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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 4 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.
WIHI: A New Framework for Safety in Ambulatory Care
Current average rating is 5 stars.
March 10, 2016 | What contributes to patient harm? It depends, of course, on the setting. Safety is important in every clinical setting. Find out how some experts are applying new frameworks and ways of thinking to improving safety in ambulatory settings.
WIHI: New Tools and Thinking for Shared Decision Making
Current average rating is 5 stars.
January 28, 2016 | If you work in primary care today, odds are good that you’re seeing patients with multiple chronic conditions. Even if a provider and patient work together to choose the right medications and agree on making some lifestyle changes that will improve health, the best-laid plans often fall apart.
WIHI: Harnessing Improvement to Reduce Diagnostic Errors and Delays
Current average rating is 5 stars.
December 1, 2015 | One in twenty adults suffers a diagnostic error every year. How do we take such a formidable analysis and “wake-up call” about patient safety and turn it into opportunity?
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events
Current average rating is 4 stars.
The IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events provides an easy-to-use method for accurately identifying adverse events (harm) and measuring the rate of adverse event incidence over time in skilled nursing facilities (SNFs).
Profiles in Improvement: Azhar Ali, IHI Executive Director, Middle East and Asia-Pacific
Current average rating is 4 stars.
In this profile, IHI Executive Director Azhar Ali talks about the path that led him to IHI and the growing portfolio of IHI's work in the Middle East and Asia-Pacific regions that he is overseeing and helping to build.
Profiles in Improvement: Jennifer Lenoci-Edwards, RN, MPH, IHI Director, Patient Safety
Current average rating is 5 stars.
In this profile, Jennifer Lenoci-Edwards, IHI Director of Patient Safety, talks about the experiences that shaped her passion and dedication to improving safety, and the current focus of IHI's work in patient safety, which includes safety across the continuum of care, engaging patients in safety efforts, and supporting health care teams in improving system reliability and enhancing their joy in work.
Rethinking Critical Care: Decreasing Sedation, Increasing Delirium Monitoring, and Increasing Patient Mobility
Current average rating is 5 stars.
This article presents case studies of five hospitals/health systems participating in the Institute for Healthcare Improvement's Rethinking Critical Care program to reduce harm of critically ill patients by decreasing sedation, increasing monitoring and management of delirium, and increasing patient mobility.
WIHI: Reducing Risks and Defects with Help from the Front Lines
Current average rating is 0 stars.
April 23, 2015 | As health care quality improvement has matured, it’s common to hear the phrase, “Quality is everyone’s responsibility.” But what does that mean more precisely, and how does the concept apply day-to-day?
  
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