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OBJECTIVE Ventilator-associated pneumonia (VAP) is a common hazardous complication in ICU patients. The aim of the current review is to give an update on the current status and future recommendations for VAP prevention. METHODS This article gives an updated review of the current literature on VAP. The first part briefly reviews pathogenesis and(More)
BACKGROUND In 2001, Canada Health Infoway unveiled a plan to implement a national system of interoperable electronic health records. This government-funded corporation introduced a novel model for interprovincial/territorial collaboration to establish core aspects of a national framework. Despite this $1.6 billion initiative, Canada continues to lag behind(More)
Patients are central to healthcare delivery, yet all too often their perspectives and input have not been considered by providers. 1 2 This is beginning to change rapidly and is having a major impact across a range of dimensions. Patients are becoming more engaged in their care and patient-centred healthcare has emerged as a major domain of quality. 3–6 At(More)
BACKGROUND To achieve a high level of patient satisfaction, providers need to identify and address patients' expectations. However, providers' beliefs and attitudes regarding expectations, as well as how to manage them, are not well understood. METHODS The authors developed a survey to assess clinicians' awareness, attitudes, competence and performance(More)
PURPOSE Patient satisfaction is increasingly recognized as an important component of quality. The expansion of health information technologies (HIT) might have an impact on patient satisfaction - either positively or negatively. We conducted a literature review to explore the impact of these technologies on patient satisfaction. METHODS The database of(More)
BACKGROUND Continuous vital sign monitoring has the potential to detect early clinical deterioration. While commonly employed in the intensive care unit (ICU), accurate and noninvasive monitoring technology suitable for floor patients has yet to be used reliably. OBJECTIVE To establish the accuracy of the Earlysense continuous monitoring system in(More)
OBJECTIVES To perform initial validation of a continuous motion monitoring technology that can potentially be used as a risk assessment tool to determine risk for developing pressure ulcers (PUs). METHODS We have used the EverOn system (Earlysense LTD, Ramat Gan, Israel) as a bed movement and activity monitor. The EverOn is a contactless continuous(More)
BACKGROUND Patients routinely use Twitter to share feedback about their experience receiving healthcare. Identifying and analysing the content of posts sent to hospitals may provide a novel real-time measure of quality, supplementing traditional, survey-based approaches. OBJECTIVE To assess the use of Twitter as a supplemental data stream for measuring(More)
BACKGROUND Achieving high levels of patient satisfaction requires hospital management to be proactive in patient-centred care improvement initiatives and to engage frontline clinicians in this process. METHOD We developed a survey to assess the attitudes of clinicians towards hospital management activities with respect to improving patient satisfaction(More)
BACKGROUND Personal health records (PHRs) connected to a physician's electronic health record system hold substantial promise for supporting and engaging patients with chronic disease. OBJECTIVES To explore how U.S. health care organizations are currently utilizing PHRs for chronic disease populations. METHODS A mixed methods study including(More)