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Applying Toyota Production System Principles in a Critical Care Unit
Virginia Mason Medical Center (Seattle, Washington, USA) tested and adapted Toyota Production System principles in its Critical Care Unit, leading to more highly reliable and safer bedside care.
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Control and Prevention of Healthcare-Acquired Ventilator-Associated Pneumonia
Riverview Medical Center (Red Bank, New Jersey, USA) reduced the rate of ventilator-associated pneumonia by more than 73 percent from 2004 to 2005 by implementing the IHI Ventilator Bundle strategies.
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Reducing Complications from Ventilators and Central Lines at Swedish Medical Center
Swedish Medical Center's Adult ICU team has spread ventilator-associated pneumonia rate improvements made in their Medical ICU to include a total of six ICUs.
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Delivering Great Care: Engaging Patients and Families as Partners
From a distance, it looks like health care has always been patient-centered. After all, the focus is on healing the patient. But up close, the view is very different, as anyone who has ever received or delivered care knows.
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Reducing Complications from Ventilators and Central Lines in the ICU at Strong Health
The University of Rochester/Strong Health (Rochester, New York, USA) Medical ICU worked to maintain their previous gains in reducing the VAP rate to 0, and then spread these improvements to three additional ICUs.
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Reducing Complications from Ventilators and Central Lines in the ICU: Our Lady of Lourdes Hospital
The Intensive Care Unit at Our Lady of Lourdes Hospital (Binghamton, New York, USA) drastically reduced their rates of ventilator-associated pneumonia (from 5.53 to 1.85) and central line bloodstream infections (from 15.3 to 5.8).
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Rapid Response Team: A Rapid Success
At UHHS – Richmond Heights Hospital (Richmond Heights, Ohio, USA), implementation of a Rapid Response Team decreased cardiac arrests by 62 percent and reduced hospital mortality by 36.5 percent, as well as increased the confidence of the nursing staff to call for help.
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Profiles in Improvement: Kathy Duncan, IHI's 100,000 Lives Campaign
Who’s improving health care? People are — at hospitals and in office practices all across the US and internationally. IHI decided to share the stories of these individuals. Here is a profile of Sandy Duncan, IHI faculty member point person for rapid response teams for the 100,000 Lives Campaign.
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Improving Glucose Control: ICU and Beyond
Mercy Medical Center (Cedar Rapids, Iowa, USA) used an improved insulin infusion protocol and created a subcutaneous insulin order set in the ICU, resulting in an increase in the percent of glucose readings less than 150mg/dL from 40 percent to 63 percent, and a decrease in the average time to achieve less than 150mg/dL from 11 to 4 hours.
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When Leaders Embrace Change
iPods. Mountain climbing. Forgiveness. They’re not your standard tools of leadership. But they’ve recently become elements of an effective effort by leaders of one large health care system to create a deep-seated culture of safety throughout the organization, using the six interventions at the heart of IHI’s 100,000 Lives Campaign as the framework.
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