Reconfiguration of the Quality Initiative of Cardiac Sciences: new organization, new leadership
SDO realignment has brought many changes in the organization and implementation of care for patients with cardiac disease in Manitoba. One of the most direct consequences has been the transfer/deletion of most of the staff that supported the former Cardiac Sciences Program- including those focused on QI. Recognizing this new reality we are undergoing a reorganization of our QI program to increase the efficiency of our efforts and to ensure that those initiatives that we embark on are truly our highest priorities. This reorganization includes the consolidation of the Standards and Quality Committees into a single entity and a redirection from the previous focus of the Standards Committee on mortality audits. As well this reorganization includes the integration of the newly formed Transformation Team (comprising the CNSs, QI leadership and analytics support staff) and the CI monitoring process. The details of this reorganization will be shared over the next several weeks (including a preview in the course of tomorrow’s Cardiology Grand Rounds).
Coupled to this reorganization process is the reconfiguration of the leadership structure of the QI Program. In this context, am pleased to announce that Michael Love has agreed to take on the role of Medical Lead of the Cardiac Sciences Quality Program. He will serve as the co-lead of the Program in conjunction with our Quality Manager, Anita Maric.
Thank you Michael for stepping up during this critical transition of the quality program of CSMB.
Sals Star of the Week: Chamiel Leviste (introduced by Dalibor Gavranovic)
This week Sal’s Star is Chamiel Leviste. Over the last couple of months, 5A Cardiology has been extremely busy with a high patient turnaround, shortage of staff of all classifications, pulling staff to different areas, mandating and constant updates and changes due to COVID. The CRNs are constantly being involved in making sure that nursing staff can provide safe care in the course of assigning patient, reviewing patient charts for proper room placement (isolation, dialysis) and ensuring that diagnostics/treatments are being performed.
Chamiel has been focused on patients by constantly reviewing their needs to facilitate discharge/transfer, keeping doctors up to date, and supporting the unit (most often not taking breaks). At times she works as unit clerk, bed side nurse and a leader by providing support to staff. This week we had a code blue in the middle of hallway and unfortunately patient did not make it. Chamiel took upon herself to debrief with the nurse that was caring for this patient, offered emotional support and updated her manager of the situation. As a member in the leadership role, she is always absorbing new information, asking appropriate questions, and providing solutions. Chamiel is always ready to take challenges in a positive manner and assist her coworkers.
Please join me in congratulating Chamiel on being this week’s Sal’s Star.
Congratulations to Amir Ravandi and associates for this recent acknowledgment from the American Journal of Physiology.
The American Journal of Physiology recently listed a paper published by a group of researchers out of St. Boniface Hospital Research Centre, as one of the top four papers cited in 2021. AJP publishes hundreds of papers annually and has an impact factor of five.
The paper, titled: “Oxidized phosphatidylcholines trigger ferroptosis in cardiomyocytes during ischemia-reperfusion injury was downloaded 605 times last year. Contributors include: Aleksandra Stamenkovic, Kimberley A. O’Hara, David C. Nelson, Thane G. Maddaford, Andrea L. Edel, Graham Maddaford, Elena Dibrov, MohamadReza Aghanoori, Lorrie A. Kirshenbaum, Paul Fernyhough, Michel Aliani, Grant N. Pierce, and Amir Ravandi.
“We have shown that bioactive lipids generated during a heart attack can kill heart muscle cells, a pathway that had not been shown before. We are currently working to use this pathway to come up with therapies that protect heart cells during a heart attack,” Dr. Amir Ravandi elaborated.
This Week’s Faculty Publications
Devesh Rai, Syed Hamza Waheed, Miranda Guerriero, Muhammad Waqas Tahir, Ritambhara Pandey, Harsh Patel, Samarthkumar Thakkar, Sharon L Mulvagh, Alexandra Bastiany, Shelley Zieroth, Colleen M Norris, Harriette G C Van Spall, Erin D Michos, Martha Gulati National Trends of Gender Disparity in Canadian Cardiovascular Society Guideline Authors, 2001-2020 CJC Open . 2021 Apr 10;3(12 Suppl):S12-S18. doi: 10.1016/j.cjco.2021.04.003. eCollection 2021 Dec.
Charles Yin, Hellmuth R Muller Moran, Rakesh C Arora Commentary: In it for the long haul: Posthospital recovery after venovenous extracorporeal membrane oxygenation for coronavirus disease 2019-related acute respiratory distress syndrome J Thorac Cardiovasc Surg. 2021 Dec 18;S0022-5223(21)01809-2. doi: 10.1016/j.jtcvs.2021.12.024. Online ahead of print.
Duncan J Maguire, Rakesh C Arora, Brett M Hiebert, Brenden Dufault, Mullein D Thorleifson The Epidemiology of Endocarditis in Manitoba: A Retrospective Study CJC Open. 2021 Jul 29;3(12):1471-1481. doi: 10.1016/j.cjco.2021.07.014. eCollection 2021 Dec
Alexander J Gregory, Rakesh C Arora, Subhasis Chatterjee, Michael C Grant, Kevin W Lobdell, Vicki Morton, Seenu Reddy, Rawn Salenger, Daniel T Engelman Selecting Elements for a Cardiac Enhanced Recovery Protocol J Cardiothorac Vasc Anesth . 2021 Dec;35(12):3847-3848. doi: 10.1053/j.jvca.2021.05.006. Epub 2021 May 11.
Felipe H Valle, Shaun G Goodman, Mary Tan, Andrew Ha, Samer Mansour, Robert C Welsh, Andrew T Yan, Kevin R Bainey, Stephane Rinfret, Brian J Potter, Razi Khan, Gerald Simkus, Madhu K Natarajan, J D Schwalm, Benoit Daneault, Mark J Eisenberg, Joseph Abunassar, Bryan Har, Jean Gregoire, Jean-Francois Tanguay, Christopher B Overgaard, Jean-Pierre Dery, Robert De Larochelliere, Jean-Michel Paradis, Mina Madan, Basem Elbarouni, Derek Y F So, Ata-Ur-Rehman Quraishi, Akshay Bagai, CONNECT AF+PCI Study Investigators Antithrombotic Therapy After Percutaneous Coronary Intervention in Patients With Atrial Fibrillation: Findings From the CONNECT AF+PCI Study CJC Open. 2021 Jul 6;3(12):1419-1427. doi: 10.1016/j.cjco.2021.07.003. eCollection 2021 Dec.
Hilary Bews, Mahwash Saeed, Shuangbo Liu Cardiomyopathie périnatale CMAJ. 2022 Jan 10;194(1):E34. doi: 10.1503/cmaj.210468-f.
Charlotte C McEwen, Takhliq Amir, Yuan Qiu, Jack Young, Kevin Kennedy, Hilary P Grocott, Hesham Kessani, David Mazer, Scott Brudney, Morvarid Kavosh, Eric Jacobsohn, Anne Vedel, Eugene Wang, Richard P Whitlock, Emilie P Belley-Coté, Jessica Spence Morbidity and mortality in patients managed with high compared with low blood pressure targets during on-pump cardiac surgery: a systematic review and meta-analysis of randomized controlled trials Can J Anaesth. 2022 Jan 10. doi: 10.1007/s12630-021-02171-3. Online ahead of print.
Annette Schultz, Thang Nguyen, Moneca Sinclaire, Randy Fransoo, Elizabeth McGibbon Historical and Continued Colonial Impacts on Heart Health of Indigenous Peoples in Canada: What’s Reconciliation Got to Do With It? CJC Open . 2021 Sep 24;3(12 Suppl):S149-S164. doi: 10.1016/j.cjco.2021.09.010. eCollection 2021 Dec.