A redesigned inpatient care model based on Toyota Production System principles uses daily multidisciplinary clinical team visits, individualized care plans, and facility and staffing changes to reduce costs and average length of stay and improve adherence to recommended care processes, nurse productivity, and patient, staff, and physician satisfaction.
Low-income African-American women at risk for cardiovascular disease received culturally appropriate motivational counseling and support tied to their readiness for change, leading to reductions in dietary fat intake.
Public health nurses provide case management services to women with one or more chronic conditions who receive Temporary Assistance for Needy Families, leading to enhanced access to mental health services, fewer depressive symptoms, and improved functional status.
A culturally tailored smoking cessation program significantly reduces tobacco use among members of an American Indian tribe.
Nurses remotely monitor key indicators of end-stage renal disease patients and intervene as appropriate, leading to less inpatient and emergency department use and higher quality of life.
A health system changed its informed consent process and document to make them more understandable, user-friendly, and interactive, leading to greater understanding of the surgical procedure and patient comfort with asking questions.
A comprehensive set of protocols and practices virtually eliminates catheter-related bloodstream infections in the neonatal intensive care unit, generating estimated annual savings of $750,000 to $1,000,000.
A voluntary, peer-assisted crisis intervention program supports hospital and community center staff who are victims of patient assault, leading to reductions in trauma symptoms, assaults, staff turnover, and turnover-related costs.
Nurses perform a baseline skin assessment on every newly admitted patient, leading to improvements in the identification and documentation of pressure ulcers on admission and to lower incidence of pressure ulcers.
Case management combined with in-home environmental assessment and remediation of environmental triggers reduce asthma-related hospitalizations, emergency department visits, missed school days, and missed parent work days in diverse, low-income urban children with asthma.