Firefighters and emergency medical technicians use a computer-based system to connect 911 callers, particularly those who call frequently in nonemergency situations, to community-based health, social service, behavioral health, and other services, leading to meaningful reductions in nonemergency calls, particularly among frequent callers.
A comprehensive initiative to improve stroke care features protocols to facilitate faster evaluation and diagnosis, quick administration of tissue plasminogen activator when indicated, 24-hour access to a neurologist, enhanced discharge planning, improved documentation and data collection, continuous staff training, and community outreach, leading to more timely administration of appropriate diagnostic tests and treatment and to many more eligible patients receiving tissue plasminogen activator.
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.
Concurrent and postdischarge nurse chart review, performance feedback, and other support lead to near-perfect adherence to recommended care processes for heart attack, heart failure, pneumonia, and surgery.
A multifaceted program in a rural, community hospital reduced mean decision-to-incision time for emergency cesarean deliveries and increased adherence to guidelines that recommend that such deliveries begin in less than 30 minutes.
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.
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.
A hospital used a multipronged strategy to reduce delays in patient admission and discharge, eliminating ambulance diversions and reducing waiting times for patients who require inpatient admission.
Multidisciplinary teams rehearse the most common emergency situations that can occur during a delivery, leading to improved responses and better outcomes during real emergencies.
A hospital-based outpatient pediatric dental clinic improves access to dental care and oral health for low-income children and children with disabilities.