Improvement initiatives

Duke is constantly working to improve the quality and safety of patient care. Below, you can learn more about some the special programs we have in place to help provide you with better care.

Bedside care initiatives

  • Identifying patients who are at risk for falling
  • Infection control strategies and education
  • Prompted voiding 
  • Reducing the noise levels
  • Suicide precaution tools

Duke Patient Safety Center  

Evidence-based medicine initiatives

  • PCI protocols
  • Research to define best practices for care
  • Standardized order sets

Duke University Health System initiatives

  • Balanced scorecard metrics
  • Capturing and evaluating race, ethnicity, and language data
  • Care teams
  • Magnet Nursing status
  • Patient safety and clinical quality committees
  • Staff identification by uniform color
  • Surgical Care Improvement Project (SCIP)
  • Timely reporting of critical lab values
  • Tobacco-free campus

Medication safety initiatives

  • Antibiotic prescribing tools
  • Computerized comparison tools
  • Evaluation and modification of core information stored in drug-infusion devices
  • Standardizing the medical transcription process

Patient education and feedback initiatives

  • Innovative motivation tools
  • Patient advocacy and support groups
  • Patient communication boards in patient rooms
  • Patient education materials
  • Patient rounding calls
  • Patient satisfaction surveys

Staff training initiatives

  • Patient-centered service training
  • Six Sigma
  • Targeted education and simulation exercises
  • Training nurses in the advanced knowledge of geriatric care

Technology initiatives

  • MAESTRO Care
  • Direct electronic communication
  • Electronic medical records
  • Electronic tracking of patient follow-up
  • Duke MyChart patient portal
  • Performance Services website
  • Risk and Safety Management alert system

Teaming up to improve care

Teaming up to improve care

Each hospital, home health agency, hospice, and physician group has a team that focuses on clinical quality and patient safety.

In many instances, a physician and nursing/administrative leader is in charge of this team. The team conducts patient safety rounds while leaders interview staff and physicians about their views on clinical quality and patient safety.

Teams discuss patient safety issues as well and other care concerns during team meetings. The team sets priorities and develops plans to resolve these issues and concerns and reports their plans to the performance improvement infrastructure at their organization, which in turn reports to the organization's governing body.

Working with us to ensure your safety

Ensuring a safe health care experience for you and your loved ones requires that you partner with us.

We ask that you or your loved ones provide your care team with a complete list of prescription and over-the-counter drugs and nutritional supplements (such as vitamins) when they check into our hospitals and are being seen in our clinics.

We also ask our patients and their families discuss decisions about their care with our care teams. Completing an advance directive can help keep your care team informed about your wishes.