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1 Improving Oral Health For Underinsured Women At First Prenatal VisitCobrand, Phillip C.2019BACKGROUND: Periodontal disease contributes to gestational diabetes, preeclampsia, preterm labor, and low birth weight in pregnancy. Women with low socioeconomic status often lack access to dental services and have low dental health literacy and practice. Dental treatment is safe during pregnancy an...
2 Increasing Early Identification and Reporting of Condition Changes in Post-Acute Long-Term CareCoulum, Benjamin G.2019Background: Potentially avoidable hospitalizations (PAH) in post-acute long-term care (PALTC) settings contribute to increased morbidity and mortality of older adults. Previous quality improvement research and projects have led to the creation of programs and tools that have been successful at reduc...
3 Evaluation of the Experience of the Hotspotting Program on Complex Care Individuals in Salt Lake CountyCochrane, Ryan K.2019Healthcare costs are exceedingly high and continue to rise in the United States. Individuals with complex care needs are the most vulnerable to utilizing healthcare services that are inefficient and ineffective. The Camden Interprofessional Student Hotspotting Model was applied to identified complex...
4 A QI Initiative to Improve Mental Health Outcomes of Juvenile Offenders in UtahButler, Tonya M.2019Problem: The juvenile justice system was established to increase the rehabilitative potential of the court system and prepare youth offenders for re-entry into the community. Legislative changes in recent decades have resulted in increasing numbers of youth being committed to adult prisons. A review...
5 Timely Antibiotics Administration: Impact of Clinical Process on Barriers Delaying Time to Antibiotic Administration in Septic NICU PatientsCollier, Natalie2019A retrospective chart review identifying potential barriers to timely antibiotic administration was performed on 51 individual patients who presented with clinical sepsis in 2017- 2018. Prior to the education and implementation of the clinical process in Fall 2018, a survey was conducted to obtain a...
6 Improving Postpartum Hemorrhage Management in a Rural SettingDuBois, Jackie2019The leading cause of maternal death worldwide is postpartum hemorrhage, followed by hypertensive disorders, infection, complications with delivery, and unsafe abortions. Globally, hundreds of women die every day in childbirth due to these causes, and in 2015, there were 45,000 maternal deaths in Ind...
7 Increasing Dementia Training in Long-Term Care: A Person-Centered, Non-Pharmacological ApproachEarnest, Aubree M.2019Background: Approximately 64% of residents living in long-term care (LTC) settings have a diagnosis of Alzheimer's disease or other forms of dementia. Many will exhibit challenging behavioral and psychological symptoms of dementia (BPSD) such as agitation, wandering, anxiety, and delusions. Highly t...
8 Standardizing the Content of Nursing Shift-To-Shift Report to Improve the Quality of Communication Among Healthcare Providers on an Inpatient Psychiatric UnitFitzwilliam, Julie2019Introduction: Nurse-to-nurse shift handoffs are highly vulnerable to communication failures that can threaten patient safety and continuity of care. Nurses working in various settings recognize this gap and report low satisfaction with shift handoff communication, but evidence to guide quality impro...
9 Improving Parental Understanding and Comfort to Care for Children with Spina Bifida: An Audiovisual Educational ToolHolden, Laura2019Problem/Background: Spina bifida (SB) is a neural tube defect that occurs during the first month of development of the fetus in which the spinal column does not form normally. Through informal feedback from parents of children with SB and local Spina Bifida Clinic (SBC) providers, due to the overwhe...
10 RE-AIM Framework for Evaluating Perioperative Nozin®: A Topical Nasal AntisepticKinikini, Susanna2019Purpose: This project sought to evaluate the process of implementation and the usefulness of Nozin® in reducing surgical site infections using the RE-AIM framework. Evaluation of an intervention often takes place during implementation to give insight into research as a foundation to clinical practi...
11 Readiness Assessment for Extubation Planning for Mechanically Ventilated Patients in the Intensive Care Unit: A Quality Improvement InitiativeJohnny, Jace D.2019Problem/Background: Extubation failure (EF) is the need for reintubation within 48 hours after a planned extubation in patients meeting weaning criteria from mechanical ventilation (MV). The incidence rate varies in the literature but has a statistically significant correlation with mortality, prolo...
12 Improvement of Rapid Response Training in the Urgent CareHorito, Breanna2019Rapid response teams have been shown to improve patient outcomes in medical emergencies. As community clinics expand to include urgent care departments, there is an increased likelihood of medical emergencies occurring within clinics. In response to this change, this project designed and implemented...
13 Human Papillomavirus Vaccine Addressing Vaccine Knowledge and Hesitancy in African RefugeesBaptiste, Farah Jn2019Human Papillomavirus (HPV) is a common virus that can cause many cancers. Although HPV vaccines have proven beneficial in preventing some cancers and some countries have noticed a sharp decline in HPV infection where there is high vaccine coverage, many parents still choose not to vaccinate their ch...
14 Improved Knowledge of Pulmonary Hypertension Diagnosis Via Echocardiogram and Clinician InterpretationHooper, Sara2019Problem/Background: Pulmonary hypertension is a frequent diagnosis in the neonatal intensive care unit (NICU), which can be clinically challenging to diagnose. An echocardiogram is a non-invasive heart ultrasound which is the screening test of choice for pulmonary hypertension. However, the elements...
15 A Clinical Practice Guideline Promoting Opioid Awareness in a Level IV NICUKendall, Allison2019Problem. Neonates may be exposed to significant amounts of opioids in the NICU. The objective of this project was to investigate opioid exposure of neonates in a level IV NICU, enhance provider knowledge of this problem through education, and develop a clinical practice guideline to promote increase...
16 Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Psychotherapy: A Quality Improvement Project for Alcohol Use in PsychotherapyJudd, Christian M.2019Substance abuse is a major problem in the United States. Previous research indicates that the use of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol use improves outcomes in at-risk patients. The purpose of this study was to determine if using a SBIRT toolkit could reduc...
17 Implementation of a Benzodiazepine Clinical Practice Guideline in an Outpatient Mental Health SettingJolley, Dana2019In the treatment of mental health disorders, the use of benzodiazepines is increasingly falling out of favor due to rising evidence concerning the risk of abuse and dependence. Despite the evidence against such use of benzodiazepines, there is a lack of provider-focused intervention designed to disc...
18 Improving Transition Planning in Adolescent Psychiatric Care to Enhance Mental Health OutcomesFreund-Begley, Kelli2019Background: The purpose of this quality improvement project was to evaluate the current transition planning process in an adolescent psychiatric day treatment program in Utah and develop recommendations to improve transitions to outpatient care. Adolescents experience mental health disorders and rec...
19 Using Simulation Methodology to Teach De-escalation Techniques and Behavioral Emergency ResponseLassche, Madeline L.2019The purpose of this project was to educate behavioral emergency response team (BERT) members in de-escalation techniques using best practices in simulation methodology. The goal was to increase confidence in dealing with potentially violent situations. The University of Utah Hospitals and Clinics ha...
20 Improving Type II Workplace Violence Prevention in the Outpatient Free Clinic SettingLo, Brittany A.2019From 2011-2013, the Bureau of Labor and Statistics reported that approximately 75% of 25,000 workplace violence (WPV) events occurred in healthcare and social service settings. Most research addressing WPV in healthcare has focused on inpatient hospital settings and there is a paucity of information...
21 Intermittent Catheterization Education Toolkit and Competency ChecklistLynch, Nicole2019Background: Patients with neurogenic bladder have dysfunction to the bladder wall and urethral sphincter causing the loss of bladder function and the need for some form of bladder management. Intermittent catheterization is the gold standard of treatment but has poor compliance. Purpose: This schola...
22 The Development of a Diabetes Toolkit for Latino Adults with Type 2 Diabetes MellitusLewis, Erika2019This paper discusses a Doctorate of Nursing Practice (DNP) project conducted at two Latino community clinics-Consultorio Medico Hispano (CMH)-in metro Atlanta, Georgia. The purpose of this project was to address the problem of culturally relevant resources for the Spanish-speaking adult population w...
23 Implementing a Dialectical Behavior Therapy (DBT) Graduate Group to Improve Knowledge of DBT SkillsLeggett, Sarah C.2019Problem. Patients with borderline personality disorder (BPD) struggle to strengthen and generalize coping skills after completing a 7-month dialectical behavior therapy (DBT) skills group. A formal process addressing how to increase knowledge of DBT skills after completing this group is lacking. Met...
24 Making the Connection for Ehlers-Danlos Syndrome Patients Through Improved Knowledge and Screening at the Salt Lake City Veterans Administration Medical CenterLundquist, Margaret E.2019Problem Ehlers-Danlos Syndrome (EDS) is an underrecognized heritable connective tissue disorder (HCTD) that presents with joint hypermobility, hyperextensible skin, tissue fragility, and can also have widespread systemic manifestations. A knowledge gap among providers leads to lengthy delays in diag...
25 Effectiveness of an Educational Intervention to Increase ICU Nurses' Delirium Knowledge and Documentation of the CAM-ICU ToolLatham, Mallory2019Delirium leads to increased intensive care unit (ICU) patient morbidity and mortality, longer length of stay, and increased healthcare costs. Undetected delirium and unmanaged risk factors that contribute to the development of delirium are a significant issue in ICUs. The purpose of this project was...
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