Improved record availability enhances care

As expectant mothers have checkups and tests throughout pregnancy, vital information is compiled in each patient’s prenatal record. After reviewing patient charts, Loyola found that some patients had incomplete outpatient prenatal records when they came in to give birth. Unless a complete immunization record is available, nurses administer precautionary Rubella immunizations to new mothers and Hepatitis B immunoglobin (H-BIG®) to newborns. Working with physicians, staff nurses, case managers, medical records staff and social workers, a quality team developed a process that achieves 100 percent availability of prenatal records. As result, Rubella immunization of mothers decreased by 32 percent and H-BIG administration to newborns fell by 80 percent. Since then Loyola has implemented a new electronic medical record system that is improving availability of patient records systemwide.
When Julie Papievis and Loyola neurosurgeon Peter Letarte, M.D., ran together in a 5-kilometer race, it was a celebration of Julie’s inspiring recovery.


SAVING AND RESTORING LIVES

On Mother’s Day, Julie Papievis ran with Loyola neurosurgeon Peter Letarte, M.D., in a 
5-kilometer race. Although neither took first place, it was a true victory. The race capped Julie’s six-year comeback from a brain stem injury that leaves most of its victims dead or permanently comatose.

When her car was struck broadside on May 10, 1993, Julie suffered a head injury and was unable to open her eyes, make a sound, move or respond to touch. At the crash scene, paramedics stabilized Julie and transported her to Loyola’s Level I trauma center. A CT scan and neurological evaluation determined that she had sustained a diffuse axonal injury — the lines that transport messages to her body were torn away from her brain’s nerve cells. To begin the healing process, John Shea, M.D., professor of neurological surgery, inserted an intracranial device to measure the pressure inside Julie’s head. Her odds of returning to any kind of quality of life were about 4 in 100.

During Julie’s hospitalization, Dr. Shea and the treatment team carefully monitored and controlled intracranial pressure by removing blood or fluid to help prevent further brain damage. After 11 days, although in a coma and assisted by a ventilator, Julie began to respond. Loyola occupational, physical and speech therapists began a long, difficult rehabilitation program. When Julie came out of her coma, she was paralyzed on the left side and unable to walk, talk, swallow or write.

Over the next several years, Julie fought her way back, gradually regaining abilities, strength and independence. Today, she is a community relations coordinator for the Brain Injury Association of Illinois. She also co-facilitates a trauma support group at Loyola. Before her accident Julie was an avid runner. The Mother’s Day race was one more triumph from a woman with remarkable determination. 


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