scholarly journals Testing of Reliability and Validity of the Peninsula Health Falls Risk Assessment Tool (PHFRAT) in Acute Care: A Cross-Sectional Study

2021 ◽  
Vol Volume 14 ◽  
pp. 4685-4696
Author(s):  
Anniina Heikkilä ◽  
Lasse Lehtonen ◽  
Jari Haukka ◽  
Satu Havulinna ◽  
Kristiina Junttila
2011 ◽  
Vol 4 (1) ◽  
pp. 12-14 ◽  
Author(s):  
Bethany J Revell ◽  
Richard P Smith

In November 2009 the Royal College of Obstetricians and Gynaecologists published an updated guideline, ‘Reducing the risk of thrombosis and embolism during pregnancy and the puerperium’. This includes a clear and simple score-based risk assessment tool, designed for antenatal and postnatal patients. Thresholds are given at which thromboprophylaxis should be offered. However the proportion of patients who reach the threshold is not estimated in the guideline, and we are not aware of any published data regarding this. In this cross-sectional study, we studied the case-notes of all 109 deliveries conducted over a one-week period, including elective caesarean sections. Of those, 7% met the threshold for antenatal thromboprophylaxis and 41% met the threshold for postnatal thromboprophylaxis.


2019 ◽  
Vol 43 (6) ◽  
pp. 255-259
Author(s):  
Natalie Ellis ◽  
Carla-Marie Grubb ◽  
Sophie Mustoe ◽  
Eleanor Watkins ◽  
David Codling ◽  
...  

Aims and methodWe assessed venous thromboembolism (VTE) risk, barriers to prescribing VTE prophylaxis and completion of VTE risk assessment in psychiatric in-patients. This was a cross-sectional study conducted across three centres. We used the UK Department of Health VTE risk assessment tool which had been adapted for psychiatric patients.ResultsOf the 470 patients assessed, 144 (30.6%) were at increased risk of VTE. Patients on old age wards were more likely to be at increased risk than those on general adult wards (odds ratio = 2.26, 95% CI 1.51–3.37). Of those at higher risk of VTE, auditors recorded concerns about prescribing prophylaxis in 70 patients (14.9%). Only 20 (4.3%) patients had a completed risk assessment.Clinical implicationsMental health in-patients are likely to be at increased risk of VTE. VTE risk assessment is not currently embedded in psychiatric in-patient care. There is a need for guidance specific to this population.


Author(s):  
Darja Jarošová ◽  
Elena Gurková ◽  
Renáta Zeleníková ◽  
Ilona Plevová ◽  
Eva Janíková

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021317 ◽  
Author(s):  
Lina Li ◽  
Chenwen Zhong ◽  
Jie Mei ◽  
Yuan Liang ◽  
Li Li ◽  
...  

ObjectiveCurrent healthcare reform in China has an overall goal of strengthening primary care and establishing a family practice system based on contract services. The objective of this study was to determine whether contracting a general practitioner (GP) could improve quality of primary care.DesignA cross-sectional study using two-stage sampling conducted from June to September 2014. Propensity score matching (PSM) was employed to control for confounding between patients with and without contracted GP.SettingThree community health centres in Guangzhou, China.Participants698 patients aged 18–89 years.Main outcome measuresThe quality of primary care was measured using a validated Chinese version of primary care assessment tool (PCAT). Eight domains are included (first contact utilisation, accessibility, continuity, comprehensiveness, coordination, family-centredness, community orientation and cultural competence from patient’s perceptions).ResultsA total of 692 effective samples were included for data analysis. After PSM, 94 pairs of patients were matched between the patients with and without contracted GPs. The total PCAT score, continuity (3.12 vs 2.68, p<0.01), comprehensiveness (2.31 vs 2.04, p<0.01) and family-centredness (2.11 vs 1.79, p<0.01) were higher in patients who contracted GPs than those did not. However, the domains of first contact utilisation (2.74 vs 2.87, p=0.14) and coordination (1.76 vs 1.93, p<0.05) were lower among patients contracted with GPs than in those who did not.ConclusionOur findings demonstrated that patients who had a contracted GP tend to experience higher quality of primary care. Our study provided evidence for health policies aiming to promote the implementation of family practice contract services. Our results also highlight further emphases on the features of primary care, first contact services and coordination services in particular.


2020 ◽  
Author(s):  
Zhengyan Cheng ◽  
Ping Shuai ◽  
Qichuan Qiao ◽  
Tingxin Li

Abstract Background In China, many people are apt to participate in regular physical examination as a precaution. Some simplified food frequency questionnaire have been designed and used. However, the effectiveness of questionnaire is absent. This study was conducted to examine the reliability and validity of simplified food frequency questionnaire (SFFQ) used among physical examination adults in southwest region of China. Methods This study was a cross sectional study among physical health examination adults in Southwest region of China. A total of 239 participants aged 20-65 were conducted during February to June in 2019. The performance of the SFFQ was evaluated by the mean of three-day 24-hour dietary recalls (3R24). The relative validity and agreement was assessed by the Pearson`s correlation and intra-class correlation coefficients(ICC) respectively. Results The median energy-adjusted ICC of food groups between SFFQ2 and SFFQ1 was 0.59 (range: 0.49-0.73) and the ICC of nutrients was 0.47(range: 0.39-0.76). The Pearson correlation showed the validity between the SFFQ1 and 3R24, which ranged from -0.086 to 0.93 for food and and 0.21 to 0.71 for nutritions, respectively. Energy-adjustment slightly increased the correlation coefficients. Conclusions The reliability and validity of the SFFQ was acceptable. It could be an appropriate dietary assessment tool for future epidemiological studies in physical health examination adults among Chinese in southwest China.


2016 ◽  
Vol 15 (2) ◽  
Author(s):  
Talita Farias Feitosa ◽  
Moelisa Queiroz Dos Santos Dantas ◽  
Cássia Brito Da Silva ◽  
Álvaro Pereira

Aim: To verify, in the scientific production, the degree of reliability of the  Semmens-Weinstein  monofilament  as  a  risk  assessment  tool  for  diabetic  foot. Method:  This  is  an  integrative  literature  review  conducted  from  consultation  of  the electronic  databases  CINAHL,  MEDLINE,  SCOPUS  and  SCIELO.  Results:  Six  articles comprising  five  cross-sectional  studies  and  one  cohort  study  were selected.  The  six articles included in the review were taken from medical journals; no nursing publication was  found  that  met  the  goal.  Conclusion:  The  Semmens-Weinstein  monofilament  is  a reliable tool which has the best performance for assessing the risk for diabetic foot and its applicability is extremely important in consultations.


2020 ◽  
Vol Volume 13 ◽  
pp. 2031-2041
Author(s):  
Masushi Kohta ◽  
Takehiko Ohura ◽  
Kunio Tsukada ◽  
Yoshinori Nakamura ◽  
Mishiho Sukegawa ◽  
...  

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