[ { "key": "8J74G8K3", "version": 27194, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/8J74G8K3", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/8J74G8K3", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Oleribe et al.", "parsedDate": "2026-03-19", "numChildren": 0 }, "data": { "key": "8J74G8K3", "version": 27194, "itemType": "journalArticle", "title": "Healthcare Providers' Perspectives on Generative Artificial Intelligence (GenAI) Adoption, Adaptation, Assimilation, and Use in the United States.", "creators": [ { "creatorType": "author", "firstName": "Obinna O.", "lastName": "Oleribe" }, { "creatorType": "author", "firstName": "Marissa", "lastName": "Brash" }, { "creatorType": "author", "firstName": "Adati", "lastName": "Tarfa" }, { "creatorType": "author", "firstName": "Ricardo", "lastName": "Izurieta" }, { "creatorType": "author", "firstName": "Simon D.", "lastName": "Taylor-Robinson" } ], "abstractNote": "Background: Generative artificial intelligence (GenAI) is rapidly permeating healthcare; yet, U.S. clinicians still report mixed feelings about its reliability, impact on workflow, and ethical implications. Current data on provider sentiment are needed to guide safe, patient-centered AI implementation in healthcare. Objective: This study aimed to assess U.S. healthcare providers' perceptions of generative AI adoption, perceived usefulness, training needs, barriers, and strategies for safe integration. Methods: A nationwide, IRB-approved, cross-sectional survey was administered to healthcare professionals using Qualtrics. A convenience sample of clinicians was recruited via professional listservs and e-mail invitations. The 20-page questionnaire captured demographics, GenAI exposure, organizational adoption status, perceived usefulness (5-point scale), barriers, and mitigation strategies. SPSS v27 and Microsoft Excel were used for statistical analysis. Results: Of 130 respondents, 109 completed the core survey (completion rate 83.8%). Participants were 38.5% physicians, 16.5% nurses, 12.8% allied professionals, and 32.2% other providers; 54.2% were women, and 64.8% were ≥50 years. Overall, 86.9% agreed that GenAI is useful in current patient care, rising to 92.9% when asked about future usefulness. Only 42.4% had received formal GenAI training, and just 23.2% reported that their organization had begun adopting AI. The top perceived benefits were improved documentation/clerking (57.0%) and error reduction (49.4%). Dominant barriers included limited AI knowledge (24.7%) and fear of job loss (16.9%). Despite concerns, 72% expressed willingness to support broader GenAI adoption, favoring human oversight (67.1%) and staff training (60.8%) as key safeguards. There were statistically significant findings in perceived AI usefulness by gender (χ(2) = 29.2; p < 0.001); organizational adoption of AI (χ(2) = 31.6.2; p = 0.047) and where AI is most useful (χ(2) = 101.1; p < 0.001) by qualifications; and support for AI adoption by age (χ(2) = 18.0; p = 0.02). Conclusions: U.S. clinicians in our survey viewed GenAI as useful but reported limited training and organizational infrastructure needed for confident use while also expressing concerns regarding data privacy and ethical risk. Education programs and transparent, provider-led implementation strategies may accelerate responsible GenAI assimilation while addressing ethical and workforce concerns. Also, health administrators should use the efficiency gains to improve provider-patient relationships and clinicians' work-life balance while reducing clinician burnout rates.", "publicationTitle": "Healthcare (Basel, Switzerland)", "publisher": "", "place": "Switzerland", "date": "2026 Mar 19", "volume": "14", "issue": "6", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Healthcare (Basel)", "DOI": "10.3390/healthcare14060775", "citationKey": "", "url": "", "accessDate": "", "PMID": "41897226", "PMCID": "PMC13027095", "ISSN": "2227-9032", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "adoption and integration" }, { "tag": "challenges and opportunities" }, { "tag": "generative artificial intelligence" }, { "tag": "healthcare" }, { "tag": "provider perspectives" } ], "collections": [ "UUB896ZP" ], "relations": { "owl:sameAs": "http://zotero.org/groups/2282886/items/F6LK56JD" }, "dateAdded": "2026-04-15T19:12:39Z", "dateModified": "2026-04-15T19:12:39Z" } }, { "key": "JFPMW2F4", "version": 27193, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/JFPMW2F4", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/JFPMW2F4", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Wintermark et al.", "parsedDate": "2026-03-06", "numChildren": 0 }, "data": { "key": "JFPMW2F4", "version": 27193, "itemType": "journalArticle", "title": "Current State of Artificial Intelligence Adoption and Implementation in Neuroradiology Departments: Insights from a U.S. National Survey.", "creators": [ { "creatorType": "author", "firstName": "Max", "lastName": "Wintermark" }, { "creatorType": "author", "firstName": "Jason W.", "lastName": "Allen" }, { "creatorType": "author", "firstName": "Rahul", "lastName": "Bhala" }, { "creatorType": "author", "firstName": "Colin", "lastName": "Derdeyn" }, { "creatorType": "author", "firstName": "Ajay", "lastName": "Gupta" }, { "creatorType": "author", "firstName": "Christopher P.", "lastName": "Hess" }, { "creatorType": "author", "firstName": "Joseph M.", "lastName": "Hoxworth" }, { "creatorType": "author", "firstName": "Thierry", "lastName": "Huisman" }, { "creatorType": "author", "firstName": "Mahesh V.", "lastName": "Jayaraman" }, { "creatorType": "author", "firstName": "Ajay", "lastName": "Malhotra" }, { "creatorType": "author", "firstName": "Alexander M.", "lastName": "McKinney" }, { "creatorType": "author", "firstName": "Mahmud", "lastName": "Mossa-Basha" }, { "creatorType": "author", "firstName": "Bruno", "lastName": "Policeni" }, { "creatorType": "author", "firstName": "Tina Young", "lastName": "Poussaint" }, { "creatorType": "author", "firstName": "Amit", "lastName": "Saindane" }, { "creatorType": "author", "firstName": "Achala", "lastName": "Vagal" }, { "creatorType": "author", "firstName": "Christopher", "lastName": "Whitlow" } ], "abstractNote": "BACKGROUND AND PURPOSE: Artificial intelligence (AI) is rapidly transforming medical imaging, yet its integration into neuroradiology remains uneven. This survey-based study assesses AI usage, tools, applications, barriers, and future expectations among U.S. neuroradiology departments. MATERIALS AND METHODS: This cross-sectional survey questionnaire comprised 19 items, blending multiple-choice, multi-select, and open-ended formats. Descriptive statistics were used to identify patterns in data. RESULTS: Most departments (81%) reported AI use, primarily for stroke-related applications, with smaller numbers using tools for report generation, segmentation, and image quality enhancement. Most clinical tools were FDA-approved. AI had minimal perceived impact on workload, and performance was viewed as variable, with concerns about accuracy and false positives. Cost, integration challenges, and limited efficacy evidence were the main barriers to adoption. Despite these limitations, most respondents anticipated increased AI use over the next five years. CONCLUSIONS: Findings underscore the need for clinician-vendor collaboration to realize AI's potential in reducing workload and improving outcomes.", "publicationTitle": "AJNR. American journal of neuroradiology", "publisher": "", "place": "United States", "date": "2026 Mar 6", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "ajnr.A9279", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "AJNR Am J Neuroradiol", "DOI": "10.3174/ajnr.A9279", "citationKey": "", "url": "", "accessDate": "", "PMID": "41791836", "PMCID": "", "ISSN": "1936-959X 0195-6108", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "", "callNumber": "", "rights": "© 2026 by American Journal of Neuroradiology.", "extra": "", "tags": [], "collections": [ "Q3RR5T43" ], "relations": { "owl:sameAs": "http://zotero.org/groups/2282886/items/SP8NU77X" }, "dateAdded": "2026-04-15T15:31:09Z", "dateModified": "2026-04-15T15:31:09Z" } }, { "key": "58DEWQKI", "version": 27192, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/58DEWQKI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/58DEWQKI", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Berry et al.", "parsedDate": "2026-03-01", "numChildren": 0 }, "data": { "key": "58DEWQKI", "version": 27192, "itemType": "journalArticle", "title": "Artificial Intelligence Length-of-Stay Forecasting and Pediatric Surgical Capacity.", "creators": [ { "creatorType": "author", "firstName": "Jay G.", "lastName": "Berry" }, { "creatorType": "author", "firstName": "Derek", "lastName": "Mathieu" }, { "creatorType": "author", "firstName": "Steven J.", "lastName": "Staffa" }, { "creatorType": "author", "firstName": "Ben Y.", "lastName": "Reis" }, { "creatorType": "author", "firstName": "Peter", "lastName": "Hong" }, { "creatorType": "author", "firstName": "Gabor", "lastName": "Asztalos" }, { "creatorType": "author", "firstName": "Lynne", "lastName": "Ferrari" } ], "abstractNote": "IMPORTANCE: Hospitals are increasingly experiencing challenges with variable and unpredictable inpatient loads, including days with excessively high and excessively low capacity for surgical patients. Artificial intelligence has the potential to facilitate postoperative hospital bed management and stabilize capacity. OBJECTIVES: To predict hospital length of stay (LOS) following elective surgical procedures using machine learning methods, and to implement the LOS prediction model in a perioperative clinical setting and evaluate its ability to optimize elective surgical scheduling and hospital bed capacity. DESIGN, SETTING, AND PARTICIPANTS: This preimplementation and postimplementation cohort study was conducted at a tertiary, freestanding, US children's hospital among patients of any age undergoing an elective surgical procedure requiring inpatient recovery. For LOS prediction, a retrospective analysis was performed on elective surgical cases from January 1, 2018, to March 31, 2022, using Extreme Gradient Boosting (XGBoost) to predict postoperative LOS based on in-training and holdout datasets, with hyperparameter tuning using 5-fold cross-validation. For implementation and evaluation of the LOS prediction model, a preimplementation and postimplementation analysis was performed from July 1, 2022, to April 30, 2024. Data analysis was conducted from June 1 to October 31, 2024. EXPOSURES: Patients' type of surgery, chronic conditions, and demographic characteristics. MAIN OUTCOMES AND MEASURES: Postoperative LOS, day-to-day variance in bedded days for elective surgical procedures, and days with excessively high capacity (>75th percentile of historical elective surgical census) or excessively low capacity (<25th percentile of historical elective surgical census). RESULTS: There were 21 352 elective surgical cases (mean [SD] age, 10.2 [7.4] years; 10 804 [50.6%] female) for patients included in the retrospective analysis of postoperative LOS prediction and 12 522 elective surgical cases in the pretest and posttest analysis of the prediction model (premodel implementation, n = 5867; postmodel implementation, n = 6655). The postoperative LOS model had 85.6% accuracy with a 1-night leniency. The model's mean absolute error was 0.6 days. After implementation of the LOS model in elective surgery scheduling and hospital bed capacity management, the median number of elective surgical procedures increased by 5 (IQR, 4.5-5) for each weekday. Variation in postoperative bedded days across days of the week decreased significantly. The magnitude of the IQR of bedded days decreased the most during midweek: 43% and 44% reductions in the IQR occurred on Wednesdays and Thursdays, respectively. The percentage of weekdays with underused capacity (<84 patients) decreased from 33% to 10% (P < .001), without a significant increase in days with excessive capacity. CONCLUSIONS AND RELEVANCE: In this cohort study, use of a machine-learning, postoperative LOS model helped to reduce day-to-day variation in the number of elective surgical procedures performed, increase the total number of elective surgical procedures, and decrease underuse of hospital beds.", "publicationTitle": "JAMA pediatrics", "publisher": "", "place": "United States", "date": "2026 Mar 1", "volume": "180", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "306-313", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "JAMA Pediatr", "DOI": "10.1001/jamapediatrics.2025.5385", "citationKey": "", "url": "", "accessDate": "", "PMID": "41490015", "PMCID": "PMC12771386", "ISSN": "2168-6211 2168-6203", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "*Artificial Intelligence" }, { "tag": "*Elective Surgical Procedures/statistics & numerical data" }, { "tag": "*Hospital Bed Capacity/statistics & numerical data" }, { "tag": "*Hospitals, Pediatric/statistics & numerical data" }, { "tag": "*Length of Stay/statistics & numerical data/trends" }, { "tag": "Adolescent" }, { "tag": "Child" }, { "tag": "Child, Preschool" }, { "tag": "Female" }, { "tag": "Forecasting" }, { "tag": "Humans" }, { "tag": "Infant" }, { "tag": "Machine Learning" }, { "tag": "Male" }, { "tag": "Retrospective Studies" } ], "collections": [ "77IMQCQ7" ], "relations": { "owl:sameAs": "http://zotero.org/groups/2282886/items/YQVAL7VE" }, "dateAdded": "2026-04-15T14:26:43Z", "dateModified": "2026-04-15T14:26:43Z" } }, { "key": "MSWQKGQU", "version": 27191, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/MSWQKGQU", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/MSWQKGQU", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Welch et al.", "parsedDate": "2026-03-20", "numChildren": 0 }, "data": { "key": "MSWQKGQU", "version": 27191, "itemType": "journalArticle", "title": "A practical framework for operationalising responsible and equitable artificial intelligence in health care: tackling bias, inequity, and implementation challenges.", "creators": [ { "creatorType": "author", "firstName": "Mattea L.", "lastName": "Welch" }, { "creatorType": "author", "firstName": "Benjamin", "lastName": "Grant" }, { "creatorType": "author", "firstName": "Christopher", "lastName": "Deutschman" }, { "creatorType": "author", "firstName": "Clare", "lastName": "McElcheran" }, { "creatorType": "author", "firstName": "Adam", "lastName": "Badzynski" }, { "creatorType": "author", "firstName": "Jennifer A. H.", "lastName": "Bell" }, { "creatorType": "author", "firstName": "Andrew", "lastName": "Hope" }, { "creatorType": "author", "firstName": "Robert C.", "lastName": "Grant" }, { "creatorType": "author", "firstName": "Tran", "lastName": "Truong" }, { "creatorType": "author", "firstName": "Kelly", "lastName": "Lane" }, { "creatorType": "author", "firstName": "Patti", "lastName": "Leake" }, { "creatorType": "author", "firstName": "Divya", "lastName": "Sharma" }, { "creatorType": "author", "firstName": "Ian", "lastName": "Stedman" }, { "creatorType": "author", "firstName": "Mike", "lastName": "Lovas" }, { "creatorType": "author", "firstName": "Jeremy", "lastName": "Petch" }, { "creatorType": "author", "firstName": "Alejandro", "lastName": "Berlin" }, { "creatorType": "author", "firstName": "Benjamin", "lastName": "Haibe-Kains" }, { "creatorType": "author", "firstName": "James A.", "lastName": "Anderson" } ], "abstractNote": "Artificial intelligence (AI) has the potential to transform health care; however, successful integration of AI into health care requires overcoming obstacles, such as biases in data and AI models, and addressing challenges in generating sufficient clinical evidence for deployment. In this Viewpoint, we present a community-based, actionable framework for responsible and ethical development, deployment, and integration of AI-based solutions in health care, emphasising bias mitigation and clinical evidence generation. Our framework is intended for all members of the health-care team who interact with AI-based solutions, including software developers, data scientists, researchers, clinicians, hospital administrators, and institutional ethics and regulatory teams. We critically discuss the challenges associated with the use of such AI frameworks in health care. The framework, informed by multidisciplinary expertise, consists of four stages: (1) problem identification and study design, (2) model training and development, (3) silent deployment and clinical evaluation, and (4) operational deployment and lifecycle monitoring. This framework aligns with reporting standards such as SPIRIT-AI, CONSORT-AI, and TRIPOD+AI, offering practical steps for addressing biases, ensuring fairness, and validating clinical effectiveness. The framework provides action-oriented guidelines that can be used by institutions to support the ethical and efficient integration of AI into health care and equitable patient outcomes, either directly or by tailoring the guidelines with institution-specific resources.", "publicationTitle": "The Lancet. Digital health", "publisher": "", "place": "England", "date": "2026 Mar 20", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "100957", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Lancet Digit Health", "DOI": "10.1016/j.landig.2025.100957", "citationKey": "", "url": "", "accessDate": "", "PMID": "41864789", "PMCID": "", "ISSN": "2589-7500", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "", "callNumber": "", "rights": "Copyright © 2025 The Author(s). Published by Elsevier Ltd.. All rights reserved.", "extra": "", "tags": [], "collections": [ "Q3RR5T43" ], "relations": { "owl:sameAs": "http://zotero.org/groups/2282886/items/4SKDN3WF" }, "dateAdded": "2026-04-14T20:22:44Z", "dateModified": "2026-04-14T20:22:44Z" } }, { "key": "U7RCBNB4", "version": 27190, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/U7RCBNB4", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/U7RCBNB4", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/82852/items/QI5DQRHK", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "U7RCBNB4", "version": 27190, "parentItem": "QI5DQRHK", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:38Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41881828", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/G6MDNKLL" }, "dateAdded": "2026-04-14T19:11:08Z", "dateModified": "2026-04-14T19:11:08Z" } }, { "key": "QI5DQRHK", "version": 27189, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/QI5DQRHK", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/QI5DQRHK", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Randall et al.", "parsedDate": "2026-03-26", "numChildren": 1 }, "data": { "key": "QI5DQRHK", "version": 27189, "itemType": "journalArticle", "title": "Time to Stop Burning Out: A Systematic Review of the Interventions and their Effectiveness in Treating Burnout in Surgeons", "creators": [ { "creatorType": "author", "firstName": "Charlotte A.", "lastName": "Randall" }, { "creatorType": "author", "firstName": "Alexia", "lastName": "Farrugia" }, { "creatorType": "author", "firstName": "Abhilasha", "lastName": "Patel" } ], "abstractNote": "OBJECTIVE: This systematic review aimed to establish the effectiveness of different interventions to combat burnout among surgeons.\nSUMMARY BACKGROUND DATA: Burnout is prevalent among surgeons and can have profound effects on their physical and mental health. Previous literature has discussed the causes of burnout and suggested interventions, although it has been limited in establishing their effectiveness.\nMETHODS: Medline, Embase and Cochrane databases were searched in accordance with the PRISMA guidelines from January 2000 to February 2025. Studies with primary data regarding measurable outcomes for burnout were included, while studies that did not focus on interventions, abstracts or non-English language texts were excluded. The articles were reviewed by two independent reviewers to ensure they met the inclusion criteria. Bias was assessed using the Joanna Briggs institute critical appraisal tools.\nRESULTS: 44 studies were included. Interventions were classified as organisational, including changes to working conditions and well-being initiatives, and individual, including mentorship, mindfulness and cognitive skills. Many studies identified improvements in their population's burnout scores although often statistical significance was not achieved. Multiple studies were single-centre with small sample sizes and suffered attrition from the programs provided. Studies were limited using volunteers, which could limit generalisability to the rest of the surgical workforce.\nCONCLUSION: This study demonstrated a growing awareness of burnout in the surgical community. While some interventions show potential, the mixed results highlight the need for ongoing research. The stigma associated with burnout prevents uptake and the attrition rate described in the literature needs consideration when developing any future interventions.", "publicationTitle": "Annals of Surgery", "publisher": "", "place": "", "date": "2026-03-26", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Ann Surg", "DOI": "10.1097/SLA.0000000000007043", "citationKey": "", "url": "", "accessDate": "", "PMID": "41881828", "PMCID": "", "ISSN": "1528-1140", "archive": "", "archiveLocation": "", "shortTitle": "Time to Stop Burning Out", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "burnout", "type": 1 }, { "tag": "interventions", "type": 1 }, { "tag": "mental health", "type": 1 }, { "tag": "mentorship", "type": 1 }, { "tag": "mindfulness", "type": 1 }, { "tag": "occupational stress", "type": 1 }, { "tag": "organisational change", "type": 1 }, { "tag": "resilience", "type": 1 }, { "tag": "surgeons", "type": 1 }, { "tag": "systematic review", "type": 1 }, { "tag": "well-being initiatives", "type": 1 } ], "collections": [ "MVK629PP" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/MTB5JHZD" }, "dateAdded": "2026-04-14T19:11:08Z", "dateModified": "2026-04-14T19:11:08Z" } }, { "key": "MEUWMZI6", "version": 27188, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/MEUWMZI6", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/MEUWMZI6", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/82852/items/XR5NS4DV", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "MEUWMZI6", "version": 27188, "parentItem": "XR5NS4DV", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T16:00:52Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41691229", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/PGILGK7T" }, "dateAdded": "2026-04-14T19:05:41Z", "dateModified": "2026-04-14T19:05:41Z" } }, { "key": "XR5NS4DV", "version": 27187, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/XR5NS4DV", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/XR5NS4DV", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Price et al.", "parsedDate": "2026-02-14", "numChildren": 1 }, "data": { "key": "XR5NS4DV", "version": 27187, "itemType": "journalArticle", "title": "The Learning Cycle method: an approach to rapidly bring evidence to the point of decision-making for health system planning", "creators": [ { "creatorType": "author", "firstName": "Morgan", "lastName": "Price" }, { "creatorType": "author", "firstName": "Amanda", "lastName": "Frazer" }, { "creatorType": "author", "firstName": "Elka", "lastName": "Humphrys" }, { "creatorType": "author", "firstName": "Angela", "lastName": "Randall" }, { "creatorType": "author", "firstName": "Tlell", "lastName": "Elviss" }, { "creatorType": "author", "firstName": "Sarah", "lastName": "Fletcher" } ], "abstractNote": "BACKGROUND: Health systems often struggle to integrate local and published evidence into timely policy decisions, particularly in complex and rapidly evolving environments such as primary care. While learning healthcare systems (LHS) principles advocate for continuous learning through real-world application, practical methods for operationalizing this without infrastructure can be challenging. To address this gap, we developed the Learning Cycle method in collaboration with the British Columbia Ministry of Health to help drive action-oriented, evidence-informed change and support decision-making.\nMETHODS: A Learning Cycle is a low-barrier, rapid (8-12 weeks) knowledge mobilization approach that collects evidence and brings it into policy and/or planning decisions through participatory action methods. The process is initiated by a business owner who has a question that guides the focus of the cycle. The Learning Cycle Lead then manages the cycle, which has two phases: (1) a learning phase - where mixed sources of evidence are rapidly synthesized to address partner defined questions and (2) an action phase - where results are shared in a structured, constructive workshop with decision-makers to facilitate evidence-based planning. The business owner provides input and takes the feasible change ideas into implementation.\nRESULTS: To date, 25 Learning Cycles have been completed by the British Columbia (BC) primary care Innovation Support Unit (ISU). Four illustrative case studies are presented to demonstrate the method's flexibility, responsiveness and utility in policy development, planning and system redesign. Contributors to successful Learning Cycles include securing buy-in and continued engagement from the business owner, aligning the cycle to a clear initial question, timing it right to a decision point and adapting to system conditions.\nCONCLUSIONS: The Learning Cycle model demonstrates adaptability to different contexts, capacity to rapidly align evidence with decision-making needs and potential to embed learning functions across jurisdictional levels. The Learning Cycle is a lightweight method to mobilize evidence into policy and practice with minimal infrastructure, thus making it suitable for low-resource or structurally diffuse contexts, and complements more robust LHS approaches. Its structured yet flexible design advances core LHS strategies - continuous improvement, evidence integration and stakeholder co-production - making it a promising model for responsive and equity-focused health system transformation.", "publicationTitle": "Health Research Policy and Systems", "publisher": "", "place": "", "date": "2026-02-14", "volume": "24", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "25", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Health Res Policy Syst", "DOI": "10.1186/s12961-026-01453-w", "citationKey": "", "url": "", "accessDate": "", "PMID": "41691229", "PMCID": "PMC13011708", "ISSN": "1478-4505", "archive": "", "archiveLocation": "", "shortTitle": "The Learning Cycle method", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Action research", "type": 1 }, { "tag": "British Columbia", "type": 1 }, { "tag": "Decision Making", "type": 1 }, { "tag": "Delivery of Health Care", "type": 1 }, { "tag": "Evidence-Based Practice", "type": 1 }, { "tag": "Health Planning", "type": 1 }, { "tag": "Health Policy", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Implementation", "type": 1 }, { "tag": "Knowledge mobilization", "type": 1 }, { "tag": "Learning", "type": 1 }, { "tag": "Learning Cycle", "type": 1 }, { "tag": "Learning Health System", "type": 1 }, { "tag": "Learning health system", "type": 1 }, { "tag": "Policy Making", "type": 1 }, { "tag": "Primary Health Care", "type": 1 }, { "tag": "Primary care", "type": 1 }, { "tag": "Quality improvement", "type": 1 }, { "tag": "Rapid cycle", "type": 1 } ], "collections": [ "8UF9KMMW" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/V387XMF6" }, "dateAdded": "2026-04-14T19:05:41Z", "dateModified": "2026-04-14T19:05:41Z" } }, { "key": "8WEBCZH2", "version": 27186, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/8WEBCZH2", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/8WEBCZH2", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/82852/items/35GG7RUN", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "8WEBCZH2", "version": 27186, "parentItem": "35GG7RUN", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:59:44Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41877870", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/HITRMRF2" }, "dateAdded": "2026-04-14T13:24:31Z", "dateModified": "2026-04-14T13:24:31Z" } }, { "key": "35GG7RUN", "version": 27185, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/35GG7RUN", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/35GG7RUN", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Sabin et al.", "parsedDate": "2026", "numChildren": 1 }, "data": { "key": "35GG7RUN", "version": 27185, "itemType": "journalArticle", "title": "The Impact of Brief Health Equity/Implicit Bias Education on Patient-Centered Communication Among Clinical Teaching Faculty", "creators": [ { "creatorType": "author", "firstName": "Janice", "lastName": "Sabin" }, { "creatorType": "author", "firstName": "Grace A.", "lastName": "Guenther" }, { "creatorType": "author", "firstName": "India J.", "lastName": "Ornelas" }, { "creatorType": "author", "firstName": "Davis G.", "lastName": "Patterson" }, { "creatorType": "author", "firstName": "C. Holly A.", "lastName": "Andrilla" }, { "creatorType": "author", "firstName": "Leo S.", "lastName": "Morales" }, { "creatorType": "author", "firstName": "Kritee", "lastName": "Gujral" }, { "creatorType": "author", "firstName": "Bianca K.", "lastName": "Frogner" } ], "abstractNote": "PURPOSE: A patient-centered approach to clinical care is related to improved outcomes. Patient -centered communication (PCC) includes eliciting the patient's agenda, active listening, partnering with patients and expressing empathy. Clinicians' implicit bias is associated with low quality PCC.\nMATERIALS AND METHODS: We explored whether brief health equity/implicit bias education improves academic clinicians' PCC and if implicit and explicit race and gender bias are associated with PCC improvement. This mixed methods online survey of clinical teaching faculty included tests of implicit and explicit race and gender bias, demographic and practice characteristics, a brief online health equity implicit bias educational intervention, and a pre-and-post course simulated clinical interaction using case vignettes. Emotional elements (empathy, reassurance, concern and partnering) of PCC were assessed to determine the impact of the course on PCC.\nRESULTS: Of 103 participants, 70.9% were female, 71.8% were White and 57.3% were MDs. We found that participants held moderate implicit bias favoring White People versus Black people (Cohen's d = 0.66) and a strong implicit association of males rather than females with the concept of \"career\" (Cohen's d = 1.15). Overall, brief implicit bias education did not significantly change participant PCC, however, early career clinicians and those who identified as medical doctors showed significantly greater post-course PCC improvement. Implicit and explicit bias were not associated with PCC scores.\nCONCLUSION: The impact of brief health equity/implicit bias education may go beyond knowledge acquisition and influence PCC if tailored to a specific discipline and stage of career, regardless of clinicians' personal biases.", "publicationTitle": "Advances in Medical Education and Practice", "publisher": "", "place": "", "date": "2026", "volume": "17", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "550025", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Adv Med Educ Pract", "DOI": "10.2147/AMEP.S550025", "citationKey": "", "url": "", "accessDate": "", "PMID": "41877870", "PMCID": "PMC13007348", "ISSN": "1179-7258", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "clinical teaching faculty", "type": 1 }, { "tag": "explicit bias", "type": 1 }, { "tag": "implicit bias", "type": 1 }, { "tag": "implicit bias education", "type": 1 }, { "tag": "patient-centered communication", "type": 1 } ], "collections": [ "MVK629PP" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/D4RWXLGZ" }, "dateAdded": "2026-04-14T13:24:31Z", "dateModified": "2026-04-14T13:24:31Z" } }, { "key": "K255R48W", "version": 27184, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/K255R48W", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/K255R48W", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/82852/items/UYBSC5S5", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "K255R48W", "version": 27184, "parentItem": "UYBSC5S5", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:59:30Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41916741", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/JVA5674A" }, "dateAdded": "2026-04-13T16:23:10Z", "dateModified": "2026-04-13T16:23:10Z" } }, { "key": "UYBSC5S5", "version": 27183, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/UYBSC5S5", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/UYBSC5S5", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Dervishi et al.", "parsedDate": "2026-03-31", "numChildren": 1 }, "data": { "key": "UYBSC5S5", "version": 27183, "itemType": "journalArticle", "title": "Engaging patient and family advisory councils (PFACs) in patient safety in healthcare organisations: a rapid scoping review", "creators": [ { "creatorType": "author", "firstName": "Qëndresa Rramani", "lastName": "Dervishi" }, { "creatorType": "author", "firstName": "Yannick", "lastName": "Blum" }, { "creatorType": "author", "firstName": "Larissa", "lastName": "Brust" }, { "creatorType": "author", "firstName": "Matthias", "lastName": "Weigl" } ], "abstractNote": "OBJECTIVE: Enhancing patient safety is a global priority and active involvement of patient and family advisory councils (PFACs) has been proposed as a key strategy in this endeavour. Preparing and supporting PFAC's activities in the field of patient safety is a crucial step in sustainably implementing patient engagement in healthcare organisations. However, to what extent and through which means remains unclear. Considering these shortcomings, we aimed to synthesise the current literature base, identify and map existing resources designed to educate and support PFACs in patient safety within healthcare organisations.\nMETHODS: We conducted a rapid scoping review. Drawing on predefined eligibility criteria, we reviewed peer-reviewed and grey literature on educational resources on patient-safety-related topics aimed at PFACs in healthcare organisations. We searched three databases (PubMed, Web of Science and Scopus) as well as websites of relevant stakeholders and institutions.\nRESULTS: Overall, we obtained 13 eligible sources. They featured resources ranging from reading materials to more intensive workshop sessions-combining active and passive learning approaches. Definition of key concepts and stakeholder roles were common topics in most sources. Yet, contents specific to patient safety showed considerable variability, likely due to context-specific approaches, local practices and lack of overall guidelines. Standardised resources tailored to PFACs' unique needs in patient safety were largely absent.\nCONCLUSION: This review highlights the limited availability of comprehensive, well-documented resources for PFACs. It further corroborates the need for systematic approaches to support patient engagement activities and meaningful involvement in patient safety.\nPRACTICE IMPLICATIONS: Our findings provide a first synthesis of the literature, inform future research as well as the development of respective patient engagement initiatives in patient safety. Moreover, they underscore the importance of developing standardised, yet adaptable resources to equip PFACs for their role in fostering safer healthcare systems.\nTRIAL REGISTRATION NUMBER: DRKS00034733.", "publicationTitle": "BMJ open quality", "publisher": "", "place": "", "date": "2026-03-31", "volume": "15", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "e004040", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "BMJ Open Qual", "DOI": "10.1136/bmjoq-2025-004040", "citationKey": "", "url": "", "accessDate": "", "PMID": "41916741", "PMCID": "PMC13052535", "ISSN": "2399-6641", "archive": "", "archiveLocation": "", "shortTitle": "Engaging patient and family advisory councils (PFACs) in patient safety in healthcare organisations", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Advisory Committees", "type": 1 }, { "tag": "Education", "type": 1 }, { "tag": "Health services research", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Patient Participation", "type": 1 }, { "tag": "Patient Safety", "type": 1 }, { "tag": "Patient safety", "type": 1 } ], "collections": [ "8UF9KMMW" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/FQ77KB3A" }, "dateAdded": "2026-04-13T16:23:10Z", "dateModified": "2026-04-13T16:23:10Z" } }, { "key": "LNIUJU4A", "version": 27182, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/LNIUJU4A", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/LNIUJU4A", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/82852/items/55F8Y8CY", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "LNIUJU4A", "version": 27182, "parentItem": "55F8Y8CY", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:37Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41883610", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/NLCD93AC" }, "dateAdded": "2026-04-13T16:21:33Z", "dateModified": "2026-04-13T16:21:33Z" } }, { "key": "55F8Y8CY", "version": 27181, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/55F8Y8CY", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/55F8Y8CY", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Finch et al.", "parsedDate": "2025-09", "numChildren": 1 }, "data": { "key": "55F8Y8CY", "version": 27181, "itemType": "journalArticle", "title": "Empowering Culture Change and Safety on the Journey to Zero Harm With Huddle Cards", "creators": [ { "creatorType": "author", "firstName": "Michael T.", "lastName": "Finch" }, { "creatorType": "author", "firstName": "Brandon", "lastName": "Mason" }, { "creatorType": "author", "firstName": "Nicole", "lastName": "Volek" }, { "creatorType": "author", "firstName": "Brittany", "lastName": "Phillips" }, { "creatorType": "author", "firstName": "Jennifer", "lastName": "Shoaf" }, { "creatorType": "author", "firstName": "Debbie", "lastName": "Brown" }, { "creatorType": "author", "firstName": "Ashley R.", "lastName": "McCormack" }, { "creatorType": "author", "firstName": "Jessica J.", "lastName": "Estell" } ], "abstractNote": "BACKGROUND: Safety event reporting plays an important role in improving patient safety. The US Department of Veterans Affairs has focused on minimizing or eliminating harm to patients.\nOBSERVATIONS: The patient safety (PS) and high reliability organization (HRO) teams at the Central Texas Veterans Health Care System (CTVHCS) developed an education model that integrates the Joint Patient Safety Reporting System (JPSR) into huddles. JPSR Huddle Cards provide frontline staff and management with guidance on the purpose of the JPSR, the difference between an adverse event and a near miss, what root causes are, the lifespan of a JPSR, how to celebrate reporting, and key fact checks. Six cards were presented to staff (1 per week) during morning safety huddles to support the CTVHCS journey to high reliability. Participants completed a survey on safety before and after receiving the cards.\nCONCLUSIONS: Posttest scores were consistently higher than pretest scores, with an average increase of around 2 standard deviations across all questions.", "publicationTitle": "Federal practitioner: for the health care professionals of the VA, DoD, and PHS", "publisher": "", "place": "", "date": "2025-09", "volume": "42", "issue": "9", "section": "", "partNumber": "", "partTitle": "", "pages": "336-340", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Fed Pract", "DOI": "10.12788/fp.0597", "citationKey": "", "url": "", "accessDate": "", "PMID": "41883610", "PMCID": "PMC13012422", "ISSN": "1078-4497", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [ "8UF9KMMW" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/J85MQLNS" }, "dateAdded": "2026-04-13T16:21:33Z", "dateModified": "2026-04-13T16:21:33Z" } }, { "key": "EPGVCR7S", "version": 27180, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/EPGVCR7S", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/EPGVCR7S", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/82852/items/8734X3EC", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "EPGVCR7S", "version": 27180, "parentItem": "8734X3EC", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:20Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41873497", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/XZ5U29MV" }, "dateAdded": "2026-04-13T13:58:44Z", "dateModified": "2026-04-13T13:58:44Z" } }, { "key": "8734X3EC", "version": 27179, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/8734X3EC", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/8734X3EC", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Wang et al.", "parsedDate": "2026-12", "numChildren": 1 }, "data": { "key": "8734X3EC", "version": 27179, "itemType": "journalArticle", "title": "'Being empathetic to my patients and ourselves': a qualitative process evaluation of READ-Y psychological first aid training for healthcare workers working in routine care", "creators": [ { "creatorType": "author", "firstName": "Ling", "lastName": "Wang" }, { "creatorType": "author", "firstName": "Xizhao", "lastName": "Li" }, { "creatorType": "author", "firstName": "Cailiang", "lastName": "Qiu" }, { "creatorType": "author", "firstName": "Jianjian", "lastName": "Wang" }, { "creatorType": "author", "firstName": "Lina", "lastName": "Zeng" }, { "creatorType": "author", "firstName": "Ting", "lastName": "Liu" }, { "creatorType": "author", "firstName": "Ziqing", "lastName": "Zhong" }, { "creatorType": "author", "firstName": "Yeqing", "lastName": "Wu" }, { "creatorType": "author", "firstName": "Lin", "lastName": "Xu" }, { "creatorType": "author", "firstName": "Yuping", "lastName": "Liu" }, { "creatorType": "author", "firstName": "Mary", "lastName": "Leamy" }, { "creatorType": "author", "firstName": "Muli", "lastName": "Hu" } ], "abstractNote": "Introduction: Healthcare workers (HCWs) are routinely exposed to distressing and potentially traumatic events during frontline care, yet receive limited structure training to manage such exposure. Psychological first aid (PFA) training has been widely disseminated among emergency responders and is increasingly being adapted for HCWs; however, its acceptability, implementation, and use in routine care remain underexplored. This study aimed to explore how an adapted PFA training programme was perceived, implemented, and used by HCWs in routine care, and to identify the mechanisms and contextual factors that influenced its impact.Method: A qualitative process evaluation was conducted alongside the delivery of the READ-Y (Rapport, Evaluation, Aid, Disposition, Yourself) PFA training programme in a Chinese tertiary hospital. Data collection included 3 months of observations of training delivery and 19 semi-structured interviews with HCW trainees, ward managers, and trainers/facilitators. Data were analysed using framework analysis.Results: Training was logistically feasible, consistently delivered, and characterized by high engagement in simulation and debriefing. Key fidelity elements of PFA training were maintained. Five key themes emerged: (1) positive reception of the adapted, blended-format training; (2) PFA was viewed as a pragmatic, stepwise tool for strengthening basic psychosocial support in routine care; (3) reported improvement in empathy, communication, and normalization of self-care among staff; (4) targeted skills development and peer learning as key mechanisms of reported change, fostering a shared language and support; and (5) multi-level contextual enablers (e.g. leadership endorsement, protected time) were identified and structural barriers (e.g. workload, burnout) existed that may hinder uptake.Conclusion: The adapted PFA training programme was perceived as feasible, relevant, and acceptable for HCWs, facilitating the integration of psychosocial support into routine care while promoting their own well-being. System-level integration and longitudinal evaluation of PFA training are recommended to assess sustained impact on patient and staff outcomes.", "publicationTitle": "European Journal of Psychotraumatology", "publisher": "", "place": "", "date": "2026-12", "volume": "17", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "2627705", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Eur J Psychotraumatol", "DOI": "10.1080/20008066.2026.2627705", "citationKey": "", "url": "", "accessDate": "", "PMID": "41873497", "PMCID": "PMC13015031", "ISSN": "2000-8066", "archive": "", "archiveLocation": "", "shortTitle": "'Being empathetic to my patients and ourselves'", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "China", "type": 1 }, { "tag": "Empathy", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "First Aid", "type": 1 }, { "tag": "Health Personnel", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Primeros auxilios psicológicos", "type": 1 }, { "tag": "Psychological first aid", "type": 1 }, { "tag": "Qualitative Research", "type": 1 }, { "tag": "apoyo psicosocial", "type": 1 }, { "tag": "bienestar del personal", "type": 1 }, { "tag": "evaluación de procesos", "type": 1 }, { "tag": "investigación cualitativa", "type": 1 }, { "tag": "process evaluation", "type": 1 }, { "tag": "psychosocial support", "type": 1 }, { "tag": "qualitative research", "type": 1 }, { "tag": "workforce well-being", "type": 1 } ], "collections": [ "MVK629PP" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/DIS47HLE" }, "dateAdded": "2026-04-13T13:58:44Z", "dateModified": "2026-04-13T13:58:44Z" } }, { "key": "R3A6BV3N", "version": 27178, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/R3A6BV3N", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/R3A6BV3N", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/82852/items/QSU42845", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "R3A6BV3N", "version": 27178, "parentItem": "QSU42845", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:46Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41667073", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/ZBRDY925" }, "dateAdded": "2026-04-13T13:55:13Z", "dateModified": "2026-04-13T13:55:13Z" } }, { "key": "QSU42845", "version": 27177, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/QSU42845", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/QSU42845", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Quigley et al.", "parsedDate": "2025-03-01", "numChildren": 1 }, "data": { "key": "QSU42845", "version": 27177, "itemType": "journalArticle", "title": "Back-to-Basics Hospital-Wide Training Improves Inpatient Pediatric Care Experiences", "creators": [ { "creatorType": "author", "firstName": "Denise D.", "lastName": "Quigley" }, { "creatorType": "author", "firstName": "Maria", "lastName": "Panayotou" }, { "creatorType": "author", "firstName": "Mary E.", "lastName": "Slaughter" } ], "abstractNote": "OBJECTIVE: Hospital leaders strive to improve care experiences. Many use training sessions to improve clinician-patient interactions.\nMETHODS: We examined whether a hospital-wide Back-to-Basics training for clinical and nonclinical providers that focused on communication behaviors and safety protocols improved inpatient pediatric care experiences. The curriculum used didactics, video demonstrations, and role-play through interactive, fast-paced stations delivering content tailored to employee role. Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores were compared 24 months before (n = 544) and 13 months after the training (n = 643) to assess changes in inpatient pediatric care experiences.\nRESULTS: We observed a statistically significant increase in the overall mean top-box scores after Back-to-Basics implementation for 5 (of 8 targeted) Child HCAHPS measures: Communication between you and child's nurses (3-percentage point [pp] pre-post increase, P = .04), How well nurses communicate with child (7-pp increase, P = .001), How well doctors communicate with child (6-pp increase, P = .007), Preventing mistakes and helping report concerns (4-pp increase, P = .03), and Helping child feel comfortable (4-pp, P = .03). We found no significant differences in models that tested whether the effect of Back-to-Basics differed by service line or by patient race, ethnicity, and language groups.\nCONCLUSIONS: A small investment of curricular time devoted to communication skills and safety procedures across all staffing roles over 3 months improved Child HCAHPS communication-specific and safety scores. Because this training could be implemented in a variety of pediatric and inpatient settings to improve patient and family care experiences, further evaluation of the intervention in different pediatric hospital sites, settings (ie, hospital within a hospital), and contexts (urban, rural) is warranted.", "publicationTitle": "Hospital Pediatrics", "publisher": "", "place": "", "date": "2025-03-01", "volume": "16", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "219-229", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Hosp Pediatr", "DOI": "10.1542/hpeds.2025-008831", "citationKey": "", "url": "", "accessDate": "", "PMID": "41667073", "PMCID": "PMC13051768", "ISSN": "2154-1671", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Child", "type": 1 }, { "tag": "Communication", "type": 1 }, { "tag": "Curriculum", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Hospitals, Pediatric", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Inpatients", "type": 1 }, { "tag": "Inservice Training", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Pediatrics", "type": 1 }, { "tag": "Quality Improvement", "type": 1 } ], "collections": [ "8UF9KMMW" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/FS92ELTF" }, "dateAdded": "2026-04-13T13:55:13Z", "dateModified": "2026-04-13T13:55:13Z" } }, { "key": "NHZT5WG9", "version": 27176, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/NHZT5WG9", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/NHZT5WG9", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/82852/items/F8LSJVRF", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "NHZT5WG9", "version": 27176, "parentItem": "F8LSJVRF", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-04-07T15:41:47Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41804246", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/NGASUYAZ" }, "dateAdded": "2026-04-08T14:29:04Z", "dateModified": "2026-04-08T14:29:04Z" } }, { "key": "F8LSJVRF", "version": 27175, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/F8LSJVRF", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/F8LSJVRF", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Evans et al.", "parsedDate": "2026-03-10", "numChildren": 1 }, "data": { "key": "F8LSJVRF", "version": 27175, "itemType": "journalArticle", "title": "CPD focus: using the Model for Improvement to enhance the quality of patient care", "creators": [ { "creatorType": "author", "firstName": "Luke", "lastName": "Evans" }, { "creatorType": "author", "firstName": "Kristian", "lastName": "Rennie" }, { "creatorType": "author", "firstName": "Jill", "lastName": "Smith" }, { "creatorType": "author", "firstName": "Laura", "lastName": "Gudefin" } ], "abstractNote": "The Model for Improvement is a quality improvement (QI) method widely use in health and social care. It comprises two stages: first, the QI project team answers three questions to determine what the issue is, decide how improvement will be measured and collate ideas for change; then second, the team conducts plan, do, study, act (PDSA) cycles to test its ideas. Sufficient understanding of this methodology is essential for nurses, particularly nurse leaders and managers, whose roles include fostering QI. This article describes the Model for Improvement and how it can be applied in practice settings. The methodology is illustrated by a fictional case study on a nurse-led QI project for improving tracheostomy care.", "publicationTitle": "Nursing Management", "publisher": "", "place": "Harrow, London, England : 1994", "date": "2026-03-10", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Nurs Manag (Harrow)", "DOI": "10.7748/nm.2026.e2194", "citationKey": "", "url": "", "accessDate": "", "PMID": "41804246", "PMCID": "", "ISSN": "2047-8976", "archive": "", "archiveLocation": "", "shortTitle": "CPD focus", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "change management", "type": 1 }, { "tag": "innovation", "type": 1 }, { "tag": "management", "type": 1 }, { "tag": "methodology", "type": 1 }, { "tag": "outcome measures", "type": 1 }, { "tag": "quality assurance", "type": 1 }, { "tag": "service improvement", "type": 1 } ], "collections": [ "8UF9KMMW" ], "relations": { "owl:sameAs": "http://zotero.org/groups/282250/items/HIXI5SKI" }, "dateAdded": "2026-04-08T14:29:04Z", "dateModified": "2026-04-08T14:29:04Z" } }, { "key": "XA8TMANW", "version": 27170, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/XA8TMANW", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/XA8TMANW", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/82852/items/PWDHANQ3", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "XA8TMANW", "version": 27170, "parentItem": "PWDHANQ3", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-03-03T20:21:24Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41719811", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "dc:replaces": "http://zotero.org/groups/82852/items/88J2XKBX" }, "dateAdded": "2026-03-03T20:21:24Z", "dateModified": "2026-04-07T17:50:12Z" } }, { "key": "PWDHANQ3", "version": 27169, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/PWDHANQ3", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/PWDHANQ3", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Dong et al.", "parsedDate": "2026-02-19", "numChildren": 1 }, "data": { "key": "PWDHANQ3", "version": 27169, "itemType": "journalArticle", "title": "The relationship between alarm fatigue and burnout among neonatal intensive care unit nurses: A multi-center cross-sectional study", "creators": [ { "creatorType": "author", "firstName": "Yubing", "lastName": "Dong" }, { "creatorType": "author", "firstName": "Xinxin", "lastName": "Song" }, { "creatorType": "author", "firstName": "Jiaxin", "lastName": "Li" }, { "creatorType": "author", "firstName": "Aifen", "lastName": "Cao" }, { "creatorType": "author", "firstName": "Qingling", "lastName": "Yu" }, { "creatorType": "author", "firstName": "Qiaoxuan", "lastName": "Wu" }, { "creatorType": "author", "firstName": "Xiaoyun", "lastName": "Xiong" } ], "abstractNote": "OBJECTIVES: To investigate the relationship between alarm fatigue and burnout among nurses in neonatal intensive care units.\nMETHODS: This is a multi-center cross-sectional study. An online questionnaire assessed sociodemographic and occupational characteristics, alarm fatigue (Nurse Alarm Fatigue Questionnaire), and burnout (Maslach Burnout Inventory-General Survey). Associations were analyzed with multiple linear regression and generalized additive models adjusted for key covariates.\nRESULTS: After adjusting for potential confounders, alarm fatigue was independently associated with burnout (β = 0.95, 95% CI: 0.83-1.07, P < 0.001). Participants in moderate (19.25 ± 2.23) and high (29.42 ± 4.66) alarm fatigue groups demonstrated significantly higher burnout scores compared to the low alarm fatigue group (9.89 ± 3.79), with adjusted mean differences of 10.45 (95% CI: 7.92-12.98) and 18.83 (95% CI: 16.24-21.42) points, respectively (all P < 0.001). Generalized additive modeling revealed a nonlinear relationship (P < 0.001) with an inflection point at an alarm fatigue score of 30, beyond which the association attenuated substantially (β = 0.33, 95% CI: -0.24-0.91, P = 0.256).\nCONCLUSIONS: This study demonstrated a significant nonlinear relationship between alarm fatigue and burnout among Neonatal Intensive Care Units nurses. These findings provide valuable insights for developing targeted interventions to mitigate burnout in critical care settings.\nIMPLICATIONS FOR CLINICAL PRACTICE: This multicenter cross-sectional study helps fill the knowledge gap on the relationship between alarm fatigue and occupational burnout in neonatal intensive care units, particularly regarding nonlinearity and threshold effects. It identifies a significant nonlinear association and delineates key thresholds; accordingly, the study recommends routine screening and early, personalized interventions in neonatal intensive care units to reduce burnout and medical errors and to improve alarm-response quality, patient safety, and team well-being.", "publicationTitle": "Intensive & Critical Care Nursing", "publisher": "", "place": "", "date": "2026-02-19", "volume": "94", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "104348", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Intensive Crit Care Nurs", "DOI": "10.1016/j.iccn.2026.104348", "citationKey": "", "url": "", "accessDate": "", "PMID": "41719811", "PMCID": "", "ISSN": "1532-4036", "archive": "", "archiveLocation": "", "shortTitle": "The relationship between alarm fatigue and burnout among neonatal intensive care unit nurses", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "Alarm fatigue", "type": 1 }, { "tag": "Burnout, Professional", "type": 1 }, { "tag": "Burnout, professional", "type": 1 }, { "tag": "Clinical Alarms", "type": 1 }, { "tag": "Cross-Sectional Studies", "type": 1 }, { "tag": "Cross-sectional studies", "type": 1 }, { "tag": "Fatigue", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Intensive Care Units, Neonatal", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Neonatal intensive care units", "type": 1 }, { "tag": "Nurses", "type": 1 }, { "tag": "Surveys and Questionnaires", "type": 1 } ], "collections": [ "NB2XE6F9" ], "relations": { "dc:replaces": "http://zotero.org/groups/82852/items/X4ZDQHVV" }, "dateAdded": "2026-03-03T20:21:19Z", "dateModified": "2026-04-07T17:50:12Z" } }, { "key": "4TXJATX9", "version": 27168, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/4TXJATX9", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/4TXJATX9", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/82852/items/WRDMTJ2A", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "4TXJATX9", "version": 27168, "parentItem": "WRDMTJ2A", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-03-03T20:21:15Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41638605", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "dc:replaces": "http://zotero.org/groups/82852/items/KK6ATHWB" }, "dateAdded": "2026-03-03T20:21:15Z", "dateModified": "2026-04-07T17:50:10Z" } }, { "key": "WRDMTJ2A", "version": 27167, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/WRDMTJ2A", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/WRDMTJ2A", "type": "text/html" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } }, "creatorSummary": "Laroia et al.", "parsedDate": "2026-03-01", "numChildren": 1 }, "data": { "key": "WRDMTJ2A", "version": 27167, "itemType": "journalArticle", "title": "Improving Health-Related Social Needs Screening and Support Across a Pediatric Health Care System", "creators": [ { "creatorType": "author", "firstName": "Rishi", "lastName": "Laroia" }, { "creatorType": "author", "firstName": "William", "lastName": "Minor" }, { "creatorType": "author", "firstName": "Ashley", "lastName": "Carr" }, { "creatorType": "author", "firstName": "Talia", "lastName": "Buitrago Mogollon" }, { "creatorType": "author", "firstName": "Blanche Beth", "lastName": "White" }, { "creatorType": "author", "firstName": "Sarah", "lastName": "Mabus" }, { "creatorType": "author", "firstName": "Lauren", "lastName": "Stilwell" }, { "creatorType": "author", "firstName": "Amina", "lastName": "Ahmed" }, { "creatorType": "author", "firstName": "Shivani", "lastName": "Mehta" }, { "creatorType": "author", "firstName": "Tonya", "lastName": "Obita" }, { "creatorType": "author", "firstName": "Stefanie", "lastName": "Reed" }, { "creatorType": "author", "firstName": "Yasmin", "lastName": "Senturias" }, { "creatorType": "author", "firstName": "Shruti", "lastName": "Mittal" }, { "creatorType": "author", "firstName": "Sara", "lastName": "Horstmann" }, { "creatorType": "author", "firstName": "Laurie", "lastName": "Demmer" }, { "creatorType": "author", "firstName": "Keerti", "lastName": "Dantuluri" }, { "creatorType": "author", "firstName": "Ashley", "lastName": "Chadha" }, { "creatorType": "author", "firstName": "Laura", "lastName": "Noonan" }, { "creatorType": "author", "firstName": "Cheryl", "lastName": "Courtlandt" } ], "abstractNote": "BACKGROUND AND OBJECTIVES: Health-related social needs (HRSN) affect a wide range of short- and long-term outcomes, health care use, functioning, and quality of life. Although HRSN screening is valuable, it is likely ineffective unless coupled with interventions. This project integrated HRSN screening and intervention(s) across 9 inpatient and outpatient divisions, varied in composition, patient populations, process flows, and resource availability.\nMETHODS: A quality improvement team with a standardized change package facilitated a multimodal initiative for divisions spanning hospital medicine, newborn nurseries, and specialty outpatient clinics at an urban, quaternary pediatric hospital system. We aimed for 80% of patient encounters to be screened for HRSN and that each positive screen receive an agreed upon resource intervention using a centralized resource bank.\nRESULTS: From January 2021 to October 2023, 31 834 screenings were conducted across 9 divisions. Performance increased to a mean 92%, with positive screens receiving interventions. The last 7 months of the project were sustained at 92% or higher. Food insecurity was identified in 17.6% of encounters (n = 10 007, 1765 positive), with a 56% decrease in prevalence on repeat screening after identification/intervention.\nCONCLUSIONS: A centralized quality team and change package can facilitate successful implementation of HRSN screening and connection to resources across multiple disciplines and sites. These interventions may lead to a decrease in subsequent HRSN positivity. Rescreening patients over time is important to capture the full spectrum of HRSN needs of a family.", "publicationTitle": "Pediatrics", "publisher": "", "place": "", "date": "2026-03-01", "volume": "157", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "e2024070035", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Pediatrics", "DOI": "10.1542/peds.2024-070035", "citationKey": "", "url": "", "accessDate": "", "PMID": "41638605", "PMCID": "", "ISSN": "1098-4275", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Child", "type": 1 }, { "tag": "Child, Preschool", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Food Insecurity", "type": 1 }, { "tag": "Hospitals, Pediatric", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Infant", "type": 1 }, { "tag": "Infant, Newborn", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Mass Screening", "type": 1 }, { "tag": "Needs Assessment", "type": 1 }, { "tag": "Quality Improvement", "type": 1 }, { "tag": "Social Support", "type": 1 } ], "collections": [ "8UF9KMMW" ], "relations": { "dc:replaces": "http://zotero.org/groups/82852/items/EGFNE3MT" }, "dateAdded": "2026-03-03T20:20:53Z", "dateModified": "2026-04-07T17:50:10Z" } }, { "key": "PK42B2L7", "version": 27160, "library": { "type": "group", "id": 82852, "name": "HP Performance", "links": { "alternate": { "href": "https://www.zotero.org/groups/hp_performance", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/82852/items/PK42B2L7", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/hp_performance/items/PK42B2L7", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/82852/items/NUWQWC2Q", "type": "application/json" } }, "meta": { "createdByUser": { "id": 14022664, "username": "TeodoraCHUSJ", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/teodorachusj", "type": "text/html" } } } }, "data": { "key": "PK42B2L7", "version": 27160, "parentItem": "NUWQWC2Q", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2026-03-03T20:21:14Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/41639635", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": { "dc:replaces": "http://zotero.org/groups/82852/items/MNPXQSDM" }, "dateAdded": "2026-03-03T20:21:14Z", "dateModified": "2026-04-07T17:50:08Z" } } ]