Recent IHQSE graduate Shannon Acker, MD, was an author on an article published by JAMA advocating for better support systems for trainees during pregnancy and early parenthood. In addition to new policies from the Accreditation Council for Graduate Medical Education, Dr. Acker and her colleague emphasize the importance of a cultural shift and a comprehensive network of support for your parents.
Peripherally inserted central catheters (PICCs) provide reliable central vascular access for hospitalized patients, but PICCs are associated with morbid and potentially lethal complications. To curb these outcomes, IHQSE Faculty Dr. Tyler Anstett and team developed a decision support tool in the EHR to help hospital-based providers utilize more appropriate catheter devices for their patients.
The transfusion of blood is a life-saving measure but is sometimes overused leading to worse outcomes for patients and excess costs for health systems. A team including IHQSE Faculty member Dr. Tyler Anstett engaged clinicians from different specialties to rethink the design of blood transfusion orders in the EHR at University of Colorado Hospital.
Andrea Prinzi, Ph.D., MPH, a member of the 2020 cohort of the IHQSE Certificate Training Program published their work in the Journal of Clinical Microbiology, showing that endotracheal aspirate cultures commonly overreport lower respiratory tract infections due to contamination, often resulting in excess antimicrobial therapy.
Most patients requiring prolonged mechanical ventilation in Cardiothoracic Intensive Care Units (CTICU) – which treat some of the hospitals’ sickest patients – remain sedated and bedridden for the bulk of their stay. A team of IHQSE Alumni are helping to change that and improve patient outcomes, starting with one strong-willed young woman named Chenille.
A IHQSE team, including Dr. Norman Friedman, engaged clinicians and staff across multiple services to revise the perioperative pathway for children having a T&A. Published in The Laryngoscope, the team found that 75% of children who qualified as “high risk” patients by the American Academy of Otolaryngology’s clinical practice T&A overnight monitoring guideline were off oxygen within 3 hours of surgery.
A team including IHQSE Faculty member Dr. Tyler Anstett engaged clinicians from different specialties to rethink the design of blood transfusion orders in the EHR at University of Colorado Hospital. This project, ultimately aimed at improving adherence with transfusion guidelines, was recently published in the January volume of Applied Clinical Informatics. We caught up with Dr. Brad Morse and Dr. Tyler Anstett to learn more about the motivation behind this project and what it could mean for future EHR design improvements.