Do Incoming Residents Vary In Measures Of Emotional Status Even Prior To Residency Training?,
2019
Lehigh Valley Health Network
Do Incoming Residents Vary In Measures Of Emotional Status Even Prior To Residency Training?, Jeanne L. Jacoby Md, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep, Robert D. Barraco Md, Mph, Elaine A. Donoghue Md, Kevin Weaver D.O.,Facoep, Jennifer E. Macfarlan Mph, Alexander M. Rosenau Do, Joann F. Quinn Phd, Amy B. Smith Phd
Department of Emergency Medicine
No abstract provided.
Police Use Of Naloxone After Statewide Legislation Enabling First-Responder Administration,
2019
Lehigh Valley Health Network
Police Use Of Naloxone After Statewide Legislation Enabling First-Responder Administration, John F. Mccarthy Do, Kathryn A. Henry Do, Lauren Crowley Ba, David M. Sassa Aas, Kira D. Weaver Do, Robert D. Cannon Do, Tara K. Henry-Morrow Emt-P, Jennifer E. Macfarlan Mph, Jeanne L. Jacoby Md
Department of Emergency Medicine
No abstract provided.
A Paramedic Staffed Prehospital Program May Reduce Hospital Readmissions For Heart Failure,
2019
Lehigh Valley Health Network
A Paramedic Staffed Prehospital Program May Reduce Hospital Readmissions For Heart Failure, Bruce Feldman Do, Christopher J. Greb Nrp, Orlando E. Rivera Rn, Mahek Shah Md, Jennifer Nesfeder, Deborah W. Sundlof Do, Nael Hawwa Md, Alma N. Ohl Crnp, Tara K. Henry-Morrow Emt-P, Jeanne L. Jacoby Md
Department of Emergency Medicine
No abstract provided.
Making The Management Of Acute Otitis Media A Snap,
2019
Children's Mercy Hospital
Making The Management Of Acute Otitis Media A Snap, Cassandra Newell, Donna Wyly, Tanis Stewart, Alaina N. Burns, Brian R. Lee, Rana El Feghaly
Posters
AIM:
To improve Watchful Waiting or Safety Net Antibiotic Prescription (WW/SNAP) in children >6 months old diagnosed with acute otitis media by Advanced Practice Nurses in the Emergency Department by May 2020.
Optimizing Antibiotic Management Of Pediatric Acute Otitis Media In An Emergency Department,
2019
Children's Mercy Hospital
Optimizing Antibiotic Management Of Pediatric Acute Otitis Media In An Emergency Department, Alicia Daggett, Alaina N. Burns, Brian R. Lee, Nirav Shastri, Patricia Phillips, Rana E. El Feghaly
Posters
Problem
Children diagnosed with acute otitis media (AOM) at the Children's Mercy Hospital Kansas Emergency Department routinely get antibiotic prescriptions. There is rarely discussion with families about watchful waiting (defined as discussion of observation with parents and providing a safety-net antibiotic prescription that parents can ill if the patient is not improving or is worsening over the next 48 hours).
The aim of this quality improvement project is to increase watchful waiting for AOM at the CMK ED by 20% by March 2020, with an overall goal of decreasing antibiotic use for AOM.
Assessment And Improvement Of Data Collection Errors Through Inter-Departmental Collaboration,
2019
Children's Mercy Hospital
Assessment And Improvement Of Data Collection Errors Through Inter-Departmental Collaboration, Charlott Williams, Kelli L. Behr, Mary Moffatt, Rangaraj Selvarangan
Posters
Specific Aims:
- To maintain the ED team's high rate of accuracy in data collection
- To begin team participation in corrective action planning
- To improve interdepartmental problem solving
Conclusion
Open communication about errors among all collaborating departments, combing with a shared approach to solving them:
- improved morale and perception of error tracking by the team
- led to a decrease in errors overall, and
- increased interdepartmental collaboration
When all members of the interdepartmental team work together with a positive approach to corrective action, improvement in error rates is a natural outcome of the solutions derived.
Antioxidant Enzyme-Mimetic Activity And Neuroprotective Effects Of Cerium Oxide Nanoparticles Stabilized With Various Ratios Of Citric Acid And Edta,
2019
St. Lawrence University
Antioxidant Enzyme-Mimetic Activity And Neuroprotective Effects Of Cerium Oxide Nanoparticles Stabilized With Various Ratios Of Citric Acid And Edta, Ana Y. Estevez, Mallikarjunarao Ganesana, John F. Trentini, James E. Olson, Guang Ze Li, Yvonne O. Boateng, Jennifer M. Lipps, Sarah E.R. Yablonski, William T. Donnelly, James C. Leiter, Joseph S. Erlichman
Emergency Medicine Faculty Publications
Cerium oxide (CeO2) nanoparticles (CeNPs) are potent antioxidants that are being explored as potential therapies for diseases in which oxidative stress plays an important pathological role. However, both beneficial and toxic effects of CeNPs have been reported, and the method of synthesis as well as physico-chemical, biological, and environmental factors can impact the ultimate biological effects of CeNPs. In the present study, we explored the effect of different ratios of citric acid (CA) and EDTA (CA/EDTA), which are used as stabilizers during synthesis of CeNPs, on the antioxidant enzyme-mimetic and biological activity of the CeNPs. We separated the CeNPs into …
Chemical Disaster Preparedness For Hospitals And Emergency Departments,
2019
Christiana Care Health System
Chemical Disaster Preparedness For Hospitals And Emergency Departments, Gregory K. Wanner, Do, Sukhi Atti, Md, Edward Jasper, Md
Department of Emergency Medicine Faculty Papers
Preparing to evaluate and treat victims of a chemical exposure incident is one aspect of hospital disaster preparedness. Past chemical disasters, including terrorist attacks and industrial or transit accidents, have highlighted the need for hospital planning, preparation, and training. Emergency department and hospital staff members must be familiar with their facility-specific protocols and be trained for their individual roles during these incidents. This article provides a brief review of the requirements and guidelines related to chemical disaster response from a healthcare perspective. Resources for training and the evaluation of chemically contaminated patients are discussed. Decontamination procedures, including pre-hospital and hospital-based …
A Study Of Scars: Narratives Of Unintentional Childhood Injuries In Cato Manor,
2019
SIT Study Abroad
A Study Of Scars: Narratives Of Unintentional Childhood Injuries In Cato Manor, Carolyn Fox
Independent Study Project (ISP) Collection
The purpose of this study is to identify the specific types of injuries children experience growing up in Cato Manor, specifically, KwaMasxha, to understand how community members process and make meaning of their injuries over time, and to analyze the social determinants of health in Cato Manor that have been conducive to these injuries.
In order to learn about experiences of unintentional childhood injuries in Cato Manor, data was collected using a qualitative, narrative-based approach. I conducted interviews with young adult community members aged 19 to 27 years, asking about their personal experiences with childhood injuries as someone who grew …
Decreasing Length Of Stay In Pediatric Urgent Care With Electronic Discharge Instructions,
2019
Children's Mercy Hospital
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 …
Hour Prediction Rule - Letter To The Editor.,
2019
Lehigh Valley Health Network
Hour Prediction Rule - Letter To The Editor., Andrew L. Koons Do, Robert D. Cannon Do, Facmt, Gillian A. Beauchamp Md, Kenneth D. Katz Md, Matthew D. Cook Do, Ryan M. Surmaitis Do
Department of Emergency Medicine
In a recent issue of Academic Emergency Medicine, we read with interest the article titled: Hospital Observation Upon Reversal (HOUR) with Naloxone: A Prospective Clinical Prediction Rule Validation Study by Clemency et al. In order to avoid over-reliance on this decision rule and possible untoward effects of early discharge, we feel that there are some key points worth considering in this regard. It is important to note that the average dose of prehospital naloxone was 3.1mg, which was administered intranasally (IN) in 85% of the patients. This fact was briefly discussed in the paper in terms of area under the …
Feasibility Of Implementation Of An Emergency Department Discharge Opioid Taper Protocol,
2019
Lehigh Valley Health Network
Feasibility Of Implementation Of An Emergency Department Discharge Opioid Taper Protocol, Gillian A. Beauchamp Md, Joshua Rosentel Bsn, Rn, Erin Farber Do, Joseph Levi Do, Dpt, Lexis Laubach Bs, Lauren Crowley Ba, Richard S. Mackenzie Md, Mboe, David M. Richardson Md, Marna R. Greenberg Do, Mph, Facep
Department of Emergency Medicine
No abstract provided.
Do Female Residents Actually Demonstrate Better Levels Of Empathy, Emotional Intelligence And Burnout Than Their Male Counterparts?,
2019
Lehigh Valley Health Network
Do Female Residents Actually Demonstrate Better Levels Of Empathy, Emotional Intelligence And Burnout Than Their Male Counterparts?, Jeanne L. Jacoby Md, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep, Robert D. Barraco Md, Mph, Elaine A. Donoghue Md, Kevin Weaver D.O.,Facoep, Jennifer E. Macfarlan Mph, Alexander M. Rosenau Do, Joann F. Quinn Phd, Amy B. Smith Phd
Department of Emergency Medicine
No abstract provided.
The Make ‘Em Well Project -Rewards And Recognition Phase,
2019
Medical University of South Carolina
The Make ‘Em Well Project -Rewards And Recognition Phase, Diann M. Krywko
Journal of Wellness
The Make ‘EM Well Project- Rewards and Recognition
Background: Physicians report high burnout levels and difficulty finding joy in work, causing a healthcare system crisis. Our institution assessed burnout by administering the Areas of Work-life (AWS) and Maslach Burnout Inventory™ (MBI) Surveys. Emergency Medicine (EM) results were alarming. Effectively rewarding and recognizing employees requires understanding different appreciation languages. Administrators should understand what enhances and detracts from joy in the workplace. This study describes the “Make ‘EM Well Project” and its focus on Rewards and Recognition (RR).
Methods: Two surveys were sent to EM providers including faculty, residents, fellows, and advanced …
A New Horizon: Emergency Department Pharmacy Practice,
2019
Ohio Northern University
A New Horizon: Emergency Department Pharmacy Practice, Amanda C. Mcdavid
Pharmacy and Wellness Review
No abstract provided.
Improving The Workflow And Partnership Between Registration And Clinical Staff In An Outpatient Urgent Care Center,
2019
Maine Medical Center
Improving The Workflow And Partnership Between Registration And Clinical Staff In An Outpatient Urgent Care Center, Melissa Fairfield, Bailey Eells, Faye Collins, Joyce Cornish, Stephen Tyzik, Joy Moody, Wendy Osgood, Suneela Nayak, Ruth Hanselman, Amy Sparks
Operations Transformation
An outpatient urgent care unit was experiencing challenges in balancing the need to register patients and delivering care in the timeliest manner as possible. Upon examination, it was found that delays were being experienced in patient triage and discharge that resulted in low patient satisfaction scores.
A team of providers was established to review all process steps and a quality improvement project was created to attain a goal of 100% of the time discharge would not be delayed due to incomplete registration.
Baseline metrics demonstrated current numbers of delayed discharges, median time from door to triage as well as door …
Illegal Motorcycle Street Racing- A Growing Threat To Public Safety,
2019
Karachi Medical and Dental College
Illegal Motorcycle Street Racing- A Growing Threat To Public Safety, Madiha Mumshad, Aisha Ashraf
Department of Emergency Medicine
No abstract provided.
Flecainide Toxicity Resulting In Pacemaker Latency And Intermittent Failure To Capture,
2019
University of Kentucky
Flecainide Toxicity Resulting In Pacemaker Latency And Intermittent Failure To Capture, John M. Suffredini, Joshua Rutland, Peter Akpunonu, Regan Baum, John Catanzaro, Claude S. Elayi
Emergency Medicine Faculty Publications
BACKGROUND Flecainide is a class Ic antiarrhythmic agent used in the treatment of supraventricular and ventricular arrhythmias. It is associated with a potent adverse effect profile; however, the effects of flecainide toxicity in the setting of a pacemaker have not been well described. We describe a unique case of flecainide toxicity secondary to acute kidney injury in the setting of a dual-chamber pacemaker, resulting in ventricular capture latency and intermittent failure to capture.
CASE REPORT The patient was a 91-year-old female with a history of atrial fibrillation maintained in sinus rhythm on flecainide, who presented complaining of purple visual disturbances …
Development Of An Outpatient Palliative Care Protocol To Monitor Fidelity In The Emergency Medicine Palliative Care Access Trial.,
2019
New York University
Development Of An Outpatient Palliative Care Protocol To Monitor Fidelity In The Emergency Medicine Palliative Care Access Trial., Corita R. Grudzen, Abigail M. Schmucker, Deborah J. Shim, Aminat Ibikunle, Jeanne Cho, Frank R. Chung, Susan E. Cohen
Student Papers, Posters & Projects
Introduction: Palliative care is recommended for patients with life-limiting illnesses; however, there are few standardized protocols for outpatient palliative care visits. To address the paucity of data, this article aims to: (1) describe the elements of outpatient palliative care that are generalizable across clinical sites; (2) achieve consensus about standardized instruments used to assess domains within outpatient palliative care; and (3) develop a protocol and intervention checklist for palliative care clinicians to document outpatient visit elements that might not normally be recorded in the electronic heath record.
Methods: As part of a randomized control trial of nurse-led telephonic case management …
Patient Experience And Challenges In Group Concept Mapping For Clinical Research.,
2019
Thomas Jefferson University
Patient Experience And Challenges In Group Concept Mapping For Clinical Research., Geoffrey D. Mills, Marianna Lanoue, Alexzandra T. Gentsch, Amanda M.B. Doty, Amy Cunningham, Garrison Nord, Kristin L. Rising
Department of Emergency Medicine Faculty Papers
BACKGROUND AND OBJECTIVE: Group concept mapping (GCM) is a research method that engages stakeholders in generating, structuring and representing ideas around a specific topic or question. GCM has been used with patients to answer questions related to health and disease but little is known about the patient experience as a participant in the process. This paper explores the patient experience participating in GCM as assessed with direct observation and surveys of participants.
METHODS: This is a secondary analysis performed within a larger study in which 3 GCM iterations were performed to engage patients in identifying patient-important outcomes for diabetes care. …
