Workflow redesign


System to Help Staff Locate Equipment Quickly Frees Up Nurse Time, Improving Care and Staff Satisfaction 04/23/10

Nurses and other hospital staff use a radiofrequency identification system to pinpoint the location of needed equipment, leading to enhanced productivity, better equipment maintenance, expedited patient care and discharge, and high levels of nurse satisfaction.

Hospital Integrates Census Management for Disaster Planning Into Operations, Leading to Better Capacity Management and Increased Throughput 04/23/10

Inpatient capacity management strategies initially developed to accommodate the potential influx of patients during a natural or manmade disaster were adopted for everyday use by a capacity-constrained hospital, leading to earlier-in-the-day discharges, steady length of stay despite rising patient acuity, and a multimillion dollar financial return due to increased throughput, with no negative impact on quality or patient satisfaction.

Crisis Prevention Team Calms Agitated Patients in Psychiatric Units, Leading to a Reduction in the Use of Restraints and Seclusion and Fewer Injuries 04/21/10

A trained rapid response, crisis prevention team calms agitated patients in inpatient psychiatry units, leading to less use of restraints and seclusion and fewer injuries to staff and patients.

Shared Decision Making for Breast Cancer Patients Leads to High Levels of Patient Satisfaction, and Comfort With Decisions and Treatment Preferences 04/14/10

Decision aids and one-on-one counseling sessions help newly diagnosed breast cancer patients evaluate their treatment options and preferences before the initial surgeon visit, leading to high levels of patient satisfaction and knowledge, less conflict about and greater comfort with decisions made, many changes in treatment preferences, and better patient–surgeon interactions.

Protocols, 24-Hour Neurologist Access, and Ongoing Training Lead to More Patients Receiving Timely Stroke Diagnosis and Treatment 02/22/10

A comprehensive initiative to improve stroke care features protocols to facilitate faster evaluation and diagnosis, quick administration of tissue plasminogen activator when indicated, 24-hour access to a neurologist, enhanced discharge planning, improved documentation and data collection, continuous staff training, and community outreach, leading to more timely administration of appropriate diagnostic tests and treatment and to many more eligible patients receiving tissue plasminogen activator.

Checklist-Guided Process Reduces Surgery-Related Mortality and Complications 01/14/10

A checklist-guided process helps to ensure that surgical teams perform all appropriate care and necessary processes before and after surgery, leading to reductions in surgery-related mortality and complications.

Revamped Processes Eliminate Adverse Events and Near Misses in Hospital Endoscopy Department 01/06/10

Process improvements in a hospital endoscopy department eliminated adverse incidents and near misses and led to anecdotal improvements in staff satisfaction.

Expanding Interpreter Role To Include Advocacy and Care Coordination Improves Efficiency and Leads to High Patient and Provider Satisfaction 12/10/09

Unit-based Limited English Proficiency Patient Family Advocates expand the traditional interpreter role to include patient family education, advocacy, and care coordination, leading to more efficient and productive interpretation services and high levels of patient and provider satisfaction.

Joint Radiologist–Pathologist Review of Diagnostic Findings Improves Care of Patients Being Screened for Breast Cancer 11/30/09

A pathologist and radiologists jointly review diagnostic test findings and develop care plans, leading to improved care of patients being screened for breast cancer.

Medical Home Features Small Panels, Long Visits, Outreach, and Caregiver Collaboration, Leading to Less Staff Burnout, Better Access and Quality, and Lower Utilization 11/18/09

A patient-centered medical home features smaller panel sizes and longer visits, pre- and postvisit outreach and care management, close communication and collaboration between physicians and other caregivers, upgrades to and better use of existing technology, and the elimination of productivity-based bonuses, leading to less staff burnout, fewer ambulatory sensitive admissions and emergency department visits, higher physician satisfaction, and improvements in access to and quality of care.


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