Standardized Communication Process Guided by Daily Goals Form Improves Nurse–Physician Communication and Increases Nurse and Patient Satisfaction on Surgical Unit 11/16/09

Clinicians on a surgical unit use a standardized communication process during daily rounds, leading to better nurse–physician communication and to higher nurse and patient satisfaction.

Concurrent and Retrospective Chart Review, Performance Reporting, and Other Support Significantly Improve Adherence to Core Measures in Four Clinical Areas 10/27/09

Concurrent and postdischarge nurse chart review, performance feedback, and other support lead to near-perfect adherence to recommended care processes for heart attack, heart failure, pneumonia, and surgery.

Comprehensive Orthopedic Surgical Program to Improve Patient Experience Increases Satisfaction, Reduces Length of Stay, and Allows More Patients to Be Discharged Directly Home 09/17/09

A comprehensive program to improve patient experience before, during, and after orthopedic surgery leads to improved satisfaction, higher patient volume, and better patient outcomes.

Multifaceted Program Reduces Decision-to-Incision Time and Increases Rate of On-time Starts for Emergency Cesarean Deliveries 09/16/09

A multifaceted program in a rural, community hospital reduced mean decision-to-incision time for emergency cesarean deliveries and increased adherence to guidelines that recommend that such deliveries begin in less than 30 minutes.

Care Process Algorithms Improve Continuation of Beta Blockers During Perioperative Period 04/09/09

Clinicians follow algorithms that lay out a standardized process for ensuring that surgical inpatients and outpatients receive beta blockers as appropriate, leading to near universal compliance with recommended therapy.

Clinical Microsystem Uses Front-Line Teams to Redesign Hospital Processes, Leading to Fewer Delays and Better Patient Service 12/17/08

A hospital uses a clinical microsystem improvement process to quality improvement, leading to significant enhancements in efficiency and reductions in care delays.

Standardized Tools and Protocols Increase Provision of Recommended Care in Key Clinical Areas, Reducing Hospital Mortality 12/15/08

A hospital implemented new processes to increase the provision of recommended care for heart failure, acute myocardial infarction, pneumonia, and surgery patients, leading to significant improvements in quality and a 25 percent reduction in mortality.

Use of Clinical "Bundles," Fixed Pricing, and Patient Compact Enhances Adherence With Guidelines and Improves Outcomes in Bypass Surgery, Diabetes, and Other Areas 11/05/08

The ProvenCare program uses guideline-based “bundles” of discrete clinical care elements to guide surgical care delivery, a fixed per-case rate for inpatient and followup care, and a “patient compact” and other educational activities to encourage patients to become more engaged in their care.

Cardiac Unit Features Acuity-Adjustable Rooms and Other Patient-Centered Programs, Leading to Well-Above Average Outcomes and Patient Satisfaction 09/02/08

A cardiothoracic care unit uses a multifaceted approach to patient- and family-centered care, leading to a well-above-average performance with respect to patient outcomes and satisfaction.

Checklist-Plus-Technology System Eliminates Wrong-Site Surgery and Near-Misses, Enhances Required Preoperative Process Compliance 08/22/08

Barnes-Jewish Hospital adopts an integrated checklist and armband technology system that ensures essential steps are completed during the outpatient preoperative process.


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