Emily Greenwald

Co-Lead

Co-Lead on committee to address the following problem: Children requiring procedural sedation for orthopedic fracture reductions in the ED experience substantially longer lengths of stay in the ED than other patient populations. Variation and inefficiencies in these visits contribute to dissatisfaction and cascading delays for other patients and process. Failure modes analysis, Fishbone, Data investigation with pareto analysis in process. PDSA cycles to address key drivers in progress. Achieved SMART aim of reducing ED LOS by > 1 hour and in many times by many hours through process change.

Global Aim: Standardize the approach to advanced airway management across Duke Children’s to enhance communication, ensure competency & skill & thereby improve critical patient outcomes. 15+ major interventions underway. Primary lead on development of airway note and reporting system which is being adopted by all EDs and ICUs in the Duke Children’s Hospital.

Multidisciplinary team working to standardize Duke adult and pediatric trauma response. Assembled multidisciplinary team and created cognitive aid that defines the “Duke” trauma way. Optimizes teamwork and patient care during high acuity trauma resuscitations. Creates a framework for education and performance.