Medicine and Health Sciences Commons^™

Utilizing Radiofrequency Identification Technology To Improve Safety And Management Of Blood Bank Supply Chains, Alberto Coustasse, Pamela Meadows, Robert S. Hall, Travis Hibner, Stacie Deslich

Pamela Meadows

The importance of efficiency in the supply chain of perishable products, such as the blood products used in transfusion services, cannot be overstated. Many problems can occur, such as the outdating of products, inventory management issues, patient misidentification, and mistransfusion. The purpose of this article was to identify the benefits and barriers associated with radiofrequency identification (RFID) usage in improving the blood bank supply chain. Materials and Methods: The methodology for this study was a qualitative literature review following a systematic approach. The review was limited to sources published from 2000 to 2014 in the English language. Sixty-five sources were …

Utilizing Radiofrequency Identification Technology To Improve Safety And Management Of Blood Bank Supply Chains, Alberto Coustasse, Pamela Meadows, Robert S. Hall, Travis Hibner, Stacie Deslich

Alberto Coustasse, DrPH, MD, MBA, MPH

The importance of efficiency in the supply chain of perishable products, such as the blood products used in transfusion services, cannot be overstated. Many problems can occur, such as the outdating of products, inventory management issues, patient misidentification, and mistransfusion. The purpose of this article was to identify the benefits and barriers associated with radiofrequency identification (RFID) usage in improving the blood bank supply chain. Materials and Methods: The methodology for this study was a qualitative literature review following a systematic approach. The review was limited to sources published from 2000 to 2014 in the English language. Sixty-five sources were …

Addressing A Need: Applying Classroom Knowledge And Skills In A National Pharmacy Chain, Evan Schmidt, Phu Vo

Purdue Journal of Service-Learning and International Engagement

Evan Schmidt and Phu Vo, third-year PharmD students in the Purdue College of Pharmacy describe their experiences at Walgreens Pharmacy in Lafayette, Indiana, as part of taking the Safety and Service-Learning elective at Purdue. The students discuss the potential impact they can have by utilizing their knowledge to address a need in a national pharmacy chain, as well as what they took away from the experience.

Mobile-Based Sidewalk Inventory App For Smart Communities, Health, And Safety, Madhav Erraguntla, Dursun Delen, Rupesh K. Agrawal, Karthic Madanagopal, Richard Mayer

Suburban Sustainability

As the United States and other nations strive to cope with the obesity epidemic (NCHS, 2015), progressive communities are developing sidewalk infrastructure to promote physical activity and health. The Center for Disease Control (CDC) recommends that community-based interventions like neighborhood walk, bike programs etc. have shown to be effective in promoting physical activity and health. Smart cities are embracing the development of community trails and promoting their use to increase physical activity among youth and adults. System implementation, data collection, and analysis were performed from January 2015 through July 2015. To promote these objectives, communities and cities need accurate information …

Layla, Layla, Tsos

TSOS Interview Gallery

Layla left Ethiopia 10 years ago to look for work opportunities. She left behind a father and three brothers. She went to Syria on a three-year work contract. She worked in a house and learned Arabic. She then went to Turkey by boat and then went on to Greece for 5 years. She worked and learned the Greek language. When she became pregnant she had to stop working. She travelled to Serbia to Macedonia to Austria all on foot. Then the Red Cross moved Layla and her daughter to Giessen, Germany where a roommate periodically beat her baby. Seeking safety …

Outdoor Leisure Occupation: The Impact Of Women’S Fear Of Violence On Engagement And Enjoyment, Jaclyn Bria, Sophia Kon, Malia Norman, Alina Pulfrey, Zachary Schafer, Heather Miller-Kuhaneck

Occupational Therapy Graduate Publications

Limited research examines the types of outdoor leisure that women like to do and the specific impact of fear for safety on their engagement in and enjoyment of outdoor leisure occupations.

Fall Risk Reduction Using Lifestyle-Integrated Functional Exercise (Life), Kayla Comer, Tiffany Huang, Kelly Schmidt, Matthew Tong

Student Research Posters

As the population and longevity of older adults’ increases, the prevalence of falls is becoming an ever-growing issue. One in three adults aged 65 years and older experience a fall each year. Falls in older adults may lead to sedentary behavior, decreased independence, and lower quality of life. Evidence has shown that traditional exercise programs emphasizing strength and balance exercises can decrease the fall risk in older adults, but may be difficult to sustain over time. Emerging evidence suggests that exercises that are integrated into daily life may have a more lasting effect in reducing fall risk in older adults. …

A Clinico-Pathological Study Of The Structural And Functional Changes In The Retina And Optic Nerve Following Diabetic Retinopathy Treatments, Richard Filek

Electronic Thesis and Dissertation Repository

Diabetic retinopathy (DR) is the result of microvascular changes in the retina due to hyperglycemia which alter the blood-retinal barrier (BRB). The increased permeability of BRB results in the accumulation of extracellular fluid, the development of diabetic macular edema (DME) and capillary occlusion. Capillary occlusion results in retinal ischemia which increases vascular endothelial growth factor (VEGF) levels, increases vascular permeability and results in neovascularization in proliferative diabetic retinopathy (PDR) patients. The treatments clinically used for DR are panretinal photocoagulation (PRP) for PDR and injectable vascular endothelial growth factor inhibitors (anti-VEGFs) for DME.

The safety of PRP and anti-VEGF therapy on …

Monitoring Patient Safety In The Recovery Room, Gail Davis

Dissertations

Respiratory depression is a serious complication after surgery. Early detection is a major patient safety concern for recovery room personnel as patients recover from anesthesia and experience pain. The opioids used for pain management may contribute to over-sedation effects and respiratory depression. Vital signs and pulse oximetry are standard postoperative monitoring procedures. End-tidal capnography and arterial blood gases may augment the standard-of-care procedures but may not be effective at detecting early respiratory depression. The purpose of this study was to generate baseline data trending patient safety variables and outcomes for postoperative patients using standard monitoring with standard-of-care plus transcutaneous capnography …

Solar Stove, Julia Strange (Interior Design), Alaina Mcihenney (Physicians Assistant), Zachary Quain (Industrial Design), Adam Beauchner (Industrial Design), Irene Ghattas (Occupational Therapy)

Nexus Maximus

PEOPLE'S CHOICE AWARD WINNER!

We designed a solar powered hot plate that also functions as a light source. This allows refugees to cook food without burning wood or using toxic fuels and provides a portable light source.

Nexus Maximus IV

The Challenge: Innovation for Refugees and Displaced Populations

One of the great challenges of our time is how to help refugees and displaced populations, and how to prevent the causes in the first place. Every minute, 24 people around the world are forced to flee their homes. That’s 34,000 people a day who leave everything behind in the hope of …

Preventing Horse-Related Injuries By Watching Out For Other Humans, William R. Gombeski Jr., Fernanda C. Camargo, Holly Wiemers, Connie Jehlik, Polly Haselton Barger, James Mead

Animal and Food Sciences Faculty Publications

The more one rides or handles horses, the more likely one is to have a horse-related injury. These injuries are caused by many factors, including those generated by other riders, handlers or spectators. An analysis of 266 cases of injured equestrians showed that 16% of those injuries were caused by other humans. A panel of horse riding safety experts felt 63% were preventable, and the injured individuals themselves felt 51% were preventable. The study findings suggest that increased awareness of the role others play in causing horse-related injuries and increased education about common people-caused injuries could reduce the number of …

Pediatric Nurses' Perspectives On Medication Teaching In A Children's Hospital, Cori A. Gibson, Ashley Stelter, Kristin Haglund, Stacee M. Lerret

College of Nursing Faculty Research and Publications

Purpose

To explore inpatient pediatric nurses' current experiences and perspectives on medication teaching.

Design and Methods

A descriptive qualitative study was conducted at a Midwest pediatric hospital. Using convenience sampling, 26 nurses participated in six focus groups. Data were analyzed in an iterative group coding process.

Results

Three themes emerged. 1) Medication teaching is an opportunity. 2) Medication teaching is challenging. Nurses experienced structural and process challenges to deliver medication teaching. Structural challenges included the physical hospital environment, electronic health record, and institutional discharge workflow while process challenges included knowledge, relationships and interactions with caregivers, and available resources. 3) Medication …

Assessment Of Safety Measures In Hemodialysis Units In Qalyubia Governorate, Hany S. El Barbary, Mahmoud Abd El Aziz Kora, Said S. Ahmed Khamis, Sameh M. Gharib

Menoufia Medical Journal

Objective The objective of this study was to assess the infection-control measures that are considered one of the most important factors that threaten the safety of the patients and all workers in hemodialysis units. Background Patients undergoing hemodialysis are at risk for multiple infections, and preventing these infections in this high-risk population is a national priority. Patients and methods Nineteen hemodialysis units in Qalyubia Governorate were included in a descriptive study. A questionnaire was developed to assess infection-control measures in units. Results Most of the units studied were clean in general. Most dialysis units had enough basins, soap, and disinfectants …

An Update On The Opioid Epidemic: Perception Vs. Reality, Nicholas E. Hagemeier

ETSU Faculty Works

No abstract provided.

Improving The Quality Of Bedside Shift Report Behavior: Implementing A Standardized Bedside Report Tool On The Medical-Surgical Floor At Woodland Healthcare, Amanda Waggoner

Master's Projects and Capstones

Abstract

Nursing handoff communication at change-of-shift is a frequent, yet highly essential nursing responsibility that lays the foundation for providing care that is safe and consistent (Grimshaw, Hatch, Willard, & Abraham, 2016). A microsystem assessment conducted on the medical-surgical unit at Woodland Healthcare (WHC) utilizing the 5P’s (Purpose, Patients, Professionals, Processes, Patterns) revealed that only 6% of twelve hour night shift nurses were performing a quality BSR and 40% of twelve hour day shift nurses reported feeling satisfied with shift report. Additionally, three reportable events occurred as a result communication related errors which led to increased spending on behalf of …

Readiness For Improving Safe Care Delivery Through Web-Based Hospital Nurse Scheduling & Staffing Technology: A Multi-Hospital Approach, Lisa Massarweh

Doctor of Nursing Practice (DNP) Projects

Hospital scheduling and staffing practices are linked to patient safety, nurse satisfaction, and cost outcomes (Steege & Rainbow, 2017). Staffing, while complex, is ultimately central to the overall success of the hospital. Demands to eliminate events that cause death or serious harm, produce high patient satisfaction scores while maximizing workforce productivity, test any administrator’s skillset. Providing qualified staff in the right place at the right time can be challenged by restrictive union contracts, variable patient acuities, staff attendance, and mandated staffing ratios. These demands may lead to overtime utilization. There is a growing understanding of the negative effects of healthcare …

Computer Administered Safety Planning For Individuals At Risk For Suicide: Development And Usability Testing, Edwin D. Boudreaux, Gregory K. Brown, Barbara Stanley, Rajani S. Sadasivam, Carlos A. Camargo Jr, Ivan W. Miller

Rajani S. Sadasivam

BACKGROUND: Safety planning is a brief intervention that has become an accepted practice in many clinical settings to help prevent suicide. Even though it is quick compared to other approaches, it frequently requires 20 min or more to complete, which can impede adoption. A self-administered, Web-based safety planning application could potentially reduce clinician time, help promote standardization and quality, and provide enhanced ability to share the created plan. OBJECTIVE: The aim of this study was to design, build, and test the usability of a Web-based, self-administered safety planning application. METHODS: We employed a user-centered software design strategy led by a …

Combating Workplace Violence: An Evidence Based Initiative, Diana L. Giordano

Evidence-Based Practice Project Reports

Patient/visitor violence against healthcare (HC) employees is a type of workplace violence (WPV) and considered a dangerous hazard within HC occupations (Bureau of Labor Statistics, 2015). Lack of recognition of the true incidence and underreporting of WPV may contribute to a false sense of security within a HC facility (HCF). Therefore, fully addressing the problem may be met with administrative resistance, resulting in poor employee perceptions of support and commitment for a zero-violence environment. A retrospective analysis was conducted on the HCF’s online incident reports, security request calls, and data from a previously deployed WPV employee survey. The emergency department …

Evaluating The Safety And Efficacy Of Classical Greek And Roman Treatments Compared To Modern Treatment, Morgan A. Wynes

Senior Honors Projects

Classical Greek and Roman civilizations survived for centuries and have greatly influenced the civilizations that have succeeded them. The treatments of diseases of both civilizations changed over time as physicians and philosophers such as Hippocrates and Galen developed a better understanding of the human body. Some of the treatments for disease used in ancient Greece and Rome remain in use today.

This project was designed to assess the safety and efficacy of classical Greek and Roman medicinal treatments and compare them to modern day treatments. The first step of the project was to identify classical diseases with telltale symptoms that …

Application Of The Patient Checklist Tool In Anesthesia Handoffs, Theresa Durley

DNP Scholarly Projects

Accurate and essential communication is required during the transfer of patient care from one health care provider to another. Communication errors during the handoff process have been identified as contributing factors in sentinel events. There is a plethora of literature supporting a standardized transfer of care process as well as several accepted handoff communication tools for the various units within a healthcare institution. However, in the anesthesia domain, there is currently only one protocol specifically created for the transfer of patient care between certified registered nurse anesthetists (CRNAs). The PATIENT protocol, created by Dr. Suzanne M. Wright, CRNA, PhD (2013) …

Evaluation Of Evidence Of Adrenal Insufficiency In Trials Of Normocortisolemic Patients Treated With Mifepristone., Kevin C J Yuen, Andreas Moraitis, Dat Nguyen

Articles, Abstracts, and Reports

Context: Adrenal insufficiency (AI) is an important medical concern for clinicians when normocortisolemia is achieved during treatment of endogenous Cushing syndrome (CS).

Objective: To examine symptoms of potential AI in a large population of normocortisolemic patients without CS treated with mifepristone, a glucocorticoid receptor antagonist indicated for the treatment of patients with CS.

Methods: We conducted a pooled safety analysis of five phase 3, placebo-controlled clinical trials of normocortisolemic adults without CS but diagnosed with psychotic depression (n = 1460). Patients were treated with once-daily mifepristone 300 mg (n = 110), 600 mg (n = 471), or 1200 mg (n …

Safety And Improvement Of Movement Function After Stroke With Atomoxetine: A Pilot Randomized Trial, Andrea Ward, Cheryl Carrico, Elizabeth Powell, Philip M. Westgate, Laurie Nichols, Anne Fleischer, Lumy Sawaki

Physical Medicine and Rehabilitation Faculty Publications

Background: Intensive, task-oriented motor training has been associated with neuroplastic reorganization and improved upper extremity movement function after stroke. However, to optimize such training for people with moderate-to-severe movement impairment, pharmacological modulation of neuroplasticity may be needed as an adjuvant intervention.

Objective: Evaluate safety, as well as improvement in movement function, associated with motor training paired with a drug to upregulate neuroplasticity after stroke.

Methods: In this double-blind, randomized, placebo-controlled study, 12 subjects with chronic stroke received either atomoxetine or placebo paired with motor training. Safety was assessed using vital signs. Upper extremity movement function was assessed using Fugl-Meyer Assessment, …

Assessment Of Current Occupational Safety And Health Regulations And Legislation In The Caribbean, Muge Akpinar-Elci, Myngoc Nguyen, Marvin Randall, Satesh Bidaisee, Omur Elci, Olaniyi Olayinka

Center for Global Health Publications

Neglecting occupational safety and health (OSH) can have adverse and even deadly consequences. While OSH is important in any nation, the issue is particularly concerning in developing countries, including ones in the Caribbean. The purpose of this study, which was carried out in 2012 and 2013, was to examine the reasons for an apparent fundamental lack of awareness of OSH in the Caribbean. We conducted a descriptive study, in which a questionnaire was administered, via telephone, to key policy-making representatives from six English-speaking Caribbean nations, in order to assess the current OSH environment in their countries. We also did a …

Is Tooth Bleaching Really Safe?, Yehoshua Krasnow

The Science Journal of the Lander College of Arts and Sciences

The field of cosmetic dentistry emerged when people began to realize the importance of a good smile. Stains on teeth were no longer deemed acceptable with the advent of cheap and safe procedures like tooth bleaching. This new procedure replaced the older, more costly and invasive method of laminated veneers and crowns. The chemistry behind this bleaching occurs via unstable hydroxyl radicals and thus the question arose as to how safe this accepted procedure really is. The purpose of this paper is to analyze the negative ramifications of tooth bleaching and to determine if it’s truly safe. The null hypothesis …

Effective Communication And Teamwork Improve Patient Safety, Helene M. Anderson

Walden Dissertations and Doctoral Studies

Work environment influences the effectiveness of care for patients in any healthcare setting. It is even more important in settings such as the neonatal ICU (NICU) where this project took place. When the environment is not healthy, communication may suffer and result in poor patient outcomes and, family, patient, and staff dissatisfaction. The purpose of this quality improvement project was to understand how the implementation of the TeamSTEPPS program, for nurses in the NICU, could impact the safety culture as measured by the AACN Healthy Work Environment (HWE) tool. Lewin's professional practice change theory and the AHRQ change model were …

Leadership Practices That Improve The Workplace Safety Environment, Nathan Nomore Chikono

Walden Dissertations and Doctoral Studies

Inadequate leadership is the reason workplace accidents in the mining industry remain high, making the industry one of the most hazardous operational activities in the world. Unsafe leadership practices may result in death or injury to workers. A group of 30 mining company leaders from 3 gold mines in Zimbabwe revealed an exception to these hazardous practices, however, notable through their outstanding safety improvement records. To better understand what these practitioners were doing, this multicase study research design explored their strategies to improve the workplace safety environment in the mines. Data were collected using audio-recorded semistructured interviews and document analyses. …

Microvascular Tissue Transfers In The Elderly: Safety Analysis For A Challenging Area, Ali̇ Emre Aksu, Gali̇p Gencay Üstün, Ozan Bi̇ti̇k, Murat Kara, Ahmet Hamdi̇ Sakarya, Tunç Şafak

Turkish Journal of Medical Sciences

Background/Aim: Due to increased average life expectancy, the number of elderly patients requiring complex reconstructive microsurgical procedures is rising. Age, comorbid conditions, and location of operation are all possible risk factors. The aim of this study is to evaluate surgical outcomes to set the right criteria. Materials and methods: Between 1996 and 2014, the data of 30 patients over the age of 70, who were treated with microsurgical techniques in our clinic, were extracted from patient records and analyzed retrospectively. Results: In this patient population, flap success rate was 94%. Systemic and surgical complication rates were 40% and 48%, respectively. …

Safety And Improvement Of Movement Function After Stroke With Atomoxetine: A Pilot Randomized Trial, Andrea Ward, Cheryl Carrico, Elizabeth Powell, Philip M. Westgate, Laurie Nichols, Anne Fleischer, Lumy Sawaki

EKU Faculty and Staff Scholarship

BACKGROUND:

Intensive, task-oriented motor training has been associated with neuroplastic reorganization and improved upper extremity movement function after stroke. However, to optimize such training for people with moderate-to-severe movement impairment, pharmacological modulation of neuroplasticity may be needed as an adjuvant intervention.

OBJECTIVE:

Evaluate safety, as well as improvement in movement function, associated with motor training paired with a drug to upregulate neuroplasticity after stroke.

METHODS:

In this double-blind, randomized, placebo-controlled study, 12 subjects with chronic stroke received either atomoxetine or placebo paired with motor training. Safety was assessed using vital signs. Upper extremity movement function was assessed using Fugl-Meyer Assessment, …

Appraising The Current Status Of The National Institute For Occupational Safety And Health's Fatality Assessment Control Evaluation Program, Douglas Schwindt

Online Theses and Dissertations

Today, generally 13 U.S. workers die from workplace injuries. In 1970 on average, there were as many as 38 workplace fatalities on each day (DOL 2016). As a response to this alarming reality, the government enacted the Occupational Safety and Health Act in 1970. This governmental legislation created the Occupational Safety and Health Administration to regulate safety in the workplace; as well as, The National Institute of Occupational Safety and Health who was charged with "developing new knowledge in the field of occupational safety and health and to transfer that knowledge into practice" (CDC NIOSH 2017).

In order to understand …

The Heinrich Model: Determining Contemporary Relevance, Bryan P. Basford

Online Theses and Dissertations

For as long as his work has been at the core of the safety profession, Herbert William Heinrich has been a staple of debate. His 1931 work Industrial Accident Prevention: A Scientific Approach has sparked worldwide debate on the effectiveness or ineffectiveness of his safety theories, as well as the accuracy or inaccuracy of his research and methods.

Heinrich's work is undoubtedly cited time and again as the foundational teaching for behavior-based safety, as well as countless other teachings in the safety profession as a whole. Despite the continued challenges to the validity of his work, there has been little …