Medicine and Health Sciences Commons^™

Using A Standardized Admission Handoff (I-Pass) To Improve Communication Between Pediatric Urgent Care And Inpatient Providers, Amanda Nedved, Kathleen Berg, Amanda Montalbano

Posters

Ineffective hand-off communication is recognized as a critical patient safety problem in health care. A pre-interventions survey of pediatric urgent care providers and pediatric hospitalists demonstrated an opportunity for improvement of communication during admission handoffs.

Standardized handoffs improve communication without impeding provider workflow. We learned that subjective terms for illness severity ("stable," "watcher," and "unstable") did not translate well from urgent care to inpatient. We are planning on implementing an objective standardized tool (PEWS) to improve the communication of illness severity. We have also updated the I-PASS visual aid based on feedback.

Improving Pneumococcal Vaccination Rates In High Risk Patients Across Multiple Specialty Divisions, Rachel Moran, Julia G. Harris, Claire Olsen, Rana El Feghaly, Liset Olarte, Douglas Blowey, Luke A. Harris

Posters

Pediatric patients with deficient immune systems or certain chronic medical conditions have an increased risk of acquiring invasive pneumococcal disease.

The 23-valent pneumococcal (PPSV23) vaccine provides protection against 23 pneumococcal serotypes and is recommended for patients aged 2 years or older who are high-risk for invasive pneumococcal disease.

Unfortunately, many high-risk patients are not properly vaccinated due to lack of provider knowledge or understanding of accountability between primary care and specialty providers.

The goal of this project was to improve PPSV23 vaccination rates by 10-20% across multiple Children's Mercy Kansas City specialty divisions.

Pediatric Surgery Opioid Prescription Follow-Up, Gadison Quick, Nathaniel Aviles, Gabriel Melgarejo, Hunjung Choi, Elizabeth Edmundson

Posters

This quality improvement project is assisting general and orthopedic surgeons in gaining greater clarity when prescribing opioids for specific surgical procedures. Additional surgical services are being added to the project fall of 2019. Opioid prescribing patterns are, and will continue to be, key to all prescribing providers within our organization.

Decreasing Length Of Stay In Pediatric Urgent Care With Electronic Discharge Instructions, Jennifer Wooster, Aimy Patel, Brian R. Lee, Amanda Nedved

Posters

Time spent waiting in the urgent care clinic is dissatisfying for patient and staff. This "wasted time" accounted for more than 52% of the urgent care visit at our urgent care.

The aim of our project is to decrease length of stay by 10 minutes by April 30, 2019 for all patients discharged from Blue Valley Urgent Care by offering patients a paperless depart process. To be eligible for discharge without paper families must be enrolled in the online patient portal.

Electronic discharge instructions significantly decrease length of stay and is associated with improved patient experience scores. Patients who received …

The Kanga-Croo: Nurse Resident Champions Creating Momentum For Improvement, Brett Butler, Jacob Burden, Carly Creekmore, Blair Griffin, Taylor Godemann, Taylor Hagen, Theresa Koelling, Mary Anne Kucera, Halle Magid, Makenna Miller, Monica Page, Mary Riffel, Madison Stebbins, Sarah Stokes, Skylar Suppes

Posters

Topic Summary:

Kangaroo Care (skin to skin care) is a parent-led, evidence-based intervention which improves outcomes in neonatal patients including: decreased apnea, increased weight gain, increased parent satisfaction and decreased length of stay.

Results:

Nurse resident team interventions to support parent engagement and remove barriers to Kangaroo Care (KC) through iterative PDSA cycles from January 2018 to July 2019 yielded positive results within a subset of ICN patients.

Uga Laboratory Manual For Functional Human Anatomy, Rob Nichols

Biological Sciences Open Textbooks

This lab manual was created for Functional Human Anatomy at the University of Georgia under a Textbook Transformation Grant and revised through a Scaling Up OER Pilot Grant.

http://oer.galileo.usg.edu/biology-collections/12/

The manual contains the following labs:

• Introduction to Anatomical Terminology
• Back: Skeletal Framework
• Back Muscles
• Skeletal Framework of the Upper Limb
• Muscles of the Upper Limb
• Skeletal Framework of the Lower Limb
• Skeletal Framework of the Thorax
• Body Cavities and Mesenteries

Uga Anatomy And Physiology 2 Lab Manual, 3rd Edition, Ann Massey, Lindsey Beebe, Deloris Hesse

Biological Sciences Open Textbooks

This lab manual was created for Anatomy and Physiology II at the University of Georgia under a Textbook Transformation Grant and revised through a Scaling Up OER Pilot Grant.

http://oer.galileo.usg.edu/biology-collections/12/

The manual contains the following labs:

• Blood Composition
• Blood Typing
• Heart Anatomy
• Cardiovascular Physiology
• Systemic Blood Vessels
• Anatomy of the Respiratory System
• Physiology of the Respiratory System
• Renal Anatomy
• Urinalysis
• Digestive System Anatomy
• Digestive Physiology
• Male Reproductive System
• Female Reproductive System

Accessible files with optical character recognition (OCR) and auto-tagging provided by the Center for Inclusive Design and Innovation.

The Flame, 2018-2019, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

Writing In The Health Sciences: A Collection Of Exemplary Student Writing Spring 2019, Valparaiso University, Valparaiso University Writing Program

English Curricular Materials

"The narratives that appear beyond this foreword, plus one modest literature review, one integrative study, and one healthcare guideline analysis, were written last spring by students from the College of Nursing and Health Professions in sections of English 205. English 205 is a writing-intensive course offered by the English department, listed in the catalog as “Writing in the Health Professions.” As titles go, that’s pretty bland, for a course or for a collection of writing. Writing in the health professions is anything but bland, as you’ll find out if you read any of the work in this collection. Health professionals …

What's Happening: September 30, 2019, Maine Medical Center

What's Happening

No abstract provided.

Creating A Virtual Community To Provide Centralized Access To Research Resources And Services, Margeret-Claire Chenault, Ms, Julia Center, Bs, Melissa Mccarey, Mph, Kathleen O'Malley, Bsn, Ccrp, Cce

Jefferson Clinical Research Institute Posters

Purpose

Thomas Jefferson University (TJU) is a rapidly growing, geographically dispersed academic healthcare system. Research personnel must navigate essential resources and services buried within a multitude of siloed platforms and websites. Jefferson Clinical Research Institute (JCRI) provides centralized support to research personnel and investigators and recognizes the need to efficiently connect staff with these resources. TJU launched a new platform that allows employees to access benefits information, payroll, time-off, and mandatory learning. This platform also features virtual “communities” designed for networking and sharing information. JCRI created one such community to link personnel with resources and services (Figure1). We evaluated its …

Gsk3Β-Dependent Phosphorylation Of Cypd And Regulation Of Mptp Opening During Myocardial Infarction, Stephen Hurst, Ludovic Gomez, Shey-Shing Sheu

Center for Translational Medicine Posters

Background

Mitochondrial calcium overload and oxidative stress during ischemia reperfusion (I/R) injury remains a major obstacle during percutaneous coronary intervention after acute myocardial infarction. It often leads to an increased susceptibility for mitochondria permeability transition pore (mPTP) opening leading to cell death. Mitochondrial calcium overload and ROS have been identified as key triggers to open the mPTP for over 30 years, yet the exact mechanism has remained elusive. Additionally, glycogen synthase kinase 3β; (GSK-3β;) is proposed as one of the key molecules that regulate mitochondrial dysfunction and injury during I/R. Indeed inhibition of GSK-3β has been shown to be required …

Pyk2 Expression And Localization In Cardiac Mitochondria And Its Role In Mitochondrial Calcium Regulation, Ariele Baggett, Celia Fernandez-Sanz, Sergio De La Fuente, Johannes Hoek, Shey-Shing Sheu

Center for Translational Medicine Posters

TRPM2 is a non-selective cation channel located in the plasma membrane of the cell. Upon activation, the channel opens, allowing calcium to enter into the cytosol of the cell, leading ultimately to the phosphorylation and activation of the enzyme Pyk2 (proline-rich tyrosine kinase 2). Once phosphorylated, Pyk2 translocates from the cytosol to the mitochondria, where it regulates the formation of the pore component of the mitochondrial calcium uniporter (MCU) complex. Consequently, this interaction is a key factor in mitochondrial calcium uptake and therefore mitochondrial bioenergetics.

Experiential Learning And Injury Prevention: A Win-Win, Christine Mckeever, Msn, Rn, Julia Ward, Phd, Rn, Anita Fennessey, Drnp, Rn, Cne, Kathryn M. Shaffer, Edd, Rn, Msn, Cne

College of Nursing Posters

Purpose

Experiential learning opportunities help prepare students for patients in crisis management

Harm reduction by ensuring students become certified in the Stop the Bleed Campaign & Opioid Overdose Narcan Prevention

What's Happening: September 23, 2019, Maine Medical Center

What's Happening

No abstract provided.

Week Of September 23, 2019, New York Medical College

InTouch

• NYMC Celebrates Founders, Raises Funds for Student Scholarship
• HSL Hosts Images of Nursing History Presentation

Trauma-Informed School Practices: Building Expertise To Transform Schools, Anna A. Berardi Phd., Brenda Morton, Edd.

Open Textbooks

This textbook represents the combined insight and experience of Morton, a k12 educator, and Berardi, a psychotherapist, both of whom are also university educators with extensive work experience serving districts and their teachers seeking to incorporate trauma-informed principles into their school culture and classroom. The authors identify that the field of education is now ready to deepen its level of response to the paradigm shift created by advances in neuroscience and traumatology. Hence, the primary focus is on identifying and applying trauma-informed educator competencies needed to transform districts, schools, educators, classrooms, and the field of education itself, while also including …

Trident - September 2019, Dugoni School Of Dentistry

Trident

The newsletter of the Pacific Orthodontic Alumni Chapter at University of the Pacific, Arthur A. Dugoni School of Dentistry.

What's Happening: September 16, 2019, Maine Medical Center

What's Happening

No abstract provided.

Empathy Learned Through An Extended Medical Education Virtual Reality Project, Wilson Mei, Elizabeth Dyer, Barbara Swartzlander, Marilyn R. Gugliucci

Osteopathic Medicine Student Research Posters

Studies have suggested that empathy in healthcare professionals tends to erode during medical school and residency training. However, a study conducted by Hofat presents outcomes that reveals the opposite effect; instead empathy improves or there is no effect on empathy at all. Despite the contradictory studies, it is generally agreed that empathy is an important aspect in the patient-physician relationship as it is associated with improved patient satisfaction, increased adherence to treatment, and fewer malpractice complaints. This research exposed 346 first year medical students to virtual reality (VR) technology that is intended to elicit empathy for a 74-year-old African American …

Pharmacokinetics Of Intraperitoneal Vancomycin In Patients On Automated Peritoneal Dialysis, Edwin Lam, Yi Ting Kayla Lien, Valvanera Vozmediano, Stephan Schmidt, Walter K. Kraft, Jingjing Zhang

Department of Pharmacology and Experimental Therapeutics Posters

Primary Objective

• Characterize the pharmacokinetics of vancomycin in plasma, dialysate, and urine following a single intraperitoneal dose

Secondary Objective

• Explore the safety, tolerability, and feasibility in administering vancomycin during the long dwell period in patients on APD

What's Happening: September 9, 2019, Maine Medical Center

What's Happening

No abstract provided.

Week Of September 9, 2019, New York Medical College

InTouch

• Humayun Islam, M.D., Ph.D., Is Named Interim Chair of the Department of Pathology
• Jennifer Lindelof Starts Second Term as SOM Student Senate President
• NYMC Remembers 9/11
• The Skyline Food Kiosk Is Now Open

Impact Of Palliative Care Consultation On End Of Life Care Measures: A Retrospective Analysis Of Patients In The Oncology Care Model, Alison Greidinger, Md, Maria Vershvovsky, Md, Evan Lapinsky, Md, Alison Rhoades, Md, Amy Leader, Drph, Vittorio Maio, Pharmd, Jared Minetola, Karen Walsh, Ms, Mba, Valerie Csik, Mph, Cpps, Ruben Rhoades, Md

Department of Medical Oncology Posters

Introduction

• In 2016 ASCO recommended that patients with advanced cancer receive dedicated palliative care (PC) services1. Early PC involvement is associated with lower spending, fewer 30-day readmission rates, decreased chemotherapy administration at the end of life (EOL) and increased hospice referrals2.
• Many patients are not referred and continue to receive chemotherapy and utilize high-acuity services near the EOL.
• The Oncology Care Model (OCM) is a CMS episode-based alternative payment model promoting high-value care.
• We evaluated the effect of PC visits on EOL outcomes including code status (CS) and spending in the last 30 days of life.

Characterizing Smoking-Related Litter In Public Parks In Philadelphia, Russell K. Mcintire, Phd, Mph, Ashley Lipshaw, Mph

College of Population Health Posters

Background

• Cigarettes are the most littered item in the country.
• Since 1980 cigarette butts have represented 30-40% of all litter collected from coastal waterways and urban areas among major surveys in the U.S.
• Communities have established smoke free public spaces, including parks, in part to mitigate this source of litter and pollution.
• In 2014, Philadelphia prohibited smoking on all lands and facilities under the jurisdiction of the Philadelphia Department of Parks and Recreation
• However, not all parks in Philadelphia have the same environment to deter smoking, as “Smoke-Free” signs are not posted in all parks

Objectives

This study reports the …

Magnetizing: Post Operative Nausea And Vomiting, Andrea Nyquist

Nursing Posters

Purpose:

To guide nursing care in the early recognition and treatment of PONV.

Prevalence:

Postoperative nausea and vomiting (PONV) is the most prevalent postoperative complication occuring within 24 hours of surgery.

Risk Factors:

Adults at a higher risk of PONV include:

• Female
• History of PONV, motion sickness and/or gastroparesis
• Postoperative opioid recipient
• Volatile anesthetic and/or nitrous oxide administration intraoperatively
• Pregnancy
• Use of birth control pills

Implications:

PONV can create a plethora of adverse events for the patient: anxiety and a sense of dread, increased risk for bleeding, dehydration and electrolyte imbalance, risk for aspiration and airway obstruction, …

College Of Health Sciences E-Newsletter, September 2019, Irvin B. Harrell (Editor)

Ellmer College of Health Sciences Newsletters

September 2019 issue of Old Dominion University's College of Health Sciences Newsletter.

The Scoop, Vol. 6 Issue 6, September 2019, Health Sciences Library

Volume 6

Latest news and events from the Health Sciences Library in our monthly newsletter for September 2019.

Inspire : Vol 2, Issue 10, Department Of Medicine

INSPIRE – Department of Medicine Archives

Content

• Message From the Chair
• R for Research: An Introduction
• Faculty Development Workshop Series
• Medicine at National and International Forums
• Featured Faculty: Dr Adeel Khoja “The most successful men work smart, not hard.”
• What are Academics Around the World Reading This Month?
• Publications

Cime Newsletter : August - September 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Impacting newborn care through simulation-based education
-Happy Healthcare Simulation Week 2019
-Clinical Simulation Educators Programme
-Common respiratory disorders diagnosed through simulation
-An interprofessional, physiotherapy led approach to mobilising orthopaedic patients
-Empowering bedside nurses in advanced hemodynamic monitoring
-Pre-Congress Workshops in CIME for the 40th Annual Congress of Ophthalmology 2019
-Basic and intermediate laparoscopy workshop