Programs and Communities
The collection collates collections by schools, centers, programs, and research groups.
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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, 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.
ContributorsBain, Ilyssa D. (Author) / Bucci, Aimee (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-23
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 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.
ContributorsKieser, Reynaldo (Author) / Helman, Jonathan (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-28
Description
Over the last ten years, a dramatic increase in Emergency Department (ED) visits has been prominent. Non-emergent chief complaints, such as repeat chronic care needs, are causing increased ED visits. The underutilization of primary care resources has been correlated with the overutilization of emergency care resources. ED overutilization is having a negative rippling effect on the ability of the US healthcare system to care for patients. Emergency department personnel and other resources are strained, leading to overcrowding and decreased quality of care. Health insurance and provider accessibility has been linked to the high rates of ED usage by adults age 18 – 64, with the highest rates seen in those under public health coverage, such as Medicaid, compared to those who were uninsured. To encourage primary care visits and discourage non-emergent ED usage, the United States health system includes patient education on the appropriate ED use, higher-copayment as financial disincentives, and encouragement of provider-patient relationships with Primary care providers (PCP). The public health clinics, including Federally Qualified Health Centers, provide patient education on the appropriate use of PCP versus ED resources, and offer extended office hours during evenings and weekends; trimming the rate of non-emergent ED visits can significantly reduce health care costs.
ContributorsMarcus, Toyin (Author) / Ochieng, Dr. Judith (Author, Thesis advisor)
Created2019-05-04
Description
The Arizona State University (ASU) Masters of Sustainability Solutions (MSUS) program connects student teams with real-world clients to solve real-world sustainability problems as a part of the students’ Culminating Experience in the program. This report details the project assigned to our group, the Emissions Data Detectives (EDD), in partnership with our client, Gannett Fleming. This project focuses on calculating greenhouse gas (GHG) emissions from the client’s leased office spaces across the United States and Canada.
In excess, GHGs trap heat in the atmosphere, negatively affecting global air quality and human health. In addition, top companies similar to our client are already disclosing their emissions, new legislation is aiming to require such reporting, and stakeholders are trending to gravitate towards firms measuring and reducing their environmental impact. During the first semester of this project, we noticed that Gannett Fleming lacked data on specific utility usage in their leased office spaces, as not all data is shared, standardized, or robust enough for accurate emissions calculations.
After conducting a landscape analysis where group members interviewed companies facing a similar problem, the team identified best practices for addressing this issue. Such practices included using mixed methods for calculations based on data availability, leveraging organizational connections for efficient communication with landlords, creating custom communication plans, and using concise language with landlords. The team also conducted an sTOWS analysis to understand better how our research could best be applied to Gannett Fleming’s problem. From there, we developed a project plan that included an Invitation to Participate and Data Request to collect the necessary data. Next, the team outlined strategies for emissions calculations, including applying calculations from the GHG Protocol and compiling all calculations in a navigable spreadsheet.
Greenhouse gas calculations were made using a mix of asset-specific data from the Data Request forms and average data from the EPA estimates using equations from Scope 3, Category 8, or Leased Upstream Assets per the Greenhouse Gas Protocol. Emissions were categorized under Scope 3 since the client has no control over the leased offices, and the control approach was used. Final results showed that the emissions calculated for the 8 offices where asset-specific data was used combined with the 31 offices where average data was used totaled 2,390 metric tonnes of CO2e for FY2022.
In order to ensure that this project can be helpful to Gannet Fleming long-term, we came up with three main deliverables including a GHG spreadsheet including all calculations and findings, a GHG roadmap with simplified step-by-step instructions of our methodology, and a Sustainable Leasing Policy information to ensure the client’s emissions reduction goals are communicated and considered in the decision-making process for future lease agreements.
This version contains results that have been edited to ensure client confidentiality. Offices have been anonymized, and numbers used are not representative of actual emissions findings.
ContributorsGutierrez, Lukas (Author) / Carlson, Chloe (Author) / Davitt, Akilah (Author) / Cobb, James (Author)
Created2023-04-24
ContributorsGutierrez, Lukas (Author) / Carlson, Chloe (Author) / Davitt, Akilah (Author) / Cobb, James (Author)
Created2023-04-24
ContributorsGutierrez, Lukas (Author) / Carlson, Chloe (Author) / Davitt, Akilah (Author) / Cobb, James (Author)
Created2023-04-24
ContributorsGutierrez, Lukas (Author) / Carlson, Chloe (Author) / Davitt, Akilah (Author) / Cobb, James (Author)
Created2023-04-24
Description
These documents were developed as part of the culminating experience project for the Masters of Sustainability Solutions (MSUS) graduate program.
This report was developed for the ASU Foundation and the Fulton Center by Team Green Impact with the goal of establishing a facility based year for the foundation to meet their 2035 net-zero target. Contents of this report include: Scope 1 and Scope 2 GHG emission measurements for the Fulton Center, GHG emission reduction recommendations, an infographic for internal stakeholder engagement, and an example net-zero strategy the foundation can utilize in their current and future building. The purpose of the report and the infographic is to inform next steps for reducing GHG emissions and to help the ASU Foundation make progress towards their net-zero target.
ContributorsFowler, Carissa (Author) / Boss, Lauren (Author) / Austin, Lesley (Author)
Created2023-05-01
ContributorsFowler, Carissa (Author) / Boss, Lauren (Author) / Austin, Lesley (Author)
Created2023-05-01
ContributorsFowler, Carissa (Author) / Boss, Lauren (Author) / Austin, Lesley (Author)
Created2023-05-01