Checklists With Medication Vest or Sash Reduce Distractions During Medication Administration
Based on airline safety principles, five simple and inexpensive interventions significantly reduced the number of distractions experienced by nurses during medication administration.
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.
Health System Expands Pharmacy and Nursing Staff Roles and Institutes Focus on Accountability, Improving Performance on Core Measures
Norman Regional Health System uses an expanded role for pharmacists and nurses, ongoing monitoring and reporting, physician peer review, and financial incentives to improve performance on core measures, achieving adherence rates of 96 percent or more on 17 of 25 measures (above both State and national averages).
Patient- and Family-Centered Care Initiative Is Associated With High Patient Satisfaction and Positive Outcomes for Total Joint Replacement Patients
Magee-Womens Hospital of the University of Pittsburgh Medical Center implemented the Patient and Family Centered Care Methodology and Practice, a low-technology, systems-based approach to inpatient care that focuses on providing care from the patient's and family’s perspective; the program is associated with high rates of patient satisfaction, functional status, and adherence to evidence-based care protocols, along with low infection rates and length of stay.
Show Innovation Attempts
Show Policy Profiles
Guide to Patient and Family Engagement in Hospital Quality and Safety
The Guide to Patient and Family Engagement in Hospital Quality and Safety is a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety.
CLABSI Toolkit – Preventing Central Line–Associated Bloodstream Infections: Useful Tools, An International Perspective
The overarching goal of the central line–associated bloodstream infection (CLABSI) toolkit is to provide the most current information and guidance on practices and technology, as well as the most appropriate tools, resources, and education to assist health care organizations in reducing the current burden associated with CLABSIs.
Implementing The Joint Commission Perinatal Care Core Measure on Exclusive Breast Milk Feeding
This toolkit, published by the United States Breastfeeding Committee, addresses The Joint Commission Perinatal Care Core Measure on Exclusive Breast Milk Feeding. It provides guidelines for data collection to comply with the measure and recommendations for evidence-based best practices.
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
This toolkit provides a step-by-step guide to improving the medication reconciliation process.
A Compendium of Strategies to Prevent Health Care–Associated Infections in Acute Care Hospitals
The Compendium is a set of strategies designed for acute care hospitals to prevent six of the most common health care–associated infections.