Children's Hospitals Today - Spring 2023 - 28

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HEALTH EQUITY
EQUAL OUTCOMES, EVERY PATIENT
SANJAY PARIKH, M.D.,
associate surgeon-in-chief,
ensures high-quality surgical
care is delivered to every
patient regardless of race,
ethnicity, language or gender.
Parikh started with a simple
question: Are my patient
outcomes equitable? Using
data, he surfaced a disparity
in 30-day re-operation rates
for tonsillectomies, his most
common surgery. Somali and
Vietnamese patients had a
higher complication rate. When
he looked more broadly, he
saw identical patterns across
his division. Parikh presented
his findings to his surgical
colleagues and hospital
leadership and began working
with a multidisciplinary group
to elicit their ideas for closing
the gap. The nursing team
identified a communication
issue in post-operative
teaching materials: too much
text, too complicated and
not culturally appropriate for
everyone. They simplified the
teaching instructions into
an infographic and within six
months, the disparity gap
was eliminated.
Jen Chiem, M.D., assistant
professor of anesthesiology,
examined the same group of
surgical patients and asked
the same question about
anesthesia outcomes. Is the
rate of post-tonsillectomy
nausea and vomiting (PONV)
different across race, ethnicity
and language groups?
This is the most common
complication for the most
common surgery at Seattle
Children's. She discovered that
at the main hospital, Black
patients had a 9% PONV rate;
at their ambulatory surgery
center, it was 2%. She was
able to share this with the
group and create standard
clinical work for administering
prophylaxis to all patients
unless there was a medical
reason not to.
Within weeks, the PONV rate
for Black patients reduced
dramatically from 9% to 0%.
This improvement has now
been sustained for over a year.
BY THE NUMBERS
100%
closure of
disparity gap
4x
reduction in
PONV rate with
Black patients
1
full year of
sustained changes
28
CHILDREN'S HOSPITALS TODAY Spring 2023

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Children's Hospitals Today - Spring 2023

Table of Contents for the Digital Edition of Children's Hospitals Today - Spring 2023

Contents
Children's Hospitals Today - Spring 2023 - Cover1
Children's Hospitals Today - Spring 2023 - Cover2
Children's Hospitals Today - Spring 2023 - Contents
Children's Hospitals Today - Spring 2023 - 2
Children's Hospitals Today - Spring 2023 - 3
Children's Hospitals Today - Spring 2023 - 4
Children's Hospitals Today - Spring 2023 - 5
Children's Hospitals Today - Spring 2023 - 6
Children's Hospitals Today - Spring 2023 - 7
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Children's Hospitals Today - Spring 2023 - 11
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Children's Hospitals Today - Spring 2023 - 13
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Children's Hospitals Today - Spring 2023 - 15
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Children's Hospitals Today - Spring 2023 - 18
Children's Hospitals Today - Spring 2023 - 19
Children's Hospitals Today - Spring 2023 - 20
Children's Hospitals Today - Spring 2023 - 21
Children's Hospitals Today - Spring 2023 - 22
Children's Hospitals Today - Spring 2023 - 23
Children's Hospitals Today - Spring 2023 - 24
Children's Hospitals Today - Spring 2023 - 25
Children's Hospitals Today - Spring 2023 - 26
Children's Hospitals Today - Spring 2023 - 27
Children's Hospitals Today - Spring 2023 - 28
Children's Hospitals Today - Spring 2023 - 29
Children's Hospitals Today - Spring 2023 - 30
Children's Hospitals Today - Spring 2023 - 31
Children's Hospitals Today - Spring 2023 - 32
Children's Hospitals Today - Spring 2023 - Cover3
Children's Hospitals Today - Spring 2023 - Cover4
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https://www.nxtbook.com/nxtbooks/cha/cht_fall_2023
https://www.nxtbook.com/nxtbooks/cha/cht_summer_2023
https://www.nxtbook.com/nxtbooks/cha/cht_spring_2023
https://www.nxtbook.com/nxtbooks/cha/cht_winter_2023
https://www.nxtbook.com/nxtbooks/cha/cht_fall_2022
https://www.nxtbook.com/nxtbooks/cha/cht_summer_2022
https://www.nxtbook.com/nxtbooks/cha/cht_spring_2022
https://www.nxtbook.com/nxtbooks/cha/cht_winter_2022
https://www.nxtbook.com/nxtbooks/cha/cht_fall_2021
https://www.nxtbook.com/nxtbooks/cha/cht_2018spring
https://www.nxtbook.com/nxtbooks/cha/cht_2018winter
https://www.nxtbook.com/nxtbooks/cha/cht_2017fall
https://www.nxtbook.com/nxtbooks/cha/cht_2017summer
https://www.nxtbook.com/nxtbooks/cha/cht_2017spring
https://www.nxtbook.com/nxtbooks/cha/cht_2017winter
https://www.nxtbook.com/nxtbooks/cha/cht_2016fall
https://www.nxtbook.com/nxtbooks/cha/cht_2016summer
https://www.nxtbook.com/nxtbooks/cha/cht_2016spring
https://www.nxtbook.com/nxtbooks/cha/cht_2016winter
https://www.nxtbook.com/nxtbooks/cha/cht_2015fall
https://www.nxtbook.com/nxtbooks/cha/cht_2015summer
https://www.nxtbook.com/nxtbooks/cha/cht_2015spring
https://www.nxtbook.com/nxtbooks/cha/cht_2015winter
https://www.nxtbook.com/nxtbooks/cha/cht_2014fall
https://www.nxtbook.com/nxtbooks/cha/cht_2014summer
https://www.nxtbook.com/nxtbooks/cha/cht_2014spring
https://www.nxtbook.com/nxtbooks/cha/cht_2014winter
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