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10 IHI Innovations to Improve Health and Health Care
This curated publication highlights 10 ideas that have emerged from IHI's systematic 90-day innovation approach, including reflections on the Triple Aim, the concept of a health care Campaign, the Breakthrough Series Collaborative model, and other frameworks and fresh thinking that have been replicated around the world.
Methods for Reducing Sepsis Mortality in Emergency Departments and Inpatient Units
North Shore-LIJ Health System (now Northwell Health) launched a strategic partnership with the Institute for Healthcare Improvement to accelerate the pace of sepsis improvement, focusing initially on sepsis recognition and treatment in emergency departments (EDs). The health system reduced overall sepsis mortality by approximately 50 percent in a six-year period and increased compliance with sepsis resuscitation bundle elements in the EDs and inpatient units in 11 acute care hospitals.
Project JOINTS: What Factors Affect Bundle Adoption in a Voluntary Quality Improvement Campaign?
This article examines how hospital adherence to quality improvement (QI) methods and hospital engagement with a large-scale QI campaign — Project JOINTS, an IHI-led initiative — could facilitate the adoption of an enhanced prevention bundle designed to reduce surgical site infection (SSI) rates after orthopaedic surgery (hip and knee arthroplasty).
Did a Quality Improvement Collaborative Make Stroke Care Better?
In this study, 24 NHS hospitals in the Northwest of England were randomly allocated to participate either in Stroke 90:10, a quality improvement collaborative (QIC) based on the IHI Breakthrough Series (BTS) model, or in a control group giving normal care. Some aspects of stroke care modestly improved during the collaborative.
Using Care Bundles to Improve Health Care Quality
This IHI white paper describes the history, theory of change, design concepts, and outcomes associated with the development and use of bundles — a small set of evidence-based interventions for a defined patient population and care setting — and reflects on learning over the past decade.
Impact of the ventilator bundle on ventilator-associated pneumonia in intensive care unit
This article examines the adoption of the ventilator bundle elements to prevent adverse events in ventilated patients, including ventilator-associated pneumonia, in 415 ICUs in 250 US hospitals.
Central line bundle implementation in US intensive care units and impact on bloodstream infections
This study examines the extent of adoption of Central Line Bundle elements in US intensive care units and determines their effectiveness in preventing central line-associated bloodstream infections.
JAMA Patient Page: Ventilator-associated pnuemonia
This resource presents information on risk factors, prevention, diagnosis and testing, and treatment of ventilator-associated pneumonia.
Annotated Bibliography for Preventing Ventilator-Associated Pneumonia
This annotated bibliography presents selected literature for the elements of the IHI Ventilator Bundle and preventing ventilator-associated pneumonia.
Annotated Bibliography for Preventing Central Line-Associated Bloodstream Infections
This annotated bibliography presents selected literature for the elements of the IHI Central Line Bundle and prevention of central line-associated bloodstream infections.
Idealized Design of Perinatal Care
Reviews of perinatal care have consistently pointed to failures in communication among the care team and documentation of care as common factors in adverse events that occur in labor and delivery. This white paper provides detail about IHI's Idealized Design process and examines some of the initial work of the Idealized Design of Perinatal Care innovation project.
Reducing Hospital Mortality Rates (Part 2)
In the first white paper, IHI introduced an analytical tool for understanding hospital mortality rates (hospital standardized mortality ratio, or HSMR). This second white paper presents the experience of hospitals that implemented evidence-based interventions proven to reduce mortality and their early results.
Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia
The implementation of four evidence-based clinical interventions in the treatment of mechanically ventilated patients (the "ventilator bundle") reduces the risk of ventilator-associated pneumonia, thus reducing the rate of critically ill patient’s mortality and morbidity.
Raising the bar with bundles: Treating patients with an all-or-nothing standard
A "bundle" is a collection of processes needed to effectively and safely care for patients undergoing particular treatments with inherent risks. Several interventions are "bundled" together and, when combined, significantly improve patient care outcomes.