The 10th Annual Utah Health Services Research Conference: Evaluating information quality in the detection of pediatric asthma encounters. By: Andrew J. Knighton, PhD, CPA - Institute for Healthcare Delivery Research Intermountain Healthcare
Patient Centered Research Methods Core, University of Utah, CCTS
The 10th Annual Utah Health Services Research Conference: Evaluating information quality in the detection of pediatric asthma encounters. By: Andrew J. Knighton, PhD, CPA - Institute for Healthcare Delivery Research Intermountain Healthcare
Patient Centered Research Methods Core, University of Utah, CCTS
Understanding Users: Using metrics and surveys to understand our consumersKelley Howell
To help business analysts and product managers understand how to interpret quantitative data, I put together a two part presentation to help them understand UX and Product Metrics: lead counts, unique visitors, lead conversion rates, and more
Understanding Users: Using metrics and surveys to understand our consumersKelley Howell
To help business analysts and product managers understand how to interpret quantitative data, I put together a two part presentation to help them understand UX and Product Metrics: lead counts, unique visitors, lead conversion rates, and more
Running head LITERATURE REVIEW 1LITERATURE REVIEW 2Daily Chlo.docxwlynn1
Running head: LITERATURE REVIEW 1
LITERATURE REVIEW 2Daily Chlorhexidine(CHG) Bath in Oncology Patients to Prevent Hospital Acquired Infections(HAIs)
Introduction Comment by Stacey Minor: This should be after the title from title age and should be bold
Daily Chlorhexidine(CHG) Bath in Oncology Patients to Prevent Hospital Acquired Infections (HAIs)
Health-care-associated infections (HAIs) are infection patients catch while hospitalized, are getting a mounting sum of attention. Substantial skin microbial occupation aids in the spread and growth of HAIs (Denny & Munro, 2017). According to Donskey and Deshpande, (2016), “Patients colonized or infected with health care-associated pathogens often carry the organisms on their skin. Such contamination may lead to infection when factors such as devices, catheters, and wounds provide a route for pathogens on skin to reach normally sterile sites”. For instance, Pagan, (2016) stated that approximately 250,000 CLABSIs manifest in patients with central lines every year. Expenses for treatment of CLABSI is between sixteen thousand ($16,000) to twenty-nine ($29,000) for each infection, the effect is prolonged hospitalization, and an increased percentage of death, up to 35%. Additionally, Waknine, ( 2013) also stated that notwithstanding prevalent application of evidence based practice , up to $9.8 billion is disbursed yearly for management of HAIs, hence infection from wound post operatively is the most expensive to treat..]Comment by Stacey Minor: Should have and between
Nevertheless, skin infection can correspondingly be a contributory factor to the spread of pathogens because of environmental peeling and transference to the hands of employees. Consequently, there is a solid validation for efforts to diminish the problem of microorganism on skin (Donskey & Deshpande, 2016, P 17). Therefore, the aim for this work is to evaluate previously written literatures supportive of the writer’s PICOT statement “In Adult Oncology patients, does daily bathing using chlorhexidine gluconate compared to use of soap and water affect the incidence of HAIs (CLABSI) throughout period of hospitalization”. This work will also categorically identify evidences in the peer reviewed literatures. Additionally, the outline, comparing of research questions, sample populations, limitations of the study, conclusion and recommendation will be part of this work.
Comparing of Research Questions
In every research answering the stated research problem is the most important aspect of the study. In the literatures reviewed, the writer noted that most of the stated problems are unique in their respective ways, but all established the need for eradicating/ preventing HAIs using daily CHG bath. Climo, Yokoe, and Warren, (2013) in their study questioned effectiveness of daily bathing with chlorhexidine-impregnated washcloths on the acquisition of MDROs and the incidence of hospital-acquired bloodstream infections, the researchers us.
Evaluation of Corporate PerformanceThe Final Paper will involve .docxelbanglis
Evaluation of Corporate Performance
The Final Paper will involve applying the concepts learned in class to an analysis of a company using data from its annual report. Using the concepts from this course, you will analyze the strengths and weaknesses of the company and write a report either recommending or not recommending purchase of the company stock.
TOPIC: Publicly Traded Company: Wayfair Inc
For help with reading an annual report access this handy guide (Links to an external site.)Links to an external site. from Money Chimp.
The completed report should include:
· An introduction to the company, including background information.
· A complete and thorough financial statement review.
· Pro Forma financial statements (Balance Sheet and Income Statement) for the next fiscal year, assuming a 10 percent growth rate in sales and Cost of Goods Sold (COGS) for the next year.
· Complete ratio analysis for the last fiscal year using at least two ratios from each of the following categories:
· Liquidity
· Financial leverage
· Asset management
· Profitability
· Market value
· Debt
· Per-Share
· Measures of relative value (P/E, P/B)
· Activity
· Cash Flow
· A calculation of Return on Equity (ROE) using the DuPont system.
· Assessment of management performance by calculating Economic Value Added (EVA).
· A synopsis of your findings, including your recommendations and rationale for whether or not to purchase stock from this company.
· Evaluate the financial risks associated with operating internationally. If your chosen company does not operate internationally, evaluate what the financial risks could be if they were to expand internationally.
The paper
· Must be eight to ten double-spaced pages in length (not including title and references pages)
· Must begin with an introductory paragraph that has a succinct thesis statement.
· Must address the topic of the paper with critical thought.
· Must end with a conclusion that reaffirms your thesis.
· Must use at least five scholarly sources, such as the textbook, industry reports, and the textbook: Hickman, K. A., Byrd, J. W., & McPherson, M. (2013). Essentials of finance [Electronic version]. Retrieved from https://content.ashford.edu/ (Links to an external site.)Links to an external site.
· Must document all sources in APA style as outlined in the Ashford Writing Center.
· Must include a separate references page that is formatted according to APA style
A Review of the Effectiveness of Hand Hygiene Intervention to Reduce the Spread of Extended-Spectrum β-Lactamase- Producing Enterobacteriaceae (ESBL-PE) among ICU Patients
Abstract
Background: Historically, Multidrug resistant organisms including the Extended-Spectrum β-Lactamases (ESBLs) are a major public health predicament not only in the United States but also globally as infections caused by those organisms are linked to severe health complications and great financial liability to the healthcare sys ...
Evidence-Based Practice Project Student ExampleTab.docxSANSKAR20
Evidence-Based Practice Project Student Example
Table of Contents
Generating Evidence for Evidence-based Practice
Part 1: Introduction
1. The problem statement ………………………………….……………………....……….3
1. The evidence-based question ………………………………………..……….……….…4
Part 2:Assemble relevant evidence & related literature
1. Locating credible evidence………………………………………………….…...………3
1. Appraise the evidence……………………………………………………….……...……4
Part 3:Implementation of the intervention
1. Planning of change………………………………………………………………..…....8-9
1. Clinical protocol and pilot project………………………………………………9-14 & 23
1. Integration and Maintenance …………………………………………………….…..14-15
1. Barriers and strategies………………………………………………….……………15-18
Part 4: Conclusion ………………………………………………..…………………………….18
Part 5: References……………………………………………………………………………20-22
Part 6: Appendices …………………………………………………………..…………….……23
I. Management of Mechanically Ventilated Patients: Pilot Project ……………………23-24
II. Questions for Patient Ventilator Rounds ………………………………………………..25
III. Methodological matrix ………………………………………………………………26-28
IV. Prevention In-Service Flyer ………………………………………………………….…29
Problem Statement
The development of pneumonia caused by mechanical ventilation is a significant problem in the intensive care units of hospital facilities. Ventilator-associated pneumonia (VAP) is the “most commonly reported healthcare-acquired infection” in patients requiring mechanical ventilation support (Garcia et al., 2009, p. 524). One of the most common reasons for an ICU admission is related to respiratory distress or failure. VAP is described as a form of nosocomial infection which occurs after the first 48 hours of receiving mechanical ventilation (Augustyn, 2007). The length of stay (LOS) for patients developing VAP is higher than those never requiring mechanical ventilation by an increase of approximately six days (Garcia et al. 2009). In intensive care units (ICUs) across the United States (US), ventilator-acquired pneumonia also results in prolonged periods of actual mechanical ventilation, the excess use of antimicrobial products, increased utilization of healthcare resources and costs, and significant increase in morbidity and mortality (Coffin et al., 2008). Garcia et al. (2009) found on average, estimated costs of an additional $11, 897 to $150,841 per individual case were spent. VAP has a significant economic impact on our society, costing hospitals money which potentially could have been saved.
Numerous risks factors contribute to the development of ventilator-acquired pneumonia as mechanical ventilation presents a unique set of challenges for the patient requiring intubation and ventilator support. Rigorous clinical studies show oral secretions pose an increased risk for developing VAP (Augustyn, 2007). Treatments, strategies and evidence-based interventions have been developed to decrease the risks and reduce the prevalence of VAP. There is evidence indicating the use of oral chlorhexidine and the removal of ora ...
Jung Typology AssessmentThe purpose of this assignment is to ass.docxSusanaFurman449
Jung Typology Assessment
The purpose of this assignment is to assess your personality and how that information might help guide your career choice. Understanding personalities can also help managers know how to motivate employees.
Find out about your personality by going to the Human Metrics website (www.humanmetrics.com - and TAKE the Jung Typology Test - Jung, Briggs, Meyers Types. It is a free test. (Disclaimer: The test, like all other personality tests, is only a rough and preliminary indicator of personality.)
·
Complete the typology assessment
·
Read the corresponding personality portrait and career portrait.
·
Think about your career interests, then answer the following:
How are your traits compatible for your potential career choice (Business Administration)? This should be around 250 words of writing.
R E S E A R CH
Co-administration of multiple intravenous medicines: Intensive
care nurses' views and perspectives
Mosopefoluwa S. Oduyale MPharm1 | Nilesh Patel PhD, BPharm (Hons)1 |
Mark Borthwick MSc, BPharm (Hons)2 | Sandrine Claus PhD, MRSB, MRSC3
1Reading School of Pharmacy, University of
Reading, Reading, UK
2Pharmacy Department, John Radcliffe
Hospital, Oxford University Hospitals NHS
Foundation Trust, Oxford, UK
3LNC Therapeutics, Bordeaux, France
Correspondence
Mosopefoluwa S. Oduyale, Reading School of
Pharmacy, University of Reading, Harry
Nursten Building, Room 1.05, Whiteknights
Campus, Reading RG6 6UR, UK.
Email: [email protected]
Funding information
University of Reading
Abstract
Background: Co-administration of multiple intravenous (IV) medicines down the
same lumen of an IV catheter is often necessary in the intensive care unit (ICU) while
ensuring medicine compatibility.
Aims and objectives: This study explores ICU nurses' views on the everyday practice
surrounding co-administration of multiple IV medicines down the same lumen.
Design: Qualitative study using focus group interviews.
Methods: Three focus groups were conducted with 20 ICU nurses across two hospi-
tals in the Thames Valley Critical Care Network, England. Participants' experience of
co-administration down the same lumen and means of assessing compatibility were
explored. All focus groups were recorded, transcribed verbatim, and analysed using
thematic analysis. Functional Resonance Analysis Method was used to provide a
visual representation of the co-administration process.
Results: Two key themes were identified as essential during the process of co-admin-
istration, namely, venous access and resources. Most nurses described insufficient
venous access and lack of compatibility data for commonly used medicines (eg, anal-
gesics and antibiotics) as particular challenges. Strategies such as obtaining additional
venous access, prioritizing infusions, and swapping line of infusion were used to man-
age IV administration pro.
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Cracking the Workplace Discipline Code Main.pptxWorkforce Group
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Although discipline is not a one-size-fits-all approach, it can help create a work environment that encourages personal growth and accountability rather than solely relying on punitive measures.
In this deck, you will learn the significance of workplace discipline for organisational success. You’ll also learn
• Four (4) workplace discipline methods you should consider
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Digital Transformation and IT Strategy Toolkit and TemplatesAurelien Domont, MBA
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RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...BBPMedia1
Marvin neemt je in deze presentatie mee in de voordelen van non-endemic advertising op retail media netwerken. Hij brengt ook de uitdagingen in beeld die de markt op dit moment heeft op het gebied van retail media voor niet-leveranciers.
Retail media wordt gezien als het nieuwe advertising-medium en ook mediabureaus richten massaal retail media-afdelingen op. Merken die niet in de betreffende winkel liggen staan ook nog niet in de rij om op de retail media netwerken te adverteren. Marvin belicht de uitdagingen die er zijn om echt aansluiting te vinden op die markt van non-endemic advertising.
Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
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Tap water for Wound Cleansing
1.
2.
3. Design
Bee et al., 2009 used a systematic review of 9 articles
that proposed studies of using tap water versus normal
saline. The design was a RCT, Quasi-RCT systematic
with the independent variable being wound cleansing
and the dependent variable being wound infection.
4. Design
Magson-Roberts, 2006 reviewed multiple articles
about the use and study of using tap water for wound
cleansing to find out what current practice is
acceptable and safe to use. The studies used a doubleblind approach where participants and researchers
were not aware of weather they were getting normal
saline or tap water
5. Sample
Bee et al., 2009 sample was 4 studies (4 hospitals—1195
wounds). Participants were chosen in the E.R. if they
had a wound, then they either received tap water or
normal saline at random.
6. Results
Tap water showed to be just as effective as cleansing
wounds and decreasing infection rates then normal
saline
7. Results
Bee et al., 2009 states that in comparison of tap water
versus normal saline, statistical studies show that tap
water is favorable in decreasing infection rates with RR
of 0.62, 95% Cl (0.39, 1.01)
8. Using tap water when cleansing
wounds will not only be safe and
effective but it will also be cost saving
for hospitals and patients.
10. Implementing
Create Coalition
-Establish a team (nursing, doctors, infection control)
Develop Vision
-Develop a strategy to implement the change in the workplace
Communicate Vision
-Present new protocol to staff
-Allow staff to voice opinions, ideas and questions
Empower Action
- Develop new protocol for wound care
11. Acknowledgements
Magson-Roberts, S. (2006). Is tap water a safe
alternative to normal saline for wound cleansing?
Journal of Community Nursing, 20(8), 19-24.
Bee, T. S., Maniya, S., Fang, Z. R., Yoong, G. L.
N., Abdullah, M., Choo, J. C. N., …Gaik, I. T. C. (2009).
Wound bed preparation – cleansing techniques and
solutions: a systematic review. Singapore Nursing
Journal 36(1), 16-20, 22.
