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"Willis, Jim"
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Blood culture bottle shortage mitigation efforts: analysis of impact on ordering and patient impact
In June of 2024, Becton Dickinson experienced a blood culture bottle shortage for their BACTEC system, forcing health systems to reduce usage or risk exhausting their supply. Virginia Commonwealth University Health System (VCUHS) in Richmond, VA decided that it was necessary to implement austerity measures to preserve the blood culture bottle supply.
VCUHS includes a main campus in Richmond, VA as well as two affiliate hospitals in South Hill, VA (Community Memorial Hospital (CMH)) and Tappahannock Hospital in Tappahannock, VA. It also includes a free-standing Emergency Department in New Kent, VA.
Blood cultures from both pediatric and adult patients were included in this study.
VCUHS intervened to decrease blood culture utilization across the entire health system. Interventions included communication of blood culture guidance as well as an electronic health record order designed to guide providers and discourage wasteful ordering.
Post-implementation analyses showed that interventions reduced overall usage by 35.6% (
< .0001) and by greater than 40% in the Emergency Departments. The impact of these changes in utilization on positivity were analyzed, and it was found that the overall positivity rate increased post-intervention from 8.8% to 12.1% (
= .0115) and in the ED specifically from 10.2% to 19.5% (
< .0001).
These findings strongly suggest that some basic stewardship interventions can significantly change blood culture practice in a manner that minimizes the impact on patient care.
Journal Article
The mind of a journalist : how reporters view themselves, their world, and their craft
Written by veteran journalist and noted professor Jim Willis, with an epilogue by Marilyn Thomsen, this book introduces journalistic decision-making into the classroom, alongside discussion of reporting and writing techniques. Students peer inside the minds of a cross-section of print, broadcast, and online journalists by way of exclusive interviews and additional research that provide a deep, broad glimpse into how they perceive themselves, their world, and their craft. Ultimately, this provocative text provides added insights into how journalists think and why they do what they do.Features and BenefitsSeasoned journalists examine the following areasThe Mind of a Journalist is an appropriate and innovative supplement for a variety of media studies courses, including Introduction to Journalism, News Writing and Reporting, Advanced Reporting, Journalism and Society, and Ethics, among many others.
eBook
Science policy considerations for responsible nanotechnology decisions
There is a growing literature on the use of science to inform decisions on the environmental, health and safety implications of nanotechnology, but little has been published by those who make such decisions. Here, as officials of the US Environmental Protection Agency, the European Commission and the Organisation for Economic Co-operation and Development, we discuss the types of decision facing government regulators, the new considerations nanotechnology brings to decision-making, the role of science in informing decisions, how regulators cooperate internationally on policy issues, and the challenges that lie ahead.
Journal Article
Opportunity to Strengthen Environmental Governance
The Basel, Rotterdam and Stockholm Conventions are Multilateral Environmental Agreements (MEAs) which share the common purpose of protecting human health and the environment from hazardous chemicals and wastes. The three MEAs support countries to manage potentially harmful chemicals and wastes at different stages of their life-cycle. Adapted from the source document.
Journal Article
UNEP / Chemical Conventions: Opportunity to Strengthen Environmental Governance
The Basel, Rotterdam and Stockholm Conventions are Multilateral Environmental Agreements (MEA) which share the common purpose of protecting human health and the environment from hazardous chemicals and wastes. The three MEAs support countries to manage potentially harmful chemicals and wastes at different stages of their life-cycle, i.e., through their production, trade, use and disposal. Although sharing a common purpose, the conventions are products of different histories. In their core business, they focus on different dimensions of the problem of managing hazardous chemicals and wastes. This has contributed to the development of different strengths within the agencies charged with fostering implementation of the agreements at global, regional and national levels. The opportunity of leveraging these strengths while filling gaps in implementation of the individual agreements led to the establishment of the \"synergies process\" under the leadership of the United Nations Environment Programme (UNEP).
Journal Article