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Institutional Design

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  • Topic: Institutional design
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Participation of Unit Nurses

November 1, 2009 | Journal Article

This evaluation found that some hospitals can extensively and successfully implement the principles of Transforming Care at the Bedside (TCAB), however, even these hospitals, which were selected due to their previous experience with innovation and quality improvement, do not necessarily sustain the TCAB processes beyond the first year.

Lessons from Nursing Leaders on Implementing TCAB

November 1, 2009 | Journal Article

A well-crafted and well-implemented program to engage front-line staff in quality improvement can have an impact on how things are done, according to this qualitative evaluation of pilot phases two and three of the Transforming Care at the Bedside (TCAB) nurse-led, quality improvement initiative.

The Business Case for TCAB

November 1, 2009 | Journal Article

Implementing Transforming Care at the Bedside (TCAB), a nurse-led quality initiative which aims to create rapid improvement, resulted in large gains in outcomes and large savings in costs, according to two executives with Cedars-Sinai Medical Center in Los Angeles, one of the hospitals participating in the TCAB pilot program.

Implementing Standardized Operating Room Briefings and Debriefings at a Large Regional Medical Center

August 1, 2009 | Journal Article

Implementation of a standardized briefing and debriefing tool in a large regional medical center was a practical and feasible strategy to improve perceptions of interdisciplinary communication and teamwork in the operating room.

Diet Wheel to Ensure Correct Patient Diets and Reduce Errors

May 13, 2010 | Toolkit

Goal was to reduce errors and ensure patients receive the correct diet ordered by physicians. Satisfaction improved among nursing associates and dietary associates. Communication between the various hospital departments also improved.

Reducing Health Care Hazards

April 7, 2009 | Journal Article

A proposed public-private partnership to help the health care community emulate the successes of the Commercial Aviation Safety Team in commercial aviation.

Sample Aim Statement and Worksheet for Developing a Spread Aim

November 12, 2009 | Toolkit

Improving quality care helps to ensure that innovations are sustained and enables all units to benefit from tested and proven changes.

Assessing Your Current Spread Activities for TCAB

November 12, 2009 | Toolkit/Video/Presentation Material

June 2008. Tom Priselac, CEO, Cedars-Sinai Medical Center, speaks about the all-encompassing, team approach that has made the Transforming Care at the Bedside (TCAB) approach successful at Cedars-Sinai. The Goal: Disseminate best practices and imple ...

Transforming Care at the Bedside

April 1, 2008 | Journal Article

A program called Transforming Care at the Bedside is adapted for implementation in an ambulatory setting with considerable success. Many of the initiatives introduced made a significant difference to patient satisfaction and patient experience at this cancer center in Pittsburgh.

A 36-Hospital Time and Motion Study

July 1, 2008 | Journal Article

This article examines the methodology and findings of a time and motion study to measure how nurses spend their time at work. The study suggests areas for improvement in terms of efficiencies and reveals the arduous nature of nursing practice.

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