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Dementia Care Research and Psychosocial Factors.
Alzheimers Dement
December 2024
Geriatric Research Education & Clinical Center, VA Bedford Healthcare System, Bedford, MA, USA.
Background: Cerebral amyloid angiopathy (CAA) is a significant contributor to hemorrhagic stroke, notably lobar intracerebral hemorrhage (ICH) and convexity subarachnoid hemorrhage (SAH). This study describes the natural occurrence of ICH and SAH events among veterans, including those with AD, within the United States Veterans Affairs Healthcare System (VAHS).
Method: The VAHS database was evaluated to identify ICD-10 codes for ICH (I61.
Rationale: Prior work has shown a preference among most people with dementia and their families for comfort-focused care near the end-of-life. Nonetheless, intubation and mechanical ventilation are increasing over time without concurrent trends in improved survival, including among those with advanced dementia. A better understanding of prehospital decision-making about intubation for people with dementia will guide efforts to increase goal-concordant care at onset of critical illness.
View Article and Find Full Text PDFThe Significance of Information Quality for the Secondary Use of the Information in the National Healthcare Quality Registers in Finland.
Methods Inf Med
January 2025
Clients and Services in Healthcare and Social Welfare, Ministry of Social Affairs and Health, Helsinki, Finland.
Background The aim of the national healthcare quality registers is to monitor, assess, and improve the quality of care. The information utilized in quality registers must be of high quality to ensure that the information produced by the registers is reliable and useful. In Finland, one of the key sources of information for the quality registers is the national Kanta services.
View Article and Find Full Text PDFAssessment of Real-Time Natural Language Processing for Improving Diagnostic Specificity: A Prospective, Crossover Exploratory Study.
Appl Clin Inform
January 2025
Lifespan Information Services, Lifespan Health System, Providence, United States.
Background Reliable, precise, timely, and clear documentation of diagnoses is difficult. Poor specificity or the absence of diagnostic documentation can lead to decreased revenue and increased payor denials, audits, and queries to providers. Nuance's Dragon Medical Advisor (DMA) is a computer-assisted physician documentation (CAPD) product.
View Article and Find Full Text PDFStandardized Neonatal ICU Progress Note Template and Feedback System: A Clinical Documentation Improvement Initiative.
Cureus
December 2024
Neonatology, Tawam Hospital, Al Ain, ARE.
Introduction This quality improvement (QI) initiative aimed to improve the clinical documentation of daily progress notes in the neonatal intensive care unit (NICU) by applying a standardized documentation template and conducting regular cycles of audit and feedback to ensure compliance and improvement. Methods Firstly, to better assess documentation practices impacting patient care, members of the NICU auditing team identified seven key points in medical records. These points were then used for the audit of 30 randomly selected "progress notes" for infants admitted to the NICU between January and June 2022.
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