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Improvement of Family Communication in the Perioperative Environment Utilizing Text Messaging
Sonja Orff and Kristiina Hyrkas
Text Messaging Technology Improves Patient Satisfaction for Communication with Nurses in Perioperative Care Unit
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Improving Car-Bed Discharge Process and Follow up
Haley Pelletier and Gina Trachimowicz
The car seat challenge test is most commonly performed on premature infants prior to discharge home from the hospital. Infants who fail the car seat test twice at MMC are discharged home in a carbed. The process of discharging an infant home in a car-bed and the subsequent re-testing prior to transitioning safely to a rear-facing car seat is neither widely understood or standardized among Maine Health providers.
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Social Determinants of Care in the MMC Cardiology Fellow’s Clinic
Bhavini Prajapati, Laura Onderko, Darcy Chandler, and Sanjeev Francis
Introduction • Social determinants of health are upstream risk factors for cardiovascular disease. • Patients seen in the Cardiology Fellow’s Clinic at MMC are a diverse group that are burdened by many socioeconomic issues. • Addressing these disparities has the potential to prevent the development of other comorbidities known to increase the risk of a cardiovascular event. • The aim of this project was to identify the prevalence of these factors in the cardiology fellow’s clinic
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US-Guided Regional Anesthesia (UGRA) in the ED- A QI Project
Joshua Rehberg
Introduction-
Between 01/2021-09/2021 there were 95 people diagnosed with hip fractures in the emergency department. •56% (n= 53) got a fascia iliacacompartment block. •9% of notes had a comment on reevaluation of effectiveness or re-evaluation post-block, only ~50% had a neurovascular exam commenting on both motor function and pulses, and 7% of all blocks (n= 4) had no procedure note. •Goal: The purpose of was to improve the quality of care given to patients receiving US-guided regional anesthesia, provide a way to track the number of ultrasound-guided regional blocks performed in the emergency department, and improve resident education and documentation
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Sleep Patterns & Sleep Problems Vary by Age in Children with Autism
Charles F Reynolds, Matthew Siegel, and Briana Taylor
Adolescence is a time of increased vulnerability for youth with autism spectrum disorder (ASD).1 • In non-ASD youth, sleep and circadian rhythms demonstrate marked changes during adolescence that delay the biological propensity for sleep.2 • In combination with early school start times, these agerelated changes in sleep and circadian rhythms result in insufficient sleep duration, circadian misalignment, daytime sleepiness, and numerous behavioral and psychiatric problems.3 • Age-related changes in sleep and circadian rhythms, and their relevance for behavioral and psychiatric health have not been examined in youth with ASD.
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ACQUIRE’ingScholarly Activity During Residency: An Analysis of Resident Attitudes Towards Scholarship Before and After a Curricular Intervention
Thomas Q Reynolds, Sarah Gabrielson, Amy Buczkowski, Anya K. Cutler, and Gina Trachimowicz
ACQUIRE, a curriculum designed to introduce residents to scholarship and support their work, results in improvement in resident perceptions towards scholarly activity at both individual and department levels.
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Code Blue! When a Simulation Isn’t a Simulation Anymore
Bethany Rocheleau, Christine Mallar, Shelly Chipman, Leah Mallory, Mike Shepherd, Erin Siebers, Susan Lane, and Tracie Knight
Objectives:
• To identify and remediate gaps responding to a medical emergency during a simulated event.
• To provide a safe working environment for standardized patients and clinical staff.
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RECOVER: Researching COVID to Enhance Recovery
Theresa Roelke, Anne Breggia, Kathryn Brouillette, Ivette Emery, Lauren Moore, Theresa Roelke, Marc Flore, Jacquieline LaPointe, Abigail Arruda, Lyndsey Gower, Teresa Martel, Darlene Peterson, and Clifford Rosen
HOW WILL RECOVER ACHIEVE ITS GOALS? NIH has selected health care institutions across the nation, including MaineHealth , to conduct this study, which is anticipated to enroll a total of 15,000 participants who have or had SARS CoV 2 infection and 2,680 control participants without a SARS CoV 2 infection.
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MAINEHEALTH AS A PARTNER IN THE NATIONAL COVID COHORT COLLABORATIVE (N3C)
Susan Santangelo, Kimberly Murray, Kathleen M. Fairfield, John DiPalazzo, Ivette Emery, and Cliff Rosen
N3C is a secure clinical data analytics platform hosted at the NIH that includes vast amounts of data from a large network of he alth care organizations, including MaineHealth , to accelerate advances in COVID 19 research and clinical care.
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“Cystectomy…What Bugs You?” Creation of an Institutional Antibiogram
Erin Santos
BACKGROUND: Radical cystectomy is associated with high rates of post operative morbidity and mortality to improve readmission rates following radical cystectomy, a post cystectomy discharge pathway was created. We set out to create an institution specific antibiogram to identify and target most common causative organisms to specifically decrease genitourinary infection related complications.
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Thinking Inside Out: Using a Virtual Platform to Overcome Barriers to Interprofessional Education
Erin Siebers
Interprofessional education (IPE) leading to effective communication is critical for patient safety [1] • Barriers to IPE include lack of confidence and lack of experience and opportunities • Barriers are increased in rural states, due to travel and scheduling logistics[2,3] • The pandemic and social distancing restrictions forced rapid transition of an IPE OSCE from an in-person to a virtual event • Our objective was to provide students with an authentic experience similar in quality and value to prior in-person sessions
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Anesthesia Non-Technical Skills in the Operating Room Clinical Learning Environment (ORCLE)
Denham S Ward
Anesthesia non-technical skills (ANTS) are critically important to patient safety in the operating room. The purpose of this study was to examine the global experience of ANTS in the clinical learning environment of the operating room (OR). Our goal is to answer the research question: “How are ANTS perceived by residents early in their training in the ORCLE?” Ultimately, we wish to use this information to inform curricula to teach ANTS in daily clinical practice.
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Factors Associated with Chronic Hepatitis C Direct-acting Antiviral Prescriptions in Maine
Colin T. Waters, Anya K. Cutler, Kinna Thakarar, and Kathleen Fairfield
Introduction -2.5 to 4.7 million people in the United States have active Hepatitis C (HCV) infections. •Chronic HCV infection is linked to substantial morbidity including cirrhosis and liver failure. •Oral direct-acting antivirals (DAA) yield sustained virologic response in 90 to 95% of individuals. •Many patients eligible for DAA therapy have not received treatment.
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The Creation of a SDOT and its implementation in the 4th year EM clerkship
Lauren Wendell, Evan Gill, and Sara Nelson
Background •Clinical assessments of EM clerkship students are variable and institution specific. •Direct observation is used in residencies •EM clerkship instituted a student SDOT using a modified National Clinical Assessment Tool for Medical Students in EM (NCAT-EM)
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Impact of Social Media on Safe Sleep
Robin Wolschdorf, Jennifer Hayman, and Logan Murray
About 3,500 babies under one year of age die from sleep related complications annually in the United States1. Pediatricians and other health care professionals have a responsibility to counsel families on safe sleep practices to prevent these complications. The American Academy of Pediatrics recommends discussing safe sleep before discharge from the hospital and every newborn visit in the outpatient setting2. This can be done with using the message of the “ABC’s” of safe sleep: Alone on their
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