Articles Tagged With:
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NICHE Practice Model Helps Improve Care of Older Adults
Nurses Improving Care for Healthsystem Elders (NICHE) is a geriatric care model that targets expert nursing practice at the bedside of older adults. The NICHE model helps organizations meet national quality goals set by the Centers for Medicare & Medicaid Services. It focuses on closing gaps in clinical care by enhancing nursing workforce skills for care of older adult patients.
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Age Is Not a Risk Factor for the Oldest Patients with COVID-19
Are patients hospitalized for COVID-19, who are younger than 65 years of age, at less risk of serious outcomes than are similar patients who are older than 85 years of age? New research provides an answer that may surprise many clinicians: Metabolic syndrome measures are a major predictor of outcomes, but chronological age is not a relevant risk factor for poor outcomes attributed to COVID-19.
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Care Coordination Screening Tool Helps Case Managers Spot Delirium
Case managers and other healthcare providers can improve overall patient care and outcomes using an assessment tool that identifies patients’ delirium and confusion. A health system found that a confusion assessment tool helped decrease hospital length of stay and reduced utilization.
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Foster Children Experience More Health Disparities Compared to Other Low-Income Youth
Foster youth are a vulnerable group that needs more attention and better care coordination when seen in hospitals and community provider settings. This population experiences health disparities when compared with other Medicaid-enrolled children, according to a recent study.
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Artificial Intelligence Can Help Create Patient-Friendly Discharge Summaries
Researchers found success using artificial intelligence to create a new care transition product — an easy-to-read discharge summary. The new product took the writing to a 6th-grade level from an 11th-grade level and scored higher on a key assessment tool.
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Rapid Reversal of Anticoagulation Reduces Mortality from Intracerebral Hemorrhage
Because the numbers of patients with primary intracerebral hemorrhage are far lower than those with ischemic stroke, it has been difficult to accumulate a large enough number of patients to clearly analyze the relationship between the time of the hemorrhage and the time to treatment. We need to answer the important question: Does rapid treatment result in a better outcome?
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Human Contact Matters in Text Messaging Care Coordination Program
The results of a recent study revealed that a post-discharge texting program can greatly reduce readmissions and revisits. But there was a surprising finding: It can make patients happy or satisfied, as indicated by patient feedback on the program.
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Outcomes Are Better for Acute Stroke Patients Who Arrive Rapidly at Endovascular-Capable Centers
The SELECT2 trial was structured to identify which patients with large ischemic strokes would benefit from endovascular thrombectomy and analyzed the effect of direct arrival at a thrombectomy-capable center compared to transfer from a primary stroke center.
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Endovascular Thrombectomy Is Used Much Less for Stroke Associated with Cardiac Interventions
Recent cardiac surgery is a strong contraindication to having intravenous thrombolysis for ischemic stroke. Endovascular thrombectomy, if appropriate, would be the best treatment for these patients. To obtain additional understanding of the prevalence of ischemic stroke and treatment with EVT following cardiac surgery, these investigators queried a large claims-based database.
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Intravenous Tenecteplase for Stroke After 4.5 Hours Does Not Improve Outcome
The TIMELESS study was developed to evaluate the effect of treatment with tenecteplase 4.5 to 24 hours after stroke onset in patients with large artery occlusion who subsequently would go on to endovascular thrombectomy.