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https://d1y502jg6fpugt.cloudfront.net/13418/archive/files/2ad0f0043f62b9ef821079d487170fb0.pdf?Expires=1712793600&Signature=j5JFCsxnxDo7j%7EFkHabzIvX0PdVcHaANsUjB7H5U21wsi02zYFJcqwQF9jRnKCqcU7I8LH37UUtJW4TyI59XSDua2VqDvewgw3VR7p4NQSDJkrrX94q%7E%7EDPD6DpQGmvv-F3nDJUgerBgsbEpOmqtaehYA9xCgpSFMopHok0bL5-nJdRPQ-5lFdVYJBEqXd-3NvSGqUi89p9e73BLCSfqkCFn9xw6I1EI0Op2%7EsvOseT0R0KSCOypFdRPdM4vS729hDVNgePRS%7EPBRV6g-sQSR7KeFx-jsJJLJNBITAV8WLZ66cWPwW8z1ulYILEawyhKSC-%7En%7EozaAWi9JPifHlfPg__&Key-Pair-Id=K6UGZS9ZTDSZM
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Developing a Dynamic Postoperative Neurosurgical Triage System
The Problem
The Results/Progress to Date
An
increase
in
neurosurgical
and
high-‐risk
spine
volume
has
strained
the
resources
of
our
neurological
intensive
care
unit.
This
has
resulted
in
unplanned
admissions
to
other
critical
care
locations,
including
the
postoperative
anesthesia
care
unit
(designated
as
“neurosurgical
boarders”).
Data
supports
improved
outcome
when
such
patients
receive
the
specialized
care
provided
in
a
neurological
ICU.
Ø Collected
AIMS
Data
1/1/13-‐12/31/13
Ø Track
postop
destination
of
neurosurgical
patients
(in
progress)
Ø Correlate
data
since
implementation
(ongoing)
Aim/Goal
NEUROVASCULAR+
Ø Reduce
the
number
of
neurosurgical
boarders
by
designing
a
dynamic
system
to
effectively
triage
patients
between
levels
of
care
(Hospital
floor,
Step
down
Unit,
Neurosurgical
Intensive
Care
Unit)
FUNCTIONAL+
STEREOTACTIC+
SHUNTS/DRAINS+
TUMOR/CRANI+NOS+
EMERGENCY+
The Team
Dustin
Boone,
MD,
Anesthesiia
Brian
Ferla,
MD,
Anesthesia
Ron
Alterman,
MD,
Neurosurgery
Nicole
Catatao,
NP,
Neurosurgery
Suzanne
Joyner,
RN,
ICU
Patricia
Sorge,
RN,
ICU
N=#645#
Lessons Learned
Ø Resource
allocation
can
be
used
effectively
and
safely
to
triage
patients
who
undergo
neurosurgical
and
high-‐risk
spine
procedures.
The Interventions
Ø
Ø
Ø
Ø
Create
criteria
to
assist
with
triage
Daily
multidisciplinary
communication
Daily
pre-‐round
in
Neuro
ICU
to
identify
patients
who
can
be
discharged
Identify
patients
from
OR
who
would
need
admission
to
postoperative
Neuro
ICU
Next Steps/What Should Happen Next
Ø Expand
the
number
of
step-‐down
beds
Ø Continue
to
track
postoperative
critical
care
utilization
For more information, contact:
D. Boone, MD, BIDMC, Department of Anesthesia, Critical Care,
and Pain Medicine, mboone@bidmc.harvard.edu
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Dustin Boone (<a href="mailto:mboone@bidmc.harvard.edu">mboone@bidmc.harvard.edu</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Anesthesia
Neurosurgery
Nursing
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
Project Team
Dustin Boone<br />Brian Ferla<br />Ron Alterman<br />Nicole Catatao<br />Suzanne Joyner<br />Patricia Sorge
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Developing a Dynamic Postoperative Neurosurgical Triage System
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
Format
The file format, physical medium, or dimensions of the resource
pdf
Effectiveness
Efficiency