Safety

Innovations

Concurrent and Retrospective Chart Review, Performance Reporting, and Other Support Significantly Improve Adherence to Core Measures in Four Clinical Areas 10/27/09

Concurrent and postdischarge nurse chart review, performance feedback, and other support lead to near-perfect adherence to recommended care processes for heart attack, heart failure, pneumonia, and surgery.

Collaborative Supports Hospitals in Sharing and Implementing Best Practices, Leading to 33-Percent Decline in Urinary Tract Infections 10/27/09

A 1-year collaborative program; in which 21 Pennsylvania hospitals set target goals for urinary tract infection prevention, developed strategies to meet these goals, and shared best practices, tools, and resources; led to a 32-percent decline in hospital-acquired urinary tract infections.

Full Disclosure of Medical Errors Reduces Malpractice Claims and Claim Costs for Health System 10/03/09

A multifaceted process for full disclosure of medical errors leads to a significant reduction in claims and claim costs for a health system.

Real-Time, Resident-Specific Medication Information and Alerts, Supported by Medication Safety Teams, Enhance Efficiency and Reduce Medication Errors in Nursing Homes 09/30/09

Real-time, resident-specific medication information and alerts, with support from a medication safety team, enhanced the efficiency of medication administration and reduce medication errors.

Intensive Care Units Participating in Hospital Collaborative Implement Multiple Improvement Strategies, Leading to Fewer Deaths and Lower Costs 09/29/09

As part of a hospital collaborative, intensive care units implemented a multifaceted safety program that reduced infections and hospital days, saved lives, and lowered health care costs.

Overnight "Day Care" Offers Safe and Stimulating Environment to Those With Severe Dementia, Respite to Overburdened Caregivers 09/23/09

An overnight “daycare” program offers a safe, stimulating environment to those with severe dementia who face challenges at night, providing respite to overburdened caregivers and delaying the need for nursing home placement.

Multifaceted Program Reduces Decision-to-Incision Time and Increases Rate of On-time Starts for Emergency Cesarean Deliveries 09/16/09

A multifaceted program in a rural, community hospital reduced mean decision-to-incision time for emergency cesarean deliveries and increased adherence to guidelines that recommend that such deliveries begin in less than 30 minutes.

Nurse-Led, Unit-Based Quality Improvement Increases Amount of Time Spent With Patients, Reduces Falls and Nurse Turnover 09/02/09

Seton Northwest Hospital continuously designs and tests nurse-led quality improvement projects at the patient's bedside, allowing nurses to be more efficient and spend more time with patients, reducing falls and nurse turnover, accelerating patient discharge, and yielding positive feedback from staff and patients.

Primary Care Nurses Systematically Assess Fall Risk, Provide Real-Time, Easy-to-Use Alerts to Physicians to Facilitate Appropriate Interventions for Those at Risk 08/06/09

Primary care clinic nurses routinely assess the risk of falls in each patient, with real-time, easy-to-use clinical reminders sent to physicians for those at risk, thus allowing the initiation of risk-reduction interventions during the visit.

Round-the-Clock Intensivists Eliminate Ventilator-Associated Pneumonia, Central Line Infections, and Pressure Ulcers in Intensive Care Unit 08/04/09

Intensivists guide care around the clock in two medical–surgical intensive care units, leading to lower length of stay and the near elimination of ventilator-associated pneumonia, hospital-acquired pressure ulcers, and central line infections.

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