Friday, August 28, 2020
AW Library Newsletter August 2020 : AW Physician Authors - Dynamed Tutorials - Nurses Choice - Advisory Board - New Nursing eBooks - Covid Risk
Friday, August 21, 2020
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
Ascension Wisconsin Library Services purchased online access to the following new nursing eBooks through the R2 Digital Library.
You can also access these (and many others) anytime through our AW Library Catalog or the A-Z List.
Sandra Nettina, MSN, ANP-BC
- Nursing Point of Care Tools - Nursing Procedures
- Nursing Specialties - Lactation & Breastfeeding
- Nursing Specialties - Maternal Newborn Nursing / Labor & Delivery / OB
- Nursing Specialties - NICU
|Patricia Suplee, PhD, RNC-OB, Jill Janke, PhD, WHNP, RN|
Essentials for Nursing Practice (c2019)
Pediatric Nursing Care (c2019)
Michele Matucheski and Kellee Selden
Friday, August 14, 2020
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
- keep up social distancing
- wear a mask properly
- and wash your hands.
Tuesday, August 11, 2020
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.
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:
- Learn about the types of credits offered
- How to set up your CME/MOC profile
- and how to earn credit certificates.
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
- How do I install and authenticate the DynaMed app on my device?
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)
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:
- The nurse manager portal
- Achieving top-of-license nursing practice
- How to provide emotional supports for your workforce
- Rebuild the foundation for a resilient workforce
- Toolkit for building implementation-ready care standards
Katherine Virkstis | Advisory Board
Managing Director, Senior Research Partner
655 New York Avenue NW, Washington DC 20001
ADVISORY BOARD CORONAVIRUS RESOURCES:
Tuesday, August 4, 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.|