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Decreasing Time To Broad Spectrum Antibiotics For Septic Patients In The Emergency Department, Joseph J. Zieminski, Emily E. Bryant 2017 Department of Pharmacy, Aurora St. Luke’s Medical Center

Decreasing Time To Broad Spectrum Antibiotics For Septic Patients In The Emergency Department, Joseph J. Zieminski, Emily E. Bryant

Journal of Patient-Centered Research and Reviews

Background: Timely administration of broad spectrum antibiotics has been shown to be directly correlated with decreased mortality for patients with severe sepsis and septic shock. As such, both the Surviving Sepsis Campaign and the SEP-1 CMS measure recognize timely antibiotic administration as a cornerstone of therapy for patients with severe sepsis or septic shock.

Purpose: Decrease time to broad spectrum antibiotic administration for septic patients in the emergency department (ED) of Aurora St. Luke’s Medical Center.

Methods: An alert within the electronic medical record was created to more rapidly identify potentially septic patients in the ED. After receiving the ...


Variations In Practice Of Apnea Test For Brain Death: Review From A Multihospital Health Care System, Jeffrey Stein, Marvi V. Rijhwani, Ernesto Brauer 2017 Department of Internal Medicine, Aurora Sinai Medical Center

Variations In Practice Of Apnea Test For Brain Death: Review From A Multihospital Health Care System, Jeffrey Stein, Marvi V. Rijhwani, Ernesto Brauer

Journal of Patient-Centered Research and Reviews

Background: Ventilation encompasses both active and passive processes. Air is initially drawn into the lungs due to a negative intrathoracic pressure created using the respiratory muscles, most importantly the diaphragm. In contrast, expiration is the passive relaxation of the respiratory muscles. Oxygenation occurs when oxygen diffuses across the alveolar-capillary membrane. The ability to oxygenate without ventilation has been termed apneic diffusion oxygenation or apneic oxygenation. We believe it is crucial to keep alveoli open in order for adequate oxygenation to occur. This can be achieved with the aid of positive end-expiratory pressure (PEEP). We investigated this concept in patients who ...


The Path To Health Equity Through Multidisciplinary Collaboration, Cynthia Haq 2017 Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health

The Path To Health Equity Through Multidisciplinary Collaboration, Cynthia Haq

Journal of Patient-Centered Research and Reviews

The author, a guest editor for this special issue of the Journal of Patient-Centered Research and Reviews dedicated to health disparities and inequities, comments on recent studies demonstrating poorer health outcomes among various patient populations in the United States despite its having higher spending per capita than any other nation. Noting that health inequities are defined as avoidable differences, the author encourages health professionals to work to narrow these gaps.


Health Care Disparities Knowledge, Attitudes, And Behaviors In Resident Physicians, Rebecca Hammarlund, Diana Hamer, Kathleen Crapanzano, Rachel Bernard, Carine Nzodom, Courtney James, Angie Johnson, Diane Kirby, Laura Hetzler, Chris Woodward, Jesse Sulzer, Lauren Rabalais, Laurinda Calongne 2017 Our Lady of the Lake Regional Medical Center; Louisiana State University Health Sciences Center New Orleans

Health Care Disparities Knowledge, Attitudes, And Behaviors In Resident Physicians, Rebecca Hammarlund, Diana Hamer, Kathleen Crapanzano, Rachel Bernard, Carine Nzodom, Courtney James, Angie Johnson, Diane Kirby, Laura Hetzler, Chris Woodward, Jesse Sulzer, Lauren Rabalais, Laurinda Calongne

Journal of Patient-Centered Research and Reviews

Purpose: Health care disparities are an important but sometimes underrepresented topic in graduate medical education. In this study we measured the impact of educational and behavioral interventions on resident knowledge about and attitudes toward health care disparities.

Methods: Faculty from 6 residency programs designed and presented an hour-long educational intervention to emphasize the importance of and increase resident knowledge about health care disparities. Selected residents then helped design a month-long behavioral intervention to engage their peers in conversations about disparities with patients. Surveys were administered pre- and post-educational intervention as well as post-behavioral intervention in order to measure the impact ...


Data Analysis Basics – Part Ii, Judith A. Savageau 2017 University of Massachusetts Medical School

Data Analysis Basics – Part Ii, Judith A. Savageau

Center for Health Policy and Research (CHPR) Publications

Blog post to AEA365, a blog sponsored by the American Evaluation Association (AEA) dedicated to highlighting Hot Tips, Cool Tricks, Rad Resources, and Lessons Learned for evaluators. The American Evaluation Association is an international professional association of evaluators devoted to the application and exploration of program evaluation, personnel evaluation, technology, and many other forms of evaluation. Evaluation involves assessing the strengths and weaknesses of programs, policies, personnel, products, and organizations to improve their effectiveness.


Hospice Utilization Of Medicare Beneficiaries In Hawai‘I Compared To Other States, Deborah Taira, Merle Kataoka-Yahiro, Angela Sy 2017 University of Hawaii, Hilo

Hospice Utilization Of Medicare Beneficiaries In Hawai‘I Compared To Other States, Deborah Taira, Merle Kataoka-Yahiro, Angela Sy

Asian/Pacific Island Nursing Journal

The objective is to examine hospice utilization among Medicare beneficiaries in Hawai‘i compared to other states. Data were from the 2014 Medicare Hospice Utilization and Payment Public Use File, which included information on 4,025 hospice providers, more than 1.3 million hospice beneficiaries, and over $15 billion in Medicare payments. Multivariable linear regression models were estimated to compare hospice utilization in Hawai‘i to that of other states. Control variables included age, gender, and type of Medicare coverage. Medicare beneficiaries using hospice in Hawai‘i differed significantly from beneficiaries in other states in several ways. Hawai‘i beneficiaries ...


Data Analysis Basics – Part I, Judith A. Savageau 2017 University of Massachusetts Medical School

Data Analysis Basics – Part I, Judith A. Savageau

Center for Health Policy and Research (CHPR) Publications

Blog post to AEA365, a blog sponsored by the American Evaluation Association (AEA) dedicated to highlighting Hot Tips, Cool Tricks, Rad Resources, and Lessons Learned for evaluators. The American Evaluation Association is an international professional association of evaluators devoted to the application and exploration of program evaluation, personnel evaluation, technology, and many other forms of evaluation. Evaluation involves assessing the strengths and weaknesses of programs, policies, personnel, products, and organizations to improve their effectiveness.


Demystifying Research: Accessing & Understanding Evidence For Clinical Practice, Kimberly A. Murphy, Meredith Poore Harold, Mary Huston 2017 Old Dominion University

Demystifying Research: Accessing & Understanding Evidence For Clinical Practice, Kimberly A. Murphy, Meredith Poore Harold, Mary Huston

Communication Disorders & Special Education Faculty Publications

The demands on clinicians for evidence-based practice (EBP) are great. However, many speech-language pathologists have received little to no training in how to ‘do’ EBP. In this presentation, we aim to describe and provide practical suggestions for two of the steps in EBP—accessing, then reading and interpreting research to inform clinical decision-making. Our goal is to give clinicians the tools and confidence they need to grow into expert clinicians.

Learner Outcome 1: Describe the components of evidence-based practice (EBP)

Learner Outcome 2: Identify ways to access research

Learner Outcome 3: Identify steps in reading and evaluating the quality of ...


Progress And Priorities For The National Health Security Preparedness Index, Glen P. Mays 2017 University of Kentucky

Progress And Priorities For The National Health Security Preparedness Index, Glen P. Mays

Glen Mays

This session examines applications of the National Health Security Preparedness Index in stimulating and supporting collective actions that protect the public's health when disasters, outbreaks, and other emergency events occur.


Ambulance Services For Medicare Beneficiaries: State Differences In Usage, 2012-2014, Suzanne Troske, Alison Davis 2017 University of Kentucky

Ambulance Services For Medicare Beneficiaries: State Differences In Usage, 2012-2014, Suzanne Troske, Alison Davis

Rural & Underserved Health Research Center Publications

Ambulance services are at risk of scaling back or dissolving in some places. We analyzed Medicare beneficiaries’ use of ambulance services across the U.S. Improved understanding of how beneficiaries, most of whom are elderly, use these services provides vital information for policymakers who set rules and regulations about access to the services.


I Want An Omnipotent Doctor: North Korean Defectors’ Unmet Expectations Of South Korean Medical Providers, Soo Jung Hong 2017 Huntsman Cancer Institute - the University of Utah

I Want An Omnipotent Doctor: North Korean Defectors’ Unmet Expectations Of South Korean Medical Providers, Soo Jung Hong

The Qualitative Report

This study examines North Korean defectors’ unmet expectations of South Korean medical providers from the perspectives of both North Korean defectors and their medical providers. Seventeen defectors and 12 medical providers were recruited for focus groups and in-depth interviews. Grounded theory was used for data analysis. Data indicates the North Korean defectors were not satisfied with their providers because they (1) preferred human techniques over computerized technology, (2) expected the doctors to be omnipotent, and (3) expected to receive emergency medical service but did not expect to pay for it. Their medical providers felt that it was impossible to satisfy ...


Palliative Players: Project Development And Initial Implementation, Eliza Eager 2017 University of Southern Maine

Palliative Players: Project Development And Initial Implementation, Eliza Eager

Muskie School Capstones

The Palliative Players are screened and trained hospice volunteers who provide a low-cost, sustainable, role-playing resource for use teaching communication skills to healthcare workers who discuss serious illness with patients and their families. The Palliative Players project was conceived and developed in early 2017 by Dr. Lauren Michalakes, Medical Director of Palliative Care at Coastal Healthcare Alliance (CHA); Sarah Dwelley, RN; Flic Shooter, Director of Hospice Volunteers of Waldo County (HVOWC); and Eliza Eager, Project Coordinator; to provide believable, emotive simulated patients (SPs) for role-play in workshops teaching healthcare workers communication tools and skills for use in conversations with patients ...


Nortex Fall 2017 Newsletter, North Texas Primary Care Practice-Based Research Network 2017 University of North Texas Health Science Center

Nortex Fall 2017 Newsletter, North Texas Primary Care Practice-Based Research Network

North Texas Primary Care Practice-Based Research Network (NorTex) Newsletter

No abstract provided.


Deaf 101: How To Navigate Clinical Interactions With Deaf Sign Language Users, Melissa L. Anderson, Timothy Riker 2017 University of Massachusetts Medical School

Deaf 101: How To Navigate Clinical Interactions With Deaf Sign Language Users, Melissa L. Anderson, Timothy Riker

Melissa L. Anderson

This webinar provides some basic guidelines for interacting with culturally Deaf clients, including how to work with American Sign Language interpreters and Certified Deaf interpreters, how to respect Deaf culture and Deaf social norms, and how to adapt common treatment approaches to be more Deaf-friendly.


Defragmenting Delivery Systems That Drive Population Health, Glen P. Mays 2017 University of Kentucky

Defragmenting Delivery Systems That Drive Population Health, Glen P. Mays

Glen Mays

This session profiles research from the Robert Wood Johnson Foundation's Systems for Action national research program, which tests mechanisms for reducing fragmentation across medical, social, and public health delivery systems.


Investigating The Health Meanings Of Young Saudi Women, Tagreed Alnajjar 2017 The University of Western Ontario

Investigating The Health Meanings Of Young Saudi Women, Tagreed Alnajjar

Electronic Thesis and Dissertation Repository

Women’s structural position within society and their family roles significantly influence their health. Previous studies have shown women hold lower health and socioeconomic status because of their gender within the Saudi culture. This study aimed to provide an understanding of how Saudi women value health and define being healthy within their social contexts. Adopting an ethnographic perspective, three focus groups (31 participants in total) were conducted with volunteer undergraduate Saudi female students on campus during a nine-week field trip to the participants’ university, King Abdulaziz University in Jeddah, Saudi Arabia. Three themes were generated from this study that characterize ...


Building System Capital For Population Health Improvement: Networks, Incentives, And Leadership, Glen P. Mays 2017 University of Kentucky

Building System Capital For Population Health Improvement: Networks, Incentives, And Leadership, Glen P. Mays

Glen Mays

This session reviews research on population health improvement strategies, with a focus on the role of community networks, organizational incentives, and leadership.


Public Health Systems As Dissemination & Implementation Mechanisms, Glen P. Mays 2017 University of Kentucky

Public Health Systems As Dissemination & Implementation Mechanisms, Glen P. Mays

Glen Mays

This session reviews research evaluating community-based public health systems as dissemination and implementation mechanisms for research-tested health interventions.


Household Water Insecurity, Missed Schooling, And The Mediating Role Of Caregiver Depression In Rural Uganda, Christine E. Cooper-Vince, Bernard Kakuhikire, D. Vorechovska, Amy Q. McDonough, Jessica M. Perkins, Atheendar S. Venkataramani, Rumbidzai Mushavi, C. Baguma, Scholastic Ashaba, David Bangsberg, Alexander C. Tsai 2017 Massachusetts General Hospital

Household Water Insecurity, Missed Schooling, And The Mediating Role Of Caregiver Depression In Rural Uganda, Christine E. Cooper-Vince, Bernard Kakuhikire, D. Vorechovska, Amy Q. Mcdonough, Jessica M. Perkins, Atheendar S. Venkataramani, Rumbidzai Mushavi, C. Baguma, Scholastic Ashaba, David Bangsberg, Alexander C. Tsai

David Bangsberg

Background: School attendance rates in sub-Saharan Africa are among the lowest worldwide, placing children at heightened risk for poor educational and economic outcomes. One understudied risk factor for missed schooling is household water insecurity, which is linked to depression among women and may increase children’s water-fetching burden at the expense of educational activities, particularly among children of depressed caregivers. In this study conducted in rural Uganda, we assessed the association between household water insecurity and child school participation and the mediating pathways behind these associations.

Method: We conducted a population-based, cross-sectional study of female household heads (N = 257) and ...


Evaluation Of The Massachusetts Peer Specialist Training And Certification Program (Phase Two), Linda M. Cabral, Kathy Muhr, Laura A. Sefton, Judith A. Savageau 2017 University of Massachusetts Medical School

Evaluation Of The Massachusetts Peer Specialist Training And Certification Program (Phase Two), Linda M. Cabral, Kathy Muhr, Laura A. Sefton, Judith A. Savageau

Judith A. Savageau

Most public mental health systems are shifting to a recovery-oriented system of care; however, offering recovery-oriented and peer support services to various cultural and linguistic groups is challenging. This study sought to better understand how persons with mental health conditions from two cultural groups – Latinos and Deaf and Hard of Hearing (D/HH) - access recovery-based services. Interviews with national key informants were conducted prior to data collection to better formulate instruments. Cultural brokers, identified as leaders in their communities who also have mental health conditions, were hired to aid in recruitment and data collection. Interviews and focus groups were conducted ...


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