A5074607244- Emergency and Acute Care Studies
- Innovations in Medical Education
- Interprofessional Education and Collaboration
- Healthcare Systems and Technology
- Health Sciences Research and Education
- Empathy and Medical Education
- Clinical Reasoning and Diagnostic Skills
- Mental Health and Patient Involvement
- Health Policy Implementation Science
- Chronic Disease Management Strategies
- Reflective Practices in Education
- Hospital Admissions and Outcomes
- Patient-Provider Communication in Healthcare
- Language, Discourse, Communication Strategies
- Pharmaceutical Practices and Patient Outcomes
- Innovative Education and Learning Practices
- Innovative Teaching and Learning Methods
- Sleep and Work-Related Fatigue
- Interpreting and Communication in Healthcare
- Palliative Care and End-of-Life Issues
- Acute Myocardial Infarction Research
- Trauma and Emergency Care Studies
- Health and Medical Research Impacts
- Meta-analysis and systematic reviews
- Primary Care and Health Outcomes
University Medical Center Utrecht
2016-2025
Utrecht University
2012-2025
Tilburg University
2025
University of Amsterdam
2014-2023
Amsterdam University Medical Centers
2021-2023
Queen's University Belfast
2023
Netherlands Institute for Health Services Research
2023
Oklahoma State University Center for Health Sciences
2017-2022
Huisarts en Wetenschap
2018-2021
Geneeskundige en Gezondheidsdienst
2020
Megaherbivores (adult body mass > 1000 kg) are suggested to disproportionately shape ecosystem and Earth system functioning. We systematically reviewed the empirical basis for this general thesis more specific hypotheses that 1) megaherbivores have larger effects on functioning than their smaller counterparts, 2) is true all extant megaherbivore species 3) vary along environmental gradients. furthermore explored possible biases in our understanding of impacts. found there too few studies...
Aim: To develop and internally validate a model predicting life-threatening events for out-of-hours primary care callers with shortness of breath. Method: This cross-sectional study includes data from 1,952 patients breath who called between September 2020 August 2021. Four logistic regression models were developed as the outcome. We started age gender (model 1) successively added call characteristics (calling at night someone else calling on behalf patient; 2), symptoms (cough, fever,...
To explore trauma patients' perspectives on the need, understanding and usefulness of personalized predictions after injury to assist in rehabilitation. We performed semi-structured online interviews. Participants (N = 30 patients, admitted hospital for an past 5 years) were exposed a support tool that provides recovery injury. Interview data transcribed verbatim thematically analyzed. Four themes identified. Patients expressed (1) need personal information felt about was lacking. The most...
Patients contacting out-of-hours primary care (OHS-PC) with shortness of breath (SOB) are often concerned. Sometimes, they also have an uncanny feeling; existential anxiety that something is wrong in their body. How concerns and feeling related to critical medical conditions cause SOB unknown. We therefore explored the relation between expressed researcher's judged among patients who contact OHS-PC for potential life-threatening events (LTEs) as outcome. This explorative cross-sectional...
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To understand clinical reasoning and decision-making of triage nurses during telephone conversations with callers suspected having acute cardiac events, support from a computer decision system (CDSS) herewith.In triage, assess the urgency callers' conditions reasoning, often supported by CDSS. The use CDSS may trigger interactional workability dilemmas.Qualitative study using principles grounded theory approach following COREQ criteria for qualitative research.Audio-stimulated recall...
Abstract Background In out-of-hours primary care (OHS-PC), semi-automatic decision support tools are often used during telephone triage. the Netherlands, Netherlands Triage Standard (NTS) is used. The NTS mainly expert-based and evidence on diagnostic accuracy of NTS’ urgency allocation against clinically relevant outcomes for patients calling with shortness breath (SOB) lacking. Methods We included data from adults (≥18 years) who contacted two large Dutch OHS-PC centres SOB between 1...
A driving simulator was used to evaluate the effectiveness of a 30-min. nap and 300-mg slow-release caffeine as countermeasures drivers' sleepiness induced by partial sleep deprivation. 12 participants were allowed 4.5 hr. time in bed at laboratory. Driving performance then measured twice—at 9 a.m. 1 p.m.—by 45-min. task on simulator. Subjective sleepiness/alertness mood assessed four times Stanford Sleepiness Scale Profile Mood States. Lane Drifting, Speed Deviation, Accident Liability....
Communities in which professionals share and create knowledge potentially support their continued learning. To realise this potential more fully, members are required to reflect critically. For learning at work such behaviour has been described as critically reflective behaviour, consisting of six aspects: challenging groupthink, critical opinion sharing, an openness about mistakes, asking for giving feedback, experimentation research utilisation. We studied whether how these aspects can be...
Purpose To unravel boundary crossing as it relates to professional identity formation in pharmacists transitioning from a community pharmacy working nondispensing clinical general practice, with the aim of optimizing their education. Method This was multiple-case study, including two-stage interviews, peer feedback, and individual reflection, that collected data 2014–2016 eight practice Netherlands. These acted—without workplace role model—as pharmaceutical care providers practices during...
Background Airway epithelium is widely considered to play an active role in immune responses through its ability detect changes the environment and generate a microenvironment for competent cells. Therefore, besides as physical barrier, affects outcome of response by production various pro-inflammatory mediators. Methods We stimulated airway epithelial cells with viral double stranded RNA analogue poly(I:C) or house dust mite time course 24 hours. In order determine cytokines cells, we...
During postgraduate training, general practitioners and other specialists must learn how to deliver shared care patients; however, the development of formal intraprofessional education is often hampered by curricular constraints. Delivering in everyday work provides trainees with opportunities for informal learning from, about one another. Twelve semi-structured interviews were undertaken trainee (internal medicine or surgery). A thematic analysis input was a qualitative description...
Background US regulatory framework for advanced heart failure therapies (AHFT), ventricular assist devices, and transplants, delegate eligibility decisions to multidisciplinary groups at the center level. The subjective nature of decision‐making is risk racial, ethnic, gender bias. We sought determine how group dynamics impact allocation by patient gender, ethnic group. Methods Results performed a mixed‐methods study among 4 AHFT centers. For ≈ 1 month, meetings were audio recorded. Meeting...
Introduction In the Netherlands, ‘Netherlands Triage Standard’ (NTS) is frequently used as digital decision support system for telephone triage at out-of-hours services in primary care (OHS-PC). The aim of NTS to guarantee accessible, efficient and safe care. However, there are indications that current inefficient, with overestimation urgency, notably suspected acute cardiovascular disease. addition, settings has only been validated against surrogate markers, diagnostic accuracy clinical...
Clinician-scientists (CSs) are vital in connecting the worlds of research and practice. Yet, there is little empirical insight into how CSs perceive act upon their in-and-between position between these socio-culturally distinct worlds. To better understand support CSs' training career development, this study aims to gain social identity brokerage. The authors conducted semi-structured, in-depth interviews with 17, purposively sampled, elicit information on differ they identity. Some...
To assess the accuracy of semi-automatic assisted telephone triage in patients with acute chest discomfort against diagnosis coronary syndrome (ACS) or other life-threatening events (LTEs).A cross-sectional study was performed conversations 2023 (pain, pressure, tightness discomfort) who called out-of-hours services for primary care (OHS-PC) between 2014 and 2016. Sensitivity, specificity, positive negative predicted values were calculated a high urgency (patient seen within one hour)...
To preserve quality and continuity of care, collaboration between primary-care secondary-care physicians is becoming increasingly important. Therefore, learning intraprofessional (intraPC) requires explicit attention during postgraduate training. Hospital placements provide opportunities for intraPC learning, but these require interventions to support enhance such learning. Design-Principles guide the design development educational activities when theory-driven are tailored into...