Improvement Blog
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By Richard Guthrie | Thursday, Jan 16, 2020
Root Cause Analysis is a common way to review adverse events in health care. If, however, staff are afraid to participate in them or health systems fail to use them to develop plans for preventing future errors, they may do more harm than good.

 

Tag(s): Patient Safety, Tools, Adverse Event, Psychological Safety
By Mike Briddon | Tuesday, Dec 10, 2019
There’s no shortage of ideas coming your way. As you read that first sentence, two or three emails may have just forced their way into your overcrowded in-box. So how do you know which ideas are worth your time? Which ones will leave some sort of an imprint (even a very small one) on you? This is our annual effort to help you cut through the clutter.

 

Tag(s): Quality Improvement, Patient Safety, Joy in Work, Culture of Safety, Tools, Improvement Capability, Equitable Care Delivery, Efficiency and Waste Reduction, Cost Containment and Reduction, Maternal and Child Health, Age-Friendly Health Systems, What Matters, Triple Aim for Populations
By Lauge Sokol-Hessner | Tuesday, Aug 27, 2019
Health care can harm patients without causing physical injury. As a growing number of health care providers include disrespect as a patient safety issue, one organization is using Root Cause Analyses and Action (RCA2) to better understand the problem.

 

Tag(s): Patient Safety, Tools, Adverse Event
By Frank Federico | Tuesday, Jun 25, 2019
Designed and tested by IHI’s world-renowned safety experts, the Patient Safety Essentials Toolkit can help you improve teamwork and communication, understand the underlying issues that can cause errors, and create and maintain reliable systems. In the following interview, IHI Vice President Frank Federico, RPh, provides an overview of how to put the toolkit to good use.

 

Tag(s): Patient Safety, Quality Improvement, Improvement Capability, Tools
By Joshua Eng | Friday, Dec 14, 2018
During the last 12 months, we tackled both new and familiar topics and created hundreds of blog posts, videos, and publications. You may recall some of them, but perhaps you missed a few. Which ones do we think are worth revisiting?

 

Tag(s): Quality Improvement, Joy in Work, Psychology of Change, IHI White Papers, Tools, Substance Abuse
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