Background: Acute illness contributes to deconditioning of hospitalized older adults, significantly impacting their short- and long-term outcomes. The Banner Mobility Assessment Tool (BMAT) was developed to guide nurses in assessing mobility when promoting physical activity for their patients. We implemented a quality improvement initiative, “Mobilizing Older Adults using BMAT, Interprofessional Leadership, and Education (MOBILE)”, which [...]

Background: Medication reconciliation is a complex process intended to identify and resolve discrepancies by maintaining the most accurate medication list for a patient to provide ultimate care. The Joint Commission National Patient Safety Goals emphasize completion of medication reconciliation on admission within an organization to reduce the likelihood of harm to patients.1 Our medical center [...]

Background: Discharging complex patients at an academic tertiary care center requires comprehensive evaluation, interprofessional coordination, and meticulous planning to address what is needed to ensure safe and timely discharges. Misalignment across care team members on discharge needs and barriers can lead to a delayed discharge which may result in poor patient satisfaction, increased task burden [...]

Background: A recent uptick in hospital readmissions, prolonged lengths of stay that was above national benchmarks, and declining patient satisfaction scores threatened the institution’s reputation within the community and risked CMS reimbursement penalties. In response, an interdisciplinary physician-led huddle followed by a structured nurse-physician bedside rounding protocol was developed. This approach was designed to strengthen [...]

Background: The Healthcare Improvement and iNnovation in Quality (THINQ) Collaborative, launched by UCLA Health’s Department of Medicine (DoM) Quality Program in 2014, aims to fill gaps in quality improvement (QI) education at the undergraduate level. As QI and patient safety (PS) have become core aspects of health professions education, interdisciplinary, team-based care models are increasingly [...]

Background: Ultrasound guided peripheral IV (USGPIV) placement is a critical skill that currently requires placement by providers or critical care nurses at Yale-New Haven Hospital. In particular, our Liver and Kidney Transplant unit requires frequent support for IV access placement from our Hospitalist Procedure Team (HPT) and critical care nursing intervention (SWAT team). There are [...]

Background: The transition period from hospital to home is a critical phase in patient care. Inadequate transitions can lead to adverse events, readmissions, delays in care, increased healthcare expenses and increased morbidity and mortality. Individuals with diabetes are particularly susceptible to readmission, facing a significantly higher risk compared to those without the condition. Furthermore, diabetic [...]