Organizational culture change

Innovations

Early Activation of Acute Myocardial Infarction Team Reduces Time Between Emergency Department Arrival and Start of Angioplasty Procedure 02/26/08

The University of Michigan Health System redesigned the process for activating its acute myocardial infarction team, with an emphasis on the earliest possible electrocardiogram administration and team activation, ideally while the patient is en route to the hospital.

Home-Like, Self-Directed Environment Provides Superior Quality of Life Than in Traditional Nursing Homes and Assisted Living Facilities 02/21/08

THE GREEN HOUSE ® model provides elders with an alternative to nursing homes and traditional assisted living facilities.

Revamped Scheduling Systems Promote Access, Reduce No-Shows, and Enhance Quality, Patient Satisfaction, and Revenues in Primary Care Practice 02/21/08

A primary care practice revamped its appointment scheduling, tracking, and reminder processes, leading to enhanced access to same-day appointments, reduced no-shows, and increases in the provision of evidence-based care, patient satisfaction, patient volume, and revenues.

Toolkit-Supported Safety Rounds With Staff and Patients Enhance Reporting of Medical Errors and Near Misses 02/20/08

The Dana-Farber Cancer Institute uses safety rounds with staff and patients, supported by a toolkit, to promote a culture of safety and reduce medical errors by proactively identifying and addressing potential safety problems.

Medical Emergency Team Reduces Cardiopulmonary Arrests, Unexpected Mortality 02/11/08

The creation of a medical emergency team program at the University of Pittsburgh Medical Center Presbyterian Hospital has significantly reduced the number of cardiopulmonary arrests and unexpected mortality.

Medical Team Training Using Crew Resource Management Principles Enhances Provider Communication and Stimulates Improvements in Patient Care 02/11/08

A comprehensive medical team training program supported by crew resource management principles adopted from the aviation industry was developed and implemented in 79 Veterans Affairs Medical Centers, resulting in a measurable improvement in communication and patient care in 10 participating facilities that have at least a year's experience with the program.

Daily Multidisciplinary Patient Rounds and Best Practice Bundle Decrease Use of Ventilators in the Intensive Care Unit 02/11/08

The implementation of daily multidisciplinary patient rounds and a bundle of best practice guidelines reduced the use of ventilators for patients in the intensive care unit.

Daily, Multidisciplinary Rounds and Evidence-Based Best Practices Decrease Nosocomial Infections and Costs in the Intensive Care Unit 02/11/08

The combination of multidisciplinary, physician-led rounds and a set of evidence-based best practices (known as “bundles”) decreased nosocomial infection rates and costs in the intensive care unit.

Nurse- and Pharmacist-Led Physician-Approved Inpatient Pneumococcus Standing Orders Program Increases Vaccination Rates for At-Risk Patients 02/11/08

Three hospitals within the University of Pittsburgh Medical Center Health System developed and implemented a standing orders program to provide pneumococcal vaccinations to appropriate patients in the hospital.

Educational Game Increases Compliance With Appropriate Hand Hygiene Protocols Among Intensive Care Unit Staff at Academic Medical Center 02/11/08

A game to educate health care workers in intensive care units about appropriate hand hygiene increased awareness of and adherence to hand hygiene protocols at a major academic medical center, leading to increased compliance with appropriate hand hygiene protocols from 37 to 53 percent.

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