Humanism in the Perioperative Environment
Humanism in the Perioperative Environment program trains first-year Anesthesiology residents in compassion, communication, and empathetic care, in addition to technical care. This curriculum centers on the patient’s entire perioperative experience, with close attention to the patient’s fears, pain, and anxiety. The goal is for residents to develop perioperative Always Events that integrate and promote patient-centered medicine, resulting in a personalized patient perioperative experience.
Close to Me
Close To Me is a comprehensive set of awareness and educational activities, tools and products designed to increase the early onset and frequency of kangaroo care and other positive holding experiences in a NICU.
SMART Discharge Protocol
Always provide the patient with a SMART discharge process. With the involvement of patients and families providers will develop a simple, universal, 5 item checklist as a SMART Discharge ProtocolSM. (SMART is an acronym for: Signs, Medications, Appointments, Results, and Talk with me.) Providers will build on current evidence; create urgency and expectation for use with patients, families, and caregivers; disseminate findings, and promote as a national standard.
Comfort and Pain Relief Menu
Patients will ALWAYS be offered every option and/or combination of options for pain control and comfort. Nurses will ALWAYS have a more comprehensive conversation about pain & comfort with every patient.
Develop and implement a educational practice intervention and improvement program to promote and evaluate the competency of frontline clinical nurses with a set of observable and behavioral Always Events. Intervention is based on experiential learning provided with simulation and fully integrating Patient Family Advisors who will serve as Standardized Patients in a clinical scenario.
IHS will develop and implement a “Always Use Teach-back!” toolkit for the three care settings encountered by patients being discharged from the hospital: hospital discharge, primary care follow-up, and home health support. The toolkit will include training modules with videos demonstrating effective use of teach-back. IHS will train and coach physicians and nurses on the “Always Use Teach-back!” approach.
Entitled “ISHAPED” (I=Introduce, S=Story, H=History, A=Assessment, P=Plan, E=Error Prevention, and D=Dialogue), this strategy also provides patients and their families the opportunity to participate in the handoff process.
The primary aim of this project is to improve residents’ ability to disclose medical errors. Disclosure, the process of bringing to light an unintended outcome, is essential to the nature of the patient-physician relationship. In this project, we are using simulated patient encounters, on-line teaching, self-assessment, and observer assessment to introduce the learners to proper disclosure.
This study will evaluate the effectiveness of adding patient and family engagement strategies across a multi-linguistic, automated delivery platform to reduce falls in hospitalized patients. A generic falls video will be produced that is appropriate to be shown in hospitals across the country.
The Safe Patient Mobilization (SPM) program is an initiative designed to always engage interdisciplinary staff, patients and families in fall prevention as a safety imperative. The Sharp Memorial Hospital SPM program implemented a constellation of evidence-based practice fall prevention solutions that gained staff and patient support resulting in a dramatic reduction in patient falls.
Always build relationship between patient and staff upon admission to an inpatient unit by establishing a sacred moment. The Sacred Moment fundamentally changes the way patients are greeted upon arrival to an inpatient unit. Whereas the traditional intake process focused solely on validating patient demographics, obtaining proof of insurance, or confirming the existence of a living will, the Sacred Moment seeks to humanize the care experience. The new standard creates a lasting first impression by getting to know patients as people – identifying their preferences, fears, concerns, and most importantly what the care team can do to ease their journey.
Patient Care Technicians Program
Alameda County Medical Center built the Patient Care Technicians program based on several evidence based practices proven to impact patient perceptions of communication and responsiveness including, hourly rounding, AIDET (Acknowledge, Introduce, Duration, Explanation, Thank you), and the 4Ps (pain, positioning, possessions, potty) model. By combining these program with a clear definition of the role of the Patient Care Technician, a few newly developed rounding elements (AIDET, the 4 Ps, Comfort and Hygiene Needs, Expectations and contact regarding when the PCT will return and how to reach them if needed, and Vital Signs) and a checklist for managing the process, Alameda County Medical Center was able to enhance and accelerate the effectiveness that these proven evidence based practices would have when used in isolation.
Know Your Physician
Always ensure the entire care team and patients and families are able to identify the doctor assigned to hospitalized patient’s care each day in order to improve communication and ability to respond quickly to patient and family questions about their care. The project team set out with the aim of developing a communication process so that every caregiver involved in caring for a Med/Surg patient knows the Attending Physician and Resident responsible for the patients care.
Seamless Care Team Communication
Always have seamless communication between members of the nursing team so all nurses on a unit are informed of the status of each patient, enabling them to support each other effectively and to address patient needs and concerns quickly and efficiently. A large body of research demonstrates the link between patient experience, communication, and care transitions. After identifying the gaps above, San Mateo Medical Center created solutions based on staff input and evidence-based practices to improve both the work environment and the experience for patients and staff.