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Using Simulation To Improve Covid-19 Code Blue Outcomes, Charity Shelton

Doctor of Nursing Practice (DNP) Projects

Background

Healthcare workers in the acute care setting must be ready to respond to emergencies at any given time. The recent COVID-19 pandemic put strains on the healthcare workforce that have brought challenges and new competencies for how healthcare workers safely respond to emergencies. To ensure healthcare workers maintain these competencies, specific training must occur to improve emergency response and outcomes. Specifically, there needs to be training for healthcare workers to respond to COVID-19 code blue emergencies safely and with skilled interventions.

Problem

A code blue in the acute care setting is a medical emergency that requires nurses, physicians, and …

Decreasing Patient Fall Rates In The Microsystem, Kevin Dwayne Sanchez Camaya

Master's Projects and Capstones

Abstract

Problem: Falls are considered never events, yet continuously occur in the inpatient setting. Falls,

especially falls with injuries, impact the patients, the staff, and the hospital. Falls cause extended lengths of stay, affect the morale of the patients and the staff, and are non-reimbursable events.

Context: There have been an increased rate of falls within a medical/surgical/telemetry unit

microsystem at a Northern California hospital despite standardized screening and prevention tools. The unit can house up to 52 patients and is the designated Covid unit of the hospital at the time of this project.

Interventions: The interventions include optimizing the …

Use Of Simulation To Improve Nurse's Response To Covid-19 Code Blue: A Literature Review, Charity Shelton

Doctor of Nursing Practice (DNP) Projects

Background

Healthcare workers in the acute care setting must be ready to respond to emergencies at any given time. The recent COVID-19 pandemic put strains on the healthcare workforce that have brought challenges and new competencies for how healthcare workers safely respond to emergencies. To ensure healthcare workers maintain these competencies, specific training must occur to improve emergency response and outcomes. Specifically, there needs to be training for healthcare workers to respond to COVID-19 code blue emergencies safely and with skilled interventions.

Problem

A code blue in the acute care setting is a medical emergency that requires nurses, physicians, and …

Improving Medication Administration Safety In A Correctional Facility With An Electronic Medication Administration System, Rosalinda Salazar

Master's Projects and Capstones

Problem: According to the World Health Organization (2020), medication errors are one of the leading causes of injury and avoidable harm in health care globally.

Context: The county jail houses approximately 700 inmates/patients on a daily basis, and the potential for error when administering medications is high as medications are prepared manually using a paper medication administration record.

Interventions: The jail began using an electronic health record/barcode administration system on October 19, 2020.

Measures: Unusual occurrence reports related to medication errors were reviewed. The time frame included 6 months before electronic implementation, and 6 months after implementation.

Results: Unusual occurrence …

Food Safety And Functionality Assessment Of Kombucha Systems Through Bacillus Cereus Spore And Probiotic Inoculations, Alexandria L. Bromley

Electronic Theses and Dissertations

Kombucha is a SCOBY-fermented tea beverage known for its taste, sensorial qualities, and high endogenous microbial load. In recent years, kombucha has become a popular functional food with a compound annual growth rate of 25% from 2015 to 2020 in American kombucha sales alone, and sales are predicted to keep increasing significantly over the next decade. However, kombucha is lacking in scientific research, and there is still much to be explored regarding its safety and native probiotic content. This research looked into the various routes of contamination of several kombucha systems as well as the feasibility of the producing a …

Understanding How Manufacturing Employees Learn About Safety, Melissa I. Bloch-Meier

Theses and Dissertations

While millions of workers are injured on the job every year (Bureau of Labor Statistics, 2019), at least some of these injuries can be attributed to failure to use what was learned during safety training (Safety Partners LTD., 2014). By better understanding workers’ experiences, organizations may be better able to create more impactful safety training programs that will ultimately keep more workers safe. Therefore, the purpose of this study was to gain an understanding of how manufacturing employees learn about safety. A review of research has shown that empirical studies related to manufacturing employee safety training can be modeled through …

Development And Validation Of A Basic Ground Skills Assessment For Equine-Assisted Services, Sarah J. Andersen

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The equine-assisted services program at Utah State University produced and validated an assessment process used to test equines for suitability for equine-assisted services. Equine-assisted services incorporate the interaction of humans who face mental, physical, emotional, and/or social challenges and equines for therapeutic purposes. Recreational, physical, mental, social, and/or emotional goals are met through various equine-assisted services such as therapies, equine-assisted learning, and horsemanship.

Due to the potential for human injury while interacting with equines, it is important to ensure equines are assessed for safe behavior prior to participation in equine-assisted services. This is why our group developed and tested the …

The Effects Of Cost, Level Of Safety, And Severity Of Injury On Manager Decisions To Implement A Safety Solution, Jonathan M. Hochmuth

Dissertations

Workplace injuries continue to be a source of substantial human and financial costs each year. Behavioral safety processes have been effective in reducing workplace injuries by increasing safety-related behaviors. In recent years, the focus in behavioral safety has shifted towards the role of managers in establishing and maintaining safe behaviors and conditions in the workplace. Understanding how managers make decisions to allocate resources is critical to improving safety. The field of behavioral economics has developed methods for studying decision-making. While there have been calls to apply these methods to occupational safety, there are only two empirical studies which have done …

Protecting Our Youth In An Online World, Tess Collins

Honors Program Contracts

No abstract provided.

Sirencide: The Impact Of Acute Stress On Emergency Vehicle Crashes, Dustin Lambert

Dissertations

Emergency services provide an invaluable service to communities and cities around the world. Research has shown these professionals encounter significant acute psychological stress throughout their work shifts. Acute stress has been shown to impact human performance in various realms, from increased risk-taking to cognitive decline. While the actual work varies between firefighters, law enforcement, and emergency medical services, a shared commonality is the operation of emergency vehicles. Emergency vehicle crashes are recognized as a serious issue by FEMA. The current work aimed to measure the impact of acute stress on emergency responders as measured by fatal emergency vehicle crashes in …

Risk-Based Freeway Merging And Lane-Changing Decisions For Autonomous Vehicles, Weimin Jin

All Dissertations

The safe freeway merging and lane-changing operation for fully Autonomous Vehicles (AVs) in mixed traffic (i.e., the presence of AVs and non-AVs in the traffic stream) is a challenging task. The AV merging and lane-changing operation could increase crash risks and reduce operational efficiency significantly in mixed traffic.

This dissertation quantifies the freeway merging crash risk and develops a freeway merging decision strategy based on crash risk assessment for an AV attempting to merge in the target lane with non-AVs. The performance of the risk-based merging decision strategy is evaluated in uncongested, near-congested, and congested traffic conditions. The analyses show …

Creating A Safe And Supportive School Climate For Transgender Students, Taylor Dewilde

Culminating Experience Projects

Research has shown that transgender students do not feel safe at school and as a result experience negative outcomes. An effective teacher training program on transgender students will help these students feel a greater sense of safety at school. Additionally, this project will explore inclusive curricular resources for educators. The research reviewed for this project includes the key findings for why transgender students feel unsafe that included bullying & harassment, untrained and unprepared staff, and unsafe spaces in school. It is imperative for transgender students to feel safe at school so they may have the same opportunities for success in …

Shining Light On Retroreflectivity: Perceived Brightness Of Surfaces With Varying Reflective Properties, Savana King

All Theses

Typical road users appear not to understand retroreflectivity despite nightly exposure to retroreflective materials such as road signs. While retroreflective surfaces have been engineered to reflect light back in the direction of its source, retroreflectors appear to be diffuse reflectors in most viewing conditions. This may lead road users to underestimate its value in nighttime roadway applications and contribute to vulnerable road users’ under-use of retroreflective markings to enhance their own conspicuity at night. In this context, a critical benefit of retroreflective materials is a robustness to changes in entrance angle, the angle at which the light strikes the material.This …

An Assessment Of Hotel Guests’ Perceptions Of Preventive Safety Measures In The Era Of Covid-19, Un Hyeok Ko

UNLV Theses, Dissertations, Professional Papers, and Capstones

In the era of COVID-19, hospitality was one of the industries that was most severely impacted by the virus. Spread of the virus was rapid enough to force hotels to close properties worldwide, and hotels were required to adopt safety measures and protocols in order to re-open or remain open. New types of measures, some never seen before the pandemic, were created and implemented throughout the hotel industry.

The main purpose of this study is to assess guests' perception of preventive safety initiatives and measures in the era of COVID-19 and to determine their level of satisfaction with such measures. …

Student Chronic Absenteeism And Perceptions Of School Climate, Misty Keller

Electronic Theses and Dissertations

The purpose of this quantitative study was to determine if there were significant differences in student chronic absenteeism between schools with high positive scores for perceptions of central components school climate and schools with low positive scores for perceptions of central components of school climate. This study assessed the difference in student chronic absenteeism among elementary schools rated high positive or low positive as well as among high schools rated high positive or low positive for perceptions of school engagement, school safety, and school environment. A series of chi square analyses were used to analyze data to determine if there …

Perception Correction: Addressing Social Stigmatization Around Bdsm And Mental Health, Erin Afana

Master's Theses

Mainstream society’s characterization of activities and subgroups as abnormal can result in a long history of being shamed and pathologized, leading to discrimination and stigmatization. BDSM (bondage and discipline, dominance and submission, and sadomasochism) is an alternative lifestyle with a variety of identities, characteristics and practices that are viewed by many as being outside of societal norms. The consequences of this can be seen in how society, in general, views BDSM participants, how the criminal justice system responds to issues involving BDSM, and how the mental health system perceives those who participate in BDSM activities. The purpose of this thesis …

Aviation Economics: Safety, Monopsony, And Small Sample Inference, Marc Sleiman

AYSPS Dissertations

This dissertation consists of three essays on aviation. The first chapter investigates the relationship between competition and airline safety. The U.S. airline industry transports almost a billion passengers a year. Accidents still cause much apprehension and angst among the public; the two 737 Max crashes are the latest examples. Despite massive improvements in safety over the last decades which are largely due to technological improvements, there is still a lack of research done on the effect of market conditions. We provide a simple theoretical model to explain the relationship between safety and competition. Using data from 1995 to 2018, we …

Re-Envisioning The American Dream, Elain Tang

Masters Theses

The United States of America is globally known as the land of opportunity, freedom, independence, equality, and above all, the American Dream. American writer and historian, James Truslow Adams, coined the phrase “American Dream” in his 1931 book The Epic of America. The American Dream is the belief that anyone, regardless of where they were born or what class they were born into, they can attain their own version of success in society through hard work, sacrifice, and taking risks. Post-World War II, the demand for home ownership rapidly increased. The development of Levittown provided single-family homes for white nuclear …

Prioritizing Mental Health Awareness In The Construction Industry, Molly E. Pryde

Construction Management

The construction industry is known as one of the most demanding industries for employees, both physically and mentally. Due to various factors associated with the working conditions and lifestyles of construction workers, the likelihood of mental health challenges amongst this demographic is quite high. Furthermore, industry culture surrounding masculinity poses a barrier to properly addressing the issue. Because of the dynamic and fast-paced work environment, assessing potential risks to protect workers is an integral part of each day on the job site. As a key component in company success and individual well-being, safety has become ingrained in construction culture. However, …

Blacow Road Improvement Plan, Nishita Kandikuppa

City and Regional Planning

Providing safe and accessible entrances to schools, especially elementary, middle, and high schools where children are below the age of 18, should be of utmost priority to cities. Providing wide sidewalks, painted bicycle lanes and continental crosswalks (with the lateral lines) are just basic infrastructure improvements that can be made within the vicinity of a school. However, due to lack of funding or attention from the city departments, many school entryways are being neglected and the direct impact of this is increased collisions among students, drivers, and bicyclists. My senior project studied one such school in Fremont, California where the …

The Benefits And Challenges Of Automation In The Modular Construction Industry, Allen Le

Construction Management

Modular construction combined with automation technology such as robotics presents benefits and challenges associated with it. Modular construction takes on the traditional building methods and has streamlined the production of modules making it safer, efficient, and productive. Along with innovation and cutting-edge technology such as automation, it offers an alternative building method to the modular construction industry that enhances productivity, worker safety, and efficiency. This research presents an investigation on factors that may be benefited from the adoption of automation but also addresses the challenges in modular construction. Qualitative interviews with designers and consultants in the modular industry were conducted …

The Optimization Of Financial Investment In Project Safety Practices, Ryan Stewart Nielsen

Construction Management

This research paper explains the notable benefits to pursing a comprehensive safety plan complete with the most cost-effective safety practices in the industry. Through communication with environmental health and safety professionals within the construction industry, it was determined that certain safety practices are deemed essential on any active jobsite. Enforcing mandatory jobsite safety training to all individuals entering a jobsite serves as the first line of defense when attempting to protect individuals and mitigate risk. This educational and effective safety practice highlights the potential safety concerns of a jobsite while also mitigating contractor liability if an accident were to occur. …

A Case Study On The Ucsf Transplant Center Renovation: Mitigating Covid-19 Risks And Tracking Cost Impact, Alec Steven Woodyatt

Construction Management

At the beginning of 2020, the world was turned upside down at the hands of the global coronavirus pandemic. Today, economies and business are counting the costs and wondering what recovery will look like – how to navigate and adapt to a new style of life after returning from government-mandated lockdowns. The question on everyone’s minds is, “how do we continue to work while keeping people safe?” This question is extremely relevant in the construction industry where, for most people, working from home is not an option. This case study will delve into how Dome Construction, along with their client, …

Workers Head Protection Preferences In Construction, Matthew R. Langbehn

Construction Management

Head injuries are one of the most common ways workers are injured on a construction site, but head protection has not evolved over the last few decades. A new style of head protection, a safety helmet is being introduced to better protect workers, but the new style has not been widely adopted. A survey was conducted to determine workers preferences when choosing head protection and 31 responses were collected. 68% of the respondents currently wear a safety helmet, but 60% of the respondents would choose a traditional helmet if given the choice. 73% workers with more than 5 years of …

Evidence-Based Recommendations For Assistive Technologies For Safety In Dementia Care, Lee A. Diener

Culminating Experience Projects

A Quality Improvement (QI) project in a Midwestern Continuing Care Residential Community (CCRC) was designed to examine the evidence-base of four assistive technology platforms marketed as safety platforms as means to improve outcomes for older adults residing in memory care environments. Using the Evidence-Based Design Model Socio-Technical Systems Theory, survey data and observational data collected from the organization were considered with respect to the evidence-base supporting each technology. Ten organizational priorities derived from collected data were used to develop an Evidence-Based Assistive Technology Fitness score for each of the AT platforms reviewed. This methodology provides a means to evaluate planning …

Alteration Of Perceptions Of Safety Before And After Fit Testing Among College Of Dentistry Students, Tanner H. Clark

Capstone Experience

The COVID-19 pandemic has changed how hospitals and healthcare academic programs operate. This change has restricted services provided as well as educational opportunities for those training to be in healthcare. Further, personal protective equipment (PPE) has been required to help protect workers potentially having contact with patients who may have COVID-19. Dentistry workers are at particularly high risk due to repeated and continuous aerosol generating procedures. Healthcare students have traditionally been restricted to areas with minimal risk during clinical experiences; however, with the exposure occurring ubiquitously, avoiding the risk is nearly impossible. There is no uniform inclusion of students in …

Dance/Movement Therapy In Response To Continuous Race-Based Trauma, Aliesha Bryan

Dance/Movement Therapy Theses

Trauma is concomitant with a lack of safety; as such, where there is a threat to safety, there is likely to be trauma. Afrodescendants living in the United States, through an ongoing lack of human regard, are often powerless to ensure their safety, and are regularly subjected to continuous, race-based trauma. Racism is deeply embedded in the nation’s institutions as well as in every relationship, and this deeply pervasive and penetrating ideology influences strongly how individuals of any race interact with others. Race-based aggression, from micro- to macro-, has a profound and continuously traumatizing effect on Afrodescendants, with similarly profound …

An Intervention To Improve Nurses’ Knowledge, Perceived Safety, And Confidence In Identifying And Managing Workplace Violence: A Translation Of Evidence Into Practice, Kayla Sullivan

UNLV Theses, Dissertations, Professional Papers, and Capstones

The Occupational Safety and Health Administration (OSHA) reports that over two million workers are victims of workplace violence (WPV) (Papa, 2013). Registered nurses are subjected to high risk for workplace violence from patients and visitors, with 25.5% reporting at least one victimization incident (Gillespie et al., 2013). Research indicates that WPV has a significant impact on nurses' quality of working life, job satisfaction levels, turnover rates and has also been shown to negatively impact efficiency and productivity (Gacki-Smith et al., 2009). ED nurses are at substantial occupational risk for workplace violence. Emergency departments have been identified as areas within the …

Comparative Research Of Effective Treatment Measures For Postpartum Depression, Aunica Novacek

Physician Assistant Scholarly Project Papers

Postpartum depression is a mood disorder that includes depressive symptoms during the time period following childbirth. There are various possibilities for what may cause this disorder, but the drastic change in hormones after delivery can play a role. With the chance this disorder may be fatal to both the mother and child, an appropriate, effective, and safe treatment is necessary to control depressive symptoms. The standard, first-line pharmacotherapeutic option is a selective serotonin reuptake inhibitor (SSRI) antidepressant. SSRI antidepressants are well understood, but these medications may take time to become effective. Knowing this, medical professionals can find a more rapid …

Improving Therapeutic Communication In Mental Health Nursing: A Quality Improvement Project, Patricia A. Nill

UNLV Theses, Dissertations, Professional Papers, and Capstones

Over 46 million adults in the United States (U.S.) live with a mental illness. Locally in Nevada, the psychiatrist to patient ratio is approximately 700:1, and patients are seen primarily in the inpatient setting, if seen at all, due to the wait average of 85 hours in the hospital emergency rooms for access into mental health hospitals or specialty units of a general hospital. Moreover, costs for mental health mood disorders alone are estimated at over seven million dollars annually. The Institute of Medicine (IOM) opined the need for change in healthcare to redesign practice and clinical communication with patients …