Abstract | BACKGROUND: Broad-based formal quality improvement curriculum emphasizing Six Sigma and the DMAIC approach developed by our institution is required for physicians in training. DMAIC methods evaluated the common outcome of postoperative hyponatremia, thus resulting in collaboration to prevent hyponatremia in the renal transplant population. METHODS: To define postoperative hyponatremia in renal transplant recipients, a project charter outlined project aims. To measure postoperative hyponatremia, serum sodium at admission and immediately postoperative were recorded by retrospective review of renal transplant recipient charts from June 29, 2010 to December 31, 2011. An Ishikawa diagram was generated to analyze potential causative factors. Interdisciplinary collaboration and hospital policy assessment determined necessary improvements to prevent hyponatremia. Continuous monitoring in control phase was performed by establishing the goal of <10% of transplant recipients with abnormal serum sodium annually through quarterly reduction of hyponatremia by 30% to reach this goal. RESULTS: CONCLUSION: The DMAIC approach and formal quality curriculum for trainees addresses core competencies by providing a framework for problem solving, interdisciplinary collaboration, and process improvement.
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Authors | Cynthia L Leaphart, Thomas A Gonwa, Martin L Mai, Mary B Prendergast, Hani M Wadei, Joseph J Tepas 3rd, C Burcin Taner |
Journal | The Journal of surgical research
(J Surg Res)
Vol. 177
Issue 1
Pg. 7-13
(Sep 2012)
ISSN: 1095-8673 [Electronic] United States |
PMID | 22482757
(Publication Type: Journal Article)
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Copyright | Copyright © 2012 Elsevier Inc. All rights reserved. |
Topics |
- Competency-Based Education
- Humans
- Hyponatremia
(epidemiology, prevention & control)
- Incidence
- Interdisciplinary Communication
- Kidney Transplantation
- Postoperative Complications
(epidemiology, prevention & control)
- Problem-Based Learning
- Quality Improvement
- Retrospective Studies
- United States
(epidemiology)
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