NPSF Research Grants Program - NPSF Patient Safety Congress

RESEARCH POSTERS
R-1 American College of Surgeons: Surgical
Patient Education Skills Program is Effective
at Preparing Patients to Confidently
Manage Their Post-Operative Recovery
R-2 Baylor University Medical Center: Golden
Hour...One Unit’s Experience
R-3 Baylor University Medical Center: System-
Wide Implementation of a NICU Central
Line Bundle: Practice Changes Associated
with a Decrease in Infection Rates
R-4 Christiana Care Health System: Post Event
Debrief: A Commitment to Better Care of
our Patients and Staff (facts as known)
R-5 cmi/Compas: Ramifications of Web-Based
Health Assessment Tools on Consumer
Behaviors and Health Outcomes
R-6 Dana-Farber Cancer Institute: Advancing
the Culture of Safety: DFCI version 2.0
R-7 Dialog Medical: Patients as Safety
Partners: Best Practices for Patient-
Centered Communications
R-8 Doctors Hospital of Manteca : Safe and
Accurate Compounding While Meeting
Requirements of Recent California Law
R-9 Eisenhower Medical Center: Does Bar
Code Administration Systems Improve
Patient Safety: A Nurse’s Perspective
R-10 Hennepin County Medical Center/
University of Minnesota: Obstacles to
Voluntary Reporting of Medical Errors in
an Inpatient Setting
R-11 Johns Hopkins Psychiatry Department:
Rapid Response in Psychiatry
SOLUTIONS POSTERS
S-1 Kaiser Permanente - Southern California
Permanente Medical Group: Using FMEA and
RCA of Simulation Events to Create a Risk
Analysis Tool and Simulation Curricula to
Prevent “Never” Events
S-2 366th Medical Group: Patients Are Our
Partners, Implementation of Shift Change
Bedside Report
S-3 Baltimore VA Medical Center:
A Multidisciplinary Approach to Improve
Compliance with SCIP Measures
S-4 374 MDG Yokota AB, Japan: Reducing the
Risk of MRSA Crosscontamination
S-5 Abington Memorial Hospital: Making the
Most of Benchmarking by Optimizing
Resources during the Prevalence Study to
Improve Patient Outcomes
2012 NPSF POSTER PRESENTATIONS
R-12 Massachusetts General Hospital: Surgeons’
Hazardous Attitudes are Associated with
Readmission and Reoperation Rates
R-13 Mayo Clinic: Does High-Fidelity Simulation
Training Develop Nurse-Physician Teams?
R-14 Mayo Clinic: Patient Risk Factors for Adverse
Events during Congestive Heart Failure
Hospitalizations
R-15 MedStar Institute for Innovation
The Surgeons’ Leadership Inventory (SLI):
Development of a Behavioral Marker Tool
to Measure Intraoperative Leadership
R-16 Muskie School of Public Service, Univ. of
Southern Maine : SAFER - Standardizing
Admissions for Elderly Residents
R-17 National Center for Human
Factors Engineering in Healthcare:
A Sociotechnical Systems Approach to
Healthcare-Acquired Infections
R-18 Northwestern University, Institute
for Healthcare Studies: Improving
Communication and Team Performance
Using Risk Informed In-Situ Simulation
R-19 NYU Hospital for Joint Diseases:
Rapid Rehab and Discharge Disposition
R-20 NYU Hospital for Joint Diseases:
Wrong Site Surgery: Using Information
Technology for Prevention
R-21 Seattle Children’s Hospital: A Focus on Pain,
the Neglected Adverse Event
R-22 Shands Jacksonville: Faculty Development
Through Simulation Patient Safety Training
R-23 Steiros: The Steiros Algorithm®; a Global
Environmental Cleaning Process to Dramatically
Reduce Hospital-Acquired Infections
S-6 Beth Israel Medical Center: Managing
Oxytocin Usage for Augmentation or
Induction of Labor
S-7 Baptist Health South Florida: ACT NOW!
Accelerating & Sustaining Change for
Patient Safety
S-8 Baptist Health South Florida: Sustaining
Accountability through Effective Patient
Safety Rounds
S-9 Baylor University Medical Center:
STAT...are you sure of that?
S-10 Baylor University Medical Center Dallas:
“Fab 50”
S-11 Capital Health: Implementation of
a Dedicated Center for Neurological
Emergencies within an Adult ED Setting
R-24 Thomas Jefferson University: Decrease in
Central Venous Catheter Placement and
Related Complications Due to Utilization of
Ultrasound-Guided Peripheral Intravenous
Catheters
R-25 UHC: Central Line–Associated Bloodstream
Infections in ICU: Concurrence between
UHC’s Administrative and NHSN’s
Surveillance Databases
R-26 UHC: An Analysis of Medication-Related
Events in the UHC Patient Safety Net®
R-27 UHC : Falls Prevention: Do the Findings in
UHC Patient Safety Net® Support Current
Prevention Strategies?
R-28 VA National Center For Patient Safety:
2011 Clinical Alarms National Survey
R-29 Beth Israel Medical Center: Oxytocin Usage
for Labor Augmentation or Induction and
Adverse Neonatal Outcomes
R-30 Northwestern University, Institute for
Healthcare Studies: Increasing Medical
Student Primary Care Patient Safety
Awareness Using Patient Safety Practice Logs
R-31 Northwestern University, Institute for
Healthcare Studies: Assessment and
Communication Challenges in Pediatric
Interfacility Transfers
R-32 Kaiser Permanente - Southern California
Permanente Medical Group: Using
Simulation as a Tool to Decrease
Medication Errors in Pediatric Emergency
Department Patients
S-12 Center for Healthcare Engineering and
Patient Safety, University of Michigan:
Applying Risk Driven Patient Safety Systems
in Healthcare
S-13 Chamberlain College of Nursing:
Implementing Nursing Rounds to Improve
Nurse Morale
S-14 Changi General Hospital: Patient
Identification: Enhancing Safety in the
Accident and Emergency Department
S-15 Children’s Hospitals and Clinics of Minnesota:
Preventing Hypoglycemia through
Feedback and Empowering Unit-Based
Quality/Safety Teams
S-16 Cleveland Clinic: Cascading Communication:
A Model to Manage Safety Event Reporting
Analysis
Patient Safety 365 23 NPSF Annual Patient Safety Congress 2012