Safety

Innovations

Pharmacy Residents Work 24-Hour Hospital Shifts, Leading to Few Dosing Errors and High Levels of Guideline Adherence 08/25/10

Pharmacy residents complete one 24-hour shift at a hospital approximately every 2 weeks, providing an array of services, including consultations and assistance with emergency situations; the program has led to low dosing error rates and to high levels of adherence to recommended guidelines for emergency stroke patients and has helped to produce more confident, capable pharmacists.

Rapid Admission Protocol for Emergency Department Patients Reduces Boarding Time 07/23/10

A rapid admission protocol streamlines the process between the decision to admit an emergency department patient and the arrival of the patient on the inpatient unit by reassigning care responsibilities and reducing process steps, leading to reduced emergency department boarding time.

Systematic Tracking and Analysis of Admissions for Chemotherapy Toxicity Inform Quality Improvement Efforts, Leading to Reduced Toxicity Risk 07/22/10

A community cancer center identifies all patients hospitalized due to chemotherapy-related toxicity and enters data on such patients into a toxicity registry; analysis of registry data has stimulated quality improvement initiatives that have reduced admissions of nondiabetic multiple myeloma patients due to hyperglycemia and reduced the risk of treatment-related diarrhea in colorectal cancer patients.

Nursing Interventions Among Surgical Patients Eliminate Stage 3 and 4 Pressure Ulcers and Reduce Incidence of Other Pressure Ulcers 07/20/10

Nurses at Aultman Hospital assess patients preoperatively for risk of pressure ulcers, carefully monitor and address risk factors during surgery, and complete a communication tool to inform postoperative surgical care; the program led to the elimination of Stage 3 and 4 pressure ulcers hospital-wide and very low incidence of Stage 1 and 2 pressure ulcers in surgical patients.

Comprehensive Program to Change Hand Hygiene Culture Improves Adherence to Disinfection Guidelines, Leading to Lower Infection Rates and Costs 07/19/10

A comprehensive, hospital-based program targeting culture change related to hand hygiene through education, environmental modifications, and employee incentives leads to better adherence, fewer infections, and lower costs.

Program to Engage Employees in Quality Improvements Increases Patient and Employee Satisfaction and Reduces Staff Turnover 07/18/10

Sharp HealthCare incorporates a number of mechanisms to encourage employee engagement in patient service improvements, leading to higher patient satisfaction, perception of higher quality in the community,

Pharmacy Clinics Help Low-Income, Elderly Individuals Access Medications, Leading to Better Adherence and Lower Costs 07/02/10

Pharmacists, pharmacy students or residents, and volunteers conduct clinics at primary care practices that help elderly, low-income patients access appropriate, cost-effective medications.

On-Call Attending Physicians Consult with Onsite Care Team via Home-Based Videoconferencing, Improving Care Timeliness, Quality, and Safety in Pediatric Intensive Care Unit 06/16/10

On-call, pediatric intensive care unit attending physicians consult with onsite clinicians and patient/family members from their homes via audiovisual technology that allows real-time communication, leading to improved quality and timeliness of care and high levels of patient/family satisfaction.

Tailored, Home-Based Physical Therapy Reduces Disability in Frail Community-Dwelling Seniors 06/14/10

A tailored, home-based physical therapy program slows functional decline in moderately frail, community-dwelling older adults.

Three-Tiered Emotional Support System Generates Positive Feedback From Providers Who Become "Second Victims" of an Unanticipated Clinical Event 06/08/10

A three-tiered system consisting of unit-level support, access to trained peer supporters, and referral to formal counseling services provides emotional support to health care professionals involved in an adverse event, leading to positive anecdotal feedback from these professionals.

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