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- Collaboration with numerous hospital departments using six-sigma proves improvement model to increase efficiency and overall care of patients with pneumonia.
- Process changes have included (1) a more efficient antibiotic ordering process to get the correct antibiotic administered more rapidly; and (2) a more efficient acquisition of chest radiographs.
- 97% of patients with pneumonia reviewed received antibiotics within 6 hours.
- Through strong relationships with Division of Cardiology the Door-to-Balloon Improvement project is steadily improving the quality of care and efficiency for patients suffering heart attacks.
- Over 75% of patient with Acute Myocardial Infarction receive percutaneous coronary intervention within 90 minutes of arrival. This measure was recently reduced from 120 minutes.
- With more strict guidelines on time-to-intervention, this improvement project has now approved the ED activation of the cardiac catherization lab during off hours to improve performance even further.
- 100% of patients with AMI receive aspirin upon arrival.
- 100% of patients with AMI receive beta-blocker upon arrival.
- Drs. Rahul Khare (Assistant Director of Operations) and Ken Pearlman (Director of EMS) are on the Chicago Fire Department STEMI Steering Committee, which is striving to attain pre-hospital ECGs here in Chicago. This proven method will reduce door-to-balloon time in all hospitals and has been proven to reduce mortality in this population.
- Collaboratives with Intensive Care Unit clinicians at NMH have resulted in state-of the-art treatment protocols that have reduced mortality and improved efficiency from ED arrival through ICU release.
- Although no quality measures exist nationally for this critical illness, our department performs ongoing quality review and education to improve care.
- Dr. Michael Schmidt (ED) and Dr. Richard Wunderink (ICU) are co-investigators in a multi-center trial entitled MINDSET – Multi-maker Index for the Diagnosis of Sepsis in the ED.
- A sustained reduction in mortality from 60% to 33% has occurred with the dedicated efforts of both departments.
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