Which medications are considered high risk?

Posted on March 17, 2016 by Lisa

Identifying high-risk medication: a systematic literature review. Saedder EA, Brock B, Nielsen LP, Bonnerup DK, Lisby M. Eur J Clin Pharmacol. 2014 Jun;70(6):637-45. PMID: 24671697. Abstract.

Implementation of a high-alert medication program. Graham S, Clopp MP, Kostek NE, Crawford B. Perm J. 2008 Spring;12(2):15-22.PMID: 21364807. Abstract.

Frequency and Severity of Adverse Drug Events by Medication Classes: The JADE Study. Sakuma M, Kanemoto Y, Furuse A, Bates DW, Morimoto T. J Patient Saf. 2015 Aug 13. PMID: 26273930. Abstract.

High-risk medication use by nursing home residents before and after hospitalization. Stevenson DG, Dusetzina SB, O’Malley AJ, Mitchell SL, Zarowitz BJ, Chernew ME, Newhouse JP, Huskamp HA. Med Care. 2014 Oct;52(10):884-90. PMID: 25185637. Abstract.

Standardizing i.v. infusion concentrations: National survey results. Phillips MS. Am J Health Syst Pharm. 2011 Nov 15;68(22):2176-82. PMID: 22058104. Abstract.

Electronic screening of medical records to detect inpatients at risk of drug-related problems. Roten I, Marty S, Beney J. Pharm World Sci. 2010 Feb;32(1):103-7. PMID: 20012362. Abstract.

Warfarin: a higher “high-risk” medication? Zarowitz BJ. Geriatr Nurs. 2007 Jan-Feb;28(1):17-24. PMID: 17292792. No abstract is available.

Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Graudins LV, Downey G, Bui T, Dooley MJ. Jt Comm J Qual Patient Saf. 2016 Feb;42(2):86-91. PMID: 26803037. Abstract.

Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Rinke ML, Shore AD, Morlock L, Hicks RW, Miller MR. Cancer. 2007 Jul 1;110(1):186-95. PMID: 17530619. Abstract.

Drugs associated with adverse events in children and adolescents. Lee WJ, Lee TA, Pickard AS, Caskey RN, Schumock GT. Pharmacotherapy. 2014 Sep;34(9):918-26. PMID: 24990656. Abstract.

use of technology in achieving compliance with ventilator care bundles

Posted on March 1, 2016 by Lisa

Thomas R. Talbott, Devin Carr, C. Lee Parmley, Barbara J. Martin, Barbara Gray, Anna Ambrose, Jack Starmer. Sustained reduction of ventilator-associated pneumonia rates using real-time course correction with a ventilator bundle compliance dashboard. Infection Control and Hospital Epidemiology, 2015, Vol. 36(11), pp. 1261-1267.

Haitao Lan, Charat Thongprayoon, Adil Ahmed, Vitaly Herasevich, Priya Sampathkumar, Ognjen Gajic, John C. O’Horo. Automating quality metrics in the era of electronic medical records: digital signatures for ventilator bundle compliance. BioMed Research International, 2015, Vol. 2015, pp. 396508-396508.

Victor Zaydfudim, Lesly A. Dossett, John M. Starmer, Patrick G. Arbogast, Irene D. Feurer, Wayne A. Ray, Addison K. May, C. Wright Pinson. Implementation of a real-time compliance dashboard to help reduce SICU ventilator-associated pneumonia with the ventilator bundle. Archives of Surgery, 2009, Vol. 144(7), pp. 656-662.

P. Mathur, V. Tak, J. Gunjiyal, S. A. Nair, S. Lalwani, S. Kumar, B. Gupta, S. Sinha, A. Gupta, D. Gupta, M. c. Misra. Device-associated infections at a level-1 trauma centre of a developing nation: impact of automated surveillance, training and feedbacks. Indian Journal of Medical Microbiology, 2015, Vol. 33(1), pp.51-62.

Search string used in PubMed by HR: (ventilator-associated OR ventilator AND bundle) AND (compliance OR compliant) AND (digital OR computer OR computerized OR technology OR automated OR automatic)

How is the Teachback method beneficial in decreasing patient questions and number of call lights?

Posted on February 1, 2016 by John

Copy and paste the following into PubMed to run the search.

((“teaching”[MeSH Terms] OR “teaching”[All Fields] OR “teach”[All Fields]) AND (“back”[MeSH Terms] OR “back”[All Fields])) AND (((call[All Fields] AND (“light”[MeSH Terms] OR “light”[All Fields])) OR (call[All Fields] AND (“light”[MeSH Terms] OR “light”[All Fields] OR “lights”[All Fields]))) OR ((“patients”[MeSH Terms] OR “patients”[All Fields] OR “patient”[All Fields]) AND questions[All Fields]))

What is the evidence on strategies for coping with moral distress for nurses working with heart failure patients?

Posted on December 21, 2015 by Amy

There are several relevant papers on coping strategies, but not specific to heart failure.

Search strategy (database and search terms):

Joanna Briggs
Search terms: moral distress

Identified a systematic review that includes some discussion of coping.
How professional nurses working in hospital environments experience moral distress: a systematic review.
Rittenmeyer L, Huffman, D. How professional nurses working in hospital environments experience moral distress: a systematic review. The JBI Library of Systematic Reviews. 7(28):1234-1291, 2009.

PubMed

Search terms: “morals”[mesh] AND (psychology OR stress) AND (adaptation OR coping) AND “nursing staff”[mesh]
Filters: English

This search identifies over a hundred articles. You may be especially interested in these references that are available through this search:

Moral distress: levels, coping and preferred interventions in critical care and transitional care nurses. Wilson MA, Goettemoeller DM, Bevan NA, McCord JM. J Clin Nurs. 2013 May;22(9-10):1455-66. doi: 10.1111/jocn.12128. Epub 2013 Mar 8.
PMID: 23473022

How professional nurses working in hospital environments experience moral distress: a systematic review. Huffman DM, Rittenmeyer L. Crit Care Nurs Clin North Am. 2012 Mar;24(1):91-100. doi: 10.1016/j.ccell.2012.01.004. Epub 2012 Feb 3. Review.
PMID: 22405714

Innovative solutions: the effect of a workshop on reducing the experience of moral distress in an intensive care unit setting. Beumer CM. Dimens Crit Care Nurs. 2008 Nov-Dec;27(6):263-7. doi: 10.1097/01.DCC.0000338871.77658.03.
PMID: 18953194

Defining and addressing moral distress: tools for critical care nursing leaders. Rushton CH. AACN Adv Crit Care. 2006 Apr-Jun;17(2):161-8.
PMID: 16767017

Search terms for articles specific to heart failure: “moral distress” AND “heart failure”

Identified one article on managing heart failure that discusses moral distress.
Nurs Res. 2014 Sep-Oct;63(5):357-65. doi: 10.1097/NNR.0000000000000049.
Managing heart failure in the long-term care setting: nurses’ experiences in Ontario, Canada. Strachan PH.

Emotional intelligence and nursing

Posted on November 19, 2015 by Lisa

Ranjbar, Hossein. “Emotional intelligence training: A necessity for nursing education curriculum.” Nurse Education Today 35.11 (2015):1053.

“Teaching safety in nursing practice: Is emotional intelligence a vital component?.” Teaching and learning in nursing 10.2 (2015):88.

“Emotional intelligence – essential for trauma nursing.” International emergency nursing 23.1 (2015):13.

“A study of the influence of nursing education on development of emotional intelligence.” Journal of professional nursing 30.6 (2014):511.

“Emotional Intelligence (EI) and Nursing Leadership Styles Among Nurse Managers.” Nursing administration quarterly 39.2 (2015):172.

Sleeping position guideline for administering vesicant chemotherapy

Posted on November 13, 2015 by John

Searched PubMed for these concepts: vesicant and “sleeping position” or “supine” or “lateral decubitus position”

Managing vesicant extravasations. The oncologist [1083-7159] Schulmeister, Lisa yr:2008 vol:13 iss:3 pg:284 -8

Preventing and managing vesicant chemotherapy extravasations. The Journal of supportive oncology [1544-6794] Schulmeister, Lisa yr:2010 vol:8 iss:5 pg:212 -5

Haberer, Sophie, et al. “Locoregional treatment for breast carcinoma after Hodgkin’s lymphoma: the breast conservation option.” International journal of radiation oncology, biology, physics 82.2 (2012):e145-52.

Admissions nurses

Posted on November 5, 2015 by Lisa

Here are articles on admissions nurses/admission, discharge, and transfer (ADT) nurses.

Schaeffer, R, et al. “Admission nurse.” Journal of emergency nursing 32.1 (2006):85-86.
PERFETTO, J, et al.”Admissions nurse practitioners make a difference.” American journal of nursing 78.4 (1978):648-9.”
“Report puts spotlight on inpatient holds: the No. 1 reason for ED overcrowding.” ED Manag 15.6 (2003):61-3.
Siehoff, Alice, BethGancarz, and CarolWise. “Improving patient admissions with dedicated admission nurses.” The Journal of nursing administration 39.1 (2009):11-3.
Giangiulio, Martha, et al. “Initiation and evaluation of an Admission, Discharge, Transfer (ADT) Nursing Program in a pediatric setting.” Issues in comprehensive pediatric nursing 31.2 (2008):61-70.
Patterson, John, et al. “Bridging orders and a dedicated admission nurse decreases emergency department turnaround times while increasing patient satisfaction.” Annals of emergency medicine 50.3 (2007):351-2.
Kirkbride, Geri, et al. “Weathering the storm: nurses’ satisfaction with a mobile admission nurse service.” Journal of nursing management 20.3 (2012):344-53.
Hlipala, Sandra L, et al. “Profile of an admission nurse.” Nursing Management 36.6 (2005):44-7.
Frew, S, and JWright. “The admission nurse: A way to expedite and improve the admissions process and stop ED diversions.” Journal of emergency nursing 25.2 (1999):123-4.
Balon, Jennifer, and Stephanie AThomas. “Comparison of hospital admission medication lists with primary care physician and outpatient pharmacy lists.” Journal of nursing scholarship 43.3 (2011):292-300.
Lester, Paula, Richard GStefanacci, and Ding-GengChen. “Nursing home procedures on transitions of care.” Journal of the American Medical Directors Association 10.9 (2009):634-8.
Blankenship, Jean S, and Susan AWinslow. “Admission-discharge-teaching nurses: bridging the gap in today’s workforce.” The Journal of nursing administration 33.1 (2003):11-3.
Joyce, Carol, et al. “Transfer admission discharge teams keep things moving.” Nursing Management 36.11 (2005):36-9.
Lane, Betty S, et al. “Nurse satisfaction and creation of an admission, discharge, and teaching nurse position.” Journal of nursing care quality 24.2 (2009):148-52.

Here is the search technique that was used in PubMed to find articles ([tiab] finds search terms in the title or abstract and was needed in the search to significantly decrease the number of results; the same search without the [tiab] command in Scopus, Web of Science, Embase, and CINAHL):

“admission nurse”[tiab] OR “admissions nurse”[tiab] OR “admission nurses”[tiab] OR “admissions nurses”[tiab] OR “adt rn”[tiab] OR “adt nurse”[tiab] OR “adt nurses”[tiab] OR ((“admission discharge”[tiab] OR “admissions discharges”[tiab]) AND (nurse[tiab] OR nurses[tiab] OR nursing[tiab]))

Evidence Matters

Evidence-based information for Emory