Acute care

Innovations

Hospital Systematically Screens and Initiates Treatment for Depression and Anxiety in Cardiac Patients, Improving Cardiac Symptoms and Mental Health 07/10/11

A hospital screens all cardiac inpatients for depression and anxiety and initiates treatment for them as appropriate, leading to improvements in cardiac symptoms and mental health.

Peer-Assisted Crisis Intervention Supports Staff Assaulted by Patients, Reducing Assaults, Victim Symptoms, and Staff Turnover 06/07/11

A voluntary, peer-assisted crisis intervention program supports hospital and community center staff who are victims of patient assault, leading to reductions in trauma symptoms, assaults, staff turnover, and turnover-related costs.

Skin Assessments Conducted as Part of Patient Intake Improve Documentation of Pressure Ulcers on Admission, Reduce Incidence During Stay 05/30/11

Nurses perform a baseline skin assessment on every newly admitted patient, leading to improvements in the identification and documentation of pressure ulcers on admission and to lower incidence of pressure ulcers.

Hourly Nurse Rounds Help to Reduce Falls, Pressure Ulcers, and Call Light Use, and Contribute to Rise in Patient Satisfaction 05/10/11

Nurses and nursing assistants conduct hourly rounds to assess and address patient needs, contributing to reductions in falls, pressure ulcers, and call light use, and to improvements in patient satisfaction with nursing care.

Nurse–Physician Infection Prevention Teams Conduct Rounds and Provide Support to Frontline Clinicians, Leading to Fewer Health Care-Associated Infections 04/28/11

Physician–nurse infection prevention teams round on hospital units at least weekly, leading to a 70-percent decline in central line–associated infections and very low rates of surgical site infections.

Postdischarge Followup Calls to Skilled Nursing Facilities Reduce Heart Failure Readmissions by Two-Thirds 04/10/11

Hospital case managers telephone skilled nursing facility nurses within 48 hours of each heart failure patient's discharge to verify that appropriate care management is being provided, leading to a significant reduction in readmissions and associated cost savings.

Hospital-Wide Inpatient Screening for Alcohol Withdrawal and Algorithm-Driven Treatment Improve Care and Reduce Acute Delirium Episodes 03/30/11

An algorithm-driven program combines hospital-wide inpatient screening for alcohol withdrawal risk, monitoring of at-risk patients, and medical treatment of symptoms, leading to more patients being diagnosed, fewer acute episodes of delirium, and improved care for patients experiencing such episodes.

Electronic Alerts, Patient Education, and Performance Reports Improve Adherence to Guideline Designed to Reduce Early Elective Inductions 03/29/11

Electronic alerts, patient education, and provider performance reports promote adherence to a guideline covering early elective inductions, leading to a significant decline in such inductions, shorter average labor, and fewer newborn complications.

Health System Improves Access to Culturally Competent Interpreters Through Participation in Telephone and Video Interpretation Network 03/24/11

Contra Costa Health Services provides video and telephonic interpretation services to diverse patient populations at its clinics and regional hospital through participation in a shared network of trained interpreters, leading to improved access to interpretation services for patients with limited English proficiency.

Electronic System for Tracking Test Results Pending at Hospital Discharge Draws Little Use or Enthusiasm From Hospitalists 03/11/11

Hospitalists used an electronic application to track the pending test results of recently discharged inpatients; the application proved to be of limited value, with nearly half of hospitalists never using it and nearly all reporting multiple barriers to doing so.

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