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Articles 1 - 20 of 20
Full-Text Articles in Medicine and Health Sciences
Implementation Of A Multi-Institution, Multistate Cystic Fibrosis Transition Program, Christopher M. Oermann, D Polineni, A Andrews, A Moog, Paula Capel, T Bomstedt, Ellen Meier, J Mermis
Implementation Of A Multi-Institution, Multistate Cystic Fibrosis Transition Program, Christopher M. Oermann, D Polineni, A Andrews, A Moog, Paula Capel, T Bomstedt, Ellen Meier, J Mermis
Posters
Background: Children’s Mercy-Kansas City (CMKC) is an independent children’s hospital in Kansas City, MO. Its CF Care Center (CFCC) provides care for 250 patients. The University of Kansas Medical Center (KUMC) is an academic medical center in Kansas City, KS. Its CFCC includes adult/pediatric programs (230/50 patients). Interactions between CMKC and KUMC were minimal prior to 2013. CMKC provided care through adulthood despite CF Foundation mandates requiring transition of patients aged 18-21 years. Transition only occurred per patient request. Methods: The CMKC CFCC underwent restructuring and staff expansion in 2013-2014. KUMC underwent staff expansion in 2012, adding a nurse, respiratory …
Knowledge Base Of Adolescents With Congenital Heart Disease, Mark Gelatt, Julie Martin, Jennifer A. Marshall, Jennifer Panuco, Jenea Schmidt, Pamela Finn
Knowledge Base Of Adolescents With Congenital Heart Disease, Mark Gelatt, Julie Martin, Jennifer A. Marshall, Jennifer Panuco, Jenea Schmidt, Pamela Finn
Posters
Introduction:
Most congenital heart disease [CHD] is diagnosed and treated in early childhood with parents responsible for decision-making. The adolescent assumes this role in preparation for transition to an adult congenital heart program. We studied the knowledge base of our adolescent CHD patients and their parents.
Methods:
Established CHD patients, >11 y.o. and their parents, were independently surveyed in the outpatient clinic. Participation was voluntary. Cardiomyopathy, electrophysiology and transplant patients were excluded. Scores were assessed as full, partial or incomplete.
Results:
Most (98% parents; 83% adolescents) reported that their cardiologist had provided education. Adolescents provided a full (49%) and partial …
Hematuria Without Microalbuminuria, Angela Ferguson, Vimal Chadha, Amy Wiebold, Uttam Garg
Hematuria Without Microalbuminuria, Angela Ferguson, Vimal Chadha, Amy Wiebold, Uttam Garg
Posters
Background
Microabubiminuria is a condition in which small amounts of albumin are excreted in the urine without overt nephropathy. Based on the
American Diabetic Association classification, microalbuminuria is defined as urinary excretion of albumin of 30–300 mg per 24 hours or 20–200 mcg/min or 30–300 mcg/mg creatinine. Various conditions such as diabetes, hypertension, and impaired renal tubular reabsorption can lead to microalbuminuria. Microalbuminuria is an indicator and predictor of the development of overt nephropathy. If identified and treated early, overt nephropathy can be prevented and averted. Proteinuria and hematuria are the two most common urinary abnormalities encountered during routine urinalysis. …
Investigating Program Directors' Milestone Assessment Practices In Graduate Medical Education, Kadriye O. Lewis, Susan B. Hathaway, J F. Knapp, Denise Bratcher, Douglas Blowey
Investigating Program Directors' Milestone Assessment Practices In Graduate Medical Education, Kadriye O. Lewis, Susan B. Hathaway, J F. Knapp, Denise Bratcher, Douglas Blowey
Posters
The purpose of this study is to investigate the current assessment practices as well as identify the needs and challenges of the Program Directors in implementing ACGME's Milestones for assessment in graduate medical education at a pediatric hospital. The ultimate outcome of this study will be to fairly deliver our support and services to all programs equally providing expertise/consulting, guiding, mentoring/advising, and distributing resources.
Focus Groups As A Method To Build Library Services And Partnerships Across The Institution, Courtney R. Butler, Megan Molinaro
Focus Groups As A Method To Build Library Services And Partnerships Across The Institution, Courtney R. Butler, Megan Molinaro
Posters
BACKGROUND: Children's Mercy is an independent, non-profit, 367-bed pediatric health system with multiple clinic locations and a strong focus on research. It offers a pediatric residency program and over 37 subspecialty fellowship programs.
New initiatives go through many steps from conception to implementation. The focus of this case study is to describe how gathering feedback from stakeholders during proposal development provided valuable insight, secured stakeholder collateral to support requests for administrative approval and funding, and marked the beginning of new productive institution-wide partnerships.
PROJECT STAGES:
Identify Needs
Identify Stakeholders
Evaluate Software
Conduct Focus Groups
Develop Fair Market Analysis/Executive Summary
Convene …
Application Of The Multi-Facet Rasch Model To Validate Chief Residents Survey: A Two-Year Study, Kadriye O. Lewis, Ross Newman
Application Of The Multi-Facet Rasch Model To Validate Chief Residents Survey: A Two-Year Study, Kadriye O. Lewis, Ross Newman
Posters
This study compares the Chief Resident candidates' characteristics and leadership qualities within and across two years and further validates the Chief Resident peer selection instrument.
Pre-Implementation Of A Fontan Post-Operative Clinical Pathway: Summary Of 2016 Pdsa Cycles, Sarah M. Lagergren, Bryan Beaven, Suma Goudar, Megan Jensen
Pre-Implementation Of A Fontan Post-Operative Clinical Pathway: Summary Of 2016 Pdsa Cycles, Sarah M. Lagergren, Bryan Beaven, Suma Goudar, Megan Jensen
Posters
Background/Introduction: Post-operative hospitalization for the Fontan procedure tends to have an extended hospital length of stay (LOS). From 2013-2014, the average LOS at Children’s Mercy for the Fontan procedure is 14 days, whereas the U.S. national reported average is 11 days. Post-operative management of this patient population is often caregiver dependent. It has been theorized that developing a more standardized post-operative management regimen tailored specifically toward the unique physiology of Fontan patients may be able to improve outcomes and decrease LOS.
Methods: A review of literature was performed and revealed three pediatric institutions have published their post-operative Fontan care guidelines. …
An Expanded Role For Nurses In Laboratory Utilization, Marilyn S. Hamilton, Rangaraj Selvarangan, Michele Fix, Lynn E. Shriver
An Expanded Role For Nurses In Laboratory Utilization, Marilyn S. Hamilton, Rangaraj Selvarangan, Michele Fix, Lynn E. Shriver
Posters
Introduction: The majority of laboratory testing errors occur in the pre-analytical stage, including specimen collection. Children provide special challenges including small blood volumes, small veins, and an inability to cooperate. We describe collaboration between laboratorians and nursing staff to improve specimen collection and the reliability of test results.
Methods: We identified three areas for improvement: 1) Volume of blood for culture, 2) Urine collection, and 3) Appropriate blood collection through a line. Base line data was established. Guidelines for specimen collection were updated. Nurse members of the Laboratory Utilization Committee developed educational tools.
Results: Nursing education was effective at improving …
Therapeutic Plasma Exchange (Tpe) Performed In Tandem With Crrt And/Or Ecmo: Experience Of One Pediatric Center, Lejla Music Aplenc, Cindy George, Kimberly Marriott
Therapeutic Plasma Exchange (Tpe) Performed In Tandem With Crrt And/Or Ecmo: Experience Of One Pediatric Center, Lejla Music Aplenc, Cindy George, Kimberly Marriott
Posters
SUMMARY
The most common indications for starting tandem procedures were ASFA Category III indications, followed by un-categorized indications.
Similar to other reports in literature, hypocalcemia and hypotension were the most common complications. Transfusion reactions were rare, despite the use of large volumes of plasma.
Tandem procedures in critically ill pediatric patients require close monitoring and excellent communication between staff members.
Global Health Experience In Swaziland, Anik Patel
Global Health Experience In Swaziland, Anik Patel
Posters
Describes a global health learning experience at the Baylor Center of Excellence in Swaziland, where diagnosis and treatment of HIV/AIDS and TB, along with maternal health, women's health, and adolescent care are provided.
Swaziland: A Journey Into Culture And Health Care, Claire Hickey
Swaziland: A Journey Into Culture And Health Care, Claire Hickey
Posters
Describes a global health learning experience with Baylor International Pediatrics AIDS Initiative in Swaziland in 2017.
Tender Loving Care At The Lake Clinic, Cambodia, Shubra Srinivas
Tender Loving Care At The Lake Clinic, Cambodia, Shubra Srinivas
Posters
Describes a global health learning experience at The Lake Clinic in Cambodia caring for children and adults in a low resource setting in 2017.
Global Health Elective: Swaziland, Africa, Jane Duong
Global Health Elective: Swaziland, Africa, Jane Duong
Posters
Describes her learning experience providing care with the Baylor International Pediatric AIDS Initiative (BIPAI) in September 2017.
Exploring Pediatrics In The Philippines, Taylor Hansen
Exploring Pediatrics In The Philippines, Taylor Hansen
Posters
Describes her learning experience in the Philippines with the Jose Fabella Memorial Milk Bank, Fabella's Kangaroo Mother Care Unit, and Talisay Health Center in 2017.
A Month In Manila, Robin M. Lund
A Month In Manila, Robin M. Lund
Posters
Describes a global health learning experience at Philippines Children's Medical Center in Manila.
A Month At The Lake Clinic - Cambodia, Mara Horwitz
A Month At The Lake Clinic - Cambodia, Mara Horwitz
Posters
Describes a global health learning experience in Cambodia on floating clinics that serve residents of remote villages of the Tonie Sap Lake and Stung Sen River.
Sanibonani! A Global Health View Of The Hiv/Aids Epidemic In Swaziland, Angie Schmidt
Sanibonani! A Global Health View Of The Hiv/Aids Epidemic In Swaziland, Angie Schmidt
Posters
Describes a global health learning experience with the Baylor International Pediatric AIDS Initiative in Swaziland.
South Africa: Combatting The Rise Of Hiv In Adolescents, Ryan Northrup
South Africa: Combatting The Rise Of Hiv In Adolescents, Ryan Northrup
Posters
Describes a global health learning experience in South Africa in 2017, focused on educating teenagers in schools about sexual health and AIDS prevention.
Use Of Personalized Patient Heart Diagrams At The Bedside To Improve Quality Of Care, Melissa D. Elliott
Use Of Personalized Patient Heart Diagrams At The Bedside To Improve Quality Of Care, Melissa D. Elliott
Posters
Title: Use of personalized patient heart diagrams at the bedside to improve quality of care
Background/Introduction: With congenital heart disease no two hearts are exactly the same. Even with the same lesion, the anatomy of the heart can be completely different. In response to a bedside nursing idea following a cardiac arrest, advanced practice nurses (APN) initiated a program to provide personalized cardiac anatomy diagrams at the bedside of every patient on the cardiology service.
Methods: When a cardiac patient is admitted to cardiology floor, the nurse will check the patients chart for an anatomy picture, then will place …
The Scope Of Social Work Practice In Transition To Adulthood Care, Teresa Hickam
The Scope Of Social Work Practice In Transition To Adulthood Care, Teresa Hickam
Posters
This is a study of roles executed by social workers and nurses to address common transition planning needs in a pediatric hospital. Duties were stratified based upon tasks assigned only to social work versus those shared with nursing or other team members.