Clinical Decision Support as a Prevention Tool for Medication Errors in the Operating Room: A Retrospective Cross-Sectional Study.

Background: Medication errors in the operating room have high potential for patient harm. While electronic clinical decision support (CDS) software has been effective in preventing medication errors in many nonoperating room patient care areas, it is not yet widely used in operating rooms. The purpose of this study was to determine the percentage of self-reported intraoperative medication errors that could be prevented by CDS algorithms.

Tobacco treatment implementation within 28 commission on cancer accredited programs in the Northeast region of the USA: A pilot study.

Cancer survivors are a rapidly growing population and an important target for tobacco treatment interventions. Continued smoking after the diagnosis of cancer is associated with a higher risk of cancer recurrence and mortality. Systematic tobacco cessation programs are effective.

The 21st Century Cures Act Implications for the Reduction of Racial Health Disparities in the US Criminal Justice System: a Public Health Approach.

Past drug epidemics have disproportionately criminalized drug addiction among African Americans, leading to disparate health outcomes, increased rates of HIV/AIDS, and mass incarceration. Conversely, the current opioid addiction crisis in the USA focuses primarily on white communities and is being addressed as a public health problem. The 21st Century Cures Act has the potential to reduce racial health disparities in the criminal justice system through the Act's public health approach to addiction and mental health issues.

Interprofessional Curbside Consults to Develop Team Communication and Improve Student Achievement of Learning Outcomes.

To design and implement a series of activities focused on developing interprofessional communication skills and to assess the impact of the activities on students' attitudes and achievement of educational goals. Prior to the first pharmacy practice skills laboratory session, pharmacy students listened to a classroom lecture about team communication and viewed short videos describing the roles, responsibilities, and usual work environments of four types of health care professionals. In each of four subsequent laboratory sessions, students interacted with a different standardized health care professional role-played by a pharmacy faculty member who asked them a medication-related question.

The PTSD Toolkit for Nurses: Assessment, intervention, and referral of veterans.

Approximately 20% of veterans suffer from posttraumatic stress disorder (PTSD). NPs are well positioned to provide early detection and assist veterans with access to life-saving treatment. The PTSD Toolkit for Nurses helps nurses improve their skills in assessing PTSD and provides a specialized intervention and referral procedure that promotes help-seeking behavior among veterans.

Examining the impact of comorbid serious mental illness on rehospitalization among medical and surgical inpatients.

Objective: Multiple barriers to quality health care may affect the outcomes of postacute treatment for individuals with serious mental illness (SMI). This study examined rehospitalization for medical and surgical inpatients with and without a comorbid diagnosis of SMI which included psychotic disorders, bipolar disorder and major depression.

Methods: We examined hospital discharge records for medical and surgical inpatients from a large urban health system.

COLLAGE 360: A Model of Person-Centered Care To Promote Health Among Older Adults.

Health care leaders and providers have introduced the assumption the typical elder, even in the presence of complex, chronic disease and prevailing illness, is capable of assuming greater personal responsibility for their health care, with a shift from provider-centered to a person-centered model of care. For older adults who often and repeatedly face challenges managing and maintaining their health status, guidance and support is needed. In this study, , a comprehensive assessment system and wellness coaching program that focuses on prevention and wellness, care coordination and self-management of health care was implemented in one continuing care retirement community.

Family-centered care during acute neonatal transport.

Purpose: To evaluate current transport team communication practices and identify areas for improvement from the parents' perspective. We also sought to determine whether parents perceived that they were active participants in the care of their infants during the transport process, consistent with the concepts of providing family-centered care (FCC).

Subjects: Purposeful sampling of mothers and fathers (or maternally designated support person if the father was not involved) of 25 infants who were transported for acute care to a level III neonatal intensive care unit (NICU) between October 1, 2012, and September 18, 2013.

The Interventions to Reduce Acute Care Transfers (INTERACT) quality improvement program: an overview for medical directors and primary care clinicians in long term care.

Interventions to Reduce Acute Care Transfers (INTERACT) is a publicly available quality improvement program that focuses on improving the identification, evaluation, and management of acute changes in condition of nursing home residents. Effective implementation has been associated with substantial reductions in hospitalization of nursing home residents. Familiarity with and support of program implementation by medical directors and primary care clinicians in the nursing home setting are essential to effectiveness and sustainability of the program over time.

Global health and neonatal nursing: a personal journey.

The need for improvement of neonatal nursing care is a global issue. Neonatal nurses have an important role in optimizing these health outcomes for neonates and their families. This article describes the personal journey of one nurse and her mentee.

Parents and technology in the inpatient pediatric setting: a beginning model for study.

Medical technology has an increasing presence in the pediatric general care unit (GCU) and is an important tool in the provision of nursing care to children. As a result, both nurses and parents or other patient caregivers have had to integrate medical technology into their roles in the GCU setting. For nurses, this integration of technology into their workflow may be less stressful because new technologies are seen as additional resources to be used to provide proficient, safe patient care.

System issues: challenges to intimate partner violence screening and intervention.

This ethnographic study examines the experiences of health care providers (HCPs) and advocates implementing intimate partner violence (IPV) screening and interventions in their health care organizations. Numerous policies and protocols have been developed to improve the response of HCPs to survivors of IPV. Typically studies have focused on HCPs with little attention to the role of organizations in providing care.

Lesbians' attitudes and beliefs regarding overweight and weight reduction.

Aim And Objective: This article presents data on attitudes and beliefs about overweight/weight reduction in lesbians. The project was developed to have information on which to base future culturally sensitive interventions to reduce cardiovascular risk in lesbians.

Background: Lesbians have been found to have high rates of obesity/overweight and to be more accepting of it.

Relationships between aggression, depression, and alcohol, tobacco: implications for healthcare providers in student health.

Purpose: To determine the prevalence of aggression, depression, and at-risk health behaviors in a random sample of undergraduate college students and to explore the relationship between these variables.

Data Sources: The study survey was sent to 2500 undergraduate students; 428 participated, responding to items from the National College Health Risk Behavior Survey about alcohol, drug and tobacco, violence and aggression, the Beck Depression Inventory II, and items adapted from the Overt Aggression Scale.

Conclusions: Almost one third of the sample reported cigarette smoking, 22% moderate depression, 81% drink alcohol, with 58% drinking more than five drinks at least once in the last month.

The effect of oppressed group behaviours on the culture of the nursing workplace: a review of the evidence and interventions for change.

Aim: The aim of the present study was to review the current literature on oppressed group behaviours in nursing, with emphasis on interventions to change the behaviours, and on instruments that have been developed to measure it.

Background: Oppressed group behaviours have been described in nurses for over two decades and their presence has been related to decreased nurse self-advocacy, and other negative aspects of the nursing workplace.

Evaluation: Systematic review of the literature on oppressed group behaviour in nursing.

School-age children's perceptions of their PICU hospitalization.

The aim of this cross-sectional study was to explore the effects of a PICU hospitalization on critically ill school- age children. Few studies have examined the impact of the PICU experience on children themselves. A convenience sample was recruited of 21 developmentally appropriate children who were aged 7-12 years and had never been hospitalized.

The role of "envisioning the future" in the development of resilience among at-risk youth.

The objective was to explore the process by which adolescents develop resilience and change their risk behaviors despite multiple stressors in their environment. The design was exploratory using grounded theory to understand the process from the teens' perspectives. Semistructured interviews were conducted with 32 individuals-28 adolescents (age range 16-21 years) and 4 adults (age range 32 and 72)-on two occasions.

Moderate alcohol consumption and unappreciated risk for alcohol-related harm among ethnically diverse, urban-dwelling elders.

The purpose of this cross-sectional survey was to gather data describing how older adults define moderate alcohol consumption and how they have interpreted media reports of the health benefits of moderate alcohol consumption. Results showed that many older adults define moderate alcohol use at levels above Federal guidelines, and a notable number of older adults agree that moderate use is good for health. The disparity between older adults' definition of moderate drinking and Federal guidelines for low-risk drinking may contribute to the underrecognition of problem drinking by nurses and other health care providers and place older adults at an unappreciated level of risk for alcohol-related harm.

Mother-bingo bonding: screening for gambling addiction in the neonatal intensive care unit.

As the prevalence of gambling increases in society, problem or pathologic gambling in new mothers may interfere with the bonding process as well as with infant and child care. Although neonatal nurses routinely screen for maternal addictions to substances such as alcohol, cocaine, and heroin, they are less likely to be alerted to signs of gambling addiction in new parents. This article presents a case study of a mother with a bingo preoccupation, provides neonatal nurses with an overview of problem and pathologic gambling, presents brief interview questions and a standardized screening tool for assessing gambling problems in parents, and suggests areas for intervention.

Long-term effects of pediatric intensive care unit hospitalization on families with young children.

Objective: The purpose of this study was to prospectively examine the long-term effects of the pediatric intensive care unit experience on parents and on family adaptation.

Design: A three-group prospective, comparison, convenience sample was used in this study.

Setting: The study took place in a midwestern university-affiliated tertiary pediatric medical center.