Utah-based Intermountain Healthcare has ramped up simulation programs that train clinicians in the US and other countries to increase patient safety and improve outcomes in complex medical situations. The biggest training facility is at LDS Hospital in Salt Lake City, and the program uses technology, such as 3D printing and high-fidelity manikins, and includes a full operational operating room, an intensive care room and a simulated labor delivery room.
A bill that would give Medicaid beneficiaries with opioid and cocaine addiction greater access to treatment in certain inpatient facilities was passed by House lawmakers Wednesday. The legislation, which is part of the House's efforts to approve more than 50 opioid bills over a two-week period, partially lifts an an exclusion that prevents Medicaid from paying for mental health care at facilities with more than 16 beds.
Cigarette smoking is common in persons living with hepatitis C, at nearly triple the rate compared with those without hepatitis C. The disease is also associated with depression and hypertension in smokers. The sociodemographic profile of hepatitis C+ smokers suggests that the implementation of effective tobacco treatment will be challenging. Thoughtful treatment strategies that are mindful of the unique characteristics of this group are needed.
Results suggest that public health messaging urging parents not to allow their children to get, open, or pour alcoholic drinks or get or light cigarettes for family members may be helpful in reducing teen substance use.
Pain is a symptom of osteoarthritis (OA) and has been linked to poor mental health. Pain fluctuates, but studies have considered day-to-day fluctuations of joint pain in relation to affective symptoms in older persons with OA. This study investigated the relationship of pain severity and within-person pain variability with anxiety and depression symptoms in 832 older adults with OA. Results emphasize the importance of measuring pain at multiple time-points, as pain fluctuations may indicate the presence of affective symptoms.
Primary and continuing education for prehospital care of children is often less available than it is for adults, potentially leading to a lack of comfort in assessment and management of children. Using multivariable logistic regression evaluating a regional EMS database, this study found that rates of vital signs assessments in most pediatric age groups were significantly lower compared with adults. Pain score documentation was lower in children after trauma, and oxygen saturation documentation was lower in children with respiratory complaints. Educational initiatives, including increasing hands-on time with pediatric patients and simulation sessions, may improve comfort and familiarity with pediatric assessments.
This systematic literature review examined available evidence regarding noninvasive communication technology for improving the survival of patients with chronic heart failure (HF) as well as reducing their hospital admission rate. Complex telemonitoring seemed to reduce all-cause mortality. Moderate quality evidence suggested that telemonitoring prevents hospital admissions for HF. Structured telephone support also appeared to decrease all-cause mortality and HF-related hospitalization. Based on this work, clinicians should offer noninvasive monitoring with communication technology applications to all HF patients.
In this multicenter, prospective, controlled, clustered-randomized, multifaceted intervention trial, thromboprophylaxis for venous thromboembolism use was studied. Initial results were collected in the first month. Six of the twelve sites had an instructional intervention which included lectures, posters and pocket cards to remind physicians of the guidelines for thromboprophylaxis. This study failed to demonstrate improvement in prophylaxis adequacy with the intervention. However, the intervention seemed to improve practices in post-acute and long-term care but not acute-care wards.
Assessing the risk of cervical precancer at the colposcopy visit improves detection of precancers through multiple targeted biopsies and provides high reassurance of a negative colposcopy.
Stop using the term finance when referring to employee financial wellness programs because the word can be overwhelming for people, Working Credit NFP co-founder Amanda Carney told the SHRM 2018 Conference. Carney suggested helping workers establish a good credit score, and Katherine Brune of SunTrust Bank said the company emphasizes getting workers to create an emergency fund using a focus on incremental education, not on finance.