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Increasing provider utilization and understanding of nature based Interventions to improve mental wellbeing in pediatric patients: a quality improvement project
The mental wellbeing of children and adolescents in the United States has been declining while rates of anxiety and depression in youth have been rising. Improvement of pediatric mental wellbeing is multifaceted and treatment from providers includes a variety of interventions ranging from nonpharmacological to pharmacological. Nature-based interventions (NBIs) are nonpharmacological interventions that can improve memory, cognition, and attention as well as decreasing anxiety, stress, and depression in pediatric patients. Many pediatric primary care providers (PCP) feel under-prepared
to help pediatric patients meet their mental health goals. This quality improvement (QI) project aimed to improve provider utilization and understanding of nature-based interventions through an educational intervention.
Data equity in biostatistics education: development and dissemination of a new open-access teaching data resource
Within statistics education, there is a push for inclusive teaching with a focus on data equity. Across fields, the benefits of inclusive teaching is well established. Additionally, the importance of data equity had gained traction since 2020. However, in the statistics classroom, there is a delay in social-centric curriculums. Many universities address data equity is a separate course, including the OHSU-PSU School of Public Health, but do not integrate it into foundational statistics courses. My current research, at its initial stages, aims to systematically demonstrate that teaching with data equity lens leads to increased critical thinking and analysis skills
A quality improvement initiative to implement a risk stratified population health tool in primary care
The QI project utilized the Plan-Do-Study-Act (PDSA) cycle methodology to guide the project. A multidisciplinary team selected and integrated the Risk of Hospital Admission or ED Visit Stratification (RHA/EDVS) risk stratification tool into the clinic’s electronic health record (EHR), trained staff on population health and risk stratification, and implemented workflows to mitigate risk. Pre- and post-implementation surveys measured staff knowledge gains. Process measures included trainings delivered, workflows developed, and high-risk rosters created
Evaluating early mobility for patients admitted to a progressive care unit
This paper investigates the implementation of an intervention to improve patient mobility in hospital settings, addressing the lack of standardized recommendations for inpatient exercise and the associated risks of immobility. Retrospective chart reviews from January 1st to January 31st, 2023, at Community Medical Center's Progressive Care Unit (PCU) were conducted to establish a baseline for mobility assessments and activity levels. Findings revealed that while 82.14% of patients had mobility assessments charted, only 27.68% had correlating activity levels documented, falling short of the targeted 75%. The project highlights the importance of accurate charting and the need for nurse education to ensure alignment between assessments and activities. Moving forward, the data collected will serve as a benchmark for assessing the effectiveness of future interventions aimed at improving patient mobility and outcomes in hospital settings
Increasing provider knowledge of geriatric trauma frailty assessment: a quality improvement project
Using the Institute for Healthcare Improvement Model as a framework, the knowledge gap of geriatric frailty awareness warrants questioning and standardization in clinical practice. Evidence suggests that early identification of frail geriatric patients is required to anticipate the management of chronic conditions and discuss goals of care, while attending to acute trauma needs as suggested by the American College of Surgeons (ACS) directives for geriatric Trauma Quality Improvement Project (TQIP) Guidelines. The trauma department (TD) where this quality improvement (QI) project took place has seen a rise in geriatric trauma and the complexity of care for this population. Currently, providers lack the knowledge to assess geriatric trauma frailty, leading to non-standardized care. The aim of this QI project was to create an educational presentation on the Rockwood Clinical Frailty Scale (CFS) to improve provider knowledge on geriatric frailty and implement this assessment into the electronic health record (EHR)
Effect of reducing imaging time points in lutetium-177 vipivotide tetraxetan dosimetry
Lutetium-177 vipivotide tetraxetan (Lu-177 PSMA-617) therapy is an effective treatment for patients with metastatic prostate cancer, although with potential adverse effects to the kidneys, salivary glands, and bone marrow. As a preventative measure for atrisk patients, dosimetry using four SPECT/CT scans is performed with the first cycle of Lu177 therapy. In this work, seven Lu-177 PSMA-617 dosimetry cases from patients treated at Oregon Health & Science University with SPECT scans taken at 4 hours, 24 hours, 48 hours, and 72 hours post-injection were retrospectively analyzed for how omitting each of the scans in performing dosimetry would affect reported absorbed doses to the kidneys, liver, lungs, parotid glands, and tumor