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Post-ICU Ambulatory Care

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121. Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care

defined by the National Academy of Medicine (formerly the Institute of Medicine [IOM]), it is undoubtedly one of the most important. There are real and growing concerns regarding pediatric errors and harms reported related to specific populations, such as with the use of temporary names in newborn care, as well as issues spanning all populations, such as diagnostic errors in ambulatory and hospital settings and information technology errors in prescribing. Pediatricians in all practice settings can (...) learned about pediatric patient safety. However, despite increased awareness, harm to patients is still common and has not shown a significant decline. Errors still affect as many as one-third of all hospitalized children , and an unknown number of children in ambulatory settings. In this Policy Statement, we summarize the current understanding of issues and practices to minimize pediatric medical errors and improve the quality of care. Three key issues are the focus in this Policy Statement

2019 American Academy of Pediatrics

122. Telehealth for Acute and Chronic Care Consultations

. Comparative Effectiveness Review No. 216. (Prepared by Pacific Northwest Evidence-based Practice Center under Contract No. 290-2015-00009-I.) AHRQ Publication No. 19-EHC012-EF. Rockville, MD: Agency for Healthcare Research and Quality; April 2019. Posted final reports are located on the Effective Health Care Program search page. DOI: https://doi.org/10.23970/AHRQEPCCER216. iv The Agency for Healthcare Research and Quality (AHRQ), through its Evidence-based Practice Centers (EPCs), sponsors the development (...) excluded and the full text of 1,010 articles was pulled for review. Of these, 233 articles met our criteria and were included—54 articles evaluated inpatient consultations; 73, emergency care; and 106, outpatient care. The overall results varied by setting and clinical topic, but generally the findings are that telehealth improved outcomes or that there was no difference between telehealth and the comparators across the settings and for the clinical indications studied. Remote intensive care unit (ICU

2019 Effective Health Care Program (AHRQ)

123. Levels of Maternal Care

with quality improvement and safety programs. provide perinatal system leadership if acting as a regional center in areas where level IV facilities are not available (see level IV). medical and surgical ICUs accept pregnant women and have critical care providers onsite to actively collaborate with MFMs at all times. appropriate equipment and personnel available onsite to ventilate and monitor women in labor and delivery until they can be safely transferred to the ICU. Types of health care providers Level (...) , intrapartum, and postpartum care Capabilities Level III facility capabilities plus on-site ICU care for obstetric patients. on-site medical and surgical care of complex maternal conditions with the availability of critical care unit or ICU beds. Perinatal system leadership, including facilitation of maternal referral and transport, outreach education for facilities and health care providers in the region, and analysis and evaluation of regional data, including perinatal complications and outcomes

2019 American College of Obstetricians and Gynecologists

124. HTA of C-reactive protein point-of-care testing to guide antibiotic prescribing

) No details available No details available Finland Yes (37) No details available No details available Germany a b Yes (34) (ambulatory care setting only) a Positive, also under assessment (appears to be ambulatory care setting only) a €1.15 per test in general laboratory, €4.90 in special laboratory a Hungary a b Yes Positive (reimbursed regardless of test product) a No price available Ireland No Not assessed Not relevant Italy a Yes Positive (tests are performed and reimbursed in NHS) No details (...) Franc; DKK – Danish Krone; NHS – National Health Service; NOK – Norwegian Krone. Health Technology Assessment (HTA) of CRP POCT Health Information and Quality Authority 15 Table 2.3 continued Country Implementation of CRP POCT Status of recommendation (positive/negative/ongoing /not-assessed/no detail available) If positive, level of reimbursement* Poland a b Yes (primary care, ambulatory & hospital setting) a Positive No price available Slovakia b Yes No details available No details available

2019 Health Information and Quality Authority

125. Reducing Acute Care Length of Stay in Newfoundland & Labrador

Government of Newfoundland & Labrador Liz Kennedy Director, Clinical Efficiency and Ambulatory Clinics Eastern Health Rufina Letto Regional Director, Acute Care Services Labrador-Grenfell Health Dr. April Manuel, RN Assistant Professor of Nursing Memorial University Karen Nolan Health Care Consultant, Regional Services Department of Health and Community Services Government of Newfoundland & Labrador Kimberley White Regional Director of Health Services Labrador-Grenfell Health Charmaine Wight Manager (...) Clinical Controlled Trials CHF Chronic Heart Failure CP Care Pathways CPM Critical Paths Methods COPD Chronic Obstructive Pulmonary Disease ELOS Expected Length of Stay ERAS Enhanced Recovery After Surgery FT Fast-Track surgery LOS Length of Stay MA Meta-Analysis MBP Mechanical Bowel Preparation MR Meta-Review (a systematic review of the review literature) NIHR National Institute for Health Research (UK) NGT Naso-Gastric Tube NLU Nursing-Led Unit PANG Post-operative analgesia PCA Patient-controlled

2018 Newfoundland and Labrador Centre for Health Information

126. Clinical Trial to Evaluate the Efficacy, Safety, and Tolerability of RO7239361 in Ambulatory Boys With Duchenne Muscular Dystrophy

reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Clinical Trial to Evaluate the Efficacy, Safety, and Tolerability of RO7239361 in Ambulatory Boys With Duchenne Muscular Dystrophy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before (...) participating. Read our for details. ClinicalTrials.gov Identifier: NCT03039686 Recruitment Status : Recruiting First Posted : February 1, 2017 Last Update Posted : March 19, 2019 See Sponsor: Hoffmann-La Roche Information provided by (Responsible Party): Hoffmann-La Roche Study Details Study Description Go to Brief Summary: This is a multi-center, randomized, double-blind, placebo-controlled study to assess the efficacy, safety and tolerability of two different weekly doses of RO7239361 in ambulatory boys

2017 Clinical Trials

127. BIOTRONIK 4French for AMBulatory Peripheral Intervention

Intervention (BIO4AMB) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03044002 Recruitment Status : Recruiting First Posted : February 6, 2017 Last Update Posted : September 26, 2018 See Sponsor: Biotronik AG Information (...) BIOTRONIK 4French for AMBulatory Peripheral Intervention BIOTRONIK 4French for AMBulatory Peripheral Intervention - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. BIOTRONIK 4French for AMBulatory Peripheral

2017 Clinical Trials

128. Effect of Dry-weight Probing Guided by Lung-Ultrasound on Ambulatory Aortic Blood Pressure and Arterial Stiffness in Hemodialysis Patients (LUST Sub-Study)

. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03058874 Recruitment Status : Recruiting First Posted : February 23, 2017 Last Update Posted : January 15, 2019 See Sponsor: Carmine Zoccali Collaborators: Aristotle University of Thessaloniki, Thessaloniki, Greece CNR-IBIM Clinical Epidemiology of Renal Diseases and Hypertension Unit, Reggio, Italy University Clinical Centre of Maribor, Slovenia Information provided (...) in hemodialysis patients and showed comparable performance with the widely used tonometric SphygmoCor device (ArtCor, Sydney, Australia). Accumulated evidence over central BP and PWV in hemodialysis patients derives mostly from studies that included only static pre-dialysis and post-dialysis measurements. However, variations of BP levels during intra- and interdialytic intervals combined with the superiority of aortic BP measurements, as analysed above, indicate that ambulatory monitoring of central BP

2017 Clinical Trials

129. Prognostic Value of Central and BracHial Ambulatory Blood Pressure Monitoring in ERSD Patients Treated With HeMOdialysis

number of saved studies (100). Please remove one or more studies before adding more. Prognostic Value of Central and BracHial Ambulatory Blood Pressure Monitoring in ERSD Patients Treated With HeMOdialysis (C-HEMO) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our (...) for details. ClinicalTrials.gov Identifier: NCT03306160 Recruitment Status : Recruiting First Posted : October 10, 2017 Last Update Posted : October 30, 2018 See Sponsor: Shanghai 10th People's Hospital Information provided by (Responsible Party): Ya-Wei Xu, Shanghai 10th People's Hospital Study Details Study Description Go to Brief Summary: This is a prospective cohort study which aims to explore the significance of brachial and central ambulatory blood pressure monitoring in predicting cardiovascular

2017 Clinical Trials

130. Use of MUAC as Basic Criterion for Admission, Follow-up and Exit From the Ambulatory Nutrition Program

remove one or more studies before adding more. Use of MUAC as Basic Criterion for Admission, Follow-up and Exit From the Ambulatory Nutrition Program (MUAC120) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03280082 (...) Use of MUAC as Basic Criterion for Admission, Follow-up and Exit From the Ambulatory Nutrition Program Use of MUAC as Basic Criterion for Admission, Follow-up and Exit From the Ambulatory Nutrition Program - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please

2017 Clinical Trials

131. Frailty, Disability, and Ambulatory Blood Pressure in Older Adults. (PubMed)

higher nighttime SBP (P = .011).In community-dwelling older adults, frailty and disability were independently associated with lower diurnal SBP, blunted nocturnal decline of SBP, and higher nocturnal SBP. These findings may help explain the higher mortality associated with low clinic SBP in frail older subjects observed in epidemiologic studies.Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. (...) Frailty, Disability, and Ambulatory Blood Pressure in Older Adults. Frailty and disability are associated with cardiovascular risk factors, including hypertension, in older people; however, little is known about their association with ambulatory blood pressure (BP). Thus, we assessed the relationship of frailty and disability with ambulatory BP in older adults.Cross-sectional study of 1047 community-living individuals aged ≥60 years in Spain.BP was determined with validated devices under

2017 Journal of the American Medical Directors Association

132. Single visit surgery for pediatric ambulatory surgical procedures: a satisfaction and cost analysis. (PubMed)

Single visit surgery for pediatric ambulatory surgical procedures: a satisfaction and cost analysis. Single visit surgery (SVS) consists of same-day pre-operative assessment and operation with telephone post-operative follow-up. This reduces family time commitment to 1 hospital trip rather than 2-3. We began SVS for ambulatory patients with clear surgical indications in 2013. We sought to determine family satisfaction, cost savings to families, and institutional financial feasibility of SVS.SVS (...) not correlate with satisfaction. Estimated cost savings for an SVS family was $188. Reimbursement, hospital and physician charges, and day-of-surgery cancellation rates were similar.SVS provides substantial cost savings to families while maintaining patient satisfaction and equivalent institutional reimbursement. SVS is an effective approach to low-risk ambulatory surgical procedures that is less disruptive to families, facilitates access to pediatric surgical care, and reduces resource utilization.Cost

2017 Journal of Pediatric Surgery

133. Association of sleep disordered breathing symptoms with early postoperative analgesic requirement in pediatric ambulatory surgical patients. (PubMed)

of analgesic requirement in the post-anesthesia care unit (PACU). We investigated whether preoperative SDB classification was independently associated with need for PACU analgesic intervention in a cross-sectional sample of 985 children who underwent elective, painful ambulatory surgical procedures.Using prospectively collected data, children aged 4-17yr were grouped into two categories based on whether or not they had symptoms of SDB. Perioperative variables were compared between the exposed and control (...) Association of sleep disordered breathing symptoms with early postoperative analgesic requirement in pediatric ambulatory surgical patients. Sleep disordered breathing (SDB) symptoms are associated with increased rates of opioid-induced respiratory depression as well as enhanced nociception. Consequently, practitioners often withhold or administer lower intraoperative doses of opioids out of concern for postoperative respiratory depression. Therefore, SDB may be a critical determinant

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2017 International Journal of Pediatric Otorhinolaryngology

134. Magnitude of Hypotension Based on Office and Ambulatory Blood Pressure Monitoring: Results From a Cohort of 5066 Treated Hypertensive Patients Aged 80 Years and Older. (PubMed)

for identifying ambulatory hypotension and avoiding overtreatment, in particular, in patients with diabetes, heart disease, or on antihypertensive polytherapy.Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. (...) Magnitude of Hypotension Based on Office and Ambulatory Blood Pressure Monitoring: Results From a Cohort of 5066 Treated Hypertensive Patients Aged 80 Years and Older. Elderly patients can be particularly susceptible to the adverse effects of excessive blood pressure (BP) lowering by antihypertensive treatment. The identification of hypotension is thus especially important. Ambulatory BP monitoring (ABPM) is a more accurate technique than office for classifying BP status. This study examined

2017 Journal of the American Medical Directors Association

135. Assessing Impact of CCO's PSO & PC Pathway in Ambulatory HNC Clinics

of CCO's PSO & PC Pathway in Ambulatory HNC Clinics The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03266276 Recruitment Status : Recruiting First Posted : August 30, 2017 Last Update Posted : August 31, 2018 See Sponsor (...) . Masking: None (Open Label) Primary Purpose: Supportive Care Official Title: Assessing the Impact of Cancer Care Ontario's Psychosocial Oncology & Palliative Care Pathway in Ambulatory Head and Neck Cancer Clinics Actual Study Start Date : October 10, 2017 Estimated Primary Completion Date : January 2019 Estimated Study Completion Date : March 2019 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment No Intervention

2017 Clinical Trials

136. Gastric Assessment Ambulatory Surgery

of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03352401 Recruitment Status : Recruiting First Posted : November 24, 2017 Last Update Posted : November 28, 2017 See Sponsor: University Hospital, Montpellier Information provided by (Responsible Party): University (...) contents : prevalence of patients with a "full stomach" based on ultrasound criteria. Criteria Inclusion Criteria: Affiliation to social security. Be over 18 years old. Have signed informed consent for this study. Score from the American Society of Anesthesiology (ASA) 1, 2, or 3. Being admitted for ambulatory day care surgery. Exclusion criteria: Patients who are protected or unable to give consent Patients with cognitive dysfunction, or unable to give their consent according Pregnant or lactating

2017 Clinical Trials

137. The Analgesic Efficacy of the Ultrasound-Guided Femoral Articular Branch Block for Ambulatory Hip Arthroscopy

(100). Please remove one or more studies before adding more. The Analgesic Efficacy of the Ultrasound-Guided Femoral Articular Branch Block for Ambulatory Hip Arthroscopy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier (...) The Analgesic Efficacy of the Ultrasound-Guided Femoral Articular Branch Block for Ambulatory Hip Arthroscopy The Analgesic Efficacy of the Ultrasound-Guided Femoral Articular Branch Block for Ambulatory Hip Arthroscopy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies

2017 Clinical Trials

138. Time Savings Using a Standardized Glucose Reporting System and Ambulatory Glucose Profile (PubMed)

Time Savings Using a Standardized Glucose Reporting System and Ambulatory Glucose Profile Diabetes care is predominately done at home by the patient. When clinics do not have a reliable, easy process for obtaining this patient data, clinical decisions must be made with incomplete verbal recall reports. Unused or inaccessible glucose data represent a large information gap affecting clinical decision making. This study's purpose was to design an optimized glucose device download system (...) with a standardized report and to evaluate its efficiency.Observations and evaluations of glucose data retrieval occurred at two clinics; an additional clinic utilized the optimized process doing only post process timings. Patients/families and clinicians were surveyed about their experiences with the system and the standardized report (AGP). The study was approved by all the sites' IRBs.Optimized systems saved staff at least 3 min per patient. Standardized AGP reports and an optimized data system made the work

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2017 Journal of diabetes science and technology

139. A Nurse Led Project to Introduce Hand Lettering as a Form of Creative Art Expression to Patients in an Ambulatory Oncology Setting

to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 22 participants Intervention Model: Single Group Assignment Masking: None (Open Label) Primary Purpose: Supportive Care Official Title: A Nurse Led Project to Introduce Hand Lettering as a Form of Creative Art Expression to Patients in an Ambulatory Oncology Setting Actual Study Start Date : January 9, 2018 Actual Primary Completion Date : June 5, 2018 Actual Study Completion Date : June 5, 2018 (...) A Nurse Led Project to Introduce Hand Lettering as a Form of Creative Art Expression to Patients in an Ambulatory Oncology Setting A Nurse Led Project to Introduce Hand Lettering as a Form of Creative Art Expression to Patients in an Ambulatory Oncology Setting - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have

2017 Clinical Trials

140. Risk Stratified Multidisciplinary Ambulatory Management of Malignant Bowel Obstruction in Gynecological Cancers

studies (100). Please remove one or more studies before adding more. Risk Stratified Multidisciplinary Ambulatory Management of Malignant Bowel Obstruction in Gynecological Cancers (MAMBO) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov (...) Obstruction Detailed Description: Guidelines for the management of patients with Malignant Bowel Obstruction(MBO) are not available and as such, there remains an urgent need for a collaborative approach to streamline patient care and optimize use of hospital resources. This study will focus on management of MBO in advanced gynecological cancers.If patients with MBO can be effectively managed in an ambulatory setting, this may improve quality and consistency of patient care, and help reduce volume

2017 Clinical Trials

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