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The hospital started working on Project Re-engineered Discharge (Project RED) in 2011. A patient navigator was hired to focus on Medicare patients with congestive heart failure. In 2013, the roles were realigned and the navigator, utilization manager and social worker started reporting directly to…
The pediatric team at this hospital recognized the need to improve processes surrounding care of the pediatric patient with asthma. A multidisciplinary group formed to develop strategies to increase compliance of the pediatric asthma core measures. At the same time, the team worked to revamp…
The medical center consistently missed internal quality targets, with a mean HAPU rate for 2007-2013 of 5.39 percent, median 5.33 percent. Although HAPU prevention measures had been put in place previously with some improvement, results were not significant or sustained. An analysis of current…
Parental satisfaction with pediatric emergency department visits has been argued to be best predicted 'by how well physicians and nurses work together, followed by wait time and pain management.' The primary aim of this initiative was to assess changes in parental satisfaction with communication…
The goal was to reduce the delay in patient care by reducing patient wait times, both from requested to scheduled time and at time of procedure. Process defects were identified as procedures in medical imaging that start greater than seven minutes after a scheduled start time, and a scheduled wait…
Maternal cardiac arrest is rare but often fatal. Obstetricians and perinatal nurses are often first responders with limited experience in managing primary cardiac arrest and ACLS pregnancy modifications. Multidisciplinary simulations improve performance in catastrophe management but few studies…
Antimicrobial Stewardship Programs direct judicious antimicrobial use to optimize patient outcomes and improve patient safety. New pharmacokinetic services were implemented as part of the medical center's ASP's patient safety initiatives to optimize antimicrobial dosing and also inline…
Antibiotic stewardship was implemented in 2011 and focuses on five 'D's': Drug, De-escalation of therapy, Discontinuation of therapy, Dose and Diagnosis. The pharmacy department automatically adjusts therapy based on patient's renal function and enforces restrictions on certain antibiotics. All of…
Perineal trauma during childbirth can lead to significant short- or long-term complications such as perineal pain, urinary and fecal incontinence, and sexual problems. Women have a right to safe care, and minimizing perineal trauma during childbirth will allow them to focus on bonding with their…
In December 2008, the hospital spotlighted national Hospital Quality Measures performance and found Surgical Care Improvement Project process measures were not met every time for all patients. Surgical site infections, an outcome of non-compliance, represented the largest number of hospital-…