Nursing

Innovations

Comprehensive Vaccine Program More Than Triples Immunization Rates for Children 08/20/08

A comprehensive vaccine program more than tripled childhood immunization rates through provider training, immunization tracking, reminders for physicians and parents when immunizations are not up-to-date, and nurse-run immunization clinics.

Enhanced Home Health Program Provides Remote Monitoring and Services, Leading to Fewer Hospitalizations and Increased Nurse Productivity 08/16/08

A home health program enhances services to congestive heart failure and other chronically ill patients by supplementing at-home visits with ongoing remote monitoring and services.

Voluntary System to Report and Analyze Nursing Errors Leads to Patient Safety Improvements 08/12/08

The Healthcare Alliance Safety Partnership was a 3-year pilot project involving a board of nursing and three hospital systems in developing a voluntary, nonpunitive system for reporting, investigating, and analyzing nursing errors.

Nurse Home Visits Improve Birth Outcomes, Other Health and Social Indicators for Low-Income, First-Time Mothers and Their Children 08/04/08

A series of home visits conducted by nurses to low-income, first-time mothers during pregnancy and throughout the child's first 2 years of life leads to improved outcomes and lower costs.

Coping Skills Training Helps Adolescents Improve Quality of Life and Ability to Manage Their Diabetes 06/19/08

A coping skills training program for adolescents with type 1 diabetes teaches communication and social problem-solving skills, leading to better disease management skills and blood glucose control.

Community-Based Volunteer Program Postpones or Avoids Nursing Home Admissions Among Neighborhood Seniors, Saving Millions of Dollars 06/14/08

The Payne-Phalen Living at Home/Block Nurse Program is a community-based program that provides medical and social services to neighborhood seniors, enabling them to live at home rather than in a nursing home.

Telephone-Based Coaching Does Not Reduce Rate of Falls or Fall-Related Injuries, but Prompts Changes in Hospital Processes That May Lead to Future Improvement 05/06/08

A telephone-based coaching intervention was designed to help hospital-based fall prevention champions identify and implement needed changes in fall-related organizational policies and clinician-specific practices.

Formalized Communication Between Rural Home Health Agency Nurses and Physicians Leads to Increased Use of Home Health Services, Fewer Inpatient Admissions 04/28/08

A rural home health agency formalized oral and written communication processes with physicians, using specific communication tools to ensure that ongoing patient needs are being met; the program led to an increase in the use of home health services and a concomitant decline in inpatient admissions among home health patients.

Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Fewer Emergency Department Visits for Low-Income Seniors 04/25/08

As part of the Geriatric Resources for Assessment and Care of Elders (GRACE) program, social worker/nurse practitioner teams collaborate with a larger interdisciplinary team and primary care physicians to develop and implement individualized care plans for low-income seniors, leading to significant improvements in health status.

Health Plan–Financed, Nurse-Led Care Coordination Improves Quality of Care and Reduces Costs for Latinos With Chronic Illnesses and Disabilities 04/21/08

A community-based primary care clinic uses nurses to provide culturally competent care coordination to Latino patients with chronic illnesses and disabilities, leading to greater provision of recommended care, lower health care costs, and enhanced self-management capabilities.

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