Article
Medicine, General & Internal
Vu Thi Lan Huong, Ta Thi Dieu Ngan, Huynh Phuong Thao, Le Minh Quang, Tran Thi Thu Hanh, Nguyen Thi Hien, Tran Duc, Vu Hai Vinh, Chau Minh Duc, Vo Thi Hoang Dung Em, Phan Van Be Bay, Nguyen Thi Thuy Oanh, Pham Thi Thuy Hang, Nguyen Thi Cam Tu, Truong Anh Quan, Thomas Kesteman, Elizabeth Dodds Ashley, Deverick Anderson, H. Rogier van Doorn
Summary: This study aimed to investigate the feasibility of hospital-based antimicrobial stewardship programmes in two provincial-level hospitals in Vietnam, using a national stakeholder meeting, SWOT analysis, and implementation research design to assess programme feasibility. Three gaps were identified for AMS at national level, and variations in antibiotic consumption were found in the hospitals. During 1-year implementation, clinical pharmacists audited a large number of antibiotic prescriptions and will continue PAF in their daily work.
Review
Medicine, General & Internal
Kate Churruca, Louise A. Ellis, Chiara Pomare, Anne Hogden, Mia Bierbaum, Janet C. Long, Aleksandra Olekalns, Jeffrey Braithwaite
Summary: This systematic review examined methods for assessing safety culture in hospitals, finding a predominant use of quantitative surveys and a limited use of qualitative or mixed methods. Thematic analysis identified eleven themes related to safety culture dimensions, with 'Leadership' being the most common.
Review
Medicine, General & Internal
Ben-tuo Zeng, Yinghui Jin, Shu-dong Cheng, Yan-ming Ding, Ji-wei Du
Summary: This scoping review examines the existing literature on administration approaches of nursing assistants (NAs) in hospitals and highlights a significant gap between evidence-based research and management practice. The review reveals practical administration approaches and identifies 15 primary topics of focus. It emphasizes the need for further exploration using structured frameworks and standardized methodology to improve the quality of care. Additionally, it suggests that researchers should prioritize evidence-based practice in NA administration based on the identified topics.
Article
Medicine, General & Internal
Jingyu Shi, Xinyue Sun, Kai Meng
Summary: This study aimed to evaluate the organizational capability of hospitals in China, constructing an index system using the Delphi method, with results showing reliability and validity. It was found that regulatory capability, decision-making capability, and executive capability were the three indicators with the highest weights.
Review
Medicine, General & Internal
Zineb Bentounsi, Sharaf Sheik-Ali, Grace Drury, Chris Lavy
Summary: The analysis of 52 articles from 2000 to 2019 revealed that district hospitals in sub-Saharan Africa play a significant role in providing emergency and elective surgeries, with most procedures done under general or spinal anesthesia, often delivered by non-physician clinicians. Surgical care providers vary depending on countries, including medical officers, specialist surgeons, and non-physician clinicians. Further research on safety, quality, and volume of surgical and anesthesia care in this setting is scarce and warranted.
Article
Medicine, General & Internal
Amin Khuwaja, Rafia Tabassum, Ahmed Soomro, Raja Diloo, Kelash Kumar, Jamil Ahmed, Fauzia Khan
Summary: This study has identified a shortage of anaesthesiology personnel in district-level and tehsil-level hospitals of Sindh province, Pakistan.
Article
Medicine, General & Internal
Mochamad Muska Nataliansyah, Xi Zhu, Thomas Vaughn, Keith Mueller
Summary: This study aims to understand the motivations and strategies of rural hospitals in engaging in community health improvement efforts. Through semi-structured interviews with key leaders from four rural hospitals in a US Midwestern state, the study found that internal values, economic conditions, and social responsibilities are the three types of motivations driving rural hospitals' community health improvement efforts. Three categories of strategies were identified: building capacity, building relationships, and building programs, to address community health issues.
Article
Medicine, General & Internal
Maihong He, Xiaoxiao Li, Qing Tan, Yong Chen, Yue Kong, Jianping You, Xian Lin, Ying Lin, Qing Zheng
Summary: This study aimed to establish disability weights for COVID-19 symptoms, evaluate disease burden in inpatients, and analyze factors affecting the disease. Severe expiratory dyspnea, mild cough, and sore throat were found to have the highest and lowest weights for DALY. Age, BMI, hospital stay length, and symptom duration were strongly related to DALY.
Article
Medicine, General & Internal
Yiyin Cao, Lei Gao, Lihua Fan, Zhong Zhang, Xinyan Liu, Mingli Jiao, Ye Li, Shu'e Zhang
Summary: Recently, Chinese ministries and commissions have issued policies and systems to address violent injuries to doctors, but verbal violence remains prevalent and overlooked. This study aims to assess the impact of verbal violence on healthcare workers at the organizational level and identify risk factors, in order to provide practical solutions for reducing verbal violence.
Review
Medicine, General & Internal
Mandy Archibald, Sandra Wiebe, Kendra Rieger, Janice Linton, Roberta Woodgate
Summary: This study will conduct the first systematic review of living labs across healthcare contexts, using a dual-reviewer, two-step selection process with pre-established inclusion criteria and limit to English language publications. The Mixed Methods Appraisal Tool will be used for methodological quality appraisal, and data on pre-established variables will be extracted for analysis.
Article
Medicine, General & Internal
Esther K. Choo, Matthew Strehlow, Marina Del Rios, Evrim Oral, Ruth Pobee, Andrew Nugent, Stephen Lim, Christian Hext, Sarah Newhall, Diana Ko, Srihari Chari, Amy Wilson, Joshua J. Baugh, David Callaway, Mucio Kit Delgado, Zoe Glick, Christian J. Graulty, Nicholas Hall, Abdusebur Jemal, Madhav Kc, Aditya Mahadevan, Milap Mehta, Andrew C. Meltzer, Dar'ya Pozhidayeva, Daniel Resnick-Ault, Christian Schulz, Sam Shen, Lauren Southerland, Daniel Du Pont, Danielle M. McCarthy
Summary: This study examined the operational approaches taken by US hospitals in response to the COVID-19 pandemic over a one-year period. The findings showed variation in strategy uptake over time, with some strategies related to geographic region and phase of the pandemic. The study identified commonly used and sustained strategies, such as limiting staff in COVID-19 rooms and increasing telehealth capacity, as well as strategies that were rarely used or not sustained, such as increasing hospital bed capacity.
Article
Medicine, General & Internal
Lenka Benova, Aline Semaan, Bosede Bukola Afolabi, Dinah Amongin, Ochuwa Adiketu Babah, Nafissatou Dioubate, Niane Harissatou, Amani Idris Kikula, Sarah Nakubulwa, Olubunmi Ogein, Moses Adroma, William Anzo Adiga, Abdourahmane Diallo, Ibrahima Sory Diallo, Lamine Diallo, Mamadou Cellou Diallo, Cece Maomou, Nathanael Mtinangi, Telly Sy, Therese Delvaux, Alexandre Delamou, Annettee Nakimuli, Andrea Barnabas Pembe, Aduragbemi Oluwabusayo Banke-Thomas
Summary: The COVID-19 pandemic had a negative impact on maternal and perinatal survival in referral hospitals in sub-Saharan Africa. The provision of healthcare services was delayed and disrupted during the pandemic, including sub-optimal referral linkages and health service closures.
Review
Medicine, General & Internal
Rebecca Lengnick-Hall, Enola K. Proctor, Alicia C. Bunger, Donald R. Gerke
Summary: This study aims to compare the progress in the field of implementation outcomes research with the originally proposed research agenda from 2011 and provide recommendations for the next decade. The methods include assessing the extent of investigation on each implementation outcome, describing the relationship between implementation strategies and outcomes, and identifying studies that empirically evaluate relationships among implementation and/or service and client outcomes.
Article
Medicine, General & Internal
Maarten Debets, Renee Scheepers, Milou Silkens, Kiki Lombarts
Summary: This study investigated the mediating effects of work engagement and burnout on the relationships between job resources and demands with work ability among physicians. The findings indicated that work engagement and burnout played important mediating roles in physicians' work ability. Providing development opportunities, participation in decision-making, and good collegial relationships can enhance physicians' occupational well-being and performance.
Article
Medicine, General & Internal
Dufera Rikitu Terefa, Edosa Tesfaye, Belachew Etana Tolessa, Adisu Ewunetu Desisa, Wolkite Olani, Getahun Fetensa, Melese Chego, Eba Abdisa, Ebisa Turi, Tariku Tesfaye Bekuma, Motuma Getachew, Lensa Tesfaye, Temesgen Tilahun
Summary: This study aimed to determine the impact of the COVID-19 pandemic on the cost of chronic disease treatment and care at public hospitals in Wallaga zones, Ethiopia. The study found that the cost of follow-up care among chronic disease patients significantly increased during the pandemic.
Article
Gastroenterology & Hepatology
Debra T. Choi, Hye-Chung Kum, Sulki Park, Robert L. Ohsfeldt, Yu Shen, Neehar D. Parikh, Amit G. Singal
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2019)
Review
Health Care Sciences & Services
Theodoros Giannouchos, Hye-Chung Kum, Margaret J. Foster, Robert L. Ohsfeldt
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2019)
Review
Health Care Sciences & Services
Y. Alicia Hong, Chen Liang, Tiffany A. Radcliff, Lisa T. Wigfall, Richard L. Street
JOURNAL OF MEDICAL INTERNET RESEARCH
(2019)
Article
Health Care Sciences & Services
Jeff Liao, Emily Aaronson, Jungyeon Kim, Xiu Liu, Colleen Snydeman, Ilona Goldfarb, Lauren Black, Michael Filbin, Michael T. Phillips, Elizabeth Mort, Jarone Lee
AMERICAN JOURNAL OF MEDICAL QUALITY
(2020)
Article
Pharmacology & Pharmacy
Theodoros V. Giannouchos, Dimos-Dimitrios Mitsikostas, Robert L. Ohsfeldt, Athanassios Vozikis, Paraskevi Koufopoulou
CLINICAL DRUG INVESTIGATION
(2019)
Article
Economics
Katherine Dick, Andrew Briggs, Robert Ohsfeldt, Tobias Sydendal Grand, Sarah Buchs
JOURNAL OF MEDICAL ECONOMICS
(2020)
Article
Emergency Medicine
Lucas C. Carlson, Ali S. Raja, Daniel A. Dworkis, Jarone Lee, David F. M. Brown, Margaret Samuels-Kalow, Michael Wilson, Marc Shapiro, Jungyeon Kim, Brian J. Yun
ANNALS OF EMERGENCY MEDICINE
(2020)
Article
Emergency Medicine
Lucas C. Carlson, Jungyeon Kim, Margaret E. Samuels-Kalow, Brian J. Yun, Dellara F. Terry, Jeffrey B. Weilburg, Jarone Lee
Summary: The study compared the effects of Neighborhood Stress Score (NSS) and Area Deprivation Index (ADI) on the relationship between an individual's socioeconomic risk and acute care utilization. The results showed that NSS had higher incidence rate ratios (IRRs) across all three measures compared to ADI.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Editorial Material
Anesthesiology
Thomas R. Miller, Tiffany A. Radcliff
ANESTHESIA AND ANALGESIA
(2020)
Article
Emergency Medicine
Todd A. Jaffe, Jungyeon Kim, Christopher DePesa, Benjamin White, Haytham M. A. Kaafarani, Noelle Saillant, April Mendoza, David King, Peter Fagenholz, George Velmahos, Jarone Lee
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2020)
Article
Public, Environmental & Occupational Health
Tiffany A. Radcliff, Karen Chu, Claudia Der-Martirosian, Aram Dobalian
Summary: This study compares primary care appointment disruptions during Hurricanes Ike and Harvey and finds that the disruptions were greater and more persistent for Hurricane Harvey.
DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS
(2022)
Article
Pharmacology & Pharmacy
Robert Ohsfeldt, Kari Kelton, Tim Klein, Mark Belger, Patrick L. Mc Collam, Theodore Spiro, Russel Burge, Neera Ahuja
Summary: The addition of baricitinib to standard of care was found to be cost-effective in hospitalized COVID-19 patients in the United States, significantly reducing mortality.
CLINICAL THERAPEUTICS
(2021)
Article
Critical Care Medicine
Patric W. Gibbons, Jungyeon Kim, Rebecca E. Cash, Shuhan He, Debbie Lai, B. Christian Renne, Jarone Lee
Summary: This retrospective analysis of a national database in the US examined the influence of COVID-19 caseload surges and overall ICU capacity on mortality rates. The study found that an increase in general ICU capacity was associated with a higher weekly COVID-19 death rate per 100,000 population, and an increase in the number of COVID-19 patients admitted to the ICU was associated with a higher weekly COVID-19 death rate as well. The ability to handle caseload surges differed significantly across different regions in the US. Further research is needed to identify best practices and public health measures to prevent ICU overcrowding in future pandemics and disasters.
JOURNAL OF INTENSIVE CARE MEDICINE
(2023)
Article
Health Care Sciences & Services
Morgan Kassabian, Michael S. Calderwood, Robert Ohsfeldt
Summary: This study assessed the cost-effectiveness of different drugs for treating uncomplicated urinary tract infections. It found that fosfomycin, despite being the most expensive, is an attractive option due to its effectiveness and low risk, making it a cost-effective choice, particularly if competition in the market increases.
HEALTH SERVICES INSIGHTS
(2022)
Article
Public, Environmental & Occupational Health
Jungyeon Kim, Salmaan Keshavjee, Rifat Atun
JOURNAL OF GLOBAL HEALTH
(2020)