NYSDA Publications

AHRQ Issues Health Care Innovation Update

The Agency for Healthcare Research and Quality (AHRQ) has issued its latest update on innovations in health care.  You can read the AHRQ innovation update below.

Emerging Innovations

Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial

This study assessed the impact of a mobile health-based, pharmacist-led telehealth intervention (TRANSAFE Rx) on medication errors among kidney transplant recipients.

Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies

This multi-center study assessed the impact of a telepharmacy pilot program, including virtual pharmacy technicians (vCPhT), to obtain the best possible medication history (BPMH) from patients admitted to the hospital from the emergency department (ED) compared to other clinicians.

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children

The Arkansas Children’s Hospital developed an intervention to increase situational awareness and recognition of, and response to, clinical deterioration and resulting emergency transfers to the intensive care unit (ICU) for pediatric patients.

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds

Boston Children’s Hospital created a checklist (eSIMPLE) used during daily interdisciplinary rounds in the pediatric intensive care unit (PICU). eSIMPLE was comprised of X components: sedation, invasive catheters and tubes, medications, prophylaxis, laboratory testing plan, and enteral nutrition.

Innovations

The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission

The Cleveland Clinic Health System (CCHS) implemented a home visit program, called High Risk Transitions in Care (HRTIC), with the goal of reducing 30-day hospital readmissions for discharged patients at high risk for readmission.  The program aimed to leverage the scope of practice of advanced practice registered nurses (APRNs) along with acute care skills offered by paramedics.

The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE

The Johns Hopkins Venous Thromboembolism (VTE) Collaborative (the VTE Collaborative) is a multidisciplinary group that studies and implements methods to prevent avoidable cases of VTE.  Since its inception, the primary focus of the VTE Collaborative has been understanding barriers to, and promoting the appropriate use of, medication for VTE prophylaxis.

The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department

An increasing volume of patients presenting for acute care can create a need for more ICU beds and intensivists and lead to longer wait times and boarding of critically ill patients in the emergency department (ED).  Data suggest that boarding of critically ill patients for more than 6 hours in the emergency department leads to poorer outcomes and increased mortality.  To address this issue, University of Michigan Health, part of Michigan Medicine, developed an ED-based ICU, the first of its kind, in its 1,000-bed adult hospital.  The University of Michigan Emergency Critical Care Center (EC3) opened on February 16, 2015, as a 7,800-square-foot unit with five resuscitation or trauma bays and nine critical care patient rooms immediately adjacent to the main ED.  The goal of EC3 is to deliver early, aggressive, evidence-based critical care to the most acutely ill and injured patients arriving to the ED.

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