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Get PDFDe-labeling Inaccurate Penicillin Allergies: Improving Referral Rates for Penicillin Allergy Testing
Get PDFBACKGROUND: An estimated 8%-25% of the global population has a penicillin allergy label; however, only 1% have a true allergy when tested. Patients with a penicillin allergy label incur higher healthcare costs, have worse health outcomes, and are more often prescribed broad-spectrum antibiotics.
LOCAL PROBLEM: The setting for this evidence-based quality improvement project is a university-based student health clinic. Patients often present for bacterial infections best treated with beta-lactam antibiotics. Inappropriate penicillin allergy labels contribute to suboptimal treatment. The project aimed to increase recommended penicillin allergy testing referrals for patients with penicillin allergy labels by 50% within three months of implementation.
METHODS: The Evidence-Based Practice Improvement Model (EBPI) was used to guide this project\u27s development, implementation, and evaluation. PDSA cycles were used to introduce and test the practice change processes incrementally. Outcome measures evaluated the number of patients recommended to receive referrals for penicillin allergy testing for 3 months pre-implementation and post-implementation.
INTERVENTIONS: An education session was provided to clinicians to discuss the importance of addressing penicillin allergy labels and introducing the standardized penicillin allergy assessment tool. A standardized penicillin allergy assessment template was integrated into the electronic health record (ERH) workflow to prompt providers to address penicillin allergy labels and recommend referrals for penicillin allergy testing.
RESULTS: Recommended referrals for penicillin allergy testing in patients with penicillin allergy labels increased from 3.8% to 57.8%, a 1421% increase over pre-implementation rates.
CONCLUSIONS: Using a standardized penicillin allergy assessment template increased recommended penicillin allergy testing referral rates in patients with penicillin allergy labels. The results of this project demonstrate that with simple interventions, primary care providers can be key drivers in increasing referrals for penicillin allergy testing. Project sustainability is high since the process was integrated and accepted into clinical flow, and there was no cost associated with the process
Advancing the Mission: Highlights from the 2025 ASMA Conference
Get PDFThe Journal of Applied Sport Management (JASM) is the official publication of the Applied Sport Management Association (ASMA), which is a scholarly organization that builds research partnerships between faculty and students. ASMA also facilitates connections between sport management faculty and students studying sport and practitioners working in the sport industry. In 2025, the annual conference was hosted by the University of Cincinnati under the direction of Dr. Matt Huml. Highlights from the annual conference include Dr. Chad Seifried from Louisiana State University receiving the ASMA Distinguished Service and Mentorship Award and Dr. Lawrence Judge of Ball State University becoming an ASMA Research Fellow
Matching colors in jersey sponsorship: The effect of team-colored sponsor logo on jersey aesthetics and purchase intention
Get PDFIn jersey sponsorship, some sponsors today have decided to modify their logo colors to match the team colors. The present research examined the role of team-colored sponsor logo in jersey sponsorship, paying particular attention to its impact on perceived aesthetics of the jersey and fans’ willingness to purchase. Three experiments using both fictitious and actual sponsors across two different sports showed that the team-colored sponsor logo on a jersey was a positive predictor for both perceived aesthetics and purchase intention at all levels of team identification. The findings also revealed the indirect effect of the team-colored sponsor logo on purchase intention via perceived aesthetics. The findings provide insights for both sponsors and teams to maximize jersey sponsorship outcomes for short- and long-term benefits
SACSCOC Response - Method of Delivery Notification - Doctor of Philosophy (Ph.D.) in Education
Get PDFUncovering Maria Edgeworth’s Strategic Political Influence Through Her Unpublished Letters
Get PDFMaria Edgeworth (1768-1849) was one of the most prolific Anglo-Irish novelists of the eighteenth and nineteenth centuries. While Edgeworth’s novels are regularly discussed among Regency-era scholars, researchers have rarely considered her letters and correspondence, especially in relation to her role in contemporary politics. During my time on the Maria Edgeworth Letters Project team, I researched Edgeworth’s previously unpublished letters, which provided a unique view of her strategic political correspondence network. Through her writing, Edgeworth was able to voice her thoughts while also remaining publicly complacent with restrictive societal norms imposed on women. In my article, I argue that through her careful use of reason in her letters, Edgeworth was also able to persuade her male correspondents to consider her political ideas, especially in the case of her interactions with British Whig politician Thomas Spring-Rice, who in turn connected her to figures such as Prime Minister Henry John Temple
Using Graphic Memoirs in a Counseling Children and Adolescent Course: A Phenomenological Arts-Based Study
Get PDFGraphic memoirs in learning environments can facilitate deep educational processes, such as dismantling stigma and biases. There is limited research on the use of graphic memoirs in counselor education. This arts-based phenomenological investigation explored 26 CITs’ experiences with a graphic memoir assignment in a counseling children and adolescent course. There were four themes and one subtheme identified: (a) understanding the Deaf experience and advocacy, (b) professional growth and counseling insights, (c) personal reflection and connection, and (d) educational impact and engagement and one subtheme of using bibliotherapy and creative activities in counseling practice. Discussion and implications for counselor educators are provided
The Evolution of PET Throughout Heterogeneous Glycolysis and the Repolymerization of Oligomers
No full textThe Effects of a Preoperative Anesthesia Educational Video on Anxiety Levels in Adult Surgical Patients Receiving General Anesthesia: A Quality Improvement Project
No full textBackground: Preoperative anxiety is common among surgical patients and is often driven by fears related to anesthesia, postoperative pain, and lack of information. This anxiety can negatively impact patient outcomes and satisfaction, potentially increasing healthcare costs. Evidence shows that structured preoperative education can reduce anxiety and improve patient outcomes.
Local Problem: At Parkwest Medical Center in Knoxville, Tennessee, anesthesia providers recognized the importance of standardized preoperative education. The project’s purpose was to implement an anesthesia educational video in the preoperative unit to reduce anxiety, with an aim of 20% of adult surgical patients viewing the video and completing the Amsterdam Preoperative Anxiety and Information Scale (APAIS).
Methods: This project utilized the Evidence-Based Practice Improvement model. The team developed an anesthesia educational video and a Qualtrics questionnaire containing the APAIS. Daily census reports, Qualtrics data, and paper copies were used to collect data weekly. Plan Do Study Act cycles guided improvement efforts throughout the intervention period.
Interventions: The Qualtrics link was converted into a quick response code and displayed in patient rooms. Preoperative nurses instructed patients to scan the code and complete the questionnaire. Data was collected electronically and securely stored in Qualtrics, with paper copies available as needed.
Results: During implementation, 630 patients received the intervention and 308 completed it, resulting in an overall participation rate of 49% with 96% recommending the intervention. Mean APAIS scores of 1.8 for anesthesia-related questions and 2.5 for surgery relatedquestions demonstrated a reduction in anesthesia related anxiety after viewing the video. These findings provide insight into the feasibility and acceptance of standardized preoperative education in this setting.
Conclusion: This initiative focused on supporting patient-centered care, standardizing the delivery of preoperative education, and reducing patient anxiety related to anesthesia. The project’s aim was exceeded, demonstrating successful implementation, and continued use is recommended to ensure sustained impact