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1 Improving The Safety of Outside Hospital Admission Process to Neilson Rehabilitation Hospital. A QI ProjectGavern, Nick; Fenger, Casey; Luca Boi, Luca; Hansen, PamelaNeilson Rehabilitation Hospital (NRH) at the University of Utah is committed to becoming a national rehab presence that accepts medically complex patients. This QI project was based on an OSH admission that arrived in unstable condition and required rapid transfer to the MICU. QI Process Problem Sta...
2 PPE Rooms MixingMwizerwa, James; Riley, CooperPPE room mixing was brought to our attention during the value culture huddle. This was result of clinical staff forgetting to update the room precaution type on Epic and often removing the precaution signs from the patient room's door after the discharge of the patient. This issue created, for a lon...
3 A Year of Quality Improvement at Midvale Student-Run ClinicNecessary, Christina; Hoyt, David; Weatherford, Robert; White, Michelle; Dupont, DanielStudent-run clinics (SRCs) offer an unparalleled experience for medical students to grow their clinical and leadership skills, engage in a patient-first approach to medical care, and cultivate a deeper understanding of the needs of their underserved populations. Here we provide an overview of the pr...
4 Improving Patient Outcomes with Gastro-Intestinal Tube Guidance for Nurses and ProvidersSax, Debra; Hadley, SunnieAcute Care nursing staff placed a Cortrack enteral feeding tube blindly at the bedside and the patient subsequently developed a pneumothorax. Institutionally, there was vague guidance for nurses from existing GI Tube policy and limited education for nurses on feeding tube placement. Furthermore, t...
5 Occupational and Environmental Medicine Residency Wellness Program: Activity Planning and Lessons LearnedTran Le, Tran; Wood, EricBackground: The University of Utah Occupational and Environmental Medicine Residency Program was awarded GME Wellness Grant funding to support a resident wellness initiative. We initially proposed a Snowbird summer activity day (including taking a yoga class) followed by a night of camping. Methods:...
6 A New Quality Improvement Model for Student Run ClinicsMoore, Zachary; McGhee, Kylie; Findley, Blake; Heaton, Tanner; Tirado, BorisContinuous quality improvement is a critical aspect of healthcare, as it plays a fundamental role in supporting the maintenance and improvement of patient health outcomes. However, quality improvement initiatives in student-run clinics face many unique challenges, such as high staff turnover, incons...
7 Wombmates to Roommates: Rooming-In to Manage Infant WithdrawalMeyer, Kimberly; Muniyappa, Bhanu; Lauer, SarahIn recent years, opioid use during pregnancy has grown as fast as that in the general population. The state of Utah's rate of Neonatal Opioid Withdrawal Syndrome (NOWS) has increased from 2.5/1000 births in 2009 to 6.4/1000 births in 2017. Nationally, the average length of stay for a NOWS newborn is...
8 Untangling the Spaghetti: Improving Retrieval Time for CT Supplies Using 5SPham, Theresa; Aquino, Riki; Duong, Phuong-AnhThe Huntsman CT supply room is a critical resource for patient imaging. However, the room is disorganized, and the time spent searching for the appropriate equipment can adversely affect the workflow for scanning and CT guided procedures. The time it takes to search for supplies plays a role in incr...
9 Improving Laboratory Monitoring Compliance When Utilizing ClozapineSchmutz, Christian; Knight, Jacob; McLearn-Montz, Amanda; Clark, Caitlin; Orchard, Daisha; Strohmeyer, HunterBackground: Clozapine is an effective medication that requires close monitoring for potentially serious side effects. The complexity of laboratory monitoring results in missed or late testing that raises the risk of adverse events. In addition, clozapine remains underutilized, possibly due to its un...
10 Newly Licensed Nurses' Transition to Practice During Pandemic Ater Participating in Nurse Apprentice ProgramChristensen, Scott; Chase-Cantarini, SueProblem Statement: Nurse apprentice/externship programs enhance the nursing workforce by preparing new nurses for smooth transitions to practice. While several healthcare organizations responded to pandemic-related stressors in nursing by adopting new nurse apprentice programs, researchers have rare...
11 Decreasing Falls by Improving Patient Self-Perception of Fall RiskThomas, Shegi; Christensen, ScottDespite many mitigation tactics, falls continue to be a problem at University of; Utah Health. This pattern was noted on a 40-bed inpatient acute care unit, where patient falls; rates increased even with general fall education. This education lacked the assessment of a; patient's self-perception of ...
12 The Journey of Volunteer Onboarding; BenchmarkingTanner, Allyson; Jorges, Maria; Becker, PatrickStarting in September, a perfect storm of issues came together to create a backlog of volunteer onboarding. The volume of applicants increased as programs were re-opened up after being closed due to COVID, management changed, and the supervisor position became vacant. This issue had been building al...
13 Wheelchair Repair and Maintenance ProjectSnyder, JoLeneWheelchairs were being taken to an area without any communication. These wheelchairs were in boxes, broken or needed new parts. We needed to get the wheelchairs repaired, move tools and parts to an easy access area to repair wheelchairs, put the wheelchairs back into circulation for patient use. Hir...
14 Valet Change to FlaggingBown, Michael; Verdusco, Adrian; Tanner, Avery; Struhs, Jason; Olsen, Andy; Riley, CooperNew employee parking structure project delayed and over budget. Construction Traffic Flagging costs are excessive due to temp agency usage and project delay. Goal: Reduce flagging costs. Aim: Utilize upstaff from Hospital Valet services who is hiring for when parking structure is complete. Summary: ...
15 Peer Mentor ProgramEdwards, StephanieThe demand for nurses outpaces the supply, and the focus on retention is more; important than ever. Nursing Solutions found that in 2022, the turnover rate for staff Registered; Nurses (RNs) increased from 18.7% to 27.1%. First year turnover continues to surpass all other; tenure groups; approximate...
16 Improved Reporting Partnership with State Medical Examiner's OfficeBeglarian, Ben; Bruce, Jasminr; Hamilton-Johansson, Vicky; Roundy, Breanna; Swensen, BrandonThe Decedent Affairs department at University of Utah Health was created in August 2019. The creation of this department was formed due to process breakdowns which were consistently occurring in the death process. Decedent Affairs developed a data tracking; mechanism for all Medical Examiner Cases. ...
17 Reducing Aggressive Patient Behaviors Through the Implementation of the Brøset Violence ChecklistBrannan, Breanna; Inzunza, Trell; Wimmer, Tom; Hamberlin, Stacy; Obray, KatieThe Centers for Medicare and Medicaid Services (CMS) have mandated that hospitals identify patients at risk of self-harm or harm to others and take steps to minimize those risks. The quality improvement project aimed to determine the effectiveness of implementing the Brøset violence checklist (BVC)...
18 The Power of Core Values and Psychological SafetyKiraly, Bernadette; Johnson, FrancesPurpose: The purpose of this project is to improve psychological safety by creating and implementing an active core values practice. Background: This project was created in response to the 2021 and 2022 WAGGL survey results showing low levels of psychological and high levels of burnout throughout th...
19 Thriving in Pediatrics: Meet-and-GreetsParker, Kellee; Roller, Ruby; Ryan, SydneyAs divisions continue to grow, it becomes more difficult to connect and promote collaboration. It is important to encourage, develop, and maintain; professional relationships between divisions. Three inpatient divisions: Critical Care, Hospital Medicine, and Emergency Medicine (Arches affinity group...
20 Fellow Retreat: Cooking and KaraokeRyan, Sydney; Tran, Theresa; Miescier, Mike; Drapkin, Zak; Kadish, HowardWithin the Pediatric Emergency Medicine Fellowship, the fellows rarely work together and are often on opposite schedules making bonding and getting to know each other difficult. We created the goal, with financial support from the GME Wellness Initiative matching grant and the Division of PEM, to ho...
21 Thriving in Pediatrics: Wellness WheelParker, Kelle; Roller, Ruby; Ryan, Sydney; Vukin, Elizabeth; Orton, Kim; Buhler, Ashley; Sacharny, AshleySince 2019, The Department of Pediatrics has nurtured a wellness ecosystem called Thriving in Pediatrics (TiP). TiP has worked on building a culture of connection, collaboration and community through activities and initiatives tailored to each individual division over the past several years includin...
22 Fellow Wellness NightParker, Kellee; Ryan, Sydney; Thomsen, William; Zamora, EduardoThe Pediatric Hematology/Oncology fellowship is a rigorous training program. Fellow morale and wellness have been low due to multiple challenges, such as a heavy clinical workload, and COVID-19. A baseline survey was administered to fellows to assess burnout. This survey also asked about preferences...
23 The Art of CaringQuinn, Kristen C.; McCoy, Nan; Strawn, Mary A.; Thompson, Callie M.; M. Lewis, GiavonniIn 2020, 2021 and 2022, our regional burn center partnered with a community; based arts education non profit organization to re-think how we provide nursing staff with tools; to build resiliency. A curriculum was formulated that provided hands on therapeutic art to; nursing staff via four weekly zoo...
24 Implementing Wellness Initiatives to Improve Professional and Personal Well-being of; Nursing Academia Faculty and StaffArmstrong, Cheryl; Macali, Jennifer; Simonsen, Sara; Felsted, Katarina; Clifton, JenniferProblem Statement: University surveys revealed increased stress and burnout among nursing academia faculty and staff. Goal/Aim: The goal of this project was to determine whether integrating wellness initiatives would lead to reduced stress and burnout and improved professional and personal well-bein...
25 Office Environment & ConnectednessZamora, Eduardo; Degarmo, Breeanna; Parker, KelleeProblem Statement: Pediatric Hematology, Oncology, and BMT have 23 clinical faculty. During COVID-19 faculty were working remotely and facing multiple stressors, such as increased clinical demands. The environment was not conducive to good communication and collegiality, and the clinical faculty off...
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