Acute care


Your Discharge Planning Checklist: For Patients and Their Caregivers Preparing to Leave a Hospital, Nursing Home, or Other Care Setting 06/10/09

This patient handout can help patients, caregivers and medical staff communicate as they prepare to leave a hospital, nursing home, or other health care setting. The booklet provides many questions and prompts for patients and caregivers so they can gather information to assure a safe discharge.

Stroke Toolkit 05/25/09

This toolkit can guide physicians in the acute management of stroke patients. The kit includes forms and documentation to assist in critical decisionmaking. Designated forms that must accompany the patient upon transfer are identified.

The toolkit includes:

  • Stroke packet cover
  • Possible IV recombinant tissue plasminogen activator (rt-PA) (Activase) candidate (inside 3-hour window or less than 180 minutes from symptom onset)
  • IV t-PA inclusion/...
INTERMED Method 05/15/09

The INTERMED method is an action-oriented, decision support tool for clinicians, which assesses patient complexity, stimulates interdisciplinary communication, and can help patients and clinicians make decisions about treatment plans. It is a multidimensional rating scale used by health care providers to conduct a quick yet comprehensive assessment of complex medical and surgical patients.

The site includes:

  • An introductory video
  • Bedside manual (available...
Clinical Microsystems Tools and Resources 02/02/09

This Web site presents the principles of clinical microsystems as well as related tools and resources to help health care professionals improve their practice care and outcomes.

Clinical microsystems are the front-line units that provide most health care to most people. They are the places where patients, families, and care teams meet. Microsystems also include support staff, processes, technology, and recurring patterns of information, behavior, and results.

This site...

Patient Care Portfolio 01/19/09

This portfolio offers nurses a reliable method for developing evidence-based workforce plans to support existing hospital services or the development of new ones.

It has two distinct but interrelated elements that should be used together:

  • Element 1—The acuity/dependency tool has been developed to help the United Kingdom’s National Health Service hospitals measure patient acuity and dependency to inform evidence-based decision making on nursing staffing and...
Speak Up Campaign 12/10/08

In March 2002, the Joint Commission, together with the Centers for Medicare and Medicaid Services, launched a national campaign to urge patients to take a role in preventing health care errors by becoming active, involved, and informed participants on their health care team.

The campaign features brochures, posters, and buttons on the following patient safety topics:

  • Help prevent errors in your care
  • Help avoid mistakes in your surgery
  • Information...
Central Line Procedural Checklist 12/08/08

This checklist is used to document activities that are considered standard practice in a critical care unit before, during, and after a central line procedure. It helps to insure that all processes related to central line placement are executed for each line placement, thereby leading to a reliable process.

5 Million Lives Campaign. Getting Started Kit: Prevent Central Line Infections How-to Guide 11/25/08

This guide is designed to help health care providers prevent catheter-related bloodstream infections by implementing the five components of care called the “central line bundle.” The central line bundle is a group of evidence-based interventions for patients with intravascular central catheters that, when implemented together, result in better outcomes than when implemented individually. The science supporting each bundle component is sufficiently established to be considered the standard...

Braden Scale for Predicting Pressure Sore Risk 11/25/08

This rating scale for nurses and other health care providers predicts a patient’s level of risk for developing pressure ulcers. The scale is composed of six subscales that measure functional capabilities of the patient that contribute to either higher intensity and duration of pressure or lower tissue tolerance for pressure.

The six subscales include:

  • Sensory perception
  • Moisture
  • Activity
  • Mobility
  • Nutrition
  • Friction and...
Patient-Centered Care Improvement Guide 11/12/08

This 241-page guide helps hospitals implement practices to become more patient centered. It outlines best practices and addresses common barriers to implementing patient-centered care.
It addresses the following topics:

  • Patient-centered care: An idea whose time has come
  • How to use the patient-centered care improvement guide
  • Self-assessment tool
  • Patient-centered care as culture change
  • The myths of patient-centered care
  • ...


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