Cedars-Sinai Medical Center

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A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF Sept. 28, 2012 Issue | Archived Issues

Pantoprazole as preferred PPI, change from Gamunexto Gammaked

Pharmacy focus

Pantoprazole (Protonix®) is now the preferred proton pump inhibitor and Gammaked® is being dispensed in place of Gamunex®.

» Read more


Meetings and events


Grand rounds

Click here to view upcoming Grand Rounds.


Upcoming CME conferences

Click below to view a complete list of all scheduled Continuing Medical Education conferences.

CME Newsletter - September 2012

MD hand hygiene compliance hits all-time high at Cedars-Sinai

With physicians routinely tapping on their smartphones, tablets and other mobile devices throughout the day, proper hand hygiene is more important than ever to help ensure patient safety. The good news is that physician hand hygiene compliance has been sustained at more than 90 percent at Cedars-Sinai since July 2011 and even reached an all-time high of 96 percent in July 2012.

» Read more

End-of-life expert to speak at Cedars-Sinai on Sept. 28

An expert who has created and studied videos to empower patients and families regarding end-of-life decisions will speak at the Department of Medicine grand rounds on Friday, Sept. 28, at 8:30 a.m. in Harvey Morse Auditorium.

» Read more

Buy an iced coffee, support ovarian cancer research

Stop by Los Angeles-area 7-Eleven stores through Sunday, Sept. 30, and support run for her® and ovarian cancer research at Cedars-Sinai.



» Read more

MedExpo aimed at community physicians

Cedars-Sinai Health Associates members get 50 percent discount

Physician Sales & Services is hosting a medical expo focused on helping physicians increase revenue, decrease costs and work more efficiently. The expo is planned for Thursday, Oct. 11, at the SLS Hotel in Beverly Hills.

» Read more

Annual Medical Student Reception set for Oct. 23

All medical staff members are invited to attend the annual Arthur I. Johnson, MD, Medical Student Reception on Tuesday, Oct. 23, from 6 to 8 p.m. in Harvey Morse Auditorium.

» Read more

Protect patients from harm by getting a flu shot

You wouldn't knowingly harm a patient. Yet many physicians put patients at risk each year by not getting their flu vaccination.




» Read more

Pharmacists validating medication lists for high-risk patients

By Rita Shane, PharmD, FASHP, FCSHP
Director, Pharmacy Services

In order to ensure the accuracy of the patient's medication list and prevent drug-related problems across the transitions of care, pharmacists have been validating the "prior to admission" medication lists for high-risk patients.  

» Read more

Breast cancer awareness events at Cedars-Sinai

Throughout October, Cedars-Sinai will be hosting events to raise awareness about breast health. Please feel free to attend and share this information with your patients. 



» Read more

MD hand hygiene compliance hits all-time high at Cedars-Sinai

Hand Hygiene 280 pxWith physicians routinely tapping on their smartphones, tablets and other mobile devices throughout the day, proper hand hygiene is more important than ever to help ensure patient safety. The good news is that physician hand hygiene compliance has been sustained at more than 90 percent at Cedars-Sinai since July 2011 and even reached an all-time high of 96 percent in July 2012.

But while Cedars-Sinai physicians are edging closer to achieving the organization's goal of 100 percent hand hygiene compliance, the medical staff still lags behind other healthcare workers and employees in terms of overall compliance. Hospital-wide hand hygiene compliance has been sustained at more than 95 percent for the past 12 months, reaching a high of 97 percent in July and August at the medical center, according to the Epidemiology Department.

"We are pleased to see hand hygiene compliance steadily increasing across the organization as more and more staff members automatically incorporate washing their hands or using a hand sanitizer into their patient safety routine," said Rekha Murthy, MD, director of Hospital Epidemiology." But we can do better and, as physicians, we owe it to our patients to provide the safest healthcare environment possible."

Proper hand hygiene is particularly important in hospitals as it is considered the single most important measure to prevent infections and cross-transmission of bacteria and viruses at the point of care. As hand hygiene improves, the number of healthcare-acquired infections decline. For example, only five cases of bloodstream infections due to MRSA, a resistant form of staph infection, have been confirmed at Cedars-Sinai since March 2012. MRSA infections are traditionally associated with hospitals and other healthcare settings and are transmitted primarily by the hands of healthcare workers.

Hand hygiene compliance is measured at Cedars-Sinai by trained observers who routinely monitor whether staff members, including medical staff, clean their hands upon entering and exiting a patient's room. Anyone who fails to comply is given a reminder by the observer after he or she leaves the patient's room. Repeat offenders are subject to disciplinary action and required to attend Hand Hygiene School.

As part of Cedars-Sinai's "Zero" campaign to eliminate healthcare-acquired infections, patients, visitors and staff are reminded of the importance of proper hand hygiene throughout the medical center with messages posted on elevator doors, screensavers, digital monitors and even the hand sanitizer dispensers. In addition, members of medical staff leadership have been taking numerous steps in the past two years to improve hand hygiene compliance among physicians, including posting the names of repeat offenders at clinical department meetings.

(Pictured above): Glenn D. Braunstein, MD, vice president of Clinical Innovation, participated in one of dozens of hand hygiene screensavers featuring members of the medical staff. The screensavers, designed to promote physician hand hygiene compliance, were posted on all clinical workstations.

End-of-life expert to speak at Cedars-Sinai on Sept. 28

An expert who has created and studied videos to empower patients and families regarding end-of-life decisions will speak at the Department of Medicine grand rounds on Friday, Sept. 28, at 8:30 a.m. in Harvey Morse Auditorium.

Angelo Volandes, MD, MPH, an internal medicine physician in the Massachusetts General Hospital Department of Medicine and assistant professor of Medicine at Harvard Medical School, led research exploring the role of visual media in medical decision making.

His recent advance-care planning research was published in the Archives of Internal Medicine on April 23 in an article titled "Using Video Images of Dementia in Advance Care Planning." Volandes' study compared the preferences of patients who watched a video depiction of a patient with advanced-stage dementia, to those who received a verbal description dementia. Results show that the use of video engages and allows patients to envision future health states in a manner not captured with verbal communication, according to Massachusetts General.

Cedars-Sinai Applied Health Services Research will be partnering with Volandes to pilot a new end-of-life video created for surrogates of patients in the ICU, said Jonas Green, MD.

Buy an iced coffee, support ovarian cancer research

Stop by Los Angeles-area 7-Eleven stores through Sunday, Sept. 30, and support run for her® and ovarian cancer research at Cedars-Sinai.

Look for the special run for her canister at the register, plus select 7-Eleven stores will donate 100 percent of the funds from the sale of their $1 iced coffee to run for her.

Click here to see the participating locations.

The eighth annual run for her 5K run and friendship walk is Sunday, Nov. 11.

Click here to learn more about participating in run for her or sign up at www.runforher.com.

run for her 480w

MedExpo aimed at community physicians

Cedars-Sinai Health Associates members get 50 percent discount

Physician Sales & Services is hosting a medical expo focused on helping physicians increase revenue, decrease costs and work more efficiently. The expo is planned for Thursday, Oct. 11, at the SLS Hotel in Beverly Hills.

Seminars, some of which are eligible for continuing education credits, start at 8 a.m. and conclude at 4 p.m. Seminar topics include how to offer the kind of customer service that keeps clients coming back, how to improve the profitability of your practice, the how-tos of point-of-care testing, and how to maintain OSHA compliance. Lunch, which is served from noon to 1 p.m., is free. Cedars-Sinai Health Associates members are eligible for a 50 percent discount to any of the seminars. Registration is required for all seminars.

A product expo and reception will take place in the exhibition hall from 4 p.m. to 7 p.m. More than 40 vendors will be present. Food and drink will be served, and prizes given away.

Between 4 p.m.and 7 p.m., Cedars-Sinai Health Associates (CSHA) will be hosting a hospitality room for current and interested physician members. Physician leaders and management will be on hand to answer questions about topics like Medi-Medi, risk contracts and accountable care at Cedars-Sinai. CSHA also will have a table at the product expo to answer question about membership.

Register online at www.PSSMedExpo.com. On-site registration for the expo begins at 7:30 a.m. The SLS Hotel is at 465 S. La Cienega Blvd.

If you have any questions, please contact Nicole Haskell, manager of Physician Network Development, at haskelln@csmns.org.

Cedars-Sinai Health Associated MedExpo Announcement (PDF)

2012 MedExpo Brochure (PDF)

Annual Medical Student Reception set for Oct. 23

All medical staff members are invited to attend the annual Arthur I. Johnson, MD, Medical Student Reception on Tuesday, Oct. 23, from 6 to 8 p.m. in Harvey Morse Auditorium.

Each fall, Cedars-Sinai hosts this event to introduce students from local medical schools to the array of training opportunities at the medical center. Cedars-Sinai is committed to attracting a diverse group of medical trainees and all interested students are encouraged to attend this event.

The event includes dinner followed by a panel discussion of Cedars-Sinai's training opportunities, campus facilities and mission.

The annual reception is named after Johnson, a member of the medical staff for more than three decades who passed away in 2007. Johnson was the first physician in the history of Cedars-Sinai to hold all elected offices of the medical staff during his career, including two terms as Chief of Staff in 1998 and 1999.

Please RSVP by Oct. 15 by emailing david.allen@cshs.org or calling (310) 423-2126.

Medical Student Reception - Oct. 23 (PDF)

Protect patients from harm by getting a flu shot

You wouldn't knowingly harm a patient. Yet many physicians put patients at risk each year by not getting their flu vaccination.

A number of research studies have demonstrated a correlation between unvaccinated healthcare workers and an increase in influenza-related patient mortality rates. And even though many healthcare workers believe they are protected from the flu through infection control measures, such as hand washing, nearly one in four of them shows serologic evidence of flu exposure even during a mild flu season.

Be sure to protect yourself and our patients from getting the flu. Physicians can receive a free flu shot at the following flu clinics.

  • Sept. 28
    • HMCC-6 from 7:30 a.m. to 10 p.m.
  • Oct. 1
    • HMA lobby from 7:30 a.m. to 3 p.m.
    • HMCC-3 from 4 p.m. to 10 p.m.
  • Oct. 2
    • HMA lobby from 7:30 a.m. to 3 p.m.
    • Ray Charles Cafeteria Conference Room B from 4 p.m. to 10 p.m.
  • Oct. 3-5
    • HMA lobby from 7:30 a.m. to 3 p.m.
    • HMCC-3 from 4 p.m. to 10 p.m.

For more information, or to schedule an appointment for a flu vaccination, please call Employee Health Service at ext. 3-3322.

Pharmacists validating medication lists for high-risk patients

By Rita Shane, PharmD, FASHP, FCSHP
Director, Pharmacy Services

In order to ensure the accuracy of the patient's medication list and prevent drug-related problems across the transitions of care, pharmacists have been validating the "prior to admission" medication lists for high-risk patients.

Pharmacists interview the patient and contact the patient's pharmacy as well as the prescribing physician when necessary to resolve identified problems, update the prior to admission medication list and ensure that the inpatient medications ordered are correct.

For select patient populations, pharmacists also contact the patients post-discharge to ensure patients are taking their medications as prescribed and to resolve any identified medication problems.

Over the past nine months, these initiatives have resulted in the resolution of approximately 19,600 drug-related problems in more than 2,700 patients.

Breast cancer awareness events at Cedars-Sinai

Breast Cancer 140pxThroughout October, Cedars-Sinai will be hosting events to raise awareness about breast health. Please feel free to attend and share this information with your patients.

Register at www.cedars-sinai.edu/breastmonth.

Cancer, sexuality and intimacy: Breast cancer support group meets Wednesday, Oct. 3, from 11 a.m. to noon at 310 N. San Vicente Blvd., Third Floor

Cancer and relationships: Wednesday, Oct. 10, from 6:30-8 p.m. at 310 N. San Vicente Blvd., Third Floor

Spirituality and illness: Thursday, Oct. 11, from 6:30-7:30 p.m. at 310 N. San Vicente Blvd., Third Floor

Breast cancer support group: Wednesday, Oct. 17, from 11 a.m. to noon at 310 N. San Vicente Blvd., Third Floor

Restorative yoga: Thursday, Oct. 18, from 6:30-7:30 p.m. at 310 N. San Vicente Blvd., Third Floor

Wear Pink Day: Wear pink to support breast cancer awareness on Thursday, Oct. 24. A group photo is scheduled at 5 p.m. in Harvey Morse Auditorium.

Spirituality and cancer: Lecturer and author Marianne Williamson on Wednesday, Oct. 24, from 6:30-8 p.m. in Harvey Morse Auditorium

Coping with the fear of recurrence: Thursday, Oct. 25, from 6:30-8 p.m. at 310 N. San Vicente Blvd., Third Floor

Hormone therapy options: William Audeh, MD, is the featured speaker on Monday, Oct. 29, from 6:30-7:30 p.m. at 310 N. San Vicente Blvd., Third Floor

Click the link below to download a PDF with all the events.

Breast Cancer Awareness Month 2012 (PDF)