Overview Problem: Up to 20% of 30-day readmissions after complex head and neck cancer surgery were unnecessary, with most occurring during weekends when clinic access was limited. Key Interventions: Early post-discharge clinic visits, 72-hour follow-up calls,...
Case Studies
See QI in action. Case Studies are real-world clinical narratives that show how the tools and methods in the Knowledgebase perform when applied to actual patient care challenges. Each case walks you through the clinical problem, the improvement approach, and the outcomes. Case Studies are the proof that QI methods work, told through the experiences of clinical teams.
Enhancing Patient Safety in Neurology Transfers Through a Collaborative, Standardized Handoff Tool
Overview Problem: A departmental restructuring created a communication gap between the Neuro ICU and general neurology floor during patient transfers Approach: Collaborative, iterative development of a standardized EHR-based handoff tool Tool: A bidirectional transfer...
Optimizing Operating Room Utilization through Data-Driven Culture Change in Academic Gynecologic Surgery
Overview Problem: A 15-year OR utilization rate of ~75% was costing the department patient access, efficiency, and institutional standing. Key Interventions: Corrected flawed hospital data, standardized scheduling, introduced anonymized peer benchmarking, and created...
Enhancing Patient Safety Through a Multidisciplinary Approach to Hypoglycemia Reduction
Overview Problem: High rate of inpatient blood glucose <50 mg/dL post-insulin; goal was a 20% reduction to improve patient safety Key Interventions: Triad approach — synchronized food delivery, glucose measurement, and insulin timing 20% basal insulin reduction on...