The Department of Veterans Affairs Pittsburgh Healthcare System used Positive Deviance to encourage all employees at two facilities to use their own experiences to brainstorm and implement strategies for reducing hospital-acquired methicillin-resistant Staphylococcus aureus infections.
A comprehensive medical team training program supported by crew resource management principles adopted from the aviation industry was developed and implemented in 79 Veterans Affairs Medical Centers, resulting in a measurable improvement in communication and patient care in 10 participating facilities that have at least a year's experience with the program.
Multidisciplinary teams implemented a comprehensive medication reconciliation program for patient admissions, transfers, and discharge to significantly improve the reconciliation process.
The patient lift team initiative employs three two-person teams of physically fit adults, working overlapping shifts, who assist with lifting immobile patients who need assistance in an 800-bed hospital.
Three hospitals within the University of Pittsburgh Medical Center Health System developed and implemented a standing orders program to provide pneumococcal vaccinations to appropriate patients in the hospital.
A game to educate health care workers in intensive care units about appropriate hand hygiene increased awareness of and adherence to hand hygiene protocols at a major academic medical center, leading to increased compliance with appropriate hand hygiene protocols from 37 to 53 percent.
As part of a statewide collaborative, hospital-based multidisciplinary teams developed and implemented projects aimed at improving adherence to a set of standardized, evidence-based protocols for the management of acute stroke.
Sentara Healthcare launched a program designed to create a strong culture of safety. The initiative includes an assessment of the existing safety culture, establishment of goals related to improved safety, the development of specific strategies to identify and correct safety problems, and the use of ongoing processes and systems to monitor progress and encourage continued improvement.
A multipronged strategy involving ties between hand hygiene performance and compensation systems, adoption and constant reinforcement of clear hand hygiene protocols, a comprehensive auditing program to review hand hygiene adherence, and other program elements improved adherence to appropriate hand hygiene protocols.
An organizational transformation focused on patient- and family-centered care leads to consistently high levels of patient satisfaction.