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Intensive Care

IHI.org has two types of Improvement Stories:

  • IHI.org Stories that describe the changes and results in specific organizations.
  • Improvement Project Reports from IHI.org users that describe improvement projects in their organizations.

 

We all learn from others' experiences testing and implementing changes in real settings — who should be on the team; what measures were tracked; which changes worked best or didn't work at all; and what lessons were learned.

 

Improvement Project Reports, submitted by IHI.org users, accelerate our learning. In the spirit of "all teach, all learn," we encourage you to share your Improvement Project Report with the IHI.org community. Please click the Submit an Improvement Report button below.


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Saving Lives: Simple Interventions DO Really Help in the ICU
PeaceHealth/St. Joseph Hospital (Bellingham, WA, USA) implemented the Ventilator and Central Line Bundles, resulting in 4+ months without a ventilator-associated pneumonia and 3+ months without a central line infection.

Implementation of a Rapid Response Team at a Teaching Medical Institution
Albert Einstein Medical Center (Philadelphia, Pennsylvania, USA) reduced the number of code-blue calls (cardiopulmonary arrest) per 1,000 discharges by 50.6 percent by implementing a Rapid Response Team.

Pharmacists to the (Early) Rescue
Some hospitals are discovering that the Rapid Response Team that has a pharmacist attached to it is even more effective, ensuring that medications are available and, where appropriate, helping determine the cause of a patient’s decline and offering expert clinical advice.

Reducing Hospital Mortality Rates at Missouri Baptist
Missouri Baptist Hospital (St. Louis, Missouri, USA) has achieved a 22 percent reduction in their raw mortality rate in a four-year period. As they celebrate their success, work continues to hold the gains and reduce the mortality rate even further.

Implementation of a Rapid Response Team in a Community Hospital
Salem Community Hospital (Salem, Ohio, USA) implemented a Rapid Response Team, resulting in a reduced number of cardiac and/or respiratory arrests outside the ICU, a decreased need for transfers to higher levels of care, a reduction in the number of patient intubations, and decreased mortality.

UPMC Shadyside Allows Family Members to Summon a Rapid Response Team for Immediate Help
The Condition H (for Help) program at the University of Pittsburgh Medical Center Shadyside (Pittsburgh, Pennsylvania, USA) enables family members to call for immediate help if they feel the patient is not receiving adequate medical attention. Due to the program's success, UPMC is planning to spread Condition H throughout its health care system.

Wheaton Franciscan Healthcare – St. Joseph Reduces Mortality Rate to 1.72 Percent
Mortality rates at Wheaton Franciscan Healthcare – St. Joseph (Milwaukee, Wisconsin, USA) are declining in large part due to the hospital's significant culture change that has led to a widely-shared spirit of innovation and excellence.

Kaiser Permanente Bellflower Medical Center Has Only One Case of VAP in Two-and-a-Half Years
The low ventilator-associated pneumonia (VAP) rate at the Kaiser Bellflower Medical Center (Bellflower, California, USA) is due to the use of the Ventilator Bundle and the careful oversight of the unit’s intensivists.

United Hospital Has Been “VAP-less” Since January 2005
Ventilator-associated pneumonia may be virtually gone from United Hospital (St. Paul, Minnesota, USA), but it’s ever-present in discussions among staff there.

Dominican Hospital has had No Cases of Ventilator-Associated Pneumonia Since October 2004
With a “no VAP” streak of two years and running, the staff in the 16-bed ICU at Dominican Hospital (Santa Cruz, California, USA) continues to be vigilant. Daily multidisciplinary rounds and the dedicated commitment of the ICU nurses and physician intensivists are all credited as essential elements of their success.

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