{"id":"https://openalex.org/W4367297090","doi":"https://doi.org/10.1212/wnl.0000000000204082","title":"Resident-Driven Quality Improvement Project to Improve Treatment of Status Epilepticus (S4.007)","display_name":"Resident-Driven Quality Improvement Project to Improve Treatment of Status Epilepticus (S4.007)","publication_year":2023,"publication_date":"2023-04-25","ids":{"openalex":"https://openalex.org/W4367297090","doi":"https://doi.org/10.1212/wnl.0000000000204082"},"language":"en","primary_location":{"id":"doi:10.1212/wnl.0000000000204082","doi":"https://doi.org/10.1212/wnl.0000000000204082","is_oa":false,"landing_page_url":"https://doi.org/10.1212/wnl.0000000000204082","pdf_url":null,"source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Christopher Houck","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1293487830","display_name":"Geisinger Medical Center","ror":"https://ror.org/03j9npf54","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293487830","https://openalex.org/I54713919"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher Houck","raw_affiliation_strings":["Neurology, Geisinger Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurology, Geisinger Medical Center","institution_ids":["https://openalex.org/I1293487830"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Joseph Alario","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1293487830","display_name":"Geisinger Medical Center","ror":"https://ror.org/03j9npf54","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1293487830","https://openalex.org/I54713919"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph Alario","raw_affiliation_strings":["Geisinger Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Geisinger Medical Center","institution_ids":["https://openalex.org/I1293487830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086233825","display_name":"Micaela R. Owens","orcid":"https://orcid.org/0009-0008-6322-8797","observed_orcids":["https://orcid.org/0009-0008-6322-8797"]},"institutions":[{"id":"https://openalex.org/I130769515","display_name":"Pennsylvania State University","ror":"https://ror.org/04p491231","country_code":"US","type":"education","lineage":["https://openalex.org/I130769515"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Micaela Owens","raw_affiliation_strings":["Penn State College of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Penn State College of Medicine","institution_ids":["https://openalex.org/I130769515"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5019268309","display_name":"Joseph Seemiller","orcid":"https://orcid.org/0000-0001-7742-8759","observed_orcids":["https://orcid.org/0000-0001-7742-8759"]},"institutions":[{"id":"https://openalex.org/I2799853436","display_name":"Johns Hopkins Medicine","ror":"https://ror.org/037zgn354","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799853436"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph Seemiller","raw_affiliation_strings":["Johns Hopkins Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Johns Hopkins Medicine","institution_ids":["https://openalex.org/I2799853436"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.06010877,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"100","issue":"17_supplement_2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10094","display_name":"Epilepsy research and treatment","score":0.9624000191688538,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10094","display_name":"Epilepsy research and treatment","score":0.9624000191688538,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.008200000040233135,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.006899999920278788,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/status-epilepticus","display_name":"status epilepticus","score":1.0},{"id":"https://openalex.org/keywords/benzodiazepines","display_name":"benzodiazepines","score":0.9079999923706055},{"id":"https://openalex.org/keywords/antiepileptic-drugs","display_name":"antiepileptic drugs","score":0.9750000238418579},{"id":"https://openalex.org/keywords/treatment-timing","display_name":"treatment timing","score":0.3959999978542328},{"id":"https://openalex.org/keywords/drug-dosage","display_name":"drug dosing","score":0.5730000138282776},{"id":"https://openalex.org/keywords/nursing-communication","display_name":"nursing communication","score":0.41999998688697815},{"id":"https://openalex.org/keywords/pharmacy-communication","display_name":"pharmacy communication","score":0.7749999761581421},{"id":"https://openalex.org/keywords/levetiracetam","display_name":"levetiracetam","score":0.9110000133514404},{"id":"https://openalex.org/keywords/institutional-protocols","display_name":"institutional protocols","score":0.3709999918937683},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.6119999885559082}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7888292074203491},{"id":"https://openalex.org/C2777332695","wikidata":"https://www.wikidata.org/wiki/Q417227","display_name":"Levetiracetam","level":3,"score":0.7507423162460327},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.6833175420761108},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6650212407112122},{"id":"https://openalex.org/C2777288759","wikidata":"https://www.wikidata.org/wiki/Q4164182","display_name":"Dosing","level":2,"score":0.5953215956687927},{"id":"https://openalex.org/C2777341932","wikidata":"https://www.wikidata.org/wiki/Q980709","display_name":"Status epilepticus","level":3,"score":0.5717936754226685},{"id":"https://openalex.org/C170130773","wikidata":"https://www.wikidata.org/wiki/Q216378","display_name":"Usability","level":2,"score":0.4947966933250427},{"id":"https://openalex.org/C2778186239","wikidata":"https://www.wikidata.org/wiki/Q41571","display_name":"Epilepsy","level":2,"score":0.4547530710697174},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.39332517981529236},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3633977770805359},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3334646224975586},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.14930468797683716},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.1082446277141571},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1212/wnl.0000000000204082","doi":"https://doi.org/10.1212/wnl.0000000000204082","is_oa":false,"landing_page_url":"https://doi.org/10.1212/wnl.0000000000204082","pdf_url":null,"source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7216317011","https://openalex.org/W4389445222","https://openalex.org/W2900644216","https://openalex.org/W2980607985","https://openalex.org/W2806602673","https://openalex.org/W4389409838","https://openalex.org/W4394598244","https://openalex.org/W4315644282","https://openalex.org/W4400591068","https://openalex.org/W2952395543"],"abstract_inverted_index":{"Objective:":[0],"To":[1],"establish":[2],"interventions":[3],"that":[4,77],"address":[5],"barriers":[6,83],"to":[7,144,161,173,190,228,242,254,270,279,296,308,314,320,326],"improve":[8,174],"the":[9,51,81,107,114,123,170,181,197,205,258],"treatment":[10,31,53,89],"of":[11,54,61,72,86,88,101,131,148,183,186,192,220,231,285,287],"status":[12],"epilepticus":[13],"(SE)":[14],"at":[15,78,235],"Geisinger":[16],"Medical":[17],"Center.":[18],"Background:":[19],"The":[20,69,244],"American":[21],"Epilepsy":[22],"Society":[23],"Guidelines":[24],"recommend":[25],"benzodiazepines":[26],"(BZ)":[27],"as":[28],"first":[29],"line":[30,233,261,291],"for":[32,91,127,213,301],"seizures":[33],"lasting":[34],"greater":[35],"than":[36],"5":[37],"minutes":[38,253,256,269],"and":[39,49,67,97,99,118,129,146,150,167,188,195,257,283,289],"loading":[40],"antiseizure":[41],"medications":[42],"(ASM)":[43],"in":[44,113,223,281],"a":[45,298],"20\u201340-minute":[46],"window.":[47],"Delay":[48],"underdosing":[50],"initial":[52,70],"SE":[55,128,141,171,214,224,237],"is":[56],"associated":[57],"with":[58,95,134],"longer":[59],"duration":[60],"seizures,":[62],"increased":[63,225,239],"hospital":[64],"stay,":[65],"morbidity":[66],"mortality.":[68],"phase":[71],"our":[73,79],"QI":[74,276],"project":[75,277],"found":[76],"institution":[80],"main":[82],"were":[84],"lack":[85],"knowledge":[87],"guidelines":[90],"SE,":[92],"timely":[93],"communication":[94,139],"pharmacy":[96,151],"nursing,":[98],"preparation":[100],"intravenous":[102],"ASMs.":[103,292],"Design/Methods:":[104],"We":[105,179,199,208],"implemented":[106],"following":[108],"interventions:":[109],"1)":[110],"educate":[111],"prescribers":[112],"neurology,":[115],"emergency":[116],"medicine,":[117],"critical":[119],"care":[120],"departments":[121],"regarding":[122,140,153],"approved":[124],"institutional":[125],"protocol":[126],"availability":[130],"an":[132],"orderset":[133,172],"optimal":[135],"dosing,":[136],"2)":[137],"two-factor":[138],"medication":[142],"orders":[143],"nursing":[145,149],"education":[147],"staff":[152],"target":[154],"administration":[155,191,286],"times,":[156],"3)":[157],"add":[158],"ready-to-mix":[159],"levetiracetam":[160],"nurse":[162],"omnicells":[163],"on":[164],"high-volume":[165],"floors,":[166],"4)":[168],"update":[169],"usability":[175],"across":[176],"multiple":[177],"departments.":[178],"compared":[180],"use":[182],"appropriate":[184,236],"doses":[185,238],"ASMs":[187,193,234],"time":[189,217,248,264],"before":[194],"after":[196,204],"interventions.":[198,206],"analyzed":[200],"data":[201],"9":[202,255],"months":[203],"Results:":[207],"has":[209,306,312,318,324],"71":[210],"patient\u2019s":[211],"treated":[212],"during":[215],"this":[216],"period.":[218],"Use":[219,230],"high-dose":[221],"BZ":[222,246,288,293],"from":[226,240,251,267],"32%":[227],"47%.":[229],"second":[232,260,290],"77%":[241],"86%.":[243],"average":[245,259],"order-to-administration":[247,263],"was":[249,265],"reduced":[250,266],"10\u201314":[252],"ASM":[262],"86":[268],"45":[271],"minutes.":[272],"Conclusions:":[273],"Our":[274],"resident-driven":[275],"led":[278],"improvement":[280],"dosing":[282,294],"timing":[284],"continues":[295],"be":[297],"major":[299],"area":[300],"improvement.":[302],"Disclosure:":[303],"Dr.":[304,310,316,322],"Houck":[305],"nothing":[307,313,319,325],"disclose.":[309,315,321,327],"Alario":[311],"Owens":[317],"Seemiller":[323]},"counts_by_year":[],"updated_date":"2026-10-01T08:54:57.152042","created_date":"2023-04-29T00:00:00"}
