Orange, California Children’s Hospital Orange County operates a 31-bed emergency department that cared for 110,000 patients in 2025 and had an average daily census of 302 patients. Despite high patient volumes and limited bed capacity, fewer than 1 percent of patients left

Omaha, Nebraska Children’s Nebraska Emergency Department strengthened pediatric trauma readiness during its transition from an American College of Surgeons Level II Pediatric Trauma Center to the state’s first ACS Level I Pediatric Trauma Center. A multidisciplinary trauma education initiative provided hands-on microteaching,

Wilmington, Delaware After noting an increase in patients presenting to the ED who required intravenous access with subsequent difficulty obtaining intravenous access, the ChristianaCare Wilmington Hospital Emergency Department created an ultrasound guided peripheral intravenous  access training course for ED nurses. This training

San Antonio, Texas The CHRISTUS Children’s Main Emergency Department successfully implemented two key initiatives to improve pediatric patient care through enhanced sepsis recognition and streamlined nurse-initiated sepsis alerts within the electronic health record. These efforts resulted in eight consecutive quarters of meeting

Belleville, New Jersey When the 2024 first-quarter sepsis three-hour bundle compliance fell to 75.2 percent at the Clara Maass Medical Center ED, shared governance nurse leaders designed the Sepsis Scribe Program. Specially trained scribes and front-line nurse sepsis champions provide real-time bundle

Weston, Florida Nursing care at the Cleveland Clinic Weston Emergency Department extends beyond discharge through a comprehensive callback program. Every patient receives a follow-up call to ensure appropriate post-visit care. Caregivers are given dedicated, distraction-free time to connect meaningfully with patients.

Mountain View, California The El Camino Health Emergency Department Mountain View significantly improved sepsis care through a nurse-driven quality improvement initiative. Front-line sepsis champions collaborated with clinical nurse specialists and information technology team members to implement an electronic sepsis screening tool and

Concord, Massachusetts Despite sustained increases in patient volume and prolonged boarding, the 22-bed Emerson Health Emergency Department maintained a left without being seen rate below both state and national benchmarks. This performance reflects the team’s ability to adapt workflows while preserving timely

Johns Creek, Georgia Recognizing the unique needs of pediatric emergency patients, the 31-bed Emory Johns Creek Hospital Emergency Department launched a multidisciplinary pediatric readiness initiative focused on improving pediatric-specific equipment availability, staff education, policies and patient care processes. Through collaboration among nurses,

Manahawkin, New Jersey "Wipe It Real Good" is an emergency department quality improvement initiative aimed at reducing blood culture contamination rates at Hackensack Meridian Southern Ocean Medical Center Emergency Department. Blood culture collection cannot be taken from a freshly placed IV