Workflow redesign

Innovations

Immediate Post-Event Debriefing Improves Multiple Aspects of Response to Codes and Increases Staff Satisfaction 12/10/10

Immediate team debriefings after a cardiopulmonary resuscitation code event improve multiple aspects of the team's response to future codes and generate high levels of staff satisfaction.

Multidisciplinary Team Redesigns Care Processes and Systems, Leading to Significantly Improved Performance on Core Measures in Four Clinical Areas 12/09/10

A hospital uses a multidisciplinary team, standing orders and reminder systems, manual medication reconciliation, and system-wide quality improvement to significantly improve performance on core measures for heart attack, heart failure, pneumonia, and surgical care.

Proactive Office Encounter Systematically Identifies and Addresses Preventive and Chronic Care Needs at Every Primary Care and Specialty Visit 11/30/10

Nurses and medical assistants use electronic tools and standardized workflows and processes before, during, and after the patient encounter to identify and address preventive, screening, and chronic care needs at every primary and specialty care visit, leading to greater adherence to recommended care processes and better blood pressure control in those with diabetes and hypertension.

Small, Rapid-Cycle Process Improvement Projects Produce Many Benefits for Hospital, Including Increasing Nurse Time Spent With Patients 11/05/10

Using Toyota Production System principles, William Beaumont Hospitals implemented many small, rapid-cycle process improvement projects designed to improve workflow and patient flow; these projects have led to meaningful increases in nurse time spent with patients, shorter patient waiting times, faster radiology test turnaround, fewer missing and discarded medications, and greater staff engagement.

Pharmacist Coaching and Waived Copayments Lead to Better Outcomes and Lower Costs for Employees With Diabetes 11/02/10

Pharmacist coaches meet periodically with employees who have diabetes to assess health, monitor medications, and strengthen self-management skills, leading to better blood glucose and blood pressure control, greater adherence to recommended care processes, and lower overall health care costs.

Electronic Medical Record-Based System Featuring "Soft" and "Hard" Stops Significantly Improves Completion of Medication Reconciliation 10/05/10

An electronic medical record–based system features “soft” and “hard” stop functions designed to ensure that clinicians perform medication reconciliation, leading to a rapid, significant, and sustained increase in adherence rates.

Hospital Posts Appropriate Diet for Patient on Room Door, Reducing Diet-Related Mistakes and Nursing Interruptions 09/27/10

An adjustable “diet wheel” posted on each inpatient's doorway indicates which of 15 physician-ordered diets a patient should receive and prompts dietary staff to check that food trays match the ordered diet, leading to fewer diet-related miscommunications, mistakes, and interruptions.

Rapid Admission Protocol for Emergency Department Patients Reduces Boarding Time 07/23/10

A rapid admission protocol streamlines the process between the decision to admit an emergency department patient and the arrival of the patient on the inpatient unit by reassigning care responsibilities and reducing process steps, leading to reduced emergency department boarding time.

Medical "Extensivists" Care for High-Acuity Patients Across Settings, Leading to Reduced Hospital Use 07/12/10

A Medicare Advantage plan uses employed “extensivists” who perform traditional hospitalist functions for a smaller-than-average caseload of patients, and then continue to follow and care for these patients after discharge until their condition becomes stabilized, leading to low length of stay and fewer readmissions.

Pager-Based System Enables Prompt Communication and Acknowledgment of Critical Laboratory Results, Eliminating Thousands of Phone Calls to Physicians 06/24/10

An automated reporting system communicates critical laboratory test results to physicians via pager, allowing the vast majority of results to be quickly communicated to and acknowledged by physicians, and virtually eliminating thousands of calls historically made by laboratory technologists to relay such information.

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