scholarly journals Development of Electronic Medical Record Solutions for Immune Effector Cell Therapies: Single Institution Implementation in an Academic Medical Center

2019 ◽  
Vol 25 (3) ◽  
pp. S267-S268
Author(s):  
Caroline Strohm ◽  
Zahra Mahmoudjafari ◽  
Crissy Morrison ◽  
Angela Kilmer ◽  
Kathryn Fuller ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Effector Cell ◽  
Medical Center ◽  
Academic Medical Center ◽  
Immune Effector Cell ◽  
Single Institution ◽  
Cell Therapies ◽  
Immune Effector ◽  
Academic Medical

scholarly journals Optimizing Inpatient Urine Culture Ordering Practices Using the Electronic Medical Record: A Pilot Study

2016 ◽  
Vol 38 (4) ◽  
pp. 486-488 ◽  
Author(s):  
Daniel Shirley ◽  
Harry Scholtz ◽  
Kurt Osterby ◽  
Jackson Musuuza ◽  
Barry Fox ◽  
...  
Keyword(s):  
Pilot Study ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Urine Culture ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Before And After ◽  
Quasi Experimental ◽  
Before And After Study

A prospective quasi-experimental before-and-after study of an electronic medical record–anchored intervention of embedded education on appropriate urine culture indications and indication selection reduced the number of urine cultures ordered for catheterized patients at an academic medical center. This intervention could be a component of CAUTI-reduction bundles.Infect Control Hosp Epidemiol 2017;38:486–488

scholarly journals Impact of a Cost Visibility Tool in the Electronic Medical Record on Antibiotic Prescribing in an Academic Medical Center

2015 ◽  
Vol 50 (6) ◽  
pp. 496-504
Author(s):  
Kelly L. Fargo ◽  
Jessica Johnston ◽  
Kurt B. Stevenson ◽  
Meredith Deutscher ◽  
Erica E. Reed
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Medical Center ◽  
Academic Medical Center ◽  
Antibiotic Prescribing ◽  
Academic Medical

scholarly journals Newly developed pseudogout arthritis after therapy with MAGE-A4 directed TCR T cells responded to treatment with tocilizumab

2021 ◽  
Vol 9 (7) ◽  
pp. e002716
Author(s):  
Sang T. Kim ◽  
Jean Tayar ◽  
Siqing Fu ◽  
Danxia Ke ◽  
Elliot Norry ◽  
...  
Keyword(s):  
T Cells ◽  
Synovial Fluid ◽  
Th17 Cells ◽  
Effector Cell ◽  
Calcium Pyrophosphate ◽  
Calcium Pyrophosphate Dihydrate ◽  
Immune Effector Cell ◽  
Cell Therapies ◽  
Immune Effector ◽  
Pyrophosphate Dihydrate

With durable cancer responses, genetically modified cell therapies are being implemented in various cancers. However, these immune effector cell therapies can cause toxicities, including cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS). Pseudogout arthritis is an inflammatory arthritis induced by deposition of calcium pyrophosphate dihydrate crystals. Here, we report a case of pseudogout arthritis in a patient treated with MAGE-A4 directed T cell receptor T cells, for fallopian tube cancer. The patient developed CRS and ICANS 7 days after infusion of the T cells. Concurrently, the patient newly developed sudden onset of left knee arthritis. Synovial fluid analyses revealed the presence of calcium pyrophosphate dihydrate crystal. Notably, the pseudogout arthritis was resolved with tocilizumab, which was administered for the treatment of CRS and ICANS. Immunoprofiling of the synovial fluid showed that the proportion of inflammatory interleukin 17 (IL-17)-producing CD4+ T (Th17) cells and amount of IL-6 were notably increased, suggesting a potential role of Th17 cells in pseudogout arthritis after T-cell therapy. To the best of our knowledge, this is the first reported case of pseudogout arthritis after cell therapy. Clinicians, especially hematologists, oncologists and rheumatologists, should be aware that pseudogout arthritis can be associated with CRS/ICANS.

scholarly journals Evaluation of an Outpatient Pharmacist Consult Service at a Large Academic Medical Center

2021 ◽  
Vol 12 (2) ◽  
pp. 13
Author(s):  
Melanie Berry ◽  
Amy Gustafson ◽  
Maya Wai ◽  
Alex J. Luli
Keyword(s):  
Medical Record ◽  
Medical Center ◽  
Academic Medical Center ◽  
Cost Savings ◽  
Acceptance Rate ◽  
Demographic Information ◽  
Consult Service ◽  
Descriptive Data ◽  
Academic Medical ◽  
Patient Demographic Information

Objective: To evaluate a novel outpatient pharmacist consult service in a large academic medical center. Setting: Four outpatient pharmacies that are part of a large academic medical center Methods: An outpatient pharmacist consult order was created and embedded in the electronic medical record (EMR). Medical center providers utilized this consult order when identifying patients in need of specific services provided by outpatient pharmacists. Descriptive data about each individual consult was collected including number completed, type of service, and duration. Rate of accepted pharmacy recommendations and patient cost savings were also evaluated. A survey was administered at the completion of the study period to assess provider and pharmacist satisfaction with the service.  Patient demographic information was collected for those who had a documented completed consult. Results: A total of 193 consults were completed: 137 immunizations, 37 care affordability, 15 education, 3 polypharmacy and 1 OTC recommendation. 89% of completed consults took pharmacists 20 minutes or less to complete. Of completed care affordability consults (n=31), 55% of patients saved between $100 - $500 per medication fill. Of providers who completed a survey and utilized the service (n=12), 83.3% were extremely satisfied and 16.7% were satisfied with it. The provider acceptance rate of pharmacist’s recommendations was 74%. Conclusion: Implementation of an outpatient pharmacist consult service provided an alternative method for the utilization of pharmacist provided MTM services in outpatient pharmacies at a large academic medical center. The service was well received by both providers and pharmacists.

scholarly journals Conversion of Provider EMR Training from Instructor-Led Training to eLearning at an Academic Medical Center

2017 ◽  
Vol 08 (03) ◽  
pp. 754-762
Author(s):  
Karen Sharp ◽  
Michele Williams ◽  
Adrienne Bogacz ◽  
Sighle Denier ◽  
Ann McAlearney ◽  
...  
Keyword(s):  
Medical Record ◽  
Medical Center ◽  
Academic Medical Center ◽  
End User ◽  
Provider Training ◽  
Step Process ◽  
Training Tool ◽  
Academic Medical ◽  
Training Approach

SummaryThis case study overviews the conversion of provider training of the electronic medical record (EMR) from an instructor-led training (ILT) program to eLearning at an Academic Medical Center (AMC). This conversion provided us with both a useful training tool and the opportunity to maximize efficiency within both our training and optimization team and organization. eLearning Development Principles were created and served as a guide to assist us with designing an eLearning curriculum using a five step process. The result was a new training approach that allowed learners to complete training at their own pace, and even test out of sections based on demonstrated competency. The information we have leads us to believe that a substantial return on our investment can be obtained from the conversion with positive impacts that have served as the foundation for the future of end user EMR training at our AMC.Citation: Sharp K, Williams M, Aldrich A, Bogacz A, Denier S, McAlearney AS. Conversion of Provider EMR Training from Instructor Led Training to eLearning at an Academic Medical Center. Appl Clin Inform 2017; 8: 754–762 https://doi.org/10.4338/ACI-2017-03-CR-0040

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