Inappropriate daily lab testing can have adverse effects on patients, including anemia, pain, and interruption of sleep. We implemented a student-led, multifaceted intervention featuring clinician education, publicity campaign, gamification, and system changes, including a novel nurse-driven protocol to reduce unnecessary daily lab testing in a teaching hospital. We applied a quasi-experimental interrupted time series design with a segmented regression analysis to estimate changes before and after our 14-month intervention with a comparison to a control surgical unit. There was an increasing trend in the baseline period, which was mitigated by the intervention (postintervention effect estimate -0.04 labs per patient day/month, p < .05), which was not seen in the control unit. Estimated cost savings was $94,269 ($6,734/month). A student-led, multidisciplinary campaign involving nurse-driven pathway, education, publicity, gamification, and system changes was effective in reducing daily lab testing.
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http://dx.doi.org/10.1097/JHQ.0000000000000157 | DOI Listing |
Netw Neurosci
December 2024
Department of Psychology, The University of Western Ontario, London, Canada.
We examined how thalamocortical connectivity structure reflects children's reading performance. Diffusion-weighted MRI at 3 T and a series of reading measures were collected from 64 children (33 girls) ages 8-14 years with and without dyslexia. The topological properties of the left and right thalamus were computed based on the whole-brain white matter network and a hub-attached reading network, and were correlated with scores on several tests of children's reading and reading-related abilities.
View Article and Find Full Text PDFCureus
November 2024
Family Medicine and Primary Care Department, King Abdulaziz Medical City Riyadh, Riyadh, SAU.
Background Computer vision syndrome (CVS) is a common condition affecting individuals who spend prolonged periods using electronic devices. It is characterized by symptoms such as eye strain, dryness, headaches, and neck pain. This study aims to assess the prevalence of CVS symptoms among healthcare professionals, their awareness of the condition, and the effectiveness of various preventative practices.
View Article and Find Full Text PDFFront Hum Neurosci
December 2024
Department of Linguistics, University of Toronto, Toronto, ON, Canada.
The processing literature provides some evidence that heritage Spanish speakers process gender like monolinguals, since gender-marking in definite articles facilitates their lexical access to nouns, albeit these effects may be reduced relative to speakers who learned the language as majority language. However, previous studies rely on slowed-down speech, which leaves open the question of how processing occurs under normal conditions. Using naturalistic speech, our study tests bilingual processing of gender in determiners, and in word-final gender vowels.
View Article and Find Full Text PDFChin J Traumatol
December 2024
Beijing Key Lab of Regenerative Medicine in Orthopedics, Key Laboratory of Musculoskeletal Trauma and War Injuries PLA, Department of Orthopedics, The Fourth Medical Center, Chinese PLA General Hospital, Beijing, 100048, China. Electronic address:
Purpose: To investigate the protective effect of sub-hypothermic mechanical perfusion combined with membrane lung oxygenation on ischemic hypoxic injury of yorkshire brain tissue caused by traumatic blood loss.
Methods: This article performed a random controlled trial. Brain tissue of 7 yorkshire was selected and divided into the sub-low temperature anterograde machine perfusion group (n = 4) and the blank control group (n = 3) using the random number table method.
Int J Pharm
December 2024
Guangdong Provincial Key Lab of Green Chemical Product Technology, School of Chemistry and Chemical Engineering, South China University of Technology, Guangzhou 510640, China. Electronic address:
Investigating the formation mechanism and effective manipulation of multi-component crystal polymorphs is crucial for facilitating industrial drug development. Herein, five novel Osimertinib-caffeic acid forms were first strategically tailored by varying solvent selection. Theoretical analysis demonstrated this polymorphism is correlated with multiple hydrogen bond donors-acceptors within multi-component system, which provides manipulation space for reconfiguration of intermolecular interactions and structural competition, while solvent further induced or involved in hydrogen-bonded rearrangements.
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