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 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.
A comprehensive program to improve patient experience before, during, and after orthopedic surgery leads to improved satisfaction, higher patient volume, and better patient outcomes.
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.
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.
A hospital uses a clinical microsystem improvement process to quality improvement, leading to significant enhancements in efficiency and reductions in care delays.
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.
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.
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.
Barnes-Jewish Hospital adopts an integrated checklist and armband technology system that ensures essential steps are completed during the outpatient preoperative process.