Acute care


Pediatric Palliative Care Program Improves Communication, Reduces Patient Suffering, and Helps Parents Feel More Prepared for Child's End-of-Life Experience 07/16/08

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.

Posting Expected Discharge Date Facilitates Communication, Leads to On-Time Patient Departures and High Levels of Satisfaction 07/10/08

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.

Cooperative Network Improves Patient Transitions Between Hospitals and Skilled Nursing Facilities, Reducing Readmissions and Length of Hospital Stays 07/04/08

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.

Offsite Interpreter Services via Videoconferencing Increases Access to Culturally Competent Care for Rural, Spanish-Speaking Patients 06/29/08

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.

Consortium of Pennsylvania Hospitals Adopts Standardized Wristband Colors, Leading to Reduction of Falls, Allergic Reactions at Rehabilitation Hospital 06/24/08

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.

Revamped Chemotherapy Dispensing Process Based on Expected Patient Arrival Time Increases Timeliness of Medication Administration 06/17/08

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.

Revised Consent Process Based on Customized, Easy-to-Understand Form Enhances Patient Understanding and Decisionmaking for Cardiac Catheterization 06/09/08

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.

Six-Sigma Inspired Workflow Redesign Leads to Better Adherence to Evidence-Based Protocols and Fewer Infections for Surgery Patients 06/03/08

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.

Multipronged Strategy Leads to a Significant Increase in the Provision of Interpretation Services to Patients With Limited English Proficiency 05/16/08

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.

Low-Tech Medication Reconciliation Process Emphasizing Standardized, Easy-to-Execute Roles Significantly Reduces Rate of Unreconciled Medications 05/13/08

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.


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