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Two reviews of projects using Toyota Production System methods reported that health care organizations improved patient safety and the quality of health care by systematically defining the problem; using root-cause analysis; then setting goals, removing ambiguity and workarounds, and clarifying responsibilities.
The National Action Plan prioritizes the following four foundational — and interdependent — areas for developing a total systems approach to accelerate and sustain improvement in patient safety: Culture, Leadership, and Governance; Patient and Family Engagement; Workforce Safety; Learning System
The improvement of patient safety should be based on evidence-based recommendations included in well-developed guidelines, which should in turn be rigorously implemented in clinical practice as the best safety practice.
Download these nine essential tools to guide your organization in improving patient safety and delivering safe, reliable care. Tools include FMEA, SBAR, root cause analysis, daily huddles, and more.
Find out about the 2024 National Patient Safety Goals (NPSGs) for specific programs. Use these links to download an entire chapter or an easy-to-read version. Get answers to frequently asked questions in our Standards Interpretation section.
Engaging frontline staf in QI eforts enables hospital leaders to develop sustainable change and ensure harm prevention strategies are performed for every patient, every time. This toolkit reviews suggested strategies to engage frontline staf in QI eforts and develop a culture of safety through a unit-based approach.
In this section, we provide 8 examples of healthcare quality improvement initiatives, each specifically tailored to programmatic approaches. They represent ongoing, long-term, and proactive endeavors that are deeply embedded across the organizational spectrum.
Act serves as a national learning system for patient safety improvement. The report reviews some of the principles and concepts underlying effective patient safety improvement, many of which stem from approaches to safety that grew in industries unrelated to healthcare. It includes an overview of research and measurement in patient safety.
Several of these endeavors have led to improvements in the quality of care and in the health outcomes for consumers, while often saving costs. Among these are: The Prevention of Heart Attacks with Beta-Blocker Treatment.
The IHI Patient Safety & Quality Coalition is a diverse group of stakeholders that share a commitment to the delivery of safe patient care. It is designed to accelerate visibility, opportunity, and thought leadership for solutions providers,