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  1. Article ; Online: Examination of geriatric care processes implemented in level 1 and level 2 geriatric emergency departments.

    Santangelo, Ilianna / Ahmad, Surriya / Liu, Shan / Southerland, Lauren T / Carpenter, Christopher / Hwang, Ula / Lesser, Adriane / Tidwell, Nicole / Biese, Kevin / Kennedy, Maura

    Journal of geriatric emergency medicine

    2023  Volume 3, Issue 4

    Abstract: Introduction: Older adults constitute a large and growing proportion of the population and have unique care needs in the emergency department (ED) setting. The geriatric ED accreditation program aims to improve emergency care provided to older adults by ...

    Abstract Introduction: Older adults constitute a large and growing proportion of the population and have unique care needs in the emergency department (ED) setting. The geriatric ED accreditation program aims to improve emergency care provided to older adults by standardizing care provided across accredited geriatric EDs (GED) and through implementation of geriatric-specific care processes. The purpose of this study was to evaluate select care processes at accredited level 1 and level 2 GEDs.
    Methods: This was a cross-sectional analysis of a cohort of level 1 and level 2 GEDs that received accreditation between May 7, 2018 and March 1, 2021. We
    Results: A total of 35 level 1 and 2 GEDs were included in this analysis. Among care processes studied, geriatric falls were the most common (31 GEDs, 89%) followed by geriatric pain management (25 GEDs, 71%), minimizing the use of potentially inappropriate medications (24 EDs, 69%), delirium (22 GEDs, 63%), medication reconciliation (21 GEDs, 60%), functional assessment (20 GEDs, 57%), and dementia screening (17 GEDs, 49%). For protocols related to delirium, dementia, function, and geriatric falls, sites used an array of different screening tools and there was heterogeneity in who performed the screening and which patients were assessed. Medication reconciliation protocols leveraged pharmacists, pharmacy technicians and/or nurses. Protocols on avoiding potentially inappropriate medication administration generally focused on ED administration of medications and used the BEERs criteria, and few sites indicated whether pain medications protocols had dosing modifications for age and/or renal function.
    Conclusion: This study provides a snapshot of care processes implemented in level 1 and level 2 accredited GEDs and demonstrates significant heterogeny in how these care processes are implemented.
    Language English
    Publishing date 2023-02-17
    Publishing country United States
    Document type Journal Article
    ISSN 2694-4715
    ISSN (online) 2694-4715
    DOI 10.17294/2694-4715.1041
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  2. Article: Review of the newer antiepileptic drugs.

    Tidwell, Angel / Swims, Melanie

    The American journal of managed care

    2003  Volume 9, Issue 3, Page(s) 253–76; quiz 277–9

    Abstract: This review article discusses the newer anti-epileptic drugs gabapentin, lamotrigine, tiagabine, topiramate, levetiracetam, oxcarbazepine, and zonisamide. Emphasis is given to FDA-approved indications and place in therapy. The mechanisms of action and ... ...

    Abstract This review article discusses the newer anti-epileptic drugs gabapentin, lamotrigine, tiagabine, topiramate, levetiracetam, oxcarbazepine, and zonisamide. Emphasis is given to FDA-approved indications and place in therapy. The mechanisms of action and pharmacokinetics of each drug is provided and the most common adverse effects are reviewed. Clinical studies leading to FDA approval are discussed. Practical points on proper dosing and monitoring are stressed, and drug interactions are also included.
    MeSH term(s) Anticonvulsants/adverse effects ; Anticonvulsants/pharmacokinetics ; Anticonvulsants/therapeutic use ; Clinical Trials as Topic ; Drug Approval ; Drug Interactions ; Education, Pharmacy, Continuing ; Epilepsy/drug therapy ; Humans ; Monitoring, Physiologic ; United States
    Chemical Substances Anticonvulsants
    Language English
    Publishing date 2003-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2035781-3
    ISSN 1936-2692 ; 1088-0224 ; 1096-1860
    ISSN (online) 1936-2692
    ISSN 1088-0224 ; 1096-1860
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  3. Article ; Online: Response.

    Tidwell, William P / Thomas, Tonya L / Pouliot, Jonathon D / Canonico, Angelo E / Webber, Angus J

    American journal of critical care : an official publication, American Association of Critical-Care Nurses

    2019  Volume 28, Issue 2, Page(s) 96–97

    MeSH term(s) Alcoholism ; Humans ; Substance Withdrawal Syndrome
    Language English
    Publishing date 2019-02-26
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1130987-8
    ISSN 1937-710X ; 1062-3264
    ISSN (online) 1937-710X
    ISSN 1062-3264
    DOI 10.4037/ajcc2019882
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  4. Article ; Online: Response.

    Tidwell, William P / Thomas, Tonya L / Pouliot, Jonathon D / Canonico, Angelo E / Webber, Angus J

    American journal of critical care : an official publication, American Association of Critical-Care Nurses

    2019  Volume 28, Issue 2, Page(s) 98–99

    MeSH term(s) Alcoholism ; Humans ; Substance Withdrawal Syndrome
    Language English
    Publishing date 2019-02-26
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1130987-8
    ISSN 1937-710X ; 1062-3264
    ISSN (online) 1937-710X
    ISSN 1062-3264
    DOI 10.4037/ajcc2019541
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  5. Article ; Online: Treatment of Alcohol Withdrawal Syndrome: Phenobarbital vs CIWA-Ar Protocol.

    Tidwell, William P / Thomas, Tonya L / Pouliot, Jonathon D / Canonico, Angelo E / Webber, Angus J

    American journal of critical care : an official publication, American Association of Critical-Care Nurses

    2018  Volume 27, Issue 6, Page(s) 454–460

    Abstract: Background: Benzodiazepine-based therapy for alcohol withdrawal is associated with agitation and respiratory depression. Treatment can be complicated by a need for adjunctive therapy to control these symptoms and in patients requiring mechanical ... ...

    Abstract Background: Benzodiazepine-based therapy for alcohol withdrawal is associated with agitation and respiratory depression. Treatment can be complicated by a need for adjunctive therapy to control these symptoms and in patients requiring mechanical ventilation. Strong evidence for the effectiveness of alternative treatment modalities is lacking, despite the availability of promising pharmacological agents such as phenobarbital.
    Objective: To compare the standard of care for the treatment of alcohol withdrawal-a symptom-triggered benzodiazepine protocol used in conjunction with the revised Clinical Institute Withdrawal Assessment of Alcohol (CIWA-Ar) scale-with a phenobarbital protocol.
    Methods: Retrospective cohort study conducted from January 2016 through June 2017 at a 42-bed medical intensive care unit in a private teaching hospital in Nashville, Tennessee. The primary outcome was intensive care unit length of stay. Secondary outcomes included hospital length of stay, incidence of invasive mechanical ventilation, and use of adjunctive pharmacotherapy.
    Results: Patients who received phenobarbital had significantly shorter stays in the intensive care unit than did those who received therapy based on the CIWA-Ar scale (mean [SD], 2.4 [1.5] vs 4.4 [3.9] days;
    Conclusion: A phenobarbital protocol for the treatment of alcohol withdrawal is an effective alternative to the standard-of-care protocol of symptom-triggered benzodiazepine therapy.
    MeSH term(s) Adult ; Aged ; Alcohol Withdrawal Delirium/drug therapy ; Benzodiazepines/administration & dosage ; Benzodiazepines/therapeutic use ; Clinical Protocols ; Drug Therapy, Combination ; Female ; Hospitals, Teaching ; Humans ; Hypnotics and Sedatives/administration & dosage ; Hypnotics and Sedatives/therapeutic use ; Intensive Care Units ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Phenobarbital/administration & dosage ; Phenobarbital/therapeutic use ; Retrospective Studies
    Chemical Substances Hypnotics and Sedatives ; Benzodiazepines (12794-10-4) ; Phenobarbital (YQE403BP4D)
    Language English
    Publishing date 2018-10-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1130987-8
    ISSN 1937-710X ; 1062-3264
    ISSN (online) 1937-710X
    ISSN 1062-3264
    DOI 10.4037/ajcc2018745
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  6. Article: Supplier selection using QFD

    Tidwell, Angela / Sutterfield, J. Scott

    International journal of quality & reliability management Vol. 29, No. 3 , p. 284-294

    a consumer products case study

    2012  Volume 29, Issue 3, Page(s) 284–294

    Author's details Angela Tidwell; J. Scott Sutterfield
    Keywords Kosmetikindustrie ; Kosmetik ; Verpackung ; Lieferantenbewertung ; Lieferkette ; Qualitätsmanagement ; USA
    Language English
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    Publisher Emerald
    Publishing place Bradford
    Document type Article
    ZDB-ID 51787-2 ; 1466792-7
    ISSN 0265-671X
    ISSN 0265-671X
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  7. Article ; Online: Improving the culture of patient safety through the Magnet® journey.

    Swanson, Jane W / Tidwell, Candice A

    Online journal of issues in nursing

    2011  Volume 16, Issue 3, Page(s) 1

    Abstract: This article outlines how one academic medical center's nursing service has developed programs to improve patient safety and quality outcomes through the use of the Magnet Re-Designation Accreditation Process(R) and a shared governance model. Successful ... ...

    Abstract This article outlines how one academic medical center's nursing service has developed programs to improve patient safety and quality outcomes through the use of the Magnet Re-Designation Accreditation Process(R) and a shared governance model. Successful programs have been implemented across the continuum of care. These programs include educational initiatives that increased both the number of nurses with BSN degrees and specialty certifications and also the number of patient-focused initiatives, such as a reduction in central line infection rates, an increase in hand-washing compliance, and a decrease in fall rates. In this article we will describe how our Magnet Re-Designation Accreditation Process(R) and shared governance model have contributed to strengthening our culture of patient safety. The manner in which the Magnet components of transformational leadership; structural empowerment; exemplary professional practice; new knowledge, innovation and improvement; and empirical quality results have all contributed to improved patient safety are discussed.
    MeSH term(s) Academic Medical Centers ; Humans ; Leadership ; Los Angeles ; Nurse's Role ; Nursing Staff, Hospital/organization & administration ; Nursing Staff, Hospital/standards ; Organizational Case Studies ; Organizational Culture ; Organizational Innovation ; Patient Safety ; Power (Psychology) ; Quality Assurance, Health Care/organization & administration ; Quality Assurance, Health Care/standards
    Language English
    Publishing date 2011-09-30
    Publishing country United States
    Document type Journal Article
    ISSN 1091-3734
    ISSN (online) 1091-3734
    DOI 10.3912/OJIN.Vol16No03Man01
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  8. Article ; Online: Reach and Adoption of a Geriatric Emergency Department Accreditation Program in the United States.

    Kennedy, Maura / Lesser, Adriane / Israni, Juhi / Liu, Shan W / Santangelo, Ilianna / Tidwell, Nicole / Southerland, Lauren T / Carpenter, Christopher R / Biese, Kevin / Ahmad, Surriya / Hwang, Ula

    Annals of emergency medicine

    2021  Volume 79, Issue 4, Page(s) 367–373

    Abstract: Study objective: The objectives of this study were to describe the reach and adoption of Geriatric Emergency Department Accreditation (GEDA) program and care processes instituted at accredited geriatric emergency departments (EDs).: Methods: We ... ...

    Abstract Study objective: The objectives of this study were to describe the reach and adoption of Geriatric Emergency Department Accreditation (GEDA) program and care processes instituted at accredited geriatric emergency departments (EDs).
    Methods: We analyzed a cross-section of a cohort of US EDs that received GEDA from May 2018 to March 2021. We obtained data from the American College of Emergency Physicians and publicly available sources. Data included GEDA level, geographic location, urban/rural designation, and care processes instituted. Frequencies and proportions and median and interquartile ranges were used to summarize categorical and continuous data, respectively.
    Results: Over the study period, 225 US geriatric ED accreditations were issued and included in our analysis-14 Level 1, 21 Level 2, and 190 Level 3 geriatric EDs; 5 geriatric EDs reapplied and received higher-level accreditation after initial accreditation at a lower level. Only 9 geriatric EDs were in rural regions. There was significant heterogeneity in protocols enacted at geriatric EDs; minimizing urinary catheter use and fall prevention were the most common.
    Conclusion: There has been rapid growth in geriatric EDs, driven by Level 3 accreditation. Most geriatric EDs are in urban areas, indicating the potential need for expansion beyond these areas. Future research evaluating the impact of GEDA on health care utilization and patient-oriented outcomes is needed.
    MeSH term(s) Accreditation ; Aged ; Cohort Studies ; Emergency Service, Hospital ; Humans ; Rural Population ; United States
    Language English
    Publishing date 2021-08-11
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2021.06.013
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  9. Article: The impact of supply chain position on logistics outsourcing performance

    Lewis, Angela Tidwell

    Global review of business and economic research Vol. 5, No. 2 , p. 357-364

    2009  Volume 5, Issue 2, Page(s) 357–364

    Author's details Angela Tidwell Lewis
    Keywords Outsourcing ; Lieferkette ; Informationsverbreitung ; Unternehmenserfolg ; Logistikunternehmen ; USA
    Language English
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    Publisher Serials Publ.
    Publishing place New Delhi
    Document type Article
    ZDB-ID 2402714-5
    ISSN 0973-127X
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  10. Article ; Online: Novel diamidines with activity against Babesia divergens in vitro and Babesia microti in vivo.

    Nehrbass-Stuedli, Angela / Boykin, David / Tidwell, Richard R / Brun, Reto

    Antimicrobial agents and chemotherapy

    2011  Volume 55, Issue 7, Page(s) 3439–3445

    Abstract: Dicationic diamidines, such as diminazene and pentamidine, are well-studied chemotherapeutic agents with significant activity against parasitic diseases. The in vitro activities of novel diamidine compounds against the Babesia divergens strains 1903B and ...

    Abstract Dicationic diamidines, such as diminazene and pentamidine, are well-studied chemotherapeutic agents with significant activity against parasitic diseases. The in vitro activities of novel diamidine compounds against the Babesia divergens strains 1903B and 4201 were investigated. The most potent compound, a diphenyl furan, had a 50% inhibitory concentration (IC(50)) of 1.5 ng/ml. In a murine model, several test compounds were effective enough to cure mice infected with Babesia microti at a dose of 12.5 and/or 25 mg/kg of body weight given by the subcutaneous route for 4 days. The best antibabesial properties were exhibited by terphenyls, benzimidazoles, diphenyl furans, pentamidine, and pentamidine analogues.
    MeSH term(s) Animals ; Antiprotozoal Agents/therapeutic use ; Babesia/drug effects ; Babesia/pathogenicity ; Babesia microti/drug effects ; Babesia microti/pathogenicity ; Babesiosis/drug therapy ; Babesiosis/parasitology ; Benzimidazoles/therapeutic use ; Female ; Furans/therapeutic use ; Mice ; Parasitemia/drug therapy ; Parasitemia/parasitology ; Pentamidine/therapeutic use ; Terphenyl Compounds/therapeutic use
    Chemical Substances Antiprotozoal Agents ; Benzimidazoles ; Furans ; Terphenyl Compounds ; Pentamidine (673LC5J4LQ)
    Language English
    Publishing date 2011-05-02
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 217602-6
    ISSN 1098-6596 ; 0066-4804
    ISSN (online) 1098-6596
    ISSN 0066-4804
    DOI 10.1128/AAC.01482-10
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