Specific Program for our Institution

This memo recommends that we choose five treatment areas, and implement specific quality improvement programs for each one. The focus on each should include procedures which are important to the overall quality of this institution's morbidity and mortality results. Given the hospital's focus on acute care, the following procedures might be candidates for quality improvement programs:

Ischemic stroke treatment

ACS treatment (acute coronary syndrome).

Trauma in the ER related to gunshot wounds.

Maternal ward delivery performance

Nosocomial infection reduction.

In each case, the procedures should proceed as outlined above: (1) an identification of the problem, (2) identification of best practices as demonstrated in peer-reviewed clinical trials, (3) adoption of the best practices procedures, and (4) measuring and monitoring results.

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Katzan, I.L. (2003). Quality Improvement and Tissue-Type Plasminogen Activator for Acute Ischemic Stroke. JAHA, 799-800.

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Silow-Carroll, s. a. (2007). Hospital Quality Improvement: Strategies and Lessons From U.S. Hospitals. New York: Commonwealth Fund.

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Healthcare Quality Improvement