Geriatric Medicine: A Multidisciplinary Training and Education Model in an Acute Care Medical Center

PurposeResearch in acute care faces many challenges, including enrolment challenges, legal limitations in data sharing, limited funding and lack of singular ownership of the domain of acute care. To overcome these challenges, the Center of Acute Care of the University Medical Center Groningen in the Netherlands, has established a de novo data, image and biobank named ‘Acutelines’.ParticipantsClinical data, imaging data and biomaterials (ie, blood, urine, faeces, hair) are collected from patients presenting to the emergency department (ED) with a broad range of acute disease presentations. A deferred consent procedure (by proxy) is in place to allow collecting data and biomaterials prior to obtaining written consent. The digital infrastructure used ensures automated capturing of all bed-side monitoring data (ie, vital parameters, electrophysiological waveforms) and securely importing data from other sources, such as the electronic health records of the hospital, ambulance and general practitioner, municipal registration and pharmacy. Data are collected from all included participants during the first 72 hours of their hospitalisation, while follow-up data are collected at 3 months, 1 year, 2 years and 5 years after their ED visit.Findings to dateEnrolment of the first participant occurred on 1 September 2020. During the first month, 653 participants were screened for eligibility, of which 180 were approached as potential participants. In total, 151 (84%) provided consent for participation of which 89 participants fulfilled criteria for collection of biomaterials.Future plansThe main aim of Acutelines is to facilitate research in acute medicine by providing the framework for novel studies and issuing data, images and biomaterials for future research. The protocol will be extended by connecting with central registries to obtain long-term follow-up data, for which we already request permission from the participant.Trial registration numberNCT04615065.

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Multifacial approach of geriatric medicine at the basic hospital~the first trial of "Department of General Geriatric Medicine" and "Dementia Medical Center" in the Toranomon Hospital and the role of the Geriatrician~

Nippon Ronen Igakkai Zasshi Japanese Journal of Geriatrics ◽

10.3143/geriatrics.55.237 ◽

2018 ◽

Vol 55 (2) ◽

pp. 237-243

Keyword(s):

Medical Center ◽

Geriatric Medicine ◽

Toranomon Hospital

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Implementation of a QTc-interval monitoring protocol by pharmacists to decrease cardiac risk in at-risk patients in an acute care inpatient psychiatric facility

Mental Health Clinician ◽

10.9740/mhc.2019.03.082 ◽

2019 ◽

Vol 9 (2) ◽

pp. 82-87 ◽

Cited By ~ 1

Author(s):

Nicole M. Daniel ◽

Kim Walsh ◽

Henry Leach ◽

Lauren Stummer

Keyword(s):

At Risk ◽

Acute Care ◽

Medical Center ◽

Intervention Group ◽

Psychiatric Hospitals ◽

Control Group ◽

Qtc Interval ◽

Psychiatric Facility ◽

End Point ◽

Monitoring Protocol

Abstract Introduction Many medications commonly prescribed in psychiatric hospitals can cause QTc-interval prolongation, increasing a patient's risk for torsades de pointes and sudden cardiac death. There is little guidance in the literature to determine when an electrocardiogram (ECG) and QTc-interval monitoring should be performed. The primary end point was improvement of the appropriateness of ECGs and QTc-interval monitoring of at-risk psychiatric inpatients at Barnabas Health Behavioral Health Center (BHBH) and Monmouth Medical Center (MMC) following implementation of a standardized monitoring protocol. The secondary end point was the number of pharmacist-specific interventions at site BHBH only. Methods Patients who met the inclusion criteria were assessed using a standardized QTc-prolongation assessment algorithm for ECG appropriateness. A retrospective analysis of a control group (no protocol) from January 1, 2016, to July 17, 2017, was compared with a prospective analysis of the intervention group (with protocol) from December 11, 2017, to March 11, 2018. Results At BHBH, appropriate ECG utilization increased 25.5% after implementation of a standardized protocol (P = .0172) and appropriate omission of ECG utilization improved by 26% (P < .00001). At MMC, appropriate ECGs decreased by 5%, and appropriate ECG omissions increased by 28%, neither of which were statistically significant (P = 1.0 and P = .3142, respectively). There was an increase in overall pharmacist monitoring. Discussion The study demonstrated that pharmacist involvement in ECG and QTc-interval monitoring utilizing a uniform protocol may improve the appropriateness of ECG and QTc-interval monitoring in patients in an acute care inpatient psychiatric hospital.

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The Role of Public Health Partnerships in the Success of the Jackson Heart Study Undergraduate Training and Education Center

Ethnicity & Disease ◽

10.18865/ed.30.1.41 ◽

2020 ◽

Vol 30 (1) ◽

pp. 41-46

Author(s):

Wendy B. White ◽

Frances Henderson ◽

Kisa K. Harris ◽

Amel Mohamed ◽

Asoka Srinivasan

Keyword(s):

Public Health ◽

Biomedical Research ◽

Medical Center ◽

Jackson Heart Study ◽

Undergraduate Training ◽

Shared Resources ◽

Training And Education ◽

Health Partnerships ◽

Heart Study ◽

Health Related

Background: The Jackson Heart Study (JHS) is a single-site prospective epidemiologic investigation of cardiovascular disease (CVD) among African Americans from the central Jackson, Mississippi area. The study is a collaboration between Jackson State University (JSU), University of Mississippi Medical Center (UMMC), Tougaloo College (TC), and the Mississippi State Department of Health (MSDH). The JHS Undergraduate Training and Education Center (JHSUTEC) at TC was developed to increase the numbers of college-aged African American students entering public health and health-related fields. To achieve this goal, the UTEC designed the Jackson Heart Study (JHS) Scholars program.Methods: JHS Scholars are required to take additional classes and participate in public health and/or biomedical research. The scholars engage in research locally during the academic year. However, many scholars participate in research outside of the Jackson Metropolitan area during the summer. Because of this, national collaborators were needed to act as mentors and hosts.Results: Since the inception of the JHSUTEC, more than 15 collaborations have been formed that have shared resources and student successes. As of May 2018, more than150 students have successfully completed the JHS Scholars program and many have continued into careers in public health, biomedical research, and medicine. Since 2004, JHS scholars have published 29 papers and 15 scholars have received diversity supplements.Conclusion: Collaborative activities and public health partnerships have contributed to the success of the JHSUTEC program and have served as a pathway of entry into STEM fields for minority students.Ethn Dis. 2020;30(1):41-46; doi:10.18865/ed.30.1.41

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Implementation of the Acute Care Nurse Practitioner Role

AACN Advanced Critical Care ◽

10.4037/15597768-1994-3022 ◽

1994 ◽

Vol 5 (3) ◽

pp. 404-407

Author(s):

Lynn A. Kelso ◽

Lori M. Massaro

Keyword(s):

Acute Care ◽

Nurse Practitioners ◽

Nurse Practitioner ◽

Medical Center ◽

Care Nurse ◽

University Of Pittsburgh ◽

Acute Care Nurse Practitioner ◽

The University ◽

Pittsburgh Medical ◽

Practitioner Role

In this article, the experiences of two new acute care nurse practitioners working at the University of Pittsburgh Medical Center arc described. Included are the experiences they encountered in initiating the role and some of the responsibilities they assumed.

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