Local Initiatives

This session explores three local projects: one each from St. Louis Children's Hospital, Barnes-Jewish Hospital and Washington University School of Medicine.

Chapters (Click to go to chapter start)

Collaboration is Key: Interprofessional Leader Rounding and Preventable Harm Huddles to Reduce Primary Central-Line-Associated Bloodstream Infections
Central-Line-Associated Bloodstream Infections (CLABSIs) pose a significant risk to patient safety and can result in prolonged hospitalization, ICU admissions and death. This known complication has been a focus of Solutions for Patient Safety, a national organization that provides guidance on maintenance bundles and behaviors to support CLABSI reduction; however, these interventions have been insufficient to eliminate preventable harm, particularly in high-risk patient populations. Innovative interventions by the Hematology/Oncology Division at St. Louis Children’s Hospital, in conjunction with the SPS guidelines, led to an unprecedented 542 days without a primary CLABSI in this patient population. Presented by Dr. Daniel Willis and Meagan McCaughey. 

Impacts of a Pharmacy-Led Transitions-of-Care Service at an Academic Medical Center
This presentation discusses a pharmacy pilot project to improve transitions-of-care for inpatient general medicine and cardiology patients at an academic medical center and discuss current state of the pharmacist-led transitions-of-care work at the hospital. Presented by Dr. Mandy Tedder.

Surgical Prehabilitation and Readiness: Healthy Ways for Shorter Stays
Surgical patients are older with more comorbidities than they were a decade ago, and this trend is expected to continue in the future. The preoperative period is increasingly being recognized as an important target for interventions that improve postoperative patient outcomes. A preoperative multidisciplinary program -- Surgical Prehabilitation and Readiness (SPAR) – reduces postoperative length of stay, need for discharge to a post-acute care facility and 30-day mortality in high-risk surgical patients. Presented by Melanie Koenen. 

Related Presenters

Daniel Willis, MD, MPHS.

Daniel Willis, MD, MPHS

Assistant Professor, Division of Pediatric Hematology/Oncology
Washington University School of Medicine

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Meagan McCaughey, MSN, RN, CPN.

Meagan McCaughey, MSN, RN, CPN

Patient Safety/Quality Improvement Specialist
St. Louis Children’s Hospital

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Mandy Tedder, PharmD, BCPS.

Mandy Tedder, PharmD, BCPS

Clinical Pharmacy Specialist
Barnes-Jewish Hospital

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Melanie Koenen, BSN, RN, CMSRN.

Melanie Koenen, BSN, RN, CMSRN

SPAR Nurse Coordinator
Patient Safety & Quality Improvement
Washington University School of Medicine

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