Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
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Improving Door Times During a Code Stroke in the Emergency Department
North Shore University Hospital, a highly accredited stroke center, initiated a quality improvement project to reduce Door-to-CT and Door-to-Needle times for acute stroke patients arriving in the Emergency Department. Recognizing a need for improved efficiency and accountability, the team installed visual timers in ED CT scan rooms, activated during Code Stroke to serve as a real-time guide for the multidisciplinary team. This low-cost intervention, supported by staff education and daily compliance tracking, led to significant improvements from Q1 to Q2 2025: Door-to-MD decreased from 7 to 5 minutes, Door-to-Brain Image initiated from 25 to 20 minutes, and median Door-to-Needle time improved from 43.5 to 35 minutes, alongside increased documentation compliance. The project demonstrates how a simple visual aid can enhance communication, situational awareness, and ultimately optimize time-critical stroke care
Decreasing Hospital Onset C. diff Infections (CDI) and Testing in a Large Quaternary Care Setting
North Shore University Hospital implemented a multi-pronged initiative to reduce Hospital-Onset C. diff Infections (CDI) and unnecessary testing. The C. diff Initiative Team (Infection Prevention, Infectious Disease, and Lab) proactively reviews C. diff orders and specimens against NSUH guidelines, contacting providers to discontinue unwarranted tests and holding weekend specimens for review. This strategy has resulted in a sustainable decrease in HO CDI
Protected Sleep Time: Improving Restfulness on Inpatient Surgical Units
Recognizing that frequent nighttime disruptions hinder patient recovery and satisfaction on inpatient Med/Surg units, a Protected Sleep Time initiative was launched on 9 Monti. Building upon existing Quiet Hours, the aim is to enhance restfulness, shorten hospital stays, and improve patient experience. The plan involves ACPs establishing criteria for eligible patients, with EMR orders placed to modify care (e.g., Q8hr vitals, blood work no earlier than 5 am) while maintaining safety checks. Implementation includes informing patients, providing sleep care packages, and keeping staff aware. Effectiveness will be monitored through audits and post-discharge surveys to assess improvements in restfulness and patient satisfaction
Mediports & Patient Experience
The Interventional Radiology Unit experienced declining patient satisfaction in discharge and communication, particularly among mediport placement patients. To address this, an initiative targeted outpatient mediport recipients, aiming to improve education on procedures, discharge expectations, and post-procedure signs/symptoms, with a goal of boosting satisfaction scores by 5 points by October 2025. The primary intervention involved creating and distributing Chest Port Placement cards, supported by training for Peri-Op and PACU nurses. However, initial post-implementation data (July-August 2025) showed no improvement in patient experience scores. Future plans include continuing card distribution, incorporating the teach-back method, and developing a specific outpatient survey to better identify dissatisfaction causes and guide subsequent interventions
Implementation of a Guidelines-Based Lipid Reporting and Rates of Lipid Lowering Therapy Prescription
Reducing Hospital Admission Wait Times from Emergency Department to Pediatric Inpatient at an Urban Medical Center
Barriers, Awareness, & Provider Influence on Preventative Health Screening Among Women at PBMC
Pulmonary Alveolar Proteinosis After Silica Exposure: A Case Report
PostGraduate Assembly in Anesthesiology (PGA) 2024 in NY, N
Left Atrial Cardiac Sarcoma -Unusual Presentation and Intraoperative Management
Presented at the American Society of Anesthesiology 2024 Annual Meeting in Philadelphia, P