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Making Improvement Interventions Happen — The Work Before the Work: Four Leaders Speak
IHI Senior Fellow Paul Batalden asked four expert leaders how they prepare for making improvement interventions in health care happen. What they reveal provides inspiration, guidance, and practical knowledge.
WIHI: Black Women and Maternal Care: Redesigning for Safety, Dignity, and Respect
August 8, 2019 | With a significant rise in maternal deaths in the United States, how can providers partner with community groups to design respectul, dignified pregnancy experiences?
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.
A huddle is a short, stand-up meeting — 10 minutes or less — that is typically used once at the start of each workday in a clinical setting and gives teams a way to actively manage quality and safety, including a review of important standard work such as checklists.
5 Whys: Finding the Root Cause
When a problem presents itself, ask Why again and again until you reach the root cause.
Four Steps for Developing Reliable Processes
Creating and sustaining reliable processes to ensure health care quality and patient safety requires thoughtful planning and execution. This checklist of four steps will help ensure your systems are designed with reliability in mind.
WIHI: Aim High for Equity in the Health Care Workforce
July 18, 2019 | How can health systems take action to improve workforce equity?
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.
WIHI: How to Speak So Leaders Will Listen
February 21, 2019 | How much thought and preparation go into how you pitch new ideas and initiatives to leaders in your organization? If you've been frustrated by lack of support or buy-in from a leader, it's possible that you did not win that person over at the start.
Stoplight (Red-Yellow-Green) Tools for Patients with Asthma or Diabetes
"Stoplight" tools assist patients with monitoring and managing their chronic condition by dividing various signs and symptoms into "green," "yellow," and "red" management zones.
A Six-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV
This article is the first report of the effectiveness of using quality improvement in a large-scale multicountry effort in Africa to improve infant survifal by reducing postnatal maternal-to-child transmission of HIV in breast feeding HIV-positive mothers.
Using a Multicountry Learning Network to Harvest and Rapidly Spread Implementation Knowledge to Reduce Mother-to-Child Transmission of HIV
This article describes the value of creating a quality improvement–driven, multicountry learning network to accelerate the pace of improving care systems in Africa to reduce mother-to-child transmission of HIV.
Applying Quality Improvement Approaches to Reduce Mother-to-Child HIV Transmission and Improve Health and Nutrition Care in Five Countries
This article describes the application of quality improvement (QI) methods, as part of the Partnership for HIV-Free Survival, to support governments and facility staff in five African countries in reducing maternal-to-child transmission of HIV.
Asthma Action Plan ("Stoplight" Tool)
Care teams, including pediatricians, nurses, and others as necessary, work with patients to create an Asthma Action Plan that outlines regular steps to prevent and/or treat asthma attacks.
Advancing Equity in Health Systems by Addressing Racial Justice
This article describes lessons from IHI’s work with health systems in three settings (the United States, Brazil, and Ethiopia) to advance racial equity.
IHI Trigger Tool for Measuring Adverse Drug Events
A method for using "triggers," or clues, in patient records to identify ADEs that may not have been reported through traditional mechanisms).
Framework for Effective Board Governance of Health System Quality
This white paper presents an actionable framework with the core processes needed for effective board governance of all dimensions of health system quality; an assessment tool; and support guides for three central knowledge areas for trustee oversight of quality.
"Conversation Ready": A Framework for Improving End-of-Life Care (Second Edition)
This white paper presents a framework built on five core principles to help health care organizations and clinicians develop reliable processes to engage patients in conversations about their wishes for end-of-life care, steward that information, and provide respectful end-of-life care that is concordant with patients’ stated goals, values, and preferences.
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.
WIHI: Assessing the Value of Age-Friendly Health Care
June 13, 2019 | Are there financial benefits to being an Age-Friendly Health System? Learn about the potential to unlock cost savings and generate new revenue, all while providing safer, more appropriate care for older adults.
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 greater mobility for older patients as part of a broadening vision of age-friendly care.
Health care and improvement-related websites.
National Pressure Ulcer Advisory Panel-Pressure Ulcer Staging System
The NPUAP has redefined the definition of a pressure ulcer and the stages of pressure ulcers, including the original four stages and adding two stages on deep tissue injury and unstageable pressure ulcers.
Institute for Clinical Systems Improvement (ICSI)
An independent, nonprofit organization, ICSI helps its members identify and accelerate the implementation of best clinical practices for their patients.