Resident Safety Council
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Consult Note Task Force
Safety Culture Task Force
MD-RN Communications Task Force
Goals of Care Task Force
Consult Note Task Force
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| Danielle Goodrich, MD Task Force Chair Resident, Emergency Medicine |
Kirsten Brandt, MD Resident, Internal Medicine |
Maria Ortega, MD, MBA Resident, Emergency Medicine |
Andrea Smeraglio, MD Resident, Internal Medicine |
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| Sanaa Suharwardy, MD Resident, Obstetrics/Gynecology |
Greg Wallingford, MD Resident, Emergency Medicine |
Linda Xu, MD Resident, Neurosurgery |
Identified Problem:
The consult team is working on improving the way consultations are performed in the hospital. One gap the team identified is the lack of standardization of consults. By standardizing consults, there will be improved communication between the services and improved satisfaction among residents.
Goal of Project:
We chose to focus on consults in the ED for the ease of gathering data and tracking workflow. In order to standardize consults, we devised an “ED quick consult note” so that relevant information including assessment and recommendations could be available in the chart for all services to see and act on. Currently, we are trialing the quick consult note in the ED with the Neurology consult team.
Safety Culture Task Force
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| Ryan Ribeira, MD Task Force Chair Resident, Emergency Medicine |
Sara Bakhtary, MD Resident, Pathology |
David Guo, MD Resident, Urology |
Jessie Kittle, MD Resident, Internal Medicine |
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| Michael Tchou, MD Chief Resident Pediatrics |
Identified Problem:
Lack of physician engagement with the Stanford Hospital SAFE reporting system.
Goal of Project:
To increase physician engagement with the SAFE reporting system through redesign of the SAFE interface, the creation of a comprehensive SAFE educational program, and the formation of a physician-led council to review and act on SAFE reports.
MD-RN Communications Task Force
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| Adam Sang, MD Task Force Chair Resident, Surgery |
Ian Chong, MD Resident, Emergency Medicine |
Minjoung Go, MD Resident, Internal Medicine |
Ryan Perumpail, MD Resident, Internal Medicine |
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| Arghavan Salles, MD Resident, Surgery |
Michael Shaheen, MD Resident, Emergency Medicine |
Tiffany Sinclair, MD Resident, Surgery |
Rachel Yang, MD Resident, Surgery |
Identified Problem:
There is no standardization and formal teaching about how to conduct effective MD-RN communication.
Goal of Project:
To gather information from MD and RNs on barriers that interfere with effective communication between MD and RNs, and to implement specific interventions aimed at the most actionable barriers.
Goals of Care Task Force
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| Molly Kantor, MD Task Force Chair Resident, Internal Medicine |
Yi-Ren Chen, MD Resident, Neurosurgery |
Lance Downing, MD Resident, Internal Medicine |
Robert Fairchild, MD Resident, Internal Medicine |
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| Daniel Fang, MD Resident, Internal Medicine |
Teng Lu, MD Resident, Emergency Medicine |
Sara Stern-Nezer, MD Resident, Neurology |
David Wang, MD Resident, Emergency Medicine |
Identified Problem:
Only 40% of patients with DNR code status (DNR/DNI, DNR/DNE, DNR/C) have ‘Goals of Care’ notes documenting their goals of care.
Goal of Project:
We set out to improve this to 80%, by creating a process of standard work in goals of care documentation and using the EMR to alert providers when a patient had a DNR code status but lacks a goals of care note. We are also aiming to simplify and clarify what is expected in the note. Our ultimate goal is to improve documentation of goals of care for all patients, and eventually expand this to identify patients with Full Code codes statuses who may benefit from a goals of care discussion.
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