Peer Coaching Combined With Nurse Outreach Improves Adherence to Medical Recommendations Among Elderly Cardiac Patients Who Live Alone Following Discharge
A nurse-guided, patient-centered approach combines ongoing peer support from a trained elder with home visits and followup phone calls from an advanced practice nurse for unpartnered, elderly patients who are discharged from the hospital after a heart attack or bypass surgery. The program is intended to encourage compliance with medication regimens and recommended lifestyle changes, with the goal of reducing hospital readmissions. A 247-patient randomized controlled trial found that the program improved adherence to medical recommendations and reduced hospitalizations due to cardiac-related complications but failed to reduce overall hospital readmissions.
Toolkit-Supported Safety Rounds With Staff and Patients Enhance Reporting of Medical Errors and Near Misses
The Dana-Farber Cancer Institute uses safety rounds with staff and patients, supported by a toolkit, to promote a culture of safety and reduce medical errors by proactively identifying and addressing potential safety problems.
Emergency Department–Based Clinical Pharmacist Improves Quality of Care
The University of Rochester Medical Center placed a clinical pharmacist in the emergency department to serve as an integral member of the health care team, leading to an increase in quality care.
Hospital-Affiliated Physician Group Offers Modest Performance-Based Incentives to Salaried Physicians, Leading to Sustained Improvement on Quality-Related Metrics
A hospital-affiliated physician group offers modest performance-based incentives to salaried physicians, leading to sustained improvements in performance on a broad array of quality-related metrics.
Comprehensive Program to Change Hand Hygiene Culture Improves Adherence to Disinfection Guidelines, Leading to Lower Infection Rates and Costs
A comprehensive, hospital-based program targeting culture change related to hand hygiene through education, environmental modifications, and employee incentives leads to better adherence, fewer infections, and lower costs.
A Toolkit for the Well Child Screening of Military Children
This toolkit can help in the early identification of children coping with the unique, significant challenge of a parent's military deployment.
Creating Equity Reports: A Guide for Hospitals
This tool helps hospitals prepare equity reports, which identify ethnic and racial disparities in organizations and suggest ways to reduce them.
Palliative Care Tools
This collection of palliative care tools can help improve health care for patients near the end of life and their families.
Hand Hygiene at Massachusetts General Hospital: Because We Care
This guide, developed by Massachusetts General Hospital, provides information on hand hygiene for health care workers, patients, and visitors.
Pediatric Symptom Checklist
Health care professionals can use this psychosocial screening tool to help recognize cognitive, emotional, and behavioral problems in children.