Process design for optimizing text-based communication between physicians and nurses

Background and Aim Communication between physicians and nurses is a cornerstone of high-quality inpatient care. HIPAA-compliant text-based methods offer an alternative to the pager for communication between nurses and physicians. While messaging is popular in the personal setting, text-based professional communication in hospitals may increase the number of messages without improving coordination between care providers. (1) In addition, urgent messages that are more appropriately calls could be missed by the physician, leading to a delay in action. Other institutions use triage systems to communicate a question or clinical change by the urgency of expected physician response, which have attempted to mitigate this issue. (2) We aimed to improve bidirectional communication between housestaff and nursing with a communication process developed jointly by both parties using QI methods such as stakeholder analysis and a structured Work-Out session to brainstorm solutions

Adaptation of a Standardized Handoff System for a Radiology Residency Program

Background/Objectives: The Joint Commission has linked communication failure as a root cause for a majority of sentinel events. The “I-PASS” system is a hand-off mnemonic that has been shown to decrease medical errors, prevent adverse events, and improve communication. Multiple Jefferson residency programs have adopted I-PASS training over the last year to standardize sign-outs between treatment teams and departments. Radiology residents also participate in hand-offs with other departments, especially in cases of adverse patient reactions that occur within radiology (ie: allergic reaction, seizure, contrast extravasation). In addition, radiology residents also participate in hand offs between daytime and overnight teams, including sign out of pertinent protocols, studies, and clinician communications. The aim of this study was to assess the adaptability of I-PASS training to the needs of a diagnostic radiology residency program.https://jdc.jefferson.edu/patientsafetyposters/1098/thumbnail.jp

Utilizing feedback as a mechanism to improve resident event reporting rates

Objectives Provide feedback to 100% of residents entering a report between December 2017 and March 2018 Evaluate the degree to which residents value the feedback we were able to provide Assess a pilot process for sustainability on a larger scalehttps://jdc.jefferson.edu/patientsafetyposters/1099/thumbnail.jp

Improving Bedside Procedural Safety through Optimizing Timeout Documentation and a Pre-procedure Checklist

Aim GOAL: Improve the safety of patients undergoing bedside procedures while maintaining the full spectrum of graduated autonomy in procedure training for residents. SMART Aim: Increase the rate of timeouts documented for bedside procedures from 29% to 50% by June 2018.https://jdc.jefferson.edu/medposters/1014/thumbnail.jp