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Reducing unnecessary preoperative testing through a comprehensive EMR based digital algorithm.
EBioMedicine
January 2025
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.
A Modern Education Theory Approach to Development of a Benchtop Simulation Model for Ultrasound-Guided Percutaneous Nephrolithotomy.
J Endourol
December 2024
Department of Urology, University of California San Francisco, San Francisco, California, USA.
Article Synopsis
- Developed a nonbiohazardous simulator for ultrasound-guided percutaneous nephrolithotomy using expert feedback and modern education theory.
- A prototype was created with realistic anatomical features through 3D printing and hydrogel molding, and validated by expert surgeons and participants in multicenter trials.
- The simulator showed high satisfaction ratings and significant skill improvements for residents, making it an effective training tool for urologic education.
What is the Association of the Subsections of the Oswestry Disability Index and Overall Improvement Two Years after Lumbar Surgery for Degenerative Lumbar Spondylolisthesis?
Spine (Phila Pa 1976)
June 2024
Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Cornell Medicine, New York City, NY, USA.
Study Design: Retrospective review of a prospective cohort study.
Objective: To identify the association between Oswestry Disability Index (ODI) subsections and overall improvement 2 years after lumbar surgery for degenerative lumbar spondylolisthesis (DLS).
Background: DLS often necessitates lumbar surgery.
A Peer-to-Peer Approach to Increasing Staff Competency and Engagement in Wound and Ostomy Care: A Quality Improvement Project.
J Wound Ostomy Continence Nurs
March 2024
Alexis M. Aningalan, DNP, RN, CWON, CPHQ, New York-Presbyterian Westchester, Bronxville, NY.
Purpose: The purpose of this quality improvement (QI) project was to provide an innovative, participatory approach to the education of staff nurses and nursing support personnel to improve skills and competencies in wound and ostomy care while enhancing staff engagement and empowerment.
Participants And Setting: Project planning occurred between January and October 2020 and implementation began in November 2020. The project was implemented in 1 intensive care unit and 6 adult medical-surgical units of a 288-bed community hospital in the northeastern United States (Bronxville, New York).
We aimed to develop a consensus-based rehabilitation guideline specifically designed to reduce apprehension following arthroscopic Bankart repair after traumatic anterior shoulder dislocation. Delphi-based consensus. A comprehensive list of interventions for potential inclusion in a postoperative rehabilitation guideline was developed.
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