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• Using Change Concepts for Improvement
  The ability to develop, test, and implement changes is essential for any individual, group, or organization that wants to continuously improve.

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• Appoint a Safety Champion for Every Unit
  Communicating information about patient safety is an important responsibility that should not always fall to managers alone.
• Conduct Patient Safety Leadership WalkRounds™
  Senior leaders wishing to demonstrate their commitment to safety and learn about the safety issues in their own organization can do so by making regular rounds for the sole purpose of discussing safety with the staff.
• Conduct Safety Briefings
  Safety briefings in patient care units are tools to increase safety awareness among front-line staff and foster a culture of safety.
• Create a Reporting System
  In a culture of safety, staff members are aware of safety issues and are free to report conditions that could lead to near misses or actual adverse events.
• Create an Adverse Event Response Team
  After any adverse event, members of the response team take prompt action.
• Designate a Patient Safety Officer
  True commitment to patient safety requires action, not just statements about its importance.
• Develop a Culture of Safety
  In a culture of safety, people are not merely encouraged to work toward change; they take action when it is needed.
• Involve Patients in Safety Initiatives
  Patients and their families can provide another layer of defense against adverse events, and in fact they are often the best sources of information.
• Provide Feedback to Front-Line Staff
  Feedback to the front-line staff is a critical component of demonstrating a commitment to safety and ensuring that staff members continue to report safety issues.
• Reenact Real Adverse Events from Your Hospital
  With staff members as actors, a simple skit or videotape of a reenacted adverse event or near-miss can raise safety awareness and teach both staff and management valuable safety lessons.
• Relay Safety Reports at Shift Changes
  Certain situations increase the risk of adverse events and should prompt staff to be even more safety-conscious than usual.
• Simulate Possible Adverse Events
  Many other industries, particularly aviation, use simulation to teach people to recognize problems and understand the effects of their responses in a safe environment.

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• Improve Core Processes for Administering Medications
  Well-designed administering processes minimize the risk of failures and errors, both of which can lead to adverse drug events (ADEs).
• Improve Core Processes for Dispensing Medications
  Core processes for dispensing medications have become enormously complex, and the risk of errors and process failures has increased as a result.
• Improve Core Processes for Ordering Medications
  Core processes for ordering medications have become enormously complex, and the risk of errors and process failures has grown in turn.

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• Elective Induction and Augmentation Bundles
  Teams participating in the IHI Perinatal Improvement Community are testing the Elective Induction and Augmentation Bundles. A "bundle" is a group of evidence-based interventions related to a disease process that, when executed together, result in better outcomes than when implemented individually.
• Implement the IHI Central Line Bundle
  The IHI Central Line Bundle is a series of interventions that helps to decrease the incidence of catheter-related bloodstream infections.
• Implement the IHI Ventilator Bundle
  Reducing mortality due to ventilator-associated pneumonia requires an organized process that guarantees the early recognition of pneumonia along with the uniform and consistent application of the best evidence-based practices.
• What Is a Bundle?
  IHI Vice President and patient safety expert, Carol Haraden, PhD, clarifies what a "bundle" is and is not, and suggests tips for using bundles most effectively to get results in improvement initiatives. While the allure of this tool is undeniable, says Haraden, quality teams should resist the impulse to label any list of good changes a bundle.

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• Changes to Improve Chronic Care
  Organizations must focus on six fundamental areas that form a system that encourages high-quality chronic disease management, as well as develop productive interactions between patients who take an active part in their care and providers who have the necessary resources and expertise.
• Changes to Transform Care at the Bedside
  A framework for change on medical-surgical units built around innovations and improvements in four main categories is described, along with specific changes you can test.
• Effective Interventions to Reduce Rehospitalizations: A Compendium of 15 Promising Interventions
  This document highlights the range of effective programs underway to reduce avoidable rehospitalizations across the US.
• Follow Up and Monitor Self-Management Goals for People with Chronic Conditions
  Follow up and monitor self-management goals for chronic conditions.
• IHI Severe Sepsis Bundles
  The Severe Sepsis Bundles include the Severe Sepsis 3-Hour Rescuscitation Bundle and the 6-Hour Septic Shock Bundle. The Severe Sepsis Bundles have been revised in conjunction with the updated 2012 International Guidelines for Management of Severe Sepsis and Septic Shock.