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Creative Push is a multimedia visual art and oral history project that focuses on the most formative of human experiences: birth. Creative Push is a means to collect, transform, display, and circulate birth stories and artworks.
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.
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.
Creative Push is a multimedia visual art and oral history project that focuses on the most formative of human experiences: birth. Creative Push is a means to collect, transform, display, and circulate birth stories and artworks.
Creative Push is a multimedia visual art and oral history project that focuses on the most formative of human experiences: birth. Creative Push is a means to collect, transform, display, and circulate birth stories and artworks.
Creative Push is a multimedia visual art and oral history project that focuses on the most formative of human experiences: birth. Creative Push is a means to collect, transform, display, and circulate birth stories and artworks.
Creative Push is a multimedia visual art and oral history project that focuses on the most formative of human experiences: birth. Creative Push is a means to collect, transform, display, and circulate birth stories and artworks.
Creative Push is a multimedia visual art and oral history project that focuses on the most formative of human experiences: birth. Creative Push is a means to collect, transform, display, and circulate birth stories and artworks.