Comprehensive Program Focused on Culture Change, Education and Training, and Solicitation of Employee Ideas Significantly Reduces Incidence of Common Hospital-Acquired Infection
The Billings Clinic, an integrated health system in Billings, MT, addressed its rising rate of methicillin-resistant Staphylococcus aureus infections by making infection control a top institutional priority and by creating a comprehensive package that combines adoption and monitoring of strict infection control protocols, active surveillance, training and education, and the solicitation and implementation of employee ideas through an approach known as “positive deviance.” This term refers to the focus on uncommon strategies that lead to positive changes and results.
Comprehensive Program to Promote “Fair and Just Principles" Improves Employee Perceptions of How a Health System Responds to Errors
A comprehensive program to promote adoption of a "fair and just" culture improves employee perceptions of how a health system responds to errors.
Creation of Unit-Based, Clinically Focused Nurse Leader Position Expedites Discharge, Improves Quality, and Reduces Turnover
A hospital created a new nursing position, the clinical resource nurse, to ensure continuity of care, facilitate care planning, coordinate with physicians, encourage adherence to evidence-based practices, and mentor less experienced nurses, leading to more timely discharges, fewer falls and pressure ulcers, lower nurse turnover, and higher patient, nurse, and physician satisfaction.
Daily Intensive Care Unit Team Communication Enhances Provider Understanding of Care Goals, Reduces Length of Stay
Intensive care unit clinicians developed a standardized communication process based on a daily goals form that prompts clinicians to evaluate and document the patient's current status, design a care plan, and outline daily tasks, thereby increasing clinician understanding of daily care goals.
Health Department Promotes Implementation and Use of Electronic Health Records in Underserved Areas To Improve Clinical Preventive Services in Primary Care
The health department in New York City uses subsidies, upfront and ongoing technical support, and quality of care feedback to promote implementation and use of electronic health records by primary care practices in medically underserved areas, leading to better care for patients in these practices.
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Improving Outcomes for an Aging Population: Alzheimer's Treatment in Long-Term Care
This toolkit provides strategies and templates to help long-term care facilities and their clinicians implement projects to enhance the quality of care for elderly residents with Alzheimer’s disease.
Door-to-Doc Patient Safety Toolkit
"Door to Doc" is a patient flow redesign process that improves the safety of care for patients in the emergency department (ED) by reducing the time patients wait to be seen, and by expediting admission to the most appropriate hospital unit.
Central Line Procedural Checklist
This tool is used to document activities that are considered standard work before, during, and after a central line procedure.
Checklist of Hand Hygiene Interventions
This checklist offers interventions to increase overall compliance with hand hygiene guidelines in a health care setting.
Excel Spreadsheet for Computing Grams of Alcohol Product Used per 100 Patient Days
This spreadsheet can be used to calculate the use of hand-sterilizing alcohol per 100 patient days by combining the use of wall-mounted and pocket-sized alcohol-based hand rubs.