Quality Improvement Initiatives

CAPE continues to expand and explore avenues for quality improvement with the ongoing goal to improve the outcome of patient care.
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Founded in 2018, the ResusOne Resuscitation Safety and Performance Improvement Program was developed by CAPE's Director and Founder, Dr. Lou Halamek and Associate Director, Dr. Nicole Yamada. The goal of ResusOne is to improve patient safety by analyzing team performance in the delivery room. Recorded resuscitations are reviewed monthly to devise strategies to facilitate the recurrence of positive events and to prevent negative events. Teams of healthcare professionals in the NICU also conduct briefings and just-in-time training in preparation for complex deliveries where resuscitation is required.

A NICU Simulation Station within The Johnson Center was also launched by Audrey Moore, a board-certified neonatal nurse practitioner (NNP) and ResusOne Systems Specialist at CAPE. With the newly added NICU Simulation Station, funded by a grant from the Association of Auxiliaries for Children, all of the healthcare professionals involved in the care of newborns at the time of birth (neonatal nurse practitioners, NICU nurses, respiratory therapists, neonatology hospitalists, neonatologists and trainees (residents and fellows in these disciplines) now receive critically important training on a daily basis.

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Under the Agency for Healthcare Research and Quality (AHRQ), Patient safety learning laboratories (PSLLs) take a systems engineering approach to allow researchers and healthcare providers to evaluate clinical processes and enhance work and information flow to improve patient safety. AHRQ's PSLLs have the potential to improve the safety of healthcare as they inform providers, health educators, payers, policymakers, patients, and the public about the practical and effective use of systems engineering approaches in improving patient safety.

As part of the PSLL initiative, CAPE’s Director and Founder, Dr. Lou Halamek is the PI for an ongoing grant, “Applying Human Factors Science, Design Thinking, and Systems Engineering To Mitigate Threats to Neonates Undergoing Resuscitation and Stabilization” which focuses on improving three specific aspects of neonatal resuscitation: (1) the design of the physical workspace; (2) decision making during this invasive procedure; and (3) human-technology interaction. The results of this work will further build on CAPE’s mission of improving human and system performance and even extend beyond the field of neonatal resuscitation, affecting other complex, safety-critical, time-pressured healthcare domains involving surgical, emergency, and intensive care of pediatric, obstetric, and adult patients.

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