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Benchmarks and Best Practices

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The Published Literature on Handoffs in Hospitals

December 1, 2010 | Journal Article

A review of existing research on handoffs in order to inform the improvement and standardization of the handoff process in hospitals found that in existing literature, key concepts remain poorly defined and that patient safety is not analyzed against handoffs' other functions.

TCAB Spread

January 1, 2008 | Issue Brief

Nurses are now called to a ???Vitality Huddle??? between 9:30 and 10:00 a.m. via the unit's call system. The nurses gather in the workroom near the nurses' station for 10-15 minutes to interact and focus on relationship building.

Flowchart Setup Report

June 4, 2008 | Video/Survey/Poll

In order to improve the process, a new role was created for a resource nurse and the traditional charge nurse role was eliminated.

Charted Door-to-Bed Process Flow Chart

February 4, 2011 | Toolkit

St. Francis Hospital in Indianapolis improved door to bed, length of stay and patient satisfaction by reducing delays in ED triage and registration.

Transforming Care at the Bedside

January 1, 2004 | Report

This white paper was published by The Institute for Healthcare Improvement, in partnership with the Robert Wood Johnson Foundation. The paper outlines RWJF's Transforming Care at Bedside initiative, an effort to improve the quality of care in medica ...

Increasing Interpretation Through Policy Change

August 11, 2009 | Story

Seattle Children's Hospital incorporated language services metrics into the hospital dashboard and changed hospital policy to require interpretation two times a day for patients.

Treating Patients More Quickly with RACE

August 11, 2009 | Story

The RACE project introduced a standardized process by which each participating hospital designates a reperfusion and triage strategy for STEMI patients to decrease door-to-balloon times for percutaneous coronary intervention.

Discharge Nurse Position Description

June 4, 2008 | Toolkit

Staff at the University of Texas M.D. Anderson Cancer Center, Houston, Texas, began using an experienced nurse to support the clinical nurses by coordinating discharge activities, serving as a liaison to other team members and ensuring that all aspects of discharge are complete for patients and families.

Hendrich Fall Assessment Tool

June 4, 2008 | Video/Toolkit

Staff at Seton Family of Hospitals in Texas developed a risk assessment protocol, identifying populations at risk and using prevention tools such as alerts and patient-care rounding, which has enabled the staff to consistently meet its goal of just two falls per 1,000 patient days.

Heart Failure Encounter Form

June 1, 2008 | Toolkit

An off-site, nurse-led heart failure clinic was created to help heart failure patients better control and self-manage their disease post-hospitalization.

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