Professional Documents
Culture Documents
Improvements
• Developed triage criteria for ordering of chest x-ray to expedite pneumonia diagnosis.
• Triage criteria did not increase the number of chest x-rays being ordered.
• Decrease in average time arrival to chest x-ray:
– EMS/Ambulance Patients (n=49): 101 minutes
– Private Vehicle Patients (n=69): 156 minutes
– Test Patients - EMS/Private Vehicle (n=32): 53 minutes
Lessons Learned
• Importance of physician involvement.
• Need to meet frequently with key team members – Reliability Huddle.
• Involvement of other disciplines: pharmacy, case management.
• Staff involvement and support for tests of change.
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CAP PROTOCOL
PNEUMONIA CARESET
Order CBC, BMP,
PA/lateral CXR Blood Cultures X 2
PA/ lateral CXR
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St. John’s Hospital