Miami, Florida Faced with severe boarding delays, the staff-led Shared Governance Committee at Baptist Hospital of Miami’s emergency department decided to act. Front-line nurses researched and launched a hospital-wide digital chat platform. They designed real-time communication triggers and clear escalation pathways across

Miami, Florida The emergency department at Bascom Palmer Eye Institute, part of University of Miami Hospital and Clinics, implemented a fast-track model to improve patient flow and reduce the number of patients who leave without being seen. Through collaboration among nurses,

Aurora, Colorado To improve access and flow, the Children's Hospital Colorado, Anschutz Emergency Department team redesigned the front end which introduced Care Progression Chairs, vertical care, standardized roles and earlier assessment and treatment without adding staff or space. Following implementation, roomed-to-disposition time

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

Medina, Ohio To improve patient flow and reduce transfer delays, the Cleveland Clinic Medina Hospital Emergency Department designed and standardized an ED-to-inpatient nursing handoff process. Using an electronic SBAR handoff tool, secure chat notifications and real-time visual tracking icons, the team streamlined

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.