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Impact of the Choice of Risk Model for Identifying Low-risk Patients Using the 2014 ACC/AHA Perioperative Guidelines
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THIS IS AN ONLINE ACTIVITY. Hard copies are not available.
This pro/con will begin with an overview of in-hospital falls and benefits of peripheral nerve blocks followed by the a debate of whether (or not) peripheral nerve blocks increase the risk of in-hospital falls in orthopedic patients.
These patient safety activities help fulfill the patient safety CME requirement for Part 2 of the Maintenance of Certification in Anesthesiology Program® (MOCA) of The American Board of Anesthesiology (ABA). Please consult the ABA website, www.theABA.org, for a list of all MOCA requirements.
Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of The American Board of Anesthesiology®.
CERTIFIED PROFESSIONALS IN PATIENT SAFETY (CPPS)This activity meets the criteria of the Certification Board for Professionals in Patient Safety for 1.0 CPPS CE hours.
Activity Release Date:11/18/2015
Activity Expiration Date:11/17/2018
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Learning Objectives:After completing this activity, the learner will be able to:
1) Review current incidence of in-hospital falls;2) Evaluate the evidence for peripheral nerve blocks and their impact on in-hospital falls; 3) Evaluate evidence to create ways to decrease in-hospital falls.
Faculty & CredentialsSandra L. Kopp, M.D., Anesthesiology, Mayo Clinic, Rochester, MNDr. Sandra L. Kopp is an Associate Professor of Anesthesiology at Mayo Clinic, Rochester, MN. She graduated with a B.A. from St. Olaf College in Northfield, MN, in 1993 and received her Doctor of Medicine degree from the University of Minnesota School of Medicine in 1999. Dr. Kopp did her Internship, Anesthesiology Residency, and Regional Anesthesia fellowship at Mayo Clinic, Rochester, MN. Dr. Kopp is currently the Chair of the North Division of Anesthesiology and Program Director of the Regional Anesthesia and Pain Medicine Fellowship Program and very involved in the American Society of Regional Anesthesia and Pain Medicine. Her interests include regional anesthesia and analgesia, anticoagulation, and local anesthetic toxicity.
Sandra L. Kopp, M.D. has reported no financial relationships with commercial interests.
Rebecca L. Johnson, M.D., Anesthesiology, Mayo Clinic, Rochester, MNDr. Rebecca (Becky) Johnson, a native of Hibbing, MN, is an Assistant Professor of Anesthesiology at Mayo Clinic in Rochester, MN. Dr. Johnson graduated from University of North Dakota in 2000 with a Master’s of Physical Therapy. After working for 3 years as a physical therapist, she decided to pursue medicine and received her Doctorate of Medicine from Mayo Medical School (Class of 2007) in Rochester, MN. After residency, she was honored with a Mayo Foundation Scholar year where she completed both her fellowship in Regional Anesthesia in Rochester, MN, as well as, a clinical research post-doctoral certificate awarded from the Mayo Clinic Center for Clinical and Translational Science. Dr. Johnson is among a select group of Mayo Clinic faculty to be appointed as a Health Care Delivery Scholar through the Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery. Dr. Johnson’s clinical duties are balanced between inpatient and outpatient orthopedic surgical practices, as well as, obstetric anesthesia. Her research interests include optimization of perioperative care including anesthesia interventions and clinical pathways for patients undergoing joint replacement surgery.
Rebecca L. Johnson, M.D. has reported no financial relationships with commercial interests.
Linda Le-Wendling, M.D., University of Florida, Gainesville, FLDr. Le-Wendling completed residency and fellowship in Acute Pain Medicine at the University of Florida, Department of Anesthesiology. She enjoys both the clinical and academic side of Anesthesiology. Her interest is in patient education in addition to resident and fellow education. Other roles include fellowship director in Acute Pain Medicine at the University of Florida and Chair of the Pain Committee at our University Hospital.
Linda Le-Wendling, M.D. has reported no financial relationships with commercial interests.
Patient Safety Editorial Board Members David Martin, M.D., Ph.D., Jane Easdown, M.D., Markus Klass, M.D., Ph.D., Lorri Lee, M.D., Richard C. Prielipp, M.D., M.B.A., Tetsu Uejima, M.D. have reported no financial relationships with commercial interestes.
ASA StaffGerry Higgins has reported no financial relationships with commercial interests.
CME Accreditation Statement
The American Society of Anesthesiologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Society of Anesthesiologists designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Society of Anesthesiologists remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by our faculty members. It is not the intent of the American Society of Anesthesiologists to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the American Society of Anesthesiologists to recognize situations that may be subject to question by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair to ensure that such situations are properly evaluated and, if necessary, resolved. The American Society of Anesthesiologists educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of science. Through our review process, all American Society of Anesthesiologists CME activities are ensured of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available for all educational activities.
DisclaimerThe information provided at this CME activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.
Required Hardware / SoftwareInternet connection, web browser version must have been released within the last three years.
Activity Release Date: 11/9/2015Activity Expiration Date: 11/8/2018
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