BACKGROUND: We implemented a previously described barcode-based drug safety system in all of our anesthetizing locations. Providers were instructed to scan the barcode on syringes using our Anesthesia Information Management System before drug administration, but the rate of provider adherence was low. We studied an implementation intervention intended to increase the rate of scanning. METHODS: Using our Anesthesia Information Management System and Smart Anesthesia Manager software, we quantified syringe drug administrations by anesthesia providers with and without barcode scanning. We use an anesthesia team model in which an attending anesthesiologist is paired with a certified registered nurse anesthetist (CRNA) or a resident. Our system identified the pair of providers associated with a particular drug administration, but did not distinguish which providers actually administered the drug. Therefore, the rate of barcode scanning for a particular case was assigned to both providers equally. A baseline rate of scanning was established over a period of 17 months. An audit and feedback intervention was then performed that consisted of monthly performance reports sent by email to individual providers along with coffee gift card awards for top performers. The coffee gift cards were awarded in only the first 2 months of the intervention, while the email performance reports continued on a monthly basis. The coffee card awards were made public. The monthly emails reported the individual provider's rank order of performance relative to other providers, but was otherwise anonymous. The baseline rate of scanning was compared to the rate of scanning after the intervention for a period of 7 months. RESULTS: From November 2014 to March 2017, we accumulated 60,197 cases performed by 88 attending anesthesiologists, 65 CRNAs, and 148 residents. The total number of syringe drug administrations was 653,355. Average scanning performance improved from 8.7% of syringe barcodes scanned during the baseline period from November 2014 to February 2016 to 64.4% scanned during the period September 2016 to March 2017 (P
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Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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- Testicular adrenal rest tumour in an adult patient...
- Cholecystocolonic fistula with a giant colonic gal...
- Tracheopleural fistula after thoracoscopic esophag...
- A giant duodenal diverticulum causing Lemmel syndrome
- Oral immunotherapy with the ingestion of house dus...
- A Novel Grading System for Salpingopharyngeal Fold...
- The relationship between seizure in electroconvuls...
- A Novel Grading System for Salpingopharyngeal Fold...
- Diagnostic and Prognostic Relevance of Red Blood C...
- Circulating Epithelial Cell Characterization and C...
- Do High Levels of Antibodies to the IGF-1 Receptor...
- Thyroid Cancers with Nodules of Indeterminate Cyto...
- Persistent Disease is 3.5-Fold More Common Than Re...
- Integrated Cervical Ultrasound by the Same Special...
- Male Sex Is Associated with Increased Mortality fr...
- Radioactive Iodine Therapy Is Associated with Clon...
- Varying Levothyroxine Doses Within or Near the Ref...
- Thermal Inkjet Printing of Combination Synthetic L...
- Levothyroxine Replacement for Primary Hypothyroidi...
- Benign Nodules Show Little Change in Sonographic A...
- Low Maternal Iodine Availability During Pregnancy ...
- Paul Walfish—In Memoriam
- The connection of pollen concentrations and crowd-...
- A treatise on topical corticosteroids in dermatolo...
- Histoid leprosy presenting with figurate lesions: ...
- N-acetylcysteine in dermatology
- Differential expression of capecitabine-induced ha...
- 18F-fluorodeoxyglucose positron emission tomograph...
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- A study of prevalence of autoantibodies in patient...
- Medical journalism and social media: A boon and a ...
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- Dermatoscopy of multiple piloleiomyomas with disse...
- A prospective study of the epidemiological and cli...
- Congenital alopecia of eyebrow
- Acral angioosteoma cutis: A rare case
- Transepidermal elimination: Historical evolution, ...
- Bilateral “turkey ear” as a cutaneous manifestatio...
- Reversible twisted and rolled hairs due to manual ...
- Revisiting the role of the slit-skin smear in the ...
- Adverse cutaneous events after laser epilation in ...
- Study of the relation between two common cyclooxyg...
- Docetaxel induced pellagroid dematitis
- Adenocarcinoma de Saco Endolinfático
- Increasing Frequency and Share of Dermatologic Pro...
- Methotrexate polyglutamate levels and co-distribut...
- Awakening the “guardian of genome”: reactivation o...
- Long-term endothelial dysfunction in irradiated ve...
- Trefoil factor family 2 protein: a potential immun...
- Influence of static forces on the expression of se...
- Strategies to reduce readmissions for hyponatremia...
- Psychiatric disorders in women with polycystic ova...
- New modified Friedewald formulae for estimating lo...
- Primary hyperparathyroidism in prostate cancer: gu...
- The association of smoking and risk of diabetic re...
- Cabergoline for the treatment of bromocriptine-res...
- Predictors of surgical outcome and early criteria ...
- Efficacy and safety of long-acting pasireotide in ...
- Brown Adipose Tissue (BAT) detection by 18 F-FDG P...
- A novel nonsense EIF1AX mutation identified in a t...
- Insights on the phenotypic heterogenity of 11β-hyd...
- Effect of timing of levothyroxine administration o...
- Temporal relationship of sleep apnea and acromegal...
- Melatonin treatment suppresses appetite genes and ...
- Strategies to reduce readmissions for hyponatremia...
- Psychiatric disorders in women with polycystic ova...
- New modified Friedewald formulae for estimating lo...
- Primary hyperparathyroidism in prostate cancer: gu...
- The association of smoking and risk of diabetic re...
- Cabergoline for the treatment of bromocriptine-res...
- Predictors of surgical outcome and early criteria ...
- Efficacy and safety of long-acting pasireotide in ...
- Brown Adipose Tissue (BAT) detection by 18 F-FDG P...
- A novel nonsense EIF1AX mutation identified in a t...
- Insights on the phenotypic heterogenity of 11β-hyd...
- Effect of timing of levothyroxine administration o...
- Temporal relationship of sleep apnea and acromegal...
- Melatonin treatment suppresses appetite genes and ...
- Cortical Balance Between ON and OFF Visual Respons...
- Chirurgische Therapie im Stadium I und II des nich...
- Lebensqualität und Depression bei Hörminderung
- Recovery of positional nystagmus after benign paro...
- Prevention of Dermatitis in Epoxy Exposed Workers
- Effects of Mobilization and Perceptive Rehabilitat...
- Prevention of Dermatitis in Epoxy Exposed Workers
- Effects of Mobilization and Perceptive Rehabilitat...
- Anti-Müllerian hormone serum levels in systemic lu...
- Anti-Müllerian hormone serum levels in systemic lu...
- Maternal estradiol and progesterone concentrations...
- Comparison of diagnostic effects of infrared imagi...
- Systematic analysis of parameters predicting patho...
- Japanese familial anetoderma: A report of two case...
- Extracellular proteoglycan decorin maintains human...
- Cutaneous phaeohyphomycosis caused by Microsphaero...
- Indeterminate dendritic cell neoplasm accompanied ...
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