Federal Practitioner最新文献

Suspected Orbital Compartment Syndrome Leading to Visual Loss After Pterional Craniotomy 疑似眶隔综合征导致翼状开颅术后视力丧失

Federal Practitioner Pub Date : 2024-07-01 DOI: 10.12788/fp.493

Niketu Patel

引用次数: 0

Measuring Restrictive Lung Disease Severity Using FEV1 vs TLC 使用 FEV1 与 TLC 测量限制性肺病的严重程度

Federal Practitioner Pub Date : 2024-07-01 DOI: 10.12788/fp.0481

Rebeca Vazquez-Nieves

引用次数: 0

Act Fast With Traction Alopecia to Avoid Permanent Hair Loss 快速应对牵引性脱发，避免永久性脱发

Federal Practitioner Pub Date : 2024-07-01 DOI: 10.12788/fp.0505

Kayla Felix Taylor

引用次数: 0

Long-Term Assessment of Weight Loss Medications in a Veteran Population 退伍军人减肥药物的长期评估

Federal Practitioner Pub Date : 2024-07-01 DOI: 10.12788/fp.0490

Allison Rodriguez

{"title":"Long-Term Assessment of Weight Loss Medications in a Veteran Population","authors":"Allison Rodriguez","doi":"10.12788/fp.0490","DOIUrl":"https://doi.org/10.12788/fp.0490","url":null,"abstract":"Background: Overweight and obesity are common in the veteran population. Medical management with semaglutide, orlistat, liraglutide, phentermine, phentermine/topiramate, and naltrexone/bupropion is increasingly common. This study expands on a 2021 study and evaluates medication effectiveness. Methods: This single-center retrospective study analyzed patients prescribed weight loss medications at Veteran Health Indiana. Primary outcomes included body weight loss and total weight loss with each medication at 3, 6, 12, 24, 36, and 48 months. Secondary outcomes were also used to determine the efficacy of the current weight loss medications. Results: Of 105 included patients, 66 were treated with liraglutide, 30 with phentermine/topiramate, 5 with naltrexone/ bupropion, 3 with orlistat, and 1 with phentermine. The absolute weight loss for all medications was 10.6 kg over the patient-specific duration of weight management therapy. The mean body weight loss was 9.2%. There were no statistically significant differences in primary or secondary outcomes between liraglutide and phentermine/topiramate. The group sizes were too small to analyze the other medication groups. Conclusions: Patients in this study lost weight while using medications. However, there were no statistically significant differences among the medications. Patients did not receive uniformly consistent follow-up care, suggesting the need for more standardized processes that could lead to better weight loss outcomes.","PeriodicalId":513268,"journal":{"name":"Federal Practitioner","volume":"8 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850135","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

The Role of High Reliability Organization Foundational Practices in Building a Culture of Safety 高可靠性组织的基本做法在建设安全文化中的作用

Federal Practitioner Pub Date : 2024-07-01 DOI: 10.12788/fp.0486

John Murray

{"title":"The Role of High Reliability Organization Foundational Practices in Building a Culture of Safety","authors":"John Murray","doi":"10.12788/fp.0486","DOIUrl":"https://doi.org/10.12788/fp.0486","url":null,"abstract":"Background: High reliability organizations are designed to operate under complex conditions for extended periods by strengthening systems that help serious adverse events for patients. The US Department of Veterans Affairs formally began its enterprise-wide journey to high reliability in 2019. Four foundational practices were identified to advance a culture of safety across all Veterans Health Administration facilities. This article describes these practices, summarizes supporting evidence from the literature, and illustrates strong practices for improving safety. Observations: A literature review was conducted from 2018 to March 2023 to identify recent evidence outlining the value of implementing the 4 foundational high reliability organization practices to improve patient safety. This evidence was used to create and implement formal processes for the foundational practices. For each foundational practice, a representative example of a strong practice within the Veterans Health Administration is provided. Conclusions: Effective and sustained application of the foundational organization practices described can support a health care organization’s journey to high reliability. Collectively, the 4 foundational practices can be adopted and implemented by other organizations in the continued pursuit of high reliability in health care.","PeriodicalId":513268,"journal":{"name":"Federal Practitioner","volume":"137 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853256","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

The Challenges of Delivering Allergen Immunotherapy in the Military Health System 在军事医疗系统中提供过敏原免疫疗法的挑战

Federal Practitioner Pub Date : 2024-06-01 DOI: 10.12788/0487

Christopher Coop

引用次数: 0

Use of Hypoglossal Nerve Stimulation for Treating OSA in Military Patient Populations 利用舌下神经刺激治疗军人群体中的 OSA

Federal Practitioner Pub Date : 2024-06-01 DOI: 10.12788/0480

Jessica Alford

引用次数: 0

Plantar Hyperpigmentation 足底色素沉着

Federal Practitioner Pub Date : 2024-06-01 DOI: 10.12788/0491

Richard Usatine

引用次数: 0

Bridging the Gap Between Inpatient and Outpatient Care 缩小住院病人与门诊病人之间的差距

Federal Practitioner Pub Date : 2024-06-01 DOI: 10.12788/0476

Nikhil Seth

{"title":"Bridging the Gap Between Inpatient and Outpatient Care","authors":"Nikhil Seth","doi":"10.12788/0476","DOIUrl":"https://doi.org/10.12788/0476","url":null,"abstract":"Background: The Olin E. Teague Veterans’ Center (OETVC) is a teaching hospital with a medical ward consisting of 189 beds, 3 teaching teams with 1 resident and 2 to 3 interns, and 3 nonteaching teams. Due to the complexity of hospitalization, there are concerns that patients may not follow up with primary care or fill their prescribed medication and may have postdischarge questions. Observations: A program was created at OETVC to bridge the gap between inpatient and outpatient care. Internal medicine residents call all teaching team patients a week following discharge. They discuss medications, changes in symptoms, follow-up plans, and address all questions. The residents also assist with missed orders and make treatment regimen changes if necessary. Conclusions: This new program has proven to be beneficial. Residents are developing a better understanding of illness scripts and are working on communication skills without time constraints. Patients now have access to a physician following discharge to discuss any concerns with their hospitalization, present condition, and follow-up. Data show a decreased 30-day readmission rate at 6% in the transition of care group compared to 10% in all patients who participated in the program. This program will continue to address barriers to care and adapt to improve the success of care transitions.","PeriodicalId":513268,"journal":{"name":"Federal Practitioner","volume":"88 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141390712","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

Evaluation of a Stress, Coping, and Resourcefulness Program for VA Nurses During the COVID-19 Pandemic 评估 COVID-19 大流行期间退伍军人事务部护士的压力、应对和机智计划

Federal Practitioner Pub Date : 2024-05-01 DOI: 10.12788/fp.0478

Denise Kresevic

{"title":"Evaluation of a Stress, Coping, and Resourcefulness Program for VA Nurses During the COVID-19 Pandemic","authors":"Denise Kresevic","doi":"10.12788/fp.0478","DOIUrl":"https://doi.org/10.12788/fp.0478","url":null,"abstract":"Background: The COVID-19 pandemic, combined with the shortage of nursing staff, contributed to higher levels of stress. Sustained stress has been associated with burnout. However, nurses have traditionally demonstrated resourcefulness skills that resulted in building resilience. Observations: This pilot project recruited US Department of Veterans (VA) registered and advanced practice nurses to participate in a resourcefulness skills training initiative. VA nurses were found to have a moderate level of burnout at baseline. Nurses participated in Resourcefulness Training to handle stress and possible burnout. Resourcefulness Training themes included accessing family and peer support, developing organizational and problem-solving skills, and using distraction. Conclusions: Nurses must be vigilant in appraising and managing their ability to cope and adapt to individual stress, while also being aware of their colleagues' stress levels. Educational institutions, professional organizations, and health care facilities must strive to educate and support nurses in identifying stress and healthy coping mechanisms. In this project, relying on family and peers emerged as an important resourcefulness skill.","PeriodicalId":513268,"journal":{"name":"Federal Practitioner","volume":"8 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141058123","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