The 10th annual Henry Ford Jackson Hospital Research Symposium will be held Tuesday, April 16, 2024 from 7:00am to 1:00pm in the Charles Anderson Building (CAB) Auditoriums at Henry Ford Jackson Hospital in Jackson, Michigan.
Details on registration, keynote speaker, and CMEs can be found at this link (Henry Ford Health network only).
Any questions can be directed to hfahresearchday@hfhs.org.
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The Colored Cap Project
Erin Andrews and Sylvester Paulasir
Trauma bays are a place in which the importance of teamwork and communication play an integral role in patient outcomes. Effective teamwork ensures that each team member plays their designated role with precision and contributes to the overall effort of stabilizing and treating trauma patients. Due to the large draw of resources to a small area (the trauma bay) the area can become crowded, and roles of each person... Read More
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Hemorrhagic Cholecystitis: A Case Report
Tyler Arscott and Lawrence Narkiewicz
Hemorrhagic cholecystitis is a rare, and sometimes under considered, cause of acute cholecystitis. Hemorrhagic cholecystitis can be precipitated secondary to blunt abdominal trauma, malignancy, or various etiologies of bleeding or clotting disorder, including anticoagulation use, kidney failure, or liver failure. A combination of various imaging techniques and a high level of clinical suspicion is required to accurately diagnose hemorrhagic cholecystitis and prevent high-risk and possible complications that can result... Read More
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ICU Made 4 U: Critical Care Education for Novice Nurses
Brooke Blair, Taylor Soltis, Jessica Schmidt, and Jennifer Rice
Background: The novel Coronavirus 2019 (COVID-19) pandemic had a large impact on education in the healthcare setting. At Henry Ford Jackson Hospital (HFJH), due to staffing constraints and emergent clinical needs, nurses hired during the COVID-19 pandemic did not complete standard critical care orientation after March 2020. During yearly learning needs assessments, nurses identified opportunities for enhanced education regarding the management of critically ill patients. Staff Development Educators and... Read More
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Insulin Prescribing and Glycemic Control in Response to a Steroid-Induced Hyperglycemia Best Practice Alert
Nicole Bullock, Anna Eursiriwan, and Kevin Szyskowski
Abstract: The American Diabetes Association (ADA) recommends intermediate-acting insulin NPH or long-acting insulin glargine for steroid-induced hyperglycemia in patients with diabetes mellitus (DM).1 At Henry Ford Jackson Hospital (HFJH), methylprednisolone is associated with a high incidence of hyperglycemia. HFHS implemented a Steroid-Induced Hyperglycemia Best Practice Alert (BPA) to prompt insulin prescribing (NPH or glargine) in patients with recent hyperglycemia (BG >200 within 24 hours) and a new steroid order.... Read More
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Unusual Complication of Pneumoperitoneum After Robotic Bronchoscopy on the MonarchTM Platform
Ashley Day and Mohan G. Kulkarni
Introduction: Bronchoscopy with associated mediastinal lymph node sampling and biopsy of pulmonary lesions is critical in the diagnosis of pulmonary disease, such as cancer or inflammatory conditions, as well as in oncologic staging. Biopsies via traditional flexible bronchoscopy have been limited to lesions easily accessible by the mainstem bronchi or larger segmental branches. Endobronchial ultrasound with fine needle aspiration (EBUS-FNA) of mediastinal lymph nodes or extraluminal lesions in central... Read More
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Acute Endophthalmitis: A Case Report Highlighting the Importance of Swift Diagnosis and Intervention
Abraham Kisule, Sakshi Bai, Ciji Robinson, Niroshan Ranjan, and Akhil Rahman
Introduction: Endophthalmitis, a potentially devastating eye infection, can arise from various sources, including trauma, surgery, or intraocular injections. We present a case report of a patient with systemic signs of infection and bilateral eye erythema, whose condition rapidly deteriorated. Swift recognition of the symptoms and timely intervention by the medical team led to a conclusive diagnosis of endophthalmitis. The patient underwent anterior chamber (AC) washout and intravitreal injections, resulting... Read More
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Challenges and insights in managing a gastropleural fistula after sleeve gastrectomy
Kelsey L. Peters, Warda Alam, and Hassan Nasser
Introduction: A rare complication following a sleeve gastrectomy is gastropleural fistula, which develops between the sleeve and the pleural space. This complication carries significant morbidity and mortality. This is a case report of a 73-year-old female presenting with a gastropleural fistula one year following a laparoscopic adjustable gastric band explant and conversion to a sleeve gastrectomy. She failed endoscopic management and required radical surgical intervention.
Case Description: The patient... Read More
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Adherence with American Academy of Pediatrics Guidelines for Neonatal Hyperbilirubinemia
Vivien Phung and Kimberly Aiken
Background: Neonatal hyperbilirubinemia may require phototherapy. In August 2022, the American Academy of Pediatrics (AAP) updated the recommendations for management of hyperbilirubinemia which included: Increasing the total bilirubin threshold to initiate phototherapy; Obtaining laboratory evaluation for hemolysis in neonates born to mothers with O+ blood type; Decreasing IV fluid therapy in stable neonates; Waiting 12-24 hours before obtaining a bilirubin level after phototherapy in low-risk neonates.
Objectives: To investigate... Read More
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Improving Sleep Quality and Patient Satisfaction by Reducing Nighttime Disturbances in Hospitalized Patients: A DNP Project
Audrey Rutkowski
In 420-bed Midwest hospital, early 2023 HCAHPS results revealed that only 53% of patients always experienced a quiet nighttime environment. The state average where this hospital resides was 58%, while the national average was 62%. Further break down revealed a single unit-based score of 16.67% in October 2023, ranking the unit in the 1st percentile nationwide, making this the primary unit of focus for this quality improvement project.
Introduction:... Read More
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Combating Workplace Violence: The Implementation of a Behavioral Emergency Response Team
Jessica Schmidt
Background: Workplace violence, patient, and staff safety continue to be a top priority and concern for Henry Ford Jackson Health (HFJH). Evaluating the current process at HFJH, there was no formal process to support clinical staff members to maintain patient and staff safety during acute behavioral health crises on medical inpatient units prior to the activation of a “Security Assistance”, or security personnel response to situations involving an actual... Read More
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COVID-19 mRNA Vaccine Linked to Dysgeusia and Hyposmia: A Case Report
Brian Shin and Anthony C. Tam
Abstract: Commonly reported adverse effects of vaccine administration include localized erythema, pain, lymphadenopathy, myalgias, fatigue, nausea, vomiting, fever, and in extreme cases, anaphylaxis. Myocarditis, pericarditis, and thrombosis have been reported as rare side-effects of COVID vaccine administration.3 Here, we present the case of a 74 year old male, who reported the onset of persistent dysgeusia and hyposmia shortly after receiving the Moderna COVID mRNA vaccine.
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Hyponatremia As A Predictive Marker Of Mortality In Hospitalized COVID-19 Patients: A Healthcare System Analysis
Harjinder Singh, Candi C. Bachour, David Metcalf, Kavita Luthra, and Vivek Kak
Background: There is documented evidence associating hyponatremia with mortality in hospitalized patients, including patients admitted with coronavirus disease-2019 (COVID-19) pneumonia [1] One of the proposed mechanisms of hyponatremia in COVID-19 is the syndrome of inappropriate antidiuretic hormone (SIADH) due to circulating cytokines such as IL-6 [2] These cytokines are proposed to be associated with lung inflammation and correlate with respiratory failure and in-hospital mortality [3] This study was undertaken... Read More
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Freshwater Fishhook Injuries and Antibiotic Prescribing Patterns: A retrospective analysis
Jacob Sinkoff, Alan A. Lazzara, Jonathan Baptiste, Khader Zahdan, and Robert J. Thompson
Background: Fishing remains a popular leisure and sporting activity in the United States. One common injury while fishing is an embedded hook in the fisherman/women or a bystander. Hooks, often barbed, are designed to not easily be removed to ensure the angler completes the catch. Studies vary on indications for antibiotic use from recommending antibiotics in all fishhook injuries, to location of injury, and/or immunocompromised status of patients.
Methods:... Read More
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Tele Turnaround: Improving Nursing Telemetry Assessment
Taylor Soltis, Brooke Blair, Jennifer Rice, and Jessica Schmidt
Background: Nursing skill at identifying cardiac rhythms is assessed yearly at the hospital Skills Fair. A test is provided to all inpatient nursing staff including rhythm identification, basic cardiac measurements (intervals, rate, etc.). In 2022, all inpatient nurses were required to pass an annual telemetry assessment. Only 46.9% of inpatient nurses passed the assessment scoring 80% or higher.
Aim: The purpose of this quality improvement project was to increase... Read More
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Predictive performance of the Hester Davis Scale for fall risk (HDS) at Henry Ford Jackson Hospital (HFJH)
Kathleen Walsh, Danielle Elswick, David Metcalf, Karen Gossman, Jennifer Rice, Jessica Schmidt, Emilee Losey, Vanessa Walker, and Gregory D. Jordon
Henry Ford Health’s strategic plan includes the goal: “Zero Harm and 100 Reliability” using the Highly Reliable Organization (HRO) framework. Patient falls are a nurse sensitive indicator, and the most common adverse event in hospitals. One fall in three causes harm; from minor to severe. Most falls are anticipated physiological falls, which are preventable. Henry Ford Health, including HFJH, adopted the HDS Fall Risk Tool in August of 2018.... Read More
