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Innovations
Peer Coaching Combined With Nurse Outreach Improves Adherence to Medical Recommendations Among Elderly Cardiac Patients Who Live Alone Following Discharge 7/30/2014
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 7/30/2014
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 7/16/2014
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.
Policy Hospital-Affiliated Physician Group Offers Modest Performance-Based Incentives to Salaried Physicians, Leading to Sustained Improvement on Quality-Related Metrics 7/16/2014
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 7/2/2014
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.
QualityTools
A Toolkit for the Well Child Screening of Military Children 10/9/2013
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 11/28/2012
This tool helps hospitals prepare equity reports, which identify ethnic and racial disparities in organizations and suggest ways to reduce them.
Palliative Care Tools 10/24/2012
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 11/24/2010
This guide, developed by Massachusetts General Hospital, provides information on hand hygiene for health care workers, patients, and visitors.
Pediatric Symptom Checklist 5/26/2010
Health care professionals can use this psychosocial screening tool to help recognize cognitive, emotional, and behavioral problems in children.
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Last updated: July 30, 2014.