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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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