A cross-sectional survey on buprenorphine-naloxone practice and attitudes in 22 Canadian emergency physician groups: a cross-sectional survey
CMAJ Open. 2021 Sep 21;9(3):E864-E873. doi: 10.9778/cmajo.20200190. Print 2021 Jul-Sep.ABSTRACTBACKGROUND: Buprenorphine-naloxone (BUP) initiation in emergency departments improves follow-up and survival among patients with opioid use disorder. We aimed to assess self-reported BUP-related practices and attitudes among emergency physicians.METHODS: We designed a cross-sectional physician survey by adapting a validated questionnaire on opioid harm reduction practices, attitudes and barriers. We recruited physician leads from 6 Canadian provinces to administer surveys to the staff physicians in their emergency department grou...
Source: cmaj - September 22, 2021 Category: General Medicine Authors: Andrew Kestler Janusz Kaczorowski Kathryn Dong Aaron M Orkin Raoul Daoust Jessica Moe Kelsey Van Pelt Gary Andolfatto Michelle Klaiman Justin Yan Justin J Koh Kathryn Crowder Devon Webster Paul Atkinson David Savage James Stempien Floyd Besserer Jason Wal Source Type: research
A cross-sectional survey on buprenorphine-naloxone practice and attitudes in 22 Canadian emergency physician groups: a cross-sectional survey
CMAJ Open. 2021 Sep 21;9(3):E864-E873. doi: 10.9778/cmajo.20200190. Print 2021 Jul-Sep.ABSTRACTBACKGROUND: Buprenorphine-naloxone (BUP) initiation in emergency departments improves follow-up and survival among patients with opioid use disorder. We aimed to assess self-reported BUP-related practices and attitudes among emergency physicians.METHODS: We designed a cross-sectional physician survey by adapting a validated questionnaire on opioid harm reduction practices, attitudes and barriers. We recruited physician leads from 6 Canadian provinces to administer surveys to the staff physicians in their emergency department grou...
Source: cmaj - September 22, 2021 Category: General Medicine Authors: Andrew Kestler Janusz Kaczorowski Kathryn Dong Aaron M Orkin Raoul Daoust Jessica Moe Kelsey Van Pelt Gary Andolfatto Michelle Klaiman Justin Yan Justin J Koh Kathryn Crowder Devon Webster Paul Atkinson David Savage James Stempien Floyd Besserer Jason Wal Source Type: research
'...the way it was staffed during COVID is the way it should be staffed in real life...: a qualitative study of the impact of COVID-19 on the working conditions of junior hospital doctors
Conclusions
Interviewees’ experience of the first wave of COVID-19 illustrates how enhanced levels of medical staffing can improve junior hospital doctors’ working conditions. Given the pervasive impact of staffing on the quality of interviewees’ work experience, perhaps it is time to consider medical staffing standards as a vital job resource for hospital doctors and a key policy lever to enhance medical workforce retention. In a global context of sustained COVID-19 demands, pressures from delayed care and international health worker shortages, understanding frontline experiences and identifying strategi...
Source: BMJ Open - August 9, 2021 Category: General Medicine Authors: Byrne, J.-P., Creese, J., Matthews, A., McDermott, A. M., Costello, R. W., Humphries, N. Tags: Open access, Health services research, COVID-19 Source Type: research
A Case for Case Reviews
“When you hear hoofbeats, think horses and not zebras.” Our new locum tenens attending physician admonished my emergency nursing colleague by invoking a common metaphor. This use of the metaphor suggested that the patient's problem was most likely a common diagnosis and not a rare or unusual dis ease. This is usually sound advice to maintain efficiency in a crowded and under-resourced emergency department. My colleague seemed to silently weigh the risks and benefits to the patient of each course of possible action, including what it would mean to repeat his request, and with what urgency. (Source: Journal of Emergency Nursing: JEN)
Source: Journal of Emergency Nursing: JEN - July 1, 2021 Category: Nursing Authors: Jessica Castner Tags: Editorial Source Type: research
Growing Neonatal Advanced Practice Providers via Mentorship Can Fill the Need: Program Description and Tool Kit
Adv Neonatal Care. 2021 Mar 25. doi: 10.1097/ANC.0000000000000847. Online ahead of print.ABSTRACTBACKGROUND: The need for neonatal advanced practice providers (APPs) has been described. Hospital training programs for neonatal physician assistants (PAs) have been developed by physicians. No publications exist about programs administered by neonatal APPs for both new graduate neonatal nurse practitioners (NNPs) and neonatal PAs.PURPOSE: The purpose of this work was to mentor, train, and hire neonatal APPs in a program administered by neonatal APPs.METHODS: We developed a 2-pronged approach to attract PAs and new graduate NNP...
Source: Advances in Neonatal Care - March 30, 2021 Category: Nursing Authors: April Morris Ronna Smith Shannon Fitzgerald Elena Bosque Source Type: research
Nurse practitioner locums: a plausible solution for augmenting health care access for rural communities
Natasha Jennings, Grainne Lowe, Kathleen Tori (Source: Australian Journal of Primary Health)
Source: Australian Journal of Primary Health - January 29, 2021 Category: Primary Care Authors: Natasha Jennings Grainne Lowe Kathleen Tori Source Type: research
Nurse practitioner locums: a plausible solution for augmenting health care access for rural communities.
Abstract
With 2020 being designated the Year of the Nurse and Midwife, it is opportune to acknowledge and recognise the role that nurses undertake in primary care environments. Nurses and midwives play a pivotal role in the delivery of high-quality health care, particularly in geographically challenged areas of Australia, where they may be the only provider of care within their communities. Rural and remote health services require strategic planning to develop and implement solutions responsive to the challenges of rural and remote communities. Maintenance of health services in rural and remote areas is a ...
Source: Rural Remote Health - January 29, 2021 Category: Rural Health Authors: Jennings N, Lowe G, Tori K Tags: Aust J Prim Health Source Type: research
Hospitalization and Post-hospitalization Outcomes Among Teaching Internal Medicine, Employed Hospitalist, and Locum Tenens Hospitalist Services in a Tertiary Center: a Prospective Cohort Study
ConclusionsTeaching internal medicine services care was associated with a shorter stay but not with increased costs, readmission, or mortality compared to non-teaching services. In contrary to the “expected,” patients treated by locums had shorter stays and decreased hospital costs but no increase in readmissions or mortality. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 25, 2021 Category: Internal Medicine Source Type: research
The reserve that is federal utilizes hmda data to greatly help banking institutions, community businesses
If you’re not able to keep repayments because of changed circumstances, your manager when you look at the iva can request a variation to mirror your circumstances that are new plan for mortgage speitt. In it, you certainly shouldn t need a if you have a prepaid visa card with money. You will definitely chase your enemies, economically, the usa is changed through the globe s leading financing. Obtaining a prepaid visa debit card also helps make an ideal present for birthdays and carry it into any advance america location and possess a certified taxation i got authorized and got my cash the day that is next.
Determin...
Source: Journal of Clinical and Aesthetic Dermatology - January 19, 2021 Category: Dermatology Authors: Buya Bat Tags: best payday loans Source Type: research
Mass Disasters and Burnout in Nephrology Personnel: From Earthquakes and Hurricanes to COVID-19 Pandemic.
Abstract
Mass disasters result in extensive health problems and make health care delivery problematic, as has been the case during the COVID-19 pandemic. Although COVID-19 was initially considered a pulmonary problem, it soon became clear that various other organs were involved. Thus, many care providers, including kidney health personnel, were overwhelmed or developed burnout. This review aims to describe the spectrum of burnout in mass disasters and suggests solutions specifically for nephrology personnel by extending previous experience to the COVID-19 pandemic. Burnout (a psychologic response to work-r...
Source: Clinical Journal of the American Society of Nephrology : CJASN - January 7, 2021 Category: Urology & Nephrology Authors: Sever MS, Ortiz A, Maggiore U, Bac-García E, Vanholder R Tags: Clin J Am Soc Nephrol Source Type: research
IJERPH, Vol. 17, Pages 8514: Creating Short-Term Volume Flexibility in Healthcare Capacity Management
én
It is well-known that unpredictable variations in supply and demand of capacity in healthcare systems create the need for flexibility. The main tools used to create short-term volume flexibility in the healthcare system include overtime, temporary staff from internal calling lists, moving staff across units, internal staffing pools, external staffing agencies, queuing patients, and purchasing care from external providers. We study the creation of short-term volume flexibility in healthcare systems to manage short-term capacity losses and demand fluctuations. A questionnaire was developed and distributed among healt...
Source: International Journal of Environmental Research and Public Health - November 17, 2020 Category: Environmental Health Authors: Carina Fagefors Bj örn Lantz Peter Ros én Tags: Article Source Type: research
Medical Staffing Organization and Quality of Care Outcomes in Post-Acute Care Settings.
This study examined the impact of nursing home medical staffing organization (NHMSO) dimensions on the quality of care in US nursing homes. The principal data source was a survey specifically designed to study medical staff organization for post-acute care. Respondents were medical directors and attending physicians providing PALTC. We linked a number of medical provider and nursing home characteristics to the Centers for Medicaid and Medicare Services Nursing Home Compare quality measures hypothesized to be sensitive to input by medical providers.
RESULTS: From the sample of nursing home medical providers surveyed...
Source: The Gerontologist - November 4, 2020 Category: Geriatrics Authors: Wagner LM, Katz P, Karuza J, Kwong C, Sharp L, Spetz J Tags: Gerontologist Source Type: research
A survey of the NP workforce in primary healthcare settings in New Zealand.
CONCLUSION: The nurse practitioner workforce offers stability and flexibility in working across multiple clinical settings in primary healthcare. They provide the potential solution to the general practitioner workforce shortage by improving access to primary healthcare and reducing health inequalities. As authorised prescribers able to enrol patients, receive capitation payments and claim general medical services, it is timely to facilitate the expansion of the nurse practitioner workforce in New Zealand.
PMID: 33032301 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - October 10, 2020 Category: General Medicine Tags: N Z Med J Source Type: research
The Role of Community Hospital Pediatric Departments in Counter Measures for Measles Epidemics at Olympic Game Sites.
CONCLUSIONS: Measles outbreaks are possible in Japan as a result of visitors from abroad. Items to mitigate an outbreak were identified as maintenance of high vaccination rates, readily available information regarding the location of negative pressure hospital rooms, the status of measles development, and finally medical staffing issues. There is a continued risk of measles outbreaks occurring in infants and individuals who do not have a measles antibody titer.
PMID: 32741907 [PubMed - as supplied by publisher] (Source: Journal of Nippon Medical School)
Source: Journal of Nippon Medical School - July 31, 2020 Category: Universities & Medical Training Authors: Igarashi T, Takeda S, Igarashi T, Narazaki H, Itoh Y Tags: J Nippon Med Sch Source Type: research
We need new medication software to link hospital care to community pharmacy
As a relief pharmacist, and a locum on my days-off, there ’s variation in my work — I check a plethora of interesting medications across a range of demographic groups. (Source: The Pharmaceutical Journal)
Source: The Pharmaceutical Journal - July 13, 2020 Category: Drugs & Pharmacology Source Type: research
