Parkview Health Research Repository
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OBGYN Surgical Prep Standardized Process Presentation
No full textOBGYN Surgical Prep Presentation.
To lower the occurrences of SSIs and standardize the process of surgical preparation across Parkview Health System, the following changes were adopted on August 15, 2019.
This is version 2.0 Infection Prevention Bundle Vaginal Prep Instructions Abdominal Prep Instructions Chlorohexidine-alcohol (Chloraprep
2019 Student Research Fellowship Program: SERF ABSTRACT Booklet
No full textIndiana University School of Medicine - 2019 Abstracts:
Are Trauma Centers in Northeast Indiana Prepared in Triage for Mass Casualty Events?
Severity of Obstructive Sleep Apnea: Patient Compliance and Treatment Response.
Interferon-β treatment to prolong t-PA treatment window in cerebral ischemia.
Quantitative Effect of Emergency Department Case Management on Visits, Diagnostics, and Cost.
Neonatal Follow Up Clinic: A Retrospective Chart Review of Developmental Outcomes.
Comparison of Technical Outcomes in Instrumented Posterolateral Fusion (PLF) with and without Transforaminal Lumbar Interbody Fusion (TLIF) performed using Silicon Nitride cages.
Long Term Outcomes of Iliac Artery Aneurysm (IAA) and Abdominal Aortic Aneurysm (AAA) Repair with Endovascular Procedures at the Parkview Heart Institute.
Malpractice in Shoulder Surgeries
Impact of IVC Filter Guidelines, Registry, and Clinic on Filter Retrieval
A Comparison of the Accuracy of WATCHMAN Device Sizing between CT, TEE, and Patient Specific 3D Models.
Magnesium Effects on Target Specificity for Trm4 and NSUN2.
An Analysis of Percutaneous Transluminal Angioplasty Treatment Outcomes on Critical Limb Ischemia Patients
Epidemiological Assessment of GI BioFire Negative Tests at Parkview Health.
Orthostatic Hypotension Diagnosis and Management in the Context of a Multi-disciplinary Fall Prevention Care Model
Complications of DBS replacement surgeries: optimizing individualized treatment options for patients.
Rapid Identification of Large Vessel Occlusion Stroke Subtype in the Pre-hospital Setting
Evaluation of Lung Nodules with Positron Emission Tomography in Region Endemic to Fungal Infections
Brain Metastasis as Exclusion Criteria in Clinical Trials Involving Extensive-Stage Small Cell Lung Cancer
Efficacy of Sodium Polystyrene Sulfonate in Hyperkalemia
No full textPoster Presentation
Background:
Clinically significant hyperkalemia, defined as potassium ≥ 6.0 mEq/L can be a life-threatening, and urgent lowering of serum potassium is needed to prevent life-threatening arrhythmias. There are many potential causes of hyperkalemia including acute or chronic kidney disease, medications (e.g. ACE-inhibitors), and rhabdomyolysis among other causes
Achieving Guideline- Directed Heart Rate Control Early Posthospitalization.
No full textGuidelines for the treatment of heart failure (HF) recommend the titration of β blockers (BB) to a target dosage shown to be effective in clinical trials. The benefit of BBs is associated with heart rate (HR) control, with a target resting HR(WCD), assessing whether the WCD could be used to evaluate HR both at rest and during activity to determine if targets were being met and to adequately direct clinical decision making. The WCD platform allows continuous recording of HR. To assess the guideline-directed therapy goals for reduction of resting HR, HR was evaluated both at rest (nighttime: midnight-7 a.m.; daytime: 7 a.m. midnight), and during activity of daily living. HR data during activity of daily living (ADL) and rest were collected from patients with HF that wore the WCD for ≥5 weeks (n = 1,353) between 2015 and 2017. First, 643,891 activity episodes from 1,353 patients were analyzed. Daytime and nighttime resting HRs significantly dropped from beginning to end of WCD use (day: 72.5 bpm vs 69.0 bpm,
Expanded Access (Compassionate Use) for Investigational Drugs or Biologics
No full textA presentation given at the Parkview Cancer Institute (PCI) Oncology Research Committee meeting in October 22, 2019.
Investigational Drug Service Department of Parkview Healt
Visualization of Cardiac Implantable Electronic Device Data for Older Adults Using Participatory Design.
No full textPatients with heart failure (HF) are commonly implanted with cardiac resynchronization therapy (CRT) devices as part of their treatment. Presently, they cannot directly access the remote monitoring (RM) data generated from these devices, representing a missed opportunity for increased knowledge and engagement in care. However, electronic health data sharing can create information overload issues for both clinicians and patients, and some older patients may not be comfortable using the technology (i.e., computers and smartphones) necessary to access this data. To mitigate these problems, patients can be directly involved in the creation of data visualization tailored to their preferences and needs, allowing them to successfully interpret and act upon their health data. We held a participatory design (PD) session with seven adult patients with HF and CRT device implants, who were presently undergoing RM, along with two informal caregivers. Working in three teams, participants used drawing supplies and design cards to design a prototype for a patient-facing dashboard with which they could engage with their device data. Information that patients rated as a high priority for the Main Dashboard screen included average percent pacing with alerts for abnormal pacing, other device information such as battery life and recorded events, and information about who to contact with for data-related questions. Preferences for inclusion in an Additional Information display included a daily pacing chart, health tips, aborted shocks, a symptom list, and a journal. These results informed the creation of an actual dashboard prototype which was later evaluated by both patients and clinicians. Additionally, important insights were gleaned regarding the involvement of older patients in PD for health technology
Passive sensing of mobile media use in children and families: a brief commentary on the promises and pitfalls.
Get PDFTime to achievement of mean arterial pressure goal in patients with septic shock based on initial norepinephrine dose
No full textPoster Presentation
2019 ASHP Midyear Clinical Meeting / Las Vegas, Nevada / Poster # 11-133
Objective: Evaluate whether the initial norepinephrine dose in septic shock patients is associated with the time to achievement of MAP goa
SAT-263 Exploring Physician Wellness and Satisfaction at Community-Based Hospital
No full textPhysician wellness plays an important role in healthcare. Providers are constantly exposed to long work hours and stressful events which may lead to fatigue and burn out. Burnout has been linked to decrease in patient satisfaction and quality of care. It has also been associated with higher physician/staff turnover, physician substance abuse, higher medical error rates and malpractice risk. In the last few years, there has been tremendous push by ACGME to address physician/resident burn out. In 2015, the official data of ACGME physician survey illustrated burn out in 46% of in training physicians. The aim of our study is to assess parameters that include physician satisfaction with their work hours, dietary habits and routine physical activity. The survey was distributed to all hospital departments at our community based hospital. Total 104 residents and attendings participated in the study. 50% of the participants reported BMI higher than normal range. 31.4% reported eating 4 servings of vegetable 1-2 times a week, only 6.9% reported eating vegetables 7 days a week. 70% of participants reported not accounting for caloric content during meal preparation, 33% reported having no basic knowledge of calorie counting. However, majority of respondents reported 5 on a scale of 1-5 with 5 being the most comfortable in regards to counseling patients on dietary recommendations. Although 34.5% of participants reported to be extremely comfortable and 32.4% somewhat comfortable with counseling patients on exercise, only 6.9 % of participants reported performing moderate intensity exercising at least 5 times a week. However, 49% of participants reported not participating in strength training sessions. The majority of respondents (73.5%) cited lack of time as the main barrier to achieving the recommended physical activity guidelines. Our survey results suggest that physician have limited access to meeting basic nutrition requirement during work hours. Although majority of physicians report being comfortable in counseling patient, they themselves don’t participate in routine physical activity. Long work shifts and poor nutritional quality of cafeteria food were important factors in our survey. Physical activity counseling has been found to reflect a physician’s own personal exercise habits, which affects patient care. As suggested in other studies, our participants also cited lack of time, and limited access to nutrition during the work day. With these results, we aim to raise awareness of the shortcomings of physician wellness and look for ways for improve our overall well being in an effort to provide better patient care
Nurse Manager Succession Planning: Evaluating a Pilot Program\u27s Effect on Self-perception of Readiness.
No full textOBJECTIVE: Perceived readiness to transition to nurse manager roles and demonstrated leadership behaviors were evaluated among participants in a nurse manager succession planning pilot cohort.
BACKGROUND: Equipping nurses within an organization with the leadership competencies to transition to the next role is essential as we face an impending nurse and nurse leader shortage.
METHODS: Quasi-experimental and correlational design methods were used to measure changes in readiness of nurses to enter nurse manager roles over a 90-day pilot.
RESULTS: Participants\u27 perceived readiness to transition to nurse manager roles and demonstrated leadership behaviors increased between days 1 and 90 of the program. Statistically significant increases were attributed to their participation in the nurse manager succession planning pilot cohort.
CONCLUSIONS: This study contributes to the literature regarding nurse manager succession planning. Further research should be conducted so that succession planning for nurse managers becomes not only achievable but also expected