Medicine and Health Sciences Commons^™

Breaking The Mold: Exploring The Influence Of Gender Roles On Men's Choice Of Nursing Specialties And Its Implications For Patient Care, Cid Rowel Agustin

Nursing | Student Research Posters

Gender roles and stereotypes continue to shape societal perceptions and expectations within the nursing profession. While strides have been made towards gender equality, male nurses remain underrepresented in certain nursing specialties. Understanding the influence of gender roles and stereotypes on male nurses' specialty selection is essential for promoting diversity and enhancing patient care outcomes. This study aims to explore how perceptions of gender roles and stereotypes impact the career decisions of male nurses and the subsequent implications for future patient care. By examining this complex interplay, we seek to uncover insights that can inform strategies for fostering inclusivity and improving …

The Impact Of Role Perception Gaps Among Nurses: An Integrative Review, Anita Fennessey, Drnp, Rn, Cne

College of Nursing Posters

Background & Significance

• Inadequate communication has consistently been indicated as a contributor to adverse events in all areas of healthcare (Paltved et al, 2017).
• Factors related to individual, team, work environment, organizational and institutional aspects have also been shown to influence patient safety, with increased chances of causing patient harm (Rezende da Silva dos Santos, Campos & Celestino da Silva, 2018).
• Efficient communication among healthcare members is considered a contributing element in promoting a culture of safety (Rezende da Silva dos Santos, Campos & Celestino da Silva, 2018).
• Errors in communication can compromise continuity of care and place patient safety …

Ob-Gyn Resident Education Of Postpartum Care: A Needs Assessment, Melanie Hotz, Ms, Md, Cheryl Godcharles, Md, Ibclc, Julia Switzer, Md

Department of Obstetrics and Gynecology Posters

Background

• Increased recognition of the importance of the ‘fourth trimester’ and the pressing need to reduce maternal morbidity and mortality, has led to a renewed focus on postpartum care.
• Advanced Milestones for The Care of the Postpartum Patient include ability to effectively counsel patients on antenatal, intrapartum and postpartum complications, collaboration with other members of the health care team in postpartum care and application of innovative approaches to the management of patients in the postpartum period.¹
• The CREOG Learning objectives include several specific learning objectives regarding the diagnosis, management and counseling about normal postpartum recovery and complications of the …

Improving Nursing Staff And House Staff Communication Within A Technology Platform (Imobile), Raisa Anwer, Phuong Nguyen, Vidhi Patel, Nadine Bos

Capital Division Research Day 2023

No abstract provided.

Patient Centered Communication, Aelius Khan, Zhe Liu, Thomas Krajewski, Sean Gibbs

South Atlantic Division Research Day 2022

No abstract provided.

Aspiration Pneumonia After Spine Surgery At Tjuh, Daniel Franco, Md, Jesse Edwards, Md, Kristen Vogl, Pt, Barbara Baskin, Slp, James Harrop, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Problem Definition

Aspiration Pneumonia after Spine Surgery at TJUH has a disproportionately high incidence, compared to other major academic centers When Aspiration Pneumonia is diagnosed in the immediate post operative period, this cascades into increased length of stay, increased overall cost and possibility negative impact for physician and hospital reimbursement At this time, it is unclear which criteria are used by physicians to determine whether an aspiration event has happened.

Rapid Response Checklists - A Pilot Study For A Novel Approach, Ali Rafiq, Md, Purujit Thacker, Md, Doron Schneider, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objective

Our goal was to assess residents' ability to think of adequate differential diagnoses in a high-pressure scenario, and their perception of the utility of a checklist during rapid responses.

Lack Of Utility And Excess Cost Of Routine Perioperative Hematologic Testing In Patients Undergoing Elective Neurosurgical Procedures Of The Spine, Lucas Philipp, Md, Mph, Catriona Harrop, Md, David Wyler, Md, James Harrop, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objective

To prospectively conduct a "mock trial" among 100% (minimum n=200) of elective neurosurgery spine patients to estimate the total projected cost, savings, risk, and feasibility of a redefined/restricted lab testing protocol over the next 12 months

A Strategy For Noise Reduction To Improve Patient Experiences With Sleep (Snores), Vikas Sunder, Eitan Frankel, Neelam Upadhyaya, Merlin Mathew, Ritu Nahar, Michael Brister, Nicholas Young, Yair Lev, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Aim

Our aim was to improve patient-reported sleep satisfaction on the 5 W telemetry unit at Thomas Jefferson University Hospital over a 4 month time period (11/2018 to 2/2019) using a Marpac white noise machine.

Increasing Awareness For The Opioid Aftercare Coordination Service (Oacs), Michael Weintraub, Md, Harry Wang, Md, Sean Dikdan, Md, Mph, Alexys Monoson, Md, Shalini Krishnasamy, Jillian Zavodnick, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Background

• The United States is in a crisis of opiate related adverse events. From 1999 2017, more than 700,000 people in the U.S. died from drug related overdose; 68% of those involved opioids
• Admissions at Jefferson Hospital for opioid abuse complications are common among the medicine services. Treating patients for their opiate addiction is essential to prevent future opioid overdoses and other complications
• Jefferson has initiated an Opioid Aftercare Coordination Service (OACS) consult system in response to this crisis in order to increase the number of patients who receive medications for opioid use disorder on discharge
• OACS serves both Jefferson …

Continuity Of Care In The Resected Pancreatic Cancer Patient Population At Thomas Jefferson University Hospital, Christian Fernandez, Md, Nazanin Sarpoulaki, Andrew J. Song, Md, Mark D. Hurwitz, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Introduction

• Standard of care for resectable pancreatic cancer according to the National Comprehensive Cancer Network guidelines includes surgery, chemotherapy, and consideration of radiotherapy
• Thomas Jefferson University Hospital is a high volume institution with over 100 surgical pancreatic cancer cases per year
• Adjuvant treatment at high volume centers is recommended at all stages and inpatients at TJUH routinely receive inpatient radiation and medical oncology consultations prior to discharge to discuss the benefit of adjuvant therapies
• Despite these efforts and potential benefit to patients, the rate of follow up and delivery of adjuvant therapies at TJUH have not be characterized
• We retrospectively …

Creation Of An Institutional Toolkit For Evaluation Of Multidisciplinary Handoffs, Richard F. Schmidt, Md, Courtney Devin, Md, Nicholas Tarangelo, Md, Andrew Mendelson, Md, Bracken Babula, Md, Rebecca Jaffe, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objectives

1. Create a method for analyzing different handoffs in a variety of clinical settings and scenarios at TJUH.
2. Develop a set of standardized survey tools using existing validated language to quantify the perceptions, quality, and needs for different patient care transitions.
3. Use results from these tools to cater focused handoff improvement interventions for specific patient care settings.

Treatment Summaries For Head And Neck Cancer Survivors: Improving Patient Self Efficacy And Survivorship Care, Michael C. Topf, Md, Jena Patel, Ramez Philips, Md, David Cognetti, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objective

• To determine if receiving treatment summaries enhances patient understanding and recall of cancer and treatment details, improves patient self efficacy, and serves as a useful patient tool after completion of head and neck (HNC) therapy

Developing A Neurosurgical Spine Post-Operative Note Template On Epic For Improved Multi-Disciplinary Care, Omaditya Khanna, Md, Geoffrey P. Stricsek, Md, Giuliana Labella, Rn, James Harrop, Md, Jesse Edwards, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Introduction

The care of neurosurgical spine patients often involves a multi-disciplinary team, including neurosurgery residents, hospitalists, nursing staff, and physical/occupational therapists.

Oftentimes, post-op spine patients are on a non-neurosurgical service (hospitalist, MICU/SICU, medicine), who are provided with scant sign out on the procedure(s) performed.

The treatment team(s) that are helping manage patient care post-operatively are often unaware of the procedure performed, and what are the salient clinical signs/symptoms, radiographic findings, and laboratory values that need to be closely monitored

Small Bowel Obstruction: Facilitating Diagnosis And Optimizing Resuscitation And Management, Robin Naples, Md, Kendrick Law, Md, Quinton Campbell, Md, Ryan Bateman, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Introduction

As a common surgical emergency that presents in our Emergency Department, Small Bowel Obstruction (SBO) is a disease process where appropriate treatment relies on early detection, fluid resuscitation, and gastric decompression. Despite SBO representing a common emergency, many patients experience inadequate or delayed management as compared to established guidelines, potentially leading to suboptimal treatment and resolution of SBO. As order sets and alerts within Epic are in place for other disease processes whose management relies on timely diagnosis and fluid resuscitation (e.g. sepsis), objectives for our quality improvement plan involve incorporating elements of alerts and order sets within our …

Escalation Of Care After Admission Within 24 Hours, Joseph Jean, Md, Mitchell Berman, Md, Christopher Ponce, Md, Kory London, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objectives

1. Identify high risk patients in the ED who require hospital admission and may need higher levels of care.
2. Identify patterns or diagnoses in the ED that predispose patient care to escalations after admission.

“Can You Send Over The Imaging?” Analyzing The Patient Transfer Process At Tjuh, Walker Lyons, Md, Peter Altshuler, Md, Andrew Hallett, Md, Lindsay Lynch, Md, Tommy O'Malley, Md, Steven Woodward, Md, Alicja Zalewski, Md, Scott Cowan, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objective

Our goal was to investigate possible ways to improve the transition of care when patients are transferred to Jefferson Center City. As a quaternary care hospital with a large transfer volume, it is especially important to look for ways to optimize this process because it can improve timely patient care, reduce and eliminate unnecessary studies and diagnostic tests and save time and work that could be better spent in other aspects of treating the patient.

The Equality Toolkit: Practical Skills For Lgbtq And Dsd-Affected Patient Care, Laura Weingartner, Emily Noonan, Amy Holthouser, Jennifer Potter, Stacie Steinbock, Suzanne Kingery, Susan Sawning

Undergraduate Medical Education

The eQuality Toolkit is a training manual that helps healthcare providers build a foundation of inclusive clinical skills to competently care for lesbian, gay, bisexual, transgender, and queer-identified (LGBTQ) patients and individuals born with differences of sex development (DSD). Although this toolkit was designed for medical students, any healthcare provider who wants to learn inclusive clinical skills can benefit from this accessible, brief primer through its actionable steps to improve clinical care.

Reducing Overnight Vital Signs, Jill Libbesmeier

Nursing Posters

As delirium has been identified to increase functional decline, cost per patient day of hospitalization, and length of stay, previous delirium work has been completed at St. Cloud Hospital. Changes in sleep pattern and sleep environment have been identified as a cause of delirium. The purpose of this project is to change frequency of vital signs on Med 1, Med 2, and Medical and Oncology, allowing for increased uninterrupted periods of sleep to help reduce delirium rates; in turn reducing average length and cost of stay.

Developing Cultural Competence, Patricia Blonigen-Heinen, Roberta Basol

Nursing Posters

Caring for patients from many cultures is an important part of health care today. Why learn about cultural competencies? Because developing cultural competencies benefits everyone. You can: help patients receive more effective care; help your facility meet standards of The Joint Commission; and improve your job performance.

I Heard It Through The Grape Vine, Terri Mccaffrey

Nursing Posters

Purpose Statement: Patients who are informed and active in their care are more likely to follow recommendations. Providers play a vital role in accomplishing positive communication with cleft team and families.

Improving Scip-4 Glucose Measures, Melissa Fradette

Nursing Posters

A performance improvement project was initiated to increase the Surgical Care Improvement Project (SCIP) glucose measure compliance. Order sets were modified to standardize glucose monitoring frequency and initiate insulin infusions. A previous practice of double documentation (manual and glucose meter interface documentation) were abstracted as 2 separate results. When glucose interfacting became an option, the practice of manual entries did not stop. The use of manually documented results for decisions failue to prompt interface confirmation; non-validated results do not interface. The plan: implement order set changes; eliminate manual documentation; and rely on interfaced measures to make clinical decisions.

Pneumonia: Ongoing Efforts To Improve Outcomes, Centracare Health

Nursing Posters

Background: Original improvement efforts emphasized correct antibiotic, early mobilization, adequate hydration, and early and ongoing oxygen weaning. Ongoing efforts include: early mobilization, obtaining room air sats on admission, early and ongoing oxygen weaning, and patient education.

Sustaining Pressure Ulcer Prevention: Implementing A Skin Champion Model, Jennifer Burris

Nursing Posters

Purpose Question: Will an evidence-based skin champion model in the ICU improve nursing knowledge and perceptions about pressure ulcer prevention and reduce hospital acquired pressure ulcers?

Self-Study In Patient Safety And Quality Improvement To Enhance Student Experience In Interprofessional Case Competition, M. Lisa Pagnucco, Erin Maggie Jones, James Walrath, Danielle Cropley, Lindsay Robusto, Nora Asamoah, Leslie Ochs

2014 Interprofessional Student Advisory Team (IPSAT) Case Competition

Objective: The Interprofessional Student Advisory Team (IPSAT) at the University of New England (UNE) organized its 2nd interprofessional student case competition, modeled after the CLARION competition from the University of Minnesota. Completion of an online certificate in patient safety and quality improvement from the Institute for Healthcare Improvement (IHI) Open School was added as a pre-requisite to participation in the 2014 competition. Completion of this program was predicted to improve student preparedness and confidence and facilitate interprofessional teamwork during their case preparation.

Conclusions: Survey results indicate an increase in student confidence and preparedness for interprofessional teamwork during the 2014 UNE …

Reducing Falls And Fall-Related Injuries In The Acute Care Setting, Mallory Mondloch

Nursing Posters

The Minnesota Hospital Association released a safety alert indicating there has been a significant increase in the number of reported patient fall events. Each year, falls and fall-related injuries account for an astounding number of unnecessary healthcare costs. Not only are falls costly, but many sadly result in major disabilities or deaths. Here are the steps we can take to reduce falls and fall-related injuries.

Today - February 22, 2013, Loma Linda University Health

TODAY

Inside this issue:

-- LLEAP Go-Live brings new era of patient care
-- Web Center organized to bring Loma Linda University Health campuses together
-- Helicopter landing highlights LLU student open house
-- Clinic With a Heart restores record number of smiles
-- Dementia outreach grows at Loma Linda University
-- Recent events remind how to properly respond to news media
-- Guild president outlines plans and priorities for 2013
-- Recent updated bioethics graduate program thrives
-- HRIS department recognized for excellence by LLUH
-- Stipends empower social work students to begin careers in health care
-- Speaking of …

Capnography Monitoring: A New Tool For Sch, Brenda Swendra-Henry, Peggy Lange

Nursing Posters

To incorporate capnography into the care of patients receiving or recovering from continuous opioid infusions or sedation or at the discretion of RN or RT for patients with respiratory compromise.

A Practical Solution To The Challenges Of Rehabilitation Nursing Documentation, Ann Summar, Joyce Belanger, Melissa Vee

Nursing Posters

To evaluate and improve the daily progress note template in rehabilitation nursing documentation.

Revising A Patient Medication Program To Improve Medication Adherence And Patient Outcomes, Rebecca Kastanek, Sandi Mulliner, Ann Summar

Nursing Posters

To improve education and understanding of medications in order to improve overall quality of care, to ensure our patients stay healthy and retain the gains they made during their rehabilitation stay, and to decrease readmission rates.