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Human-Centered Design and Performance Improvement: Better Together
Kaiser Permanente, an IHI Strategic Partner, is fusing methods from human-centered design and performance improvement to systematically partner with patients, families, and customers to co-design better care, systems, and programs.
Profiles in Improvement: Jennifer Lenoci-Edwards, RN, MPH, IHI Director, Patient Safety
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.
WIHI: Reducing Risks and Defects with Help from the Front Lines
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?
Frontline Dyad Approach to Maximize Frontline Engagement in Improvement and Minimize Resource Use
The Frontline Dyad Approach begins with a conversation with frontline staff to identify potential defects in care processes. The approach encourages small-scale testing with the smallest working group (two frontline staff, or "dyad") and, because of the very important scoping function, provides improvement with minimal resource use in a very short timeframe (within 30 days or less).
WIHI: The Managers and Management We Need to Improve Care
March 26, 2015 | Health care leaders have an incredibly important role to play in driving improvement initiatives in their organizations. So do people on the frontlines of care. What we aren’t as articulate about is the role that middle managers play.
WIHI: Making the Work of QI Less Draining and More Sustaining
June 5, 2014 | This WIHI features a discussion of ways health care organizations can be mindful of the burden constant change and improvement efforts place on frontline staff.
Promising Care: How We Can Rescue Health Care by Improving It
This book collects 16 landmark speeches given by Donald M. Berwick (including all of his speeches delivered at IHI’s annual National Forum on Quality Improvement in Health Care from 2003 to 2012) that clearly show why our medical systems don’t reliably contribute to our overall health. Berwick offers a vision for making our systems better — safer, more effective, more efficient, and more humane.
ISHAPED Patient-Centered Approach to Nurse Shift Change Bedside Report
ISHAPED (I=Introduce, S=Story, H=History, A=Assessment, P=Plan, E=Error Prevention, and D=Dialogue) focuses on making bedside shift reports more patient- and family- centered. The goal is to always include patients in the ISHAPED nursing shift-to-shift handoff process at the bedside to add an additional layer of safety by enabling the patient to communicate potential safety concerns.
SMART Discharge Protocol
The SMART Discharge Protocol (Signs, Medications, Appointments, Results, and Talk with me) was developed to improve care for patients and families and to improve the discharge process. The tools include the SMART Discharge Checklist for patients and families, FAQs for health care staff and clinicians about implementing the SMART Discharge Protocol, a presentation, and a self-learning packet.
Always Events Blueprint for Action and Always Events Healthcare Solutions Book
These tools guide organizations in creating a more person- and family-centered culture through the development and implementation of Always Events, defined as aspects of the patient experience that are so important to patients and families that health care providers should always get them right.
Impact Evaluation of a Quality Improvement Intervention on Maternal and Child Health Outcomes in Northern Ghana: Early Assessment of a National Scale-up Project
This study of the early phase of Project Fives Alive! to improve key maternal and child health outcomes in Ghana demonstrates that the quality improvement (QI) approach of testing and implementing simple, low-cost, locally-inspired changes has the potential to lead to improved health outcomes at scale both in Ghana and other low- and middle-income countries.
A Promise to Learn – A Commitment to Act: Improving the Safety of Patients in England
An independent group of experts, chartered to review issues that compromise patient safety in England’s National Health Service (NHS), report ten recommendations to improve systems, safety, and culture in the NHS. These recommendations are broadly applicable to other health care institutions and settings.
Ensuring Safe Use of Medical Devices
In this article, IHI's Frank Federico contributes his perspective and guidance on how to improve medical device safety. Among the considerations for improving safety are device design, ongoing staff training and assessment of device use, and establishing an effective reporting system for device-related issues that can cause patient harm.
Lists That Work: The Healthcare Leader's Role in Implementation
This article describes the experiences of several health care organizations in implementing checklists to improve patient safety, and the critical role leaders play in supporting this work.
The Leader's Role in Medical Device Safety
This article provides recommendations and resources for improving medical device safety, including guidance for leaders, who are in a key position to ensure that medical device purchasing decisions engage core staff in the process, incorporating their input and device use experience to inform the process.
Tapping Front-Line Knowledge: Identifying Problems as They Occur Helps Enhance Patient Safety
This article describes a methodology, developed and tested by IHI and Cedars-Sinai Medical Center, that helps front-line staff to "see" and solve patient safety problems in their systems using an informal unit visit “conversation” about safety issues.
Approaches to Training Faculty at Academic Medical Centers to Ensure That Clinical Trainees Become Effective Improvers: IHI 90-Day R&D Final Summary Report
This IHI 90-day R&D project focused on assisting academic medical centers and graduate medical education programs in becoming aligned and capable in quality and safety programming.
Patient-Centered Leadership and Front-line Quality Improvement
An interview with IHI CEO Maureen Bisognano, who discusses patient-centered leadership and ways to improve health care.
Profiles in Improvement: Katharine Luther, Vice President, IHI
IHI Vice President Kathy Luther describes her career in health care quality improvement, and how her current IHI work includes getting finance and clinicians to work together to impact cost and quality.
"An Ounce of Prevention": Maureen Bisognano, IHI International Summit 2012 Keynote
In her keynote presentation at the International Summit, IHI President and CEO Maureen Bisognano outlines a vision of changing the conversation between patients and providers from "What's the matter?" to "What matters to you?"
Profiles in Improvement: Dr. Nana Twum-Danso, IHI
Nana A.Y. Twum-Danso, MD, MPH, the outgoing Executive Director for IHI African Operations, talks about emerging quality improvement work in Ghana, Malawi, and South Africa.
Passport Exclusive: Improvement Skills to Empower Front-Line Nurses II
This recording discusses Managing Patient Care Risk: Beyond the Checklist. How does the front-line nurse engage her team, foster communication, and improve teamwork — the three requirements for effective use of a checklist?
Passport Exclusive: Improvement Skills to Empower Front Line Nurses I
This recording discusses Developing a Sensitivity to Risk, including many tools that can help uncover and reduce risk and patient harm.
Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement’s 100,000 Lives Campaign
This paper assessed how hospital organizational and cultural factors associated with implementation of quality initiatives such as the Institute for Healthcare Improvement’s 100,000 Lives Campaign differ among levels of healthcare staff.
Healthcare Team Vitality Instrument
A short, validated instrument to measure the vitality of health care team members; developed by Betsy Lee, RN, MSPH, and Valda Upenieks, PhD, RN, as part of the Transforming Care at the Bedside initiative.