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Health Care Equity: From Fragmentation to Transformation
The authors describe a four-tier model that offers a practical framework to establish measurements that will advance equity for both patients and the staff of the health care provider organization.
Effect of Data Quality Improvement Intervention on Health Information Management System Accuracy
A data quality improvement initiative embedded within woreda clinical improvement collaborative in Ethiopia improved the accuracy of data used to monitor maternal and newborn health services. The initiative was a partnership between the Institute for Healthcare Improvement and the Ethiopian Federal Ministry of Health.
There Can Be No Quality Without Equity
Quality improvement tools and methods are well suited to an effort to improve equity in health and care. The missing ingredients over the past decades have been strategic intent and a sharply focused equity lens. The IHI Framework for Improving Health Equity can serve as a foundation for change in health care.
Telemedicine: Center Quality and Safety
This article offers four elements on which health care leaders must focus to ensure safe, high-quality telemedicine for patients.
Virtual Learning Hour Special Series: Psychological Personal Protective Equipment (PPE)
August 7, 2020 | Psychological PPE, "personal protective equipment" to promote health care workforce mental health and well-being, has become even more essential during the COVID-19 pandemic.
Thriving Together: A Springboard for Equitable Recovery and Resilience in Communities across America
This guide highlights numerous actions that communities, organizations, businesses, governments, and funders can take in the wake of COVID-19 and other related threats to the US — to create the vital conditions that all people and places need to thrive.
A Data-Driven Approach to Addressing Racial Disparities in Health Care Outcomes
This article describes lessons from Brigham Health in Boston to develop a robust data infrastructure to understand the differential impact of COVID-19 on patients and staff.
"Psychological PPE”: Promote Health Care Workforce Mental Health and Well-Being
The COVID-19 pandemic is exacerbating existing issues with health care professional burnout and joy in work. Evidence-based recommendations for “psychological PPE” (protection and support for staff mental health and well-being) are intended for use by staff providing care during the COVID-19 pandemic.
COVID-19: Patient Safety and Quality Improvement Skills to Deploy During the Surge
The authors suggest a five-step strategy and actions for patient safety and quality improvement staff to employ their skills to support patients, clinical staff, and health care organizations during the COVID-19 pandemic.
The Moral Determinants of Health
Six items are proposed as an "agenda for action" that physicians, nurses, and US health care institutions could help lead as a shared endeavor for securing the health of communities.
Virtual Learning Hour Special Series: Centering Equity in the Response to COVID-19
May 8, 2020 | COVID-19 is dramatically and disproportionately impacting communities of color in the US. What might it look like to embed equity in the response to the pandemic going forward?
Adopting a Systems Approach to the Opioid Crisis
Rather than a myopic focus on opioid prescription reduction, this article describes five strategies health care leaders can employ to implement a systems approach to timely and effective treatment of opioid use disorder, in tandem with pain assessment and management.
Virtual Learning Hour Special Series: Mobilizing to Respond to COVID-19
March 27, 2020 | Don Berwick and Derek Feeley share key coronavirus (COVID-19) learnings, innovations, and revelations they’ve been gathering and gleaning from health care leaders and improvers across the globe.
Zero Harm in Health Care
This article describes a comprehensive systems-focused approach to patient safety to achieve the goal of zero harm for patients, families, and the health care workforce. The approach includes four interdependent elements: the psychology of change, a culture of safety, an optimal learning system, and codesigning care and improvement with patients.
Providing Safe, High-Quality Maternity Care in Rural US Hospitals
This IHI Innovation Report examines the challenges and gaps that rural health care organizations in the US face; presents a synthesis of published evidence and effective approaches developed by clinicians and leaders; and describes potential strategies for providing safe, high-quality maternity care in rural areas.
Advancing Safety and Equity Together
There are widespread inequities in health outcomes in the United States based on race, sex, language, and other factors. But there is no such thing as high-quality, safe care that is inequitable. Health systems can leverage patient-safety programs to advance equity.
A Quality Improvement Initiative to Increase the Frequency of Vaginal Delivery in Brazilian Hospitals
Four key interventions implemented with quality improvement (QI) methods in Brazilian hospitals were associated with increased vaginal delivery, suggesting that this approach may help address the global C-section delivery epidemic.
The Role of Racism as a Core Patient Safety Issue
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
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
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
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
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
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
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?