scholarly journals Rate of Endophthalmitis Following Cataract Surgery Using Intracameral Moxifloxacin without Postoperative Topical Antibiotics

2021 ◽  
Author(s):  
Justin Riffel ◽  
Anjulie Quick
Keyword(s):  
Cataract Surgery ◽  
Chart Review ◽  
Adverse Reactions ◽  
Medical Center ◽  
Retrospective Chart Review ◽  
Postoperative Endophthalmitis ◽  
University Of Kansas ◽  
Topical Antibiotics ◽  
The University ◽  
Kansas Medical

Abstract Purpose To report the recent rate of acute postoperative endophthalmitis following cataract surgery at the University of Kansas Medical Center (KUMC) where postoperative topical antibiotics were excluded. Methods This was a retrospective chart review of patients who underwent phacoemulsification with or without intraocular lens insertion as standalone surgery from February 2018 through August 2020. Those undergoing combination surgeries were excluded. All patients received intracameral moxifloxacin at the conclusion of cataract surgery but were not prescribed postoperative topical antibiotics. Acute postoperative endophthalmitis was defined as occurring within six weeks after surgery. Results There were 2,218 standalone cataract surgeries performed on 1,418 patients. Zero cases of acute postoperative endophthalmitis were identified (0%). There were no systemic adverse reactions to intracameral moxifloxacin administration in the 41 patients with a preexisting fluoroquinolone allergy. Conclusion The recent rate of acute postoperative endophthalmitis following cataract surgery at KUMC using intracameral moxifloxacin without postoperative topical antibiotics is 0%.

TeleHospice: A Community-Engaged Model for Utilizing Mobile Tablets to Enhance Rural Hospice Care

2019 ◽  
Vol 36 (9) ◽  
pp. 795-800 ◽  
Author(s):  
Gary C. Doolittle ◽  
Eve-Lynn Nelson ◽  
Ashley O. Spaulding ◽  
Adam F. Lomenick ◽  
Hope M. Krebill ◽  
...  
Keyword(s):  
Rural Communities ◽  
Hospice Care ◽  
Medical Center ◽  
Cost Effective ◽  
Ease Of Use ◽  
Direct Patient Care ◽  
University Of Kansas ◽  
The University ◽  
Mobile Tablets ◽  
Kansas Medical

Background: In rural communities, providing hospice care can be a challenge. Hospice personnel sometimes travel great distances to reach patients, resulting in difficulty maintaining access, quality, cost-effectiveness, and safety. In 1998, the University of Kansas Medical Center piloted the country’s first TeleHospice (TH) service. At that time, challenges with broad adoption due to cost and attitudes regarding technology were noted. A second TH project was launched in early 2017 using newer technology; this article updates that ongoing implementation. Methods: The Organizational Change Manager was followed for the guided selection of the hospice partner. The University of Kansas Medical Center partnered with Hospice Services, Inc. (HSI), a leader in rural hospice care, providing services to 16 Kansas counties. Along with mobile tablets, a secure cloud-based videoconferencing solution was chosen for ease of use. Results: From August 2017 through January 2018, 218 TH videoconferencing encounters including 917 attendees occurred. Calls were made for direct patient care, family support, and administrative purposes. These TH calls have been shown to save HSI money, and initial reports suggest they may strengthen the communication and relationships between staff, patients, and the patient’s family. Conclusion: Finding innovative, cost-effective, and community-driven approaches such as TH are needed to continually advance hospice care. TeleHospice’s potential to supplement and improve hospice services while reducing costs is significant, but continued research is needed to understand best fit within frontier hospices, to inform future urban applications, and to address reimbursement.

Using Web-Conferencing to Increase Learner Engagement

2013 ◽  
pp. 74-88
Author(s):  
Kristin Whitehair ◽  
Kathy Tally
Keyword(s):  
Classroom Environment ◽  
Medical Center ◽  
University Of Kansas ◽  
Web Conferencing ◽  
Learner Engagement ◽  
Scholarly Literature ◽  
The University ◽  
Kansas Medical

This chapter examines themes in scholarly literature regarding web-conferencing as applied at the University of Kansas Medical Center (KUMC). The chapter profiles how applications of web-conferencing can dramatically change the “classroom” environment for both users on campus and at a distance. We conclude that successful implementations of web-conferencing offer new opportunities in the classroom, increasing learner engagement, but also require adequate resources to support faculty and students.

scholarly journals CIDP Diagnostic Criteria and Response to Treatment

2020 ◽  
Vol 1 (2) ◽  
pp. 7-10
Author(s):  
Charles Roach ◽  
Mazen Dimachkie ◽  
Jeffrey Statland ◽  
Richard Barohn ◽  
Omar Jawdat ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Chart Review ◽  
Response Rate ◽  
Positive Response ◽  
Retrospective Chart Review ◽  
Response To Treatment ◽  
Ivig Treatment ◽  
University Of Kansas ◽  
Treatment Responses ◽  
The University

AbstractIntroduction: Diagnostic criteria for CIDP have been proven useful for clinical trials. However, use of these criteria in clinics has been limited by time constraints and unknown usefulness in predicting outcomes. Methods: A retrospective chart review of CIDP patients at the University of Kansas seen between 2008 and 2014 was performed. We determined the diagnostic criteria fulfilled by each patient and assessed treatment responses. A positive response was defined by improvement sensory or motor examination as determined by a neuromuscular physician.Results: There were 38 total patients included in the study. The response rate to IVIG in patients who fulfilled EFNS/PNS criteria was 20/22 (90.1%). Among patients who fulfilled AAN criteria, 8/9 (88.9%) responded positively to IVIG. Slightly lower response rates were seen in patients fulfilling INCAT criteria and Saperstein criteria at 10/15 (66.7%) and 12/17 (70.6%), respectively.Discussion: EFNS/PNS and AAN criteria can similarly predict IVIG treatment response.

scholarly journals Developing a Respiratory Depression Scorecard for Capnography Monitoring

2013 ◽  
Vol 4 (3) ◽  
Author(s):  
Katie Felhofer
Keyword(s):  
Risk Factors ◽  
Pulse Oximetry ◽  
Respiratory Depression ◽  
Chart Review ◽  
Medical Center ◽  
Hospital Setting ◽  
Retrospective Chart Review ◽  
University Of Minnesota ◽  
Average Patient ◽  
The University

Pulse oximetry is the most common way to measure a patient's respiratory status in the hospital setting; however, capnography monitoring is a more accurate and sensitive technique which can more comprehensively measure respiratory function. Due to the limited number of capnography monitoring equipment at the University of Minnesota Medical Center-Fairview (UMMC-Fairview), we analyzed which patients should preferentially be chosen for capnography monitoring over pulse oximetry based on risk of respiratory depression. We conducted a retrospective chart review of all serious opioid-induced over-sedation events that occurred at UMMCFairview between January 1, 2008 and June 30, 2012. Thirteen risk factors were identified which predispose patients to respiratory depression. The average patient demonstrated 3.75 risk factors. The most commonly occurring risk factor was the concomitant use of multiple opioids or an opioid and a CNS-active sedative, followed by an ASA score 䊫 3. Based on this data, we developed a scorecard for choosing patients at the most risk of developing respiratory depression; these patients are the best candidates for capnography. Although further studies are necessary to corroborate this research, at this time giving extra consideration to patients demonstrating the previously stated risk factors is prudent when assessing those patients most in need of capnography.   Type: Student Project

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