Digital Commons Network^™

Project #131: Driving Outcomes: Clinical And Financial Impact Of The Diabetes Care Connection At Populance, Pam Milan, Kimberly Miazek, Cynthia Schultz, Madeline Lail, Emily Spiewak, Peter Y. Watson, Susan Craft

Quality Expo 2025

No abstract provided.

Project #068: Thinking Like An Infection Prevention Expert: Creating An Automated Report To Aid Frontline Staff In The Reduction Of Clostridioides Difficile Infections, Sarah Prascius, Alex K. Wells, Wendy Raffin, Gabe Smith, Ann M. Collier, Amanda Renard, Tricia Stein

Quality Expo 2025

No abstract provided.

Project #084: Zap Vap: A Quality Improvement Initiative To Decrease Ventilator Associated Pneumonia (Vap) In The Henry Ford Hospital Nicu, Faryal Durrani, Shelley Campbell, Daniel Rito, Ihab Jubran, Mustufa Boxwalla, Kamel M. Ghaben, Deepak Yadav, Lisa Vanacker, Christine Newman, Salvatore J. Morrone

Quality Expo 2025

No abstract provided.

Project #083: Using A Multi-Prong Approach To Reduce Colon Surgical Site Infections (Ssi), Jenny Gubler, Jill Skrzypczak, Janice Martin, James Rejc, Jason Weaver, Judy C. Rourke, Nicholas W. Conte, Alison K. Theisen, Dale Gonzalez, Nicole Nomides

Quality Expo 2025

No abstract provided.

Project #054: Safeguarding The Vulnerable: Streamlining Triage To Rooming In The Ed, Patrick Hanlon, Michelle Slezak, Gina Hurst, Hilja Compian, Georgia Scholl, Karra Robinson, Namita Jayaprakash

Quality Expo 2025

No abstract provided.

Project #126: Optimizing Throughput And Recovery Capacity In The Cath And Ep Labs: A Multiphase Workflow Redesign, Sicknee Daher, Christa Means, Erica Johnson, Gloria Hollohan, Aiden Murtagh, Kyle Hetherington, Lindsay A. Goodison, Stephanie Thomson, Kathryn Benczkowski, Kayla A. Ellis, Steven Bacon, Nathaniel Theobald, Dierdre Salanger, Nancy Zehnpfennig, Anitra Rhea, Nancy Price

Quality Expo 2025

No abstract provided.

Project #162: Nurse Driven Nstemi Protocol, Katelyn Baker-Cupino

Quality Expo 2025

No abstract provided.

Project #160: Stop The Line For Safety: Safety Stop, A. Renee Richards, Jaime Gehner, Brenda D. Vanwallaghen, Salika Devine, Michelle Dolan, Ben Halliwill, Rand O'Leary, Ahmad Maarouf, Kim M. Meeker, Brooke M. Buckley

Quality Expo 2025

No abstract provided.

Project #049: Forum-Beyond The Bedside: How Interdisciplinary Rounds Streamline Icu Care And Transitions, Kristina Boudreau, Sarah Beldin, Gillian Grafton, Paul S. Villalba

Quality Expo 2025

No abstract provided.

Project #114: Assessing The Gap: Sis Guidelines Vs. Real-World Antibiotic Use In Facial Fractures, Ahmad El Nouiri, Hadi Hamdan, Camden Gardner, Fateh Ahmad, Jeffrey L. Johnson

Quality Expo 2025

No abstract provided.

Project #128: Sepsis Ed Triage Processes, Kristin Baffo, Megan Cahill, Errin Couck, Brandie Devos, Omar Francis, Beth A. Laurencelle, Sheila A. Meshinski, Adam Sinistaj, Amanda Yore, Kyle J. Kulas, Ann Osinski

Quality Expo 2025

No abstract provided.

Project #088: Increasing Access To Occupational And Physical Therapy For Postpartum Patients, Gabrielle Gibson, Caitlin Kik

Quality Expo 2025

No abstract provided.

Project #094: Pharmacy Roles In Hcahps Score Improvement, Lindsay Schwalbach, Cristina Blazer

Quality Expo 2025

No abstract provided.

Project #149: Stay Home Safe: A Health And Housing Collaboration To Successfully Prevent Falls Among Older Adults, Dana Parke, Stephanie Osterland, Britney Haywood, Muniza Hossain, Courtney M. Rose, Sunita Ghosh

Quality Expo 2025

No abstract provided.

Project #036: Stroke Alert To Triage, Improving Ambulatory Stroke Patient Throughput, Sara Glowzinski, Steven Rockoff, Aaron Lewandowski, Amanda Gibson, Victoria L. Guyton, Daniela Burk, Kalie Hamel

Quality Expo 2025

No abstract provided.

Project #010: Influencing Outcomes Through An Evidence-Based Nurse-Driven Telemetry Discontinuation Protocol, Alma Agulto, Kimberly A. Beckett, Edward Olszewski

Quality Expo 2025

No abstract provided.

Project #157: Improving Central Line Necessity Documentation: A Quality Improvement Project, Meghan Smith

Quality Expo 2025

No abstract provided.

Project #018: Pre-Risk Stratification Plan, Diane Fidler, Adam Hafeez, Christian P. Fisher

Quality Expo 2025

No abstract provided.

Project #073: Improving Patient Outcomes: Preventing Pneumonia-Related Mrsa Bacteremia Through A Multidisciplinary Approach, Heather Swaenepoel, Alysia Stewart

Quality Expo 2025

No abstract provided.

Project #098: Catheter-Associated Urinary Tract Infection Reduction: Turning The Tide Through A Comprehensive And Multidisciplinary Approach, Jason Weaver, Jenny Gubler, Nicole Nomides, Fran Borg, Frances L. Borg, Arlene M. Boelstler, Judy C. Rourke, James Rejc, Diana Frasie, Deidre Bringold, Eric Esper, Christine M. Juett, Victoria Cardwell, Melissa D. Conn, Valeria Zimmerman, Matthew Walls, Julia A. Kress, Carie Cote'

Quality Expo 2025

No abstract provided.

Psychiatric Associations With Barriers To Use Of Mental Health Services In Medical Students, E. Cadence Rarity, Nora Newcomb, Aishwarya Vuppala, Jade Brunicardi, Kim Van, Amelia C. Phillips

Journal of Wellness

Introduction: Medical students experience stress, anxiety, and depression at rates greater than those of the general population. Medical students also underutilize mental health services. There exists a need for a comprehensive, multivariate analysis of the reasons medical students do not pursue mental health services, and the undesirable mental health outcomes that are associated with these barriers. This study associates psychiatric phenomena of stress, anxiety, and depression within the context of barriers to use of mental health services in medical students.

Methods: In this cross-sectional study, medical students (N = 128) from the University of South Florida engaged with …

Bay Staters Believe Healey Deserves Re-Election, Oppose Immigration Crackdown In Boston 9/29/2025, Unh Survey Center

All UNH Survey Center Polls

Just over half of Massachusetts residents approve of the job Governor Maura Healey has done and say that she deserves to be re-elected. Many Republican primary voters are largely undecided about the candidate they want to face Healey. In the race for U.S. Senate from Massachusetts, less than half of Bay Staters believe incumbent Ed Markey deserves to be re-elected. Most Massachusetts residents feel safe in Boston, support Boston's immigration policies, and oppose the increased deployment of federal personnel to enforce immigration policies in the city. Majorities support a limit on annual rent increases and Massachusetts officials coordinating with other …

Economics Of Corneal Cross-Linking For Keratoconus Treatment, Christopher J. Rapuano, Richard L. Lindstrom, Eric Donnenfeld, John P. Berdahl, Vance Thompson, David Kratochvil, John Carter

Wills Eye Hospital Papers

AIM: To optimize the real-world applicability of a health economic model estimating the cost-effectiveness of corneal cross-linking for the treatment of keratoconus in the United States.

MATERIALS AND METHODS: A previously reported discrete-event simulation (DES) model was adapted to reassess the cost-effectiveness of corneal cross-linking (CXL) from the US payer perspective. The simulation of keratoconus progression, which is a key driver of model outcomes, was remodeled to more accurately reflect the real-world relationship between age and the rate of disease progression. All costs were updated to reflect 2025 values. We simulated 4,000 eyes of 2,000 patients diagnosed with keratoconus to …

Staff Education For Health Care Providers On Improving Health Care Outcomes For Lgbtq+ Youth And Adolescent Patients, Sheila Shafer

Walden Dissertations and Doctoral Studies

This project was focused on the significant challenges faced by LGBTQ+ adolescents and young adults, specifically those aged 12 to 25 years, who seek mental health care services. Research indicated that discrimination and stigma against this demographic contribute to disproportionately poorer mental health outcomes, underscoring the urgent need for culturally competent health care delivery. The purpose of this project was to educate professionals on the necessary skills and knowledge about the unique needs of LGBTQ+ patients. The question was the following: Would an educational intervention improve providers’ knowledge and confidence in diagnosing and treating the mental health needs of LGBTQ+ …

Educating Correctional Nurses On The Use Of A Mindfulness Program To Reduce Work Stress, Victoria Ngozi Emelogu

Walden Dissertations and Doctoral Studies

Correctional nurses deliver care in environments marked by violent incidents, chronic understaffing, and moral distress. These conditions heighten occupational stress, jeopardize patient safety, and accelerate staff turnover, yet few U.S. jails provide evidence-based training in rapid self-regulation strategies. The purpose of this staff education project was to evaluate whether a 2-week curriculum could increase correctional nurses’ knowledge, attitudes, and self-reported skills (KAS) for on-shift mindfulness use. Pender’s health promotion model framed the intervention, Bloom’s taxonomy and Kirkpatrick’s evaluation model informed learning objectives and outcome levels. Five correctional nurses at a large urban jail completed an anonymous 10‑item KAS survey before …

Implementing Patient Health Questionnaire-9 Screening In Adult Mental Health: A Staff Education Initiative, Precious Nmachi Adaso

Walden Dissertations and Doctoral Studies

This project was a staff education program aimed at the use of the Patient Health Questionnaire-9 (PHQ-9) as a universal depression screening instrument within a mental health facility. The project was conducted in an urban area of the United States at an outpatient behavioral health facility and was focused on addressing the stagnation in the staff’s correct use of evidence-based measures of depression screening that inhibits the prompt detection and treatment of major depressive disorder (MDD). The practice focused question was: Following participation in a staff education program, will staff demonstrate increased knowledge on depression screening and use of the …

Glucodensity Functional Profiles Outperform Traditional Continuous Glucose Monitoring Metrics, Marcos Matabuena, Rahul Ghosal Ph.D., Javier Enrique Aguilar, Ayya Keshet, Robert Wagner, Carmen Fernández Merino, Juan Sánchez Castro, Vadim Zipunnikov, Jukka-Pekka Onnela, Francisco Gude

Faculty Publications

Continuous glucose monitoring (CGM) data have revolutionized the management of type 1 diabetes, particularly when integrated with insulin pumps to mitigate clinical events such as hypoglycemia. Recently, there has been growing interest in utilizing CGM devices in clinical studies involving healthy and diabetic populations. However, efficiently exploiting the high temporal resolution of CGM profiles remains a significant challenge. Numerous indices—such as time–in–range metrics and glucose variability measures–have been proposed, but evidence suggests these metrics overlook critical aspects of dynamic glucose homeostasis. As an alternative method, this paper explores the clinical value of glucodensity metrics in capturing glucose dynamics—specifically the speed …

Response To Epa Comments Dated September 29, 2025 For The Blacktail Creek Riparian Actions Draft Preliminary (30%) Remedial Design Report, Silver Bow Creek/Butte Area Superfund Site Silver Bow County, Montana, Montana Department Of Environmental Quality

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Decreased Risk Of Incident Cancer Among Patients With Vitiligo: A Multicenter Retrospective Cohort Analysis, Rahib K. Islam, Ivan D. Nguyen, Kazi N. Islam, Lacey M. Falgout, Jonathan M. Joseph, Collins T. Langley, Christopher J. Haas

School of Medicine Faculty Publications

No abstract provided.

Bromelain-Based Enzymatic Debridement Of A Third-Degree Burn To Skin-Grafted Bowel, Shengqing Wang, Janie Faris, Kareem Abdelfattah, Samuel Mandell, M Victoria Miles

School of Medicine Faculty Publications

Burn injuries over previously grafted tissue present a formidable challenge for excision and debridement, particularly when there are critical underlying structures such as bowel. Enzymatic debridement with the recently approved anacaulase-bcdb, a bromelain-based enzymatic debridement gel (Nexobrid), presents an additional method of burn excision that may be useful in such a situation. This brief report presents the management of a complex third-degree burn over a remotely skin-grafted bowel mass using anacaulase-bcdb gel. This report is written with documented patient consent and approval by the Human Research Protection Program office in compliance with institutional policy. A 52-year-old man presented to our …