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How to Talk to Your Patients about End-of-Life Care: A Conversation Ready Toolkit for Clinicians
This toolkit is intended to help clinicians address some of the challenges of engaging with patients and families in end-of-life care conversations over time, with the goal of providing respectful end-of-life care that is concordant with patients’ stated goals, values, and preferences.
Patient Safety Essentials Toolkit
Download these nine essential tools to guide your organization in improving patient safety and delivering safe, reliable care. Tools include FMEA, SBAR, root cause analysis, daily huddles, and more.
Selected Resources: Improving Opioid and Pain Management
This document offers selected resources for clinicians and health care administrators to take action on opioid and pain management and opioid use disorder (OUD), organized into three categories: Patient Assessment, Intervention, and Treatment; Provider Training and Support; and Strategy and Planning.
QI Project Management
This tool describes strategies to effectively manage quality improvement projects, specific ideas to try within each strategy, and offers a workspace for you to note your next steps to implement the strategy.
QI Project Charter
The QI project charter provides a rationale and roadmap for the team’s improvement work that can be used to clarify thinking about what needs to be done and why. The charter helps keep the focus on a specific opportunity or problem and identifies the members of the improvement team.
Visual Management Board
A visual management board is used as a key communication tool that provides at-a-glance information about current process performance, both quantitative and qualitative data, to help clinical unit staff coordinate and guide their daily work and monitor ongoing improvement projects.
5 Whys: Finding the Root Cause
When a problem presents itself, ask Why again and again until you reach the root cause.
"What Matters to You?" Conversation Guide for Improving Joy in Work
With burnout and staff turnover in health care continuing to rise at alarming rates, this resource is intended to help leaders guide conversations with colleagues about “What matters to you?” — Step 1 of the Four Steps for Leaders, described in detail in the IHI White Paper, IHI Framework for Improving Joy in Work.
Ask Me 3: Good Questions for Your Good Health
Ask Me 3® is an educational program that encourages patients and families to ask three specific questions of their providers to better understand their health conditions and what they need to do to stay healthy.
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm
This document examines best practices for using root cause analysis (RCA) to improve patient safety, and includes guidelines to help health professionals standardize the RCA process and improve the way they investigate medical errors, adverse events, and near misses.
Liberation in the Exam Room: Racial Justice and Equity in Health Care
This tool is intended to be used as a starting guideline for individuals in the health care delivery context as they work to identify key areas of focus on racial justice and health equity, serving as a resource to begin conversations with teams within the organization toward developing a deeper understanding of structural racism and its impact on achieving health equity.
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance
Team-based collaboration of safety and financial leaders is necessary to successfully create and present business cases to advance safety initiatives. This toolkit includes specific recommendations and practices for a Safety–Finance Team and provides a framework for understanding, framing, and advancing patient and workforce safety.
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 Skilled Nursing Facility Trigger Tool for Measuring Adverse Events
The IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events provides an easy-to-use method for accurately identifying adverse events (harm) and measuring the rate of adverse event incidence over time in skilled nursing facilities (SNFs).
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.
Patient Care Experience Observation Exercise
The purpose of this exercise is to learn about and understand the experience of care in your organization from the patient and family perspective, using observations of care processes to inform improvements to the care experience. The exercise may be used in any care setting.
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.
Always Events Toolkit
Always Events are aspects of the patient experience that are so important to patients and families that health care providers must perform them consistently for every patient, every time. The toolkit supports providers in partnering with patients and family members to co-design, reliably implement, and sustain and spread Always Events to dramatically improve the care experience.
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.
ISMP Medication Safety Best Practices
Developed with the help of leading medication safety experts, and patterned after the Joint Commission’s National Patient Safety Goals, the ISMP has issued six 2014-15 Targeted Medication Safety Best Practices for hospitals.
Quality Metric Advisor Tool
The IHI Quality Metric Advisor is a simple algorithm that assists organizations to identify and address crucial balancing measures in order to maintain and even improve clinical quality during cost-savings improvement initiatives.
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.