Publications by authors named "Kathleen Leone"

Article Synopsis
  • There is a need for better research on adverse events (AEs) in oncology patients, as current methods like voluntary safety reporting (VSR) and the Global Trigger Tool (GTT) show significant differences in detection rates.
  • A study conducted between 2013 and 2015 compared these two methods, finding that the modified GTT detected more AEs (0.90 per patient) primarily related to medications, whereas VSR detected only 0.24 AEs per patient, with many not causing harm.
  • The findings suggest that neither detection method is fully effective on its own in identifying AEs in oncology patients, emphasizing the need for improved strategies, such as using electronic health records and patient-reported data.
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Background: Providing information to patients in intensive care units and their families is challenging. Patients often are admitted unexpectedly and experience stress and uncertainty. One source of stress has been identified as unclear, uncoordinated, or inconsistent communication and information.

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Objectives: Studies comprehensively assessing interventions to improve team communication and to engage patients and care partners in ICUs are lacking. This study examines the effectiveness of a patient-centered care and engagement program in the medical ICU.

Design: Prospective intervention study.

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Despite the potential advantages, implementation of mobile devices and ongoing management pose challenges in the hospital environment. Our team implemented the PROSPECT (Promoting Respect and Ongoing Safety through Patient-centeredness, Engagement, Communication and Technology) project at Brigham and Women's Hospital. The goal of PROSPECT is to transform the hospital environment by providing a suite of e-tools to facilitate teamwork among nurses, physicians, patients and to engage patients and care partners in their plan of care.

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Patient engagement has been identified as a key strategy for improving patient outcomes. In this paper, we describe the development and pilot testing of a web-based patient centered toolkit (PCTK) prototype to improve access to health information and to engage hospitalized patients and caregivers in the plan of care. Individual and group interviews were used to identify plan of care functional and workflow requirements and user interface design enhancements.

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