OHSU Digital Collections (Oregon Health and Science University)
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Identifying eligibility for intermittent auscultation fetal monitoring in low-risk midwifery patients: a quality improvement project
No full textThis quality improvement project aimed to increase the identification and documentation of IA-qualifying patients in a hospital-based midwifery practice. By implementing standardized documentation tools and provider education, the goal was to improve the consistency and accuracy of IA orders and usage
Linking Parkinson's disease and melanoma: the role of alpha-synuclein in DNA double-strand break repair
No full textThis dissertation investigates the molecular link between Parkinson's Disease and melanoma. Specifically, this work presents novel findings showing that alpha-synuclein facilitates DNA-double-strand break repair in melanoma using both in vitro and in vivo methodologies
Measuring fidelity of a feedback informed treatment pilot program: a quality improvement project
No full textProgress feedback models, including Feedback informed treatment (FIT), are evidence-based models for using client feedback to improve progress toward therapeutic goals in the behavioral health setting. These models are effective only when implemented with fidelity to the model. Local problem: A private Outpatient Clinic (OPC), with 23 clinicians serving over 1,000 clients, is in the process of implementing FIT, including a small pilot program of five clinicians. OPC did not have a systematic means of evaluating fidelity to the FIT model during this pilot program. This project uses the Conceptual Framework for Implementation Fidelity (CFIF) in conjunction with Plan-Do-Study-Act (PDSA) cycles of iterative improvement, as described by the Institute for Healthcare Improvement Model approach to Quality Improvement (IHI-QI). A process for evaluating and describing fidelity implementation of FIT during the pilot program, as well as eliciting clinician feedback on barriers to fidelity is described. A mixed-methods approach was used to collect quantitative data describing use of FIT tools over time with identified client population, and qualitative data from structured group interviews with participating clinicians. These data describe execution of the key fidelity components identified in this project. Evaluation included a description of fidelity to FIT at this early implementation stage and identified opportunities to improve fidelity moving forward
