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Healthcare Team Vitality Instrument
A short, validated instrument to measure the vitality of health care team members; developed by Betsy Lee, RN, MSPH, and Valda Upenieks, PhD, RN, as part of the Transforming Care at the Bedside initiative.
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.
Annotated Bibliography for Improving Care for Patients with Congestive Heart Failure
This annotated bibliography presents selected literature for improving care for patients with congestive heart failure.
How-to Guide: Improved Care for Patients with Congestive Heart Failure
The goal of this How-to Guide is to significantly improve care and reduce readmissions for patients with congestive heart failure by reliably implementing the recommended components of care.
Transforming Care at the Bedside: Sparking Innovation and Excitement on the Hospital Unit
A growing number of progressive hospitals are implementing simple, yet effective changes in patient care as part of a national initiative called Transforming Care at the Bedside (TCAB) that envisions a new model of bedside care. TCAB is also addressing fundamental health quality issues: the need to reduce errors, enhance organizational efficiency, adapt to constant industry changes, and maintain financial viability.
She’s Got a Ticket To.... Go Home
Virginia Mason Medical Center (Seattle, Washington, USA) improves patient happiness — and their outlook — through implementation of a Ticket to Go Home white board in patient rooms.
Shifting to a Higher Standard
Kaiser Permanente hospitals have had great success with their Nurse Knowledge Exchange (NKE), which combines user-friendly electronic record-keeping with a seamless personal handoff of each patient from one caregiver to the next.
Prairie Lakes Hospital Where Nurses Are Responsible for “The Whole Patient”
At Prairie Lakes Hospital (Watertown, South Dakota, USA), part of the Transforming Care at the Bedside initiative and a member of IHI's IMPACT network, staff members keep on top of patients' needs without being on top of patients.
Leaning Toward Better Patient Care
Hospitals apply Lean Management principles to increase the value of care and care processes, increase the time nursing teams spend in direct patient care, and improve satisfaction for everyone.
Improving Care at the Bedside Is a Team Effort
Linda Burnes Bolton, Vice President and Chief Nursing Officer at Cedars-Sinai Medical Center, shares her experiences with testing and implementing changes at the front-line to improve care at the bedside.
ThedaCare Decreases the Average Number of Times Per Shift That a Nurse Leaves a Patient’s Bedside to Obtain Supplies from Three to One
At ThedaCare's Appleton Medical Center (Appleton, Wisconsin, USA), nurses can devote more time to patient care because of a streamlined replenishment system managed by inventory staff that dramatically reduces the time nurses spend gathering supplies.
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.
Kaiser Foundation Hospital-Roseville Schedules Patient Discharges to Improve Throughput
Discharge appointments are one of the tools IHI recommends for improving the flow of patients into, through, and out of the hospital. Kaiser Foundation Hospital-Roseville (Sacramento, California, USA) has put this and other flow improvement tools to good use.
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.
Transforming Care at the Bedside
This white paper describes work being done in 13 pilot hospitals to dramatically improve the outcomes and experiences of patients and providers on medical/surgical units.
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.
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.
University of Kansas Hospital Makes Quiet a Priority and Patients Get More Rest
Nurses on the 28-bed medical-surgical unit at the University of Kansas Hospital (Kansas City, Kansas, USA) are protecting some quiet time for patients by enlisting all personnel to agree to stay off the unit during the designated hour and let the patients rest.
St. Luke’s Hospital: Where Patients’ Home Care Needs Are Anticipated at Discharge
By providing self-management support for patients at home, St. Luke’s Hospital in Cedar Rapids, Iowa, part of the Iowa Health System, is reducing its rate of readmissions for heart failure patients.
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.
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.
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.
Good Heart Failure Care Follows Patients Home
Many health care providers are successfully employing a specific set of interventions to improve congestive heart failure care for patients in the hospital and after discharge, resulting in fewer hospitalizations and readmissions.
Percent of Nurse Time Spent in Direct Patient Care
Percent of nurses time spent in direct care of patient. This is calculated by dividing the total time by the direct care time.
Transforming Care at the Bedside How-to Guide: Developing Front-Line Nursing Managers to Lead Innovation and Improvement
This How-to Guide describes the innovative changes that hospitals tested and implemented to develop the talent and competencies of their front-line nurse managers on the TCAB units, and features two case studies that illustrate implementation.