Piloting Implementation Design and Preliminary Readiness for Universal Suicide Risk Screening Program in Emergency Department of a Tertiary Care Centre, Nepal: A Mixed Method Study
Shrestha A, Shrestha R, Shakya R, Paudel P, Sorenson M, Gurung A, Bajracharya R, Risal A, Vijayakumar L, Hagaman A. Piloting Implementation Design and Preliminary Readiness for Universal Suicide Risk Screening Program in Emergency Department of a Tertiary Care Centre, Nepal: A Mixed Method Study. Journal Of Nepal Medical Association 2024, 62: 803-813. PMID: 40654395, PMCID: PMC11930060, DOI: 10.31729/jnma.8832.Peer-Reviewed Original ResearchConceptsSuicide risk screening programSystem prioritiesEmergency departmentScreening programImplementation packageNepal Health Research CouncilCo-design focus groupsHealth system strategiesStaff focus groupsMixed methods studyHealth Research CouncilSuicide screening toolKnowledge of staffPilot studyImplementation assessmentScreening uptakeEthical Review BoardScreening acceptanceAnticipated stigmaImplementation trialReferral processScreening packageInstitutional ethics review boardFocus groupsTertiary care centreMultidisciplinary proactive e-consults to improve guideline-directed medical therapies for patients with diabetes and chronic kidney disease: an implementation study
Rikin S, Bauman L, Arnaoudova I, DiPalo K, Suda N, Gupta S, Deng Y, Golestaneh L. Multidisciplinary proactive e-consults to improve guideline-directed medical therapies for patients with diabetes and chronic kidney disease: an implementation study. BMJ Open Diabetes Research & Care 2024, 12: e004155. PMID: 38719510, PMCID: PMC11085711, DOI: 10.1136/bmjdrc-2024-004155.Peer-Reviewed Original ResearchMeSH KeywordsAgedDiabetes Mellitus, Type 2FemaleFollow-Up StudiesGuideline AdherenceHumansMaleMiddle AgedPatient Care TeamPilot ProjectsPractice Guidelines as TopicPractice Patterns, Physicians'Primary Health CarePrognosisReferral and ConsultationRenal Insufficiency, ChronicSodium-Glucose Transporter 2 InhibitorsConceptsGuideline-directed medical therapyE-consultationImprove guideline-directed medical therapySystem-level barriersPatient-specific barriersHealth system strategiesElectronic health recordsAcademic health systemRenin-angiotensin-aldosterone system inhibitorsChronic kidney diseasePrescribed guideline-directed medical therapySodium-glucose cotransporter-2 inhibitorsE-consult recommendationElectronic consultationIn-depth interviewsPreliminary effectivenessHealth recordsHealth systemImplementation studyOvercome barriersType 2 diabetesMonths postbaselineMultidisciplinary teamPrescription dataAdministrative support
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