Tuesday, February 25, 2025

Access to 2025-26 ASPAN Guidelines


We now have statewide access for the brand new 2025-26 ASPAN Guidelines, courtesy of the Clinical Professional Development Dept. 


Please share with your Ascension Wisconsin OR and Perianesthesia peers around the state.



Direct Link:


  • Check our catalog for complete listings of print and eBook formats.
  • Or the A-Z List for eBooks and eJournals.

For future reference, these and other useful links are listed on  

Questions and comments, please contact your Ascension Wisconsin Librarians:

                        Michele Matucheski  and  Kellee Selden.

Access to the 2025 AORN Guidelines

    

We have statewide access for the 2025 AORN Guidelines
courtesy of the Clinical Professional Development Dept.  and AW Library Services.

Please share with your Ascension Wisconsin OR and Perioperative peers around the state. 

Direct Links:  

  • Check our catalog for complete listings of print and eBook formats.
  • Or the A-Z List for eBooks and eJournals.


Trouble with the access? 
Although online access should work seamlessly if you are working onsite, there are occasional issues with access.  Alternatively, try OpenAthens for remote access.


For future reference, these and other useful links are listed on  
The Nursing Specialties Guide, under the following tabs: 


Questions and comments, please contact your Ascension Wisconsin Librarians:

                        Michele Matucheski  and  Kellee Selden.

Sunday, February 16, 2025

Recommended Reading for Nurses - February 2025

 

In Recommended Reading for Nurses, we offer access to the hottest topics in nursing and healthcare, as well as other “must-read” content.

See what your fellow nurses are reading!

Browse this month's round-up of 10 top articles from Lippincott's prestigious list of nursing journals.


The changing landscape of emergency contraception
The Nurse Practitioner, February 2025

Growing grit: Perseverance and passion in nursing education
Nursing 2025, February 2025

National Analysis of Preexisting Immunosuppressive Conditions and Infection-Related Readmissions Among Sepsis Survivors
Dimensions of Critical Care Nursing, January/February 2025

Assessing a Group Coaching Program Designed to Disrupt Nurse Burnout: The SHINE Pilot
Nursing Management, January 2025

Neuromuscular Electrostimulation Increases Microcirculatory Flux in Mixed Etiology Leg Ulcers
Advances in Skin and Wound Care, January/February 2025

Using ChatGPT to Engage Students and Promote Critical Thinking
Nursing made Incredibly Easy!, November/December 2024

Development and Content Validity of a Questionnaire on Peripheral Intravenous Catheter Maintenance and Knowledge of Nursing Professionals Regarding Best Practices
Journal of Infusion Nursing, January/February 2025

Ethical Considerations for Nurse Practitioners Conducting Research in Populations with Opioid Use Disorder
Journal of the American Association of Nurse Practitioners, January 2025

Critical Appraisal of Evidence: Synthesis and Recommendations
AJN, American Journal of Nursing, January 2025

Elements Supporting Translation of Evidence Into Practice: A Model for Clinical Nurse Specialist and Nurse Scientist Collaboration   Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, November/December 2024 


Ascension Wisconsin Library Services

* Questions about access, contact your Ascension Wisconsin Librarians

 Michele Matucheski        Kellee Selden

Saturday, February 15, 2025

Clinical Key Updates - January 2024



The content of Clinical Key is constantly being updated.  Here are the October 2024 highlights.

Clinical Key

Clinical Key Search Tips & Tutorials

ClinicalKey Content Updates: January 2025


ClinicalKey Content Updates: January 2024

Books Added – CK Global

  • Cell Biology (Pollard, Thomas) 4th ed; ISBN: 9780323758000; Package/Collection: Medical Education Essentials; New to CK; 
  • Conn’s Current Therapy 2025 (Kellerman, Rick D.) 1st ed; ISBN: 9780443121814; Package/Collection: Base Package; New edition (replaces 9780443121517); 
  • Infection and Autoimmunity (Mahroum, Naim) 3rd ed; ISBN: 9780323991308; Package/Collection: Allergy and Immunology; New edition (replaces 9780444632692); 

Trouble with access? Try Remote Access to AW Library Resources via OpenAthens

Questions or comments, contact Your Ascension Wisconsin Librarians
 Michele Matucheski        Kellee Selden

Friday, February 14, 2025

Weathering the Public Health Storm with Your Local Epidemiologist

I have to admit: I am feeling more than a little out-of-sorts with the current political situation and what could happen to public health, medicine and medical research (among other things) in the next few years ...  Life as we know it will change.



One of the leaders / writers who gives me some hope is Dr. Katelyn Jetelina 
at Your Local Epidemiologist (YLE).  She started writing during the pandemic to help explain 
some of the science, statistics and public health proclamations as they were released 
-- Sort of "public health for the rest of us" in plain terms that was easy to understand.  
Communication is her thing.

It seems absolutely bonkers that a vaccine denier would ever be in charge of the NIH and CDC.
Here is some advice from YLE about how to get through the coming storm for public health ...
I've pulled out some of the salient points, but please see her full article for more details about how we might weather the storm.


RFK Jr. is now HHS Secretary. What comes next?

What to look out for and tips to navigate the storm

  • Half of Americans get their health information from social media.
  • Social media rewards sensational content, not accuracy.
  • Falsehoods spread 6x faster than the truth.
  • Bad actors fuel this landscape for a profit, like through supplements or services.
  • These messages are now coming from the highest health office in the country.

 Navigating through the storm:

  1. Recognize top-down information doesn't work anymore.
  2. Meet people where they are.
  3. Tell more stories.
  4. Recognize trust isn't declared -- it's demonstrated.
  5. Don't turn your anger into shaming others.
  6. Keep telling the truth.    

Wednesday, February 12, 2025

The Journalist's Resource: As the US government removes health websites and data, here’s a list of non-government data alternatives and archives

 


Creative Commons License

This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

You are free to republish this piece both online and in print, and we encourage you to do so with the embed code provided below. We only ask that you follow a few basic guidelines.  

On Friday night, Dr. Gordon Schiff, the quality and safety director at the Harvard Medical School, received an email from a colleague informing him that one of his academic papers published on a federal website was taken down. It included the words “transgender” and "LGBTQ," which are among the words that are being removed quickly from federal websites following the Trump administration's orders to stop diversity initiatives, remove references to gender and equity from public health material and withdraw research papers that promote "gender ideology."

https://journalistsresource.org/home/researchers-rush-to-preserve-federal-health-databases-before-they-disappear-from-government-websites/

Schiff's paper, “Multiple Missed Opportunities for Suicide Risk Assessment” — available on the Wayback Machine — was published in 2022 on the Agency for Healthcare Research and Quality’s Patient Safety Network website. It was a case study with advice and commentary for physicians and it included this sentence: “High-risk groups include male sex, being young, veterans, Indigenous tribes, lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ).”

“We weren’t even advocating anything here,” says Schiff, who is also the associate director of Brigham and Women’s Center for Patient Safety Research and Practice. “We were just reporting what the risk factors were.”

Between Friday and Sunday, nearly 8,000 U.S. government websites were taken down, reported Ethan Singer of The New York Times. ABC News reported on Friday that the U.S. Department of Agriculture has directed its officials to remove content related to climate change from public websites. It’s unclear whether the web pages will come back online, and if so, to what extent they will be modified.

Schiff says he's aware of 19 other papers and summaries that were removed from AHRQ’s Patient Safety Network.

“A wholesale censoring of things that have already been published, a wholesale precluding of the kind of research where the problems are the greatest is chilling and it’s dangerous,” says Schiff, who began his medical residency in 1976 and has been at the Brigham since 2007. “People’s lives are going to be lost.”

Schiff encouraged journalists to continue holding public officials accountable.

“They need to be exposing abuses like this,” he says. “They need to be not afraid.”

While journalists continue to report stories about what's happening to federal health data, they also need access to data to report stories about health issues in general.

There’s no perfect alternative to the government databases, but some non-governmental organizations have their own datasets, which can be useful to journalists. Several journalism associations have also been downloading government data and making them available to their members.

To help journalists with their continued reporting, we have curated a list of non-government websites that have health data, although some use government data to create their reports.

We'll continue to update this list. If you have a suggestion for a database, please email us.

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Alternative sources of health data

  • ProPublica: The nonprofit investigative news organization has several helpful datasets, including the Nonprofit Explorer allows you to browse millions of annual tax returns filed by tax-exempt organizations, including nonprofit hospitals. Nursing Home Compare and Nursing Home Inspect, which provides the latest CMS data on nursing homes in an easy-to-download format. Its Nursing Home Inspect website is interactive and searchable by nursing home, state or county. And Dollars for Docs allows users to search for industry payments to doctors, made from August 2013 to December 2018.
  • State Medicaid Fact Sheets: Created by the nonprofit Commonwealth Fund, the Medicaid fact sheets include who and how many people are covered by state Medicaid and CHIP programs; Medicaid’s importance to health care in rural America; how many young people depend on Medicaid for access to behavioral health services; and how many federal Medicaid dollars each state receives.
  • Congressional District Health Dashboard: Congressional District Health Dashboard provides measures of health and its drivers at the congressional district level, showing how each district is doing on health outcomes, social and economic factors and other measures. The Dashboard was created at the Department of Population Health at NYU Grossman School of Medicine with the support of the Robert Wood Johnson Foundation. The group also manages the City Health Dashboard.
  • Health Care Cost Institute (HCCI): HCCI, an independent nonprofit research organization, provides data on health care spending, use and pricing from private health insurers. It is widely used to analyze trends in healthcare costs and access for commercially insured populations.
  • PEW Research Center: Pew is a nonprofit, nonpartisan organization that conducts public opinion polls, demographic research, content analysis and other social science research. It does not take policy positions.
  • Institute for Health Metrics and Evaluation (IHME): Based at the University of Washington, IHME is an independent health research organization, with collaborators around the world. It produces research on a range of topics, including air pollution, alcohol use, COVID-19, maternal health and vaccine coverage.
  • County Health Rankings & Roadmaps: County Health Rankings & Roadmaps is a program of the University of Washington Population Health Institute. It produces annual data on the health of counties across the U.S., taking into account factors like premature death, low birthweight, adult smoking, obesity and sexually transmitted infections.
  • Rural Hospital Data: Rural Hospital Data, part of the National Rural Health Association, provides state reports on the impact of federal policies on health care providers and patients. The data shows the annual revenue loss and potential job loss for each care provider based on each policy.
  • The United Network for Organ Sharing (UNOS): UNOS is a nonprofit organization responsible for maintaining the national transplant waiting list, matching donors to recipients and overseeing organ allocation policies to ensure fairness and efficiency. The organization also provides educational resources for patients and professionals and conducts research.
  • National Cancer Database (NCDB): The NCDB is a joint initiative of the American College of Surgeons and the American Cancer Society. It contains clinical and outcomes data from more than 1,500 accredited cancer programs, covering approximately 70% of newly diagnosed cancer cases in the U.S.

Data archiving efforts

  • Harvard Dataverse: Harvard Dataverse is a large publicly-available repository of data from researchers at Harvard University and around the world, covering a range of topics from astronomy to engineering to health and medicine.
  • The Harvard Library Innovation Lab Team has released more than 311,000 datasets harvested in 2024 and 2025 on Source Cooperative.
  • Public Environmental Data Project: Run by a coalition of volunteers from several organizations, including Boston University and the Harvard Climate and Health CAFE Research Coordinating Center, the project has compiled a large list of federal databases and tools, including the CDC's Social Vulnerability Index and Environmental Justice Index.
  • Investigative Reporters & Editors: The nonprofit journalism organization has downloaded more than 120 data sets from the federal websites, as recently as November. Some of those data sets include Adverse Event Reporting System, Behavioral Risk Factor Surveillance System, Medical Device Reports, Mortality Multiple Cause-of-Death Database, National Electronic Injury Surveillance System (NEISS), National Practitioner Databank, Nuclear Materials Events Database, OSHA Workplace Safety Data and Social Security Administration Death Master File. IRE members can contact the organization and order the data sets. The organization has been providing data to members since the early 1990s.
  • Run by health policy data analyst Charles Gaba, ACASignups.net has a list of archived versions of cdc.gov web pages.
  • Archive.org has an "End of Term 2024 Web Crawls" collection, from which you can download data.
  • The 19th, an independent nonprofit newsroom reporting on gender, politics and policy, has preserved government documents, including the CDC's maternal mortality data, CDC's abortion and contraception data, research studies on teens and guidelines from the National Academies on how to collect data on gender and sexuality.

Additional resources

  • For health data from a neighboring country, check out Health Canada.
  • In this February 7, 2025, article published on Medscape Medical News, Liz Seegert has a list of CDC archives and datasets, including practice guidelines.
  • In this February 5, 2025, article, published on the Association of Health Care Journalists' blog, science journalist Tara Haelle lists several resources that have been archiving federal infectious disease data, including immunize.org, which has archives of CDC's Vaccine Information Statements.
  • In this January 14, 2025, article, published in The Open Notebook, freelance writer and assistant professor Alice Fleerackers lists several open-source databases to help journalists with their reporting.

This article first appeared on The Journalist's Resource and is republished here under a Creative Commons license.

Monday, February 10, 2025

ACOG Addresses Removal of and Restores Access to CDC Data

Last week, in response to CDC removing critical scientific research, ACOG President Stella Dantas, MD, FACOG, and ACOG CEO Sandra E. Brooks, MD, MBA, FACOG, released a statement calling for uncensored access to scientific research and clinical data. In the statement, they wrote that “removing or limiting access to data and information does not constitute good health policy or contribute to improved health outcomes.”

ACOG has also taken steps to ensure that access to these critical resources is restored
for all health care professionals, scientists, and researchers. Along with
other ACOG-endorsed guidance documents, the following resources are now available
on the ACOG website:


Brought to your attention by Ascension Wisconsin Library Services.

Saturday, February 8, 2025

Art in Medicine - February 2025: Hippocrates

Bust of Hippocrates, Engraving 1638, Paulus Pontius (after Rubens)


The February 2025 Art In Medicine topic is about Hippocrates.

Lucinda Bennett, the Medical Librarian at Ascension St Agnes Hospital in Baltimore, MD,  publishes a regular series on Art in Medicine and The Health Humanities.    

It's only 1-2 pages with gorgeous images, so it won't take you long to read

... and just might enrich your life.


Hippocrates 

In the history of the medical arts, there is possibly no more familiar name than Hippocrates. Considered the father of medicine, Hippocrates’ name is invoked by all graduating physicians, his texts read in a great many classes and his image shared in various media across time and place. However, as is usually the case, history is often clouded by myth and this storied doctor is no different. So who was he really, do we actually know what he looked like, and are his writings truly written by a single author? 

“Hippocrates (born c. 460 bce, island of Cos, Greece—died c. 375 bce, Larissa, Thessaly) was an ancient Greek physician who lived during Greece’s Classical period … It is difficult to isolate the facts of Hippocrates’ life from the later tales told about him or to assess his medicine accurately in the face of centuries of reverence for him as the ideal physician. About 60 medical writings have survived that bear his name, most of which were not written by him. He has been revered for his ethical standards in medical practice, mainly for the Hippocratic Oath, which, it is suspected, he did not write. It is known that while Hippocrates was alive, he was admired as a physician and teacher. His younger contemporary Plato referred to him twice. In the Protagoras Plato called Hippocrates “the Asclepiad of Cos” who taught students for fees, and he implied that Hippocrates was as well known as a physician as Polyclitus and Phidias were as sculptors.” (Britannica) 

At the time Hippocrates was living and practicing, the perspective of where medicine lay within ancient Greek life was much different than how we view that field today. In fact, it was considered an art rather than a science, which was not yet fully formed as a discipline. As such, the philosophy which Hippocrates was taught and would later teach via medicine, approached treatment of the sick in a manner that is alien to many today.  “The term art is used very often, especially in Plato, however, the ancients separated art from other  (after  intellectual disciplines. Even when they perceive art in this more limited way, they always tend to include medicine among the arts, such as shoemaking, woodworking, agriculture, rhetoric and poetry, for the reason that medicine generates health. By creating health, medicine seems both, poetic and utilitarian art because physicians use a variety of tools and methods in order to achieve health for their society. Since medicine is the most important of the arts, those who are going to follow it are required to have many spiritual and moral qualifications if they wish to serve it properly.” (Philosophy & Hippocratic Ethic) 

Encyclopedia Britannica states the documents attributed to Hippocrates contain various theories, tones of writing, and evidence that these works were the cumulative experiences of several individual authors. As with many ancient texts, they were added to, translated and altered over the centuries. By all accounts Hippocrates was a real man, but wrote only a fraction of works bearing his name. Still, his impact was felt after his death in the manner in which later scholars and artists would interact with his body of work and even his appearance. “Hippocrates’ reputation, and myths about his life and his family, began to grow in the Hellenistic period, about a century after his death. 


Hippocrates Refuses the Gifts of Artaxerxes, Painting

Anne-Louis Girodet de Roucy-Trioson, 1792


During this period, the Museum of Alexandria in Egypt collected for its library literary material from preceding periods in celebration of the past greatness of Greece. So far as it can be inferred, the medical works that remained from the Classical period (among the earliest prose writings in Greek) were assembled as a group and called the works of Hippocrates (Corpus Hippocraticum). Linguists and physicians subsequently wrote commentaries on them, and, as a result, all the virtues of the Classical medical works were eventually attributed to Hippocrates and his personality constructed from them.” (Britannica) In later centuries these texts were then expanded upon by Muslim physicians, further carried the teaching of Hippocrates into a new era, codifying his theories on illness. “By translating masterpieces of Greek learning into Arabic, which would be eventually rendered into Latin, scholar-physicians such as Haly Abbas, Rhazes, Avicenna, and Albucasis performed the extraordinary miracle of reintroducing Greek authors into Western Europe, including Hippocrates and Galen.” (The Art of Science & Healing) By the modern era, fictions blurred with fact as to what this famous physician did or did not do. In fact, even his appearance is not honestly known. The elderly man with short hair and a full beard is an archetype typical of Classical Greece, not a means of true portraiture. How we imagine Hippocrates could be just as fictional as some of the stories attached to him, such as the instance with the King of Persia, as depicted here. “The painting is based on a historical and legendary episode that occurred during the reign of Artaxerxes I, when Persia was ravaged by a devastating plague. In a desperate attempt to save his kingdom, the Persian king sent ambassadors to Greece to request the help of Hippocrates, the most renowned healer of his time. Artaxerxes offered lavish gifts and large sums of money to persuade Hippocrates to come to Persia and eradicate the plague. However, Hippocrates, staying true to his homeland and his ethical principles, rejected the king’s offer. Despite the wealth and rewards he was promised, Hippocrates chose to remain in Greece, refusing to aid the enemies of his country, even though it meant forgoing great riches. Soon after, the same plague spread to Greece, affecting the land Hippocrates had chosen to protect.” (Art Insider) 


References: 

Hippocrates - Encyclopedia Britannica 

The Art Insider

Philosophy and Hippocratic Ethic in Ancient Greek Society: Evolution of Hospital - Sanctuaries 

The Art of Science and Healing: From Antiquity to the Renaissance


Reprinted with the generous permission of Ms. Bennett.