Programs and Communities
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- All Subjects: Author's inscription
Edition includes a gift inscription from author Clark E. Carr, "Presented to my friend Hon. WB. Brinton with my sincere regards. Clark Elarr. Christmas 1905."
This edition includes a gift inscription possibly penned by the author, Madison Julius Cawein, "Frank on Valentines Day, 1914. M.J." Madison Julius Cawein (1865-1914).
This edition includes an author's inscription written in two different pen colors, "J. W. Crawford aft Jack to Rev. W. O. Cornman."
Edition includes author's gift inscription, "From Fannie".
This edition has a gift inscription by author John Jay Chapman, "Miss Goodale from John Jay Chapman Merry Xmas 1914."
This edition includes a gift inscription by author Rev. J.A. Davis, "To Rev. A. G. Russell with the warmest regards of the author J.A. Davis."
This edition includes an author's inscription, "Very true and faithful Alice Brown. June 25, 1916."
This edition includes author Katharine Lee Bates' gift inscription, "This grave work is presented, at request, to Mildred C. Smith, president of the Wellerby Graduate Club, with Christmas Love from K.L.B. 1916."
This edition includes the author's inscription, "With the Authoress's best regards." A second hand writes "S. Huband."
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.