Organizational culture change
A comprehensive program to promote adoption of a “fair and just” culture improves employee perceptions of how a health system responds to errors.
New health system–wide infrastructure facilitates better adherence to recommended practices, lower mortality, and the virtual elimination of code blues.
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.
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.
A children's hospital uses a clinical “microsystem” approach to improve patient safety and quality, leading to fewer codes and more timely care.
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.
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 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.
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.
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.