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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 assaults in Missouri occurred...
Progressive Care Unit Equitable Assignments (PEAT) acuity tool
(2024)
quality of care and nursing satisfaction are key stakeholders in this situation (Eastman, 2022). Nurse assignments based on clustering by patient room location overlooks acuity, creating unbalanced, inequitable and potentially unsafe assignments related...
Leadership at the bedside with dual role nursing positions
(2024)
PICOT: Population: Staff Nurses. Intervention: Dual roles for bedside staff. Comparison: Strictly bedside position. Outcome: Nurse satisfaction. Timeframe (optional): N/A. How do dual or hybrid nurse roles versus strictly ...
A pathway to clinical shared leadership integration and sustainment
(2024)
Problem: Integrating an academic medical center and a community hospital can present cultural challenges as care and resources may differ between facilities. Inquiry: What is the best way to solicit information from CSL ...
PCP follow-up vs no PCP follow post hospital discharge in COPD patients
(2024)
PICOT: Population: COPD patients with recent hospital discharges Intervention: PCP follow-up within 7-14 days. Comparison: No PCP follow-up. Outcome: readmission rates. Timeframe (optional): within 30 days. In COPD patients ...
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...
What treatment is best for hypertrophic scars and keloids?
(Family Physicians Inquiries Network, 2011)
No one treatment is best (strength of recommendation [SOR]: C, meta-analysis of heterogenous studies); no good evidence exists comparing treatments with each other. Triamcinolone injections, triamcinolone injections combined with excision...
Behavioral emergency response team (BERT) implementation
(2023)
"Violence is on the rise among healthcare workers. The Joint Commission recommends de-escalation training. De-escalation is the efforts to utilize communication with a patient to reduce agitation or aggression or to allow ...
Improving pediatric nursing practice utilizing electronic K-cards
(2023)
-cards as an educational and quality metric to reinforce compliance with evidence-based policies and nursing processes (Kamityet al., 2021; Lehaneet al., 2022; McVey et al., 2022; Salinas et al., 2021; Shea et al., 2019; Stewart, 2021; Wu et al., 2022). Nurses complete K...
Evaluation of positive reflections in critical care nursing huddles to reduce nursing burnout
(2024)
"Nursing burnout occurs when demands of a nurse exceed capabilities & resources, leading to emotional & physical exhaustion (Saravane et al., 2023). Critical care nursing burnout may lead to decreased empathy, morale, & ...
How effective are complementary/alternative medicine (CAM) therapies for fibromyalgia?
(Family Physicians Inquiries Network, 2001)
Acupuncture, biofeedback, and S-adenosyl methionine (SAMe) have been shown to have some efficacy in the treatment of fibromyalgia in randomized controlled trials. Spa treatments, hypnotherapy, massage, and meditation may ...
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 ...
Does using e-cigarettes cigarette smoking in adolescents?
(Family Physicians Inquiries Network, 2019)
Q: Does using e-cigarettes cigarette smoking in adolescents? Evidence-based answer: Probably. Electronic cigarette (e-cigarette) use by adolescents is associated with a 2- to 4-fold increase in cigarette smoking over the next year (strength...
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...
Improving the performance of door-to-needle times for the emergent treatment of acute Ischemic stroke
(2024)
"Problem Statement: In the first two quarters of 2022, the rate of excessive delays in administration of intravenous thrombolysis for acute ischemic stroke in the emergency department at the University of Missouri Hospital ...
Building a culture of mobility utilizing the Johns Hopkins Activity and Mobility Promotion (JH-AMP) Program
(2024)
. Despite the body of evidence associated with these negative outcomes, the problem persists in many health care systems. Without a standard mechanism in place to promote mobility in hospitalized patients, the need to implement a tool to create a culture...
What's the best secondary treatment for patients who fail initial triple therapy for H pylori?
(Family Physicians Inquiries Network, 2018)
Q: What's the best secondary treatment for patients who fail initial triple therapy for H pylori? Evidence-based answer: treating patients with Helicobacter pylori infection who have failed clarithromycin-based triple therapy with either...
What is the best way to evaluate acute diarrhea?
(Family Physicians Inquiries Network, 2002)
-risk patients who have been hospitalized for 3 or more days) leads to a more rational use of stool cultures without missing cases of clinically significant disease. (Grade of recommendation: D, based on limited studies, reliance on expert opinion, and consensus.)...
Does early introduction of peanuts to an infant's diet reduce the risk for peanut allergy?
(Family Physicians Inquiries Network, 2020)
Q: Does early introduction of peanuts to an infant's diet reduce the risk for peanut allergy? Evidence-based answer: Probably not, unless the child has severe eczema or egg allergy. In a general pediatric population, introducing peanuts early (at...
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...