Policies and procedures
Reid Hospital created a computer-based system of alerts, standing orders, and care pathways to eliminate gaps in the care of patients with pneumonia, acute myocardial infarction, and heart failure, and to address surgical complication and infection prevention, leading to significant improvements in quality of care.
The Brooklyn Mental Health Court links eligible defendants to long-term treatment and monitoring of their mental health problems as an alternative to incarceration. Early evidence suggests that the program has been successful in reducing recidivism, homelessness, psychiatric hospitalizations, alcohol use, and substance abuse.
Dupont Hospital introduced the principles of the Lean production model to its surgery department, leading to more than a doubling of the percentage of on-time surgery starts, from 27 to 66 percent.
Nurses at the University of Pittsburgh Medical Center Presbyterian Hospital routinely monitor all patients admitted to intensive care units for methicillin-resistant Staphylococcus aureus colonization from admission to discharge.
A multipronged active surveillance program for vancomycin-resistant Enterococcus (VRE) significantly reduced VRE transmission rates in a 12-bed transplant intensive care unit.
Hoag Memorial Hospital Presbyterian established a comprehensive end-of-life program that includes pain control and emotional support for patients unlikely to survive the next few days; a multidisciplinary palliative care that assists physicians who are treating dying patients; compassionate care for parents who lose children before or after birth; and support for hospital staff who work with dying patients.
Emergency management services workers who use an established tool to measure a child's weight administer more accurate doses of emergency medications to pediatric patients.
A rapid response team defuses crisis situations for children with complex behavioral needs.
Both nurse-led and automated telephone outreach to elderly and chronically ill individuals increases vaccination rates.
A hospital implemented a medication reconciliation process, the cornerstone of which is a one-page structured form that nurses, physicians, and pharmacists use to list all medications taken by the patient at home, confirm the continuation of existing medications, order newly prescribed medications, and facilitate medication reconciliation during patient transfers and at discharge.