Timeliness

Innovations

Early Identification and Intervention Leads to Lower-Than-Expected Rates of Schizophrenia for At-Risk Adolescents 08/06/08

The Portland Identification and Early Referral program encourages community members to identify and refer adolescents with early warning signs of psychosis and then intervenes with counseling and medical therapy before the onset of full-syndrome psychosis.

Real-Time Surgery Tracking Leads to Better Operating Room Utilization and Turnover, and Earlier Surgery Starts 07/22/08

Regional Medical Center revised its process for tracking the current status of operating rooms to efficiently update staff and surgeons about surgical procedures that are in progress, thus allowing them to fill available gaps in the schedule and quickly respond to delays in room turnover.

Solo Physician's Use of Virtual and Phone Visits, Same-Day Appointments, and Extended In-Person Visits Leads to High Patient Satisfaction and Improved Chronic Disease Outcomes 07/18/08

A solo family practitioner provides 24-hour-a-day, 7-day-a-week access to care for her patients through liberal use of “virtual” or e-mail visits, telephone calls, same-day appointments, and extended office visits.

Revamped Chemotherapy Dispensing Process Based on Expected Patient Arrival Time Increases Timeliness of Medication Administration 06/17/08

An enhanced chemotherapy dispensing process prioritizes orders for pharmacy processing based on when patients are expected to be on the unit and ready for their chemotherapy, leading to more timely medication administration.

Automated Clinician Prompts and Referrals Facilitate Access to Counseling Services, Leading to Positive Behavior Changes Among Patients 06/13/08

Automated clinician prompts and referrals facilitates access to behavior counseling, leading to improved behaviors related to diet and exercise and higher quit rates among smokers.

Emergency Department Tracks and Streamlines Patient and Staff Flow, Leading to Shorter Treatment Time, Fewer Walkouts, and Higher Patient Satisfaction 06/06/08

Albert Einstein Medical Center uses a patient and workflow management process to improve communication and workflow in the emergency department, leading to shorter length of stay, fewer walkouts and diversions, and higher patient satisfaction.

Six-Sigma Inspired Workflow Redesign Leads to Better Adherence to Evidence-Based Protocols and Fewer Infections for Surgery Patients 06/03/08

To reduce surgical site infections, Decatur Memorial Hospital used Six-Sigma techniques to review and standardize workflow processes for surgical patients throughout their hospital stay, with a focus on increasing adherence to evidence-based protocols related to antibiotics.

Remote Visits by Pediatricians for Sick Children at Inner-City and Other Child Care Centers/Schools Reduce Absences and Emergency Department Use 05/13/08

Childcare centers and elementary schools in the Rochester area have access to a Web-based telemedicine system that allows clinicians to provide remote diagnoses and recommendations for sick children.

Priority-Based Hospital Order System Reduces Percentage of "STAT" Orders and Enhances Response Time--Especially for Clinical Results 05/02/08

Swedish Medical Center implemented a new service request system in which physicians and staff requesting services must prioritize the order into one of four categories. The four-category system applies to all hospital orders, including laboratory tests, requests for assistance from personnel, and facility repairs.

Interim Methadone Maintenance Program Reduces Heroin Use and Increases Treatment Entry Rates for Addicts Awaiting Comprehensive Services 05/02/08

Operating within U.S. Federal regulations, the Baltimore Interim Methadone Maintenance program provides interim care (in the form of daily methadone with emergency counseling) to heroin addicts awaiting placement for comprehensive methadone treatment programs.

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