Acute care

Innovations

Using Positive Deviance Employee-Generated Strategies Reduces MRSA Infections by 50 Percent 02/20/08

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.

Medical Team Training Using Crew Resource Management Principles Enhances Provider Communication and Stimulates Improvements in Patient Care 02/11/08

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 Team-Generated Interventions Improve Medication Reconciliation and Patient Safety 02/11/08

Multidisciplinary teams implemented a comprehensive medication reconciliation program for patient admissions, transfers, and discharge to significantly improve the reconciliation process.

Patient Lift Team Program Reduces Injuries and Boosts Productivity Among Nurses 02/11/08

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.

Nurse- and Pharmacist-Led Physician-Approved Inpatient Pneumococcus Standing Orders Program Increases Vaccination Rates for At-Risk Patients 02/11/08

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.

Educational Game Increases Compliance With Appropriate Hand Hygiene Protocols Among Intensive Care Unit Staff at Academic Medical Center 02/11/08

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.

Statewide Collaborative Supports Hospital-Based Teams in Developing Improvement Plans for Stroke Care, Resulting in Improved Performance on Select Measures 02/11/08

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.

Comprehensive Initiative to Create a Culture of Safety Significantly Reduces Harm Caused by Medical Errors, Mortality, Length of Stay, and Hospital-Acquired Pneumonia and Infections 02/11/08

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.

Comprehensive, Multifaceted Program Doubles Staff and Physician Adherence to Hand Hygiene Protocols Over 4-Year Period 02/11/08

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.

Organization-Wide Adoption of Patient- and Family-Centered Care Leads to Consistently High Levels of Patient Satisfaction 02/11/08

An organizational transformation focused on patient- and family-centered care leads to consistently high levels of patient satisfaction.

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