Acute care

Innovations

Protocols, 24-Hour Neurologist Access, and Ongoing Training Lead to More Patients Receiving Timely Stroke Diagnosis and Treatment 02/22/10

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.

Monthly Multidisciplinary Patient Safety Conferences Improve Hospital Staff Perceptions of Organization's Safety Culture and Increase Reporting of Adverse Events 02/09/10

Monthly patient safety conferences that allow clinicians and all levels of staff to openly discuss adverse events improved staff perceptions of the organization's safety culture and increased the reporting of such events.

Nursing Students Provide Free Doula Care to Underserved Women, Leading to Fewer Preterm Deliveries, Low Birthweight Babies, and Cesarean Sections 02/03/10

Nursing students provide free doula care to underserved women, leading to fewer preterm births, low birthweight babies, and cesarean sections, and generating high levels of patient satisfaction.

Checklist-Guided Process Reduces Surgery-Related Mortality and Complications 01/14/10

A checklist-guided process helps to ensure that surgical teams perform all appropriate care and necessary processes before and after surgery, leading to reductions in surgery-related mortality and complications.

Providing Real-Time Information and Documentation Capabilities at Point of Care Reduces Documentation Time and Generates Positive Patient Feedback 12/18/09

Providing caregivers with accurate, timely information, automated prompts, and real-time documentation capabilities at the point of care reduces documentation time and leads to positive feedback from patients and generally positive feedback from nurses.

Proactive Reporting, Investigation, Disclosure, and Remedying of Medical Errors Leads to Similar or Lower Than Average Malpractice Claims Costs 12/14/09

A medical center adopted a comprehensive process that includes proactive reporting and investigation of potential errors, full disclosure and apology when errors occur, and fair remedy and compensation, leading to similar or lower than average claims costs.

Expanding Interpreter Role To Include Advocacy and Care Coordination Improves Efficiency and Leads to High Patient and Provider Satisfaction 12/10/09

Unit-based Limited English Proficiency Patient Family Advocates expand the traditional interpreter role to include patient family education, advocacy, and care coordination, leading to more efficient and productive interpretation services and high levels of patient and provider satisfaction.

Pathology Team Provides Patient-Specific Interpretations of Test Results, Reducing Ordering Errors and Speeding Up Diagnostic Process 12/08/09

Pathologists provide a paragraph of patient-specific analysis as a supplement to traditional laboratory test results, leading to fewer ordering errors, time savings, and quicker diagnoses.

Improvement Projects Led by Unit-Based Teams of Nurse, Physician, and Quality Leaders Reduce Infections, Lower Costs, Improve Patient Satisfaction, and Nurse–Physician Communication 12/04/09

Unit-based teams of physicians, nurses, and quality leaders develop and implement unit-specific initiatives designed to improve quality and safety, leading to reductions in infections and pressure ulcers, increased adherence to medication reconciliation standards, more reporting of errors and near-misses, higher patient satisfaction, and better overall nurse/physician communication and teamwork.

Joint Radiologist–Pathologist Review of Diagnostic Findings Improves Care of Patients Being Screened for Breast Cancer 11/30/09

A pathologist and radiologists jointly review diagnostic test findings and develop care plans, leading to improved care of patients being screened for breast cancer.

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