Policies and procedures
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.
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.
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.
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.
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.
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.
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.
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.
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 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.