Class of 2014 Abstract / Specific Aims: To assess if the use of three targeted open ended questions elicited more adverse drug reactions (ADRs) and allergies than found in the electronic medical record. Subjects: Inpatients at the University of Arizona Medical Center (UAMC) in Tucson, AZ that were 18 years or older and agreed to participate in the study. Methods: Data was collected using a verbal questionnaire. Each patient was asked the exact same three open ended questions in the same order by the one student to determine the number of ADRs the patient has had. The patient’s electronic medical record at UAMC was used to determine the number of ADRs documented. The number of ADRs elicited by the two methods were documented and compared using statistical analysis. No demographic variables were collected in this study. Main Results: A total of 58 patients at UAMC agreed to participate in our study by answering three targeted open ended questions. Overall the use of the three open ended question did elicit more ADRs (mean = 1.12) than listed on their electronic medical record which were elicited by asking one closed ended question (mean = 0.91). However, the results were not statistically significant (p-value = 0.57). Conclusion: The use of three targeted open ended questions appears to elicit a similar number of ADRs compared to the number of ADRs listed in the patient’s electronic medical record.

Class of 2013 Abstract / Specific Aims: The objective of this study was to describe the failure rate of activation of medications that employ the ADD-Vantage medication delivery system in one community hospital, Tucson Medical Center (TMC). Methods: A daily, hospital-wide summary was generated identifying all patients currently receiving ADD-Vantage medications using the TMC electronic medical record system, Epic. Data collection occurred on arbitrary days and times from July 2012 to March 2013. Direct observation of a failure or a success in activation occurred by entering a patient’s room after the ADD-Vantage medication was administered by the nurse. Important data collected included: medication, frequency of administration, nursing unit, time of administration, administering nurse, the shift during which the nurse was working and whether or not the medication was or was not properly activated. Main Results: All medications utilizing the ADD-Vantage medication delivery system at TMC were analyzed. The rate of failure across 347 total samples collected on various days and times was 6.92%. Night shift had a higher rate of failure at 11.43% versus 6.41% for day shift (χ2 = 1.23). The General Surgery and Cardiac units of the hospital had the highest rates of failure with 18.18% and 15.38% respectively. Zosyn was improperly activated with greatest frequency with 12 total failures. Conclusion: No statistically significant difference was found between the rates of activation failure for those samples collected during nursing day shift versus night shift. The overall rates of activation failure suggest a significant opportunity for nursing education to improve outcomes.

No description available.

No description available.

This study reports on the application of decision theory to 12 members of a dialysis program through the use of a survey and an interview. This application resulted in the determination of five salient issues which contribute to identifying decision making practices. In addition, this application determined the overall decision method, the participant's perception of the process, and the perceived affects of the crisis on patient care. To determine the decision making methods employed prior to and following the "crisis" date two methods were used, a survey and a follow-up interview. These two methods served to address the following: A. The Decision Making Survey addressed the characteristics of the decision making process. These characteristics were then applied to a participative decision making continuum. B. The Decision Making Interview determined the validity of the survey responses, acted as a second method for determining decision making characteristics, and addressed the secondary issues of this study, i.e., decision alternatives and patient care.

Thesis (M.S. in Operations Research)--Naval Postgraduate School, June 2004. / Thesis advisor(s): Samuel E. Buttrey. Includes bibliographical references (p. 161). Also available online.

Bendruomenės slaugytoja yra pirmasis asmuo, į kurį kreipiasi bendruomenės nariai, ištikus nelaimei, todėl esant poreikiui, slaugytojos teikia pagalbą bet kuriuo paros metu. Pacientų ir slaugytojų santykiai yra labai artimi, visapusiškai pasitiki, todėl slaugytojos neretai atlieka daugelį vaidmenų, reikalaujančius tarpdisciplininių žinių. Tai rodo slaugytojų didelį atsidavimą darbui ir atsakomybę už visapusišką bendruomenės narių sveikatą. Interviu analizė leido pamatyti bendruomenės medicinos punktų veiklos problemas: kitoje įstaigoje prisirašiusių asmenų aptarnavimo problema, bendradarbiavimo trūkumas su socialinių paslaugų teikėjais, bendruomenės slaugytojų savarankiškumo sumažinimas, rizikos grupės šeimų ir alkoholizmo problemos, kaimo retėjimo ir senėjimo problema. Pokyčių bendruomenės medicinos punktuose informantai nenori ir neorganizuoja, tenkinasi esama situacija. Anot respondentų, realiausia perspektyva – medicinos punktų uždarymas. Mobilių paslaugų idėjos įgyvendinimui respondentai griežtai priešinasi, nurodant tam įvairias priežastis: kiltų gyventojų nepasitenkinimas, nevisi bendruomenės nariai noriai įsileistų slaugytojas į namus, sumažėtų teikiamų paslaugų spektras ir PSP paslaugų prieinamumas. / The community nurse is the first person approached by the members of the community when disaster strikes, so if needed, nurses provide assistance at any time of the day. The relationships of patients and nurses are very close, so nurses often perform many different roles, which require interdisciplinary knowledge. It shows great dedication of nurses and the responsibility for comprehensive community health. Interview analysis identified community medical centers operating problems: serving customers which are not signed to the concrete community center, lack of cooperation with social service providers, loss of autonomy of community nurses, problems of families at risk and alcohol abuse, problems of village depopulation and aging. The informants do not organize any changes and are satisfied with the current situation of medical centers. Probably community medical centers will be closed in the future, but respondents were categorically against the idea of portable medical station, arguing, that: it would lead to dissatisfaction of community members, not all members of the community would be willing for nurses to come to their home, the range of services would reduce, the availability of primary health care would reduce.

Thesis (D. Min.)--Erskine Theological Seminary, 2006. / Includes bibliographical references.

Thesis (M.H.S.A.)--University of Michigan, 1980.

Thesis (M.H.A.)--University of Michigan, 1969.