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Extraordinary People |
Achieving Competency Today builds improvement science skills
Achieving Competency Today (ACT): Issues in Health Care Quality, Cost, Systems, and Safety, held its winter graduation April 4 at the John H. Ammon Medical Education Center.
 ACT — one of Christiana Care’s improvement science courses sponsored by the Institute for Learning, Leadership and Develop- ment (iLead) — is targeted to resident physicians, nurses and other health professionals and staff.
Participating in the course for the first time were members of the nurse practitioner residency program and psychology interns.
Lisa Maxwell, M.D., MHCDS, associate chief learning officer and designated institutional official (DIO) for the residency programs, congratulated the interprofessional ACT teams for exemplifying Christiana Care's core value of serving together through their sys- tematic, interprofessional team approach to problem solving.
“Frontline care team members and staff are key to identifying and creating novel solutions to the issues which impact our ability to ef- fectively and efficiently meet the needs of our patients and commu-
nity,” Dr. Maxwell said. “Those of you who are participating in this course are learning valuable skills that those of us who have been in practice for a while have needed to return to school or continu- ing education programs to obtain.”
She praised the course participants for their efforts to achieve the Quadruple Aim: Better care for individuals, better health for popu- lations, lower per capita costs, and enhanced provider well-being.
“The knowledge and skills you have developed in this course will serve you well in your careers and in ways that you may not yet fully appreciate. As one of our guest speakers at our recent Provider Wellness session noted, improvement capability and enhanced clinician wellbeing begins by noticing ‘the pebble in your shoe’, and fixing that before it creates bigger issues that cause harm. That is what you are doing in this course.” 
 Needlestick Exposure: Getting to the Point
This team sought to increase knowledge of the necessary actions following a needlestick exposure for PGY-1 residents by 25 percent over a two-week period. The team worked with key stakeholders
in the system including Infection Prevention and Employee Health Services to align their efforts with those already under way, and tested visual reminders of individual reference cards and posters coupled
with in-person and Facetime education about the preferred steps to take should a needlestick occur. For residents completing a pre- and post-intervention survey, percentage of responses indicating a preferred step post-exposure went from 41 percent to 88 percent. Recommendations for path forward included presenting what to do post-needlestick injury in the instructor-led sessions at new resident orientation.
Front Row, Vali Kondos, D.O. Internal Medicine-Pediatrics PGY-2; Ugo Amadi, M.D. Internal Medicine PGY-2;, Audrey Spencer, M.D. General Surgery PGY-3; Devin McKelvey, D.O. Internal Medicine, PGY-2. Back Row, Jennifer Marschalok, BSN, RN II, BC, 5A Christiana Hosital; Peter Lodato, MPH, Patient Safety and Accreditation; Victoria Shertel, D.O., Family Medicine, PGY-2; Robert DeGrazia Jr., M.D. Internal Medicine PGY-2.
   ACT team projects

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