Final Program
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TUESDAY • MAY 17 319<br />
C91<br />
BEHAVIORAL • CLINICAL<br />
SCIENTIFIC SYMPOSIUM<br />
CME Credits Available: 2.0<br />
Nursing Contact Hours Available: 2.4<br />
OPTIMIZING ICU ROUNDS: EVIDENCE-BASED<br />
APPROACHES FOR IMPROVING PATIENT CARE<br />
AND TEACHING<br />
Assemblies on Behavioral Science and Health Services Research; Clinical<br />
Problems; Critical Care; Nursing; Sleep and Respiratory Neurobiology<br />
2:15 p.m. - 4:15 p.m. MOSCONE CENTER<br />
Room 3006/3008 (West Building, Level 3)<br />
Target Audience<br />
Families of critically ill patients, critical care providers, and those with clinical,<br />
teaching, research, or administrative responsibilities.<br />
Objectives<br />
At the conclusion of this session, the participant will be able to:<br />
• become familiar with evidence based interventions designed to improve<br />
patient care and teaching during ICU rounds;<br />
• integrate effective strategies regarding communication with patients and their<br />
families while rounding in the ICU;<br />
• understand the importance of incorporating multidisciplinary teams (nursing,<br />
respiratory therapists, pharmacists, and other providers) into ICU rounds.<br />
The scientific symposium aims to provide the attendee with complementary tools<br />
leading to organized and efficient ICU rounds that also excel in delivering high<br />
value patient care and quality resident and fellow teaching. Attendees will gain a<br />
better understanding of the forces influencing change in the current rounding<br />
structure. Attendees will then learn about seminal work in the development and<br />
evaluation of interventions to improve the rounding structure. Gaps in our current<br />
understanding and areas for further exploration will be emphasized.<br />
Chairing: A. Amaral, MD, Toronto, Canada<br />
D.K. Costa, PhD, RN, Ann Arbor, MI<br />
2:15 The Challenge of Competing Priorities in ICU Rounding in 2016<br />
H.T. Stelfox, MD, PhD, Calgary, Canada<br />
2:25 Pre-Rounding in the ICU: The Effects of Disrupted Patient and<br />
Provider Sleep on ICU Outcomes<br />
B.K. Gehlbach, MD, Iowa City, IA<br />
2:45 Beyond Pimping: Teaching Effectively While Rounding<br />
Efficiently<br />
A.S. Clay, MD, Durham, NC<br />
3:05 Choosing Wisely in the ICU: Integrating Principles of High<br />
Value Care into Rounds<br />
J. Wagner, MD, MSHP, Philadelphia, PA<br />
3:25 Speak Up: Incorporating Patients and Their Families into Daily<br />
Rounds<br />
M. Happ, PhD, RN, Columbus, OH<br />
3:45 Embracing Multidisciplinary Team Rounding in the ICU<br />
D.K. Costa, PhD, RN, Ann Arbor, MI<br />
4:05 Integrating the Evidence for Effective Rounding in the ICU<br />
A. Amaral, MD, Toronto, Canada<br />
There will be a 5-minute discussion after each talk.<br />
C92<br />
BEHAVIORAL • CLINICAL • TRANSLATIONAL<br />
SCIENTIFIC SYMPOSIUM<br />
CME Credits Available: 2.0<br />
ATS CLINICAL PRACTICE GUIDELINES: CLINICAL<br />
PRACTICE ON THE CUTTING EDGE<br />
Documents Development and Implementation Committee; International<br />
Conference Committee; Education Committee; Assemblies on Behavioral<br />
Science and Health Services Research; Critical Care; Microbiology,<br />
Tuberculosis and Pulmonary Infections; Nursing; Pediatrics; Pulmonary<br />
Circulation<br />
2:15 p.m. - 4:15 p.m. MOSCONE CENTER<br />
Room 2006/2008 (West Building, Level 2)<br />
Target Audience<br />
Physicians, nurses, respiratory therapists, and others who care for children who<br />
require flexible bronchoscopy or have pulmonary hypertension, or for adults or<br />
children with acute respiratory distress syndrome, hospital-acquired pneumonia,<br />
ventilator-associated pneumonia or tuberculosis.<br />
Objectives<br />
At the conclusion of this session, the participant will be able to:<br />
• understand how evidence is used to inform diagnostic and treatment<br />
recommendations;<br />
• apply clinical recommendations from recently published guidelines and technical<br />
standards in clinical practice, improving patient outcomes;<br />
• obtain new strategies to manage exercise induced bronchoconstriction,<br />
pulmonary hypertension of sickle cell disease, Bronchiolitis Obliterans<br />
Syndrome.<br />
This session is the second annual scientific symposium highlighting recently<br />
approved or published ATS evidence-based clinical practice guidelines and technical<br />
standards. This year’s symposium will highlight guidelines on hospital-acquired and<br />
ventilator-associated pneumonia, diagnosis of tuberculosis, treatment of<br />
tuberculosis, and pediatric pulmonary hypertension, as well as technical standards<br />
on pediatric flexible bronchoscopy. Speakers will describe the clinical<br />
recommendations formulated by the guideline panels, discuss the rationale for each,<br />
and critically review the evidence supporting each recommendation. Speakers will<br />
also describe how the guidelines provide the foundation for improving care.<br />
Speakers include the chairs of the panels that developed the guidelines and<br />
technical standards.<br />
Chairing: K.C. Wilson, MD, New York, NY<br />
C.C. Thomson, MD, MPH, Cambridge, MA<br />
2:15 Implementation of ATS Clinical Practice Guidelines<br />
C.C. Thomson, MD, MPH, Cambridge, MA<br />
2:25 Strength of Recommendations and Quality of Evidence<br />
K.C. Wilson, MD, New York, NY<br />
2:35 Hospital Acquired Pneumonia/Ventilator-Associated<br />
Pneumonia Guidelines<br />
M.L. Metersky, MD, Farmington, CT<br />
2:50 Diagnosis of Tuberculosis Guidelines<br />
D.M. Lewinsohn, MD, PhD, Portland, OR<br />
3:05 Treatment of Drug Sensitive Tuberculosis Guidelines<br />
P. Nahid, MD, MPH, San Francisco, CA<br />
TUESDAY AFTERNOON<br />
ATS 2016 • San Francisco