Acute care

Innovations

Three-Tiered Emotional Support System Generates Positive Feedback From Providers Who Become "Second Victims" of an Unanticipated Clinical Event 06/08/10

A three-tiered system consisting of unit-level support, access to trained peer supporters, and referral to formal counseling services provides emotional support to health care professionals involved in an adverse event, leading to positive anecdotal feedback from these professionals.

Multiple Safeguards in Hospital Intravenous Medication Administration Processes Reduces Dosing Limit Violations and Improves Nurse Efficiency 05/24/10

A hospital revamped its process for administering intravenous medications to incorporate multiple automated and human safeguards, leading to increased adherence to drug dosing limits and the elimination of many error-prone steps involved in manually programming the intravenous infusion pump.

Transferring Admitted Emergency Department Patients to Hallway Beds Leads to Lower Length of Stay and Higher Patient Satisfaction 05/14/10

In instances of institutional overcrowding, a protocol allows patients admitted to the hospital but boarded in the emergency department to be transferred to beds located in inpatient unit hallways, leading to expedited patient placement in a room, lower length of stay, and higher patient and staff satisfaction.

System to Help Staff Locate Equipment Quickly Frees Up Nurse Time, Improving Care and Staff Satisfaction 04/23/10

Nurses and other hospital staff use a radiofrequency identification system to pinpoint the location of needed equipment, leading to enhanced productivity, better equipment maintenance, expedited patient care and discharge, and high levels of nurse satisfaction.

Hospital Integrates Census Management for Disaster Planning Into Operations, Leading to Better Capacity Management and Increased Throughput 04/23/10

Inpatient capacity management strategies initially developed to accommodate the potential influx of patients during a natural or manmade disaster were adopted for everyday use by a capacity-constrained hospital, leading to earlier-in-the-day discharges, steady length of stay despite rising patient acuity, and a multimillion dollar financial return due to increased throughput, with no negative impact on quality or patient satisfaction.

Crisis Prevention Team Calms Agitated Patients in Psychiatric Units, Leading to a Reduction in the Use of Restraints and Seclusion and Fewer Injuries 04/21/10

A trained rapid response, crisis prevention team calms agitated patients in inpatient psychiatry units, leading to less use of restraints and seclusion and fewer injuries to staff and patients.

Shared Decision Making for Breast Cancer Patients Leads to High Levels of Patient Satisfaction, and Comfort With Decisions and Treatment Preferences 04/14/10

Decision aids and one-on-one counseling sessions help newly diagnosed breast cancer patients evaluate their treatment options and preferences before the initial surgeon visit, leading to high levels of patient satisfaction and knowledge, less conflict about and greater comfort with decisions made, many changes in treatment preferences, and better patient–surgeon interactions.

Patient Advisors Participate in Hospital Councils, Committees, Staff Training, and Other Activities, Contributing to Improved Patient Satisfaction and Better Organizational Performance 03/29/10

Current and former patients participate in hospital and department advisory councils, committees, peer support, staff training and education, and other activities related to patient-centered care, contributing to higher patient satisfaction and improved organizational performance.

Sleep Education and Other Support Significantly Reduces Turnover Among First-Year Nurses 03/17/10

A nurse retention program that incorporates sleep education and other support significantly reduced nurse turnover among first-year nurses.

Comprehensive Program to Support Patients and Staff Improves Hospital Experience for Adult Patients With Intellectual and Developmental Disabilities 02/22/10

A comprehensive program targeted at patients and staff improved the hospital experience for adult patients with intellectual and developmental disabilities and enhanced staff's understanding of and ability to communicate with and effectively serve these patients.

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