Medicine and Health Sciences Commons^™

Improving Revenue Capture And Patient Safety In An Icu Setting, Natasha Stankiewicz, Laura Lewis, Jonathan Archibald, Mark Parker, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks

Operations Transformation

IMPROVING REVENUE CAPTURE AND PATIENT SAEFTY IN AN INTENSIVE CARE SETTING

Materials management department is responsible for restocking chargeable supplies in an intensive care unit (ICU) at an academic tertiary medical center. Staff confusion as to what items were considered chargeable often led to low supply par levels resulting in delays of critical patient care.

Using baseline metrics, a team of caregivers created several performance improvement goals to increase nursing compliance with appropriate supply charging. The results of a root cause analysis spearheaded the development of a KPI that encompassed staff education, lost charge tracking and charge supply labeling.

Post …

The Development And Implementation Of A Reliable Method For Educating Provider Groups On Stroke Discharge Order Sets, Deborah Gregoire, Shawn Taylor, Suneela Nayak, Mark Parker, Kathryn Cope, Ruth Hanselman, Stephen Tyzik, Amy Sparks, Brendan Lilley

Operations Transformation

THE DEVELOPMENT AND IMPLEMENTATION OF A RELIABLE METHOD FOR EDUCATING PROVIDERS ON STROKE DISCHARGE ORDER SETS

After receiving a comprehensive stroke certification from the Joint Commission, an academic tertiary care medical center created and revised 15 stroke order sets to ensure providers could easily place the correct orders for every stroke patient. Following certification, it was noted that there was inconsistent use of these order sets. This raised concerns that the process to treat a stroke patient may be delayed, creating serious potential risk for the patient.

A goal of this performance improvement plan was to develop and implement a …

October 2018, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

Walking Club

The SWOSU Walking Club is meeting every MWF, 12:10 pm, at the Wellness Center. Fit exercising into your workday with a 30-40-minute walk and receive the benefits of social support, stress relief, and renewed energy.

SWOSU Fall Pool Hours

Monday-Friday 6:00-8:00 a.m. 12:00-2:00 p.m. 5:00-7:00 p.m. (except Tuesday)

Water Aerobics

Monday-Wednesday 6:00–7:00 p.m. Thursday 5:00-6:00 p.m.

A Partnership Between Nursing Faculty, Students, And Urban Community Centers To Provide Vision Screenings For Low-Income Immigrant Women: An Experiential Case Study, Rose C. O'Halloran, Kerry A. Milner, Kim Foito

Sacred Heart University Scholar

Given the current health care climate, it is critical for nurse educators to provide learning opportunities for students to collaborate with leaders in the community to provide much-needed services to vulnerable populations. We developed, implemented, and evaluated a process for vision screenings and referrals to a local eye center for low-income, immigrant women over three years in an urban setting in the United States. This is a report on the program, including the challenges faced by the faculty and lessons learned by the nursing students.

Implementation And Evaluation Of A Physical Activity And Dietary Program In Federal Incarcerated Females, Rosemary A. Johnson, Kerry A. Milner, Christine Heng, Anna E. Greer, Susan M. Denisco

Nursing Faculty Publications

The purpose of this 3-month quasi-experimental pilot study was to examine the effect of a physical activity and dietary education program on body mass index (BMI) and resilience. Participants were given data-storing pedometers to record their physical activity, attended classes on healthy eating, and used portion control tools from http://ChooseMyPlate.gov . MyPlate usage and commissary purchases were collected weekly. BMI and resilience scores were measured at baseline, 6 weeks, and 12 weeks. Twenty-nine female prisoners completed the study. There was a statistically significant reduction in BMI after 12 weeks (χ2 = 7.56, p = .023) and resilience levels increased but …

Improving The Interprofessional Relationship Between Nurses And Speech-Language Pathologists: A Pilot Study, Christina Hamling, Kristy Weissling

Honors Program: Senior Projects (Public)

The research presented in this thesis explores the impact of interprofessional education on undergraduate nursing and speech-language pathology students with an overall goal of improving the interprofessional relationship between the two fields. Utilizing quantitative and qualitative methods in the form of a pre-test, educational materials, live guided observation, and post-tests, the researchers found an increase in the nursing students ’ ability to identify the role of the speech-language pathologist in a medical setting (knowledge). There was also an increase in the speech-language pathology students’ ability to understand how and when to communicate with nurses in a medical setting (knowledge).

Implementation Of A Sustainable Peer Mentor Program In Student Registered Nurse Anesthetists (Srnas)”, Kristin Cox

Doctoral Projects

Evidence has shown that Student Registered Nurse Anesthetist’s (SRNAs) stress is perceived as above average and is correlated with substandard patient care during clinical courses (Chipas et al., 2012). Some studies have indicated SRNAs experience low self-efficacy during clinical, which could lead to difficulty in thinking clearly or responding to clinical situations (Imus, Burns, & Weglarz, 2017). Peer mentoring has shown to result in stress reduction and improvement in self-efficacy in students (Barker et al., 2012; Giordana & Wedin, 2010). Despite the current evidence, a nurse anesthesia program in the southeastern United States did not have an organized peer mentor …

Continuous Epidural Analgesia For Postoperative Pain Management: A Policy Analysis, Madison Nowell

Doctoral Projects

Postoperative pain management is a necessary component of the care of every surgical patient. Epidural analgesia is a widely used method to provide excellent postoperative pain relief and enhance postoperative recovery (Sawhney, 2012). Epidural analgesia is associated with fewer side effects than alternative pain management techniques; however, when epidural catheters are managed improperly, or pain is inadequately assessed, epidural analgesia fails to provide adequate pain relief (Deni et al., 2016). More than 80% of surgical patients experience moderate to severe postoperative pain, and 28 to 50% of these patients have a pain score greater than 6 out of 10 at …

Engaging Stakeholders In Collaborative And Constructive Course Evaluation, Roger Jerabek, Rebecca Hartley, Nancy Shane, Renee Quintana

HSC Education Days

Implementing a coherent and coordinated curriculum, which prepares students for licensure exams and subsequent phases of their training, requires the concerted expertise and efforts of diverse stakeholders, including administrators, faculty, staff, and students. The Office of Program Evaluation, Education and Research (PEAR) is responsible for student evaluations of courses at the University of New Mexico School of Medicine (SOM). In 2016, members of PEAR collaborated with the SOM Curriculum Committee to restructure the preclinical course review process to engage committee members more fully in monitoring courses. This poster summarizes evaluation processes, shares information on how other medical schools review preclinical …

Intradisciplinary Nursing Simulations: Advanced Practice Nursing With Bsn Students Msn, Rn, Adreanne Cordova, Herica Torres, Debra Serrino, Sharon Schaaf, Joseph Poole

HSC Education Days

With the increasing enrollment of advanced practice nursing students (APN) and the increasing literature supporting interprofessional simulation encouraging a team-based approach for safe patient care, a new clinical relationship among our APN (AGACNP and Midwifery) and BSN (Levels 4 and 5) students has been created at our college. This partnership has yielded an experience rich with collaboration, communication, and collective problem solving for patient care. Both BSN and APN students have gained more experience in: clear SBAR communication, working collaboratively and advocating for patient safety during the simulations in which they practice together. The intraprofessional nursing experience yields prepared, professional, …

2018 September 18 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Week Of September 17, 2018, New York Medical College

InTouch

• Lori Solomon, M.D. '99, M.P.H. '09, Is Appointed Chair of the Department of Family and Community Medicine
• Karen M. Murray, M.D. '99, Is Named Associate Dean for Admissions for the School of Medicine
• NYMC Celebrates 25th Annual NYMC Faculty Author Event
• NYMC Welcomes County Executive for a Campus Visit
• NYMC Goes Gold
• BioInc@NYMC Welcomes Affina Biotechnologies to Incubator

Non-St-Segment Elevation Acute Coronary Syndrome: Early Versus Delayed Cardiac Catheterization, Teresa Colelli, Adrianna Clapp, Rudy Wenner, Blake J. Arthurs

Clinical Research in Practice: The Journal of Team Hippocrates

An informed consent conversation regarding early vs. delayed cardiac catheterization for patients with NSTEMI.

Editorial: Clinical Practice Can Save Evidence-Based Medicine From Itself, James Peter Meza, Nicholus Yee

Clinical Research in Practice: The Journal of Team Hippocrates

Although imperfect, the structure of this journal and its publications are demonstrations of clinicians attempting to actualize the wisdom of these foundational thinkers. We need to leave examples and guideposts to the next generation of clinicians of how to fulfill this vision of being excellent clinicians, through both formal education and role modeling.

Pneumatic Balloon Dilation Versus Myotomy For The Treatment Of Achalsia, Benjamin E. Ueberroth

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Moonen A, Annese V, Belmans A, et al. Long-term results of the European achalasia trial: A multicentre randomised controlled trial comparing pneumatic dilation versus laparoscopic Heller myotomy. Gut. 2016 May;65(5):732-9. doi: 10.1136/gutjnl-2015-310602.

Fecal Transplant Is Superior To Oral Vancomycin For Treatment Of Recurrent Clostridium Difficile, Kassandra J. Weber

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Van Nood E, Vrieze A, Nieuwdorp M, Fuentes S, et al. Duodenal infusion of donor feces for recurrent Clostridium difficile. N Engl J Med. 2013;368(5):407-415. doi: 10.1056/NEJMoa1205037.

Equal Efficacy Of Clopidogrel Versus Ticagrelor As Monotherapy In Peripheral Artery Disease, Aimee L. Vos

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Hiatt H, Fowkes G, Heizer G, et al. Ticagrelor versus clopidogrel in symptomatic peripheral artery disease. N Engl J Med. 2017;376:32-40. doi: 10.1056/NEJMoa1611688.

Lurasidone Is Not Associated With Risk Of Qtc Prolongation, Halimah Y. Oral

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Meltzer HY, Cucchiaro J, Silva R, Ogasa M, Phillips D, Xu J, Kalali AH, Scheizer E, Pikalov A, Loebel A. Lurasidone in the treatment of schizophrenia: a randomized, double-blind, placebo- and olanzapine-controlled study. Am J Psychiatry. 2011 Sep;168(9):957-67. doi: https://doi.org/10.1176/appi.ajp.2011.10060907.

Long-Term Antibiotic Therapy Is Just As Effective As Amputation For Foot Osteomyelitis In Diabetics Without Peripheral Arterial Disease, Christopher Hopper

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Lázaro-Martínez JL, Aragón-Sánchez J, García-Morales E. Antibiotics versus conservative surgery for treating diabetic foot osteomyelitis: a randomized comparative trial. Diabetes Care. 2014;37(3):789-95. doi: 10.2337/dc13-1526.

Ssri Maintenance Therapy Reduces Rate Of Recurrence For Elderly Patients With First Episode Of Major Depression, Blake J. Arthurs

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Reynolds CF 3rd, Dew MA, Pollock BG, et al. Maintenance treatment of major depression in old age. N Engl J Med. 2006 Mar 16;354(11):1130-8. doi: 10.1056/NEJMoa052619. Based on the appraisal, long term SSRI maintenance therapy is recommended for elderly patients suffering from first episode of major depression.

My Patient Chose To Not Use Daily Azithromycin To Prevent Exacerbation Of Copd, Jacob Oblak

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Albert RK, Connett J, Bailey WC, et al. Azithromycin for prevention of exacerbations of COPD. New Eng J Med. 2011;365:689-698. doi: 10.1056/NEJMoa1104623.

Abstinence From Alcohol Improves Survival In Decompensated Cirrhotic Patients, Perry Zong

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Alvarez MA, Cirera I, Solà R, Bargalló A, Morillas RM, Planas R. Long-term clinical course of decompensated alcoholic cirrhosis. Journal of Clinical Gastroenterology. 2011;45(10):906-911. doi: 10.1097/mcg.0b013e3182284e13.

Therapeutic Hypothermia For Children After In-Hospital Cardiac Arrest Not Helpful, Bradley Kolb

Clinical Research in Practice: The Journal of Team Hippocrates

An informed consent discussion regarding the merits of therapeutic hypothermia in a comatose pediatric patient following in-hospital cardiac arrest and return of spontaneous circulation.

Institutional Protocols Can Improve Ivc Filter Retrieval Rates, Madeline Ross, Gong He, Veronica Santana-Ufret, Anjali Sundar

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Lynch FC. A method for following patients with retrievable inferior vena cava filters: results and lessons learned from the first 1100 patients. J Vasc Interv Radiol. 2011;22:1507–1512. doi: 10.1016/j.jvir.2011.07.019

Intravenous Immunoglobulin Is A Treatment Option For Refractory Dermatomyositis In Adult Patients, Adrianna D M Clapp

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Dalakas MC, Illa I, Dambrosia JM, et al. A controlled trial of high-dose intravenous immune globulin infusions as treatment for dermatomyositis. N Engl J Med. 1993;329:1993-2000. doi: 10.1056/nejm199312303292704.

Autologous Blood Patch After Ct-Guided Lung Biopsy Might Reduce Pneumothorax Requiring Chest Tube Placement, Tiffani Strickland

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Malone LJ, Stanfill RM, Wang H, Fahey KM, Bertino RE. Effect of intraparenchymal blood patch on rates of pneumothorax and pneumothorax requiring chest tube placement after percutaneous lung biopsy. American Journal of Roentgenology. 2013;200(6):1238-1243. doi: 10.2214/ajr.12.8980.

Icatibant Is Not An Appropriate Treatment Option For Ace-Inhibitor Induced Angioedema Of The Head And Neck, Faiz Khaja

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Sinert T, Levy P, Bernstein JA, et al. Randomized trial of icatibant for angiotensin-converting enzyme inhibitor-induced upper airway angioedema. J Allergy Clin Immunol Pract. 2017;5(5):1402-9. doi: 10.1016/j.jaip.2017.03.003

Student Reflections On Position And Experiences In The Doctors Of Tomorrow Program, Gurjit Sandhu, Emily N. Flagler, Kaustubh Prabhu, Paula T. Ross

The Qualitative Report

Racial diversity in the medical field remains elusive. Actively engaging high school students from communities underrepresented in medicine (URiM) through pipeline programs has been identified as a viable strategy to support diversification of the U.S. physician population. However, students’ perspectives toward these programs remains unclear. In this study, we aim to elicit insights of URiM students matriculating to postsecondary education who participated in the Doctors of Tomorrow (DoT) program to better understand their experiences. Semi-structured interviews were conducted with 14 of the 17 high school students from the inaugural year of DoT. We explored URiM students’ experiences during DoT involvement, …

Cime Newsletter : September 2018, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Live Orbital and Oculoplastic Surgery Telecast and Fundoscopy Simulator Training
-CIME at SimGHOSTS
-Endoscopy Workshop in Partnership
-A Masterclass on the Mini-Gastric Bypass Procedure
-Vascular Surgery Workshop
-Complicated Intra-Abdominal Infections Workshop
-Shoulder Dystocia - Team Training Workshop
-Simulation Saves Lives by Dolliewood Production

Premedical Programs Newsletter, September 2018, University Of Dayton

Pre-Health Resource Center Campus Communications

Newsletter for students, staff, and faculty in the premedical and predental programs.