Publications by authors named "Ted Scott"
Article Synopsis
- - Oncology and critical care patients are at a higher risk for central line-associated bloodstream infections (CLABSIs) and thrombotic occlusions due to the use of central vascular access devices (CVADs), with CLABSIs increasing by 63% during the COVID-19 pandemic.
- - A quality improvement project introduced 4% ethylenediaminetetraacetic acid (EDTA) as an antimicrobial locking solution, leading to a significant decrease in CLABSIs from 36 cases in 16 months to 6 cases in 6 months (a 59% reduction).
- - Though the study showed promising results in reducing CLABSIs, it found no significant improvement in occlusions, and further research
Background: Digital health interventions (DHIs) are a central focus of health care transformation efforts, yet their uptake in practice continues to fall short of their potential. In order to achieve their desired outcomes and impact, DHIs need to reach their target population and need to be used. Many factors can rapidly intersect between this dynamic of users and interventions.
View Article and Find Full Text PDFBackground: Mobile health (mHealth) interventions are increasingly being designed to facilitate health-related behavior change. Integrating insights from behavioral science and design science can help support the development of more effective mHealth interventions. Behavioral Design (BD) and Design Thinking (DT) have emerged as best practice approaches in their respective fields.
View Article and Find Full Text PDFBackground: Wearable continuous monitoring biosensor technologies have the potential to transform postoperative care with early detection of impending clinical deterioration.
Objective: Our aim was to validate the accuracy of Cloud DX Vitaliti continuous vital signs monitor (CVSM) continuous noninvasive blood pressure (cNIBP) measurements in postsurgical patients. A secondary aim was to examine user acceptance of the Vitaliti CVSM with respect to comfort, ease of application, sustainability of positioning, and aesthetics.
Article Synopsis
- * Continuous multiparameter remote automated monitoring (CM-RAM) devices can track multiple health metrics like oxygen levels and heart rate simultaneously, offering a more comprehensive approach to virtual care.
- * This article reviews the principles and components of CM-RAM technologies, discusses current work in the field, and outlines strategic priorities for enhancing their implementation and effectiveness in patient care.
Article Synopsis
- The study aimed to compare the effectiveness of virtual care with remote automated monitoring (RAM) versus standard care in increasing the number of days adults were able to stay at home after non-elective surgery during the COVID-19 pandemic.
- Conducted as a multicenter randomized controlled trial in eight Canadian hospitals, 905 adults were divided into two groups: one receiving virtual care with daily monitoring and the other receiving standard post-operative care.
- The results showed a slight advantage for the virtual care group in terms of days alive at home (29.7 vs. 29.5 days), but the difference was minimal and not statistically significant, indicating no major benefit from the virtual care approach.
Article Synopsis
- The PVC-RAM trial aims to assess whether virtual care with remote automated monitoring (RAM) improves post-discharge outcomes for patients who have undergone nonelective surgeries during the COVID-19 pandemic.
- The study involves 900 adults from 8 Canadian hospitals, who are randomly assigned to receive either RAM or standard care, with daily monitoring of vital signs and interaction with nurses over a 30-day period.
- Results from this trial will help shape better post-surgical care strategies and will be shared through various platforms for broader impact, both during and after the pandemic.
Introduction: Digital health interventions (DHIs) are defined as health services delivered electronically through formal or informal care. DHIs can range from electronic medical records used by providers to mobile health apps used by consumers. DHIs involve complex interactions between user, technology and the healthcare team, posing challenges for implementation and evaluation.
View Article and Find Full Text PDFBackground: Cardiac and major vascular surgeries are common surgical procedures associated with high rates of postsurgical complications and related hospital readmission. In-hospital remote automated monitoring (RAM) and virtual hospital-to-home patient care systems have major potential to improve patient outcomes following cardiac and major vascular surgery. However, the science of deploying and evaluating these systems is complex and subject to risk of implementation failure.
View Article and Find Full Text PDFWorldwide, more than 230 million adults have major noncardiac surgery each year. Although surgery can improve quality and duration of life, it can also precipitate major complications. Moreover, a substantial proportion of deaths occur after discharge.
View Article and Find Full Text PDFBackground: Tens of thousands of cardiac and vascular surgeries (CaVS) are performed on seniors in Canada and the United Kingdom each year to improve survival, relieve disease symptoms, and improve health-related quality of life (HRQL). However, chronic postsurgical pain (CPSP), undetected or delayed detection of hemodynamic compromise, complications, and related poor functional status are major problems for substantial numbers of patients during the recovery process. To tackle this problem, we aim to refine and test the effectiveness of an eHealth-enabled service delivery intervention, TecHnology-Enabled remote monitoring and Self-MAnagemenT-VIsion for patient EmpoWerment following Cardiac and VasculaR surgery (THE SMArTVIEW, CoVeRed), which combines remote monitoring, education, and self-management training to optimize recovery outcomes and experience of seniors undergoing CaVS in Canada and the United Kingdom.
View Article and Find Full Text PDFObjectives: The purpose of this study was to demonstrate an increase in the detection rate of fetal cardiac defects using 2 cine loop sweeps.
Methods: Image reviewers examined a series of 93 cases randomly sorted, including 79 studies with normal findings and 14 studies with abnormal findings. All of the images were assessed by 5 standard criteria.
Tendon and nerve excursion in the carpal tunnel in healthy and CTD wrists.
Clin Biomech (Bristol)
November 2011
Background: During hand and finger motions, friction between flexor digitorum superficialis tendon and the median nerve is thought to play a role in the development of cumulative trauma disorders. This study investigated three methods to determine excursions of the flexor digitorum superficialis tendon and median nerve using several motions.
Methods: Twenty-five participants (mean age 37.