Joint Commission journal on quality and patient safety / Joint Commission Resources
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Jt Comm J Qual Patient Saf · Jan 2009
Implementing a patient safety and quality program across two merged pediatric institutions.
Academic centers are among the health care organizations that have used consolidation as a strategy to improve efficiency and reduce costs. In 1997, the New York Hospital and The Presbyterian Hospital underwent a full-asset merger to become New York City's largest medical center, known as the New York-Presbyterian Hospital (NYPH). In 2006, recognition of the challenges of the Children's Service Line at NYPH led to the formation of a Patient Safety and Quality Program to deliver consistently safe and effective health care. ⋯ Developing a pediatric safety and quality program across two campuses has been challenging but has led to important improvements at both organizations.
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Jt Comm J Qual Patient Saf · Dec 2008
Using an advanced practice nursing model for a rapid response team.
Outcomes, including reductions in codes per 1,000 discharges, failure-to-rescue rates, and medical-surgical mortalities and improvement in staff satisfaction, were all indicative of the efficacy of the APN-model RRT. Future studies might compare these outcomes with those of other team models.
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Jt Comm J Qual Patient Saf · Nov 2008
An intensive care unit quality improvement collaborative in nine Department of Veterans Affairs hospitals: reducing ventilator-associated pneumonia and catheter-related bloodstream infection rates.
Measured adherence to evidence-based best practice in the intensive care unit (ICU) setting, as in all of health care, remains unacceptably low. In 2005 to 2006, the VA Midwest Health Care Network used a quality improvement collaborative (QIC) model to improve adherence with ICU best practices in widely varying ICU and hospital settings in nine Department of Veterans Affairs (VA) hospitals. ⋯ Implementing the ventilator and central line bundles was associated with a reduction in rates of VAPs and CRBSIs.