Policies and procedures

Innovations

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.

Multifaceted Program Helps Pediatricians Screen for Maternal Depression and Assess Infant Crying and Toilet Training, Enhancing Their Ability To Prevent, Identify, and Address Cases of Potential Child Abuse 02/08/08

A multifaceted program called Practicing Safety helps pediatricians become more effective in screening for potential child abuse and providing support and other services to prevent such abuse.

Standardized Shift-Change Process Optimizes Time for Transfer of Patient Care Responsibility, Leads to High Levels of Nurse and Patient Satisfaction 02/07/08

A six-step process related to nurse shift changes is designed to enhance patient safety by conveying vital patient information accurately, concisely, and consistently, leading to improved nurse and patient satisfaction and more nurse time spent at the bedside.

Checklists With Medication Vest or Sash Reduce Distractions During Medication Administration 02/05/08

Based on airline safety principles, five simple and inexpensive interventions significantly reduced the number of distractions experienced by nurses during medication administration.

Hourly Testing and As-Needed Dosing Adjustments Significantly Improve Effectiveness of Glycemic Control in Intensive Care Unit Patients 01/31/08

To reduce the high percentage of intensive care unit patients with hyperglycemia, Indiana University Health developed and implemented an hourly testing and as-needed dosing adjustment system that is enabled through use of an automated reminder system and dosing calculator.

Automated Pharmacy Alerts Followed by Pharmacist-Physician Collaboration Reduce Inappropriate Prescriptions Among Elderly Outpatients 01/28/08

Kaiser Permanente Colorado developed a computerized alert system to notify pharmacists when elderly patients are prescribed potentially inappropriate medications; alerted pharmacists consult with the physicians to discuss the prescription, leading to a reduction in inappropriate prescribing.

Practice Enhancement Assistants Improve Quality of Care in Primary Care Practices 01/25/08

Practice enhancement assistants improve patient care through practice audits and feedback, staff training, sharing of innovative ideas, and support in the development of systems and infrastructure.

Unit-Based Safety Program Improves Safety Culture, Reduces Medication Errors and Length of Stay 01/25/08

The Comprehensive Unit-Based Safety Program (CUSP) improves patient safety awareness and quality of care by empowering staff to take charge, create partnerships between units, improve organizational culture, and obtain resources for unit efforts.

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