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A Challenge Accepted: Open Visiting in the ICU at Geisinger

Geisinger Medical Center
Danville, Pennsylvania, USA

Geisinger Medical Center accepted to participate in an unusual challenge issued by Donald Berwick, MD, IHI’s President and CEO. 

Berwick issued a challenge to the hospitals currently enrolled in the Critical Care Settings domain of IHI’s IMPACT network, who are working specifically to improve critical care: “My plea is that at least some member hospitals execute a two-month trial of entirely open visiting in a Critical Care Unit.”

At Geisinger Medical Center in Danville, Pennsylvania, IMPACT team members rose to the challenge and implemented open visiting hours, cold-turkey, in August 2003. They have agreed to let IHI report periodically on their progress as they work through the issues and tweak the new program during the next year.

This PowerPoint presentation details the results of their first PDSA cycle.


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