Safety

Innovations

Health System Makes Annual Influenza Immunization a Condition of Ongoing Employment, Leading to Near-Complete Vaccination of Workforce 08/02/12

BJC HealthCare requires employees to get an annual influenza vaccination as a condition of employment, resulting in the vaccination of virtually the entire workforce.

State-Mandated Tracking and Public Reporting Reduce Incidence and Costs of Common Hospital-Acquired Infections 07/23/12

As required by law, hospitals in New York track and report information on select hospital-acquired infections to the State Department of Health, which publicly releases hospital-specific performance data and supports hospitals with quality improvement initiatives; the program has reduced infection rates and generated substantial cost savings.

Multihospital System Uses Proactive Screening, Algorithms, and Tools To Improve Sepsis Care, Leading to More Appropriate Care and Better Outcomes 05/29/12

A regional health system with 21 hospitals implemented a comprehensive sepsis care initiative featuring proactive screening in the emergency department, algorithms to guide evidence-based treatment, and tools to support the provision of appropriate care, leading to better diagnosis, more appropriate care, lower mortality rates, and more patients meeting clinical targets.

Multifaceted Program Featuring Guideline, Training, and Incentives Reduces Prescribing of High-Dose Opioid Therapy in Patients With Chronic Pain 05/25/12

A large health plan's multifaceted program promotes appropriate prescribing and monitoring of opioid therapy for patients with chronic pain not caused by cancer, leading to enhanced physician knowledge and confidence related to prescribing, greater use of care plans and drug screening, and fewer patients on high-dose therapy.

Insurer Provides Financial Incentives, Infrastructure, and Other Support To Stimulate Provider Participation in Quality Improvement Collaborations 05/21/12

A large insurer offers financial incentives and other support to provider-led quality improvement collaborations, leading to high levels of provider participation, higher quality, lower costs, and a positive return on investment.

State Health Department Support Spurs Development of Many Antimicrobial Stewardship Programs After Passage of Legislative Mandate 05/18/12

The California Department of Health provides education and support to hospitals throughout the state, allowing many to create programs to address appropriate use of antimicrobials in response to State legislation.

Multidisciplinary Hospital Team Proactively Meets With Patients and/or Families, Allowing Them to Better Deal With Unexpected Deaths and Other Negative Events 02/06/12

A multidisciplinary hospital team reaches out to and meets with patients and family members in a compassionate, supportive manner, allowing them to better deal with the loss of a loved one or other unexpected, negative events.

Alerts and Decision Support for Abnormal Laboratory Values Do Not Improve Clinical Management or Reduce Adverse Events 01/11/12

The combination of clinical alerts and decision support related to abnormal laboratory values had no impact on the clinical management of patients or the frequency of adverse events.

Scoring System Helps Choose Approaches and Devices for Safely Moving Patients, Leading to Fewer Staff Injuries and Lost Work Days 12/15/11

A scoring system assists hospital staff in selecting approaches and, if needed, assistive devices for lifting, moving, and/or repositioning patients, leading to significant reductions in staff injuries and the near elimination of lost and restricted work days caused by these injuries.

Redesigned Inpatient Care Model Increases Quality and Patient Satisfaction, Reduces Costs and Length of Stay 11/29/11

A redesigned inpatient care model based on Toyota Production System principles uses daily multidisciplinary clinical team visits, individualized care plans, and facility and staffing changes to reduce costs and average length of stay and improve adherence to recommended care processes, nurse productivity, and patient, staff, and physician satisfaction.

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