Immediate team debriefings after a cardiopulmonary resuscitation code event improve multiple aspects of the team's response to future codes and generate high levels of staff satisfaction.
Using Toyota Production System principles, William Beaumont Hospitals implemented many small, rapid-cycle process improvement projects designed to improve workflow and patient flow; these projects have led to meaningful increases in nurse time spent with patients, shorter patient waiting times, faster radiology test turnaround, fewer missing and discarded medications, and greater staff engagement.
Norman Regional Health System uses an expanded role for pharmacists and nurses, ongoing monitoring and reporting, physician peer review, and financial incentives to improve performance on core measures, achieving adherence rates of 96 percent or more on 17 of 25 measures (above both State and national averages).
A licensed pharmacist or registered nurse periodically consults via telephone over a 7-month period with adult patients with rheumatoid arthritis, leading to improvements in medication adherence and physical functioning and to high levels of patient satisfaction.
Medical center–employed nurses work at elementary and middle schools, providing typical school nurse services, annual health screenings, and periodic classroom presentations, leading to improvements in the ability to identify health issues and in the lifestyle choices and academic performance of individual students.
A Web-based service allows adolescents to enter, update, and access critical personal information and to identify key health resources, making them feel more knowledgeable and empowered about their health and enhancing access to high-quality care.
An adjustable “diet wheel” posted on each inpatient's doorway indicates which of 15 physician-ordered diets a patient should receive and prompts dietary staff to check that food trays match the ordered diet, leading to fewer diet-related miscommunications, mistakes, and interruptions.
A high school–based program provides culturally appropriate education and follow up support to Latino teenagers, leading to reduced likelihood of engaging in risky sexual behaviors.
A combination of telephone-based nurse case management and automated symptom monitoring leads to significant reductions in the severity of pain and depression in cancer patients being treated in urban and rural oncology practices.
Liberty Country Living, a long-term care facility for people with dementia, offered nurse-managed care in a home-like setting, with a focus on supporting residents' capabilities. The facility had a high ratio of staff to residents and promoted social interaction, ambulation, and continence. The program helped residents stay ambulatory, maintain continence, avoid weight loss, avoid falls and disruptive behaviors, and reduce psychotropic medication use. After 5 years of operation, Liberty closed abruptly due to changes in State regulations.