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Implementation of a Pharmacist-Driven Monitoring Protocol for Individuals Receiving Multiple QT-Prolonging Medications in aCommunity Hospital
No full textBackground: Torsades de pointes is a life-threatening polymorphic ventricular tachycardia, associated with QT interval lengthening on an electrocardiogram. Hospitalized individuals are routinely administered multiple medications with the potential to prolong the QTc interval. This quality improvement project sought to implement a pharmacist-driven protocol to identify and monitor individuals on multiple QT-prolonging medications using pharmacovigilance software, VigiLanz®, and the Tisdale risk score, aiming to reduce adverse drug reactions (ADRs) in a community hospital.
Methods: This was a single-center prospective quality improvement project of individuals admitted to the hospital from February through March 2024. Individuals with two or more scheduled QT-prolonging medications and calculated Tisdale scores of 11 or greater were included. The primary outcomes included the proportion of individuals requiring therapy modification and/or ECG monitoring. Secondary outcomes include the number of corresponding VigiLanz® alerts fired, the type of pharmacy intervention made, and the acceptance rate.
Results: Among individuals with at least two QT-prolonging medications, 17 (12%) were considered high-risk for QT-interval prolongation. The median number of interacting medications per individual was two, with the most common being antidepressants, 13 (34.2%). Additionally, 15 (88%) individuals required pharmacist-driven interventions, including therapy modifications or electrocardiogram monitoring. Notably, 95% of these pharmacist interventions were accepted.
Conclusion: Implementation of a pharmacist-led QT monitoring protocol can enhance the safety of medications that may cause Torsades de Pointes. By systematically identifying individuals at high risk for QT prolongation, this quality improvement project facilitated appropriate and timely interventions
Enhancing Airway Safety Through the BRIGHT Protocol: A NICU Quality Initiative
No full texthttps://scholarlycommons.baptisthealth.net/se-2025-smh-bpf/1020/thumbnail.jp
Harnessing the Communities of Resilience and Excellence Framework to Advance Population Health: The Healthy West Kendall Experience
No full textIntroduction: Fragmented community efforts often dilute health‐improvement initiatives. The Communities of Resilience and Excellence (C.O.R.E) Guide offers a Baldrige-based systems approach that aligns cross‐sector partners around shared metrics and continuous improvement cycles for collective impact. West Kendall, an unincorporated area of Miami-Dade County with over 340,000 residents, adopted the framework in response to rising chronic disease burden and socioeconomic disparities.
Methods: West Kendall Baptist Hospital served as the backbone organization that aligned multi-sector partners, implemented evidence-based interventions, and tracked community-level outcomes. We conducted a cross-sectional evaluation of the Healthy West Kendall initiative\u27s impact across various regions in Miami-Dade County and overall U.S. data, utilizing the C.O.R.E. Guide as our framework. Trends were compared from 2022 to 2024.
Results: Implementation of the C.O.R.E Guide and initiative portfolio resulted in measurable gains across the community. Over 37,000 free biometric screenings and nursing interventions were provided. Among returning visitors, 85% improved glucose levels, 73% reduced total cholesterol, and 50% lowered blood pressure. Hypertension admissions declined while hospitalizations for diabetes rose but remained substantially lower than county or state averages. The high school graduation rate increased to 97.4%; however, third‐grade English‐Language Arts proficiency decreased. The local economy strengthened, median household income increased, and unemployment remained low despite market volatility. The Community Business Partners network expanded to 250 members.
Discussion: Embedding the C.O.R.E Guide transformed disparate activities into a coordinated, data-driven system that advanced residents’ health and developed an active and vibrant community. The model is scalable for communities lacking formal government structures and underscores the importance of sustained partnerships, transparent metrics, and leadership coaching
The Effects of Craniofacial Muscle Contractions on the Formerly Vagus Nerve Somatosensory Evoked Potentials
No full textQuantitative Assessment of Full-Time Equivalent Effort for Kilovoltage-Cone Beam Computed Tomography Guided Online Adaptive Radiation Therapy for Medical Physicists
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Enhancing safety: Multi-institutional FMEA and FTA on 177Lu -based radio-pharmaceutical therapy
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