Please wait while you are being redirected ...
This site is best viewed with Internet Explorer version 8 or greater. Check your browser compatibility mode if you are using Internet Explorer version 8 or greater.
Log In / Register
Newsletter Sign Up
Newsletter Sign Up
Improving Health and Health Care Worldwide
Engage with IHI
Vision, Mission, Values
Equity Is One of IHI's Values
Science of Improvement
How to Get Involved
In the News
All Topics A-Z
Joy in Work
Triple Aim for Populations
IHI Patient Safety Congress
Certified Professional in Patient Safety (CPPS)
IHI Open School
How to Improve
IHI White Papers
Audio and Video
Engage with IHI
Engage with IHI Overview
111 items found
Use SHIFT+ENTER to open the menu (new window).
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.
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.
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.
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being
This paper describes evidence-based and promising practices shown to increase clinician well-being and reduce burnout across six domains, provides examples, and presents principles of organizational action for clinician well-being derived from the IHI Framework for Improving Joy in Work.
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.
Virtual Learning Hour Special Series: Understanding and Addressing Sources of Caregiver Anxiety
September 11, 2020 | Learn about methods to understand and address sources of anxiety among health care professionals during the COVID-19 pandemic.
Virtual Learning Hour Special Series: Fostering Connection and Co-Creation
August 21, 2020 | Fostering connection and co-creation are tools that can help support the well-being of the health care workforce.
Virtual Learning Hour Special Series: Psychological Personal Protective Equipment (PPE)
August 7, 2020 | Psychological PPE, "personal protective equipment" to promote health care workforce mental health and well-being, has become even more essential during the COVID-19 pandemic.
“Psychological PPE”: Promote Health Care Workforce Mental Health and Well-Being
The COVID-19 pandemic is exacerbating existing issues with health care professional burnout and joy in work. Evidence-based recommendations for “psychological PPE” (protection and support for staff mental health and well-being) are intended for use by staff providing care during the COVID-19 pandemic.
Virtual Learning Hour Special Series: Peer Support: Fostering Connection and Destigmatizing Mental Health for Caregivers
July 24, 2020 | Peer support is an effective intervention in the pursuit of care team member well-being and joy in work, and can aid in destigmatizing health-seeking behaviors among caregivers.
Virtual Learning Hour Special Series: Transforming Moral Distress into Moral Resilience
July 10, 2020 | Tools and changes are needed to help caregivers mitigate and recover from moral injury while continuing to work in systems during the COVID-19 pandemic.
Conversation and Action Guide to Support Staff Well-Being and Joy in Work During and After the COVID-19 Pandemic
During the COVID-19 pandemic, health care leaders are working to support staff who are experiencing anxiety, stress, and intense demands. This guide includes actionable ideas that leaders can quickly test during the coronavirus response, and which can build the longer-term foundation to sustain joy in work and well-being for the health care workforce.
WIHI: How to Navigate Power and Enhance Psychological Safety
February 26, 2020 | How can we better understand, and successfully navigate, the power dynamics throughout the health care workforce?
WIHI: Workload, Stress, and Patient Safety: How Human Factors Can Help
January 23, 2020 | With the growing complexity of health care, there's growing concern that health care providers are bearing a lot of the brunt. What role can human factors play in addressing these issues?
WIHI: Increasing Joy in Work: Notes from a Cardiac ICU Team
November 7, 2019 | Hear how one team at Michigan Medicine has implemented IHI's Framework for Improving Joy in Work to achieve sweeping results.
Four Steps for Developing Reliable Processes
Creating and sustaining reliable processes to ensure health care quality and patient safety requires thoughtful planning and execution. This checklist of four steps will help ensure your systems are designed with reliability in mind.
Applying Community Organizing Principles to Restore Joy in Work
Through the process of delving more deeply into the topic of fostering joy in work and reducing burnout, IHI has discovered four lessons from the field of community organizing that are readily applicable to nurture joy in the health care workforce.
Why Focusing on Professional Burnout Is Not Enough
With professional burnout rates in health care at an all-time high, IHI suggests shifting the focus from “burnout” to “joy in work.” This article describes the role of leaders and four proven steps to create joy in work.
WIHI: Mindfulness and Patient Safety
March 8, 2018 | Clinicians are discovering that practicing mindfulness can be restorative in the middle of a hectic day, create mental space to be more tuned into patients, and reduce the likelihood of medical errors.
"What Matters to You?" Conversation Guide for Improving Joy in Work
With burnout and staff turnover in health care continuing to rise at alarming rates, this resource is intended to help leaders guide conversations with colleagues about “What matters to you?” — Step 1 of the Four Steps for Leaders, described in detail in the IHI White Paper, IHI Framework for Improving Joy in Work.
Is Your Organization Highly Reliable?
This article presents common high-reliability organization (HRO) characteristics that apply to all health care organizations seeking to improve patient safety, and cross-walks them with the IHI Framework for Safe, Reliable, and Effective Care to help leaders build a culture and learning system to support HRO characteristics and safer systems of care.
WIHI: How to Beat Burnout and Create Joy in Work
September 28, 2017 | Burnout in health care is a big and complex topic. We present an action-oriented framework to help leaders and managers more effectively engage with staff to identify what gets in the way of joy in work, and to develop solutions together.
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.
Restoring Joy in Work for the Healthcare Workforce
While burnout in the health professions is alarmingly high, restoring joy in work is more than just reducing burnout. This article describes four key steps that leaders can take to restore, foster, and nurture joy in the health care workforce.
WIHI: Joy in Work: An Antidote to Today's Burnout in Health Care
May 5, 2016 | What can make the difference between having the tools and the support to manage new realities in health care vs. being overwhelmed and drained? Plenty. Guests share how they are addressing staff burnout and increasing joy in work for the health care workforce.