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The imperative for quality: A call for action to medical schools and teaching hospitals
Representatives of 23 academic medical centers (AMCs) participating in IHI’s IMPACT network reflect on their experiences and suggest a number of approaches to help AMCs assume greater leadership in improvement of quality.
Leadership strategies of medical school deans to promote quality and safety
In April 2003, an informal collaborative of medical schools was convened by the Institute for Healthcare Improvement to achieve learning objectives for medical students for the improvement of care. The deans of the 10 founding schools were interviewed in 2004 regarding their strategies to achieve this goal. The deans felt that their work in recruiting leaders in the field of quality, developing organizational structures to facilitate quality initiatives, empowering faculty, and promoting educational reforms were essential elements for achieving learning objectives.
A Movement Model of Social Change
Watch Parker Palmer's "A Movement Model of Social Change" plenary speech at the 10th Annual National Forum on Quality Improvement in Health Care (December 1998). Listen in on how he advises leading with the heart to bring about social change.
Bottom-Up Versus Top-Down Change
Think you’re powerless because you’re a student? Think again. In this video, four students explain how they helped out with real-life improvement projects – and turned their experience into presentations and publications.
Beyond expectations: Part 2
This second article of a two-part series describes how nurse leaders and other members of quality improvement teams participating in IHI's 100,000 Lives Campaign were able to reduce mortality in their hospitals.
Beyond expectations: Part 1
The Institute for Healthcare Improvement estimates that hospitals participating in the 100,000 Lives Campaign saved more than 122,300 lives in 18 months.
The Essential Guide for Patient Safety Officers
This second edition of the book offers a roadmap that enables health care organizations to create the necessary strategy, structure, environment, and metrics to improve the safety and reliability of the care they provide.
The clinical transformation of Ascension Health: Eliminating all preventable injuries and deaths
In 2002 Ascension Health, a 67-hospital not-for-profit health care system, embarked on a journey of clinical transformation to eliminate preventable injuries or deaths. This transformational change implies a much greater pace of change than that reflected in traditional, incremental change processes.
Reducing harm to patients
This article by Michael Pugh and James Reinertsen is the second in a series on key leadership strategies that can improve patient safety.
"What's the ethics of that?" A conversation with Thomas O. Pyle
This interview with Tom Pyle (CEO of Harvard Community Health Plan) explores his background, his interpretation of HCHP’s evolution and eventual transition to a much different organization, and his recommendations for the future.
Public Reporting and Transparency
This report provides a brief history of efforts in the US to make information on health system performance (cost and quality) more transparent and publicly available.
10 MORE Powerful Ideas for Improving Patient Care
Authors Maureen Bisognano and Paul Plsek — both frontline figures in the improvement and innovation field — share concepts in enhancing care and service delivery that have been developed and successfully implemented in outpatient as well as inpatient settings of actual health care organizations.
To the class of 2005: Will you be ready for the quality revolution?
This article is based on the commencement address given by Blair L. Sadler, JD, to the graduating class of the University of California at San Diego School of Medicine.
All-or-none measurement raises the bar on performance
All major quality measurement systems use science-based indicators of proper processes of care. In this article the authors describe three different measurement options.
An Agenda for Patient Safety and Quality in Wales
In Jan 2007, Dr. Donald Berwick, President and CEO of the Institute for Healthcare Improvement, addressed senior government and health care leaders at a conference in Wales on establishing a national agenda for patient safety and quality.
10 Powerful Ideas for Improving Patient Care: Book 4
This is the fourth book in a series for health care executives designed to share innovations in patient care that are reliable, ready for implementation, and have been used successfully.
Helping leaders blink correctly: Understanding variation in data can help leaders make appropriate decisions (Part 2)
This article describes two of four necessary skills health care leaders need to develop in order to "blink" appropriately (i.e., make decisions based on robust analysis and interpretation of data): understanding and depicting variation, and translating data into information.
10 Powerful Ideas for Improving Patient Care: Book 3
This is the third book in a series for health care executives designed to share innovations in patient care that are reliable, ready for implementation, and have been used successfully.
The leader's role in quality and safety improvement: A review of research and guidance
The Swedish Association of County Councils, Stockholm (Lanstingsforbundet), has produced this review of research and guidance in order to further develop its leaders for Quality and Safety Improvement.
Key issues in developing a successful hospital safety program
One of the most important interventions is for hospital leadership to get the hospital's board involved with safety/quality. Boards are typically comprised of nonclinical individuals, so hospital leaders and staff will need to educate them.
US Health Care Reform by Region
In this paper presented to the IHI Board of Directors in February 2010, IHI Senior Fellow Tom Nolan suggests that regional solutions may be the most promising for health care reform on a national level.
A healthy bottom line: Healthy life expectancy as an outcome measure for health improvement efforts
This article critically reviews the literature and practices around the world for measuring and improving healthy life expectancy (HLE) and synthesizes that information as a basis for recommendations for the adoption and adaptation of HLE as an outcome measure in the United States.
Leading Change: Why Transformational Efforts Fail
The author introduces a comprehensive eight-step framework for change. One of the key concepts in Kotter’s approach is the importance of fostering a sense of urgency as part the change process.
Nursing's role in transforming healthcare
Nurses are crucial to closing the gaps in quality and safety that too often exists in patient care.
Cottage industry to postindustrial care: The revolution in health care delivery
The authors state that the current US health care system is essentially a cottage industry of nonintegrated, dedicated artisans who eschew standardization.