Devices

Innovations

System-Wide Quality Improvement Infrastructure Facilitates Adoption of Best Practices and Leads to Better Outcomes 05/11/09

New health system–wide infrastructure facilitates better adherence to recommended practices, lower mortality, and the virtual elimination of code blues.

Adaptation and Expansion of Existing Bundle of Inpatient Interventions Reduces Ventilator-Associated Pneumonia at Long-Term Care Facility 11/25/08

Coler-Goldwater Specialty Hospital and Nursing Facility modified and expanded an existing set of known-to-be-effective inpatient interventions for use in the long-term acute care setting, leading to a 58 percent reduction in ventilator-associated pneumonia.

Evidence-Based Bundle for Adults Is Adapted by Pediatric Intensive Care Units, Reducing Ventilator-Acquired Pneumonia and Lowering Costs 02/26/08

Children's Healthcare of Atlanta developed and implemented a program to reduce the incidence of ventilator-associated pneumonia in three intensive care units, including two pediatric intensive care units and one cardiac intensive care unit. The program adapts a bundle of evidence-based interventions commonly used to prevent ventilator-associated pneumonia in adults to the pediatric population.

Early Activation of Acute Myocardial Infarction Team Reduces Time Between Emergency Department Arrival and Start of Angioplasty Procedure 02/26/08

The University of Michigan Health System redesigned the process for activating its acute myocardial infarction team, with an emphasis on the earliest possible electrocardiogram administration and team activation, ideally while the patient is en route to the hospital.

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.

Daily Multidisciplinary Patient Rounds and Best Practice Bundle Decrease Use of Ventilators in the Intensive Care Unit 02/11/08

The implementation of daily multidisciplinary patient rounds and a bundle of best practice guidelines reduced the use of ventilators for patients in the intensive care unit.

Comprehensive Monitoring Pinpoints 911 Dispatch Inefficiencies, Leading to Communication and Deployment Improvements That Increase Cardiac Arrest Survival 01/15/08

A collaborative effort to develop an out-of-hospital cardiac arrest registry and change 911 call routing and ambulance deployment processes led to a significant improvement in the cardiac arrest survival rate in Atlanta.

Data-Driven Community Education and Defibrillator Placement Increase Bystander-Administered CPR and Cardiac Arrest Survival Rates in Atlanta 01/14/08

The American Heart Association spearheaded a public education campaign (called “Restart Atlanta's Hearts”) to teach Atlanta area residents to identify individuals who are experiencing cardiac arrest and to act quickly to save them.

Paramedics' Adoption of Established Tool to Measure a Child's Weight Enhances Accuracy of Drug Dosing for Resuscitations 01/07/08

Emergency management services workers who use an established tool to measure a child's weight administer more accurate doses of emergency medications to pediatric patients.

Timely Assessment Increases Targeted Preventive Treatment for Patients at Risk for Hospital-Acquired Deep Vein Thrombosis 12/28/07

Providers used an established tool to classify patients into low-, moderate-, or high-risk categories for deep vein thrombosis and then prescribe preventive anticoagulant (blood thinner) medication and/or mechanical devices, increasing prophylaxis use and decreasing deep vein thrombosis rates.

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