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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.
Novel Quality Improvement Method to Reduce Cost While Improving the Quality of Patient Care
This article describes continuous value management (CVM), an approach developed by IHI in partnership with NHS Highland that is derived from Lean accounting and employs quality improvement (QI) methods, to assist health systems to decrease operating costs and reduce or repurpose resources to improve efficiency.
Quality Improvement Team Member Matrix Worksheet
Effective quality improvement (QI) teams are multidisciplinary and include different areas of expertise. Use this worksheet to help you form a QI team that represents a range of perspectives and expertise.
QI Team Member Work Styles Inventory Worksheet
Quality improvement (QI) team members can use this worksheet to identify their preferred work styles.
Quality Improvement Project Measures Worksheet
Use this worksheet to identify the process, outcome, and balancing measures for your quality improvement project.
Quality Improvement Project Change Concepts Worksheet
A change concept is a general notion or approach to change that has been found to be useful in developing specific ideas for improvement. Use this worksheet to choose and explore relevant change concepts for a quality improvement project.
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.
Sustainability Planning Worksheet
Teams may use this worksheet to help plan for the long-term sustainability of an improvement effort.
Ethiopia Health Care Quality Initiative: Design and Initial Lessons Learned
The Ethiopian Federal Ministry of Health and IHI co-designed a three-pronged approach to accelerate health system improvement nationally, which included developing a national health care quality strategy, building quality improvement (QI) capability at all health system levels, and introducing scalable QI collaboratives across four regions.
Special Edition Podcast: Creating a Culture of Continuous Improvement That Outlasts Your Leaders
December 10, 2019 | Learn about evidence-based approaches that ensure a culture of improvement lasts beyond the tenure of any senior individual.
Aim Statement Worksheet
An effective aim statement is fundamental for every quality improvement project. Use this worksheet to help you write a clear, specific aim statement and complete the checklist to double-check your work.
Are You Using Data the Right Way?
Health care leaders rely on data to guide decisions, yet when data is misinterpreted it impacts the quality of those decisions. This article discusses using data the right way to inform decisions, including control charts to display and interpret data over time.
Using a Multicountry Learning Network to Harvest and Rapidly Spread Implementation Knowledge to Reduce Mother-to-Child Transmission of HIV
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
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
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.
How One Health System Overcame Resistance to a Surgical Checklist
This article describes three mindshifts for overcoming resistance to change and provides an example of one health system that used this approach to overcome resistance to employing a surgical safety checklist.
Is Your Board Effectively Overseeing Quality?
This article gives an overview of IHI's Framework for Effective Board Governance of Health System Quality and recommends three guiding principles to build improvement knowledge and capacity among board members.
The Answer to Culture Change: Everyday Management Tactics
This article describes the High-Performance Management System, a model developed by IHI to drive sustained value improvement using a clear rhythm of performance measurement and communication via huddles and visual management.
Leveraging the Psychology of Change
This article presents an overview of the IHI Psychology of Change Framework with key takeaways for leaders, to help them understand why people resist change and how to activate people to advance and sustain improved care.
Framework for Effective Board Governance of Health System Quality
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.
WIHI: Building the Will and Skill to Be a Clinical Improver
November 8, 2018 | Quality improvement knowledge can unite clinicians in the common pursuit of better clinical decision making and encourage more clinicians to take the lead with improving care delivery.
Effectiveness of a Multistate Quality Improvement Campaign in Reducing Risk of Surgical Site Infections Following Hip and Knee Arthroplasty
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.
Leading Quality Across a System
This article describes five core drivers for effective health care chief quality officers (CQOs) in their role of overseeing and aligning quality efforts within and across health care systems.
IHI Psychology of Change Framework
This white paper is a guide for all leaders interested in understanding the underlying psychology of change and leveraging its power to impact quality improvement efforts: to achieve breakthrough results, sustainably, at scale.