Acute care

Innovations

Systematic Tracking and Analysis of Admissions for Chemotherapy Toxicity Inform Quality Improvement Efforts, Leading to Reduced Toxicity Risk 07/22/10

A community cancer center identifies all patients hospitalized due to chemotherapy-related toxicity and enters data on such patients into a toxicity registry; analysis of registry data has stimulated quality improvement initiatives that have reduced admissions of nondiabetic multiple myeloma patients due to hyperglycemia and reduced the risk of treatment-related diarrhea in colorectal cancer patients.

Nursing Interventions Among Surgical Patients Eliminate Stage 3 and 4 Pressure Ulcers and Reduce Incidence of Other Pressure Ulcers 07/20/10

Nurses at Aultman Hospital assess patients preoperatively for risk of pressure ulcers, carefully monitor and address risk factors during surgery, and complete a communication tool to inform postoperative surgical care; the program led to the elimination of Stage 3 and 4 pressure ulcers hospital-wide and very low incidence of Stage 1 and 2 pressure ulcers in surgical patients.

Comprehensive Program to Change Hand Hygiene Culture Improves Adherence to Disinfection Guidelines, Leading to Lower Infection Rates and Costs 07/19/10

A comprehensive, hospital-based program targeting culture change related to hand hygiene through education, environmental modifications, and employee incentives leads to better adherence, fewer infections, and lower costs.

Program to Engage Employees in Quality Improvements Increases Patient and Employee Satisfaction and Reduces Staff Turnover 07/18/10

Sharp HealthCare incorporates a number of mechanisms to encourage employee engagement in patient service improvements, leading to higher patient satisfaction, perception of higher quality in the community,

Medical "Extensivists" Care for High-Acuity Patients Across Settings, Leading to Reduced Hospital Use 07/12/10

A Medicare Advantage plan uses employed “extensivists” who perform traditional hospitalist functions for a smaller-than-average caseload of patients, and then continue to follow and care for these patients after discharge until their condition becomes stabilized, leading to low length of stay and fewer readmissions.

Active Solicitation of Patient Feedback and Engagement of Employees in Customer Service Significantly Increases Patient Satisfaction 07/02/10

A health system gathers patient feedback through multiple channels and uses this feedback to develop patient-centered initiatives to improve customer service, leading to a significant increase in patient satisfaction and top-decile performance on measures relating to overall hospital quality and willingness to recommend the organization.

Hospital-Based "Quick Clinic" Treats Minor Acute Illnesses, Reducing Employee Absenteeism and Generating High Levels of Patient Satisfaction 06/30/10

Heartland Regional Medical Center operates a walk-in “Quick Clinic” that treats minor acute conditions for employees and their spouses and dependents, leading to reductions in employee absenteeism, high user satisfaction, and cost savings.

Pager-Based System Enables Prompt Communication and Acknowledgment of Critical Laboratory Results, Eliminating Thousands of Phone Calls to Physicians 06/24/10

An automated reporting system communicates critical laboratory test results to physicians via pager, allowing the vast majority of results to be quickly communicated to and acknowledged by physicians, and virtually eliminating thousands of calls historically made by laboratory technologists to relay such information.

Statewide Initiative Focuses on Early Diagnosis, Care Team Activation, and Patient Transfer, Leading to More Timely Treatment for Heart Attack Patients 06/22/10

A statewide program in North Carolina promotes early initiation of evidence-based heart attack treatment through collaboration with trained paramedics and partnerships between and within hospitals, leading to earlier initiation of therapy and faster transfer of patients.

Hospital Provides Non-English-Speaking Patients With Recording of Discharge Instructions in Native Language, Leading to Improved Comprehension and High Satisfaction 06/10/10

A hospital makes a telephone-based recording of discharge instructions available to non–English-speaking and low-literacy patients in their native language, leading to improved comprehension of discharge instructions and high levels of patient/family satisfaction.

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