Spreading TCAB Across Network Hospitals

Since piloting the program on one unit in 2003, the Seton Family of Hospitals has spread the rapid-change, nurse-led, quality improvement initiative called Transforming Care at the Bedside (TCAB) to 21 additional units. According to an article in a special supplement to the American Journal of Nursing, Seton’s TCAB spread leaders believe the units most likely to adopt the TCAB program successfully demonstrate: strong engagement by unit leadership in the process; at least one TCAB champion on the unit; and a method to regularly share information about the process. Key ingredients for TCAB to spread at the facility-level include: strategic planning, collaborative leadership and departmental flexibility.