Patient Safety in Surgery最新文献_第9页

Artificially Intelligent? Machine Learning in Healthcare and Why It May Not Be As Advanced As You Think 人工智能?医疗保健中的机器学习以及为什么它可能没有你想象的那么先进

IF 3.7

Patient Safety in Surgery Pub Date : 2023-06-30 DOI: 10.33940/001c.77632

Avishek Choudhury, Caitlyn Allen

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Lack of alignment between orthopaedic surgeon priorities and patient expectations in total joint arthroplasty. 在全关节置换术中，骨科医生的优先级和患者的期望之间缺乏一致性。

IF 3.7

Patient Safety in Surgery Pub Date : 2023-06-29 DOI: 10.1186/s13037-023-00365-w

Harsh N Shah, Andrew A Barrett, Patrick H Le, Prerna Arora, Robin N Kamal, Derek F Amanatullah

{"title":"Lack of alignment between orthopaedic surgeon priorities and patient expectations in total joint arthroplasty.","authors":"Harsh N Shah, Andrew A Barrett, Patrick H Le, Prerna Arora, Robin N Kamal, Derek F Amanatullah","doi":"10.1186/s13037-023-00365-w","DOIUrl":"https://doi.org/10.1186/s13037-023-00365-w","url":null,"abstract":"Background: Healthcare systems are shifting toward \"patient-centered\" care often without assessing the values important to patients. Analogously, the interests of the patient may be disparate with physician interests, as pay-for-performance models become common. The purpose of the study was to determine which medical preferences are essential for patients during their surgical care.Methods: This prospective, observational study surveyed 102 patients who had undergone a primary knee replacement and/or hip replacement surgery about hypothetical scenarios regarding their surgical experience. Data analysis included categorical variables presented as a number and percent, while continuous variables presented as mean and standard deviation. Statistical analysis for anticoagulation data included the Pearson chi-square test and one-way ANOVA test.Results: A large majority, 73 patients (72%), would not pay to have a four-centimeter or smaller incision. The remaining 29 patients (28%) would prefer to have a four-centimeter or smaller incision and would pay a mean of $1,328 ± 1,629 for that day. A significant number of patients preferred not to use anticoagulation (p = 0.019); however, the value attributed to avoiding a specific method of anticoagulation was found not to be significant (p = 0.507).Conclusions: The study determined the metrics prioritized by hospitals and surgeons are not important to the majority of patients when they evaluate their own care. These disconnects in the entitlements patients expect and receive can be solved by including patients in discussions with physicians and hospital systems.","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"17 1","pages":"17"},"PeriodicalIF":3.7,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10308647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9738296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Continuous Monitoring of Vital Signs After Hospital Discharge: A Feasibility Study 出院后生命体征持续监测的可行性研究

IF 3.7

Patient Safety in Surgery Pub Date : 2023-06-26 DOI: 10.33940/001c.77776

Nicharatch Songthawornpong, Thivya Vijayakumar, Marie Said Vang Jensen, Mikkel Elvekjaer, H. Sørensen, E. Aasvang, C. S. Meyhoff, V. Eriksen

{"title":"Continuous Monitoring of Vital Signs After Hospital Discharge: A Feasibility Study","authors":"Nicharatch Songthawornpong, Thivya Vijayakumar, Marie Said Vang Jensen, Mikkel Elvekjaer, H. Sørensen, E. Aasvang, C. S. Meyhoff, V. Eriksen","doi":"10.33940/001c.77776","DOIUrl":"https://doi.org/10.33940/001c.77776","url":null,"abstract":"Increasing demand for inpatient beds limits capacity and poses a challenge to the healthcare system. Early discharge may be one solution to solve this problem, and continuous vital sign monitoring at home could safely facilitate this goal. We aimed to document feasibility of continuous home monitoring in patients after hospital discharge. Patients were eligible for inclusion if they were admitted with acute medical disease and scheduled for discharge. They wore three wireless vital sign sensors for four days at home: a chest patch measuring heart rate and respiratory rate, a pulse oximeter, and a blood pressure (BP) monitor. Patients with ≥6 hours monitoring time after discharge were included in the analysis. Primary outcome was percentage of maximum monitoring time of heart rate and respiratory rate. Monitoring was initiated in 80 patients, and 69 patients (86%) had ≥6 hours monitoring time after discharge. The chest patch, pulse oximeter, and BP monitor collected data for 88%, 60%, and 32% of the monitored time, respectively. Oxygen desaturation <88% was observed in 92% of the patients and lasted for 6.3% (interquartile range [IQR] 0.9%–22.0%) of total monitoring time. Desaturation below 85% was observed in 83% of the patients and lasted 4.2% [IQR 0.4%–9.4%] of total monitoring time. 61% had tachypnea (>24/minute); tachycardia (>130/minute) lasting ≥30 minutes was observed in 28% of the patients. Continuous monitoring of vital signs was feasible at home with a high degree of valid monitoring time. Oxygen desaturation was commonly observed.","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"19 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85583819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Letter From the Editor 编辑来信

Patient Safety in Surgery Pub Date : 2023-06-26 DOI: 10.33940/001c.81662

Regina Hoffman

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Masthead - June 2023 报头- 2023年6月

IF 3.7

Patient Safety in Surgery Pub Date : 2023-06-26 DOI: 10.33940/001c.81664

R. Hoffman

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Evidence-Based Teaching Plan, Test, and Evaluation on Caring for Healthcare Provider Second Victims 医疗服务提供者第二受害者护理循证教学计划、测试与评价

IF 3.7

Patient Safety in Surgery Pub Date : 2023-06-26 DOI: 10.33940/001c.77630

Zane Robinson wolf

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Online Supplement to “Informing Visual Display Design of Electronic Health Records: A Human Factors Cross-Industry Perspective” “电子健康档案的视觉显示设计:人因跨行业视角”在线增刊

IF 3.7

Patient Safety in Surgery Pub Date : 2023-06-26 DOI: 10.33940/001c.81667

Zoe M. Pruitt, Jessica L. Howe, Lucy S. Bocknek, Arianna P. Milicia, Patricia A. Spaar, Seth Krevat, R. Ratwani

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I AM Patient Safety 2023 Annual Achievement Awards 我是病人安全2023年度成就奖

IF 3.7

Patient Safety in Surgery Pub Date : 2023-06-26 DOI: 10.33940/001c.77892

Eugene Myers

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Patient Safety Alert: Methylprednisolone and Patients With Hypersensitivity to Cow’s Milk Components 患者安全警告:甲泼尼龙和对牛奶成分过敏的患者

IF 3.7

Patient Safety in Surgery Pub Date : 2023-06-26 DOI: 10.33940/001c.77633

Catherine Reynolds, Myungsun Ro

引用次数: 0

Informing Visual Display Design of Electronic Health Records: A Human Factors Cross-Industry Perspective 电子健康档案的视觉显示设计:人因跨行业视角

Patient Safety in Surgery Pub Date : 2023-06-26 DOI: 10.33940/001c.77769

Zoe M. Pruitt, Jessica L. Howe, Lucy S. Bocknek, Arianna P. Milicia, Patricia A. Spaar, Seth Krevat, Raj M. Ratwani

{"title":"Informing Visual Display Design of Electronic Health Records: A Human Factors Cross-Industry Perspective","authors":"Zoe M. Pruitt, Jessica L. Howe, Lucy S. Bocknek, Arianna P. Milicia, Patricia A. Spaar, Seth Krevat, Raj M. Ratwani","doi":"10.33940/001c.77769","DOIUrl":"https://doi.org/10.33940/001c.77769","url":null,"abstract":"Background Despite their prevalence, poorly designed electronic health records (EHRs) are common, and research shows poor design consequences include clinician burnout, diagnostic error, and even patient harm. One of the major difficulties of EHR design is the visual display of information, which aims to present information in an easily digestible form for the user. High-risk industries like aviation, automotive, and nuclear have guidelines for visual displays based on human factors principles for optimized design. Purpose In this study, we reviewed the visual display guidelines from three high-risk industries—automotive, aviation, nuclear—for their applicability to EHR design and safety. Methods Human factors experts extracted guidelines related to visual displays from automotive, aviation, and nuclear human factors guideline documents. Human factors experts and a clinical expert excluded guidelines irrelevant to EHR. Human factors experts used a modified reflexive thematic analysis to group guidelines into meaningful topics. Disagreements were discussed until a consensus was reached. Results A total of 449 guidelines were extracted from the industry documents, and 283 (63.0%) were deemed relevant to EHRs. By industry, 12 of 44 (27.3%) automotive industry guidelines were relevant, 43 of 115 (37.4%) aviation industry guidelines were relevant, and 228 of 290 (78.6%) nuclear industry guidelines were relevant. Guidelines were grouped into six categories: alphanumeric; color, brightness, contrast, and luminance; comprehension; design characteristics; symbols, pictograms, and icons; and tables, figures, charts, and lists. Conclusion Our analysis identified visual display guidelines organized around six topics from the automotive, aviation, and nuclear industries to inform EHR design. Multiple stakeholders, including EHR vendors, healthcare facilities, and policymakers, can apply these guidelines to design new EHRs and optimize EHRs already in use.","PeriodicalId":46782,"journal":{"name":"Patient Safety in Surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135608692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0