Pain Management After Cesarean Delivery Among Women with Opioid Use Disorder: Results from a Retrospective Pregnancy Cohort in a Rural Region of the Midwest.

Background: Increasing numbers of pregnant women are being treated with buprenorphine for opioid use disorder (OUD), which can interfere with effectiveness of other opioids used for pain relief, making perioperative guidance for patients requiring cesarean delivery unclear.

Methods: Using a retrospective cohort design, we abstracted 8 years of medical records (2013-2020) from a hospital in rural Michigan. We compared analgesic use (as a proxy for pain) and hospital length of stay (LOS) between groups of women with OUD whose buprenorphine treatment was (1) discontinued before cesarean delivery (discontinuation) versus (2) continued throughout the perioperative period (maintenance).

Autobiographical memories of interpersonal trust in borderline personality disorder.

Background: Establishing and maintaining interpersonal trust is often difficult for patients with Borderline Personality Disorder (BPD). How we trust is influenced by prior trust experiences.

Methods: For the investigation of trust experiences, autobiographical memories of  = 36 patients with BPD and  = 99 non-clinical controls were examined.

At the Margins: Comparing School Experiences of Nonbinary and Binary-Identified Transgender Youth.

Background: Transgender, nonbinary, and gender nonconforming (TNG) young people are a diverse group, including young people with gender identities beyond the gender binary. Whereas nonbinary youth experience disparities in victimization and mental health, school belonging, support, and resources have not been well described.

Methods: We conducted an online survey of TNG young people (ages 12-22) in Wisconsin to assess school belonging, safety, support, and resources.

Interpersonal Trust: Development and Validation of a Self-Report Inventory and Clinical Application in Patients With Borderline Personality Disorder.

Based on typical everyday trust situations, a short and ecologically valid self-report instrument for the assessment of interpersonal trust was developed (Interpersonal Trust Scenario Questionnaire [ITSQ]). Data from 1,359 clinical and nonclinical participants were analyzed to examine psychometric properties and group differences. The authors assessed interpersonal trust in patients with borderline personality disorder (BPD), patients with major depressive disorder, and patients with social anxiety disorder.

Building on a safety culture with transparency by participating in a mentored quality-improvement program for insulin pen safety.

Purpose: The experience at a medium-sized regional medical center participating in the ASHP MENTORED QUALITY IMPROVEMENT IMPACT PROGRAM℠ (MQIIP) on Insulin Pen Safety in Hospitals is described.

Summary: With the support of top hospital leaders, Munson Medical Center (MMC) applied in June 2014 to participate in the MQIIP to complement its ongoing risk assessment related to the use of pen devices for insulin administration. Nurse knowledge deficits, problems with insulin pen storage and labeling, and improper insulin injection practices identified in baseline assessments for the MQIIP were the basis for process improvements, including new policies and procedures, an electronic alert and education for nurses, and individualized communication with pharmacy and nursing personnel about insulin pen safety.