Box score domain | Test | Description |
Performance | Delirium management | Introduction of a delirium identification bundle |
Performance | Falls prevention | Increased supervision of patients during hours with disproportionate numbers of patient falls |
Performance | Readmissions prevention | Introduction of telephonic social work follow-up for patients with at least one recent readmission |
Performance | Midday huddle | Introduction of a midday team huddle to ensure all orders ‘on track’ to facilitate earlier discharge in the day |
Capacity | Substituting tasks from day shift to night shift | Reallocation of paperwork activities to night shift in order to increase time spent during the day on patient education |
Capacity | Redelegating indirect care to lower band nurses | Deploying lower band nurses to complete paperwork related to safety bundles to free higher band nurses for patient-facing activities |
Finance | Replacing bank nurses with full-time nurses during unsocial hours | The senior charge nurse changed the rota to avoid scheduling bank nurses during unsocial hours (especially weekends) |
Finance | Reducing drug waste | Tracking all drug orders on the drug supply cart to avoid duplicate orders |
Finance | Switching to lower cost inhaler | Preferential use of lower cost inhaler in the inpatient service with equal outcomes, including patient education for effective use |
Finance | Reducing wasted spend on toiletries | Replacing select items with lower cost alternatives |
PDSA, Plan-Do-Study-Act.