Medical record keeping


Telephone-Based Care Management With Automated Symptom Monitoring Reduces Pain and Depression in Cancer Patients 09/14/10

A combination of telephone-based nurse case management and automated symptom monitoring leads to significant reductions in the severity of pain and depression in cancer patients being treated in urban and rural oncology practices.

Pharmacist Provides Telephone-Based Medication Reconciliation and Education to Recently Discharged Patients, Leading to Fewer Readmissions 09/07/10

Health system pharmacists telephone recently discharged patients to complete medication reconciliation and provide medication-related education, leading to significant reductions in readmission rates and high levels of patient satisfaction.

Multifaceted Campaign Aimed at Obstetricians Increases Influenza Immunizations in Pregnant Patients 08/23/10

A large multispecialty clinic launched a multidimensional campaign to increase influenza immunizations of pregnant patients, with key elements including educating providers and nurses about the safety and effectiveness of immunizations, publicizing the immunization rates of individual obstetricians' patients, and making vaccinations a part of standing orders; the program led to a dramatic increase in the immunization rate over a 10-year period.

Quality Improvement Collaborative Helps Clinic Serving the Uninsured to Significantly Increase Colorectal Cancer Screening and Smoking Cessation Education 08/04/10

As part of a quality improvement collaborative, a nonprofit clinic serving uninsured patients created new processes to identify those in need of colorectal cancer screening and smoking cessation education, formed partnerships with community-based organizations and providers to offer additional support to such patients, and participated in ongoing performance monitoring, reporting, and improvement; the program significantly increased the percentage of eligible patients receiving the targeted services.

Health Clinics and Community Organization Coordinate Outreach Workers To Educate and Support Farm Workers, Leading to Healthier Behaviors and Higher Satisfaction 07/26/10

Outreach workers from two community-based organizations coordinate efforts to support Mexican farm workers in navigating the health care system and enhancing their health. The program led to more physical activity, better dietary habits, and higher satisfaction.

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.

Multiagency Collaborative Helps Community-Dwelling Seniors Access Coordinated Support Services, Helping Them Remain in Their Homes 07/04/10

A three-agency partnership provides a one-stop resource for community-dwelling older adults to learn about and access available resources to help them remain independent, and proactively reaches out to these individuals to assess needs and connect them to services. The program has enhanced access to services and allowed the vast majority of nursing home–eligible individuals to improve or maintain the ability to remain in their home.

Pager-Based System Enables Prompt Communication and Acknowledgment of Critical Laboratory Results, Eliminating Thousands of Phone Calls to Physicians 06/24/10

An automated reporting system communicates critical laboratory test results to physicians via pager, allowing the vast majority of results to be quickly communicated to and acknowledged by physicians, and virtually eliminating thousands of calls historically made by laboratory technologists to relay such information.


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