Дисертації з теми "Acute Setting"
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Zalin, Anjali. "Stress hyperglycaemia in the acute care setting." Thesis, Imperial College London, 2015. http://hdl.handle.net/10044/1/29751.
Повний текст джерелаBelcher, Justin Miles. "Acute Kidney injury in the Setting of Cirrhosis." Thesis, Yale University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3663447.
Повний текст джерелаAcute kidney injury (AKI) is a common complication in patients with cirrhosis and is associated with significant mortality. Despite the overall poor outcomes, there exists hope for such patients as, unlike in the majority of setting of AKI, specific treatments are available which have been shown to improve renal function and mortality. However, historically intransient difficulties in differential diagnosis and prognosis have limited the extent to which such treatments can be appropriately utilized. In addition, though AKI has long been appreciated as a feared complication, the definitions of AKI employed in studies involving patients with cirrhosis have not been standardized, lack sensitivity, and have often been limited to narrow clinical settings. We conducted a multicenter, prospective observational cohort study of patients with cirrhosis and AKI, drawn from multiple hospital wards, utilizing the modern acute kidney injury network (AKIN) definition and assessed the association between AKI severity and progression with in-hospital mortality. Following this we investigated whether early changes in serum cystatin C levels were more closely associated with subsequent outcomes than similarly early changes in serum creatinine. We subsequently assessed whether novel biomarkers of kidney structural injury, measured on the day of fulfilling AKI criteria, can predict progression of AKI and mortality. Finally, we investigated the ability of biomarkers to assist with differential diagnosis and potentially change the way in which causes of AKI in cirrhosis are conceptualized.
192 patients were enrolled and included in the study. In the first phase, 85 (44%) of these were found to progress to a higher AKIN stage after initially fulfilling AKI criteria. Patients achieved a peak severity of AKIN stage 1, 26%, stage 2, 24%, and stage 3, 49%. Progression was significantly more common and peak AKI stage higher in non-survivors than survivors (p < 0.0001). After adjusting for baseline renal function, demographics and critical hospital and cirrhosis-associated variables, progression of AKI was independently associated with mortality (adjusted odds ratio = 3.8, 95% confidence interval (CI) 1.3-11.1). We conclude that AKI, as defined by AKIN criteria, in patients with cirrhosis is frequently progressive and severe and is independently associated with mortality in a stage-dependent fashion.
Unfortunately, accurately predicting which patients will experience the worst outcomes is challenging as serum creatinine correlates poorly with glomerular filtration in patients with cirrhosis and fluctuations may mask progression early in the course of AKI. Cystatin C, a low-molecular-weight cysteine proteinase inhibitor, is a potentially more accurate marker of glomerular filtration. In the second phase of our study we evaluated whether early changes in serum cystatin C would associate more strongly with a composite endpoint of dialysis or mortality than early changes in creatinine. Of 106 patients studied with at least 2 blood samples, 37 (35%) met the endpoint. Cystatin demonstrated less variability between samples than creatinine. Patients were stratified into four groups reflecting changes in creatinine and cystatin: both unchanged or decreased 38 (36%) (Scr-/CysC-); only cystatin increased 25 (24%) (Scr-/CysC+); only creatinine increased 15 (14%) (Scr+/CysC-); and both increased 28 (26%) (Scr+/CysC+). With Scr-/CysC- as the reference, in both instances where cystatin rose, Scr-/CysC+ and Scr+/CysC+, the primary outcome was significantly more frequent in multivariate analysis, P = 0.02 and 0.03, respectively. However, when only creatinine rose, outcomes were similar to the reference group. We therefore concluded that changes in cystatin levels early in AKI are more closely associated with eventual dialysis or mortality than creatinine and may allow more rapid identification of patients at risk for adverse outcomes.
The next aspect of the study evaluated urinary biomarkers, including neutrophil gelatinase-associated lipocalin (NGAL), IL-18, kidney injury molecule-1 (KIM-1), liver-type fatty acid-binding protein (L-FABP), albuminuria and the fractional excretion of sodium (FENa) as predictors of AKI progression and in-hospital mortality. Of 188 patients with available urine samples, 44 (23%) experienced AKI progression alone and 39 (21%) suffered both progression and death during their hospitalization. NGAL, IL-18, KIM-1, L-FABP and albuminuria were significantly higher in patients with AKI progression and death. These biomarkers were independently associated with this outcome after adjusting for key clinical variables including model of end stage liver disease score, IL-18 (relative risk [RR], 4.09; 95% CI, 1.56 to 10.70), KIM-1 (RR, 3.13; 95% CI, 1.20 to 8.17), L-FABP (RR, 3.43; 95% CI, 1.54 to 7.64), and albuminuria (RR, 2.07; 95% CI, 1.05-4.10) per log change. No biomarkers were independently associated with progression without mortality. FENa demonstrated no association with worsening of AKI. When added to a robust clinical model, only IL-18 independently improved risk stratification on a net reclassification index. This phase of the study demonstrated that multiple structural biomarkers of kidney injury, but not FENa, are independently associated with progression of AKI and mortality in patients with cirrhosis. However, injury marker levels were similar between those without progression and those with progression alone.
Knowledge of which patients are at the highest risk of adverse outcomes may allow for earlier targeting of treatments but only if clinicians can may objective, accurate diagnoses as to the cause of AKI. The most common etiologies of AKI in this cirrhosis are prerenal azotemia (PRA), acute tubular necrosis (ATN) and hepatorenal syndrome (HRS). However, establishing an accurate differential diagnosis is extremely challenging. Urinary biomarkers of kidney injury distinguish structural from functional causes of AKI and we hypothesized that they may facilitate more accurate and rapid diagnoses. In the next phase of our study we therefore assessed multiple biomarkers for differential diagnosis in clinically adjudicated AKI. Patients (n = 36) whose creatinine returned to within 25% of their baseline within 48 hours were diagnosed with PRA. In addition, 76 patients with progressive AKI were diagnosed by way of blinded retrospective adjudication. Of these progressors, 39 (53%) patients were diagnosed with ATN, 19 (26%) with PRA, and 16 (22%) with HRS. Median values for neutrophil gelatinase-associated lipocalin (NGAL), interleukin-18 (IL-18), kidney injury molecule-1 (KIM-1), liver-type fatty acid binding protein (L-FABP), and albumin differed between etiologies and were significantly higher in patients adjudicated with ATN. The fractional excretion of sodium (FENa) was lowest in patients with HRS, 0.10%, but did not differ between those with PRA, 0.27%, or ATN, 0.31%, P = 0.54. The likelihood of being diagnosed with ATN increased step-wise with the number of biomarkers above optimal diagnostic cutoffs. From these results we concluded that urinary biomarkers of kidney injury are in fact elevated in patients with cirrhosis and AKI due to ATN and that incorporating biomarkers into clinical decision making has the potential to more accurately guide treatment by establishing which patients have structural injury underlying their AKI.
Unfortunately, despite these promising results, it is likely that, as long as the focus is on assigning patients one of three distinct diagnoses, there will always be overlap in biomarkers values between groups such that, on the individual rather than population level, their utility will not be fully optimized. In the final phase of our study we evaluated a diagnostic algorithm utilizing optimal cutoffs for FENa and NGAL and the current diagnostic categories of PRA, ATN and HRS. In conclusion, we suggest moving beyond current diagnoses by instead attempting to physiologically phenotype patients using both function (FENa, urinary cystatin C) and structural (NGAL) urinary biomarkers. Figures are presented demonstrating that patients fall into distinct physiologic clusters which may allow more precise targeting of therapies.
Boye-Doe, Sylvia B. "Improving Fall Prevention Strategies in an Acute-Care Setting." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3337.
Повний текст джерелаPhilyaw, Charlotte Evette. "Preventing Urinary Tract Infections in the Acute Care Setting." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2574.
Повний текст джерелаPugliese, Michael. "Mobile Tablet-Based Stroke Rehabilitation in the Acute Care Setting." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/37016.
Повний текст джерелаBrown, April Samantha. "Modern matrons in an acute setting : a qualitative case study." Thesis, University of Hertfordshire, 2013. http://hdl.handle.net/2299/12304.
Повний текст джерелаLungui, Ilona. "Hand Hygiene and Compliance Rates in an Acute Care Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6454.
Повний текст джерелаBelcher, Janet Maxine. "Quality Initiative to Reduce Falls in an Acute Care Setting." ScholarWorks, 2020. https://scholarworks.waldenu.edu/dissertations/7599.
Повний текст джерелаLad, Raina, Nisha Maymana, Trishna Kuber, and Lisa Goldstone. "Second Generation Antipsychotic Prescribing Patterns in an Acute Inpatient Psychiatric Setting." The University of Arizona, 2016. http://hdl.handle.net/10150/613987.
Повний текст джерелаObjectives: To determine if prescribers took into consideration patients’ metabolic risk factors when prescribing a low, medium or high risk second generation antipsychotic and if non-metabolic risk factors influenced prescribing. Methods: Adults 18 years or older who were admitted to an acute inpatient psychiatry unit and ordered at least one SGA were included in the study. Each patient’s metabolic syndrome risk score was determined using retrospective chart review and they were subsequently divided into low or high-risk groups. Clozapine and olanzapine were categorized as high risk for causing weight gain and diabetes, risperidone and quetiapine were moderate risk, and all others were considered low risk. A chi square test compared the two groups in regard to type of SGA selected, gender, and race, while an independent t-test analyzed the differences in age. Results: 300 patients were analyzed and divided into high (n=57) and low (n=253) risk groups. For the low risk group, 10.7%, 55.1%, and 34.2% were prescribed a low, moderate, or high risk SGA, respectively. For the high-risk group 17.5%, 56.1%, and 26.3% were prescribed a low, moderate, or high risk SGA, respectively. The type of SGA selected was not significantly different between the groups (p=0.262). Equivalence was shown between the two groups in terms of gender and race (p=0.68, p=0.65 respectively). Age was significantly different (p< 0.01). Conclusions: Prescribers may not consider metabolic risk factors when prescribing high risk SGAs such as clozapine and olanzapine.
Baillie, Lesley. "A case study of patient dignity in an acute hospital setting." Thesis, London South Bank University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487082.
Повний текст джерелаPompeii, Jo Anna. "Nonpharmacological pain management in pediatric patients in the acute care setting." Honors in the Major Thesis, University of Central Florida, 2009. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1308.
Повний текст джерелаBachelors
Nursing
Nursing
Millward, Louise Maria. "Attitudes towards alcoholics : staff patient relationships in the acute hospital setting." Thesis, King's College London (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.251664.
Повний текст джерелаSteere, Caroline J. "Nurses' management of deliberate self-harm in an acute residential setting." Thesis, University of Hull, 2001. http://hydra.hull.ac.uk/resources/hull:11283.
Повний текст джерелаDee, Joan Frances Melville. "What factors assist clinicians to determine dying in an acute setting?" Thesis, University of Oxford, 2014. http://ora.ox.ac.uk/objects/uuid:e46c888c-4ae7-48ed-90a4-33ac26a5d96a.
Повний текст джерелаLabiche, Eppie Ann. "Venous Thromboembolism Prevention Education for Practitioners in the Acute Care Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6597.
Повний текст джерелаWright, Marshanell. "Decreasing Catheter-Associated Urinary Tract Infections in the Acute Care Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6707.
Повний текст джерелаBentley, Mary Charity. "How clinical psychologists experience working in an acute mental health inpatient setting." Thesis, University of Hertfordshire, 2014. http://hdl.handle.net/2299/14328.
Повний текст джерелаHAN, JIN HO. "ACUTE CORONARY SYNDROMES AND THE ELDERLY PATIENT IN THE EMERGENCY DEPARTMENT SETTING." University of Cincinnati / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1172692247.
Повний текст джерелаReed, Alexander. "Social network meetings in an acute psychiatric setting : a practitioner research enquiry." Thesis, Northumbria University, 2004. http://nrl.northumbria.ac.uk/39/.
Повний текст джерелаField, Thomas A. "Implementing Dialectical Behavior Therapy for Adolescents in an Acute Inpatient Psychiatric Setting." Thesis, James Madison University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3620455.
Повний текст джерелаAlthough evidence-based practices (EBPs) have been identified in the literature, insufficient information exists about how to successfully implement them. As a result, implementation efforts have been met with failures. Little is currently known about what affects the success of implementation efforts for best practices such as Dialectical Behavior Therapy for adolescents (DBT-A) in an acute inpatient psychiatric setting (AIPS). A longitudinal multiphase mixed methods case study examined an implementation effort to provide DBT-A in an AIPS over a 24-month period. The process of implementation was investigated through in-depth interviews, a focus group, and field observations. Six categories were identified that affected the DBT-A implementation in an AIPS: appeal of DBT as a treatment modality, impact on patients, implementer characteristics, the implementation process, organizational dynamics and structure, and staff support. Implications for implementing EBPs within organizational environments are discussed. This study represents the first attempt to use qualitative and mixed methodology to examine the process of DBT implementation in an AIPS.
Donaghay-Spire, Eloise G. "An exploration of psychological interventions in the acute inpatient mental health setting." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12867/.
Повний текст джерелаKelly, Lesly Ann. "Nursing Surveillance in the Acute Care Setting: Latent Variable Development and Analysis." Diss., The University of Arizona, 2009. http://hdl.handle.net/10150/193636.
Повний текст джерелаRoss, Helen. "Understanding and achieving person-centred care in an acute medical ward setting." Thesis, Sheffield Hallam University, 2015. http://shura.shu.ac.uk/20799/.
Повний текст джерелаPatel, Lopa. "Noise Pollution/Reduction Education for Frontline Staff in the Acute Care Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6942.
Повний текст джерелаAriri, Alex. "HIV Testing Practices and Provider-Identified Barriers in the Acute Care Setting." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3745.
Повний текст джерелаOrtiz, Marie Elois. "Educational Interventions to Improve Aggressive Behavior Recognition for an Acute Psychiatric Setting." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4550.
Повний текст джерелаHudson, Sonia A. "Systematic Literature Review on Fall Prevention in an Acute Care Hospital Setting." ScholarWorks, 2020. https://scholarworks.waldenu.edu/dissertations/7874.
Повний текст джерелаCummings, Cynthia L. "The Effect of Moral Distress on Nursing Retention in the Acute Care Setting." UNF Digital Commons, 2009. http://digitalcommons.unf.edu/etd/371.
Повний текст джерелаBerghoff, Laurie Swaney. "Nursing Self-Efficacy in the Acute Care Setting with the Neighborhood Staffing Model." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5677.
Повний текст джерелаCampbell, Jill L. "Incontinence-associated dermatitis in the acute care setting: An exploration of the phenomenon." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/101514/1/Jill_Campbell_Thesis.pdf.
Повний текст джерелаChow, Yuen-yi, and 周婉儀. "Pre-operative music intervention to reduce patients' pre-operative anxiety in acute care setting." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44623021.
Повний текст джерелаLloyd, M. "Exploring the impact and effectiveness of prescribing error feedback in an acute hospital setting." Thesis, University of Liverpool, 2017. http://livrepository.liverpool.ac.uk/3008360/.
Повний текст джерелаHaslett, Kirsten, Michael Herman, and David Lee. "Probiotics in the Prevention of Clostridium Difficile Associated Diarrhea in the Acute Care Setting." The University of Arizona, 2014. http://hdl.handle.net/10150/614188.
Повний текст джерелаSpecific Aims: Clostridium difficile associated diarrhea (CDAD) frequently occurs in patients exposed to broad-spectrum antibiotics which can result in a life threatening illness. The role of probiotics in the prevention of CDAD is not well established and many medical centers across the United States are opting to remove probiotics from common CDAD prophylaxis. We aim to evaluate the efficacy of lactobacillus probiotics during the use of broad-spectrum antibiotic therapy in the acute care setting for the prophylaxis of CDAD at Kindred Hospital. Methods: We performed a single center, retrospective data analysis efficacy trial of inpatients receiving beta-lactam, fluoroquinolone or clindamycin antibiotics from the Kindred Hospital database. Two study groups will be compared: patients who received lactobacillus probiotic therapy based on protocol since May 2011 and patients who did not receive probiotic therapy. The presence or absence of CDAD will be used to evaluate probiotic efficacy. Main Results: Of the ### patients screened, ## were assigned to the treatment group and ## were assigned to the non-treatment group, a total of ## patients were analyzed for the primary endpoint. CDAD occurred in ## patients (xx%) receiving probiotic therapy while CDAD occurred in ## patients (xx%) not receiving probiotic therapy (relative risk [RR]: xx.x; p=0.xxx). Conclusion: [Anticipated] We identified no statistically significant evidence that the use of lactobacillus was effective in the prevention of CDAD. Further knowledge of the pathophysiology of CDAD and proper antibiotic use is needed for future studies.
McCooey, Robyn. "Identifying hospital communication activities for a functional communication measure in the acute hospital setting /." St. Lucia, Qld, 2001. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16508.pdf.
Повний текст джерелаBare, LaShonda Leigh. "Factors that most influence job satisfaction among cardiac nurses in an acute care setting." Huntington, WV : [Marshall University Libraries], 2004. http://www.marshall.edu/etd/descript.asp?ref=450.
Повний текст джерелаPerera, K. Prasadini N. "Impact of Post-Discharge Care Setting Following Inpatient Hospitalization on Hospital Revisits in a Medicare Population." Diss., The University of Arizona, 2013. http://hdl.handle.net/10150/301686.
Повний текст джерелаWyer, N. "A descriptive phenomenological study exploring patient experiences of parenteral nutrition in an acute healthcare setting." Thesis, Coventry University, 2015. http://curve.coventry.ac.uk/open/items/c08450d3-140e-45ab-a2cf-7539be9e8151/1.
Повний текст джерелаAnderson, Valerie Valdez. "The experience of night shift registered nurses in an acute care setting a phenomenological study /." Thesis, Montana State University, 2010. http://etd.lib.montana.edu/etd/2010/anderson/AndersonV0510.pdf.
Повний текст джерелаAlfred, Crystal M. "Bullying: The Impact on Intention to Leave of Generational Members in the Acute Healthcare Setting." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1523948285771456.
Повний текст джерелаLiu, Haiping. "Nurses’ Knowledge about Assessment, Prevention, and Treatment of Skin Tears in the Acute Care Setting." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1575024092388924.
Повний текст джерелаGibson, Nicholas P. "The epidemiology of acute asthma managed by ambulance paramedics in the prehospital setting in Western Australia." University of Western Australia. School of Primary, Aboriginal and Rural Health Care, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0142.
Повний текст джерелаField, Melanie. "The role and clinical utility of acute kidney injury biomarkers in the setting of renal transplantation." Thesis, University of Birmingham, 2015. http://etheses.bham.ac.uk//id/eprint/6052/.
Повний текст джерелаGibson, Nicholas P. "The epidemiology of acute asthma managed by ambulance paramedics in the prehospital setting in Western Australia /." Connect to this title, 2006. http://theses.library.uwa.edu.au/adt-WU2007.0142.
Повний текст джерелаLevac, Jody Joseph. "A correlational study of nurse leadership, attitude towards unions, and retention in an acute care setting." Thesis, University of Phoenix, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3578048.
Повний текст джерелаShort-sighted cost containment strategies and lack of proactive policies in Canadian health care have brought about a national nursing workforce shortage. A shortage in staff creates challenges in terms of access to, quality of, and cost of care for Canadians in a universal health care system. The focus of this quantitative correlational study was to determine the relationship between retention and both nurses’ views of leadership styles and attitudes towards unions in a Canadian acute care setting. The study supports the findings that contingent reward leadership styles and transformational leadership have a positive relationship to retention in a Canadian acute care setting. The study also supports that laissez-faire leadership has a moderately high negative linear relationship to retention. In addition, the study revealed that nurses’ attitudes towards unions have no relationship to retention. The implications of these findings for nursing leadership were also reviewed.
Crittenden, Joanna Nancy. "Identifying those at risk of depression following a diagnosis of Acute Coronary Syndrome: developing a screening intervention for use in the acute care hospital setting." Thesis, Curtin University, 2013. http://hdl.handle.net/20.500.11937/841.
Повний текст джерелаJones, Craig L. "Neuropsychological symptomatology associated with right and left hemisphere cerebral vascular accidents within an acute care rehabilitation setting." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/862284.
Повний текст джерелаDepartment of Educational Psychology
Aquilina, Vanya. "The leadership experience : a qualitative study exploring the perceptions of middle managers in an acute healthcare setting." Thesis, University of Bath, 2017. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.715256.
Повний текст джерелаKariuki, Symon Muchiri. "The prevalence, risk factors and behavioural and emotional consequences of acute seizures in a rural Kenyan setting." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:8e0d9861-b39b-49a2-975e-83eed25b45d6.
Повний текст джерелаIrving, Athene. "Factors contributing to falls in a tertiary acute care setting in Cape Town, South Africa: a descriptive study." Master's thesis, Faculty of Health Sciences, 2020. http://hdl.handle.net/11427/32677.
Повний текст джерелаChyan, Vivian, Megan Shell, and Lisa Goldstone. "Evidence-Based Use of Prophylactic Anticholinergic Medication in Combination with Antipsychotic Pharmacotherapy in an Acute Inpatient Psychiatric Setting." The University of Arizona, 2015. http://hdl.handle.net/10150/614026.
Повний текст джерелаObjectives: The study aimed to increase EPS risk factor assessment when prescribers order prophylactic anticholinergics with antipsychotics. An evidence-based pharmacist checklist card was developed to aid in this decision making process. Methods: A retrospective chart review of patients admitted to the acute inpatient psychiatry units at an academic medical center was conducted to determine baseline prophylactic anticholinergic prescribing habits over a two-month period. Charts were included if the patient was at least 18 years old and ordered at least one scheduled antipsychotic during the admission. An educational intervention session introduced the pharmacist checklist card and shared baseline findings. Post-intervention data was collected during a two-month period following the intervention. The percentage of prophylactic anticholinergic orders based upon pharmacist checklist card parameters pre and post-intervention was analyzed using chi-square test. Results: There was a significant decrease in the total percentage of orders for prophylactic anticholinergics from 72.7% in the pre-intervention period to 50.8% in the post-intervention period (p<0.001). Significant changes in the percentage of orders for prophylactic anticholinergics were also found for patients at no-to-low risk for EPS (56.4% versus 31.8%, p=0.014) and at low-to-moderate risk for EPS (79.6% versus 50.8%, p=0.003). There were no significant changes observed in the percentage of orders for prophylactic anticholinergics for patients at moderate-to-high risk for EPS. A lower percentage of patients prescribed a prophylactic anticholinergic experienced adverse effects in the post versus the pre-intervention period (52.31% versus 75.27%, p=0.003). Conclusions: Significant differences were found between pre and post-intervention anticholinergic medication prescribing habits. This suggests that increased patient risk factor assessment in the form of a pharmacist checklist card is effective in decreasing orders for prophylactic anticholinergic medications not clinically indicated and reducing the incidence of adverse effects.