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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.
Equity and Quality: Improving Health Care Delivery Requires Both
This article describes how the health system can use the existing infrastructure developed to measure, monitor, improve, and incentivize quality to build a more equitable health system by focusing on data, leadership and governance, and payment.
The Quintuple Aim for Health Care Improvement: A New Imperative to Advance Health Equity
This article proposes expanding the original Triple Aim (improving population health, enhancing the care experience, reducing costs) beyond the "quadruple aim" (addressing clinician burnout) to a "quintuple aim" that includes advancing health equity.
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.
Addressing Pushback on Health Equity
This article provides guidance for health care leaders to effectively prepare for and address pushback on health equity, including using data and stories to harness curiosity as an antidote to fear and resistance.
Getting Grounded: Building a Foundation for Health Equity and Racial Justice Work in Health Care Teams
This article proposes a three-pronged approach for equity improvement teams to build a strong foundation to effectively, collaboratively, and authentically dismantle racism in health care.
Why Health Care Systems Should Invest in Medical Malls
Medical malls have the potential to enable hospital-based systems to deliver care more effectively, efficiently, and flexibly and to help address health care inequities.
An Equity Agenda for the Field of Health Care Quality Improvement
Convened by the National Academy of Medicine, leaders of seven prominent US health care quality organizations identified equity as the most important priority for the health care quality movement in the next 20 years. This paper summarizes key barriers and strategies to advancing equity in health care quality.
Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care
This white paper describes a framework to guide health care organizations in their efforts to provide safe, equitable, person-centered telemedicine. The framework includes six elements to consider: access, privacy, diagnostic accuracy, communication, psychological and emotional safety, and human factors and system design.
Making Healthcare Safe
Written by Lucian Leape, a pioneer of the patient safety movement, this book describes how patient safety became recognized as an important problem, the underlying science, and the efforts to implement changes.
Better Maternal Outcomes Quality Improvement Workbooks
Developed as part of the Better Maternal Outcomes Rapid Improvement Network, the workbooks contain descriptions, examples, and templates for tools that teams can use to guide their quality improvement (QI) work focused on improving maternal health outcomes and equity.
Aiming Beyond Equality to Reach Equity: The Promise and Challenge of Quality Improvement
To support achieving the quality needed for effective universal health coverage, the authors argue that quality improvement must focus on equity in addition to measuring average quality and change.
Black Maternal Health: Reducing Inequities Through Community Collaboration
These reports describe the guiding principles for the Better Maternal Outcomes: Redesigning Systems with Black Women project, and the experience of the four communities participating in the project to improve outcomes and reduce racial inequities in maternal outcomes for Black people who birth through community collaboration.
Tackling Systemic Racism in Maternity Care
A Brazilian health collaborative uses improvement science and the concept of “liberatory consciousness” to address racism in maternity care.
Addressing Institutional Racism in Healthcare Organizations
This article presents strategies in five core areas to guide health care leaders as they seek to address institutional racism in their organizations.
Prioritizing People and Rapid Learning in Times of Crisis: A Virtual Learning Initiative to Support Health Workers During the COVID‐19 Pandemic
This article reports on an initiative set up within Africa's Western Cape provincial Department of Health early in the COVID-19 pandemic to facilitate collective learning and support for health workers and managers across the health system. Strategies and three transformational actions that protect staff are shared.
Building an Equitable System for Postsecondary Education Transition and Success
Based on IHI’s background in health and health care, we recognize certain similarities between the education and health care sectors, both in terms of their strengths and assets and also some systemic challenges both sectors face. The framework presented in this document focuses on both "Whole Person" and "Whole Community" to guide work to achieve student well-being and community well-being, now and in the future.
How to Safely Restart Elective Surgeries After a COVID Spike
The COVID-19 pandemic has affected surgical schedules and staff: some staff are fatigued and stressed, some may be out of practice, and there are large backlogs of procedures that were postponed. To keep surgical staff and patients safe during these difficult times, this article recommends that health systems should take four steps
A Guide to Promoting Health Care Workforce Well-Being During and After the COVID-19 Pandemic
This guide provides ideas and lessons learned to improve the well-being of the health care workforce and includes actions that individuals, leaders, and organizations can take to combat health care workforce burnout, fatigue, and emotional distress during the COVID-19 pandemic and beyond.
Workforce Safety Key to Patient Safety
Health care leaders increasingly recognize that patient safety is not possible without a workforce that is physically and psychologically safe, joyful, and thriving. This article describes three actionable recommendations to improve workforce safety.
100 Million Healthier Lives Community Transformation Resources
This collection of resources, developed as part of the 100 Million Healthier Lives initiative (100MLives), helps communities accelerate progress toward ensuring they are healthy and equitable places for everyone who lives there.
100 Million Healthier Lives Health and Well-Being Measurement Approach and Assessment Tools
These tools and resources, developed as part of the 100 Million Healthier Lives initiative, help individuals, organizations, and communities measure what matters most to advance health, well-being, and equity at multiple levels and across topics.
100 Million Healthier Lives Engaging People with Lived Experience Tools
This collection of resources, developed as part of the 100 Million Healthier Lives initiative, provides key information and tools to support communities and organizations to authentically engage people with lived experience in co-design and implementation efforts.
100 Million Healthier Lives Advancing Equity Tools
These tools and resources, developed as part of the 100 Million Healthier Lives initiative, support communities' efforts to prioritize equity in an authentic and deep way and address racism as a determinant of health as they work toward achieving improvements in health and well-being.