Training, knowledge management

Innovations

Medication Reconciliation Process Results in Anecdotal Reports of Improved Safety in Inpatient Setting 12/28/07

A hospital implemented a medication reconciliation process, the cornerstone of which is a one-page structured form that nurses, physicians, and pharmacists use to list all medications taken by the patient at home, confirm the continuation of existing medications, order newly prescribed medications, and facilitate medication reconciliation during patient transfers and at discharge.

Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Areas 12/28/07

Statewide telehealth ANGELS (Antenatal and Neonatal Guidelines, Education and Learning System) initiative connects rural Arkansas women who have high-risk pregnancies to specialty prenatal consultations and tertiary services and improves mother and infant outcomes.

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.

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.

Patient Safety Alert System That Uses Principles From Auto Manufacturing Increases Reporting and Improves Safety in a Medical Center 12/26/07

Virginia Mason Medical Center instituted a patient safety alert system that requires all staff who encounter a situation likely to harm a patient to make an immediate report and cease any activity that could cause further harm.

Peer Leaders Facilitate Social Engagement Among Dementia Patients in Long-Term Care Facilities 12/20/07

Resident-Assisted Montessori Programming (RAMP) is a peer leadership program in which patients in the early stages of dementia are trained to lead group activities with their peers who have more advanced dementia. Using principles of the Montessori learning method, RAMP teaches early-stage patients to use their strengths, such as procedural memory, to engage patients in meaningful social roles.

Remote Retinal Screening Facilitates Diagnosis and Treatment of Retinopathy for Poor and/or Uninsured Patients With Diabetes in Rural California 12/18/07

Remote diabetic retinopathy screening using the Eye Picture Archive Communication System digital ocular imaging software facilitated prompt retinopathy diagnosis in California's Central Valley, an area where many residents are poor and uninsured and diabetes is a major health concern.

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.

Comprehensive, Integrated Palliative Care Reduces Costs and Improves Satisfaction Among Patients and Their Families Within a Large Health System 12/05/07

Fairview Health Services' palliative care program offers palliative care clinical and support services to inpatients, outpatients, and home care patients to mitigate suffering and improve quality of life; the program is integrated into the care process to facilitate referrals and care coordination.

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