Jolene Fox

Intermountain Medical Center, Salt Lake City, Utah, United States

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Publications (8)0 Total impact

  • Suzanne Day, Jolene Fox, Kathy Cookman
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    ABSTRACT: Study purpose was to describe trauma registrar job requirements, responsibilities, and recruitment/retention practices. An online survey was used. One-third required a high school diploma; two-thirds required a college degree. Most required skills were medical terminology (66%), database management (65%), anatomy (64%), Word (63%). Data responsibilities included abstracting, entry, coding, and validating. Few employers required certification. Twenty-six percent reported problems with recruitment, and 35% with retention. Salary and lack of advancement were primary reasons for employee turnover. Certifications were less relevant than skills; the primary focus was data management. Recommendations for recruitment/retention include job flexibility, educational opportunities, and recognition as a profession.
    Journal of trauma nursing: the official journal of the Society of Trauma Nurses 01/2012; 19(1):38-43; quiz 44-5.
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    ABSTRACT: This study examined air medical transport (AMT) personnel's experiences with and opinions about prehospital and AMT research. A Web-based questionnaire was sent to eight randomly selected AMT programs from each of six Association of Air Medical Services (AAMS) regions. Responders were defined by university association (UA) and AMT professional role. Forty-eight of 54 (89%) contacted programs and 536 of 1,282 (42%) individuals responded. Non-UA responders (74%) had significantly more work experience in emergency medical services (EMS) (13.5 +/- 8.5 vs. 10.8 +/- 8.3 years, P = .002) and AMT (8.3 +/- 6.3 vs. 6.8 +/- 5.7 years, P = .008), whereas UA responders (26%) had more research training (51% vs. 37%, P = .006), experience (79% vs. 59%, P < .001), and grants (7% vs. 2%, P = .006). By AMT role, administrators had the most work experience, and physicians had the most research experience. Research productivity of responders was low, with only 9% having presented and 10% having published research; and UA made no difference in productivity. A majority of responders advocated research: EMS (66%) and AMT (68%), program (53%). Willingness to participate in research was high for both EMS research (87%) and AMT research (92%). Although AMT personnel were strong advocates of and willing to participate in research, few had research knowledge. For AMT personnel, disparity exists between advocating for and producing research.
    AirMed 07/2010; 29(4):178-87.
  • AirMed 01/2010; 29(1):34-9.
  • Frank Thomas, Jolene Fox
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    ABSTRACT: The purpose of this study was to quantify the value of current and future Air Medical Physician Association (AMPA) membership services. Three-hundred-ninety-eight AMPA members were contacted by e-mail to participate in ranking AMPA membership services by a perceived numeric value (10 = highest to 1 = lowest), using a web-based survey. One-hundred-eighteen AMPA members completed the survey. The percentage of respondents having attended the conference and their AMPA-related Conference ranked-value scores were as follows: Air Medical Transport Conference (AMTC), 43%, 9.6 +/- 1.9; AirMed International Conference, 9%, 7.8 +/- 4.2; AMTC Pre-conference, 65%, 7.6 +/- 2.5; Critical Care Transport Medicine Conference (CCTMC), 47%, 6.6 +/- 2.6; CCTMC Pre-conference, 37%, 6.6 +/- 2.6; the Association of Air Medical Services (AAMS) Mid-Year Conference, 6%, 6.4 +/- 4.9; and General Membership meeting, 63%, 5.6 +/- 2.4. Current AMPA Benefit/Service ranked-value scores were as follows: textbook, 8.4 +/- 1.8; voice for physicians, 8.0 +/- 2.3; position papers, 7.9 +/- 1.8; Air Medical Journal subscription, 7.8 +/- 2.1; networking with others, 7.7 +/- 2.4; newsletter, 7.3 +/- 1.9; means to enhance professional credibility, 7.1 +/- 2.5; web site, 7.0 +/- 2.1; voice on Commission on Accreditation of Medical Transport Systems (CAMTS), 7.0 +/- 2.7; continuing medical education (CME) credits, 6.6 +/- 3.0; conference discounts, 6.4 +/- 2.9; and curriculum vitae builder, 4.9 +/- 2.9. Future AMPA Benefits/Services ranked-value scores were as follows: evidence-based guidelines, 8.6 +/- 1.7; transport database, 7.7 +/- 2.1; malpractice repository, 7.6 +/- 2.2; DVD lectures, 7.4 +/- 2.0; medical director certification, 7.2 +/- 2.9; lobbying, 7.1 +/- 2.4; photo library, 6.4 +/- 2.3; salary and benefits surveys, 6.4 +/- 2.6; speaker's bureau, 6.2 +/- 2.4; and consulting service list, 6.2 +/- 2.4. This AMPA survey was useful in prioritizing membership services.
    AirMed 03/2009; 28(2):92-6.
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    ABSTRACT: Our goal was to identify strategies that would reduce risks and improve patient safety during registration of trauma patients and subsequent electronic data linkage. Recently, the health care industry and the Joint Commission on Accreditation of Healthcare Organizations have supported failure mode effects analysis (FMEA) as a tool for proactively reducing risk to patients. We utilized FEMA for a comprehensive evaluation of our trauma patient registration process for system weaknesses. We found several areas of our processes that placed patients at risk. On the basis of our findings, we implemented changes that included education of staff, role clarification, task reallocation, and established a list of personnel authorized to request the electronic data linkage process. Further recommendations were made for information system changes, which are under review. FMEA helped us to systematically identify and prioritize risks to patient safety. Our findings directed changes, which, in turn, reduced potential errors. We recommend this method of evaluation to other health care personnel interested in improving patient safety.
    Quality management in health care 01/2007; 16(4):342-8.
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    ABSTRACT: Performance improvement (PI) in the multiple systems injured patient frequently highlights areas for improvement in overall hospital care processes. Failure mode effects analysis (FMEA) is an effective tool to assess and prioritize areas of risk in clinical practice. Failure mode effects analysis is often initiated by a "near-miss" or concern for risk as opposed to a root cause analysis that is initiated solely after a sentinel event. In contrast to a root cause analysis, the FMEA looks more broadly at processes involved in the delivery of care. The purpose of this abstract was to demonstrate the usefulness of FMEA as a PI tool by describing an event and following the event through the healthcare delivery PI processes involved. During routine chart abstraction, a trauma registrar found that an elderly trauma patient admitted with a subdural hematoma inadvertently received heparin during the course of a dialysis treatment. Although heparin use was contraindicated in this patient, there were no sequelae as a result of the error. This case was reviewed by the trauma service PI committee and the quality improvement team, which initiated FMEA. An FMEA of inpatient dialysis process was conducted following this incident. The process included physician, nursing, and allied health representatives involved in dialysis. As part of the process, observations of dialysis treatments and staff interviews were conducted. Observation revealed that nurses generally left the patient's room and did not involve themselves in the dialysis process. A formal patient "pass-off" report was not done. Nurses did not review dialysis orders or reevaluate the treatment plan before treatment. We found that several areas of our current practice placed our patients at risk. 1. The nephrology consult/dialysis communication process was inconsistent. 2. Scheduling of treatments for chronic dialysis patients could occur without a formal consult or order. 3. RNs were not consistently involved in dialysis scheduling, setup, or treatment. 4. Dialysis technicians may exceed scope of practice (taking telephone orders) when scheduling of treatment occurred before consult and written orders. Near-miss events may be overlooked as opportunities for improvement in cases where no harm has come to the patient. As a result of our FMEA investigation, the following recommendations were made to improve hospital care delivery in those trauma patients who require inpatient dialysis: 1. Education of RNs about the dialysis process. 2. Implementation of a formal reporting process between the RN and the dialysis technician before the procedure is initiated. 3. RN supervision of dialysis treatments. 4. Use of a preprinted inpatient dialysis form. 5. Education of dialysis technicians regarding their scope of practice. 6. Improve notification process for scheduling dialysis procedures between units and dialysis coordinator (similar to x-ray scheduling). Our performance improvement focus has broadened to include all reported "near-miss" events in order to improve our healthcare delivery process before an event with sequelae occurs. We have found that using FMEA has greatly increased our ability to facilitate change across all services and departments within the hospital.
    Journal of trauma nursing: the official journal of the Society of Trauma Nurses 01/2006; 13(3):111-7.
  • Journal of healthcare risk management: the journal of the American Society for Healthcare Risk Management 12/2004; 24(2):27-32.
  • Journal of trauma nursing: the official journal of the Society of Trauma Nurses 09/2004; 11(4):137-143.