University of St. Augustine for Health Sciences
University of North Florida
Trillium Health Partners
Massachusetts General Hospital
Clinical Operations Group, HCA Healthcare
A Hapi Reduction Qi Project: Don't Leave Your Patient In S.H.A.M.B.L.E.S,
2023
Providence WA/MT
A Hapi Reduction Qi Project: Don't Leave Your Patient In S.H.A.M.B.L.E.S, Anissa Guzman, Ashlee Garcia, Valerie Lindsay
Articles, Abstracts, and Reports
No abstract provided.
Improving Diabetes Management For School Health Workers Using A Live, Virtual Training Course,
2023
Baylor College of Medicine/Texas Children's Hospital
Improving Diabetes Management For School Health Workers Using A Live, Virtual Training Course, Bonnie Mccann-Crosby, Lisa Setchfield, Yvonne Barham, Dawn Espinosa, Jennifer Bailey, Beth Pali, Amanda Garey, Sarah Lyons, Rona Sonabend
Journal of Nursing & Interprofessional Leadership in Quality & Safety
Background: Type 1 diabetes is one of the most common chronic diseases in childhood. Optimal school nurse and staff education is critical to creating a safe learning environment and influencing long term outcomes of students with type 1 diabetes. The purpose of this project was to develop a virtual continuing education diabetes management course for school health workers to improve their knowledge of diabetes management and evaluate the effectiveness of the learning platform.
Methods: A total of 199 participants completed the live, virtual continuing education course. Participants completed a pre and post-test to assess improvements in the key learning objectives …
Geriatric Depression Screening And Chief Complaint: What Is The Risk For 30- And 90-Day Readmission?,
2023
Oakland University William Beaumont School of Medicine Rochester, MI
Geriatric Depression Screening And Chief Complaint: What Is The Risk For 30- And 90-Day Readmission?, Eric James, Joan Michelle Moccia, Victoria Lucia
Journal of Geriatric Emergency Medicine
Abstract
Background:
Readmission to the hospital within 30-days has a high cost and represents a gap in care for older adults. Older adults are at significant risk for depression, particularly given their medical comorbidities and social factors such as isolation due to SARS-CoV-2. Many patients who screen positive for depression may have no known history of depression. This investigation examines the relationship between a positive geriatric depression screen and chief complaint as a function of 30- and 90-day readmission risk.
Methods:
We examined the electronic medical record of 329 older adults aged 65 and older from February 1, 2020, to …
Improving Employee Engagement Scores With Strategically Focused Improvement Coaching,
2023
Maine Medical Center
Improving Employee Engagement Scores With Strategically Focused Improvement Coaching, Suneela Nayak, Natalia Johnson, Rebecca Brookes, Jessica Ladd, Meghan Flaherty, Mark Parker
Operational Excellence
Every three years, Maine Medical Center releases a Strategic Plan outlining high level priorities. This guides decision making, resource allocation and invited a call to action for engaged participation from providers and staff. Operational Excellence at MMC is leveraging a stable Daily Management System to strengthen strategy deployment by coaching teams and leaders to link local improvement initiatives with high level strategic priorities.
Leveraging The Operational Excellence Platform For Improvement: Strengthening Culture Of Safety,
2023
Maine Medical Center
Leveraging The Operational Excellence Platform For Improvement: Strengthening Culture Of Safety, Rebecca Brookes, Suneela Nayak, Natalia Johnson, Risk And Patient Safety
Operational Excellence
Senior leaders drive the culture change by demonstrating their own commitment to safety and providing the resources to achieve results. Their consistent and sustained messages about safety help advance a culture of safety 1. Even with many efforts to improve patient safety, harm events continue to occur, challenging us to innovate additional ways to safeguard patients in our care. The Operational Excellence (OpEx) platform for improvement at Maine Medical Center (MMC) is well positioned to strengthen the Culture of Safety at Maine Medical Center (MMC) by leveraging the mechanism of established Daily Gemba Walks. During each Gemba Walk, leaders …
Implementing A Pressure Ulcer Bundle,
2023
University of Tennessee, Knoxville
Implementing A Pressure Ulcer Bundle, Amy D. Johnson, Pamela Hardesty, Janice Zimmer, Patricia Moore
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Background: A quality improvement DNP project in a rural southern hospital was implemented to improve hospital-acquired pressure ulcers by implementing an evidence-based pressure ulcer prevention policy and education. Framework: The Evidence-Based Practice framework utilized in the project's development, implementation, and evaluation was the John Hopkins Evidence-based Practice Model. Local Problem: The hospital had no pressure ulcer bundle in place. Design: Quality improvement project utilizing the plan-do-study-act cycle. Methods: An educational presentation on pressure ulcers and the steps to implement a bundle. A pre-and post-test using Pieper's Pressure Ulcer Knowledge Test, modified from Agency for Healthcare Research and Quality (AHRQ) website. …
A Retrospective Chart Review Analyzing The Relationship Between Blood Pressure Rechecks And Polypharmacy,
2023
Wayne State University
A Retrospective Chart Review Analyzing The Relationship Between Blood Pressure Rechecks And Polypharmacy, Callie M. Bartkowiak, Meghan K. Gwinn, Danielle Heidemann
Medical Student Research Symposium
ABSTRACT BODY:
Background: Hypertension (HTN) affects nearly 80 million people in the United States. A patient’s blood pressure (BP) measurement may influence the number of antihypertensives prescribed. Providers often do not recheck BP when a patient’s measurement is elevated despite research supporting that remeasuring may result in a significant decrease in BP. We hypothesized that patients who have BP remeasured in clinic would have lower BP values and thus less antihypertensive medication. In our academic general internal medicine (GIM) clinic, providers are encouraged to manually repeat BP if elevated on vitals taken by medical assistants using an automated cuff at …
The Association Of Foreign Phi On Ame & Death,
2023
Medical University of South Carolina
The Association Of Foreign Phi On Ame & Death, Larry Norman
MUSC Theses and Dissertations
Background: Recent data shows at least 1.5 million people are affected by adverse medication events (AME) every year. The purpose of this study is to see if increased use of FPHI is associated with lower instances of AME’s and lower mortality rates for hospitals.
Methods: Using a retrospective analysis and logistic regression, this study examines the relationship between IT use and quality. Specific metrics include AMEs and mortality rates in hospitals in the United States. Demographic data are used to control for confounders, CPT, DRG, and AHRQ questions are used as classifying variables for High IT utilization.
Results: Unadjusted rates …
Patterns Of Care Partner Communication For Persons Living With Dementia In The Emergency Department,
2023
Department of Emergency Medicine, Beth Israel Deaconess Medical Center
Patterns Of Care Partner Communication For Persons Living With Dementia In The Emergency Department, Adrian D. Haimovich, Aidan Gilson, Evangeline Gao, Ling Chi, Cameron J. Gettel, Mara Schonberg, Ula Hwang, Richard A. Taylor
Journal of Geriatric Emergency Medicine
Abstract
Background:
Nearly half of all persons living with dementia (PLwD) will visit the emergency department (ED) in any given year and ED visits by PLwD are associated with short-term adverse outcomes. Care partner engagement is critical in the care of PLwD, but little is known about their patterns of communication with ED clinicians.
Methods:
We performed a retrospective electronic health record (EHR) review of a random sampling of patients ≥ 65 years with a historical diagnosis code of dementia who visited an ED within a large
regional health network between 1/2014 and 1/2022. ED notes within the EHRs were …
Indication Of Mobility Aids And Training Of Older Patients In A Geriatric Emergency Department: Abiding By International Guidelines,
2023
Hospital Sírio-Libanês, São Paulo, Brazil
Indication Of Mobility Aids And Training Of Older Patients In A Geriatric Emergency Department: Abiding By International Guidelines, Mario C. De Andrade Junior, Christian V. Morinaga, Christina M M Brito, Igor G. Moraes, Wellington P. Yamaguti, Pedro K. Curiati
Journal of Geriatric Emergency Medicine
Falls are the main cause of injuries, hospitalization, and loss of functionality among adults over 65 years of age. Thus, proper indication of assistive gait devices should be part of multidimensional fall prevention. However, many patients receive little or no professional assistance when selecting a mobility aid, and inadequate selection and use can result in a poor gait pattern.
All patients admitted to our emergency department (ED) undergo a medical evaluation, in which, based on their clinical condition, the protocol for indication and training in the use of walking aids can be triggered. Patients need to be clinically stable and …
Venous Leg Ulcers: An Analysis Of Nursing Knowledge,
2023
Abilene Christian University
Venous Leg Ulcers: An Analysis Of Nursing Knowledge, Shelia Moore-Miller
Electronic Theses and Dissertations
This project evaluated the knowledge level of wound center nursing staff on venous leg ulcer etiology and treatments after an educational intervention. To determine the effectiveness of the educational intervention, participants completed a pretest and posttest evaluation. Venous leg ulcers (VLUs) are chronic lower extremity ulcers affecting older Americans. VLUs are painful and negatively affect activities of daily living. Inadequate VLU treatment can become an infectious process that can ultimately threaten limb existence. A quantitative, quasi-experimental study was conducted over three weeks in a hospital-based wound care center in central Florida. The theoretical framework applied to this project is Lydia …
Measuring The Patient Safety Culture At A Tertiary Care Hospital In Pakistan Using The Hospital Survey On Patient Safety Culture (Hsopsc),
2023
University Hospitals Cleveland Medical Center, United States
Measuring The Patient Safety Culture At A Tertiary Care Hospital In Pakistan Using The Hospital Survey On Patient Safety Culture (Hsopsc), Fasih Ali Ahmed, Fozia Asif, Tahir Munir, Sohail Haleem, Zehra Feroze Ali, Asim Belgaumi, Hasnain Zafar, Asad Latif
Department of Anaesthesia
Background: Patient safety is a top priority for many healthcare organisations worldwide. However, most of the initiatives aimed at the measurement and improvement of patient safety culture have been undertaken in developed countries. The purpose of this study was to measure the patient safety culture at a tertiary care hospital in Pakistan using the Hospital Survey on Patient Safety Culture (HSOPSC).
Methods: The HSOPSC was used to measure the patient safety culture across 12 dimensions at Aga Khan University Hospital, Karachi. 2,959 individuals, who had been working at the hospital, were administered the HSOPSC in paper form between June and …
Geriatric Emergency Departments As Laboratories For Innovation,
2023
University of Wisconsin-Madison
Geriatric Emergency Departments As Laboratories For Innovation, Brian W. Patterson, Manish N. Shah
Journal of Geriatric Emergency Medicine
n/a for editorial
A Quality Improvement Project: An Educational Program For Nurses To Improve The Care For Patients Diagnosed With Alcohol Withdrawal Syndrome,
2023
Providence
A Quality Improvement Project: An Educational Program For Nurses To Improve The Care For Patients Diagnosed With Alcohol Withdrawal Syndrome, Daniel Davidson, Teresa Rangel, Kallie Anderson, Tobi Bryan, Cassie Baune
Providence Nursing Research Conference 2023 – Present
No abstract provided.
Sulopenem For The Treatment Of Complicated And Uncomplicated Bacterial Urinary Tract Infection (Uti),
2023
Roseman University of Health Sciences
Sulopenem For The Treatment Of Complicated And Uncomplicated Bacterial Urinary Tract Infection (Uti), Aiyi Chen, Thanh-Liem Vu, Daniel J. Yang, Landon Olsen
Annual Research Symposium
No abstract provided.
Clinical Effects Of Lactobacillus Reuteri Probiotic In The Treatment Of Chronic Periodontitis: A Systematic Review Of Randomized Controlled Trials,
2023
Roseman University of Health Sciences
Clinical Effects Of Lactobacillus Reuteri Probiotic In The Treatment Of Chronic Periodontitis: A Systematic Review Of Randomized Controlled Trials, Josephine Ram, Shilpa Bhandi, Kamran H. Awan, Frank Licari, Shankargouda Patil
Annual Research Symposium
No abstract provided.
Post-Partum Depression (Ppd) Screening Tools Effectiveness In Refugee Populations,
2023
Roseman University of Health Sciences
Post-Partum Depression (Ppd) Screening Tools Effectiveness In Refugee Populations, Joshua Jensen
Annual Research Symposium
Purpose:
Immigrant mothers check all the boxes that are significant risk factors for developing or exacerbating Postpartum Depression (PPD). These risk factors include, suffering in solitude, cultural conceptualizations, barriers to help seeking, and a lack of facilitators to help seeking. Despite this very little research has been done to find effective screening methods for this population.
The purpose of this research project is to compile the works of those before me to determine whether the Edinburgh Postnatal Depression or the PHQ 9 screening tool is the most effective for immigrant mothers.
Methods:
Research determining the effectivity of the two tests …
Examination Of Geriatric Care Processes Implemented In Level 1 And Level 2 Geriatric Emergency Departments,
2023
Massachusetts General Hospital
Examination Of Geriatric Care Processes Implemented In Level 1 And Level 2 Geriatric Emergency Departments, Ilianna Santangelo, Surriya Ahmad, Shan Liu, Lauren Southerland, Christopher Carpenter, Ula Hwang, Adriane Lesser, Nicole Tidwell, Kevin Biese, Maura Kennedy
Journal of Geriatric Emergency Medicine
Background: Older adults constitute a large and growing proportion of the population and have unique care needs in the emergency department (ED) setting. The geriatric ED accreditation program aims to improve emergency care provided to older adults by standardizing care provided across accredited geriatric EDs (GED) and through implementation of geriatric-specific care processes.
Objective: The purpose of this study was to evaluate select care processes at accredited level 1 and level 2 GEDs.
Methods: This was a cross-sectional analysis of a cohort of level 1 and level 2 GEDs that received accreditation between May 7, 2018 and …
Time Is Brain: How A Descriptive Analysis Of Telestroke Metrics Can Improve Program Performance,
2023
Medical University of South Carolina
Time Is Brain: How A Descriptive Analysis Of Telestroke Metrics Can Improve Program Performance, Christopher Cordero
MUSC Theses and Dissertations
In the event of an acute ischemic stroke, 1.9 million neurons are lost in the brain per minute. Since the inception of thrombolytic therapy and mechanical thrombectomy as effective tools in the treatment of acute ischemic stroke, the focal point of quality improvement in this field has become the time to treatment delivery. As rural and more interspersed environments exhibit high disability and mortality rates associated with these acute neurological conditions, inequities in timely care delivered to these patient populations persist. Limitations in access are now abated by the extension of neurologist expertise into these areas via Telestroke. This study …
Mapping The Opal Score For Clinical Trials To Coordinator Hours: A Single Site Study,
2023
Medical University of South Carolina
Mapping The Opal Score For Clinical Trials To Coordinator Hours: A Single Site Study, Kesley Tyson
MUSC Theses and Dissertations
Workload assessments help provide validation to increase staff, evaluate and ensure equal distribution of work, and assist with budget justifications. The Ontario Protocol Assessment Level (OPAL) is one of the most widely used protocol assessment tools. This study mapped an adapted OPAL score for clinical trials to actual coordinator hours from a single site to determine if the adapted OPAL score could predict coordinator hours. The purpose was to project a more accurate capacity estimate when considering new studies. The Morehouse School of Medicine (MSM) clinical trials management system was queried for actively enrolling interventional studies with corresponding coordinator effort …
