Nursing

Innovations

Hospital-Wide Inpatient Screening for Alcohol Withdrawal and Algorithm-Driven Treatment Improve Care and Reduce Acute Delirium Episodes 03/30/11

An algorithm-driven program combines hospital-wide inpatient screening for alcohol withdrawal risk, monitoring of at-risk patients, and medical treatment of symptoms, leading to more patients being diagnosed, fewer acute episodes of delirium, and improved care for patients experiencing such episodes.

Collaborative Medication Reconciliation Significantly Reduces Errors and Readmissions in Patients Discharged to Nursing Homes 02/14/11

A collaborative medication review process involving physicians, nurses, and pharmacists virtually eliminates medication errors and significantly reduces readmissions in patients discharged to a nursing home.

Electronic Isolation Flags and Weekly Rounds by Infection Control Staff Improve Adherence to Contact Precautions 02/13/11

Through electronic flagging of infected patients and weekly surveillance rounds, infection control staff increased adherence to contact precautions from 58 to 90 percent.

Joint Nurse Practitioner–Geriatrician Management of Frail Elderly Increases Adherence to Recommended Care Processes for Common Conditions 01/27/11

Working in collaboration with geriatricians, a nurse practitioner comanaged the care of frail, elderly patients with any of five chronic conditions, leading to better adherence to recommended care processes.

Physician–Nurse House Calls Reduce Barriers to Health Care and Social Services for New Refugees 01/24/11

Physicians and nurses provide in-home routine medical care and assessments to newly arrived refugees, leading to enhanced access to health care and social services and better continuity of care for those with chronic illnesses.

Emergency Department Expedites Treatment of Moderate Acuity Patients, Reducing Length of Stay and Walkouts 01/24/11

A hospital emergency department triages moderately acute patients to a “midtrack” area where a nurse practitioner further evaluates them and provides treatment under a physician's supervision, leading to lower length of stay and fewer patient walkouts.

Fall Prevention Toolkit Facilitates Customized Risk Assessment and Prevention Strategies, Reducing Inpatient Falls 01/22/11

A fall prevention toolkit uses a computerized algorithm to assess the risk of falling, identify patient-specific risk factors, and design individualized interventions to reduce those risks, leading to fewer falls in the inpatient setting.

Dedicated Emergency Department Team Follows Up With Discharged Patients, Easing Physician Workload and Enhancing Quality of Care 01/20/11

A dedicated team of nurses and clerks provides followup support for patients discharged from the emergency department, leading to better quality care, high satisfaction among patients and primary care providers, and fewer patient walkouts.

Academic Detailing Sessions With Providers Increase Use of Pain- and Anxiety-Reducing Strategies During Childhood Immunizations 01/19/11

A trained educator used “academic detailing” sessions to teach primary care clinicians about proven strategies for reducing the pain and anxiety associated with childhood immunizations, leading to increased use of these strategies and greater satisfaction among clinicians.

Formal Processes Ensure System-Wide Focus on Heart Attack, Heart Failure, Pneumonia, and Surgical Care, Improving Performance on Core Measures 12/13/10

A health system uses formal processes to track patients who meet core measure inclusion criteria, monitor gaps in care, investigate care variances, and share data and best practices, leading to a significant improvement in overall performance on the measures.

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