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
79 items found
Use SHIFT+ENTER to open the menu (new window).
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.
Integrating Behavioral Health in the Emergency Department and Upstream
This IHI Innovation Report discusses barriers to integrating behavioral health in the ED, and presents five drivers (emerging from six key themes from existing approaches) that form the building blocks of a theory of change for making improvements in this area.
Profiles in Improvement: Jennifer Lenoci-Edwards, RN, MPH, IHI Director, Patient Safety
In this profile, Jennifer Lenoci-Edwards, IHI Director of Patient Safety, talks about the experiences that shaped her passion and dedication to improving safety, and the current focus of IHI's work in patient safety, which includes safety across the continuum of care, engaging patients in safety efforts, and supporting health care teams in improving system reliability and enhancing their joy in work.
Enhancing Prehospital Emergency Care
This article makes the case that earlier prehospital interventions can positively affect downstream hospital patient outcomes and costs of care, describes how emergency medical services (EMS) are increasingly becoming part of an integrated care system, and discusses the expanded role of ambulance services and paramedics to increase access to care.
WIHI: From Prehospital to In-Hospital: The Continuum for Time-Sensitive Care
July 24, 2014 | In this WIHI, we discuss the dramatic changes underway with emergency medical services (EMS) in both the US and globally.
WIHI: Transforming Tensions and Tempers on Health Care Teams
April 24, 2014 | How can health care teams provide the best care for patients if they're not on the same page? We dig into the dynamics of health care teams and the issues and tensions that can distract from patient care — and hear from experts on how to resolve those conflicts when they arise.
Doing Right by Our Patients When Things Go Wrong in the Ambulatory Setting
The PROMISES Project (Proactive Reduction of Outpatient Malpractice: Improving Safety, Efficiency, and Satisfaction) released this statement, suggesting that disclosure and apology are essential first steps to learning from medical errorsthat may have harmed patients and families. The accompanying "Guidelines for Responding to Adverse Events" present practical tips and FAQs.
Transplant Guardian Angel Always Event
The Transplant Guardian Angel program was developed to ensure that patients and families are supported through the transplant surgical process by providing them with accurate, real-time updates and clinical information, thereby reducing anxiety and increasing effective communication between care delivery teams.
"Same Page" Transitional Care Resources for Patients and Care Partners
These resources and tools were developed for patients and their caregivers or care partners to use when planning for care or during a stay in a hospital or skilled nursing facility. The goal is to support patients, their care partners, and the team of health care providers to all be “on the same page” in understanding the patient’s health and health care needs when the patient is transitioning from one setting of care to another.
Always Use Teach Back!
The Always Use Teach Back! tools can be used to confirm patient understanding of care instructions by asking patients to repeat the instructions using their own words.
ISHAPED Patient-Centered Approach to Nurse Shift Change Bedside Report
ISHAPED (I=Introduce, S=Story, H=History, A=Assessment, P=Plan, E=Error Prevention, and D=Dialogue) focuses on making bedside shift reports more patient- and family- centered. The goal is to always include patients in the ISHAPED nursing shift-to-shift handoff process at the bedside to add an additional layer of safety by enabling the patient to communicate potential safety concerns.
SMART Discharge Protocol
The SMART Discharge Protocol (Signs, Medications, Appointments, Results, and Talk with me) was developed to improve care for patients and families and to improve the discharge process. The tools include the SMART Discharge Checklist for patients and families, FAQs for health care staff and clinicians about implementing the SMART Discharge Protocol, a presentation, and a self-learning packet.
Always Events Blueprint for Action and Always Events Healthcare Solutions Book
These tools guide organizations in creating a more person- and family-centered culture through the development and implementation of Always Events, defined as aspects of the patient experience that are so important to patients and families that health care providers should always get them right.
Ensuring Safe Use of Medical Devices
In this article, IHI's Frank Federico contributes his perspective and guidance on how to improve medical device safety. Among the considerations for improving safety are device design, ongoing staff training and assessment of device use, and establishing an effective reporting system for device-related issues that can cause patient harm.
Is Your Organization "Conversation Ready"?
Health care providers and organizations need to be “conversation ready” — that is, capable of asking about and understanding what matters most to patients, and respecting every individual’s end-of-life wishes. This article articulates emerging conversation-ready principles.
Enhancing the Effectiveness Effectiveness of Follow-Up Phone Calls to Improve Transitions in Care: Three Decision Points
This study used a nonsystematic review of the literature focused on the use of telephone follow-up to improve postdischarge processes and reduce avoidable readmissions, and examined use of such calls among organizations participating in the STate Action on Avoidable Rehospitalizations (STAAR) initiative.
WIHI: OpenNotes: Doctors and Patients Are on the Same Page
November 1, 2012 | This WIHI digs into the experience of more than 13,000 patients and 100 primary care doctors who were part of one-year experiment with what have come to be called “open notes” (clinician notes made accessible to patients) at three major health care organizations.
WIHI: Gaining Ground: Quality Improvement and US Medical Residency
October 25, 2012 | A changing health care system now demands that medical residents not only possess skills to diagnose and treat patients, but also to to improve the quality of care, protect patients from harm, work in multidisciplinary teams, manage care transitions, and more.
WIHI: Conversations as Cornerstones of End-of-Life Wishes
August 30, 2012 | The Conversation Project is spreading stories, sharing tips and templates for getting started, and harnessing the power of social media to get people talking about their end-of-life wishes.
"Have You Had 'The Conversation'?": Ellen Goodman, IHI International Summit 2012 Keynote
In her keynote presentation at IHI's 13th Annual International Summit, Ellen Goodman shares her thoughts on The Conversation Project, which aims to create a cultural movement to normalize “the conversation” and to have every person’s end-of-life preferences expressed and respected.
"An Ounce of Prevention": Maureen Bisognano, IHI International Summit 2012 Keynote
In her keynote presentation at the International Summit, IHI President and CEO Maureen Bisognano outlines a vision of changing the conversation between patients and providers from "What's the matter?" to "What matters to you?"
Passport Exclusive: Improvement Skills to Empower Front-Line Nurses II
This recording discusses Managing Patient Care Risk: Beyond the Checklist. How does the front-line nurse engage her team, foster communication, and improve teamwork — the three requirements for effective use of a checklist?
WIHI: Have You Had "The Conversation"? Helping Loved Ones Discuss End-of-Life Preferences
January 26, 2012 | The Conversation Project seeks to create a cultural movement with one basic goal: to help every American say what they want at the end of life so that family members and medical providers have the guidance they need to respect those preferences.
Healthcare Team Vitality Instrument
A short, validated instrument to measure the vitality of health care team members; developed by Betsy Lee, RN, MSPH, and Valda Upenieks, PhD, RN, as part of the Transforming Care at the Bedside initiative.
WIHI: Health Literacy: New Skills for Health Professionals
November 17, 2011 | This WIHI discusses how to communicate and engage more effectively with patients of diverse backgrounds and health care fluency, and reviews where and how health literacy efforts stand to benefit from health care reform.