Faculty/ Researcher Works: Recent submissions
Now showing items 1-20 of 3965
-
Leveraging Technology for Safety, Communication, and Staff Engagement in the New NormalThe focus of this project is to introduce the use of the Microsoft Teams platform to Surgical Intensive Care Unit (SICU) staff as a secure, hospital-sponsored method of social media communication and education in order for staff to stay connected with thier colleagues.
-
Implementation of Hourly Rounding in the Emergency Department to Decrease FallsThe purpose of the quality improvement initiative is to decrease falls within the ED by the implementation of consistent hourly rounding to assses patients' nedd for the "4-Ps" (Pain, Potty, Possession and Positioning).
-
Standardized Patient Simulation to Foster Cultural Awareness Among Undergraduate Nursing Students: A Pilot StudyThe purpose of this quality improvement project is to examine the effect of a standardized patient(SP) simulation on transcultural self-efficacy in undergraduate nursing students.
-
Assessing Adherence to Enhanced Early Warning Score Assessment on the Transplant UnitThis project aims to optimize the use of RESUE through integration into the nurse's eletronic health record (EHR) and report sheets and implementing a six-hour reassessment with a beside huddle for critical scores.
-
Implementation of an ED Flow Team to Reduce Patients Leaving Without TreatmentThe purpose of this quality improvement project is to determine if an interdisciplinary , collaborative ED flow team would decrease the number of patients seeking emergency care from leaving the ED by reducing ED boarding times.
-
Decreasing Hospital-Acquired Pressure Injuries by Implementing Four-Eyes Assessment on a Step-Down UnitThis quality improvement initiative focuses on implementing the Four-Eyes Assessment . This evidence-based process enhances current assessment practices, resulting in better identification of present on admission wounds (POAs) before these convert to hospital-acquired pressure injuries(HAPIs).
-
The Covid 19 Pandemic and Alcohol Consumption in Adults 18+ Years Old: What Can We Learn for Future Pandemics?The purpose of this quality improvement project is to review the influence of COVID 19 on rates of binge drinking.
-
Implementing Nursing Teach Back for Medication Side Effects to Improve Patient SafetyThe purpose of this quality improvement project is to implement the Always Use Teachback! Toolkit to enhance patient safety by increasing the use of teach-back during patient medication education.
-
Increasing Uptake of Cervical Cancer Screening Through Text MessagingThe purpose of this quality improvement project is to improve rates of CCS among clinic patients through text message invitations to schedule an appointment or to obtain a referral.
-
Reducing Catheter Insertion Attempts: Implementation of a Difficult Intravenous Access Screening ToolThe purpose of this quality improvement project is to implement the Modified Difficult Intravenous Access Scale for Patients (A-DIVA) screening tool in the CSICU.
-
Increasing Referral Rates to the Diabetic Educator at Time of Diabetes DiagnosisThe purpose of this quality improvement project is to use an implementation bundle, including a written protocol, referral order panel , audit and feedback to support the ADA guidelines at the clinic .
-
Improving First Case Start Times in International RadiologyThe purpose of this quality improvement project is to improve first case start times to an 80% successful start time at 0800.
-
Improved Adherence to Follow-Up Care in the Trauma PatientThe purpose of this Doctor of Nursing Practice (dnp) quality improvwment project is to inplement a structured discharge process for home discharge that includes scheduling appointments, educating on follow-up appointments, post discharge phone calls,and monitoring of patients who miss their appointments inorder to improve adherence to follow-upcare in the trauma population.
-
Implementation Adherence of Malnutrition Screening on Head and Neck Oncology PatientsThis quality improvement project aims to promote avoidance or early detection of malnutrition among patients with head and neck cancer undergoing radiotherapy alone by implementing a nutritional assessment toll, the Patient -Generated Subjective Global Assessment, into dailyclinic workflow.
-
Admission Nurse Impact on Patient Throughput for Emergency Department AdmissionsThe purpose of this quality improvement project is to decrease the time from decision to admit to depart through the addition of an "Admission Nurse."
-
Assessing Adherence to the Apfel Scale in Preventing Postoperative Nausea and VomitingThe purpose of this quality improvement project is to integrate the Apfel scale into the Electronic Health Record (EHR), assess adherence to screening patients for PONV risk using the Apfel scale, administer antiemetics based on the Apfel score, and reduce the incidence of PONV.
-
A Review of Antisynthetase Syndrome-Associated Interstitial Lung DiseaseOur objective in this review article is to present a clinical case of a patient with antisynthetase syndrome (ASyS) and provide an overview of the pathogenesis, classification criteria, antibody profiles, clinical features, and current knowledge of treatment options, focusing on interstitial lung disease (ILD). ASyS is an uncommon autoimmune disease with a heterogenous clinical presentation characterized by the presence of autoantibodies against an aminoacyl-tRNA synthetase and manifested by myositis, fever, inflammatory arthritis, Raynaud’s phenomenon, mechanics hands, and ILD. ASyS-associated ILD (ASyS-ILD) is the most serious complication of ASyS, which may evolve to rapidly progressive ILD; therefore, it often requires thorough clinical and radiologic evaluation including recognition of a specific clinical phenotype associated with the antisynthetase antibodies (ASAbs) to guide therapeutic interventions.
-
Dispersal restriction and facilitation in species with differing tolerance to development: A landscape genetics study of native and introduced lizardsAim: The development of natural habitats into urban land uses has greatly accelerated in the recent past due to human activities. This habitat development disrupts species' natural dispersal processes and can lead to both direct and indirect impacts on dispersal. Whether human activities result in restricted or facilitated dispersal may depend on a species' development tolerance; however, this premise has not been tested. We examined the impact of urbanization and road networks on the dispersal of three lizard species in the context of their development tolerance. Location: Curaçao. Methods: To quantify species' development tolerance, we modelled three lizard species abundances at sites based on surrounding landscape development. Using microsatellite genotypes, we conducted individual-based resistance surface analyses and modelled the effect of habitat development on genetic admixture to assess indirect dispersal restriction and facilitation. We explored direct facilitation of dispersal using network analysis of mitochondrial haplotypes. Results: Phyllodactylus martini, a native gecko species, was the least tolerant of development and experienced indirect dispersal restriction due to roads, according to resistance surface analyses. Anolis lineatus, a native anole species, exhibited a neutral relationship with development. Resistance surfaces and Structure analyses showed that A. lineatus faced indirect dispersal restrictions from roads and developed areas, while mitochondrial haplotype networks suggested they benefited from occasional human-facilitated long-distance dispersal events. Hemidactylus mabouia, an introduced gecko species, was the most tolerant of development, and experienced no dispersal restriction, but mitochondrial haplotypes suggest direct long-distance dispersal facilitation. Main Conclusions: Our findings highlight development tolerance as a key predictor of dispersal impact for these species and future work should test whether these patterns are upheld in other systems. Understanding how human activities affect species' dispersal will aid in managing introduced species while promoting connectivity for native species navigating dispersal challenges in dynamic landscapes.
-
When species don’t move together: Non-concurrent range shifts in Eastern Pacific kelp forest communitiesSpecies range shifts due to changing ocean conditions are occurring around the world. As species move, they build new interaction networks as they shift from or into new ecological communities. Typically, species ranges are modeled individually, but biotic interactions have been shown to be important to creating more realistic modeling outputs for species. To understand the importance of consumer interactions in Eastern Pacific kelp forest species distributions, we used a Maxent framework to model a key foundation species, giant kelp (Macrocystis pyrifera), and a dominant herbivore, purple sea urchins (Strongylocentrotus purpuratus). With neither species having previously been modeled in the Eastern Pacific, we found evidence for M. pyrifera expansion in the northern section of its range, with no projected contraction at the southern range edge. Despite its known co-occurrence with M. pyrifera, models of S. purpuratus showed a non-concurrent southern range contraction and a co-occurring northern range expansion. While the co-occurring shifts may lead to increased spatial competition for suitable substrate, this non-concurrent contraction could result in community wide impacts such as herbivore release, tropicalization, or ecosystem restructuring.
