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Reducing unnecessary preoperative testing through a comprehensive EMR based digital algorithm.
EBioMedicine
December 2024
Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center (UPMC). Electronic address:
Background: We hypothesised that the implementation of an electronic medical record (EMR) embedded perioperative clinical decision support (CDS) application, Anesthesia Testing Guidelines (ATG), would result in at least a 10% reduction of unnecessary perioperative testing in patients undergoing elective surgeries.
Methods: The development and implementation of ATG occurred in several phases: 1) team development, 2) development of an embedded EMR application, 3) creation of ATG training and education toolkit, and 4) implementation involving promoting ATG through training and education, addressing challenges, and monitoring compliance. The proportions of patients with any overutilisation across 19 perioperative tests were compared between the baseline cohort and the ATG implementation cohort.
From Launch to Leadership: Successfully Navigating an Academic Career Path.
Acad Med
January 2025
Editor-in-chief, Academic Medicine.
Survey said! LTC-CIP certificant's perspective with passing the certification exam.
Am J Infect Control
December 2024
Infection Prevention Consultant, Saylorsburg, PA; Villanova University, M. Louise Fitzpatrick College of Nursing, Villanova, PA. Electronic address:
Background: The Coronavirus Disease 2019 (COVID-19) pandemic's severe long-term care (LTC) disease burden underscores the need for infection prevention and control (IPC) expertise in LTC facilities. Launched in 2023, the LTC Certification in Infection Prevention (LTC-CIP) exam allows LTC infection preventionists to demonstrate proficiency in IPC program management. This study aims to evaluate the LTC-CIP certification's impact on certificants' IPC practices, programs, and personal and professional growth.
View Article and Find Full Text PDFThe RISE (Resilience in Stressful Events) Peer Support Program: Creating a Virtuous Cycle of Healthcare Leadership Support for Staff Resilience and Well-Being.
J Healthc Leadersh
December 2024
Armstrong Institute for Patient Safety and Quality, Johns Hopkins University, Baltimore, MD, USA.
Healthcare leaders are responsible for creating an environment where their staff can maintain their resilience and well-being. However, there is a crisis of burnout among healthcare workers. The resulting increased turnover, diminished morale and performance, safety risks, and decreased worker engagement produces a vicious cycle of burnout.
View Article and Find Full Text PDFTRASH-CAN: An Approach to Promote Planetary Health Education and Research for Health Care Trainees.
J Grad Med Educ
December 2024
is Professor of Surgery and Director of Planetary Health Faculty of Medicine, University of Ottawa, and Clinical Investigator, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
As future health care leaders who work and train in diverse clinical settings, resident physicians are uniquely positioned to advance sustainable health care systems. However, residents are insufficiently educated about health care sustainability and given limited opportunities to engage in planetary health. This article introduces and reports on the early outcomes of the Trainee-Led Research and Audit for Sustainability in Healthcare Canada (TRASH-CAN), a resident-driven initiative launched in 2023 with the aim of reducing Canadian health care's environmental impact.
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