A simple protocol significantly reduces overuse of cervical spine x-rays in emergency department patients with traumatic injury.
A “shock” protocol involving computerized flagging of abnormal vital signs and initiation of treatment based on standardized order sets led to faster identification and treatment of children with suspected sepsis in the emergency department.
A hospital emergency department uses a simple algorithm and related tools to guide physician ordering of imaging studies for stable patients with suspected pulmonary embolism, leading to the provision of safer care by reducing unnecessary radiation exposure for patients.
A hospital-based program for young victims of penetrating trauma identifies those at risk of future violence, educates them about the need to change behaviors to reduce those risks, and connects them to community-based organizations that can help them in doing so, leading to fewer repeat episodes.
Community-based physicians send an electronic handoff note with pertinent information to Northwestern Memorial Hospital's emergency department personnel when referring patients for emergency care, leading to improvements in physician efficiency and satisfaction, care coordination, and the quality and timeliness of care.
A hospital emergency department triages moderately acute patients to a “midtrack” area where a nurse practitioner further evaluates them and provides treatment under a physician's supervision, leading to lower length of stay and fewer patient walkouts.
A dedicated team of nurses and clerks provides followup support for patients discharged from the emergency department, leading to better quality care, high satisfaction among patients and primary care providers, and fewer patient walkouts.
A rapid admission protocol streamlines the process between the decision to admit an emergency department patient and the arrival of the patient on the inpatient unit by reassigning care responsibilities and reducing process steps, leading to reduced emergency department boarding time.
An academic medical center provides 24-hour evaluation and consultation services via interactive videoconferencing to emergency departments serving rural and underserved areas, leading to improvements in diagnosis, treatment, and patient satisfaction.
A new change mode helps emergency departments redesign patient flow processes so that a clinical team rapidly triages each patient, allowing for accelerated treatment of less sick patients and faster admission for those who are very ill.