Medicine and Health Sciences Commons^™

It's Midnight. Do You Know How Your Patient Is Doing?, W. Alswalmeen, Md, K. Foley, Md, K. Noonan, Md, R. Josloff, Md

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

Transitions of care are vulnerable points in patient care. With the volume of information transferred, quality of care and patient safety are at risk. Numerous attempts at standardization of transitions of care have been utilized; however no consensus regarding the optimal method has been reached. We developed a “watcher” model in addition to standard end of shift sign out. Patients at risk were identified by the day team and seen overnight by a senior and junior surgery resident, along with a nursing representative: either a bedside RN or nursing supervisor. We hypothesized that these midnight rounds could proactively identify patient …

Filling The Void: A Low Cost, High-Yield Method To Addressing Incidental Findings In Trauma Patients, N. Sich, A. Rogers, D. Bertozzi, P. Sabapathi, L. Gartner, W. Alswealmeen, P. Lim, J. Sternlieb, J. Yuschak, O. Kirton, R. Shadis

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

In this study we:

Report the incidence of incidental findings in a suburban trauma center treating primarily blunt and elderly trauma

Propose simple solutions to increase the rate of disclosure to patients

Tracking And Improving Bedside Procedures Through Standardized Documentation, N. Sich, L. Gartner, J. Sternlieb, K. Noonan

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

Proposal and Goals:

We propose to create a standardized electronic procedure note that will replace all documentation for bedside procedures without sedation.

◦Makes notes legible and easily identified

◦Allows uniform tracking of metrics necessary to identify outcomes from a procedure (blood loss, specimens, post-procedure studies, complications)

2.The procedure note will be created in such a way as to allow specialized procedures to be added over time with minor customization to improve physician/nursing work flows and increase efficiency

◦Allows procedures to be sorted and tracked by type

◦Will be constructed to allow attaching CPT codes to patient charts via documentation

3. …

Limited Post-Operative Narcotic Use In Elective Laparoscopic Cholecystectomy, Prabhu Senthil-Kumar, Md, Tanya Olszewski, Md, Robert Josloff, Md, Kristin Noonan, Md

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

Purpose:

To limit narcotics use

Cochrane review: multiple studies have shown postoperative pain can be managed with non-narcotic meds with good outcome

Less medication related side effects:N/V, constipation, disorientation

Prevents substance addiction/abuse