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51 Evaluation of High-Dose Ascorbic Acid in Thermal InjuryAllen, Scott; Prazak, Ann Marie; Lewis, Giavonni; Cochran, AmaliaBurns >20% total body surface area (TBSA) are associated with hypovolemic shock, local tissue edema, and release of inflammatory mediators. Inflammatory mediators lead to production of reactive oxygen species, which can worsen burn shock by causing lipid peroxidation and increased vascular permeabil...
52 Photosurveillance of Non-FDA Approved Activity: Instagram and DiabetesWoodruff, Whitney S.; Arrington, Joseph; Litchman, MichelleIndividuals with diabetes are using social media to share information about their health. Real-Time Continuous Glucose Monitor (RT-CGM) users post about their experiences, including non-FDA approved activity. The purpose of this research is to assess the use of photosurveillance as a research method...
53 Becoming Vizient Early Submitters: Timely Data Leads to Timely InsightsMcDougal, Adam; Little, Chad; Arego, John; Barfuss, Darryl; Gulbransen, Sandi; Heninger, Lance; Knuckles, Michelle; Hadlock, Justin; Rohm, Terrell; Saseendran, MahimaVizient collects data from over 120 Academic Medical Centers for the Quality and Accountability Scorecard. By becoming a Vizient early submitter we have made the organization more agile and improved our ability to detect quality issues faster. By becoming a Vizient early submitter we have made the o...
54 Emergent Inpatient Anti Cancer Therapy Administration in Patients with Metastatic Solid TumorsNamanny, Halee R.; McPherson, Jordan P.; Sanders, Stephanie A.; Stenehjem, David D.Anticancer therapy administration has shifted from the inpatient to the outpatient setting for a variety of reasons, leading to increased patient comfort, convenience, and allowing patients' wishes to be respected. Although therapies for metastatic solid tumors can be administered safely in an infus...
55 Improving Resident-Patient Communication: a CQI InitiativeDavis, Alan; Jackson, Frank; Wagner, Graham; Conger, Aaron; Cummings, Keith; Jacobson, JamieCommunication represents one of the core competencies for all ACGME programs, but it is commonly taught by modeling (i.e. osmosis) by attending physicians with little training in educating residents about successful patient physician communication. This belies the fact that the average clinician see...
56 Are SCD's Enough? A Look at Incidence of Venous Thromboembolism Post-Kidney TransplantPan, Irene; Carlson, Adrian; Sirandas, Bhanupriya; Truax, Crystal; Smith, LonnieKidney transplant one year graft survival is approximately 95%. Outcomes of kidney transplantation can be complicated by a number of factors including the occurrence of thrombotic events. Data suggest kidney transplant patients experience a hypercoagulable state independent of previously defined ris...
57 Hepatitis C Screening At University Of Utah Family Medicine Residency ClinicsPrince, Victoria L.; Riley-Burnett, Sarah; Fortenberry, Katherine; Sanyer, Oman; Frame, Kara; Stoesser, KirstenApproximately 2.7-3.9 million people in the United States have chronic Hepatitis C Virus (HCV). The incidence of HCV in Utah is 51.1 per 100,000 in 2014: comparable to the national average. HCV is most common in patients born between 1945-1965.. The CDC recommends a one-time screening for HCV infect...
58 Implementation and Evaluation of a Clinical Decision Support Tool to Minimize Drug-Drug Interactions Among Older Patient Populations in Emergency Department and Ambulatory Care SettingsBiksacky, Meryl; Sloan, Cole; Jacquez, Macheala; Lee, Jenessa;; Lee, Karissa; Ruiz-Negron, Natalia; Lingenfelter, Erin; Stephen, Robert; Day, JulieOlder patients prescribed trimethoprim (TMP) with reninangiotensin-aldosterone system (RAAS) blocking agents may be at an increased risk of cardiac sudden death due to drug-induced hyperkalemia. Medication errors and clinical pharmacist observations at the University of Utah Health (UUH) reveal gaps...
59 Activating the Rapid Response Team: Barriers and Facilitating Factors for Oncology NursesMilne, SuzanneBetter understand oncology nurses' perceived barriers and facilitating factors for activating the Rapid Response Team (RRT). Identify and explore barriers and facilitating factors for nurses to activate the RRT. Identify and explore barriers and facilitating factors for nurses to activate the RRT. D...
60 Minimizing the Delay in Time to Antibiotics in Patients Presenting to the Emergency Department with UrosepsisSteffens, Laura; Lingenfelter, Erin; Sloan, ColeSepsis is a serious, life-threatening condition that requires quick identification and treatment for favourable outcomes.
61 Improving Patient Screening Rates for Hepatitis C at Sugar House Health ClinicRiley-Burnett, Sarah; Abbey, Becky; Fortenberry, Katherine; Chacon, Monique; Marquez, Ammy; Oman, Cory; Stoesser, KirstenHepatitis is inflammation of the liver that can lead to eventual scarring or cirrhosis of the liver, most commonly caused by a viral hepatitis like B or C.
62 Improving Influenza Vaccination Rates during Pregnancy at Two Academic Family Medicine ClinicsGalli, Vanessa M.; Hendrickson, Bryan K.; Jones, Kyle B.; Pippitt, Karly A.Pregnant women are at greater risk of complications from influenza, such as: hospitalization; premature labor and pre-term delivery; death.
63 Decreasing Colorectal Surgical Site InfectionsSwindells, Julie; Fendler, Jamie; Mayer, Jeanmarie; Pickron, BartleySurgical Site Infections (SSI) occur in 2-5% of all inpatient procedures with colorectal SSI rates ranging from 15-30%.
64 Impact of a Molecular Based Rapid Diagnostic for Bloodstream Infections without Antimicrobial Stewardship Intervention at a Cancer CenterBuss, B.; Baures, T.; Yoo, M.; Hanson,K.; Benefield, R.; Spivak, E.Molecular based rapid diagnostic testing (mRDT) for bloodstream infections (BSIs) decreases time to effective antimicrobial therapy, hospital length of stay, and mortality when paired with an active antimicrobial stewardship (AS) intervention. The impact of mRDT for BSIs in patients at a cancer cent...
65 Data Science Service & Enterprise Data Warehouse for Health Sciences ResearchDeshmukh, Vikrant G.; Lyons, Ann M.; Zhang, Mingyuan; Newman, Michael G.; Strong, Michael B.Clinical research requires easy access to high quality data, as well as individuals with a sound understanding of the structure and principles needed to systematically analyze complex problems. Data Science involves the extraction of knowledge from data, and Data Science Service (DSS) aims to provid...
66 Chlamydia Screening - Madsen ClinicThaller, Tobi; Li, Marlana; Backman, Richard; Hill, Brian; Lippman, Jason; Linscott, Lance; Greenburg, Johanna; Jimenez, Wendy; Ortez, Anna; Cimacho, KiaraChlamydia is a sexually transmitted infection that affects the cervix and often spreads to the uterus, fallopian tubes, and ovaries, causing pelvic inflammatory disease (PID) and infertility. Having Chlamydia also increases the risk of HIV infection 3-5 fold.
67 States Impact of Umbilical Cord Milking & Pasteurized Donor Human Milk on Necrotizing EnterocolitisSekhon, Mehtab K; Yoder, Bradley A.Necrotizing enterocolitis (NEC) is a serious complication of prematurity, with associated high mortality. Care processes reported to reduce NEC rates include mother's own and donor human breast milk, placental transfusion, and probiotics. Our NICU instituted two separate quality improvement processe...
68 The Effects of Health Information Station in Uncontrolled Hypertensive PatientsSun, Josephine; Kiraly, Bernadette; Lake, Erica; Nourian, KimiyaResearch shows limited patient understanding of hypertension contributes to poor health outcomes. Patients who receive materials tailored to both health literacy level and learning style show greater gains in knowledge.
69 Quality Improvement Intervention to Increase the Percentage of Diabetic Patients with A1c < 9.0Chen, Karl; Locke, Amy; Pohl, Susan; Traylor, Katie; Magill, MichaelType 2 Diabetes (DM) is a leading cause of morbidity and mortality. Control of DM as measured by Hemoglobin A1c can reduce complications of the disease. This Quality-Improvement project aimed to increase the number of patients with A1c < 9.0 in a University based Family Medicine Practice.
70 Patient Education and Communication: A Continuous Quality Improvement ProjectWaller, Laura; Rudolph, Lauren; Campian, Michael; Bushman, Troy; Hansen, Pamela; Henrie, Michael; Huish, Matthew; Teramoto, Masa"Most patients prefer information in the form of paper print-outs, My Chart, and diagrams/pictures. Most patients believe that education regarding their diagnosis and treatment options are among the most important information they would like to receive. "
71 Implementation of Inpatient Chemotherapy Patient Education at an Academic Cancer CenterJones, Emma; deHoll, Sara; Sanders, Stephanie; Fritz, KellyA diagnosis of cancer can be very overwhelming, as patients are inundated with a multitude of new experiences and potentially complicated chemotherapy regimens.
72 Fast Fact Sheets for Infusion Nursing Management of Infused Investigational DrugsKingsford, Rachel; Lombardi, Joy"Infusion is a common method of oncology drug delivery. Oncology nurses are trained to manage urgent adverse infusion reactions. For drugs in clinical trials, maintaining compliance with a research protocol is also essential. We implemented Fast Fact Sheets to communicate protocol requirements for i...
73 Integrating a Clinical Research Nurse Program at an NCI Comprehensive Cancer CenterMaloney, Kristin; Sharry, Susan; Moehle, Jessica; Werner,TheresaClinical Research Nurses (CRNs) support high quality clinical research by providing best patient care and ensuring patient safety. They are an essential component of the research team.
74 Improving Care for Lumbar Spine Surgical PatientsBisson, Erica; Cheong, LinUtah reports data to the NeuroPoint Alliance (NPA), established in 2008 by the American Association of Neurological Surgeons to collect, analyze and report on nationwide clinical data from neurosurgeon practices using online technologies.
75 Evaluation of Vancomycin Dosing in Intravenous Drug Users Admitted to the Internal Medicine ServiceFerreira, Kristine; Smith, Tonya; Benefield, Russell; Babin, JenniferInfections caused by methicillin-resistant Staphylococcus aureus (MRSA) are a leading cause of morbidity of intravenous drug users (IVDUs).
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