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• A Framework for Safe, Reliable, and Effective Care
  The framework described in this white paper brings together the strategic, clinical, and operational concepts that are critical to creating a "system of safety" that achieves safe, reliable, and effective care.
• Achieving Health Equity: A Guide for Health Care Organizations
  This white paper presents a framework for health care organizations to improve health equity in the communities they serve, guidance for measuring health equity, a case study of one organization that has strategically integrated health equity throughout its system, and a self-assessment tool for organizations to gauge their current focus on and efforts to improve health equity.
• Achieving Hospital-wide Patient Flow
  This white paper guides health care leaders and quality improvement teams through an in-depth examination of a system-wide view of patient flow within (and outside) the hospital, including high-leverage strategies and interventions to achieve hospital-wide patient flow.
• Comparing Lean and Quality Improvement
  This IHI white paper provides detailed descriptions of Lean and the IHI approach to quality improvement, including the basic concepts and principles of each approach, how they are similar and different (in history and approach), and for what purposes each approach is the most appropriate.
• IHI Framework for Improving Joy in Work
  With burnout and staff turnover in health care continuing to rise at alarming rates, this white paper describes four steps leaders can take to improve joy in work; a framework with nine critical components for ensuring a joyful, engaged workforce; key change ideas; and measurement and assessment tools.
• IHI Global Trigger Tool for Measuring Adverse Events (Second Edition)
  This white paper provides information on the development and methodology of the IHI Global Trigger Tool, enabling the ability to accurately identify adverse events and measure the rate of adverse events over time.
• The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement
  IHI developed the Breakthrough Series to help health care organizations make breakthrough improvements in quality while reducing costs.

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• Driver Diagram
  A driver diagram is a visual display of a team’s theory of what “drives,” or contributes to, the achievement of a project aim. This clear picture of a team’s shared view is a useful tool for communicating to a range of stakeholders where a team is testing and working.
• Failure Modes and Effects Analysis (FMEA) Tool
  A systematic, proactive method for evaluating a process or product to identify where and how it might fail and to assess the relative impact of different failures, in order to identify the parts of the process that are most in need of change.
• Plan-Do-Study-Act (PDSA) Worksheet
  The Plan-Do-Study-Act (PDSA) Worksheet is a useful tool for documenting a test of change; developed by the Institute for Healthcare Improvement (Cambridge, Massachusetts, USA).
• Quality Improvement Essentials Toolkit
  Download these ten essential quality improvement tools to help you with your improvement projects, continuous improvement, and quality management, whether you use the Model for Improvement, Lean, or Six Sigma.
• SBAR Tool: Situation-Background-Assessment-Recommendation
  The SBAR (Situation-Background-Assessment-Recommendation) technique provides a framework for communication between members of the health care team and can be used as a tool to foster a culture of patient safety.

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• Actions to Renew Focus on Safety Culture
  Delivering the health care that our patients expect — in every setting and under all conditions — demands that we urgently revisit safety culture as the fundamental driver of both patient and workforce safety.
• Three Keys to Cross-Sector Age-Friendly Care
  Improving Public Health and Health Care for Older Adults: The Three Keys to Cross-Sector Age-Friendly Work Implementation Guide and Workbook contains resources to improve how public health and health care organizations work across the care continuum to reliably provide evidence-based care and services to every older adult at every interaction, with a foundational focus on equity.
• Enhancing Quality Improvement Adoption in US Nursing Homes
  This report summarizes the research findings from the Institute for Healthcare Improvement's 90-day innovation project to identify key activities to increase adoption of effective quality improvement practices in US nursing homes.
• 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.
• A Matter of Trust: Commitment to Act for Health Equity
  This article presents high-leverage, specific actions to improve equity in health care that are both possible and feasible for all health care organizations to undertake now.