KCHP Educational Posters
Click on a thumbnail below to open a pdf version of each poster.
Communication
with Physicians: It Can Be a Sticky Situation (Results of a Pilot
Communication Tool within Cerner)Tyler Dieker, Pharm.D., Amanda Dugal, Pharm.D., Jeff Pierce, Pharm.D., Spencer Pummel, Pharm.D. Candidate, Joanna Wakeman, Pharm.D. Candidate
Lawrence Memorial Hospital
Purpose:
The purpose of Sticky Notes was to increase efficiency in
communicating non-critical medication issues between pharmacy and
prescribers. To account for and prevent excessive use, predefined
situations for contact were created. To provide a standardized form
of communication, a known deficiency of “Blue Notes”, the SBAR
format was chosen. The pharmacy staff were trained to provide
consistency amongst writers. We have collected and will
continue to collect data to provide objective results, identify
areas for improvement, dictate modifications and support the
hospital using Sticky Notes.
Antimicrobial
Stewardship in a 173-Bed Community Hospital: Implementing Practice
Guidelines for Uncomplicated Urinary Tract Infections in Nonpregnant
FemalesAmanda Dugal, Pharm.D., Jeff Pierce, Pharm.D., Christina Lawrenz, R.Ph.
Lawrence Memorial Hospital
Purpose:
Evaluate the current prescribing practices at LMH within
uncomplicated UTIs and compare the practices to those outlined in
the ACOG Guidelines
Implement an antibiotic stewardship program (ASP) through medical staff education and standardized order sets associated with the ACOG practice guideline within the electronic medical record (EMR)
Maximize therapeutic options and minimize toxicities
Determine the effectiveness of the proposed ASP within the practice model
Evaluation
of the Financial Impact of Interventions Made by Pharmacy Interns in
a Community Hospital
Kaci Austin, Pharm. D. Candidate, Spencer Pummel, Pharm. D.
Candidate, Jeff Pierce, Pharm. D.
Lawrence Memorial Hospital
Purpose:
To determine the financial impact of clinical pharmacy intern
interventions through use of a customized scoring system.
Impact
of Notebook Computers on Pharmacists Providing Direct Patient Care
Lindsey DeZotell, Pharm.D., BCPS and
Mark Woods, Pharm.D., FASHP, BCPS
Saint Luke’s Hospital
Purpose:
To evaluate the impact of notebook computers on paper consumption,
pharmacist efficiency and satisfaction.
The
Effect of EtCO2 Monitoring on the Frequency of Emergency Response
Calls for Patients Receiving Patient Controlled Analgesia
Katherine M. Myers, PharmD Candidate;
and, Patrick E. Parker, MS, RPh
Lawrence Memorial Hospital
Purpose:
Monitoring end-tidal carbon dioxide and respiratory rates (EtCO2) in
patients receiving patient controlled analgesia (PCA) can prompt
early intervention in patients who experience substantial
respiratory depression, possibly resulting in fewer emergency
response calls. In September 2009, Lawrence Memorial Hospital
started using EtCO2
monitors in conjunction with Alaris Smart Pumps on patients with PCA.
This project was to determine if the implementation of these
monitors reduced our emergency response calls.
Duration
of Levofloxacin Therapy in Intensive Care Units at a Large Academic
Medical
Jennifer Reynolds, PharmD; Jace Knutson, PharmD, BCPS; Carrie
Cannella, PharmD, BCPS
The University of Kansas Hospital
Purpose:
To identify potential areas of improvement within intensive care
units with regards to adherence to length of therapy recommendations
in published guidelines.
Evaluating
Outcomes of Primary Induction and Salvage Therapies for Patients
with Elderly (age ≥ 60 years) Acute Myleoid Leukemia: A
Retrospective Chart Review
Jigar Trivedi, MS, PharmD1;
Elizabeth Irvine, PharmD, BCOP1; Brian O'Neal, MS, PharmD1;
Dennis Grauer,
PhD, MS2; Dave
Henry, MS, BCOP, FASHP2;
and, Casey Williams, PharmD, BCOP1
1University of
Kansas Hospital
2University of
Kansas School of Pharmacy
Purpose:
The incidence of acute myeloid leukemia (AML) increases with
advancing age and its prognosis is directly related to age.
Patient-specific factors along with leukemia-associated factors
impact the outcome of elderly patients with AML. Poor performance
status at diagnosis is associated with mortality during induction
therapy. Due to comorbid illnesses, elderly patients have inadequate
cardiac, pulmonary, renal and/or hepatic functional reserve and are
less tolerant to intensive cytotoxic chemotherapy. Additionally the
risk of systemic infections and a higher incidence of high-risk
cytogenetics lead to poor outcomes in the elderly. The purpose of
the study is to evaluate complete remission rates of the primary
induction and salvage therapies for elderly patients (age ≥ 60
years) with AML. Secondary endpoints include: adverse effects of the
chemotherapeutic regimen, progression-free survival and overall
survival.
Evaluation
and Expansion of Pharmacy Intravenous to Oral Dosing Protocol at a
University Hospital
Aaron Steele, PharmD; Carrie Cannella, PharmD, BCPS
The University of Kansas Hospital
Purpose:
To evaluate adherence to the University of Kansas Hospital’s current
pharmacy IV to PO protocol, update the agents currently approved for
automatic IV to PO conversion, and submit proposed additions to the
P&T committee.
Development
of a Sedation Protocol for Mechanically Ventilated Patients in the
Pediatric Intensive Care Unit
Michelle Simonsen, PharmD; Carly Brown, PharmD, BCPS; Maya
Warren, PharmD
The University of Kansas Hospital
Purpose:
The purpose of this project was to develop and implement a
nursing-driven sedation protocol for use in ventilated PICU patients
at The University of Kansas Hospital (KUH). The institution’s
current sedation assessment scale, the Motor Activity Assessment
Scale (MAAS), was also evaluated for its appropriateness in this
patient population.
Evaluation
of Associations Between Body Mass Index and Serum Vitamin D Levels
Christina Y. Martin, Pharm.D1;
James M. Backes2,
Pharm.D; Patrick M. Moriarity2,
MD
1 The University of
Kansas Hospital, Kansas City, KS
2 The
Atherosclerosis and LDL-Apheresis Center, Kansas City, KS
Purpose:
To identify associations between body mass index and serum vitamin D
levels among patients in a lipid specialty clinic, and to determine
the percentage of those patients that are vitamin D deficient,
insufficient, or of adequate levels.
Assessment
of Workplace Culture of Safety in a Large Academic Medical Center
Ashley Mains, PharmD; Joann Lacy, RPh;
Rick Couldry, RPh
The University of Kansas Hospital
Purpose:
The University of Kansas Hospital revitalized the efforts and
attitudes toward a culture of safety. The aim was to change staff
expectations, increase error and “near miss” reporting, and to
encourage safe choices that align with organizational values while
holding employees accountable for their behavioral choices.
2010
Conversion of Enoxaparin to Dalteparin in a Community Hospital
Jeff Pierce, Pharm.D; Spencer Pummell, Pharm.D Candidate
Lawrence Memorial Hospital
Purpose:
Low molecular weight heparin continues to be one of the top
medications utilized in our healthcare
systems today. This class will continue to expand as more data is
published on DVT risk
assessment and prevention, optimal use of these agents
post-discharge, and their continued
use for multiple disease states. enoxaparin (Lovenox) has been a
mainstay in most institutions
as the LMWH drug of choice despite its higher cost and contractual
agreements. Generic
enoxaprin was slated to be released in 2009, but continues to be
held up in legal proceedings.
Taking both of these factors into considerations, institutions have
began to evaluate methods to
reduce their costs in the medication class.
Common
Canister Process for Delivering Aerosol Medications: The Final Steps
to Assure Patient Safety
H. David Mantz, BA, RRT-NPS; Linda Radke, Pharm.D; Jeanine
Gunn, RN
Salina Regional Health Center
Purpose:
To assure that our Common Canister (CC) protocol is safe for our
patients, our staff remains compliant with the infection prevention
process defined in our protocol and to confirm cost savings in our
institution.
Evaluation
of Depression & Implementation of the NCCN Distress Tool in a
Community Outpatient Oncology Practice
Michele Diane Wood, Pharm.D; Karen Finkbiner, Pharm.D;
Michael Oszko, Pharm.D, BCPS
Lawrence Memorial Hospital
Purpose:
The National Cancer Institute reports that depression affects 15% - 25%
of oncology patients. Although depression is common in this patient
population, it is frequently under-diagnosed and under-treated. The
purpose of this study is to determine the extent of depression
evaluation and treatment in patients receiving care in an outpatient
oncology clinic. A second objective is to determine the impact the NCCN
distress tool has on distress management.
Influenza
Vaccination Among Healthcare Workers at a Community Hospital: A
Comparison of Vaccination Rates and Resulting Impact on the
Healthcare System.
Lisa Weedin, Pharm.D; Michael Bennett, Pharm.D, BCPS; Michael
Oszko, Pharm.D, BCPS; Stephanie Porto, Pharm.D, BCPS
Lawrence Memorial Hospital
Purpose:
The Center for Disease Control and Prevention national vaccination
guidelines recognize that vaccination of healthcare workers correlate
with decreased spread of the influenza virus. The primary objective of
this study is to determine the extent to which healthcare workers at a
community hospital are vaccinated with the seasonal influenza
vaccination compared to national rates of vaccination among healthcare
workers. The secondary objective is to determine if there is a
correlation between vaccination and days missed due to illness.
Characterization
of Vancomycin Dosing and Pharmacokinetic Outcomes in Obese Patients
Treated in a Community Hospital
Susan Vaughan, Pharm.D Candidate 2010, Michael Oszko, Pharm.D,
BCPS; Stephanie Porto, Pharm.D, BCPS
University of Kansas; Lawrence Memorial Hospital
Purpose:
To characterize Vancomycin dosing and pharmacokinetic outcomes in obese
patients treated at a community hospital.
How
Safe Are Your Labels?
Jenna Prescott, Pharm.D Candidate 2011, Lisa Campbell,
Pharm.D Candidate 2010; Krista Morrison, Pharm.D Candidate 2010;
Patrick Parker, MSP, RPh, Director of Pharmacy
University of Kansas; Lawrence Memorial Hospital
Purpose:
The purpose of this project was to determine how closely the hospital’s
medication labels comply with Institute of Safe Medication Practices new
labeling guidelines and to provide improvements as necessary.
Evaluation
of the Japanese Similar Names Searching System for the Future
Development of the System in the U.S.
Haruko Nakano, MS, Pharm.D Candidate 2010; Jane Henry, MBA,
RPh; Kirk Starr, MBA,
RPh; Harold Godwin, MS, RPh
University of Kansas; St. Francis Health Center; University of
Kansas School of Pharmacy
Purpose:
Sound-alike drug names can result in potentially harmful medication
errors. Japan is improving their systems in order to avoid medication
errors. They primary objective of this study was to evaluate the indices
that are used in the Japanese Similar Names Searching System (JSNSS) for
the future development of the system in the U.S.
Pharmacist
Education and Training Prior to the Implementation of Inpatient
Clinical Pharmacy Services Focused on Anticoagulation Therapy
Todd Schroeder, Pharm.D; Taylor Gill, Pharm.D, BCPS; Jim
Garrelts, Pharm.D; Thi-Thi Nguyen, Pharm.D; Tammy May, Pharm.D.
Via Christi Health
Purpose:
The safe and effective use of anticoagulation therapy is an important
component of medication use in the inpatient acute care setting. This
information is designed to share how a systematic approach, including
preparation and education, can be an effective way to implement a
clinical pharmacy service involving anticoagulation management.