IOM Domains of Quality

Innovations

Routine Cultures, Real-Time Alerts, and Immediate Precautions Reduce Intensive Care Unit MRSA Infections 01/10/08

Nurses at the University of Pittsburgh Medical Center Presbyterian Hospital routinely monitor all patients admitted to intensive care units for methicillin-resistant Staphylococcus aureus colonization from admission to discharge.

Multipronged Active Surveillance System Eliminates Common Infection for Patients in Transplant Intensive Care Unit 01/10/08

A multipronged active surveillance program for vancomycin-resistant Enterococcus (VRE) significantly reduced VRE transmission rates in a 12-bed transplant intensive care unit.

Multifaceted Hospital Program Implemented Over a Decade Leads to Lower Nurse Turnover and Length of Stay, Improved Patient Outcomes, and Enhanced Revenues 01/09/08

Over a 10-year period, Hackensack University Medical Center designed a set of strategies to improve nurse satisfaction, reduce length of stay, and enhance case management for selected conditions, leading to improvements including reductions in nurse turnover and length of stay.

Electronic Health Record–Facilitated Care Process Redesign Enhances Access to Care, Reduces Hospitalizations and Costs for Patients With Chronic Illnesses 01/08/08

The Marshfield Clinic is using electronic tools to facilitate care process redesign for patients with chronic illnesses, leading to enhanced quality and access to care, fewer hospitalizations and adverse events, and lower costs.

Comprehensive Palliative Care Program Improves End-of-Life Care and Pain Control for Terminally Ill Patients 01/08/08

Hoag Memorial Hospital Presbyterian established a comprehensive end-of-life program that includes pain control and emotional support for patients unlikely to survive the next few days; a multidisciplinary palliative care that assists physicians who are treating dying patients; compassionate care for parents who lose children before or after birth; and support for hospital staff who work with dying patients.

Paramedics' Adoption of Established Tool to Measure a Child's Weight Enhances Accuracy of Drug Dosing for Resuscitations 01/07/08

Emergency management services workers who use an established tool to measure a child's weight administer more accurate doses of emergency medications to pediatric patients.

Computerized, Previsit Self-Assessment Improves Care of Patients With Mental Illness 01/04/08

A computer-assisted patient assessment system allows patients who have severe mental illness to document important clinical information before their scheduled appointment with a clinician. A printout of answers to the assessment system is given to the clinician to use during the session.

24-Hour Mobile Mental Health Crisis Team Reduces Hospitalization for Children with Complex Behavioral and Emotional Needs 01/04/08

A rapid response team defuses crisis situations for children with complex behavioral needs.

Nurse-Led Telephone Outreach More Than Doubles Pneumococcal Vaccination Rates for At-Risk Individuals 01/04/08

Both nurse-led and automated telephone outreach to elderly and chronically ill individuals increases vaccination rates.

Conveniently Located "Napping Rooms" Provide Opportunity for Night- and Extended-Shift Providers to Rest, Leading to Less Fatigue and Better Performance 01/04/08

Medical errors related to sleep deprivation may be reduced with a “strategic nap program,” resulting in improved performance-related factors (fatigue, sleepiness, energy) and improved task-related performance. Sleep deprivation is associated with increased medical errors, accidents, and provider mishaps.

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