Care staff use software-based protocols to screen older clients' medications and collaborate with pharmacists and physicians to reduce the risk of medication errors and adverse effects, leading to more appropriate medication use and fewer cases of duplicative medications.
In instances of institutional overcrowding, a protocol allows patients admitted to the hospital but boarded in the emergency department to be transferred to beds located in inpatient unit hallways, leading to expedited patient placement in a room, lower length of stay, and higher patient and staff satisfaction.
Trained, bilingual medical assistants in a capitated health center serve as health coaches to chronically ill (often diabetic) patients of similar ethnic or racial backgrounds, leading to better disease management and clinical outcomes for those with diabetes, very positive feedback from patients and center staff, and low turnover among medical assistants and coaches.
Clinic providers compare patients' self-reported medication lists (generated through an easy-to-use automated system featuring a computer kiosk and simple touchscreen interface) to medications listed in the electronic medical record, allowing them to adhere more closely to established medication reconciliation practices and to identify and address more medication discrepancies, including potentially lethal ones.
A trained rapid response, crisis prevention team calms agitated patients in inpatient psychiatry units, leading to less use of restraints and seclusion and fewer injuries to staff and patients.
Clinical pharmacists collaborated with physicians to manage patients with uncontrolled high blood pressure by assessing the causes of poor blood pressure control, developing a guideline-based care plan, monitoring the patient's treatment response, and making recommendations for medication additions and adjustments as needed, leading to better blood pressure control and increased physician adherence to established guidelines.
A resident education clinic implemented a multifaceted medical home for children with complex chronic conditions, leading to a significant reduction in emergency department visits and high levels of patient/family satisfaction.
Current and former patients participate in hospital and department advisory councils, committees, peer support, staff training and education, and other activities related to patient-centered care, contributing to higher patient satisfaction and improved organizational performance.
Culturally competent parent mentors helped families better understand and care for their children's asthma through home visits, monthly telephone calls, and inperson meetings, leading to reductions in wheezing, exacerbations, missed school and parental work days, and emergency department visits.
A comprehensive program targeted at patients and staff improved the hospital experience for adult patients with intellectual and developmental disabilities and enhanced staff's understanding of and ability to communicate with and effectively serve these patients.