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