Medication: ordering, transcription, administration, dispensing

Innovations

Day Hospital Reduces Inpatient Length of Stay and Emergency Department Visits for Patients With Sickle Cell Anemia 01/28/11

A Sickle Cell Day Hospital provides an alternative to inpatient care for patients with sickle cell anemia, with the goal of managing their pain and keeping them out of the hospital, resulting in lower inpatient lengths of stay and emergency department utilization.

Joint Nurse Practitioner–Geriatrician Management of Frail Elderly Increases Adherence to Recommended Care Processes for Common Conditions 01/27/11

Working in collaboration with geriatricians, a nurse practitioner comanaged the care of frail, elderly patients with any of five chronic conditions, leading to better adherence to recommended care processes.

Standardized Processes and Tools Significantly Enhance Provision of Recommended Care to Teens With Asthma 01/24/11

Teen Health Center providers use standardized processes and tools to enhance the provision of recommended care to teens with asthma.

Academic Detailing Sessions With Providers Increase Use of Pain- and Anxiety-Reducing Strategies During Childhood Immunizations 01/19/11

A trained educator used “academic detailing” sessions to teach primary care clinicians about proven strategies for reducing the pain and anxiety associated with childhood immunizations, leading to increased use of these strategies and greater satisfaction among clinicians.

Health Plan and Psychiatric Hospitals Reduce Readmissions by Reviewing Data and Developing Strategies to Improve Postdischarge Care 01/13/11

A partnership between a health plan and psychiatric hospitals focuses on sharing of quarterly data, case reviews, and deployment of specific strategies to improve postdischarge care, leading to significant reductions in readmissions, inpatient days, and costs.

Mental Health Clinicians Integrate Cessation Treatment Into Regular Care of Smokers With Posttraumatic Stress Disorder, Increasing Likelihood of Quitting 01/06/11

Mental health practitioners provide smoking cessation counseling and treatment to patients with posttraumatic stress disorder as part of their regular mental health care, leading to higher quit rates and fewer relapses.

14-Hospital Telepharmacy Program Reduces Order Processing Time, Frees Up Pharmacists for Quality-Enhancing Initiatives, and Saves Money 01/06/11

A telepharmacy program enables offsite pharmacists to review and approve medication orders in 14 hospitals, leading to expanded hours of service, reduced order processing times, enhanced pharmacy services, higher nurse satisfaction, freed up pharmacist time, and more than $1 million in annual cost savings.

Algorithm Enhances Provision of Preventive Treatment to At-Risk Inpatients, Reducing Incidence of Venous Thromboembolism 12/21/10

Providers use a computerized algorithm to classify inpatients as low, moderate, or high risk, and then prescribe anticoagulant (blood thinner) medication and/or mechanical devices as appropriate, leading to reduced incidence of venous thromboembolism.

Formal Processes Ensure System-Wide Focus on Heart Attack, Heart Failure, Pneumonia, and Surgical Care, Improving Performance on Core Measures 12/13/10

A health system uses formal processes to track patients who meet core measure inclusion criteria, monitor gaps in care, investigate care variances, and share data and best practices, leading to a significant improvement in overall performance on the measures.

Multidisciplinary Team Redesigns Care Processes and Systems, Leading to Significantly Improved Performance on Core Measures in Four Clinical Areas 12/09/10

A hospital uses a multidisciplinary team, standing orders and reminder systems, manual medication reconciliation, and system-wide quality improvement to significantly improve performance on core measures for heart attack, heart failure, pneumonia, and surgical care.

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