the procedure.ConclusionsWe present a novel intervention using wet towels to suppress aerosolization during cricothyrotomy. Wet towels are cheap and readily available within any healthcare setting regardless of the financial resources available.

scholarly journals The Value of the Oral Medicine Specialty in the Modern Healthcare Systems

2021 ◽  
pp. 1-8
Author(s):  
Mohammed Bindakhil ◽  
Scarlet Charmelo-Silva ◽  
Alhanouf A. Bin Dakhil ◽  
Ibrahim A. ALOmair
Keyword(s):  
Saudi Arabia ◽  
Oral Health ◽  
Medical Training ◽  
Positive Impact ◽  
Healthcare Providers ◽  
Healthcare Systems ◽  
Medical Community ◽  
Oral Diseases ◽  
Oral Medicine ◽  
Training And Education

<b><i>Background:</i></b> Oral medicine is a subdiscipline of dentistry that concerns itself with the oral health of patients; it focuses on providing diagnosis and management of oral and maxillofacial diseases, as well as direct dental care for those in medically complex situations. As primary healthcare providers, physicians and dentists are often the first to evaluate patients with orofacial symptoms and make diagnoses related to oral health, whether explicit or manifested through systemic diseases. However, a lack of familiarity with oral medicine among healthcare providers often leads to significant delays in the accurate diagnosis and appropriate treatment of many oral and maxillofacial disorders. It has been well established that a lack of training and education in oral health among physicians is an impediment to alleviating the situation. <b><i>Summary:</i></b> Several studies and scientific reports in the medical community have shown a greater professional interest in oral health and medicine, with numerous recent articles reflecting a clear rise in multiple factors: an increased interest in additional training and a rise in oral diseases. This review focuses on the need for a multidisciplinary approach in modern healthcare systems that implements the oral medicine specialty. It also serves to emphasize the role of oral medicine in medical training and education, while simultaneously discussing the prevalence of oral diseases and awareness of oral health among physicians in Saudi Arabia. <b><i>Key Messages:</i></b> The prevalence of oral health conditions in Saudi Arabia appears to be high yet is accompanied by a scarcity of oral medicine specialists in this part of the world. Furthermore, numerous studies have revealed that physicians from different specialties in Saudi Arabia lack training in oral health and possess an insufficient awareness of the oral medicine specialty. This paucity of oral medicine specialists in Saudi Arabia presents a key issue as the clinical services and medical education provided by such specialists in healthcare systems can have a profound positive impact on each patient’s quality of life and health outcomes, as well as the standards of physicians’ training.

Coalitions

2015 ◽  
pp. 240-255
Author(s):  
Erinn N. Harris
Keyword(s):  
Federal Government ◽  
Quality Care ◽  
Healthcare Providers ◽  
Healthcare Systems ◽  
Public Private Partnerships ◽  
Federal Grants ◽  
Playing Field ◽  
Provide Quality Care ◽  
New Form ◽  
To Receive

Demands in healthcare have placed a strain on healthcare providers trying to provide quality care while maintaining accreditations and planning for the possibility of expansion of resources as well as patients. Public Private Partnerships (PPPs) have been used to help ease this strain and increase the capabilities of healthcare systems all over the country. In an effort to “level the playing field,” the federal government has recently decided to mandate the structure of these healthcare PPPs. That is, a new form of these partnerships (i.e. coalitions) has been designated the organizational model that healthcare PPPs must evolve into in order to receive certain types of federal grants. This chapter discusses these coalitions as well as challenges for PPPs that are just now in the process of forming. Also discussed is the increased effort required to form coalitions from PPPs that have already been in existence for any length of time.

scholarly journals Nurses on the Frontline against the COVID-19 Pandemic: An Integrative Review

2020 ◽  
Vol 3 (3) ◽  
pp. 87-92
Author(s):  
Abdullelah Al Thobaity ◽  
Farhan Alshammari
Keyword(s):  
Nursing Staff ◽  
Personal Protective Equipment ◽  
Critical Line ◽  
Healthcare Providers ◽  
Healthcare Systems ◽  
Integrative Review ◽  
Protective Equipment ◽  
Crisis Plans ◽  
Medical Supplies ◽  
The World

COVID-19 has affected the life and health of more than 1 million people across the world. This overwhelms many countries’ healthcare systems, and, of course, affects healthcare providers such as nurses fighting on the frontlines to safeguard the lives of everyone affected. Exploring the issues that nurses face during their battle will help support them and develop protocols and plans to improve their preparedness. Thus, this integrative review will explore the issues facing nurses during their response to the COVID-19 crisis. The major issues facing nurses in this situation are the critical shortage of nurses, beds, and medical supplies, including personal protective equipment and, as reviews indicate, psychological changes and fears of infection among nursing staff. The implications of these findings might help to provide support and identify the needs of nurses in all affected countries to ensure that they can work and respond to this crisis with more confidence. Moreover, this will help enhance preparedness for pandemics and consider issues when drawing up crisis plans. The recommendation is to support the nurses, since they are a critical line of defense. Indeed, more research must be conducted in the field of pandemics regarding nursing.

Dimensions of Information and Resource Flow in Healthcare Systems

2007 ◽  
Vol 51 (18) ◽  
pp. 1268-1271 ◽  
Author(s):  
Karim Camille Boustany ◽  
Barrett S. Caldwell
Keyword(s):  
Resource Sharing ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Quality Measurement ◽  
Healthcare Systems ◽  
Spatial Proximity ◽  
Measurement Tool ◽  
Resource Flow ◽  
Four Dimensions ◽  
Types Of Information

This study focuses on classifying human interactions in healthcare delivery in terms of the information and resource flows at multiple levels of analysis. Understanding the characteristic healthcare delivery requirements and communication patterns among healthcare professionals seems to be necessary to effectively support information sharing and coordination. We analyzed communication links between healthcare providers and dissected different types of information and resource flow. We identified four dimensions of information and resource flow: spatial proximity, flow requirement, modality, and flow path. Now that we have set a new methodology to characterize them, we can easily distinguish the various information and resource flow types. When applying these finding in simulating healthcare systems in order to analyze information and resource sharing and coordination, the above four dimensions would serve as attributes of the flowing entities. Finally, we demonstrate that the results of this study are the natural first step towards developing an efficient healthcare quality measurement tool.

Introduction to Provider Conflicts of Interest in Health Care

2020 ◽  
Author(s):  
Sunčana Roksandić ◽  
Richard S. Saver
Keyword(s):  
Conflict Of Interest ◽  
Conflicts Of Interest ◽  
Healthcare Providers ◽  
Healthcare Systems ◽  
Economic Gain ◽  
Undue Influence ◽  
Professional Career ◽  
Reputational Risk ◽  
Trust In Healthcare Providers ◽  
Secondary Interest

This chapter evaluates provider conflicts of interest in healthcare. Healthcare providers and institutions typically balance an array of competing interests, such as economic gain, the desire to favor colleagues, to advance in one's academic or professional career, or the needs of other patients. Conflicts of interest pervade most healthcare systems and pose considerable risks, both systemic and patient-focused, including increasing costs, harming patients, limiting choice, biasing publication decisions, and eroding trust in healthcare providers and institutions. A key element common to most interpretations of conflicts of interest is the provider's exposure to undue influence from a secondary interest. A second key element is that a conflict of interest can occur when there is merely the perception of undue influence by a secondary interest. Perception that a healthcare provider's independence has been compromised leads to reputational risk and undermines the trust of other stakeholders.

scholarly journals Emerging Technologies for Identifying Atrial Fibrillation

2020 ◽  
Vol 127 (1) ◽  
pp. 128-142 ◽  
Author(s):  
Eric Y. Ding ◽  
Gregory M. Marcus ◽  
David D. McManus
Keyword(s):  
Atrial Fibrillation ◽  
Clinical Significance ◽  
Healthcare Providers ◽  
Population Level ◽  
Healthcare Systems ◽  
Population Based ◽  
Mobile Technologies ◽  
Great Promise ◽  
Community Settings ◽  
Funding Agencies

Atrial fibrillation (AF) is a major cause of morbidity and mortality globally, and much of this is driven by challenges in its timely diagnosis and treatment. Existing and emerging mobile technologies have been used to successfully identify AF in a variety of clinical and community settings, and while these technologies offer great promise for revolutionizing AF detection and screening, several major barriers may impede their effectiveness. The unclear clinical significance of device-detected AF, potential challenges in integrating patient-generated data into existing healthcare systems and clinical workflows, harm resulting from potential false positives, and identifying the appropriate scope of population-based screening efforts are all potential concerns that warrant further investigation. It is crucial for stakeholders such as healthcare providers, researchers, funding agencies, insurers, and engineers to actively work together in fulfilling the tremendous potential of mobile technologies to improve AF identification and management on a population level.

Evidence of increasing public participation in advance care planning: a comparison of polls in Alberta between 2007 and 2013

2016 ◽  
Vol 9 (2) ◽  
pp. 189-196 ◽  
Author(s):  
J E Simon ◽  
S Ghosh ◽  
D Heyland ◽  
T Cooke ◽  
S Davison ◽  
...  
Keyword(s):  
Decision Making ◽  
Advance Care Planning ◽  
Healthcare Providers ◽  
Healthcare Systems ◽  
Medical Decision ◽  
Care Planning ◽  
Future Health ◽  
Advance Care ◽  
Definition Of ◽  
Over Time

BackgroundAdvance care planning (ACP) encompasses both verbal and written communications expressing preferences for future health and personal care and helps prepare people for healthcare decision-making in times of medical crisis. Healthcare systems are increasingly promoting ACP as a way to inform medical decision-making, but it is not clear how public engagement in ACP activities is changing over time.MethodsRaw data from 3 independently conducted public polls on ACP engagement, in the same Canadian province, were analysed to assess whether participation in ACP activities changed over 6 years.ResultsStatistically significant increases were observed between 2007 and 2013 in: recognising the definition of ACP (54.8% to 80.3%, OR 3.37 (95% CI 2.68 to 4.24)), discussions about healthcare preferences with family (48.4% to 59.8%, OR 1.41 (95% CI 1.17 to 1.69)) and with healthcare providers (9.1% to 17.4%, OR 1.98 (95% CI 1.51 to 2.59)), written ACP plans (21% to 34.6%, OR 1.77 (95% CI 1.45 to 2.17)) and legal documentation (23.4% to 42.7%, OR 2.13 (95% CI 1.75 to 2.59)). These remained significant after adjusting for age, education and self-rated health status.ConclusionsACP engagement increased over time, although the overall frequency remains low in certain elements such as discussing ACP with healthcare providers. We discuss factors that may be responsible for the increase and provide suggestions for healthcare systems or other public bodies seeking to stimulate engagement in ACP.

scholarly journals COVID-19 pandemic and waiting times in outpatient specialist care in Germany: an empirical analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jennifer Muschol ◽  
Christian Gissel
Keyword(s):  
Health Insurance ◽  
Waiting Times ◽  
Healthcare Providers ◽  
Healthcare Systems ◽  
Linear Mixed Effect Model ◽  
Insurance Status ◽  
Specialist Care ◽  
Mixed Effect ◽  
Physician Visits ◽  
Patient Groups

Abstract Background International healthcare systems face the challenge that waiting times may create barriers to accessing medical care, and that those barriers are unequally distributed between different patient groups. The disruption of healthcare systems caused by the COVID-19 pandemic could exacerbate this already strained demand situation. Using the German healthcare system as an example, this study aims to analyze potential effects of the COVID-19 pandemic on waiting times for outpatient specialist care and to evaluate differences between individual patient groups based on their respective insurance status and the level of supply. Methods We conducted an experiment in which we requested appointments by telephone for different insurance statuses in regions with varying levels of supply from 908 outpatient specialist practices in Germany before and during the COVID-19 pandemic. Data from 589 collected appointments were analyzed using a linear mixed effect model. Results The data analysis revealed two main counteracting effects. First, the average waiting time has decreased for both patients with statutory (mandatory public health insurance) and private health insurance. Inequalities in access to healthcare, however, remained and were based on patients’ insurance status and the regional level of supply. Second, the probability of not receiving an appointment at all significantly increased during the pandemic. Conclusions Patient uncertainty due to the fear of a potential COVID-19 infection may have freed up capacities in physicians’ practices, resulting in a reduction of waiting times. At the same time, the exceptional situation caused by the pandemic may have led to uncertainty among physicians, who might thus have allocated appointments less frequently. To avoid worse health outcomes in the long term due to a lack of physician visits, policymakers and healthcare providers should focus more on regular care in the current COVID-19 pandemic.

scholarly journals Using Health Information Exchange to Improve Use of Prescription Monitoring Data

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Dan Bolton ◽  
Jennifer Sabel ◽  
Chris Baumgartner ◽  
Travis Kushner ◽  
Bryant Thomas Karras
Keyword(s):  
Patient Care ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Healthcare Providers ◽  
Fold Increase ◽  
Healthcare Systems ◽  
Healthcare Facilities ◽  
Other Information ◽  
Drug Overdoses ◽  
Rule Changes

ObjectiveDemonstrate that use of the Washington State health informationexchange (HIE) to facilitate access to prescription monitoringprogram (PMP) data enhances the effectiveness of a PMP. Theincreased accessibility will lead to improved patient care by givingproviders more complete and recent data on patients’ controlledsubstance prescriptions.IntroductionWashington State experienced a five-fold increase in deaths fromunintentional drug overdoses between 1998 and 2014. The PMPcollects data on controlled substances prescribed to patients andmakes the data available to healthcare providers, giving providersanother tool for patient care and safety. Optimal impact for theprogram depends on providers regularly accessing the information toreview patients’ dispensing history. We have found through providersurveys and work with stakeholders that the best way to increase useis to make data seamlessly accessible through electronic health recordsystems (EHRs). This approach does not require a separate login tothe PMP portal. This linkage works through the Health InformationExchange (HIE) to make PMP data available to providers via EHRs.The HIE facilitates electronic communication of patient informationamong organizations including hospitals and providers. In additionto the PMP, another resource to address the prescription drug abuseproblem is the Emergency Department Information Exchange(EDIE), a web-based technology that specifically connects emergencydepartments statewide to track patients who visit multiple EDs.We also developed a connection between EDIE and PMP datathrough the HIE.MethodsIncreased provider utilization of the PMP will be achieved byusing the HIE to create more seamless access to PMP data throughproviders’ EHRs and through the EDIE system. This will be done bycompleting the build out of a transaction using NCPCP 10.6, pilotingthe connection with healthcare systems and EHR vendors, and bycontinuing to promote and encourage the PMP to remain an MUoption through recent rule changes being proposed by CMS/ONC.The pilot with Epic was conducted in 2015 from April to October.Epic has released an update, available to Washington customers, thatincludes the connection between EHR and PMP. PMP data is alsoconnected to EDIE. That connection is now live in 80 of 93 acute carehospital emergency departments.ResultsTo date the transaction is in production with 80 emergencydepartments and achieving positive results. In 2015 the PMP receivedmore than 2 million queries from the EDIE system via the HIE,compared to 900,000 queries via the online PMP portal in the yearbefore the link through the HIE was available. We have also finisheda pilot with a major EHR vendor and are working to on-board theircustomers. We are also working directly with healthcare systems, andas of September 2016 there are 3 healthcare facilities in testing thatare expected to go live by the end of the year. Over 90 registrationsfor meaningful use of the PMP have been received, representing morethan 1000 clinics. Improved access to PMP data benefits providers byallowing them to check the history of transactions linked to their DEAnumbers, which can alert them to fraudulent prescriptions.ConclusionsIntegration of PMP data with other information systems will greatlyenhance the accessibility and impact of the data. Making a connectionto EDIE alone more than doubled the number of queries we receivedfrom providers in 2015. We anticipate even more inquiries onceadditional care settings are connected. We hope from this to see acontinued decline in unintentional poisonings due to prescriptiondrugs.

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