Digital Commons Network^™

Leadforward: A Department-Based Leadership Development Program To Support Workforce Well-Being, Leisa A. Bryant, Denise Marshall, Loreal Williams, Miranda M. Phillips

Advances in Cancer Education and Quality Improvement

Introduction: Leadership development is increasingly recognized as an important strategy for supporting workforce engagement, professional growth, and succession planning in healthcare settings. To address leadership development needs within Food, Nutrition, and Patient Transportation (FNPT) departments, a structured leadership development program, LeadForward, was developed for emerging and midlevel leaders.

Project Description: LeadForward was implemented within the FNPT departments at a comprehensive cancer center. Ten participants completed the inaugural cohort. The curriculum was organized into 6 instructional modules designed to develop leadership competencies among emerging and midlevel leaders. Leadership outcomes were assessed using pre- and postprogram self-assessments across 14 leadership competency …

Standardized Preprocedure Protocolling Of Stereotactic Breast Biopsies Enables Device-Level Supply Chain Forecasting: A Multisite Quality Improvement Analysis, Megan Kalambo, Mike Everding, Maria Montemayor, Falguni Patel, Mohit Nath

Advances in Cancer Education and Quality Improvement

Background: Breast imaging depends on single-use, vendor-proprietary consumables produced by a concentrated set of manufacturers. During supply shortages in 2026, healthcare organizations faced urgent pressure to shift from reactive to proactive inventory management. Stereotactic breast biopsy needle shortages revealed that traditional forecasting based on procedure volume lacks the granularity needed for device-specific demand. We aimed to enable device-level forecasting through standardized preprocedure protocolling.

Methods: In a retrospective analysis of 1,456 stereotactic biopsies across 4 breast imaging sites (June 2025 to June 2026), compliance with a standardized electronic protocolling tool that captured lesion count and needle size (standard vs. petite) was …

Critical Daily Dose Warning Optimization In An Electronic Health Record At A Tertiary Cancer Center, Mckenzie Erwin, Sadika Eslaminejad, David Perez, Jesni Mathew

Advances in Cancer Education and Quality Improvement

Objectives: Clinical decision support is a form of health information technology utilized by electronic health records (EHRs) to reduce prescribing errors. The challenge of incorporating clinical decision support into medication workflows is balancing alert fatigue with clinical appropriateness. At our 777-bed tertiary cancer center, one form of interruptive clinical decision support is critical dose warnings that appear when the ordered dose deviates by a defined threshold from the maximum dose. Our tertiary cancer center relies on a third-party data vendor to provide maximum dose limits that are integrated into the EHR medication ordering process. At the time of project initiation, …

Implementation Of A Low-Cost Tobacco-Free Intervention In A Permanent Supportive Housing Program To Address Cancer Disparities Among People Who Have Experienced Homelessness, Ammar D. Siddiqi, Phoebe Wong, Cathy Crouch, Lorraine R. Reitzel

Advances in Cancer Education and Quality Improvement

Objectives: Permanent supportive housing residents who have experienced homelessness use tobacco products at elevated rates, contributing to higher cancer risk. Agencies that provide wraparound support services to this group are committed to rebuilding their stability by improving their health. Yet, their delivery of tobacco screening and cessation care is limited, as is information about their clients’ tobacco use behaviors. Here, we evaluated a low-cost intervention for an Albert Schweitzer Fellowship project conducted in a permanent supportive housing program with 650 adults who had experienced homelessness in Houston, Texas.

Materials and Methods: Between August 2024 and February 2025, client-facing staff members …

Evaluation Of Shortened Irinotecan Infusion Times And Adverse Effects Incidence For Gastrointestinal Medical Oncology Patients, Rachel N. Ochs, Daniel J. Donovan, Neha A. Betrabet, Wendy M. Covert

Advances in Cancer Education and Quality Improvement

Background: Irinotecan, a topoisomerase I inhibitor, is commonly used to treat gastrointestinal cancers. The infusion time of irinotecan is usually over 90 minutes; however, studies support the safety and feasibility of 30-minute infusions. A shortened infusion duration may improve patient quality of life, optimize infusion chair utilization, and reduce wait times. Faster infusion rates may increase the risk of acute cholinergic side effects, reported in up to 50% of patients (all grades). Current institutional practice in the gastrointestinal medical oncology (GIMO) clinic involves administering irinotecan over 90 minutes and using atropine as needed for reversing cholinergic symptoms. For patients who …

Trauma-Informed Teaching And Psychological Safety In Health Professions Education, Kevin R. Clark

Advances in Cancer Education and Quality Improvement

Introduction: Health professions students frequently encounter academic, professional, and personal stressors that may affect their learning, engagement, and well-being. Trauma-informed teaching has emerged as an educational approach designed to create supportive learning environments characterized by safety, trust, transparency, and learner-centered practices.

Objectives: The purpose of this study was to explore students’ perceptions of trauma-informed teaching practices implemented in undergraduate and graduate health professions courses and identify the specific instructional strategies students found most meaningful and supportive.

Methods: A mixed-methods educational research design using a practice-based case study approach was used. Undergraduate and graduate students who completed courses taught by a …

Unlocking Faculty Potential: A Quasi-Experimental Study Of Coaching And Academic Performance In Health Care Settings, Amanda Woods Herron, Katelyn J. Cavanaugh, Michelle Figliuolo Deveau, Courtney L. Holladay

Advances in Cancer Education and Quality Improvement

As faculty in academic medicine face mounting demands to excel in clinical care, research, teaching, and administrative responsibilities, interventions that support professional sustainability are increasingly critical. Coaching has emerged as a promising developmental strategy within health care leadership, yet its impact on research and clinical outcomes in academic medical centers remains underexplored. This quasi-experimental study evaluated the effectiveness of a coaching program using intentional change theory (ICT) as a conceptual framework. ICT emphasizes sustainable personal transformation through alignment between the ideal self and professional goals. We examined a sample of 189 coached clinical faculty and 200 matched peers who had …

Why Should A Data-Driven Cancer Center Prioritize Well-Being?, Peter Pisters

Advances in Cancer Education and Quality Improvement

No abstract provided.

The Future Of Wellness In Health Care, Jennifer Bickel

Advances in Cancer Education and Quality Improvement

No abstract provided.

Validating A Predictive Model Of Nurse Burnout Using Integrated Data Sources, Shahin Davoudpour, Mahesh Vaidyanathan, Rinad S. Beidas, Hannah Mulroe, Elliott Brandon, Matthew Lloyd, Gabrielle M. Olson, Mallika Pandey, Daniel Blumenthal, Baljash Cheema, Gaurava Agarwal

Advances in Cancer Education and Quality Improvement

Objective: To evaluate an integrated machine learning model using routinely collected organizational data to identify nurses at increased risk for burnout.

Background: Health care worker burnout directly threatens patient safety, quality of care, and workforce stability. Although nurses experience significantly higher burnout rates than physicians and face distinct operational stressors (eg, staffing shortages, continuous bedside care demands), most predictive modeling efforts have focused on physicians. Current approaches to identifying burnout typically rely on voluntary surveys, but advances in data science and machine learning have created new opportunities to move beyond self-reported measures.

Methods: This retrospective observational study included 1,177 nurses …

Actualizing Leaders To Inspire A Group Network (Align): Feasibility And Pilot Of Implementing A Commensality Group Program For Leaders In A Pediatric Healthcare Setting, Thomas B. Ayres, Kristin Ray, Angela Myers

Advances in Cancer Education and Quality Improvement

Background: Leadership behaviors in pediatric health care settings are strongly linked to leader burnout, professional fulfillment, and self-care in addition to influencing their teams. Despite their pivotal role, leaders often face substantial emotional burdens associated with their roles. Commensality groups, defined as small, recurring gatherings centered around shared meals and structured discussions, have emerged as a promising approach to enhancing connection, community, and resilience among health care professionals. A gap in the literature regarding commensality groups is understanding the mechanism of this well-being intervention. Our hypothesis is that commensality groups act as resource caravans and provide psychosocial resources to health …

Cookies Crumble: Reimagining Internet Personal Jurisdiction Post Briskin V. Shopify, Gabriel Wherley

University of Cincinnati Law Review

No abstract provided.

Birthright Citizenship Deserves Universal Injunctions, Jin Lim

University of Cincinnati Law Review

No abstract provided.

Punishing Homelessness: An Analysis Of Criminalizing Outdoor Sleeping, Maggie Hazelbaker

University of Cincinnati Law Review

No abstract provided.

Turning The Page Backward: Reconciling The Current Circuit Split On Whether The First Amendment Can Be Used To Challenge Modern Book Banning, Stella Brocker

University of Cincinnati Law Review

No abstract provided.

The More You Know, The More You Realize You Don't Know: The Impact Of Loper Bright On Traditional Notions Of Judicial Philosophy, Benjamin Baioni

University of Cincinnati Law Review

No abstract provided.

From Pickering To Participation: Rebalancing Speech And Equality In Government Employment, Madeline Pendleton, David Schultz

University of Cincinnati Law Review

Public employees occupy a uniquely precarious position in American constitutional law. They retain First Amendment rights as citizens while simultaneously operating within institutional hierarchies that may legitimately regulate their expression. Title VII and the Fourteenth Amendment’s Equal Protection Clause protect them from discrimination, yet the doctrinal frameworks designed to safeguard them often pull in opposite directions. This Article examines the resulting doctrinal confusion, arguing that the intersection of the Pickering/Garcetti framework governing public employee speech with Title VII’s hostile work environment doctrine and the Equal Protection Clause’s intent requirement has generated genuine uncertainty about the scope of constitutional protection—uncertainty that …

Modular Securities Regulation, Anita K. Krug

University of Cincinnati Law Review

Securities regulation is not supposed to look like corporate law, yet in the market for interval and tender-offer funds, it increasingly does. The SEC’s modern exemptive practice for these registered investment vehicles—funds that offer periodic liquidity while investing in less-liquid strategies—is doing more than granting individualized relief. In effect, it is transforming the Investment Company Act’s closed-end structural constraints from mandatory architecture into conditional defaults that permit product modularity (particularly in terms of multiple share classes and distribution and servicing fees) when paired with governance and disclosure safeguards. The result is a distinctly corporate-governance-like move in federal securities regulation: The …

An Analysis Of The Increasingly Popular Evidentiary Objection That "The Opposing Expert Has 'Cherry-Picked' The Information Supporting Their Opinion"—An Objection That Is At Once Colorful And Dangerous, Edward J. Imwinkelried

University of Cincinnati Law Review

No abstract provided.

Bending The Arc: The Long Fight For, Over, And With Justice, Jon Hanson, Lica Porcile, Dean A. Strang

University of Cincinnati Law Review

No abstract provided.

Systems And Methods For Price Matching Through Payment Dispute Flows, Deepak Tomar

Defensive Publications Series

Systems and methods for price matching through payment dispute flows are provided. A request to initiate a price match is received from a consumer for a transaction made using a payment credential issued by an issuing bank. The issuing bank generates a price match dispute message and transmits the price match dispute message through a payment network to an acquirer associated with a merchant of the transaction. The merchant is notified of the price match dispute, and a response to the price match dispute is received from the acquirer or the merchant. The response indicates either agreement with the requested …

System, Method, And Computer Program Product For Routing A Machine Learning Inference Request To A Model Version Based On Properties Of A Format-Preserving Encrypted Identifier Without Decryption, Hao Qin, Ruiyang Xia

Defensive Publications Series

The present disclosure provides a method, a system, and a computer program product for routing machine learning inference requests based on properties of a format-preserving encrypted identifier without performing decryption. The method comprises receiving a transaction request containing an identifier encrypted using format-preserving encryption, wherein the encrypted identifier preserves the format and length of the original identifier. The method includes extracting a prefix portion of the encrypted identifier without performing decryption and without accessing cryptographic key material. The method includes matching the extracted prefix against a pre-computed routing table that maps encrypted prefixes to machine learning model versions, wherein the …

Account-Context-Affinity Routing For Transformer-Based Payment Authorization With Key-Value Cachestate Freshness As A Routing Signal, Durga S. Kala, Tomer Rabani, Benjamin Nativi

Defensive Publications Series

The present disclosure provides a method and a system for account-context-affinity routing in a distributed transformer inference grid. The method includes recording, by a cache state monitor embedded in each inference stack, KV cache hit and miss events for each account bucket and determining a rolling hit rate for each account bucket over a sliding window. The method includes aggregating the rolling hit rates from the inference stacks into a preference matrix mapping account buckets and inference stacks to hit rates and publishing a snapshot of the preference matrix to a routing signal bus. The method includes receiving an authorization …

Cryptogram Key Scheme Migration For A Device Token, Yuexi Chen

Defensive Publications Series

The present disclosure provides a method and a system for migrating a cryptogram key scheme of a device token. The method comprises detecting that a device associated with the device token is migrated to a second key scheme and determining whether an issuer associated with the device token is migrated to the second key scheme. The method includes provisioning a single token key of the second key scheme where the issuer is migrated and provisioning a first token key of a first key scheme in an active state together with a second token key of the second key scheme in …

Si Compute Lease™: Supply Of Ai Computing Conditioned On Live Certification, In Which Chips, Cloud Capacity And Site Time Are Provided Under Expiring Leases Checked Against A Neutral Registry, Lapses Follow A Graded Ladder With Notice, Cure And Appeal, Accelerators Enforce Their Own Lease, Essential Services Are Protected, And Stolen Or Diverted Hardware Is Refused, Edward D. H. Wang

Defensive Publications Series

This disclosure describes how suppliers of AI computing, such as makers of AI accelerators, cloud providers and operators of computing sites, can make their supply conditional on the safety of the AI systems it serves, without having to judge their customers' businesses themselves. Computing is supplied under expiring leases. Each lease names the customer, the AI systems it serves by their lifelong identifiers, the amount and kind of computing, and an expiry, and is renewed only while those systems hold live certification in a neutral public registry, issued by accredited bodies under a published standard. The supplier checks the registry …

Trusted Gen Ai Analytics Using Semantic Graph Grounding And Grain-Safe Query Validation, Srishti Jaiswal, Anshul Hedau

Defensive Publications Series

A computer-implemented system and method to generate trusted analytics result from a natural-language business query. Business-intent elements represented by the query are mapped to semantic objects in a semantic data graph representing business entities, approved relationships, measures, dimensions, filters, and aggregation-grain metadata. Before generation of an executable query, one or more candidate semantic query plans are generated over the semantic data graph. A validation engine validates relationship-path correctness, measure compatibility, aggregation-grain safety, ambiguity, policy constraints, and fanout or double-counting risk. Validated plans may be ranked using confidence scores, and clarification may be requested when materially different interpretations remain. A selected …

Automated Counterfactual Pair Mining In Payment Artificial-Intelligence Systems, Durga S. Kala, Om Pandey, Tanner Barcelos, Benjamin Nativi, Jun Xu

Defensive Publications Series

A system and method for identifying counterfactual transaction pairs in a payment artificial-intelligence system. An atomic embedding vector associated with a query transaction is selected, and an inference embedding vector index is queried to retrieve transaction records whose embeddings satisfy a similarity criterion. Outcome metadata associated with the retrieved records is compared with an outcome of the query transaction. A retrieved transaction having a divergent outcome is paired with the query transaction as a counterfactual transaction pair. An embedding distance between the pair members indicates decision-boundary proximity. The pair may be stored in a counterfactual-pair registry and used for decision …

Universal Food Stabilizer, Peter Stevenson

Defensive Publications Series

Introducing a multi-functional, universally non-allergenic additive framework that meets Capex and NPAT requirements

Combatting Cyber Warfare, Peter Stevenson

Defensive Publications Series

This paper offers a regulatory behavior for news services that leverages Reinsurance providers as a means to giving news an equivalent metric to Moody's and Standard & Poors methods of measuring debt risk in corporations. Whilst not a all encompassing metric it provides service users with a knowledge of the trustworthiness of their preferred news source.

Prompt-Bound Credential Mediation With Drift-Aware Boundary Amendment For Ai Agents, Chad Patterson, Rajarshee Dhar, David Hanes, Ram Mohan Ravindranath

Defensive Publications Series

A system is proposed herein for bidirectional drift-aware amendment of a signed, versioned task boundary governing an artificial intelligence (AI) agent’s interactions with protected tools. A mediation plane checks an agent-proposed request against the active boundary before tool execution and checks actual returned records and fields against the same boundary before delivery to the agent. When either check detects a deviation, the request or returned data is held and a dimension-specific delta is generated. A verified human may deny, approve, or approve with conditions. Approved conditions are compiled into an enforceable boundary version before the held interaction proceeds. A temporary …