Code Heart - Reducing Door-to-Balloon Time

Robert Wood Johnson Foundation

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Developed by Memorial Regional Hospital in Hollywood, Florida, the goal of the Code Heart Tracking Tool is to reduce the time from when a heart attack patient's arrival at an

emergency department, to when the patient receives percutaneous coronary intervention (PCI) to 90 minutes or less.

Cardiovascular disease is now recognized as the leading cause of death in women, according to Dr. Nausheen Akhter, a cardiologist at Northwestern Memorial Hospital and an instructor at Northwestern University's Feinberg School of Medicine.

The Women’s Heart Foundation reported this week that heart attacks strike more than 400,000 women annually and kill more than 250,000. To put that in perspective, that is six times the amount of women who die from breast cancer each year.

Memorial Regional Hospital developed Code Heart to streamline cardiac care for heart attack patients requiring PCI (percutaneous coronary intervention) through the collaborative efforts of physicians, nurses, emergency medical technicians and other team members. Code Heart has set out to eliminate redundancy in treating heart attack patients with ST-elevation myocardial infarction (STEMI) so patients receive care as quickly and efficiently as possible.

The report is available as a PDF (requiring Adobe Reader), and includes flow-chart, tracking tool, procedure description, and other supporting documents.

Click to download this free Solution now.

Preventing Pressure Ulcers in Hospitals

The creation of this toolkit was funded by AHRQ and DHHS. This toolkit is designed to help hospital staff in implementing pressure ulcer prevention practices via an interdisciplinary approach. The toolkit is available as a PDF requiring Adobe Reader to view it.

TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety

This teamwork system, developed by The Agency for Healthcare Research and Quality (AHRQ) and the U.S. Department of Defense's military health system, TeamSTEPPS

Define, Design, Implement Evidence-Based Practices

Banner Health developed a Define-Design-Implement process to translate evidence into practice. Banner's process is focused on "achieving a shared baseline" in clinical processes. Two workbooks are available: 1) Implementation Guidance Workbook and 2) Clinical Practice Design Workbook. Both workbooks are available as PDFs and require Adobe Reader to view the documents.

Patient Safety Program - Situation, Background, Assessment, Recommendation (SBAR) Toolkit

Developed by the U.S. Department of Defense Military Health System, the Situation, Background, Assessment, Recommendation (SBAR) Toolkit is a structured communication tool that can improve information exchange within a healthcare organization and reduce the rate of adverse events. The toolkit is available as several PDFs, PowerPoint files, Word files, and Windows Media Videos (WMVs), requiring Adobe Reader, Microsoft PowerPoint, Microsoft Word, and Windows Media Player, respectively.

National Center for Patient Safety 2004 Falls Toolkit

The VA National Center for Patient Safety (NCPS) developed the NCPS Falls Toolkit with the Patient Safety Center of Inquiry in Tampa, Florida, and others. The toolkit helps facilities develop a comprehensive falls prevention program. The toolkit resources are available as a PDFs, PowerPoint files, and Word files, requiring Adobe Reader, Microsoft PowerPoint, and Microsoft Word to view the files.

Strategies To Improve Communication Between Pharmacy Staff and Patient

Prepared for the AHRQ, this training program introduces pharmacists to the issue of low health literacy of certain patients and identifies the implications of this issue when delivering health care. The program also explains techniques that pharmacy staff members can use to improve communication with patients who may have limited health literacy skills.The tolkit is available as a PowerPoint® Presentation.

Care Management Unit Improves ED Flow

The Grady Health System implemented the CMU process to improve flow in the Emergency Department. This toolkit provides specific solutions to ED overcrowding and low patient satisfaction levels by focusing on patients with specific diagnosis to improve access to primary care, decrease relapse rates, decrease short stay admissions, and decrease cost. The toolkit is available as a PDF and Adobe Reader is necessary to fully explore this toolkit.

Registries for Evaluating Patient Outcomes: A User’s Guide: 2nd Edition

This AHRQ guide is used to aid in the establishment, management, and analyzation of patient registries in order to evaluate the real-life impact of treatments and evaluate outcomes. Users are walked through each step of the the patient registry planning and creation process. The guide also provides analysis and interpretation of the registry data. The guide is available as a PDF, and requires Adobe Reader for viewing.

Optimizing Patient Flow: Moving Patients Smoothly Through Acute Care Settings

IHI believes that the key to improving flow lies in reducing process variation that impacts flow. While some variability is normal, other variation is not and should be eliminated. Hospitals working with IHI have tested a range of changes to reduce process variation and improve flow. These changes are described in this white paper. The report is available as a PDF, requiring Adobe Reader.

Transforming Care at the Bedside How-to Guide: Increasing Nurses' Time in Direct Patient Care

One of the most exciting combinations of changes that have been developed within TCAB is the ability to remove hassles and waste from processes on medical-surgical units so that nurses and other clinicians can spend more value-added time caring for patients.
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