Survey shows that teams using checklists were
74% less likely to miss key life-saving
steps in care during emergency situations
than those working from memory alone.
Business of Software 2011, October 24th, 2011.
Christensen, Clayton: The Innovator’s Prescription, p. 421.
Idea # 3
Publish results of treatments
on the Internet
Publish results of treatments on the Internet.
Competition # 1
The team, who copies an idea / process
from another team and uses it to create
more value, gets a prize.
Competition # 2
The team, that gets an idea / process
copied by another team, also gets a prize.
Idea # 9
Create fitness plan with
When a patient comes to the hospital, what if the
responsible doctor creates fitness plan with this patient.
Examples of what could be in a personalized fitness plan
Training in hospital fitness centre at certain times.
Walks inside and outside the hospital.
The nursing team came up with the idea of checking on
patients every two hours without waiting for a call
button, to see if they need help walking to the
bathroom or moving about their rooms.
10% of fatal falls by the elderly in the U.S. occur in
hospitals. This one change at Providence reduced falls by
25%, according to chief nursing officer Kim Williams.
Patients with dementia discharged from the
William S. Middleton Memorial Veterans
Hospital received weekly phone calls from
a nurse for 4 weeks or until the patient
transitioned to a primary care provider.
This simple initiative reduced readmissions and
cut $1,225 in costs per patient.
In Denmark, at least 20% of all hospital
patients on “medicine functions” would
not have to be sent to the hospital.
Savings potential per year:
Around DKK 1,5 billion.
After a 2011 pilot program, nurses on
every medical and surgical unit at St.
Michael's Hospital perform handover
at their patient's bedside.
Study shows that patients have a better understanding
of and engagement in their care when handoffs are
performed at bedside.
Bedside nurse handover is beneficial to both clinicians
and patients as they improve and strengthen
communication between both parties, reduce
errors – for example medication - and strengthen the
concept of patient-centered care.
Tips for giving and receiving feedback
Idea # 14
Involve friends and
family of patients
At the Narayana health hospital in Mysore,
India, family members, who want to help out,
are trained how to care for patients
during the 3 days following heart surgery.
Govindarajan, Vijay & Ramamurti, Ravi: Delivering world class health care, affordably.
Idea # 15
Involve young people
who want to help out
To help nurses and doctors reduce stress,
how about reducing wages of nurses and
doctors by about 10% and investing the
money in paying young people who want
to help out do various tasks in the hospital
and/or at people’s homes.
At several hospitals in India, paramedic workers
with 2 years of training after high
school help out do various medical jobs.
in Europe is alarming
Idea # 16
Involve people working
for other hospitals
Study shows that top hospitals tend to
have a lot of collaboration with
Development of hospital
services until 2020 - Zürich
By regularly seeing and hearing with
their own eyes and ears what’s
happening on the front lines of patient care,
leaders - including leaders in, for example,
finance, cooking, and cleaning - can better
understand patient needs and help identify
problems and opportunities for improvement.
Idea # 19
Invite artists to put
their art on walls
A survey with heart surgery patients in the intensive
care unit showed the following:
Patients, who looked at a large nature photograph
showing water and trees, were less anxious and
needed fewer doses of strong pain medicine than
patients who looked at a darker forest photograph,
abstract art or no pictures at all.
Research by Frank Russo shows that music therapy can help
Parkinson's patients walk and people with Alzheimer’s remember
A review of 23 studies covering almost
1,500 patients found that listening to
music reduced heart rate, blood pressure
and anxiety in heart disease patients.
Hundreds of hospitals in the United States
and Europe are replacing the fast-food joints
in their lobbies with farmers’ markets.
Some advantages for patients of going out to eat:
Patients get exercise, which help prevent illnesses.
Money is saved on distribution of food to patient rooms.
Depending on the variety of food offered at cafes / food
stands near the hospital, patients may be able to choose
from more different types of food. This could be an
advantage, when there is a high cultural diversity among
patients, their family and friends.
Idea # 25
Outsource the hospital cafes
to professional coffee houses
Idea # 26
companies to make different
medicine look different
Idea # 27
Install sanitizers in
the right places
Sanitizer in door handle
Sanitizer on the wall
Each year in the USA, patients get more
than 1 million infections in hospitals while
they are being treated for something else.
Survey findings show that health and safety messages
should focus on the people who are perceived as most
Example of what a sign in a hospital could say:
Hand hygiene prevents patients from catching diseases.
Pink, Daniel: To sell is human: The surprising truth about moving others, location 2750.
Hospital in Bristol,
meals to patients.
Nurses spend up to 20% of their time wheeling
equipment and carts from one location to
another or waiting for a cart to arrive.
Self-guided, motorized carts can take on these
Take testing equipment to the patient
- not the other way around.
More than 90% of China’s population relies on poorly
funded, low-tech hospitals or basic clinics in rural
villages. These facilities has no sophisticated imaging
centers, and transportation to urban hospitals is
difficult, especially for the sick.
When patients can’t come to the ultrasound machines,
the ultrasound machines has to go to the patients.
Two advantages of bringing all material - including
smartphone / tablet / laptop - on a cart when
going to see patients:
1. Problems of patients can be solved immediately.
2. Nurses and doctors save time when they
need to walk less back and forth between
patient rooms and material rooms.
Idea # 34
Use mobile electronic devices
when serving patients
2 advantages of using mobile electronic devices such as
smartphones / tablets / laptops when working with
1. The patient feels well served when he/she observes
that needs are documented immediately.
2. By documenting immediately, the nurse / doctor avoids
To nurses and doctors:
When you are not serving patients in patient rooms,
what about also working on your smartphones / laptops
/ tablets / Internet / social media in ”quiet rooms”, for
example in patient rooms that are not used / used little.
Idea # 36
Use fitness infrastructure
inside and outside
Sport in a park.
A survey by Roger Ulrich of patients recovering from
gallbladder surgery showed the following:
Patients with bedside windows looking out on leafy trees
healed, on average, a day faster, needed significantly less
pain medication and had fewer postsurgical
complications than patients who instead saw a brick wall.
Examples of what makes
a garden healing
# 1: Easy entry to the garden.
# 2: 70% green.
# 3: 30% walkways and plazas.
# 4: Infrastructure that encourage interaction.
Example: Games so people can play.
A report on "recovery-at-home" scheme
in England found it could free hospital
beds and improve care for patients.
Patient care is moving from the hospital to
the outpatient setting and ultimately to
wherever the patient happens to be located.
A big thank you for inspiration – in a variety of ways – to the following people
Rajha M. Pereira.
Berci Meskó. https://twitter.com/Berci. Thank you for useful tweets.
Kevin Pho. https://twitter.com/kevinmd. Thank you for useful tweets.
Thank you for your interest. For further inspiration
and coaching services, feel welcome to visit
Have a great day.