A hospital links HIV-positive prisoners to medical care and other social services before and after release to enable successful reentry into the community, leading to enhanced access to these services and less recidivism.
A dementia care facility takes a person-centered approach to caring for residents who exhibit challenging, aggressive behavior, leading to less need for psychiatric hospitalizations and behavior-related medications.
Using Toyota Production System principles, William Beaumont Hospitals implemented many small, rapid-cycle process improvement projects designed to improve workflow and patient flow; these projects have led to meaningful increases in nurse time spent with patients, shorter patient waiting times, faster radiology test turnaround, fewer missing and discarded medications, and greater staff engagement.
An electronic medical record–based system features “soft” and “hard” stop functions designed to ensure that clinicians perform medication reconciliation, leading to a rapid, significant, and sustained increase in adherence rates.
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.
A partnership between local jails and community health providers facilitates the provision of appropriate health care to inmates and ensures continued, coordinated care upon their release, leading to reductions in jail violence and deaths and enhanced access to care.
Use of photographs as a second means of identifying patients on adult and adolescent psychiatry units virtually eliminates medication errors due to patient misidentification.
A comprehensive program consisting of standardized protocols, an interdisciplinary team, a specialized inpatient unit, education and training support, and community outreach improves inpatient care for the elderly.
A hospital used a multipronged strategy to reduce delays in patient admission and discharge, eliminating ambulance diversions and reducing waiting times for patients who require inpatient admission.
A children's hospital uses a clinical “microsystem” approach to improve patient safety and quality, leading to fewer codes and more timely care.