Does Age Influence Knowledge and Attitudes about Intrauterine Devices?

Primary objectives: Are there differences in attitudes and beliefs about IUDs based on age? We hypothesized that older women may be more familiar with the negative outcomes of earlier models of the IUD and therefore may hold more negative attitudes toward IUDs.https://jdc.jefferson.edu/cwicposters/1016/thumbnail.jp

Obstacles and Challenges to Implementing Multi-departmental QI at a Large, Academic Training Center-Lessons Learned from a HCV Screening Program

Objectives: We aimed to double the HCV screening rate of ‘baby-boomers’ admitted to the medicine teaching service at Methodist Hospital over the course of 6 months and demonstrate improved linkage to care for HCV RNA+ individuals. Initial efforts were a collaboration between Emergency Medicine, where faculty had experience implementing an HIV screening program, and Gastroenterology, a key stakeholder in linkage to care. Our pilot period coincided with new state regulations mandating that hospitals implement HCV screening for inpatients. These new regulations dramatically altered the scope and goals of the project.https://jdc.jefferson.edu/patientsafetyposters/1030/thumbnail.jp

Naloxone Administration Route in Opioid Overdose: A Review of Vermont EMS Data

Objective: Emergency Medical System (EMS) personnel administer the direct opioid antagonist naloxone in cases of opioid overdose via intramuscular (IM), intravenous (IV), subcutaneous (SQ), intraosseous (IO), or intranasal (IN) routes. Some early studies suggest that the intranasal route of administration is of similar effectiveness to injectable routes. The main objective of our study was to compare the efficacy of intravenous and intraosseous (IV/IO) routes of naloxone administration to the intranasal (IN) route in suspected opioid overdoses in Vermont. Methods: We reviewed retrospective data from Vermont EMS Statewide Incident Reporting Network (SIREN) between April 2014 and August 2016. We included all patients that were entered into SIREN and administered naloxone during the study period. Predictor variables were route of administration, medication dosage, crew member level, and cardiac arrest (yes or no). We conducted a binary logistic regression in SPSS to predict improvement in patient condition. Results: Our sample consisted of 1139 cases of first-dose naloxone administration. 1076 cases contained sufficient data to be analyzed. Patients who experienced a cardiac arrest were less likely to respond to naloxone (OR 10.8, 95% CI (5.908-19.694)). Route of administration, crew member level, and dosage (in the normal therapeutic range of 0.1-2mg) did not have a statistically significant effect on patient response to naloxone. Conclusions: Our findings, in conjunction with other recent research, suggest that intranasal administration is a safe and effective route when compared with intravenous and intraosseous routes. Intranasal administration has several distinct advantages over injectable routes, including the potential to reduce the risk of needle-stick injuries and blood-borne pathogen transmissions and to be handled by individuals with less medical training. In cases of cardiac arrest, we recommend that providers focus on treatments with proven benefit, including CPR and proper ventilation and oxygenation

Stephen Klein Wellness Center Patient Satisfaction Survey: Development and Preliminary Results

Study design: •Selected the CAHPS® with Patient Centered Medical Home question set to administer to patients receiving medical care at SKWC (52 questions) •Included 2 supplemental questions to assess patients’ likelihood to refer others to SKWC •Developed an additional survey for patients receiving behavioral health services (16 questions) Participant recruitment and data collection: •Calculated a target number of 130 participants based on CAHPS® guidelines of 50 surveys per Full Time Employee •Observed patient flow and developed recruitment strategy for a convenience sample •Eligibility criteria: patient ≥18 y/o and had a medical appointment in the last 12 months •Participants were invited to enter an optional raffle to win a $25 gift card to the Fresh Grocer Data analysis: •Responses were coded and entered into Microsoft Excel Database •Average scores and response frequencies for each survey question were calculatedhttps://jdc.jefferson.edu/cwicposters/1029/thumbnail.jp

Climate Change and Resulting Floods: Using Social Capital to Strengthen Community Resilience in Eastwick, Philadelphia a known floodplain

• Climate change will produce intense weather events like increased precipitation and flooding • Based on climate projections, Philadelphia will be hotter and wetter, and will experience more frequent and intense weather events (OOS, 2016) •Floods are the second most common hazards in our city (OEM, 2017) • Vulnerable population such as children, people of color, elderly population and people with disability are severely impacted by climate change Poster presented at AHPA conference in Atlanta Georgia, United States.https://jdc.jefferson.edu/jcphposters/1013/thumbnail.jp