The Endoscopy GI Techs have a longstanding history of providing high quality care and maintenance of endoscopes as measured by low repair costs and the absence of infections transmitted to our patients.  We currently have approximately 15 GI techs who reprocess scopes at all three campuses during business hours.  As a result of the CRE outbreak at UCLA, we have expanded the responsibilities of the gi techs to provide 24/7 coverage at all three campuses to ensure the same standard of care is practiced around the clock.

1. Project Title

 Optimize AP Portable CXR Stewardship

2. Background & significance of target area

Over the past few years, we have had a movement in critical care to reduce unnecessary anterior-posterior (AP) portable chest x-rays (CXRs), but our system has not caught up to our intention.

Unlike other procedures, colonoscopies require patient participation to clean the colon and poor  prep means repeat procedures, repeat sedation and missed polyps.

1.Title:  Reduction of falls in the inpatient setting via evidence-based decisions: An interprofessional, quality improvement and patient safety initiative.

2. Background/Significance of target area

Daily weights on the cardiology service are sometimes incongruent with patient intake/output (I/Os) or physical exam which leads to confusion in clinical decision making. Several factors have been identified by nursing, patient care assistants and housestaff that might lead to inaccurate reporting of daily weights. Targeting these to improve reliability of daily weights should optimize inpatient diuresis (particularly in cases of unreliable I/Os and difficult physical exams) leading to reduced incidence of under and over-diuresis. Downstream this could potentially impact length of stay as well as readmission for heart failure patients and thus result in cost savings for patients and for UCSF.

Background and Significance of Target Area

Background and significance of target area

NOTE:  We have submitted two inpatient diabetes proposals.  While each can be looked at independently, we believe both can be implemented concurrently.

Background and Significance:

NOTE:  We have submitted two inpatient diabetes proposals.  While each can be looked at independently, we believe both can be implemented concurrently.

Background and Significance: