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.
Thedacare, a four-hospital system, has redesigned its musculoskeletal care process to make it more efficient and effective for patients and providers. Improvements include a centralized orthopedics center that houses physicians (orthopedic surgeons, sports medicine physicians, and rehabilitation specialists), therapists, and supplies; changed the traditional process of most patients with musculoskeletal injuries seeing an orthopedic surgeon first; and the creation of referral protocols and a triage system designed to get patients the level of care they need quickly.
A six-step process related to nurse shift changes is designed to enhance patient safety by conveying vital patient information accurately, concisely, and consistently, leading to improved nurse and patient satisfaction and more nurse time spent at the bedside.
Based on airline safety principles, five simple and inexpensive interventions significantly reduced the number of distractions experienced by nurses during medication administration.
The Michigan Stroke Network provides on-demand remote consultations to emergency department physicians in 30 hospitals and one freestanding emergency department throughout Michigan. These consultations provide the physicians with access to stroke care specialists within 12 to 15 minutes of the physician making a telephone call.
To reduce the high percentage of intensive care unit patients with hyperglycemia, Indiana University Health developed and implemented an hourly testing and as-needed dosing adjustment system that is enabled through use of an automated reminder system and dosing calculator.
Hospital at Home sm provides hospital-level care in a patient's home as a full substitute for acute hospital care for selected conditions common among seniors.
Saint Mary's Health Care enhanced its hospital-based rapid response team by implementing a real-time, vital sign monitoring system that identifies and allows a quick response to high-risk patients.
Kaiser Permanente Colorado developed a computerized alert system to notify pharmacists when elderly patients are prescribed potentially inappropriate medications; alerted pharmacists consult with the physicians to discuss the prescription, leading to a reduction in inappropriate prescribing.
Abington Memorial Hospital pursued a number of activities to build a culture of safety, including TeamSTEPPS ™ (Strategies and Tools to Enhance Performance and Patient Safety) training and other initiatives to enhance communication and awareness of safety issues.