Local efforts to provide treatment for individuals with substance use disorder have had some success in addressing the continued nationwide drug epidemic. A nurse-led withdrawal and stabilization program was developed that includes an interdisciplinary team of physicians, advanced practice providers, nurses, social workers, and substance abuse counselors. Utilizing a shared vision of optimal patient care, we describe how principles of high reliability were incorporated to build a successful program within a community hospital setting from the design of the unit, development of treatment protocols, staffing, and ongoing program refinement that is based on patient and program staff feedback to final thoughts for future program changes.
View Article and Find Full Text PDFUnlabelled: : Purpose: The purpose of this study was to compare the maternal and neonatal outcomes among laboring women permitted ad lib oral intake with those permitted nothing by mouth except for ice chips.
Design: This was a quantitative retrospective observational cross-sectional study.
Sample: The initial data set consisted of all closed medical records for 2,817 women who were admitted to a suburban community hospital in the northeastern United States between January 2008 and December 2012.
Effective communication and teamwork among the healthcare team has a profound impact on patient care; in the Delivery Room it means the best possible outcome for moms and babies. With that goal in mind, our obstetrics team, partnered with Harvard Risk Management Strategies Foundation Team Performance Plus (TPP), implemented an initiative in May 2006. The primary goal of the initiative was to improve patient care through improved communication between disciplines, situation monitoring throughout the continuum of care, mutual support and respect among care givers, and effective team leadership.
View Article and Find Full Text PDF