Download or read book A Personalized Algorithm based Discharge Checklist in Patients with Acute Heart Failure written by Florent Allain and published by . This book was released on 2019 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction. L'utilisation d'une checklist de sortie chez les patients admis pour insuffisance cardiaque (IC) a montré une amélioration de la qualité de vie mais n'est pas applicable pour toutes les IC. But. Evaluer l'intérêt d'une checklist de sortie personnalisée (CLP) basée sur des caractéristiques simples (âge, fraction d'éjection ventriculaire gauche (FEVG) et type d'IC) sur la mortalité, les réadmissions pour IC et la qualité de vie. Méthodes. Nous avons prospectivement inclus 139 patients hospitalisés pour IC entre Mai 2018 et Octobre 2018. Une CLP était créée pour chaque patient et remplie avant la sortie. Un groupe contrôle de 182 patients était rétrospectivement inclus l'année précédente. Le critère primaire était la mortalité et les réadmissions à 6 mois pour IC. Résultats. Les cohortes CLP et contrôle étaient comparables sur les caractéristiques de la population comme l'âge moyen et la FEVG. Durant les 6 mois de suivi, 32 patients (23%) étaient décédés dans le groupe CLP contre 43 patients (23.2%) dans le groupe contrôle (p=0.94). 38 patients (27.3%) étaient réadmis pour IC dans le groupe CLP contre 64 (35.2%) dans le groupe contrôle avec une divergence des courbes à 2 mois (p=0.12). On observait dans le groupe CLP un plus grand taux de patients pris en charge pour les carences en fer, vitamine D et la dénutrition ainsi qu'un plus grand recours aux programmes de suivi (réadaptation cardiaque, télémédecine et PRADO). Conclusion. L'utilisation d'une CLP chez les patients IC ne montre pas de différence sur la mortalité et les réadmissions pour IC. Cependant, une meilleure gestion des comorbidités et un plus grand recours aux programmes de suivis sont observés.
Download or read book Algorithms in Heart Failure written by Alan S Maisel and published by JP Medical Ltd. This book was released on 2016-06-28 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides the most recent advances in the management of heart failure. Presented in a “how to” approach, each chapter presents an algorithm that summarises the topic in discussion. The comprehensive text covers all aspects of heart failure treatment, from emergency care, through to long term care and management of complications. Authored by experts renowned in the field, led by Alan Maisel from University of California, this highly useful reference is enhanced by clinical illustrations and figures to assist learning. Key Points Comprehensive guide to latest advances in management of heart failure Each chapter includes algorithm summarising the topic Covers all aspects of heart failure Authored by recognised experts in the field
Download or read book Improving Discharge Education for Heart Failure Patients by Using an Electronic Checklist written by Sherry Yates and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract The lack of multidisciplinary adherence to documentation on the paper-based heart failure (HF) pathway on a 30 bed medical/surgical, telemetry, and oncology unit was identified as a gap in patient education. The evidence indicates that there is an increase in HF readmissions within 30 days which results in adverse clinical and financial outcomes. The recent implementation of Epic into the organization has converted paper charting to an electronic medical record (EMR) system. An Epic-based HF discharge checklist was created using best practice guidelines to include education on medications, diet, activity, weight monitoring, and signs of worsening symptoms. The team was able to access and test the checklist in Epic using the SmartPhrase tool in which they were encouraged to discuss the outcomes twice a week during multidisciplinary rounds. The development of an electronic discharge education checklist over a three month period enhanced the multidisciplinary team's participation in providing heart failure patients with self-management education before discharge. Collaboration with the information technology (IT) team and the informatics nurse supported the conversion to an electronic checklist that can be built into the EMR in fall 2018. Keywords: heart failure, multidisciplinary team, readmissions, discharge checklist, EMR
Download or read book Short Stay Management of Heart Failure written by W. Frank Peacock and published by Lippincott Williams & Wilkins. This book was released on 2006 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accompanying CD-ROM includes all the appendices.
Download or read book Strategies to Improve Cardiac Arrest Survival written by Institute of Medicine and published by National Academies Press. This book was released on 2015-09-29 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.
Download or read book Management of Acute Decompensated Heart Failure written by Christopher O'Connor and published by CRC Press. This book was released on 2005-11-29 with total page 644 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although the majority of heart failure represents the exacerbation of chronic disease, about 20% will present as a first time diagnosis. And although there are a number of intravenous agents that can be used for acute decompensated heart failure, there are no national guidelines currently available. Edited by a well-known expert and his team of con
Download or read book Short Stay Management of Chest Pain written by W. Frank Peacock and published by Springer Science & Business Media. This book was released on 2009-06-05 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute coronary syndrome (ACS) continues to challenge our health care system in the complexity of presentation and the ever increasing number of patients exhibiting signs and symptoms of an acute coronary syndrome. Written by leading experts, Short Stay Management of Chest Pain provides scientific and clinical insights on the management of patients who arrive at the hospital with a presentation consistent with a potential acute coronary syndrome. Focusing on the cardiology aspects of chest pain, Short Stay Management of Chest Pain is a valuable tool for acute care physicians, nurses, and hospital administrators devoted to caring for this population. Short Stay Management of Chest Pain details the remarkable improvements in diagnostic accuracy and improved patient outcomes for patients presenting with suspected acute coronary syndromes.
Download or read book Johns Hopkins Evidence Based Practice for Nurses and Healthcare Professionals Fourth Edition Model and Guidelines written by Deborah Dang and published by SIGMA Theta Tau International. This book was released on 2021-06-15 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals has proven to be one of the most foundational books on EBP in nursing and healthcare.
Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Download or read book Artificial Intelligence in Medicine written by Allan Tucker and published by Springer Nature. This book was released on 2021-06-08 with total page 505 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book constitutes the refereed proceedings of the 19th International Conference on Artificial Intelligence in Medicine, AIME 2021, held as a virtual event, in June 2021. The 28 full papers presented together with 30 short papers were selected from 138 submissions. The papers are grouped in topical sections on image analysis; predictive modelling; temporal data analysis; unsupervised learning; planning and decision support; deep learning; natural language processing; and knowledge representation and rule mining.
Download or read book The Joint Commission Journal on Quality Improvement written by and published by . This book was released on 1996-06 with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Measuring and Valuing Health Benefits for Economic Evaluation written by John Brazier and published by Oxford University Press. This book was released on 2017 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are not enough resources in health care systems around the world to fund all technically feasible and potentially beneficial health care interventions. Difficult choices have to be made, and economic evaluation offers a systematic and transparent process for informing such choices. A key component of economic evaluation is how to value the benefits of health care in a way that permits comparison between health care interventions, such as through costs per quality-adjusted life years (QALY). Measuring and Valuing Health Benefits for Economic Evaluation examines the measurement and valuation of health benefits, reviews the explosion of theoretical and empirical work in the field, and explores an area of research that continues to be a major source of debate. It addresses the key questions in the field including: the definition of health, the techniques of valuation, who should provide the values, techniques for modelling health state values, the appropriateness of tools in children and vulnerable groups, cross cultural issues, and the problem of choosing the right instrument. This new edition contains updated empirical examples and practical applications, which help to clarify the readers understanding of real world contexts. It features a glossary containing the common terms used by practitioners, and has been updated to cover new measures of health and wellbeing, such as ICECAP, ASCOT and AQOL. It takes into account new research into the social weighting of a QALY, the rising use of ordinal valuation techniques, use of the internet to collect data, and the use of health state utility values in cost effectiveness models. This is an ideal resource for anyone wishing to gain a specialised understanding of health benefit measurement in economic evaluation, especially those working in the fields of health economics, public sector economics, pharmacoeconomics, health services research, public health, and quality of life research.
Download or read book Cardiac Resynchronization Therapy written by Cheuk-Man Yu and published by John Wiley & Sons. This book was released on 2009-01-26 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac Resynchronization Therapy continues to evolve at a rapidpace. Growing clinical experience and additional clinical trialsare resulting in changes in how patients are selected for CRT. This new edition of the successful Cardiac ResynchronizationTherapy builds on the strengths of the first edition, providingbasic knowledge as well as an up-to-date summary of new advances inCRT for heart failure. Fully updated to include information ontechnological advances, trouble shooting and recent key clinicaltrials, and with nine new chapters, this expanded text provides thelatest information, keeping the reader up-to-date with this rapidlyevolving field. The second edition of Cardiac Resynchronization Therapyis an essential addition to your collection.
Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.
Download or read book Management of Acute Pulmonary Embolism written by Stavros V. Konstantinides and published by Springer Science & Business Media. This book was released on 2007-12-31 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical volume highlights traditional, novel, and evolving aspects of the diagnosis and treatment of pulmonary embolism (PE). The contributors comprise an international team of experts. Important aspects of diagnosis, risk stratification, and differential treatment of patients with PE are presented in a concise, yet comprehensive manner. Emphasis is placed on specific issues related to PE, including pregnancy, cancer, thrombophilia, and air travel.
Download or read book Small Bowel Obstruction written by Roberto Di Mizio and published by Springer Science & Business Media. This book was released on 2007-10-15 with total page 121 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of this radiological atlas is to connect pathophysiology to imaging using many illustrations and examples, emphasizing the capabilities and limitations of multidetector computed tomography and its role in the correct management approach to these disorders. Furthermore, the place of allied imaging modalities (plain film and ultrasound) in the clinical algorithm is comprehensively illustrated.
