December Lifeline

Pediatric Influenza Update

•  American Academy of Pediarics Recommendations for Prevention and Control of Influenza in Children, 2023–2024
• CDC Flu resources for providers 

 

November Lifeline

Closed Case Review: Thoracic Aortic Dissection

• Yin, Jianhan, et al. "Aortic dissection: global epidemiology." Cardiology Plus 7.4 (2022): 151-161.
• Ohle, Robert, et al. "Clinical examination for acute aortic dissection: a systematic review and meta‐analysis." Academic Emergency Medicine 25.4 (2018): 397-412.

Breathe a Little Easier Thanks to the Adult Respiratory Support CMT

• Oczkowski S, Ergan B, Bos L, et al. ERS clinical practice guidelines: high-flow nasal cannula in acute respiratory failure. Eur Respir J. 2022;59(4):2101574. Published 2022 Apr 14. doi:10.1183/13993003.01574-2021
• Wong DT, Dallaire A, Singh KP, Madhusudan P, Jackson T, Singh M, Wong J, Chung F. High-Flow Nasal Oxygen Improves Safe Apnea Time in Morbidly Obese Patients Undergoing General Anesthesia: A Randomized Controlled Trial. Anesth Analg. 2019 Oct;129(4):1130-1136. doi: 10.1213/ANE.0000000000003966.
• Kuo HC, Liu WC, Li CC, Cherng YG, Chen JT, Wu HL, Tai YH. A comparison of the high-flow nasal cannula and standard facemask as pre-oxygenation technique for general anesthesia: A PRISMA-compliant systemic review and meta-analysis. Medicine (Baltimore). 2022 Mar 11;101(10):e28903. doi: 10.1097/MD.0000000000028903. PMID: 35451383; PMCID: PMC8913129.

 

October Lifeline

Take Home Message: The Anticoagulation CMT Provides a Concise, Evidence-Based Tool to Help Reverse Patients with Acute Life-Threatening Hemorrhage on Anticoagulation

• 1. Baugh CW, Levine M, Cornutt D, Wilson JW, Kwun R, Mahan CE, Pollack CV Jr, Marcolini EG, Milling TJ Jr, Peacock WF, Rosovsky RP, Wu F, Sarode R, Spyropoulos AC, Villines TC, Woods TD, McManus J, Williams J. Anticoagulant Reversal Strategies in the Emergency Department Setting: Recommendations of a Multidisciplinary Expert Panel. Ann Emerg Med. 2020 Oct;76(4):470-485. doi: 10.1016/j.annemergmed.2019.09.001. Epub 2019 Nov 13. PMID: 31732375; PMCID: PMC7393606.

 

September Lifeline

The Climate Pledge

• https://www.hhs.gov/climate-change-health-equity-environmental-justice/climate-change-health-equity/actions/health-sector-pledge/index.html

 

July Lifeline

Tick-Borne Illnesses - Not Just Lyme

• https://www.hopkinslymetracker.org/
• https://www.cdc.gov/ticks/data-summary/index.html
• https://www.cdc.gov/mmwr/volumes/65/rr/rr6502a1.htm?s_cid=rr6502a1_e

PEX Pearl: Elephant in the 5 CARE Behaviors 

• Arora VM, Schaninger C, D’Arcy M, et al. Improving inpatients’ identification of their doctors: Use of faceTM cards. The Joint Commission Journal on Quality and Patient Safety. 2009;35(12):613-619. doi:10.1016/s1553-7250(09)35086-2
• Broderick-Forsgren K, Hunter WG, Schulteis RD, et al. Doctor who? A quality improvement project to assess and improve patients’ knowledge of their inpatient physicians. Journal of Graduate Medical Education. 2016;8(2):197-201. doi:10.4300/jgme-d-15-00067.1
• Colyer J, Halley T, Winter M, Coldren J, Parra M. Are you my doctor? utilizing personalized provider cards to improve patient/doctor connections. Patient Experience Journal. 2019;6(3):124-128. doi:10.35680/2372-0247.1341
• Makaryus AN, Friedman EA. Brief report: Does your patient know your name? An approach to enhancing patients’ awareness of their caretaker’s name. Journal for Healthcare Quality. 2005;27(4):53-56. doi:10.1111/j.1945-1474.2005.tb00568.x
• Spasic M, Lagman C, Chung LK, et al. Evaluating the use of business cards among neurosurgery residents and its impact on patient satisfaction. Interdisciplinary Neurosurgery. 2017;8:68-71. doi:10.1016/j.inat.2016.10.003
• Van Geertruyden PH. The AWOL Business Card. Journal of the American College of Radiology. 2018;15(8):1188-1189. doi:10.1016/j.jacr.2018.03.047

 

June Lifeline

What’s in A Name?

• Ethnic Pause at Work: 74% Struggle with Name Mispronunciation. Namecoach.com website. Published online 9/16/2021 Available at: https://name-coach.com/blog/ethnic-pause-at-work-74-percent-struggle-with-name-mispronunciation/
• Ochoa, G. Have you mispronounced someone’s name? Here’s what to do next. Ideas.Ted.Com website. Published online 3/27/2019. Available at: https://ideas.ted.com/have-you-mispronounced-someones-name-heres-what-to-do-next/ 

Patient and Clinician Experience Pearls: Why Talking About Emotions Helps Our Patients Think

• Goleman, D. (1995). Emotional intelligence. Bantam Books, Inc.
• Lieberman MD, Eisenberger NI, Crockett MJ, Tom SM, Pfeifer JH, Way BM. Putting feelings into words: affect labeling disrupts amygdala activity in response to affective stimuli. Psychol Sci. 2007 May;18(5):421-8.
• Boissy A, et al. Communication skills training for physicians improves patient satisfaction. J Gen Intern Med. 2016;31:755-761.
• Graham B, Endacott R, Smith JE, et al. ‘They do not care how much you know until they know how much you care’: a qualitative meta-synthesis of patient experience in the emergency department. Emergency Medicine Journal. 2019;36:355-363.
• Chang J, Hays R, Shekelle P, et al. Patients' global ratings of their health care are not associated with the technical quality of their care. Ann Intern Med 2006;144:665-672.
• Finefrock D et al. Patient-Centered Communication Behaviors That Correlate With Higher Patient Satisfaction Scores. J Patient Exp. 2018;5(3):231-235.
• Lee T. Physician burnout and patient experience: flip sides of the same coin. NEJM Catalyst. 2016.

 

May Lifeline

New Kid on the Block

 

Patient and Provider Experience Pearls: The Two-Sentence Emotion and Empathy Challenge

• Boissy A, et al. Communication skills training for physicians improves patient satisfaction. J Gen Intern Med. 2016;31:755-761.
• Riess H., Kraft-Todd G. E.M.P.A.T.H.Y.: a tool to enhance nonverbal communication between clinicians and their patients. Acad Med. 2014;89:1108-12.
• Graham B, Endacott R, Smith JE, et al. ‘They do not care how much you know until they know how much you care’: a qualitative meta-synthesis of patient experience in the emergency department. Emergency Medicine Journal. 2019;36:355-363.
• Chang J, Hays R, Shekelle P, et al. Patients' global ratings of their health care are not associated with the technical quality of their care. Ann Intern Med 2006;144:665-672.
• Finefrock D et al. Patient-Centered Communication Behaviors That Correlate With Higher Patient Satisfaction Scores. J Patient Exp. 2018;5(3):231-235.
• Lee T. Physician burnout and patient experience: flip sides of the same coin. NEJM Catalyst. 2016.
• Lees C. Measuring the patient experience. Nurse Res. 2011;19(1):25-8.
• Levinson W et al. A Study of Patient Cues and Physician Response in Primary Care and Surgical Settings, JAMA 284 (2000): 1021-1027.
• Sonis JD, Aaronson EL, Lee RY, Philpotts LL, White BA. Emergency Department Patient Experience: A Systematic Review of the Literature. J Patient Exp. 2018;Jun;5(2):101-106.

April Lifeline

Patient and Provider Experience Pearls: The USACS Care Standard 5 Core CARE Behaviors

• Commit to Sit with Eye Contact
  • Murphy A. To sit or not to sit: a question of cultural performance. Ann Emerg Med. 2008;51(2): 194-6.
  • Orloski C, Tabakin E, Shofer F, Myers J, Mills A. Grab a seat! Nudging Providers to Sit Improves the Patient Experience in the Emergency Department. Journal of Patient Experience. 2018;6(2): 110-116.
  • Swayden K, et. al. Effect of sitting vs. standing on perception of provider time at bedside: a pilot study. Patient Educ Couns. 2012;86:166-171.
  • Strasser F, et al. Impact of physician sitting versus standing during inpatient oncology consultations: patients' preference and perception of compassion and duration. A randomized controlled trial. J Pain Symptom Manage. 2005;May;29(5):489-97.
• 90 Seconds Active Listening Without Interruption
  • Beckman H, Frankel R. The effect of physician behavior on the collection of data. Ann Intern Med. 1984;Nov;101(5):692-6.
  • Langewitz W, et al. Spontaneous talking time at start of consultation in outpatient clinic: cohort study. BMJ 2002;325(7366): 682–683.
  • Marvel M, Epstein R, Flowers K, Beckman H. Soliciting the patient's agenda: have we improved? JAMA. 1999;Jan 20;281(3):283-7.
  • Ospina NS, et al. Eliciting the Patient’s Agenda- Secondary Analysis of Recorded Clinical Encounters. Journal of General Internal Medicine. 2018;34(1):36–40.
  • Rabinowitz I, Luzzatti A, Tamir A, Reis S. Length of the patients monologue, rate of completion, and relation to other components of clinical encounter: observational intervention study in primary care. BMJ 2004;328:501-502.
• Demonstrate Empathy
  • Boissy A, et al. Communication skills training for physicians improves patient satisfaction. J Gen Intern Med. 2016;31:755-761.
  • Riess H., Kraft-Todd G. E.M.P.A.T.H.Y.: a tool to enhance nonverbal communication between clinicians and their patients. Acad Med. 2014;89:1108-12.
  • Graham B, Endacott R, Smith JE, et al. ‘They do not care how much you know until they know how much you care’: a qualitative meta-synthesis of patient experience in the emergency department. Emergency Medicine Journal. 2019;36:355-363.
  • Chang J, Hays R, Shekelle P, et al. Patients' global ratings of their health care are not associated with the technical quality of their care. Ann Intern Med 2006;144:665-672.
  • Finefrock D et al. Patient-Centered Communication Behaviors That Correlate With Higher Patient Satisfaction Scores. J Patient Exp. 2018;5(3):231-235.
  • Lee T. Physician burnout and patient experience: flip sides of the same coin. NEJM Catalyst. 2016.
  • Lees C. Measuring the patient experience. Nurse Res. 2011;19(1):25-8.
  • Sonis JD, Aaronson EL, Lee RY, Philpotts LL, White BA. Emergency Department Patient Experience: A Systematic Review of the Literature. J Patient Exp. 2018;Jun;5(2):101-106.
• Asking What Else? And “What Other Questions Do You Have?”:
  • Heritage J, Robinson JD, Elliott M, Beckett M, Wilkes M. Reducing patients' unmet concerns in primary care: the difference one word can make. J Gen Intern Med. 2007;Oct;22(10):1429-33.
  •  Smith R and Hoppe R. The patient’s story: Integrating the patient- and physician-centered approaches to interviewing. Ann Intern Med 1991;115:470-477.
  •  Fortin A et al. Smith’s Patient-Centered Interviewing. 4th ed. 2019. New York, NY: McGraw Hill.
  •  Chou C and Cooley L, eds. Communication Rx: Transforming Healthcare Through Relationship-Centered Communication. 2017. New York, NY: McGraw Hill.
• Gratitude and Business Card
  • Aaronson E, Mort E, Sonis J, et. al. Overall emergency department rating: identifying the factors that matter most to patient experience. J Healthc Qual. 2018;40:367-376.
  • Barber S. Patient care in decline: AIDET as a tool for improvement. Radiol Technol. 2018;89:419-421.
  • Makaryus AN, Friedman EA. Does your patient know your name? An approach to enhancing patients' awareness of their caretaker's name. J Healthc Qual. 2005;Jul-Aug;27(4):53-6.
  •  Trzeciak, Steven and Mazzarelli, Anthony. Compassionomics: The Revolutionary Scientific Evidence that Caring Makes a Difference. 2019. Pensacola, FL. Studor Group.

 March Lifeline

MacGyver Series: Hair Tourniquets and Lighted Ear Curettes

I do not have any financial interest in Bionix, I’m just a fan of their lighted products. I’ve also used their lighted forceps for foreign body removal from ears. It seems that kids often really like the lighted curettes and forceps - they do have a bit of a “wow” factor - and they don’t mind as much to have a “magic wand” inserted in their ear. I suspect that most docs are already familiar with Bionix from their non-lighted multicolored Safe Ear Curettes. Their products are available on Amazon. I think the Lighted Ear Curette Variety Pack is the best bang for the buck - 50 curettes, 7 different style tips, comes with 1 LED light source and 1 magnification lens, $95.99. It’s important to treat the light source like a gas station bathroom key - attach it to something!  The curettes are single-use, but there’s only 1 light source! I purchased their lanyard that tells me and others that it’s not disposable.

Bulging Ears

• Marom T, Roth Y, Boaz M, Shushan S, Oron Y, Goldfarb A, Dalal I, Ovnat Tamir S. Acute Mastoiditis in Children: Necessity and Timing of Imaging. Pediatr Infect Dis J. 2016 Jan;35(1):30-4.
• Saat R, Kurdo G, Laulajainen-Hongisto A, Markkola A, Jero J. Detection of Coalescent Acute Mastoiditis on MRI in Comparison with CT. Clin Neuroradiol. 2021 Sep;31(3):589-597.
• Cassano P, Ciprandi G, Passali D. Acute mastoiditis in children. Acta Biomed. 2020 Feb 17;91(1-S):54-59.
• Luntz M, Brodsky A, Nusem S, Kronenberg J, Keren G, Migirov L, Cohen D, Zohar S, Shapira A, Ophir D, Fishman G, Rosen G, Kisilevsky V, Magamse I, Zaaroura S, Joachims HZ, Goldenberg D. Acute mastoiditis--the antibiotic era: a multicenter study. Int J Pediatr Otorhinolaryngol. 2001 Jan;57(1):1-9.

Patient and Provider Experience Pearls: The Value of Work Friendships

• Clifton, Jon “The Power of Work Friends.” Harvard Business Review. October 7, 2022.
• Kaado, Bassam “Why It’s Good to Have a BFF at Work.” Business News Daily. February 21, 2023.
• Patel, Alok and Plowman, Stephanie “The Increasing Importance of a Best Friend at Work.” Gallup. August 17, 2022.

 

February Lifeline

Well-Being

Patient and Provider Experience Pearls: Motivational Interviewing

1. Miller W. and Rollnick S. Motivational Interviewing: Helping People Change. 3rd ed. Guilford Press, New York. 2013.
2. Burke BL, Arkowitz H, Menchola M. The efficacy of motivational interviewing: a meta-analysis of controlled trials. J Consult Clin Psychol 2003;71:843–61.
3. Hettema J, Steele J, Miller WR. Motivational interviewing. Ann Rev Clin Psychol 2005;1:91–111.
4. Lundahl BW, Kunz C, Brownell C, Tollefson D, Burke BL. A meta-analysis of motivational interviewing: twenty-five years of empirical studies. Res Soc Work Pract 2010;20:137–60.
5. Soria, R., Legido, A., & Escolano, C. A Randomized controlled trial of motivational interviewing. British Journal of General Practice. 2006; 56 (531): 768-774.

January Lifeline

Patient and Provider Experience Pearls: Receiving Gratitude

1. Chapin Taylor B: “Embracing the Science Behind Grateful Engagement,” Transforming Health Care Philanthropy. Falls Church: Association for Healthcare Philanthropy Press, 2017, Chapter 1.
2. Drummond D: TheHappyMD.com, “Stop Physician Burnout - What to do when a patient says thank you.”
3. Emmons RA: The Little Book of Gratitude: Create a Life of Happiness and 4. Wellbeing by Giving Thanks. London: Hachette, 2016.
Emmons RA: Gratitude Works. San Francisco: Jossey-Bass, 2013, 52.
5. Morrin A: “7 Scientifically Proven Benefits of Gratitude That Will Motivate You to Give Thanks Year-Round,” Forbes: November 23, 2014.
6. Dunn EW, et al: “In Praise of Gratitude,” Harvard Mental Health Letter: November 2011.