Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
Results
Showing 1 to 20 of 46 for “"trauma center"”.
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Penetrating femoral artery injuries : an urban trauma center experience
… is the most common peripheral vessel injured in trauma. The incidence has been as high as 70%. Most experience with vascular trauma comes from the military where the incidence of FA injury is 67% of all vascular injuries. Up to 88% of these injuries are as a result of penetrating trauma. The …
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Review of Damage Control Laparotomy (DCL) outcomes in a Major Urban Trauma Center
… Damage control laparotomy (DCL) in an urban trauma centre is associated with high mortality. Aim The purpose of this prospective study was to review the outcomes of DCL in a level one urban trauma centre, looking particularly at primary closure rate and other factors influencing outcomes. …
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Trauma, Dissociation, and Traumatic Stress at a Trauma Center Serving Low-Income Children and Adolescents
<p>Exposure to trauma continues to be a pervasive and detrimental experience in the lives of children and adolescents in impoverished, urban communities. This study explored the relationships among trauma, dissociation, and posttraumatic stress in a clinic-referred sample of children and …
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Patient Safety As An Interactional Achievement: Conversational Analysis In The Trauma Center Of An Inner City Hospital
… the safe medical care of patients in a Trauma Code on a level of safety comparative to that of ultra-safe systems as described in the literature of High Reliability Organizations.</p> <p>The significance of relational elements of interaction on emerging social order is highlighted in …
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A quantitative examination of team leadership, team behavior, and patient outcomes at a Level I trauma center.
… advancements, preventable adverse outcomes in trauma persist, with 30% of trauma-related deaths deemed preventable with optimal care (Institute of Medicine, 2016). Inconsistent team performance in trauma centers leads to variations in patient outcomes (American College of Surgeons, 2018). …
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A Prospective Investigation to Develop Data-Driven Interventions and Improve Process Efficiency at a Level II Trauma Center
… understand process inefficiencies in a Level II trauma center through the identification and classification of flow disruptions. Data-driven interventions were systematically developed and introduced in an effort to reduce disruptions threatening the optimal delivery of trauma care.</p> …
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Assessing the Impact of a Unit-Based Clinical Pharmacist on Antimicrobial Use in a Level I Trauma Center – A Pilot Study
… of resistance. The current state at the level 1 trauma center at Ben Taub Hospital, involves all pharmacists within the central pharmacy practicing all duties centralized in the inpatient pharmacy and primarily focusing on distributive services. Bringing the pharmacist closer to the bedsides will …
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Best Practices in The Use of Vena Cava Filters oo Prevent Pulmonary Emboli in Trauma Patients
<p>In adult trauma patients, the development of a deep vein thrombosis and subsequent pulmonary embolism can have catastrophic implications including death. There are unique characteristics and injury patterns in trauma patients that may make chemoprophylaxis for deep vein thrombosis …
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The immediate perceived needs of family members of trauma patients and how they differ from the nurses' perceptions of needs
… immediate perceived needs of family members of trauma patients and to compare these to trauma nurses' perceptions of the needs of family members of trauma patients. This is important to both the nurses and the families. Analysis of the findings will enable nurses to better assist families in …
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Perceptions of the Role of Social Workers in an Emergency Setting: An Ethnographic Study
… of the role of the social worker in a Level 1 Trauma center setting from a multidisciplinary perspective with the use of ethnographic research methods. Three main constructs were explored: Role of the Social Worker, Function of the Social Worker and Value of the Social Worker within the ER …
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STANDARDIZATION OF SHIFT REPORT BY IMPLEMENTING A NURSING REPORT SHEET AND ADDRESSING PATIENT VALUES TO MEET PATIENT NEEDS
… internship project is to provide true patient-centered by standardizing bedside shift report by implementing a nursing report sheet and addressing patient needs. The project was conducted in a level-one trauma center in San Diego, CA on the Medical/Oncology Unit. The patient population includes …
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Ebola Response: A Summary of Field Work Project
… with San Francisco General Hospital and Trauma Center and the San Francisco Department of Public Health is summarized. The main objective of the fieldwork project was to assist with developing an Ebola response plan and then test the response plan through simulations. </p>
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Intraoperative antibiotic redosing in high blood loss cases for adults
… redosing in high blood loss cases at a level one trauma center located in mid-Michigan. While the current literature regarding intraoperative antibiotic redosing is limited, the available evidence points towards the redosing of antibiotics when blood loss exceeds 1,500 mL. An algorithmic protocol …
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An Injury-Based Approach to Quantify the Predictability and Time Sensitivity of Common Motor Vehicle Crash Injuries
… and mortality. The goal of the pre-hospital trauma system is to appropriately triage patients such that they receive the "right treatment" at the "right place" and at the "right time". An injury-based approach was taken that examined two of the three different facets of injuries to identify …
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Reducing the Length of Stay for Patients with Stable/Nonoperative Pelvic Fractures by Working with a Multidisciplinary Team
… the American College of Surgeons as a Level III Trauma Center. This will be accomplished by improving communication between Case Managers, Social Workers, the Trauma Program Manager, and Trauma Surgeons. Trauma Services will utilize and implement the use of an electronic application that is well …
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Reducing the global footprint in an anesthesia department : a quality improvement project
… - yet recent analysis at a 500 bed level 1 trauma center revealed that 65% of inhalation cases exceeded this threshold, averaging 27.13 kg CO2 equivalents per hour. Although anesthetic gas usage is monitored through EPIC in alignment with MPOG metrics, the absence of a targeted reduction …
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EMS to Trauma Care Transitions: An Investigation of Patient and Handoff Outcomes
… of emergency medical service transportation of trauma patients has a long history of effective use-cases dating back to its inception during the Vietnam war. Compared to ground-based emergency medical transit, helicopters have been able to reach severely injured patients in environments with …
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End Tidal Carbon Dioxide Monitoring in the Acute Post Extubation Period in the Pediatric Intensive Care Setting
… This facility is a children’s hospital, Level 1 trauma center and cares for the most critically ill patients in the region ages 0 to 20 years old. Chart audits support the need for this project. In 2014 18% of extubations failed and were emergently reintubated within two hours. A survey was …
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Delirium Education for Nurses on a Medical-Surgical Unit
… The project mesosystem is a 411-bed, level I trauma center and teaching hospital; the microsystem is a 28-bed medical-surgical telemetry unit.</p> <p>An audit of microsystem data collected over four months in 2014 revealed that delirium was consistently underidentified (10% in September, 26% …
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