How Machine Learning Can Improve Clinical Decision-Making

New research from a collaborative team of Duke investigators, including Duke School of Medicine, Duke Institute for Health Innovation, and the Duke Center for Healthcare Safety and Quality, looks at the ability of machine learning to identify mortality risk among hospitalized patients.

Why is this important? From the abstract:

The ability to accurately predict in-hospital mortality for patients at the time of admission could improve clinical and operational decision-making and outcomes. Few of the machine learning models that have been developed to predict in-hospital death are both broadly applicable to all adult patients across a health system and readily implementable.

The results from this paper are promising and suggest that the model developed could be used at a system-wide level.

Read the Paper in JAMA Open Network

Free Bite-Size Team Training

image of Dr. Rehder in Duke Children's Hospital

Dr. Kyle Rehder, Center Medical Director and pediatric intensivist, recently developed a new educational program for those interested in enhancing their teamwork skills.

The Bite-Size Team Training program is a way for learners to engage with critical teamwork skills even when time is limited. The videos, which are approximately 5 minutes long, walk through a key concept, tool, and implementation suggestion.  And the best news? They are free and publicly available.

Inside Duke Health article on Bite-Size Team Training (netID access)

Try the modules (free and publicly available)

Dr. Kyle Rehder Authors Joint Commission Blog Post on Disruptive Behaviors

Dr. Kyle Rehder authored a Jan. 30th blog post for The Joint Commission on the prevalence and impact of disruptive behaviors in the healthcare environment. The post highlights the recent research by Rehder and others from the Center team, which calls attention the routine exposure of healthcare workers to disruptive behaviors and the negative effects this can have on employee well-being and patient care.

Duke Health is committed to upholding professional behavior in the workplace. The Center hosts programs on professionalism, well-being, and teamwork to help team members from any organization, including Duke, become champions of a safe work environment.

Duke Regional Hospital Team Members Share Gratitude

This fall, Duke Regional Hospital team members came together to share letters of gratitude with each other. This well-being exercise is a powerful (and heartwarming!) tool for enhancing the resilience of caregivers. Check out the video to see the gratitude in action.

Patient Volunteer Supports Grief Awareness Week

Heart Patient and Family Advisory Council (PFAC) Volunteer Co-chair and longtime Duke Health devotee Sue Ann Glower supports Grief Awareness Week, sponsored by Chaplain Services & Education.

Sue Ann Glower stands with Chaplin Services table at Grief Awareness Week

This week staff, patients, visitors and families have the opportunity to share their thoughts, messages, poems and other expressions of grief and post them on the Grief Wall located on the first level concourse between Duke North and Duke South.

Thank you Sue Ann for all of your work and dedication to our patients, families and staff!

Learn more about the Duke Health Patient and Family Advisory Councils

Center Certified as Green Workplace

Duke Green Workplace logo

The Duke Center for Healthcare Safety and Quality has been certified as a Duke Green Workplace! The certification, which is coordinated by the Duke Office of Sustainability, evaluates workplaces on a variety of environmentally-conscious practices including recycling, energy usage, and communication of green practices.

The Center is committed to ensuring quality and safety for our patients, their caregivers, and each other, which means ensuring the environment we all live and work in is also safe and healthy. We take our responsibility to maintain the health of our environment seriously and are proud to be recognized for these efforts.

Duke Patient and Family Volunteer Wins Major Awards

photo of Duke Health Patient and Family Volunteer Advisor Kimberly Dixon

In 2015, Kimberly Dixon underwent knee replacement surgeries at Duke Raleigh Hospital. However, bi-lateral artificial knees did not stop Kimberly from dedicating herself to her own personal health and the well-being of others.

Kimberly has participated in several volunteer organizations, including the Duke Raleigh Patient and Family Advisory Council (PFAC). She has even written a book about the experience of undergoing knee surgery, which she dedicated to her Duke Raleigh surgeon.

Whether I am serving on PFAC or providing care packages to the homeless, my mission is to let others know that they are not invisible and that someone truly cares for them and their well-being. – Kimberly Dixon

This year, Kimberly’s extraordinary work in her community has been recognized with major awards. She is the recipient of the 2019 ACHI Magazine Volunteer of the Year Award and the Health and Wellness Award.  Congratulations to Kimberly for these well-deserved awards!

Gala Celebrates Duke’s Patient and Family Volunteers

Duke Health System Patient and Family Advisory Council dinner

Last month, the members of Duke Health’s Patient and Family Advisory Councils (PFACs) came together for an evening of food and fun. After a day-long retreat, the council volunteers and staff co-chairs joined Duke Health’s senior leadership and members of the Duke Center for Healthcare Safety and Quality team for a special gala celebrating their many impactful accomplishments. The PFAC members are critical to Duke Health’s ability to deliver effective, high-quality and compassionate care to its patients.

See more photos from the PFAC Gala

Interested in volunteering? Contact Shannon Haney at

Well-Being Ambassadors Share Their Stories

Dr. Byan Sexton talks with Forum attendees

On September 18, The Duke Center for Healthcare Safety and Quality invited our Duke colleagues who attended the Center’s resilience courses back for an evening of sharing successes and networking. The evening was packed with inspiring presentations and stories from those who took what they learned in class and used it to enhance the well-being of their teams. From celebrating National Talk Like a Pirate Day to organizing team volunteer opportunities, the Ambassadors showcased the many creative ways that someone can become a champion of well-being.

See more photos from the event

From Burnout to Well-Being

A new article from Magnify, the Duke School of Medicine’s latest publication, focuses on burnout among healthcare workers. Burnout is major healthcare issue, affecting the emotional, physical and mental health of the very people who we need at their best to care for others. Duke as a whole has been actively researching and implementing evidence-based tools to tackle burnout and promote a healthy work culture. To be the best for our patients, we must take care of ourselves.

The Duke Center for Healthcare Safety and Quality is proud to lend its expertise to the issue of burnout. Through data collection, education, coaching and toolkit implementation, the Center works hard to help Duke’s healthcare team realize a greater sense of well-being.

To see the full article, which includes a shout-out to the Center and a quote from Duke’s Patient Safety lead, Dr. Jonathan Bae, click here.