A hospital laboratory redesigned work processes, leading to faster turnaround times, enhanced staff productivity, and cost savings.
New health system–wide infrastructure facilitates better adherence to recommended practices, lower mortality, and the virtual elimination of code blues.
An ongoing evaluation suggests that a multipronged strategy to reduce use of seclusion and restraints to manage episodes of aggression in behavioral health patients has reduced seclusion and restraint use, patient and staff injuries, “code green” calls (calls for staff assistance), and workers' compensation claims.
Multidisciplinary teams rehearse the most common emergency situations that can occur during a delivery, leading to improved responses and better outcomes during real emergencies.
Primary care physicians and offsite clinicians use communications technology to enhance coordination of care for geriatric patients with chronic health problems, leading to fewer emergency department visits, enhanced patient satisfaction and understanding of medications, and more referrals for needed care.
A hospital protocol that encourages early mobility by respiratory intensive care unit patients reduced length of stay, both in the intensive care unit and overall.
Implementation of an evidence-based bundle of interventions led to a 75 percent reduction in central line infections in four intensive care units, yielding annual cost avoidance of approximately $1 million.
A hospital uses a clinical microsystem improvement process to quality improvement, leading to significant enhancements in efficiency and reductions in care delays.
A hospital implemented new processes to increase the provision of recommended care for heart failure, acute myocardial infarction, pneumonia, and surgery patients, leading to significant improvements in quality and a 25 percent reduction in mortality.
A children's hospital uses a clinical “microsystem” approach to improve patient safety and quality, leading to fewer codes and more timely care.