The dental “box of horrors” clinical practice game: A pilot project

2021 ◽  
Author(s):  
Leslie Borsa ◽  
Paul Tramini ◽  
Laurence Lupi
Keyword(s):  
Clinical Practice ◽  
Pilot Project

scholarly journals Examining Variations in Surfactant Administration (ENVISION): A Neonatology Insights Pilot Project

Children ◽  
2021 ◽  
Vol 8 (4) ◽  
pp. 261
Author(s):  
Priya Patel ◽  
Andrew Houck ◽  
Daniel Fuentes
Keyword(s):  
Clinical Practice ◽  
Nurse Practitioners ◽  
Pilot Project ◽  
The United States ◽  
Institution Type ◽  
Respiratory Therapists ◽  
Respiratory Management ◽  
Surfactant Administration ◽  
Practice Variations ◽  
Almost All

Variability in neonatal clinical practice is well recognized. Respiratory management involves interdisciplinary care and often is protocol driven. The most recent published guidelines for management of respiratory distress syndrome and surfactant administration were published in 2014 and may not reflect current clinical practice in the United States. The goal of this project was to better understand variability in surfactant administration through conduct of health care provider (HCP) interviews. Questions focused on known practice variations included: use of premedication, decisions to treat, technique of surfactant administration and use of guidelines. Data were analyzed for trends and results were communicated with participants. A total of 54 HCPs participated from June to September 2020. In almost all settings, neonatologists or nurse practitioners intubated the infant and respiratory therapists administered surfactant. The INSURE (INtubation-SURrfactant-Extubation) technique was practiced by 83% of participants. Premedication prior to intubation was used by 76% of HCPs. An FiO2 ≥ 30% was the most common threshold for surfactant administration (48%). In conclusion, clinical practice variations exist in respiratory management and surfactant administration and do not seem to be specific to NICU level or institution type. It is unknown what effects the variability in clinical practice might have on clinical outcomes.

scholarly journals Reconciling the information needs of clinicians, managers and commissioners – a pilot project

2001 ◽  
Vol 25 (11) ◽  
pp. 423-425 ◽  
Author(s):  
Matthew Broadbent
Keyword(s):  
Clinical Practice ◽  
Information Needs ◽  
Pilot Project ◽  
Information Model ◽  
Clinical Implications ◽  
Clinical Settings ◽  
Accurate Data ◽  
Clinical Model

Aims and MethodClinicians are often required, by managers, to provide information that does not appear relevant to clinical practice. Rooted in compromise, an outcome-based information model that supports practice and also provides information for managers was developed. A 9–month pilot project at three sites in South-East London took place to test the feasibility of this model in real clinical settings.ResultsAccurate data were reliably collected. Clinicians at participating sites agreed the model produced potentially useful information and, on condition that support is provided, continue to collect data voluntarily.Clinical ImplicationsThis is not an exclusively clinical model. However, because it also fulfils management needs there is a better chance that clinicians will get the support they need.

Multi-disciplinary assessment of attention-deficit hyperactivity disorder: a tertiary assessment package

1999 ◽  
Vol 23 (7) ◽  
pp. 421-424 ◽  
Author(s):  
H. Kat ◽  
Clay Frake ◽  
Rebecca Sawtell
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Clinical Practice ◽  
Attention Deficit ◽  
Pilot Project ◽  
Clinical Implications ◽  
Assessment Protocol ◽  
Hyperactivity Disorder ◽  
Set Up

Aims and methodA tertiary assessment package was set up for the more equivocal cases of attention-deficit hyperactivity disorder (ADHD) who present with problems of inattention, impulsivity and overactivity. The structure of the three-day package was discussed, with an analysis of our experience in assessing 12 children using the pilot project. The package and Its use in clinical practice are presented.ResultsThe pilot project described can be modified into a two-day package.Clinical implicationsAssessment of ADHD conducted in multiple settings inherently has many advantages over single clinic assessment. We suggest that such an assessment protocol can be conducted cost effectively.

scholarly journals Feasibility of Tobacco Interventions in Anesthesiology Practices

2009 ◽  
Vol 110 (6) ◽  
pp. 1223-1228 ◽  
Author(s):  
David O. Warner ◽  
Keyword(s):  
Clinical Practice ◽  
Response Rate ◽  
Smoking Behavior ◽  
Pilot Project ◽  
Routine Clinical Practice ◽  
Surgical Patients ◽  
Routine Practice ◽  
Web Based ◽  
Quit Smoking ◽  
Written Materials

Background Abstinence from smoking can improve postoperative outcomes, and surgery is also an excellent opportunity for smokers to permanently quit. One strategy for perioperative tobacco interventions is that anesthesiologists Ask, Advise, and Refer (AAR) -- Ask their patients about tobacco use, Advise them to abstain, and Refer them to resources such as telephone quit-lines. This pilot project determined the feasibility and acceptability of the AAR strategy in anesthesiology practices. Methods An educational program, including presentations, written materials, and Web-based resources, was developed and disseminated to 14 U.S. anesthesiology practices, representing both academic and private practices, who agreed to implement the AAR strategy as a part of their routine clinical practice. Three months after implementation, a survey was administered to those members of these practices who were instructed in the AAR strategy. Results There were 97 respondents (75% response rate). Since the pilot project began, 91%, 79%, and 58% of respondents reported that they frequently or almost always asked, advised, and referred their patients who smoke, respectively. The majority of respondents (56%) agreed that they were responsible for helping patients get the help they need to quit smoking. Most (74%) also agreed that they planned to incorporate the AAR strategy into their routine practice. Conclusion These results suggest that the AAR strategy is potentially feasible and well-accepted in anesthesiology clinical practice. Further work will be needed to define whether these practices and attitudes can be sustained and whether they are ultimately effective in modifying perioperative smoking behavior in surgical patients.

DIAGNOSTIC CRITERIA FOR IDENTIFICATION OF MPS TYPE I IN ROUTINE PEDIATRIC CLINICAL PRACTICE. DATA OF THE PILOT PROJECT

Pharmateca ◽  
2018 ◽  
Vol 1_2018 ◽  
pp. 61-68
Author(s):  
N.D. Vashakmadze ( Vashakmadze ◽  
) ) ◽  
L.S. Namazova-Baranova ( Namazova-Baranova ◽  
) ) ◽  
A.K. Gevorkyan ( Gevorkyan ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Diagnostic Criteria ◽  
Pilot Project ◽  
Type I

scholarly journals People with lived experience at the centre of Canadian Stroke Best Practice Recommendations: A model for guideline developers

2020 ◽  
Author(s):  
Patrice Lindsay ◽  
Natalie Gierman ◽  
Jocelyn E. Harris ◽  
Gavin Arthur ◽  
Moira E. Teed ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Lived Experience ◽  
Public Engagement ◽  
Best Practice ◽  
Guideline Development ◽  
Pilot Project ◽  
Community Consultation ◽  
Practice Recommendations ◽  
Patient And Public Engagement ◽  
Clinical Practice Guideline Development

Abstract Background Actively engaging people with lived experience (PWLE) in stroke-related clinical practice guideline development has not previously been implemented and evaluated despite international efforts to incorporate patient and public engagement. The purpose of this pilot project was to evaluate the feasibility, perceived value and effectiveness of a new model, the Community Consultation and Review Panel, to actively engage PWLE in the writing and review of Canadian Stroke Best Practice Recommendations (CSBPR).Methods Members of the public with lived experience relevant to CSBPR module topics, including people with stroke, family members and caregivers, were recruited to participate in two CSBPR Community Consultation and Review Panels (CCRP). The CCRP ran in parallel to scientific writing groups updating two components of the CSBPR Rehabilitation, Recovery and Community Participation module – Rehabilitation and Recovery following Stroke and Transitions and Community Participation following Stroke . With the aid of an inter-group liaison, both the scientific writing group and CCRP reviewed the updated evidence and CCRP participants added insights and context based on their personal experiences. We utilized the Patient and Public Engagement Evaluation Tool (PPEET) to obtain CCRP participant feedback.Results This model was found to be feasible, requiring 3-4 hours of staff time per week. CCRP participants rated “strongly agree” or “agree” to 14 PPEET questions indicating that they perceived the CCRP to be a positive experience and effective process, and their participation had an impact. Responses to the open-ended questions revealed that CCRP participants felt that their input and recommendations on the CCSPR were acknowledged and would benefit stroke care in Canada.Conclusions The overall success of this pilot project established the feasibility and perceived benefit of employing a participatory and collaborative model to actively engage PWLE in stroke-related clinical practice guideline development. The values, experiences and recommendations of PWLE were able to be effectively incorporated into CSBPR content to enable lived experience specific context and considerations to augment the existing scientifically rigorous writing and review process. This model is now the standard practice for all future CSBPR module development and updates and could be adapted for guideline development across other disciplines.

School–University Partnerships: One Institution’s Efforts to Integrate and Support Teacher Use of High-Leverage Practices

2019 ◽  
Vol 40 (6) ◽  
pp. 356-364 ◽  
Author(s):  
Lawrence J. Maheady ◽  
Angela L. Patti ◽  
Lisa A. Rafferty ◽  
Pixita del Prado Hill
Keyword(s):  
Special Education ◽  
Clinical Practice ◽  
Learning Experiences ◽  
Pilot Project ◽  
Clinical Experiences ◽  
Education Faculty ◽  
University Partnerships ◽  
Course Content ◽  
Educational Challenges ◽  
Support Teacher

School–university partnerships have served as possible solutions for many contemporary educational challenges. As centers for clinical practice, they are potential vehicles for the development and refinement of candidate use of high-leverage practices (HLPs). This article describes our institution’s efforts to utilize our framework for clinically rich preparation to infuse HLPs into programming for undergraduate, dual-certification majors (i.e., general and special education). With the goal of program revision, general and special education faculty mutually agreed on a draft set of HLPs, which were finalized based on extensive feedback from school partners. To assess the viability of these collaboratively crafted HLPs, a subset of HLPs were identified and integrated into course content and clinical experiences during a pilot project. We highlight these learning experiences; discuss organizational, pedagogical, and empirical challenges; and offer general recommendations for next steps.

Master Clinician Network: An Online Social Network for the Observation of Peer-Reviewed Clinical Practice in Communication Sciences and Disorders

2011 ◽  
Vol 14 (2) ◽  
pp. 39-45
Author(s):  
Martin A. Fischer
Keyword(s):  
Social Network ◽  
Clinical Practice ◽  
Clinical Observation ◽  
Online Social Network ◽  
Pilot Project ◽  
Critical Discourse ◽  
Innovative Approach ◽  
Evidence Based ◽  
Speech Language Pathology ◽  
Language Pathology

The Master Clinician Network is a project designed to make peer-reviewed examples of evidence-based clinical practice in speech-language pathology available for observation and critical discourse. The importance of clinical observation in communication sciences and disorders is discussed along with concerns regarding traditional methodology. An innovative approach is presented that includes an online social network designed to provide access to clinical videos, including results of a pilot project. These results are available at http://masterclinician.org .

The miR-21 potential of serving as a biomarker for liver diseases in clinical practice

2020 ◽  
Vol 48 (5) ◽  
pp. 2295-2305
Author(s):  
Jiawei Zhang ◽  
Dandan Li ◽  
Rui Zhang ◽  
Peng Gao ◽  
Rongxue Peng ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Liver Diseases ◽  
Hepatic Disease ◽  
Noninvasive Detection ◽  
Diagnosis And Prognosis ◽  
Expected Performance ◽  
Potential Biomarker ◽  
Disease Condition ◽  
Complex Regulatory Network

The role of miR-21 in the pathogenesis of various liver diseases, together with the possibility of detecting microRNA in the circulation, makes miR-21 a potential biomarker for noninvasive detection. In this review, we summarize the potential utility of extracellular miR-21 in the clinical management of hepatic disease patients and compared it with the current clinical practice. MiR-21 shows screening and prognostic value for liver cancer. In liver cirrhosis, miR-21 may serve as a biomarker for the differentiating diagnosis and prognosis. MiR-21 is also a potential biomarker for the severity of hepatitis. We elucidate the disease condition under which miR-21 testing can reach the expected performance. Though miR-21 is a key regulator of liver diseases, microRNAs coordinate with each other in the complex regulatory network. As a result, the performance of miR-21 is better when combined with other microRNAs or classical biomarkers under certain clinical circumstances.

Communication Aide: A Pilot Project

1972 ◽  
Vol 3 (3) ◽  
pp. 32-35
Author(s):  
Muriel Sue Braunstein
Keyword(s):  
Pilot Project
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