2872 items found
Actions to Renew Focus on Safety Culture
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| 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. |
Turn on the Lights Podcast
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| Turn on the Lights podcast is IHI's thought-provoking series of candid conversations about how the US health care system is working and not working, hosted by Drs. Don Berwick and Kedar Mate. |
Three Keys to Cross-Sector Age-Friendly Care
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| 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
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| 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
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| 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
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| 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. |
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults
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| 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. |
Effective Quality Planning
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| Quality planning is the essential first step of IHI's Whole System Quality approach to overall quality management. This article describes effective quality planning that engages multidisciplinary health care leaders in clearly defining the systemwide quality goals, sets priorities, responds to external evaluations of performance, ensures there are sufficient resources to meet the goals, and leverages existing data systems to identify aligned opportunities for improvement. |
Ensuring Equitable Age-Friendly Care
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| This article presents six steps to address inequities in the care of older adults, aligned with each step of the journey to becoming an Age-Friendly Health System. |
Fundamentals of Health Care Improvement: A Guide to Improving Your Patients' Care
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| This book is intended to help health professional learners diagnose, measure, analyze, change, and lead improvements in health care, with the aim to shape reliable, high-quality systems of care in partnership with patients. |
Avoiding "Drift" into Harm
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| This article presents specific steps leaders can take to reinforce effective patient safety practices and address workarounds that may unintentionally result in harm. |
Home-based Acute Care: Getting Started Guide
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| West Health Institute and the Institute for Healthcare Improvement collaborated to identify hospital-alternative care pathways for unplanned acute events for older adults, seeking the most efficient and effective ways to treat older patients in their own homes. This resource provides guidance for organizations seeking to design and implement home-based clinical and operational acute care models for older adults. |
Getting Serious about Producing Health: The Ten Teams Challenge
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| In this article, Dr. Don Berwick makes the case that every US hospital and integrated health system with the means to do so should immediately establish and support Ten Teams, focused on 10 social influences on health in the region served by the organization. |
Preventing Health Care Workforce Suicide
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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. |
Blending Participatory Action Synthesis and Meta-Ethnography: An Innovative Approach to Evaluating Complex Community Health Transformation
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| This article describes an innovative participatory approach to evaluation of a community transformation initiative, the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative, that involved up to 18 communities across the US. |
Developing Capacity for Learning Community Systems: Experiences from the 100 Million Healthier Lives SCALE Initiative
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| This paper explores the capabilities that contribute to community transformation and the common pathways followed by communities in the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative in their transformation journeys towards a “Culture of Health.” |
Why Health Care Systems Should Invest in Medical Malls
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| 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
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| 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. |
Rethinking Herd Immunity: Managing the COVID-19 Pandemic in a Dynamic Biological and Behavioral Environment
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| This article presents a potential framework for enumerating and estimating community-wide immunity to COVID-19 with use of data reportable to local county public health authorities in order to create more localized, tailored responses. |
An Integrated Approach to Quality
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| This article describes how whole system quality, an integrated organization-wide approach to quality, can help health care leaders build more responsive and resilient health systems. |
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