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Evidence-based practice at Salem Health

Salem Health continually advances standards for clinical practice in accordance with the best available evidence. Using a broad and complimentary range of quality approaches, such as evidence-based practice (EBP), research and Lean continuous improvement as support. This supports the Salem Health team toward developing competency in these areas and solving practice problems.

Established in 2010, the EBP Council supports our clinical staff to achieve exceptional outcomes in the six components identified in the Institute of Medicine’s report ‘Crossing the Quality Chasm’ (2001):  safe, timely, efficient, patient-centered, equitable and effective.

The EBP council is poised to collaborate, as necessary, and support education on EBP and research for the organization, including:

  • Differentiation between research, EBP and Lean methodology.
  • Developing Population-Intervention-Comparison-Outcome-(Time) (PICO(T)) questions and matching questions to research designs.
  • Selecting research instruments or identifying data collection methods.
  • Finding connections to assist with grant writing.
  • Institutional Review Board (IRB) purpose, process and connection to content expert.

Salem Health sponsors an annual clinical inquiry challenge, a competition between departments, with the goal of encouraging staff to ask clinical questions to continuously update their practice based on best evidence. It is also an opportunity to reinforce how PICO(T) questions are structured. Salem Health continues to find new ways to make literature review and research easier and quicker for clinicians to undertake.

As an organization, Salem Health supports the acquisition of new knowledge at every level.

Some of the venues where we acquire that knowledge include:

2019 presentations

Clinicians share the results of Lean, quality improvement, EBP and research projects in oral and poster presentations and through publications in peer-reviewed journals.

Sharing presentations of improvement projects provides an avenue to share information and builds the connections to support success in either further developing the project or adopting or adapting results to a different area of operation.

Salem Health celebrated Professional Practice Day on May 7, 2019, during Nurses Week. Nurses presented 21 posters displaying best practices from nurses, interprofessionals and leaders from across the organization. On May 8, 2019, 8 poster authors also presented their projects orally to an audience of peers, leadership, and medical providers.

Click on a project title below to see presentation materials:

Poster Presentation: ABCDEF Bundle: Using the Alphabet to Liberate Patients from the ICU

Poster Author(s) & Team Members: Eric Timmons, BSN, RN, CCRN; Robin Mack, BSN, RN, CCRN; Heather M. Rideout, MBA, BSN, CCRN, CSC; Jennifer Rice, BSN, RN, CCRN; Ann Alway, MS, RN, CNS, CNRN

Poster Presentation: Accelerated Post-Operative Extubation Following Cardiovascular Surgery: A Lean Approach

Poster Author(s) & Team Members: Ann Alway MS, RN, CNS, CNRN; Crystal Dryden, BSN, RN; Logan Priollaud, MD; Gregory Craft, MD; Juan Oyarzun, MD; Cheeri Barnhart, MSN, RN, NE-BC

bariatricPoster Presentation: Reducing Readmission for Bariatric Surgery Patients

Poster Author(s) & Team Members: Rajan Nair, MD; Lori Brown, BSN, RN, CNOR; Lisa Nair, BSN, RN, CBN; Michelle McGee, BSN, RN, CNOR











Poster Presentation: Does an Anti-reflux valve decrease Alteplase usage in Peripherally Inserted Central Catheters?

Poster Author(s) & Team Members: Debra Jasmer, BSN,RN, VA BC




CAUTIPoster Presentation:
Conquering CAUTI: Evaluation and Implementation of an External Female Catheter to decrease Catheter Associated Urinary Tract Infections

Poster Author(s) & Team Members: Patti Newton, BSN, RN, CCRN , CNRN, SCRN; Mindy Close, BSN, RN, CWOCN ; Becky Ramos, MSN, RN, ACNS BC, SCRN, Adult Health Clinical Nurse Specialist; Ashika Bhan, MPH, Infection Prevention Specialist










Poster Presentation:
Expanding Multimodal Pain Control to Include Standardized Use of IV Acetaminophen in the Peri-Operative Setting: A Proposal

Poster Author(s) & Team Members: Chelsea Wenger, BSN, RN, PACU Clinical Nurse

COPD rescuePoster Presentation: Rescue Packs Reduce Readmission rates and ED Bounce Back for Chronic Pulmonary Disease (COPD)

Poster Author(s) & Team Members: Hebatalla Elmotayam, PharmD, MBA, Outpatient Pharmacist in Charge and Transitional Care Pharmacy Supervisor, Clinical Pharmacy Council Chair; Stephanie Cassidy, RPh , PharmD Clinical Pharmacist Neuro/Trauma Care Unit; Adam Dendauw, BSRC RRT, Respiratory Manager; Kelly Brinker, Financial Planning Supervisor; Danielle Bouldry, Financial Analyst Senior









Poster Presentation:
Implementing Bedside Report on the Mother/Baby Unit

Poster Author(s) & Team Members: Elisa Bledsoe, Kaizen Specialist; Jennifer Graham, RNC-MNN; Amy Molan BSN, RNC-MNN; Cassandra Moss BSN, RNC-MNN; Alice Scofield RNC-MNN, Shelley Weise BSN, RN

DKA telemetryPoster Presentation: Closing the Gap: Initiating DKA Protocol on Medical Telemetry

Poster Author(s) & Team Members: Ellie Barnhart, MSN, RN, PCCN; Sandra Bunn, MSN, CNS-PP, ACNS-BC, CDE, BC-ADM; Michelle Grove, ANP-C, BC-ADM, CDE; Katie Hole, BSN, RN, MSCRN; Raven Layton, BSN, RN; Dinah Loa, MD, & Michael Polacek, MSn, RN-BC




Poster Presentation:
An Unsuccessful Proposal: Golden Nugget of Success-A Leadership Training Program to Support the Transition form Staff Nurse to Assistant Nurse Manager (ANM)

Poster Author(s) & Team Members: Michael J Polacek, MSn, RN-BC

Poster Presentation: The resilience Film Project: Raising Community Awareness of Adverse Childhood Experiences (ACEs) to Prevent Suicide by Building Community Capacity

Poster Author(s) & Team Members: Michael J Polacek, MSn, RN-BC

teach backPoster Presentation: Get Comfortable With Teach Back! Improving Education of Rehabilitation Patients

Poster Author(s) & Team Members: Carol Hannibal, MSN, RN, PCCN, CRRN, RN-BC; Gina DiGiusto, MBA, BSN, RN, NE-BC







epidural bladderPoster Presentation: Bladder Management of The Epiduralized Patient

Poster Author(s) & Team Members: Katie Ahlstrom, BSN, RN, RNC, OB; Sierra Keller, BSN, RN, RNC OB; Pamela Haneberg, RN, RNC OB; Leah Amsberry, RN, RNC OB; Tracy Kennedy, RN, RNC OB; Erica Haner, BSN, RN, RNC-OB; Katelyn Delamarter, BSN, RN; Kelsie Galusha, MSN, RN; Jennifer Henkel, BSN, RN, RNC-OB; Aristotle Griego Marsh, CNM; Cheryl Lugenbill, MD

Poster Presentation: Minimizing Proton Pump Inhibitors (PPI) Usage to Enhance Patient Safety

Poster Author(s) & Team Members: Sierra Schneider, DVM, BSN, RN, CCRN, Sepsis Coordinator; Matt Tanner, Pharm D, BCPS

 

TAVRPoster Presentation: Initiating a New Trans catheter Aortic Valve Replacement Program

Poster Author(s) & Team Members: Kara Toma, BSN, RN, CCRN; Chris Lebel, BSN, RN; Ann Alway, MS, RN, CNS , CNRN



Poster Presentation: A Guide for Fluid or Vasopressor Support Based upon Non-invasive Technology

Poster Author(s) & Team Members: G. Sierra Schneider, DVM, RN, BSN, CCRN, Sepsis and ICU Coordinator

Poster Presentation: Reducing Oxygen Desaturation for Outpatients Receiving Conscious Sedation in the Interventional Radiology Unit

Poster Author(s) & Team Members: Kari Velez, BSN, RN, PCCN; Brianna Revard, BS

 

MBU certPoster Presentation: A Simple Approach to Improving Certification Rates on the Mother-Baby Unit

Poster Author(s) & Team Members: Hannah Pratt, BSN, RNC-MNN; Jillianne Horton, BSN, RNC-MNN; Shelley Weise BSN, RN; Christine Steiner, RN IBCLC



Poster Presentation: Implementing a Postpartum Bladder Management Protocol

Poster Author(s) & Team Members: Alycia Giddings, RN; Ging Gillen, RN; Hoa Huynh, RN;  Cheryl Lugenbill, MD; Kelly Marineau, BSN, RN; Cassandra Mattson-Boyechko, BSN, RN; Michelle Hirschkorn MSN, RNC, CNS

 

RN TOPoster Presentation: Professional Governance Reduces RN Turnover Rates

Poster Author(s) & Team Members: Nancy Dunn, MS, RN






ED throughputPoster Presentation: ED Throughput - Admit to Arrival to Inpatient Bed Process Improvement Project

Poster Author(s) & Team Members: Jessica Veith, BSN, RN; Kimberly Wiebenga, BSN, RN, CMSRN; Zennia Ceniza, MA, RN, CCRN-K, ACNP-BC, NE-BC; Whitney D’Aboy, MBA, BSN, RN; Laura Morin, BSN, RN, CCRN; Tina Morris, MSN, RN, CCM, CMC, NE-BC; Swati Mehta, M.D.




Past presentations: