Patient safety

Innovations

Patient and Family Advisor Rounding Contributes to Reduction in Falls and to Better Performance on Key Patient Experience Metrics 03/24/16

Patient and family advisors conduct regular rounds with patients and their family members on inpatient units and in the emergency department, contributing to a reduction in falls and to better performance on key patient experience metrics.

Patient and Family Advisors Spearhead Redesign of Bedside Shift-Change Reporting, Leading to More Consistent Use 03/09/16

Patient and family advisors work with other stakeholders to redesign the structure and process for bedside change-of-shift reports, leading to more consistent use of the new approach.

Welcome Policy Eliminates Visiting Restrictions and Allows Loved Ones To Be With Patients Round-the-Clock, Generating Positive Feedback From All Stakeholders 01/12/15

Replacing traditional visiting restrictions, a hospital’s “welcome” policy allows loved ones (including minors) to be with patients round-the-clock, leading to very positive feedback from patients, family members and friends, and hospital staff.

Committee Reviews and Advises on Cases of Alleged Unprofessional Behavior as Alternative to Formal Investigation, Leading to Improvements in Physician Behavior 12/19/14

Three hospitals within the University of Pennsylvania Health System succeeded in changing physician behavior through a Professionalism Committee that handles cases of alleged disruptive, unprofessional behavior by a physician, as an alternative to a formal investigation under medical staff bylaws.

Culturally Tailored Group Meetings and Other Support Help Abused African-American Women Build Coping Skills and Reduce Depressive Symptoms, Suicidal Thoughts, and Suicide Attempts 11/05/14

A culturally tailored support group helps African-American women who are victims of intimate partner violence build coping skills, leading to reductions in depressive symptoms, levels of general distress, suicidal ideation, and suicide attempts.

Cross-Division Surgical Group Conducts Quarterly Review as Supplement to Traditional Department-Specific Morbidity and Mortality Reviews, Leading to Lower Mortality Rates 09/18/14

As an adjunct to traditional morbidity and mortality reviews, a teaching hospital convenes representatives from its 11 surgical groups on a quarterly basis to review mortality-related data and discuss trends, problems, and opportunities for systematic improvement, leading to lower mortality rates and better performance on a composite quality measure.

Web-Based System for Scheduling and Informed Consent Eliminates Surgical Delays and Problems Related to Consent Forms, Handwriting, and Equipment 09/17/14

An integrated electronic system for scheduling elective surgical procedures and obtaining informed consent eliminates delays and other problems due to incomplete or missing consent forms, illegible handwriting, and missing equipment.

Multifaceted Initiative To Reduce "Alarm Fatigue" on Cardiac Unit Reduces Alarms and Increases Nurse and Patient Satisfaction 04/07/14

A series of interventions to reduce “alarm fatigue” on an inpatient cardiac unit leads to significant declines in the number of alarms with no adverse events attributed to the changes and to increases in nurse and patient satisfaction.

Managed Care Entity Funded By Public Agencies Reduces Institutionalization and Recidivism, and Improves School Attendance and Functional Ability Among Emotionally Disturbed Youth 03/30/14

Funded by and receiving referrals from the various public systems serving at-risk youth, Wraparound Milwaukee pays for and supports the provision of coordinated mental health and support services to children and adolescents with serious emotional and mental health needs, leading to less institutionalization and recidivism, lower costs, increased school attendance, better functioning at home and in school, and high satisfaction.

Community-Based Health Coaches and Care Coordinators Reduce Readmissions Using Information Technology To Identify and Support At-Risk Medicare Patients After Discharge 03/23/14

Supported by mobile technology, trained health coaches and nurse care coordinators use home visits and telephone-based monitoring to identify and address declines in health status in recently discharged Medicare patients, leading to a significant reduction in readmissions and associated cost savings.

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