Nurse-Administered Pulmonary Protocol Increases Out-of-Bed Activity, Shortens Length of Stay, and Reduces Readmissions 12/11/08

A hospital uses a protocol to encourage ambulation in hospitalized patients with community-acquired pneumonia and chronic obstructive pulmonary disease, leading to a reduction in readmissions and length of stay.

Coaching Supports Care Process Change, Improving Sepsis, Nurse Turnover, and Fall Rates 12/09/08

Hospital-based coaches assist nurses in developing process improvement projects to enhance geriatric care, leading to low fall rates and a decline in sepsis mortality and contributing to a reduction in nurse turnover.

Nurse-Led Weekly Educational Program for Children Focuses on Physical Activity and Food Choices, Leading to Healthier Behaviors, Lower Body Mass Index 12/02/08

A weekly, hospital-based community program led by nurses that educates children about healthy lifestyle choices related to nutrition and physical activity has led to reductions in body mass index and waist circumference and to increases in physical activity.

Intravenous Infusion Safety Initiative Prevents Medication Errors, Leading to Cost Savings and High Nurse Satisfaction 11/06/08

A two-hospital system implemented an intravenous infusion safety initiative that has helped avoid many infusion-related errors, leading to significant cost savings and high levels of nurse satisfaction.

Proactive Assessment and Management of At-Risk Patients Reduces Pressure Ulcers and Saves $11 Million Annually in Two-Hospital System 10/20/08

The NCH Healthcare System's multifaceted program to prevent pressure ulcers in high-risk patients dramatically reduced their prevalence and saved the system more than $11 million annually.

Nurse-Enforced Protocols and Associated Tools Significantly Reduce Catheter-Related Infections in the Intensive Care Unit 09/30/08

St. John Hospital and Medical Center developed and implemented nurse-enforced protocols and associated tools, leading to a significant reduction in the incidence of catheter-related bloodstream infections.

Increasing Patient Health Literacy Leads to Improved Reporting of Medication Allergies 09/24/08

The West Los Angeles Healthcare Center implemented a program to improve nurses' and patients' awareness and reporting of medication allergies and adverse drug reactions. Key program elements include a training module for nurses, educational brochures for patients, and distribution of an allergy/adverse drug reaction questionnaire to patients.

Nurse-Led Program Increases Provision of Cessation Counseling to Inpatients Who Smoke 09/24/08

With support from a unit-based nurse champion, stroke unit nurses encourage inpatient smokers to quit through bedside counseling, referral to an outpatient counseling program, and followup with the primary care provider.

Simple Scoring System and Action Algorithm Identifies Children at Risk of Deterioration, Leading to Fewer Codes and More Timely Transfer to Intensive Care Unit 09/04/08

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.

24-Hour, Bilingual Nurse Line Provides Advice and Interpreter Services for Plan Members, Leading to Wiser Decisions and Cost Savings 08/28/08

Molina Healthcare, a Medicaid managed care organization, instituted a 24-hour bilingual advice line to address the health and language needs of its low-income, Spanish-speaking members; the program helped members make wiser choices, leading to fewer emergency department visits and significant cost savings.


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