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The Role of Racism as a Core Patient Safety Issue
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Maternal mortality rates in the US are rising, particularly among black women. This article describes three things health care leaders can do to understand the contributing causes of mortality, including racism, and factors to reduce inequities and improve safety in maternal health.
Factors Influencing a Hospital-wide Intervention to Promote Professionalism and Build a Safety Culture
Current average rating is 3 stars.
A three-year qualitative study at an Australia hospital identifies valuable insights into factors influencing implementation of a multifaceted behavior change intervention to promote professionalism and build a culture of safety. The multiple interrelated factors impacting the hospital-wide intervention are discussed and analyzed.
Effective Strategies for Hospitals Responding to the Opioid Crisis
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This document provides hospital and health system administrators and leaders with specific improvement ideas for five system-level strategies that address the challenges of preventing, identifying, and treating opioid use disorder.
Improving Health Equity: Guidance for Health Care Organizations
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The eight health system teams participating in the Pursuing Equity initiative share strategies, examples of specific improvements tested, lessons learned, challenges and mitigation strategies, and tools and resources for improving health equity.
WIHI: No Let Up on Safety
Current average rating is 5 stars.
September 19, 2019 | Twenty years since the Institute of Medicine's groundbreaking report on patient safety in the American health care system, what has improved and what still needs work?
WIHI: Black Women and Maternal Care: Redesigning for Safety, Dignity, and Respect
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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?
Four Steps for Developing Reliable Processes
Current average rating is 3 stars.
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
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July 18, 2019 | How can health systems take action to improve workforce equity?
Using a Multicountry Learning Network to Harvest and Rapidly Spread Implementation Knowledge to Reduce Mother-to-Child Transmission of HIV
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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
Current average rating is 4 stars.
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.
A Six-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV
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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.
Advancing Equity in Health Systems by Addressing Racial Justice
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This article describes lessons from IHI’s work with health systems in three settings (the United States, Brazil, and Ethiopia) to advance racial equity.​
WIHI: Taking Acute Pain Seriously, Treating It Safely
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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
Current average rating is 5 stars.
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.
WIHI: What's an Apology Worth? The Case for Communication and Resolution
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April 18, 2019 | When a patient is unintentionally harmed, how should organizations respond?
WIHI: How to Make Patient Safety Easier to Explain and to Champion
Current average rating is 2 stars.
March 21, 2019 | Why is it so hard to explain patient safety outside of health care?
Selected Resources: Improving Opioid and Pain Management
Current average rating is 5 stars.
This document offers selected resources for clinicians and health care administrators to take action on opioid and pain management and opioid use disorder (OUD), organized into three categories: Patient Assessment, Intervention, and Treatment; Provider Training and Support; and Strategy and Planning.
Advancing the Safety of Acute Pain Management
Current average rating is 4 stars.
This report specifically and uniquely addresses acute pain management as a patient safety issue, including the overuse of opioids for acute pain. It provides health care safety leaders in hospitals, emergency departments (EDs), urgent care clinics, outpatient surgery facilities, and other acute care settings with specific action steps to improve the safety of acute pain management in their organizations.
Framework for Effective Board Governance of Health System Quality
Current average rating is 5 stars.
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.
Effectiveness of a Multistate Quality Improvement Campaign in Reducing Risk of Surgical Site Infections Following Hip and Knee Arthroplasty
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This article provides an assessment of IHI’s Project JOINTS initiative, a multistate QI campaign to promote adoption of evidence-based practices to reduce surgical site infections (SSIs) following hip and knee arthroplasty.
WIHI: The How and Why of Deprescribing
Current average rating is 5 stars.
September 13, 2018 | The ground is shifting for prescription medication. There’s much talk and publicity about deprescribing, the process that entails taking patients off some of their medications or tapering down the dosages.
Invite the Next Generation to Lead
Current average rating is 5 stars.
Reflecting on lessons from 10 years of the IHI Open School, this article shares five practical ideas for how can health care organizations can engage the next generation of health professionals as powerful change agents and leaders.
Transforming Concepts in Patient Safety: A Progress Report
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This article reviews progress to date to advance patient safety in the US in five essential areas of health care, as first identified in 2009 by the IHI/NPSF Lucian Leape Institute.
Leadership and Vision for a Culture of Safety
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Leaders seeking to transform their health care organization’s culture would do well to commit focused attention on six key areas described in this article.
No Place Like Home: Advancing the Safety of Care in the Home
Current average rating is 5 stars.
This report provides expert panel recommendations, strategies, and tools for realizing five guiding principles for advancing the safety of home care.
  
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