Beyond the Quality Illusion: The Learning Era : Academic Medicine: Jur Koksma and Jan Kremer. The authors recommend, for the path forward, a “travel kit” of 10 crucial elements—compassion, deliberation, flexible goals, ownership, the engagement of patients, the inclusion of payers, the involvement...
Source: lww.com
Clinic room designs must fit care models | Canadian Healthcare Network "Innovative clinic room design can (and should) advance the practice of collaborative thinking and decision-making in medicine by abolishing the "doctor behind the desk" phenomenon. The round table makes an appearance in rare instances...
Source: canadianhealthcarenetwork.ca
Change in clinical practice is slow even when it is obvious change should occur. Changing to a generic drug took 8 months and it was 18 months for adopting a guideline on UTI. "Substantial variation was observed in the speed with which individual NHS general practices responded to warranted changes...
Source: bmj.com
Benefits and harms of exercise programmes for people with ankylosing spondylitis. Cochrane review. "We found moderate- to low-quality evidence that exercise programmes probably slightly improve function, may reduce pain, and probably slightly reduce global patient assessment of disease activity, when...
Source: cochrane.org
Could deep learning AI be used to screen TIA clinic referral letters? Possibly. Stroke prevention clinics (TIA or Transient Ischaemic Attack) clinics are an important aspect of urgent care. A TIA is a risk factor for future stroke. Medical treatment needs to be started quickly and surgical options, if...
Source: agnate.co.uk
Five management strategies for getting the most from artificial intelligence (AI). "To find out more about what contributes to successful AI adoption, we helped lead a survey by the McKinsey Global Institute of 3,000 C-level executives across 10 countries and 14 sectors. From that research, we identified...
Source: mit.edu
Communication Strategies for Sharing Prognostic Information With Patients—Beyond Survival Statistics: This Viewpoint discusses the challenges of communicating uncertain prognosis to patients and offers a framework and language that go past mortality statistics—addressing range of time left, loss...
Source: jamanetwork.com
Are there automation-resistant intelligences? The question we all want to ask is 'will my job be taken over by a robot?' "Our model predicts that most workers in transportation and logistics occupations, together with the bulk of office and administrative support workers, and labour in production occupations,...
Source: ox.ac.uk
A kauri tree stump is kept alive by its neighbours through hydraulic coupling. Forests should be viewed as living organisms. "Trees are commonly regarded as distinct entities, but the roots of many species fuse to form natural root grafts allowing the exchange of water, carbon, mineral nutrients, and...
Source: cell.com
Training medical students to manage difficult circumstances- a curriculum for resilience and resourcefulness?: In response to the growing prevalence of physical and emotional burnout amongst medical students and practicing physicians, we sought to find a new methodology to scope a five-year undergraduate...
Source: biomedcentral.com
Ebola outbreak in the Democratic Republic of the Congo declared a Public Health Emergency of International Concern: WHO Director-General Dr. Tedros Adhanom Ghebreyesus today declared the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo (DRC) a Public Health Emergency of International...
Source: who.int
Gaining insights with Natural Language Processing of Reddit Data to Evaluate Dermatology Patient Experiences and Therapeutics. "There is a lack of research studying patient-generated data on Reddit, one of the world’s most popular forums with active users interested in dermatology. Techniques within...
Source: sciencedirect.com
Development of new antibiotics encouraged with new pharmaceutical payment system: The NHS will test the world's first ‘subscription’ style payment model to incentivise pharmaceutical companies to develop new drugs for resistant infections.
"The new trial will be led by the National Institute for...
Source: www.gov.uk
Interested in shared decision making? What does it really mean to remove the distance between a doctor and their patient or family when managing the most complex of medical cases? Then read this. Matt Morgan, a colleague of mine from OnExamination days, an intensive care specialist in Cardiff, has written...
Source: simonandschuster.co.uk
Factors Affecting the Development and Sustainability of Communities of Practice Among Primary Care Physicians in Hong Kong. "Autonomy of group learning
activities, recruiting specialists and allied health professionals,
training facilitators, and undertaking discussion in multimedia may
achieve...
Source: nih.gov
Instead of building (only) strong relationships we should aim for many acquaintances. There is resilience for organisations and communities in these weak ties. Granovetter’s theory of the strength of weak ties.
Source: analytictech.com
ILAE (International League Against Epilepsy) publishes a Roadmap for a competency-based educational curriculum in epileptology. "After extensive consultation with its constituency and with educational experts, the ILAE decided to systematically address the educational pathways required for the optimum...
Source: ilae.org
Utility of social media and crowd-intelligence data for pharmacovigilance: a scoping review. - PubMed - NCBI "Although social media data has the potential to supplement data from
regulatory agency databases; is able to capture less frequently reported
AEs; and can identify AEs earlier than official...
Source: nih.gov
Closing Knowledge Gaps to Optimize Patient Outcomes and Advance Precision Medicine. "Realizing the promise of precision medicine requires patient engagement
at the key decision points throughout the cancer journey. Previous
research has shown that patients who make the "right" decisions, such as
...
Source: nih.gov
Frailty predicts mortality in all emergency surgical admissions regardless of age. An observational study: “Frail patients in any age group are more likely to die than those that are not frail. We aimed to evaluate the impact of frailty on clinical mortality, readmission rate and length of stay for...
Source: oup.com