Article
Health Care Sciences & Services
Jody L. Lin, Bernd Huber, Ofra Amir, Sebastian Gehrmann, Kimberly S. Ramirez, Kimberly M. Ochoa, Steven M. Asch, Krzysztof Z. Gajos, Barbara J. Grosz, Lee M. Sanders
Summary: This study aimed to assess the feasibility and acceptability of GoalKeeper (GK), an internet-based system for eliciting and monitoring family-centered goals for children with medical complexity (CMC). The results showed that family-centered technologies like GK are feasible and acceptable for the care of CMC, but integrating them into electronic health records remains a key challenge.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Geriatrics & Gerontology
Shimrit Keddem, Roman Ayele, Mary Ersek, Andrew Murray, Matthew Griffith, Sabrina Morawej, Ann Kutney-Lee
Summary: This study aims to identify the barriers and facilitators of conducting and documenting GoCCs with Veterans receiving VA-paid CNH care. The study revealed multi-level barriers including a lack of training, confusion about roles and responsibilities, communication issues, and difficulties in patient and family readiness and finding surrogate decision makers. Additionally, several facilitators were identified that can inform strategies for improvement.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Oncology
Megan Lafferty, Milisa Manojlovich, Jennifer J. Griggs, Nathan Wright, Molly Harrod, Christopher R. Friese
Summary: The study examined clinician-reported factors within ambulatory oncology practices that affect care delivery processes and outcomes, identifying aspects including staffing inadequacy, high patient volume, limited physical space, electronic health record usability issues, and order entry as unfavorable factors. Positive aspects included the skills of colleagues, collaboration, and teamwork. The findings demonstrate the interactive and relational nature of work-system components, influencing patient, clinician, and organizational outcomes.
Article
Health Care Sciences & Services
Karleen F. Giannitrapani, Aanchal Satija, Archana Ganesh, Raziel Gamboa, Soraya Fereydooni, Taylor Hennings, Shivani Chandrashekaran, Jake Mickelsen, Michelle DeNatale, Odette Spruijt, Sushma Bhatnagar, Karl A. Lorenz
Summary: This study evaluated the implementation experiences of locally initiated palliative care improvement projects at seven diverse sites in India, highlighting factors like leveraging clinic level data, QI methods training, and provider buy-in as important for the success of quality improvement initiatives. However, barriers to using QI methods included lack of designated staff, high patient volume, among others.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Review
Geriatrics & Gerontology
Julie S. Yi, Corinne A. Pittman, Carrie L. Price, Carrie L. Nieman, Esther S. Oh
Summary: This study reviewed the use of telemedicine among older adults with Alzheimer's disease and related dementia or mild cognitive impairment, finding that telemedicine is well received among patients and care partners, with support staff and care partners playing a crucial role in technology navigation. However, excluding older adults with sensory impairments may further exacerbate access to care in this population.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Public, Environmental & Occupational Health
Shima Shirozhan, Narges Arsalani, Sadat Seyed Bagher Maddah, Farahnaz Mohammadi-Shahboulaghi
Summary: This study aimed to explore the barriers and facilitators of rehabilitation nursing care for patients with disability in a rehabilitation hospital as experienced by nurses and members of the rehabilitation team. The analysis identified three themes: factors related to nurses, factors related to the work environment, and factors related to patients and caregivers. The findings emphasize the importance of understanding and addressing these factors to improve the quality of rehabilitation nursing care.
FRONTIERS IN PUBLIC HEALTH
(2022)
Review
Health Care Sciences & Services
Jana S. Hopstaken, Lynn Verweij, Cees J. H. M. van Laarhoven, Nicole M. A. Blijlevens, Martijn W. J. Stommel, Rosella P. M. G. Hermens
Summary: The use of digital care platforms has a positive impact on the quality of care for oncological patients, enhancing the availability of information and self-efficacy, and improving patient satisfaction. Barriers mainly stem from the professional level, while facilitators are predominantly found at the patient and innovation levels.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Review
Public, Environmental & Occupational Health
Lenka Benova, Aline Semaan, Anayda Portela, Mercedes Bonet, Thomas van den Akker, Andrea B. Pembe, Allisyn Moran, Diane Duclos
Summary: This scoping review examines the facilitators and barriers to implementing routine postnatal care guidelines for women. The findings show that fragmented and narrow provision of postnatal care presents specific challenges to the development and implementation of guidelines. This lack of comprehensive care links, failure to address intersecting vulnerabilities, and reliance on the short postpartum period as an opportunity for education and retention in the health system hinder the provision of woman-centered care.
JOURNAL OF GLOBAL HEALTH
(2023)
Article
Multidisciplinary Sciences
Emily Ray, Randall K. Teal, Jessica Carda-Auten, Erin Coffman, Hanna Sanoff
Summary: This study aimed to understand the barriers and facilitators to accessing care for hepatocellular carcinoma (HCC) patients. Through in-depth interviews with HCC patients, key facilitators such as physician knowledge, effective communication, social support, and financial support were identified, while barriers included transportation difficulties, high cost of care, provider lack of knowledge about HCC, appointment delays, and poor communication with the medical team. The study suggested improving care coordination, providing a primary healthcare contact, enhancing communication and care coordination, reducing out-of-pocket costs, and engaging caregivers and other medical providers to improve access for HCC patients.
Article
Cardiac & Cardiovascular Systems
Harnoor K. Mann, Meg Streiff, Kevan C. Schultz, David V. Halpern, Danielle Ferry, Amber E. Johnson, Jared W. Magnani
Summary: This study qualitatively assessed the experiences of rural individuals with AF in Pennsylvania, identifying barriers and facilitators to care. The findings highlight the complexity of AF care in rural settings and provide important insights for healthcare providers.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Public, Environmental & Occupational Health
Wafaa M. El-Sadr, Joey Platt, Melanie Bernitz, Melissa Reyes
Summary: This study provides a brief overview of the history of contact tracing during major disease outbreaks in the past century and discusses the barriers and facilitators of contact tracing, as well as the impact of societal roles and stigma. The study also explores the influence of the nature and epidemiology of the infection on the success of contact tracing efforts and provides insights for future research.
AMERICAN JOURNAL OF PUBLIC HEALTH
(2022)
Article
Nursing
Ann Claeys, Saloua Berdai-Chaouni, Sandra Tricas-Sauras, Liesbeth De Donder
Summary: This study aimed to identify the barriers and facilitators experienced by healthcare professionals while caring for patients with a migration background. The main barrier identified was that healthcare professionals regard people with a migration background as the other. Healthcare professionals do not feel secure or competent to provide care for these others. Structural barriers at the level of the healthcare system, such as limited implementation of care coordination and austerity measures, were also perceived as barriers.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Geriatrics & Gerontology
Janne Agerholm, Natasja Koitzsch Jensen, Ann Liljas
Summary: This study investigated the healthcare professionals' perceptions on care coordination for older patients with complex health and social care needs discharged from hospital in Copenhagen and Stockholm. The study found differences in organizational structures and coordination methods between the two care systems, with more sector-overlapping work in Copenhagen and a more efficient information system in Stockholm. Participants in both settings initiated their own actions to compensate for system imperfections.
Article
Respiratory System
Gabriella Tikellis, Tamera J. Corte, Alan K. Y. Teoh, Ian N. Glaspole, Sacha Macansh, Anne E. Holland
Summary: The clinical management of IPF in Australia generally aligns with best practice guidance, but there may be some inequity of access to specialist services, particularly in regional areas, that should be addressed to ensure optimal care for all.
Article
Geriatrics & Gerontology
Lina Francina Weening-Verbree, Annemarie Adriana Schuller, Sie-Long Cheung, Sytse Ulbe Zuidema, Cornelis P. Van Der Schans, Johannes Simon Maria Hobbelen
Summary: The study found that attitude was not a barrier to oral care among nursing home staff, but they did not perform oral care according to guidelines. The main barriers faced by nursing staff were lack of support from dental staff, oral care for clients with cognitive impairment, and lack of education.
Article
Public, Environmental & Occupational Health
Georgia C. Richards, Jeffrey K. Aronson, Brian MacKenna, Ben Goldacre, F. D. Richard Hobbs, Carl Heneghan
Summary: This study aimed to assess the sales and expenditure trends of over-the-counter codeine-containing products in different countries over a period of six years. The results showed that a significant number of people are purchasing and consuming these products worldwide, with sales increasing over time. Clinicians should inquire about patients' use of over-the-counter products, and efforts are needed to improve data collection and product safety.
Article
Medicine, General & Internal
Aidan G. Cashin, Georgia C. Richards, Nicholas J. DeVito, David T. Mellor, Hopin Lee
Summary: Registration of research is an effective way to improve transparency and credibility of evidence, reducing bias and enhancing the transparency and credibility of research findings. It is important for clinical trials and other types of research, and can reduce research waste and improve the quality of decision making.
BMJ EVIDENCE-BASED MEDICINE
(2023)
Editorial Material
Medicine, General & Internal
Jeffrey K. Aronson, Robin E. Ferner, Georgia C. Richards
BMJ EVIDENCE-BASED MEDICINE
(2022)
Editorial Material
Medicine, General & Internal
Peter J. Gill, Braden O'Neil, Georgia C. Richards
BMJ EVIDENCE-BASED MEDICINE
(2022)
Article
Medicine, General & Internal
Nicholas J. DeVito, Caroline Morton, Aidan Gregory Cashin, Georgia C. Richards, Hopin Lee
Summary: Making study materials available allows for a more comprehensive understanding of scientific literature. Biomedical research faces unique challenges in sharing, but educating researchers on safe and effective sharing practices and gaining support from various stakeholders is important.
BMJ EVIDENCE-BASED MEDICINE
(2023)
Review
Health Care Sciences & Services
Seema Gadhia, Georgia C. Richards, Tracey Marriott, James Rose
Summary: The study found that many AI models are being developed and applied to understand the use of opioids, with the majority of studies conducted in the USA. AI technologies include natural language processing and machine learning algorithms, mainly applied for surveillance and risk prediction of opioids. However, few AI models are ready for adoption, requiring further validation and evaluation.
Letter
Primary Health Care
Stephen H. Bradley, Kelly E. Lloyd, David Mellor, Peter J. Gill, Georgia C. Richards
BRITISH JOURNAL OF GENERAL PRACTICE
(2022)
Article
Public, Environmental & Occupational Health
Harrison S. France, Jeffrey K. Aronson, Carl Heneghan, Robin E. Ferner, Anthony R. Cox, Georgia C. Richards
Summary: Medication-related deaths account for over 1700 preventable deaths annually in England. Coroners' Prevention of Future Death reports (PFDs) provide valuable information for reducing these deaths, but half of the concerns raised in PFDs are not addressed. The most common drugs involved in these deaths are opioids, antidepressants, and hypnotics. Improving patient safety and communication based on the concerns highlighted in PFDs can effectively reduce the harms caused by medicines.
Article
Clinical Neurology
Antonia-Olivia Roberts, Georgia C. Richards
Summary: The opioid crisis in the US has resulted in millions of people unknowingly becoming dependent on opioids. The UK has the highest rate of opioid consumption in the world, and opioid-related deaths have significantly increased since 1993 in England and Wales. This article examines whether England is facing an opioid crisis by exploring the epidemiological definitions of public health emergencies and epidemics in the context of opioid use, misuse, and mortality.
BRITISH JOURNAL OF PAIN
(2023)
Article
Primary Health Care
Isabella Martus, Brian Mackenna, William Rial, Jon Hayhurst, Georgia C. Richards
Summary: This study found a decreasing trend in the prescribing of controlled opioids by private prescribers in England, with the majority of prescriptions concentrated in London. Continued monitoring and surveillance of privately dispensed controlled opioids, as well as addressing prescriptions linked to "unidentified doctors," is important for patient safety.
BRITISH JOURNAL OF GENERAL PRACTICE
(2023)
Article
Public, Environmental & Occupational Health
Francesco Dernie, Harrison S. France, Elizabeth T. Thomas, Maja Bilip, Nicholas J. DeVito, Robin E. Ferner, Anthony R. Cox, Carl Heneghan, Jeffrey K. Aronson, Georgia C. Richards
Summary: Opioid deaths have increased in England and Wales. Coroners' reports provide important insights to prevent future deaths, but opioid-related reports have not been synthesized. This study aimed to identify opioid-related reports and explore coroners' concerns.
JOURNAL OF PUBLIC HEALTH
(2023)
Review
Public, Environmental & Occupational Health
G. C. Richards, J. Carpenter, E. Okpalugo, D. J. Howard, C. Heneghan
Summary: This article synthesises systematic reviews on the impacts of housing exposures and interventions on health. It found that poor housing environments negatively impact health, while housing interventions such as refurbishment and energy efficiency positively impact health outcomes.
PERSPECTIVES IN PUBLIC HEALTH
(2023)
Review
Pharmacology & Pharmacy
Robin E. E. Ferner, Richard Brittain, Anthony R. R. Cox, Carl Heneghan, Georgia C. C. Richards, Jeffrey K. K. Aronson
Summary: Coroners in England and Wales are required to send Reports to Prevent Future Deaths (PFDs) when they identify concerns that could cause other deaths. However, our study found that PFDs related to medications are not widely recognized in medical journals or UK national newspapers. This under-recognition highlights the need to utilize the findings of coroners and medical examiners worldwide to improve the safety of medications.
PHARMACEUTICAL MEDICINE
(2023)
Article
Psychology, Multidisciplinary
Klaire Somoray, Dan J. Miller
Summary: In this study, researchers conducted an online experiment to investigate participants' ability to detect deepfake videos and their confidence levels. The results showed that participants performed well overall in detecting deepfakes, but overestimated their ability at the individual video level and underestimated their overall ability. The study also found that providing detection strategies did not have a significant impact on participants' detection accuracy and confidence.
COMPUTERS IN HUMAN BEHAVIOR
(2023)
Article
Clinical Neurology
Georgia C. Richards, Jeffrey K. Aronson, Kamal R. Mahtani, Carl Heneghan
Summary: The study revealed significant disparities in the consumption of controlled opioids globally, with the majority of countries unable to access essential opioid medicines.
BRITISH JOURNAL OF PAIN
(2022)
