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Associations Between Covid-19 Therapies And Inpatient Gastrointestinal Bleeding: A Multisite Retrospective Study., Noah A. Wiedel, Harlan Sayles, Jessica Larson, Jana L. Wardian Phd, Alexander Hewlett, James C. Mcclay, Jin Ge, Alfred J. Anzalone, N3c Consortium

Journal Articles: Hospital Medicine

Little data is available regarding the incidence of gastrointestinal bleeding in adults hospitalized with COVID-19 infection and the influence of patient comorbidities and demographics, COVID-19 therapies, and typical medications used. In this retrospective study, we utilized the National COVID Cohort Collaborative to investigate the primary outcome of the development of gastrointestinal bleeding in 512 467 hospitalized US adults (age >18 years) within 14 days of a COVID-19 infection and the influence of demographics, comorbidities, and selected medications. Gastrointestinal bleeding developed in 0.44% of patients hospitalized with COVID-19. Comorbidities associated with gastrointestinal bleeding include peptic ulcer disease (adjusted odds ratio [aOR] …

Validating The Assessing Student Competence And Knowledge Of Social Determinants Of Health (Asck-Sdh) Instrument, Whitney Lucas Molitor, Moses N. Ikiugu, Leah M. Stade, Jana L. Wardian

Journal Articles: Hospital Medicine

The impact of the social determinants of health (SDH) on health outcomes is receiving increased attention. Health profession students need to learn about SDH; however, there are no validated tools to measure student competence in assessing SDH. There is a need for a brief, valid instrument to measure student competency and knowledge of SDH. This study is a secondary analysis of data collected pre (N=394) and post (N=387) for an interprofessional learning event. We utilized principal component analysis (PCA) with varimax rotation to determine the internal structure of the tool. The original measure consisted of 11 items; the analysis resulted …

Creating Patient Context: Empathy And Attitudes Toward Diabetes Following Virtual Immersion., Jana L. Wardian Phd, Tessa Wells, Teresa Cochran

Journal Articles: Hospital Medicine

BACKGROUND: Pandemic circumstances created challenges for doctor of physical therapy (DPT) students to understand social determinants of health (SDH) in clinical rotations. Instead of canceling clinical rotations, a virtual reality cinema (cine-VR) education series was implemented. The purpose of this project is to describe the effect of this simulated immersion on student empathy and attitudes toward diabetes.

METHOD: The DPT students (n=59) participated in 12 cine-VR education modules, completing surveys at three time points as part of coursework. The students completed baseline measures of the Diabetes Attitude Scale-Version 3 (DAS-3) and Jefferson Empathy Scale (JES), and then were immersed in …

Are We Really Listening? A Program To Assess And Mitigate Systemic Factors Contributing To Clinician Burnout, Sarah E. Richards, Victoria Kennel, Jana L. Wardian Phd, Kristy Carlson, Bethany Lowndes

Journal Articles: Hospital Medicine

Background: Many US physicians are experiencing burnout affecting patient care quality, safety, and experience. Institutions often focus on personal resilience instead of system-level issues. Our leaders developed a novel process to identify and prioritize key system-related stressors and work to mitigate factors that negatively impact clinician wellbeing through a structured Listening Campaign.

Methods: The Listening Campaign consists of meeting with each clinician group leader, a group Listening Session, a follow up meeting with the leader, a final report, and a follow-up session. During the Listening Session, clinicians engage in open discussion about what is going well, complete individual reflection worksheets …

Associations Between Covid-19 Therapies And Inpatient Gastrointestinal Bleeding: A Multisite Retrospective Study, Noah A. Wiedel, Harlan Sayles, Jessica Larson, Jana L. Wardian Phd, Alexander Hewlett, James C. Mcclay, Jin Ge, Alfred J. Anzalone, The N3c Consortium

Journal Articles: Hospital Medicine

Little data is available regarding the incidence of gastrointestinal bleeding in adults hospitalized with COVID-19 infection and the influence of patient comorbidities and demographics, COVID-19 therapies, and typical medications used. In this retrospective study, we utilized the National COVID Cohort Collaborative to investigate the primary outcome of the development of gastrointestinal bleeding in 512 467 hospitalized US adults (age >18 years) within 14 days of a COVID-19 infection and the influence of demographics, comorbidities, and selected medications. Gastrointestinal bleeding developed in 0.44% of patients hospitalized with COVID-19. Comorbidities associated with gastrointestinal bleeding include peptic ulcer disease (adjusted odds ratio [aOR] …