Length of stay reduction/management

Innovations

Nurse-Led, Unit-Based Quality Improvement Increases Amount of Time Spent With Patients, Reduces Falls and Nurse Turnover 09/02/09

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.

Round-the-Clock Intensivists Eliminate Ventilator-Associated Pneumonia, Central Line Infections, and Pressure Ulcers in Intensive Care Unit 08/04/09

Intensivists guide care around the clock in two medical–surgical intensive care units, leading to lower length of stay and the near elimination of ventilator-associated pneumonia, hospital-acquired pressure ulcers, and central line infections.

Standardized Order Forms, Reminders, and Prompt Performance Feedback Increase Compliance With Joint Commission Community-Acquired Pneumonia Core Measures 06/04/09

Dartmouth-Hitchcock Medical Center used standardized order forms for diagnostic tests and timely antibiotic administration, reminders on existing admissions/discharge forms for vaccine administration and smoking cessation counseling, and prompt provider feedback to improve adherence to recommended care for patients with community-acquired pneumonia according to The Joint Commission/Centers for Medicare & Medicaid Services Pneumonia Core Measure Set.

Team-Administered Protocol Encourages Mobility in Respiratory Intensive Care Unit Patients, Leading to Shorter Length of Stay 01/07/09

A hospital protocol that encourages early mobility by respiratory intensive care unit patients reduced length of stay, both in the intensive care unit and overall.

Nurse-Administered Pulmonary Protocol Increases Out-of-Bed Activity, Shortens Length of Stay, and Reduces Readmissions 12/11/08

A hospital uses a protocol to encourage ambulation in hospitalized patients with community-acquired pneumonia and chronic obstructive pulmonary disease, leading to a reduction in readmissions and length of stay.

Streamlined Evaluation, Transfer, and Admission Processes Significantly Reduce Waiting Times for Emergency Department Patients Awaiting Admission to Psychiatric Facility 09/04/08

A multidisciplinary team from a medical center and its affiliated psychiatric hospital streamlined the evaluation, transfer, and admission processes for psychiatric patients presenting to the emergency department, leading to a significant decline in waiting times before transfer to the psychiatric facility.

Simple Scoring System and Action Algorithm Identifies Children at Risk of Deterioration, Leading to Fewer Codes and More Timely Transfer to Intensive Care Unit 09/04/08

A children's hospital uses a simple scoring system and “action algorithm” to identify and promptly attend to at-risk patients, leading to fewer codes, lower mortality and length of stay, and improved communication and teamwork among staff.

Sepsis Alert Program Leads to More Timely Diagnosis and Treatment, Reducing Morbidity, Mortality, and Length of Stay 08/25/08

The Sepsis Alert Program at Christiana Care is a care management program that incorporates a number of initiatives to support the prompt identification and treatment of patients who have sepsis.

Cooperative Network Improves Patient Transitions Between Hospitals and Skilled Nursing Facilities, Reducing Readmissions and Length of Hospital Stays 07/04/08

Summa Health System's Care Coordination Network strives to ensure smooth transitions between the hospitals and 40 local skilled nursing facilities, leading to fewer readmissions and lower length of stay in the hospital.

Emergency Department Tracks and Streamlines Patient and Staff Flow, Leading to Shorter Treatment Time, Fewer Walkouts, and Higher Patient Satisfaction 06/06/08

Albert Einstein Medical Center uses a patient and workflow management process to improve communication and workflow in the emergency department, leading to shorter length of stay, fewer walkouts and diversions, and higher patient satisfaction.

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