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Celebrating Improvement at BIDMC - 2011

2011 Quality and Safety Improvements at Work

Presented here is the 2011 Silverman Symposium Improvement Project Poster Collection. The Symposium, sponsored annually by the Silverman Institute for Health Care Quality and Safety, celebrates BIDMC's on-going efforts to improve quality and safety throughout the medical center each and every day. This year, approximately 95 Project Teams participated in the poster session.

Learn more about our efforts in specific areas by viewing any of the PDF documents in this collection. Click here to view the 2010 Poster Collection, 2009 Poster Collection, or the 2008 Poster Collection.

EFFECTIVENESS

Average Daily Census in Inpatient Psychiatry 
Building a Framework to Enhance Diagnosis and Management in Breast Health 
Care of the Carotid Artery Stent Patient at BIDMC: Establishing Best Practice 
Chronic Lung Disease in Very Preterm Infants: Impact of a Multidisciplinary Improvement Effort 
Complications Reporting in Advanced Endoscopy 
Creation of a Standard Process for Post-Anesthesia Notes 
Developing Outcome Metrics in Psychiatry 
Faculty Hour: Building Partnerships for Perioperative Performance Excellence 
Feeding Consultations in the Neonatal ICU 
Follow-up of Incidental Pulmonary Nodules 
Global Risk Assessment and Careplan for Elders (GRACE) 
High Dose Steroid Use and Bone Health for Patients with Asthma or COPD over 50 
Implementation of a Multidisciplinary Algorithm for Management of GI Bleed 
Improving Adherence to Heart Failure Guidelines
Improving Patient Monitoring for Patients Taking Omalizumab for Allergy Related Asthma 
Improving recognition and management of positive blood cultures 
Improving the Care of Asplenic Patients in Primary Care 
Increased Rate of Unsatisfactory Pap Smears in HCA: QI Detective Work Yields Interesting Findings
Interdisciplinary Team Training in Simulation to Enhance Communication and Patient Safety in the OR
Optimizing Care for Spinal Surgery Patients Through a Collaborative Approach to Neuromonitoring
Outpatient Diuretic Infusion Clinic 
Redesigning The Neonatal Resuscitation Program Course Using Simulation and Debriefing 
Reduction of Hypoglycemia in Postoperative Cardiac Surgery
Residents' QI Education: Initiatives in Diabetes Management in Primary Care 
Standardizing Oral Care for Non-Ventilated Patients

EFFICIENCY

A CC6 Workflow Improvement Plan A3 
Anesthesia Utilization in Advanced Endoscopy 
Automating Patient Transport Form
Bone Marrow Transplant "Hem/BMT" Data Sheets 
Bridge Flow Diagnostics Team A3 
Care Connection: Discharge Appointment Scheduling Service
Fast-track Extubation after Cardiac Surgery 
HCA Prescription Process Team A3 
Improving Patient and Staff Satisfaction with Cardioversions and TEE 
Lean Catheterization Lab Supply Replenishment A3 
Lean RN Floating A3 
Now We Hear You - Emergency Department Patient Satisfaction Survey 
Optimizing Patient Arrival at the OR II Team A3 
Optimizing Patient Arrival at the OR Team A3 
Ortho Surgical Scheduling Team A3 
PAT Process Team A3
Patient Care Technician (PCT) Report 
Point-Of-Care Creatinine testing in MRI Follow-up and new developments 
Preventing Late Patient Arrivals in Nuclear Medicine 
Psychiatry Outcome Measurement: Ambulatory 
Surgical Hip Kit Breakdown Process Team A3 
Utility of Pelvic Ultrasound Following Negative Abdominal and Pelvic CT in the Emergency Room 
What's in your trash?

EQUITABLE

ADA Recognition at Bowdoin Street Health Center 
Fresh Farm Healthy Food Access at Bowdoin Street Health Center

PATIENT CENTEREDNESS

A Conceptual Framework for Improved Patient Physician Communication and Shared Decision Making 
Assessing and Addressing Pain in Cancer Patients at BIDMC 
Consenting Adults - An Innovative Informed Consent Workshop 
Continuity of Care: Empanelment 
Creating a Successful Hospital-wide Patient Family Advisory Council
Developing a Multidisciplinary Family-Centered Neonatal Bereavement Program
Diabetes Education for Newly Diagnosed Or High-Risk Patients
Helping Patients & Families Navigate BIDMC
Improving Patient Food Service Satisfaction in the Oncology Population 
PAT Design Team A3 
Using Informatics to Support Family-Centered Care 
VAC Patient Education
"We Promise..." Patient Care Through Hourly Rounding

PATIENT SAFETY

A Human Factors Approach to Electronic Medication Reconciliation
A Monitoring Tool for Detecting Harm: Global Triggers
Allergy/ADR Database Updates
Chlorhexidine (CHG) Peri-operative Cleansing
Continuous Narcotic Infusion Management
Ensuring Low Rates of Systemic Reactions to Immunotherapy in Allergy and Inflammation Medicine
Epilepsy Monitoring Unit (EMU) Restructuring
Implementation of Computerized Lab Ordering in the Outpatient Oncology Setting
Improving Code Pink - Infant Abduction - Response
Improving Documentation of Fetal Heart Rate Tracings
Improving Management of Narcotic Use for Chronic Pain in Primary Care
Insulin Pump and Managing Care
Joint Replacement Team A3
Neonatal Intensive Care Unit Evacuation Drill
Resident Case Review at the Departmental Level: A Win-Win Scenario
What We Were Taught From The Clot

EMPLOYEE SAFETY

CLS Chemical Pharmacy Program
Evaluating Triage Nursing Practice
Improving Employee Influenza Vaccination Rate
Improving the Safety of Insulin and TB Syringes 
Respiratory Protection Program
Safe Patient Handling
Safer Handling of Non-Antineoplastic Medications 
Streamlining the Immunization Process for Rotating Residents
Sustaining Gains in Preventing Blood and Body Fluid Splashes in the ICU

TIMELINESS

Code Stroke Committee
CT Imaging for Stoke Cases
Cyberknife Upgrade
Discharge Hour 
True North At Triage

Last Updated:  June 3, 2011

Contact Information

Silverman Institute for Health Care Quality and Safety
Beth Israel Deaconess Medical Center
330 Brookline Ave
Boston, MA 02215
617-667-1325