scholarly journals Who Should Deliver Primary Care in Long-term Care Facilities to Optimize Resident Outcomes? A Systematic Review

2018 ◽  
Vol 19 (12) ◽  
pp. 1069-1079 ◽  
Author(s):  
Robert Oliver Barker ◽  
Dawn Craig ◽  
Gemma Spiers ◽  
Patience Kunonga ◽  
Barbara Hanratty
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Natalia Arias-Casais ◽  
Eduardo Garralda ◽  
Miguel Antonio Sánchez-Cárdenas ◽  
John Y. Rhee ◽  
Carlos Centeno

Abstract Background Palliative care (PC) development cannot only be assessed from a specialized provision perspective. Recently, PC integration into other health systems has been identified as a component of specialized development. Yet, there is a lack of indicators to assess PC integration for pediatrics, long-term care facilities, primary care, volunteering and cardiology. Aim To identify and design indicators capable of exploring national-level integration of PC into the areas mentioned above. Methods A process composed of a desk literature review, consultation and semi-structured interviews with EAPC task force members and a rating process was performed to create a list of indicators for the assessment of PC integration into pediatrics, long-term care facilities, primary care, cardiology, and volunteering. The new indicators were mapped onto the four domains of the WHO Public Health Strategy. Results The literature review identified experts with whom 11 semi-structured interviews were conducted. A total of 34 new indicators were identified for national-level monitoring of palliative care integration. Ten were for pediatrics, five for primary care, six for long-term care facilities, seven for volunteering, and six for cardiology. All indicators mapped onto the WHO domains of policy and education while only pediatrics had an indicator that mapped onto the domain of services. No indicators mapped onto the domain of use of medicines. Conclusion Meaningful contributions are being made in Europe towards the integration of PC into the explored fields. These efforts should be assessed in future regional mapping studies using indicators to deliver a more complete picture of PC development.


2018 ◽  
Vol 29 (2) ◽  
pp. 170 ◽  
Author(s):  
Da Eun Kim ◽  
Hyang Kim ◽  
Junghee Hyun ◽  
Hyojin Lee ◽  
Hyehyun Sung ◽  
...  

2020 ◽  
pp. 1-14
Author(s):  
Clemens Scott Kruse ◽  
Michael Mileski ◽  
Rohan Syal ◽  
Lauren MacNeil ◽  
Edward Chabarria ◽  
...  

BACKGROUND: The prevalence of health information technology (HIT) as an adjunct to increase safety and quality in healthcare applications is well known. There is a relationship between the use of HIT and safer-prescribing practices in long-term care. OBJECTIVE: The objective of this systematic review is to determine an association between the use of HIT and the improvement of prescription administration in long-term care facilities. METHODS: A systematic review was conducted using the MEDLINE and CINAHL databases. With the use of certain key terms, 66 articles were obtained. Each article was then reviewed by two researchers to determine if the study was germane to the research objective. If both reviewers agreed with using the article, it became a source for our review. The review was conducted and structured based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. RESULTS: The researchers identified 14 articles to include in a group for analysis from North America, Europe, and Australia. Electronic health records and electronic medication administration records were the two most common forms of technological interventions (6 of 14, 43%). Reduced risk, decreased error, decreased missed dosage, improved documentation, improved clinical process, and stronger clinical focus comprised 92% of the observations. CONCLUSIONS: HIT has shown beneficial effects for many healthcare organizations. Long-term care facilities that implemented health information technologies, have shown reductions in adverse drug events caused by medication errors overall reduced risk to the organization. The implementation of new technologies did not increase the time nurses spent on medication rounds.


2011 ◽  
Vol 12 (6) ◽  
pp. 410-425 ◽  
Author(s):  
Jacques C. Neyens ◽  
Jolanda C. van Haastregt ◽  
Béatrice P. Dijcks ◽  
Mark Martens ◽  
Wim J. van den Heuvel ◽  
...  

1993 ◽  
Vol 33 (5) ◽  
pp. 667-674 ◽  
Author(s):  
J. Teresi ◽  
D. Holmes ◽  
E. Benenson ◽  
C. Monaco ◽  
V. Barrett ◽  
...  

2011 ◽  
Vol 26 (5) ◽  
pp. 722-733 ◽  
Author(s):  
Gwenda Albers ◽  
Richard Harding ◽  
H Roeline W Pasman ◽  
Bregje D Onwuteaka-Philipsen ◽  
Sue Hall ◽  
...  

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