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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.
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.
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.
Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture
A new survey for assessing patient safety culture in hospitals was released in November 2004 by the Agency for Healthcare Research and Quality (AHRQ
Focus on Quality
Get With The Guidelines is a program that helps ensure consistent application of the most recent scientific guidelines for heart disease and stroke treatment.
WIHI: Taking Acute Pain Seriously, Treating It Safely
May 30, 2019 | Health care needs to create safer processes for acute pain management. But what roles should patients play in this? A new IHI report provides reccomendations to sharpen acute pain management strategies in your health system.
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.
Transforming Care at the Bedside How-to Guide: Reducing Patient Injuries from Falls
This How-to Guide highlights four promising changes designed to reduce patient injury from falls on medical-surgical units; specifies practical step-by-step changes that can be tested; and provides tips, tools, resources, and case studies of hospitals that have implemented many of the changes.
How-to Guide: Reduce MRSA Infection
This How-to Guide describes key evidence-based care components for reducing methicillin-resistant Staphylococcus aureus (MRSA) infections, 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.
How-to Guide: Improved Care for Patients with Congestive Heart Failure
The goal of this How-to Guide is to significantly improve care and reduce readmissions for patients with congestive heart failure by reliably implementing the recommended components of care.
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: Improving Hand Hygiene
This How-to Guide is designed to help organizations reduce healthcare-associated infections, including infections due to antibiotic-resistant organisms, by improving hand hygiene practices and use of gloves among health care workers.
How-to Guide: Prevent Surgical Site Infections
This How-to Guide describes key evidence-based care components for preventing surgical site infections, describes how to implement these interventions, and recommends measures to gauge improvement.
How-to Guide: Prevent Adverse Drug Events (Medication Reconciliation)
This How-to Guide describes key evidence-based care components to prevent ADEs by implementing medication reconciliation at all transitions in care.
How-to Guide: Prevent Pressure Ulcers
This How-to Guide describes key evidence-based care components for preventing pressure ulcers, describes how to implement these interventions, and recommends measures to gauge improvement.
How-to Guide: Prevent Harm from High-Alert Medications
This How-to Guide describes key evidence-based care components for preventing harm from high-alert medications, describes how to implement these interventions, and recommends measures to gauge improvement.
How-to Guide: Prevent Ventilator-Associated Pneumonia
This How-to Guide describes key evidence-based care components of the IHI Ventilator Bundle which has been linked to prevention of ventilator-associated pneumonia.
How-to Guide: Prevent Central Line-Associated Bloodstream Infection
This How-to Guide describes key evidence-based care components of the IHI Central Line Bundle which has been linked to prevention of central line-associated bloodstream infections, describes how to implement these interventions, and recommends measures to gauge improvement.
WIHI: What's an Apology Worth? The Case for Communication and Resolution
April 18, 2019 | When a patient is unintentionally harmed, how should organizations respond?
A daily 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.
Failure Modes and Effects Analysis (FMEA) Tool
A systematic, proactive method for evaluating a process or product to identify where and how it might fail and to assess the relative impact of different failures, in order to identify the parts of the process that are most in need of change.
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.
SBAR Tool: Situation-Background-Assessment-Recommendation
The SBAR (Situation-Background-Assessment-Recommendation) technique provides a framework for communication between members of the health care team and can be used as a tool to foster a culture of patient safety.