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25 Results Found

  • Article
  • Open Access
4 Citations
11,481 Views
11 Pages

30 August 2023

This quality improvement project aimed to improve hand hygiene (HH) compliance in a Level III Neonatal Intensive Care Unit. The project was conducted over three Plan–Do–Study–Act (PDSA) cycles, with each cycle lasting two months. Th...

(This article belongs to the Section Pediatric Nursing)
  • Article
  • Open Access
6 Citations
4,387 Views
11 Pages

30 January 2025

Background/Objectives: Necrotizing enterocolitis (NEC) is one of the most devastating gastrointestinal emergencies in preterm infants. This quality improvement (QI) project aimed to increase the utilization of accepted evidence-based practices in our...

(This article belongs to the Section Pediatric Neonatology)
  • Article
  • Open Access
630 Views
14 Pages

Improving Hepatocellular Carcinoma Surveillance in Ambulatory Hepatology: A PDSA Quality Improvement Initiative

  • Anjana Mary Jacob,
  • Satheesh Nair,
  • Drew A. Wells,
  • Beatrice Bailey and
  • M. Dennis Leo

Background: Hepatocellular carcinoma (HCC) is the third leading cause of cancer-related mortality worldwide. Despite established guidelines recommending semiannual surveillance for high-risk patients, real-world adherence remains inconsistent. Gaps i...

(This article belongs to the Section Nursing Education and Leadership)
  • Feature Paper
  • Article
  • Open Access
1 Citations
2,625 Views
6 Pages

17 November 2022

Background: Patient satisfaction is tightly linked with healthcare quality and high-value care. Timely communication is important in attaining patient satisfaction. The aim of the study was to provide all delivering mothers an update within an hour o...

(This article belongs to the Special Issue Exclusive Papers Collection of Editorial Board Members and Invited Scholars in Standards)
  • Article
  • Open Access
11 Citations
8,040 Views
13 Pages

Ten Years of Neonatal Intensive Care Adaption to the Infants’ Needs: Implementation of a Family-Centered Care Model with Single-Family Rooms in Norway

  • Lene Tandle Lyngstad,
  • Flore Le Marechal,
  • Birgitte Lenes Ekeberg,
  • Krzysztof Hochnowski and ,
  • Mariann Hval and
  • Bente Silnes Tandberg
  • + 1 author+ 0 author

Ten years ago, the Neonatal intensive care unit in Drammen, Norway, implemented Single-Family Rooms (SFR), replacing the traditional open bay (OB) unit. Welcoming parents to stay together with their infant 24 h per day, seven days per week, was both...

(This article belongs to the Special Issue Child Psychology and Parenting Interventions)
  • Article
  • Open Access
2 Citations
3,123 Views
7 Pages

Antimicrobial resistance continues to be a considerable threat to global public health due to the persistent inappropriate use of antibiotics. Antimicrobial stewardship (AMS) programs are essential in reducing the growth and spread of antibiotic resi...

(This article belongs to the Special Issue Antimicrobial Prescribing and Stewardship, 1st Volume)
  • Feature Paper
  • Article
  • Open Access
17 Citations
10,639 Views
8 Pages

The Synergy Tool: Making Important Quality Gains within One Healthcare Organization

  • Enoch Ho,
  • Elaine Principi,
  • Charissa P. Cordon,
  • Yayra Amenudzie and ,
  • Krista Kotwa,
  • Sarah Holt and
  • Maura MacPhee
  • + 2 authors+ 0 author

7 September 2017

Background: Evidence-based clinical care delivery begins with comprehensive assessments of patients’ priority needs. A Canadian health sciences corporation conducted a quality improvement initiative to enhance clinical care delivery, beginning with o...

(This article belongs to the Special Issue Healthy Work Environments)
  • Article
  • Open Access
1,747 Views
10 Pages

Leveraging Quality Improvement and Shared Learning to Improve Infant Well-Child Visit Rates in Texas

  • Emily Stauffer Rocha,
  • Susana Beatriz Peñate and
  • Ryan D. Van Ramshorst

2 October 2024

Texas Medicaid improved infant well-child visit rates by participating in a national learning collaborative. The two-year program encouraged creativity and innovation in care for Medicaid recipients through partnerships with managed care organization...

(This article belongs to the Special Issue Medicaid and Public Health: Second Edition)
  • Article
  • Open Access
5 Citations
4,596 Views
10 Pages

Vitamin D and Calcium Supplementation in Nursing Homes—A Quality Improvement Study

  • Charlotte Mortensen,
  • Inge Tetens,
  • Michael Kristensen and
  • Anne Marie Beck

16 December 2022

Even though dietary supplements with vitamin D and calcium are recommended to nursing home residents, we recently reported a low adherence to this recommendation. The objective of this 20-week quality improvement study was to use the Model for Improv...

(This article belongs to the Special Issue Nutrition Interventions for Healthy Ageing)
  • Article
  • Open Access
2 Citations
5,374 Views
20 Pages

Medical institutions provide guidance on caring skills for home caregivers. Oral teaching is combined with graphical tools in a method that has been proved to be an effective way of quickly mastering home caring skills and promotes effective learning...

(This article belongs to the Collection E-learning and Digital Training in Healthcare Education: Current Trends and New Challenges)
  • Article
  • Open Access
4 Citations
5,420 Views
20 Pages

9 September 2023

This paper describes how plan-do-study-act cycles engaged a classroom mentor teacher and student teacher in a professional collaboration that resulted in two inquiry activities for high-school geometry classes. The PDSA cycles were carried out in fou...

(This article belongs to the Special Issue Innovations in Mathematics Education: Evaluation, Research and Practice)
  • Communication
  • Open Access
4 Citations
4,437 Views
5 Pages

The GeriPACT Initiative to Prevent All-Cause 30-Day Readmission in High Risk Elderly

  • James S. Powers,
  • Lovely Abraham,
  • Ralph Parker,
  • Nkechi Azubike and
  • Ralf Habermann

Background: Suboptimal care transitions increases the risk of adverse events resulting from poor care coordination among providers and healthcare facilities. The National Transition of Care Coalition recommends shifting the discharge paradigm from di...

(This article belongs to the Special Issue Geriatric Care Models)
  • Article
  • Open Access
8 Citations
4,767 Views
16 Pages

2 February 2021

Implementation of survivorship care plans remain a challenge. This quality improvement initiative aims to integrate personalized treatment plans (PTP) and care plans (PCP) into the existing workflow for breast cancer (BC) patients. Methods: Phase 1 w...

  • Article
  • Open Access
5 Citations
4,087 Views
14 Pages

Maintaining Normothermia in Preterm Babies during Stabilisation with an Intact Umbilical Cord

  • Alexander James Cleator,
  • Emma Coombe,
  • Vasiliki Alexopoulou,
  • Laura Levingston and ,
  • Kathryn Evans,
  • Jonathan Christopher Hurst and
  • Charles William Yoxall
  • + 2 authors+ 0 author

5 January 2022

Background: We had experienced an increase in admission hypothermia rates during implementation of deferred cord clamping (DCC) in our unit. Our objective was to reduce the number of babies with a gestation below 32 weeks who are hypothermic on admis...

(This article belongs to the Special Issue Neonatal Resuscitation with Placental Circulation Intact)
  • Article
  • Open Access
3 Citations
2,010 Views
12 Pages

12 November 2024

Background: Epidermal cysts are common benign lesions encountered in primary care, especially in minor surgery clinics. The management of large epidermal cysts (>5 cm in diameter) poses significant challenges, including surgical intervention requi...

  • Article
  • Open Access
1 Citations
480 Views
15 Pages

Implementing a Falls Conversation Package in General Practice: A Service Evaluation

  • Savita Ramkumar,
  • Isaa Khan,
  • Gabrielle Oh,
  • See Chai Carol Chan and ,
  • Sreevishnu Subrahmanian,
  • Adam Taylor,
  • Bethan Morgan,
  • Aron Abraham,
  • Austen El-Osta and
  • Waseem Jerjes
  • + 6 authors+ 1 author

27 July 2026

Background/Objectives: Falls-prevention advice in primary care does not always lead to a practical next step. We evaluated a brief, non-clinical Falls Conversation package at one urban NHS general practice. Methods: During a 12-week quality improveme...

(This article belongs to the Section Clinical Research Methods)
  • Feature Paper
  • Article
  • Open Access
3 Citations
1,604 Views
14 Pages

Impact of an Evidence-Based Bundle on Catheter-Associated Sepsis Incidence in Neonatal Intensive Care: A Quality Improvement Project

  • Anna Sala,
  • Valentina Pivetti,
  • Francesca Castoldi,
  • Francesca Viaroli and ,
  • Marco Chiera,
  • Gianluca Lista and
  • Francesco Cavigioli
  • + 2 authors+ 0 author

28 November 2025

Background: Central line-associated bloodstream infections (CLABSIs) in neonatal intensive care units (NICUs) pose a significant risk, especially for very low birth weight infants due to their immature immune systems and the need for invasive procedu...

  • Article
  • Open Access
2,095 Views
9 Pages

Influencing Appropriate Statin Use in a Charity Care Primary Clinic

  • Hasitha Diana Manohar,
  • Carole Karkour and
  • Rajesh N. Desai

2 December 2022

According to the American College of Cardiology/American Heart Association (ACC/AHA) new cholesterol management guidelines in 2019, statin regimen was prescribed to only about 46.4% and 30% of diabetes (DM) patients and patients with atherosclerotic...

  • Article
  • Open Access
22 Citations
9,858 Views
11 Pages

Introducing Less-Invasive Surfactant Administration into a Level IV NICU: A Quality Improvement Initiative

  • Steven M. Conlon,
  • Allison Osborne,
  • Julie Bodie,
  • Jaime Marasch and ,
  • Rita M. Ryan and
  • Tara Glenn
  • + 1 author+ 0 author

Less-invasive surfactant administration (LISA), a newer technique of delivering surfactant via a thin catheter, avoids mechanical ventilation. LISA has been widely adopted in Europe but less so in the US. Our goal was to increase the percentage of su...

(This article belongs to the Section Pediatric Neonatology)
  • Article
  • Open Access
307 Views
25 Pages

Haitian Mamas: The Development and Two-Year Implementation of an OB/GYN-Based Preventive Behavioral Health Group in a Safety-Net Hospital Setting

  • Kalo C. Sokoto,
  • Johanna Milord,
  • Joelle T. Taknint,
  • Resham Gellatly and ,
  • Audrey Montgomery,
  • Maithri Amesekere,
  • Kettie Louis,
  • Layal Al Mosawi,
  • Muthoni Muthiga and
  • David C. Henderson
  • + 5 authors+ 0 author

20 October 2026

Perinatal mental health conditions are among the leading causes of maternal mortality in the United States. However, 50% to 70% of perinatal mental health cases go undiagnosed, and of those diagnosed, fewer than 30% receive treatment. At Boston Medic...

(This article belongs to the Section Social Psychology)
  • Article
  • Open Access
4 Citations
4,875 Views
12 Pages

14 March 2024

Background: There are many nonpharmacological pain management services available to hospitalized youth; however, not all youth are offered these services. Lack of knowledge about resources, difficulty with the referral process, and lack of understand...

(This article belongs to the Special Issue Review Special Issue Series: Recent Advances in Anesthesiology)
  • Article
  • Open Access
9 Citations
3,936 Views
14 Pages

7 August 2022

Background: Unplanned extubations (UEs) occur frequently in the neonatal intensive care unit (NICU). These events can be associated with serious short-term and long-term morbidities and increased healthcare costs. Most quality improvement (QI) initia...

(This article belongs to the Section Pediatric Neonatology)
  • Article
  • Open Access
5 Citations
4,306 Views
19 Pages

Development of F-N-C-O Taguchi Method for Robust Measurement System Using a Case Study of T-Peel Test on Adhesion Strength

  • Rozzeta Dolah,
  • Mohamad Zaki Hassan,
  • Santhana Krishnan,
  • Faizir Ramlie and ,
  • Mohd Fadhil Md Din and
  • Khairur Rijal Jamaludin
  • + 1 author+ 0 author

7 September 2020

A robust measurement system in the Taguchi Method as a testing method should be explained from the beginning of an experimental design until the application of the optimum condition. Measurement has always been described either by discussing the meas...

(This article belongs to the Special Issue Experimental Mechanics, Instrumentation and Metrology)
  • Article
  • Open Access
2 Citations
3,849 Views
12 Pages

22 October 2023

(1) Background: Human-generated greenhouse gas (GHG) emissions are the largest contributor to climate change worldwide. Climate change negatively impacts human and planetary health, threatening the existence of life on earth. The healthcare industry...

(This article belongs to the Special Issue Planetary Health: Building the Field and Growing the Movement (Including Manuscripts 2022 Planetary Health Annual Meeting and Festival))
  • Feature Paper
  • Article
  • Open Access
12 Citations
6,180 Views
16 Pages

Mental Health Polypharmacy in “Non-Coded” Primary Care Patients: The Effect of Deprescribing

  • Waseem Jerjes,
  • Daniele Ramsay,
  • Harvey Stevenson and
  • Karima Lalji

7 February 2024

Background: Mental health (MH) polypharmacy, defined as prescribing multiple mental health medications for the same condition, presents significant challenges in clinical practice. With varying prevalence rates and an increasing trend, particularly i...

(This article belongs to the Section Mental Health)