Vasopressor agents and development of pressure ulcers

Five articles were found that provide evidence on patients’ usage of vasopressor agents and subsequent development of pressure ulcers.

In order to be able to use the Find it @ Emory button within article entries to look at the full text, please use these instructions to access the collection.
Go to the Woodruff Health Sciences Center Library’s homepage at http://health.library.emory.edu/
Click on “PubMed.”
Copy and paste the url into the address bar of your browser: https://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/54337604/public/

Literature on fall reduction, specifically in the cognitively/neurologically impaired

Medical Education & Technologies Informationist searched PubMed with some of these following terms: cognitive function, cognitive impairment, nervous system disease, neurological impairment, and accident falls/prevention.

You can see the full search here.

Below are some of the articles that were found with the search.

Lipardo DS, Aseron AMC, Kwan MM, Tsang WW. Effect of Exercise and Cognitive Training on Falls and Fall-Related Factors in Older Adults With Mild Cognitive Impairment: A Systematic Review. Arch Phys Med Rehabil. 2017Oct;98(10):2079-2096. doi: 10.1016/j.apmr.2017.04.021. Epub 2017 May 26. Review.
PubMed PMID: 28554873. Full text

Jensen L, Padilla R. Effectiveness of Environment-Based Interventions That Address Behavior, Perception, and Falls in People With Alzheimer’s Disease and Related Major Neurocognitive Disorders: A Systematic Review. Am J Occup Ther. 2017 Sep/Oct;71(5):7105180030p1-7105180030p10. doi: 10.5014/ajot.2017.027409. PubMed PMID: 28809653.

Lach HW, Harrison BE, Phongphanngam S. Falls and Fall Prevention in Older Adults With Early-Stage Dementia: An Integrative Review. Res Gerontol Nurs. 2017
May 1;10(3):139-148. doi: 10.3928/19404921-20160908-01. Epub 2016 Sep 23. Review. PubMed PMID: 27665756.

Rushton C. Problematising the problem: a critical interpretive review of the literature pertaining to older people with cognitive impairment who fall while hospitalised. Nurs Inq. 2016 Jun;23(2):148-57. doi: 10.1111/nin.12126. Epub 2016 Feb 2. Review. PubMed PMID: 26833849.

Gunn H, Markevics S, Haas B, Marsden J, Freeman J. Systematic Review: The Effectiveness of Interventions to Reduce Falls and Improve Balance in Adults With Multiple Sclerosis. Arch Phys Med Rehabil. 2015 Oct;96(10):1898-912. doi: 10.1016/j.apmr.2015.05.018. Epub 2015 Jun 10. Review. PubMed PMID: 26070975. Full text

Bhidayasiri R, Jitkritsadakul O, Boonrod N, Sringean J, Calne SM, Hattori N, Hayashi A. What is the evidence to support home environmental adaptation in Parkinson’s disease? A call for multidisciplinary interventions. Parkinsonism Relat Disord. 2015 Oct;21(10):1127-32. doi: 10.1016/j.parkreldis.2015.08.025. Epub 2015 Aug 25. Review. PubMed PMID: 26365779. Full text

Booth V, Hood V, Kearney F. Interventions incorporating physical and cognitive elements to reduce falls risk in cognitively impaired older adults: a systematic review protocol. JBI Database System Rev Implement Rep. 2015 Sep 16;13(8):5-13. doi: 10.11124/jbisrir-2015-2220. Review. PubMed PMID: 26455930. Full text

Sosnoff JJ, Sung J. Reducing falls and improving mobility in multiple sclerosis. Expert Rev Neurother. 2015 Jun;15(6):655-66. doi: 10.1586/14737175.2015.1046377. Epub 2015 May 14. Review. PubMed PMID: 25973774.

Burton E, Cavalheri V, Adams R, Browne CO, Bovery-Spencer P, Fenton AM, Campbell BW, Hill KD. Effectiveness of exercise programs to reduce falls in older people with dementia living in the community: a systematic review and meta-analysis. Clin Interv Aging. 2015 Feb 9;10:421-34. doi: 10.2147/CIA.S71691. eCollection 2015. Review. PubMed PMID: 25709416; PubMed Central PMCID: PMC4330004. Full text

Chan WC, Yeung JW, Wong CS, Lam LC, Chung KF, Luk JK, Lee JS, Law AC. Efficacy of physical exercise in preventing falls in older adults with cognitive impairment: a systematic review and meta-analysis. J Am Med Dir Assoc. 2015 Feb;16(2):149-54. doi: 10.1016/j.jamda.2014.08.007. Epub 2014 Oct 7. Review. PubMed PMID: 25304179. Full text

Ayoubi F, Launay CP, Annweiler C, Beauchet O. Fear of falling and gait variability in older adults: a systematic review and meta-analysis. J Am Med Dir Assoc. 2015 Jan;16(1):14-9. doi: 10.1016/j.jamda.2014.06.020. Epub 2014 Sep 16. Review. PubMed PMID: 25230892. Full text

Guo JL, Tsai YY, Liao JY, Tu HM, Huang CM. Interventions to reduce the number of falls among older adults with/without cognitive impairment: an exploratory meta-analysis. Int J Geriatr Psychiatry. 2014 Jul;29(7):661-9. doi: 10.1002/gps.4056. Epub 2013 Dec 7. Review. PubMed PMID: 24318959.

EHC staff may request full text of articles for which links to full text are not provided above via Ask a Librarian.

MW email to MedRef patron, 2/1/18

Bedside shift report and patient safety & satisfaction

Wollenhaup, C., Stevenson, E., Thompson, J., Gordon, H., & Nunn, G. (n.d.). Implementation of a Modified Bedside Handoff for a Postpartum Unit. Journal of Nursing Administration., 47(6), 320-326.

Ferguson, T., & Howell, T. (2015). Bedside Reporting: Protocols for Improving Patient Care. The Nursing Clinics of North America., 50(4), 735-747.

Taylor, J. (n.d.). Improving Patient Safety and Satisfaction . Clinical Journal of Oncology Nursing, 19(4), 414-416.

Lin, M., Heisler, S., Fahey, L., McGinnis, J., & Whiffen, T. (n.d.). Nurse Knowledge Exchange Plus: Human-Centered Implementation for Spread and Sustainability. Joint Commission Journal on Quality and Patient Safety., 41(7), 303-312.

Petrovic, M., Aboumatar, H., Scholl, A., Gill, R., Krenzischek, D., Camp, M., . . . Martinez, E. (n.d.). The perioperative handoff protocol: Evaluating impacts on handoff defects and provider satisfaction in adult perianesthesia care units. Journal of Clinical Anesthesia., 27(2), 111-119.

Salani, D. (n.d.). Implementation of shift report at the bedside to promote patient- and family-centered care in a pediatric critical care unit. Journal for Nurses in Professional Development., 31(2), 81-86.

Gregory, S., Tan, D., Tilrico, M., Edwardson, N., & Gamm, L. (2014). Bedside shift reports: What does the evidence say? Journal of Nursing Administration., 44(10), 541-545.

Vines, M., Dupler, A., Van Son, C., & Guido, G. (n.d.). Improving client and nurse satisfaction through the utilization of bedside report. Journal for Nurses in Professional Development., 30(4), 166-73; quiz E1.

Post-falls assessment tools to help in post-fall decision making in acute care settings

Joanna Briggs Institute (JBI) has a recommended practice entitled “Observation Following Falls in Acute Care: Older People” that is available via login with your Emory Healthcare login; search for the document by title in JBI, click “Display Results,” and then click “JBI Database PDF”: http://pid.emory.edu/h78zp

There are a variety of relevant post-falls assessment tools online:
1. Royal Devon Exeter National Health Service Foundation Trust pdf: https://tinyurl.com/yansp8t4
2. Intermountain Healthcare pdf: https://tinyurl.com/ydgxar6n
3. A Veterans Affairs Word document: https://tinyurl.com/ybvfoq2z
4. Ohio State University Medical Center pdf: https://tinyurl.com/y6usjgk8
5. South Western Ambulance Service National Health Service pdf: https://tinyurl.com/y8xqoxod

Please follow these instructions to access 8 relevant articles in PubMed.

a. Go to the Woodruff Health Sciences Center Library homepage (http://health.library.emory.edu)
b. Click on PubMed.
c. Then copy and paste this link into your browser address bar: https://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/52782984/public/
d. The references will appear in  PubMed. Click on a reference, and you will see a Find it at Emory to the right of it which will provide availability for full text. If you are not able to access full text, you may submit citation(s) to Ask a Librarian. Library staff will get article(s) for you and email them to you.

Improvement in falls rate and prevention of falls on the surgical floor

Here is how to access 22 references on improvement in falls rate and prevention of falls on the surgical floor.
Go to Woodruff Health Sciences Center (WHSC) Library webpage: http://health.library.emory.edu
Click on PubMed.
Paste this url into your browser: https://www.ncbi.nlm.nih.gov/sites/myncbi/1HuA1sy0j55QI/collections/52512629/public/

Medicines That Require Aspiration Prior to IM Injection

PubMed search: intramuscular injection and (aspirate OR aspiration) with results limited to the past 5 years. There were 32 results. You can review all 32 results here.

Here are several articles that discuss current recommendations regarding aspiration.

Aspirating during the intramuscular injection procedure: a systematic literature review.
Excerpt: “In the paediatric vaccination setting, the practice of aspirating during the administration of an intramuscular injection is unnecessary and there is no clinical reason to suggest that these principles may not be applied when using the deltoid, ventrogluteal and vastus lateralis sites in other settings. Owing to its proximity to the gluteal artery, aspiration when using the dorsogluteal site is recommended. Nurses must be supported in all settings, by clear guidance which rejects traditional practice and facilitates evidence-based practice.”

Rituals in nursing: intramuscular injections (Choose EBSCOhost option to access full-text)
Excerpt: “To consider to what extent intramuscular injection technique can be described to remain entrenched in ritualistic practice and how evidence-based practice should be considered and applied to the nursing practice of this essential skill. Background: The notion of rituals within nursing and the value or futile impact they afford to this essential nursing skill will be critically reviewed. Design: Discursive paper. Method Literature review from 2002-2013 to review the current position of intramuscular injection injections. Results: Within the literature review, it became clear that there are several actions within the administration of an intramuscular injection that could be perceived as ritualistic and require consideration for contemporary nursing practice. Conclusions: The essential nursing skill of intramuscular injection often appears to fit into the description of a ritualised practice. By providing evidence-based care, nurses will find themselves empowered to make informed decisions based on clinical need and using their clinical judgement. Relevance to clinical practice For key learning, it will outline with rationale how site selection, needle selection, insertion technique and aspiration can be cited as examples of routinised or ritualistic practice and why these should be rejected in favour of an evidence-based approach. The effect on some student nurses of experiencing differing practices between what is taught at university and what is often seen in clinical practice will also be discussed.”

To aspirate or not: an integrative review of the evidence
Excerpt: “IT ALL STARTED with this question from an ambulatory care nurse educator: “Do we still have to teach aspiration of blood when giving an I.M. or subcutaneous injection?” This question led to an informal query about the practice of aspirating for blood before injection to confirm that the needle hasn’t inadvertently entered a blood vessel.
We verbally polled about 40 nurses at departmental and one-on-one meetings, and found that about 50% of respondents supported the practice of aspirating for blood before injection. The final tally of responses found no correlation to their age, education, or other demographics. However, the responses did seem to illustrate that how nurses were taught to give injections during basic nursing education strongly influenced their views: those who’d been taught to aspirate supported the practice while those who weren’t taught to do so continued to omit this step.”

Blood Aspiration During IM Injection
Excerpt: “The World Health Organization and Centers for Disease Control and Prevention no longer recommend aspiration during intramuscular (IM) injections. The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descriptive study surveyed 164 RNs. Results noted that 74% of the sample continue to aspirate at least 90% of the time. Of the participants who continue to aspirate, only 3% aspirate for the recommended 5 to 10 s. Forty percent reported having aspirated blood at least once, whereas 6 RNs (4%) noted blood aspiration ≥13 times. Blood aspiration occurred most frequently in the dorsal gluteal (15%) and deltoid (12%). Based on the findings, it is recommended that RNs use a decision-making process to select the safest technique for IM injections. If a parental medication has different administration rates, dose, viscosity, or other concerns when given IM versus intravenously (IV), aspiration during IM administration should be implemented.”

Articles about double checking items/performing independent checks during medication administration

Double-checking high-risk medications in acute settings: a safer processDouble-checking high-risk medications in acute settings: a safer process. Kellett P, Gottwald M. Nurs Manag (Harrow). 2015 Feb;21(9):16-22. doi: 10.7748/nm.21.9.16.e1310. PMID: 25629347. Abstract.

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Tham E, Calmes HM, Poppy A, Eliades AB, Schlafly SM, Namtu KC, Smith DM, Vitaska MC, McConnell C, Potts AL, Jastrzembski J, Logsdon TR, Hall M, Takata GS. Pediatrics. 2011 Aug;128(2):e438-45. PMID: 21727100. Abstract.

Independent double-checks are vital, not perfect. [No authors listed]. Alta RN. 2009 Apr;65(4):22-3. PMID: 19475902. Abstract.

Paediatric nurses’ understanding of the process and procedure of double-checking medications. Dickinson A, McCall E, Twomey B, James N. J Clin Nurs. 2010 Mar;19(5-6):728-35. PMID: 20500316. Abstract.

Enhancing medication use safety: benefits of learning from your peers. Kazandjian VA1, Ogunbo S, Wicker KG, Vaida AJ, Pipesh F. Qual Saf Health Care. 2009 Oct;18(5):331-5. PMID: 19812093. Abstract.

A systems approach to reducing errors in insulin therapy in the inpatient setting. Hellman R. Endocr Pract. 2004 Mar-Apr;10 Suppl 2:100-8. PMID: 15251647. Abstract.

Before you press that button: a look at chemotherapy errors. Bruce SD. Clin J Oncol Nurs. 2013 Feb;17(1):31-2. PMID: 23372093. Abstract.

Preventing medication errors in cancer chemotherapy. Cohen MR, Anderson RW, Attilio RM, Green L, Muller RJ, Pruemer JM. Am J Health Syst Pharm. 1996 Apr 1;53(7):737-46. PMID: 8697025. Abstract.