scholarly journals Biospecimens and Biorepositories for the Community Pathologist

2012 ◽  
Vol 136 (6) ◽  
pp. 668-678 ◽  
Author(s):  
Rajesh C. Dash ◽  
James A. Robb ◽  
David L. Booker ◽  
Wen-Chi Foo ◽  
David L. Witte ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Clinical Care ◽  
Health Care Team ◽  
Care Team ◽  
High Quality ◽  
Level Of Understanding ◽  
Diagnostic Technologies

Pathologists have long served as custodians of human biospecimens collected for diagnostic purposes. Rapid advancements in diagnostic technologies require that pathologists change their practices to optimize patient care. The proper handling of biospecimens creates opportunities for pathologists to improve their diagnoses while assessing prognosis and treatment. In addition, the growing need for high-quality biorepositories represents an opportunity for community pathologists to strengthen their role within the health care team, ensuring that clinical care is not compromised while facilitating research. This article provides a resource to community pathologists learning how to create high-quality biorepositories and participating in emerging opportunities in the biorepository field. While a variety of topics are covered to provide breadth of information, the intent is to facilitate a level of understanding that permits community pathologists to make more informed choices in identifying how best their skills and practice may be augmented to address developments in this field.

scholarly journals E-Mail Communication Practices and Preferences Among Patients and Providers in a Large Comprehensive Cancer Center

2016 ◽  
Vol 12 (7) ◽  
pp. 676-684 ◽  
Author(s):  
Natalie Cook ◽  
Manjula Maganti ◽  
Aditi Dobriyal ◽  
Michal Sheinis ◽  
Alice C. Wei ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Team ◽  
Care Team ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Cross Sectional ◽  
Factors Associated ◽  
The Impact ◽  
E Mail

Purpose: Little is known about how electronic mail (e-mail) is currently used in oncology practice to facilitate patient care. The objective of our study was to understand the current e-mail practices and preferences of patients and physicians in a large comprehensive cancer center. Methods: Separate cross-sectional surveys were administered to patients and physicians (staff physicians and clinical fellows) at the Princess Margaret Cancer Centre. Logistic regression was used to identify factors associated with current e-mail use. Record review was performed to assess the impact of e-mail communication on care. Results: The survey was completed by 833 patients. E-mail contact with a member of the health care team was reported by 41% of respondents. The team members contacted included administrative assistants (52%), nurses (45%), specialist physicians (36%), and family physicians (18%). Patient factors associated with a higher likelihood of e-mail contact with the health care team included younger age, higher education, higher income, enrollment in a clinical trial, and receipt of multiple treatments. Eighty percent of physicians (n = 63 of 79) reported previous contact with a patient via e-mail. Physician factors associated with a greater likelihood of e-mail contact with patients included older age, more senior clinical position, and higher patient volume. Nine hundred sixty-two patient records were reviewed, with e-mail correspondence documented in only 9% of cases. Conclusion: E-mail is commonly used for patient care but is poorly documented. The use of e-mail in this setting can be developed with appropriate guidance; however, there may be concerns about widening the gap between certain groups of patients.

Incompetent Decisionmakers and Withdrawal of Life-Sustaining Treatment: A Case Study

2005 ◽  
Vol 33 (4) ◽  
pp. 851-856 ◽  
Author(s):  
Lance Lightfoot
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Team ◽  
Care Team ◽  
Children's Hospital ◽  
Institutional Ethics ◽  
Ethics Policies ◽  
Children’S Hospital ◽  
Life Sustaining Treatment

One of the most challenging and rewarding roles for in-house hospital attorneys is serving as a member of their hospital’s Bioethics Committee (the “Committee”). As a member of the Committee, an attorney assists in developing institutional ethics policies and guidelines, and also participates in ethics consultations involving disputes about patient care. Institutions such as the Author’s employer, Texas Children’s Hospital, promote open and honest communications between members of a patient’s health care team and the patient’s parents and family; however, when communications break down, the Committee’s goal is to provide an objective forum where disputes can be discussed and hopefully resolved in a professional, ethical manner.

scholarly journals Assessing Team Leadership in Emergency Medicine: The Milestones and Beyond

2016 ◽  
Vol 8 (3) ◽  
pp. 332-340 ◽  
Author(s):  
Elizabeth D. Rosenman ◽  
Jeremy B. Branzetti ◽  
Rosemarie Fernandez
Keyword(s):  
Health Care ◽  
Emergency Medicine ◽  
Patient Care ◽  
Leadership Behaviors ◽  
Team Leadership ◽  
Health Care Team ◽  
Care Team ◽  
Evidence Based ◽  
Team Science ◽  
Leadership Assessment

ABSTRACT  Team leadership is a critical skill for emergency medicine physicians that directly affects team performance and the quality of patient care. There exists a robust body of team science research supporting team leadership conceptual models and behavioral skill sets. However, to date, this work has not been widely incorporated into health care team leadership education.Background  This narrative review has 3 aims: (1) to synthesize the team science literature and to translate important concepts and models to health care team leadership; (2) to describe how team leadership is currently represented in the health care literature and in the Accreditation Council for Graduate Medical Education Milestones for emergency medicine; and (3) to propose a novel, evidence-based framework for the assessment of team leadership in emergency medicine.Objective  We conducted a narrative review of the team science and health care literature. We summarized our findings and identified a list of team leadership behaviors that were then used to create a framework for team leadership assessment.Methods  Current health care team leadership measurement tools do not incorporate evidence-based models of leadership concepts from other established domains. The emergency medicine milestones include several team leadership behaviors as part of a larger resident evaluation program. However, they do not offer a comprehensive or cohesive representation of the team leadership construct.Results  Despite the importance of team leadership to patient care, there is no standardized approach to team leadership assessment in emergency medicine. Based on the results of our review, we propose a novel team leadership assessment framework that is supported by the team science literature.Conclusions

Preparing to Provide MTM Services

2014 ◽  
Vol 28 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Zandra M. Glenn ◽  
Soheyla L. Mahdavian ◽  
Todd J. Woodard
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Training Programs ◽  
Health Care Team ◽  
Care Team ◽  
Medication Therapy ◽  
Patient Medication ◽  
The Us ◽  
Certificate Training

Medication Therapy Management (MTM) has been a way for pharmacist to enhance their position as an integral member of the health care team as the need for improved clinical and economic outcomes in relation to the US health care system became apparent. MTM Certificate training programs are provided by numerous organizations. Collaboration Practice Agreements (CPA) are gaining significance as the role of the pharmacist is expanding in the care of patients as part of a multidisciplinary health care team. One major hurdle that many pharmacists are faced with is receiving reimbursement for the services provided. The Medicare Modernization Act of 2003 recognized that pharmacists play an important role in the management of patient care and that pharmacists bring an expertise and knowledge that will help to identify and resolve patient medication therapy problems.

scholarly journals Nurses’ Use of Personal Smartphone Technology in the Workplace: Scoping Review

10.2196/18774 ◽  
2020 ◽  
Vol 8 (11) ◽  
pp. e18774
Author(s):  
Andrea de Jong ◽  
Lorie Donelle ◽  
Michael Kerr
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Scoping Review ◽  
Health Care Team ◽  
Care Team ◽  
Care Providers ◽  
Inclusion Criteria ◽  
Smartphone Use ◽  
Device Use ◽  
Personal Devices

Background There has been an increase in the technological infrastructures of many health care organizations to support the practice of health care providers. However, many nurses are using their personal digital devices, such as smartphones, while at work for personal and professional purposes. Despite the proliferation of smartphone use in the health care setting, there is limited research on the clinical use of these devices by nurses. It is unclear as to what extent and for what reasons nurses are using their personal smartphones to support their practice. Objective This review aimed to understand the current breadth of research on nurses’ personal smartphone use in the workplace and to identify implications for research, practice, and education. Methods A scoping review using Arksey and O’Malley’s methodological framework was conducted, and the following databases were used in the literature search: CINAHL, PubMed, ProQuest Dissertations and Theses, Embase, MEDLINE, Nursing and Allied Health Database, Scopus, Web of Science, and Cochrane Reviews. Search terms used were Nurs* AND (personal digital technology OR smartphone OR cellphone OR mobile phone OR cellular phone). Inclusion criteria included research focused on nurses’ use of their own digital technologies, reported in English, and published between January 2010 and January 2020. Exclusion criteria were if the device or app was implemented for research purposes, if it was provided by the organization, if it focused on infection control, and if it was focused on nursing students or nursing education. Results A total of 22 out of 2606 articles met the inclusion criteria. Two main themes from the thematic analyses included personal smartphone use for patient care and implications of personal smartphone use. Nurses used their smartphones to locate information about medications, procedures, diagnoses, and laboratory tests. Downloaded apps were used by nurses to locate patient care–related information. Nurses reported improved communication among health team members and used their personal devices to communicate patient information via text messaging, calling, and picture and video functions. Nurses expressed insight into personal smartphone use and challenges related to distraction, information privacy, organizational policies, and patient perception. Conclusions Nurses view personal smartphones as an efficient method to gather patient care information and to communicate with the health care team. This review highlights knowledge gaps regarding nurses’ personal device use and information safety, patient care outcomes, and communication practices. This scoping review facilitates critical reflection on patient care practices within the digital context. We infer that nurses’ use of their personal devices to communicate among the health care team may demonstrate a technological “work-around” meant to reconcile health system demands for cost-efficiency with efforts to provide quality patient care. The current breadth of research is focused on acute care, with little research focus in other practices settings. Research initiatives are needed to explore personal device use across the continuum of health care settings.

Critical Paths or Structured Care Plans: Not Just for Nursing

1994 ◽  
Vol 7 (6) ◽  
pp. 260-266
Author(s):  
Kathryn T. Andrusko-Furphy
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Critical Path ◽  
Clinical Pathways ◽  
Health Care Team ◽  
Care Team ◽  
Care Plan ◽  
Critical Pathways ◽  
Care Plans ◽  
Structured Care

Pharmacists historically have not visibly documented their cognitive interventions. Traditionally, any of these interventions were notated in the margins of a prescription or the back of a prescription. As pharmacists began to expand their practice beyond dispensing, they embraced a pharmaceutical care model for patient care. In the 1990s, this process may remove the pharmacist from dispensing areas. Consequently, they may begin to find themselves removed from their only link historically to pharmacy documentation. Even those pharmacists who have been accustomed to documenting clinical monitoring interventions, often times do this without these interventions becoming an official part of the patient's medical record. If pharmacists are to be considered a part of the patient care team as the health care team moves more to a model of patient-focused care, they will need to begin to document their role in the patient's care coordination. The purpose of a care plan is to establish a predefined approach to a patient's care. If we are to be a part of that patient's care planning, then pharmacists must first get past this stigma that care plans are not just for nursing. Instead, we need to begin to understand their purpose, before we can begin to understand how to develop a structured care plan or critical path. The literature also refers to this interdisciplined concept as critical pathways, patient-focused care, care tracks, criteria mapping, care mapping, or clinical pathways. Unfortunately, each health care discipline is creating their own term.

scholarly journals Nurses’ Use of Personal Smartphone Technology in the Workplace: Scoping Review (Preprint)

2020 ◽  
Author(s):  
Andrea de Jong ◽  
Lorie Donelle ◽  
Michael Kerr
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Scoping Review ◽  
Health Care Team ◽  
Care Team ◽  
Care Providers ◽  
Inclusion Criteria ◽  
Smartphone Use ◽  
Device Use ◽  
Personal Devices

BACKGROUND There has been an increase in the technological infrastructures of many health care organizations to support the practice of health care providers. However, many nurses are using their personal digital devices, such as smartphones, while at work for personal and professional purposes. Despite the proliferation of smartphone use in the health care setting, there is limited research on the clinical use of these devices by nurses. It is unclear as to what extent and for what reasons nurses are using their personal smartphones to support their practice. OBJECTIVE This review aimed to understand the current breadth of research on nurses’ personal smartphone use in the workplace and to identify implications for research, practice, and education. METHODS A scoping review using Arksey and O’Malley’s methodological framework was conducted, and the following databases were used in the literature search: CINAHL, PubMed, ProQuest Dissertations and Theses, Embase, MEDLINE, Nursing and Allied Health Database, Scopus, Web of Science, and Cochrane Reviews. Search terms used were Nurs* AND (personal digital technology OR smartphone OR cellphone OR mobile phone OR cellular phone). Inclusion criteria included research focused on nurses’ use of their own digital technologies, reported in English, and published between January 2010 and January 2020. Exclusion criteria were if the device or app was implemented for research purposes, if it was provided by the organization, if it focused on infection control, and if it was focused on nursing students or nursing education. RESULTS A total of 22 out of 2606 articles met the inclusion criteria. Two main themes from the thematic analyses included <i>personal smartphone use for patient care</i> and <i>implications of personal smartphone use</i>. Nurses used their smartphones to locate information about medications, procedures, diagnoses, and laboratory tests. Downloaded apps were used by nurses to locate patient care–related information. Nurses reported improved communication among health team members and used their personal devices to communicate patient information via text messaging, calling, and picture and video functions. Nurses expressed insight into personal smartphone use and challenges related to distraction, information privacy, organizational policies, and patient perception. CONCLUSIONS Nurses view personal smartphones as an efficient method to gather patient care information and to communicate with the health care team. This review highlights knowledge gaps regarding nurses’ personal device use and information safety, patient care outcomes, and communication practices. This scoping review facilitates critical reflection on patient care practices within the digital context. We infer that nurses’ use of their personal devices to communicate among the health care team may demonstrate a technological “work-around” meant to reconcile health system demands for cost-efficiency with efforts to provide quality patient care. The current breadth of research is focused on acute care, with little research focus in other practices settings. Research initiatives are needed to explore personal device use across the continuum of health care settings.

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