General Surgery resident Josh Bleicher spent a year exploring opioid prescribing patterns in patients discharged after elective surgery. What did he find? We need a more patient-centered approach to opioid prescribing.
In 2011, Utah’s Intermediate Care Unit (IMCU) decided to improve patient safety through a new approach: engage the entire team in identifying and implementing the improvement. Clinical Operations Director Trell Inzunza shares the 4-step process that engaged the entire team to improve.
Scope is a powerful tool when changing practice. Rather than trying to revamp in one large swoop, scoping an improvement down to palatable stages can overcome resistance and lead to meaningful results for future improvement cycles. Although new improvers may feel this approach delays impact, repeated improvement cycles often lead to sustained care transformation. Dr. Theophilus Owan demonstrated this principle in his quest to improve value by standardizing anti-thrombotic medications given to patients undergoing percutaneous coronary intervention (PCI).
A missed diagnosis can delay treatment or result in inappropriate treatment, causing unnecessary pain, suffering, and often financial hardship for our patients. Internist and hospitalist Peter Yarbrough helps explain why diagnostic errors happen with strategies to prevent them.
General Surgery resident Riann Robbins is on a journey to reduce unnecessary tests. She recently shared her team's work to tackle ABG testing in critical care at the annual Department of Surgery Value Symposium. What did she learn? Be patient and persistent. As Seuss said, “Unless someone like you cares a whole awful lot, nothing is going to get better. It’s not.”
Medical errors often occur due to system failure, not human failure. Hospitalist Kencee Graves helps explain why we need to evaluate medical error from a system standpoint.
University of Utah Health’s success is driven by teams doing the right work for our patients — and sharing that work across the system. Chief Medical Quality Officer Bob Pendleton reflects on the universal importance of continuous improvement while looking at health care through the eyes of a patient.
Including patients in treatment planning improves their experience, and patient reported outcomes (PROs) offer new ways to do just that — talking with patients about how treatment impacts their daily life. Clinical Nurse Coordinator Lisa McMurtrey shares the Burn Clinic team’s award-winning work implementing PROs during patient visits without disrupting flow.
Biometric identification is a national best practice — but adapting that to a local environment isn’t easy. Although it’s rare, confusing an identity can have scary consequences (like getting a prescription for a drug you’re allergic to.) So Doug Ostler and his team worked to implement palm scanners and make patients feel safer.
Evidence-based practice (EBP) integrates clinical expertise with the best available evidence to drive innovation and improvement. Sue Childress, director of nursing at Huntsman Cancer Institute, champions the process in advance of the 5th Annual Evidence Based Practice Council Poster Fair.
Utah's value engineers turn any real-world event into a cause for improvement. Recently, senior value engineer Will McNett and a friend were swept up in an avalanche, traveling 50 yards down the southeast face of Albright Peak in Grand Teton National Park. What many would consider terrifying, Will considered a cause for observation, investigation, analysis, and improvement.
Kyle Bradford Jones is back, this time with a deep dive into decision-making. Jones uses psychology to explain why it takes so long to adopt new evidence into our clinical practice and argues that we need to actively schedule time together in order to reflect.
