The Pediatric Advanced Care Team is a pediatric palliative care consult service that provides intensive symptom management as well as honest, complete, and sensitive communication with patients and families.
The Mayo Clinic's Department of Medicine establishes and posts estimated discharge dates and times in patients' rooms to facilitate ongoing communication about discharge-related issues between patients/families, physicians, and nurses.
Summa Health System's Care Coordination Network strives to ensure smooth transitions between the hospitals and 40 local skilled nursing facilities, leading to fewer readmissions and lower length of stay in the hospital.
The Video Medical Interpreting program uses a videoconferencing system to allow offsite interpreters to provide in-depth, culturally sensitive medical interpretation services to Spanish-speaking patients with limited English proficiency in rural locations.
In 2006, a consortium of 11 hospitals in northeastern Pennsylvania voluntarily agreed to initiate a process to standardize the colors of patient wristbands that identify high-risk clinical situations (e.g., patient allergies). Before the program, Pennsylvania hospitals used many different color schemes, leading to an increased risk of near-misses and medical errors.
An enhanced chemotherapy dispensing process prioritizes orders for pharmacy processing based on when patients are expected to be on the unit and ready for their chemotherapy, leading to more timely medication administration.
The Mid America Heart Institute of Saint Luke's Hospital developed a customized consent process based on a computer-generated consent form for cardiac catheterization and related interventional procedures.
To reduce surgical site infections, Decatur Memorial Hospital used Six-Sigma techniques to review and standardize workflow processes for surgical patients throughout their hospital stay, with a focus on increasing adherence to evidence-based protocols related to antibiotics.
The Medical Language Interpretive Services program in Grady Health System uses a multipronged approach to increase staffing and the hospital's capacity to provide interpretation services to meet the needs of patients with low English proficiency.
Contra Costa Health Services launched a medication reconciliation process at its county-owned hospital based on Institute for Healthcare Improvement concepts for redesigning work to achieve a high degree of reliability. The institution uses a process in which providers, pharmacy, and nursing staff have standardized, easy-to-understand, and easy-to-execute roles related to medication reconciliation.