Case Study: Protection Of Human Subjects

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Protection of Human Subjects. After receiving approval from Baptist Hospital and University of Florida IRB committees data collection began. Data was gathered by Tanya Warner, DNP student and employee of Baptist Hospital. Data was kept in Tanya Warner’s office on campus at Baptist Hospital. Computer data and patient’s medical records were password protected. No identifiable data was included in data collected.
2014 Results
2014 Age and Gender. Patient’s identified as being discharge with diagnosis of STEMI and NSTEMI during 4th quarter 2014 (October 1, 2014 – December 31, 2014) which met inclusion criteria were N=82. Minimum age was 38, maximum age 91, M= 64.56, SD= 13.18, “(see Table 2)”. Of the 82 patients 25 (30.49%) were females and 57
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52 (63.41%) of the 82 were diagnosed as having NSTEMI and 30 (36.59%) of the 82 were diagnosed as having STEMI , “(see Table ___)”.
2015 Classification of MI. 72 of the 104 were diagnosed as having NSTEMI (69.23%) and 32 of the 104 (30.77%) were diagnosed as having STEMI, “(see Table ___)”.

2014 Discharged on Core Measure Medication. Discharge medication reconciliation forms and progress notes were reviewed to determine whether patients were discharged on core measure medication or documentation of reason for exception. Of the 82 patients discharged 4th quarter 2014, 81 (98.78%) were discharged on core measure medication or had sufficient documentation as to why exceptions were made, “(see Table)”.
2015 Discharged on Core Measure Medication. Discharge medication reconciliation forms and progress notes were reviewed to determine whether patients were discharged on core measure medication or documentation of reason for exception. Of the 104 patients discharged 4th quarter 2015, 104 (100%) were discharged on core measure medication or sufficient documentation was included as to why exceptions were made, “(see Table___)”. 2014 Time to First Office Visit. 71 (86.58%) of the 82 patients were seen back in
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2014 Medication Compliance at First Office Visit. Hospital discharge medications were compared to office medications at time of first office visit, patients were either compliant or non-compliant. N=71 (86.58%) of the 82 discharged patients were seen in office with 69 (97.18%) compliant with discharge medications at the time of first office visit and 2 (2.82%) were non-compliant, “(see Table ___)”.
2015 Medication Compliance at First Office Visit. Hospital discharge medications were compared to office medications at time of first office visit, patients were either compliant or non-compliant. 97 (86.58%) of the 104 discharged patients were seen in office with 97 (100%) compliant with discharge medications at the time of first office visit, “(see Appendix G)”. 30 Day Readmissions: 30-day readmission rates were 10 (12.20%) out of 82. Of the 10 patients readmitted within 30 days of discharge, 6 (60%) of those were discharged

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