000010054 001__ 10054 000010054 005__ 20240510145118.0 000010054 0247_ $$2DOI$$a10.6083/5q47rp53z 000010054 037__ $$aETD 000010054 245__ $$aIncreasing older driver evaluations in the primary care setting 000010054 260__ $$bOregon Health and Science University 000010054 269__ $$a2023 000010054 336__ $$aFinal project 000010054 502__ $$bD.N.P. 000010054 520__ $$aDriving a vehicle plays a vital role in an older individual's sense of independence and is often a ubiquitous aspect of modern life. However, sensory, cognitive, and musculoskeletal changes associated with aging often alter an individual's ability to safely navigate the vehicle and the road. Currently, no universal screening tool or guideline addresses older driver evaluations in the clinic setting. This Doctor of Nursing practice quality improvement project outlines the implementation and subsequent effect of providing older driver evaluation tools in two OHSU primary care clinics. Utilizing the Institute for Healthcare Improvement's Model of Improvement, this quality improvement project aimed to increase the number of older driver evaluations and provider comfortability in the primary care setting. Analysis of ICD-10 code usage post-intervention showed an overall increase in the number of visits associated with the code for driver safety issues. Additionally, results from the post-intervention survey showed an increased proportion of providers reporting high comfortability in older driver evaluations. Interventions developed for this quality improvement project can be further utilized and adapted for other primary care concerns. 000010054 542__ $$fIn copyright - single owner 000010054 650__ $$aSurveys and Questionnaires$$025037 000010054 650__ $$aAging$$014358 000010054 650__ $$aQuality Improvement$$039456 000010054 650__ $$aSafety$$025655 000010054 650__ $$aAutomobile Driving$$015243 000010054 650__ $$aPrimary Health Care$$024590 000010054 650__ $$aAccidents, Traffic$$011055 000010054 691__ $$aSchool of Nursing$$041370 000010054 7001_ $$aJu, Coleen$$uOregon Health and Science University$$041354 000010054 8564_ $$97275cd25-eb38-4669-ae31-d6cf148b7f79$$s2356518$$uhttps://digitalcollections.ohsu.edu/record/10054/files/Ju.Coleen.2023.pdf 000010054 905__ $$a/rest/prod/5q/47/rp/53/5q47rp53z 000010054 909CO $$ooai:digitalcollections.ohsu.edu:10054$$pstudent-work 000010054 980__ $$aTheses and Dissertations