Parkview Health Research Repository
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2024 Student Research Fellowship Program: SERF ABSTRACT Booklet
No full text2024 Student Research Fellowship Program: Abstracts included:
Retrospective Analysis of Drug Overdose Deaths in Allen County, Indiana from 2008-2023
Efficient Adoption of Robotic Spine Surgery in 1 and 2-Level TLIF.
Incremental Value of Left Atrial Strain in the Identification of Patients with Heart Failure Requiring Readmission.
Reducing Death Anxiety: The Impact of Advanced Care Planning.
Efficacy of 3D Model-Enhanced Patient Education During Surgical Informed Consent.
High Intensity Focused Ultrasound (HIFU) as a Safe and Effective Treatment of Essential Tremor (ET) in Older Population.
Analysis of Cerebral Small Vessel Changes in an APOE4 Knock-In AD Mouse Model.
Reminder Recall to Increase Vaccination Rates within Allen County.
Influence of Technicians on Cataract Surgery Outcomes.
Investigating the Impact of Patients Discharged with Urinary Catheters.
Physical Therapy Timing: An Investigation of Physical Therapy Initiation and Case Duration, Restricted Workdays, and Imaging Utilization.
Outcomes Associated with Mechanical CPR Devices.
Zellweger Spectrum Disorder in the Old Order Amish Study
Issue 9: Pulmonary & Critical Care Insider
Get PDFPulmonary & Critical Care Insider Issue 9
Compiled by Bharat Bajantri, MD, and librarian Sarah Ellsworth, MLS for the clinicians of the Pulmonary and Critical Care team of Parkview.
The Pulmonary & Critical Care Insider newsletter was created by Dr. Bharat Bajantri, MD and Sarah Ellsworth, MLS in 2023 as a form of current awareness for current practice at our hospital, Parkview Health.
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Topics:
VIEWPOINTS:
Non-Shockable Cardiac Arrest Management
Try and try again till CPAP succeeds!
ORIGINAL STUDY SUMMARY & PERSPECTIVE:
Fungal Pneumonias in the ICU: Clinical Insights and Diagnostic Strategies.
ARDS Update and Guidance
SNAPSHOTS:
Making sure massive transfusion protocols matter!
Procalcitonin in Cardiovascular ICU... Take it for what it‘s worth!
EBUS-guided Mediastinal Cryobiopsy (EBUS-MCB
Decreasing healthcare associated infections (HAIs) with pre-shift chlorohexidine gluconate (CHG) handwashing. Does it work?
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Background: HAIs are a concern for all healthcare organizations. Implementing preventative measures to minimize these occurrences become paramount within nursing practice. CHG is a common antimicrobial solution used throughout healthcare to decrease colonization on patients, but there is also data suggesting that staff performing CHG handwashing prior to a shift as an additional layer of prevention. Purpose: The purpose of this EBP project was to determine if the addition of CHG hand hygiene prior to starting the bedside shift was superior when compared to hand hygiene standards including alcohol-based sanitizer and regular soap and water in reducing HAIs (catheter associated urinary tract infections (CAUTIs) and central line associated blood stream infections (CLABSIs)). Methods: Four units selected between two hospitals based on guidance from system CAUTI/ CLABSI committee. Pre and post educational surveys were completed, both in person and virtual, to assess staff understanding of proper hand hygiene practices with CHG prior to implementing the practice on each unit. Evaluating CHG hand hygiene compliance and occurrence of HAI post implementation. Results: This is an ongoing project, to date there is one month of data and the unit had zero CAUTIs or CLABSIs. Conclusion: While this is an ongoing project, seeing the need to protect each of the unit’s patient populations from preventative infections was paramount. Determining if utilizing CHG’s antimicrobial properties aids in decreasing HAIs across multiple patient populations, promotes patient safety, wellbeing, and potentially decreases length of stay
Fasting Versus a Heart-Healthy Diet Before Cardiac Catheterization: A Randomized Controlled Trial.
No full textBACKGROUND: Patients undergoing cardiac catheterization are ordered to take nothing by mouth after midnight before their procedure with no evidence to support this practice.
OBJECTIVE: To identify best practice for fasting requirements before cardiac catheterization through comparative evaluation in a prospective randomized controlled study.
METHODS: The study included a convenience sample of 197 patients undergoing elective cardiac catheterization in a progressive inpatient cardiac unit at a regional heart institute in the midwestern United States. The patients were randomized into 2 groups. Patients in the heart-healthy diet group could eat a specified diet with low-acid options until the scheduled procedure. Patients in the fasting group were restricted to nothing by mouth after midnight except for sips of water with medications until the scheduled procedure. Outcome measures included patient-reported satisfaction and complications.
RESULTS: Compared with patients in the fasting group, those in the heart-healthy diet group had significantly more satisfaction with the preprocedural diet. Patients in the heart-healthy diet group had less thirst and hunger before and after the procedure. No patients experienced pneumonia, aspiration, intubation, or hypoglycemia after the procedure. Fatigue, glucose level, gastrointestinal issues, and loading dose of antiplatelet medication did not differ between the groups.
CONCLUSIONS: Allowing patients to eat before elective cardiac catheterization posed no safety risk and benefited patient satisfaction and overall care. The results of this study may help identify best practice for allowing patients to eat before elective procedures using conscious sedation
Parkview Research Repository reaches 50,000 global downloads
Get PDFOur Repository passed its 50,000th download and was featured within the organization. Promotion converted to PDF. Includes history, statistics, most popular publications, and growth highlights
Medication Use Evaluation of Fecal Microbiota Spores (live-brpk) for the Prevention of Recurrent Clostridioides difficile Infection.
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This medication use evaluation found that infectious diseases providers were more likely to prescribe advanced treatments such as fidaxomicin or fecal microbiota compared to other specialties. Of the 93.1% of patients seen by Infectious Disease, 62.9% (n=17) of those patients were prescribed fecal microbiota spores (live-brpk) (VOWST). Of the 29 eligible patients, 41.4% (n=12) were identified as missed opportunities
Active Nursing Research Studies as of 1-2024 (Study summaries),
Get PDFNursing Clinical Action Team Chair and Co-Chair Education: Back to Basics in Leading the Unit-Based Team.
PI: Vicki Babb, Kelly Ray, BreAnn Taylor, Debbi Bowman
Project ROSC-O
PI: Kaylyn Kistler
Assessment of Nurse Perceptions Related to Shared Governance Culture.
PI: Erin LaCross, Naomi Adamski, Brooke Randol, Stacy Greene, Preston Jennings, Jennifer Sorg, Olivia Figura, Rebecca Howard Kelly Ray, Amber Childers, Kristy Jackson, Christine Fawcet
Nursing Evidence-Based Practice Survey Assessing Nursing Knowledge.
PI: Lisa Morgan
Custom Machine Learning Model for Hospital-Acquired Pressure Injuries (HAPI)
PI: Andrea Conley, Brooke Randol
Exploration of Intrinsic and Extrinsic Factors of Skin Injury in Intensive Care Units.
PI: Andrea Conley, Brooke Randol
Twice Daily Nurse-Driven Spontaneous Awakening Trials Improves Delirium.
PI: Kellie Girardot
DoubleCHEK for Feeding Tube Placement in Premature Infants.
PI: Jennifer Thieman
Outcomes Related to the Use of a Standardized Tiered Skill Acquisition Model.
PI: Stephani Schultz, Holly Platt, Abby Gaff, Chelsea Tetzlaff, Donna Hitzeman, LaToshia Gilbert, Meghan Winebrenner
Nursing Evidence-Based Practice Survey Assessing Nursing Knowledge.
PI: Lisa Morgan MSN, RN, CNRN, AGCNS-BC; Jan Powers PhD, RN, CCNS, CCRN, NE-BC, FCCM, FAAN
A Quantitative Pilot Study to Assess the Effect of a Weighted Blanket Intervention for Agitation Reduction on Patients in Medical Units.
PI: Andrea D. Conley, MSN, RN, AGCNS-BC, MSCRN; Kristen Emenhiser, BSN, RN, CMSRN; Rebecca Havens, BSN, RN, CMSRN
DrIFT 2 Study: Displacement in Feeding Tubes.
PI: Jan Powers PhD, RN, CCNS, CCRN, CNRN, NE-BC, FCCM
Continuous Glucose Monitoring in Medical and Open-Heart Surgical Patients.
PI: Philip Roberts, MSN, MBA, RN, CCRN; Andrea D. Conley, MSN, RN, AGCNS-BC, MSCRN
Effect of Warming IV Fluids During MICU Transport on Patient Comfort and Temperature.
PI: Jennifer Esslinger BSN, RN, CFRN, CTRN
Validation of an evidence-based, nurse-designed fall risk assessment tool: Study 2.
PI: Lindy Bilimek MSN, RN, AGCNS-B
GENDER DISPARITIES IN OUTCOMES OF LEFT ATRIAL APPENDAGE OCCLUSION DEVICE PLACEMENT
Get PDFBackground Atrial fibrillation (AF) is the most common cardiac arrhythmia. It is associated with profound morbidity & mortality, including a fivefold increase in stroke risk. Due to side effects & compliance issues associated with anticoagulation, left atrial appendage occlusion (LAAO) devices have emerged as an alternative approach. However, women have been underrepresented in both the PROTECT & PREVAIL trials, landmark trials supporting LAAO use. Objective We aim to compare gender disparities in outcomes of LAAO occlusive devices. Methods The national readmission database (2016-2020) was utilized to identify hospitalizations for LAAO placement. Cohorts were stratified by gender. A propensity score matching (PSM) model matched males & females. Pearson’s x2 test was applied to PSM-2 matched cohorts to compare outcomes. Results Among 89,552 hospitalizations for LAAO placement; 41.3% of procedures were performed in females. Females were found to have a lower prevalence of diabetes, hypertension, hyperlipidemia & chronic kidney disease [p\u3c0.001]. After propensity matching (N=20,627), females were found to have higher adverse events, including mortality (0.23% vs 0.15%,aOR:1.49, p:0.041), sudden cardiac arrest (1.77% vs 1.37%,aOR:1.38, p: 0.001), pericardial complications (1.46% vs 0.86%,aOR:1.65, p\u3c0.001), cardiac tamponade (0.94% vs 0.54%,aOR:1.75, p\u3c0.001), post-procedural bleeding (0.69% vs 0.53%,aOR:1.09, p:0.032) & net adverse events (NAE) (4.73% vs 4.24%,aOR: 1.17, p\u3c0.001). Females also had higher readmission rates at 30-day (9.42% vs 8.07%, p\u3c0.001) & subsequently at 90-day & 180-day intervals (p\u3c0.001). No difference was noted in resource utilization (LOS & cost of hospitalization) between males & females (p\u3e0.05). Conclusion In hospitalizations for LAAO device placement, females tend to suffer higher mortality, adverse events & readmission rates as compared to males; although resource utilization is similar
VALSARTAN-SACUBITRIL-INDUCED RECURRENT PANCREATITIS: A Rare Complication in Heart Failure Management
No full textComplex Clinical Cases: Case Study: A 70-year-old female presented with sudden epigastric pain for one day. She had a history of cholecystectomy three decades ago & denied alcohol use, abdominal trauma, or prior endoscopic procedures. Labs revealed elevated lipase levels, confirming acute pancreatitis. CT scan showed pancreatic edema. She was treated symptomatically & was discharged later. Notably, a month ago, she was diagnosed with Heart Failure and was started on Valsartan-Sacubitril
Drop-it like it’s hot: a droperidol medication use and efficacy evaluation in a community health system.
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This study found that higher doses of droperidol for abdominal pain could provide more analgesic benefit without compromising patient safety. While droperidol appears effective at relieving nausea, other more cost-effective anti-emetics may be trialed first (without diphenhydramine). Droperidol appeared to provide light sedation, although most doses were low and used on patients without severe agitation (e.g. RASS ≥ 3)