Delaware success stories

DE Success StoriesQuality improvement endeavors can often feel overwhelming, but chances are, you can learn from the experiences that another physician, hospital or nursing home has had in a similar situation. Coupled with support from Quality Insights Quality Innovation Network, learning what has worked for others — and what didn't — is a valuable strategic planning component. 

We encourage you to read the success stories, contact us for more information, and also let us know if you have a Quality Insights' success story to share.

Team Approach Helps Cokesbury Village Reduce Antipsychotic Drug Use

8/26/2014
Learn how Cokebury Village achieved a 75% reduction in antipsychotic medication usage in just one year with the help of Quality Insights of Delaware's Adverse Drug Events Project.
 
As part of a national initiative, Cokesbury Village set out to reduce antipsychotic drug use in their nursing homes by 20 percent. The continuing care retirement community’s geriatric nurse practitioner believed staff could significantly reduce the residents’ antipsychotic drug use but knew they couldn’t do it alone. To further solidify their improvement journey, Cokesbury joined Quality Insights of Delaware’s Adverse Drug Events (ADE) Project.
 
As a first step, Cokesbury staff formed a multidisciplinary team that met quarterly to discuss each resident who was on any antipsychotic medication. The team evaluated why the resident was on medication and reviewed each resident’s behavior, age and symptoms. If the resident was not having delusions or hallucinations, or was put on medication to reduce agitation, the team looked to slowly decrease the dosage by implementing other nursing interventions to assist the resident.
 
Out of their 45 residents in 2012, nine were on antipsychotic medications at the beginning of this initiative. Throughout the year, staff got that number down to two. That equates to a 75 percent reduction.