Automated Pharmacy Alerts Followed by Pharmacist-Physician Collaboration Reduce Inappropriate Prescriptions Among Elderly Outpatients 01/28/08

Kaiser Permanente Colorado developed a computerized alert system to notify pharmacists when elderly patients are prescribed potentially inappropriate medications; alerted pharmacists consult with the physicians to discuss the prescription, leading to a reduction in inappropriate prescribing.

Team Communication Improvement Initiatives Enhance a Hospital's Culture of Safety, Leading to Improved Outcomes 01/28/08

Abington Memorial Hospital pursued a number of activities to build a culture of safety, including TeamSTEPPS ™ (Strategies and Tools to Enhance Performance and Patient Safety) training and other initiatives to enhance communication and awareness of safety issues.

Real-Time Vital Sign Monitoring Ensures Timely Care for At-Risk Patients, Leading to Fewer Unplanned Intensive Care Unit Admissions and Out-of-Intensive Care Unit Cardiac Arrests 01/28/08

Saint Mary's Health Care enhanced its hospital-based rapid response team by implementing a real-time, vital sign monitoring system that identifies and allows a quick response to high-risk patients.

Comprehensive Program That Includes Standardized Protocols and Pain Management Team Significantly Reduces Narcotic Oversedation in Hospital Setting 01/25/08

A comprehensive hospital program that includes standardized protocols and various support systems to encourage adherence to these protocols led to an 81-percent decline in serious narcotic oversedations.

Unit-Based Safety Program Improves Safety Culture, Reduces Medication Errors and Length of Stay 01/25/08

The Comprehensive Unit-Based Safety Program (CUSP) improves patient safety awareness and quality of care by empowering staff to take charge, create partnerships between units, improve organizational culture, and obtain resources for unit efforts.

Preoperative Safety Briefing Reduces Wrong-Site Surgery and Nursing Turnover, Enhances Safety Attitude 01/25/08

A presurgical safety briefing held by the operating room team before every procedure has virtually eliminated wrong-site surgeries, enhanced operating room staff satisfaction and perceptions of safety, and reduced nurse turnover.

Comprehensive Program Focused on Culture Change, Education and Training, and Solicitation of Employee Ideas Significantly Reduces Incidence of Common Hospital-Acquired Infection 01/25/08

The Billings Clinic, an integrated health system in Billings, MT, addressed its rising rate of methicillin-resistant Staphylococcus aureus infections by making infection control a top institutional priority and by creating a comprehensive package that combines adoption and monitoring of strict infection control protocols, active surveillance, training and education, and the solicitation and implementation of employee ideas through an approach known as “positive deviance.” This term refers to the focus on uncommon strategies that lead to positive changes and results.

Hospital-Based Day Treatment Program Provides Family-Centered Services to Children With Chronic Illnesses and Emotional Issues as an Alternative to Outpatient and Inpatient Care 01/25/08

The Hasbro Children's Partial Hospital Program—a medical treatment day program for children ages 6 to 18 years old who have chronic medical illnesses and emotional issues—has demonstrated sustained positive outcomes of treatment on several measures, including quality of life, emotional symptoms, and family beliefs about illness.

Strict Adherence to System-Wide Standards and Protocols Significantly Reduces Infections Associated With Central Venous Catheters 01/25/08

The North Shore-Long Island Jewish Health System uses a standard, system-wide process to reduce central venous catheter–related infections, with a focus on adhering to evidence-based standards and protocols related to inserting, maintaining, and removing the catheters.

Standardized Discharge Planning Focusing on Patient Education and Care Coordination Increases Understanding of Postdischarge Needs and Likelihood of Followup Care 01/25/08

The Re-Engineered Discharge project at Boston Medical Center standardizes the hospital discharge process through use of 11 separate but mutually reinforcing steps that health care professionals follow from patient admission to postdischarge.


Subscribe to Safety

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.