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RGH MDS ELECTED
REPRESENTATIVES
Derek tenhoopen, md
President
Kevin Casey, MD
President-Elect
Cynthia Christy, MD
Secretary
Ronald Sham, MD
Treasurer
MAURICE VAUGHAN, MD
Past President
Elected Representatives:
Matthew Fleig, MD
John Hix, MD
Claudia Hriesik, MD
Kevin McGrody, MD
James Szalados, MD
Balazs Zsenits, MD
Editorial Staff:
Derek tenHoopen, MD, Editor
DIRECT ADMISSION NUMBER:
922-7333
CALL THE HOSPITALIST FOR YOUR PATIENT
922-7444
2015 Quarterly Staff Dates
• March 20
• September 18
• June 19
• December 18
Twig Conference Room
7:30 – 8:30 a.m. for all meetings
50% attendance recommended
for all attending Physicians
orum
March 2015
a newsletter by the medical & dental staff of Roch general hospital
more of your monthly updates can be found at
http://www.rochestergeneral.org/healthcare-professionals/medical-and-dental-staff-mds/
Message from RGH MDS President
Epcs: Electronic Prescribing
Of Controlled Substances
Derek tenHoopen, md, MDS President
A
lthough there has recently been several
important e-mail communications from Dr.
Biernbaum and the EPIC Team regarding
EPCS, given the significant impact this new law will
have on practitioners, it is imperative to raise even
more awareness as to the far-reaching implications
of this impending New York State regulation.
Unless a last minute postponement for one
year occurs soon, as of March 27, 2015 it will be
mandatory for all NYS practitioners, excluding
veterinarians, to issue electronic prescriptions
Derek tenHoopen, MD
for controlled and non-controlled substances.
RGH MDS President
THIS INCLUDES AFTER-HOUR and WEEKEND
PRESCRIBING as well as THOSE PRACTITIONERS
COVERING FOR OTHER GROUPS or NURSING HOMES. Official NYS
Prescription forms can only be used in the event of a power outage or
technical failure or by practitioners who meet one of the exceptions listed
in Article 2A-Section 281 and Title 10 Part 80 Section 80.64.
New York Education Law Article 137 requires that all prescriptions
be transmitted electronically two years from the DOH’s promulgating
regulations allowing for the electronic prescribing of controlled substances.
These regulations became effective on March 27, 2013. By utilizing
modern prescription technology, there is significant potential to minimize
medication errors for patients in New York State. As we are all aware,
electronic prescribing also allows for the integration of prescription records
directly into the patient’s EHR. A third goal of NYS is to reduce prescription
theft and forgery.
What complicates this regulation for providers even further is the
fact that additional steps need to be completed in order to successfully,
electronically prescribe, controlled substances. These steps include
Continued on page 2.
Top Four Health Care Industry Challenges, continued
1. The software you currently use must meet all federal
security requirements for EPCS. These can be found on
the DEA’s web page (http://www.deadiversion.usdoj.
gov/ecomm/e_rx/).
2. You must complete the identity proofing process as
defined in the federal requirements
3. You must obtain a two-factor authentication as
defined in the federal requirements (please refer to
a recent email from CareConnect titled “EPCS Duo
Second Factor Authentication Setup”)
4. You must register your DEA certified EPCS software
with the Bureau of Narcotic Enforcement (BNE). Each
individual practitioner and pharmacy, not the software
vendor, is required by regulation to register their
certified EPCS software application with the BNE.
Furthermore, if you are notified of software version
upgrades, you must re-register the new software
version with the BNE.
Of note in regards to Step 4, if your EPCS software
no longer meets federal security requirements, your
software CAN NOT be used to process electronic
prescriptions for controlled substances until your
software is in compliance with DEA requirements. You
must then re-register the software application with the
BNE.
At this point all practitioners (other than PAs)
should already be registered with New York State via
ROPES (Registration for Official Prescriptions and
E-Prescribing Systems). The ROPES application allows
practitioners to update/certify/renew their Official
Prescription Program (OPP) registration and to register
or modify their certified electronic prescribing software
application for controlled substances at the same time.
Access to ROPES is ONLY for those practitioners who
1.Have already registered with the OPP and
2.Have an active DEA registration and
3.Have an active NYS license and
4.Are not a Registered PA
PA’s must continue to submit the OPP Registration
form (DOH-4329) along with the PA Authorization Form
(DOH-5054) to renew their OPP registration.
Finally, additional information regarding New York
State’s requirements for EPCS can be found at:
http://www.health.ny.gov/professionals/narcotic/
electronic_prescribing/
You are cordially invited to join us
for a Breakfast Event in your honor:
HEALERS.
HEROES.
DOCTORS.
A Doctors’ Day 2015 Celebration
Thursday, March 26, 2015
7–10 am
Rochester General Hospital Atrium
Sponsored by the Rochester General Office
of Physician Services
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Please RSVP by March 19
to Physician Services at 585.922.2955 or
[email protected]
Rochester General Hospital Medical and Dental Staff FORUM
RRHS Hospitals Leadership Announcements
Eric J. Bieber, MD, RRHS President and CEO and Robert J. Nesselbush, RRHS Executive Vice President,
Health Services Division
We are writing to tell you about several important –
and exciting – changes we are making to our hospital
leadership team.
One of the first changes we made post-affiliation
was to ask Doug Stewart to be president of both
Rochester General and Unity hospitals. As president
of both hospitals, Doug did a terrific job identifying,
understanding and beginning to address the
operational and clinical opportunities facing us over
the next few years. Our thanks go to Doug, who has
helped bring our hospitals and teams together during
the opening days of our merger.
As we move forward, the reality of the scope,
scale and complexity of our newly created health
system has led us to conclude that each of our
two largest Hospitals requires its own leadership.
Therefore, effective March 9, 2015:
• Doug Stewart will be president of Unity Hospital
• Rob Cercek will be president of Rochester
General Hospital
• Dustin Riccio, MD, will succeed Rob as regional
president of operations of Newark-Wayne
Community Hospital and Clifton Springs Hospital
& Clinic. Dr. Lew Zulick remains the CEO of
Clifton Springs Hospital & Clinic.
• Daniel P. Ireland will continue in his role as
president of United Memorial Medical Center
Prior to the merger, Doug was Unity’s president,
so this is a natural transition for him. As Unity
Hospital’s leader, Doug will be able to focus
exclusively on issues related to ensuring Unity’s
success.
Thanks, too, to Rob Cercek, who has served as
regional president of operations Newark-Wayne
Hospital and Clifton Springs Hospital & Clinic. Rob
moved into this role about a year ago in anticipation
of our affiliation with Clifton. Prior to this role, Rob
was a vice president of operations at Rochester
General so he has an incredible depth of knowledge
about the hospital. Rob and Doug will work in
concert to ensure alignment between Rochester
General and Unity.
Many of our best and brightest leaders at
Rochester Regional are physician leaders. That is
true in the case of Dr. Riccio, who, most recently
served as chair of the Department of Emergency
Medicine at Unity, where he was responsible for the
emergency department’s quality/safety, patient and
provider satisfaction, operational goals and financial
performance. He has also been president of Unity’s
Medical and Dental Staff since January 2014.
Steve Wolf, DO, and Diane Molinari, MD, will be
interim leaders of the Unity Emergency Department.
These changes are designed to drive quality and
build programs that meet the needs of each of our
unique communities, while we improve operational
performance and build a solid financial platform that
will ensure continued success. As our new health
system continues to evolve, we will continue to
assess and identify opportunities to do things more
effectively and efficiently.
Thank you for your continued commitment to our
patients, residents and families.
3
CONGRATULATIONS RGH!!
Rochester General Hospital has been named one of the 100 SafeCare
Hospitals for 2014-15 in the Over 400 Beds category. RGH is ranked
22nd in the nation and second in New York, excelling in processes,
outcomes and efficiency of care in 2014.
Established by the SafeCare group, the 100 SafeCare Hospitals list rated Rochester General
on three main criteria:
• Quality Performance (RGH ranked 19th in 100)
• Patient Sa Subject: RRHS Hospitals Leadership Announcements
• Efficiency Performance (RGH ranked 11 in 100)
We’re proud of the work our team members do every day to meet our high standards of care. Congratulations to
all on a fine achievement!
Kidd Fund Now Accepting Medical Research
Project Award Applications
The Rochester General Hospital Research Institute
(RGHRI) is accepting research project applications for
Kidd Fund awards now through September 1, 2015.
Awards of up to $20,000 for faculty projects, and
up to $2,000 for resident projects, are available. All
Rochester General Hospital medical research projects
are eligible for award consideration.
About the Kidd Fund
The Fund was named after Mr. and Mrs. J. Howard
Kidd, who made the original gift in 1972 to
support medical research at Rochester General
Hospital (RGH). The application process will occur
twice annually starting in 2016, with March 1 and
September 1 submission deadlines.
Eligibility
Interested RGH faculty and residents must complete
an application identifying the following:
• Project significance
• Study objectives, hypotheses and aims
• Innovation
• Approach
• Anticipated research outcomes
• Budget
• Timeline
• References
Eligible projects must be up to one year in
duration and able to be completed within 12 months
of the project start date.
4
Evaluation
A team of RGHRI reviewers evaluates each project
based on the importance of the topic, the likelihood it
can be completed as outlined, and its ability to make
a strong impact on its respective field. The project
must also align with the RGHRI mission to improve
health through science. All applicants will be notified
by October 30.
How to Apply
To request a Kidd Fund medical research project
application or to learn more, please contact Gayle
Elledge at 585-922-0627 or
[email protected].
Rochester General Hospital Medical and Dental Staff FORUM
ASP Update:
Reducing the impact of C. difficile infections:
How Can You Help?
Ghinwa Dumyati, MD, and the RRHS Antimicrobial Stewardship Program
In one of the Rochester hospitals in 2005, three elderly
patients on one unit died shortly after their diagnosis of
C. difficile diarrhea. At the same time, outbreaks were
reported in Canada, the US and the UK and infections
in low risk populations such as children and healthy
patients in the community were described. The changing
epidemiology of C. difficile infection (CDI), resulting
in an increase in the burden and severity of disease,
was attributed to the emergence of a new strain of C.
diff named NAP1. This strain was noted to be different
from prior circulating strains and one key distinguishing
factor was resistance to quinolones (e.g. ciprofloxacin,
moxifloxacin). Currently in our region, approximately
45% of disease is caused by this NAP1 strain.
In Monroe County, around 1,400 CDI cases were
diagnosed in 2014; distributed among hospitals, the
community and nursing homes. Most of the infected
patients developed infection after receipt of antibiotics
and in some receipt of proton pump inhibitors (PPI).
Elderly patients are disproportionally affected,
possibly due to their increased exposure to the
healthcare environment, antibiotics and their inability to
mount an immune response after the acquisition of C.
difficile spores.
2. Hand hygiene including glove use; and
3. Enhanced cleaning of the hospital environment and
shared equipment.
These efforts resulted in a city-wide 28% reduction
in the hospital-onset CDI rate in 2014 compared to
2011; however success among individual hospitals
varied, Rochester General Hospital achieved a 35%
decrease during this time period. To further enhance
and sustain CDI prevention, we are now focusing on a
city-wide reduction in the risk of infection through
antibiotic stewardship. These efforts are focused on:
1. Choosing the appropriate antibiotic for the
appropriate duration and indication;
2. Limiting the use of moxifloxacin for community
acquired pneumonia to patients with severe penicillin
allergy or severe infection (see guidelines below); and
3. Reducing the use of ciprofloxacin by reducing
the treatment of asymptomatic bacteriuria (positive
urinalysis and/or culture in patients with no urinary
symptoms - see guidelines below).
Reducing exposure to quinolones and 3rd and 4th
generation cephalosporins has been associated with
a reduction in CDI rates and infections due to NAP1.
HOW CAN YOU HELP?
Figure 1. Incidence of healthcare onset (includes hospitalized,
nursing home and community patients recently discharged from
the hospital) CDI by age group in Monroe County residents in
2013
Since 2011, the four Rochester hospitals have
worked together to reduce CDI; facilitated by buyin and financial support from the hospital CEOs and
Excellus Blue Cross Blue Shield leadership. Local CDI
prevention in the hospitals focuses on preventing
transmission by:
1. Timely identification and isolation of infected
patients;
1. Appropriately identify and test patients with
diarrhea:
• Avoid testing patients with diarrhea due to
laxatives, nasogastric tube feeding, etc.
• Do not test patients to “check for cure of CDI”
since test might remain positive despite clinical
improvement
2. Isolate patients quickly and make sure you follow all
infection control procedures:
• Wear gloves plus wash hands after every contact
with patients and their environment.
• Make sure that equipment shared between
patients is appropriately disinfected with bleach
between use.
3. Work closely with your environmental services staff:
Continued on page 6.
5
CDIP CORNER: The Power of the Pen
Lysis of Adhesions
By Kathy Pullano, CCS with Kim Miller, RHIT, CCDS
ICD-9 procedure code assignment of lysis of
Suggestions as to when adhesions and lysis cannot be
peritoneal adhesions, open and laparoscopic, can
coded:
impact DRG assignment. The AHA (American
• When the adhesions exist without symptoms
Hospital Association) has strict rules regarding this
in the patient or without causing difficulty in
topic, stating to code only when determined to be
performing the operative procedure.
“significant” by the surgeon. Coders cannot code
• These would include minor adhesions that are
adhesions and lysis of based solely on the mention of
taken down and are integral to the surgery itself.
in the operative report. It is difficult at times to tell
• Coding of the adhesions and lysis cannot be
from the operative report if the adhesions were truly
done strictly on the fact that this is stated in the
significant.
diagnosis and procedure line on the op report
Documentation needs to include supporting
terminology such as: the adhesions were significant,
Quick Example:
extensive, numerous, or dense and requiring
• Some adhesions around the gallbladder are
additional time to lyse, increased the time of the
common and may be lysed as an integral part of
surgery and/or prevented access to the site of the
the cholecystectomy….we would not report the
surgery. This supportive documentation can help
adhesions or the lysis of them in this case
prevent payor denials.
• However if the gallbladder is encased in strong
Suggestions as to when adhesions and lysis may be
captured for coding:
• A strong band of adhesions prevents access
to the organ to be operated on, requiring lysis
before the operation can proceed.
• Adhesions that present an obstacle to the
completion of the procedure
• When the adhesions were the cause of the reason
for surgery (i.e.: intestinal obstruction)
• Numerous adhesions that need a long time to lyse
• Extensive/significant adhesions involving tedious
lysis
band of adhesions for
which extensive lysis
is required before the
gallbladder can be
removed then it would be
appropriate to report in
this case.
*Congratulations
to Kelly Keeney, PA
who was selected by
CDI as the February
Documenter of the
Month!*
ICD-10 TIP: Clearly
identify the organ that is
being released or freed by lysing the adhesions (i.e.
jejunum, ascending colon, gallbladder, etc.)
Please contact your CDI team at 922-3721, in
person on the units, or via email at cdiquestions.
rochesterregional.org for your documentation
questions.
Reducing the impact of C. difficile infections, continued
• Let them know if a room requires additional
disinfection with UV light.
• Help reduce clutter in patient rooms to facilitate
the daily cleaning of surfaces.
4. Reassess antibiotic choices within 48-72 hrs after
initiation; narrow coverage and decrease duration if
possible.
5. Avoid testing and treating patients for urinary tract
infection if they are asymptomatic.
6. Avoid the use of moxifloxacin unless no alternative
is available.
6
7. Assess the need for PPI; stop if there is no clear
indication.
For additional information please visit:
• The ASP website on the RRHS portal at http://
rghsportal/AtoL/as/SitePages/HomePage.aspx
for clinical practice guidelines for Clostridium
difficile Infections, Proton Pump Inhibitor Use, the
Doxycycline for CAP initiative, and information on
our “Get with the (Stewardship) Program: Urine or
You’re Out!” campaign.
• The Rochester Patient Safety Collaborative for the
Prevention of C. difficile infections:
http://www.rochesterpatientsafety.com/
Rochester General Hospital Medical and Dental Staff FORUM
Changes to your RGH Directory
For those of you who have access to the RGHS portal, don’t forget the on-line directory under departments and Medical & Dental Staff.
For those of you who do not have access to the portal, there is a monthly excel directory available for you upon request. Contact Mary Lou
McKeown at 922-4259 or [email protected].
RGH MDS Welcomes the Following New Members
Alexander V. Rovner, MD, Neurology
1425 Portland Ave #220, Rochester, NY 14621
585-922-4371
Jahaira C. Capellan, NP, Family Practice
293 Upper Fall Blvd, Rochester NY 14605
585-922-0200
Amy Hyoiung Coulter, MD, Surgery/ Vascular
1445 Portland Ave, Rochester, NY 14621
585-922-5550
Joseph Ira Mann, MD, Neurology Refer &Follow
2101 Lac da Ville Blvd, Rochester NY 14618
585-546-3265
Andrew James Kretovic, RPA-C, Emergency Medicine
1425 Portland Ave, Rochester, NY 14621
585-922-3846
Karen Ann Orbaker, NP, Medicine Geriatric
2066 Hudson Ave, Rochester NY 14617
585-922-9919
Chad Michael Lindroos MD, Emergency Medicine
1425 Portland Ave, box 308, Rochester, NY 14621
585-922-3846
Karess Alanah Rowe, RPA-C, Orthopedic Surgery
1425 Portland Ave Box 143 Rochester NY 14621 585-9223973
Lisa Jean Downing, MD, Medicine Geriatric
105 Canal Landing Blvd Ste 1, Rochester NY 14626 585368-4050
Candice Jane Job NP, Neurology
1425 Portland Ave#220, Rochester, NY 14621
585-922-4227
Chris Stephen Burke MD, Neurology
2655 Ridgeway Ave, Ste 420, Rochester, NY 14626
585-723-7972
Emily Snyder Queenan, MD, Family Practice/Medicine
Geriatric
355 North Park Dr, Rochester, NY 14609
585-922-9948
Laine Elizabeth Sefick, NP, Pediatric
485 Titus Ave Ste F, Rochester NY 14617
585-266-0310
Patrick Julian Reid, MD, Surgery Neurosurgery
2655 Ridgway Ave #340, Rochester NY 14626
Directory Changes: Change to inactive
Alexie Puran , MD, Emergency Medicine
Christine Miraglia, NP, Medicine Hematology
Curtis G. Benesch, MD Neurology
Erin L. Muthig , RPA-C Orthopaedic Surgery
John D. Marquardt , MD, Orthopaedic Surgery
Mala Ratan Gupta , MD, Medicine/Inf. Disease
2015
2015 quarterly staff meetings
March 20, June 19, September 18, December 18
7:30 – 9:00 am • Twig
Attending Members of the RGH MDS are expected to attend 50% of these
meetings. If you are not able attend, please let Ms. McKeown know at
[email protected]
7
What Is Gripa
Working On Today?
GRIPA is currently engaged in a number
of significant initiatives. These initiatives
benefit many stakeholders including the
Health System, GRIPA physicians, and
most importantly our patients.
As we continue on the path toward Population
Health there are a number of activities GRIPA
is undertaking to ready the network and better
ensure success in the new world of Value and risk
based reimbursement. One such initiative is the
development of a single and complete preferred
physician network listing.
This listing will be used for multiple
purposes including: participation in all GRIPA
risk and performance based contracts and the
Medicare Shared Savings Plan Accountable
Care Organization, Tier 1 for the System’s selffunded plans (lower copay), Tier 1 in the referral
management application within the System’s
EMR’s, and displayed publically on ‘Find a Doc’
sites as well as in other sites and publications.
GRIPA is working closely with Rochester Regional
Health System leaders, Physician Chiefs, and
others on this initiative.
8
Another significant endeavor within GRIPA
is collecting the required clinical data for the
performance and risk based contracts either
directly or indirectly impacting all of us in
Rochester Regional Health System. Since GRIPA
was accepted as a Medicare Shared Savings
Program (MSSP) Accountable Care Organization
(ACO) under one of CMS’s innovative contracting
models, all organizations within this MSSP ACO
rely on GRIPA for the clinical measures submission.
With all of these initiatives, GRIPA continues
to manage 140,000 Excellus Blue Cross Blue
Shield lives in addition to the 12,000 MSSP ACO
lives. Using GRIPA’s robust information resources,
experienced clinical care managers and effective
Provider Relations Professionals, GRIPA is able to
better ensure higher quality care at a lower cost
for this population with better transitions of care
and more personalized care management. Since
Rochester Regional Health System is a community
based organization, GRIPA works closely with all
physicians, employed as well as private physicians,
to identify those patients in need of care and
special attention and better ensure health care is
delivered at higher quality and lower cost.
5
R 2 01
E
T
WIN
Rochester General Hospital Medical and Dental Staff FORUM
Fb.com/InterVolRoc
@Intervol
www.InterVol.org
T H E I N T ERVOL U PDAT
E
ROB MAYO, M.D.
WELCOME:
An Evolving Journey with InterVol
Tony Gasparre
Talk about a journey. When I first became involved with InterVol through a
community church group at a sorting party, I was impressed by the vision of creating
life sustaining value from recycled medical waste and reaching beyond our borders
to disadvantaged and impoverished villagers in Central America. It was only later I
learned that InterVol was founded by two Rochester General Hospital surgeons, Ralph
Pennino and Tim O’Connor.
It was over time, I both heard and overheard personal stories from a wide
spectrum of physician volunteers who had ventured on InterVol medical trips.
Fascinating tales of overcoming cultural barriers and traversing jungle roads intrigued
me, and I floated the idea past my wife - that not that I would go alone to Belize, but
that I would take our 14 year-old daughter too! Passport, immunizations, plane tickets,
stethoscope, safari clothes, medical supplies—bang! We’re off! ...Continued on page 2
SAVE THE DATE: UPCOMING EVENTS IN 2015
COOKING WITH CLASS
Learn to cook 5-star meals
from Chef Ryan Jennings and
enjoy top-notch wine parings!
When: First Monday of every
month. (March 2nd, April 6th, May 4th)
Where: Max at Eastman
Cost: 65$ per person
Register online at www.intervol.org
1
Join Us For The Inaugural
InterVol
INVITATIONAL
Friday, June 5, 2015 | 12:30 PM
Ravenwood Golf Club, Victor, NY
For more information contact
[email protected]
@Inter
InterVol would
like to welcome
Tony Gasparre
as the newest
edition to the
team. Gasparre
will serve as
the Warehouse
Manager
for
InterVol’s
RUMS
(Recovery of Unused Medical Supplies)
program.
In this new position, Gasparre will
be responsible for maintaining and
receiving donations, managing our
warehouse space, as well as coordinate
and enforce the RUMS program policies
and procedures. Gasparre will provide
educational presentations to current
and potential recycling partners, plan
and implement new design layouts to
maintain the physical condition of the
warehouse and will complete several
financial objectives.
Gasparre has an Engineering
Degree from RIT, and has more than
six years experience as a Warehouse
Associate for Thermo Fisher Scientific.
Most recently he served as the Mendon
Facility Manager at Camp Good Days
& Special Times.
9
CONTINUED FROM PAGE 1
SPOTLIGHT:
ROB MAYO, M.D. - AN EVOLVING JOURNEY WITH INTERVOL
Q&A with Rob Mayo, M.D.
In sponge‐like fashion I absorbed the sights, smells, languages, cultures and climate of
Belize. Making due and making best was a constant test of ingenuity in the regional
villages we served. Each evening I unavoidably tallied up the days’ limitations and
successes. Whatever the summation, the abundant good will of the team and the
tender appreciation of the villagers triumphed.
Fast-forward three years. My daughter (now 17) and I returned with the InterVol
team to Belize this past October. Familiar with the routines of foreign medical service,
we look forward to observing changes and progress. I had the privilege of seeing four
patients who have been followed by InterVol doctors for the past several years. In each
of their cases, they received expense paid travel and life‐saving surgical care provided
at Rochester General Hospital. It was fantastic to see their health flourishing from the
combined efforts of so many generous physicians and nurses. Their stories of restored
lives and productivity overflowed with gratitude.
Donate What Counts!
YES:
NO:
The humanitarian vision of
InterVol’s founders, the passionate
determination of its leaders and the
many dedicated volunteers are what
make InterVol such a remarkable
organization. There is something
about giving comparatively so
little and receiving so much in
appreciation that changes a person.
Q: What was
something
you
were surprised
about and you
did not expect
to encounter in
Belize?
A: I did not
expect to see so many children in
remote villages speaking English
as well as they did. Many times,
children translated for parents or
others. It seems that every village
has functioning schools. Children
wear school uniforms and seem to
be focused on learning.
Q: What insight did you gain from
your trip to Belize that you can
use back in your role at Rochester
Regional Health System?
A: My experiences with InterVol in
Belize boldly reaff irm the power
of human connections.
Sharing
experiences, overcoming barriers
and providing for one another’s
needs are just some of the important
interpersonal exchanges that bring
the InterVol leaders and volunteers
together.
The relationships we
build there are very strongly felt
here at RRHS.
I N T E R VOL
Ralph Pennino, MD, Co-founder
• Bandages
• Stethoscopes
• Clean bedding
• Gloves and gowns
• Blades and scalpels
• Sterile needles and syringes
• Surgical instruments and supplies
• Liquids
• Chemicals
• Soiled items
• Medications
• Expired items
• Pills or vitamins
• Hazardous materials
Thank you,
from InterVol!
Visit www.InterVol.org for a complete list of items we accept.
10
2
Tim O’Connor, MD, Co-founder
Nicole Jones, Director of Development
[email protected]
Tony Gasparre, Warehouse Manager
Rob Mayo, M.D.
Chief Medical Officer,
Rochester Regional Health System
[email protected]
100 Kings Hwy S #1200 | Rochester, NY | 14617
585-922-5810 | w w w.InterVol.org
Rochester General Hospital Medical and Dental Staff FORUM
Transfusion Errors
Each year, more than 4 million people need to undergo
blood transfusion, reports the American Association of
Blood Banks (AABB). Nearly half of significant
transfusion errors involve administration of the wrong
blood, or administration to the wrong patient. Twothirds of these errors are associated with incorrect
blood recipient identification occurring at the patient’s
bedside.
If you would like copies of any of these articles, or if you
would like additional information on this or any topic, please contact any
Werner Medical Library team member. Some articles are also available
electronically by clicking on the links below.

Anonymous. (2009). Avoiding blood incompatibility transfusion errors. Joint
Commission Perspectives on Patient Safety, 9(5):6-8.

Aulbach RK. (2010). Blood transfusions in critical care: improving safety through
technology & process analysis. Critical Care Nursing Clinics of North America,
22(2):179-90.

Cottrell S. (2013). Interventions to reduce wrong blood in tube errors in
transfusion: a systematic review. Transfusion Medicine Reviews, 27(4):197-205.

Dubin CH. (2010). Technology, vigilance, and blood transfusions: how U.S.
hospitals and the federal government are working to reduce adverse events.
P&T: Journal for Formulary Management, 35(7):374-6.

Elhence P. (2010). Root cause analysis of transfusion error: identifying causes to
implement changes. Transfusion, 50(12 Pt 2):2772-7.

Heddle NM. (2012). Challenges and opportunities to prevent transfusion errors:
a Qualitative Evaluation for Safer Transfusion (QUEST). Transfusion, 52(8):168795.

Maskens C. (2014). Hospital-based transfusion error tracking from 2005 to
2010: identifying the key errors threatening patient transfusion safety.
Transfusion, 54(1):66-73.

Nuttall GA. (2013). Computerized bar code-based blood identification systems
and near-miss transfusion episodes and transfusion errors. Mayo Clinic
Proceedings, 88(4):354-9.

Nuttall GA. (2014). Transfusion errors: causes, incidence, and strategies for
prevention. Current Opinion in Anesthesiology, 27(6):657-9.

Oldham J. (2014). Blood transfusion sampling and a greater role for error
recovery. British Journal of Nursing, 23(8 Supp):S28-34.
Bibliography compiled by Mary McVicar Keim, M.S.
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