Intensive care unit patients

Innovations

Daily Bathing With Antiseptic Agent Significantly Reduces Risk of Hospital-Acquired Infections in Intensive Care Unit Patients 12/18/13

Nurses and nurse aids in intensive care units bathe patients each day using washcloths impregnated with an antiseptic agent, leading to a significant reduction in hospital-acquired infections.

State-Mandated Tracking and Public Reporting Reduce Incidence and Costs of Common Hospital-Acquired Infections 07/23/12

As required by law, hospitals in New York track and report information on select hospital-acquired infections to the State Department of Health, which publicly releases hospital-specific performance data and supports hospitals with quality improvement initiatives; the program has reduced infection rates and generated substantial cost savings.

Protocols, Task Specialization, and Case Reviews Virtually Eliminate Catheter-Related Bloodstream Infections in Neonatal Intensive Care Unit 07/09/11

A comprehensive set of protocols and practices virtually eliminates catheter-related bloodstream infections in the neonatal intensive care unit, generating estimated annual savings of $750,000 to $1,000,000.

Intensivists Make Placement Decisions and Manage Critically Ill Patients Throughout Hospital, Leading to Lower Mortality and Better Management of Intensive Care Unit Capacity 06/18/11

Working as part of an “intensive care unit without walls,” critical care physicians (called intensivists) decide which patients require intensive care unit admission and oversee the care of all critically ill patients throughout the hospital, leading to declines in hospital and intensive care unit mortality, improved management of intensive care unit bed capacity, and low intensive care unit length of stay for terminally ill patients.

Pharmacy Residents Work 24-Hour Hospital Shifts, Leading to Few Dosing Errors and High Levels of Guideline Adherence 08/25/10

Pharmacy residents complete one 24-hour shift at a hospital approximately every 2 weeks, providing an array of services, including consultations and assistance with emergency situations; the program has led to low dosing error rates and to high levels of adherence to recommended guidelines for emergency stroke patients and has helped to produce more confident, capable pharmacists.

On-Call Attending Physicians Consult with Onsite Care Team via Home-Based Videoconferencing, Improving Care Timeliness, Quality, and Safety in Pediatric Intensive Care Unit 06/16/10

On-call, pediatric intensive care unit attending physicians consult with onsite clinicians and patient/family members from their homes via audiovisual technology that allows real-time communication, leading to improved quality and timeliness of care and high levels of patient/family satisfaction.

Clinicians in Tertiary Hospital Monitor Critical Care Patients in Rural Facilities via Telemedicine, Leading to Reductions in Mortality, Length of Stay, Patient Transfers, and Costs 01/05/10

Clinicians in a tertiary hospital continuously monitor and intervene as necessary with critical care patients in rural facilities via telemedicine, leading to reductions in mortality, length of stay, number of patient transfers, and costs.

Intensive Care Units Participating in Hospital Collaborative Implement Multiple Improvement Strategies, Leading to Fewer Deaths and Lower Costs 09/29/09

As part of a hospital collaborative, intensive care units implemented a multifaceted safety program that reduced infections and hospital days, saved lives, and lowered health care costs.

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.

Early Warning Scoring System Proactively Identifies Patients at Risk of Deterioration, Leading to Fewer Cardiopulmonary Emergencies and Deaths 07/14/09

A simple scoring system allows nurses to quickly recognize patients likely to deteriorate and mobilize resources to assist them, leading to an increase in calls to the hospital rapid response team and a reduction in “code blue” (cardiopulmonary) emergencies.

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