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The goal was set to develop a system-wide infrastructure to support the implementation of evidence-based clinical practice standards and effective prevention strategies that will have a direct impact on the incidence and prevalence of hospital-acquired pressure ulcers and sustainment of…
Shortcomings in the treatment for patients with severe sepsis and septic shock were observed. An evidence-based protocol for patient resuscitation was introduced. A multidisciplinary critical care committee was formed to review outcomes and encourage improved compliance with best practices. A…
The quality assurance department developed a system for tracking quality indicators in every department of the hospital. The quality indicators are reported on a scheduled basis to the performance improvement committee and from there to the medical executive committee and the board of trustees.…
Customer satisfaction performance is a hospital strategic goal. Marianjoy's inpatient satisfaction scores were consistently ranked at the 47th percentile when compared to the Press Ganey national database of inpatient rehabilitation facilities. A multidisciplinary team of leaders and…
Using Plan-Do-Study-Act, this initiative prioritized utilization of spirometry as the standard diagnostic tool for chronic obstructive pulmonary disease patients. Key objectives included treatments with bronchodilators, the utilization of the evidence-based medicine order set, reduction of length…
Resurrection Medical Center had a percutaneous coronary intervention within 90 minutes compliance rate 4.8 percent below the goal of 97.1 percent. A code 42 was established through the work of a multidisciplinary team, evidence-based practice and protocols, including a single paging system for the…
The OSF cardiac service line implemented a STEMI Improvement project to identify obstacles that create delays in pre-hospitalization to percutaneous coronary intervention times in order to establish OSF perfect care criteria for STEMI patients. The multidisciplinary team addressed delay factors…
Obstructive sleep apnea is an often unrecognized contributing cause for respiratory failure in hospitalized patients. A review of literature revealed that few studies deal specifically with undiagnosed sleep apnea in the medical and non-bariatric surgical population. Multiple interventions to…
A multidisciplinary perioperative safety team was formed focused on improving perioperative assessment, testing and clearance process of patients. The team reviewed the medical evidence, attended perioperative conferences and consulted experts in the field. A perioperative testing grid was…
Best practices from the Surgical Care Improvement Project have been implemented to reduce the incidence of SSI. These practices in cardiac surgery patients include the appropriate use of prophylactic antibiotics, appropriate hair removal and post-operative glucose control. A multidisciplinary team…