Unit-based teams of physicians, nurses, and quality leaders develop and implement unit-specific initiatives designed to improve quality and safety, leading to reductions in infections and pressure ulcers, increased adherence to medication reconciliation standards, more reporting of errors and near-misses, higher patient satisfaction, and better overall nurse/physician communication and teamwork.
A separate emergency center for older patients includes physical features to reduce anxiety and discomfort, staff trained in geriatric care, and routine followup monitoring after discharge, leading to high levels of patient satisfaction, detection of polypharmacy, increased patient volume, and a low rate of return visits.
Clinicians on a surgical unit use a standardized communication process during daily rounds, leading to better nurse–physician communication and to higher nurse and patient satisfaction.
Intensive case management and care coordination significantly reduces inpatient admissions and emergency department visits for costly, medically complex patients who lack insurance.
Seton Northwest Hospital continuously designs and tests nurse-led quality improvement projects at the patient's bedside, allowing nurses to be more efficient and spend more time with patients, reducing falls and nurse turnover, accelerating patient discharge, and yielding positive feedback from staff and patients.
Emergency department–based physical therapists provide care to patients with minor musculoskeletal problems, leading to anecdotal reports of improved quality, efficiency, and patient/physician satisfaction.
Seven nursing homes adopted strategies to create a more homelike, resident-focused environment and culture, leading to better quality, higher resident satisfaction, lower staff turnover, and better financial performance.
An outpatient cancer center redesign incorporated features that create a soothing, healing environment for patients, leading to an increase in patient and staff satisfaction.
Regular nursing rounds conducted throughout day, evening, and overnight shifts substantially reduced call light use and falls, eliminated pressure ulcers, and increased patient and staff satisfaction.
A home-based model of palliative care uses an interdisciplinary team of providers to manage symptoms and pain, provide emotional and spiritual support, and educate patients and family members about changes in the patient's condition.