Background: We designed a Web-based program for educating medical staff providers on infection control and prevention measures and for ensuring that such providers comply with mandated immunizations, influenza vaccination, and tuberculin skin testing.
Methods: Our program was designed in a health care system employing approximately 2,699 medical staff providers and 9,700 other health care workers in 3 hospitals; a skilled nursing care facility; and a large, multisite, faculty practice plan. We developed a program for educating medical staff providers on infection control and antibiotic stewardship and ensuring compliance with institutional immunization, tuberculin skin testing, and influenza immunization requirements. A post-test required a 100% correct score to pass. The modules allowed access from any computer with Internet connectivity.
Results: In total, 2,666 of the 2,699 (98.8%) medical staff providers completed the program, and 76.4% of the 2,666 received influenza vaccination.
Conclusion: Entering the data into an electronic database allowed for ease in monitoring compliance, and the requirement for successfully passing a post-test following the educational modules ensured that medical staff providers had read the material. Entry into the electronic database also allowed for analysis of reasons for varied compliance with influenza immunization that will be useful in focusing future educational efforts.
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http://dx.doi.org/10.1016/j.ajic.2010.08.021 | DOI Listing |
JAMA
January 2025
Department of Emergency Medicine, Henry Ford Health, Detroit, Michigan.
Importance: The emergency department (ED) offers an opportunity to initiate palliative care for older adults with serious, life-limiting illness.
Objective: To assess the effect of a multicomponent intervention to initiate palliative care in the ED on hospital admission, subsequent health care use, and survival in older adults with serious, life-limiting illness.
Design, Setting, And Participants: Cluster randomized, stepped-wedge, clinical trial including patients aged 66 years or older who visited 1 of 29 EDs across the US between May 1, 2018, and December 31, 2022, had 12 months of prior Medicare enrollment, and a Gagne comorbidity score greater than 6, representing a risk of short-term mortality greater than 30%.
J Am Med Inform Assoc
January 2025
Sinclair School of Nursing, University of Missouri, Columbia, MO 65211, United States.
Objective: This study aimed to explore the utilization of a fine-tuned language model to extract expressions related to the Age-Friendly Health Systems 4M Framework (What Matters, Medication, Mentation, and Mobility) from nursing home worker text messages, deploy automated mapping of these expressions to a taxonomy, and explore the created expressions and relationships.
Materials And Methods: The dataset included 21 357 text messages from healthcare workers in 12 Missouri nursing homes. A sample of 860 messages was annotated by clinical experts to form a "Gold Standard" dataset.
Community Ment Health J
January 2025
Lab of Forensic Medicine and Toxicology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, 54124, Greece.
Age Ageing
January 2025
Centre for Research in Public Health and Community Care (CRIPACC), University of Hertfordshire, College Lane, Hatfield, UK.
Background: We developed a prototype minimum data set (MDS) for English care homes, assessing feasibility of extracting data directly from digital care records (DCRs) with linkage to health and social care data.
Methods: Through stakeholder development workshops, literature reviews, surveys and public consultation, we developed an aspirational MDS. We identified ways to extract this from existing sources, including DCRs and routine health and social care datasets.
Int Nurs Rev
March 2025
Department of Public Health, School of Medicine, Trakya University, Edirne, Turkey.
Aim: This study investigates the relationship between nurses' disaster preparedness, the factors influencing it, and nurses' psychological resilience.
Background: The International Council of Nursing considers disaster preparedness and response to be essential qualifications for nurses. Nurses' resilience levels have a significant impact on their professional behavior under challenging circumstances, such as disasters, resulting in improved patient care and satisfaction.
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