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Process Improvements at BIDMC - 2009

Presented here is the 2009 Silverman Symposium Project 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, over 100 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 2011 Poster Collection , 2010 Poster Collection or the 2008 Poster Collection .

Effectiveness

An Evaluation of the Influence of Simulation on the Development of Critical Thinking Among Novice Nurses 
Determining the Presence of Errors in 72 Hour Return Visits to the Emergency Department
Developing a Gastroenterology Quality Improvement Dashboard
Implementation of a Self Medication Program for Transplant Recipients 
Implementing a Post Cardiac Arrest Therapeutic Hypothermia Protocol 
Implementing Evidence Based Policies 
Inpatient Psychiatric Outcomes 
New Monitoring System to Decrease Microsurgical Flap Loss In Breast Reconstruction 
Prescription of Inhaled Corticosteroids for Patients with Asthma 
Provision of Flu and Pneumovax Vaccinations for Patients with COPD 
Reducing Ventilator Associated Pneumonia One Step at a Time
Reduction of Hypoglycemia in Postoperative Cardiac Surgery Patients on Insulin Infusions
POE Alternate View Dashboard
Urinary Catheter Surveillance at BIDMC: Can We Use the Electronic Medical Record to Track Catheter Use?

EFFICIENCY

CCI Process for Determining IRB Review Requirements
Deviation Based Cost Modeling: A Novel Model to Evaluate Clinical and Economic Impact of Clinical Pathways
Electronic Patient Specific Progress Note Templates to Reduce/Eliminate Documentation Errors
Eliminating Amylase from the Evaluation of Pancreatitis in the Emergency Department
GI Specimen Tracking Redesign
Impact of Point of Care Creatinine Testing on Same Day Cancellations in MRI
Improving NICU team Structure: Use of Social Network Analysis 
Improving Time to First Dose Antibiotics in the ICU
Inpatient Scanning Project
Institution Wide "Fast Track Pathway" for Colectomy Units Surgeons to Decrease Postoperative Length of Stay
Lean Clean Supply Rooms - Spread
Lean ED & Lab Workflow Redesign - Hemolysis
Lean West CPD & OR Decontamination - Safety 1st !
Linac Machine Downtime Emergency Recovery Plan
New White Boards on L&D
Re-Work Eliminated in Transplant Billing Process 

EMPLOYEE SAFETY

Creating Transparency Around Employee Incidents
Emergency Management Employee Resources 
Employee Occupational Health Flu Campaign
Fit-Test Compliance of Employees
Improving Compliance With TB Screening Among Health Care Workers 
Improving Compliance with Use of Personal Protective Equipment (PPE) - Health Care Workers
Improving TB Compliance Among BIDMC's MDs
Notifying Senior Leadership of Employee Incidents
Observational Experience
Reducing Needle-stick Exposures by Preventing Re-use of Needles
Repetitive Stress Syndrome Symptoms in Radiology: Prevalence and Response to Ergonomic Interventions
Workplace Safety in the Psychiatry Department

EQUITABLE

Communication Phrases for Limited English Proficient Patients
Domestic and Community Violence Screening - Bowdoin Street Health Center
Spanish Optometry Clinic

PATIENT CENTEREDNESS

Advanced Directives: Leading by Example
Automating Patient Requests for Chaplaincy via IPA
Embedding "Ethics" Throughout the Fabric of BIDMC
Emergency Department Patient Liaison Project
Enhancing Blood Gas Analysis for NICU Patients
Hearing Their Voice: Developing an Advisory Council
Improving Communication with Patients and Families
Improving Nursing Competency in Pain Management
Improving Patient-Centered Care Through a Pre-Operative Joint Replacement Class
Measuring Patient Satisfaction in Psychiatry
Mystery Shopping Results: Podiatry
Orthopedics Phone Improvement
Spiritual Care Increases Patient Family Satisfaction in ICUs
The Facts @ BIDMC - Promoting Transparency

PATIENT SAFETY

A Multi-Modal Approach to Improve Hand Hygiene on a Medical Unit
Bar Code Initiative for the NICU ADC 
Benzodiazepine Use By Elderly Patients
Central Venous Line Education Tool
Evidenced Based Practice in Pre-Employment PPD Screenings 
Global Triggers for Detecting Harm
Fall Prevention Program 
Hospital Evacuation Plan
Implementation of a New Electronic Documentation System
Implementing ISBT 128 Symbology and Labeling
Implementing a Scripted Timeout - Preventing Wrong Site Surgery
Inclusion of Anesthesia Resources in Interventional Endoscopy
Increasing ICU Throughput through Ventilator Bundle and Oral Care Compliance
Long Term Follow-Up on Endoscopic Procedures
Management of ICU Patients in Interventional Procedural Areas
Medication Order Review in the NICU
Nursing Hourly Rounds
Observers in the Operating Room
Paperless is Powerful for Medication Reconciliation Process
Pharmacist Monitoring of Anticoagulation - Implementation of JC NPSG (3E)
Pregnancy Counseling for Women on Methotrexate or Cyclophosphamide
Pressure Ulcers
Prevention of Unintentionally Retained Objects Through a Count Resolution Pathway
Resource Management Plan
QI Evaluations of Renal Biopsies
Quality and Safety Workshop
Restraint and Seclusion Reduction
Safely Managing Perioperative Patients with Sleep Apnea
Safety Culture Survey in the Perioperative Areas
Safe Use of Epinephrine for Anaphylaxis 
Skin Care Initiative - CVI
Venous Access Flush Orders
Standardizing Handoff Communication on the Medical Surgical Units
Sternal Wound Precaution Compliance and the Resulting Restrictions to Activity in Patients Status Post Cardiac Surgery via Midsternotomy
Surgical Site Infection Task Force
Universal Protocol Side / Site Discrepancies

TIMELINESS

AMI 'D2B' - Rapid Review and Improvement
Follow Up on CT Chest Scans
Improving Follow Up of Abnormal/Unsatisfactory Pap Smears
Prostate Needle Tracking
Yearly Eye Exam for Patients on Hydroxychloroquine Sulfate

Last Updated: March 31, 2009

Contact Information

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