Physical environment modification

Innovations

Day Hospital Reduces Inpatient Length of Stay and Emergency Department Visits for Patients With Sickle Cell Anemia 01/28/11

A Sickle Cell Day Hospital provides an alternative to inpatient care for patients with sickle cell anemia, with the goal of managing their pain and keeping them out of the hospital, resulting in lower inpatient lengths of stay and emergency department utilization.

Emergency Department Expedites Treatment of Moderate Acuity Patients, Reducing Length of Stay and Walkouts 01/24/11

A hospital emergency department triages moderately acute patients to a “midtrack” area where a nurse practitioner further evaluates them and provides treatment under a physician's supervision, leading to lower length of stay and fewer patient walkouts.

Ongoing Monitoring, Prompt Feedback, and Reminders Improve Hand Hygiene in a Busy, Urban Emergency Department 12/28/10

A multifaceted strategy that includes ongoing auditing of adherence to established protocols and daily performance feedback to staff improved hand hygiene in a busy, urban emergency department.

Person-Centered Care for Residents with Dementia Exhibiting Aggressive Behavior Reduces Psychiatric Hospitalizations and Behavior-Related Medications 11/15/10

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.

Small, Rapid-Cycle Process Improvement Projects Produce Many Benefits for Hospital, Including Increasing Nurse Time Spent With Patients 11/05/10

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.

Comprehensive Program to Change Hand Hygiene Culture Improves Adherence to Disinfection Guidelines, Leading to Lower Infection Rates and Costs 07/19/10

A comprehensive, hospital-based program targeting culture change related to hand hygiene through education, environmental modifications, and employee incentives leads to better adherence, fewer infections, and lower costs.

Tailored, Home-Based Physical Therapy Reduces Disability in Frail Community-Dwelling Seniors 06/14/10

A tailored, home-based physical therapy program slows functional decline in moderately frail, community-dwelling older adults.

Transferring Admitted Emergency Department Patients to Hallway Beds Leads to Lower Length of Stay and Higher Patient Satisfaction 05/14/10

In instances of institutional overcrowding, a protocol allows patients admitted to the hospital but boarded in the emergency department to be transferred to beds located in inpatient unit hallways, leading to expedited patient placement in a room, lower length of stay, and higher patient and staff satisfaction.

Comprehensive Program to Support Patients and Staff Improves Hospital Experience for Adult Patients With Intellectual and Developmental Disabilities 02/22/10

A comprehensive program targeted at patients and staff improved the hospital experience for adult patients with intellectual and developmental disabilities and enhanced staff's understanding of and ability to communicate with and effectively serve these patients.

Providing Real-Time Information and Documentation Capabilities at Point of Care Reduces Documentation Time and Generates Positive Patient Feedback 12/18/09

Providing caregivers with accurate, timely information, automated prompts, and real-time documentation capabilities at the point of care reduces documentation time and leads to positive feedback from patients and generally positive feedback from nurses.

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