The Value of Outdoor Behavioral Healthcare for Adolescent Substance Users with Comorbid Conditions.

The damage inflicted on our society by mental health and substance use issues is reaching epidemic proportions with few signs of abating. One new and innovative strategy for addressing these comorbid issues has been the development of outdoor behavioral healthcare (OBH). This study compared the effectiveness of three post-acute adolescent substance use situations: OBH, treatment as usual (TAU), and no structured treatment (NST).

Nudging Healthier Choices in a Hospital Cafeteria: Results From a Field Study.

More than two thirds of adults and one third of children are overweight or obese in the United States. These trends have led to initiatives to provide information that supports informed choices. Traffic light labeling has been shown to increase consumer awareness and encourage healthy selections.

The impact of middle manager affective commitment on perceived improvement program implementation success.

Background: Recent literature suggests that middle manager affective commitment (emotional attachment, identification, and involvement) to an improvement program may influence implementation success. However, less is known about the interplay between middle manager affective commitment and frontline worker commitment, another important driver of implementation success.

Purpose: We contribute to this research by surveying middle managers who directly manage frontline workers on nursing units.

Erratum to: Family Enrichment Adventure Therapy: A Mixed Methods Study Examining the Impact of Trauma-Informed Adventure Therapy on Children and Families Affected by Abuse.

[This corrects the article DOI: 10.1007/s40653-017-0133-4.].

Family Enrichment Adventure Therapy: A Mixed Methods Study Examining the Impact of Trauma-Informed Adventure Therapy on Children and Families Affected by Abuse.

Child abuse is epidemic in the United States and has dire long-term consequences. Innovative interventions are needed to address the negative cognitive, affective and behavioral effects of child abuse. This mixed-method study examined if adventure therapy is 1) an effective mental health intervention for child and adolescent survivors of abuse and neglect, and 2) an effective intervention for families affected by abuse and neglect.

Applying Organizational Learning Research to Accountable Care Organizations.

To accomplish the goal of improving quality of care while simultaneously reducing cost, Accountable Care Organizations (ACOs) need to find new and better ways of providing health care to populations of patients. This requires implementing best practices and improving collaboration across the multiple entities involved in care delivery, including patients. In this article, we discuss seven lessons from the organizational learning literature that can help ACOs overcome the inherent challenges of learning how to work together in radically new ways.

Designed for workarounds: a qualitative study of the causes of operational failures in hospitals.

Frontline care clinicians and staff in hospitals spend at least 10% of their time working around operational failures: situations in which information, supplies, or equipment needed for patient care are insufficient. However, little is known about underlying causes of operational failures and what hospitals can do to reduce their occurrence. To address this gap, we examined the internal supply chains at 2 hospitals with the aim of discovering organizational factors that contribute to operational failures.

Effect of in-water iodine supplementation on weight gain, diarrhea and oral and dental health of nursery pigs.

A farm trial was conducted to evaluate the effect of in-water iodine on piglet growth, the incidence of diarrhea, and the development of deleterious oral and dental conditions. A total of 208 weaned piglets were included in the study. Piglets were weighed 3 times: within 24 h of weaning, and 3 wk and 6 wk after weaning.

Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems.

Objective: To contrast the safety-related concerns raised by front-line staff about hospital work systems (operational failures) with national patient safety initiatives.

Data Sources: Primary data included 1,732 staff-identified operational failures at 20 U.S.

Operational failures and interruptions in hospital nursing.

Objective: To describe the work environment of hospital nurses with particular focus on the performance of work systems supplying information, materials, and equipment for patient care.

Data Sources: Primary observation, semistructured interviews, and surveys of hospital nurses.

Study Design: We sampled a cross-sectional group of six U.

A case study of operational failure in home healthcare.

Examination of operational failures in home healthcare could yield important insights into improving patient safety. This article presents a case study of work system breakdowns observed in the home healthcare setting. The findings suggest that the biggest areas of opportunity are failures stemming from (a) insufficient support from home health agencies and (b) inadequate coordination with patients and their families.