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NPSF Research Grants Program - NPSF Patient Safety Congress

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SOLUTIONS POSTERS...continued<br />

S-17 Coney Island Hospital: Reducing Variation<br />

in the Assessment & Treatment of Pressure<br />

Ulcers through the Use of Digital Imaging,<br />

Information Technology, and Collaboration<br />

between Acute and Long-Term Care Facilities<br />

S-18 First Databank: A Novel System for Rating<br />

the Attributes of Drug Product Identifiers<br />

S-19 First Databank, Inc.: A Hierarchal Approach<br />

to Narcotic Dose Screening<br />

S-20 Gouverneur Healthcare Services: Utilizing<br />

Volunteers to Improve <strong>Patient</strong> <strong>Safety</strong><br />

by Reducing Medication Errors through<br />

Improving <strong>Patient</strong>s’ Health Literacy Skills<br />

S-21 Harlem Hospital Center: The Role of<br />

TeamSTEPPS in Improving <strong>Patient</strong> Flow and<br />

<strong>Safety</strong> in MRI<br />

S-22 Harlem Hospital Center: From Image Gently<br />

to Image Wisely and Beyond: A <strong>Patient</strong><br />

<strong>Safety</strong> Initiative<br />

S-23 Harlem Hospital Center: Quality and <strong>Patient</strong><br />

<strong>Safety</strong> in Imaging<br />

S-24 Harlem Hospital Center: Medication Errors<br />

Monitoring and Management at Harlem<br />

Hospital Center<br />

S-25 Hospital Corporation of America:<br />

Interdisciplinary Team Transforming<br />

Medication Management <strong>Safety</strong> Systems in<br />

Ambulatory Surgery Centers<br />

S-26 Hunterdon Healthcare System: Respect,<br />

Communication, and Best Practices<br />

S-27 Japan Association for Development of<br />

Community Medicine, Center for <strong>Patient</strong> <strong>Safety</strong><br />

and Quality: CRM-base Team Training - MITT<br />

S-28 JFK Health System: A Case for Using a<br />

System Approach to Bar Coded Medication<br />

Administration<br />

S-29 JFK Health System: Reducing Central Line<br />

-Associated Blood Stream Infections:<br />

Organizing for and Addressing Maintenance<br />

S-30 JPS Health Network: JPS Clinical Alarms Task Force<br />

S-31 Kenner Army Health Clinic: Improving<br />

Abbreviation Compliance by External Providers<br />

S-32 Lehigh Valley Health Network: Three Words<br />

to Engage a Network in <strong>Patient</strong> <strong>Safety</strong><br />

S-33 Lehigh Valley Health Network: Implementing<br />

a Fall Prevention Newsletter to Enhance<br />

<strong>Patient</strong> <strong>Safety</strong><br />

S-34 Lincoln Medical and Mental Health Center:<br />

A Multidisciplinary Approach to Decrease<br />

Falls and Falls Related Injuries in a Busy<br />

Inner-City Hospital<br />

2012 <strong>NPSF</strong> POSTER PRESENTATIONS<br />

S-35 Lincoln Medical and Mental Health Center:<br />

The Successful Implementation of a<br />

Pharmacy Led Antibiotic Stewardship<br />

<strong>Program</strong>: A Ten-Year Experience<br />

S-36 Lincoln Medical and Mental Health Center:<br />

A Multidisciplinary Approach to Reduce the<br />

Rate of Catheter-Associated Urinary Tract<br />

Infections through Improved Teamwork,<br />

Communication, and an Electronic Clinical<br />

Decision Support Tool<br />

S-37 Lincoln Medical and Mental Health Center:<br />

The Implementation and Impact of<br />

TeamSTEPPS Tools and Strategies to<br />

Improve Communication, <strong>Patient</strong> Outcomes<br />

and Reduce Clinical Errors<br />

S-38 Lincoln Medical Center: Improving<br />

Diabetic Retinal Screening Rates and<br />

Implementing a Triage Process to Identify<br />

Diabetic Retinopathy<br />

S-39 Magee Rehabilitation Hospital: Changing<br />

the Culture: Reducing Falls during a<br />

Major Restraint Reduction Initiative in a<br />

Rehabilitation Hospital<br />

S-40 Mariners Hospital: Antibiotic<br />

Stewardship as a Quality <strong>Safety</strong> Net in<br />

an Emergency Department<br />

S-41 Massachusetts General Hospital: <strong>Safety</strong><br />

Reports - A Vehicle for Change and<br />

Improvement<br />

S-42 MassGeneral Hospital for Children:<br />

Can Low-Volume High-Risk Pediatric<br />

Medication <strong>Safety</strong> be Resolved within a<br />

Large Academic Medical Center?<br />

S-43 Mayo Clinic Arizona: Enhancing Cultural<br />

and Behavioral Competency: The Mortality<br />

and the Deteriorating <strong>Patient</strong> Simulation<br />

Project (MDPS)<br />

S-44 Metropolitan Hospital: Prevention of Falls in<br />

Inpatient Behavioral Health Services<br />

S-45 Miami Children’s Hospital: Effects of Electronic<br />

Monitoring on Hand Hygiene Adherence and<br />

Healthcare-Associated Infections<br />

S-46 National Health Foundation: <strong>Patient</strong> <strong>Safety</strong><br />

First: A California Partnership for Health<br />

S-47 New York City Health and Hospitals<br />

Corporation: Labor and Management Joining<br />

Forces to Improve <strong>Patient</strong> <strong>Safety</strong><br />

S-48 North Bronx Healthcare Network: Reducing<br />

Adverse Events on Labor and Delivery<br />

S-49 North Shore Medical Center: Early <strong>Patient</strong><br />

Discharge: A Battle to Conquer<br />

S-50 Premier healthcare alliance: Enable Clinical<br />

Improvement and Build Sustainable<br />

Processes with Tools: Evidence Based Care,<br />

<strong>Patient</strong> Mortality, and <strong>Patient</strong> Experience<br />

S-51 Rhode Island Hospital: Translating an<br />

Evidence-Based Protocol for Nurse-To-Nurse<br />

Shift Handoffs<br />

S-52 Sea View Hospital Rehabilitation and Home:<br />

Working towards Zero: Preventing Acute Care<br />

Hospitalization of Skilled Nursing Residents<br />

S-53 St Joseph Hospital: An Interdisciplinary<br />

Team Approach Endorsed Collaboration and<br />

Promotes Fall Reduction<br />

S-54 St. Joseph’s Hospital: The <strong>Patient</strong> <strong>Safety</strong><br />

Innovation Council<br />

S-55 Stony Brook Medicine: Improving Outcomes<br />

for Ventilated Intensive Care <strong>Patient</strong>s<br />

S-56 Texas Health Resources: Innovative <strong>Patient</strong><br />

<strong>Safety</strong> Culture Observation <strong>Program</strong><br />

S-57 Tokyo Medical University: Systematic Control<br />

to Perform CVC Insertion More Safely<br />

S-58 UCLA Health System: Individualizing<br />

Assessments of Risk to Reduce Falls in<br />

University of California Medical Centers<br />

S-59 UMDNJ/NJMS: Incorporating <strong>Patient</strong> <strong>Safety</strong><br />

into Medical Education<br />

S-60 VA Puget Sound Health Care System:<br />

Building Two to Two Hundred: A Proactive<br />

Risk Assessment to Ensure a Safe Transition<br />

during the Activation of a Community<br />

Living Center<br />

S-61 Virginia Mason Medical Center: To Gown or<br />

Not to Gown?<br />

S-62 Westat: The AHRQ Health Care Innovations<br />

Exchange: Sharing Innovative Solutions to<br />

Improve <strong>Patient</strong> <strong>Safety</strong><br />

S-63 Yale New Haven Health Center for Emergency<br />

Preparedness and Healthcare Solutions:<br />

Perceived Barriers and Facilitators to<br />

Implementation of a Novel Infection<br />

Prevention Strategy<br />

S-64 Woodhull North Brooklyn Health Network:<br />

Reducing the Risk of Medication Error through<br />

the Development and Implementation of a<br />

Pediatric Medication Calculator<br />

S-65 Woodhull North Brooklyn Health Network:<br />

The Impact of Staff Reports of Near<br />

Misses on the Culture of <strong>Safety</strong> in a Large<br />

Inner-City Hospital<br />

S-66 673rd Medical Group/SGHQ: Arctic Medics:<br />

Following the North Star to 365 <strong>Patient</strong><br />

<strong>Safety</strong>/ Team Excellence<br />

S-67 Northwestern University, Institute for<br />

Healthcare Studies: Transforming Healthcare:<br />

Educating a Workforce to Improve Quality<br />

and <strong>Safety</strong><br />

<strong>NPSF</strong> Annual <strong>Patient</strong> <strong>Safety</strong> <strong>Congress</strong> 2012 24 <strong>Patient</strong> <strong>Safety</strong> 365

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