Hospital inpatient—hospital type
As part of a system-wide effort to transform inpatient care and eliminate preventable injuries and deaths, Seton Healthcare Family developed and implemented a comprehensive set of practices that collectively led to a substantial reduction in the incidence of birth trauma.
A children's hospital annually reviews all findings from root cause analysis to identify and address common themes and vulnerabilities, leading to a number of institutionwide changes that have improved patient safety and to better communication about safety issues with organizational leaders.
A telephone-based coaching intervention was designed to help hospital-based fall prevention champions identify and implement needed changes in fall-related organizational policies and clinician-specific practices.
Swedish Medical Center implemented a new service request system in which physicians and staff requesting services must prioritize the order into one of four categories. The four-category system applies to all hospital orders, including laboratory tests, requests for assistance from personnel, and facility repairs.
The Hospital Elder Life Program screens all patients aged 70 years and older at admission for the presence of six risk factors for delirium, and then implements targeted interventions to reduce these risks, leading to less cognitive and functional decline and lower costs.
Medical librarians at Vanderbilt University Medical Center's Eskind Biomedical Library developed a rapid turnaround service to provide answers to medical queries from clinicians that are based on the latest evidence-based research.
St. Rita's Medical Center uses a system based on individualized physician preferences that allows nurses to contact physicians at any time of day by making only one phone call, leading to significant time savings.
A hospital's ambulatory pediatrics department developed a voluntary, anonymous, and nonpunitive medical error reporting system that includes a quick response team to review reports and enact interventions to prevent recurrences, leading to a significant increase in error reporting.
A randomized clinical trial at San Francisco General Hospital used visual medication schedules and brief teach-back protocols in English, Spanish, and Cantonese to improve anticoagulant control among low-literacy patients in the public hospital's anticoagulation clinic.
Children's Healthcare of Atlanta developed and implemented a program to reduce the incidence of ventilator-associated pneumonia in three intensive care units, including two pediatric intensive care units and one cardiac intensive care unit. The program adapts a bundle of evidence-based interventions commonly used to prevent ventilator-associated pneumonia in adults to the pediatric population.