Team building

Innovations

Comprehensive Palliative Care Program Improves End-of-Life Care and Pain Control for Terminally Ill Patients 01/08/08

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.

Timely Assessment Increases Targeted Preventive Treatment for Patients at Risk for Hospital-Acquired Deep Vein Thrombosis 12/28/07

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.

Team-Based Ownership Over Defined Patient Panels Supported by Information Technology Enhances Provision of Evidence-Based Care 12/27/07

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.

Teamwork Enhancement Program Improves Obstetric Care in a Military Hospital 12/27/07

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.

Heart Failure Disease Management Improves Outcomes and Reduces Costs 12/14/07

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.

Encouraging Solicitation and Supporting Implementation of Employee-Generated Ideas Leads to Significant Reduction in Incidence of Common Hospital-Acquired Infection 12/14/07

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.

Multifaceted Program Increases Reporting of Potential Errors, Leads to Action Plans to Enhance Safety 12/13/07

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 Management Simulation Course Receives Positive Reviews, Enhances Communication and Teamwork Among Labor and Delivery Practitioners During Crises 12/05/07

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.

House Calls to Frail Elders Reduce Costs, Hospital Use, and Nursing Home Placements 12/03/07

An interdisciplinary team of geriatricians, nurse practitioners, and social workers provide primary health care via house calls to homebound frail elders.

Daily Intensive Care Unit Team Communication Enhances Provider Understanding of Care Goals, Reduces Length of Stay 12/03/07

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.

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