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- Root cause analysis (12)
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Articles 31 - 60 of 1583
Full-Text Articles in Medicine and Health Sciences
What's Happening: November 18, 2019, Maine Medical Center
What's Happening: November 18, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: November 11, 2019, Maine Medical Center
What's Happening: November 11, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: November 4, 2019, Maine Medical Center
What's Happening: November 4, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: October 28, 2019, Maine Medical Center
What's Happening: October 28, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: October 21, 2019, Maine Medical Center
What's Happening: October 21, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: October 14, 2019, Maine Medical Center
What's Happening: October 14, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: October 7, 2019, Maine Medical Center
What's Happening: October 7, 2019, Maine Medical Center
What's Happening
No abstract provided.
Joint Annual Wellness Visit Scheduling, Rob Chamberlin, Jennifer Bliss, Andrea Lai, Paula Dougherty, Deb Swett, Logan Merrithew, Pam Stevens, Scott Williams
Joint Annual Wellness Visit Scheduling, Rob Chamberlin, Jennifer Bliss, Andrea Lai, Paula Dougherty, Deb Swett, Logan Merrithew, Pam Stevens, Scott Williams
Maine Medical Center
Problem/Impact Statement: The pharmacists in Scarborough & Westbrook Primary Care conduct Medicare Annual Wellness Visits (AWVs) with a physician. The pharmacist and physician see the patient individually. The practices achieved and sustained FY18 Joint AWV volume goals through a new process to reschedule physician-only AWVs to Joints AWVs with a pharmacist. This leads to reschedule rework and reduced time practice staff have for patient care.
What's Happening: September 30, 2019, Maine Medical Center
What's Happening: September 30, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: September 23, 2019, Maine Medical Center
What's Happening: September 23, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: September 16, 2019, Maine Medical Center
What's Happening: September 16, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: September 9, 2019, Maine Medical Center
What's Happening: September 9, 2019, Maine Medical Center
What's Happening
No abstract provided.
Improving Patient Experience And Education By Leveraging Technology, Cathy Palleschi, Wendy Osgood, Mark Parker, Cecilia Inman, Alicia Russell, Eileen Shanahan, Erin Pappal
Improving Patient Experience And Education By Leveraging Technology, Cathy Palleschi, Wendy Osgood, Mark Parker, Cecilia Inman, Alicia Russell, Eileen Shanahan, Erin Pappal
Operational Transformation
It is estimated that 65% of the population are visual learners. With that in mind, a team of cardiac nurses in a large academic tertiary hospital developed a quality improvement project to hopefully improve patient engagement as well the patients’ perception that the nurses explained things in a manner that they could understand.
Baseline patient survey scores for the question, “Nurses Explained Things In A Way That I Understand”, were under the 75thpercentile for a period of 9 months. A root cause analysis was conducted and it demonstrated numerous reasons for this score.
Several countermeasures were instituted to …
Improving Patient Flow By Increasing Early Discharges On A Mother & Baby Unit, Faye Weir, Joy Moody, Kathleen Cyr, Cathy Palleschi, Stephen Tyzik, Joseph East, Heidi Morin, Suneela Nayak, Ruth Hanselman, Amy Sparks
Improving Patient Flow By Increasing Early Discharges On A Mother & Baby Unit, Faye Weir, Joy Moody, Kathleen Cyr, Cathy Palleschi, Stephen Tyzik, Joseph East, Heidi Morin, Suneela Nayak, Ruth Hanselman, Amy Sparks
Operational Transformation
Discharging patients early in the day has many advantages amongst which is increased bed availability. However, the experience in a large academic tertiary medical center demonstrated that most discharges occurred early to mid afternoon. A care team on a mother /baby unit established a quality improvement project to increase the number of discharges by 11AM and streamline key discharge planning activities.
A root cause analysis identified multiple barriers to attaining he established goals. To address these barriers, a multi prong approach was instituted to include a discharge education KPI for all unit staff.
Data collection post countermeasure implementation demonstrated some …
Improving The Workflow And Partnership Between Registration And Clinical Staff In An Outpatient Urgent Care Center, Melissa Fairfield, Bailey Eells, Faye Collins, Joyce Cornish, Stephen Tyzik, Joy Moody, Wendy Osgood, Suneela Nayak, Ruth Hanselman, Amy Sparks
Improving The Workflow And Partnership Between Registration And Clinical Staff In An Outpatient Urgent Care Center, Melissa Fairfield, Bailey Eells, Faye Collins, Joyce Cornish, Stephen Tyzik, Joy Moody, Wendy Osgood, Suneela Nayak, Ruth Hanselman, Amy Sparks
Operational Transformation
An outpatient urgent care unit was experiencing challenges in balancing the need to register patients and delivering care in the timeliest manner as possible. Upon examination, it was found that delays were being experienced in patient triage and discharge that resulted in low patient satisfaction scores.
A team of providers was established to review all process steps and a quality improvement project was created to attain a goal of 100% of the time discharge would not be delayed due to incomplete registration.
Baseline metrics demonstrated current numbers of delayed discharges, median time from door to triage as well as door …
Implementation Of Trauma Service Guideline For The Use Of Phenobarbital In The Management Of The Non-Icu Trauma Patient At Risk Or Experiencing Severe Alcohol Withdrawal, Joseph Rappold, Julianne Ontengco, Stephen Tyzik, Suneela Nayak, Ruth Hanselman, Amy Sparks
Implementation Of Trauma Service Guideline For The Use Of Phenobarbital In The Management Of The Non-Icu Trauma Patient At Risk Or Experiencing Severe Alcohol Withdrawal, Joseph Rappold, Julianne Ontengco, Stephen Tyzik, Suneela Nayak, Ruth Hanselman, Amy Sparks
Operational Transformation
The trauma service in a large academic tertiary medical center admits a large proportion of patients with the secondary diagnosis of alcohol use disorder. Given the successful use of phenobarbital in the critical care unit for withdrawal prophylaxis and treatment of acute withdrawal, a quality improvement project was established to create and implement guidelines for the non ICU patient.
A root cause analysis demonstrated several issues to include inconsistent clinical decision documentation. As a result, several countermeasures were initiated to address the various issues.
Post implementation of countermeasures, a decrease in the amount of severe alcohol withdrawal as well as …
Treating Substance Use Disorders: Enhancing Attendance At The Weekly Inpatient Medication Assisted Treatment Group, Devon Gillis, Jayne Weisberg, Dena Whitesell, Amy Mcauliffe, Amy Sparks, Suneela Nayak, Ruth Hanselman, Stephen Tyzik
Treating Substance Use Disorders: Enhancing Attendance At The Weekly Inpatient Medication Assisted Treatment Group, Devon Gillis, Jayne Weisberg, Dena Whitesell, Amy Mcauliffe, Amy Sparks, Suneela Nayak, Ruth Hanselman, Stephen Tyzik
Operational Transformation
At a large academic tertiary medical center, an Integrated Medication Assisted Treatment (IMAT) program has been established for those medically stable inpatients with an addiction diagnosis. Over a four month period, this program had experienced a decline in attendance and a quality improvement project was initiated is to better understand the barriers to attendance and institute a process that would reverse the decline.
A goal was established to improve attendance by medically stable patients that have consented to participate to a minimum of 50%.
A root cause analysis outlined numerous causes for low attendance and several countermeasures were established to …
Facilitating Earlier Discharges To Decrease Avoidable Patient Days And Improve Flow For An Acute And Intermediate Care Unit, Natasha Bartlett
Facilitating Earlier Discharges To Decrease Avoidable Patient Days And Improve Flow For An Acute And Intermediate Care Unit, Natasha Bartlett
Operational Transformation
No abstract provided.
A Coaching And Team Performance Evaluation Model To Build Capacity For High-Impact Lean Improvement, Ruth Hanselman, Mark Parker, Suneela Nayak, Stephen Tyzik, Amy Sparks
A Coaching And Team Performance Evaluation Model To Build Capacity For High-Impact Lean Improvement, Ruth Hanselman, Mark Parker, Suneela Nayak, Stephen Tyzik, Amy Sparks
Operational Transformation
There is abundant evidence that links a strong culture of safety with improved patient and staff experience. However, there has been no clear avenue identified as to how to achieve this metric.
A team in a large academic tertiary teaching hospital set about leveraging their daily managing system (DMS) to attain improvement in their institution’s safety. The goals of this quality improvement project were to use DMS to identify and report safety concerns and increase frontline team knowledge and comfort with reporting safety concerns during Gemba walks.
A root cause analysis identified 5 areas for improvement and several countermeasures were …
What's Happening: August 19, 2019, Maine Medical Center
What's Happening: August 19, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: August 12, 2019, Maine Medical Center
What's Happening: August 12, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: August 5, 2019, Maine Medical Center
What's Happening: August 5, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: July 29, 2019, Maine Medical Center
What's Happening: July 29, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: July 22, 2019, Maine Medical Center
What's Happening: July 22, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: July 15, 2019, Maine Medical Center
What's Happening: July 15, 2019, Maine Medical Center
What's Happening
No abstract provided.
A Provider-Driven Approach To Preventative Oral Care In Nursing Home Facilities, Molly Anderson, Brandon Mccrossin, Kary Franchetti, Ruth Hanselman, Suneela Nayak, Stephen Tyzik, Amy Sparks
A Provider-Driven Approach To Preventative Oral Care In Nursing Home Facilities, Molly Anderson, Brandon Mccrossin, Kary Franchetti, Ruth Hanselman, Suneela Nayak, Stephen Tyzik, Amy Sparks
Operational Transformation
Oral care is an essential part of preventative medicine as it minimizes risk for pneumonias and other infections. In nursing home settings, often oral health care is not routinely provided due to a number of issues. A health care system that either owns or contracts nursing home facilities initiated a performance improvement plan to address this patient care concern.
The first goal of this project was to reduce the variation in oral care between nursing home facilities within the system. The second goal was 100% of their patients will have one oral health care exam documented in EPIC once a …
What's Happening: July 8, 2019, Maine Medical Center
What's Happening: July 8, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: June 24, 2019, Maine Medical Center
What's Happening: June 24, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: June 17, 2019, Maine Medical Center
What's Happening: June 17, 2019, Maine Medical Center
What's Happening
No abstract provided.
What's Happening: June 10, 2019, Maine Medical Center
What's Happening: June 10, 2019, Maine Medical Center
What's Happening
No abstract provided.