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The critical care unit identified VAP as an area for improvement, with three VAPs from May-July 2011 and five from May-October 2011. The hospital identified best practices, developed engaged staff and physician champions, achieved multidisciplinary collaboration and identified opportunities to鈥
The purpose of the project was to improve the recognition and early goal directed treatment of patients with sepsis to reduce mortality rates by 50 percent in one year from implementation. The hospital used multi-point strategies provided by the Surviving Sepsis Campaign to help guide practitioners鈥
Utilizing PDSA, the hospital's multidisciplinary team utilized evidence based best practices to enhance the patient care experience associated with total knee replacement surgery through improved patient education and improved surgical outcomes, including a reduction in the risk of postoperative鈥
The heart failure quality improvement team set out to improve scores on heart failure core measures. In fiscal year 2010, the hospital's failure rate was 42 percent, with a high of 63 percent in November 2010. This project focused on improving the health of hospitalized patients by increasing鈥
After acknowledging that medication errors were on the rise, the facility implemented computerized physician order entry and medication barcoding to assist with medication verification, and initiated the transition to smart pump technology that included safety software. Drug libraries were鈥
To reduce the time to first dose of antibiotics to directly admitted pediatric oncology patients with febrile neutropenia, an interdisciplinary quality improvement team systematically analyzed admission and treatment processes to identify barriers to care and key tactics for process improvement. A鈥
Harm/hospital-acquired condition reports were sent to each hospital. In reviewing both campuses, each was in the 'red' on the scorecard for hospital-acquired C. diff. A CQI+ team was sanctioned to reduce hospital-acquired C. diff by half from a high of 11 cases per month to 5.5 cases per month.
The Red Box strategy was created to help reduce cost and health care worker time associated with having to unnecessarily don and doff personal protective equipment (PPE) while still providing quality care. Using evidence-based practices, the hospital's infection prevention team implemented a three鈥
A hospital study was conducted to evaluate the practicality and effectiveness of UV light as a germicidal disinfectant after the environmental service (EVS) terminally cleaned confirmed C. diff patient rooms at discharge. Various swab collections of room surface areas took place during a control鈥
In October 2010, Memorial Medical Center implemented an intervention 鈥渂undle鈥 designed to reduce onset of C. diff by 15 percent from prior year baseline. The bundle included five elements: (1) contact precautions, (2) hand washing, (3) environmental cleaning, (4) laboratory alerts and (鈥