Early Extubation: The Journey of Learning Faster & Continuously Improving

Leadership, Learning, Continuously Improving, & the Perfect Care Journey

The 6th episode of the Perfect Care podcast is deeply personal. This Deep Dive blends lessons from leadership experts (such as Zaleznik, Kotter, Goleman, Collins, Heifetz, as well as the US Army's doctrine on leadership) with Dr. Lobdell's journey from the operating room, through a life-changing accident, additional training in critical care, business school, & subsequently leading quality efforts at the Sanger Heart & Vascular Institute (SHVI). Most recently, the focus has been the strategic, digital transformation & world-class results of Perfect Care (PC). These efforts & results require great teammates-such as Shannon Crotwell RN BSN CCRN (the operational lead of PC), Dr. Geoff Rose, President of SHVI, & the terrific teammates at SHVI & Advocate Health. Finally, a special shoutout to Team Lobdell for their love & unwavering support as well as Wayne Sotile, PhD for his wisdom, & coaching on this rich journey.

Cardiac Surgery Associated-Acute Kidney Injury

The 5th episode of the Perfect Care Podcast relates our quality improvement journey & reducing the rates of acute kidney injury (AKI) after surgery. We also reflect on the value of doing common things, uncommonly well, learning faster, and continuously improving. Finally, we consider the potential for integrating novel tools to monitor, treat, and evaluate AKI.

Cardiac Critical Care

The 4th episode of the Perfect Care Podcast reviews the evolution of cardiac critical care @ the Sanger Heart & Vascular Institute. We think of these efforts, which began in 2004, in two eras: analog & digital. The later, digital era (built on the analog’s culture of data driven learning, teamwork and high-performance) includes tele-rounding and virtual critical care, which led to the more expansive and transformational remote perioperative monitoring initiative.

Early Extubation: The Journey of Learning Faster & Continuously Improving

This episode of the Perfect Care Podcast takes a deeper dive into the foundational role of early extubation to drive learning, continuous improvement, and the development of a culture of high-performance and high-reliability. We are grateful to our patients and their families who inspire us, the interdisciplinary, clinical team of nurses, respiratory therapists, nurse practitioners, cardiac intensivists, cardiac surgeons, and administrative leaders who have supported us for decades.

The History of Perfect Care & our Quality Improvement Program

In our second episode, of the Perfect Care Podcast, we reflect on our history. Leadership, teamwork, & the development data driven, of a high-performance and high-reliability culture. Further, we review the elements of our efforts and results that built the foundation for Perfect Care.