Presentations

These slides have been presented at a meetings in Children's Mercy and around the world. They represent research that was done at the time they were created, and may not represent medical knowledge or practice as it exists at the time viewers access these slide presentations.

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ED Staff Morale

Madison Wilkins RN, Tonya Cross RN, Brittany Schmalzbach RN, Noah Olla RN, Fred Richards RN, and Emily Pendleton RN

PICO Question

PICO Question & Aim Statement

• (Population, Intervention, Comparison, Outcomes Measures)

• P: ED Nurses and Support Staff

• I: Huddle Recognition and prizes

• C: No recognition

• O: Improved nursing morale

 To increase the median morale of nursing and support staff from 74% to 80% as measured by Daily Pulse by March of 2018
ICN Flu Vaccine Cocooning

Allison Bauer BSN, RN; Brittany Wolter BSN, RN; Jonathan Rind BSN, RN; Maggie Butaud BSN, RN; Sarah Dumovich BSN,RN; Tori Weishaar BSN, RN; and Karli Wittenbach BSN, RN

PICO Question

P (Population): Registered nurses in the CMH Intensive Care Nursery providing patient care.

I (Intervention): Electronic documentation of parent flu vaccine status. Include vaccine status reminder in pod huddle.

C (Comparison): Current practice

O (Outcome): Increase the percentage of families receiving the flu-vac

Aim Statement

The objective of this evidence based practice project is to increase the percentage of families receiving the flu vaccine from 83% to 85% by March of 2018
PICU Patient Satisfaction

Kaitlyn Enochs BSN, RN; Jonathan Foley BSN, RN; Tara Goodman BSN, RN; Abby Haupt BSN, RN; Chelsea Koerkenmeier BSN, RN; Allison Mills BSN, RN; Kara Mishler BSN, RN; Madison Myers BSN, RN; Michelle Noykhovich BSN, RN; Sophia Poplin BSN,RN; Austin Reyes BSN, RN; Kylie Stottlemyre BSN, RN; Sarah Swift BSN, RN; Danielle Warner BSN, RN; Emily Zimmerman BSN, RN; Brooke English MSN, RN, CCRN; and Katherine Hoffman BSN, RN

PICO

PICU secretaries and parents will be able to increase the number of completed parent satisfaction surveys compared to current actions and supports.

Aim Statement
- To increase rate of completed parent survey by 5%, as measured by the number of surveys submitted each quarter by January 2018
- To have 10% response rate to surveys for patients that have been in the PICU for 30 days or greater.
Safe Baby

Hannah Burger BSN, RN; Samantha Cockrell BSN, RN; Shauni Lawrence BSN, RN; Shae McGinnis BSN, RN; Christina Montgomery RN; and Elizabeth Taylor RN

PICO Question

P: 4 Henson and 5 Sutherland patients who qualify for Safe Sleep Practices according to the Safe Sleep Policy.
I: Creating a useable checklist to be completed with each infant and each shift change
C: Current standard of care
O: Increased compliance with safe to sleep practices

Aim Statement

The objective of this evidence based practice project is to increase Safe Sleep compliance from 50% to 65% on 4 Henson and 5 Sutherland by February 1, 2018.
Same Day Discharge for Non-Perforated Appendicitis in Children: An Updated Institutional Protocol

Tolulope A. Oyetunji MD MPH
Evaluating the Consistency and Quality of Search Strategies and Methodology in Cochrane Urology Group Systematic Reviews

Jennifer A. Lyon, Carrie Price, Jamie Saragossi, and Clara Y. Tran

OBJECTIVES

The Cochrane Urology Working Group has undergone multiple administrative and personnel changes over its history. Presently, there are nearly a dozen Information Specialists volunteering from several institutions and two countries. To identify areas for quality and consistency improvement, we evaluated the search methodologies in 64 Urology Group Reviews/Protocols.

METHODS

64 published Urology Group Cochrane Systematic Reviews (CSR) and Protocols (CSP) were downloaded from the Cochrane Library on September 15, 2016. A data form was created using Qualtrics consisting of several sections including expanded PRESS (Peer-Review of Electronic Search Strategies) elements, database selection, search methodology reporting, & consistency. Four librarians, including two Cochrane Urology Assistant Information Specialists, evaluated 20 CSR/Ps each, allowing overlap to verify data extraction reliability.

RESULTS

Librarian reviewers noted high variability in CSR/P search methods including selection of databases searched, full search strategies reporting, and use of publication filters, clinical trial registries, conference proceedings, and journal TOCs. Within search strategies, common errors included wrong line numbers, misspellings, inappropriate syntax, and duplicated lines.

CONCLUSIONS

Cochrane Reviews are frequently viewed as the "gold standard" of systematic reviews, therefore the CSR/Ps should have high quality search methodology. This retrospective analysis represents a historical overview of search method reporting in CSR/Ps from the Cochrane Urology Group. Our results demonstrate a need for improved standardization including complete documentation of all strategies, more consistent database selection, less variation in strategy construction, increased use of peer-review and inclusion of the PRISMA Flow Diagram, and tighter adherence to the Cochrane Handbook/MECIR Standards.
Congenital Abnormalities of the Lower Airways and Lungs

Christopher M. Oermann

Goals and Objectives. Participants will be able to: Describe the 5 stages of fetal lung development. Summarize the prenatal identification and management of congenital abnormalities of the lower airway and lung (CALAL). Explain the classification of CALAL. Compare the clinical characteristics, pathology and management of common CALAL. Discuss the long term prognosis of CALAL.
High Acuity Readmission Risk Pediatric Screen Tool (HARRPS)

Sarah Bradshaw and Anita Powell

Podium Presentation on Quality Improvement Project: Implementing Use of HARRPS Tool

Objectives:
- Describe the development of an evidence-based pediatric risk screen tool for inpatient admissions
- Articulate how formal Continuous Quality Process Improvement (CQPI) methods were utilized during implementation
- Discuss lessons learned and next steps
Pulmonary Complications of Cystic Fibrosis

Christopher M. Oermann

Goals and Objectives. Participants will be able to: Explain the pathophysiology leading to the pulmonary complications of cystic fibrosis. Recognize the clinical presentation of the pulmonary complications of cystic fibrosis. Formulate a treatment plan for the pulmonary complications of cystic fibrosis.