Emergency care

Innovations

Redesign of Telemetry Unit Admission and Transfer Criteria Leads to Improved Patient Flow and Reduced Emergency Department Waiting Times 08/08/08

Grady Memorial Hospital created the Telemetry Urgent Matters Initiative to improve patient flow by redesigning the telemetry unit discharge criteria to ensure appropriate use of monitored beds.

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.

Priority-Based Hospital Order System Reduces Percentage of "STAT" Orders and Enhances Response Time--Especially for Clinical Results 05/02/08

Swedish Medical Center implemented a new service request system in which physicians and staff requesting services must prioritize the order into one of four categories. The four-category system applies to all hospital orders, including laboratory tests, requests for assistance from personnel, and facility repairs.

Enhancements to Interpreter Program Lead to Better Productivity for Interpreters, More Depression Screening, and Potential Reduction in Readmissions for Non–English-Speaking Patients 03/24/08

Cambridge Health Alliance enhanced its round-the-clock interpreter services by tracking key indicators that gauge the quality of these services; analyses of these data led to significant improvements in the program's telephone-based services and staff efficiency and the decision to implement depression screening in patients with limited English proficiency.

Early Activation of Acute Myocardial Infarction Team Reduces Time Between Emergency Department Arrival and Start of Angioplasty Procedure 02/26/08

The University of Michigan Health System redesigned the process for activating its acute myocardial infarction team, with an emphasis on the earliest possible electrocardiogram administration and team activation, ideally while the patient is en route to the hospital.

Pediatric Critical Care Physicians Provide Remote Consultations to Emergency Departments in Underserved Rural Areas, Leading to Better Diagnosis and Treatment 02/25/08

An academic medical center provides 24-hour evaluation and consultation services via interactive videoconferencing to emergency departments serving rural and underserved areas, leading to improvements in diagnosis, treatment, and patient satisfaction.

Child Abuse Experts Provide Videoconference-Enabled Consultations to Providers in Remote Emergency Departments and Clinics, Leading to More Accurate Diagnosis 02/25/08

Using interactive videoconferencing, the University of California at Davis provides 24-hour child abuse evaluation and consultation services to underserved rural areas and also provides monthly child abuse training to health care providers in these areas.

Medical Emergency Team Reduces Cardiopulmonary Arrests, Unexpected Mortality 02/11/08

The creation of a medical emergency team program at the University of Pittsburgh Medical Center Presbyterian Hospital has significantly reduced the number of cardiopulmonary arrests and unexpected mortality.

Emergency Department–Based Clinical Pharmacist Improves Quality of Care 02/11/08

The University of Rochester Medical Center placed a clinical pharmacist in the emergency department to serve as an integral member of the health care team, leading to an increase in quality care.

Centralized Orthopedic Center and Streamlined Referral and Triage Processes Enhance Access to Appropriate Treatment 02/07/08

Thedacare, a four-hospital system, has redesigned its musculoskeletal care process to make it more efficient and effective for patients and providers. Improvements include a centralized orthopedics center that houses physicians (orthopedic surgeons, sports medicine physicians, and rehabilitation specialists), therapists, and supplies; changed the traditional process of most patients with musculoskeletal injuries seeing an orthopedic surgeon first; and the creation of referral protocols and a triage system designed to get patients the level of care they need quickly.

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