Central Campus Research Articles

Acceso a la educación de los pueblos originarios en tiempos de pandemia. Experiencias de estudiantes de la Universidad Intercultural del Estado de Puebla

The main purpose of this paper is to understand the experiences of the students of Law with Intercultural Perspective belonging to Intercultural University of the State of Puebla during Covid-19 time, as well as identify how they connected to online classes, through a quantitative methodology. In this sense, the results prove that digital divide still a problem in regard to in Mexico. The Central Campus of the said university is in Huehuetla, a Totonac village in northeast State of Puebla. Several students are from indigenous communities of the states of Veracruz and Puebla. It is important to remember that most of them belong to rural areas. In addition, the indigenous and rural population in Mexico had poor connectivity during pandemic years. The high cost of access was another problem for the academic education of their young members. Today, internet is a basic tool in high education learning. For this reason, the said gaps in Mexican homes do difficult advances in academic formation of youngest members of families. Furthermore, this paper exposes the right to education in international declarations and Mexican law. During the last decades, International and National laws have recognized also the rights of indigenous peoples. The education is an essential field of human development of all populations. Summary, internet connectivity is a crucial factor in regard to current human rights. Digital education is a challenge in global world, because having a computer is not enough for a rational use of new technologies.

SAFE™ Initiative: A Step Closer to Positive Safety Culture and Improved Patient Experience.

BackgroundPositive safety culture is a key characteristic of a high-reliability organization; it is the leading service excellence standard and highest priority of The University of Texas MD Anderson Cancer Center. However, understanding the importance and impact of safety event reporting was limited at the MD Anderson campus in Sugar Land, Texas. Therefore, we implemented the Secure, Attentive, Focused, Engaged (SAFE™) initiative to create, foster, and continuously improve safety culture throughout the campus, with a secondary goal of impacting patient experience. Here, we review the SAFE™ initiative and its impact on our safety culture and patient experience.MethodsThe SAFE™ initiative was conceptualized and implemented in April 2017 by the leadership team at MD Anderson Cancer Center in Sugar Land. This initiative completely restructured our safety reporting and follow-up processes through leading by example, open safety meetings, transparent communication, emphasis on processes rather than people, and follow-up on any safety event entered or issue raised. We recorded quantitative measures and qualitative improvements, such as increased engagement and improved staff morale, using the results of institutional safety surveys in 2018 and 2020, which included a comparison to Agency for Healthcare Research and Quality's (AHRQ) national benchmarks and Press Ganey® patient experience scores. The AHRQ national benchmarks are based on the culture of safety surveys that measure staff views on safety, while the Press Ganey® patient experience scores measure patient perception. The SAFE™ initiative was then implemented at three additional MD Anderson Cancer Center campuses.ResultsDuring the data collection period of April 2017 to December 2021, we observed a sustained increase in safety event reporting at our campus, from 7.17 to 15.49 reports per month. We also observed a qualitative increase in safety meeting engagement and a higher participation rate in the institution-wide safety survey compared to MD Anderson Cancer Center overall. MD Anderson Cancer Center in Sugar Land scored above the national benchmarks in nine of the 13 domains in 2018 and all domains surveyed in 2020. Patient experience scores, measured by Press Ganey®, increased annually, with 2017, 2018, 2019, and 2020 fiscal year top box scores averaging 80.6%, 83.9%, 85.9%, and 86.4%, respectively.Two of the additional locations showed improvement from 2018 to 2020 in the institution-wide Culture of Safety Employee Survey and scored above the AHRQ's national benchmarks in all the domains. The third location showed improvement from 2018 to 2020 on the institution-wide Culture of Safety Employee Survey in 11 of 15 domains and scored above the AHRQ's national benchmarks in all except one domain. The greatest improvements were error feedback, employee safety, and communication openness.ConclusionsPositive safety culture is a requirement for a health care organization to be designated as a high-reliability organization. At MD Anderson Cancer Center in Sugar Land, we implemented an initiative that had a meaningful impact on the creation of a positive safety culture and was successfully scaled to additional locations.

Prescriber and employee utilization of a health sciences center campus outpatient pharmacy: A qualitative analysis.

The college of pharmacy has operated pharmacies on campus for over 26 years. Employees and patients are users of the pharmacies; however, utilization across the campus has been limited. This paper describes a process, as well as results, that was used to gather input from employees on a large university health sciences center campus on pharmacy needs and related behaviors on campus pharmacy utilization. Two focus groups of staff and 4 focus groups of prescribers were conducted over 1 month. Participants were selected through purposive sampling via email within an academic health sciences center campus over a 1-month period. The sessions were moderated by one investigator using a preconstructed discussion guide and lasted 1 hour. Two additional investigators observed sessions for nonverbal communication; all sessions were audio recorded for subsequent transcription. An open-coding process was performed on verbatim transcripts using NVivo12. The investigator team then developed, refined, and grouped themes during subsequent group discussions. A total of 44 participants took part in 6 focus groups. Participants included prescribers (physicians, nurses, physician assistants) and staff (nonprescribers). Two major themes identified were (1) factors related to on-campus pharmacies and (2) qualities valued in a pharmacy. There was an equal split (8% for each group) on awareness of the on-campus pharmacies. Almost 11% of participants commented on the accessibility of a pharmacy being a quality valued in a pharmacy. Focus groups provided insights for the administration team regarding additional value-added services that would be helpful for the campus community, as well as various approaches to increase utilization of the on-campus pharmacies. Focus group methodology is an effective approach to engage employees of a large university campus to garner new ideas to enhance existing policies or services, as well as to gather thoughts on preliminary strategic plans before implementation.

Performance analysis of autonomous green energy system based on multi and hybrid metaheuristic optimization approaches

The need for energy is constantly increasing worldwide. It is expected that renewable energy resources and fuel cells, solid wastes, and hydrogen energy technologies will play a significant role in energy generation and storage with their decreasing installation costs and increasing environmental concerns. Hydrogen is a potential fuel used in fuel cells that provides a carbon-free solution. The research is based on the techno-economics of off-grid wind (WT), solar (PV), biomass gasifier (BG), and fuel cell (FC) systems, which include storing excess wind and solar energy by converting it to hydrogen to provide fuel cell energy. It is critical from the standpoint of feasibility. In addition to electricity generation, energy storage integration, sizing methodologies, energy flow management, and the optimization algorithms that go with them are all covered. The annual cost system (ACS) is the primary goal function of the optimization process in this case. A robust rule-based energy management scheme is proposed to coordinate the power flow between various system components of a microgrid that will minimize the ACS and meet the energy demand reliably. The decision variables considered for this optimization process are PV panel power, WT power, and number of H2 tanks. The consumption and meteorological data of the year 2021 are used as the input of the system. The optimal size of each component is obtained by using the proposed Hybrid Firefly Genetic Algorithm (HFGA). To prove the superiority of the proposed optimization method in terms of accuracy and calculation time, it is compared to approaches that are used in similar applications such as Genetic Algorithms, the Firefly Algorithm, Sine-Cosine Algorithm and Cuckoo Search Algorithm. The optimum system configuration yielded 1094.68 KW WT, 2256.17 kW PV, and 775 H2 storage tanks when HFGA was used. The ACS of the system is $2921702.3, the total net present cost is $2.4639x107, while the leveled unit energy cost is $1.3416/kWh 'dir. The renewable energy fraction of the system is 100 % and consists of 51.8 % PV, 2.1 % WT, 11.8 % FC 34.3 % BG components. The results show that the proposed standalone hybrid (PV/WT/BG/FC) energy system is the most cost-effective option for the central campus of the university selected as the study area, and the proposed algorithm has excellent convergence capacity and provides high-quality outputs. The optimization algorithms are programmed using the MATLAB simulation package in this study.

Factors That Affect Legionella Positivity in Healthcare Building Water Systems from a Large, National Environmental Surveillance Initiative.

Legionella growth in healthcare building water systems can result in legionellosis, making water management programs (WMPs) important for patient safety. However, knowledge is limited on Legionella prevalence in healthcare buildings. A dataset of quarterly water testing in Veterans Health Administration (VHA) healthcare buildings was used to examine national environmental Legionella prevalence from 2015 to 2018. Bayesian hierarchical logistic regression modeling assessed factors influencing Legionella positivity. The master dataset included 201,146 water samples from 814 buildings at 168 VHA campuses. Overall Legionella positivity over the 4 years decreased from 7.2 to 5.1%, with the odds of a Legionella-positive sample being 0.94 (0.90-0.97) times the odds of a positive sample in the previous quarter for the 16 quarters of the 4 year period. Positivity varied considerably more at the medical center campus level compared to regional levels or to the building level where controls are typically applied. We found higher odds of Legionella detection in older buildings (OR 0.92 [0.86-0.98] for each more recent decade of construction), in taller buildings (OR 1.20 [1.13-1.27] for each additional floor), in hot water samples (O.R. 1.21 [1.16-1.27]), and in samples with lower residual biocide concentrations. This comprehensive healthcare building review showed reduced Legionella detection in the VHA healthcare system over time. Insights into factors associated with Legionella positivity provide information for healthcare systems implementing WMPs and for organizations setting standards and regulations.

PENGARUH PROMOSI DISKON DAN GRATIS ONGKIR SHOPEE TERHADAP KEPUTUSAN PEMBELIAN KONSUMEN

Shopee is one of the e-commerce sites in Indonesia, shopee is more focused on mobile platforms so that people can more easily access, search, shop and sell directly using only their cellphones. This study is intended to analyze the effect of shopee discounts and free shipping on consumer purchasing decisions on students of the 2018 Central Campus Communication Study Program. This study uses a survey method, using a questionnaire as a data collection instrument. In entering the sample using purposive sampling technique. As for the respondents, 92 people with the Stiami Institute Student Criteria for the 2018 Central Campus Communication Study Program, for data processing using the SPSS Version 26 program for windows. The result is that H1 is accepted because r count > rtable 3,603, so it can be ascertained that H1 is accepted which means there is a discount on purchasing decisions, H2 is accepted because r count > r table is 3,712 , so it can be said that H2 is accepted which means free shipping has an effect on buying decision
 Keywords: Shopee, Promotion, Discount, Free Shipment, Buying Decision

A team approach to delivery of contextually relevant bioscience: encouraging student connections between tacit knowledge and new content acquisition

BackgroundBioscience is essential knowledge for nursing practice and is an important component of undergraduate nursing education, however students commonly feel anxious about studying the subject. The purpose of this study was to develop appropriately scoped contextually relevant bioscience lesson resources to enhance student engagement and performance and reduce attrition and unit failures over a sustained period.Methods Participants included students enrolled in the core bioscience unit for an undergraduate Bachelor of Nursing degree from a central campus and a widening participation (WP) campus. From 2016 to 2018, unit learning resources were progressively revised to include a structured learning and teaching manual, signposted lectures, and digital resources. Online surveys and formal institutional data collection metrics were used to assess the impact of the changes to unit learning resources.ResultsStudent attrition rates and failure rates for the unit were reduced over a two-year period across a diverse student cohort.ConclusionsScaffolded and diverse learning materials support the success of undergraduate bioscience students by improving student engagement and reducing cognitive load.

Students' Perception of the Anatomy Educational Environment at Regional Medical Campuses (RMC) and Main Campus

IntroductionIn 2006, the Association of American Medical Colleges (AAMC) recommended to increase medical school enrollment to address an anticipated physician shortage in the future. To accommodate this increase, medical schools not only increased students enrolled at existing medical schools, but also opened new regional medical campuses (RMCs). However, the Liaison Committee on Medical Education (LCME) has standards for medical schools with more than one geographically separate campus; specifically, the curriculum should have comparable educational experiences, equivalent methods of assessment, and uniform graduation standards across all locations. Thus, RMCs have the unique task of maintaining an autonomous identity with their own strengths and resources, all the while remaining consistent and comparable to the central campus. Indiana University School of Medicine has eight RMCs and a main campus in Indianapolis. The first‐year Human Structure course integrates gross anatomy, histology, and embryology and utilizes identical learning objectives, assessment, and state‐wide pre‐recorded lectures. This instructional design leaves the local educational team, cohort of students (75% fewer students at RMCs), and the campus climate among the differences in learning environment. The goal of this study is to explore the differences in medical students’ perceptions of the anatomy environment at RMCs versus the central campus despite comparability in formal curriculum.MethodsThis IRB‐approved study used a modified version of the Dundee Ready Educational Environment Measure, that included a 40‐item Likert survey and six free response questions to gather more information about the medical education environment. First‐year medical students were recruited from three RMCs and main academic campus. A Mann Whitney U test was used to compare survey responses of participants at RMCs and main campus (α ≤ .05) and free responses comments were analyzed using thematic analysis.ResultsA total of 15 RMC (21%) and 12 main campus students (9%) completed the survey. Students at the main campus reported significantly lower scores on 10 items compared to RMC participants (p ≤ 0.035). These items related to stimulating learning, providing student‐centered instruction, offering constructive feedback, and having a relaxed laboratory learning environment. Thematic analysis of free responses was consistent with survey results and demonstrated that students at RMCs appreciate the smaller number of students which provides more opportunity for one‐on‐one instruction, support, and camaraderie among peers.DiscussionIn considering the learning experience of students, the contributions of factors beyond the formal curriculum need to be explored. Thus, the interaction of instructor and student, through empathy, support, communication, and the learning environment as a whole need to be considered and developed. Allowing the unique qualities and identities of the RMC and central campus to flourish can improve the learning environment while maintaining comparable curriculum standards.

Toward institutionalizing successful innovations in the Academy

Due to the “wicked problem” of the Academy’s resistance to innovation, new teaching and learning programs struggle to become integrated into the fabric of the Academy, which slows the uptake of evidence-based practices. This wicked problem is rooted in the lack of slow, intentional mechanisms for cultural change in the Academy. In this article, we analyze the institutionalization journey of the Departmental Action Team (DAT) project, which is a model for slow, intentional change. Over the last four years, partnering with two campus centers for teaching and learning (CTLs) allowed the DAT project to make institutionalization progress.This analysis is focused on the institutionalization activities of the DAT project team and their co-creation of value with diverse stakeholders across two institutions. Results of the analysis include the definition of seven areas of effort (Team Development, Program Design, Awareness Communication, Program Implementation, Program Assessment, Outcomes Communication, and Financial Stability) that are valuable for the institutionalization of innovative educational programs. Within each area of effort, we describe specific strategies for institutionalization progress. We also analyze the timing of different areas of effort and present a model describing the cycling between areas of effort over time. Throughout the analysis, we provide recommendations for CTL staff working to institutionalize innovations.

COMMUNICATION STRATEGY OF LAZISWAF IN INCREASING FUNDRAISING CHARITY AT MAIN CAMPUS SIMAN

This study focuses on examining how LAZISWAF's in increasing fundraising charity is to attract the interest of target donors in giving charity. This research was carried out at the LAZISWAF office, Siman Central campus, the main building, 2nd floor, Siman Campus, Darussalam University (UNIDA). The research method uses a descriptive qualitative approach in the form of words, written, or oral from informants and data from LAZISWAF as a form of credibility. The results showed that LAZISWAF's communication strategy to attract target donors' interest in giving charity consisted of four indicators, namely, (1) selecting and assigning communicators; (2) determine the audience; (3) message composing techniques; (4) select media . Analyzed based on data obtained in the field using the communication formula theory of Hafied Cangara. In addition to this, LAZISWAF communicators must have the power to attract target donors at UNIDA using French and Raven theory (critical resources) which are proven to be efficient. Prospective muzakki or target donors can easily get information about the importance of paying zakat and LAZISWAF is more concerned with delivering messages with powers, including, (1) coercive power; (2) Expert power (expert power); (3) Informational Power; (4) Referent Power; and (5) Legitimate Power.

Échelon, Quincunx, Quadrangle: The Olmsted Firm and Campus Planning in the Early Decades of Vassar College

Frederick Law Olmsted and his sons were America’s foremost campus planners, whose multidisciplinary skill set and collaborative practices enabled them to envision and realize comprehensive plans for campuses, much as they did for their better-known parks and suburban communities. This article contributes a new campus case study to Olmsted firm history. There have long been unsubstantiated reports that F. L. Olmsted designed the bucolic Hudson Valley campus of Vassar College, although the source of Vassar’s early designs has remained unclear. Drawing on unpublished archival materials, this article traces three generations of the Olmsted firm at Vassar, revealing that it was John Charles Olmsted—whose important oeuvre remains to be fully distinguished—who fundamentally shaped Vassar’s central campus. This narrative elucidates the planning processes of this small, progressive woman’s college in its formative decades, and addresses the shifting role of the landscape architect in American campus design in the late nineteenth- and early twentieth centuries.

Transition towards a full self-sufficiency through PV systems integration for sub-Saharan Africa: a technical approach for a smart blockchain-based mini-grid

Access to affordable, reliable and clean energy is an important sustainability goal of the United Nations. In areas where the public electricity grid is unreliable or unavailable, photovoltaic systems can be a solution. However, they are cost-intensive, mainly because of the energy storage systems. Mini-grids can be an answer for reducing upfront investment and overall system lifetime costs while increasing electricity availability. The mini-grid technology is mature, nevertheless, there are downsides when it comes to integrating existing solar systems of different manufacturers. The system topology is usually predefined and a central instance controls the mini-grid. Thus, the integration of existing power systems is difficult due to the communication constraints of these systems with the mini-grid controller. Including existing power systems into a decentralized mini-grid, can highly increase cost-efficiency. In a decentralized approach payments for the consumed energy between mini-grid actors are required. Accounting is, however, a complex administrative procedure, if the respective power systems are owned by different individuals and organizations. A transparent blockchain-based temper-proof approach can be a solution to automate metering and billing, allowing automatic payments between independent subsystem owners using smart contracts. In order to further optimize the smart mini-grid, an artificial intelligence learning algorithm for a dynamic electricity price needs to be developed. This smart and decentralized approach for building Mini-Grids is a novelty bringing solar systems one step closer to self-sufficiency. This paper describes how a smart mini-grid solution can be implemented using the Don Bosco Solar & Renewable Energy Center campus mini-grid in Tema, Ghana as a case study.

A new paradigm of sustainable campus, based on the development and implementation of a socio-environmental management system, for awareness and conservation of the natural environment in the UMRPSFXCh. In management 2011

With this work we want to achieve awareness and environmental conservation achieved minor impact and environmentally sustainable activities within the central campus, which includes the participation of all members of the community of San Francisco Xavier de Chuquisaca, ceasing to be an administrative initiative or academic proposal but a comprehensive project. Developing a Sustainable Campus prototype, based on the implementation of a Social and Environmental Management System, embodied in an environmental landscape architectural proposal. Identifying as the main comparative advantages of developing and implementing environmental management systems partner, And so, we can develop the new proposal for a new paradigm of Sustainable Campus, from awareness and conservation of the natural environment Throughout the evaluation based on a short questionnaire given to visitors who can assess the effectiveness of the intervention (educational and environmental process), especially since indicators of attitudes, values and behavior data.

A new paradigm of sustainable campus, from the development and implementation of a socio-environmental management system, for the awareness and conservation of the natural environment at the U.M.R.P.S.F.X.Ch. in the management of 2011

With this work we want to achieve awareness and environmental conservation achieved minor impact and environmentally sustainable activities within the central campus, which includes the participation of all members of the community of San Francisco Xavier de Chuquisaca, ceasing to be an administrative initiative or academic proposal but a comprehensive project. Developing a Sustainable Campus prototype, based on the implementation of a Social and Environmental Management System, embodied in an environmental landscape architectural proposal. Intifying as the main comparative advantages of developing and implementing environmental management systems partner, And so, we can develop the new proposal for a new paradigm of Sustainable Campus, from awareness and conservation of the natural environment hroughout the evaluation based on a short questionnaire given to visitors who can assess the effectiveness of the intervention (educational and environmental process), especially since of attitudes, values, indicators and behavior data.

Difficulties Experienced by Undergraduate Students in Proving Theorems of Real Analysis

Developing proofs is a very important task of undergraduate mathematics students. However, proving theorems in real analysis is a challenging task for many undergraduate students. In this context, this research was conducted to explore difficulties experienced by undergraduate students in proving theorems of real analysis. Narrative research design under the interpretive research paradigm was used for the study. Three students (higher achiever, average achiever, and below-average achiever) were selected purposively from the sixth semester of B.Ed. programme of the central campus of Far West University. Radical constructivism was selected as the theoretical basis of the study. Interview guideline was prepared as a research tool and interviews of participants were taken based on the guideline. For the analysis and interpretation, interview data were transcribed, coded and then themes were generated. Four themes were constructed that are inability to link statements logically, lack of skill of applying definitions/theorems, lack of skill of selecting an appropriate path of proving, and inability to grasp language/symbols and lengthy proof. The conclusion is that students can have the above types of difficulties in understanding/constructing proof of theorems but the type and extents of the difficulty experienced by learners depend upon the context and ability of learners. This study indicates that beliefs and practices guided by modernism is one of the reasons behind the difficulties in proof construction. The findings of this study would help teachers to select the appropriate pedagogical approach of teaching proofs and students to understand/construct proofs of Real Analysis.

Simple method devised for rapid isolation and identification of Vibrio cholerae from water resources of Sunsari District, Nepal

Cholera is a gastrointestinal disease caused by pathogenic strain of Vibrio cholerae, the disease clinically manifested by rice-water diarrhea, nausea and vomiting. This study aimed to study the incidence of Vibrio species and employ simple method for rapid detection of Vibrio cholerae from water samples of Sunsari, Nepal. Identification of V. cholerae through biochemical tests requires extensive labor and costs. In resource limited laboratories, isolation and identification of V. cholerae often becomes difficult. Therefore, this study also aimed for selecting scope of this methodology as a scientific outcome for rapid isolation and identification of Vibrio cholerae. A total of 100 water samples were collected from Sunsari district in which 25 samples were collected from sewage, 25 from pond, 25 from tap and 25 from tube well. The samples of collected water were sent to the microbiology laboratory of Central Campus of Technology maintained in ice cold box and were enriched in Alkaline Peptone water and selectively isolated from TCBS agar and NA agar without NaCl. Pathogens were isolated and identified by conventional microbiological techniques. Out of 100 water samples collected, sucrose fermenting Vibrio species were isolated only from 16 water samples. Further the selective isolation of V. cholerae from nutrient agar without NaCl isolated 6 isolates from sewage samples and 3 isolates from pond samples. The distribution of Vibrio cholera in the water sample was found to be 9%, distribution of V. alginolyticus was found to be 4% and distribution of V. fluvialis was found to be 3%. In this study, non-sucrose fermenting Vibrio species were not isolated from the water samples. However, sucrose fermenting Vibrio species was obtained with yellow pigmentation in TCBS agar medium. The yellow pigmented colonies of Vibrio isolates recovered from TCBS and even from Nutrient Agar devoid of sodium chloride provided sufficient evidence of V. cholerae after series of other biochemical tests. This study concludes that yellow colonies (sucrose-fermenting) of Vibrio from TCBS agar medium that can grow on nutrient agar without added NaCl and which exhibit a positive oxidase reaction can be confidently identified as presumptive V. cholerae. In resource-constrained environments, this simple method can reduce the labor cost, chemicals and time-consuming procedure of performing multiple biochemical and molecular assays for identification.

The selection of laccase producing polypores fungi and inducer addition on the degradation of batik waste

Research on the selection of laccase producing polypores fungi and inducer addition on the degradation of batik waste has been carried out. The objectives of this study were to obtain isolates of polypores fungi with high laccase activity and data on the inducer effect in the batik waste degradation by selected isolate. Batik waste is potential pollution to the environment. It has been found that the Polyporaceae fungus reduce water pollution caused by batik waste. Fungal fruiting bodies were collected at the Cibinong Science Center and forest park IPB Campus Darmaga, Bogor. The inducers used included 15 g/L sucrose, 200 μM CuSO4, and 1.5% sorghum waste. Seven isolates of polypores fungi were obtained. Isolate J6 with high laccase activity was obtained and identified as Coriolopsis sp. The addition of sorghum waste to the growth medium increased the laccase activity of Coriolopsis sp. J6 by 1428 U/mL. Coriolopsis sp. J6 was able to reduce the color of Poly R-478 by 83.73% after the addition of sucrose and incubation for 10 days. This fungus was able to reduce the color of batik waste by 37.17% after the addition of 1.5% sorghum waste and incubation for 10 days.

Creation and implementation of a pharmacy-led meds-to-beds program at a large teaching hospital

Background“Meds-to-beds” programs are a quality improvement intervention that is gaining wider implementation throughout the United States. The University of Oklahoma hospital system did not have this program and sought to implement one. There are sufficient data on the benefits of meds-to-beds programs, but there is a lack of literature on describing the development and implementation process. ObjectivesThe objective of this article is to describe the planning process, implementation, and barriers encountered during the organization of a pharmacy-led meds-to-beds program operating within 2 large teaching hospitals. Practice descriptionThe University of Oklahoma Health Sciences Center campus has 7 colleges, multiple primary care and specialty clinics, and 2 hospitals. In addition, there are 3 on-campus outpatient pharmacies operated by the University of Oklahoma College of Pharmacy (OUCOP). Practice innovationThe college implemented a meds-to-beds program primarily serving 2 on-campus hospitals, The Oklahoma Children’s Hospital and University of Oklahoma College of Pharmacy Medical Center. The program operated out of The Children’s Pharmacy, an outpatient pharmacy located within the Children’s Hospital. Evaluation MethodsA Plan-Do-Study-Act model was used, which allowed for adaptation in response to barriers encountered throughout the process. Frequent meetings among stakeholders were held to continuously evaluate progress (e.g., awareness and utilization of the program and prescription counts) and make necessary changes. ResultsImplementation of the program required changes in workflow both within the pharmacy and within the registration and discharge processes of medical teams. In addition, after the initiation of the meds-to-beds program, the daily prescription count more than doubled. The program averages 40 deliveries per day and 3 prescriptions per delivery and continues to grow, providing evidence of a successful meds-to-beds implementation. ConclusionThe Plan-Do-Study-Act model allowed for many adjustments to be made throughout the process, including the conversion from an opt-in to an opt-out model to increase program utilization.

Quality improvement and reconciliation process for automated dispensing cabinet medication overrides.

To describe a pharmacist-led reconciliation process for automated dispensing cabinet (ADC) medication override setting maintenance at an academic medical center. ADC override management requires alignment of people, processes, and technology. This evaluation describes system-wide improvements to enhance institutional medication override policy compliance by establishing a formalized evaluation and defined roles to streamline ADC dispense setting management. A pharmacist-led quality improvement initiative revised the institutional medication override list to improve medication dispensing practices across an academic medical center campus with a pediatric hospital and 2 adult hospitals. This initiative included removal of patient care unit designations from the medication override list, revision of institutional override policy, creation of an online submission form, and selection of ADC override metrics for surveillance. A conceptual framework guided decisions for unique dosage forms and interdisciplinary engagement. Employing this framework revised workflows for stakeholders in the medication-use process through clinical pharmacist evaluation, existing shared governance structure communication, and pharmacy automation support.The revised policy increased the number of medications available for override from 80 to 106 (33% increase) and unique dosage forms from 166 to 191 (15% increase). The total number of medication dispense settings was reduced from 5,600 to 541 (90% decrease). The proportion of override dispenses compliant with policy increased from 59% to 98% (P < 0.001). Median monthly ADC overrides remained unchanged following policy revision (P = 0.995). ADC override rate reduction was observed across the institution, with the rate decreasing from 1.4% to 1.2% (P < 0.001). Similar ADC override rate reductions were observed for adult, pediatric, and emergency department ADCs. This initiative highlights pharmacists' role in leading institutional policy changes that influence the medication-use process through ADC dispensing practices. A pharmacist-led reconciliation process that removed practice area designations from our medication override policy streamlined ADC setting maintenance, increased the compliance rate of ADC override transactions, and provided a formalized process for future evaluation of medication overrides.

Developing Basic Movement Skills in Primary School Students: Planned Games and Movement Education Applications

Aim: The aim of this study is to develop the movement skills of primary school students (1st and 2nd grades) in Erzurum city center with planned games and movement education applications. Method: 38 students (24 males + 14 females) living in the central campus of Erzurum province and selected according to the convenience sampling method, one of the purposeful sampling methods, participated in the research. Students participated in specially prepared game and movement training programs between 60-90 minutes 3 days a week during the summer period. In the first stage of the study, basic skills were determined by applying basic skill tests which is flamingo balance, catching the thrown ball, standing long jump, throwing a tennis ball, running 20 meters straight, hitting the ball with the foot, vertical jumping and galloping as a pre-test. At the end of the 2-month (8 weeks) period, basic skill tests were applied as a post-test and their status was compared. Findings: According to the results of the research, a positive (p&lt;0.05) improvement was observed in the initial basic skill tests which applied flamingo balance, catching the thrown ball, standing long jump, throwing a tennis ball, running 20 metetraight, hitting the ball with the foot, vertical jump and gallop. Result: As a result, it was concluded that the game and special movement training program, which is made regularly for primary school 1st and 2nd grade students, contributes positively to their basic motor skills. Key Words: Primary school, games, movement training, skill development.