Emergency care

Innovations

Immediate Post-Event Debriefing Improves Multiple Aspects of Response to Codes and Increases Staff Satisfaction 12/10/10

Immediate team debriefings after a cardiopulmonary resuscitation code event improve multiple aspects of the team's response to future codes and generate high levels of staff satisfaction.

Multidisciplinary Team Redesigns Care Processes and Systems, Leading to Significantly Improved Performance on Core Measures in Four Clinical Areas 12/09/10

A hospital uses a multidisciplinary team, standing orders and reminder systems, manual medication reconciliation, and system-wide quality improvement to significantly improve performance on core measures for heart attack, heart failure, pneumonia, and surgical care.

Small, Rapid-Cycle Process Improvement Projects Produce Many Benefits for Hospital, Including Increasing Nurse Time Spent With Patients 11/05/10

Using Toyota Production System principles, William Beaumont Hospitals implemented many small, rapid-cycle process improvement projects designed to improve workflow and patient flow; these projects have led to meaningful increases in nurse time spent with patients, shorter patient waiting times, faster radiology test turnaround, fewer missing and discarded medications, and greater staff engagement.

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.

Rapid Admission Protocol for Emergency Department Patients Reduces Boarding Time 07/23/10

A rapid admission protocol streamlines the process between the decision to admit an emergency department patient and the arrival of the patient on the inpatient unit by reassigning care responsibilities and reducing process steps, leading to reduced emergency department boarding time.

Statewide Initiative Focuses on Early Diagnosis, Care Team Activation, and Patient Transfer, Leading to More Timely Treatment for Heart Attack Patients 06/22/10

A statewide program in North Carolina promotes early initiation of evidence-based heart attack treatment through collaboration with trained paramedics and partnerships between and within hospitals, leading to earlier initiation of therapy and faster transfer of patients.

Telephone Nurse Triage System Reduces Use of Emergency Department by Nonurgent Patients, Reducing Wait Times, Length of Stay, and Patient Walkouts 06/07/10

A hospital-based telephone triage system allows patients to describe their symptoms to a nurse, who uses an algorithm to assess acuity and determine the best setting for treatment, leading to reductions in emergency department patient volumes, wait times, average length of stay, and walkouts.

Transferring Admitted Emergency Department Patients to Hallway Beds Leads to Lower Length of Stay and Higher Patient Satisfaction 05/14/10

In instances of institutional overcrowding, a protocol allows patients admitted to the hospital but boarded in the emergency department to be transferred to beds located in inpatient unit hallways, leading to expedited patient placement in a room, lower length of stay, and higher patient and staff satisfaction.

Emergency Department-Based Phlebotomists Expedite Blood Sample Collection and Turnaround Time, Reduce Specimen Contamination and Cost, and Increase Patient Satisfaction 05/11/10

During peak census hours, phlebotomists are assigned to work in the emergency department to quickly collect blood specimens and label them for priority processing and analysis by laboratory staff, leading to faster turnaround times, lower rates of blood culture contamination, more than $400,000 in annual cost savings, and higher levels of patient satisfaction.

Hospital Integrates Census Management for Disaster Planning Into Operations, Leading to Better Capacity Management and Increased Throughput 04/23/10

Inpatient capacity management strategies initially developed to accommodate the potential influx of patients during a natural or manmade disaster were adopted for everyday use by a capacity-constrained hospital, leading to earlier-in-the-day discharges, steady length of stay despite rising patient acuity, and a multimillion dollar financial return due to increased throughput, with no negative impact on quality or patient satisfaction.

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