Case Studies
The ºÚÁÏÕýÄÜÁ¿ Association produces case studies on its member organizations across a wide range of health-care topics.
Quarterly surveys revealed elevated hospital-acquired pressure ulcer rates unchanged by previous interventions. A random survey of nurses revealed gaps in awareness and knowledge. Low staff engagement in previous initiatives was identified as a barrier. The unit-based skin champion team (…
The reduction of HAPU has been a focus for 10 years at OSF Saint Anthony Medical Center. Over that time, rates have decreased from 17 percent to 6-7 percent but practices were inconsistent. An administrative sanctioned Six Sigma project was targeted to reduce HAPU to 3 percent or less. Work…
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…