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Units of Measure

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161. The evolution of healthcare quality measurement in the United States. (PubMed)

The evolution of healthcare quality measurement in the United States. Quality measurement is fundamental to systematic improvement of the healthcare system. Whilst the United States has made significant investments in healthcare quality measurement and improvement, progress has been somewhat limited. Public and private payers in the United States increasingly mandate measurement and reporting as part of pay-for-performance programmes. Numerous issues have limited improvement, including lack (...) of alignment in the use of measures and improvement strategies, the fragmentation of the U.S. healthcare system, and the lack of national electronic systems for measurement, reporting, benchmarking and improvement. Here, we provide an overview of the evolution of U.S. quality measurement efforts, including the role of the National Quality Forum. Important contextual changes such as the growing shift towards electronic data sources and clinical registries are discussed together with international

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2016 Journal of internal medicine

162. Carbapenem-resistant Enterobacteriaceae on a cardiac surgery intensive care unit: successful measures for infection control. (PubMed)

Carbapenem-resistant Enterobacteriaceae on a cardiac surgery intensive care unit: successful measures for infection control. Carbapenem-resistant Enterobacteriaceae (CRE) cause surgical site infections (SSIs) in intensive care units (ICUs). This study aimed to evaluate the impact of intervention and control measures to reduce CRE colonization and infection rates among patients in the ICU of a cardiac surgery hospital following a CRE outbreak.An observational study of the pre (...) - and postintervention status of a cohort of colonized or infected patients in the postoperative adult cardiac surgery ICU was performed between April 2013 and December 2014. As well as the usual measures of screening and cohort nursing, the control measures were enhanced during the intervention period by providing alcohol gel at the bedside, daily bathing with no-rinse 2% chlorhexidine-impregnated wash cloths, and disinfection of surfaces around the patient three times per day.The rates of CRE colonization (P<0.001

2016 Journal of Hospital Infection

163. Neurovascular unit impairment in early Alzheimer's disease measured with magnetic resonance imaging. (PubMed)

Neurovascular unit impairment in early Alzheimer's disease measured with magnetic resonance imaging. The neurovascular unit, which protects neuronal cells and supplies them with essential molecules, plays an important role in the pathophysiology of Alzheimer's Disease (AD). The aim of this study was to noninvasively investigate 2 linked functional elements of the neurovascular unit, blood-brain barrier (BBB) permeability and cerebral blood flow (CBF), in patients with early AD and healthy (...) controls. Therefore, both dynamic contrast-enhanced magnetic resonance imaging and arterial spin labeling magnetic resonance imaging were applied to measure BBB permeability and CBF, respectively. The patients with early AD showed significantly lower CBF and local blood volume in the gray matter, compared with controls. In the patients, we also found that a reduction in CBF is correlated with an increase in leakage rate. This finding supports the hypothesis that neurovascular damage, and in particular

2016 Neurobiology of Aging

164. Implementing a patient-centred outcome measure in daily routine in a specialist palliative care inpatient hospital unit: An observational study. (PubMed)

Implementing a patient-centred outcome measure in daily routine in a specialist palliative care inpatient hospital unit: An observational study. Gathering clinical evidence data on patients' palliative care needs is paramount to identify changes in outcomes over time and maintaining on-going quality improvement. Implementation of patient-centred outcome measures has been widely recommended. The routine use of these instruments in daily practice is challenging and not widespread.To implement (...) a patient-centred outcome measure in daily practice and fulfil one quality indicator: improve pain during the 72 h after admission, in at least 75% of patients.An observational prospective study. The Palliative care Outcome Scale was used at admission (T0), third day (T1) and weekly.Hospital palliative care unit with 17 individual rooms. All patients admitted to the unit were included in the study.Preliminary results ( N = 84) revealed inconsistent and missing data (14%). Symptoms were sub-optimally

2016 Palliative medicine

165. Accuracy of a 10 Hz GPS Unit in Measuring Shuttle Velocity Performed at Different Speeds and Distances (5 – 20 M) (PubMed)

Accuracy of a 10 Hz GPS Unit in Measuring Shuttle Velocity Performed at Different Speeds and Distances (5 – 20 M) The aim of this study was to validate the accuracy of a 10 Hz GPS device (STATSports, Ireland) by comparing the instantaneous values of velocity determined with this device with those determined by kinematic (video) analysis (25 Hz). Ten male soccer players were required to perform shuttle runs (with 180° change of direction) at three velocities (slow: 2.2 m·s-1; moderate: 3.2 m·s (...) unit in determining shuttle speed can be attributed to inaccuracy in determining the shuttle distance.

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2016 Journal of human kinetics

166. Velocity-Aided Attitude Estimation for Helicopter Aircraft Using Microelectromechanical System Inertial-Measurement Units (PubMed)

Velocity-Aided Attitude Estimation for Helicopter Aircraft Using Microelectromechanical System Inertial-Measurement Units This paper presents an algorithm for velocity-aided attitude estimation for helicopter aircraft using a microelectromechanical system inertial-measurement unit. In general, high- performance gyroscopes are used for estimating the attitude of a helicopter, but this type of sensor is very expensive. When designing a cost-effective attitude system, attitude can be estimated (...) by fusing a low cost accelerometer and a gyro, but the disadvantage of this method is its relatively low accuracy. The accelerometer output includes a component that occurs primarily as the aircraft turns, as well as the gravitational acceleration. When estimating attitude, the accelerometer measurement terms other than gravitational ones can be considered as disturbances. Therefore, errors increase in accordance with the flight dynamics. The proposed algorithm is designed for using velocity as an aid

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2016 Sensors (Basel, Switzerland)

167. Validation of distal limb mounted inertial measurement unit sensors for stride detection in Warmblood horses at walk and trot (PubMed)

Validation of distal limb mounted inertial measurement unit sensors for stride detection in Warmblood horses at walk and trot Inertial measurement unit (IMU) sensor-based techniques are becoming more popular in horses as a tool for objective locomotor assessment.To describe, evaluate and validate a method of stride detection and quantification at walk and trot using distal limb mounted IMU sensors.Prospective validation study comparing IMU sensors and motion capture with force plate data.A (...) % for the hindlimbs.The described algorithms have not been assessed on different surfaces.Inertial measurement unit technology can be used to determine temporal kinematic stride variables at walk and trot justifying its use in gait and performance analysis. However, precision of the method may not be sufficient to detect all possible lameness-related changes. These data seem promising enough to warrant further research to evaluate whether this approach will be useful for appraising the majority of clinically relevant

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2016 Equine veterinary journal

168. Role of Physical Exercise, Education and Work Related Measures with the Longevity of Work in Older Population in United States (PubMed)

Role of Physical Exercise, Education and Work Related Measures with the Longevity of Work in Older Population in United States Growth of older population in United States (US) raises concerns for evaluation of health indices that could sustain their workability. This study aimed to characterize the association of health practices used by older working population and measures of quality and duration of their work. Forty (40) non-treatment seeking healthy working individuals residing within (...) United States within 22 - 75 years of age were included in this study. Data were collected from the Customized Employee Biographical Questionnaire (EBQ) and Occupational Health Surveillance Questionnaire (OHRQ) by age groups as 22 - 31, 32 - 41, 42 - 51, 52 - 61 and 62+ and statistically analyzed. Length of working (LOW) showed close association with the duration of physical exercise (DPE) at adjusted R2 = 0.295 and type of work (TOW) at adjusted R2 = 0.598; and Education in the 62+ (oldest) age

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2016 Advances in aging research

169. Trends in Selected Measures of Racial and Ethnic Disparities in Gonorrhea and Syphilis in the United States, 1981 – 2013 (PubMed)

Trends in Selected Measures of Racial and Ethnic Disparities in Gonorrhea and Syphilis in the United States, 1981 – 2013 The purpose of this study was to examine selected measures of racial and ethnic disparities in the reported incidence of syphilis and gonorrhea from 1981 to 2013 in the United States.For each year, from 1981 to 2013, we calculated values for 5 disparity measures (Gini coefficient, 2 versions of the index of disparity, population attributable proportion, and the black (...) -to-white rate ratio) for 5 racial/ethnic categories (non-Hispanic white, non-Hispanic black, Hispanic, American Indian/Alaska Native, and Asian/Pacific Islander). We also examined annual and 5-year changes to see if the disparity measures agreed on the direction of change in disparity.With a few exceptions, the disparity measures increased from 1981 to 1993 and decreased from 1993 to 2013, whereas syphilis and gonorrhea rates decreased for most groups from 1981 to 1993 and increased from 1993 to 2013

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2016 Sexually transmitted diseases

170. Frequency of Youth E-Cigarette and Tobacco Use Patterns in the United States: Measurement Precision Is Critical to Inform Public Health (PubMed)

Frequency of Youth E-Cigarette and Tobacco Use Patterns in the United States: Measurement Precision Is Critical to Inform Public Health E-cigarette use occurs with tobacco product use in youth.Using the 2014 National Youth Tobacco Survey (NYTS), we examined past 30-day frequency of cigarette, cigar, smokeless, and e-cigarette use in the context of past 30-day and ever tobacco product use in US middle and high school students (N = 22 007). Frequency of product-specific use was examined (...) , and poly-use in youth. Two-thirds of past 30-day exclusive e-cigarette users have ever used tobacco. Poly-use is the dominant pattern of tobacco and e-cigarette use among US middle and high school students.Our study highlights the complexity of tobacco use patterns in US middle and high school students. Future studies addressing the full public health impact of movement into or out of combustible tobacco use will require longitudinal data with appropriate measures of tobacco and e-cigarette product

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2016 Nicotine & Tobacco Research

171. Measurement of muscle strength with handheld dynamometer in Intensive Care Unit (PubMed)

Measurement of muscle strength with handheld dynamometer in Intensive Care Unit Intensive Care Unit (ICU) acquired weakness is a common complication in critically ill patients affecting their prognosis. The handheld dynamometry is an objective method in detecting minimum muscle strength change, which has an impact on the physical function of ICU survivors. The minimal change in the force can be measured in units of weight such as pounds or kilograms.To detect the changes in peripheral muscle (...) strength with handheld dynamometer in the early stage of ICU stay and to observe the progression of muscle weakness.Three upper and three lower limb muscles force measured with handheld dynamometer during ICU stay. Data were analyzed using repeated measures ANOVA to detect changes in force generated by muscle on alternate days of ICU stay.There was a reduction in peripheral muscle strength from day 3 to day 5 as well from day 5 to day 7 of ICU stay (P < 0.01). The average reduction in peripheral muscle

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2016 Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

172. A Virtual Blind Cane Using a Line Laser-Based Vision System and an Inertial Measurement Unit (PubMed)

A Virtual Blind Cane Using a Line Laser-Based Vision System and an Inertial Measurement Unit A virtual blind cane system for indoor application, including a camera, a line laser and an inertial measurement unit (IMU), is proposed in this paper. Working as a blind cane, the proposed system helps a blind person find the type of obstacle and the distance to it. The distance from the user to the obstacle is estimated by extracting the laser coordinate points on the obstacle, as well as tracking

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2016 Sensors (Basel, Switzerland)

173. Whole grain consumption trends and associations with body weight measures in the United States: results from the cross sectional National Health and Nutrition Examination Survey 2001–2012 (PubMed)

Whole grain consumption trends and associations with body weight measures in the United States: results from the cross sectional National Health and Nutrition Examination Survey 2001–2012 The purpose of this study was (1) to describe intakes of total grain and whole grain in the United States over the past 12 years and major dietary sources, and (2) to determine the relationship between whole grain intake and adiposity measures for children and adults.Cross-sectional dietary data from

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2016 Nutrition journal

174. How to measure endoscopy unit performance: some metrics for dummies (PubMed)

How to measure endoscopy unit performance: some metrics for dummies 26878041 2016 02 15 2019 01 09 2364-3722 4 2 2016 Feb Endoscopy international open Endosc Int Open How to measure endoscopy unit performance: some metrics for dummies. E149-50 10.1055/s-0042-102249 Muthusamy V Raman VR University of California, Los Angeles - Medicine/Digestive Diseases, Los Angeles, California, United States. eng Journal Article Germany Endosc Int Open 101639919 2196-9736 2016 2 16 6 0 2016 2 16 6 0 2016 2 16 6

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2016 Endoscopy international open

175. Reliability of Pressure Ulcer Rates: How Precisely Can We Differentiate Among Hospital Units, and Does the Standard Signal‐Noise Reliability Measure Reflect This Precision? (PubMed)

Reliability of Pressure Ulcer Rates: How Precisely Can We Differentiate Among Hospital Units, and Does the Standard Signal‐Noise Reliability Measure Reflect This Precision? Hospital performance reports often include rankings of unit pressure ulcer rates. Differentiating among units on the basis of quality requires reliable measurement. Our objectives were to describe and apply methods for assessing reliability of hospital-acquired pressure ulcer rates and evaluate a standard signal-noise (...) reliability measure as an indicator of precision of differentiation among units. Quarterly pressure ulcer data from 8,199 critical care, step-down, medical, surgical, and medical-surgical nursing units from 1,299 US hospitals were analyzed. Using beta-binomial models, we estimated between-unit variability (signal) and within-unit variability (noise) in annual unit pressure ulcer rates. Signal-noise reliability was computed as the ratio of between-unit variability to the total of between- and within-unit

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2016 Research in nursing & health

176. Immunization in the United States: Recommendations, Barriers, and Measures to Improve Compliance: Part 1: Childhood Vaccinations (PubMed)

Immunization in the United States: Recommendations, Barriers, and Measures to Improve Compliance: Part 1: Childhood Vaccinations Childhood vaccination is one of the most effective public health strategies to control and prevent disease, but some parents decline or delay vaccinating their children. A variety of measures have been suggested to overcome vaccine noncompliance.

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2016 Pharmacy and Therapeutics

177. Relevance of Quality Measurement to Integrative Healthcare in the United States. (PubMed)

Relevance of Quality Measurement to Integrative Healthcare in the United States. With the advent of new models for payment and delivery of healthcare services, the use of quality measures for continual improvement of clinical healthcare is now an integral feature of medical practice in the United States. However, quality measurement and quality improvement activities are not common practice among integrative health providers. This article discusses the import and application of quality (...) measurement to the practice of integrative healthcare. It reviews developments in the healthcare quality improvement movement, explores the relevance of quality measures to integrative healthcare, describes examples of the current use of quality measures in integrative health practice, discusses discriminatory policies that may prevent participation in quality improvement by integrative health practitioners, and makes recommendations for practice and policy.

2016 Journal of Alternative and Complementary Medicine

178. Implementation of Clinical Decision Support Rules to Reduce Repeat Measurement of Serum Ionized Calcium, Serum Magnesium, and N-Terminal Pro-Brain Natriuretic Peptide in Intensive Care Unit Inpatients. (PubMed)

Implementation of Clinical Decision Support Rules to Reduce Repeat Measurement of Serum Ionized Calcium, Serum Magnesium, and N-Terminal Pro-Brain Natriuretic Peptide in Intensive Care Unit Inpatients. We assessed the impact of clinical decision support (CDS) rules within the electronic health record for ionized calcium (iCa), serum magnesium (Mg), and N-terminal pro-B-type natriuretic peptide (NT-proBNP) in intensive care unit (ICU) inpatients at a large academic center.A repeat order (...) for measurement of iCa or Mg placed within 24 (iCa) or 48 (Mg) h of a previously nonactionable result, or additional orders for NT-proBNP beyond 1 within a single hospitalization, triggered a CDS pop-up alert showing the prior result and offering the opportunity to cancel the order or to place the order after entering an indication for repeat testing. The number of tests performed for each of these analytes and incidence of adverse clinical outcomes potentially associated with hypocalcemia or hypomagnesemia

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2016 Clinical Chemistry

179. Assessing the impact and cost-effectiveness of needle/syringe provision and opiate substitution therapy on hepatitis C transmission among people who inject drugs in the United Kingdom: analysis of pooled datasets and economic modelling

Assessing the impact and cost-effectiveness of needle/syringe provision and opiate substitution therapy on hepatitis C transmission among people who inject drugs in the United Kingdom: analysis of pooled datasets and economic modelling Assessing the impact and cost-effectiveness of needle/syringe provision and opiate substitution therapy on hepatitis C transmission among people who inject drugs in the United Kingdom: analysis of pooled datasets and economic modelling Assessing the impact (...) and cost-effectiveness of needle/syringe provision and opiate substitution therapy on hepatitis C transmission among people who inject drugs in the United Kingdom: analysis of pooled datasets and economic modelling Platt L, Sweeney S, Ward Z, Guinness L, Hickman M, Hope V, Hutchinson S, Maher L, Iversen J, Craine N, Taylor A, Munro A, Parry J, Smith J & Vickerman P Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation

2018 Health Technology Assessment (HTA) Database.

180. Surveillance of healthcare-associated infections and prevention indicators in European intensive care units: HAI-Net ICU protocol, version 2.2

units/hospitals ? to follow-up epidemiological trends in time ? identification of important healthcare-associated pathogens ? epidemiology of emerging infections, antimicrobial resistance ? to identify and follow-up risk factors of HAIs ? to promote HAI/ antimicrobial resistance (AMR) prevention through surveillance ? to compare and follow-up the implementation of key preventive measures between ICUs and between EU/EEA countries ? to improve the quality of data collection. Specific objectives (...) v1.02) can be summarised as follows: Ward data: addition of structure and process indicators of prevention of HAIs and antimicrobial resistance, measured at the unit level in both standard and light surveillance options (see Annex 7 for rationale and references): ? alcohol hand rub consumption in previous year ? staffing levels (in a period of 7 days) of registered nurses and nurse aides in the ICU ? audit in approximately 30 patients for following indicators: ? post-prescription review within 72

2017 European Centre for Disease Prevention and Control - Technical Guidance

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