Institute for Healthcare Improvement: Improvement Stories

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Reliability: 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

Reducing Door-to-Balloon Time for AMI Patients
By focusing on key operational and clinical strategies in the emergency department, Baptist Memorial Hospital–DeSoto (Southaven, Mississippi, USA) reduced door-to-balloon time to less than 90 minutes.

AnMed Health Medical Center: Where Coordinated Care Yields Better Outcomes for Heart Attack Patients
Each year, more than a million Americans have a heart attack — also known as an acute myocardial infarction, or AMI. A third of them don’t survive. Optimal AMI care includes a specific series of steps and components, and timing is key.

Reliability in Planned Care: Office Practice Redesign
Seeking to achieve both high reliability of evidence-based care and improved satisfaction for patients and staff, the office practice at CareSouth Carolina, Inc. (Hartsville, South Carolina, USA) initiated changes in both clinical and administrative that led to a cascade of positive effects in reliability of care and satisfaction of patients and staff.

Geisinger Medical Center: Where a Warranty on Coronary Artery Bypass Surgery Signals a Commitment to Excellence
John Podgursky, 62, did not know there was a warranty on the bypass surgery he had in the summer of 2007 at Geisinger Medical Center in Danville, PA. But even if he had, he would not have needed it. His surgery and recovery went just fine.

Charleston Area Medical Center Increases Perfect Care for AMI Patients from 96 Percent to 98.98 Percent
At Charleston Area Medical Center (Charleston, West Virginia, USA), one of the secrets to effective AMI care is to tightly link the entities that care for heart attack patients — from the ambulance to the Emergency Department to the cath lab to the floor.

Medication Reconciliation Across the Continuum
HealthPartners Regions Hospital (Minneapolis, Minnesota, USA) uses composite and all-or-nothing measurement to reduce the incidence of ADE-related hospital readmissions for patients with congestive heart failure.

Improving Care for Acute Myocardial Infarction: Meeting all Measures for the 7th Scope of Work
Kapiolani Medical Center at Pali Momi (Aiea, Hawaii, USA) focused on providing all 7 measures completely and correctly for every patient presenting with an acute myocardial infarction, as well as documenting all care and contraindications if present.

When Good Enough Isn’t…. Good Enough: The Case for Reliability
Clinical studies conducted in the US by California’s RAND Corporation and other research centers consistently show that, for many medical conditions with well-defined criteria for the best treatment, only about 50 percent of the recommended care is ever delivered.

Improving Care for Acute Myocardial Infarction
Immanuel St. Joseph's (Mankato, Minnesota, USA) has reduced the number of deaths related to acute myocardial infarction from 15.4 percent in 2002 to 6.4 percent year-to-date in June 2005.

Advocate Good Samaritan Hospital Where the Average “Door-to-Balloon” Time is 68 Minutes
At Advocate Good Samaritan Hospital outside of Chicago, Illinois, part of the Advocate Health System, the average “door-to-balloon” time — from when the patient enters the Emergency Department (ED) to the moment that the artery is cleared by balloon dilation in the catheterization lab — is 68 minutes, well under the recommended standard of 90 minutes.

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