From:                              Chief medical officer <>

Sent:                               Thursday, December 6, 2018 10:39 AM

To:                                   Roggentien, Kristine B

Subject:                          Quest: Making our hospital safer, new use of Voalte, patient reps spotlight


What quality and safety topics do you want to hear more about? We are always looking for new ideas and fresh content. Send your questions, ideas, or feedback to so together, we can continue to enhance our patient safety practices and give every patient the best experience, every time.


Critical shortage of ampicillin/sulbactam – alternatives

There is a critical shortage of ampicillin/sulbactam (Unasyn) nationwide, and our current supply is low.

Amoxicillin/clavulanate is an oral alternative; if oral therapy is possible, please prescribe this when appropriate. If intravenous therapy is needed, ceftriaxone plus metronidazole can be an option in most cases, including surgical prophylaxis. Note: If you are seeking Enterococcus sp. coverage, ceftriaxone will not provide this. Discuss alternatives with your pharmacist or the Antimicrobial Stewardship Program at pager 1282. 

Making our hospital safer

Nurse managers and medical directors are now receiving the UI Hospitals & Clinics Daily Safety Brief via email, which includes selected Patient Safety Net (PSN) incident reports submitted over the prior 24 hours.

Hand hygiene adherence


Important coding updates: Documenting debridement

With the implementation of ICD-10, there is an increased need to document specific details related to many diagnoses, including adding additional information for cases in which debridement is done. We’ve compiled a few helpful hints to ensure the accurate clinical coding of excisional debridement.

HIPAA compliance: Santa’s not the only one watching . . .

Ever wondered how HIPAA compliance is monitored? The Joint Office for Compliance (JOC) uses tools like EMR access audits, FairWarning Epic access monitoring, and privacy investigations. All patients—regardless of whether you are an employee or outside patient—are entitled to the same medical record protections.

Call JOC at 4-8282 if you have questions or concerns about our privacy practices.


New use of Voalte improves communication in adding resident roles

Pediatrics was looking for a way to improve communication among care teams. Patients were being assigned to resident teams, but nursing staff and providers were not able to quickly identify which resident was covering a particular role. The team experimented with adding resident roles into Voalte and after seeing initial success, they expanded the project and implemented roles for all providers—with resounding success.

Patient experience

Spotlight on our patient reps

The Office of the Patient Experience is staffed with four patient relations specialists dedicated to assisting our patients and families when they have concerns about the care provided while at UI Hospitals & Clinics. Learn more about their roles. 

Recent patient comments about being thankful

All positive comments this month to show our thanks: "We're so thankful to the amazing NICU staff who cared for our baby girl. She is our miracle," "So thankful my son was seen and treated on the same day I called," and more. 

Festival of World Cultures: Seasonal events

See a full list of UI Health Care holiday happenings, presented by the UI Health Care Holiday Committee, Spiritual Services, Volunteer Services, Project Art, and others.

Sign up for Excellence Every Time: April and September dates added

Join us for a program about how safety, quality, and connection create the optimal patient experience. Morning and afternoon sessions will be held on Tuesday, April 9; Wednesday, April 10; Tuesday, Sept. 24; and Wednesday, Sept. 25, at the Coralville Marriott.


In case you missed it