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  1. Capstone Project - Digital Ecosystems: EA Governance Impacts to Future Planning.docx [Download]

    Title: Capstone Project - Digital Ecosystems: EA Governance Impacts to Future Planning.docx
    Depositor: Christopher Lee Dawson
    Creator:
    • Dawson, Christopher Lee
    Description:
    Keywords: IoT, Internet of Things, EA, Enterprise Architecture, Governance, EAG, digital ecosystems, risks, costs, CIO, TOGAF, SOA, System Oriented Architecture, SaaS, PaaS
    Date Uploaded: 2016-08-31
  2. A critical appraisal of Early Warning System scores [Download]

    Title: A critical appraisal of Early Warning System scores
    Depositor: Joshua R Adams
    Creator:
    • Joshua Adams, BS, RN, CNML
    Description: Introduction The Institute for Healthcare Improvement’s (IHI) 100,000 Lives Campaign challenged hospitals to reduce adverse events by implementing Rapid Response Teams. These teams are often activated by a single provider who notices a change in one aspect of the patient’s condition. Despite increased awareness, suboptimal care of deteriorating patients is a life-threatening problem that still frequently occurs. Systems known as early warning scores (EWS) identify at-risk patients and can get needed expert help to the bedside faster. Further, EWS systems that are automatically integrated within the electronic health record (EHR) may expedite advanced care. One newer EWS that integrates physiologic parameters, lab values and nursing assessment from the EHR is the Rothman Index (RI); our objective was to critically appraise evidence for which EWS system is most effective in early prediction of adverse events (e.g. cardiac/respiratory arrest, unplanned upgrade to intensive care) in hospitalized adult inpatients in an acute care setting. Methods A literature search was conducted using CINAHL, PubMed MEDLINE, and the Cochrane Database of Systematic Reviews. Gray literature from the Institute for Healthcare Improvement (IHI) was also reviewed and an ancestry search was conducted to collect all relevant articles. Only English language, scholarly, peer-reviewed studies published after 2006 were included; exclusion criteria included duplicates and studies of pediatric, obstetrical or behavioral health patients. After evaluating and excluding studies for content, eight remaining studies were appraised for quality and strength of evidence utilizing the Johns Hopkins (JH) Critical Appraisal Tool. Keywords: scorecards, early warning score, EWS, modified early warning score, MEWS, Rothman Index, track and trigger Results Six JH Level III studies, one JH Level I systematic review, and one JH Level II quasi-experimental study reviewed demonstrated variability among EWS systems in predicting adverse events. Of the JH Level III studies, all were conducted at single sites which limits generalizability to other settings. All of the studies which used the area under receiver operating curve (AUROC) method of data analysis scoring 0.8 or greater found acceptable degree of sensitivity and specificity in the EWS systems; all systems evaluated in the eight papers incorporated the use of the electronic medical record versus manual scoring. Implications Insufficient evidence currently exists related to establishing any one EWS system as superior. This is due to a lack of research comparing the use of a single EWS system across multiple institutions. Any organization wishing to create or implement an EWS system should pilot concepts before implementing housewide. Once an EWS system is reliably validated within an organization, it should be examined in the context of how it can be used to direct resources to a patient before they deteriorate and experience an adverse event.
    Keywords: scorecards, early warning score, EWS, modified early warning score, MEWS, Rothman Index, track and trigger
    Date Uploaded: 2016-08-23
  3. Enterprise Architecture-Dying or Evolving_PSU EA Capstone Paper-2Jun14.pdf [Download]

    Title: Enterprise Architecture-Dying or Evolving_PSU EA Capstone Paper-2Jun14.pdf
    Depositor: Brenda Ann Roston
    Creator:
    • Roston, Brenda Ann
    Description:
    Keywords: Enterprise Architecture
    Date Uploaded: 2016-04-04
  4. Portfolio [Download]

    Title: Portfolio
    Depositor: Joanne Oyinkansola Turton
    Creator:
    • Turton, Joanne Oyinkansola
    Description:
    Keywords: Non-profit
    Date Uploaded: 2015-05-07
  5. The Literacy Project [Download]

    Title: The Literacy Project
    Depositor: Emily Ann B Murphy
    Creator:
    • Murphy, Emily Ann B
    Description:
    Keywords: EURECA2015, HDFS, Preschool Children, ESL Classes
    Date Uploaded: 2015-05-04
  6. Assessment of Washington State's Articulation Agreements [Download]

    Title: Assessment of Washington State's Articulation Agreements
    Depositor: David Vincent Colameco
    Creator:
    • Colameco, David Vincent
    Description: This paper examines the structure of Washington State’s higher education system and its articulation agreements. Washington State has identified the shortcomings in its statewide higher education system and has taken steps to implement student centered change. The state legislature has strengthened the various statewide boards based upon the barriers they encounter and lessons learned from dissolved predecessor boards. The student centered approach adopted by the legislature is unique in that it sets up a framework to mandate change while also maintaining a level of autonomy for faculty and staff through working groups that affect the direction of change. The higher education environment of Washington State will be examined within the context of best practices identified in literature focused upon student access to higher education through the various avenues available to them with a focus on articulation agreements that ease barriers to transfer. The state is moving in the right direction with its policies. Recommendations are made to ensure legislative intent is followed through with further legislative action and policies that further remove barriers to transfer.
    Keywords: Masters Paper, Washington State, Articulation Agreements, M.Ed., Higher Education
    Date Uploaded: 2015-04-19
  7. The Pseudo and Actual Communities of Cold War Paranoia [Download]

    Title: The Pseudo and Actual Communities of Cold War Paranoia
    Depositor: Jimmy Joseph Pack Jr.
    Creator:
    • Van Osten IV, Thomas W.
    • Pack Jr., Jimmy Joseph
    Description: Poster created for the Abington College Undergraduate Research Activities Poster fair. Poster reflects research project about how American Civil Defense deflected the overall fear of atomic bombs to the Soviet Union.
    Keywords: Cold War, Paranoia, Civil Defense, Atomic Bomb, Red Scare, McCarthyism
    Date Uploaded: 2015-04-16
  8. Accuracy of Antifactor Xa Levels Compared to Activated Partial Thromboplatin Time in Heparin Therapy [Download]

    Title: Accuracy of Antifactor Xa Levels Compared to Activated Partial Thromboplatin Time in Heparin Therapy
    Depositor: Sonja M Heisey
    Creator:
    • Katrina Swinehart, BSN, RN, CCRN
    Description: In adult patients receiving unfractionated heparin, are antifactor Xa levels more accurate than activated partial thromboplastin time in achieving anticoagulation?
    Keywords: heparin, Penn State Hershey Nursing
    Date Uploaded: 2014-12-22
  9. Clinical Resource Nurse Support [Download]

    Title: Clinical Resource Nurse Support
    Depositor: Sonja M Heisey
    Creator:
    • Michele D. Smith, BSN, RN
    Description: In nurses with less than two years of Pediatric Intensive Care experience, how does having an experience Clinical Resource Nurse available to support new PICU nurses' clinical knowledge and skill development compare to the Cardiac Intensive Care Unit nurses with the same level of experience without a Clinical Resource Nurse, affect new nurses' confidence, knowledge, and critical thinking over the twelve months following completion of orientation?
    Keywords: clinical resource nurse, professional development, Penn State Hershey Nursing
    Date Uploaded: 2014-12-22
  10. Evaluation of Transient Ischemic Attack [Download]

    Title: Evaluation of Transient Ischemic Attack
    Depositor: Sonja M Heisey
    Creator:
    • John Shank, BSN, RN, CCRN
    Description: In adult patients who present for care after suffering a transient ischemic attack (TIA), how does inpatient evaluation compared to outpatient evaluation affect the 90 day stroke incidence rate?
    Keywords: transient ischemic attack, Penn State Hershey Nursing
    Date Uploaded: 2014-12-22