Cedars-Sinai Medical Center

medical staff pulse newsletter

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Heparin Therapy: Change in PTT Goal Ranges

Pharmacy Focus

The laboratory has changed reagent for the aPTT and PT/INR. There is no impact on the PT/INR values. However, the therapeutic aPTT ranges changed starting Feb. 22.

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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 - February 2013 (PDF)

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 - March 2013 (PDF)

Share Your News

Won any awards or had an article accepted for publication? Share your news about professional achievements and other items of interest.

Click here to share your news

Physicians Get Message about Performance Improvement

Christopher Ng, MD, and Francesca Aster, RN-BC, BSN, GRN, look over a My Road to Wellness patient care board.

Everyone has a part to play when it comes to maintaining the highest possible levels of safety for Cedars-Sinai’s patients. Sometimes that’s as simple as an encouraging word from physician to patient, reminding them to ask for help when they need it.

This was the message the medical center's Performance Improvement staff brought this week to a physician-focused campaign on the Physician Mezzanine Level. Each day, physicians entering and leaving the medical center were met by team members who spoke with them about preventing falls, managing pain, decreasing readmission rates and reducing hospital-acquired infections.

"This is one place we knew we'd get a lot of physician traction," Neema Shah, said Cedars-Sinai's Performance Improvement facilitator. "Our goal is to simply remind them about the importance of patient safety."

At Monday’s event, the team gave doctors yellow wristbands to remind them to encourage patients who pose a fall risk to ask for help before getting out of bed. At-risk patients at the medical center are identified with yellow wristbands and socks as a way to alert medical staff, Shah said. Nearly half of all falls at Cedars-Sinai occur in bathrooms because patients get out of bed unassisted when they shouldn't.

"We want to make this part of our culture, much like we've done with hand hygiene," said Richard Riggs, MD, chair of the Department of Physical Medicine and Rehabilitation, who helped deliver Monday morning's message on fall prevention. "We want this to become second nature for our physicians, having this discussion with their patients."

The campaign, which ran from 6:30 to 9 a.m, involved a different topic each day.

On Tuesday, physicians were asked to speak with their patients and set realistic expectations for pain management, and to utilize the new patient care boards to graph their patients’ pain levels. Physicians also were reminded of alternative measures at Cedars-Sinai for pain management, such as spiritual care, pet therapy and Music for Healing. A dog from the POOCH program was on hand, and a singer performed popular tunes during the event.

On Wednesday, physicians were provided information to help reduce readmissions. The message included the importance of thorough post-discharge evaluations, discussing with patients the options of enhanced home health, skilled nursing and hospice care, and assuring that patients meet with their physicians within five days after discharge. Physicians were encouraged to use the My Road to Wellness board (pictured above) to talk to patients about discharge education.

Thursday's focus shifted to reducing hospital-acquired infections by following proper hand hygiene, ordering certain patient tests when diarrhea is noted, maintaining proper care of central lines, administering antibiotics before surgical incisions and redosing for procedures lasting longer than three hours. Tips for preventing central line-associated blood stream infections also were discussed.

Many physicians were quick to point out how clean their hands were at yesterday's event.

"There is so much Purell on these hands that they are going to fall off," exclaimed one attending physician as he rushed to his car.