How good are we at determining risk? Quantifying the accuracy of clinician determined risk for VTE prophylaxis

Objectives: Create and validate a simple tool for concurrent audits of risk stratification, compliance and documentation Evaluate accuracy of clinician risk stratification and prophylatic ordering practice compared with a standardized Caprini RAM across different assigned risk categories Provide recommendations for EPIC VTE Prophylaxis CDS Developmenthttps://jdc.jefferson.edu/patientsafetyposters/1050/thumbnail.jp

Quantifying Patient Reported and Documented Compliance with Adjuncts to Venous Thromboembolism Prophylaxis

Objectives: 1. Measure patient compliance with pharmacologic, mechanical and ambulatory prophylactic measures. 2. Evaluate for agreement between nursing documentation and patient reported compliance with mechanical and ambulatory prophylactic measures.https://jdc.jefferson.edu/patientsafetyposters/1042/thumbnail.jp

“EFFECT OF BODY MASS INDEX ON PREGNANCY OUTCOME” - A PROSPECTIVE STUDY

Background: Mothers who are overweight or obese during pregnancy and childbirth, are known to be at risk of significant antenatal, intrapartum, postpartum, and neonatal complications. Objectives: The objective of the study was to evaluate the impact of high pre pregnancy body mass index (BMI) (<12 weeks of gestation) on the occurrence of maternal pregnancy outcome. A longitudinal observational study was carried out in a tertiary care hospital. In Group I, 50 antenatal women with gestational age <12 weeks BMI 18.5–35 kg/m2 and having singleton pregnancies were included in the study, while 50 women with normal BMI formed the Group II. Both groups were followed up throughout pregnancy and post-natal to assess complication during pregnancy, labor, and puerperium. Results: The mean BMI in Group I and Group II was 27.516 kg/m2 and 21.433 kg/m2. The prevalence of anemia was 40% and 26% among two groups. Antenatal and post-natal complications were gestational diabetes mellitus (Group I - 28% and Group II - 6%), preeclampsia (Group I - 16% and Group II - 2%), required induction of labor (Group I - 26% and Group II - 6%), preterm labor (Group I - 4% and Group II - 16%), and meconium staining of liquor (GroupI-20% and GroupII-12%), and the difference was statistically significant among two groups. Newborn complications were weight ≥2.5 kg (Group I - 74% and Group II - 48%), neonatal intensive care unit admission requirement (Group I - 26% and Group II - 17%), and the difference was statistically significant among two groups. Other complications which were not statistically significant among two groups were oligohydramnios (Group I - 2% and Group II - 4%), polyhydramnios (Group I - 6% and Group II - 4%), and appearance, pulse, grimace, activity, and respiration score at 1 min <7 (Group I - 14% and Group II - 6%). Conclusion: Pregnancy complications related to maternal BMI is a growing problem. Both lean and obese mothers carry an increased risk of adverse perinatal outcome. Given the major economic and medical consequence of pregnancy in these women, all attempts should be made to maintain a normal BMI in women of childbearing age. Pre-pregnancy counseling, health programs and appropriate multidisciplinary management should be done

The Impact of Social Determinants of Health on Adherence to Urinary Tract Infection Treatment: A Scoping Review

Purpose/Background Urinary tract infections (UTIs) are a common diagnosis among children. Patients must fully comply with treatment regimens to reduce the risk of recurring UTIs and prevent long-term complications. This scoping review aims to evaluate the literature and examine the association between screening for social determinants of health (SDH) and adherence to UTI treatment. Methods A thorough literature search via PubMed, Cochrane Library, Elsevier Clinical Key, CINAHL, and JAMA was conducted with the following keywords: Pediatric UTI, Adherence to Treatment Plans, Social Determinants of Health, Social Needs Screening, and others. Ten articles were appraised for their evidence and quality. The articles focus on the diagnosis of a UTI in the pediatric population, social needs screening, SDH, and treatment compliance. A synthesis of results table was composed to examine SDH and evaluate the association between social needs screening and improved outcomes. Results The literature review indicates a correlation between unmet social needs and patient outcomes. UTIs can affect patients and their families, and in-person interventions can improve compliance and health outcomes. Two studies reported improved health outcomes following social needs screening and allocation of resources. Two studies highlight the importance of the medical home and provider\u27s role in assisting with social needs. Implications for Practice The results of this scoping review highlight the need for social needs screening and provide insight into the effects that unmet social needs can have on treatment compliance. Providers can strive to improve patient outcomes by screening for social needs and allocating resources. This review highlights the need for further research into implementing social needs screening in clinical practice to reduce UTIs and improve compliance in the pediatric population