Active care processes: diagnosis and treatment

Innovations

Electronic Health Record–Facilitated Care Process Redesign Enhances Access to Care, Reduces Hospitalizations and Costs for Patients With Chronic Illnesses 01/08/08

The Marshfield Clinic is using electronic tools to facilitate care process redesign for patients with chronic illnesses, leading to enhanced quality and access to care, fewer hospitalizations and adverse events, and lower costs.

Comprehensive Palliative Care Program Improves End-of-Life Care and Pain Control for Terminally Ill Patients 01/08/08

Hoag Memorial Hospital Presbyterian established a comprehensive end-of-life program that includes pain control and emotional support for patients unlikely to survive the next few days; a multidisciplinary palliative care that assists physicians who are treating dying patients; compassionate care for parents who lose children before or after birth; and support for hospital staff who work with dying patients.

Paramedics' Adoption of Established Tool to Measure a Child's Weight Enhances Accuracy of Drug Dosing for Resuscitations 01/07/08

Emergency management services workers who use an established tool to measure a child's weight administer more accurate doses of emergency medications to pediatric patients.

Conveniently Located "Napping Rooms" Provide Opportunity for Night- and Extended-Shift Providers to Rest, Leading to Less Fatigue and Better Performance 01/04/08

Medical errors related to sleep deprivation may be reduced with a “strategic nap program,” resulting in improved performance-related factors (fatigue, sleepiness, energy) and improved task-related performance. Sleep deprivation is associated with increased medical errors, accidents, and provider mishaps.

Computerized, Previsit Self-Assessment Improves Care of Patients With Mental Illness 01/04/08

A computer-assisted patient assessment system allows patients who have severe mental illness to document important clinical information before their scheduled appointment with a clinician. A printout of answers to the assessment system is given to the clinician to use during the session.

24-Hour Mobile Mental Health Crisis Team Reduces Hospitalization for Children with Complex Behavioral and Emotional Needs 01/04/08

A rapid response team defuses crisis situations for children with complex behavioral needs.

Nurse-Led Telephone Outreach More Than Doubles Pneumococcal Vaccination Rates for At-Risk Individuals 01/04/08

Both nurse-led and automated telephone outreach to elderly and chronically ill individuals increases vaccination rates.

Medication Reconciliation Process Results in Anecdotal Reports of Improved Safety in Inpatient Setting 12/28/07

A hospital implemented a medication reconciliation process, the cornerstone of which is a one-page structured form that nurses, physicians, and pharmacists use to list all medications taken by the patient at home, confirm the continuation of existing medications, order newly prescribed medications, and facilitate medication reconciliation during patient transfers and at discharge.

In-Hospital, 24-Hour Pharmacy Services via Automated Medication Dispenser Add Convenience and Increase Medication Safety 12/28/07

St. Mary's Hospital Medical Center offers in-house, 24-hour pharmacy services via a fully automated dispenser that allows patients to have medication prescriptions filled at the point of care.

Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Areas 12/28/07

Statewide telehealth ANGELS (Antenatal and Neonatal Guidelines, Education and Learning System) initiative connects rural Arkansas women who have high-risk pregnancies to specialty prenatal consultations and tertiary services and improves mother and infant outcomes.

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