Medicine and Health Sciences Commons^™

Brief Review: Low Frequency Event Charts (G-Charts) In Healthcare, James Espinosa, David Ho, Alan Lucerna, Henry Schuitema

Rowan-Virtua Research Day

The ability to determine if a change in a system is actually an improvement—or worsening in function—is one of the essential desiderata of quality improvement efforts. There are many ways to look at the issue. A special problem occurs when the event being studied is low frequency by nature. By way of example, patient falls in a given hospital or division of a hospital may occur in a way that is low frequency—yet each event is important. Process engineering has developed an approach to low frequency events. Part of this approach may involve specialized charts that look at the “time-between-events”—as …

Neoadjuvant Chemotherapy As A Risk Factor For Urinary Anastomotic Leak In Patients Undergoing Radical Cystectomy, Young Son, Katelyn Klimowich, Joseph Flemming, Lance Earnshaw, Benjamin Fink, Brian Thomas, Thomas Mueller

Rowan-Virtua Research Day

Muscle-invasive bladder cancer (MIBC) represents approximately 25% of all bladder cancer and carries a significant risk of mortality. Neoadjuvant chemotherapy (NAC) and radical cystectomy (RC) is the standard of care for MIBC. One complication associated with RC is ureteral anastomotic leak with a predicted rate of 3%. The objective of this National Surgical Quality Improvement Project (NSQIP) database analysis is to determine if correlations exist between radiation (RAD) and/or NAC before RC and anastomotic leak in the treatment of MIBC.

Changing Internal Medicine Residents’ Perspectives On Social Determinants Of Health, Timsal Ghani, Diana Vargas, Yvette Wang

Rowan-Virtua Research Day

Social determinants of health (SDOH)

- conditions in which people are born, live, learn, work, play and worship

- affect wide range of health, functioning and quality of life

SDOH play enormous roles in health and well being

- annual US deaths attributable to SDOH equivalent to the number due to lung cancer

- place of birth, race and income all have strong influence on health outcomes

- place of birth is more strongly associated with life expectancy than race or genetics

There is growing awareness of importance of social factors in improving overall population health and wellbeing

- highlighted …

Investigating Adherence To Screening Guidelines For Cardiometabolic Disease In Persons With Spinal Cord Injury At The Parkwood Institute Outpatient Clinic, Luxshmi Nageswaran

Undergraduate Student Research Internships Conference

Persons with spinal cord injury (SCI) are at an increased risk of developing cardiometabolic disease (CMD) and related complications. To address this, the Paralyzed Veterans of America released a set of clinical practice guidelines with screening recommendations for CMD risk factors such as dyslipidemia, hypertension, obesity, and diabetes.

Clinical data indicated that 25 patients out of a total of 48 (52%) are at an increased risk of developing cardiometabolic disease, as defined as having three or more risk factors present. In addition, a review of 30 intake forms from the Parkwood Institute Outpatient Clinic showed that hypertension and weight screenings …