Acute care

Innovations

Use of Lean Performance Improvement Processes Significantly Improves On-Time Surgical Starts in the Inpatient Setting 01/15/08

Dupont Hospital introduced the principles of the Lean production model to its surgery department, leading to more than a doubling of the percentage of on-time surgery starts, from 27 to 66 percent.

Remote Viewing of Neonatal Intensive Care Unit Babies by Mother Promotes Bonding, Potentially Improves Infants' Long-Term Outcomes 01/11/08

Remote viewing of neonatal intensive care unit infants reduces maternal anxiety and promotes mother–infant bonding.

Multipronged Active Surveillance System Eliminates Common Infection for Patients in Transplant Intensive Care Unit 01/10/08

A multipronged active surveillance program for vancomycin-resistant Enterococcus (VRE) significantly reduced VRE transmission rates in a 12-bed transplant intensive care unit.

Multifaceted Hospital Program Implemented Over a Decade Leads to Lower Nurse Turnover and Length of Stay, Improved Patient Outcomes, and Enhanced Revenues 01/09/08

Over a 10-year period, Hackensack University Medical Center designed a set of strategies to improve nurse satisfaction, reduce length of stay, and enhance case management for selected conditions, leading to improvements including reductions in nurse turnover and length of stay.

Adopting "Flow Management" Improves Efficiency, Throughput, and Quality of Care in Hospital Surgery Units 01/02/08

Borrowing from other industries, a large hospital implemented principles of “flow management” to redesign the flow of operations in its surgical department, leading to enhanced quality of care, improved patient and provider satisfaction, and reductions in the frequency of delayed and canceled surgeries.

Medication Reconciliation Process Results in Anecdotal Reports of Improved Safety in Inpatient Setting 12/28/07

A hospital implemented a medication reconciliation process, the cornerstone of which is a one-page structured form that nurses, physicians, and pharmacists use to list all medications taken by the patient at home, confirm the continuation of existing medications, order newly prescribed medications, and facilitate medication reconciliation during patient transfers and at discharge.

Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Areas 12/28/07

Statewide telehealth ANGELS (Antenatal and Neonatal Guidelines, Education and Learning System) initiative connects rural Arkansas women who have high-risk pregnancies to specialty prenatal consultations and tertiary services and improves mother and infant outcomes.

Timely Assessment Increases Targeted Preventive Treatment for Patients at Risk for Hospital-Acquired Deep Vein Thrombosis 12/28/07

Providers used an established tool to classify patients into low-, moderate-, or high-risk categories for deep vein thrombosis and then prescribe preventive anticoagulant (blood thinner) medication and/or mechanical devices, increasing prophylaxis use and decreasing deep vein thrombosis rates.

Acuity-Adaptable Inpatient Rooms Eliminate Most Patient Transfers, Leading to Enhanced Safety, Satisfaction, and Efficiency 12/27/07

Acuity-adaptable inpatient rooms improve care quality and reduce costs in a cardiac care unit by drastically decreasing patient transfers.

Patient Safety Alert System That Uses Principles From Auto Manufacturing Increases Reporting and Improves Safety in a Medical Center 12/26/07

Virginia Mason Medical Center instituted a patient safety alert system that requires all staff who encounter a situation likely to harm a patient to make an immediate report and cease any activity that could cause further harm.

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