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“Today’s technology can prevent tomorrow’s tragedies,” said Jerry,
speaking at the hospital’s grand rounds. “Yes, it can, but not by itself. For
technology to be effective, it has to be coupled with best practices. The
good news is that when it comes to medication error we can fix it.”
Low-Dose
3
D Mammography
SBH will be the first hospital
in the Bronx to offer 3D
mammography. By examining
breast tissue layer by layer, this
new technology has been shown
to provide far greater accuracy
than conventional mammography
(regardless of a women’s age or
breast density). Whereas existing
technology provides doctors with
a two-dimensional image of a
three-dimensional breast – and
so can result in unclear findings,
false alarms and, most importantly, missed cancer – the new 3D
mammography makes fine details more visible. Studies have shown that
when compared to 2D technology, the new technology:
•
Detects 41 percent more invasive breast cancers.
•
Reduces false-positive recalls by up to 40 percent.
•
Detects cancer an average of 15 months earlier.
“The Bronx has one of the worst, if not the worst, mortality rates for
breast cancer anywhere in New York City,” says Dr. Bert Petersen,
director, Division of Breast Surgery at SBH Health System. “Despite all the
advances in the fight against breast cancer, the thing that makes the biggest
difference is early detection. Our rate at SBH of stage 1, or localized breast
disease detection is much better than the national average (76 percent to
68 percent), and bringing in new technology like this only makes a bigger
case of how a small hospital in the Bronx is winning the fight for women
with breast cancer.”
The new technology also uses very low x-ray energy during the exam,
about the same as a film-screen mammogram. The exam itself is similar to
the conventional 2D exam.
Some statistics regarding breast cancer: Studies show that one in eight
women will develop breast cancer in her lifetime. Eight out of nine women
diagnosed with breast cancer have no family history. With early detection,
the five-year survival rate is almost 100 percent.
BD Cato
Christopher Jerry started the Emily
Jerry Foundation after his two-year-
old daughter died in 2006 from a
medication error at a Cleveland
hospital. Emily Jerry was just one of
440,000 Americans who die annually
from preventable medical errors –
the third leading cause of death after
heart disease and cancer.
Jerry recently spoke at SBH as
part of a pharmacy grand rounds,
one of the more than 30 hospitals
he travels to each year in his mission to reduce medication errors. He
believes that if BD Cato – an integrated software system designed to
prevent errors during the compounding of intravenous medications –
had been available at Rainbow Babies & Children Hospital in Cleveland
when his daughter was being treated there for an abdominal tumor,
it may have very well prevented the medication error that took her
life. The pharmacy technician had used a 23 percent sodium chloride
concentration rather than the less than 1 percent required to prepare the
little girl’s chemotherapy. Shortly after being infused, Emily fell into a
coma and died the next day after being taken off life support.
BD Cato uses gravimetric and bar code verification to detect wrong
product or wrong dose type or errors during IV compounding. It
promotes medication safety by:
•
Using real-time gravimetric verification that alerts the pharmacist
of potential errors
•
Featuring bar code technology designed to detect dosing errors
related to incorrect selection of drug, diluent, and final container
•
Calculating drug and diluent quantities needed to compound
prescribed admixtures
•
Providing immediate notification of errors and steps on how to
correct a mistake
•
Verifying that doses are prepared within institutional tolerances
•
Enabling the pharmacist to verify admixture preparations remotely
•
Not allowing print patient label until all steps are completed correctly
•
Enabling the pharmacist to view final label and validate that
admixture was prepared correctly
Jerry is a strong proponent of how certain technologies – like the BD
Cato and the RIVA (Robotic IV Automation) system, instituted several
years ago at SBH – can prevent medical errors when combined with a Just
Culture environment, a practice followed by SBH and other progressive
health systems around the country.
TECHNOLOGY
iMedicine
A Look at New Technologies
SBH Health System will be introducing a number of exciting
state-of-the-art technologies in the upcoming months that offer
strong benefits to patients in the community. Here is a brief look
at two exciting modalities that have just become available.
AWARDS & RECOGNITIONS
Resident Research Day
Dr. Francis Wadskier
(right, center photo) and
Dr. Chad Lue
(left, center photo) pose with
Dr. Paulo Pina
, director of Pediatric
Ambulatory Care and president of the SBH Medical Staff, and
Dr.
Victoria Bengualid
, director of the Medicine Residency Program, after
being selected as the top winners in SBH’s 12th annual Resident Research
Day.
Dr. Wadskier
, a Medicine resident, won overall best poster research
for her poster “Antibiotic Course and Recurrence in Osteomyelitis.” The
study was initiated to determine the duration of antibiotics post resection
of involved bones in chronic osteomyelitis patients. Dr. Lue, a resident
in Family Practice, won for overall best poster – case report for his
poster “Newborn Sheds Light on his Mother’s Fevers: A Case of Vertical
Transmission of HSV2.” The researchers followed a young mother and
baby with HSV2 infections. Here is a look at other award winners:
Diversity Award
Dr. Libardo Rueda Prada
(Internal Medicine)
Assessment of Performance of Three Predictive Scoring Systems among
Critically Ill Minorities at an Inner City Hospital.
Dental
Dr. Alexander Shau
Intraoral Adenosine-Triphosphate Activity and Salivary pH Levels in Caries-
Free Versus Caries-Active Children
Emergency Medicine
Dr. Brian Fiore, Nicolay Hernandez
Motor Vehicle Accident Causing Traumatic Cataract
Internal Medicine
Dr. Libardo Rueda Prada
Pneumocystis Jirovecii Choroiditis in an AIDS patient
Medical Student Award
Autumn Hinds
(CUNY School of Medicine)
Social Determinants of Sudden and Unexplained Infant Deaths
Osteopathic Manipulative Medicine
Dr. Ruba Katrajan
Osteopathic Considerations in the Ventilated Patient: a case study
Pediatrics
Dr. Vicky Gutierrez
Neurodevelopmental Outcomes and Prenatal Exposure to Marijuana
Psychiatry
Dr. Vanesa Disla
A Case of ADHD and Adverse Childhood Experiences (ACEs): An opportunity
for intervention
Surgery
Dr. Danielle Vanderet, Dr. Kyle Hitscherich
The Utility of Zip Ties for Thoracostomy Tube Management
•
Impressive 10-acre landscaped
campus with 461 hospital beds
•
Primary teaching hospital of the
CUNY School of Medicine. Also
affiliated with the Albert Einstein
College of Medicine and NYIT
College of Osteopathic Medicine
•
Training programs for 250
physicians in 9 different specialties
•
New York State-designated
Level 2 Regional Trauma Center
•
New York State-designated
AIDS Center
•
Three ambulatory care sites
•
Medical library with Internet access
•
Simulation lab access
•
Centers for sleep medicine, wound
healing and hyperbaric medicine,
and infusion services
•
Major location for medicine
clerkships for students from
the Albert Einstein College
of Medicine and NYIT College
of Osteopathic Medicine
•
Increase outpatient exposure
for those residents interested
in primary care
• Senior house consultation services
SBH Residency ProgramHighlights:
For more information, please visit
or call 718-960-6202.
