Matching Items (2)
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
Software-as-a-Service (SaaS) has received significant attention in recent years as major computer companies such as Google, Microsoft, Amazon, and Salesforce are adopting this new approach to develop software and systems. Cloud computing is a computing infrastructure to enable rapid delivery of computing resources as a utility in a dynamic, scalable, and virtualized manner. Computer Simulations are widely utilized to analyze the behaviors of software and test them before fully implementations. Simulation can further benefit SaaS application in a cost-effective way taking the advantages of cloud such as customizability, configurability and multi-tendency.
This research introduces Modeling, Simulation and Analysis for Software-as-Service in Cloud. The researches cover the following topics: service modeling, policy specification, code generation, dynamic simulation, timing, event and log analysis. Moreover, the framework integrates current advantages of cloud: configurability, Multi-Tenancy, scalability and recoverability.
The following chapters are provided in the architecture:
Multi-Tenancy Simulation Software-as-a-Service.
Policy Specification for MTA simulation environment.
Model Driven PaaS Based SaaS modeling.
Dynamic analysis and dynamic calibration for timing analysis.
Event-driven Service-Oriented Simulation Framework.
LTBD: A Triage Solution for SaaS.
This research introduces Modeling, Simulation and Analysis for Software-as-Service in Cloud. The researches cover the following topics: service modeling, policy specification, code generation, dynamic simulation, timing, event and log analysis. Moreover, the framework integrates current advantages of cloud: configurability, Multi-Tenancy, scalability and recoverability.
The following chapters are provided in the architecture:
Multi-Tenancy Simulation Software-as-a-Service.
Policy Specification for MTA simulation environment.
Model Driven PaaS Based SaaS modeling.
Dynamic analysis and dynamic calibration for timing analysis.
Event-driven Service-Oriented Simulation Framework.
LTBD: A Triage Solution for SaaS.
ContributorsLi, Wu (Author) / Tsai, Wei-Tek (Thesis advisor) / Sarjoughian, Hessam S. (Committee member) / Ye, Jieping (Committee member) / Xue, Guoliang (Committee member) / Arizona State University (Publisher)
Created2015