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Transforming Concepts in Patient Safety: A Progress Report

Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: A progress report. BMJ Quality and Safety. Published Online First: July 17, 2018.

In 2009, the IHI/NPSF Lucian Leape Institute (LLI) published a paper identifying five areas of health care that require system-level attention and action to advance patient safety. While all five areas have seen encouraging developments, multiple challenges remain. This article assesses progress made in the US since 2009 and discusses ongoing challenges.

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Organizational Trustworthiness in Health Care

The Institute for Healthcare Improvement partnered with the American Board of Internal Medicine Foundation to identify key organizational-level drivers and change ideas that repair, build, and strengthen trust between health care organizations and clinicians, and between health care organizations and the communities they serve. This report describes a theory of how to repair, build, and strengthen trust, presented as a three-step approach with specific change ideas and associated measures for improvement.
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults

The primary aim of the IHI innovation project described in this report was to assess the use of predictive analytics, specifically machine learning, to improve patient safety through emerging and existing approaches to predict risk, such as technologies and decision support tools. Specific attention was given to how predictive analytics and machine learning can assist in monitoring patient deterioration in the home setting for adults ages 18 and older.
Avoiding "Drift" into Harm

This article presents specific steps leaders can take to reinforce effective patient safety practices and address workarounds that may unintentionally result in harm.
Preventing Health Care Workforce Suicide

Based on available literature and consensus among leading suicide prevention experts, this article highlights three key areas of mental health that all health care leaders need to prioritize: reduce stigma, increase access to mental health services, and address job-related challenges.
Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence

Organizations can use this self-assessment tool with 10 recommended practices for diagnostic excellence to understand current diagnostic practices, identify areas to improve, and track progress toward diagnostic safety and excellence over time.

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Leadership for Workforce Well-Being Professional Development Program
Begins April 25–26, 2023 | Online and in person | Boston, MA

High-performing health care organizations know that they must make the well-being of their workforce a top priority. The Institute for Healthcare Improvement’s Leadership for Workforce Well-Being Professional Development Program will help you gain the skills, tools, and methods to be the highly trained and specialized leader of workforce well-being that your organization needs.
Certified Professional in Patient Safety (CPPS) Review Course
April 27-28, 2023 | IHI Forum 2022 Online

The Certified Professional in Patient Safety credential (CPPS) establishes core standards for the field and sets an expected proficiency level for those seeking to become professionally certified in patient safety.
IHI Patient Safety Congress 2023
May 22–24, 2023 | National Harbor, MD, USA

The IHI Patient Safety Congress, brings together people who are passionate about ensuring safe care equitably for all across the globe. This annual meeting is the must-attend event for those who continue to shape smarter, safer care for patients wherever it’s provided – from the hospital to outpatient settings to the home.

Publications

Transforming Concepts in Patient Safety: A Progress Report