The CDC recommends vaccination against human papillomavirus (HPV) routinely for adolescents aged 11 through adults aged 26 year olds. It also recommends vaccination for adults ages 27-45 based on a shared decision-making conversation. HPV vaccines prevent certain types of cancers caused by HPV, including: cervical, vaginal, and vulvar cancers in women penile cancer in men anal
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Use clinical judgment or an existing risk stratification system, such as MEWS or PEWS, to identify patients who may benefit from more or less monitoring. Forgo overnight vital sign checks for low-risk patients. Check overnight vitals for low-risk patients at 10 pm and 6 am. Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204996/
Dr. Gates and Dr. Astik are the physician leads for a project aimed at improving wound recognition, prevention and documentation. Please see the one-page informational sheet and word document for key background information and the updated process for all wounds. This initiative will be piloted on the medical floors and MICU, with increased Wound, Ostomy,
FY23_CR_AQSI_App_Details On behalf of Dr. Abra Fant and Dr. Kevin O’Leary we are excited to announce that Central Region AQSI applications are open (see attached flyer). Project applications are due on June 17th, 2022. The attached PDF has additional program details. Please forward this message to any colleagues that would be interested, or to anyone you feel would be great for the program. If you are interested in applying
Cellulitis-Image-Capture (1) Some of our hospital medicine faculty have been working on a system-wide PI project to standardize inpatient care for cellulitis, with the goal of reducing hospital length of stay. The key intervention for this project is a new Storyboard alert in Epic to remind physicians to upload a clinical image through Haiku or
Hello team! As part of the AQSI Central program last year, our project called Leggo My Echo had the goal to reduce the overuse of inpatient echos (TTE’s) for low-risk, non-cardiac syncope. Mike Jiang and Pamela Wax helped develop this initiative under the leadership of David Goese, one of the hospital medicine attendings here at NMH.
As you probably noticed, there have been multiple emails about the national blood collection tube shortage. What has led to this shortage? The pandemic not only increased demand for blood draws but also impacted national supply chains. The current national shortages are listed below. Increasing inventory supply will take time, and the best way for
Are you confused about how much fluid to give for a new pancreatitis diagnosis or if you really need that CT scan to confirm the diagnosis? Well, good news; Dr. Keswani and a multidisciplinary committee have developed an updated evidence-based order set for acute pancreatitis management in Epic. I have addressed four common topics and
Hey Team! If you’re a current PGY2 or PGY3, consider joining a QI subcommittee! Whether it’s gaining a deeper understanding of a subspecialty you’re interested in or getting a unique perspective on hospital leadership and operations, the QI subcommittees are a low-stress and valuable way to learn and get involved. See here for a list