7081 research outputs found
Sort by
Optimizing Dissemination of Patient Education to Improve OAS-CAHPS Scores: Communication and Discharge Domain Performance Following Ambulatory Surgery Procedures
No full textSpring Into Safety: Preventing Pharmaceutical Overrides
No full texthttps://scholarlycommons.baptisthealth.net/dh-bestpractice-2025/1007/thumbnail.jp
Evaluation of migraine treatment in the emergency department
No full textIntroduction: Migraines account for approximately 1.2 million U.S. emergency department (ED) visits annually, yet fewer than 25% of individuals achieve sustained relief, underscoring the need for more effective, standardized care. The American Headache Society recommends first-line ED therapy with intravenous fluids, nonopioid analgesics, and antidopaminergic agents; if inadequate, escalation to triptans or dihydroergotamine is appropriate, with adjuncts such as magnesium or valproic acid. Opioids are discouraged due to limited efficacy and safety concerns. We evaluated the impact of implementing an evidence-based ED migraine pathway following provider education.
Methods: We conducted an observational pre-/post-intervention quality improvement project (January–April 2025), including 100 adult ED individuals with migraine (n = 50 pre-intervention; n = 50 post-intervention); pregnancy was an exclusion. In February 2025, the principal investigator delivered targeted education to ED providers. The primary outcome was the proportion receiving first-line evidence based therapy post-education. Secondary outcomes were opioid exposure, admissions without symptom resolution, and 30-day ED return visits.
Results: Use of evidence-based therapy increased from 74% (n = 37) pre-intervention to 88% (n = 44) post-intervention. Opioid prescribing decreased from 26% (n = 13) to 12% (n = 6). Admission rates declined from 12% (n = 6) to 6% (n = 3). No 30-day ED return visits occurred in either group.
Conclusion: Implementing an evidence-based migraine pathway, reinforced by focused provider education, improved adherence to guideline-concordant care, reduced opioid utilization, and lowered admissions. Future work will integrate the pathway into a standardized ED order set, assess sustainability and provider adherence over time, and evaluate downstream effects on inpatient prescribing and patient-centered outcomes
Code Crimson OB: A Lifeline for Maternal Health
No full textIntroduction: Postpartum hemorrhage (PH) accounts for 12% of maternal deaths in the U.S. and affects approximately 5% of obstetric individuals. Despite available treatments, delays in recognition and response can lead to severe complications or death. The purpose of this evidence-based practice project was to improve maternal outcomes by implementing Code Crimson OB, a specialized obstetric rapid response team (RRT) for managing maternal hemorrhage.
Methods: An unannounced maternal hemorrhage drill revealed critical delays in mobilizing appropriate personnel. In response, the RRT protocol was revised to include Code Crimson OB, ensuring rapid, coordinated intervention. Hospital-wide education was conducted, and the protocol officially launched in May 2022, with the first activation in July 2022.
Results: Following implementation, Code Crimson OB significantly improved response times and outcomes. There was a 90.9% reduction in transfers to higher levels of care, an 88.2% decrease in blood transfusions, and an 85.7% decline in emergency hysterectomies.
Discussion: The success of Code Crimson OB supports its expansion to other maternal care sites within the health system. Plans are also underway to develop a similar rapid response protocol for non-obstetric hemorrhage cases hospital wide
Exploring the Lived Experience of Nursing Faculty in Preparing for the Next Generation NCLEX: A Qualitative Study
No full textIntroduction: According to the Nursing Council of State Boards of Nursing (NCSBN), more than half of all errors among new graduate registered nurses are related to a lack of clinical judgment, a critical component of nursing practice. Considering the Next Generation National Council Licensure Examination (NCLEX) focuses on clinical judgment, a greater understanding of faculty’s Next Generation NCLEX (NGN) teaching preparedness is needed. The purpose of this study was to explore nursing faculty’s lived experience preparing students for the NGN.
Methods: This was a qualitative descriptive study. Data were collected via 15-minute individual interviews. Participants were pre-licensure nursing faculty from community colleges and university schools of nursing. Data were analyzed using Braun and Clark’s thematic analysis approach. Descriptive statistics were used to determine frequencies, mean, median, standard deviation, and ranges of demographic data.
Results: The findings revealed significant variation in faculty preparedness to teach NGN content. While some participants expressed confidence due to prior training, others reported feeling underprepared for the shift toward clinical judgment-focused education. The three themes that emerged were: Faculty understanding of NGN; challenges to incorporating NGN into the curriculum; institutional support and infrastructure. These themes highlight the critical role of institutional support and professional development in facilitating this transition.
Discussion: Organizations should prioritize NGN-specific workshops and training sessions to enhance faculty confidence and competence. Providing access to NGN case studies and assessment tools will be essential. Faculty need allocated time and institutional encouragement to revise lesson plans and teaching methods
Evaluating the Role of COVID-19 on Delay in Cancer Care and Health Disparities of Women with Breast Cancer: A Retrospective, Multi-site Study
No full textIntroduction: COVID-19 had a profound impact on cancer screening, diagnosis, and treatment worldwide. The purpose of this study was to examine the role that the COVID-19 pandemic had on delays in breast cancer screening, diagnosis, treatment, and other related variables, including cancer staging and oncology measures of performance (ECOG Performance Status), in the inpatient and ambulatory oncology settings.
Methods: This was a multi-site, interdisciplinary retrospective review study including 1,514 participants. Four cancer centers collaborated, submitting de-identified data in accordance with their policies and procedures.
Results: Our study\u27s results showed significantly higher delays in screening mammogram appointments (p \u3c .001) during the COVID-19 pandemic (N=142) than before the COVID-19 pandemic (N=56), with a 52% higher likelihood of canceling screening mammogram appointments during COVID-19. Our findings also revealed a statistically significant difference (p \u3c .001) in the time from diagnosis to the first recommended treatment for scheduled initially appointments, with an increase of 18 days, suggesting delays in cancer treatment during the COVID-19 pandemic.
Discussion: Our findings contribute valuable insights into breast cancer screening, diagnosis, and treatment delays pre- and during COVID-19. More research is needed to investigate outcomes associated with delays in breast cancer screening, diagnosis, and treatment during COVID-19. The long-term impact of the COVID-19 delays in screening, diagnosis, and treatment of breast cancer is important knowledge that can guide healthcare providers in ensuring the best care for their individuals during a pandemic
Healing The Healer: Reducing Nurse Burden Through Structured Relaxation Breaks On 5 Pav
No full texthttps://scholarlycommons.baptisthealth.net/se-2025-smh-bpf/1003/thumbnail.jp
Evaluating the Reliability and Validity of the Modified Obstetric Fall Risk Assessment System: A Pilot Study (OFRAS)
No full texthttps://scholarlycommons.baptisthealth.net/se-2025-smh-bpf/1010/thumbnail.jp
