Medicine and Health Sciences Commons^™

Obstacles And Challenges To Implementing Multi-Departmental Qi At A Large, Academic Training Center-Lessons Learned From A Hcv Screening Program, Eric M. Kasprowicz, Md, Mph, S. Arastu, Md, Silpa Yalamanchili, Md, Amy Javia, Md, Madalene Zale, Mph, Priya Mammen, Md, Mph, Jonathan M. Fenkel, Md

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

Objectives:

We aimed to double the HCV screening rate of ‘baby-boomers’ admitted to the medicine teaching service at Methodist Hospital over the course of 6 months and demonstrate improved linkage to care for HCV RNA+ individuals.

Initial efforts were a collaboration between Emergency Medicine, where faculty had experience implementing an HIV screening program, and Gastroenterology, a key stakeholder in linkage to care. Our pilot period coincided with new state regulations mandating that hospitals implement HCV screening for inpatients. These new regulations dramatically altered the scope and goals of the project.

Ambulation Protocols Leading To Decreased Postoperative Complications And Hospital Stay, T. Olszewski, K. Noonan, H. Gold, G. Kelly, E. Youseef

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

Background:

In the postoperative course, patients are routinely encouraged to ambulate as frequently as possible. Typically in the hospital this can become burdensome to the staff and often becomes low priority. Patients are also not aware of the frequency and quality of the ambulation that is sufficient in the postoperative period. At present, patients on the surgical floor who are completely independent and without any devices (eg. Oxygen, nasogastric tubes, chest tubes) are freely able to ambulate at will although there is no reliable way to track this progress. Other patients with devices are limited to waiting for nursing or …

Contact Precautions-How Patient Centered Are They?, Eloho Edosio, Md

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

Method:

The data collecting tool was a questionnaire that consisted of 11 questions structured to measure satisfaction with the quality of education provided before CP was implemented and also to evaluate overall satisfaction with the quality of health care provided by the hospital. A trial run was performed before it was administered to patients in the study group. The study group consisted of patients on CP from April till May 2017.

Implementation Of A Standardized Handoff System For A General Surgery Residency Program, E. M. Caparosa, A. M. Brown, J. Stern, G. Chevrollier, V. M. Kucherov, S. G. Woodward, S. W. Cowan

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

Introduction:

The I-PASS Handoff Bundle is an evidence based standardized set of educational materials designed to decrease handoff failures in patient care.

Two of every three "sentinel events", the most serious events reported to the Joint Commission, are due to failures of communication, including miscommunication during patient care handoffs.

Implementation of the I-PASS method results in decreased medical errors and preventable adverse events

There are few studies that evaluate this validated method in the context of a General Surgery resident program

We aim to implement the I-PASS system into the transition of care process for General Surgery residents at our …

Quantifying Patient Reported And Documented Compliance With Adjuncts To Venous Thromboembolism Prophylaxis, Tyler M. Bauer, Md, Katerina Dukleska, Md, Adam P. Johnson, Md, Mph, Johanna Beck, Myles Dworkin, Kamini D. Patel, Rn, Geno J Merli, Md, Scott W. Cowan, Md

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

Objectives:

1. Measure patient compliance with pharmacologic, mechanical and ambulatory prophylactic measures.

2. Evaluate for agreement between nursing documentation and patient reported compliance with mechanical and ambulatory prophylactic measures.

What's Happening: May 29, 2017, Maine Medical Center

What's Happening

No abstract provided.

Patient Attitudes Toward A Physician Led Radiology Review: Improved Understanding Of Medical Conditions And A Potential New Quality Metric, Jessica A. Latona, Md, Sami S. Tannouri, Md, Theresa P. Yeo, Phd, Shawnna Cannaday, Crnp, Harish Lavu, Md, Jordan M. Winter, Md

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

Objectives:

We were interested in understanding patient perspectives regarding the importance of reviewing their imaging studies with a surgeon.

Specific Aims:

1. What value do patients place on viewing their imaging?

2. Do patients have a better understanding of their disease and planned operation after a surgeon led review of imaging studies?

3. Do patients find viewing images an accessible educational tool?

What's Happening: May 22, 2017, Maine Medical Center

What's Happening

No abstract provided.

Louisiana State University Health Sciences Center - 2017 - 143rd Commencement, Office Of The Registrar, Lsu Health Sciences Center-No

Graduation & Commencement Programs

The program for the 143rd Commencement of LSU Health Sciences Center - New Orleans held May 18, 2017.

What's Happening: May 15, 2017, Maine Medical Center

What's Happening

No abstract provided.

Week Of May 15, 2017, New York Medical College

InTouch

• Department of Family and Community Medicine Hosts Fifth Annual Research Day
• Warmer Weather and Campus Greenery Gets NYMC Moving

Response Time Scores On A Reflexive Attention Task Predict A Child's Inattention Score From A Parent Report, Erica Suh, Katherine Christensen, Sarah Kamhout, Kahala Thompson, Yoojin Kim, Cooper Hodges

FHSS Mentored Research Conference

● Children with attention deficits have problems with sustained and reflexive attention tasks

● Few studies measure reflexive attention as a component of day-to-day attention in children

● Parents also have valuable insight into children’s behavior

● We want to identify associations between computer-based reflexive attention task performance and parent-rated attention-related problems.

The Effects Of Extracurricular Activity And Physical Activity On Academic Success: A Literature Review, Braden Tanner

FHSS Mentored Research Conference

Due to an ever-increasing importance of education, it is important to understand how to foster an environment conducive to academic success. Extracurricular activity is one of many factors that influences the academic environment. This review examines literature published since 2010 concerning extracurricular activity's effect on academic success. Seeing that sports make up such a large portion of the extracurricular spectrum, the review also examines studies analyzing the effects of physical activity on academic performance.

Git R Done: Analysis Of Motivation In Relation To Exercise And Determining Factors, Britton L. Rice

FHSS Mentored Research Conference

Exercise provides many physical, emotional and mental health benefits (Facts about Physical Activity, 2014). Despite this, only 21% of American adults exercise regularly. One way of increasing this is to encourage better understanding of motivation and how to control it. Since intrinsic motivation towards exercise is not easily created or changed, most of the focus is placed on extrinsic motivation in its varying degrees. This summary isolates a few factors in exercise that play crucial roles in deciding motivation such as:

• Climate and Goal Orientation

• Influence of peers and teammates

• Influence of coaches

Expectations And Memory: Positive And Negative Expectations Of Memorizing The Armenian Alphabet, Micah Wood, Madeline Hoyt

FHSS Mentored Research Conference

Studies suggest that expectations may have an effect on various cognitive functions, including memory. To this point, no studies have exclusively investigated the effect of expectations on short-term memory. This study tested the effect of positive and negative expectations on short-term memory, utilizing the Armenian alphabet as a test of memory. N=45 undergraduate students (23 men, 22 women), ranging in age from 18-26 years were divided equally into three groups: Group 1 was a control group, Group 2 was manipulated to have positive expectations before testing, and Group 3 was manipulated to have negative expectations before testing. All groups were …

Infant Siblings Of Children Diagnosed With Autism Spectrum Disorder Have Higher Perseveration, Katherine Christensen, Allison Garner Kotter, Rachel Nuttall, Bread Iverson, Taylor Bayles

FHSS Mentored Research Conference

● Children with ASD have difficulty with social cues, repetitive behaviors, and restricted interests

● Many of these signs show up after a diagnosis and many children remain undiagnosed until school-age

● We want to demonstrate the utility of a screening tool to identify infants at risk for ASD

● This tool could enable earlier identification and treatment for those who have unknown risk for ASD

We Are Alfred: Empathy Learned Through A Medical Education Virtual Reality Project, Barbara Swartzlander, Elizabeth Dyer, Marilyn R. Gugliucci

Library Services Faculty Posters

Poster describing project collaboration among University of New England (UNE) librarians and College of Osteopathic Medicine (COM) faculty, whose goal was to adopt technology which will teach UNECOM students to be empathic with older adults and familiarize medical students with information resources from the NIH/NLM related to older adult health. Technology tested was the Alfred Lab developed by Embodied Labs. First year medical students were required to complete the ‘We Are Alfred’ virtual reality module and a pre and post assessment. Descriptive statistics were applied to finite questions on pre and post assessments, and content analysis on open ended answers. …

What's Happening: May 8, 2017, Maine Medical Center

What's Happening

No abstract provided.

Week Of May 8, 2017, New York Medical College

InTouch

• Doctor of Physical Therapy Class of 2019 Celebrates and Reflects at White Coat Ceremony
• Lectureship Honors the Late Gabor Kaley, Ph.D.
• TCDM Hosts Pre-Dental Day
• Touro College of Dental Medicine Hosts ASDA/SPEA Event
• NYMC Collaborates for a Two-Week Global Bioethics Summer Program

Treatment-Related Decisional Conflict, Quality Of Life, And Comorbid Illness In Older Adults With Cancer, Jeannette Kates, Phd, Msn, Gnp-Bc

College of Nursing Posters

As the aging population in the nation increases, cancer diagnoses in this age group will also increase. The many chronic medical conditions associated with older adults are confounded by a diagnosis of cancer. Older adults with cancer are at risk for physical, psychological, and functional decline as a result of not only the cancer, but also the cancer treatment. In their current research agenda, the Oncology Nursing Society identified the need for research related to multiple comorbidities in older adults with cancer. This study utilized a cross-sectional, descriptive, correlational study design to explore the relationships between and among treatment-related decisional …

What's Happening: May 1, 2017, Maine Medical Center

What's Happening

No abstract provided.

Cime Newsletter : May 2017, Cime

Centre for Innovation in Medical Education (CIME) Archives

- NEW! CIME’s Facebook Page

- Innovation Day

- Sharing Experience

- Higher Education Academy (HEA) Accreditation:

- CME Symposium on Ophthalmology

- Simulated Rapid Response Team (RRT) Training

- Upcoming Events at CIME

- Obstetrics and Gynecology: Basic Hysteroscopy Course for Postgraduate Students

Oncolog, Volume 62, Number 05-06, May - June 2017, Joe Munch, Bryan Tutt, Kathryn Hale

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• Chimeric Antigen Receptor-Directed Natural Killer Cells for B Cell Malignancies: New take on an experimental therapy holds promise for patients with acute lymphoblastic leukemia, chronic lymphocytic leukemia, other lymphoid cancers.
• Preoperative Exercise Program for Pancreatic Cancer Patients: Prehabilitation regimen to improve functional status during chemotherapy evaluated in clinical trials.
• Neoadjuvant Immunotherapy for Non-Small Cell Lung Cancer: Clinical Trial will evaluate immune checkpoint inhibitors in patients with operable early-stage disease.
• HOUSE CALL: Genetic Screening for Hereditary Cancer Syndromes: Genetic counseling, testing help people assess, manage cancer risk

Differences In Interlimb Performance During A Repetitive Step Test In Older Adults, Harold L. Merriman, Kurt Jackson, Wesley Horn, Jake Jones, Evan Price, Jill Spicer

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Each year, one out of three adults (younger than 65 years old) experiences a fall, resulting in fractures, head injuries, and even death. Falling is the leading cause of death from an injury and causes the greatest number of nonfatal injuries and hospital admissions for trauma. Since balance and muscle performance decrease as one ages, it is vitally important to assess these factors as part of a comprehensive strategy to monitor and predict fall risk. Previous data analysis of the Repetitive Step Test (RST) has shown that there is a correlation between subject performance and fall risk between non-fallers and …

Instrumented Measures Of Gait And Mobility Are Not Correlated With A History Of Falls Or Balance Confidence In Individuals With Multiple Sclerosis, Brandi Elking, Courtney Hasson, Emily Sanders, Kelsey Schlater

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Individuals diagnosed with Multiple Sclerosis (MS) often have an increased risk of falling. Additionally, many also have a fear of falling that all can affect balance confidence. Recent advancements in wearable sensor technology have made it possible to assess certain aspects of gait and balance in the clinical setting that were not possible previously. The information collected by sensors may be useful for identifying specific factors that contribute to falls and balance confidence in those with MS which in turn could help enhance treatment approaches.

An Item-To-Total Analysis Of The Foot Posture Index, Amanda Pallija, Brian Bohman, Paige Prenger, Emely Richardson, Joaquin Barrios

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Foot Posture Index (FPI) is a screening tool used by clinicians to assess if the foot is pronated, neutral or supinated. It is intended to quantify foot position by assigning positive values to pronated attributes and negative values to supinated attributes. Three hindfoot and 3 forefoot attributes are scored. Although the FPI is valid and reliable, individual component scores may skew the composite score. Therefore, there lies a need to investigate the internal consistency of the FPI.

A Comparison Of Arch Height Index Measures Between Collegiate Basketball And National Basketball Association Players, Philip Anloague, N Hess, L Barhorst, G Hock, A Iannarino, A Kelly, C Williams

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The rate of game related basketball injuries is 2xs greater in professionals than collegiate players and the most common injuries occur in the lower extremity. Arch mechanics are often cited as a related factor and the Arch Height Index Measurement System (AHIMS) is a reliable and valid system for quantifying mobility. However, normative or comparative values for basketball athletes have not been reported.

The Effects Of Yoga On Balance, Strength, Flexibility, And Mindfulness In Typical Children Ages 4-9 Years, Betsy Donahoe Fillmore, Mary I. Fisher, Katie Lunsford, Justin Master, Sarahanne Pelkey, Emily Puthoff, Kristen Schulte, Brittany Snider, Jordan Villanueva

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Yoga improves a variety of impairments in typical pediatric populations: cardiovascular, neuromuscular, musculoskeletal, and pulmonary conditions, balance, strength, and flexibility. Yoga improves mindfulness in adult populations, and emerging evidence shows a similar effect among pediatric populations.

Functional Performance Of Older Adults With Dementia Participating In Adult Day Service Programs, Kurt Jackson, Kimberly Edginton-Bigelow, Elizabeth Cox, Allison Gaier, Hannah Geyer, Ethan Grant, Kayla Storey

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Individuals with dementia are at a high risk of functional decline and falling. The aim of this study was to investigate the possible relationship between cognition and functional performance in older adults with dementia participating in Goodwill Easter Seals adult day service programs. This data may be helpful in understanding how cognition may impact functional performance and fall risk.

Looking Through The Window©: A Metacognitive Instrument To Teach Physical Exam To Pre-Clinical Pa Students, Wayne Mathews

Posters and Presentations: Physician Assistant

The initial transition from pre-clinical learning to clinical immersion is a significant and unique phase in a PA student’s education when students transition from spending more time learning in the classroom to experiential learning in the clinical setting. One essential component of that transition is the teaching of physical examination skills. The author introduces an instrument based on metacognitive theories of learning called WINDOW©. The instrument is evaluated using two consecutive PA student surveys employing a Mixed Methods approach.

Student response gauged at two phases was positive: 79.31% agreed the WINDOW© instrument was relevant to clinical problem solving; 72.42% thought …