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Reducing Door to Balloon Time for Acute Myocardial Infarction (AMI) in a Tertiary Emergency Department (ED)
The multidisciplinary clinical practice changes that decreased our door to balloon mean time by 150 percent for patients with ST segment elevation myocardial infarction (STEMI) in the ED. (Mayo Clinic Emergency Department, Rochester, MN, USA)
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Optimizing Capacity in an Acute Care Hospital
Lehigh Valley Hospital and Health Network (Allentown, Pennsylvania, USA) met its community need for services (increased admissions and emergency room volume) by implementing processes to decrease diversion hours and wait time in the emergency room, while lessening overcrowding during peak times in the hospital.
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Using a Provisional Transition Date for Behavioral Health Inpatients at the VAMC
The inpatient Behavioral Health Unit at the Department of Veterans Affairs Medical Center in Canandaigua, New York, used the Flow concept of “Transition Date” to assure more timely, planned discharges/transitions from inpatient care, and to reduce the unit’s average length of stay.
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ImPaCt - Improving Patient Care
Ashford and St. Peters Hospital (Surrey, UK) has improved the flow through the emergency patients journey, increasing the percentage of inpatients being admitted from the emergency department within 4 hours, reducing waits for CT scan to same day, and reducing average length of stay by one day in medicine.
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Improving Flow without Adding Resources: A Success Story
In March 2002, Baptist Memorial Hospital-Memphis was convinced its capacity problems were intractable. Two years later, they’ve dramatically increased flow and patient satisfaction, and decreased length of stay and mortality — all without hiring any more staff or adding a single bed.
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Improving Outcomes in ICUs by Moving Long-Term Ventilator Patients Elsewhere
Learn how one ICU director saved a hospital system $18.5 million and weaned two-thirds of patients off ventilators by transferring them to a local nursing home.
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Improving Surgical Flow at St. John’s Regional Health Center: A Leap of Faith
St. John's Regional Health Center (Springfield, Missouri, USA) improved patient flow by reducing the number of surgical hours and cases after 3 PM, while increasing revenue as well as patient and staff satisfaction.
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Building Rapid Response Teams
Two hospitals successfully implemented Rapid Response Teams — teams that can quickly respond to a patient and assess or even transfer the patient in minutes rather than hours — and reduced adverse events and mortality rates in both hospitals as a result.
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Improvement Report: Improving Flow Through the Acute Care Setting
Baptist Memorial Hospital (Collierville, Tennessee, USA), has reduced the median time in hours from the decision to admit a patient from the ED to placement in an inpatient bed from 3 hours and 45 minutes to 1 hour and 31 minutes.
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Reducing Transfer Time from the Emergency Department to Inpatient Bed: Lee Memorial Hospital
Lee Memorial Hospital (Fort Myers, Florida, USA) reduces their ED to inpatient bed transfer time by 80 percent, using techniques learned in IHI's Improving Patient Flow Collaborative.
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