Nicklaus Children's Hospital, formerly Miami Children's Hospital
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Quality Improvement

Graduate Medical Education (GME)

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Nicklaus Children's Hospital GME Department has a structured Quality Improvement (QI) Curriculum for Residents, Fellows, and faculty development for faculty mentors. Trainees are expected to engaged in a self-generated and designed QI project during their training. The QI projects may follow PDSA, LEAN, Six Sigma, or other widely established QI methodologies. Trainees document their projects on a QI Project Documentation Form. Projects are presented in a QI forum using a QI Reporting Template and at the end of the academic year in the Annual Residents' and Fellows' Scholarship Day.

Below is a listing of the 2014-2015 Fellows' QI projects completed.

TITLES FELLOWS & COLLABORATORS FACULTY MENTORS
Increasing Knowledge and Improving Experience of Pediatric Residents Caring for Eating Disorder (ED) Patients Demma Cabral, MD
Adol Med Fellow
Lorena Siqueira, MD
Increasing Competency of Defibrillator Use During Pediatric Cardiac Arrest
Michael Fundora, MD
Ped Cardiology Fellow
Courtney Allen, DO
Katherine Semidey, MD
Ped Residents 
Anthony Rossi, MD
How effective is the new high risk bleeding protocol? John Dykes, MD
Ped Cardiology Fellow
Joy Baysa, MD
Ped Cardiology Fellow
Jason Katz, MD
What You Don't Know Might Actually Hurt You:
Pursuing genetic results in a timely manner assists in prognosis and management of cardiac patients
Natasha Noel, MD
Ped Cardiology Fellow
Tuan Nguyen, MD
Ped Cardiology Fellow
Jason Katz, MD
Improve Delay in EKG Reading and Signing Michael Lopez, MD
Ped Cardiology Fellow 
Steve Fishhberger, MD
Epilepsy Surgery Failure Lalit Bansal, MD
Clinical Neurophysiology Fellow
Micheal Duchowny, MD
Assesssment of adherence to quality measures for epilepsy care as recommended by the AAN in a Pediatric Epilepsy Center Matt Lallas, MD
Clinical Neurophysiology Fellow
Michael Duchowny, MD
Appropriate administration and timing of intravenous contrast in abdominal CT in children Enrique Alvarado, MD
Ped Radiology Fellow
Luisa Cervantes, MD
Does TXA Administration Decrease Blood Transfusion Rates in Craniosynostosis Surgery?
Ian MacArthur, MD
Craniofacial Plastic Surgery Fellow
Nirmal Nathan, MD
Craniofacial Plastic Surgery Fellow
Chad Perlyn, MD
Impact of Implementation of formal nighttime curriculum on resident satisfaction with night float rotation educational experience Claudette Gonzalez, MD
Ped Academic Hospitalist Fellow
Melissa Clemente, MD
Blunt Trauma Solid Organ Injury Protocol Gavin Falk, MD
Ped Surgery Fellow
Cathy A. Burnweit, MD
Early Conversion to Oral Antibiotics in Patients with Perforated Appendicitis Tara Loux, MD
Ped Surgery Fellow
Leo Malvezzi, MD
Pneumonia Guidelines Adherence

Isamar Sosa, MD
Ped Emergency Medicine Fellow Charles Suastegui, MD
Ped Emergency Medicine Fellow

Marc Linares, MD
Brief Lumbar Puncture Education and Simulation for Interns Jose Vargas Loayza, MD
Ped Emergency Medicine Fellow
Vincenzo Maniaci, MD
Downsize thoracotomy tray and chest tube tray  to only the necessary instruments Elise Zimmerman, MD, MS
Ped Emergency Medicine Fellow
Michelle Blumstein, MD
Vincenzo Maniaci, MD
Recycling Unused Medical Equipment for Use in Developing Countries Paul Khalil, MD
Ped Emergency Medicine Fellow
Daniel Canal, MD
Pediatric Resident
Barbara Pena, MD
Improving trauma room equipment and accessibility to improve the trauma patient's outcome Jahzel Gonzalez Pagan, MD
Ped Emergency Medicine Fellow
Michelle Blumstein, MD
Improving post-op neurosurgical sign outs prior to arrival to PICU
Luis Lee, MD
Ped Critical Care Fellow
Alexander Ortega, MD
Ped Critical Care Fellow
Michael Leoncio, MD
Fernando Beltramo, MD
Bala Totapally, MD
Development od Central Venous Catheter Size Reference Tool in Pediatric Intensive Care Unit Madhuradhar Chegondi, MD
Ped Critical Care Fellow
Michael Leoncio, MD
Fernando Beltramo, MD
Bala Totapally, MD
Improving communication between the ICU and community pediatricians Mahreen Siddiqui, MD
Ped Critical Care Fellow
Fernando Beltramo, MD
Sign-out Improvement in the PICU Sushil Devarashetty, MD
Ped Critical Care Fellow
Bala Totapally, MD
Improving time of antibiotic delivery in patients with severe sepsis or septic shock in the PICU Jose F. Hernandez Rivera, MD
Ped Critical Care Fellow
Balagangadhar Totapally, MD
Surgeon related OR delay times Angela Gupta, MD
Ped Urology Fellow
Miguel Castellan, MD 
A strategy to decrease infections in craniofacial surgery at Miami Children's Hospital Aria Fallah, MD, MSc, FRCSC
Ped Neurosurgery Fellow
John Ragheb, MD
Sanjiv Bhatia, MD