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Daily SBAR sheet for pediatric patients with central lines
(2023)
"Evaluate the use of SBAR sheets on compliance of daily bath completion and documentation for patients with central lines."--Purpose
Safe-T expanding services and improving patient outcomes
(2023)
"Sexual assault is a serious public health issue affecting men, women and children statewide. In 2021 there were 3,262 reports of sexual assault in Missouri (Missouri State Highway Patrol, 2023). 12% of reported sexual ...
Practice facilitation to improve colorectal cancer screening in federally qualified health care clinics in rural Missouri
(University of Missouri--Columbia, 2021)
(MPICCS) utilizes staff members called practice facilitators to increase CRC screening rates at rural health care clinics. Practice facilitators assist partner clinics in implementing evidence-based interventions (EBIs)....
Nurse resident job satisfaction with a formal mentorship program
(2023)
"This quality improvement (QI) project aims to evaluate the impact of a new mentoring program on the job satisfaction of nurse residents as part of their participation in the nurse residency program between January 2023 (T1) and April 2023 (T2) at a...
What are the indications for tonsillectomy in children?
(Family Physicians Inquiries Network, 2002)
. (Grade of recommendation: B, based on low-quality randomized controlled trials [RCTs]). The evidence supporting tonsillectomy for recurrence of sore throat is controversial. There is insufficient evidence to recommend other potential indications. (Grade...
Is intra-articular platelet-rich plasma injection an effective treatment for knee OA?
(Family Physicians Inquiries Network, 2019)
Q: Is intra-articular platelet-rich plasma injection an effective treatment for knee OA? EVIDENCE-BASED ANSWER: PROBABLY NOT, based on the balance of evidence. While low-quality evidence may suggest potential benefit, the balance of evidence...
Addressing chronic back pain in adults
(2023)
"Reduce the number of opioid drug-related overdose deaths in U.S. adults. Reduce the incidence of major adverse opioid effects for adults with chronic back pain (CBP), such as tolerance, dependence, misuse, and addiction ...
Patient safety outcomes with bedside reporting
(2023)
"This EBP project was started in response to patient safety events reported that could have been prevented had nursing staff completed change of shift hand off at the patient's bedside. A few commonly found events included ...
Does evidence support the use of supplements to aid in BP control?
(Family Physicians Inquiries Network, 2020)
Q: Does evidence support the use of supplements to aid in BP control? Evidence-based answer: Yes. A number of well-tolerated natural therapies have been shown to reduce systolic and diastolic blood pressure (BP). (See TABLE1-8 for summary.) However...
Is the ThinPrep better than conventional Pap smear at detecting cervical cancer?
(Family Physicians Inquiries Network, 2004)
the conventional Papanicolaou (Pap) smear at detecting cervical cancer (strength of recommendation [SOR]: A-, based on 1 large validating cohort study with a good reference standard and 1 systematic review). There is insufficient evidence to recommend 1 preparation...
A therapist survey of evidence-based practices in publicly funded youth mental health
(University of Missouri--Columbia, 2018)
sizes in controlled clinical trials for evidence-based treatments (EBTs) for youth MH problems (Weisz, Jensen-Doss & Hawley, 2006). One potential reason for this discrepancy may be that therapists within TAU contexts are not implementing EBTs. To date...
Which vaccinations are indicated after splenectomy?
(Family Physicians Inquiries Network, 2006)
should be given at least 14 days before a scheduled splenectomy, or given after the fourteenth postoperative day (strength of recommendation [SOR]: A, based on systematic review of RCTs for the pneumococcal vaccine; SOR: B, based on systematic review...
What predicts a successful smoking cessation attempt?
(Family Physicians Inquiries Network, 2006)
Quit date abstinence (strength of recommendation [SOR]: B, based on low-quality randomized controlled trial [RCT] of healthy subjects) and refraining from tobacco products within the first 2 weeks after an attempt (SOR: A, based on 2 RCTs) predict...
How effective are exercise and physical therapy for chronic low back pain?
(Family Physicians Inquiries Network, 2002)
Exercise is more effective for chronic low back pain than treatment with medication plus return to usual activity and as effective as conventional physiotherapy. The evidence is less consistent in showing that any particular exercise format provides...
Is therapy based on endoscopy results better than empiric therapy for dyspepsia?
(Family Physicians Inquiries Network, 2005)
In the initial management of dyspepsia for patients without "alarm" symptoms (weight loss, recurrent vomiting, dysphagia, anemia, evidence of bleeding, onset of dyspepsia after age 45 years), therapy based on the results of early endoscopy...
Do oral contraceptives carry a significant risk of stroke for women with migranes?
(Family Physicians Inquiries Network, 2013)
Evidence-based answer: Estrogen-containing oral contraceptives may raise the risk of ischemic stroke in women with migraine, particularly migraine with aura (strength of recommendation [SOR]: C, small case-control studies with methodological flaws...
Treatment of Impetigo
(Family Physicians Inquiries Network, 2007)
of recommendation [SOR]: A) Based on the available evidence on effectiveness, no clear preference can be given for any one oral antibiotic over another. (SOR: A)...
Are major bleeding events from falls more likely in patients on warfarin?
(Family Physicians Inquiries Network, 2006)
There is no evidence of increased risk for major bleeding as a result of falls in hospitalized patients taking warfarin (strength of recommendation [SOR]: B, based on retrospective cohort studies). In the average patient taking warfarin for atrial...
Treatment-Resistant Depression Diagnosis in the Outpatient Behavioral Health Setting
(University of Missouri -- Kansas City, 2023)
Treatment-resistant depression can be challenging to identify in the outpatient behavioral health setting due to a lack of clear diagnostic guidelines. The evidence-based quality improvement project examined current practices in diagnosing treatment...
Preventing severity of oral mucositis for the adult receiving in-patient chemotherapy
(2013-04)
Unmanaged oral mucositis increases health care cost and decreases quality of life. For the patient, it is important to establish the best practice for managing mucositis. Neglect of appropriate management leads to increased health care cost (Deeken...