Wake Up Safe: Institutional Quality Improvement Project Presentations – Winter 2021
March 6, 2021
3:30pm – 5:30pm ET
Moderator: Robert Brustowicz, MD
Nothing to Disclose
Building of Preventative Practices through Targeted Interventions of Perioperative Event Capturing
Presenter: Joe McSoley MD
Nothing to Disclose
Cincinnati Children’s Hospital
Upon completion of this presentation, the participant will be able to:
– Understand the difficulty in event capturing within the perioperative setting
– Expand on the barriers and motivators to intraoperative event capturing
– Explain the importance of event capturing and its benefit in preventative practice
Quality Improvement: Improving the Safety of Chemodenervation
Presenter: Angela Lee MD
Nothing to Disclose
Children’s National Health System
Upon completion of this presentation, the participant will be able to:
– Describe the experience at Children’s National Hospital (CNH) with implementation of quality improvement.
– Discuss the experience at CNH with ways to increase the safety of chemodenervation procedures.
– Describe the long-term sustainability of interventions to improve the safety of chemodenervation.
General anesthesia is a “teachable moment” for seasonal influenza vaccination in pediatric patients: Preliminary results
Presenter: Tyler Morrissey MD
Nothing to Disclose
University of Colorado School of Medicine
Upon completion of this presentation, the participant will be able to:
– Discuss the opportunity of a general anesthetic as a “teachable moment” for vaccination.
– Describe a method of leveraging perioperative nursing staff and the EMR to offer all eligible patients flu vaccination using “Best Practice Alerts.”
– Analyze and evaluate historic reasons for not offering influenza vaccination in the perioperative period.
Reducing Infusion Pump-Related Medication Errors: The Use of a “Mental Model” to Guide Drug Library Development and Implementation
Presenter: Gina Whitney MD
Nothing to Disclose
University of Colorado School of Medicine
Upon completion of this presentation, the participant will be able to:
– Compare “Smart” infusion pump technology and its differences from other infusion pumps, including defining hard and soft limits.
– Describe an alternative, user-friendly method of organizing medications in an infusion pump using the “mental model” of grouping medications by class.
– Define a Drug Error Reduction System (DERS) and summarize the potential of DERS implementation in the operating room, including reasons a DERS may not prevent all infusion pump medication errors.
Neonatal Hyperglycemia Quality Improvement Project
Presenter: Jami Miller MD
Nothing to Disclose
Children’s Health Medical Center Dallas
Upon completion of this presentation, the participant will be able to:
– Discuss the background and structure of this quality improvement (QI) project
– Examine the steps and cycles of this QI project
– Evaluate data trends related to glucose in our patient population
– Discuss potential future steps
Outcomes from wake up safe, the pediatric anesthesia quality improvement initiative
Presenter: Manon Hache, MD
Nothing to Disclose
Columbia University Medical Center
Upon completion of this presentation, the participant will be able to:
– Review the demographic data of patients in participating institutions entered in the Wake Up database from 2010 to 2015.
– Review the rates adverse events that were reported to the Wake Up Safe database between 2010-2015.
– Compare all cause adverse events to anesthesia primary cause adverse events
Speakers will present quality improvement projects completed at individual institutions. Project presentations are a valuable approach to teach members about improvement work. The presentations will demonstrate tools and concepts of quality improvement, Attendees can take away knowledge and implement similar changes that lead to improvement and his/her respective institutions. The educational format used in this part includes lecture/presentation and group discussion.
ACCREDITATION AND DESIGNATION
The Society for Pediatric Anesthesia is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Society for Pediatric Anesthesia designates this Live Course for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
