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What are the perceptions and experiences of adults using mobile applications for self-management in diabetes? A systematic review.
BMJ Open
January 2025
Department of Primary Care and Public Health, School of Public Health, Imperial College London Faculty of Medicine, London, UK.
Objectives: Diabetes mellitus is a chronic disease that entails significant burdens to patients, caregivers and society at large. While self-management behaviours like healthy eating and monitoring of blood glucose help to reduce the care burden, they are still perceived to be burdensome. Mobile applications have emerged as promising digital tools in helping patients to self-manage their conditions.
View Article and Find Full Text PDFSynesis as a framework to enable safety interventions in complex healthcare environments.
BMJ Open Qual
January 2025
Critical Care, Cincinnati Children's, Cincinnati, Ohio, USA.
Background: Despite wide adoption in the healthcare of safety event report (SER) systems, there is a paucity of unified structures for prompt analysis and action while retaining reporter confidentiality. We used a synesis framework to change siloed reviews of safety reports to a comprehensive appraisal of quality, safety, productivity and reliability to facilitate interventions.
Methods: After a needs assessment survey, we launched serial plan-do-study-act cycles to (1) enhance teams' ability to access SERs, (2) facilitate regular multidisciplinary review of SERs to identify actionable opportunities, (3) allocate action priority using failure mode and effects analysis, and (4) launch actions and summarise data.
Effectiveness of aspiration and the occurrence of adverse effects using the intramuscular route in adults: a systematic review protocol.
JBI Evid Synth
January 2025
School of Nursing of the University of Minho, Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (Esenfc), Coimbra, Portugal.
Objective: The objective of this review will be to evaluate the effect of prior aspiration versus non-aspiration during intramuscular injection on the occurrence of adverse effects in adult patients.
Introduction: Aspiration is a procedure conducted prior to the administration of intramuscular medications that aims to ensure that the needle tip is inserted in the proper place. Although aspiration is a common procedure, questions have been raised about adverse effects.
Medical Education Reform in China in the 21st Century: A Literature Review.
Adv Med Educ Pract
December 2024
Department of Gastrointestinal Surgery, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Facing resource shortages and increasing gaps between regions and populations during the 20th century, around the 70s, the Chinese government authorized local governments to independently operate their own medical system, including medical education, to provide basic medical services and meet healthcare needs. These multiple independent but unparallel medical education systems throughout the nation inevitably created education quality disparities. Around the beginning of the 21st century, the Chinese government started a medical education standardization reform.
View Article and Find Full Text PDFUnderstanding the contribution of primary and community services to health system resilience during the COVID19 Pandemic in Aotearoa, New Zealand: a qualitative interview study.
BMC Health Serv Res
December 2024
School of Nursing, Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Background: The COVID-19 pandemic exposed critical gaps in health system preparedness. This study, guided by a critical ecological model, examines the experiences of primary health and community services in Aotearoa New Zealand during the pandemic, focusing on their response to older people and their unpaid caregivers. The study aims to identify effective strategies for health system resilience.
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