Nursing

Innovations

Nurse- and Pharmacist-Led Physician-Approved Inpatient Pneumococcus Standing Orders Program Increases Vaccination Rates for At-Risk Patients 02/11/08

Three hospitals within the University of Pittsburgh Medical Center Health System developed and implemented a standing orders program to provide pneumococcal vaccinations to appropriate patients in the hospital.

Standardized Shift-Change Process Optimizes Time for Transfer of Patient Care Responsibility, Leads to High Levels of Nurse and Patient Satisfaction 02/07/08

A six-step process related to nurse shift changes is designed to enhance patient safety by conveying vital patient information accurately, concisely, and consistently, leading to improved nurse and patient satisfaction and more nurse time spent at the bedside.

Checklists With Medication Vest or Sash Reduce Distractions During Medication Administration 02/05/08

Based on airline safety principles, five simple and inexpensive interventions significantly reduced the number of distractions experienced by nurses during medication administration.

Technology-Enabled Reengineering of Referral Intake Process and Case Management System Significantly Improves Field Nurses' Ability To Serve At-Risk Families 01/31/08

The County of San Diego Health and Human Services Agency implemented a Mobile Remote Workforce project to increase the amount of time field nurses in the agency's public health nurse home visitation program can spend providing direct services to at-risk families.

Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients 01/30/08

Hospital at Home sm provides hospital-level care in a patient's home as a full substitute for acute hospital care for selected conditions common among seniors.

Real-Time Vital Sign Monitoring Ensures Timely Care for At-Risk Patients, Leading to Fewer Unplanned Intensive Care Unit Admissions and Out-of-Intensive Care Unit Cardiac Arrests 01/28/08

Saint Mary's Health Care enhanced its hospital-based rapid response team by implementing a real-time, vital sign monitoring system that identifies and allows a quick response to high-risk patients.

Standardized Discharge Planning Focusing on Patient Education and Care Coordination Increases Understanding of Postdischarge Needs and Likelihood of Followup Care 01/25/08

The Re-Engineered Discharge project at Boston Medical Center standardizes the hospital discharge process through use of 11 separate but mutually reinforcing steps that health care professionals follow from patient admission to postdischarge.

Medical Response Team Saves Lives by Empowering Nurses to Recognize and Act on Early Warning Signs of Trouble 01/23/08

The medical response team at Baptist Memorial Hospital in Memphis, TN, responds to early warning signs that patients are in cardiac or respiratory distress and moves quickly to rescue them before medical emergencies develop; the team has reduced cardiac arrests by 26 percent.

Periodic, Nurse-Initiated Telephone Contact Provides Quality Followup Care to Infants With Lung Disease in Rural Areas 01/22/08

A nurse specialist maintains regular telephone contact with the primary caregivers and health care providers of premature infants with chronic lung disease who are discharged from the hospital.

Onsite Nurses Manage Care Across Settings to Increase Satisfaction and Reduce Cost for Chronically Ill Seniors 01/21/08

Specially trained nurses work with primary care physicians in their offices to improve the quality and efficiency of care for seniors with multiple chronic illnesses by coordinating care, facilitating transitions in care, and acting as the patient's advocate across health care and social settings.

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