Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
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In Neurosurgical Patients What is the Effect of Early Ambulation and Mobilzation on a Reduction of Hospital Acquired Pressure Injuries?
Brain Lab: Digital Operating Room
Brain Lab is a comprehensive digital OR solution designed to enhance surgical workflows through integration, documentation, communication, and surgical planning. Its advanced toolset, with a modular design, gathers, manages, and displays relevant data across various surgical settings. By using advanced DICOM technology, it allows for pre-surgical planning and image manipulation, integrates with SIS scheduling for preloading images, and offers patient ambiance settings to keep patients calm as they enter the OR. The system also supports recording and screen capture from multiple sources, including in-field cameras. Long-term, Brain Lab improves surgical efficiency by consolidating all imaging data in one place, enhances the surgeon\u27s experience with dynamic image allocation across six monitors, and fosters stronger collaboration through integrated video conferencing between ORs
Using Transport Tracking to Monitor Your Patients Status
Patient care services often experience delays due to a lack of visibility into patient transport status. Currently, the TeleTracking system displays transport status as PENDING (red), DISPATCHED (pink), DELAY/DISPATCHED (orange), IN PROGRESS (yellow), DELAY/IN PROGRESS (green), and COMPLETE. However, staff may be unaware of how to utilize this system effectively. To improve communication and reduce delays, staff from patient units and testing sites will be educated on how to monitor TeleTracking and proactively prepare patients for transport when a PENDING or DISPATCHED status is observed. By monitoring these statuses, staff can anticipate transport arrival, leading to reduced delays, decreased stress, more efficient turnaround times, and improved patient throughput. Progress will be tracked and shared with units to demonstrate the impact of this initiative
STRUCTURAL AND FUNCTIONAL MAGNETIC RESONANCE IMAGING INVESTIGATION OF THE PARKINSON’S DISEASE-RELATED PATTERN
Call Don’t Fall
To address the high incidence of falls among alert and oriented patients on 3DSU, who may overestimate their abilities, the Call Don\u27t Fall initiative was implemented. Of the 11 falls in 2024, 7 involved alert and oriented patients, highlighting this population\u27s vulnerability. This initiative utilizes a patient agreement to educate individuals about their unique fall risks, increasing compliance with safety protocols. It also incorporates time outs to review prescribed activity levels, fall risks related to health conditions and medications, and hourly rounding education. The program\u27s effectiveness in reducing falls among this specific patient group will be monitored over six months, with the goal of zero falls. If successful, the Call Don\u27t Fall initiative will be integrated into the 3DSU admission process and shared system-wide
Enhancing Interdisciplinary Collaboration: Education and Support for Interventional Radiology Nurses in Moderate Sedation Procedures
In the past, anesthesiologists managed sedation for interventional radiology (IR) procedures, but the transition to nursing-administered moderate sedation has enhanced patient care quality and safety. To evaluate whether varied educational methods increase IR nurses\u27 comfort and improve patient outcomes, an interdisciplinary departmental protocol was developed with contributions from nursing, physician, and anesthesia leadership. IR nurses received extensive training, including certification through an online module and an accompanying one-page guide on conscious sedation policies, documentation, patient safety, and medications. Regular mock codes were scheduled with the entire interdisciplinary team to practice skills. The “Conscious Sedation Clinical Skills Self Efficacy Scale,” which assesses nurses’ confidence in their abilities and team dynamics, was administered before and after educational interventions. Data from 2022 and 2023 showed a notable increase in moderate sedation cases, reflecting the successful implementation of this protocol and training initiatives
Noise Matters: Enhancing Patient Recovery through Sound Management in the PACU
Excessive noise in the Post Anesthesia Care Unit (PACU) negatively impacts patient recovery, increasing anxiety, pain, and recovery times (Sarkar et al., 2021). Following low patient satisfaction scores regarding noise levels in the PACU from the 2023 Press Ganey survey, a quality improvement project was initiated to create a culture of noise awareness. From August 2023 to May 2024, noise levels were measured using a decimeter during peak noise times (2100, 0030, 0330, and 0700), targeting the World Health Organization\u27s recommended 40 dB limit for hospitals (WHO, 2020). Implementation of comfort kits containing chimes, combined with targeted noise reduction strategies, significantly reduced PACU noise levels, promoting a more restful healing environment. Ongoing monitoring, staff training, and patient feedback will ensure the sustainability of these improvements