In 2009 the Institute of Medicine updated its guidelines for weight gain during pregnancy, in part because women childbearing age now weigh more pre-pregnancy and tend to pregnancy than did when previous set were released 1990. Women who begin overweight or obese outside IOM recommendations are at risk poor maternal fetal health outcomes. With these concerns mind, we examined what obstetricians communicate about gestational their pregnant patients how nulliparous perceive weight-related...

To describe patient engagement as a safety strategy from the perspective of hospitalized surgical patients with cancer. .Qualitative, descriptive approach using grounded theory. .Memorial Sloan Kettering Cancer Center in New York, York. .13 .Grounded theory maximum variation sampling. .Participants' perceptions regarding their were expressed through three overarching themes.Using direct messaging, such "your safety" opposed to "patient safety," and teaching specific behaviors maintain...

Abstract Home oxygen improves the survival of patients with severe chronic hypoxic lung disease, but is associated an increased risk burns, fires, and fatalities. There minimal data about potential factors for fires burns in urban population discharged from hospital to community on oxygen. This a 7-year retrospective chart review Certified Health Agency. The highest-risk were defined as those believed by nurse be at imminent danger causing burn or fire requiring Emergency Committee; these...

Patient-centered care is a pillar of quality health and important to patients experiencing infertility. In this study we used empirical, in-depth data on couples' experiences infertility treatment decision making inform revise conceptual framework for patient-centered fertility that was developed based professionals' conceptualizations treatment, covering effectiveness, burden, safety, costs. prospective, longitudinal mixed methods study, collected from both members (separately) 37 couples...

Infertility treatment decisions require people to balance multiple priorities. Within couples, partners must also negotiate priorities with one another. In this study, we assessed the family-building of couples prior their first consultations a reproductive specialist. Participants were who had upcoming specialist (N = 59 (59 women; men)). Prior consultation, separately completed Family-Building Priorities Tool, which tasked them ranking from least most important 10 factors associated family...

Objectives James Reason describes cognitive underspecification as incomplete communication that creates a knowledge gap. Errors occur when an information mismatch occurs in bridging gap with resulting lack of shared mental models during the process. There is paucity studies health care examining this error and role it plays patient harm. The goal following case analyses to facilitate accurate recognition, identify how contributes harm, suggest appropriate management strategies. Methods...

Objectives: The goal of this study was to contribute the emerging body literature about role human behaviors and cognitive processes in commission wrong procedures. Methods: Case analysis 5 procedures operative nonoperative settings using James Reason's error theory performed. Results: case showed that underspecification, flips, automode processing, skill-based errors were contributory Wrong-site accounted for preponderance cases. Front-line supervisory staff used corrective actions focused...

A newborn fall to the floor from a sleeping parent’s arms in immediate postpartum period may result skull fracture, head bleed, and transfer NICU for observation. These harmful consequences galvanized frontline clinicians prevent these tragic accidents, but, decade later, they continue at stubbornly low, persistent level. In this article, I suggest that misunderstanding of sleep science be barrier effective interventions. The is presented inform new paradigm would have greater potential...

Medical schools must consider innovative ways to ensure that graduates are prepared care for the aging population. One way is offer a geriatrics clerkship as an option fulfillment of medical school's internal medicine rotation requirement. The authors' purpose was evaluate clerkship's impact on knowledge and student attitudes toward older adults. Mean National Board Examiners (NBME) subject exam scores from students who matriculated 2005 2011 were compared using student's t-tests. Academic...

Journal of Wound, Ostomy and Continence Nursing: September 1999 - Volume 26 Issue 5 p 240

This article illustrates how one academic health science center in a large metropolitan area sought to improve the quality of patient care by soliciting input their nursing staff devising an action plan for change. The research model incorporated both survey and focus group methods used leaders administration practice identify prioritize clinical needs organization. goal was establish consensus among clinicians researchers about significant issues institution requiring in-depth attention. A...

Journal Article Drugs in Current Use and New Get access edited by Walter Modell. Published Springer Publishing Company, Inc., 200 Park Avenue South, York, York 10003, 1973. 164 p. Price $4.25. American of Hospital Pharmacy, Volume 30, Issue 5, 1 May 1973, Page 451, https://doi.org/10.1093/ajhp/30.5.451 Published: 01 1973

In Brief Blame is out; accountability in. Learn how to distinguish between the two through application of a medication error case study.