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Measuring Patient Safety in Real Time: An Essential Method for Effectively Improving the Safety of Care
Current average rating is 0 stars.
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.
10 IHI Innovations to Improve Health and Health Care
Current average rating is 5 stars.
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.
WIHI: A New Emergency Checklist for Office-Based Surgery
Current average rating is 0 stars.
October 26, 2017 | While serious harm remains uncommon for outpatient surgeries, adverse events do occur, particularly when anesthesia is involved. A new safety checklist can help clinical teams be better prepared for what to do if something goes wrong.
Reducing Inappropriate Medication Use by Implementing Deprescribing Guidelines
Current average rating is 0 stars.
This case study from the IHI/Commonwealth Fund International Program for US Health Care System Innovation describes how a multidisciplinary team of clinical experts in Ottawa, Canada, created a credible, low-cost process for developing and implementing evidence-based deprescribing guidelines and tools for assessing, tapering, and stopping medications that may cause harm or no longer benefit patients.
Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database
Current average rating is 5 stars.
A culture of blame and fear of retribution are recognized barriers to reporting patient safety incidents. This article finds a high frequency of blame in a random sample of safety incident reports in the UK, suggesting that there are still opportunities to shift toward a more systems-focused, blame-free culture in health care.
WIHI: Tuning Up Health System Boards for Patient Safety
Current average rating is 0 stars.
September 15, 2017 | What do we need and expect from trustees of health systems when it comes to their oversight of quality and safety?
WIHI: Workplace Violence in Health Care Can't Be the Norm
Current average rating is 0 stars.
August 10, 2017 | It's estimated that nearly 50 percent of workplace assaults happen in a health care setting. What solutions are health care organizations putting in place to help deal with this unique and dangerous problem?
Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities
Current average rating is 4 stars.
Based on a scan of peer-reviewed and grey literature and subject matter expert interviews, this report examines challenges related to patient safety in the home, including fragmentation of care; household hazards; ill-prepared family caregivers; limited training and regulation of home care workers; inadequate communication among patients, caregivers, and providers; and misaligned payment incentives.
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance
Current average rating is 5 stars.
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.
Health Care Providers Must Act Now to Address the Prescription Opioid Crisis
Current average rating is 0 stars.
While a community-wide approach is also needed to effectively address the opioid crisis, the authors describe some key actions that both providers and organizations can take to begin making a difference, including changing provider prescribing practices.
Does a Quality Improvement Campaign Accelerate Take-up of New Evidence? IHI’s Project JOINTS
Current average rating is 0 stars.
IHI’s Project JOINTS initiative engaged a network of state-based organizations and professionals in a six-month QI campaign to promote adherence to three evidence-based practices to reduce surgical site infection (SSI) after joint replacement.
WIHI: Practicing Respect and Preventing Harm
Current average rating is 0 stars.
February 9, 2017 | Most of us know what it feels like to have an interaction with someone that can feel rushed, incomplete, maybe even abrupt or downright rude. What are the consequences of these encounters?
Development of a Trigger Tool to Identify Adverse Events and Harm in Emergency Medical Services
Current average rating is 0 stars.
This article describes the development and implementation of the Emergency Medical Services Trigger Tool (EMSTT), a sampling strategy similar to the Global Trigger Tool with EMS-specific triggers, to identify and measure adverse events and harm over time in the Emergency Medical Services setting.
WIHI: The Next Wave of Patient Safety
Current average rating is 2 stars.
January 26, 2017 | We are heading into the new year more determined than ever to help hospitals and health systems make greater gains in reducing harm to patients, anchored by a renewed focus and new framing. What is your plan for patient safety in 2017?
A Framework for Safe, Reliable, and Effective Care
Current average rating is 5 stars.
The framework described in this white paper brings together the strategic, clinical, and operational concepts that are critical to creating a "system of safety" that achieves safe, reliable, and effective care.
WIHI: How to Speak Up for Safety
Current average rating is 0 stars.
November 17, 2016 | We like to think that robust safety cultures are so common in health care organizations today, everyone is comfortable pointing out missteps and discrepancies to their colleagues and even getting better at bringing them to the attention of their supervisors. Not so fast.
WIHI: Building Systems of Safety
Current average rating is 3 stars.
November 3, 2016 | Systems of safety, culture change, reliability, and a continuous learning system. These are not just theoretical concepts; they’re grounded in a lot of keen observations and careful work over many years and may be key to sustaining improvements in safety.
Building a Culture of Improvement at East London NHS Foundation Trust
Current average rating is 5 stars.
East London NHS Foundation Trust (ELFT) in the UK provides mental health and community services to a diverse and largely low-income population. By establishing an organization-wide culture of continuous improvement, and integrating quality improvement methodology and training at every level of work, ELFT has significantly reduced incidents of inpatient violence and improved staff satisfaction, among other achievements.
Patient Safety at the Crossroads
Current average rating is 4 stars.
This article reevaluates the status of patient safety improvements 15 years after "To Err Is Human" was published, noting there have been varying levels of improvement and effectiveness, and proposes a course for future patient safety work.
Methods for Reducing Sepsis Mortality in Emergency Departments and Inpatient Units
Current average rating is 1 stars.
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.
Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool
Current average rating is 0 stars.
This study's objective was to develop and test the Global Assessment of Pediatric Patient Safety (GAPPS) trigger tool, which measures hospital-wide rates of adverse events (AEs) and preventable AEs. The study found that the GAPPS tool reliably identifies AEs among pediatric inpatients and can be used to guide and monitor quality and safety improvement efforts.
Addressing the Opioid Crisis in the United States
Current average rating is 3 stars.
This IHI Innovation Report discusses key reasons why current efforts to reduce prescription opioid use and misuse in the US have thus far been largely ineffective in stemming the crisis; highlights gaps in current efforts that underscore the need for a coordinated and collaborative community-wide approach; identifies four primary drivers to reduce opioid use; and proposes a high-level construct for a system approach at the community level to address the US opioid crisis.
WIHI: Nurturing Trust: Addiction and Maternal and Newborn Health
Current average rating is 0 stars.
June 2, 2016 | Addiction is always a complex challenge, but when a woman using substances is pregnant, suddenly two lives are at stake.
WIHI: The Opioid Crisis: How Health Care and the Community Can Act
Current average rating is 4 stars.
April 21, 2016 | The US is in the midst of a serious opioid addiction epidemic, driven largely by an explosion of prescribed pain medications. This WIHI discusses IHI's work to scan for best practices that comprise a community-driven, integrated, and multi-sector approach to address the opioid crisis, as well as efforts underway in New Hampshire and California.
Radically Redesigning Patient Safety
Current average rating is 3 stars.
Standardize what makes sense. Customize to the individual. Change the balance of power. These are three of the “10 Rules for Radical Redesign in Health Care,” developed by IHI Leadership Alliance members, that are particularly applicable to improving patient safety.This article highlights organizations that are using these rules to make care safer.
  
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