Acute care


Multidisciplinary Hospital Team Proactively Meets With Patients and/or Families, Allowing Them to Better Deal With Unexpected Deaths and Other Negative Events 02/06/12

A multidisciplinary hospital team reaches out to and meets with patients and family members in a compassionate, supportive manner, allowing them to better deal with the loss of a loved one or other unexpected, negative events.

Alerts and Decision Support for Abnormal Laboratory Values Do Not Improve Clinical Management or Reduce Adverse Events 01/11/12

The combination of clinical alerts and decision support related to abnormal laboratory values had no impact on the clinical management of patients or the frequency of adverse events.

Scoring System Helps Choose Approaches and Devices for Safely Moving Patients, Leading to Fewer Staff Injuries and Lost Work Days 12/15/11

A scoring system assists hospital staff in selecting approaches and, if needed, assistive devices for lifting, moving, and/or repositioning patients, leading to significant reductions in staff injuries and the near elimination of lost and restricted work days caused by these injuries.

Redesigned Inpatient Care Model Increases Quality and Patient Satisfaction, Reduces Costs and Length of Stay 11/29/11

A redesigned inpatient care model based on Toyota Production System principles uses daily multidisciplinary clinical team visits, individualized care plans, and facility and staffing changes to reduce costs and average length of stay and improve adherence to recommended care processes, nurse productivity, and patient, staff, and physician satisfaction.

Electronic Hand Hygiene Monitoring System Significantly Reduces Health Care–Associated Infections 11/16/11

An electronic monitoring system confirms that providers conduct proper hand hygiene before patient contact, leading to a 61-percent decline in overall health care–associated infections and a 91-percent decline in non- Clostridium difficile infections.

Hospital-Based Social Workers Follow Up With Recently Discharged Older Adults to Resolve Transition Problems, Reducing Readmissions and Deaths 11/11/11

Hospital-based social workers support recently discharged older patients and their caregivers in resolving problems related to their transition back home, leading to enhanced patient and caregiver knowledge, better attendance at followup appointments, and fewer readmissions and deaths.

Safe Zone in Doorway Improves Hospital Clinician Productivity and the Frequency and Quality of Interactions With Isolated Patients 11/03/11

Hospital creates a “safe zone” where staff can interact with patients placed on contact precautions without putting on personal protective equipment, leading to significant time savings, lower costs, more frequent interactions with patients, and high levels of satisfaction.

Interdisciplinary Teams Perform Daily Reviews of Real-Time Information to Identify and Address Risk Factors in Older Inpatients 09/05/11

Hospital-based interdisciplinary teams conduct daily reviews of real-time information on all inpatients ages 65 and older to identify and address risk factors that can lead to negative outcomes; the program reduced use of urinary catheters and increased use of physical therapy and social work evaluations.

Patient Videos That Describe Care Experiences Spur Development of Many Successful Quality Improvement Initiatives 07/18/11

As part of Kaiser Permanente's Care Management Institute's video ethnography approach, provider teams interview patients about their care experiences, leading to the development of many quality improvement projects that have resulted in better care processes and outcomes.

Simple, Patient-Friendly Informed Consent Process Increases Proportion of Patients Reading Form and Able to Describe Surgical Procedure 07/15/11

A health system changed its informed consent process and document to make them more understandable, user-friendly, and interactive, leading to greater understanding of the surgical procedure and patient comfort with asking questions.


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