Quality Improvement Projects


2019-2020 Projects

  • Enhancing Fellow knowledge of catheterization laboratory workflow
  • Reducing overuse of inpatient telemetry
  • Efficiency improvements to stress echocardiography
  • Reducing waste in outpatient clinic workflows
  • Improving patient experience with informed consent
  • Addressing contrast nephropathy due to coronary angiography

2018-2019 Projects

  • Enhancements to a post-MI early follow-up clinic
  • Improved adherence to LifeVest usage
  • Reducing low-value echocardiograms through menu redesign
  • Improving efficiency of elective admission for rhythm drug loading
  • An outpatient infusion center for acute decompensated CHF
  • Standardizing care of mechanical circulatory support devices

2017-2018 Projects

  • Reducing overuse of telemetry
  • Ordering menu redesign to improve appropriateness of noninvasive cardiac tests
  • Reduced radiation exposure for operators with new catheterization laboratory equipment
  • Educating psychiatry trainees and faculty on assessment for QT prolongation
  • Cardiogenic Shock Team

2016-2017 Projects

  • Improved recording of complications from cardiac catheterization procedures
  • Implementation of a risk assessment tool for contrast induced nephropathy in the cath lab
  • Reducing overuse of telemetry
  • Reducing overuse of unnecessary echocardiography (manuscript under review)
  • Standardizing IABP removal in the CCU
  • Improve patient awareness of periprocedural anticoagulation management for cardiac device implantation
  • Increasing statin use among patients with elevated calcium scores
  • Reduced NPO times prior to cardiac catheterization
  • Standardization of CT and Nuclear reporting
  • Stress first MPI protocol to reduce time and radiation (manuscript under review)

2015-2016 Projects

  • Same-day discharge after elective percutaneous coronary intervention
  • Improved recording of complications from cardiac catheterization procedures
  • Reduced preoperative cardiac consultations
  • Reducing unnecessarily repeated limited echo on inpatients
  • Implementation of a risk assessment tool for contrast induced nephropathy in the cath lab
  • Assessment of interpretation of common electrocardiograms among physicians
  • Confidence of medical trainees in interpreting electrocardiograms
  • A pharmacist-assisted protocol for management of anti-arrhythmic drugs (Ann Pharmacother 2017;51:39-43.)

2014-2015 Projects

  • Reducing erroneous findings of anterior wall infarction represented by poor R wave progression on ECG due to lead malpositioning
  • Using online educational videos to improve patient’s education regarding heart failure treatment and management
  • Same-day discharge after elective percutaneous coronary intervention
  • Reducing unnecessary myocardial perfusion scan ordering through provider education (Open Heart 2017;4:e000589.)
  • Improvements to track of potential complications from amiodarone therapy
  • Improved recording of complications from cardiac catheterization procedures

2013-2014 Projects

  • Improving communication between the cardiology consult service and housestaff teams at the Malcom Randall VA Medical Center
  • Deciphering the bundle: A protocol to reduce cancelled alerts for ST elevation myocardial infarction in patients with left bundle branch block
  • Improving patient notification to prevent cancellation of myocardial perfusion studies
  • Video demonstration of pre-cath instructions to improve patient satisfaction
  • Tutorial for proper pre-cath assessment
  • Improving appropriateness of STEMI alert activations
  • Improving inpatient STEMI protocol
  • Improving PA catheter management