Nursing

Innovations

Immediate Post-Event Debriefing Improves Multiple Aspects of Response to Codes and Increases Staff Satisfaction 12/10/10

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.

Small, Rapid-Cycle Process Improvement Projects Produce Many Benefits for Hospital, Including Increasing Nurse Time Spent With Patients 11/05/10

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.

Health System Expands Pharmacy and Nursing Staff Roles and Institutes Focus on Accountability, Improving Performance on Core Measures 11/03/10

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).

Telephone Consultations Improve Medication Adherence and Physical Functioning in Patients With Rheumatoid Arthritis 11/02/10

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 Places Nurses in Schools, Leading to Better Lifestyle Choices and Academic Performance Among Students 10/13/10

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.

Web-Based Service Helps Runaway and Homeless Adolescents Feel More Empowered About Health, Enhances Access to Quality Care 09/28/10

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.

Hospital Posts Appropriate Diet for Patient on Room Door, Reducing Diet-Related Mistakes and Nursing Interruptions 09/27/10

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.

Culturally Appropriate, School-Based Education and Support Reduces Likelihood That Latino Teens Will Engage in Risky Sexual Behaviors 09/17/10

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.

Telephone-Based Care Management With Automated Symptom Monitoring Reduces Pain and Depression in Cancer Patients 09/14/10

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.

Nurse-Managed Facility in Home-Like Setting Helps Residents With Dementia Maintain Function, Avoid Falls and Disruptive Behaviors 09/03/10

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.

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