scholarly journals Knowledge management in the era of digital medicine: A programmatic approach to optimize patient care in an academic medical center

2017 ◽  
Vol 1 (2) ◽  
pp. e10022 ◽  
Author(s):  
Jane L. Shellum ◽  
Rick A. Nishimura ◽  
Dawn S. Milliner ◽  
Charles M. Harper ◽  
John H. Noseworthy
Keyword(s):  
Knowledge Management ◽  
Patient Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Digital Medicine ◽  
Academic Medical

Creating an immunization content database for knowledge management across clinical systems

2019 ◽  
Vol 76 (Supplement_3) ◽  
pp. S79-S84
Author(s):  
Hamilton Wen ◽  
Janos L Mathe ◽  
Stuart T Weinberg ◽  
Asli Ozdas Weitkamp ◽  
Scott D Nelson
Keyword(s):  
Knowledge Management ◽  
Information Needs ◽  
Medical Center ◽  
Academic Medical Center ◽  
Automated Detection ◽  
Domain Model ◽  
Academic Medical ◽  
Control And Prevention ◽  
Current Content ◽  
Clinical Systems

Abstract Purpose A initiative at an academic medical center to create a single database of immunization-related content to inform the build and configuration of immunization-related knowledge assets across multiple clinical systems is described. Methods Semistructured expert interviews were conducted to ascertain the immunization information needs of the institution’s clinical systems. Based on those needs, an immunization domain model constructed with data available from the Centers for Disease Control and Prevention (CDC) website was developed and used to analyze and compare current immunization-related content from CDC data sources with the content of the institution’s clinical systems. Results Five identified clinical systems that used immunization-related content collectively required 22 unique information concepts, 11 of which were obtainable from CDC vaccine code sets. The proportion of vaccines designated by CDC as active products (i.e., currently available administrable vaccines) that were included in the 5 clinical systems ranged from 59% to 95%; in addition, some non–active-status vaccines were listed as active-status products in the various clinical systems. Upon further review, updates to immunization-related content in the 5 clinical systems were implemented. Conclusion Creating a single database for immunization-related content based on CDC data facilitated an explicit and tractable knowledge management process and helped ensure that clinical systems had correct and current content. The immunization domain model created has the potential to assist in the automated detection of updates and relaying those updates to the applicable clinical systems.

scholarly journals RR1. Vascular Surgeon Contribution to Patient Care at a Tertiary Academic Medical Center

2015 ◽  
Vol 61 (6) ◽  
pp. 187S-188S
Author(s):  
Yana Etkin ◽  
Julia D. Glaser ◽  
Ronald M. Fairman ◽  
Scott M. Damrauer ◽  
Grace J. Wang ◽  
...  
Keyword(s):  
Patient Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Vascular Surgeon ◽  
Academic Medical

scholarly journals Attitudes and Behavior towards Interprofessional Collaboration among Healthcare Professionals in a Large Academic Medical Center

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 323
Author(s):  
Benjamin E. Ansa ◽  
Sunitha Zechariah ◽  
Amy M. Gates ◽  
Stephanie W. Johnson ◽  
Vahé Heboyan ◽  
...  
Keyword(s):  
Patient Care ◽  
Interprofessional Education ◽  
Healthcare Professionals ◽  
Interprofessional Collaboration ◽  
Medical Center ◽  
Core Competencies ◽  
Academic Medical Center ◽  
Healthcare Team ◽  
Interprofessional Communication ◽  
Academic Medical

The increasing rates of comorbidities among patients and the complexity of care have warranted interprofessional collaboration (IPC) as an important component of the healthcare structure. An initial step towards assessing the effectiveness of collaboration requires the exploration of the attitudes and experience of healthcare professionals towards IPC. This online survey aimed to examine the attitudes of healthcare professionals working in a large public academic medical center toward IPC in patient care and the healthcare team, and their behavior and experience regarding IPC. The rankings, according to the perceived importance among the respondents, of the four Interprofessional Education Collaborative (IPEC) core competencies (values/ethics, roles/responsibilities, interprofessional communication, teams/teamwork) were assessed. There were strong but varying levels of consensus among healthcare professionals (N = 551) that IPC facilitates efficient patient care, improves patient problem-solving ability, and increases better clinical outcomes for patients. They acknowledged that IPC promotes mutual respect within the healthcare team and providers’ ability to make optimal patient care decisions. However, overall more than 35% of the respondents did not attend multidisciplinary education sessions (grand rounds, seminars, etc.), and about 23% did not participate in bedside patient care rounds. Interprofessional communication was ranked as the most important IPEC core competence. Although the attitude towards IPC among healthcare professionals is strongly positive, many healthcare professionals face challenges in participating in IPC. Institutional policies that facilitate interprofessional learning and interactions for this group of healthcare professionals should be formulated. Online distance learning and interactions, and simulation-enhanced interprofessional education, are options for addressing this barrier. Hospital administrators should facilitate conducive work environments that promote IPC, based on IPEC core competencies, and promote programs that address the challenges of IPC.

Impact of an innovative partnership in patient care between an academic medical center department of pharmacy and a school of pharmacy

2019 ◽  
Vol 76 (24) ◽  
pp. 2070-2076
Author(s):  
Mary-Haston Vest ◽  
Mary G Petrovskis ◽  
Scott W Savage ◽  
Nicole R Pinelli ◽  
Ashley L Pappas ◽  
...  
Keyword(s):  
Patient Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Lessons Learned ◽  
Residency Programs ◽  
Pharmacy Department ◽  
Academic Medical ◽  
American Society ◽  
The Impact ◽  
The Relationship

Abstract Purpose Pharmacy departments and schools of pharmacy have long held professional affiliations. However, the success of each entity is often not interdependent and aligned. In 2010, our institutions found ourselves in a position where the complementary motivations of each aligned to support a more meaningful and committed engagement, leading to the development of the Partnership in Patient Care. The impact of the partnership was evaluated 7 years postimplementation, and both the successes realized and the lessons learned are described. Summary The partnership provided many advantages to our pharmacy department and the school of pharmacy. This initial iteration of the partnership was a strong proof of concept that an intentional approach to the relationship between a school of pharmacy and a pharmacy department can lead to substantive improvements in a wide array of meaningful outcomes. We experienced an increase in the number of student rotation months completed, growth in the American Society of Health-System Pharmacists–accredited residency programs, and enhanced clinical services. However, the partnership was not without challenges. For instance, lack of a formalized tracking method made certain outcomes difficult to track. Conclusion The purposeful establishment of the Partnership in Patient Care, built on the needs of a school of pharmacy and an academic medical center pharmacy department, allowed our institutions to develop an intertwined mission and vision. Over the initial years of the partnership, many successes were realized and lessons were learned. Both the successes and the challenges are serving as the foundation for future iterations of the partnership.

Feasibility of medication coordination with lay navigators in outpatient oncology clinics.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 81-81
Author(s):  
Katherine P. Morgan ◽  
Jean B. Sellers ◽  
Benyam Muluneh ◽  
Megan Carlson ◽  
William Allen Wood ◽  
...  
Keyword(s):  
Patient Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Cost Effective ◽  
Direct Patient Care ◽  
Assistance Program ◽  
Clinic Staff ◽  
Medication Access ◽  
Training And Supervision ◽  
Academic Medical

81 Background: Significant obstacles exist with approval and payment of oncology medications for both the patient and pharmacy team. Our medication assistance program is supported by the clinical pharmacist (CP) and clinic staff. Many tasks are time consuming, interrupt patient care and may create medication access delays. Patients also need assistance with health insurance literacy and have minimal understanding of medication assistance resources. Lay navigators (LN) are volunteers who assist cancer patients overcome barriers to care. They are trained to work in tandem with clinical staff while linking patients to financial resources. A pilot was developed to determine the feasibility and value of integrating LN support within the pharmacy team. Methods: Four LN were integrated into oncology clinics. Tasks were assigned to the LN under the supervision of the CP. The LN documented tasks executed, entities and patients they communicated with and time spent on each encounter. Results: From April to June 2018, 4 LN were available 2 to 4 hours per week. The LN completed 46 interventions for 20 patients (Table 1). Average time spent on each intervention was 19 minutes. Over the 9-week pilot period the LN saved clinic staff a total of 10.87 hours. LN survey feedback was positive and 75% of the LN report confidence when communicating with patients about medication access. Conclusions: We have demonstrated that LN can be utilized as a pharmacy advocate for medication coordination in oncology clinics at our academic medical center. LN satisfaction was high and time savings allowed CP to focus on direct patient care. The model is cost effective and requires few resources other than financial toxicity training and supervision. Future steps will include determining financial impact, patient satisfaction and expansion into additional clinics.[Table: see text]

scholarly journals Comparison of Direct Patient Care Costs and Quality Outcomes of the Teaching and Nonteaching Hospitalist Services at a Large Academic Medical Center

2018 ◽  
Vol 93 (3) ◽  
pp. 491-497 ◽  
Author(s):  
Jose A. Perez ◽  
Melina Awar ◽  
Aryan Nezamabadi ◽  
Richard Ogunti ◽  
Mamta Puppala ◽  
...  
Keyword(s):  
Patient Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Direct Patient Care ◽  
Quality Outcomes ◽  
Academic Medical ◽  
Care Costs

scholarly journals Spectrum of tablet computer use by medical students and residents at an academic medical center

2015 ◽  
Author(s):  
Robert Robinson
Keyword(s):  
Medical Students ◽  
Patient Care ◽  
Computer Use ◽  
Response Rate ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tablet Computer ◽  
Tablet Computers ◽  
Resident Physicians ◽  
Academic Medical

Introduction: The value of tablet computer use in medical education is an area of considerable interest, with preliminary investigations showing that the majority of medical trainees feel that tablet computers added value to the curriculum. This study investigated potential differences in tablet computer use between medical students and resident physicians. Materials & Methods: Data collection for this survey was accomplished with an anonymous online questionnaire shared with the medical students and residents at Southern Illinois University School of Medicine (SIU-SOM) in July and August of 2012. Results: There were 76 medical student responses (26% response rate) and 66 resident/fellow responses to this survey (21% response rate). Residents/fellows were more likely to use tablet computers several times daily than medical students (32% vs 20%, p = 0.035). The most common reported uses were for accessing medical reference applications (46%), e-Books (45%), and board study (32%). Residents were more likely than students to use a tablet computer to access an electronic medical record (41% vs 21%, p = 0.010), review radiology images (27% vs 12%, p = 0.019), and enter patient care orders (26% vs 3%, p < 0.001). Discussion: This study shows a high prevalence and frequency of tablet computer use among physicians in training at this academic medical center. Most residents and students use tablet computers to access medical references, e-books, and to study for board exams. Residents were more likely to use tablet computers to complete clinical tasks. Conclusions: Tablet computer use among medical students and resident physicians was common in this survey. All learners used tablet computers for point of care references and board study. Resident physicians were more likely to use tablet computers to access the EMR, enter patient care orders, and review radiology studies. This difference is likely due to the differing educational and professional demands placed on resident physicians. Further study is needed better understand how tablet computers and other mobile devices may assist in medical education and patient care.

scholarly journals Descriptive Epidemiology of Safety Events at an Academic Medical Center

2020 ◽  
Vol 17 (1) ◽  
pp. 353
Author(s):  
Alexandre R. Marra ◽  
Abdullah Algwizani ◽  
Mohammed Alzunitan ◽  
Theresa M. H. Brennan ◽  
Michael B. Edmond
Keyword(s):  
Patient Safety ◽  
Patient Care ◽  
Surveillance System ◽  
Medical Center ◽  
Academic Medical Center ◽  
Incident Reporting ◽  
Near Miss ◽  
Descriptive Epidemiology ◽  
Near Misses ◽  
Academic Medical

Background: Adverse safety events in healthcare are of great concern, and despite an increasing focus on the prevention of error and harm mitigation, the epidemiology of safety events remains incomplete. Methods: We performed an analysis of all reported safety events in an academic medical center using a voluntary incident reporting surveillance system for patient safety. Safety events were classified as: serious (reached the patient and resulted in moderate to severe harm or death); precursor (reached the patient and resulted in minimal or no detectable harm); and near miss (did not reach the patient). Results: During a three-year period, there were 31,817 events reported. Most of the safety events were precursor safety events (reached the patient and resulted in minimal harm or no detectable harm), corresponding to 77.3%. Near misses accounted for 10.8%, and unsafe conditions for 11.8%. The number of reported serious safety events was low, accounting for only 0.1% of all safety events. Conclusions: The reports analysis of these events should lead to a better understanding of risks in patient care and ways to mitigate it.

An Analysis of Patient Care Questions Asked by Pediatricians at an Academic Medical Center

2004 ◽  
Vol 4 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Donna M. D'Alessandro ◽  
Clarence D. Kreiter ◽  
Michael W. Peterson ◽  
Peggy Kingsley ◽  
Jill Johnson-West
Keyword(s):  
Patient Care ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical
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