New York

Innovations

Imaging Protocol Sharply Reduces Overuse of Cervical Spine X-Rays for Emergency Department Trauma Patients 04/19/11

A simple protocol significantly reduces overuse of cervical spine x-rays in emergency department patients with traumatic injury.

Algorithm Guides Test Ordering for Patients With Suspected Pulmonary Embolism, Improving Patient Safety by Reducing Unnecessary Radiation Exposure 04/08/11

A hospital emergency department uses a simple algorithm and related tools to guide physician ordering of imaging studies for stable patients with suspected pulmonary embolism, leading to the provision of safer care by reducing unnecessary radiation exposure for patients.

Program Modeled on Emergency Preparedness Plan Features In-Unit Vaccinations and Morning "Lockdown," Increasing Employee Influenza Immunization Rates 03/01/11

A 2-day influenza vaccination program based on emergency preparedness plans for mass vaccination or prophylaxis, features in-unit vaccinations and a morning “lockdown” where employees must enter the hospital through a single entrance manned by vaccination teams, leading to significant increases in employee vaccination rates.

Hospital-Based Program Educates and Arranges Community-Based Support for Young Victims of Violence, Leading to Fewer Repeat Episodes 02/21/11

A hospital-based program for young victims of penetrating trauma identifies those at risk of future violence, educates them about the need to change behaviors to reduce those risks, and connects them to community-based organizations that can help them in doing so, leading to fewer repeat episodes.

Emergency Department Expedites Treatment of Moderate Acuity Patients, Reducing Length of Stay and Walkouts 01/24/11

A hospital emergency department triages moderately acute patients to a “midtrack” area where a nurse practitioner further evaluates them and provides treatment under a physician's supervision, leading to lower length of stay and fewer patient walkouts.

Dedicated Emergency Department Team Follows Up With Discharged Patients, Easing Physician Workload and Enhancing Quality of Care 01/20/11

A dedicated team of nurses and clerks provides followup support for patients discharged from the emergency department, leading to better quality care, high satisfaction among patients and primary care providers, and fewer patient walkouts.

Community Liaisons Facilitate Access to Culturally Competent Care for Orthodox Jewish, Chinese, and Arab Patients 01/17/11

Culturally competent community liaisons help members of the Orthodox Jewish, Arab, and Chinese communities access health care and community-based services, leading to a better patient experience.

Emergency Medical Technician Screening of Rural-Dwelling Older Adults Enhances Access to Needed Health and Social Services 12/17/10

Emergency medical technicians screen rural-dwelling older adults for depression, medication-related problems, and falls. A case manager follows up with at-risk individuals to conduct an in-home assessment and provide needed referrals, leading to enhanced access to medical and social services and high levels of satisfaction.

Breast Examination Center Assists Low-Income, Minority Women in Accessing Colorectal Cancer Screening 11/29/10

An inner-city breast examination center serving low-income, minority women educates patients about colorectal cancer screening and assists them in getting a colonoscopy screening test, leading to enhanced interest in and access to such screening.

Electronic Medical Record-Based System Featuring "Soft" and "Hard" Stops Significantly Improves Completion of Medication Reconciliation 10/05/10

An electronic medical record–based system features “soft” and “hard” stop functions designed to ensure that clinicians perform medication reconciliation, leading to a rapid, significant, and sustained increase in adherence rates.

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