Disease or Clinical Category

Innovations

Comprehensive, Hospital-Based Program Significantly Reduces Pressure Ulcer Incidence and Associated Costs 02/20/08

OSF Saint Francis Medical Center in Peoria, IL, developed a comprehensive program called “Save Our Skin” that significantly reduced the incidence of pressure ulcers.

Standardized Processes Improve Adherence to Evidence-Based Protocols, Significantly Reducing Common Surgery-Related Complications 02/20/08

A hospital standardized and automated evidence-based protocols and processes, leading to a significant reduction in surgical site infections, postoperative myocardial infarction, and postoperative deep vein thrombosis.

Using Positive Deviance Employee-Generated Strategies Reduces MRSA Infections by 50 Percent 02/20/08

The Department of Veterans Affairs Pittsburgh Healthcare System used Positive Deviance to encourage all employees at two facilities to use their own experiences to brainstorm and implement strategies for reducing hospital-acquired methicillin-resistant Staphylococcus aureus infections.

Dental Health Aide Program Improves Access to Oral Health Care for Rural Alaska Native People 02/19/08

The Alaska Dental Health Aide Program enhances access to oral health care by training dental therapists to provide culturally appropriate education and routine dental services to high-risk residents of rural villages.

Remote Screening, Diagnosis, and Guidance Improves the Ability of Primary Care Practices to Detect and Arrange Treatment for Mental Health Problems 02/19/08

A mental health clinical assessment service provides remote (telephone-based) screening, diagnosis, and clinical guidance for patients seen in primary care practices who have or are suspected of having mental health or substance abuse problems.

Hair Stylists Who Serve as Lay Health Educators Encourage Clients To Adopt Behaviors That Reduce Health Risks 02/19/08

Healthy Hair Starts with a Healthy Body is a salon-based campaign to educate African-American adults in urban areas of Michigan about how to reduce the risks of chronic kidney disease, diabetes, and hypertension.

AIDS Care Project Makes Acupuncture Treatment Accessible to People Living With HIV/AIDS 02/19/08

The AIDS Care Project increases access to free and low-cost acupuncture, Chinese herbal medicine, and shiatsu for underinsured Boston-area residents with human immunodeficiency virus/acquired immunodeficiency syndrome and other conditions.

Interdisciplinary Team Identifies and Addresses Risk Factors for Falls Among Nursing Home Residents, Leading to Fewer Falls and Less Use of Restraints 02/18/08

Ethica Health and Retirement Communities developed a falls management program, the cornerstone of which is an interdisciplinary “falls team” at each nursing home that regularly assesses residents for risk of falling and develops intervention plans for those found at high risk.

Community Partnerships and Provider Training Increase Service Capacity and Access to Long-Term Treatment for Individuals With Heroin Addiction 02/13/08

Community partnerships and provider training increase service capacity and access to long-term treatment for individuals addicted to heroin.

Peer Coaching Combined With Nurse Outreach Improves Adherence to Medical Recommendations Among Elderly Cardiac Patients Who Live Alone Following Discharge 02/12/08

A nurse-guided, patient-centered approach combines ongoing peer support from a trained elder with home visits and followup phone calls from an advanced practice nurse for unpartnered, elderly patients who are discharged from the hospital after a heart attack or bypass surgery. The program is intended to encourage compliance with medication regimens and recommended lifestyle changes, with the goal of reducing hospital readmissions. A 247-patient randomized controlled trial found that the program improved adherence to medical recommendations and reduced hospitalizations due to cardiac-related complications but failed to reduce overall hospital readmissions.

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