Electronic medical records

Innovations

Revised Consent Process Based on Customized, Easy-to-Understand Form Enhances Patient Understanding and Decisionmaking for Cardiac Catheterization 06/09/08

The Mid America Heart Institute of Saint Luke's Hospital developed a customized consent process based on a computer-generated consent form for cardiac catheterization and related interventional procedures.

Priority-Based Hospital Order System Reduces Percentage of "STAT" Orders and Enhances Response Time--Especially for Clinical Results 05/02/08

Swedish Medical Center implemented a new service request system in which physicians and staff requesting services must prioritize the order into one of four categories. The four-category system applies to all hospital orders, including laboratory tests, requests for assistance from personnel, and facility repairs.

Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Fewer Emergency Department Visits for Low-Income Seniors 04/25/08

As part of the Geriatric Resources for Assessment and Care of Elders (GRACE) program, social worker/nurse practitioner teams collaborate with a larger interdisciplinary team and primary care physicians to develop and implement individualized care plans for low-income seniors, leading to significant improvements in health status.

Specialty-Specific Medical Librarians Provide Quick Access to Evidence-Based Research, Leading to Reports of Improvements in Clinician Decisionmaking 04/22/08

Medical librarians at Vanderbilt University Medical Center's Eskind Biomedical Library developed a rapid turnaround service to provide answers to medical queries from clinicians that are based on the latest evidence-based research.

Reconciliation of Patient and Provider Medication Lists Reduces Discrepancies and Enhances Medication Safety in Physician Clinics 04/02/08

Reconciling patient and provider medication lists reduces discrepancies, leading to enhanced medication safety and high levels of patient and provider satisfaction in the outpatient setting.

Disease Management Programs Improve Adherence to Evidence-Based Processes and Outcomes by Targeting Sickest Patients and Working Closely With Physicians 03/14/08

A hospital-based outpatient disease management program serves patients with asthma, chronic heart failure, and diabetes and offers smoking cessation services to smokers. Unlike traditional disease management programs, this initiative heavily involves physicians in the initial referral and throughout the process and targets services toward the sickest patients (rather than to all patients with the condition).

Onsite Care Teams Enhance Access to Medical and Mental Health/Substance Abuse Services for Homeless Individuals 02/26/08

Penobscot Community Health Center provides onsite services at a community health clinic, with psychiatric and medical professionals offering primary care, disease management, mental health, and substance abuse services, along with referrals to additional mental health and other specialty services that may be needed.

Remote Assessment and Treatment via Telemedicine Combined With Onsite Case Management Enhance Access to Mental Health Services for Low-Income and Minority Students 02/25/08

In collaboration with several community partners, the University of Texas Medical Branch provides remote mental health assessment and treatment services via videoconferencing technology and onsite case management to low-income, minority, and other students and parents in seven school-based primary care clinics in the Galveston Independent School District.

Pediatric Skin Care Program Focuses on Proactively Identifying and Providing Preventive Therapy to At-Risk Intensive Care Unit Patients, Leading to Significant Reductions in Pressure Ulcers 02/22/08

Children's Healthcare of Atlanta developed and implemented a comprehensive skin care program to reduce pressure ulcers in its intensive care units, reducing pressure ulcer incidence by 59 percent.

Standardized Nursing Terminology and Communication Protocols Lead to Increased Use of Patients' Plan of Care 02/20/08

Standardized plans of care, enabled by the Hands-on Automated Nursing Data System, helps nurses document and communicate patient information, which is particularly critical during patient handoffs.

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