Policies and procedures


Reconciliation of Patient and Provider Medication Lists Reduces Discrepancies and Enhances Medication Safety in Physician Clinics 04/02/08

Reconciling patient and provider medication lists reduces discrepancies, leading to enhanced medication safety and high levels of patient and provider satisfaction in the outpatient setting.

Standardized Contact Process Based on Individual Physician Preferences Saves Nurses Significant Time When Trying to Reach Doctors 03/28/08

St. Rita's Medical Center uses a system based on individualized physician preferences that allows nurses to contact physicians at any time of day by making only one phone call, leading to significant time savings.

Voluntary, Anonymous, Non-Punitive System Leads to a Significant Increase in Reporting of Errors in Ambulatory Pediatric Practice 03/13/08

A hospital's ambulatory pediatrics department developed a voluntary, anonymous, and nonpunitive medical error reporting system that includes a quick response team to review reports and enact interventions to prevent recurrences, leading to a significant increase in error reporting.

Staff Training and Support, Incentives, and Feedback Fails to Generate Sustainable Reductions in Pressure Ulcers at Nursing Home 03/05/08

Guided by a university research team, a 136-bed, not-for-profit nursing home in Pennsylvania implemented a quality improvement program to reduce pressure ulcer incidence. The program included three components: education and tools to increase workers' ability to recognize and prevent pressure ulcers; financial incentives for improved performance; and ongoing performance feedback.

Evidence-Based Bundle for Adults Is Adapted by Pediatric Intensive Care Units, Reducing Ventilator-Acquired Pneumonia and Lowering Costs 02/26/08

Children's Healthcare of Atlanta developed and implemented a program to reduce the incidence of ventilator-associated pneumonia in three intensive care units, including two pediatric intensive care units and one cardiac intensive care unit. The program adapts a bundle of evidence-based interventions commonly used to prevent ventilator-associated pneumonia in adults to the pediatric population.

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.

Pediatric Skin Care Program Focuses on Proactively Identifying and Providing Preventive Therapy to At-Risk Intensive Care Unit Patients, Leading to Significant Reductions in Pressure Ulcers 02/22/08

Children's Healthcare of Atlanta developed and implemented a comprehensive skin care program to reduce pressure ulcers in its intensive care units, reducing pressure ulcer incidence by 59 percent.

Statewide Standards for Color-Coded Wristbands Are Adopted by Vast Majority of Arizona Hospitals 02/22/08

A hospital association forged consensus on statewide standards for use of color-coded wristbands and provided implementation support to hospitals, leading to widespread adoption of the standards.

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.

Standardized Nursing Terminology and Communication Protocols Lead to Increased Use of Patients' Plan of Care 02/20/08

Standardized plans of care, enabled by the Hands-on Automated Nursing Data System, helps nurses document and communicate patient information, which is particularly critical during patient handoffs.


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