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Evaluating the total impact of Transforming Care at the Bedside (TCAB), a nurse-led quality improvement initiative, is challenging. Many TCAB goals do not lend themselves to easy measurement and it is not necessarily desirable to use time and resources to quantify impact when the goal of TCAB is rapid improvement, according to this assessment included in a special supplement of the American Journal of Nursing.
Evidence from the 10 hospitals involved in the latter stages of the TCAB pilot, however, reveal achievement in all four quality domains targeted by TCAB and demonstrate the program led to substantial testing and implementation of changes.