Publications by authors named "Darren S Migita"
Article Synopsis
- Red blood cell wastage happens when blood is thrown away instead of being used for transfusions, often due to poor ordering practices; a new project aimed to improve this in a pediatric hospital using enhanced electronic ordering tools.
- A team applied best practices and the Toyota Production System approach to revamp the blood ordering process, analyzing data for insights on how effective their changes were in reducing waste.
- Results showed an 11% drop in unnecessary crossmatch procedures and a significant 77% reduction in red blood cell wastage; the analysis indicated a 61% decrease in expected waste due to their interventions.
Objective: Seattle Children's in Seattle, Washington sought to establish governance over peripherally inserted central catheters. Preventing overuse and creating an efficient placement process were of paramount importance.
Methodology: We describe a process by which the marriage of continuous performance-improvement projects and computerized physician order entry has led to a reproducible reduction in peripherally inserted central catheter volumes and an increase in overall provider satisfaction with the ordering process.
Objective: To describe financial outcomes and physician productivity associated with the inclusion of well-newborn services in a pediatric hospitalist program in a community hospital.
Design: Retrospective review of professional billing records and physician activity logs for newborn and inpatient care, consultations, and procedures.
Setting: Pediatric hospitalist program in a community hospital during a 24-month period from August 1, 2002, through July 31, 2004.