American College of Physicians: Internal Medicine — Doctors for Adults ®


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Success Story

A different kind of bundle

Effort aims to improve clinician compliance with established infection prevention measures

St. Joseph Health Services of Rhode Island program has achieved high compliance with isolation attire and hand hygiene. More

From zero to 100 in six months

Quality improvement program dramatically improved antibiotic guideline compliance

Cincinnati Children's Hospital Medical Center initiative targeted pneumonia treatment. More

One hospital gets smart about discharge paperwork

SMART discharge format covers most important elements of discharge

Anne Arundel Medical Center in Maryland uses whiteboards, worksheets to instruct patients. More

The early referral gets the rehab

Orientation within 10 days improved cardiac rehabilitation attendance

Henry Ford Hospital in Detroit boosted rehab rates to over 70%. More

Catheter caps cut CLABSIs

NorthShore University HealthSystem in Illinois reduced its infection rate by 52%. More

Facing the problem of patient ID errors

Children's Hospital Colorado used photos to reduce errors in computerized physician order entry. More

Shifting views on shiftwork

Experimental schedule succeeded in one ICU

The University of Pittsburgh Medical Center developed a new system to maintain night coverage in the ICU under resident work-hour limits. More

Doctoring at a lower decibel

Rochester General Hospital in New York used a team approach to reduce noise throughout the facility. More

Be your own rapid response

Beth Israel Deaconess Medical Center developed rapid response teams composed of patients' main clinicians and tested the outcomes. More

A new home for hospitalists

Denver Health Medical Center helped reduce boarding of patients in the emergency department. More

Appreciating a good signout

University of Virginia Medical Center in Charlottesville, Va., improved the signout of patients from one resident to another. More

From a warm welcome to a follow-up appointment

DePaul Hospital in St. Louis, Mo., improved patient satisfaction scores by improving communication. More

But why should I take it?

Patient education improves VTE prophylaxis rates

Brigham and Women's Hospital set up a program that involved individual counseling from a research pharmacist. More

Hospitalists and intermediate care prove to be a good fit

A Spanish intermediate care unit is staffed entirely by hospitalists. More

Four-day blocks match hospitalists' and patients' schedules

Johns Hopkins Bayview Medical Center in Baltimore changed hospitalists' schedules to improve physician satisfaction and quality of care. More

Paging Dr. Right

Sunnybrook Health Sciences Centre in Toronto developed a program to help ensure pages were sent to the correct physician. More

Competitors collaborate on cardiac care

Schneck Medical Center in Seymour, Ind., worked with another nearby facility to help get door-to-balloon times for cardiac catheterization below 90 minutes. More

Discharge coordinator pleases patients, eases residents' burden

Massachusetts General Hospital smoothed the discharge process by having a nurse practitioner work with residents. More

Hospitalist-resident teams find happiness and efficiency

Strong Memorial Hospital in New York developed a new rotation system to help ease pressure on residents. More

Put a number on it: Rating patient acuity

The University of Chicago Medical Center found a reliable way to transmit vital information about patient status.


Improving outcomes with new roles

A medical center in Vero Beach, Fla., reduced code blues and implemented multi-disciplinary rounds through a patient safety and quality initiative. More

Nurses turn evidence into action

A care management department at Mercy Medical Center in Cedar Rapids, Iowa, helps incorporate new evidence and guidelines into daily practice. More

Yet another use for duct tape

“Red box” isolation pilot reduces costs, saves time

Trinity Medical Center in Illinois saved over $110,000 in personal protective equipment costs. More

It takes a hospital to reduce pressure ulcers

Medicine, radiology departments join forces

Fairview Southdale Hospital, a 352-bed acute care hospital in Edina, Minn., reduced pressure ulcer rates from 0.35 to 0.16 per 1,000 patient-days. More

Technology helps to monitor hand hygiene

A new system at Princeton Baptist Medical Center in Birmingham, Ala., reduced health care-associated infections by about 20%. More

Observation moves faster with dedicated hospitalists

Clinicians at University Hospital in San Antonio, Texas, opened a Clinical Decision Unit to improve care efficiency for observation patients. More

Creative solutions to difficult discharges

Denver Health Medical Center's complex discharge committee helps find creative dispositions for patients who are medically ready for discharge but, for many reasons, unable to leave the hospital. More

Getting patients on the move in the ICU

Two academic tertiary care medical centers begin mobilization early in mechanically ventilated ICU patients. More

Smart software and simple posters keep patients on their feet

Standardizing interventions at Partners HealthCare facilities in and around Boston helped reduce patient falls. More

Handoff strategy cuts chitchat and confusion

The Mayo Clinic formed a team to address its main handoff problems: unpredictable schedules, inefficiency, poor communication and poor physical environment. More

Spreading the word about glucose control

SSM St. Mary's Health Center, a 525-bed teaching hospital in St. Louis, Mo., implements a comprehensive program to improve glucose control. More

Collaboration and experimentation reduce C. difficile infections

Rates drop by 73% on pilot wards at English hospital Salford Royal. More

Hospitalists cost-effective even with per diem payments

Olive View-UCLA Medical Center improved census coverage and reduced payment denials. More

Individual schedules maximize autonomy, efficiency

At Munson Medical Center in Michigan, hospitalists' workload and compensation are determined by personal preference. More

Reducing readmissions by empowering patients

St. Joseph Hospital in Whatcom County, Wash., reduced unnecessary readmissions by improving patient self-management after hospital discharge. More

Residency redesign helps patients and pleases doctors

Brigham and Women's Hospital redesigned its residency program to focus on integrated teaching. More

Stickers, candy help reduce drug errors

Auckland City Hospital in New Zealand reduced medication errors due to inaccurate recording of patients' medications. More

PA training gives hospitalists helping hands and new teaching opportunities

The Mayo Clinic in Phoenix, Ariz., has developed a unique fellowship program for physician assistants. More

Fewer catheters … fewer infections

The Michigan Health & Hospital Association reduced unnecessary use of catheters and thereby catheter-associated UTIs. More

Telemetry unit initiative reduces ED crowding, smooths patient flow

Grady Memorial Hospital in Atlanta standardized admission and transfer criteria for its telemetry unit. More

System catches codes before they’re called

Mercy Hospital Anderson in Cincinnati used a scoring system to reduce the number of code blues called outside the ICU. More

Watchful eyes make for clean hands

Greater Baltimore Medical Center used signed pledges and volunteer auditors to dramatically improve hand hygiene rates. More

A bundle of care that keeps elderly patients out of the hospital

Baylor University Medical Center in Dallas instituted a pilot project providing a “care bundle” to elderly patients at particularly high risk for returning to the hospital. More

Homemade computer program improves glucose control

The Medical University of South Carolina Medical Center in Charleston, S.C., developed a nurse-driven Web-based insulin infusion protocol to manage blood glucose in the intensive care unit, as well as in the rest of the hospital. More

Hospitalist Web site streamlines signouts, helps communication

At St. John’s Mercy Medical Center in St. Louis, Mo., a hospitalist-developed Web site makes it easy to identify and contact each patient’s attending physician. More

Hospitalist-led initiative reduces ambulance diversion, improves ED throughput

Johns Hopkins Bayview Medical Center gets results

Johns Hopkins Bayview Medical Center in Baltimore recently introduced a hospitalist-led bed management program in a successful attempt to improve emergency department wait times and decrease ambulance diversion hours. Find out how they did it.

Improvements in emergency department create ripple effect in hospital

Avera McKennan Hospital & University Health Center, Sioux Falls, S.D. used a manufacturing concept called Lean to identify wasted steps in the delivery of care. The result: decreased wait times and more efficiency in a new emergency department.
December '08

Risk-assessment tool makes sure clots are prevented

A hospitalist creates a program to teach VTE prophylaxis, and then teaches others to spread the word.
November '08

Hospitalist-only unit frees time, improves care
St. Mary’s Hospital in St. Louis, Mo. saves an hour a day of hospitalists’ time
October '08

Dedicated MRSA unit cuts hospital costs and length of stay
March '08

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