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The social experience of uncertainty: a qualitative analysis of emergency department care for suspected pneumonia for the design of decision support.
BMC Med Inform Decis Mak
December 2024
Information, Decision Enhancement and Analytics Center of Innovation, Salt Lake City Veterans Affairs, Salt Lake City, UT, USA.
Background: This study sought to understand the process of clinical decision-making for suspected pneumonia by emergency departments (ED) providers in Veterans Affairs (VA) Medical Centers. The long-term goal of this work is to create clinical decision support tools to reduce unwarranted variation in diagnosis and treatment of suspected pneumonia.
Methods: Semi-structured qualitative interviews were conducted with 16 ED clinicians from 9 VA facilities demonstrating variation in antibiotic and hospitalization decisions.
Healthy ageing in long-term care? Lessons learned from the COVID-19 pandemic: a position paper.
Prim Health Care Res Dev
November 2024
Department of Welfare and Participation, Western Norway University of Applied Sciences, Bergen, Norway.
Article Synopsis
- The position paper highlights the importance of healthy ageing for frail and institutionalized older adults, especially in the wake of the COVID-19 pandemic.
- The paper identifies challenges and opportunities for supporting this demographic, emphasizing the importance of both health safety and a meaningful social life amid ongoing and future health crises.
- Discussions with healthcare professionals and researchers reveal a need to balance strict infection control measures with the well-being and social needs of older adults in long-term care settings.
Successful use of deceased donors with medically complex kidneys.
Transplant Rev (Orlando)
November 2024
Division of Nephrology and Hypertension, Department of Medicine, University of California San Diego, San Diego, CA, United States of America.
The number of patients waiting for kidney transplants from deceased organ donors continues to increase. In this context, non-transplantation of acceptable kidneys is especially regrettable. Here, we review successful transplantation of deceased donor kidneys with anatomic abnormalities, intrinsic kidney diseases, and other ostensibly problematic conditions.
View Article and Find Full Text PDFFourth of July Hazards: A Case Report on a Blast Injury to the Right Hand in a 21-Year-Old Male.
Cureus
October 2024
Plastic Surgery, NYC Health and Hospitals, Brooklyn, USA.
Firework injuries pose a significant concern during celebrations, often resulting in severe trauma that can adversely affect an individual's functional capacity and quality of life. The case highlights a young male who sustained an unwarranted incident after a malfunctioning pyrotechnic device detonated while held in his dominant hand. The patient underwent amputation of several digits while also salvaging the fifth digit and thumb, for which an open reduction and internal fixation were performed.
View Article and Find Full Text PDFConsensus-Building Processes for Implementing Perioperative Care Pathways in Common Elective Surgeries: A Systematic Review.
J Adv Nurs
October 2024
Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Aims: To identify and understand the different approaches to local consensus discussions that have been used to implement perioperative pathways for common elective surgeries.
Design: Systematic review.
Data Sources: Five databases (MEDLINE, CINAHL, EMBASE, Web of Science and the Cochrane Library) were searched electronically for literature published between 1 January 2000 and 6 April 2023.
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