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.
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.
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.
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.
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.
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.
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 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.
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.
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.