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Description
Background: Sepsis is a potentially life-threatening infection affecting millions of individuals. Nearly three million individuals are affected annually, killing one in every two to four individuals. Sepsis mortality rates are highest in those 65 and older, making it the most expensive diagnosis paid by Medicare and worldwide at $24 billion

Background: Sepsis is a potentially life-threatening infection affecting millions of individuals. Nearly three million individuals are affected annually, killing one in every two to four individuals. Sepsis mortality rates are highest in those 65 and older, making it the most expensive diagnosis paid by Medicare and worldwide at $24 billion dollars. Early goal directed therapy (EGDT), created by the International Surviving sepsis campaign, is a bundled protocol created to decrease mortality rates, however, utilization and completion remains a problem in the emergency department (ED).

Purpose: This project sought to evaluate the gap that exists between best practice and current practice, for sepsis identification and EGDT implementation.

Methods: The project was completed over a four-month period with prior Institutional Review Board (IRB) approval and consisted of evaluation of sepsis knowledge and barriers to EGDT. Questionnaires included demographics, sepsis knowledge, barriers to EGDT and AHRQ quality indicators toolkit.

Results: Sample (N=16) included registered nurses (RN) and healthcare providers. Descriptive statistics were utilized for evaluation of questionnaires. Results indicate staff have sound understanding of signs and symptoms of sepsis, however application through case studies demonstrated lower performance. Overall system barriers were minimal, with greatest barriers in central line monitoring and staff shortages. High level unit teamwork exists within the ED, however collaboration is lacking between ED staff and upper management. Results demonstrate moderate disengagement between upper management and staff leading to miscommunication. Recommendations included increased, consistent sepsis education, utilization of Institution for Healthcare Improvement (IHI) triple aim framework for evaluating systems, implementing a closed loop approach to communication, and having a staff champion for sepsis be included in meetings with upper management.
ContributorsLevering, Miriam (Author) / Nunez, Diane (Contributor)
Created2018-04-30
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Description

Children often present to the emergency department (ED) for treatment of abuse-related injuries. ED healthcare providers (HCPs) do not consistently screen children for physical abuse, which may allow abuse to go undetected and increases the risk for re-injury and death. ED HCPs frequently cite lack of knowledge or confidence in

Children often present to the emergency department (ED) for treatment of abuse-related injuries. ED healthcare providers (HCPs) do not consistently screen children for physical abuse, which may allow abuse to go undetected and increases the risk for re-injury and death. ED HCPs frequently cite lack of knowledge or confidence in screening for and detecting child physical abuse.

The purpose of this evidence-based quality improvement project was to implement a comprehensive screening program that included ED HCP education on child physical abuse, a systematic screening protocol, and use of the validated Escape Instrument. After a 20-minute educational session, there was a significant increase in ED HCP knowledge and confidence scores for child physical abuse screening and recognition (p < .001). There was no difference in diagnostic coding of child physical abuse by ED HCPs when evaluating a 30-day period before and after implementation of the screening protocol.

In a follow-up survey, the Escape Instrument and educational session were the most reported screening facilitators, while transition to a new electronic health system was the most reported barrier. The results of this project support comprehensive ED screening programs as a method of improving HCP knowledge and confidence in screening for and recognizing child physical abuse. Future research should focus on the impact of screening on the diagnosis and treatment of child physical abuse. Efforts should also be made to standardize child abuse screening programs throughout all EDs, with the potential for spread to other settings.

ContributorsCarson, Sheri C. (Author) / Hagler, Debra (Thesis advisor)
Created2018-04-09
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Description
Objective: Nearly 90% of sex trafficking victims will come into contact with an emergency department healthcare provider during his or her period of exploitation. Yet, victim identification by healthcare providers remains inadequate. The purpose of this quality improvement project is to improve emergency department healthcare providers’ confidence and ability to

Objective: Nearly 90% of sex trafficking victims will come into contact with an emergency department healthcare provider during his or her period of exploitation. Yet, victim identification by healthcare providers remains inadequate. The purpose of this quality improvement project is to improve emergency department healthcare providers’ confidence and ability to identify sex trafficking victims through staff education centered around sex trafficking. Method: A quality improvement project, guided by the Social Cognitive Theory, was implemented in an Arizona emergency department. ED staff were provided with a 40-minute education video about sex trafficking, including victim identification and appropriate responses. Participation in this project was open to all current healthcare workers employed at this emergency department. Stakeholders within the facility assisted with recruitment via weekly staff emails over a three-week period. A pre- and post-survey, consisting of a self-evaluation Likert scale, was used to assess confidence in identifying victims. Case studies were included to measure the participants’ ability to identify victims of trafficking. All aspects of this project were approved by Arizona State University’s and the organization’s Institutional Review Board. Results: One hundred percent of staff agreed to feeling confident in their ability to identify sex trafficking victims post intervention. However, there was no improvement in staff’s actual ability to identify victims through case studies post intervention. Conclusions: Education can be a valuable tool to improve confidence in identifying victims of sex trafficking in an emergency setting.
Created2021-04-28
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Description
Objective: Pediatric patients with asthma are frequently cared for in the emergency department (ED). Many studies show early administration of corticosteroids (CS) can improve outcomes for children experiencing an asthma exacerbation. Despite the evidence, delays in care remain. The purpose of this study is to streamline the process for nurse-initiated,

Objective: Pediatric patients with asthma are frequently cared for in the emergency department (ED). Many studies show early administration of corticosteroids (CS) can improve outcomes for children experiencing an asthma exacerbation. Despite the evidence, delays in care remain. The purpose of this study is to streamline the process for nurse-initiated, triage-based CS administration and determine the effect on overall length of stay (LOS). Methods: For this quality improvement initiative, ED nurses at a large, freestanding, children’s emergency department in the southwestern United States were given education on inclusion and exclusion criteria for nurse-initiated CS in ED triage. Time to CS administration, LOS, and whether the ED nurse or provider ordered the CS were evaluated through chart reviews of patients presenting with a chief complaint of difficulty breathing. These metrics were compared to charts from the previous year during the same timeframe to evaluate for improved timeliness of CS delivery. Results: Time to CS administration decreased from a mean of 98.6 minutes to 57.6 minutes. LOS decreased from an average of 259.3 minutes to 169.6 minutes. The effect of timely CS on LOS was significant for December p =.003, January p =.002, and February p = <.001. Conclusion: A streamlined process for CS delivery to pediatric patients experiencing an asthma exacerbation can enable providers to achieve efficient and effective care in the ED and decrease a patient’s overall LOS.
Created2021-04-23
Description

The ASU School of Dance presents Emerging Artists - Resite I, November 6, with works by a dance MFA candidate, performed at the Icehouse.

Contributorsnan (Contributor) / Herberger Institute School of Dance (Publisher)
Created2009
Description

The ASU School of Dance presents Emerging Artists II, February 14-17, with works by dance BA and MFA students Cassie Roberts, Katie McCaskill, Lydia Sakolsky-Basquill, Kelly Doherty, and Kristin Tovson, performed at the Dance Studio Theatre.

ContributorsHergerber Institute School of Dance (Publisher) / Ackermann, Jennifer Keane (Choreographer) / McGloin, Aaron (Lighting designer) / Mihaleva, Galina (Costume designer, Costume designer) / Roberts, Cassie (Costume designer, Dancer) / Ebling, Brett (Choreographer, Costume designer) / Trujillo, Davey (Lighting designer, Dancer) / Abruzzi, Lucio (Dancer) / Dumont, Marguerite (Dancer) / Hosack, Brittany (Dancer) / Hauk, Chelsey (Dancer) / Kozulla, Ashle (Dancer) / Murray, Leigh (Dancer) / Mollicone, Karissa (Dancer) / Buskirk, Kelly Van (Dancer) / Fitzgerald, Mary (Choreographer, Costume designer, Set designer) / Koch, Carolyn (Lighting designer) / McCaskill, Katie (Costume designer, Dancer) / Ammerman, Mark (Set designer) / Limon, Jose (Choreographer) / Sakolsky-Basquill, Lydia (Costume designer, Dancer) / Doherty, Kelley (Choreographer, Costume designer, Dancer) / Benard, Jacqueline (Costume designer) / Faciana, Maria (Dancer)
Created2008
Description

The ASU School of Dance presents Emerging Artists I, October 8-10, with works by dance MFA candidates Randi L. Frost, Emily Spranger, and Omilade Davis, performed at the Dance Lab, FAC 122.

ContributorsFrost, Randi L. (Choreographer, Costume designer, Set designer) / Trujillo, Davey (Lighting designer) / Ammerman, Mark C. (Set designer) / Barrett, Kristen (Dancer) / Ferrell, Rebecca A. (Dancer) / Fletcher, Kasey (Dancer) / Klassen, Kaitlyn (Dancer) / Oyer, Xela (Dancer) / Wrobel, Tara (Dancer) / Spranger, Emily (Choreographer, Costume designer) / Benard, Jacqueline (Costume designer) / Brown, Alyssa (Dancer) / Gonzales, Anthony (Dancer) / Karr, Mandi (Dancer) / Pellegrino, Laura (Dancer) / Tryon, Chelsi (Dancer) / Zakrewski, Emily (Dancer) / Davis, Omilade (Choreographer, Costume designer, Videographer, Dancer) / Bey, Gabriel (Composer) / Muhammad, Andre (Composer) / Thompson, Darrell (Composer) / Al-Malik, Sylvia (Dancer) / Davis, Andre (Dancer) / Mayes, Paige (Dancer) / Muhammad-Hays, Ajah (Dancer)
Created2010
Description

The ASU School of Dance presents Emerging Artists II, November 5-7, with works by dance MFA candidates Rebecca A. Ferrell, Rebecca Blair Hillerby, and Crystal Bedford, performed at the Margaret Gisolo Dance Studio.

ContributorsHerberger Institute School of Dance (Publisher) / Ferrell, Rebecca A. (Choreographer) / Swayze, William (Sound designer) / Ammerman, Mark C. (Set designer, Lighting designer) / Mihaleva, Galina (Costume designer) / Bouey, BJ (Dancer) / Hull, Scott (Sound designer) / Trujillo, Davey (Lighting designer) / Raviotta, Todd A. (Sound designer) / Wrobel, Tara, Georgina Bliss (Performer) / Ling, Amanda, Blair Ellis (Performer, Dancer) / Zakrzewski, Emily, Pennelopi Lawson (Performer) / Waugh, Whitney, Foxy McGillicutty (Performer, Dancer) / Hillerby, Rebecca Blair (Performer, Director, Costume designer, Set designer) / Barrett, Kristen (Dancer) / McHale, Samantha (Dancer) / Pellegrino, Laura (Dancer) / Bedford, Crystal (Choreographer, Costume designer, Dancer) / Barnard, Ashley (Dancer) / Bella, Maya (Dancer) / Bocchino, Corinne (Dancer) / Ford, Mary (Dancer) / Levin, Felicia (Dancer) / Montoya, Reyna (Dancer) / Tully, Meghan (Dancer) / Ver Hagen, Michelle (Dancer)
Created2010
Description

The ASU School of Dance presents Emerging Artists I, October 24-26, with works by dance MFA candidates Sara Malan-McDonald and Holly Woodridge, performed at the Dance Studio Theatre, PEBE 132.

ContributorsHerberger Institute School of Dance (Publisher) / Malan-McDonald, Sara (Choreographer, Costume designer, Dancer) / Millicam, Kendahl Lyn (Collaborator deprecated, use Contributor, Dancer) / Woolridge, Holly (Choreographer, Costume designer) / Barrett, Rachael (Dancer) / Boles, Leah (Dancer) / Claudel, Kacie (Dancer) / Harding, Susannah (Dancer) / Horton, Toni (Dancer) / Kusch, Liz (Dancer) / Medina, Tasheena (Dancer) / Sadler, Jessica (Dancer) / Koch, Carolyn (Lighting designer) / Benard, Jacqueline (Costume designer) / Mapes, Aileen (Costume designer, Dancer) / Mihaleva, Galina (Costume designer) / Ammerman, Mark C. (Set designer) / Beck, Jeanette (Dancer) / Gonzalez, Elissa (Dancer) / Hook, Brittany (Dancer) / Kroon, Anjuli (Dancer) / Landon, Melissa (Dancer) / Levin, Gianna (Dancer) / Levin, Gillian (Dancer) / Breen, Leslie (Collaborator deprecated, use Contributor)) / Feliciano, Cynthia (Collaborator deprecated, use Contributor)) / Fitzgerald, Mary (Choreographer, Costume designer) / Basting, Samantha (Dancer) / DeVries, Debbie (Dancer) / McDonald, Aaron (Dancer) / Tovson, Kristin (Dancer) / Endicott, Jenna (Dancer) / Fisher, Rose (Dancer) / Kirwan, Molly (Dancer)
Created2008
Description

The ASU School of Dance presents New Dance Works 3, January 24-27, with works by dance MFA candidates C-c Braun, Janie D. Ross, and Julia Vessey, performed at the Dance Studio Theatre.

ContributorsHergerber Institute School of Dance (Publisher) / Ammerman, Mark C. (Technical director) / Atwood, Laura (Choreographer, Set designer) / Braun, C-c (Dancer, Choreographer, Costume designer, Composer) / Cortex, Margarita G. (Choreographer) / Doherty, Kelley (Choreographer, Dancer) / Dorfman, David (Dancer) / Dumont, Marguertie (Dancer) / Fisher, Rose (Choreographer, Dancer) / Goodman, Curtis (Choreographer, Dancer) / Issac, Chris (Composer) / Kirwan, Molly (Dancer) / Koch, Carolyn (Production manager, Lighting designer) / Malan-McDonalds, Sara Jean (Dancer) / Mapes, Aileen (Choreographer, Dancer) / Martinez, Meredith (Dancer) / Mihaleva, Galina (Costume designer) / Milam, Nichole (Dancer) / Mooney, Elina (Artistic director) / Penderecki, Krystof (Composer) / Ross, Janie D. (Choreographer, Costume designer, Dancer) / Spenceley, Jenni (Dancer) / Swayze, William (Sound designer) / Tovoson, Kristin (Choreographer, Dancer) / Trujillo, David (Lighting designer) / Vessey, Julia (Costume designer, Dancer, Choreographer, Lighting designer, Set designer) / Yanez, Avery (Dancer, Choreographer)
Created2008