OHSU Digital Collections (Oregon Health and Science University)
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    Improving opioid safety in primary care: a quality improvement project on naloxone co-prescribing

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    Harm reduction interventions, such as naloxone access and co-prescribing practices within primary care, can improve opioid safety and reduce harmful patient outcomes. This quality improvement project aimed to enhance naloxone co-prescribing practices through an educational intervention

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    Increasing access to laboratory services at a community mental health clinic for patient’s experiencing first episode psychosis: a quality improvement project

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    Adherence to laboratory testing was challenging for patients at an outpatient community mental health clinic (OC), in part due to a lack of access to onsite laboratory services, lack of access to third-party laboratory services, and subsequent reliance on PCPs to obtain laboratory testing, resulting in delayed results and increased patient burden. This QI project aimed to establish laboratory testing services that OC providers could order electronically through the OC’s electronic health record (EHR). This project was conducted in an urban community mental health clinic that provides services for patients experiencing first-episode psychosis

    Developing an educational intervention for nursing students who care for people experiencing homelessness and mental ill-health: a quality improvement initiative

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    The aim of this quality improvement initiative was to create, evaluate and implement an educational intervention to improve the quality of care delivered by nursing students' to people experiencing homelessness and mental ill-health. A two-hour multi-modality educational intervention was developed and tested in a group of seven undergraduate nursing students. Results from the quasi-experimental one group pretest-posttest study demonstrated statistically significant improvements in students' knowledge and confidence

    Assessment for improving OR nurse knowledge and preparedness during pediatric critical events: a quality improvement initiative

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    This QI project assessed ways to improve nurses’ knowledge and preparedness during critical events by distributing a survey to DCH RNs. The survey, based on Kolb’s learning styles, allowed us to recognize whether OR nurses preferred a particular learning style to enhance their knowledge and preparedness during critical events. The project was guided by the Model for Improvement, developed by the Institute for Healthcare Improvement.during critical events. Various training strategies, including Pediatric Advanced Life Support (PALS), simulation-based training, web-based learning, and emergency manuals, were evaluated

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    Delirium screening, management, and notification: a program evaluation

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    This program evaluation assessed the impact of a new, brief delirium screening tool. The aim of this program evaluation was threefold and determined 1) bedside nursing staff adherence to the new screening tool, 2) provider notification of a positive screening result, and 3) delirium order set entry. Key findings include significant increase in delirium identification, screening tool adherence, and delirium order set entry . Implications for this program evaluation include increase delirium identification and improved provider order set entry with a potential reduction in hospital length of stay and long-term effects of delirium

    Comprehensive perinatal health services : a strategy toward universal access and care in Oregon: report of the Maternity Care Access Planning Commission

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    This project consisted of staffing the Maternity Care Access Planning Commission and preparing its final public report. The Cornn1ission \Vas formed in 1991 with a mission to: design and implement an action plan for an integrated, coordinated, preventive and more accessible statewide system of perinatal services for women and their infants to span the period from preconception through postpartum

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