For inpatients and outpatients, how frequently is Vitamin D screening conducted and how frequently is it done on request versus routinely?

Bottom line:  Apart from special populations with known risk for Vitamin D deficiency, there is no evidence regarding practices of Vitamin D screening in general inpatient or outpatient populations.

PubMed search:   vitamin d AND “mass screening”[mesh] AND routine*
This search includes 2 papers published in American Family Physician in 2013.  They present opposing viewpoints on routine screening.  It is probably worth looking at those papers, especially the reference lists.
No papers reported on provider practices regarding Vitamin D screening.

A broader PubMed search of vitamin D and “mass screening”[mesh] seems to address screening in special populations, such as pregnant women, the elderly, and individuals with diabetes.

Web of Science:  Similar results to the PubMed search were found. A recent review presents evidence on Vitamin D screening.

Kulie, Teresa, et al. “Vitamin D: an evidence-based review.” Journal of the American Board of Family Medicine 22.6 (2009):698-706. (cited 33 times)
The last sentence of abstract reads: Unfortunately, little evidence guides clinicians on when to screen for vitamin D deficiency or effective treatment options.

You might be able to use the National Ambulatory Medical Care Survey to determine an estimation of how many patient visits included vitamin D tests, but you wouldn’t be able to tell if they were routine.  There is also a National Hospital Care Survey that might provide similar data; again you wouldn’t be able to tell if they were ordered as a routine or in response to clinical findings or patient history.  If you are interested, we can investigate that further.

Measuring blood pressure (BP) on arm; nursing interventions to facilitate BP control

Measuring blood pressure (BP) on the arm:

1) DynaMed Plus is a evidenced-based medicine tool that provides bulleted summaries on given topics. Take a look at their blood pressure measurement and monitoring pages, in particular the Manual BP Measurement section for evidence based recommendations and links to the referenced studies. There is also a section on Guidelines and Resources which provides links to the  American Heart Association recommendations which are summarized here: Am Fam Physician 2005 Oct 1;72(7):1391

Nursing interventions in ambulatory settings to facilitate patient’s BP control

2) A few articles may be found in PubMed on nurse-led care for controlling blood pressure may be found using searches: a) blood pressure AND intervention AND nurse AND ambulatory and b) “Blood Pressure Monitoring, Ambulatory”[Mesh] and “Nurses”[Mesh]

Please see below for some helpful citations.

Cheng, Mei, et al. “The effect of continuous nursing intervention guided by chronotherapeutics on ambulatory blood pressure of older hypertensive patients in the community.” Journal of clinical nursing 23.15-16 (2014):2247-54.

Bosworth, Hayden B, et al. “Home blood pressure management and improved blood pressure control: results from a randomized controlled trial.” Archives of internal medicine 171.13 (2011):1173-80.

Ulm, Kurt, et al. “Effect of an intensive nurse-managed medical care programme on ambulatory blood pressure in hypertensive patients.” Archives of cardiovascular diseases 103.3 (2010):142-9.

Bosworth, Hayden B, et al. “Hypertension Intervention Nurse Telemedicine Study (HINTS): testing a multifactorial tailored behavioral/educational and a medication management intervention for blood pressure control.” The American heart journal 153.6 (2007):918-24.

 

Effect of early ambulation on length of stay in ICU patients

When using PubMed, make sure and go to the Woodruff Health Sciences Center Library’s homepage at http://health.library.emory.edu and click PubMed or use this direct link to Emory University’s instance of PubMed: http://www.ncbi.nlm.nih.gov/pubmed?otool=emorylib. When using Emory University’s instance of PubMed, you will be able to click the Find it at Emory button within entries for articles to determine if Emory has full-text access to articles.

Here is the search technique I used:
(early ambulation OR “early mobility”) AND (critical care OR intensive care units OR icu) AND length of stay
Filters I used: meta-analysis, systematic review, English

Please paste the following search into PubMed to see 8 articles that appear to be helpful and are systematic reviews, one of the highest levels of evidence.

24424616[uid] OR 23127305[uid] OR 24222709[uid] OR 22147819[uid] OR 21164413[uid] OR 21169829[uid] OR 20048676[uid] OR 20001881[uid]

Patient ambassadors – evidence of effects on patient care/surveys/etc.

When using PubMed, a database of 24 million articles, make sure and go to the Woodruff Health Sciences Center Library’s homepage at http://health.library.emory.edu and click PubMed or use this direct link to Emory University’s instance of PubMed: http://www.ncbi.nlm.nih.gov/pubmed?otool=emorylib. When using Emory University’s instance of PubMed, you will be able to click the Find it at Emory button within entries for articles to determine if Emory has full-text access to articles.

Here are the broad search techniques I used:

  1. (data collection OR consumer satisfaction OR outcome and process assessment OR healthcare quality assurance) AND ((marketing of health services AND professional-patient relations) OR (patients AND (ambassador OR ambassadors)) OR (sitter OR sitters) AND ambassador)))

Filter I used: English

  1. (consumer satisfaction OR outcome and process assessment OR healthcare quality assurance) AND (volunteer[tiab] OR volunteers[tiab]) AND patients AND (acute OR hospital OR hospitals)

Filters I used: meta-analysis, review, systematic review, English; note that [tiab] finds articles in which the search term appears in the title or abstract of the article

Please paste the following search into PubMed to see 10 articles that appear to be useful that were found with the aforementioned broad searches:

17057604[uid] OR 12465218[uid] OR 11951690[uid] OR 10169030[uid] OR 7896552[uid] OR 10124795[uid] OR 10124795[uid] OR 12569993[uid] OR 3648555[uid] OR 11129764[uid] OR 20464736[uid]

The only article of the 10 that specifically mentions ambassadors is entitled “Integrating palliative medicine….” Two other articles mention volunteers, and other articles provide ideas on how employees can effectively market services to patients. There are numerous other articles on using employees to market services; a different search technique would need to be created to find all of them. I included the article on negative emotion evaluations because patient ambassadors are responsible for addressing patients’ nonclinical needs (their actions thus primarily affect patients’ emotions).

Peer-reviewed or evidenced-based practice articles regarding education for the reductions of central line associated bloodstream infections (CLABSI)

PubMed search: “Catheter-Related Infections/prevention and control”[MAJR] AND education AND (nurse OR nursing)

To examine all 40 results, please use this link: http://tinyurl.com/nd94rxq

choltz, Amy K, et al. “Central venous catheter dress rehearsals: translating simulation training to patient care and outcomes.” Simulation in Healthcare 8.5 (2013):341-9.

Frampton, Geoff K, et al. “Educational interventions for preventing vascular catheter bloodstream infections in critical care: evidence map, systematic review and economic evaluation.” Health technology assessment 18.15 (2014):1-365.

Reed, Seth M, Alexandra JBrock, and Tyler JAnderson. “CE: Champions for central line care.” American journal of nursing 114.9 (2014):40-8; test 49.

Raup, Glenn H, JoycePutnam, and KathyCantu. “Can an education program reduce CLABSIs?” Nursing Management 44.5 (2013):20-2.

Fakih, Mohamad G, et al. “Peripheral venous catheter care in the emergency department: education and feedback lead to marked improvements.” American journal of infection control 41.6 (2013):531-6.

Peredo, R, et al. “Reduction in catheter-related bloodstream infections in critically ill patients through a multiple system intervention.” European journal of clinical microbiology & infectious diseases 29.9 (2010):1173-7.

Semelsberger, Carrie F. “Educational interventions to reduce the rate of central catheter-related bloodstream infections in the NICU: a review of the research literature.” Neonatal network 28.6 (2009):391-5.

Vandijck, Dominique M, et al. “The role of nurses working in emergency and critical care environments in the prevention of intravascular catheter-related bloodstream infections.” International emergency nursing 17.1 (2009):60-8.

Gerolemou, Louis, et al. “Simulation-based training for nurses in sterile techniques during central vein catheterization.” American journal of critical care 23.1 (2014):40-8.

What is the evidence regarding placement of peripherally inserted catheter (PICC) in patients with pacemaker/AICD?

“Interesting cases. Difficult peripherally inserted central catheter (PICC) insertions.” Journal of the Association for Vascular Access 11.2 (2006):70.

Haglund, Nicholas A, et al. “Are peripherally inserted central catheters associated with increased risk of adverse events in status 1B patients awaiting transplantation on continuous intravenous milrinone?.” Journal of cardiac failure 20.9 (2014):630-7.

Sainathan, Sandeep, MargaretHempstead, and ShahriyourAndaz. “A single institution experience of seven hundred consecutively placed peripherally inserted central venous catheters.” The journal of vascular access (2014)

Duan, Xu, et al. “Efficacy and safety of nitroglycerin for preventing venous spasm during contrast-guided axillary vein puncture for pacemaker or defibrillator leads implantation.” Europace 15.4 (2013):566-9.

Bracke, Frank, and AlbertMeijer. “Lead extraction via the femoral artery of a left ventricular pacing lead inserted in the subclavian artery.” Pacing and clinical electrophysiology 26.7 (2003):1544-7.

Mendenhall, G S. “A straightforward, reliable technique for retaining vascular access during lead replacement.” Heart rhythm 8.11 (2011):1812-4.
See additional references in PubMed.

What is the evidence for placing a peripherally inserted central catheter in patients who had a mastectomy?

Bloom, Elizabeth “Accelerated partial breast irradiation using the strut-adjusted volume implant single-entry hybrid catheter in brachytherapy for breast cancer in the setting of breast augmentation.” Brachytherapy yr:2011 vol:10 iss:3 pg:178 -83

Mathur, G, et al. “Permanent pacemaker implantation via the femoral vein: an alternative in cases with contraindications to the pectoral approach.” Europace 3.1 (2001):56-9.

You can also run the search in PubMed by clicking here