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The Science of Improvement on a Whiteboard!
Dr. Robert Lloyd, Vice President at the Institute for Healthcare Improvement, explains the key elements of the Science of Improvement using a white board in these short videos.
Cause and Effect Diagram
Robert Lloyd, IHI Vice President, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Pareto Analysis
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Control Charts (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Control Charts (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Flowcharts (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Flowcharts (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Driver Diagrams
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Run Charts (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Run Charts (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
PDSA Cycles (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
PDSA Cycles (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Four Steps Leaders Can Take to Increase Joy in Work
Jessica Perlo, MPH, a Director at IHI, shares four steps leaders can take to help their staff find joy and meaning in their work.
How to Get Ready for “What Matters to You?” Conversations
The first step to improving joy in work and addressing burnout is for leaders to engage colleagues to identify what matters to them in their work. These three actions will get you ready.
Why Is Psychological Safety So Important in Health Care?
Why is psychological safety in health care so important? In a short video, Amy Edmondson, Novartis Professor of Leadership and Management at Harvard Business School, describes four specific outcomes associated with a psychologically safe work environment.
Three Ways to Create Psychological Safety in Health Care
How can leaders ― with or without formal authority ― create psychological safety in health care? In a short video, Amy Edmondson, Novartis Professor of Leadership and Management at Harvard Business School, describes three key actions to foster a psychologically safe work environment.
Why Does Health Care Need Improvement Science?
David Williams shares why the will to change, alone, is not enough to create change — and presents the ambulance industry as an example.
What Is Bias, and What Can Medical Professionals Do to Address It?
Anurag Gupta, founder and CEO of Be More America, offers training to health care providers on how to overcome implicit bias.
What Are the Harms of Not Addressing Bias in Health Care?
Implicit bias is an unconscious pattern of thought that disadvantages certain groups of people based on negative stereotypes. It can harm patients in the course of health care delivery, and it harms the health care industry.
How Does Implicit Bias Affect Health Care?
Implicit bias is an unconscious pattern of thought that can disadvantage people of color and people from other marginalized groups. How does it affect health care?
How Can QI Concepts Help in Your Daily Life?
Dr. James Moses, IHI Open School Academic Advisor, talks about using improvement methodology in his personal life.
How Can You Apply Clinical Skills to QI?
MIT senior lecturer and IHI Senior Fellow Steve Spear explains why he thinks seven steps needed to care for patients are essentially the same as those needed to fix systems of care. He also shares common trouble areas and gives an example of a successful improvement.
What If You Take a Complex Clinical Challenge to the Community?
Solving the challenge of a high stillbirth rate in Scotland is not simply about getting obstetricians to improve. “It’s a multidisciplinary problem,” says Jason Leitch,
What If We Flipped the Patient Discharge Process?
At Sheffield Teaching Hospitals in the United Kingdom, an improver came up with the idea of assessing frail elder patients’ needs in patients’ homes instead of at the hospital. One PDSA cycle led to another, and another. Eventually, 10,000 patients got home 3 to 4 days faster in one year.
What If We Gave Patients the Skills and Knowledge to Care for Themselves?
Long wait times in emergency departments was one of the problems. Giving underinsured or uninsured patients the skills (and the option) to care for themselves turned out to be an innovative solution.
QI Games: The Red Bead Experiment
W. Edwards Deming, one of the founders of modern quality improvement, invented the famous Red Bead Experiment to illustrate how typical managers try — and fail — to improve quality.
QI Games: How Do You Measure the Banana?
Choosing and defining your measures might sound easy, but those two tasks cause problems for improvement teams all the time.
QI Games: Learn How to Use PDSA Cycles by Spinning Coins
You may have thought your coin spinning days ended in grade school, but it turns out the activity can help you learn about theories, predictions, and PDSA cycles.
Why Work with Underserved Populations?
IHI Senior Technical Director Dr. Sodzi Sodzi-Tettey explains how quality improvement can bring significant change to health care in low-income communities.
Can Equitable Care Improve the Bottom Line?
Deputy Director of the Disparities Solutions Center at Massachusetts General Hospital, Aswita Tan-McGrory, explains the business case for addressing health care disparities.
How Can Clinicians Balance Overuse and Fears of Litigation?
Neel Shah, MD, MPP, an obstetrician/gynecologist at Beth Israel Deaconess Medical Center, has been passionate about reducing costs and waste in the health care system since he started practicing. Why has the time come for value-based care? And what’s one easy way to identify waste in a system?
Why Is Providing Better Care at a Lower Cost So Important Right Now?
Neel Shah, MD, MPP, an obstetrician/gynecologist at Beth Israel Deaconess Medical Center, has been passionate about reducing costs and waste in the health care system since he started practicing. Why has the time come for value-based care? And what’s one easy way to identify waste in a system?
Why Should Health Systems Address Social Needs?
Deputy Director of the Disparities Solutions Center at Massachusetts General Hospital, Aswita Tan-McGrory discusses why health systems need to address social needs.
How Do You Find the Right Mentor?
Are you making the most of your mentor? Don Goldmann, MD, IHI’s Chief Medical and Scientific Officer, shares some valuable lessons from his three decades as a mentor to students and fellows.
When Do You Discuss Money in a Job Interview?
Paul Levy gives concrete advice on when (and how) to talk about money when interviewing for a job.
Other than Pay, What Can a Job Seeker Negotiate?
Paul Levy discusses how to move the focus away from money in a job negotiation.
Should You Ever Accept the First Job Offer?
Paul Levy explores the tricky decision of whether to accept an initial job offer.
What Happened to Josie?
In 2001, 18-month-old Josie King died of dehydration and a wrongly-administered narcotic at Johns Hopkins Hospital. How did this happen? Her mother, Sorrel King, tells the story and explains how Josie’s death spurred her to work on improving patient safety in hospitals everywhere.
How Can Patients and Providers See Eye to Eye?
In a new video, “Diabetes Evangelist” Trevor Torres discusses why patients sometimes feel disconnected from their providers.
Is There a Secret to Sustaining Improvements?
After a successful improvement project, it’s important to celebrate and start thinking about how to spread your knowledge. But how can you make sure the improvement you’ve made sticks?
How Can Mr. Potato Head Help Teach PDSA?
David Williams explains the genesis of the Mr. Potato Head exercise he created to teach audiences all over the world about PDSA cycles.
Why Is Planning Such an Important Part of PDSA?
Plan. Do. Study Act. All four are necessary to complete a PDSA cycle. In this IHI Open School Short, Improvement Advisor David Williams explains why he thinks planning is such a valuable component of any learning cycle.
What Are Rules for Doing Concurrent PDSA Cycles?
Improvement can be slow and methodical, and sometimes it makes sense to test two changes at the same time. What should you keep in mind in these situations?
What’s an Easy Way to Learn about PDSA Cycles?
David Williams explains different ways to learn about improvement by doing it.
How Do You Move Logically Toward Implementation?
David Williams discusses how to thoughtfully move toward implementation within a system.
Why Do Errors Happen? How Can We Prevent Them?
Millions of people suffer every year from mistakes in health care. Lucian Leape explains why those mistakes happen — and how to prevent them.
How Have Computers Changed Patient-Provider Relationships?
In a new video, patient safety expert Dr. Bob Wachter explores how computers have changed patient-provider relationships.
What Are the Dangers of Alert Fatigue?
In a new IHI Open School short, patient safety expert Dr. Bob Wachter talks about the dangers of alert fatigue in health care.
What Is Shared Decision Making?
Victor Montori, MD, MSc, a Professor of Medicine at the Mayo Clinic in Rochester, Minnesota, is pioneering the concept of shared decision making. What is shared decision making and how can it improve care for patients? Dr. Montori, a special interest keynote speaker at this year’s IHI National Forum in December, explains.
What Are Two Ways Organizations Can Improve Patient Visits?
In a new video, “Diabetes Evangelist” Trevor Torres shares two ways organizations can use technology to improve the patient experience.

Get quick instruction with more than 150 videos on a wide range of health care improvement topics (including improvement capability, patient safety, person- and family-centered care, the Triple Aim, and more).

Browse video library by topic

Science of Improvement "Whiteboard" Videos
Short videos explain the Model for Improvement, the PDSA cycle, run charts, and more.
Cause and Effect Diagram
Robert Lloyd, IHI Vice President, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Control Charts (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Control Charts (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Deming's System of Profound Knowledge (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Deming's System of Profound Knowledge (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Divergent & Convergent Thinking (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Divergent & Convergent Thinking (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Driver Diagrams
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Family of Measures
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Flowcharts (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Flowcharts (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Force Field Analysis
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Pareto Analysis
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
PDSA Cycles (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
PDSA Cycles (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Run Charts (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Run Charts (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Static Vs. Dynamic Data
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
The Model for Improvement (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
The Model for Improvement (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.

Improvement Capability
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The Science of Improvement on a Whiteboard!
Dr. Robert Lloyd, Vice President at the Institute for Healthcare Improvement, explains the key elements of the Science of Improvement using a white board in these short videos.
Cause and Effect Diagram
Robert Lloyd, IHI Vice President, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Control Charts (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Control Charts (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Run Charts (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Run Charts (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
PDSA Cycles (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
PDSA Cycles (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
Why Does Health Care Need Improvement Science?
David Williams shares why the will to change, alone, is not enough to create change — and presents the ambulance industry as an example.
How Can QI Concepts Help in Your Daily Life?
Dr. James Moses, IHI Open School Academic Advisor, talks about using improvement methodology in his personal life.
QI Games: The Red Bead Experiment
W. Edwards Deming, one of the founders of modern quality improvement, invented the famous Red Bead Experiment to illustrate how typical managers try — and fail — to improve quality.
QI Games: How Do You Measure the Banana?
Choosing and defining your measures might sound easy, but those two tasks cause problems for improvement teams all the time.
QI Games: Learn How to Use PDSA Cycles by Spinning Coins
You may have thought your coin spinning days ended in grade school, but it turns out the activity can help you learn about theories, predictions, and PDSA cycles.
How Do You Find the Right Mentor?
Are you making the most of your mentor? Don Goldmann, MD, IHI’s Chief Medical and Scientific Officer, shares some valuable lessons from his three decades as a mentor to students and fellows.
Is There a Secret to Sustaining Improvements?
After a successful improvement project, it’s important to celebrate and start thinking about how to spread your knowledge. But how can you make sure the improvement you’ve made sticks?
How Can Mr. Potato Head Help Teach PDSA?
David Williams explains the genesis of the Mr. Potato Head exercise he created to teach audiences all over the world about PDSA cycles.
Why Is Planning Such an Important Part of PDSA?
Plan. Do. Study Act. All four are necessary to complete a PDSA cycle. In this IHI Open School Short, Improvement Advisor David Williams explains why he thinks planning is such a valuable component of any learning cycle.
What Are Rules for Doing Concurrent PDSA Cycles?
Improvement can be slow and methodical, and sometimes it makes sense to test two changes at the same time. What should you keep in mind in these situations?
What’s an Easy Way to Learn about PDSA Cycles?
David Williams explains different ways to learn about improvement by doing it.
How Do You Move Logically Toward Implementation?
David Williams discusses how to thoughtfully move toward implementation within a system.
What Are Seven Ways to Engage Clinicians in QI?
One of the biggest challenges of improving quality within health care is engaging clinicians in the work. Clinicians have demanding schedules, high stress levels, and pressure from payers and accreditors. IHI's Dr. Don Goldmann shares how you can you inspire these busy colleagues to join your improvement work.
Why Should You Start Testing Changes ASAP?
Lloyd Provost, co-author of the Improvement Guide, shares why it’s so important in an improvement project to start testing changes as soon as you can.
What’s the Secret to Change Implementation?
Lloyd Provost, co-author of the Improvement Guide, discusses the secrets to implementing change.
How Long Should a PDSA Cycle Last?
You know PDSAs are rapid tests of change. But what, exactly, is a good length of time for a Plan-Do-Study-Act test cycle? Learn from Lloyd Provost, co-author of the Improvement Guide.
How Do Visual Tools Help Improvement?
Lloyd Provost, co-author of the Improvement Guide, shares how visual tools can help us understand the systems in which we live and work.
How Can CLABSIs and Cucumbers Teach PDSA?
In a new IHI Open School Video Short, IHI's Dr. Don Goldmann explains the science behind the Plan-Do-Study-Act (PDSA) cycle, using central line-associated bloodstream infections (CLABSIs) and cucumbers as his subjects.
How Can Young Professionals Get Involved in QI?
Dr. James Moses, IHI Open School Academic Advisor, gives young professionals advice on how to become leaders of quality improvement.
What’s the Difference Between Research and QI?
Dr. James Moses, IHI Open School Academic Advisor, explains how improvement and research methodology can contribute differently toward the same cause.
How Can QI Bring Clinical Colleagues Together?
Dr. James Moses, IHI Open School Academic Advisor, talks about the value of QI for building closer relationships among clinical colleagues.
What’s An Example of Using QI to Change Behavior?
Dr. James Moses, IHI Open School Academic Advisor, shares a story of using quality improvement to change the treatment of patients with sickle cell disease.
Is the Buzz about Innovation Worth the Hype?
Dr. Kedar Mate explains why innovation has become a hot topic in health care.
What Are the Phases of IHI Innovation Projects?
Dr. Kedar Mate offers an example of the phases of an innovation project at IHI.
How Do Innovation and Improvement Differ?
Dr. Kedar Mate explains the difference between innovation and improvement.
How Can You Incorporate Innovation in Daily Work?
Dr. Kedar Mate explains clinicians can develop the ability to generate ideas for improvement.
What Are IHI’s Secrets to Innovation?
Dr. Kedar Mate explains how the Institute for Healthcare Improvement approaches innovation in health care.
How Does Lean Compare to IHI's Approach to QI?
IHI’s Kevin Little discusses the differences and similarities between Lean and IHI’s approach to quality improvement.
What’s One Question to Engage Physicians in QI?
IHI's Dr. Don Goldmann shares the one question you should ask physicians when you want to engage them in improvement work.
How Do You Use a Driver Diagram?
A driver diagram, explains Don Goldmann, MD, IHI’s Chief Medical and Scientific officer, is a “simple, visual, somewhat intuitive display to help you understand where you’re going with your work.” Goldmann’s latest Open School Short explains the purpose and value of a driver diagram — a tool that can help you with anything from losing weight to protecting your patients from infection
How Can Organizations Engage Providers in QI?
Dr. Marilu Bintz explains why organizations sometimes fail to engage physicians in quality improvement and offers an alternative strategy.
Why Should Patients be Part of Improvement Work?
Dr. Marilu Bintz explains why health care organizations should engage patients in improvement and tells the story of how Gundersen Health System started engaging patients to make care safer.
How Do You Involve Patients in Improvement?
Patient and Family Advisory Councils are critical to improving care. But they take time to develop. What can you do today to involve patients in improvement?
How Do People Sustain Their Enthusiasm for QI?
Improvement Advisor David Williams talks about the hard work — and potential rewards — associated with quality improvement.
Priority Matrix: An Overlooked Gardening Tool
Don Goldmann is a well-known physician, educator, and … gardener? In this short video, Goldmann invites us into his home garden and uses a priority matrix — a useful tool in any improvement work — to determine which types of kale he plans to grow next year.
What Are Must-Read Health Care Improvement Books?
Dr. James Moses, IHI Open School Academic Advisor, shares a few books that got him started on his health care improvement journey.
What Do We Mean by Measurement for Judgment?
In a new IHI Open School short, Don Goldmann, MD, Chief Medical and Scientific Officer at IHI, discusses five ways measurement for judgment is used within health care.
QI Games: Learning about Variation by Counting Candy
Understanding variation is critical when you’re working to improve a process or system. In this activity, you’ll learn to distinguish between two types of variation: common cause and special cause. (And you’ll get to eat candy!)
The Model for Improvement (Part 2)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.
The Model for Improvement (Part 1)
Robert Lloyd, the Director of Performance Improvement at IHI, uses his trusty whiteboard to dissect the science of improvement. In short videos, he breaks down everything from Deming's System of Profound Knowledge, to the PDSA cycle, to run charts.

Patient Safety
Why Is Psychological Safety So Important in Health Care?
Why is psychological safety in health care so important? In a short video, Amy Edmondson, Novartis Professor of Leadership and Management at Harvard Business School, describes four specific outcomes associated with a psychologically safe work environment.
Three Ways to Create Psychological Safety in Health Care
How can leaders ― with or without formal authority ― create psychological safety in health care? In a short video, Amy Edmondson, Novartis Professor of Leadership and Management at Harvard Business School, describes three key actions to foster a psychologically safe work environment.
How Can You Apply Clinical Skills to QI?
MIT senior lecturer and IHI Senior Fellow Steve Spear explains why he thinks seven steps needed to care for patients are essentially the same as those needed to fix systems of care. He also shares common trouble areas and gives an example of a successful improvement.
What Happened to Josie?
In 2001, 18-month-old Josie King died of dehydration and a wrongly-administered narcotic at Johns Hopkins Hospital. How did this happen? Her mother, Sorrel King, tells the story and explains how Josie’s death spurred her to work on improving patient safety in hospitals everywhere.
Why Do Errors Happen? How Can We Prevent Them?
Millions of people suffer every year from mistakes in health care. Lucian Leape explains why those mistakes happen — and how to prevent them.
How Have Computers Changed Patient-Provider Relationships?
In a new video, patient safety expert Dr. Bob Wachter explores how computers have changed patient-provider relationships.
What Are the Dangers of Alert Fatigue?
In a new IHI Open School short, patient safety expert Dr. Bob Wachter talks about the dangers of alert fatigue in health care.
Learning from Medical Errors (Part 2)
A baby falls gravely ill after a botched blood transfusion. A student nearly commits a medication error. A patient dies after a clumsy surgery. In this video, current and former clinicians (including IHI’s Former CEO Don Berwick) describe the errors that still haunt them today — and point out ways those errors could have been prevented.
Learning from Medical Errors (Part 1)
A patient suffers horrible burns. An operation takes twice as long as it should. A child dies from internal bleeding. All because a doctor, a nurse, or another care provider made a mistake. In this video, prominent clinicians describe the errors that still haunt them today — and point out ways those errors could have been prevented.
The Patient and the Anesthesiologist
Linda Kenney went into the hospital for an ankle replacement. She came out with a host of complications resulting from a mistake that no one was willing to admit. Until Rick Van Pelt, MD, her anesthesiologist, stepped forward. In this three-part video case study, you’ll find out what happened in the immediate aftermath of the surgery, watch Kenney and Van Pelt describe their first meeting after the surgery, and watch Kathy Duncan, RN, and Don Berwick, MD, analyze the case.
How Can Data Drive Reliability? (Part 5 of 5)
IHI Executive Director Frank Federico discusses the role of measurement and the role of leadership in achieving reliable designs.
What Is the Goal of Reliable Design? (Part 3 of 5)
IHI Executive Director Frank Federico explains the goal behind reliable design — and why capability is just as important as reliability.
Why Do You Need a Back-Up Plan? (Part 4 of 5)
IHI Executive Director Frank Federico discusses why and when to create a back-up plan for a reliable process.
How Can You Make Processes Reliable? (Part 2 of 5)
IHI Executive Director Frank Federico discusses steps you can take to make your processes more reliable.
What Is Reliability? (Part 1 of 5)
IHI Executive Director Frank Federico provides an introduction to reliability, including a definition, some examples, and components of IHI’s proven methodology.
Disruptive Behavior: The Arterial Stick
A resident tells a medical student to do a blood gas on a patient. The student says, “I don’t know how.” The resident is annoyed – and he says something that he’ll regret for years. Physician Ron Wyatt reflects on what he said (and wishes he had said) to the student.
How Can Disruptive Behavior Be Harmful?
Physician Kevin Stewart explains how he accidentally hurt a patient when he was trying to avoid a confrontation with his foul-tempered supervisor. He offers advice for people who find themselves on the receiving end of disrespectful behavior.
Disruptive Behavior: A Slap on the Hand
When you’re rude and disrespectful to your co-workers, you put your patients at risk. In this video, former nurse Jill Duncan recalls watching a senior nurse bully a medical resident. She explains why this behavior happens, and how you should respond if you’re on the receiving end.
Why Is Reducing Harm — Not Just Error — Important to Patient Safety?
Dr. David Bates, a world renowned patient safety expert, explains why the field of patient safety has shifted from reducing error to also encompass efforts to reduce harm.
How Do You Apologize After a Medical Error?
When you make a mistake that affects a patient, what should you say? Should you apologize, or will that put you at greater risk of being sued? Lucian Leape, MD, Adjunct Professor of Health Policy at the Harvard School of Public Health, describes how to talk with patients and families after a mistake has occurred.
What Is a Culture of Safety?
Dr. David Bates, a world-renowned patient safety expert, describes a culture of safety and what organizations can do to foster it.
What Can a Zoo Teach Health Care about Patient Safety?
Kathy Duncan goes behind the scenes to learn about the Central Florida Zoo's safety procedures for handling snakes.
Why Should Providers Talk to Patients after Adverse Events?
Lewis Blackman, a healthy 15-year-old boy, died in 2000 after an elective surgery. In this video, Helen Haskell, his mother, explains why providers should communicate with patients and families after adverse events.
What Is the Long-Term Impact of Adverse Events on Patients?
Lewis Blackman, a healthy 15-year-old boy, died in 2000 after an elective surgery. In this video, Helen Haskell, his mother, gives an example of the long-term impact of adverse events on patients and families.
Why Don’t Providers Always Communicate with Patients after Adverse Events?
Lewis Blackman, a healthy 15-year-old boy, died in 2000 after an elective surgery. In this video, Helen Haskell, his mother, explains why communication isn’t always the norm after adverse events, and why this dynamic is changing.
What Is Your Advice for Providers about Communicating with Patients After Adverse Events?
Lewis Blackman, a healthy 15-year-old boy, died in 2000 after an elective surgery. In this video, Helen Haskell, his mother, offers advice for providers who are involved in adverse events about how they should communicate with patients and families.
Why Patient Safety Is at the Top of the List
In 2001, the National Academy of Science’s Institute of Medicine (IOM) laid out six dimensions of quality for health care. According to the IOM, care should be safe, effective, patient-centered, timely, efficient, and equitable. Carol Haraden, patient safety expert, tells us why safety is at the top of that list.
Meet the Students: Desiree de la Torre
Desiree de la Torre’s grandfather acquired an infection in a hospital. Now, Desiree, a recent business school graduate, wants to ensure that other patients have a better experience.
Josie's Story
Eighteen-month-old Josie King died from medical errors incurred at Johns Hopkins Hospital. Her mother, Sorrel King, later worked with hospitals to develop a way for patients and their families to summon a Rapid Response Team to the bedside within minutes.
Improving the Health Care of an Entire Country
Is it possible to cut adverse events by 30 percent – and hospital mortality by 15 percent – across an entire country? The Scottish Patient Safety Programme (SPSP) is an ambitious attempt to do just that.
What Is It Like to Experience a Medical Error?
Get an inside look at a patient's perspective through the personal story of Linda Kenney, President of Medically Induced Trauma Support Services.

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