7 results
Use of personal mobile devices to record patient data by Canadian emergency physicians and residents
- Kerry E. Walker, David Migneault, Heather C. Lindsay, Riyad B. Abu-Laban
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- Journal:
- Canadian Journal of Emergency Medicine / Volume 21 / Issue 4 / July 2019
- Published online by Cambridge University Press:
- 22 April 2019, pp. 455-459
- Print publication:
- July 2019
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- Article
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Objective
Use of personal mobile devices to record patient data appears to be increasing, but remains poorly studied. We sought to determine the extent and reasons that Canadian emergency physicians (EPs) and emergency medicine residents use personal mobile devices to record patient data in the emergency department (ED).
MethodsA national survey was distributed to Canadian EPs and residents between 27/02/17 and 23/03/17. This captured demographics, frequency, and purpose of personal mobile device use to record patient data in the ED. It also asked about obtaining consent, security of information, implications for patient care, and knowledge of relevant regulations.
ResultsThe response rate was 23.1% (406 participants). A third (31.5%) reported using personal mobile devices to record patient data. Most (78.1%) did so more than once a month, and 7.0% did so every shift. Reasons cited included beliefs that using personal mobile devices to record patient data improves care by consultants (36.7%), expedites care (31.3%), and advances medical education (32.8%). Consent was rarely or never documented and a minority of participants (10.9%) indicated they did not obtain consent. More than half of participants (53.2%) reported being unaware of applicable regulations.
ConclusionsThis is the first Canadian study on the use of personal mobile devices to record patient data in the ED. Our findings demonstrate current practice may risk privacy breaches. Personal mobile device use to record patient data in the ED is common and Canadian EPs and residents believe that this practice enhances patient care.
3 - Anaesthesia for ECT
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- By Simon C. Walker, William Harvey Hospital, Ashford, Kent, C. John Bowley, Nottingham University Hospitals, Heather A. C. Walker, North Manchester General Hospital
- Edited by Jonathan Waite, Andrew Easton
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- Book:
- The ECT Handbook
- Published by:
- Royal College of Psychiatrists
- Published online:
- 25 February 2017, pp 14-27
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Summary
The anaesthetic team
Anaesthesia for ECT must be given by an experienced anaesthetist, capable of managing potential complications at a site that is usually isolated from theatres and often remote from the main hospital. Assistance is provided by a suitably trained operating department practitioner or anaesthetic nurse, and patients must be recovered by staff who have received appropriate theoretical and practical training (Royal College of Anaesthetists, 2009). Each department involved in ECT should allocate the responsibility for providing this service to a lead consultant anaesthetist (Cresswell et al, 2012) whose duties should include:
• ensuring suitable training, guidance and support is provided for those giving anaesthesia for ECT
• supervising and advising on the assessment of patients and their preparation for general anaesthesia
• ensuring the provision of suitable anaesthetic and monitoring equipment, appropriately trained anaesthetic assistants and recovery staff
• drawing up and reviewing of guidelines, regular audit against national standards, and reviewing of critical incidents
• liaising with other members of the ECT team, including regular multidisciplinary team meetings.
Equipment in the ECT suite (see also Chapter 2)
The main treatment area should be of adequate size, well lit and be equipped with tilting trolleys with cot sides that can be padded. This will be used for treatment and recovery until the patient can sit in a chair. Consideration should be given to equipment to facilitate the moving and handling of an unconscious patient. A secure drug storage cupboard, a small fridge and hand-washing facilities should be immediately available, and the room should have a clock with a second hand.
A full anaesthetic machine is not necessarily required but there must be a flow-controlled oxygen supply, either by pipeline or cylinder (plus reserve), with a Bain or Waters circuit to support ventilation. Airway circuits should be checked for function and patency prior to use. Suction of sufficient power must be available with Yankauer ends and soft suction catheters.
The recovery area should be immediately accessible from the treatment area and each first-stage recovery bay should be equipped with suitable lighting, an oxygen supply and suction.
Contributors
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- By Lenard A. Adler, Pinky Agarwal, Rehan Ahmed, Jagga Rao Alluri, Fawaz Al-Mufti, Samuel Alperin, Michael Amoashiy, Michael Andary, David J. Anschel, Padmaja Aradhya, Vandana Aspen, Esther Baldinger, Jee Bang, George D. Baquis, John J. Barry, Jason J. S. Barton, Julius Bazan, Amanda R. Bedford, Marlene Behrmann, Lourdes Bello-Espinosa, Ajay Berdia, Alan R. Berger, Mark Beyer, Don C. Bienfang, Kevin M. Biglan, Thomas M. Boes, Paul W. Brazis, Jonathan L. Brisman, Jeffrey A. Brown, Scott E. Brown, Ryan R. Byrne, Rina Caprarella, Casey A. Chamberlain, Wan-Tsu W. Chang, Grace M. Charles, Jasvinder Chawla, David Clark, Todd J. Cohen, Joe Colombo, Howard Crystal, Vladimir Dadashev, Sarita B. Dave, Jean Robert Desrouleaux, Richard L. Doty, Robert Duarte, Jeffrey S. Durmer, Christyn M. Edmundson, Eric R. Eggenberger, Steven Ender, Noam Epstein, Alberto J. Espay, Alan B. Ettinger, Niloofar (Nelly) Faghani, Amtul Farheen, Edward Firouztale, Rod Foroozan, Anne L. Foundas, David Elliot Friedman, Deborah I. Friedman, Steven J. Frucht, Oded Gerber, Tal Gilboa, Martin Gizzi, Teneille G. Gofton, Louis J. Goodrich, Malcolm H. Gottesman, Varda Gross-Tsur, Deepak Grover, David A. Gudis, John J. Halperin, Maxim D. Hammer, Andrew R. Harrison, L. Anne Hayman, Galen V. Henderson, Steven Herskovitz, Caitlin Hoffman, Laryssa A. Huryn, Andres M. Kanner, Gary P. Kaplan, Bashar Katirji, Kenneth R. Kaufman, Annie Killoran, Nina Kirz, Gad E. Klein, Danielle G. Koby, Christopher P. Kogut, W. Curt LaFrance, Patrick J.M. Lavin, Susan W. Law, James L. Levenson, Richard B. Lipton, Glenn Lopate, Daniel J. Luciano, Reema Maindiratta, Robert M. Mallery, Georgios Manousakis, Alan Mazurek, Luis J. Mejico, Dragana Micic, Ali Mokhtarzadeh, Walter J. Molofsky, Heather E. Moss, Mark L. Moster, Manpreet Multani, Siddhartha Nadkarni, George C. Newman, Rolla Nuoman, Paul A. Nyquist, Gaia Donata Oggioni, Odi Oguh, Denis Ostrovskiy, Kristina Y. Pao, Juwen Park, Anastas F. Pass, Victoria S. Pelak, Jeffrey Peterson, John Pile-Spellman, Misha L. Pless, Gregory M. Pontone, Aparna M. Prabhu, Michael T. Pulley, Philip Ragone, Prajwal Rajappa, Venkat Ramani, Sindhu Ramchandren, Ritesh A. Ramdhani, Ramses Ribot, Heidi D. Riney, Diana Rojas-Soto, Michael Ronthal, Daniel M. Rosenbaum, David B. Rosenfield, Durga Roy, Michael J. Ruckenstein, Max C. Rudansky, Eva Sahay, Friedhelm Sandbrink, Jade S. Schiffman, Angela Scicutella, Maroun T. Semaan, Robert C. Sergott, Aashit K. Shah, David M. Shaw, Amit M. Shelat, Claire A. Sheldon, Anant M. Shenoy, Yelizaveta Sher, Jessica A. Shields, Tanya Simuni, Rajpaul Singh, Eric E. Smouha, David Solomon, Mehri Songhorian, Steven A. Sparr, Egilius L. H. Spierings, Eve G. Spratt, Beth Stein, S.H. Subramony, Rosa Ana Tang, Cara Tannenbaum, Hakan Tekeli, Amanda J. Thompson, Michael J. Thorpy, Matthew J. Thurtell, Pedro J. Torrico, Ira M. Turner, Scott Uretsky, Ruth H. Walker, Deborah M. Weisbrot, Michael A. Williams, Jacques Winter, Randall J. Wright, Jay Elliot Yasen, Shicong Ye, G. Bryan Young, Huiying Yu, Ryan J. Zehnder
- Edited by Alan B. Ettinger, Albert Einstein College of Medicine, New York, Deborah M. Weisbrot, State University of New York, Stony Brook
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- Book:
- Neurologic Differential Diagnosis
- Published online:
- 05 June 2014
- Print publication:
- 17 April 2014, pp xi-xx
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Contributors
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- By Syed S. Ali, Nathan Allen, John E. Arbo, Elizabeth Arrington, Ani Aydin, Kenneth R. L. Bernard, Amy Caggiula, Nolan Caldwell, Jennifer L. Carey, Jennifer Carnell, Jayaram Chelluri, Michael N. Cocchi, Cristal Cristia, Vishal Demla, Bram Dolcourt, Andrew Eyre, Shawn Fagan, Brandy Ferguson, Sarah Fisher, Jonathan Friedstat, Brian C. Geyer, Brandon Godbout, Jeremy Gonda, Jeremy Goverman, Ashley L. Greiner, Casey Grover, Carla Haack, Abigail Hankin, John W. Hardin, Katrina L. Harper, Gregory Hayward, Stephen Hendriksen, Daniel Herbert-Cohen, Nadine Himelfarb, Calvin E. Hwang, Jacob D. Isserman, Joshua Jauregui, Joshua W. Joseph, Elena Kapilevich, Feras H. Khan, Sarvotham Kini, Karen A. Kinnaman, Ruth Lamm, Calvin Lee, Jarone Lee, Charles Lei, John Lemos, Daniel J. Lepp, Elisabeth Lessenich, Brandon Maughan, Julie Mayglothling, Kevin McConnell, Laura Medford-Davis, Kamal Medlej, Heather Meissen, Payal Modi, Joel Moll, Jolene H. Nakao, Matthew Nicholls, Lindsay Oelze, Carolyn Maher Overman, Viral Patel, Timothy C. Peck, Jeffrey Pepin, Candace Pettigrew, Byron Pitts, Zubaid Rafique, Chanu Rhee, Jonathan C. Roberts, Daniel Rolston, Steven C. Rougas, Benjamin Schnapp, Kathryn A. Seal, Raghu Seethala, Todd A. Seigel, Navdeep Sekhon, Kaushal Shah, Robert L. Sherwin, Kirill Shishlov, Ashley Shreves, Sebastian Siadecki, Jeffrey N. Siegelman, Liza Gonen Smith, Ted Stettner, Marie Carmelle Tabuteau, Joseph E. Tonna, N. Seth Trueger, Chad Van Ginkel, Bina Vasantharam, Graham Walker, Susan Wilcox, Sandra J. Williams, Matthew L. Wong, Nelson Wong, Samantha Wood, John Woodruff, Benjamin Zabar
- Edited by Kaushal Shah, Jarone Lee, Kamal Medlej, American University of Beirut, Scott D. Weingart
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- Book:
- Practical Emergency Resuscitation and Critical Care
- Published online:
- 05 November 2013
- Print publication:
- 24 October 2013, pp xi-xx
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3 - Anaesthesia for ECT
-
- By Simon C. Walker, Consultant Anaesthetist, William Harvey Hospital, Ashford, Kent, C. John Bowley, retired Consultant Anaesthetist, Nottingham University Hospitals, Heather A. C. Walker, retired Consultant Anaesthetist, North Manchester General Hospital
- Edited by Jonathan Waite, Andrew Easton
-
- Book:
- The ECT Handbook
- Published online:
- 02 January 2018
- Print publication:
- 01 May 2013, pp 14-27
-
- Chapter
- Export citation
-
Summary
The anaesthetic team
Anaesthesia for ECT must be given by an experienced anaesthetist, capable of managing potential complications at a site that is usually isolated from theatres and often remote from the main hospital. Assistance is provided by a suitably trained operating department practitioner or anaesthetic nurse, and patients must be recovered by staff who have received appropriate theoretical and practical training (Royal College of Anaesthetists, 2009). Each department involved in ECT should allocate the responsibility for providing this service to a lead consultant anaesthetist (Cresswell et al, 2012) whose duties should include:
• ensuring suitable training, guidance and support is provided for those giving anaesthesia for ECT
• supervising and advising on the assessment of patients and their preparation for general anaesthesia
• ensuring the provision of suitable anaesthetic and monitoring equipment, appropriately trained anaesthetic assistants and recovery staff
• drawing up and reviewing of guidelines, regular audit against national standards, and reviewing of critical incidents
• liaising with other members of the ECT team, including regular multidisciplinary team meetings.
Equipment in the ECT suite (see also Chapter 2)
The main treatment area should be of adequate size, well lit and be equipped with tilting trolleys with cot sides that can be padded. This will be used for treatment and recovery until the patient can sit in a chair. Consideration should be given to equipment to facilitate the moving and handling of an unconscious patient. A secure drug storage cupboard, a small fridge and hand-washing facilities should be immediately available, and the room should have a clock with a second hand.
A full anaesthetic machine is not necessarily required but there must be a flow-controlled oxygen supply, either by pipeline or cylinder (plus reserve), with a Bain or Waters circuit to support ventilation. Airway circuits should be checked for function and patency prior to use. Suction of sufficient power must be available with Yankauer ends and soft suction catheters.
The recovery area should be immediately accessible from the treatment area and each first-stage recovery bay should be equipped with suitable lighting, an oxygen supply and suction.
Contributors
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- By Lise Aksglaede, Yutaka Aoki, Germaine M. Buck Louis, Esther L. Calderon, Sylvaine Cordier, Julie Damm, Leo F. Doherty, Mary A. Fox, Dori R. Germolec, Linda C. Giudice, Andrea C. Gore, K. Leigh Greathouse, Louis J. Guillette Jr., Heather J. Hamlin, Russ Hauser, Jerrold J. Heindel, Patricia Hunt, Taisen Iguchi, Sarah J. Janssen, Anders Juul, Laxmi A. Kondapalli, Robert W. Luebke, Maricel V. Maffini, John D. Meeker, Pauline Mendola, Sinichi Miyagawa, Annette Mouritsen, Retha R. Newbold, Gail S. Prins, Richard M. Sharpe, Niels E. Skakkebaek, Rémy Slama, Gina M. Solomon, Carlos Sonnenschein, Kaspar Sørensen, Ana M. Soto, Tamotsu Sudo, Shanna H. Swan, Hugh S. Taylor, Jorma Toppari, Helena E. Virtanen, Cheryl L. Walker, Teresa K. Woodruff, Tracey J. Woodruff, R. Thomas Zoeller
- Edited by Tracey J. Woodruff, University of California, San Francisco, Sarah J. Janssen, University of California, San Francisco, Louis J. Guillette, Jr, University of Florida, Linda C. Giudice, University of California, San Francisco
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- Book:
- Environmental Impacts on Reproductive Health and Fertility
- Published online:
- 23 February 2010
- Print publication:
- 28 January 2010, pp -
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Worried Sick: The Experience of Debt Problems and their Relationship with Health, Illness and Disability
- Nigel Balmer, Pascoe Pleasence, Alexy Buck, Heather C. Walker
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- Journal:
- Social Policy and Society / Volume 5 / Issue 1 / January 2006
- Published online by Cambridge University Press:
- 23 January 2006, pp. 39-51
- Print publication:
- January 2006
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This paper examines social and demographic predictors of debt problems, whether debt problems tend to occur in combination with other problems and which people tend to experience long- rather than short-term debt. Data were extracted from a survey of 5,611 adults' experiences of civil justice problems, throughout England and Wales. Being in receipt of benefits and long-term illness or disability were the strongest predictors of debt, with long-term ill or disabled respondents also being more susceptible to long-term debt. We highlight the importance of advice interventions that recognise the link between civil justice problems and health, illness or disability.