Policies and procedures

Innovations

Comprehensive, Hospital-Based Program Significantly Reduces Pressure Ulcer Incidence and Associated Costs 02/20/08

OSF Saint Francis Medical Center in Peoria, IL, developed a comprehensive program called “Save Our Skin” that significantly reduced the incidence of pressure ulcers.

Standardized Processes Improve Adherence to Evidence-Based Protocols, Significantly Reducing Common Surgery-Related Complications 02/20/08

A hospital standardized and automated evidence-based protocols and processes, leading to a significant reduction in surgical site infections, postoperative myocardial infarction, and postoperative deep vein thrombosis.

Using Positive Deviance Employee-Generated Strategies Reduces MRSA Infections by 50 Percent 02/20/08

The Department of Veterans Affairs Pittsburgh Healthcare System used Positive Deviance to encourage all employees at two facilities to use their own experiences to brainstorm and implement strategies for reducing hospital-acquired methicillin-resistant Staphylococcus aureus infections.

Transition Coaches Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs 02/14/08

Transitions coaches encourage recently hospitalized Medicare patients with complex care needs to assert a more active role in their posthospital care, leading to fewer readmissions and lower costs.

Medical Emergency Team Reduces Cardiopulmonary Arrests, Unexpected Mortality 02/11/08

The creation of a medical emergency team program at the University of Pittsburgh Medical Center Presbyterian Hospital has significantly reduced the number of cardiopulmonary arrests and unexpected mortality.

Medical Team Training Using Crew Resource Management Principles Enhances Provider Communication and Stimulates Improvements in Patient Care 02/11/08

A comprehensive medical team training program supported by crew resource management principles adopted from the aviation industry was developed and implemented in 79 Veterans Affairs Medical Centers, resulting in a measurable improvement in communication and patient care in 10 participating facilities that have at least a year's experience with the program.

Daily Multidisciplinary Patient Rounds and Best Practice Bundle Decrease Use of Ventilators in the Intensive Care Unit 02/11/08

The implementation of daily multidisciplinary patient rounds and a bundle of best practice guidelines reduced the use of ventilators for patients in the intensive care unit.

Daily, Multidisciplinary Rounds and Evidence-Based Best Practices Decrease Nosocomial Infections and Costs in the Intensive Care Unit 02/11/08

The combination of multidisciplinary, physician-led rounds and a set of evidence-based best practices (known as “bundles”) decreased nosocomial infection rates and costs in the intensive care unit.

Nurse- and Pharmacist-Led Physician-Approved Inpatient Pneumococcus Standing Orders Program Increases Vaccination Rates for At-Risk Patients 02/11/08

Three hospitals within the University of Pittsburgh Medical Center Health System developed and implemented a standing orders program to provide pneumococcal vaccinations to appropriate patients in the hospital.

Statewide Collaborative Supports Hospital-Based Teams in Developing Improvement Plans for Stroke Care, Resulting in Improved Performance on Select Measures 02/11/08

As part of a statewide collaborative, hospital-based multidisciplinary teams developed and implemented projects aimed at improving adherence to a set of standardized, evidence-based protocols for the management of acute stroke.

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