Academic literature on the topic 'Patient care'

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Journal articles on the topic "Patient care"

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SCHROCK, SUZY. "PATIENT CARE: Perioperative Patient Care." AORN Journal 58, no. 6 (December 1993): 1200–1201. http://dx.doi.org/10.1016/s0001-2092(07)64927-8.

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Jasińska, Joanna. "Patient Safety in Nursing Care." Journal of Clinical Peadiatrics and Care 1, no. 1 (March 13, 2023): 01–03. http://dx.doi.org/10.58489/2836-8630/005.

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Background. Patient safetyis an undeniable important aspectin the context of improvingthe quality of the entire health system. Improving patient’s safety should be comprehensive and includetwo dimensions of safety – technical and functional. One source of information aboutthe level of patient’s safety are medical staff, but there is a gap here, which is no central system that would collect, analyze and draw conclusions from a sufficiently large number of problems reported by stakeholders. Objectives. The aim of this study was to evaluate the patient’s safety on the basis of the declaration of nurses. Material and Methods. The study involved 160 professionally active nurses. The study was performed by the authors questionnaire based on the questionnaire “Hospital Survey on Patient Safety Culture” developed by the Agency for Healthcare Research and Quality. The selection of the sample was based on the availability of respondents. The study was performed in January 2021. More than ¾ of respondents indicated the hospital as a placeof employment. Results. Nearly 40% of respondents said that their boss rarely and very rarely takes into account the suggestions of employees for the improvement of patient’s safety. Over 40% of respondents said that their workplace is often and very often trying to do too many tasks and too fast. Conclusions. It is necessary to create a culture of safety by improving communication between doctors and nurses or line managerand nurses. There is a need for greater involvement of line manager in solving problems reported by nurses in terms of providing safe care to patients (Piel. Zdr. Publ.2021, 5, 1, 33–39).
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Mıstık, Selçuk, Ülkü Elif Demir, and Sinan Demir. "Evaluation of Diabetic Patient Care Quality in Primary Care." Turkish Nephrology Dialysis Transplantation 25, no. 1 (January 22, 2016): 46–51. http://dx.doi.org/10.5262/tndt.2016.1001.04.

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Kusnanto, Hari. "Patient-Centered Care." Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) 1, no. 2 (May 31, 2018): 51. http://dx.doi.org/10.22146/rpcpe.36009.

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..........In the context of patient services constrained by cost barriers, physicians often find it unfavorable to choose an option that prioritizes patient interest. As has been the practice of physicians since Hippocrates, physicians position themselves as the one who best knows what is the most appropriate for the patient. This is in contrary to the concept of patient-centered care. Supported by the ethical principle of patient autonomy, patient-centered services / PCC (LBP/Layanan Berpusat Pasien) empower patients through the provision of more clear and accurate information, allowing patients to be partners in decision-making concerning their health........The cultural shift and the way services are delivered to the patients must be designed, managed and rewarded financially. Patients are no longer merely customers who receive services, but partners in the process of prevention and cure of the disease. The expected benefits of patient-centered services are greater patient and family satisfaction, increased reputation of the physician or the health care provider institution, increased morale and clinical productivity of supporting staffs, and cost savings and service efficiency.......
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Shindul-Rothschild, Judith. "Patient Care." American Journal of Nursing 96, no. 3 (March 1996): 22–24. http://dx.doi.org/10.1097/00000446-199603000-00013.

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&NA;. "Patient Care." Journal of Infusion Nursing 34 (2011): S15—S19. http://dx.doi.org/10.1097/nan.0b013e31820313d5.

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Leap, Edwin. "Patient Care." Emergency Medicine News 45, no. 4 (April 2023): 14. http://dx.doi.org/10.1097/01.eem.0000927212.69346.8f.

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Oliveira, Ciane Martins de, Angela Maria Ramos Canuto Machado, Régia Cristina da Silva Pereira Alves, Zenaide Soares do Mar, Amanda Alves Fecury, Cláudio Alberto Gellis de Mattos Dias, Euzébio de Oliveira, and Carla Dendasck. "The evolution of patient care with Leprosy: the leprosaria to multidrug therapy." Revista Científica Multidisciplinar Núcleo do Conhecimento 06, no. 08 (August 20, 2016): 68–80. http://dx.doi.org/10.32749/nucleodoconhecimento.com.br/health/evolution-of-patient-care.

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Naeem, Shahzad. "Short Communication: Role of Leadership in Doctor-Patient Relationship & Execution on Patient’s Case Management in Primary Care." General Medicine and Clinical Practice 1, no. 3 (July 11, 2018): 01–06. http://dx.doi.org/10.31579/2639-4162/013.

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Primary care physicians (PCP) needs to plan, organize, implement, and evaluate as care director and coordinator. In primary care there is need to implement leadership model in health sector and medicine. Transformational leadership can be described as style of leadership which is appropriate for health sector. It is alike to the approach which is patient centered. Case management must be well organized, prepared, arranged and described as per needs of patient. The same must be agreed and implemented with suitable individual roles. Leaders are required to do numerous aspects linked to management, managerial and decision making process to carry out the requisite actions. Same process and procedures are also required be completed by Primary care physicians for achievement of patient’s targeted administration, supervision and management. Such happenings and actions contain from preparation, planning, development till structuring networks. Primary care physicians are anticipated to possess transformational leadership capabilities and to assist their performance in role of care coordinators. This all can be attained through integrated, holistic, continuous, comprehensive approach and by building relations with all stakeholders.
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Waghmare, Mr Shailesh Sangram. "“Patient Care System." INTERANTIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT 08, no. 04 (April 26, 2024): 1–5. http://dx.doi.org/10.55041/ijsrem31714.

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Patients can register, enter their information into the system, and schedule medical visits through our project's patient care system. Every patient can receive a unique ID from our program, which also automatically saves all of the patient and staff information. Using the ID, the user can look up a doctor's availability and a patient's data. You can log in to the patient care system with your username and password. An administrator or a receptionist can access it. The database can only contain data that they add. It is simple to retrieve the data. It has an extremely user-friendly interface. The patient care system also has features that allow for easy communication between patients and healthcare providers, such as secure messaging and appointment reminders. Additionally, the system can generate reports on patient demographics, appointment scheduling, and medical history, which can be useful for tracking patient progress and improving overall patient care. Overall, our project's patient care system streamlines the healthcare process and enhances the patient experience. Keyword: Admin Module, Doctor module, health care services, user module.
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Dissertations / Theses on the topic "Patient care"

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Kshetri, Kanak Bikram. "Modelling patient states in intensive care patients." Thesis, Massachusetts Institute of Technology, 2011. http://hdl.handle.net/1721.1/76985.

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Thesis (M. Eng.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 2011.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 71-74).
Extensive bedside monitoring in hospital Intensive Care Units (ICU) has resulted in a deluge of information on patient physiology. Consequently, clinical decision makers have to reason with data that is simultaneously large and high-dimensional. Mechanisms to compress these datasets while retaining their salient features are in great need. Previous work in this area has focused exclusively on supervised models to predict specific hazardous outcomes like mortality. These models, while effective, are highly specific and do not generalize easily to other outcomes. This research describes the use of non-parametric unsupervised learning to discover abstract patient states that summarize a patient's physiology. The resulting model focuses on grouping physiologically similar patients instead of predicting particular outcomes. This type of cluster analysis has traditionally been done in small, low-dimensional, error-free datasets. Since our real-world clinical dataset affords none of these luxuries, we describe the engineering required to perform the analysis on a large, high-dimensional, sparse, noisy and mixed dataset. The discovered groups showed cohesiveness, isolation and correspondence to natural groupings. These groups were also tested for enrichment towards survival, Glasgow Coma Scale values and critical heart rate events. In each case, we found groups which were enriched and depleted towards those outcomes.
by Kanak Bikram Kshetri.
M.Eng.
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Blackwelder, Reid B. "Patient-Centered Care." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/6982.

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Söderholm, Werkö Sophie. "Patient patients? : achieving patient empowerment through active participation, increased knowledge and organisation /." Stockholm : School of Business, Stockholm University, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-7261.

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Almemani, Basima Abdalla Husein. "Pharmacogenetics in patient care." Thesis, Queen's University Belfast, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.546000.

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McHenry, Kristen L. "Safety and Patient Care." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/2537.

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McHenry, Kristen L. "Safety & Patient Care." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/5443.

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Petit, Amanda. "Patient-Provider Communication in Patients with Inflammatory Bowel Disease." Ohio University Honors Tutorial College / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ouhonors1528924843222824.

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Baker, Diane. "Does team patient care mean better patient outcomes?" Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10161771.

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Traditional patient care in the U.S. has been fragmented and redundant, resulting in high healthcare costs and poor patient outcomes. New team patient care models are being attempted to improve outcomes and lower the cost of care. Models of integrated and coordinated care, including the Patient-Centered Medical Home model, have demonstrated some improvements, especially for chronically ill patients. Membership in a Health Maintenance Organization (HMO) and presence of a diabetes diagnosis is tested and results for the chronically ill are discussed.

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Marepula, Lindiwe Oscarine. "Patient satisfaction with the care provided in a psychiatric hospital in Cape Town." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/3698.

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Magister Curationis - MCur
Background: Patient satisfaction is a well-researched area in general medicine worldwide, yet a full exploration of patient satisfaction amongst psychiatric patients appears to be lacking in South Africa. Patient satisfaction has become important because of the awareness of the patient’s human rights. There is an increasing practice of applying a consumer viewpoint to health care, while safeguarding patients’ rights and taking their views into account. This has been brought about by the inception of the Mental Health Care Act no. 17 of 2002.Purpose: The purpose of this study was to describe psychiatric inpatients’ satisfaction with the care provided in a psychiatric hospital in Cape Town.Objectives : (1) To describe the psychiatric inpatients’ satisfaction with the care provided in a psychiatric teaching hospital in terms of their views on the: care provided by nurses (interpersonal/nurse-patient- interaction and technical skills); care provided by doctors (interpersonal/doctor-patient interaction and technical skills; and the nature of the environment of care, and (2) to describe the psychiatric inpatients’ overall satisfaction with the care received in a psychiatric teaching hospital in terms of the: quality of care received from nurses and doctors; nature of the environment of care; and the likelihood of future utilization of the hospital serviceMethod/Design: The study made use of the quantitative descriptive design using the Primary Provider Theory of patient satisfaction and the Batho Pele Principles served as the conceptual framework. Data were collected from discharged patients using a self-administered questionnaire which was mailed to individual participants. A five and a four point Likert scales were used for different sections in the questionnaire.The study made use of 120 participants between the ages of 18 and 60.Findings: Generally respondents were satisfied with the care provided in thispsychiatric hospital. Greater satisfaction was noted on aspects of staff-patient interactions. Low satisfaction scores were observed on nurses’ technical aspects of care. The Batho Pele principles of information, openness and transparency,consultation, access and redress seem not to have been adhered to.Conclusions: General inpatient satisfaction in psychiatric hospital care was good.However, more innovative methods for improvement in the areas of dissatisfaction need to be developed. Special attention should be given to the implementation of the Batho Pele Principles and the protection of the patients’ rights.
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Tobiano, Georgia Ann. "Patient Participation in Nursing Care: A Focused Ethnography." Thesis, Griffith University, 2016. http://hdl.handle.net/10072/365834.

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Patient-centred care has been recognised internationally as a way patients can participate in their nursing care to potentially improve their safety, yet widespread understanding of patient participation and ways to promote it is lacking. Further, nurses’ behaviours sometimes conflict with their reported support for patient participation. The aim of this study was to understand patient participation in nursing care in medical wards and the barriers to and facilitators of patient participation. This study was a focused ethnography. Two hospitals participated in the study. Site 1 was located in Queensland and catered for public patients, while Site 2 was located in Victoria and catered for private patients. The setting for this study was four medical wards, two from each hospital. Patients and nurses were observed in practice and participated in semi-structured interviews. Observational field notes were analysed using both deductive and inductive content analysis. Interviews were transcribed and analysed using inductive content analysis. Deductive analysis of observations of practice showed that the most frequent types of participation were in the categories ‘having dialogue with health care staff’ and ‘sharing knowledge’. Patients participated less frequently in the categories ‘partaking in planning’ and ‘managing self-care’. Inductive analysis of field notes demonstrated that nurses exerted control over care, evident in the category ‘maintaining control of work’. Findings from 20 patient interviews, revealed four categories. In the category ‘valuing participation’ patients spoke about wanting to participate and seeing it as beneficial. The categories ‘exchanging intelligence’ and ‘on the lookout’, were ways patients reported participating in care. The final category ‘power imbalance’, revealed patients’ difficulty in enacting participation.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing and Midwifery
Griffith Health
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Books on the topic "Patient care"

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Williams, Erica Koch. Patient care. New York: McGraw-Hill, Health Professions Division, 1999.

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Carey, Timothy A. Patient-Perspective Care. Milton Park, Abingdon, Oxon ; New York, NY : Routledge, 2018.: Routledge, 2017. http://dx.doi.org/10.4324/9781351227988.

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Grol, Richard, Michel Wensing, Martin Eccles, and David Davis, eds. Improving Patient Care. Oxford, UK: John Wiley & Sons, Ltd, 2013. http://dx.doi.org/10.1002/9781118525975.

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Sanchez, Juan A., Paul Barach, Julie K. Johnson, and Jeffrey P. Jacobs, eds. Surgical Patient Care. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-44010-1.

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Batehup, Lynn, and Jenifer Wilson-Barnett, eds. Planning Patient Care. London: Macmillan Education UK, 1988. http://dx.doi.org/10.1007/978-1-349-10102-3.

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1928-, Dodge Gwen H., ed. Perioperative patient care. 2nd ed. Boston: Jones and Bartlett Publishers, 1991.

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Association, Medical Group Management, ed. Patient care systems. East Englewood, CO: Medical Group Management Association, 2008.

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Duesterhaus, Minor Scott, ed. Patient care skills. 3rd ed. Norwalk, Conn: Appleton & Lange, 1995.

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Chitwood, Linda B. Ambulatory patient care. La Mesa, CA: Western Schools Press, 1994.

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Minor, Mary Alice D. Patient care skills. 4th ed. Stamford, Conn: Appleton & Lange, 1999.

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Book chapters on the topic "Patient care"

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Ramer, Karen, and Abass Alavi. "Patient Care." In Nuclear Medicine Technology, 139–44. Berlin, Heidelberg: Springer Berlin Heidelberg, 2002. http://dx.doi.org/10.1007/978-3-662-09010-7_15.

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Santos, Eugene, Joseph M. Rosen, Keum Joo Kim, Fei Yu, Deqing Li, Elizabeth A. Jacob, and Lindsay B. Katona. "Patient Care." In Modeling and Simulation in the Medical and Health Sciences, 147–74. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2011. http://dx.doi.org/10.1002/9781118003206.ch9.

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Ringel, Marc. "Patient Care." In Digital Healing, 111–36. Boca Raton : Taylor & Francis, 2018. | “A Routledge title, part of the Taylor & Francis imprint, a member of the Taylor & Francis Group, the academic division of T&F Informa plc.”: Productivity Press, 2018. http://dx.doi.org/10.4324/9781315115757-9.

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Makanjee, Chandra, Deon Xu, and Drishti Sarswat. "Patient Care." In General Radiography, 137–56. First edition. | Boca Raton : CRC Press, 2020. |: CRC Press, 2020. http://dx.doi.org/10.1201/9781003047278-8.

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Al-Worafi, Yaser. "Patient Care." In A Guide to Online Pharmacy Education, 125–31. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781003230458-22.

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Mantel, Eleanor, Janet S. Reddin, Gang Cheng, and Abass Alavi. "Patient Care." In Nuclear Medicine Technology, 155–59. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-26720-8_16.

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Lindsay, Mark. "Mayo Post Acute Care Program and Care Continuum." In Patient Flow, 447–72. Boston, MA: Springer US, 2013. http://dx.doi.org/10.1007/978-1-4614-9512-3_19.

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Øvretveit, John, and Eskil Degsell. "Implementing Patient and Carer Participation in Self-Care and Co-Care in Sweden: Policy, Practice and the Future of Person-Centred Care." In Patient Engagement, 63–89. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-14101-1_4.

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Ong, Mei-Sing, and Enrico Coiera. "Handoff and Care Transitions." In Patient Safety, 35–51. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7419-7_3.

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Ong, Mei-Sing, and Enrico Coiera. "Handoff and Care Transitions." In Patient Safety, 101–13. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-35933-0_8.

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Conference papers on the topic "Patient care"

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Barinov, Evgeny, Nadezhda Dobrovolskaya, Anastasia Ivanova, Ruslan Kalinin, Alexander Manin, Natalya Mikheeva, and Pavel Romodanovsky. "Patient dissatisfaction with medical dental care." In Issues of determining the severity of harm caused to human health as a result of the impact of a biological factor. ru: Publishing Center RIOR, 2020. http://dx.doi.org/10.29039/conferencearticle_5fdcb03a353ad3.76128786.

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The article provides information on the results of studying the materials of 150 commission of forensic medical examinations on the facts of patient dissatisfaction with the provision of medical care. The relevance of the problem of the legal relationship between a doctor and a patient is revealed and shown. The lack of information on these issues leads to a high probability of disputed situations in the providing dental care, so there is an urgent need for an integrated approach to the implementation of legally defined rights of patients. Media coverage of the above-mentioned problems plays an important role in improving the level of legal competence of patients. At the same time, the direct relationship between the doctor and the patient is the most important mechanism for implementing the patient's rights at the dental appointment and preventing conflicts. Behavior of doctors in such cases should be strictly regulated by normative legal acts. The process of information sharing with patients and transfer of information to the patient's relatives should receive in medical preventive institution specific legal basis under sections 30, 31, 48, 61 “Principles of legislation of the Russian Federation about health protection of citizens”, to be fixed in job descriptions with the designation of responsibility.
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Actor-Engel, Hannah. "Patient care technicians improve haemodialysis patient outcomes." In ASN Kidney Week 2023, edited by Rachel Giles. Baarn, the Netherlands: Medicom Medical Publishers, 2023. http://dx.doi.org/10.55788/7552c1ed.

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Morris, Nichole, Curtis Craig, Katelyn Schwieters, Bradley Drahos, Marshall Mabry, Eugene Floersch, and William Kessler. "Limited training in undergarment and clothing removal techniques to expose wounds in combat care." In AHFE 2023 Hawaii Edition. AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1004367.

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A critical component of combat casualty care is to fully expose the patient to identify and treat injuries. Completing these actions under stressful conditions is expected to require adequate training. In this study 21 combat lifesaver trained soldiers were surveyed regarding their recent training exposing chest injuries of male and female soldiers. Nearly all participants (95.2%) reported experience in treating male simulated patients; however, only 52.4% reported any experience applying a chest seal on a male human or simulated patient and only 28.6% reported any experience removing the t-shirt of a male human or simulated patient. Seven participants (33.3%) reported experience in treating female simulated patients, 23.8% reported at least some experience applying a chest seal to a female human or simulated patient, and only 9.5% reported experience removing the female patient’s t-shirt and, similarly, a female patient’s bra. Findings suggest a pronounced gap in the CLS training curriculum.
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Gardener, Carole, Gail Ewing, and Morag Farquhar. "23 Implementing the support needs approach for patients (SNAP): patient experiences." In Marie Curie Palliative Care Research Conference. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/spcare-2019-mariecuriepalliativecare.23.

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Cohen, Tal, Angela Y. Birkes, Chien H. Hsiung, and Robert E. Fulton. "Modeling Patient Care for Multimedia Database." In ASME 1995 15th International Computers in Engineering Conference and the ASME 1995 9th Annual Engineering Database Symposium collocated with the ASME 1995 Design Engineering Technical Conferences. American Society of Mechanical Engineers, 1995. http://dx.doi.org/10.1115/edm1995-0843.

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Abstract In the medical arena, the number of uses for new technology is increasing rapidly. In the last few decades, physicians have been using more computerized tools and are basing their diagnoses on high-tech lab results. While the tools used for diagnoses — such as catscans, MRI’s and the myriad of other high-tech equipment — have improved greatly over the years, the method of storing these results into a medical record has not changed much. In fact, the medical system is using antiquated methods of paper-based record, and this results in inefficiency. The record-keeping system simply does not allow for the hightech equipment to be used to their greatest potential. Medical professionals are confronted with a basic issue: How should they manage the huge amount of different types of information so that they can improve medical treatment and upgrade patient care? The case study presented in this paper deals with the Emory Clinic, located in Atlanta, Georgia, which treats a very high volume of patients. This paper provides a study of the patient care process, development of an initial product data model, characterizes and identifies multimedia datasets and finally presents a screen mockup that reflect some of the datasets.
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Ciliberti, Rosella, Alessandro Bonsignore, Liliana Lorettu, Maurizio Secchi, Michele Minuto, Pierluigi Santi, and Ilaria Baldelli. "Physician/patient relationship following hospital discharge – new methods of therapeutic and care continuity." In the 8th International Workshop on Innovative Simulation for Healthcare. CAL-TEK srl, 2019. http://dx.doi.org/10.46354/i3m.2019.iwish.013.

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"Healthcare organization aims to shorten hospitalization times, both to facilitate patient turnover and to avoid the risks of the nosocomial environment. Between March and September 2018, patients that were discharged after hospitalization for scheduled reconstructive breast surgery were given a portable device with the Dr. Link app installed, created to allow real-time communication with physicians. Patients and physicians completed a satisfaction survey on their experience with the use of the device. Analysis shows overall patient satisfaction in terms of improvement in relationships and quality of life. Physicians reported more responsible patient behaviour, better compliance, and earlier treatment of complications. Continuous interactive assistance can improve the discharged patient’s quality of life and therapeutic path. However, the device risks becoming a negative tool if the health care professional has not made the proper initial emotional investment in the relationship, delegating the totality of the therapeutic relationship to the tablet."
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Nejat, Goldie, Brian Allison, Nadia Gomez, and Andrew Rosenfeld. "The Design of an Interactive Socially Assistive Robot for Patient Care." In ASME 2007 International Mechanical Engineering Congress and Exposition. ASMEDC, 2007. http://dx.doi.org/10.1115/imece2007-41811.

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It is anticipated that the use of assistive robots will be one of the most important service applications of robotic systems of the future. In this paper, a unique non-contact socially assistive robot consisting of a human-like demeanor is presented for utilization in hospital wards and veteran homes to study its role and impact on the well-being of patients, addressing patient’s needs and its overall effect on the quality of patient care. The robot will be an embodied entity that will participate in hands-off non-contact social interaction with a patient during the convalescence, rehabilitation or end-of-life care stage. The robot has been designed as a platform to incorporate the three design parameters of embodiment, emotion and non-verbal dialog to encourage natural interactions between the patient and itself. For perception, we describe the first application of utilizing varying intensity depth imaginary, via a 3D camera, for non-contact and non-restricting 3D gesture recognition and characterization.
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"MYCOLOGY 2020 Cutting edge research, optimal patient care." In MYCOLOGY 2020 Cutting edge research, optimal patient care. Frontiers Media SA, 2021. http://dx.doi.org/10.3389/978-2-88963-592-4.

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Elkefi, Safa, Onur Asan, and Tina W F Yen. "Using Human factors approach to evaluate patient-centered cancer care." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002186.

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Patient-centered care (PCC) approaches are critical for the delivery of high-quality care in cancer care where the therapeutic alliance between patients and the oncologists is frequent over extended periods of time. The concept of patient-centered care has received increased attention since the publication of the 2001 Institute of Medicine (IOM) report Crossing the Quality Chasm. In this study, we create and evaluate a new framework for patient-centered care in cancer using human factors approaches. Many initiatives focused on developing technologies that help foster PCC by increasing patients’ access to information and facilitating self-monitoring and patient convenience. This paper makes an important contribution to the literature by historically examining the evolution of the definitions of care approaches from disease-centered care focusing on curing the diseases to patient-centered care satisfying patients’ needs to person-centered care. Instead of treating people like victims of diseases, this model recognizes their need for more than one professional to support them emphasizing their capabilities and potential to improve their own health by themselves. It also provides a different and complementary way to the visit-oriented approach furnishing more accessible and continuous care over time, Our contribution also covers summarizing the existing measures adopted to measure its components and finally suggests a socio-technical framework based on the human factors approach to measuring PCC effectiveness. Our approach to measuring PCC is grounded in the conceptual framework we are suggesting that evaluates the effectiveness of patient-centered care based on a socio-technical perspective. We link the cognitive perception of patients towards PCC (Cognitive Sensory Input) to their exposure to external factors (Exposure) that may affect their (Cognition) behavior. A holistic approach recognizing health care as a dynamic socio-technical system in which sub-elements interact with each other remains necessary to better understand the system and its constraints in cancer care. We use a case study to emphasize the importance and need of such a human factors-based framework in providing a better quality of care and improving health outcomes. Achieving high-quality care is a complex pursuit in any setting especially for cancer care and improving the patient journey requires an integrated system of care and productive interactions among many system levels. By understanding the work system components, the design and integration of tasks, technology, and clinical processes can be reviewed to better support the respective needs of individuals while optimizing system performance. A supportive work environment and a highly engaged workforce are highly correlated with improved quality of patient-centered care and hospital performance. At the population level, case managers, navigators, quality officers, and administrators may track outcomes across patients.This framework can help organize clinical interventions that aim to control cancer patients’ behavior from a patient-centered perspective. It can also help technology designers by giving them insight into how patient-centeredness in the design of health informatics can impact cancer patients’ behavior. In addition, patient-centered designs can enhance technology acceptance among cancer patients making it easier to adopt technology for follow-up reasons by involving human factors and ergonomics principles in order to ensure successful results.
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Alencar, Rafisah Sekeff Simão, Larissa Bispo Alves Roncen, Maria Eduarda de Oliveira Rodrigues, and Marcos Curcio Angelini. "Glioblastoma and Palliative Care." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.090.

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Background: Glioblastoma is a primary malignant tumor of the central nervous system with 12 to 15 month survival. Its prognosis, considering the initial diagnosis, equals to stage 4 of other types of cancer, being recommended to consider palliative care, with advanced care planning, at an early stage of the disease. Such care is complex due to the significant symptoms, being necessary to reduce the symptomatic charge to maintain the patient’s quality of life. Objective: Analyze the early practice of palliation in patients with glioblastoma. Methods: A literature review was carried out on the PubMed, BVS and Scielo platforms using the descriptors: “Glioblastoma” AND “Palliative Care.” 7 articles were selected in the english language, published in the last 5 years. Results: The quality of life of patients with glioblastoma gradually reduces. In that sense, cognitive decline compromises end-of-life care with relation to patient autonomy. However, antecipate guidelines were found completed late to the course of the disease, possibly after loss of decisionmaking capacity. Moreover, despite the proven benefits of palliation, early involvement of palliative care is rare in neuro- oncology, with the excessive use of chemotherapy among terminal patients. Conclusions: The late practice of palliation and of early guidelines in patients with glioblastoma affect the management of symptoms and quality of life of those patients.
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Reports on the topic "Patient care"

1

Dy, Sydney M., Julie M. Waldfogel, Danetta H. Sloan, Valerie Cotter, Susan Hannum, JaAlah-Ai Heughan, Linda Chyr, et al. Integrating Palliative Care in Ambulatory Care of Noncancer Serious Chronic Illness: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), February 2020. http://dx.doi.org/10.23970/ahrqepccer237.

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Objectives. To evaluate availability, effectiveness, and implementation of interventions for integrating palliative care into ambulatory care for U.S.-based adults with serious life-threatening chronic illness or conditions other than cancer and their caregivers We evaluated interventions addressing identification of patients, patient and caregiver education, shared decision-making tools, clinician education, and models of care. Data sources. We searched key U.S. national websites (March 2020) and PubMed®, CINAHL®, and the Cochrane Central Register of Controlled Trials (through May 2020). We also engaged Key Informants. Review methods. We completed a mixed-methods review; we sought, synthesized, and integrated Web resources; quantitative, qualitative and mixed-methods studies; and input from patient/caregiver and clinician/stakeholder Key Informants. Two reviewers screened websites and search results, abstracted data, assessed risk of bias or study quality, and graded strength of evidence (SOE) for key outcomes: health-related quality of life, patient overall symptom burden, patient depressive symptom scores, patient and caregiver satisfaction, and advance directive documentation. We performed meta-analyses when appropriate. Results. We included 46 Web resources, 20 quantitative effectiveness studies, and 16 qualitative implementation studies across primary care and specialty populations. Various prediction models, tools, and triggers to identify patients are available, but none were evaluated for effectiveness or implementation. Numerous patient and caregiver education tools are available, but none were evaluated for effectiveness or implementation. All of the shared decision-making tools addressed advance care planning; these tools may increase patient satisfaction and advance directive documentation compared with usual care (SOE: low). Patients and caregivers prefer advance care planning discussions grounded in patient and caregiver experiences with individualized timing. Although numerous education and training resources for nonpalliative care clinicians are available, we were unable to draw conclusions about implementation, and none have been evaluated for effectiveness. The models evaluated for integrating palliative care were not more effective than usual care for improving health-related quality of life or patient depressive symptom scores (SOE: moderate) and may have little to no effect on increasing patient satisfaction or decreasing overall symptom burden (SOE: low), but models for integrating palliative care were effective for increasing advance directive documentation (SOE: moderate). Multimodal interventions may have little to no effect on increasing advance directive documentation (SOE: low) and other graded outcomes were not assessed. For utilization, models for integrating palliative care were not found to be more effective than usual care for decreasing hospitalizations; we were unable to draw conclusions about most other aspects of utilization or cost and resource use. We were unable to draw conclusions about caregiver satisfaction or specific characteristics of models for integrating palliative care. Patient preferences for appropriate timing of palliative care varied; costs, additional visits, and travel were seen as barriers to implementation. Conclusions. For integrating palliative care into ambulatory care for serious illness and conditions other than cancer, advance care planning shared decision-making tools and palliative care models were the most widely evaluated interventions and may be effective for improving only a few outcomes. More research is needed, particularly on identification of patients for these interventions; education for patients, caregivers, and clinicians; shared decision-making tools beyond advance care planning and advance directive completion; and specific components, characteristics, and implementation factors in models for integrating palliative care into ambulatory care.
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2

Eliason, Paul, Paul L. Grieco, Ryan McDevitt, and James Roberts. Strategic Patient Discharge: The Case of Long-Term Care Hospitals. Cambridge, MA: National Bureau of Economic Research, September 2016. http://dx.doi.org/10.3386/w22598.

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3

Peñaloza, Blanca. Does training for healthcare providers in patient-centred care improve patient outcomes? SUPPORT, 2017. http://dx.doi.org/10.30846/1704124.

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Communication problems in healthcare may arise if healthcare providers focus on diseases and their management, rather than people, their lives and their health problems. Training healthcare providers to be more ‘patient centred’ could improve communication in consultations, increase patient satisfaction with care and improve health outcomes.
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4

Starkey, Sandra, and Jean L. Parsons. Exploring Patient Centered Care Through the Design of Personal Storage for Patients. Ames: Iowa State University, Digital Repository, 2014. http://dx.doi.org/10.31274/itaa_proceedings-180814-914.

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5

Dudley, Lilian D., and Tomás Pantoja. Do educational, organisational or financial interventions improve referrals from primary care to secondary care? SUPPORT, 2016. http://dx.doi.org/10.30846/160808.

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Primary care physicians act as gatekeepers for patient referrals to specialist care, diagnosis and management advice, or when specialist procedures are needed. However, unexplained variations in referral rates by primary care physicians have been noted. Inappropriate referrals have negative implications for patients, for the costs of care and for healthcare systems. This summary describes the evidence on interventions to improve referrals from primary care to secondary care.
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David, Guy, Evan Rawley, and Daniel Polsky. Integration and Task Allocation: Evidence from Patient Care. Cambridge, MA: National Bureau of Economic Research, September 2011. http://dx.doi.org/10.3386/w17419.

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7

Glasz, Kevin W. Leadership Implications of the Annual Patient Care Survey. Fort Belvoir, VA: Defense Technical Information Center, April 1999. http://dx.doi.org/10.21236/ada389167.

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8

Hackmann, Martin, and R. Vincent Pohl. Patient vs. Provider Incentives in Long Term Care. Cambridge, MA: National Bureau of Economic Research, October 2018. http://dx.doi.org/10.3386/w25178.

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Foeller, Marguerite. Satisfaction and quality : patient perspectives in medical care. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.3286.

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Mertz, Lynn. Building Skills to Address Disparities in Patient Care. Washington, DC: AARP Thought Leadership, June 2024. http://dx.doi.org/10.26419/int.00056.011.

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