Event Type:
  • Poster Presentations On-Demand
Launching the ED After Care Clinic has provided our Emergency Medicine providers with perspective on the complexity of navigating patient care after the ED visit has ended. Outcomes from the clinic provide insight into several opportunities for improving patient transitions...
Event Type:
  • Poster Presentations On-Demand
468 mortalities reviewed, 63% have been screened out to MCR1-MCR2. Only 37% of the mortalities required an in-depth peer review process. The utilization of the Mortality Screening Tool enhanced the overall peer review processes, led to greater collaboration among physicians...
Event Type:
  • Poster Presentations On-Demand
Prior to the Care Plan Audit tool, only 39.98% of patients had updated care plans and 68.66% of patients had updated daily goals. After one (1) month, there was 92% increase in the number of care plans updated. There was...
Event Type:
  • Poster Presentations On-Demand
The implementation of the ROP correlated with a decrease in mean response time from 190 minutes to 105 minutes, and an increase in mean quality of response from 3.25 to 3.6. Qualitative data suggests that the ROP could be applicable...
Event Type:
  • Poster Presentations On-Demand
Access to healthcare quality data continues to expand, presenting opportunities for new insights and creating significant new challenges. Busy clinicians and leaders can get lost in an overwhelming amount of nuanced data. Atrium Health’s Musculoskeletal Institute tailors scorecards so matrixed...
Event Type:
  • Poster Presentations On-Demand
First in VHA SUD care team, a teratogenic time-out for the safe prescribing process, partnering with experts to create successful pathway for pregnant to ensure mental health needs are met, and more. Continue to develop new ways to participate in...
Event Type:
  • Poster Presentations On-Demand
Missing patient safety events decreased from 12 to 9 (CY21-22) with the acute care and rehabilitation unit having no missing patients proving actions implemented were effective. High-risk areas (ED, Mental Health) are still in progress. Missing Patient Tabletop drills in...
Event Type:
  • Poster Presentations On-Demand
The low volume of patients with PACs in the ICU is a challenge for clinicians to gain or maintain competencies, placing patients at risk for PACs related injury or sentinel events. Online learning, simulation, and checklists are tools for clinicians...
Event Type:
  • Poster Presentations On-Demand
The fall with-injury rate decreased to 0.31/1,000 patient days or an 80% reduction, a 60% increase in reported near misses or assisted falls, and a new 93-day record without an injurious fall. Patients are safer today because of the collaborative...
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