Open Access. Powered by Scholars. Published by Universities.®
- Keyword
-
- Type II diabetes (2)
- ADA Guidelines; Diabetes; Quality Improvement Interventions; Primary Care (1)
- ADA guidelines (1)
- ADA standards of care (1)
- Adverse drug events (1)
-
- BMI (1)
- Body mass index measurement (1)
- Bundled interventions (1)
- CPAP (1)
- Care coordination (1)
- Care transition (1)
- Care transitions (1)
- Childhood obesity (1)
- Childhood overweight (1)
- Clinical practice guidelines (1)
- Clinician adherence (1)
- Evidence-based medicine (1)
- Evidence-based practice (1)
- Foot care (1)
- Geriatric (1)
- Guideline adherence (1)
- Heart disease (1)
- Homeless shelter (1)
- Homelessness (1)
- Hyperlipidemia (1)
- Kidney disease screening (1)
- Medication reconciliation (1)
- OSA (1)
- Obstructive sleep apnea (1)
- Postpartum (1)
Articles 1 - 10 of 10
Full-Text Articles in Medicine and Health Sciences
Interventions To Increase Vaccination Rates In Homeless Adults Aged 50 Years And Older In A Shelter-Based Clinic, Rubeena Smith
Interventions To Increase Vaccination Rates In Homeless Adults Aged 50 Years And Older In A Shelter-Based Clinic, Rubeena Smith
Doctor of Nursing Practice
Pronounced disparities in adult immunizations exist across the country. In homeless adults over 50 years of age with chronic diseases, coverage rates for influenza and pneumococcal vaccinations falls at 30% as compared to the 60% coverage rate found in the general public. Hepatitis B immunization rates are also significantly lower in the elderly homeless population. Increased prevalence of chronic diseases in the elderly homeless shelter residents’ increase their risk for severe complications following influenza, hepatitis B and meningococcal infections. To prevent disease epidemics and further disability in the homeless population, the need for appropriate and timely vaccinations is critical. Attitudes …
An Initiative To Improve Primary Prevention Of Heart Disease In Adults With Type Ii Diabetes Based On The Acc/Aha (2013) And Ada (2016) Guidelines, Litzie Garza
Doctor of Nursing Practice
Heart disease is the leading cause of death in the United States and in Texas. Hyperlipidemia is a precursor to cardiovascular disease and is a highly manageable and treatable acute and chronic disease in the outpatient primary care setting. This project is designed to increase clinicians’ adherence to the American College of Cardiology/American Heart Association (2013) and American Diabetes Association (2016) clinical practice guidelines for the prevention of heart disease in 40 to 75 year old adults with type II diabetes through interactive education, an electronic alert, and quality improvement sessions on the treatment and management of cholesterol in a …
Implementation Of Quality Improvement Interventions To Increase Provider Adherence To Standards Of Medical Care In Diabetes, Elizabeth A. Betz
Implementation Of Quality Improvement Interventions To Increase Provider Adherence To Standards Of Medical Care In Diabetes, Elizabeth A. Betz
Doctor of Nursing Practice
Purpose: To improve a South Texas primary care clinic’s diabetes management system by implementation of a quality improvement intervention to help staff and medical providers increase adherence to the American Diabetes Association standards of care related to screening referrals and orders for urine microalbumin, in order to improve self-care and health outcomes for adult patients with diabetes. Background and Problem: Diabetes is the 7th leading cause of death in the United States and the cause of vision loss, amputations, and end-stage renal disease. The patients at the Wellness Center do not consistently receive routine screenings for neuropathy, retinopathy, nephropathy, microalbumin, …
A Systems Intervention For The Transition Of Postpartum Women To Primary Care, Charlotte Jeannette Matthews
A Systems Intervention For The Transition Of Postpartum Women To Primary Care, Charlotte Jeannette Matthews
Doctor of Nursing Practice
The Institute of Medicine (2001) describes the United States’ healthcare system as poorly organized and difficult for patients to navigate. Patients are often lost during the transition between providers, failing to establish subsequent care (Thomas, 2015). Gaps in care lead to worsening conditions that result in billions of dollars in healthcare costs (National Quality Forum, 2016). Following discharge from the care of the obstetrician, postpartum women should establish care with a primary care provider (American College of Obstetrics and Gynecology, 2016). The American College of Obstetrics and Gynecology recommends that postpartum women transition to a primary care provider within the …
Improved Medication Management For Elderly Patients Through Increased Review And Documentation, Esmeralda Rivera
Improved Medication Management For Elderly Patients Through Increased Review And Documentation, Esmeralda Rivera
Doctor of Nursing Practice
The purpose of this quality improvement project was to improve medication management processes for patients in a wellness center. Medication reconciliation is a safe practice shown to reduce the potential for patient harm by preventing prescribing errors and adverse drug effects. Medication reconciliation includes assessment of medications, development of medication lists, education, and medication counseling for patients (Snyderman, Salzman, Mills, Hersh, & Parks, 2014). Assessment of medication reconciliation in a geriatric wellness center revealed poor medication management. Education on medication management was provided to staff (N = 10) and the workflow was altered to improve processes. Electronic medical records of …
Improving Provider Adherence To Guidelines In Addressing Childhood Overweight And Obesity In A Primary Care Setting, David Hernandez
Improving Provider Adherence To Guidelines In Addressing Childhood Overweight And Obesity In A Primary Care Setting, David Hernandez
Doctor of Nursing Practice
The purpose of the quality improvement project was to improve BMI measurement, screening, identification, documentation, and assessment of childhood overweight and obesity among children ages 3 to 18 years old in a primary care setting. Primary care providers continue to fail to address childhood overweight and obesity and have a positive impact on this issue. Delay in early identification and assessment of childhood obesity and overweight may affect patients’ qualify of life and the efficiency of health care. Over the last 30 years, the rates of childhood overweight and obesity have consistently escalated despite the existence of recommended guidelines and …
Improving Transitions Of Care From Hospital To Community Provider For Patients With Type Ii Diabetes Mellitus, Laura Dale Thompson
Improving Transitions Of Care From Hospital To Community Provider For Patients With Type Ii Diabetes Mellitus, Laura Dale Thompson
Doctor of Nursing Practice
Poorly coordinated care transitions result in nearly half of discharged patients’ experiencing at least 1 medication error and 1 in 5 Medicare beneficiaries readmitted within 30 days. Repercussions of suboptimal transitions of care greatly impact the nation’s economy costing between $12 billion and $44 billion annually. Ineffective handoffs between providers at hospital discharge contribute to suboptimal patient outcomes; therefore, strategies to improve transitions of care are necessary to provide quality care while decreasing health care expenditure. A quality improvement project was conducted on an inpatient surgical unit to decrease hospital readmissions and emergency department visits. Proposed interventions for patients with …
Improving Foot Care And Kidney Disease Screening Through Implementation Of American Diabetes Association Standards–2016 In The Primary Care Setting, Maricela Hernandez
Improving Foot Care And Kidney Disease Screening Through Implementation Of American Diabetes Association Standards–2016 In The Primary Care Setting, Maricela Hernandez
Doctor of Nursing Practice
The purpose of this quality improvement project was to increase adherence to the American Diabetes Association Standards of Medical Care in Diabetes—2016 recommendations for foot care and kidney disease screening for patients with diabetes mellitus type II in a primary care setting. Diabetes mellitus type II affects approximately 18.9-19.9 million, or 90-95%, of all diagnosed cases in the United States. Early detection and management decrease the risk of developing microvascular complications that may lead to neuropathy and nephropathy. Adults with diabetes mellitus type II, 20 years of age and older, accounted for approximately 73,000 non-traumatic lower-extremity amputations in 2011. Diabetes …
Improving The Assessment And Care Management Of Patients With Diabetes At Risk For Foot Ulcers And Amputations, Karen Architect
Improving The Assessment And Care Management Of Patients With Diabetes At Risk For Foot Ulcers And Amputations, Karen Architect
Doctor of Nursing Practice
Purpose: To implement guidelines set in 2016, by the American Diabetes Association (ADA), which recommend annual and periodic foot exams for patients with type II diabetes mellitus (T2DM). Background: Uncontrolled diabetes and foot complications can lead to permanent disability, loss of employment often leading to depression and increased morbidities (Szpunar, Minnick, Dako, & Saravolatz, 2014). Significance of Problem: Individuals who are diagnosed with diabetes are at risk for foot ulcers and amputations if not properly managed. Implementation of a foot screening program has been shown to reduce foot ulcers and amputations (Peterson & Virden, 2013). Methods: Annual and periodic foot …
Improving The Adherence Of Providers To The American Academy Of Sleep Medicine Guidelines For The Evaluation, Treatment, And Management Of Obstructive Sleep, Heather Miles
Doctor of Nursing Practice
The purpose of this project is to increase the adherence of clinic providers to the American Academy of Sleep Medicine’s Clinical Guidelines for the Evaluation, Management, and Longterm Care of Obstructive Sleep Apnea in Adults. OSA is a chronic condition that effects from 2% to 10% of the U.S. adult population. Implications of undiagnosed OSA include excessive daytime sleepiness, fatigue, irritability, difficulty controlling chronic diseases including diabetes and hypertension, heart arrhythmias, gastroesophageal reflux disease, mood disorders, attention deficit disorder, and an increased potential for dementia if left untreated. A protocol was created to align providers with the clinical guidelines. Provider …