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  Improving Communication by Evaluating Unit Huddle Times

  Zhigang Wu, Sally Witt, and Kim Matthews

  Publication Date: 5-6-2024

  • It is critical that nurses are informed of policy and procedural updates, practice changes, educational opportunities, unit-based updates, and other information to provide safe and quality patient care3 .
  • Challenges to communication to the nursing team include availability of staff due to patient care needs, staff working variable shifts, and available time for nursing leaders and nursing staff to communicate 3 .
  • Unit huddles allow the opportunity for team members to communicate updates as well as review daily safety concerns. This brief conference at the start of the workday promotes teamwork and a common goal of safe, efficient patient care .
  • Medical Progressive Unit (MPCU) unit huddle was traditionally held at 10:00AM, and there was no huddle for the nightshift staff. Communication to nightshift staff was inconsistent to convey information regarding staffing issues, upcoming events, and important practice updates.
  • The aim of this project is to improve communication to nursing staff on MPCU by changing the time of shift huddle from 10:00AM to 07:00AM. Changing the time allows both dayshift and nightshift staff to participate.

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  Effects of Education on Gardasil Administration Within Varying Patient Demographics

  Emily Zajac, Megan Amos, Farrar Jean Ford, Kelly Dubay, Teresa Mccartney, and Chen Shen

  Publication Date: 5-9-2024

  The purpose of this quality improvement study is to evaluate how physician education impacts patient education and HPV vaccination rates within obstetric and gynecologic clinics affiliated with Corewell Health Farmington Hills Hospital, with the purpose of improving HPV vaccination rates among women. Patient demographics and incidence of physician education will be analyzed for the relationship to HPV vaccination rates within the three OBGYN clinics.

  Current data indicates that this quality improvement measure is needed for the population seen by these clinics. According to MCIR, a small percentage of teenage patients in Michigan have completed the 3 dose HPV vaccination series (16.7% for males and 32.8% of females). Nationally, while HPV vaccination rates continues to increase, they remain lower than vaccination coverage with routinely recommended vaccines. Locally, Oakland county HPV vaccination rates remain lower than Michigan and national numbers.

  OBGYN providers do not see the target population (11–12-year-olds) for the initial vaccine. Given that ACOG recommendations for vaccination have recently changed, we aim to increase provider knowledge of these recommendations and thus improve the vaccination rates. Provider education and recommendation for vaccines has been shown to correlate in favor of increased incidence of HPV vaccination.

  Initial findings noted that after provider education and education to the patients, patients decided to review information on their own terms. Therefore, not showing a sudden increase in the vaccine rate.

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  Responsive Neurostimulation (RNS) of the Centromedian Nucleus (CMN) of the Thalamus for the Treatment of Drug Resistant Idiopathic Generalized Epilepsy (IGE)

  Angelique Manasseh, Hannah Guider, Brooklynn Bondy, Sanjay Patra, David Burdette, Ayman Haykal, Nour Baki, Ashleigh Terrell, Michael Staudt, Christopher Parres, and Andrew Zillgitt

  Publication Date: 5-4-2023

  Idiopathic generalized epilepsy (IGE) accounts for nearly 1/3 of all epilepsies1

  ▪ Approximately 20-30% of people with IGE are refractory to adequate anti-seizure medication trials1

  ▪ RNS implantation is a unique closed-loop neuromodulation therapy, and case reports as well as case series have demonstrated improved seizure control in patients with drug resistant IGE1

  ▪ More recently, targeting the centromedian nucleus of the thalamus with RNS has been explored as a potential surgical treatment option for patients with drug resistant IGE

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  Transition of continuous intravenous epoprostenol to oral treprostinil in a patient with pulmonary arterial hypertension: A patient case report

  Tania Saeed, Heidi Klotz, Klea Noskey, Jacqueline Brewer, Samuel Allen, and Rebecca Baker

  Publication Date: 9-28-2023

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  2023 Nurses Week Poster Compendium

  William Beaumont University Hospital

  Publication Date: 5-2023

  2023 Research Posters for Nurses Week 2023 from William Beaumont University Hospital Nursing Division

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  Evaluation of Implementing ‘Team Strategies and Tools to Enhance Performance and Patient Safety’ in a Community Emergency Department

  Bryson Caskey, Shanna Jones, Sarah Berry, Heather Harris, David Donaldson, and Aveh Bastani

  Publication Date: 5-2-2022

  This study sought to provide an initial evaluation of implementing the program ‘Team Strategies and Tools to Enhance Performance and Patient Safety’ (TeamSTEPPS) in the William Beaumont Troy Emergency Department (ED). TeamSTEPPS integrates teamwork into medical practice by developing tools and strategies within leadership, situation monitoring, mutual support, and communication to increase team performance in order to improve quality, safety, and efficiency of healthcare1,2 (figure 1). It was implemented in the Troy Beaumont ED in 2017. This study was designed to determine if the program is achieving desired outcomes, identify areas for improvement, and add to the limited fund of data on the effectiveness of TeamSTEPPS in community ED’s3-5.

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  Improving Effective Postoperative Management for Bariatric Patients in a Suburban Clinic in Michigan

  Angela Donovan, Ann Schaeffer, Julia Carter-Najar, Emily Langdon, Denise Leonard, Lori McGraw, Wendy Miller, Julie Mitchell, and Teresa Powell

  Publication Date: 9-2022

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  ERAS vs Non-ERAS: A Hospital Performance Metrics Comparsion in Patients Undergoing Spinal Fusion

  Richard W. Easton, Gregory Smith, Matthew Lipphardt, Nai-Wei Chen, Pestano Cecile, Hermeli Mateo, Austin Ahlgren, Brady Vibert, Andrew Sagante, and Susan Vander Beek

  Publication Date: 5-2022

  Hospital metrics are measures used to evaluate surgical quality. The goal is to improve standards of care (SOC). Hospital performance is made publicly available and has reimbursement ramifications.

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  Creating WOC Interventions in Response to Age Related Barriers to Ostomy Independence and Self-care

  Ruth Ann Pendergrast, Maureen Rosette, Karen Genter, and Susan Veltigian

  Publication Date: 6-2022

  The world’s aging population has many issues that the health care community needs to address. There are many predictors of these age-related challenges. Providing a pathway for senior ostomates to maintain ostomy self-care and independence is a desirable goal. Issues like declining recall, vision, mobility and dexterity, neuropathy and dementia are age related changes that may affect ostomy self-care. WOC nurses care for ostomy patients throughout the lifespan and in multiple care settings. Interventions are well known, taught, and tested in the core curriculum and board exams. By investigating the lived experience of our aging ostomates in the community, perhaps there are other WOC interventions that can be developed and standardized to aid in ostomy independence in this patient population. With the disturbing trend of patients with ostomies being banned from long term care settings (assisted living, group homes, etc.) WOC interventions that improve ostomy self-care and independence can be developed and standardized

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  Evaluation of TrenGuard Patient Positioning System

  Joshua Volin, Patrick Herndon, Michelle Jankowski, Deborah Hasenau, and Jason Hafron

  Publication Date: 5-2-2022

  INTRODUCTION
  The TrenGuard™ patient positioning device is a comprehensive patient restraint system for patient positioning when in Trendelenburg position during robotic surgery. This study aims to compare patient migration with the TrenGuard™ patient restraint system (TGPRS) to traditional patient restraint with surgical tape and egg crate foam bolsters (STECFB).