Quiet in the Operating Room! Team STEPPS and OR Distractions

Background and Objective: From the moment that a patient enters the operating room to the time that they are brought to the post anesthesia care unit, a distraction has the potential to lead to an adverse outcome for the patient. During the critical portions of the surgery, it is even more important for all members of the operating staff to be focused and engaging in safe practices. Distractions in the operating room can hinder safe communication and potentially endanger patient safety. Team training has been shown to both improve team communication and reduce distractions. The objective of this project was using Team STEPPS training to reduce distractions during the critical portions of surgery, defined as the time of anesthesia induction, the time out, and the time of emergence from anesthesiahttps://jdc.jefferson.edu/patientsafetyposters/1060/thumbnail.jp

Gender Differences in Depression and Immune Response in Colorectal Cancer

The focus of this descriptive comparative study was to examine the relationship between gender and depression and immune system function in patients with colorectal cancer. The research questions were answered through secondary analysis, using data obtained from the answers of 117 men and women (71 men and 46 women) enrolled in a colorectal cancer study conducted between 1990 and 1991 in Pennsylvania. Descriptive statistics were used to characterize the sample, and general estimating equations were used to analyze depression and immune system function between men and women. Depression was measured by the Beck Depression Inventory, and immune system function was measured by natural killer cell levels. Results indicated that women reported higher levels of depression at all points in time, but the results were not statistically significant (B=2.065, p=.151). Age was statistically significant (B=4.180, p=.041). Women did not demonstrate statistically significantly lower NK cell levels than men (B=.271, p=.603) using GEE, although at all points in time, men\u27s NK cell levels were higher than women\u27s. Age was not a significant factor in the NK cell level differences (B=3.667, p=.056). The study was confounded by the relatively small sample size, and the high drop-out rate

From the Editors

Welcome to the latest edition of the Jefferson Interprofessional Education and Care Newsletter. We are thrilled to report that participation in interprofessional education (IPE) and collaboration by faculty and staff at Jefferson is escalating. In this issue, Drs. Manning and Swan provide an overview of the recent Institute of Medicine’s Future of Nursing report that reaffirms the importance of interprofessional collaboration in the classroom and clinical education for health care outcomes. Dr. Herge and colleagues describe a Jefferson example of how IPE can successfully be implemented in an existing discipline specific course. A clinical skills scenario (a woman hospitalized with an acute stroke) was presented in an occupational therapy course to teams of students from medicine, nursing, occupational therapy, physical therapy and pharmacy. The student teams worked with standardized patients/family to develop an interprofessional discharge plan

From the Editors

Welcome to the latest edition of the Jefferson Interprofessional Education and Care Newsletter. In this issue, Dr. Zukowsky and colleagues describe the value of high-fidelity simulation to train interprofessional teams in high-risk high-stakes care. Their successful model has important implications for preparing teams to perform optimally during critical, and often stressful, clinical situations where expertise in both technical and team skills is imperative for best patient outcomes. Dr. Levinson and colleagues describe an exciting interprofessional care planning course which, for the first time at Jefferson, has brought senior Occupational Therapy (OT), Physical Therapy (PT), Nursing, Pharmacy and Medical students together to explore robust, multi-faceted, person-centered care plans for patients with complex disabilities. Dr. Salzman provides an overview of the Patient-Centered Medical Home, an important model for improving primary care and incorporating coordinated interprofessional team care in a re-designed healthcare system. This piece gives an introduction to a new occasional series on Interprofessional Education and Care in the primary care setting

From the Editors

Welcome to this inaugural edition of the Jefferson InterProfessional Education and Care Newsletter. We are delighted to launch this new vehicle to share the exciting programs advancing interprofessional care and education that are happening here at Jefferson and beyond. The Newsletter will be a biannual on-line peer-reviewed publication, which will showcase a range of innovative courses, experiential, simulation, and clinical instruction, and new models of team-based care, all designed to enhance the ability of the healthcare team to meet the mandates of the Institute of Medicine to provide safe, effective, efficient, equitable, timely, patientcentered care. Interprofessional team-based care has been widely accepted as a key element to a re-designed health-care system; however, evidence for the true effectiveness of interprofessional collaborative care, and the educational interventions that support it, is lacking. We hope this Newsletter will serve as one forum for bringing promising new strategies to your attention as they are developed

From the Editors

Welcome to the latest edition of the Jefferson Interprofessional Education and Care Newsletter. We are pleased to describe the launch of two reports essential to interprofessional education and practice in the United States that occurred on May 11, 2011: Core Competencies for Interprofessional Collaborative Practice and Team-Based Competencies, Building a Shared Foundation for Education and Clinical Practice. The first report, Core Competencies for Interprofessional Collaborative Practice, was produced by an expert panel convened in 2009 by the Interprofessional Education Collaborative (IPEC), a unique partnership of six associations - the American Association of Colleges of Nursing, the American Association of Colleges of Osteopathic Medicine, the American Association of Colleges of Pharmacy, the American Dental Education Association, the Association of American Medical Colleges, and the Association of Schools of Public Health. The panel proposed four domains of core competencies needed to provide integrated, collaborative, high-quality, cost-effective care to patients within the nation\u27s current, evolving health care system

Evidence-based Suicide Assessment and Prevention Training for Licensed Nursing Staff

Section I: Abstract Problem: Suicide is a major public health concern that kills over 45,000 people in the U.S every year. At a psychiatric hospital in Northern California, several suicide attempts occur every year. Context: The aim of this DNP project was to train licensed nursing staff at a large safety net psychiatric hospital in Northern California on interventions and best practices in suicide prevention to improve suicide screening, assessment, and detection for an at-risk population. Intervention: Interventions consisted of training on the appropriate use of (a) the organization’s Evidence-based Suicide Screening and Prevention Protocol and (b) an evidence-based suicide screening tool, the Columbia-Suicide Severity Rating Scale (C-SSRS), used to conduct suicide assessment levels, and risk detection. Measures: An author-developed instrument was used for assessment of nurses’ knowledge, skills, and comfort level before and after training on the organization’s Evidence-based Suicide Screening and Prevention Protocol and use of the C-SSRS. Patients’ charts were audited after the training to check for accurate completion of the C-SSRS tool. Results: Ninety-six percent of licensed nursing staff were trained on the use of the organization’s suicide screening and prevention protocol and the C-SSRS. Knowledge, comfort level, and skills for screening, assessing, intervening, and planning care for patients at–risk for suicide improved post-training. Conclusions: Training of Licensed Nursing Staff on how to follow the organization’s Evidence-Based Suicide Screening and Prevention Protocol and use the C-SSRS was successful. Licensed nursing staff are prepared to provide successful suicide screening, assessment, detection and prevention, thus achieving better patient outcomes. Keywords: Suicide prevention, interventions, and suicide in adults