Emergency medical technicians screen rural-dwelling older adults for depression, medication-related problems, and falls. A case manager follows up with at-risk individuals to conduct an in-home assessment and provide needed referrals, leading to enhanced access to medical and social services and high levels of satisfaction.
Health system pharmacists telephone recently discharged patients to complete medication reconciliation and provide medication-related education, leading to significant reductions in readmission rates and high levels of patient satisfaction.
Pharmacy residents complete one 24-hour shift at a hospital approximately every 2 weeks, providing an array of services, including consultations and assistance with emergency situations; the program has led to low dosing error rates and to high levels of adherence to recommended guidelines for emergency stroke patients and has helped to produce more confident, capable pharmacists.
Pharmacists, pharmacy students or residents, and volunteers conduct clinics at primary care practices that help elderly, low-income patients access appropriate, cost-effective medications.
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.
Monthly patient safety conferences that allow clinicians and all levels of staff to openly discuss adverse events improved staff perceptions of the organization's safety culture and increased the reporting of such events.
A separate emergency center for older patients includes physical features to reduce anxiety and discomfort, staff trained in geriatric care, and routine followup monitoring after discharge, leading to high levels of patient satisfaction, detection of polypharmacy, increased patient volume, and a low rate of return visits.
Real-time, resident-specific medication information and alerts, with support from a medication safety team, enhanced the efficiency of medication administration and reduce medication errors.
A physician group offers financial incentives to its physicians to encourage use of various health information technologies, including a new electronic medical record system and electronic radiology ordering system.
A two-hospital system implemented an intravenous infusion safety initiative that has helped avoid many infusion-related errors, leading to significant cost savings and high levels of nurse satisfaction.