A children's hospital uses a clinical “microsystem” approach to improve patient safety and quality, leading to fewer codes and more timely care.
By “nesting” a weekly gynecologic clinic into their HIV program, Christiana Care reduces barriers to screening and preventive care for female patients.
The ProvenCare program uses guideline-based “bundles” of discrete clinical care elements to guide surgical care delivery, a fixed per-case rate for inpatient and followup care, and a “patient compact” and other educational activities to encourage patients to become more engaged in their care.
A children's hospital works with community-based primary care physicians to increase adherence to established guidelines for the diagnosis and treatment of children with attention deficit/hyperactivity disorder.
A pediatric academic medical center adopted a standardized ordering and administration process for total parenteral nutrition, leading to a significant reduction in errors and other improvements.
A patient-centered model of care for controlling hypertension incorporates three elements: education and training on use of an existing Web-based system, home monitoring of blood pressure, and periodic contact from pharmacists to review blood pressure readings and adjust therapy as needed.
The Lehigh Valley Health Network made systems-based changes to a variety of key processes related to patient throughput, allowing the network to meet increased demand for its services.
A hospital emergency department distributes pagers to the families of low acuity/medically stable children, allowing them to leave the examination area while waiting for test results and physician recommendations, thus freeing up emergency department beds for other patients.
A children's hospital uses a simple scoring system and “action algorithm” to identify and promptly attend to at-risk patients, leading to fewer codes, lower mortality and length of stay, and improved communication and teamwork among staff.
A multidisciplinary team from a medical center and its affiliated psychiatric hospital streamlined the evaluation, transfer, and admission processes for psychiatric patients presenting to the emergency department, leading to a significant decline in waiting times before transfer to the psychiatric facility.