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PUBLISHING, PRESENTATIONS & APPOINTMENTS
Publishing
Muge Capan, Ph.D., Kimberly D. Williams, MPH, et al. “From Data to Improved Deci- sions: Operations Research in Healthcare.” Medical Decision Making. April 2017.
Jennifer N. Goldstein, M.D., MSc, Patricia McGraw, RN, Tobias L. Banks, D.O., LeRoi S. Hicks, M.D., MPH, et al. “The Unmet Need for Post-Acute Rehabilitation Among Medicare Observation Patients: A Single Center Study.” Journal of Hospital Medicine. March 2017.
Neal D. Goldstein, Ph.D., Stephen Eppes, M.D., Amy Mackley, MSN, RN, Deborah J. Tuttle, M.D., and David A. Paul, M.D.
“A Network Model of Hand Hygiene: How Good Is Good Enough to Stop the Spread of MRSA?” Infection Control Hospital Epidemiology. August 2017.
Eric V. Jackson, Jr., M.D., MBA, et al. “Development of a Unifying Target and Con- sensus Indicators for Global Surgical Sys- tems Strengthening: Proposed by the Global Alliance for Surgery, Obstetric, Trauma, and Anaesthesia Care (The G4 Alliance).” World Journal of Surgery. October 2017.
David A. Paul, M.D., et al. “Colonization with Antimicrobial-Resistant Gram-Negative Bacilli at Neonatal Intensive Care Unit Discharge.” Journal of Pediatric Infectious
David A. Paul, M.D., et al. “Gram-negative Bacilli in Infants Hospitalized in the Neonatal Intensive Care Unit.” Journal of Pediatric Infectious Disease Society. September 2017.
David A. Paul, M.D. “From the Nucleus to the NICU to the Neighbourhood.” BMJ.com. September 27, 2017.
Stephen A. Pearlman, M.D., MSHQS.
“Creating a Highly Reliable Neonatal Intensive Care Unit Through Safer Systems of Care Clinics.” Perinatology. 2017.
Arlene Smalls, M.D., et al. “Using Poverty Simulation in Graduate Medical Education as a Mechanism to Introduce Social Determinants of Health and Cultural Competency.” Journal of Graduate Medical Education, Vol 9, Issue 3. June 2017.
Sudhakar R. Satti, M.D., Ansar Z. Vance, M.D., Sohil N. Golwala, M.D., Tim Eden, MSN, RN, APRN, ANP-BC. “Patient Preference for Transradial Access over Transfemoral Access for Cerebrovascular Procedures.” Journal of Vascular and Interventional Neurology. June 2017.
Anthony C. Sciscione, D.O., et al. “Obstetric Care Consensus No. 6: Periviable Birth.” Obstetrics and Gynecology. October 2017.
Presentations
Stephen Pearlman, M.D., MSHQS,
the American Academy of Pediatrics Meeting. Chicago. September 2017.
Krystal A. Gamez, Psy.D., David J. York, Ph.D., et al. “Using the PHQ-9 and GAD-7 as Feedback Instruments: A Pilot Study in Community Mental Health.” Annual Convention of the American Psychological Association. Washington, D.C. August 2017.
Robert Witt, M.D., moderated a discussion: “Extent of Surgery for Benign Parotid Tumors.” Fourth Congress of European Otolaryngology-Head & Neck Surgery. Barcelona, Spain. October 2017.
Awards
The Education, Development and Advancement Council congratulates the following nurses on their advancement to RN III: Brittany Boyle, BSN, CCRN, 3E Medical; Stacey Strazzella, BSN, CCRN, CVCCC; Amanda Griffith, BSN, PCCN, CVCCC; Lisa Marie Iozzo, BSN, RN-BC, 5D; Laurie Drake, BSN, CCRN, SCCC; and Judy Flitcraft, BSN, PCCN, HVIS; and Charles Williston, BSN, CEN, Wilmington ED.
Erin Colozzi, BSN, CCRN, of Christiana Hospital’s Medical Intensive Care Unit (MICU), received the DAISY Award for Extraordinary Nurses for September 2017. ●
Disease Society. September 2017. moderated a neonatal research session at
Best practice review
Q. CAN PATIENT CARE ORDERS BE SENT VIA TEXT MESSAGE?
A. No. Christiana Care and The Joint Commission prohibit the use of personal mobile devices for texting of patient orders and communicating protected health information.
Q. WHY IS TEXTING OF ORDERS PROHIBITED?
A. After discussions with numerous text messaging platform vendors, experts in EHRs, and other key stakeholders, The Joint Commission and CMS have concluded that the impact of secure text orders on patient safety remains unclear. A number of potential issues were identified that impact patient safety:
• There are still privacy and security concerns with orders texted from a personal mobile device.
• Orders sent via text message do not allow for real time clarification and confirmation of orders between the nurse and the ordering practitioner.
If you have questions about this Best Practice Review, please contact the content expert, Anahi Santiago, 327-3863, or call the Safety Hotline: dial 7233 (SAFE).
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TEXTING OF ORDERS
• Orders entered via text messaging will not trigger alerts or clinical decision support recommendations that are typically triggered during computerized provider order entry (CPOE).
• Transcribing the texted orders and entering into the EHR can add additional burden to the nurses and adversely affect their ability to perform other critical patient care duties.
Q. WHAT IS THE PREFERRED METHOD FOR SUBMITTING PATIENT ORDERS?
A. CPOE is the preferred method for entering patient orders as it allows providers to directly enter orders into the EHR and helps to ensure accuracy. In the event that a CPOE or written order cannot be entered, a verbal order is acceptable in certain situations. Verbal orders should be used minimally and in emergency situations or during invasive procedures when it is impossible or impractical to use CPOE or written orders without delaying treatment.