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Success Story

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.

More

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.
More

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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From the May 16, 2012 edition

• Study suggests stress tests to diagnose low-risk chest pain are overused
• Score predicts hemorrhage risk in ischemic stroke patients treated with thrombolysis

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