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WIHI: Mobility Matters for Age Friendly Care
March 22, 2018 | A new initiative wants to emphasize the physical and mental health benefits of mobility and encourage great mobility for older patients as part of a broadening vision of age-friendly care.
"Changing the Balance of Power: You Cannot Give What You Do Not Have." (2016)
Changing the Balance of Power: You Cannot Give What You Do Not Have. (2016)
"All Together or Not at All: The Snuggle for Existence" (2017)
All Together or Not at All: The Snuggle for Existence (2017)
WIHI: Mindfulness and Patient Safety
March 8, 2018 | As stress-reduction and other health benefits of mindfulness become better known, clinicians are discovering that they, too, need new ways to deal with stress. Can practicing mindfulness be restorative in the middle of a hectic day, create mental space to be more tuned into patients, and reduce the likelihood of medical errors?
5 Whys: Finding the Root Cause
When a problem presents itself, ask Why again and again until you reach the root cause.
Highly Adoptable Improvement: A Practical Model and Toolkit to Address Adoptability and Sustainability of Quality Improvement Initiatives
This article presents the Highly Adoptable Improvement Model, a practical model and supporting tools developed on the basis of existing theories to help quality improvement (QI) programs design more adoptable approaches that lead to more sustainable improvement.
WIHI: Aging in Place with a Disability and Dignity
February 22, 2018 | One of the biggest challenges facing older patients with disabilities is that the care and support services needed to function optimally at home are often fragmented — and not always obtainable.
"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.
WIHI: Practicing More Careful and Thoughtful Diagnosis
February 8, 2018 | What's next when the diagnosis process is causing as many problems as it's trying to solve?
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.
WIHI: What's in a Name? Health Care's Chief Quality Officer
January 25, 2018 | A health care system's Chief Quality Officer oversees efforts to create and sustain transformative change on multiple fronts, including patient and worker safety, overall quality of care, moving from volume to value, and more.
Leading a Culture of Safety: A Blueprint for Success
Creating a culture of safety in health care settings has proven to be a challenging endeavor, and there is a lack of clear actions for organizational leaders to take in developing such a culture. This guide provides chief executive officers and other health care leaders with a useful tool for assessing and advancing their organization’s culture of safety, and can be used to help determine the current state, inform dialogue with the board and leadership team, and help leaders set priorities.
WIHI: Opioid Crisis: Changing Habits and Improving Pain Management
January 11, 2018 | As efforts continue to curb the opioid addiction epidemic in the US and reduce deaths from overdoses, the underlying problem of overprescribing remains very much in the spotlight.
Is Your Organization Highly Reliable?
This article presents common high-reliability organization (HRO) characteristics that apply to all health care organizations seeking to improve patient safety, and cross-walks them with the IHI Framework for Safe, Reliable, and Effective Care to help leaders build a culture and learning system to support HRO characteristics and safer systems of care.
WIHI: Discovering Your Way to Greatness
December 21, 2017 | Steve Spear speaks to an audience at IHI's National Forum, drawing on his own life experience and work with multiple industries to point out that better ways to do things are within reach.
Moral Choices for Today’s Physician
In this essay, Don Berwick considers moral choices physicians face personally, organizationally, and globally and exhorts them to understand that the health of humanity depends on their speaking out against the social injustice of overpricing drugs and services, mass incarceration, and the lack of environmental responsibility.
Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human
This report assesses the state of patient safety in health care, advocating for a total systems approach across the continuum of care and establishment of a culture of safety, and calling for action by government, regulators, health professionals, and others to place higher priority on patient safety improvement and implementation science.
WIHI: The Careful and Kind Patient Revolution
December 7, 2017 | Victor Montori argues that it is time for providers to look up from strict protocols and guidelines long enough to get curious about their patients' lives and begin to minimize barriers to better health, not add to them.
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.
WIHI: When Patients Feel as Powerless as Hostages
November 21, 2017 | Is "hostage" the right way to describe how patients and family members sometimes feel when they're trying to get the care they need?
Measuring Patient Safety in Real Time: An Essential Method for Effectively Improving the Safety of Care
The continuing evidence of preventable deaths due to medical error has led to recent calls to improve measurement of safety in hospitals. This need can be adequately addressed by harnessing health information technology.
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era
The recommendations outlined in this publication are designed to help standardize the ways in which primary care practitioners activate referrals to specialists, and then keep track of the information over time. It describes a nine-step, closed-loop process in which all relevant patient information is communicated to the correct person through the appropriate channels and in a timely manner.
WIHI: Health Care Innovation and R&D: Taking Stock at Ten Years
November 9, 2017 | The health care quality improvement movement has rallied around some significant innovations over the years, many of which have had a lasting impact.
Discharge to Assess: “Flipping” Discharge Assessment from Hospital to Home
Discharge to Assess (D2A) (also referred to as "flipped discharge") is a redesign of the care process at Sheffield Teaching Hospitals in the UK that involves assessing a patient’s needs after discharge in the patient’s own home rather than in the hospital. Activities that traditionally happen at the end of a hospital admission are instead performed successfully and safely at home, thus enabling patients who are medically ready to go home earlier and spend less time in the acute care setting.
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.