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Infective Endocarditis in the Overdose Crisis: Addiction Care and Healthcare Utilization
Get PDFWhat is the impact of the IMAT program on healthcare utilization and addiction care outcomes following admissions for IDU-IE?https://knowledgeconnection.mainehealth.org/lambrew-retreat-2025/1016/thumbnail.jp
Parent Perspectives on Primary/Specialty Co-management of Pediatric Asthma
Get PDFhttps://knowledgeconnection.mainehealth.org/lambrew-retreat-2025/1023/thumbnail.jp
Perioperative management of patients taking glucagon-like peptide 1 receptor agonists: Society for Perioperative Assessment and Quality Improvement (SPAQI) multidisciplinary consensus statement
No full textThe perioperative management of patients using glucagon-like peptide 1 receptor agonists remains a topic of debate. While several multisociety statements have been published recently, the recommendations vary significantly in terms of medication management and preoperative fasting protocols for these patients. This document represents a multidisciplinary consensus statement led by the Society for Perioperative Assessment and Quality Improvement (SPAQI). It provides updated recommendations based on a modified Delphi process and supported by a systematic review of the current literature. The recommendations address management of the glucagon-like peptide 1 receptor agonists perioperatively, and preoperative fasting times for both solids and liquids. SYSTEMATIC REVIEW PROTOCOL: PROSPERO (CRD42023438624)
Implementation of MOMSim 2.0
Get PDFRural birth units are facing BIG challenges. SIMULATION can help.https://knowledgeconnection.mainehealth.org/lambrew-retreat-2025/1028/thumbnail.jp
Development of an Onboarding Curriculum for Advance Practice Providers
Get PDFGiven the changes in healthcare and patient acuity new graduate Advanced Practice Providers require increased time for orientation to develop clinical acumen, service logistics and efficiencies. The APP advance onboarding program for Hospital medicine is designed to support the early growth of our new graduate colleagues.https://knowledgeconnection.mainehealth.org/mite/1004/thumbnail.jp
Overcoming Specialty Care Connection Barriers: The eConsult Effect
Get PDFPediatric patients are 2.6x more likely to attend a new specialist visit after Specialist affirms referral need via eConsult.https://knowledgeconnection.mainehealth.org/lambrew-retreat-2025/1036/thumbnail.jp
Safety of Intermittent Parenteral Midazolam Injection in Hospitalized Patients Admitted to Non-Intensive Care Nursing Units: A Retrospective Matched-Cohort Study
No full textBACKGROUND: The prescribing information for parenteral midazolam contains a Boxed Warning stating its use may precipitate respiratory arrest, and its safety in non-intensive care unit (ICU) nursing units has been understudied. OBJECTIVE: To characterize the safety of intermittent midazolam injections in patients admitted to non-ICU nursing units relative to lorazepam injections. METHODS: This single-center, retrospective, matched-cohort study included patients ≥18 years of age who received intermittent midazolam in non-ICU nursing units. Midazolam administrations were matched 1:1 to lorazepam administrations. Safety outcomes included hypotension, bradycardia, bradypnea, and escalation in level of nursing unit care or oxygen requirement. RESULTS: A total of 94 midazolam administrations were matched to lorazepam administrations. Demographic data were similar between groups. Midazolam was more commonly given intravenously (95.7% vs 85.1%, P = 0.02) and in an intermediate care nursing unit (31.9% vs 14.9%, P = 0.009). The lorazepam cohort had significantly fewer concomitant respiratory depressants administered, and there were no differences in the use of beta-blockers or antihypertensives. There were no differences in the incidence of hypotension (1.1% vs 2.1%, P = 1), bradycardia (5.3% vs 2.1%, P = 0.44), bradypnea (1.1% vs 0%, P = 1), escalation in level of care (2.1% vs 2.1%, P = 1), or escalation in oxygen requirement (5.3% vs 3.2%, P = 0.72). CONCLUSION AND RELEVANCE: The administration of parenteral midazolam in non-ICU nursing units resulted in a similar incidence of hypotension, bradycardia, bradypnea, escalation in oxygen requirement, and escalation in level of care compared with lorazepam. These results suggest that midazolam may have a similar safety profile to lorazepam, supporting its use in non-ICU nursing units
Program Evaluation for Graduate Medical Education: Practical Approaches From the Reimagining Residency Evaluation Community of Practice
No full textAn Interprofessional Simulation to Address Health Misinformation and Vaccine Hesitancy
Get PDFIntroduction: The complexity of contemporary health care delivery underscores the need for future health care professionals to be adept at working in interprofessional teams and effectively managing the growing issue of medical misinformation. However, current health curricula often lack content on misinformation and have few, if any, opportunities for students to practice addressing misinformation with patients and colleagues.
Methods: To address this gap, our cross-institutional team developed a novel interprofessional simulation exercise and accompanying prework toolkit designed to develop communication skills for managing difficult conversations about COVID-19 misinformation. Ten third-year medical and 10 third-year pharmacy students piloted the toolkit and participated in a simulated interprofessional office visit with a standardized patient. A thematic analysis was conducted to gather students’ feedback for quality improvement.
Results: We found four central themes in the transcripts of the student debriefs: (1) learners recognized that addressing COVID misinformation is an important and challenging patient care topic; (2) learners used advanced communication skills to navigate difficult conversations; 3) learners explored how to collaborate interprofessionally through relationship-building and defining roles; and 4) learners experienced the power of an interprofessional team.
Discussion: Students valued the opportunity to learn and practice strategies to explicitly address misinformation. They viewed motivational interviewing techniques and interprofessional collaboration as useful tools for navigating difficult conversations.
Conclusions: Interprofessional simulation with a standardized patient can be meaningfully used to train health professional students in advanced communication skills, management of medical misinformation, and interprofessional collaborative competencies
Summary of: Lessons Learned: Enhancing Rural Risk Communication for Future Health Crises through the PHERCC Framework
Get PDFThis study shows the importance of evidence-based, adaptive, and population subgroup sensitive communication during public health emergencies. The PHERCC framework provided a useful structure for identifying barriers, building trust, and guiding responsive strategies. Investing in inclusive communication systems and leveraging community partnerships are important for effective responses to future health crises.
Study found @ Lessons learned: enhancing rural risk communication for future health crises through the PHERCC frameworkhttps://knowledgeconnection.mainehealth.org/nnectr/1011/thumbnail.jp