Acute care

Innovations

Multifaceted Program Reduces Decision-to-Incision Time and Increases Rate of On-time Starts for Emergency Cesarean Deliveries 09/16/09

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.

Community Health Center-Jail Partnerships Improve Care During and After Incarceration, Reduce Jail-Based Violence and Deaths and Enhance Access to Community-Based Care 09/08/09

A partnership between local jails and community health providers facilitates the provision of appropriate health care to inmates and ensures continued, coordinated care upon their release, leading to reductions in jail violence and deaths and enhanced access to care.

Nurse-Led, Unit-Based Quality Improvement Increases Amount of Time Spent With Patients, Reduces Falls and Nurse Turnover 09/02/09

Seton Northwest Hospital continuously designs and tests nurse-led quality improvement projects at the patient's bedside, allowing nurses to be more efficient and spend more time with patients, reducing falls and nurse turnover, accelerating patient discharge, and yielding positive feedback from staff and patients.

Use of Photographs as Second Means of Identifying Patients on Psychiatry Units Virtually Eliminates Medication Errors Related to Misidentification 08/04/09

Use of photographs as a second means of identifying patients on adult and adolescent psychiatry units virtually eliminates medication errors due to patient misidentification.

Adding Nurse Practitioners and Creating a Multidisciplinary Care Team Reduce Length of Stay and Costs at Academic Medical Center 07/17/09

Adding a nurse practitioner and a multidisciplinary team reduced length of stay and costs at an academic medical center.

Bundle of Interventions Targeting High-Risk Patients Reduces Falls and Fall-Related Injuries on Medical-Surgical Units 07/17/09

A hospital implemented a bundle of interventions that reduced falls and fall-related injuries on two medical-surgical units.

Early Warning Scoring System Proactively Identifies Patients at Risk of Deterioration, Leading to Fewer Cardiopulmonary Emergencies and Deaths 07/14/09

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.

Creation of Unit-Based, Clinically Focused Nurse Leader Position Expedites Discharge, Improves Quality, and Reduces Turnover 07/14/09

A hospital created a new nursing position, the clinical resource nurse, to ensure continuity of care, facilitate care planning, coordinate with physicians, encourage adherence to evidence-based practices, and mentor less experienced nurses, leading to more timely discharges, fewer falls and pressure ulcers, lower nurse turnover, and higher patient, nurse, and physician satisfaction.

Comprehensive, Interdisciplinary Guidelines, Combined With Tools to Promote Adherence, Significantly Reduce Hospital-Acquired Pressure Ulcers 06/26/09

An interdisciplinary, comprehensive set of skin care guidelines, combined with support systems to encourage adherence, leads to a substantial reduction in facility-acquired pressure ulcers in hospitalized patients.

Comprehensive Program to Promote "Fair and Just Principles" Improves Employee Perceptions of How a Health System Responds to Errors 06/24/09

A comprehensive program to promote adoption of a “fair and just” culture improves employee perceptions of how a health system responds to errors.

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