Performance and Process Improvement

Sepsis contributes to over a third of hospital deaths which represents 350,000 hospital deaths or discharges to hospice annually. In addition to patient outcomes, sepsis rates influence quality scores, performance and financials with the addition of the Sepsis/Septic Shock SEP-1...
In healthcare, pressure injuries are a serious problem that cannot be overlooked. Pressure injuries carry a psychological, financial, and physiological burden to patients and a financial burden to healthcare organizations. The Agency for Healthcare Research and Quality developed a toolkit...
This quality improvement project utilized a Plan-Do-Study-Act (PDSA) framework to implement a new process for unplanned inpatient hospital discharges in the ambulatory hematology oncology space aimed at supporting patient transitions. Problem: When Hematology/Oncology clinic patients were admitted inpatient, there was...
The study evaluates the process of providing hospital-grade breast pumps to NICU mothers at UCLA Ronald Reagan Medical Center, identifying inefficiencies and barriers in the current system. Problem: The problem tackled at UCLA Ronald Reagan Hospital’s NICU involved challenges NICU...
A multifactorial project focused on reducing Catheter-Associated Urinary Tract Infections (CAUTIs). This comprehensive approach included daily audits by the nursing department to prompt early removal recommendations, enhanced electronic health record (EHR) processes for specimen collection and Best Practice Alerts, staff...
In 2019, our multi-facility System identified reduction of Broad Spectrum Antibiotics utilization rates, reduction of hospital acquired Clostridioides difficile and increasing rate of conversion from intravenous to oral antibiotics as a priority. A multidisciplinary team used Lean Six Sigma methodology...
Encouraging cessation and providing referrals to cessation treatment programs is an important aspect of high-quality cancer care for patients who smoke tobacco. The UMMC outpatient cancer care clinics did not have a highly reliable process for providing smoking cessation resources...
Cleveland Clinic Weston Hospital was experiencing increased cases of hospital onset Methicillin Resistant Staphylococcus Aureus (MRSA) bacteremia. Studies indicated that hand hygiene practices are highly effective in reducing cross transmission of MRSA to patients from healthcare workers. This transmission of...
As part of the Kingdom of Saudi Arabia’s healthcare transformation journey, this poster outlines an innovative approach to integrating virtual health services at King Fahad Specialist Hospital-Dammam (KFSH-D). Leveraging the PDSA cycle for continuous quality improvement, the project aimed to...
The clinical decision-making process for obtaining a blood culture in the pediatric population is highly variable and not standardized. Contamination and false positive results can result in unnecessary antibiotic exposure. We aimed at reducing the rate of blood cultures in...
Categories
  • No categories