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5 Whys: Finding the Root Cause
When a problem presents itself, ask Why again and again until you reach the root cause.
A driver diagram is a visual display of a team’s theory of what “drives,” or contributes to, the achievement of a project aim. This clear picture of a team’s shared view is a useful tool for communicating to a range of stakeholders where a team is testing and working.
Quality Improvement Essentials Toolkit
Download these ten essential quality improvement tools to help you with your improvement projects, continuous improvement, and quality management, whether you use the Model for Improvement, Lean, or Six Sigma.
IHI "Seven Spreadly Sins"
Improvement teams often make some common missteps when it comes to successfully sharing and spreading improvement ideas in their organizations. IHI's "Seven Spreadly Sins" infographic give teams practical tips for overcoming challenges that impede successful spread.
Improvement Project Roadmap
Improvement teams often need a roadmap for applying the science of improvement to the project management tasks associated with their improvement efforts. This step-by-step tool provides a list of essential tasks organized by five key components in all improvement efforts that team leaders, sponsors, and others can use to guide their work.
Patient Experience Data Self-Assessment
The Patient Experience Data Self-Assessment Tool and corresponding Answer Key challenges knowledge and common assumptions about what the data actually means. The tool can be used to expand your current knowledge on using patient experience data effective.
Behavioral Health Integration Capacity Assessment Tool
This tool is designed to assist behavioral health organizations in evaluating their ability to implement integrated care (specifically processes related to three approaches to integrated care: coordinate care, co-locate care, or build primary care capacity in-house), and enable them to assess existing operational and cultural infrastructure to support greater integration.
Approaches to Integrating Primary Care Services into Behavioral Health Organizations
The guide lays out a continuum of primary care and behavioral health integration, beginning with engaging individuals with severe mental illness in discussions about their physical health to full integration.
Transplant Guardian Angel Always Event
The Transplant Guardian Angel program was developed to ensure that patients and families are supported through the transplant surgical process by providing them with accurate, real-time updates and clinical information, thereby reducing anxiety and increasing effective communication between care delivery teams.
"Same Page" Transitional Care Resources for Patients and Care Partners
These resources and tools were developed for patients and their caregivers or care partners to use when planning for care or during a stay in a hospital or skilled nursing facility. The goal is to support patients, their care partners, and the team of health care providers to all be “on the same page” in understanding the patient’s health and health care needs when the patient is transitioning from one setting of care to another.
Always Use Teach Back!
The Always Use Teach Back! tools can be used to confirm patient understanding of care instructions by asking patients to repeat the instructions using their own words.
ISHAPED Patient-Centered Approach to Nurse Shift Change Bedside Report
ISHAPED (I=Introduce, S=Story, H=History, A=Assessment, P=Plan, E=Error Prevention, and D=Dialogue) focuses on making bedside shift reports more patient- and family- centered. The goal is to always include patients in the ISHAPED nursing shift-to-shift handoff process at the bedside to add an additional layer of safety by enabling the patient to communicate potential safety concerns.
SMART Discharge Protocol
The SMART Discharge Protocol (Signs, Medications, Appointments, Results, and Talk with me) was developed to improve care for patients and families and to improve the discharge process. The tools include the SMART Discharge Checklist for patients and families, FAQs for health care staff and clinicians about implementing the SMART Discharge Protocol, a presentation, and a self-learning packet.
Always Events Blueprint for Action and Always Events Healthcare Solutions Book
These tools guide organizations in creating a more person- and family-centered culture through the development and implementation of Always Events, defined as aspects of the patient experience that are so important to patients and families that health care providers should always get them right.
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.
How-to Guide: Prevent Surgical Site Infection for Hip and Knee Arthroplasty
This How-to Guide describes key evidence-based interventions for preventing surgical site infection for patients undergoing hip and knee replacement surgery, describes how to implement these interventions, and recommends measures to gauge improvement.
How-to Guide: Prevent Obstetrical Adverse Events
This How-to Guide describes the essentials elements of preventing obstetrical adverse events, including the safe use of oxytocin and key evidence-based care components in the IHI Perinatal Bundles.
IHI Improvement Capability Self-Assessment Tool
The IHI Improvement Capability Self-Assessment Tool is designed to assist organizations in assessing their capability in six key areas that support improvement.
Resources for Public Health Quality Improvement
A collection of resources to help public health leaders and practitioners apply quality improvement to programs and processes, with the ultimate goal of saving lives, cutting costs, and getting better results.
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.
How-to Guide: Improving Transitions from the Hospital to the Clinical Office Practice to Reduce Avoidable Rehospitalizations
This How-to Guide is designed to support office practice-based teams and their community partners in codesigning and reliably implementing improved care processes to ensure that patients who have been discharged from the hospital have an ideal transition back to the care team in the office practice, with the related goal of reducing avoidable readmissions.
Disclosure of Adverse Events to Patients: Annotated Bibliography
An annotated bibliography of selected published literature on disclosure of adverse events to patients.
Disclosure Toolkit and Disclosure Culture Assessment Tool
The toolkit and assessment tool help health care organizations develop a culture that supports respect and effective communication with patient and families around adverse events; developed by the Institute for Healthcare Improvement (Cambridge, Massachusetts, USA).
How-to Guide: Improving Transitions from the Hospital to Skilled Nursing Facilities to Reduce Avoidable Rehospitalizations
This How-to Guide supports teams in skilled nursing facilities (SNFs) and their community partners in codesigning and reliably implementing improved care processes to ensure that residents have a safe and effective transition into the SNF, with the related goal of reducing avoidable readmissions into the hospital.
How-to Guide: Improving Transitions from the Hospital to Home Health Care to Reduce Avoidable Rehospitalizations
This How-to Guide is designed to support home health care improvement teams and their hospital and community partners in creating an ideal reception into home health care in the first 48 hours after the patient is discharged from the hospital, a post-acute care setting, or a rehabilitation facility, with the related goal of reducing avoidable rehospitalizations.