Organizational culture change

Innovations

Comprehensive Program to Promote "Fair and Just Principles" Improves Employee Perceptions of How a Health System Responds to Errors 06/24/09

A comprehensive program to promote adoption of a “fair and just” culture improves employee perceptions of how a health system responds to errors.

System-Wide Quality Improvement Infrastructure Facilitates Adoption of Best Practices and Leads to Better Outcomes 05/11/09

New health system–wide infrastructure facilitates better adherence to recommended practices, lower mortality, and the virtual elimination of code blues.

Training on Culturally Sensitive Patient Care Leads to Reports of Enhanced Knowledge and Cultural Awareness 01/08/09

A medical school offered training on culturally sensitive patient care to faculty, leading to reports of enhanced knowledge of how to teach cultural competency and increased student awareness of cross-cultural issues.

Financial Incentives for Physicians Lead to Increased Adoption of Health Information Technologies and Other Quality/Safety Improvements 12/16/08

A physician group offers financial incentives to its physicians to encourage use of various health information technologies, including a new electronic medical record system and electronic radiology ordering system.

Clinical Microsystem Improvements in Children's Hospital Lead to Fewer Codes and More Timely Delivery of Essential Care 12/02/08

A children's hospital uses a clinical “microsystem” approach to improve patient safety and quality, leading to fewer codes and more timely care.

Interdisciplinary, Comprehensive Skin Care Program Significantly Reduces Hospital-Acquired Pressure Ulcers 09/24/08

A comprehensive, interdisciplinary skin care program that relies on protocols and guidelines for proactive assessment and treatment, regular education and training of nurses, and ongoing performance monitoring significantly reduced the incidence of hospital-acquired pressure ulcers.

Standardized Ordering and Administration of Total Parenteral Nutrition Reduces Errors in Children's Hospital 09/23/08

A pediatric academic medical center adopted a standardized ordering and administration process for total parenteral nutrition, leading to a significant reduction in errors and other improvements.

Safety Mentors Create Culture To Reduce Adverse Events and Increase Error Reporting 08/25/08

Safety mentors at Christiana Care Health System help staff implement best-practice safety behaviors and reporting of errors and near misses, leading to a reduction in serious adverse events and increased identification and/or reporting of near misses.

Patient Safety Rounds Identify Systems Problems and Improve Perceptions of Commitment to Safety 08/21/08

The University of Michigan Medical Center uses patient safety rounds to help establish a culture of safety within the organization; during these rounds, hospital management and frontline staff work together to identify hazards and take actions to reduce or eliminate them.

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.

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