2019 Lean Grand Rounds and Excellence Awards
Pediatric ED UPP Team (Gold): Reduced Length of Stay for Low Acuity Pediatric Patients
This Unit-based Performance Program team of Pediatric Emergency Medicine nurses, advanced practice providers and physicians collaborated with the adult ED to reduce length of stay (LOS) for low acuity patients in the Pediatric ED. Through small tests of change (gradual, small improvements) and trying out new approaches, the team successfully implemented a fast track for low acuity Pediatric ED patients, reducing LOS from 124 to 40 minutes.
But that’s not all. The team also improved compliance with antibiotics being administered within one hour from 40 to 92 percent and increased vital sign documentation compliance from 62 to 91 percent.
Pediatric ICU Team (Silver): Reduced LOS through Improved ICU Delirium Detection
This team of leaders, frontline physicians, nurses and therapists set out to reduce length of stay (LOS) by improving ICU delirium detection. With the help of small tests of change, extensive and consistent education and support, monthly data charts and variation reduction through the use of guidelines, the team was able to reduce LOS by 10 percent in the Pediatric ICU (PICU). Moreover, the PICU’s trend line for LOS has decreased from just under 6 days to just over 4 days between January 2017 and December 2018.
Temperature Sensor Project Team (Gold): Implementing a High Impact, Service Line-Wide Improvement
Each month, Pediatric staff would spend 125 hours manually monitoring and recording the temperatures of refrigerators, freezers and warmers used across the service line. When Pediatrics’ Diane Prinzing, information analyst, and Karen Bisbo, administrative assistant, discovered an opportunity to ditch the process, they formed a project team of from Pediatrics, ISD and Facilities to help implement traceable temperature tags. With all equipment now automatically monitored 24/7, temperature-related citations have been avoided and significant improvements have been made. For example, when a donor human milk freezer broke in the NICU in February, staff received an alert and were able to promptly move the $15,000 worth of donor milk to another freezer.
The 8th annual Lean Grand Rounds and Excellence Awards were held on July 13, 2018 at URMC. Several pediatric teams from GCH were honored with one of the thirteen awards.
GCH 6 South Unit-Based Performance Program (UPP) Team - Implementing a discharge coordinator role
Creating the discharge coordinator role has increased patient and family satisfaction and improved the patient discharge process. Length of stay and readmission rates for the unit have dropped, and quality and safety has been positively impacted.
Pediatric Perioperative Surgical Home - Reducing readmission rates for pediatric orthopedic patients
In comparing the team’s baseline period to their early implementation phase, unplanned readmissions decreased from 4 to 2.9 percent and surgical site infections decreased from 3.5 to 2.3 percent.
Pediatric Heart Program Team - Creating traveling procedure carts
The development and sustainment of these carts requires collaboration between nursing, Materials Processing Department and Sterile Processing Department staff. The traveling carts have reduced wasted supplies and duplication. The carts have also allowed the team of clinicians to respond more promptly to emergency situations on the units.
Golisano Children's Hospital and Strong Memorial Hospital recognized as 'Gold Safe Sleep Champions'
UR Medicine’s Golisano Children’s Hospital and Strong Memorial Hospital’s Obstetrics Division are recognized by the National Safe Sleep Hospital Certification Program as “Gold Safe Sleep Champions,” the highest designation, for their commitment to best practices and education on infant safe sleep.
We have been re-designated as Magnet® hospital. The achievement reflects Strong’s high quality of patient care, outstanding nursing standards and practice, and supportive environment for its 2,200 nursing professionals. Fewer than 7 percent of American hospitals have received this honor from the American Nurses Credentialing Center (ANCC).