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Improving Classroom Behaviors among Students with Symptoms of Autism Spectrum Disorder (ASD) or Attention Deficit Hyperactivity Disorder (ADHD)
Get PDFThe study aimed to compare the effectiveness of two school-based behavioral programs on improving executive functioning behaviors among students with symptoms of ADHD or ASD.https://knowledgeconnection.mainehealth.org/reach/1018/thumbnail.jp
Root cause analysis of cases involving diagnosis
No full textDiagnostic errors comprise the leading threat to patient safety in healthcare today. Learning how to extract the lessons from cases where diagnosis succeeds or fails is a promising approach to improve diagnostic safety going forward. We present up-to-date and authoritative guidance on how the existing approaches to conducting root cause analyses (RCA\u27s) can be modified to study cases involving diagnosis. There are several diffierences: In cases involving diagnosis, the investigation should begin immediately after the incident, and clinicians involved in the case should be members of the RCA team. The review must include consideration of how the clinical reasoning process went astray (or succeeded), and use a human-factors perspective to consider the system-related contextual factors in the diagnostic process. We present detailed instructions for conducting RCA\u27s of cases involving diagnosis, with advice on how to identify root causes and contributing factors and select appropriate interventions
Mitigating Misinformation Toolkit: Addressing COVID-19 Misinformation Through Interprofessional Learning and Collaboration Using a Standardized Patient-Based Educational Module
No full textINTRODUCTION: Medical mis- and disinformation are on the rise and impact patient health outcomes. The complexity of modern medicine and health care delivery necessitates that care be delivered by an interprofessional team of providers well versed in addressing this increased prevalence of medical misinformation. Health professions educational curricula often lack opportunities for students to learn how to address medical misinformation, employ advanced communication techniques, and work collaboratively. METHODS: Based on literature and our previous qualitative research, we created a module offering prework learning on COVID-19 and addressing misinformation through advanced communication techniques and interprofessional collaboration. After completing prework, students participated in a standardized patient encounter addressing COVID misinformation. Health professions student dyads completed a preencounter planning huddle and together interviewed a standardized patient. Students received global and checklist-based feedback from standardized patients and completed pre- and postsession self-assessments. RESULTS: Twenty students participated (10 third-year medical, nine third-year pharmacy, one fourth-year pharmacy). Key findings included the following: Nine of 15 survey questions demonstrated statistically significant improvement, including all three questions assessing readiness to have difficult conversations and six of 10 questions assessing interprofessional collaboration and team function. DISCUSSION: Students participating in this novel curriculum advanced their readiness to address medical misinformation, including COVID-19 vaccine disinformation, with patients and coworkers to improve health decision-making and patient care. These curricular methods can be customized for use with a range of health professions learners
The anterior-based muscle-sparing approach is cost-effective when compared with posterolateral and direct anterior approaches for total hip arthroplasty
No full textPURPOSE: Research relating to Total Hip Arthroplasty (THA) has found the anterior-based muscle-sparing (ABMS) approach improves both intraoperative and postoperative outcomes when compared to other THA approaches. This study compares the costs and outcomes of the ABMS approach and standard of care (SOC) to determine the relative cost-effectiveness. METHODS: A decision-analytic model was utilized to estimate intraoperative outcomes (i.e. length of procedure, length of stay (LOS), and transfusion rates) and 90-day postoperative complications (deep infection, periprosthetic fracture, and dislocation). Data relating to postoperative complications, intraoperative outcomes, and costs (adjusted to 2023 USD) were obtained from the literature. Model results were presented as incremental costs and complications avoided using a willingness-to-pay threshold of 3,851 per patient. The PSA found the ABMS approach dominates SOC and is cost-effective in approximately 98.29% and 100% of 10,000 iterations, respectively. Comparing ABMS with only PA procedures increased cost savings per patient to 3,242 when comparing ABMS to only DAA procedures. Length of procedure, LOS, and discharge disposition were the main cost drivers. CONCLUSIONS: This analysis demonstrates the ABMS approach for THA is a cost-effective technique when compared to PA and DAA, which may provide an opportunity for cost savings to the healthcare system
Burns: A Standardized Approach for Resuscitation of Burn Patients in the Critical Care Setting
Get PDFPICOT Question: In adult major burn patients (Burns greater than 15% body surface area), how does a burn critical care bay with visual cues and intervention specific carts, compare to standard critical care bays affect patient outcomes over the course of their hospital stay?https://knowledgeconnection.mainehealth.org/nurseresidency/1043/thumbnail.jp
Dedicated Turn Teams Make the Difference
Get PDFPICOT Question: Are patients with impaired bed mobility admitted to hospitals with rotating turn teams at decreased risk of developing pressure wounds compared to patients admitted to hospitals without assigned turn teams during their hospitalization?https://knowledgeconnection.mainehealth.org/nurseresidency/1044/thumbnail.jp
Impact of Sleep Comfort Measures on Patient Experience
Get PDFPICOT Question: For hospitalized patients, how does the utilization of sleep comfort measures, or lack of, affect patient quality of sleep from admission to discharge?https://knowledgeconnection.mainehealth.org/nurseresidency/1051/thumbnail.jp
The Effects of Care Handoffs and Hospital-Wide Flow
Get PDFPICOT Question: In admitted patients, do timely nurse to nurse reports vs delays in care handoff negatively affect patient care and outcomes?https://knowledgeconnection.mainehealth.org/nurseresidency/1048/thumbnail.jp
Stethoscope Cleansing
Get PDFPICOT Question: How often do healthcare providers clean their stethoscopes, and does it contribute to an increase in nosocomial infection?https://knowledgeconnection.mainehealth.org/nurseresidency/1059/thumbnail.jp
The Need and Impact of Child Life Interventions and Support on Night Shift
Get PDFPICOT Question: For pediatric patients (P), how would having a Child Life resource available on night shift (I) improve (C) overall patient experience (O) during hospital stays (T)?https://knowledgeconnection.mainehealth.org/nurseresidency/1056/thumbnail.jp