Clinical Microsystem Uses Front-Line Teams to Redesign Hospital Processes, Leading to Fewer Delays and Better Patient Service
A hospital uses a clinical microsystem improvement process to quality improvement, leading to significant enhancements in efficiency and reductions in care delays.
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.
Electronic Health Record–Facilitated Care Process Redesign Enhances Access to Care, Reduces Hospitalizations and Costs for Patients With Chronic Illnesses
The Marshfield Clinic is using electronic tools to facilitate care process redesign for patients with chronic illnesses, leading to enhanced quality and access to care, fewer hospitalizations and adverse events, and lower costs.
Electronic Medical Record–Facilitated Workflow Changes Enhance Quality and Efficiency, Generating Positive Return on Investment in Small Pediatrics Practice
Four Seasons Pediatrics, a three-physician group in upstate New York, improved its workflow, reduced staffing costs, and enhanced quality of care while adopting an electronic medical record.
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