Training, knowledge management

Innovations

Information Technology (IT) Staff–Clinician Team Addresses IT Problems Affecting Providers and Patient Care, Leading to Increased System Usage and Efficiency 01/17/08

Mayo Clinic's staff shadowed physicians and worked closely with them to improve the clinic's information system to better support providers and enhance the patient care process in inpatient and outpatient settings.

Postdischarge Care Management Integrates Medical and Psychosocial Care of Low-Income Elderly Patients 01/16/08

An interdisciplinary care management program that integrates medical and social care for low-income elderly patients with chronic illnesses reduces care costs and improves self-reported health status.

Comprehensive Monitoring Pinpoints 911 Dispatch Inefficiencies, Leading to Communication and Deployment Improvements That Increase Cardiac Arrest Survival 01/15/08

A collaborative effort to develop an out-of-hospital cardiac arrest registry and change 911 call routing and ambulance deployment processes led to a significant improvement in the cardiac arrest survival rate in Atlanta.

Use of Lean Performance Improvement Processes Significantly Improves On-Time Surgical Starts in the Inpatient Setting 01/15/08

Dupont Hospital introduced the principles of the Lean production model to its surgery department, leading to more than a doubling of the percentage of on-time surgery starts, from 27 to 66 percent.

Better Integration of Home Health Aides Into the Health Care Team Improves Patient Functionality 01/11/08

A team-building program at the largest home care agency in the country integrated home health aides into the health care team and resulted in enhanced functional status for patients, including being better able to move independently from a bed to a wheelchair or chair and better able to walk without support.

Routine Cultures, Real-Time Alerts, and Immediate Precautions Reduce Intensive Care Unit MRSA Infections 01/10/08

Nurses at the University of Pittsburgh Medical Center Presbyterian Hospital routinely monitor all patients admitted to intensive care units for methicillin-resistant Staphylococcus aureus colonization from admission to discharge.

Multipronged Active Surveillance System Eliminates Common Infection for Patients in Transplant Intensive Care Unit 01/10/08

A multipronged active surveillance program for vancomycin-resistant Enterococcus (VRE) significantly reduced VRE transmission rates in a 12-bed transplant intensive care unit.

Multifaceted Hospital Program Implemented Over a Decade Leads to Lower Nurse Turnover and Length of Stay, Improved Patient Outcomes, and Enhanced Revenues 01/09/08

Over a 10-year period, Hackensack University Medical Center designed a set of strategies to improve nurse satisfaction, reduce length of stay, and enhance case management for selected conditions, leading to improvements including reductions in nurse turnover and length of stay.

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.

Paramedics' Adoption of Established Tool to Measure a Child's Weight Enhances Accuracy of Drug Dosing for Resuscitations 01/07/08

Emergency management services workers who use an established tool to measure a child's weight administer more accurate doses of emergency medications to pediatric patients.

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