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.
Providers used an established tool to classify patients into low-, moderate-, or high-risk categories for deep vein thrombosis and then prescribe preventive anticoagulant (blood thinner) medication and/or mechanical devices, increasing prophylaxis use and decreasing deep vein thrombosis rates.
Teams of primary care providers, supported by information technology, address gaps in care for a defined panel of patients, leading to greater adherence to evidence-based practices and improved outcomes.
An evidence-based teamwork and communication program implemented in the labor and delivery unit of Madigan Army Medical Center led to an improved care process.
Essentia Health Heart and Vascular Center created a heart failure program combining chronic care and disease management principles to improve outcomes and reduce costs associated with heart failure care.
MedStar Franklin Square Medical Center in Baltimore, MD, set up a program in which all employees are encouraged to use their own experiences to devise and implement successful solutions for reducing hospital-acquired, methicillin-resistant Staphylococcus aureus infections.
A multifaceted initiative known as the Good Catch Program dramatically increases the reporting of events that could potentially cause harm and spurs the development of action plans designed to address the common causes of potential errors.
Crisis Resource Management is a 7-hour course for labor and delivery practitioners that uses various strategies of crew resource management, a safety program developed by the aviation industry, to create realistic simulations designed to facilitate improvement of teamwork and communication skills in a real labor and delivery crisis.
Intensive care unit clinicians developed a standardized communication process based on a daily goals form that prompts clinicians to evaluate and document the patient's current status, design a care plan, and outline daily tasks, thereby increasing clinician understanding of daily care goals.
An interdisciplinary team of geriatricians, nurse practitioners, and social workers provide primary health care via house calls to homebound frail elders.