North Carolina

Innovations

Family-Activated Pediatric Rapid Response Team Increases Calls From Both Families and Staff, Supports Improvements in Outcomes 12/23/08

A children's hospital empowers families to directly activate its pediatric rapid response team in case of a suspected emergency situation, leading to a significant increase in calls to the team by family and staff.

Letter From Personal Physician With Video Decision Aid and Direct-Access Testing Improves Colon Cancer Screening Rates 11/10/08

Patients received a mailed package that included a personalized letter from the patient's physician, a colon cancer screening decision aid video, and instructions for scheduling a screening test without an office visit.

Cancer Prevention Messages From Cosmetologists Lead to Positive Lifestyle Changes Among Clients 11/05/08

Trained licensed hair stylists delivered cancer prevention messages to their clients during beauty salon appointments, leading to positive behavior change.

Family-Oriented Program Combines Medical Care and Behavioral Counseling, Leading to Health Improvements in Obese Children and Adolescents 10/17/08

Through a 1-year program combining medical care with behavioral counseling and practical strategies, a multidisciplinary team of professionals meets with families on an ongoing basis to emphasize good health habits and address a spectrum of lifestyle issues related to pediatric obesity and its complications.

Weight Loss Center Aims to Help Rural, Obese Children Improve Mental and Physical Health by Integrating Medical, Psychosocial, and Nutrition Services 08/04/08

The Pediatric Healthy Weight Research and Treatment Center provides multidisciplinary evaluation and treatment for overweight, low-income youth in eastern North Carolina.

Voluntary Osteoporosis Educational Modules for Nursing Home Physicians and Staff Do Not Reduce Falls or Fractures Among Residents 07/01/08

Due to the high prevalence of osteoporosis in nursing homes, researchers from the Duke University Center for Aging and Human Development and four other organizations developed and tested a program for fracture and fall prevention for nursing home residents based on established clinical practice guidelines for osteoporosis.

Voluntary Error Reporting Program Focusing on Systems Issues Increases Reporting and Contributes to Reduction in Liability Claims at Outpatient Clinic 04/03/08

A hospital outpatient clinic's confidential, voluntary error reporting system, which focuses on identifying faulty systems instead of individual mistakes, has substantially increased error reports and has been associated with a reduction in liability claims.

Voluntary, Anonymous, Non-Punitive System Leads to a Significant Increase in Reporting of Errors in Ambulatory Pediatric Practice 03/13/08

A hospital's ambulatory pediatrics department developed a voluntary, anonymous, and nonpunitive medical error reporting system that includes a quick response team to review reports and enact interventions to prevent recurrences, leading to a significant increase in error reporting.

Four-Step Protocol Determines Therapy for Patients With Acute Respiratory Failure, Leading to Improved Mobility, Shorter Stays 01/23/08

Use of a four-step, standardized protocol to determine the appropriate level of physical therapy in intensive care unit patients with acute respiratory failure led to earlier ambulation and lower length of stay.

Periodic, Nurse-Initiated Telephone Contact Provides Quality Followup Care to Infants With Lung Disease in Rural Areas 01/22/08

A nurse specialist maintains regular telephone contact with the primary caregivers and health care providers of premature infants with chronic lung disease who are discharged from the hospital.

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