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.
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.
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.
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.
Multidisciplinary teams implemented a comprehensive medication reconciliation program for patient admissions, transfers, and discharge to significantly improve the reconciliation process.
The patient lift team initiative employs three two-person teams of physically fit adults, working overlapping shifts, who assist with lifting immobile patients who need assistance in an 800-bed hospital.
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.
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.
Thedacare, a four-hospital system, has redesigned its musculoskeletal care process to make it more efficient and effective for patients and providers. Improvements include a centralized orthopedics center that houses physicians (orthopedic surgeons, sports medicine physicians, and rehabilitation specialists), therapists, and supplies; changed the traditional process of most patients with musculoskeletal injuries seeing an orthopedic surgeon first; and the creation of referral protocols and a triage system designed to get patients the level of care they need quickly.
Abington Memorial Hospital pursued a number of activities to build a culture of safety, including TeamSTEPPS ™ (Strategies and Tools to Enhance Performance and Patient Safety) training and other initiatives to enhance communication and awareness of safety issues.