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The Rounds

 Global Trauma Collaboration

The Global Trauma Collaboration is an online educational program developed by surgeons Rachel Davis, MD, and Kenneth L. Mattox, MD, which provides physicians in areas of active conflict with expert lectures in the fields of war surgery and austere critical care. This program was developed in response to requests for trauma educational support by surgeons residing and training in the country of Myanmar. 

The program has grown to include a large consortium of academic surgical institutions nationwide.  A number of Baylor faculty, including Kenneth L. Mattox, MD; Chad Wilson, MD, MPH; Bradford Scott, MD; Marcus Hoffman, MD; Michael Coburn, MD; Mario Vera, MD; and UTHealth oral maxillofacial surgeon, Jose Marchena, MD, DMD, have been featured as speakers and discussants. 
The teaching sessions have now been translated to Ukrainian by the nonprofit organization MedGlobal, and access distributed to Ukrainian physicians. Despite challenges in electricity and Internet, surgeons in the field have continued to actively participate, some reporting walking and bicycling two hours to reach Internet in order to join the sessions. As the program has continued to grow, surgeons in conflict zones can now access a recorded library of trauma lectures in an accessible language, at any time.
Annual Mandatory Education
Annual Provider Education for our faculty, advanced practice professionals, trainees, and students at Harris Health System must be completed in order to adhere with regulatory requirements. The deadline for completion is June 30, 2022. Those who do not meet the deadline will have their Epic inactivated and will not be able to provide any patient care at Harris Health, including supervision of House Staff. 
The training curriculum is completed online via Harris Health’s Learning Management System (LMS), SABA. Please allow 2-3 hours for completion. New this year is the option to complete this from your mobile device.
Faculty can obtain CME credit for completion of this activity. Please sign up at to access/print your certificate beginning July 31, 2022.

Vaccine Coverage Gaps and Errors
The success of any vaccine relies on correct, widespread administration to appropriate populations. Vaccine gaps and errors may harm patients or provide inadequate protection against serious diseases.

Vaccination rates show many opportunities for improvement:


Vaccine administration errors pose the potential for consequences like:
— Inadequate immune protection
— Unintended patient harm
— Increased costs to providers
— Reduced confidence in the healthcare delivery system
Source: CDC

Many errors involving the COVID-19 vaccine, including mix-ups of age-related formulations and mix-ups between the flu and COVID-19 vaccines, have been reported.
Sources: ISMP “Age-Related”; ISMP “Mix-Ups”


Provider Efficiency Tips

                                  Search the Chart (printable guide) 

If you're looking for something specific, or just want to see information that's relevant to a certain condition, save clicks and search the chart. For example, search for "hypertension" to see problems, clinical notes, medications, and other orders related to that condition.



1. Within a patient's chart, enter a keyword in the Search field at the top of the patient's Storyboard and press Enter.

-  Results appear organized by date, so you can get an idea of the history.

- If you prefer to keep your results in view as you chart, click at the top right of the Search activity and select Move to Sidebar.

2. Hover over a search result to see more info. For example, hover over a medication to see its history, hover over a problem to see relevant meds and labs, and hover over a note to see relevant snippets.

 - If necessary, click a search result to open a full report.

3. If you get too many results, narrow them down using the filter buttons at the top. For example, click Meds to see only the patient's medications related to hypertension.

 - You can also filter the search results to quickly find relevant notes, labs, imaging, and more.

 - Click All to clear your filter.


Search Tips: 

• Enter a search term in quotation marks to find results that include only that exact phrase. If you don't enter quotation marks, you also see results for common synonyms and related terms. For example, if you search for arrhythmia, you see results related to arrhythmia, chest pain, and fibrillation.

• Refine your search results by including the word "and" in your search. For example, enter "arrhythmia and pain" (though don't enter the quotation marks) to see only results related to both terms.
• Click at the top right of the Search activity or sidebar and select the Group by Encounter check box to group results by encounter instead of by date.

 - When organizing your results by encounter, click an encounter heading (indicated by ) to open the encounter report.

• Click at the top right of the Search activity or sidebar to see more tips on searching effectively, including a list of all the items that are included in a search.

Physician Champions of the Quarter and Good Catch Honorees
Fourth Quarter 2021

Priti Dangayach, MD
Internal Medicine, Ben Taub Hospital
Baylor College of Medicine

“Dr. Dangayach went above and beyond with my case,” wrote one patient. “She has been my go-to person from day one, by keeping me informed, talking to all the other doctors assigned to my case and more. She was so cheerful and so determined to get every bit of information to me. I cannot begin to thank her enough for her persistence in getting me well. God Bless you, Dr. Dangayach.”

Ngoc Phan, DO
Family Practice, Aldine Health Center
McGovern Medical School at UTHealth

Patients are loyal to Ngoc Phan because of how she listens and lets them know she cares about their health and well-being. One patient confides, “She is an excellent doctor, and she listens to all my symptoms and concerns. Having been my doctor for six years, she has shown she really cares about my health, and I am grateful for everything she has done for my health overall. Dr. Phan is the best doctor that I’ve ever seen, and she takes extra time with you to listen.”

LaResa Ridge, MD
Medical Director, Healthcare for the Homeless Ambulatory Care Services

As medical director for the Healthcare for the Homeless Program, LaResa Ridge goes above the call of duty to ensure the best care for patients. One colleague writes, “She is a true servant leader, and I am honored to have the opportunity to work with her. She has come up with innovative ways to improve the quality of care for the program’s patients, is very hands on, and is always ready to fill in when the clinics are short staffed. When the ACS team is in need of clinical coverage even outside of her normal work areas, she always stands ready to help.”

Kunal Sharma, MD
Chief of Emergency Medicine, LBJ Hospital
McGovern Medical School at UTHealth

Since Kunal Sharma began his tenure in Emergency Medicine at Lyndon B. Johnson Hospital his passion and dedication to his patients and colleagues is evident in every action he takes, caring for them like they were family. “When you talk about someone who is not only passionate and mission driven, while putting patient care and patient safety at the forefront of clinical practice, Kunal Sharma is that individual who encompasses all these attributes,” says Wale Salvador, administrative director, Nursing, LBJ. “His penchant for out-the box thinking and novel ideas has helped us chart different and unique ways of addressing uncommon challenges in the emergency center. His wealth of knowledge spans beyond medicine as he is very culturally sensitive and what I would refer to as a global citizen, as I have seen him comfortably interact with people from different cultures in a way that makes talking and relating with them always end in a pleasant and favorable outcome.”

Good Catch

Shilpa Patel, Nurse Manager
Infusion Center, Outpatient Center

When a patient was scheduled for chemotherapy, Shilpa Patel reviewed the patient’s labs and noticed the neutrophil count was not consistent with prior labs. She reported her concern to the provider, who asked the lab to recheck the values. When the results were rechecked, it was discovered an error was made when manually entering the results into the patient’s medical record. The initial reported count was within parameters to infuse chemotherapy. However, the recheck value was much lower. The patient did not receive chemotherapy because the good catch was made.

First Quarter 2022

Rachel Chen, OD
Ophthalmology, Baytown Health Center
McGovern Medical School at UTHealth

Rachel Chen, OD, is admired by her patients for her thoroughness and caring. One patient shares, “Dr. Chen is an excellent doctor, and she gave me a thorough examination in my eyes. I was very happy with her work and attention.” Another patient states, “The optometrist was incredibly thorough and professional—an excellent doctor! She is very professional and attentive, very communicative and informative. Thank you, Dr. Chen.”

Bharat Joshi, MD
Family Practice, Vallbona Health Center
Baylor College of Medicine

“Doctor Joshi is wonderful; he’s patient, compassionate, respectful and most importantly, he cares about his patients,” says one of his admiring patients. “I like Dr. Joshi, he helped me a lot. I’m very satisfied with him and he’s doing a good job.” Another satisfied patient says, “Dr. Joshi is a very good provider. He seems to also have excellent bedside manner, very caring. I had missed my virtual phone appointment, and he made sure to call me just to confirm that we missed the appointment and set time aside to see me. I really appreciate Dr. Joshi and Vallbona Clinic.”

Martha Mims, MD
Internal Medicine, Ben Taub Hospital
Baylor College of Medicine

One colleague says Martha Mims, MD, “has a heart as big as Texas! She shows this love to not only every oncology patient in Harris Health, but also every nurse, and pretty much everyone who she has association with.” She has a reputation beyond reliable. “There is never a date or time that Dr. Mims hasn’t answered a call, taken a question or provided follow up. She is the best medical provider a nurse could ask for,” adds Margaret Grue, administrative director, Nursing, Ben Taub. “She goes above and beyond. When the oncology unit flooded, she was on-site, making it happen, pushing patients off the unit to ensure they were safe. She is a great teacher to the students, residents and fellows, who she shows the ‘ropes’ of what it is like to be doctor’s doctor, a patient’s doctor and a nurse’s partner.”

Reena Thomas Mohan, MD
Internal Medicine, LBJ Hospital
McGovern Medical School at UTHealth

Reena Thomas Mohan, MD, is known throughout her units for supporting patients and nursing staff. “Our hospitalists do amazing work and Dr. Thomas Mohan is one of the best,” says Tammy Straps, nurse manager, 4B IMU/Medical-Surgical/Telemetry, LBJ. “She is a true patient advocate and checks in daily on our nurses to see how they are doing, frequently offering her support and advice. We love her on 4B!”

Good Catch

Ruth King, Nurse Clinician I
6E Medical Intensive Care Unit, Ben Taub Hospital



Lindsay Brettman, MD
Internal Medicine, Ben Taub Hospital
Baylor College of Medicine

While Ruth King was caring for a patient, she noted the patient’s allergy in Epic. Later, during her shift, she noticed the medication on the patient’s allergy list had been ordered and the patient’s allergy banner had been removed. She contacted Lindsay Brettman, MD, and explained the situation. King clarified with the patient and the patient confirmed the allergy. Brettman changed the medication and added the medication back to the patient’s allergy list. Several safety behaviors were employed in this case: King used validation, stop the line and spoke up to convey her concerns. Brettman listened and supported King in changing the order. Together, they prevented a medication-induced allergic reaction from occurring.

Thank you for your service!