A community cancer center identifies all patients hospitalized due to chemotherapy-related toxicity and enters data on such patients into a toxicity registry; analysis of registry data has stimulated quality improvement initiatives that have reduced admissions of nondiabetic multiple myeloma patients due to hyperglycemia and reduced the risk of treatment-related diarrhea in colorectal cancer patients.
Nurses at Aultman Hospital assess patients preoperatively for risk of pressure ulcers, carefully monitor and address risk factors during surgery, and complete a communication tool to inform postoperative surgical care; the program led to the elimination of Stage 3 and 4 pressure ulcers hospital-wide and very low incidence of Stage 1 and 2 pressure ulcers in surgical patients.
Supported by sophisticated information technology and a separate outreach team, cross-trained nurse practitioners run disease-specific clinics in which they educate patients about self-management and proactively manage and coordinate care related to diabetes, wounds, congestive heart failure, hypertension, pulmonary disease, and coronary artery disease; the program has led to significant improvements in outcomes across targeted diseases/conditions.
Heartland Regional Medical Center operates a walk-in “Quick Clinic” that treats minor acute conditions for employees and their spouses and dependents, leading to reductions in employee absenteeism, high user satisfaction, and cost savings.
A hospital-based telephone triage system allows patients to describe their symptoms to a nurse, who uses an algorithm to assess acuity and determine the best setting for treatment, leading to reductions in emergency department patient volumes, wait times, average length of stay, and walkouts.
A hospital revamped its process for administering intravenous medications to incorporate multiple automated and human safeguards, leading to increased adherence to drug dosing limits and the elimination of many error-prone steps involved in manually programming the intravenous infusion pump.
Care staff use software-based protocols to screen older clients' medications and collaborate with pharmacists and physicians to reduce the risk of medication errors and adverse effects, leading to more appropriate medication use and fewer cases of duplicative medications.
Nurses and other hospital staff use a radiofrequency identification system to pinpoint the location of needed equipment, leading to enhanced productivity, better equipment maintenance, expedited patient care and discharge, and high levels of nurse satisfaction.
A nurse retention program that incorporates sleep education and other support significantly reduced nurse turnover among first-year nurses.
Nursing students provide free doula care to underserved women, leading to fewer preterm births, low birthweight babies, and cesarean sections, and generating high levels of patient satisfaction.