Table of contents

Abstracts

• 22nd Annual IHI Scientific Symposium on Improving the Quality and Value of Health Care

  Gareth Parry
• 785: PEDIATRIC EMERGENCY DEPARTMENT RETURN VISITS: A PROACTIVE APPROACH TO QUALITY IMPROVEMENT

  Olivia Ostrow, Andrea Shim, Syed Azmat, Lucas Chartier
• 677: EARLY REHABILITATION IN THE PEDIATRIC INTENSIVE CARE UNIT: A QUALITY IMPROVEMENT PROJECT

  Jodi Herbsman, Yasir Al-Qaqaa, John Corcoran, Jennifer Daly, Tiffany Folks, Daniella Klein, Siobhan O'Donnell, Lucy Pereira-Argenziano, Naomi Linder-Perlman, Lauren Selikoff, Mary Ellen Sheldon, Tina Tan
• 678: ANTIBIOTIC STEWARDSHIP FOR ACUTE BRONCHITIS: A QUALITY IMPROVEMENT (QI) STUDY IN UNIVERSITY HEALTHCARE

  Pasquale Frisina, Jonathan Pletcher, Esther Munene, John Kolligian
• 693: A QUALITY IMPROVEMENT INITIATIVE TO DECREASE THE RATE OF SOLITARY SETS OF BLOOD CULTURES IN THE EMERGENCY DEPARTMENT

  Joseph Choi, Sahand Ensafi, Lucas Chartier, Oliver Van Praet
• 705: A LEAN APPROACH TO CARE TRANSITIONS REDUCES READMISSIONS FOR HEART FAILURE PATIENTS

  Charlene Kell
• 707: WHERE IS MY ETT?: USING QUALITY IMPROVEMENT TO DECREASE UNPLANNED EXTUBATIONS IN A LARGE NICU SETTING

  Lindsy Broome, Isa Baruah, Suzane Iniguez, Rebecca Schiff
• 714: QUALITY, SAFETY, TEAMWORK AND PROFESSIONALISM IN GME: VALIDATION OF THE ACGME RESIDENT SURVEY

  Danielle Perret, Abhishek Kishor Dalal, Justin Chin, Jeremy Nguyen, Charlene Miranda-Wood, Coleen Thompson, Donna Grochow, Douglas Merrill
• 719: EFFECTIVENESS OF A COLLABORATIVE APPROACH IN REDUCING HEALTHCARE-ASSOCIATED INFECTIONS AND IMPROVING SAFETY IN BRAZILIAN ICUS: THE SALUS VITAE STORY

  Camila Lajolo, Camila Sardenberg, Kevin Rooney, Ademir Petenate, Paulo Borem, Katharine Luther
• 728: IMPLEMENTATION OF A STANDARDIZED APPROACH TO PEDIATRIC POSTOPERATIVE URINARY RETENTION DECREASES RATE OF INTERVENTION

  Katie Meier, Lisa Benz, Stephanie Greger, William Zurkuhlen, Margaret R. Ninemire, Kayla Churay, Joshua Gossett, Erika Stalets
• 752: BUNDLES OVERCOME HURDLES IN THE GOLDEN HOUR FOR <28 WEEK NEONATES

  Amina Habib, Raye Linn Leukart, Thomas Bartman, Amy Schlegel
• 740: BRINGING ICU CARE TO BEDSIDE: HAVE CRITICAL CARE RESPONSE TEAMS IMPROVED THE QUALITY OF PATIENT CARE IN ONTARIO?

  Nasim Haque, Bernard Lawless, Linda Kostrzewa, Meiyin Gao
• 767: MANAGING INPATIENT PEDIATRIC HEALTH CARE WITH A 24 HOUR CARE PROGRESSION BUNDLE

  Akshata Hopkins, Matthew Morrow
• 730: IMPROVING ANTIPSYCHOTIC MEDICATION SAFETY IN CHILDREN AND ADOLESCENTS

  Jahnavi Valleru, David Axelson, Rajeev Krishna
• 668: REDUCING BPD IN A LEVEL IV NICU

  Thomas Bartman, Ed Shepherd, Leif Nelin, James Dail, Margaret Holston, Erin Wishloff, Erin Keels, Leslie Thomas, Brandon Kuehne, Marissa Larouere, Amee Elgin, Nick Foor
• 784: SUCCESSFUL REDUCTION OF INTRAOPERATIVE TRANSFUSIONS DURING CARDIAC SURGERY

  Minh-Ha Tran, Jeffrey Milliken, Douglas Merrill
• 824: DIGITAL SOCIAL NETWORK ANALYSIS AS A STRATEGY FOR UNDERSTANDING VARIATION IN THE PARTICIPATION OF PATIENTS IN HEALTHCARE QUALITY IMPROVEMENT

  Shannon Provost, Peter Gloor, Michael Seid, Peter Margolis
• 773: QUALITY IMPROVEMENT PRACTICE FACILITATORS IN COMMUNITY PRACTICES: INCREASING FLUORIDE VARNISH APPLICATION

  Christina Toth, Suzanne Hoholik, Mike Fetzer, Rebecca Baum, Stephen Cardamone, Sean Gleeson
• 805: RELIABLE ADHERENCE TO BEST PRACTICES THAT MITIGATES SYSTEM-LEVEL ERRORS REDUCES COPD READMISSIONS: A SYSTEM REDESIGN USING IMPROVEMENT SCIENCE

  Muhammad Zafar, Ralph Panos, Eric Warm, Evaline Alessandrini
• 790: PEDIATRIC LUNG TRANSPLANT INDEX – IMPROVEMENT THROUGH MEASUREMENT

  Bob Feeney
• 795: INCREASING ORAL HEALTH PREVENTIVE INTERVENTIONS IN TWO PRIMARY CARE PEDIATRIC PRACTICES

  Jennifer Cheng, Michelle Fleck, Tami Chase, Jane Burgess, Abiola Faniyan, Jenny Chan, Amy Starmer, Man Wai Ng
• 796: THE IMPACT OF A MULTIDISCIPLINARY AND MULTIMODAL APPROACH ON SEPSIS OUTCOMES IN A LARGE COMMUNITY HOSPITAL SYSTEM

  Daleen Penoyer, Michael Cheatham, Paula Inderwiesen
• 741: ASTHMA CARE STANDARDIZATION IN A PEDIATRIC EMERGENCY DEPARTMENT: CHANGING TO DISCHARGE MEDICATIONS IN-HAND AND UNDERSTANDING EFFECTS ACROSS THE CARE CONTINUUM

  Eileen Murtagh Kurowski, Andrea Rinderknecht, Michelle Caruso, Jennifer Oehler, Kartik Varadarajan, Lesley Doughty, Catherine Gordon, Carolyn Kercsmar, Mona Mansour, Karen McDowell, Jeffrey Simmons, Srikant Iyer
• 812: MENTORED IMPLEMENTATION OF THE I-PASS HANDOFF PROGRAM IN DIVERSE CLINICAL ENVIRONMENTS

  Amy Starmer, Jennifer O'Toole, Nancy Spector, Daniel West, Theodore Sectish, Jeffrey Schnipper, Rajendu Srivastava, Jenna Goldstein, Maria-Lucia Campos, Eric Howell, Christopher Landrigan, SHM I-PASS Study Group
• 808: INTEGRATED PRIMARY CARE MENTAL HEALTH QUALITY IMPROVEMENT INTERVENTION

  Joanne Cox, Hannah Durant, Natalie Castile, Sally Cheek, Katherine Dowd, Olivia Carrick, Ellen Reisinger, Molly Markiewicz, Aldofo Caldas, Rachel Tunick
• 818: PILOT STUDY OF A MEDICATION CHANGE TEACHING TOOL AND PHARMACIST DISCHARGE RECONCILIATION ON LIMITING MEDICATION ERRORS FOR HEART FAILURE PATIENTS

  Erika Nicolsen, Jennifer Markle, Lisa Curran, Julie Cooper, Daniel Bensimhon
• 815: IMPLEMENTATION OF A RAI-FRAILTY SCREENING ACROSS SURGICAL CLINICS: A QUALITY IMPROVEMENT INITIATIVE

  Paula Tucker, Benjamin Flink, Patrick Varley, Daniel Hall, Jason Johanning, Carolyn Clevenger, Anne Tomolo, Shipra Arya
• 786: REDUCING TIME TO ANTIBIOTICS IN PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT WITH SHORT BOWEL SYNDROME AND FEVER

  Joel Hudgins, Matthew Eisenberg
• 823: IMPROVING PATIENT SAFETY IN LATIN AMERICA: A MULTI-COUNTRY QUALITY IMPROVEMENT COLLABORATIVE PROJECT TO REDUCE THE INCIDENCE OF CLABSI IN ICUS

  Jafet Arrieta, Marcela Colmenares, Pedro Delgado, Ezequiel Garcia-Elorrio, Carolina Giuffre, Dolores Macchiavello, Nuria Mora, Carola Orrego, Viviana Rodriguez
• 768: MORTALITY REDUCTION ASSOCIATED WITH SURVEILLANCE USING AN EMR-BASED ACUITY SCORE AT AN ACADEMIC MEDICAL CENTER

  Katherine Walsh, Shannan Hamlin, Belimat Askary
• 814: A NOVEL SYSTEM TO ADDRESS ADHERENCE BARRIERS IN CLINICAL PRACTICE DECREASES ALLOGRAFT REJECTION FOR KIDNEY TRANSPLANT PATIENTS

  Charles Varnell, Kristin Rich, Melissa Nichols, Jodi Engelhardt, Devesh Dahale, John Huber, Masatoshi Ashiki, Ahna Pai, Avani Modi, David Hooper
• 703: LEVERAGING THE ELECTRONIC MEDICAL RECORD TO REDUCE THE RATE OF HOSPITAL ACQUIRED CLOSTRIDIUM DIFFICILE AT AN ACADEMIC SAFETY NET HOSPITAL

  Deborah Gregson, Robert Burke, Nancy S. Miller, Thomas Ostrander, Raagini Jawa, Pooja Phull, Katherine Scanlon, Kelly Fleming, Matthew Bradley, Jeremy Steinke, Youngjin Jung, Cassandra Pierre