Hospital inpatient—hospital type

Innovations

Formal Structures and Processes Promote System-Wide Focus on Core Measures, Leading to Significantly Better Performance 09/01/10

A health system uses formal structures and processes to ensure that performance on core measures remains a consistent focus throughout the organization, leading to a significant improvement in overall adherence to these measures.

Pharmacy Residents Work 24-Hour Hospital Shifts, Leading to Few Dosing Errors and High Levels of Guideline Adherence 08/25/10

Pharmacy residents complete one 24-hour shift at a hospital approximately every 2 weeks, providing an array of services, including consultations and assistance with emergency situations; the program has led to low dosing error rates and to high levels of adherence to recommended guidelines for emergency stroke patients and has helped to produce more confident, capable pharmacists.

Rapid Admission Protocol for Emergency Department Patients Reduces Boarding Time 07/23/10

A rapid admission protocol streamlines the process between the decision to admit an emergency department patient and the arrival of the patient on the inpatient unit by reassigning care responsibilities and reducing process steps, leading to reduced emergency department boarding time.

Alternating Group and In-Home Sessions Help Obese Preschoolers and Overweight Parents Improve Eating Habits and Reduce Body Mass Index 07/21/10

Behavioral health clinicians lead a 24-week program consisting of alternating group sessions and in-home consultations with obese preschoolers and their overweight parent(s), leading to improved dietary habits, less weight gain, and lower body mass index among preschoolers and to greater weight loss and lower body mass index among parents.

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.

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.

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.

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