Patient Safety

Our goal: Work with countries, regions, organizations, and individuals to build safety into every system of care, ensuring that patients receive the safest, most reliable care across the continuum. More >>


In the Spotlight

Trigger Tool Methodology Used to Identify “Harmful Events” in Pediatric Cases
Using an adaptation of the IHI Global Trigger Tool in a review of 600 patient medical records from six participating organizations, researchers found a “rate of 40 harms per 100 admitted patients, a much higher number than many previous academic studies have shown.” Read about it in this Health IT News story.

Learning from Medical Errors
In this IHI Open School video we hear from three IHI faculty, Lucien Leape, Michael Leonard, and Kathy Duncan, about their own experiences with medical errors and their reflections on what they learned from those mistakes.

Analysis of “Never Events” among Weekend Admissions to US Hospitals
This recent BMJ article describes a national analysis of the incidence of “never events” among weekend admissions versus weekday admissions to US hospitals. The authors find that “weekend admission to hospital is associated with an increased likelihood of hospital-acquired condition, cost, and length of stay.”

Rethinking Sedation, Delirium, and Mobility for ICU Patients
In this IHI Blog post, IHI Director Kelly McCutcheon Adams reflects on why her work on sedation, delirium, and mobility has been some of the most exciting work she’s done in her ten years working with IHI. She is co-author of a related article in The Joint Commission Journal on Quality and Patient Safety, which describes case studies from five organizations that were participants in IHI’s Rethinking Critical Care program.

 

Upcoming Educational Programs

Using a Multidisciplinary Approach to Improve Hand Hygiene
Begins May 27 | IHI Expedition

Building a Clinician Peer Support Program: A MITSS and IHI Web&ACTION
Begins July 9

Patient Safety Executive Development Program
September 16-22 | Cambridge, MA

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