Review
Engineering, Industrial
Sheila Siame, Despena Andrioti Bygvraa, Olaf Chresten Jensen
Summary: This study conducted a scoping review to explore factors influencing the implementation of safety interventions in the fishing industry. Key facilitators included knowledge, management commitment, collaborative practices, while key barriers included low risk perception, cultural norms. Future research should focus on identified facilitators and barriers to improve safety in the industry.
Article
Nursing
Shabnam Pooya, Kerri Johnston, Pejmon Estakhri, Amir Fathi
Summary: Implementing an ERAS protocol in a safety-net hospital presents unique barriers, but these barriers can be overcome to enhance care quality and reduce costs. A grid has been provided to facilitate the implementation process.
JOURNAL OF PERIANESTHESIA NURSING
(2021)
Article
Geriatrics & Gerontology
Marthe E. Ribbink, Wieteke C. B. M. de Vries-Mols, Janet L. MacNeil Vroomen, Remco Franssen, Melissa N. Resodikromo, Bianca M. Buurman
Summary: The Acute Geriatric Community Hospital (AGCH) in the Netherlands is a unit providing hospital-level care for older adults with acute medical conditions in a skilled nursing facility. This study identified facilitators such as enthusiasm for the AGCH concept and ongoing education, as well as barriers like financing and lack of protocols. The AGCH concept was valued, but structural financing remains a challenge.
Review
Public, Environmental & Occupational Health
Antonio Ahumada-Canale, Varinder Jeet, Anam Bilgrami, Elizabeth Seil, Yuanyuan Gu, Henry Cutler
Summary: Health care budgets in high-income countries are struggling with the growing demand in hospitals. Implementing priority setting tools in hospitals has been challenging. This study identifies barriers and facilitators to implementation and assesses the fidelity of these tools. The results provide valuable insights for organizations planning to use priority setting tools in hospitals.
SOCIAL SCIENCE & MEDICINE
(2023)
Review
Education, Scientific Disciplines
Helene Hense, Lorenz Harst, Denise Kuester, Felix Walther, Jochen Schmitt
Summary: The increase of longitudinal integrated curricula in medical schools worldwide signifies a shift towards outcome-oriented education, facilitating comprehensive student-patient interactions. Implementation processes are influenced by educational components, organizational structures, and the motivation and personalities of participating students and staff.
Article
Medicine, General & Internal
Dane Lansdaal, Femke van Nassau, Marije van der Steen, Martine de Bruijne, Marian Smeulers
Summary: This study explores the facilitators and barriers of implementing a tailored value-based healthcare model in a Dutch university hospital from the perspective of physicians and nurses. The research findings indicate that leadership and team dynamics are crucial for successful implementation. Sharing experiences with other teams and collaborating with external IT teams are also beneficial. Patient involvement is useful for decision-making and improving the care process. However, the time-consuming nature of implementation, shaping patient involvement, and ongoing changes in departments pose challenges.
Article
Multidisciplinary Sciences
Geetha Kumar, Saranya Velu, Shahina Pardhan, Raju Sapkota, Paisan Ruamviboonsuk, Mongkol Tadarati, Peranut Chotcomwongse, Variya Nganthavee, Warisara Pattanapongpaiboon, Rajiv Raman
Summary: This study investigated factors influencing DR screening in Thailand and identified barriers to follow-up compliance from patient, family member, and HCP perspectives. The results showed low knowledge and awareness about diabetes and DR among patients and family members. Long waiting times, financial issues, and lack of accompaniment were major deterrents for attending DR screening. Therefore, patient education, improved family support, and communication with healthcare providers are essential.
Article
Medicine, General & Internal
Erik M. von Meyenfeldt, Femke van Nassau, Carlijn T. de Betue, L. Barberio, Wilhelmina H. Schreurs, Geertruid M. H. Marres, H. Jaap Bonjer, Johannes Anema
Summary: This study aims to identify the determinants for successful implementation of the ERATS protocol in the Netherlands. The optimization and standardization of perioperative care with the ERATS protocol can lead to a reduction in hospital stay, complications, and costs. The study highlights the importance of consistent communication, support in the transition from hospital to home, and accessible audit data. By conducting structured problem analysis among various stakeholders, this study provides a solid foundation for choosing appropriate implementation strategies for ERATS in the Dutch context.
Review
Pediatrics
Louise Tully, Lucinda Case, Niamh Arthurs, Jan Sorensen, James P. Marcin, Grace O'Malley
Summary: The COVID-19 pandemic has highlighted the urgent need for secure information and communication technology (ICT) supported healthcare, especially in the realm of paediatric telemedicine. There is currently a lack of systematic evidence synthesis outlining the implementation issues and user perceptions regarding telemedicine in paediatric services.
FRONTIERS IN PEDIATRICS
(2021)
Article
Nutrition & Dietetics
Nurul Ain Azizan, Angeliki Papadaki, Tin Tin Su, Muhammad Yazid Jalaludin, Shooka Mohammadi, Maznah Dahlui, Mohd Nahar Azmi Mohamed, Hazreen Abdul Majid
Summary: This study evaluated the implementation of a school-based intervention to promote healthier dietary habits among Malaysian adolescents, finding that stakeholders made efforts to change to a healthy school canteen program. However, barriers included students' perception of healthy food and eating habits, as well as profit concerns for food vendors.
Article
Nursing
Tella Lantta, Minna Anttila, Jaakko Varpula, Maritta Valimaki
Summary: Participants in patient and family member associations have similar experiences and thoughts about facilitators of improvements in psychiatric services and barriers in the implementation of changes. They believe that enhancing collaboration and communication, adopting a more person-centred approach, focusing on recovery, and acknowledging staff's well-being at work are important steps for addressing the facilitators they suggested. Conversely, the barriers to implementing changes are centered around the limited knowledge and skills of staff, as well as a paternalistic system that emphasizes managing risk and administering treatment.
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
(2021)
Article
Public, Environmental & Occupational Health
Jenni Kulmala, Anna Rosenberg, Tiia Ngandu, Katri Hemio, Tarja Tenkula, Arja Hyytia, Minna Vienola, Minna Huhtamaki-Kuoppala, Anneli Saarinen, Saana Korkki, Tiina Laatikainen, Alina Solomon, Miia Kivipelto
Summary: This study examined healthcare professionals' perceptions of facilitators and barriers to implementing a multidomain lifestyle intervention into clinical practice. The main factors identified included education, resources, individualization, and collaboration, which are crucial for the successful implementation of such interventions in real-life healthcare settings.
EUROPEAN JOURNAL OF PUBLIC HEALTH
(2021)
Review
Health Care Sciences & Services
Costase Ndayishimiye, Marzena Tambor, Katarzyna Dubas-Jakobczyk
Summary: This study aimed to identify, systematize, and map the existing literature on the factors that influence health-care provider payment reforms. The study included 51 publications and found that the factors influencing payment reforms are often contextual and interrelated, encompassing various perspectives. When planning reforms, potential barriers should be anticipated and appropriate interventions should be devised.
RISK MANAGEMENT AND HEALTHCARE POLICY
(2023)
Article
Geriatrics & Gerontology
Erica K. Husser, Donna M. Fick, Marie Boltz, Priyanka Shrestha, Jonathan Siuta, Shannon Malloy, Abigail Overstreet, Douglas L. Leslie, Long Ngo, Yoojin Jung, Sharon K. Inouye, Edward R. Marcantonio
Summary: This study investigated the barriers and facilitators to implementing the ultra-brief confusion assessment method (UB-CAM) protocol for delirium identification in hospitalized older adults, with overall positive reception from clinicians. The findings highlight the importance of considering context and a systemic approach when implementing delirium screening.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Nutrition & Dietetics
Xuejun Yin, Maoyi Tian, Lingli Sun, Jacqui Webster, Kathy Trieu, Mark D. Huffman, J. Jaime Miranda, Matti Marklund, Jason H. Y. Wu, Laura K. Cobb, Hongling Chu, Sallie-Anne Pearson, Bruce Neal, Hueiming Liu
Summary: This study aimed to identify key barriers and facilitators to implementing reduced-sodium salt as a population level intervention. Taste, price, and understanding of potential health benefits were identified as critical factors influencing the adoption of reduced-sodium salts.
Article
Surgery
Shuyan Wei, Aiat Radwan, Krislynn M. Mueck, Charlie Wan, David Q. Wan, Stefanos G. Millas, Tien C. Ko, John B. Holcomb, Charles E. Wade, David N. Naumann, Lillian S. Kao
Summary: This study validates the adapted Clavien-Dindo in trauma (ACDiT) tool as a novel outcome measure for patients with acute diverticulitis managed both operatively and nonoperatively. The ACDiT tool, graded from 0 to 5b, was successfully applied to acute diverticulitis patients and showed associations with known risk factors for adverse outcomes. ACDiT may be considered a meaningful outcome measure for comparing strategies for acute diverticulitis.
Article
Gastroenterology & Hepatology
Faisal S. Ali, Tomas DaVee, Elmer Bernstam, Lillian S. Kao, Mike Wandling, Maryam R. Hussain, Shahrooz Rashtak, Srinivas Ramireddy, Sushovan Guha, Nirav Thosani
Summary: This study evaluates the cost-effectiveness of diagnostic modalities for patients with cholelithiasis and intermediate probability for choledocholithiasis (IPC). The findings suggest that laparoscopic cholecystectomy with intraoperative cholangiogram (LC-IOC) is the most cost-effective strategy, limiting preoperative testing and shortening hospital LOS.
GASTROINTESTINAL ENDOSCOPY
(2022)
Article
Critical Care Medicine
Heather R. Kregel, Gabrielle E. Hatton, Kayla D. Isbell, Hanne H. Henriksen, Jakob Stensballe, Per Johansson, Lillian S. Kao, Charles E. Wade
Summary: This study revealed an association between occult hypoperfusion (OH) and endothelial dysfunction, as evidenced by elevated levels of soluble thrombomodulin (sTM) and syndecan-1 (Syn-1). Regardless of vital signs, treatments aimed at stabilizing the endothelium may be beneficial for injured patients with evidence of hypoperfusion.
Editorial Material
Surgery
Jonah J. Stulberg, Sasha D. Adams, Lillian S. Kao
Article
Surgery
Sarah E. Monsell, Emily C. Voldal, Giana H. Davidson, Katherine Fischkoff, Natasha Coleman, Bonnie Bizzell, Thea Price, Mayur Narayan, Nicole Siparsky, Callie M. Thompson, Patricia Ayoung-Chee, Stephen R. Odom, Sabrina Sanchez, F. Thurston Drake, Jeffrey Johnson, Joseph Cuschieri, Heather L. Evans, Mike K. Liang, Karen McGrane, Quinton Hatch, Jesse Victory, Jon Wisler, Matthew Salzberg, Lisa Ferrigno, Amy Kaji, Daniel A. DeUgarte, Melinda Maggard Gibbons, Hasan B. Alam, John Scott, Lillian S. Kao, Wesley H. Self, Robert J. Winchell, Cassandra M. Villegas, David A. Talan, Larry G. Kessler, Danielle C. Lavallee, Anusha Krishnadasan, Sarah O. Lawrence, Bryan Comstock, Erin Fannon, David R. Flum, Patrick J. Heagerty
Summary: This study aimed to evaluate patient factors associated with undergoing appendectomy within 30 days of initiating antibiotics for appendicitis. The results found that the presence of an appendicolith was associated with a nearly 2-fold increased risk of undergoing appendectomy, while clinical characteristics often used to describe the severity of appendicitis were not associated with the odds of 30-day appendectomy.
Article
Surgery
Naila H. Dhanani, Brenda Saucedo, Oscar A. Olavarria, Karla Bernardi, Julie L. Holihan, Tien C. Ko, Lillian S. Kao, Mike K. Liang
Summary: This study compared the natural history of operative versus expectant management in patients with ventral hernias and co-morbidities. The results showed that initial repair significantly improves long-term functional status compared to expectant management. Repair by hernia experts should be considered for high-risk patients.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Critical Care Medicine
Heather R. Kregel, Patrick B. Murphy, Mina Attia, David E. Meyer, Rachel S. Morris, Ezenwa C. Onyema, Sasha D. Adams, Charles E. Wade, John A. Harvin, Lillian S. Kao, Thaddeus J. Puzio
Summary: The study found that severe nutritional risk in geriatric trauma patients is associated with higher mortality and infectious complications. GNRI scoring can serve as an indicator for predicting adverse outcomes in geriatric trauma patients.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2022)
Article
Infectious Diseases
Majid Chammas, Gerd Daniel Pust, Gabrielle Hatton, Claudia Pedroza, Lillian Kao, Rishi Rattan, Nicholas Namias, D. Dante Yeh
Summary: Restricted post-operative antibiotic use after appendectomy is a more effective strategy in terms of treatment effectiveness and antibiotic exposure.
SURGICAL INFECTIONS
(2022)
Editorial Material
Surgery
Lillian S. Kao
WORLD JOURNAL OF SURGERY
(2022)
Article
Medicine, General & Internal
David A. Talan, Gregory J. Moran, Anusha Krishnadasan, Sarah E. Monsell, Brett A. Faine, Lisandra Uribe, Amy H. Kaji, Daniel A. DeUgarte, Wesley H. Self, Nathan Shapiro, Joseph Cuschieri, Jacob Glaser, Pauline K. Park, Thea P. Price, Nicole Siparsky, Sabrina E. Sanchez, David A. Machado-Aranda, Jesse Victory, Patricia Ayoung-Chee, William Chiang, Joshua Corsa, Heather L. Evans, Lisa Ferrigno, Luis Garcia, Quinton Hatch, Marc D. Horton, Jeffrey Johnson, Alan Jones, Lillian S. Kao, Anton Kelly, Daniel Kim, Matthew E. Kutcher, Mike K. Liang, Nima Maghami, Karen McGrane, Elizaveta Minko, Cassandra Mohr, Miriam Neufeld, Joe H. Patton, Colin Rog, Amy Rushing, Amber K. Sabbatini, Matthew Salzberg, Callie M. Thompson, Aleksandr Tichter, Jon Wisler, Bonnie Bizzell, Erin Fannon, Sarah O. Lawrence, Emily C. Voldal, Danielle C. Lavallee, Bryan A. Comstock, Patrick J. Heagerty, Giana H. Davidson, David R. Flum, Larry G. Kessler
Summary: The study aimed to assess the use and safety of outpatient management of acute appendicitis. The results showed that outpatient antibiotic treatment is safe for selected adults with acute appendicitis and is associated with no greater risk of complications or appendectomy than hospital care.
Article
Surgery
Tracy S. Wang, Eugene S. Kim, Quan-Yang Duh, Ankush Gosain, Lillian S. Kao, Anai N. Kothari, Susan Tsai, Jennifer F. Tseng, Allan Tsung, Kasper S. Wang, Steven D. Wexner
Summary: This article discusses the issues faced by Asian Americans, emphasizes the importance of mentors and allyship in their professional development, and examines disparities in healthcare and research related to Asian Americans.
JOURNAL OF SURGICAL RESEARCH
(2022)
Editorial Material
Health Care Sciences & Services
Lillian S. Kao, Clifford Y. Ko
BMJ QUALITY & SAFETY
(2023)
Article
Surgery
David R. Flum
Summary: This study aimed to investigate the factors associated with recurrence of appendectomy after antibiotic treatment. The results showed that symptoms such as nausea, vomiting, or anorexia were important factors for undergoing appendectomy between 30 days and 1 year after treatment, while appendicolith, abscess, perforation, or fat stranding were not strongly associated.
BRITISH JOURNAL OF SURGERY
(2023)
Article
Surgery
Jason B. Brill, Brian Tang, Gabrielle Hatton, Krislynn M. Mueck, C. Cameron McCoy, Lillian S. Kao, Bryan A. Cotton
Summary: This study investigated the survival benefit of whole blood transfusion in bleeding trauma patients from different populations. The findings revealed that whole blood transfusion is associated with improved survival and decreased overall blood utilization in patients experiencing hemorrhagic shock.
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2022)