Barriers to Adoption of a Child-Abuse Clinical Decision Support System in Emergency Departments.

Introduction: Child abuse is a leading cause of morbidity and mortality in children. The rate of missed child abuse in general emergency departments (ED), where 85% of children are evaluated, is higher than in pediatric EDs. We sought to evaluate the impact of an electronic health record (EHR)-embedded child-abuse clinical decision support system (CA-CDSS) in the identification and evaluation of child maltreatment in a network of EDs three years after implementation.

Heart Rate Variability in Surgical Patients Experiencing Live Bedside Music; An Explorative Study.

It's known that surgery elicits a stress response involving the autonomic nervous system (ANS) which is important in general recovery but can also have detrimental effects in older patients. Music seems to positively effect postoperative recovery, although the mechanism requires further unravelling. Our objective was to explore the response of the ANS to live bedside music in older surgical patients, by using heart rate variability (HRV) as a proxy.

Quantifying the spatiotemporal variability of nitrate in irrigation water across the Wisconsin Central Sands.

The Wisconsin Central Sands is home to large scale vegetable production on sandy soils and managed with frequent irrigation, fertigation, and widespread nitrogen fertilizer application, all of which make the region highly susceptible to nitrate loss to groundwater. While the groundwater is used as the primary source of drinking water for many communities and rural residences across the region, it is also used for irrigation. Considering the high levels of nitrate found in the groundwater, it has been proposed that growers more accurately account for the nitrate in their irrigation water as part of nitrogen management plans.

Disseminating child abuse clinical decision support among commercial electronic health records: Effects on clinical practice.

Objectives: The use of electronic health record (EHR)-embedded child abuse clinical decision support (CA-CDS) may help decrease morbidity from child maltreatment. We previously reported on the development of CA-CDS in Epic and Allscripts. The objective of this study was to implement CA-CDS into Epic and Allscripts and determine its effects on identification, evaluation, and reporting of suspected child maltreatment.

Health care professionals' perceptions of unprofessional behaviour in the clinical workplace.

Background: Unprofessional behaviour undermines organizational trust and negatively affects patient safety, the clinical learning environment, and clinician well-being. Improving professionalism in healthcare organizations requires insight into the frequency, types, sources, and targets of unprofessional behaviour in order to refine organizational programs and strategies to prevent and address unprofessional behaviours.

Objective: To investigate the types and frequency of perceived unprofessional behaviours among health care professionals and to identify the sources and targets of these behaviours.