Preventive care

Innovations

Multistakeholder, Community-Wide Collaborative Prevents Disease and Promotes Health 01/22/08

A multistakeholder, community-wide collaborative offers employer-based health and productivity management programs, along with targeted, community-focused chronic disease prevention programs.

Alerts, Standing Orders, and Care Pathways Boost Quality of Care for Pneumonia, Heart Attack, and Heart Failure 01/18/08

Reid Hospital created a computer-based system of alerts, standing orders, and care pathways to eliminate gaps in the care of patients with pneumonia, acute myocardial infarction, and heart failure, and to address surgical complication and infection prevention, leading to significant improvements in quality of care.

Nurse-Led Assessment and Tailored Intervention Did Not Improve Adherence to Medication Regimens in HIV/AIDS Patients 01/18/08

A nurse-led program did not improve adherence to antiretroviral medications for patients with human immunodeficiency virus who are either homeless or live in marginal housing.

Wireless Messaging System Has No Impact on Blood Glucose Levels, but Patients Believe It Improves Quality of Care 01/17/08

The University of Washington Physician's Network developed a wireless, pager-based messaging system to help diabetic patients better manage their condition. An evaluation of the initiative found that it had no impact on blood glucose levels, although blood pressure improved.

Postdischarge Care Management Integrates Medical and Psychosocial Care of Low-Income Elderly Patients 01/16/08

An interdisciplinary care management program that integrates medical and social care for low-income elderly patients with chronic illnesses reduces care costs and improves self-reported health status.

Remote Viewing of Neonatal Intensive Care Unit Babies by Mother Promotes Bonding, Potentially Improves Infants' Long-Term Outcomes 01/11/08

Remote viewing of neonatal intensive care unit infants reduces maternal anxiety and promotes mother–infant bonding.

Routine Cultures, Real-Time Alerts, and Immediate Precautions Reduce Intensive Care Unit MRSA Infections 01/10/08

Nurses at the University of Pittsburgh Medical Center Presbyterian Hospital routinely monitor all patients admitted to intensive care units for methicillin-resistant Staphylococcus aureus colonization from admission to discharge.

Multipronged Active Surveillance System Eliminates Common Infection for Patients in Transplant Intensive Care Unit 01/10/08

A multipronged active surveillance program for vancomycin-resistant Enterococcus (VRE) significantly reduced VRE transmission rates in a 12-bed transplant intensive care unit.

Electronic Health Record–Facilitated Care Process Redesign Enhances Access to Care, Reduces Hospitalizations and Costs for Patients With Chronic Illnesses 01/08/08

The Marshfield Clinic is using electronic tools to facilitate care process redesign for patients with chronic illnesses, leading to enhanced quality and access to care, fewer hospitalizations and adverse events, and lower costs.

Nurse-Led Telephone Outreach More Than Doubles Pneumococcal Vaccination Rates for At-Risk Individuals 01/04/08

Both nurse-led and automated telephone outreach to elderly and chronically ill individuals increases vaccination rates.

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