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Institutional Design

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  • Topic: Institutional design
  • Topic: Working in teams
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  • Shortage of medical or nursing personnel (48)
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Transforming Care at the Bedside

National Program

The TCAB program was led by the Institute for Health Improvement (IHI), and has generated significant information about the value of involving nurses and other front-line staff in the redesign of care delivery models and systems.

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.

Transforming Care at the Bedside

July 11, 2011 | Program Result Report

Transforming Care at the Bedside (TCAB) was a national initiative to improve hospital patient care and the hospital work environment by empowering front-line nurses to implement innovative new practices on their units.

Cedars-Sinai Medical Center, Los Angeles, Implements Transforming Care at the Bedside with a Focus on Communication Between Nurses and Physicians

July 5, 2011 | Story

"There's that stigma where the doctor is some almighty person, and the nurse is in more of a subservient role."

University of Pittsburgh Medical Center (UPMC) Implements Transforming Care at the Bedside with a Focus on Medical Errors

July 5, 2011 | Story

"You can't deliver sustainable, long-term quality and safety improvement without infrastructure dedicated to the work," Minnier says. "And the amount you have will be a very strong predictor of the change and the sustainability of that change."

Spreading Innovations in Health Care

November 1, 2008 | Issue Brief

Transforming Care at the Bedside (TCAB) is a multiphase, national initiative to improve the work environment on hospital medical-surgical units, and thereby increase the quality of patient care and nurse engagement. This brief discusses the successful spread of TCAB innovations across diverse units and hospitals.

Evaluation of Transforming Care at the Bedside

March 1, 2009 | Report

Transforming Care at the Bedside (TCAB) is a multiphase program of the Robert Wood Johnson Foundation. The evaluation, led by Jack Needleman, Ph.D., of the UCLA School of Public Health, began in September 2004 and will end in May 2009.

Executive Nurse Fellow Expands Successful Transforming Care at the Bedside Program

March 24, 2011 | Story

"A lot of the program focuses on learning about yourself and how to leverage your strengths," she recalls. "No one had ever said that to me. That was just freeing."

TCAB Spread

January 1, 2008 | Issue Brief

Nurses are now called to a ???Vitality Huddle??? between 9:30 and 10:00 a.m. via the unit's call system. The nurses gather in the workroom near the nurses' station for 10-15 minutes to interact and focus on relationship building.

Flowchart Setup Report

June 4, 2008 | Video/Survey/Poll

In order to improve the process, a new role was created for a resource nurse and the traditional charge nurse role was eliminated.

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