2016-2017 Resident Safety Council

Building a Better Discharge Committee. With a greater prevalence of chronic disease in our aging population and a healthcare system that is tasked with addressing an increasing number of social and economic issues that contribute towards one's health, the process of discharging a patient from the hospital has become increasingly complex. This complexity contributes towards a poorly standardized discharge process that allows for failures in communication between health providers and their patients. These failures collectively result in sub optimal hospital discharges that may increase a patient's risk for readmission, diminish patient and provider satisfaction, and create bed flow issues within a hospital. The "Building A Better Discharge" team aims to identify variability and inefficiencies within the discharge process that lead to these unwanted outcomes and to develop electronic medical record based interventions that can better orchestrate ideal and efficient hospital discharges.

• Joseph Hopkins, MD, Vice President, Quality & Effectiveness, Stanford Health Care
• Lisa Shieh, MD, Quality Medical Director, Graduate Medical Education

• David Crichton, Manager, Healthcare Quality Improvement/Quality Reporting, Stanford Health Care
• Margaret Smith, Performance Excellence, Stanford Health Care

• Justin Slade, MD, Internal Medicine Resident

• Marta Almli, MD, Internal Medicine Resident
• Leon Castaneda, MD, Internal Medicine Resident
• Julia Chang, MD, Internal Medicine Resident
• Michelle Chen, MD, Otolaryngology Resident
• Christina Klein, MD, Physical Medicine & Rehabilitation Resident
• Allison Kwong, MD, Gastroenterology Fellow
• Teresa Liu, MD, Internal Medicine Resident
• Gabrielle Paci, MD, Orthopedic Surgery Resident
• Alexandra Ruan, MD, Internal Medicine Resident
• Rebecca Tisdale, MD, Internal Medicine Resident
• Jingkun (Ginger) Yang, MD, Internal Medicine Resident

Breaking Down Barriers Obstructing Efficient and Timely MD to RN Communication Committee.  Through our group meetings, we discussed the difficulties MD's often find in contacting the appropriate RN in order to communicate important information about patient care. In particular, our residents stressed that communication can be often inefficient, as there are often several points of contact made before finding the "right" person. Through the use of surveys, focus groups, nurse shadowing and resident education, we plan on performing a root cause analysis in order to determine where we can intervene to reduce the number of steps required to make this contact and therefore enhance the efficiency of workflow for both the resident and RN. 

• Paul Maggio, MD, Associate Professor, Surgical Critical Care
• Lisa Shieh, MD, PhD, Quality Medical Director, Graduate Medical Education

• Amelia French, Performance Excellence, Stanford Health Care
• Eric Hadhazy, Manager, Quality & Clinical Effectiveness, Stanford Health Care

Kelly Fedoruk, MD, Obstetrics Anesthesia Fellow

• Peter Baumeister, MD, Emergency Medicine Resident
• William Dixon, MD, Emergency Medicine Resident
• Michael Genualdi, MD, Internal Medicine Resident
• Amandeep Godara, MD, Bone Marrow Transplant Fellow
• June Gordon, MD, Emergency Medicine Resident
• Ron Li, MD, Internal Medicine Resident
• Haley Manella, MD, Emergency Medicine Resident
• Rebecca Miller-Kulhmann, MD, Neurology Resident
• Ashrit Multani, MD, Infectious Diseases Fellow
• Adam Sang, MD, General Surgery Resident
• Hilary Hanbing Wang, MD, Internal Medicine Resident
• Libo Wang, MD, Internal Medicine Resident
• Jessica X. Yu, MD, Gastroenterology Fellow

Transfers of care are a frequent occurrence in Stanford Hospital and take many forms. One of the most prominent is from the emergency room to the hospital wards. These high-stakes transfers sometimes involve challenges with communication or transfer of critical information to the accepting medical team. Our committee is working on implementing a tool to facilitate improved communication and safer transfers from the emergency room.

• Charles Liao, MD, Clinical Assistant Professor, General Medical Disciplines
• Mitesh Rao, MD, Patient Safety Officer, Stanford Health Care

• David Crichton, Manager, Healthcare Quality Improvement/Quality Reporting, Stanford Health Care
• Sylvie Becker, Performance Excellence, Stanford Health Care

• Ilana Yurkiewicz, MD, Internal Medicine Resident

• Katie Doering, MD, Emergency Medicine Fellow
• Kathleen Xiaolin Jia, MD, Internal Medicine Resident
• Xiaolin Jia, MD, Internal Medicine Resident
• Silvia Loica-Mersa, MD, Internal Medicine Resident
• Anisha Mazloom, MD, Pediatrics Resident
• Z. Jason Qian, MD, Otolaryngology Resident
• Josi Schwan, MD, Anesthesia Resident
• Arpeet Shah, MD, Internal Medicine Resident
• William Shomali, MD, Hematology Fellow
• Chris Winstead-Derlega, MD, Emergency Medicine Resident
• Michael Zhang, MD, Neurosurgery Resident