Lessons From America's Safest Hospitals

Hospitals across the United States are trying, in systematic ways, to reduce the risk of infection and other preventable dangers that can leave patients in worse shape after their stay. Some of the approaches include limiting entrances and exits during surgeries and administering antibiotics in a timely manner.

One of Boston's major teaching hospitals is examining how it handles patients’ bodies and supports family members after a death.

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

After a brutal incident led to a violent attack and the death of his son, Senator Creigh Deeds was determined to reform the mental health system in Virginia. The Deeds commission passed a series of reforms, among them a law that created a registry of open psychiatric beds, a transportation program so that people don’t have to be detained by police, and a program that offers housing for people with mental illness.

Dementia units and long-term care homes for the elderly are often desolate and lonely places, with harried workers attempting to meet the needs of their patients while also meeting government-set metrics of success. For families and individuals, it can be difficult to imagine a better way. However, a pilot program in Canada called the Butterfly room is showing that dedicated efforts to making long-term care homes a vibrant and loving place for someone's last days has positive impacts for everyone - and is worth a government investment do right across the country.

Environments designed with soundscapes and visual art help to reduce anxiety and pain. In London, Chelsea and Westminster Hospital has noted a marked improvement in patient experience, including decreased pain and even a reduction in the time women spent in labor, in the presence of artistic installations. Other hospitals in the UK report similar benefits.

To reduce maternal mortality in the Masai region of Tanzania, Catholic nuns with Sisters of Notre Dame are building hospitals and educating local women about the importance of giving birth in a medical setting. Although this goes against the community's use of a "traditional birth attendant," delivering in a hospital allows for emergency situations to be better addressed and is receiving positive feedback from women in the region.

Hospitals in Colorado are changing their approach to opioid crisis by treating patients that come in as emergent cases and rushing them into medication-assisted addiction treatment. The model has proved so successful that doctors are now looking to expand this approach to methamphetamine users as well.

Teams of Community Direct Distributors (CDD) are leading drug distribution campaigns to prevent and eliminate neglected tropical diseases in hard-to-reach, rural areas. These CDDs are members of the community they serve and are trained to educate the locals on disease prevention and administer the drugs themselves. With the CDDs’ help, several states have already eliminated some diseases and greatly reduced the spread of others.