Timeliness

Innovations

Periodic, Nurse-Initiated Telephone Contact Provides Quality Followup Care to Infants With Lung Disease in Rural Areas 01/22/08

A nurse specialist maintains regular telephone contact with the primary caregivers and health care providers of premature infants with chronic lung disease who are discharged from the hospital.

Wireless Messaging System Has No Impact on Blood Glucose Levels, but Patients Believe It Improves Quality of Care 01/17/08

The University of Washington Physician's Network developed a wireless, pager-based messaging system to help diabetic patients better manage their condition. An evaluation of the initiative found that it had no impact on blood glucose levels, although blood pressure improved.

Comprehensive Monitoring Pinpoints 911 Dispatch Inefficiencies, Leading to Communication and Deployment Improvements That Increase Cardiac Arrest Survival 01/15/08

A collaborative effort to develop an out-of-hospital cardiac arrest registry and change 911 call routing and ambulance deployment processes led to a significant improvement in the cardiac arrest survival rate in Atlanta.

Periodic Home Visits, Specialist Visits, and Followup Enhances Access and Improves Outcomes for Low-Income Children With Asthma 01/15/08

A pediatric asthma management program led to a significant decline in the percentage of patients with moderate to severe asthma, improved quality of life, and sizable decreases in hospitalizations and costs.

Primary Care Practices Improve Patient Satisfaction With Communication of Outpatient Laboratory Test Results 01/15/08

Primary care clinicians were able to expedite communication of outpatient laboratory and imaging test results to patients with the help of an automated test results management system.

Use of Lean Performance Improvement Processes Significantly Improves On-Time Surgical Starts in the Inpatient Setting 01/15/08

Dupont Hospital introduced the principles of the Lean production model to its surgery department, leading to more than a doubling of the percentage of on-time surgery starts, from 27 to 66 percent.

Data-Driven Community Education and Defibrillator Placement Increase Bystander-Administered CPR and Cardiac Arrest Survival Rates in Atlanta 01/14/08

The American Heart Association spearheaded a public education campaign (called “Restart Atlanta's Hearts”) to teach Atlanta area residents to identify individuals who are experiencing cardiac arrest and to act quickly to save them.

Team Triage Reduces Emergency Department Walkouts, Improves Patient Care 01/14/08

The emergency department at Vanderbilt University Medical Center established a program in which patients are quickly assessed in a triage area by a team consisting of a physician, a nurse, and a paramedic.

Multipronged Active Surveillance System Eliminates Common Infection for Patients in Transplant Intensive Care Unit 01/10/08

A multipronged active surveillance program for vancomycin-resistant Enterococcus (VRE) significantly reduced VRE transmission rates in a 12-bed transplant intensive care unit.

Electronic Health Record–Facilitated Care Process Redesign Enhances Access to Care, Reduces Hospitalizations and Costs for Patients With Chronic Illnesses 01/08/08

The Marshfield Clinic is using electronic tools to facilitate care process redesign for patients with chronic illnesses, leading to enhanced quality and access to care, fewer hospitalizations and adverse events, and lower costs.

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