Medicine and Health Sciences Commons^™

Near Miss Root Cause Analysis Reflection, Alicia Muratore

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

As a medical student, my education has largely been divided into two different schools of teaching: didactic classroom instruction and hands-on apprenticeship. The balance between these two components has shifted towards the latter as I have progressed in my education. For example, we first learn about the anatomy and physiology of the heart, then progress to learn about the textbook presentation and patho-physiology as well as treatments of processes such as congestive heart failure. Then as upper years we encounter patients who are faced with these conditions and are tasked with using our knowledge base to provide appropriate care and …

Impact Of An Interprofessional Leadership Program On Collaboration In Practice, Julie Vincent, Dnp, Rn, Cenp, Diane Andrews, Phd, Rn, Lt. General (Ret.) Mark Hertling, Sandra Galura, Phd, Rn, Loretta Forlaw, Phd, Rn

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Purpose

The purpose of this project was to improve attitudes towards collaboration between nurse and physician leaders and to describe the changes in attitudes and behaviors following completion of an interprofessional education (IPE) leadership development program.

Significance

The Institute of Medicine (IOM) 1999 study, To Err is Human: Building a Safer Health System, demonstrated that poor collaboration among clinicians can contribute to negative patient outcomes and further outlined that traditional methods of learning in healthcare result in nurses and physicians becoming isolated from one another and thus unprepared to work collaboratively (Delunas & Rouse, 2014). The nurse-physician (RN-MD) …

Enhancing Services To Homeless Populations Through An Interprofessional Virtual World Simulation, Susan Toth-Cohen, Anne C. Smith, M.Ed.

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Simulations are increasingly implemented as core teaching strategies in healthcare education. Along with the growth and proliferation of many forms of simulation, new venues for implementation also have emerged, including virtual world (VW) role play simulations (Jarmon, Traphagan, Mayrath, & Trevedi, 2009; Rogers, 2010; Walker & Rockinson-Szapkiw, 2009). These VW simulations enable interprofessional teams of students to learn and test their knowledge and skills in real time, within settings that can model a wide range of institutional and community practice environments.

VW simulations provide many of the same benefits that have been described in campus-based simulations, such as practice within …

Caregiver Evaluation Of A Palliative Care Consultation Team Using The Jefferson Teamwork Observation Guide (Jtog) By Caregivers Of Severely Ill Patients, John Liantonio, Md, Beth Wagner, Crnp, Kristine Swartz Md, Molly Hanson, Crnp, Kathleen Mechler, Md, Brooke Worster, Md, Carol Brown, Susan Parks Md

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Background:

Palliative care teams strive to improve the quality of life of patients and their families who are faced with life threatening illnesses by addressing the physical, psychosocial and spiritual aspects of their care (World HealthOrganization, 2017). The palliative care team is an interprofessional team made up of physicians, nurses, social workers and chaplains and often partners with many other disciplines. Palliative care has been shown to increase quality of life in patients with cancer and help improve communication amongst patients, their families and their care teams (Temel, 2010; Seow, 2008). Additionally, many studies have sought to prove the effectiveness …

From The Editors

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

This spring marks an exciting time for JCIPE as we prepare to celebrate our 10^th anniversary as a center for interprofessional education. Ten years ago, students across our six colleges rarely interacted; IPE was a fairly new and often misunderstood term on campus. Now, a decade later, Jefferson has embraced a culture where IPE and collaborative practice are expected, welcomed and increasingly integrated across the learning continuum, from first year students to seasoned providers. This spring, we graduated our ninth cohort of Jefferson Health Mentors Program students, developed three new advanced IPE electives, compiled a comprehensive inventory of IPE …

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 …

A Word From The Writing Center (May 2017), Jennifer Wilson, Ms, Els

A Word From the Writing Team (Newsletter)

This issue includes:

• Grammar writing tip on ZOMBIE nouns!
• Keep Reading with BrowZine

Conference Posters Archived In The Jefferson Digital Commons, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

The Jefferson Digital Commons has archived over 680 conference posters. Here are some of the most recent additions to the collection:

• Evaluating Value-Based Frameworks Used for Relapsed or Refractory Multiple Myeloma Regimens: ICER Report, ASCO Value Framework, and NCCN Evidence Blocks
• Looking Beyond the Traditional: Integrating a New Curriculum Design into an Immersion Practicum Evaluation Tool
• Infection Prevention and Control in Baccalaureate Nursing Education: Identifying Content, Teaching Strategies and Gaps
• Book Club at Intern Orientation to Help Frame Professional Identity

And many more posters!

Generation Of Crispr Knockout Of Idh1 In Pancreatic Ductal Adenocarcinoma Cell Line: An Optimal Model To Study Pancreatic Cancer Metabolic Reprogramming, Katerina Dukleska, Md, Mahsa Zarei, Phd, Ali Vaziri-Gohar, Phd, Charles J. Yeo, Md, Jonathan Brody, Md, Jordan M. Winter, Md

Department of Surgery Posters

Introduction

• Pancreatic ductal adenocarcinoma (PDA) is the third leading cause of cancer-related death in the US.

• PDA is resistant to conventional chemotherapy; however, mechanisms that contribute to this chemoresistance are not well-described.

• The tumor microenvironment in PDA has a dense stromal reaction, which is thought to result in low oxygen and low nutrient conditions (Feig, C., et al. 2012).

• Isocitrate Dehydrogenase 1 (IDH1) has been identified as an enzyme that plays an important role in chemoresistance in PDA (Zarei, M., et al. In progress).

• We sought to establish an IDH1 knockout cell line to further …

St Elevation Myocardial Infarction In A Young Adult: Expect The Unexpected, Shashank Jain, Md, Priya Rajagopalan, Md, Mitul Kanzaria, Md, Meir Mazuz, Md

Department of Medicine Posters

Background

• Acute myocardial infarction (MI) in young adults can present a diagnostic and therapeutic challenge
• Kawasaki disease (KD) is a vasculitis of unknown etiology that occurs in infancy and childhood
• Coronary artery aneurysms (CAA) are the most serious complication of untreated KD seen in upto 25% of patients
• Thrombosis of these CAA or coronary stenosis can present as MI in less than 2% of cases which mainly occur in the 1^st year of disease onset
• Late presentations in adult life is extremely rare

The Bug-Bag: Consolidating Medications To Cut Costs, James Harrigan, Pharmd, Ms3, Erin Bange, Md, Jessica Caro, Md, Sarah Yeager, Pharmd, David Manoff, Md

College of Pharmacy Posters

Background

Founded in 1991, JeffHOPE is an organization of student run medical clinics providing care to the homeless and underserved populations of Philadelphia. JeffHOPE currently operates at 5 different sites

• Eliza Shirley

Population served: Women and children

Serves as a transitional shelter and aims to help newly homeless women and children find more stable housing

• Sunday Breakfast

Population served: Men older than 18

Serves as a transitional shelter offering housing for 30 days for homeless men

• ACTS

Population served: Women and children

Provides long term housing for women and children who are homeless. The shelter is also located next to …

A Comparative Analysis Of The Paris System And Institutional Reporting System For Urine Cytology In Upper Tract Urothelial Specimens, Kim Hookim, Md, James P. Casey, Md, Rossitza Draganova-Tacheva, Md, Marluce Bibbo, Md, Charalambos C. Solomides, Md

Department of Pathology, Anatomy, and Cell Biology Posters

The authors of this abstract have no conflicts of interest

Introduction

Cytology is integral in the assessment of urothelial cell carcinoma (UCC). However, upper urinary tract (UUT) specimens are cytologically challenging due to limited tissue and reactive atypia. At our institution UUT biopsies are processed as cell blocks (CB). We compared our institution’s reporting system (IRS) with the recently proposed Paris System for Reporting Urine Cytology (PRS) (Table 1) in UUT specimens and correlated the findings with CB and follow-up resections.

Exploring The Role Of Life Review Videos With Patients Diagnosed With Advanced Cancer, Lisa M. Capparella, Mss, Lcsw, Osw-C, S. Otis-Green, Msw, Ma, Acsw, Lcsw, Osw-C

Department of Medical Oncology Posters

Background/Rationale

• Life Review Videos can provide patients with hope, help them finding meaning and value of life.
• Patients with cancer have limited opportunities to discuss their life before cancer.
• Insufficient research related to how patients would want their video to be used by family/friends and who they would chose to share their video with.
• Limited research regarding whether the relationship with the interviewer matters to participants of life review.

Socioeconomic Status And Stroke Outcome, Sophia Dang, Jonathan C. Li, Kimon Bekelis, Md, Stavropoula Tjoumakaris, Md

Sigma Xi Student Research Day

Introduction

• International studies find socioeconomic status (SES) to be predictive of functional impairment after stroke.^1,2
• Lower socioeconomic status (LSE) is associated with increased severity of stroke onset, higher incidence of risk factors, and worse outcomes.³
• We sought to confirm the predictive significance of SES on acute ischemic stroke patient outcomes at a large urban, U.S. stroke center.

Cost Savings And Efficiency Realized Decreasing Orders For Type And Crossmatching, Susan Garruto, Msha, Msn, Bsn, Rn, Aprn, Cnor, Rnfa, Katy Loos, Msn, Bsn, Rn, Acagnp, Rae Fierro, Rn, Cnor, Rnfa

Department of Neurosurgery Posters

Background

• Thomas Jefferson University Hospital (TJUH) is a Tertiary, Level 1Trauma Center and the Regional Spinal Cord Injury Center of the Delaware Valley with 900+ beds

• C/T Ratio is the ratio of RBC units cross matched for potential transfusion to the number of units actually transfused

• The American Association of Blood Banks (AABB) recommendation for C/T ratio is < 2

• TJUH blood bank, on periodic review by AABB and the College of American Pathologists (CAP) was cited as deficient in C/T ratio quality indicators

• Cost to cross match RBC units is on average $71 with the charge …

Image-Guided High-Dose Rate Intracavitary Brachytherapy In The Treatment Of Medically Inoperable Early-Stage Endometrioid Type Endometrial Adenocarcinoma, Scott E. Jordan, Md, Ida Micaily, Md, Enrique Hernandez, Md, J. Stuart Ferriss, Md, Curtis T. Miyamoto, Md, Facr, Shidong Li, Phd, Bizhan Micaily, Md

Division of Internal Medicine Faculty Papers & Presentations

To report the experience with high dose rate, image guided intracavitary brachytherapy in the treatment of medically inoperable, early stage endometrial cancer.

Poster presented at:

American Brachytherapy Society Annual Meeting April 20-22, 2017 in Boston MA.

Jefferson College Of Population Health Capstones New To The Jefferson Digital Commons, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

A new batch of capstone presentations from the Jefferson College of Population Health have been loaded in the Jefferson Digital Commons:

MPH Capstone Presentations:

• Borders and Blood Pressure: Identifying the Association of Acculturation with Hypertension Diagnoses Among Hispanic-American Immigrants
• Partnerships to Improve Community Health (PICH) Initiative on Nutrition in Wilmington, DE: An Assessment of Fruit and Vegetable Consumption
• Perceptions of Living with Chronic Illness as Type 2 Diabetic Transgender Adults
• Addressing Obesity in the Early Head Start Community Through Environmental and Educational Means (Pilot Program)
• Screening for Adolescent Alcohol and Other Drug Use by Jefferson Providers: Methods, Barriers and …

Jefferson Digital Commons Quarterly Report (January – March 2017) Now Available, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

The Jefferson Digital Commons quarterly report for January-March 2017 is now available. The JDC got off to a great start in 2017 with over 300 new assets added, including the first Global Research Day hosted at Jefferson, a variety of Grand Rounds, podcasts, posters, and continued feedback from users from around the world. View the report to learn more.

Jefferson Digital Commons Quarterly Report: January-March 2017, Daniel G. Kipnis, Msi, Kelsey Duinkerken, Msi, James Copeland, Libt

Jefferson Digital Commons Reports

Quarterly report includes highlights of assets added to the JDC along with feedback from researchers.

The Use Of Quiet Books With People With Late Stage Dementia: A Case Study, Monique Chabot, Otd, Otr/L, Clipp, Caps, Cla, Jaime Galaton, Mot, Otr/L

Department of Occupational Therapy Posters and Presentations

Discussion of the use of Quiet Books as a method to provide sensory stimulation to people with late stage dementia to reduce agitation and combativeness with activities of daily living. Supporting literature for the use of sensory stimulation with people with dementia is also highlighted.

Poster presented at AOTA 2017 Annual Conference in Philadelphia PA and POTA 2016 Annual Conference

A Word From The Writing Center (April 2017), Jennifer Wilson, Ms, Els

A Word From the Writing Team (Newsletter)

This issue includes:

• Writing Tip: Punctuation
• Organizing your Research using a citation manager
• Writing Café hours

Neonatal Implications Of Substance Use Treatment During Pregnancy, Michele K. Savin, Msn, Nnp-Bc

College of Nursing Faculty Papers & Presentations

I am writing in response to “Pharmacologic Treatment of Opioid Addiction During Pregnancy” by Keough and Fantasia (2017). The article nicely compares and summarizes the use of methadone and buprenorphine to treat substance use in pregnant women. I was dismayed, however, by the sections regarding neonatal considerations and breastfeeding, which contained some problematic assertions and some inaccurate conclusions.

Evaluating Value-Based Frameworks Used For Relapsed Or Refractory Multiple Myeloma Regimens: Icer Report, Asco Value Framework, And Nccn Evidence Blocks, Laurence M. Djatche, Pharmd, Joseph Goble, Pharmd, Grace Chun, Pharmd, Stefan Varga, Pharmd

College of Population Health Posters

BACKGROUND: With the continuous rise in costs for oncology drugs, the Institute for Clinical and Economic Review (ICER), the American Society of Clinical Oncology (ASCO) and the National Comprehensive Cancer Network (NCCN) have developed value-based frameworks (VBFs) to assist stakeholders in formulary and treatment decisionmaking. While emerging VBFs have the potential to significantly impact therapeutic options for patients, it is important to understand the differences associated with those VBFs within a therapeutic area. OBJECTIVE: To compare ICER, ASCO, and NCCN VBFs across three therapeutic options for relapsed or refractory multiple myeloma (RRMM).

METHODS: The values of carfilzomib (CFZ), elotuzumab (ELO), …

New Presentations In The Jefferson Digital Commons, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

The Jefferson Digital Commons includes more than 1000 archived lectures, presentations, and grand rounds. Below are some recent additions:

• Osteoradionecrosis: An Overview
• Hypnosis and Pain Management?
• What you need to know about ENT infections and much more...

A Word From The Writing Center (March 2017), Jennifer Wilson, Ms, Els

A Word From the Writing Team (Newsletter)

This issue includes:

• Learning Opportunity
• Books on writing
• Writing Cafe

Global Jefferson Day Presentation In The Jefferson Digital Commons, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

The first annual Global Jefferson Day, sponsored by the Office of Global Affairs, was held on Monday, January 30th. Presentations from the event–including the Keynote address “Evidence Based Interventions for Reducing Maternal and Neonatal Mortality: The Belgaum Experience”by Shivaprasad S. Goudar, MD, MHPE, KLE University’s Jawaharlal Nehru Medical College, India–are now available in the Jefferson Digital Commons.

A Word From The Writing Center (February 2017), Jennifer Wilson, Ms, Els

A Word From the Writing Team (Newsletter)

This issue includes:

• Writing tip
• Publishing news
• Writing Café

Holocaust Remembrance Day Presentation Available In The Jefferson Digital Commons, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

A commemoration of the Holocaust was held at Thomas Jefferson University on January 27, the anniversary of the day that prisoners were liberated from the Auschwitz-Birkenau concentration camp in 1945. The program “Nazi Medicine, the Holocaust, and the Problem of Collective Evil”, featured a presentation by Salvatore Mangione, MD, Associate Professor of Medicine, Sidney Kimmel Medical College. Mangione discussed why study of the horrors of the Holocaust is especially important for medicine. A recording of the presentation, Group Thinking and the Roots of Collective Evil Implications for Health Care, is available in the Jefferson Digital Commons.

Improving Medication Use For Project Home Residents In An Urban Setting, Toni Campanella, Pharmd Candidate, Ashley Maister, Pharmd Candidate, Roshni S. Patel, Pharmd, Bcps

College of Pharmacy Posters

Partners:

Project HOME is a non-profit organization in Philadelphia that provides housing, employment opportunities, medical care, and education to those who are homeless or at risk of becoming homeless, including those with a history of serious mental health or substance misuse disorders.

Jefferson College of Pharmacy students are dedicated to transforming the health and well-being of the community. By engaging in innovative opportunities, students are well-positioned to deliver patient-centered care.

APhA-ASP serves as the collective voice of student pharmacists to provide opportunities for professional growth, to improve patient care, and to envision and advance the future of pharmacy.

Grand Rounds In The Jefferson Digital Commons, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

The Jefferson Digital Commons has a collection of grand rounds presentations archived from various departments, including: 

• Surgery
• Otolaryngology
• Kimmel Cancer Center
• Family and Community Medicine
• Integrative Medicine