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- Small bowel obstruction (1)
- Stroke (1)
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- Thomas Jefferson University Hospital (1)
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Articles 1 - 10 of 10
Full-Text Articles in Medicine and Health Sciences
Implementation Of A ‘Flow’ Attending Reduces Overall Ed Length Of Stay In Telehealth Intake Model, R. Fuega, K. Maloney, R. A. Band, B. H. Slovis, K. S. London, J. L. White
Implementation Of A ‘Flow’ Attending Reduces Overall Ed Length Of Stay In Telehealth Intake Model, R. Fuega, K. Maloney, R. A. Band, B. H. Slovis, K. S. London, J. L. White
House Staff Quality Improvement and Patient Safety Conference (2016-2019)
Background
In an effort to improve our efficiency, the Department of Emergency Medicine recently transitioned from an in person physician triage model to a telehealth intake model. With this change, many new gaps have been identified. By uncoupling triage from the in person intake provider, we lost the ability to manage “quick” discharges, to provide secondary oversight of the patients in the internal waiting room, and to directly supervise patients seen in the fast track area. In order to address these new concerns, and to mitigate the loss felt by removing the in person provider from intake, a ‘flow’ attending …
Escalation Of Care After Admission Within 24 Hours, Joseph Jean, Md, Mitchell Berman, Md, Christopher Ponce, Md, Kory London, Md
Escalation Of Care After Admission Within 24 Hours, Joseph Jean, Md, Mitchell Berman, Md, Christopher Ponce, Md, Kory London, Md
House Staff Quality Improvement and Patient Safety Conference (2016-2019)
Objectives
- Identify high risk patients in the ED who require hospital admission and may need higher levels of care.
- Identify patterns or diagnoses in the ED that predispose patient care to escalations after admission.
Speed And Safety: Emergency Department Ultrasound Lockboxes For Peripheral Iv’S, M. Trifan, S. Schiff, D. Devlin, B. Warden, M. Magee
Speed And Safety: Emergency Department Ultrasound Lockboxes For Peripheral Iv’S, M. Trifan, S. Schiff, D. Devlin, B. Warden, M. Magee
House Staff Quality Improvement and Patient Safety Conference (2016-2019)
Objectives
- To decrease the average amount of time needed to place an USGIV by installing lock-boxes with all necessary materials on the ultrasound carts.
- To eliminate a time-consuming step in gathering materials for USGIV, while satisfying safety standards for securing sharps in the department
Small Bowel Obstruction: Facilitating Diagnosis And Optimizing Resuscitation And Management, Robin Naples, Md, Kendrick Law, Md, Quinton Campbell, Md, Ryan Bateman, Md
Small Bowel Obstruction: Facilitating Diagnosis And Optimizing Resuscitation And Management, Robin Naples, Md, Kendrick Law, Md, Quinton Campbell, Md, Ryan Bateman, Md
House Staff Quality Improvement and Patient Safety Conference (2016-2019)
Introduction
As a common surgical emergency that presents in our Emergency Department, Small Bowel Obstruction (SBO) is a disease process where appropriate treatment relies on early detection, fluid resuscitation, and gastric decompression. Despite SBO representing a common emergency, many patients experience inadequate or delayed management as compared to established guidelines, potentially leading to suboptimal treatment and resolution of SBO. As order sets and alerts within Epic are in place for other disease processes whose management relies on timely diagnosis and fluid resuscitation (e.g. sepsis), objectives for our quality improvement plan involve incorporating elements of alerts and order sets within our …
Improving Emergency Department Efficiency Through Easier Access To Policies, Meryl Abrams, Md, Uma Damle, Md, Adam Brown, Do, Carlos Rodriguez, Md, Frederick Randolph, Md
Improving Emergency Department Efficiency Through Easier Access To Policies, Meryl Abrams, Md, Uma Damle, Md, Adam Brown, Do, Carlos Rodriguez, Md, Frederick Randolph, Md
House Staff Quality Improvement and Patient Safety Conference (2016-2019)
Objectives
- We aim to help residents, faculty and auxiliary staff to more easily locate and use institutional clinical policies.
- To improve patient safety by having the institutionally developed policies be more readily available.
Initial Response To The Opioid Crisis: Availability Of Buprenorphine And Warm Handoff In The Ed, Lauren Selame, Md, Benjamin H. Slovis, Md, Ma, Theodore Christopher, Md, Facep, Kory S. London, Md
Initial Response To The Opioid Crisis: Availability Of Buprenorphine And Warm Handoff In The Ed, Lauren Selame, Md, Benjamin H. Slovis, Md, Ma, Theodore Christopher, Md, Facep, Kory S. London, Md
House Staff Quality Improvement and Patient Safety Conference (2016-2019)
Background:
- The United States is in the midst of an opioid crisis.
- The Centers for Disease Control and Prevention has cited Emergency Departments (ED) as important centers for treatment and referral, including medication assisted treatment (MAT), which has been shown to be superior to motivational interviewing and referral alone.1,2
- While direct linkage to outpatient programs via the ED may be an opportunity to better serve this population, data on such “warm handoff” interventions are sparse.
Objective: We initiated an ED opioid use disorder (OUD) pathway, which aimed to initiate buprenorphine therapy and perform warm handoff directly into the community for …
Improving Ed Door To Puncture Times For Endovascular Thrombectomy In Acute Ischemic Stroke, Richard F. Schmidt, Md, Nabeel Herial, Md, Robin D'Ambrosio, Bsn, Erin Simko, Bsn, Fred Rincon, Md, Maria Aini, Md, Pascal Jabbour, Md, Stavropoula Tjoumakaris, Md, M. Reid Gooch, Md, Robert H. Rosenwasswer, Md, Robin Dharia, Md
Improving Ed Door To Puncture Times For Endovascular Thrombectomy In Acute Ischemic Stroke, Richard F. Schmidt, Md, Nabeel Herial, Md, Robin D'Ambrosio, Bsn, Erin Simko, Bsn, Fred Rincon, Md, Maria Aini, Md, Pascal Jabbour, Md, Stavropoula Tjoumakaris, Md, M. Reid Gooch, Md, Robert H. Rosenwasswer, Md, Robin Dharia, Md
House Staff Quality Improvement and Patient Safety Conference (2016-2019)
Objectives
- Optimize the management of patients presenting to TJUH with AIS who are candidates for ET.
- Enable continued process improvement through improved data collection methods and identification of new process metrics.
It Takes A Village: Developing An Airway Management Bundle To Standardize Emergent Intubation Processes In The Emergency Department, James Sacca, Md, Daniel Casey Kim, Md, Dimitri Papanagnou, Md, Mph, Edd(C)
It Takes A Village: Developing An Airway Management Bundle To Standardize Emergent Intubation Processes In The Emergency Department, James Sacca, Md, Daniel Casey Kim, Md, Dimitri Papanagnou, Md, Mph, Edd(C)
House Staff Quality Improvement and Patient Safety Conference (2016-2019)
Problem Definition
Airway management is at the core of emergent patient care. Emergent intubations in the Emergency Department (ED) at Thomas Jefferson University Hospital (TJUH) have been noted by staff to be variable and not standardized. Staff have also described that equipment tends to be difficult to locate during intubations.
There is no objective data to confirm these claims. Furthermore, there is no bundle in place to guide emergent intubations in the ED.
Our team sought immediate actions to improve ED airway processes.
Central Line Cart: An Emergency Department Initiative To Improve Efficiency, M. Ahmed, Md
Central Line Cart: An Emergency Department Initiative To Improve Efficiency, M. Ahmed, Md
House Staff Quality Improvement and Patient Safety Conference (2016-2019)
Background
- Critically ill patients that present to the emergency room often require time sensitive resuscitative measures, which often necessitates placement of a central venous catheter.
- Efficient placement of a central venous catheter is often limited by the time it takes to gather the number of supplies needed for the task.
- It is already known that central venous catheter procedure carts and kits decrease the incidence of central line associated bloodstream infections (CLABSIs)1 as well as reduce the incidence of procedural mistakes during central line insertion2
- However, there is a paucity of data in regards to the impact of central line …
Improving Medical And Endovascular Management For Acute Ischemic Stroke Through Multidisciplinary Education And Simulation, Richard F. Schmidt, Md, Megan Margiotta, Md, Elan Miller, Md, Robin D'Ambrosio, Bsn, Scrn, Robin Dharia, Md, Maria Aini, Md, Diana Tzeng, Md, Fred Rincon, Md, Pascal Jabbour, Md, Nabeel Herial, Md
Improving Medical And Endovascular Management For Acute Ischemic Stroke Through Multidisciplinary Education And Simulation, Richard F. Schmidt, Md, Megan Margiotta, Md, Elan Miller, Md, Robin D'Ambrosio, Bsn, Scrn, Robin Dharia, Md, Maria Aini, Md, Diana Tzeng, Md, Fred Rincon, Md, Pascal Jabbour, Md, Nabeel Herial, Md
House Staff Quality Improvement and Patient Safety Conference (2016-2019)
Primary goals:
- Reduce door to treatment times (both DTN and DTP) to meet and exceed existing guidelines metrics.
- Educate residents about acute stroke management, including national guidelines and new institutional protocols to improve efficiency during stroke alerts.