{"id":11528,"date":"2018-12-19T14:37:07","date_gmt":"2018-12-19T19:37:07","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/medicine\/?p=11528"},"modified":"2019-01-03T10:33:13","modified_gmt":"2019-01-03T15:33:13","slug":"resident-qi-corner","status":"publish","type":"post","link":"https:\/\/www.bumc.bu.edu\/medicine\/2018\/12\/19\/resident-qi-corner\/","title":{"rendered":"Resident QI Corner – Winter ’19"},"content":{"rendered":"

Managing discharge from Inpatient Heme\/Onc Service<\/span><\/h4>\n

The inpatient Hematology\/Oncology team\u00a0at BMC is a busy service full of patients with complex medical problems and diverse pathologies requiring intricate care plans. Thus, discharges from the Heme\/Onc inpatient service are complicated and\u00a0are often\u00a0derailed by unforeseen variables.<\/p>\n

We sought\u00a0to\u00a0increase the safety and timeliness of\u00a0discharges by implementing a standardized approach to discharge planning starting on the day of admission. We designed a discharge time-out checklist for the Heme\/Onc team.\u00a0\u00a0 The team can run the checklist prior to a patient being discharged to ensure all important aspects are addressed. A Heme\/Onc Bundle was also created to be used with each daily note to keep up to date on discharge planning.<\/p>\n

We implemented the checklists as SmartPhrases from November 2017 to February 2018 and compared to pre-intervention data over the same months from 2016- 2017. After our intervention implementation, discharge time of day\u00a0on the service improved by 13 minutes and time of discharge order placement\u00a0\u00a0improved by 39 minutes. On average, the Heme\/Onc bundle was used in 86% of notes. Future directions include use of a standardized discharge summary template for the Heme\/Onc service to help facilitate safe transitions of care.<\/p>\n

By\u00a0\u00a0Rani Chudasama, MD\u00a0and Matt Strickland, MD<\/p>\n

\"\"\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0\"\"<\/p>\n

IHI Conference 2018 – Dec 9 – 12\u00a0<\/span><\/h4>\n

Quality Improvement Patient Safety (QIPS) pathway IM residents attending IHI 2018 National Forum:<\/p>\n

\"\"<\/p>\n

Swetha Ramachandran, MD\u00a0\u00a0– Improving Inter-Hospital Transfers Through Implementation of a Transfer Accept Note<\/p>\n

 <\/p>\n

 <\/p>\n

\"\"<\/p>\n

Calan Sowa , MD & Ruchika Sangani, MD – Improving Primary Care Follow-Up through In-Person, In-Hospital Appointment Negotiation<\/p>\n

 <\/p>\n

 <\/p>\n

\"\"Nancy Desai, MD – Cervical Cancer Screening and Prevention in Patients with Systemic Lupus Erythematosus<\/p>\n

 <\/p>\n

 <\/p>\n

\"\"Kristin Hlebowitsh , MD – Minimizing Isolation: Re-screening inpatients for MRSA infection<\/p>\n

 <\/p>\n

 <\/p>\n

\"\"Vishal Gupta , MD- Where Are the Blood Cultures that I Ordered?<\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

\"\"<\/p>\n

Kris Clark, MD and Shaleen Chakyayil , MD – EMR-Based Intervention to Improve Venous Thromboembolism (VTE) Risk Assessment and Prescribing Practices<\/p>\n

 <\/p>\n

 <\/p>\n

Other QIPS residents in attendance:
\nMangwe Sabtala, MD
\nPrianka Ballal, MD
\nLaura Chiu, MD
\nOlivia Rowse, MD<\/p>\n

For those of us attending for the first time, we got our batteries charged! We look forward to continuing to bring positive change to our patients and to our community.<\/p>\n","protected":false},"excerpt":{"rendered":"

Managing discharge from Inpatient Heme\/Onc Service The inpatient Hematology\/Oncology team\u00a0at BMC is a busy service full of patients with complex medical problems and diverse pathologies requiring intricate care plans. Thus, discharges from the Heme\/Onc inpatient service are complicated and\u00a0are often\u00a0derailed by unforeseen variables. We sought\u00a0to\u00a0increase the safety and timeliness of\u00a0discharges by implementing a standardized approach […]<\/p>\n","protected":false},"author":14042,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3146],"tags":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/posts\/11528"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/users\/14042"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/comments?post=11528"}],"version-history":[{"count":10,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/posts\/11528\/revisions"}],"predecessor-version":[{"id":11582,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/posts\/11528\/revisions\/11582"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/media?parent=11528"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/categories?post=11528"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/tags?post=11528"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}