Safety

Innovations

Electronic Hand Hygiene Monitoring System Significantly Reduces Health Care–Associated Infections 11/16/11

An electronic monitoring system confirms that providers conduct proper hand hygiene before patient contact, leading to a 61-percent decline in overall health care–associated infections and a 91-percent decline in non- Clostridium difficile infections.

Hospital-Based Social Workers Follow Up With Recently Discharged Older Adults to Resolve Transition Problems, Reducing Readmissions and Deaths 11/11/11

Hospital-based social workers support recently discharged older patients and their caregivers in resolving problems related to their transition back home, leading to enhanced patient and caregiver knowledge, better attendance at followup appointments, and fewer readmissions and deaths.

Safe Zone in Doorway Improves Hospital Clinician Productivity and the Frequency and Quality of Interactions With Isolated Patients 11/03/11

Hospital creates a “safe zone” where staff can interact with patients placed on contact precautions without putting on personal protective equipment, leading to significant time savings, lower costs, more frequent interactions with patients, and high levels of satisfaction.

Interdisciplinary Teams Perform Daily Reviews of Real-Time Information to Identify and Address Risk Factors in Older Inpatients 09/05/11

Hospital-based interdisciplinary teams conduct daily reviews of real-time information on all inpatients ages 65 and older to identify and address risk factors that can lead to negative outcomes; the program reduced use of urinary catheters and increased use of physical therapy and social work evaluations.

School System Renovates High School Track and Promotes Its Availability to the Community, Leading to Increased Use by Students and Residents 08/10/11

A public school system renovated the athletic track at the system's only high school and promoted it as an attractive place to exercise, leading to increased use of the track by students, individual residents, and community groups, and to anecdotal reports of weight loss and improved cardiovascular health.

Educational Materials Enhance the Ability of New Parents To Understand and Cope With Infant Crying 07/28/11

Providing new parents and other caregivers with an educational video and booklet improves their ability to understand and cope with infant crying, the most common trigger for shaken baby syndrome.

Patient Videos That Describe Care Experiences Spur Development of Many Successful Quality Improvement Initiatives 07/18/11

As part of Kaiser Permanente's Care Management Institute's video ethnography approach, provider teams interview patients about their care experiences, leading to the development of many quality improvement projects that have resulted in better care processes and outcomes.

Individual and Group Support Sessions Enhance Skills and Knowledge, Reduce Burden and Depression for Caregivers of Dementia Patients 07/14/11

Individual and group support enhances the skills and knowledge of those caring for patients with dementia, leading to less caregiver burden and depression and fewer problem behaviors among patients.

Protocols, Task Specialization, and Case Reviews Virtually Eliminate Catheter-Related Bloodstream Infections in Neonatal Intensive Care Unit 07/09/11

A comprehensive set of protocols and practices virtually eliminates catheter-related bloodstream infections in the neonatal intensive care unit, generating estimated annual savings of $750,000 to $1,000,000.

Rheumatology Clinics Leverage Technology and Redesign Care Processes to Provide Physicians Relevant Patient Information, Improving Symptoms and Adherence to Recommended Care 07/06/11

Rheumatology clinics used information technology and redesigned associated care process to allow clinicians to access relevant patient information and focus scarce visit time on solving problems, leading to improvements in the provision of needed services and patient-reported symptoms.

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