Nurse-Enforced Protocols and Associated Tools Significantly Reduce Catheter-Related Infections in the Intensive Care Unit 09/30/08

St. John Hospital and Medical Center developed and implemented nurse-enforced protocols and associated tools, leading to a significant reduction in the incidence of catheter-related bloodstream infections.

Patient Safety Rounds Identify Systems Problems and Improve Perceptions of Commitment to Safety 08/21/08

The University of Michigan Medical Center uses patient safety rounds to help establish a culture of safety within the organization; during these rounds, hospital management and frontline staff work together to identify hazards and take actions to reduce or eliminate them.

Community Referral Liaisons Help Patients Reduce Risky Health Behaviors, Leading to Improvements in Health Status 08/11/08

A community health educator referral liaison receives physician referrals of patients with risky health behaviors; the liaison links patients with community resources, offers counseling and encouragement over the telephone, and provides feedback to the physicians.

Michigan Pathways Project Links Ex-Prisoners to Medical Services, Contributing to a Decline in Recidivism 06/23/08

The Michigan Prisoner Reentry Initiative, in partnership with the Muskegon Community Health Project, helps newly released or paroled prisoners access needed health care, contributing to a decline in recidivism.

Integrating Behavioral Health and Nutrition Services Into Primary Care Clinics Significantly Reduces Mental Health-Related Hospitalizations for Staff-Model Health Maintenance Organization 03/28/08

A health maintenance organization integrated mental and behavioral health care and nutrition services with primary care delivery, leading to a more than 50-percent reduction in mental health–related hospitalizations.

Early Activation of Acute Myocardial Infarction Team Reduces Time Between Emergency Department Arrival and Start of Angioplasty Procedure 02/26/08

The University of Michigan Health System redesigned the process for activating its acute myocardial infarction team, with an emphasis on the earliest possible electrocardiogram administration and team activation, ideally while the patient is en route to the hospital.

Hair Stylists Who Serve as Lay Health Educators Encourage Clients To Adopt Behaviors That Reduce Health Risks 02/19/08

Healthy Hair Starts with a Healthy Body is a salon-based campaign to educate African-American adults in urban areas of Michigan about how to reduce the risks of chronic kidney disease, diabetes, and hypertension.

Statewide Collaborative Supports Hospital-Based Teams in Developing Improvement Plans for Stroke Care, Resulting in Improved Performance on Select Measures 02/11/08

As part of a statewide collaborative, hospital-based multidisciplinary teams developed and implemented projects aimed at improving adherence to a set of standardized, evidence-based protocols for the management of acute stroke.

Comprehensive, Multifaceted Program Doubles Staff and Physician Adherence to Hand Hygiene Protocols Over 4-Year Period 02/11/08

A multipronged strategy involving ties between hand hygiene performance and compensation systems, adoption and constant reinforcement of clear hand hygiene protocols, a comprehensive auditing program to review hand hygiene adherence, and other program elements improved adherence to appropriate hand hygiene protocols.

Organization-Wide Adoption of Patient- and Family-Centered Care Leads to Consistently High Levels of Patient Satisfaction 02/11/08

An organizational transformation focused on patient- and family-centered care leads to consistently high levels of patient satisfaction.


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