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.
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.
Implementation of an evidence-based bundle of interventions led to a 75 percent reduction in central line infections in four intensive care units, yielding annual cost avoidance of approximately $1 million.
A physician group offers financial incentives to its physicians to encourage use of various health information technologies, including a new electronic medical record system and electronic radiology ordering system.
As part of a collaborative with other hospitals, a health system developed multiple strategies to improve the organ donation request and procurement process, leading to a high conversion rate (the percentage of potential donors who become actual donors); collaborative participants as a group experienced a marked rise in conversion rates and donors.
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.
A cardiothoracic care unit uses a multifaceted approach to patient- and family-centered care, leading to a well-above-average performance with respect to patient outcomes and satisfaction.
A sound monitoring and alert system in a neonatal intensive care unit alerts clinicians and visitors when sound levels are too high.
The Healthcare Alliance Safety Partnership was a 3-year pilot project involving a board of nursing and three hospital systems in developing a voluntary, nonpunitive system for reporting, investigating, and analyzing nursing errors.
Children's Healthcare of Atlanta developed and implemented a program to reduce the incidence of ventilator-associated pneumonia in three intensive care units, including two pediatric intensive care units and one cardiac intensive care unit. The program adapts a bundle of evidence-based interventions commonly used to prevent ventilator-associated pneumonia in adults to the pediatric population.