Policies and procedures
A hospital emergency department distributes pagers to the families of low acuity/medically stable children, allowing them to leave the examination area while waiting for test results and physician recommendations, thus freeing up emergency department beds for other patients.
Standardized clinical management of extremely low birthweight infants born at less than 30 weeks' gestational age decreases rates of pneumothorax and mortality through the use of evidence-based medicine.
A children's hospital uses a simple scoring system and “action algorithm” to identify and promptly attend to at-risk patients, leading to fewer codes, lower mortality and length of stay, and improved communication and teamwork among staff.
The Sepsis Alert Program at Christiana Care is a care management program that incorporates a number of initiatives to support the prompt identification and treatment of patients who have sepsis.
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.
Barnes-Jewish Hospital adopts an integrated checklist and armband technology system that ensures essential steps are completed during the outpatient preoperative process.
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 long-term care facility adopted an enhanced toileting program consisting of the following components: individualized toileting plan of care based on periodic resident assessments, revised and new care documentation tools, devices to assist with toileting, and comprehensive education and training for facility staff.
The Healthcare Alliance Safety Partnership was a 3-year pilot project involving a board of nursing and three hospital systems in developing a voluntary, nonpunitive system for reporting, investigating, and analyzing nursing errors.
A sound monitoring and alert system in a neonatal intensive care unit alerts clinicians and visitors when sound levels are too high.