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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…
A multidisciplinary team was developed with objectives to provide clear, easy to understand educational material that would equip patients and family members with a better understanding of their illness. Educational material was made available within 24 hours of admission, allowing for timely…
Since 1999, anticoagulant therapy was one of the top three causes of adverse events. A Six Sigma methodology was used to evaluate medication use processes. Evidence-based solutions tied to identified root cause analyses were implemented and internal outcome measurement re-enforced the need to…
This Lean project focused on improving processes in central sterile processing. All processes for cleaning, packing and sterilizing instruments were examined along with the scheduling and picking up of case carts. Data was collected including staff input. Waste and non-value added work was removed…