Nursing

Innovations

Redesigned Inpatient Care Model Increases Quality and Patient Satisfaction, Reduces Costs and Length of Stay 11/29/11

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.

Culturally Tailored Lifestyle Counseling Tied To Readiness for Change Helps Underserved African-American Women Reduce Dietary Fat Intake 11/17/11

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 to Low-Income Women With Chronic Conditions, Leading to Improved Mental Health and Functional Status 10/16/11

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.

Culturally Tailored Cessation Program Significantly Reduces Tobacco Use Among Members of American Indian Tribe 08/29/11

A culturally tailored smoking cessation program significantly reduces tobacco use among members of an American Indian tribe.

Daily Nurse Review of Key Health Indicators Reduces Inpatient and Emergency Department Use for Patients on Dialysis 08/04/11

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.

Simple, Patient-Friendly Informed Consent Process Increases Proportion of Patients Reading Form and Able to Describe Surgical Procedure 07/15/11

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.

Protocols, Task Specialization, and Case Reviews Virtually Eliminate Catheter-Related Bloodstream Infections in Neonatal Intensive Care Unit 07/09/11

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.

Peer-Assisted Crisis Intervention Supports Staff Assaulted by Patients, Reducing Assaults, Victim Symptoms, and Staff Turnover 06/07/11

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.

Skin Assessments Conducted as Part of Patient Intake Improve Documentation of Pressure Ulcers on Admission, Reduce Incidence During Stay 05/30/11

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 and Home Assessments Reduce Asthma-Related Admissions, Emergency Visits, and Missed School Days in Diverse Urban Children 05/29/11

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.

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