Friday, August 21, 2020

Ascension Wisconsin Authors publish in the JAMA Network Open

Congratulations to our very own 
Dr. BalighYehia, 
Dr. Richard Fogel, 
Dr. Mohamad Fakih, 
and Dr. Joseph Cacchionone,
working with other Ascension professionals, 
for publishing a timely and relevant article 
in JAMA Network Open, the open access arm of JAMA.

Thank you for sharing you expertise, knowledge, and commitment 
to health equity with the wider world.

JAMA Netw Open
2020 Aug 3;3(8):e2018039.
 doi: 10.1001/jamanetworkopen.2020.18039.

Association of Race With Mortality Among Patients Hospitalized With Coronavirus Disease 2019 (COVID-19) at 92 US Hospitals


Importance: While current reports suggest that a disproportionate share of US coronavirus disease 2019 (COVID-19) cases and deaths are among Black residents, little information is available regarding how race is associated with in-hospital mortality.

Objective: To evaluate the association of race, adjusting for sociodemographic and clinical factors, on all-cause, in-hospital mortality for patients with COVID-19.

Design, setting, and participants: This cohort study included 11 210 adult patients (age ≥18 years) hospitalized with confirmed severe acute respiratory coronavirus 2 (SARS-CoV-2) between February 19, 2020, and May 31, 2020, in 92 hospitals in 12 states: Alabama (6 hospitals), Maryland (1 hospital), Florida (5 hospitals), Illinois (8 hospitals), Indiana (14 hospitals), Kansas (4 hospitals), Michigan (13 hospitals), New York (2 hospitals), Oklahoma (6 hospitals), Tennessee (4 hospitals), Texas (11 hospitals), and Wisconsin (18 hospitals).

Exposures: Confirmed SARS-CoV-2 infection by positive result on polymerase chain reaction testing of a nasopharyngeal sample.

Main outcomes and measures: Death during hospitalization was examined overall and by race. Race was self-reported and categorized as Black, White, and other or missing. Cox proportional hazards regression with mixed effects was used to evaluate associations between all-cause in-hospital mortality and patient characteristics while accounting for the random effects of hospital on the outcome.

Results: Of 11 210 patients with confirmed COVID-19 presenting to hospitals, 4180 (37.3%) were Black patients and 5583 (49.8%) were men. The median (interquartile range) age was 61 (46 to 74) years. Compared with White patients, Black patients were younger (median [interquartile range] age, 66 [50 to 80] years vs 61 [46 to 72] years), were more likely to be women (2259 [49.0%] vs 2293 [54.9%]), were more likely to have Medicaid insurance (611 [13.3%] vs 1031 [24.7%]), and had higher median (interquartile range) scores on the Neighborhood Deprivation Index (-0.11 [-0.70 to 0.56] vs 0.82 [0.08 to 1.76]) and the Elixhauser Comorbidity Index (21 [0 to 44] vs 22 [0 to 46]). All-cause in-hospital mortality among hospitalized White and Black patients was 23.1% (724 of 3218) and 19.2% (540 of 2812), respectively. After adjustment for age, sex, insurance, comorbidities, neighborhood deprivation, and site of care, there was no statistically significant difference in risk of mortality between Black and White patients (hazard ratio, 0.93; 95% CI, 0.80 to 1.09).

Conclusions and relevance: Although current reports suggest that Black patients represent a disproportionate share of COVID-19 infections and death in the United States, in this study, mortality for those able to access hospital care did not differ between Black and White patients after adjusting for sociodemographic factors and comorbidities.

Monday, August 17, 2020

New Nursing eBooks

Ascension Wisconsin Library Services purchased online access to the following new nursing eBooks through the R2 Digital Library.

Follow the direct links below to take a look, or bookmark them for future reference.

You can also access these (and many others) anytime through our AW Library Catalog  or the A-Z List.

They are also linked in context on the respective Nursing LibGuides as noted below.

Sandra Nettina, MSN, ANP-BC

Thomas Hale, R.Ph., Ph.D.

Patricia Suplee, PhD, RNC-OB, Jill Janke, PhD, WHNP, RN

Anne Perry, RN, MSN, EdD, FAAN, Patricia Potter, RN, MSN, PhD, FAAN

Essentials for Nursing Practice (c2019)

Patricia Potter, RN, MSN,  Anne Perry, RN, MSN, Patricia Stockert, RN, BSN, MS, Amy Hall, RN, BSN, MS, CNE

Luanne Linnard-Palmer, EdD, MSN, RN, CPN

Questions or comments, contact your Ascension Wisconsin Librarians:

                                    Michele Matucheski   and   Kellee Selden

Friday, August 14, 2020

Know your Risk during Covid-19


The Texas Medical Association published this graphic explaining the relative risk of different activities during the current Covid-19 pandemic.   

This was brought up at a recent Ascension Covid-19 high reliability meeting, reminding us to keep vigilant and not succumb to pandemic fatigue, with reminders to 

  1. keep up social distancing
  2. wear a mask properly
  3. and wash your hands.

Tuesday, August 11, 2020

Updated DynaMed User Guide and 15-minute August Education Sessions


To: Chief Clinical Officers, Chief Medical Officers, Chief Nursing Officers and Designated Institutional Officials

From: Richard Fogel, MD, Senior Vice President and Chief Clinical Officer, Clinical & Network Services, Ascension and Amy Wilson, MSN, RN, CPHQ, Senior Vice President, Clinical Operations, Ascension

Please see the updated DynaMed User Guide.  

See below for information about three upcoming mini-education sessions. Please share the guide and information about the sessions with your clinicians, nurses and residents.

Thank you.

DynaMed Quick Consults

Join us for 15 minutes and get the information you need quickly. Sign up for a session today; if you can’t make it, the recording will be sent to you to review later.

Earning your CME and MOC credits with DynaMed:

         View the WebEx Recording  [14 min.]  from August 11, 2020

  • Learn about the types of credits offered
  • How to set up your CME/MOC profile
  • and how to earn credit certificates.


     DynaMed: About CME/CPD/CE and MOC

     DynaMed: Claiming CME Credits & Hours [Tutorial]

     DynaMed: Signing up for a Personal Account


Access anywhere with the DynaMed mobile app

  • Learn how to get the DynaMed mobile app and access all of the key mobile features including CME, interaction checking, and topic updates, right from your iOS and Android devices

        View the WebEx Recording [16 min.]  from August 19, 2020

And here a few more helpful links:

Ascension off-site link (also found in the DynaMed User Guide):  DynaMed Remote Access 


Thursday, August 27: Stay current on COVID-19 with the DynaMed Infectious Disease Publishing Group

  • Discover how the DynaMed Infectious Disease Publishing Group stays on top of the rapidly changing COVID-19 pandemic, and see how the Systematic Literature Surveillance process keeps your knowledge current in a time of uncertainty  (20-minute special session) 

12:30ET/11:30CT: Click here to register

Additional Helpful Links:

DynaMed (Direct link)

DynaMed Search Tips

Advisory Board for Nursing

The Advisory Board recently showed their stuff to the Ascension Nurse Executive Council.

Feel free to share this information broadly with the nursing teams across the ministry. 

Stay on top of health care news headlines, by signing up for their Daily Briefing email.

Here are some other links to pages and reports that may be of interest:

Tuesday, August 4, 2020

Nurses Choice Recommended Reading - August 2020

August 2020
See what your fellow nurses are reading! Browse this month's round-up of the top 10 most read articles from Lippincott's prestigious list of nursing journals.

Check out the link below for the new pocket card on Extracorporeal Membrane Oxygenation (ECMO) from NursingCenter.JBI Evidence Synthesis

The Future of Onboarding: Implementation of Immersive Virtual Reality for Nursing Clinical Assessment Training
Journal for Nurses in Professional Development, July/August 2020

Cardiogenic shock with resultant multiple organ dysfunction syndrome
Nursing, July 2020

Enhancing the caregiver float experience
Nursing Management, July 2020

Rise of the Robots: Is Artificial Intelligence a Friend or Foe to Nursing Practice?
Critical Care Nursing Quarterly, July/September 2020

Do Magnet-Designated Hospitals Perform Better on Medicare's Value-Based Purchasing Program?
JONA: Journal of Nursing Administration, July/August 2020

Common antidotes used in the ICU
Nursing Critical Care, July 2020

Patient Deterioration in the Adult Progressive Care Unit: A Scoping Review
Dimensions of Critical Care Nursing, July/August 2020

Implementing Improved Central Line Flushing Practices
AJN: American Journal of Nursing, August 2020

Telemedicine and the COVID-19 Pandemic: Are We Ready to Go Live?
Advances in Skin & Wound Care, August 2020

Cirrhosis: An evidence-based treatment approach
The Nurse Practitioner, August 2020

* List and links courtesy of Anne Chaney at Wolters-Kluwer/Ovid.
* Questions about access, contact Your Ascension Wisconsin Librarians: 
 Michele Matucheski        Kellee Selden