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40
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Text
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<a href="http://doi.org/10.1097/JTN.0000000000000597" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/JTN.0000000000000597</a>
Pages
275-280
Issue
4
Volume
28
ISSN
1078-7496
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Update Year & Number
July 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of General Surgery
Affiliated Hospital
Summa Health System Akron City Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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A Critical Pathway for Mass Casualty Incident Preparedness.
Publisher
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Journal Of Trauma Nursing
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-07
Creator
An entity primarily responsible for making the resource
Moran ME; Blecker N; Gothard MD; George RL
Description
An account of the resource
Background: Rates of mass casualty incidents (MCIs) have been on the rise in the United States, highlighting the need for health care systems to have an emergency response plan. Trauma centers are fundamental during MCIs and serve a crucial leadership role in preparedness for them.; Objective: The purpose of this study was to describe the design and implementation of simulated MCI drills at an American College of Surgeons verified Level I trauma center in the Midwest.; Methods: A quasi-experimental time-series design was utilized to determine MCI simulation effects on staff performance using an emergency department checklist to measure emergency department throughput time. A multidisciplinary MCI design team developed a checklist for the emergency department, which identified tasks required to complete it. The 16-item checklist, Critical Pathway Management methodology, was used to identify the critical pathway for patient throughput during a surge. Two in situ MCI simulation drills were conducted in the emergency department (October and December 2019), and Critical Pathway Management identified the primary patient throughput rate limiters as notification and inpatient nursing staff presentation.; Results: Emergency department throughput decreased from a mean of 15 to 11 min (reduction of 26.7%) between the two time periods after focusing on rate-limiting tasks.; Conclusion: This quality improvement project demonstrated that the use of institution-specific checklists and Critical Pathway Management to identify critical pathways and potential rate limiters led to patient throughput improvements. (Copyright © 2021 Society of Trauma Nurses.)
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/JTN.0000000000000597" target="_blank" rel="noreferrer noopener">10.1097/JTN.0000000000000597</a>
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journalArticle
2021
Blecker N
Department of General Surgery
George RL
Gothard MD
Journal Of Trauma Nursing
journalArticle
July 2021 List
Moran ME
NEOMED College of Medicine
Summa Health System Akron City Hospital
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/JTN.0000000000000569" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/JTN.0000000000000569</a>
Pages
119-125
Issue
2
Volume
28
ISSN
1078-7496
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Update Year & Number
April 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Department of General Surgery
Affiliated Hospital
Summa Health System Akron City Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Improving a mature palliative care program at a Level I trauma center.
Publisher
An entity responsible for making the resource available
Journal Of Trauma Nursing
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-04-03
Subject
The topic of the resource
Advance Directives; Confidence Intervals; Data Analysis Software; Depression; Descriptive Statistics; Documentation; Electronic Health Records; Fisher's Exact Test; Frailty Syndrome; Hospital Programs; Human; Palliative Care; Pearson's Correlation Coefficient; Quality Improvement; Questionnaires; Simulations; Trauma Centers
Creator
An entity primarily responsible for making the resource
Moran ME; Soltis M; Politis T; Gothard MD; George RL
Description
An account of the resource
Background: Similar to the significant rise in the geriatric population in the United States, trauma centers have seen an increase in geriatric trauma patients. These patients present with additional challenges such as a higher likelihood of undertriage, mortality, and frailty. In addition, the varying presence of advanced directive documentation increases the importance of early palliative care consultations for geriatric trauma patients. Objective: In 2018, a Level I trauma center in the Midwest reviewed the American College of Surgeons Trauma Quality Improvement Program's Palliative Care Best Practice Guideline to identify opportunities for improvement to strengthen the collaboration between the palliative care consult service and trauma program. Methods: The guideline drove improvements, which included documentation changes (i.e., expansion of palliative care consultation triggers, frailty assessment, advanced directives questions, depression screening, and addition of palliative care consultation section on the performance improvement program form) and training (1-hr lecture on palliative care and 5-hr palliative care simulation training) opportunities. Results: A 3-month manual chart review (March 2019 through May 2019) revealed that by May 2019, 87.2% of admitted geriatric trauma patients received frailty assessments, which surpassed the benchmark (>85%). In addition, advanced care planning questions (i.e., health care power of attorney, do not resuscitate order, or living will) exceeded the benchmarks set forth by the guideline (>90%), with all of the questions being asked and documented in 95.7% of those same patient charts by May 2019. Conclusion: This quality improvement project has applicability for trauma centers that treat geriatric trauma patients; using the guidelines can drive changes to meet individual institution needs.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/JTN.0000000000000569" target="_blank" rel="noreferrer noopener">10.1097/JTN.0000000000000569</a>
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journalArticle
2021
Advance Directives
April 2021 List
Confidence Intervals
Data Analysis Software
Department of General Surgery
Department of Internal Medicine
Depression
Descriptive Statistics
Documentation
Electronic Health Records
Fisher's Exact Test
Frailty Syndrome
George RL
Gothard MD
Hospital Programs
Human
Journal Of Trauma Nursing
journalArticle
Moran ME
NEOMED College of Medicine
Palliative Care
Pearson's Correlation Coefficient
Politis T
Quality Improvement
Questionnaires
Simulations
Soltis M
Summa Health Systems Akron City Hospital
Trauma Centers
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.7759/cureus.15858" target="_blank" rel="noreferrer noopener">http://doi.org/10.7759/cureus.15858</a>
Issue
6
Volume
13
ISSN
2168-8184
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Update Year & Number
July 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of General Surgery
Affiliated Hospital
Summa Health System Akron City Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Staff Perspectives of Mass Casualty Incident Preparedness
Publisher
An entity responsible for making the resource available
Cureus
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-06-23
Subject
The topic of the resource
qualitative; DISASTER; emergency preparedness; emergency response plan; in situ simulation; mass casualty incident; quality improvement projects; RESPOND; SIMULATION; STUDENTS
Creator
An entity primarily responsible for making the resource
Moran ME; Zimmerman JR; Chapman AD; Ballas DA; Blecker N; George RL
Description
An account of the resource
Introduction Mass casualty incidents (MCI) are low-frequency, high-risk events that disrupt the day-to-day operations of medical centers. Day-to-day protocols are insufficient for effectively managing MCI events, creating a need to develop and test MCI-specific protocols. The aim of this project was to utilize interviews to gain insight into staff experience and perspective on MCIs and their institution's response plans. Methods Staff members who participated in an MCI drill were asked semi-structured interview questions regarding their perspectives on their current priorities, the information needed to perform their role, and their greatest concerns about an MCI. This quality improvement (QI) project utilized a qualitative methodology to thematically organize the results of the staff responses. Results A total of 64 staff members with various levels of patient care experience were interviewed to reach thematic saturation. The use of staff interviews helped to identify the four primary themes that emerged, which were: 1) process, 2) supplies and resources, 3) communication, and 4) roles. Furthermore, each theme also included a number of subthemes. Conclusions This project demonstrated the importance of staff experiences related to MCI simulation training and preparedness, which may be useful for future training and emergency response planning. Additionally, the results may be helpful for other institutions when building a robust MCI simulation training program or designing an emergency response plan.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.7759/cureus.15858" target="_blank" rel="noreferrer noopener">10.7759/cureus.15858</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
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journalArticle
2021
Ballas DA
Blecker N
Chapman AD
Cureus
Department of General Surgery
disaster
emergency preparedness
emergency response plan
George RL
in situ simulation
journalArticle
July 2021 List
mass casualty incident
Moran ME
NEOMED College of Medicine
Qualitative
quality improvement projects
RESPOND
simulation
Students
Summa Health System Akron City Hospital
Zimmerman JR
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/qmh.0000000000000266" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/qmh.0000000000000266</a>
Pages
218-225
Issue
4
Volume
29
ISSN
1550-5154
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Update Year & Number
September 2020 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of General Surgery
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Addressing behavioral health concerns in trauma: Using lean six sigma to implement a depression screening protocol in a level I trauma center
Publisher
An entity responsible for making the resource available
Quality Management In Health Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-12-10
Creator
An entity primarily responsible for making the resource
Moran ME;Sedorovich A;Kish J;Gothard A;George RL
Description
An account of the resource
Background: Patients with physical injuries or chronic conditions may be impacted by mental health conditions, which significantly affect their participation and progress in treatment. The Patient Health Questionnaire-2 (PHQ-2) depression screening can identify patients who are at greatest risk for depression to provide better whole-person care.; Objective: The quality improvement project objective was to identify and design a process that would result in the PHQ-2 depression screening for admitted trauma patients with a minimum 75% completion rate.; Methods: Lean Six Sigma (LSS) process design methodology, DMADV (define, measure, analyze, design, and verify), drove process improvement. Medical records from before (December 2018 through February 2019) and after (March 2019 through May 2019) the intervention were evaluated using frequencies, percentages, χ, and multivariable logistic regression to determine the effectiveness of the intervention.; Results: PHQ-2 document location was imperative to successful compliance, which increased from 60.74% (78 of 128) to 80.56% (87 of 108). Specifically, weekend compliance increased from 42.9% (18 of 42) to 82.8% (24 of 29).; Conclusion: LSS DMADV methodology helped health care professionals design a process to facilitate compliance with the PHQ-2 depression screening protocol in trauma patients. Adherence with this screening can help increase the number of behavioral health consultations, which in turn improves the treatment of traumatic injury survivors.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/qmh.0000000000000266" target="_blank" rel="noreferrer noopener">10.1097/qmh.0000000000000266</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
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journalArticle
2020
Cleveland Clinic Akron General Hospital
Department of General Surgery
George RL
Gothard A
journalArticle
Kish J
Moran ME
NEOMED College of Medicine
Quality management in health care
Sedorovich A
September 2020 List
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/qmh.0000000000000266" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/qmh.0000000000000266</a>
Pages
218-225
Issue
4
Volume
29
ISSN
1063-8628
Search for Full-text
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1097/qmh.0000000000000266" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1097/qmh.0000000000000266</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
September 2020 List
NEOMED College
NEOMED College of Medicine
Affiliated Hospital
Summa Health System
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Addressing behavioral health concerns in trauma: Using lean six sigma to implement a depression screening protocol in a level I trauma center
Publisher
An entity responsible for making the resource available
Quality Management In Health Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-10-01
Creator
An entity primarily responsible for making the resource
Moran ME;Sedorovich A;Kish J;Gothard A;George RL
Description
An account of the resource
BACKGROUND:: Patients with physical injuries or chronic conditions may be impacted by mental health conditions, which significantly affect their participation and progress in treatment. The Patient Health Questionnaire-2 (PHQ-2) depression screening can identify patients who are at greatest risk for depression to provide better whole-person care. OBJECTIVE:: The quality improvement project objective was to identify and design a process that would result in the PHQ-2 depression screening for admitted trauma patients with a minimum 75% completion rate. METHODS:: Lean Six Sigma (LSS) process design methodology, DMADV (define, measure, analyze, design, and verify), drove process improvement. Medical records from before (December 2018 through February 2019) and after (March 2019 through May 2019) the intervention were evaluated using frequencies, percentages, χ, and multivariable logistic regression to determine the effectiveness of the intervention. RESULTS:: PHQ-2 document location was imperative to successful compliance, which increased from 60.74% (78 of 128) to 80.56% (87 of 108). Specifically, weekend compliance increased from 42.9% (18 of 42) to 82.8% (24 of 29). CONCLUSION:: LSS DMADV methodology helped health care professionals design a process to facilitate compliance with the PHQ-2 depression screening protocol in trauma patients. Adherence with this screening can help increase the number of behavioral health consultations, which in turn improves the treatment of traumatic injury survivors.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/qmh.0000000000000266" target="_blank" rel="noreferrer noopener">10.1097/qmh.0000000000000266</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
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journalArticle
2020
George RL
Gothard A
journalArticle
Kish J
Moran ME
NEOMED College of Medicine
Quality management in health care
Sedorovich A
September 2020 List
Summa Health System