Hospitals participating in a collaborative used screening criteria, fast-track diagnostic testing, protocols to support the prompt initiation of treatment, and ongoing monitoring to reduce sepsis mortality by 54.5 percent.
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.
A partnership between academic medicine and a major-league sports team enhances access to care by providing treatment and support to veterans who suffer from traumatic brain injury and posttraumatic stress disorder and their families, generating high levels of patient satisfaction.
Working as part of an “intensive care unit without walls,” critical care physicians (called intensivists) decide which patients require intensive care unit admission and oversee the care of all critically ill patients throughout the hospital, leading to declines in hospital and intensive care unit mortality, improved management of intensive care unit bed capacity, and low intensive care unit length of stay for terminally ill patients.
Nurses perform a baseline skin assessment on every newly admitted patient, leading to improvements in the identification and documentation of pressure ulcers on admission and to lower incidence of pressure ulcers.
Onsite care coordination and support of seniors in affordable housing community leads to fewer falls, reduced hospital admissions, improved nutritional status, and increased levels of physical activity, promoting seniors' ability to remain in their homes as they age.
A rehabilitation center's recuperative services unit uses a three-part protocol consisting of standardized assessments, palliative care consults and care plans, and root-cause analysis to reduce readmissions and improve staff morale.
A computerized decision support system uses algorithms and real-time patient information to guide the resuscitation of trauma patients, leading to fewer medical errors.
A Native American tribe–owned skilled nursing facility provides culturally competent services using a holistic approach to health and well-being, leading to high patient and family member satisfaction and low staff turnover.
An algorithm-driven program combines hospital-wide inpatient screening for alcohol withdrawal risk, monitoring of at-risk patients, and medical treatment of symptoms, leading to more patients being diagnosed, fewer acute episodes of delirium, and improved care for patients experiencing such episodes.