Utility of amazon-inspired algorithm for resident procedure logging

Background and Objectives: Accurate procedure logs allow residents to demonstrate procedural competence and meet accreditation requirements. Residents often perform multiple procedures on the same patient but may only remember to log a single primary procedure, or they may forgo logging some procedures due to time constraints. To mitigate this, Henry Ford Hospital Emergency Medicine (HFHEM) developed two logging tools that recommend additional procedures to record when a primary procedure is submitted. The first tool (“Website”) provides suggested procedures based on a static linkage list predetermined by residency leadership. The second tool (“App”) uses an Amazon-inspired algorithm to provide dynamic suggestions based on selection patterns of other residents. For example, the App would say “Residents who logged \u27I&D\u27 frequently logged \u27Local Anesthesia\u27 or \u27Ultrasound\u27.” Our objective was to determine whether the dynamic algorithm leads to a greater frequency of procedure co-logging compared to the static linkage list. Secondarily, to determine whether such suggestions successfully prompt residents to log procedures which they may have otherwise forgotten when using traditional logging tools. Methods: Procedure logging data at HFHEM for academic year 2018-2019 were retrospectively analyzed. The rates at which residents co-logged 1, 2, or ≥3 procedures using the Website or the App were compared using chi-square statistics. Results: 8,656 entries were logged: Website 6,804 (78.6%) and App 1,852 (21.4%). The rate of co-logging \u3e1 procedure was significantly higher with the App as compared to the Website (48.3% vs. 31.1%; p \u3c 0.001). Similar results were seen for co-logging ≥3 procedures (16.6% vs. 12.9%; p \u3c 0.001). Overall, 34.8% of submissions had at least 2 procedures co-logged. Conclusion: The Amazon-inspired algorithm was superior to the pre-determined static list in promoting procedure co-logging. Moreover, suggesting procedures (regardless of the algorithm used) led to a high rate of co-logging. While some technical expertise is required to implement these tools, the source code is available to all at no cost. This innovative algorithm may decrease the time needed to log procedures and may improve the accuracy of the record by capturing procedures that may have been forgotten when using traditional logging tools

Adopting otitis media practice guidelines increases adherence within a large primary care network

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/168468/1/jpc15389.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/168468/2/jpc15389_am.pd

Role of active nanoliposomes in the surface and bulk mechanical properties of hybrid hydrogels

Nanoliposomes are widely used as delivery vehicles for active compounds. Nanoliposomes from rapeseed phospholipids were incorporated into interpenetrating polymer network hydrogels of gelatin methacryloyl and alginate. The multiscale physicochemical properties of the hydrogels are studied both on the surface and through the thickness of the 3D network. The obtained composite hydrogels exhibited strong mechanical properties and a highly porous surface. The blend ratio, as well as the concentration of nanoliposomes, affects the properties of the hydrogels. Nanofunctionalized hydrogels induced keratinocyte growth. These advantageous characteristics may open up many applications of the developed hydrogels in drug delivery and tissue engineerin