Medicine and Health Sciences Commons^™

On-Site Test Collection Intervention Improves Lead Screening Rates At An Urban Family Medicine Practice, Krys Foster, Md, Mph, Tina Castellan, Md, Kelly Lopez, Md, Pgy-Iii, Phoebe Askie, Md, Mph, Daniel Chung, Md, Laura Parente, Md, Yury Parra, Md Pgy2, Grace Amadi, Md, Mariana R. Kuperman, Md, Mph, Bruce Reaves, Md, Marc Altshuler, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Study Aims:

Examine the effect of on-site lead screening collection on resulted lead screening rates.

Understanding And Improving Patient Arrival Rates At An Urban Ambulatory Medicine Resident Clinic, Teresa Lee, Md, Shuwei Wang, Md, Susan Truong, Md, Albert Lee, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

AIMS:

To improve the arrival rate of patients at the Jefferson Hospital Ambulatory Practice (JHAP) by 10% over a 10-month period from July-April 2016 using a combination of additional reminder calls and targeted summaries from physicians.

Using A Swift Score Guided Time Out To Reduce Medical Icu Readmission Rates, Justin Herman, Md, Andrew Dargan, Md, John Madara, Md, Michael Baram, Md, Bharat K. Awsare, M.D., Fccp

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

AIM:

For patients admitted to the medical ICU over an additional period of 17 months, our goal is to reduce the rate of ICU readmissions within 72 hours of transfer out of the ICU to less than 2%. This will as a result reduce the costs of care, length of stay, and in-hospital mortality rates for these patients.

Improving Influenza Vaccination Rates And Understanding Reasons For Patient Refusal At Jefferson Hospital Ambulatory Practice, Daniel Brandt, Md, Ashley Butland, Md, Kevin Kwak, Md, Joseph Yoo, Md, Albert Lee, Md, Susan West, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

AIM:

Improve influenza vaccination rates for eligible patients at the Jefferson Hospital Ambulatory Practice to levels above the national average of 43.6% between October 2015 and March 2016 with universal screening and improved documentation.

To characterize reasons for patients who did not receive vaccination.

Improving Influenza Vaccination Rates In The Hiv Population At An Academic Clinic, Anusha G. Govinda, Md, Anita Modi, Md, Emma Biegacki, Bryan Hess, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

AIM:

Performance measure: Percentage of HIV-infected patients with documentation of influenza vaccination in Allscripts.

Numerator: Number of HIV-infected patients who have obtained an influenza vaccine during influenza season.

Denominator: Total number of HIV-infected patients at the Jefferson Infectious Disease (ID) Clinic

Patient exclusions: Those who are allergic to eggs or have had allergic reactions to the influenza vaccine in the past

Goal: "75% of HIV-infected patients at the Jefferson ID clinic will be vaccinated against influenza and documented in Allscripts during influenza season"

To Fib Or Not To Fib: Misdiagnosis Of Atrial Fibrillation On Telemetry: Case Presentation And Root Cause Analysis, Andrew W. Panakos, Md, Loheetha Ragupathi, Md, Sarah Feldman, Rn, Brittany Heckel, Susannah Eckman, Rebecca C. Jaffe, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Case presentation, current practices of telemetry management, root cause analysis, goals for improvement, proposed intervention and next steps.

Engaging In Change: Smoking Cessation In An Ambulatory Residency Clinic, Benjamin Khazan, Md, Ankita Mehta, Md, Neena Mohan, Md, Albert Lee, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

AIM:

Decrease the quantity of daily cigarettes smoked by 25% in cigarette smokers receiving their care at an ambulatory resident practice from January 2016 to May 2016.

At The Leading Edge Of Change: Creation Of The Housestaff Quality And Safety Leadership Council, Ruben Rhoades, Md, Adam P. Johnson, Md, Mph, Rebecca C. Jaffe, Md, Bracken Babula, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Background:

The ACGME Clinical Learning Environment Review (CLER) is driving a national re-evaluation of the engagement and alignment of housestaff in institutional Quality and Safety.

In 2008, the concept of a housestaff quality and safety committee was born, as a means of driving practice change

Our CLER data suggested that we need a similar council

Getting Engaged: Efforts To Increase Housestaff Event Reporting, Adam P. Johnson, Md, Mph, Ruben Rhoades, Md, Allison Greco, Md, Caitlyn Sidrane, Mph, Bracken Babula, Md, Rebecca C. Jaffe, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Background:

Residents traditionally are under-engaged in event reporting through institutional channels.

The ACGME Clinical Learning Environment Review prioritizes this issue, and is establishing national benchmarks.

In 2015 the Housestaff Quality and Safety Leadership Council selected Increasing Error Reporting as their clinical quality initiative.

Improving Colon Cancer Screening In Jefferson Hospital Ambulatory Practice, Rady Ho, Md, Ravi Patel, Md, Matthew Zheng, Md, Albert Lee, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

AIM:

We want to improve our colorectal screening rates for Tuesday JHAP patients to 40% by March 2016.

We will assess monthly rates of the % of patients who received CRC screening over the past 10 years.

This will improve overall health maintenance, and find/prevent pre-cancerous lesions. This potentially improves the life expectancy of our population.

Got Diabetes? With Us, You'll Have Complete Diabetic Care, Mansi Shah*, Md, Hasmik Minasyan*, Md, Alison Liss*, Md, John Caruson, Md, Loren Chen, Md, Albert Lee, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

AIM:

By April 2016, we aim to improve Complete Diabetic Care of Thursday JHAP Clinic's patients with diabetes by 50%.

* These authors contributed equally

Appropriate Utilization Of Diabetic Diets For Inpatients, Neha Agarwal, Md, Tasha Kouvatsos, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

AIM:

To increase the number of diabetic patients that are ordered a diabetic diet at time of admission

So that blood sugars may be better controlled throughout admission with decreased usage of CDI

Medication Errors And Hospital Admissions, A Tale Of Woe, Allison Greco, Md, René Daniel, Md, Raymond Janowski, Md, Bracken Babula, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Goal for Improvement:

To improve proper medication regimens for patients as they transition between healthcare settings

So that patients achieve improved outcomes and reduced hospital admissions caused by medication errors

SMART aim is to decrease teh number of discrepancies between discharge medication lists and pill bottles or blister packs produced at one-week follow up with Jefferson PCP by 10% within six months.

Taking The "E" Out Of Night "Mare" Rotation: Uncloaking Ghost Admissions Via Teletracking And Reducing Paper Fatigue, Ramya Punati, Md, Jaehee Kim, Md, Rebecca C. Jaffe, Md, Lakshimi Ravindran, Md, Bracken Babula, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Goal:

To improve communication at admission for patients admitted from non-ED locations so that patient care delays are minimized and provider frustration decreases.

Easy Identification Of Missed Dvt Prophylaxis-A Chance For Intervention, Kinjal Parikh, Md, Shuwei Wang, Md, Kimberly Conway, Rn, Rebecca C. Jaffe, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Goal:

"To minimize the number of missed or refused medications for inpatients so that adverse patient events such as PE or DVT are prevented"

SMART AIM: Within 3 months of initiating an EMR based electronic identification system for refused and missed medications, we will decrease the rate at which DVT prophylaxis was ordered however not eventually administered by 50%.

Screening For Venous Thromboembolism In Asymptomatic Trauma Patients: Effective In High Risk Patients, Seth Stake, Bs, Adam Wallace, Bs, Deepika Koganti, Md, Pgy-4, Adam P. Johnson, Md, Mph, Joshua A. Marks, Md, Scott W. Cowan, Md, Murray Cohen, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Hypothesis:

Through data analysis of a large cohort of trauma patients, a clinically applicable protocol can be developed based on various predisposing factors for VTE in asymptomatic patients. By isolating the factors that make these patients high risk for VTE, we can effectively lower the incidence of PE in hospitalized trauma patients.

Medical Student And Resident Foley Catheterization Training Program To Decrease Post-Operative Catheter Associated Urinary Tract Infections, Peter J. Altshuler, Adam P. Johnson, Md, Mph, Danica Giugliano, Md, Gerald A. Isenberg, Md, Scott W. Cowan, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Objective:

Determine whether a more comprehensive medical student urinary catherer training curriculum can be successful in decreasing post-operative CAUTI rates in general and vascular surgery patient populations.

Primary target:

Reduce post-operative UTI rates by 0.5% over 6 months

Secondary targets:

Achieve 100% medical student confidence in Foley catheter placement, understanding indications and contraindications to urinary catheterization.

Improve objective performance of urinary catheterization skills as determined by objective clinical skills exam (OSCE) scores.

Analyzing Patient Satisfaction And Improved Physician-Patient Communication Using Introductory Brochures, Raza A. Hasan, Md, Lily Ackermann, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

AIM:

Assess how the use of introductory brochures added to patient satisfaction at time of discharge. Also, assess whether the brochure helped foster improved physician-patient communication.

Barriers To Anticoagulation In Atrial Fibrillation Among Cardiologists, Internists And Family Physicians, Jad Al Danaf, Md, Mph, Mitul Kanzaria, Md, John U. Doherty, Md

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Current Performance:

The rates of AC in patients 18 years or older who visited general internists & family physicians not seen by cardiologists from 4/30/2013 to 4/30/2015, cardiologists from 11/29/2012 to 11/29/2014 and all 3 specialties from 1/30/2014 to 1/30/2016 were derived from the EHR.

A 12-question survey was shared using RedCap with these physicians to examine potential reasons for not prescribing AC.