Institute for Healthcare Improvement: Improvement Stories

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Medical-Surgical Care: General

IHI.org has two types of Improvement Stories:

IHI.org Stories that describe the changes and results in specific organizations.
Improvement Project Reports from IHI.org users that describe improvement projects in their organizations.

We all learn from others' experiences testing and implementing changes in real settings — who should be on the team; what measures were tracked; which changes worked best or didn't work at all; and what lessons were learned.

Improvement Project Reports, submitted by IHI.org users, accelerate our learning. In the spirit of "all teach, all learn," we encourage you to share your Improvement Report with the IHI.org community. Please click the Submit an Improvement Report button below.

Choose the story types you would like to see:

Improvement Project Reports
IHI.org Stories

only the story types I've requested

Champions Improve Staff Education and Compliance with Pressure Ulcer Prevention Strategies
Onslow Memorial Hospital (Jacksonville, North Carolina, USA) achieved a significant decrease in its facility-acquired pressure ulcer rate, prevalence rate, and incidence rate over a two-year period by implementing a risk assessment tool to determine at-risk patients, tracking compliance with documentation and pressure ulcer prevention strategies, and establishing Skin Care Champions to educated staff on policy and procedure for pressure ulcer prevention.

Preventing Falls in the GI Surgical Unit
The University of Texas MD Anderson Cancer Center (Houston, Texas, USA) has reduced the average rate of inpatient falls in the gastrointestinal (GI) surgical unit by 76 percent.

The ABCs of Reducing Harm from Falls
Trinity Medical Center (Rockland, Illinois, USA) reduced moderate-to-severe injury from falls on one pilot unit by identifying high-risk patients, then spread the successful changes to the local three-hospital system.

Reducing Harm from Falls with Teamwork and Focused Assessment
Sentara Virginia Beach General Hospital (Virginia Beach, Virginia, USA) reduced patient injury from falls by implementing early assessment tools to identify at-risk patients and other changes to reliably reduce preventable injuries.

Profiles in Improvement: Susan Vitolins of Northeast Health
Who's improving health care? People are. Listen to the story of Susan Vitolins of Northeast Health.

St. Luke’s Hospital: Where Patients’ Home Care Needs Are Anticipated at Discharge
For some patients, being discharged from the hospital is a mixed blessing. It can feel both great and scary to return home, especially for those who need to take on new and potentially confusing responsibilities for self-care.

Kaiser Permanente: Where Patients Returning Home Receive Both Human and Technological Support
Transition nurses help smooth the transition home for congestive heart failure patients by remaining in contact for several weeks after discharge, and home telemonitoring helps patients manage their health. This dual approach has decreased hospitalization and readmission rates for heart failure patients.

North Shore Long Island Jewish Hospital: Where White Boards Help Keep Patients, Families, and Providers Well-Informed
White boards are a simple, flexible, and low-cost way of conveying and tracking information. In the world of health care, they are becoming a critical tool for sharing patient information.

Reinventing Nursing Education
Nurses are getting an early education on delivering more effective care to patients by learning about Transforming Care at the Bedside (TCAB) concepts as part of their nursing school programs. Thus far fourteen schools of nursing have partnered with TCAB pilot hospitals to redesign nursing education.

University of Texas MD Anderson Cancer Center Goes a Record 143 Days with No Patient Falls
Ten percent of fatal falls among older adults occur in the hospital. As part of its participation in the Transforming Care at the Bedside initiative, MD Anderson Cancer Center at the University of Texas (Houston, Texas, USA) decided to focus on preventing falls.

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