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Hadassah Center for Clinical Quality & Safety
Completed Projects:
(English Abstracts)
For full text see: Theses
(Hebrew only)
Emergency Room:

Use of simple guidelines to reduce need for X-rays in ankle injuries
Implementation of Ottawa Ankle Rules to exclude fractures of the ankle and mid-foot: Is it possible to reduce the rate of unnecessary radiographs?
Impact of medical interpretors on understanding and satisfaction of non-Hebrew speaking Arab families in the pediatric emergency room at Hadassah Mt. Scopus
The Effect Of Physicians' Exposure To Price Information On The Count Of Diagnostic Tests In The Emergency Department
Instructions for Discharged Patients from the ER After Minor Head Injury
Primary management of clinical scenarios in the ER
Why do patients leave the emergency room against medical advice?
Departments of Medicine:

Palliative care in General Internal Medicine
Comparison of cardiac units (Ein Kerem & Mt. Scopus) in the management of myocardial infarction
Feasibility of a Protocol For Improved Glycemic Control in Cardiothoracic ICU
Reduction of medication errors in a department of medicine
Improved glucose control for hospitalized patients with diabetes
Medical clowns in the Pediatric Division
A need for a palliative care program among hospitalized patients in the departments of internal medicine
Is Weaning from Mechanical Ventilation in Non-ICU Admission Wards Optimal Under Existing Circumstances?
Participation of the patient's family members in the internal medicine
Intensive Care

Several comparative surveys shed some light on the quality of intensive care at Hadassah as compared to other Israeli and U.S. hospitals:
· Quality of Treatment of the Trauma Patient: A comparative study of the trauma data of Hadassah Ein-Kerem and 51 trauma level I hospitals in the USA.
· Quality of Neonatal Intensive Care at Hadassah: A comparative study of the data of Hadassah Mt Scopus and other hospitals in Israel.
· Quality of adult intensive care at Hadassah: A study comparing Hadassah and other hospitals in Israel.
Surgery:

Use of prophylaxis for post-operative venous thrombo-embolism in neurosurgery
Quality of the informed consent before surgery in General Surgery
Use of peri-operative beta-blockers prophylaxis for myocardial infarction
Surveillance of peri-operative antibiotic prophylaxis
Time-out for error prevention in operating theater
Evaluation of the efficacy of an antibiotic-impregnated ventriculostomy
The effect of the socioeconomic status on the preoperative clinical state and on the postoperative prognosis after cardiac surgery
Evaluation of continuity of care between hospital and community for preventive anticoagulation after lower limb arthroplasties
QOC in penetrating keratoplasty procedures
Quality of elective inguinal hernia repair
Patient Satisfaction with Breast Reconstruction
Quality of Care in Tonsillectomies
Evaluation of the Quality of Care in LASIK Refractive Surgery
Surgical site infection rates and post-discharge surveillance in the department of general surgery
Surgical site infection rates and post-discharge surveillance in the department of general surgery
Prevention of Surgical Site Infections in Patients After General & Cardio-thoracic Surgery
Osteoporosis
Brochures:
English:
Hebrew:

Obstetrics & Gynecology:

Vaginal Delivery or Elective Cesarean Section
Evaluation of an Intervention for Reducing Latex Anaphylaxis during Cesarean Sections
Radiology:

Reliability of X-ray interpretations by junior physicians
The potential role of Xray technicians and mobile radiography equipment in the transmission of multi-resistant drug resistant bacteria in the ICU
Cross-institutional/systemic Projects:

Improved information transfer of pathological reports
Use of peri-operative beta-blockers prophylaxis for myocardial infarction
Surveillance of peri-operative antibiotic prophylaxis
Improved instructions, including options for self-monitoring and self-management, for patients being discharged on oral anticoagulation
Safety of medications storage in wards
Quality of communication between hospital and family physicians
Reduction of medication errors in a department of Medicine
Improved glucose control for hospitalized patients with diabetes
Hand Hygiene Among Doctors at Hadassah
Implementation of New Guidelines for Prophylaxis of Postpartum Venous Thromboembolism
Survey of Perceived Needs Between Hadassah Hospital and Family Physicians
End of Life Decision-Making
Integrity During Medical Studies
Effect of an Intervention on Rate of Central Vascular Catheter-Related Bloodstream Infection
Evaluation of communication parameters important for clinical quality & safety among medical teams at Hadassah
Are coronary heart disease risk calculators offered by the drug industry systematically biased?
Medication Reconciliation
Patient safety during transport from the ER to Radiology
Ventilator-Associated Pneumonia at Hadassah: A Preventable Complication?
Medical Staff Knowledge Regarding In-patient Falls
Ventilator Associated Pneumonia at Hadassah
Nosocomial infection control and staff's sense of personal responsibility
Projects involving quality outside Hadassah, health promotion, decision analysis:

Filling out donations cards and attitudes towards organ donation
Can we improve the compliance to prevention treatment after a wrist fracture?
An Economic Evaluation of Physical Activity and Implications for its Promotion (full thesis)
Quality of Care in the Sleep Disturbance Clinic of Hadassah Optimal: Before and After Quality Improvement Intervention (full thesis)
Community-focused

Recently, the Center initiated a number of projects for healthcare promotion and education in the community-at-large:
· Improved patient instructions at discharge after hip or forearm fractures
· Electronic reminders for preventive care in primary care clinics
· Public expectation from physicians during visits in primary care clinics
· Smoking and physical exercise among medical students
· Promotion of physical activity at the national level


Earliest Projects
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