The Earlier the Longer
November 12, 2012 | Journal Article
Intensive care units should take a rigorous and nuanced approach to planning patient handoffs to improve patient safety and quality of care.
Patient Safety and Outcomes
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A Multicenter, Phased, Cluster-Randomized Controlled Trial to Reduce Central Line-associated Bloodstream Infections in Intensive Care Units
September 1, 2012 | Journal Article
The success of this nurse-led collaborative underscores the role of nurses in quality improvement.
Improving the Safety of Patient Care by Looking at the Airline Industry
December 1, 2011 | Program Result Report
Researchers at Johns Hopkins University School of Medicine applied a step-by-step approach used to dramatically reduce aviation fatalities to improve the use of two devices that account for a disproportionate share of medical errors in hospitals.
Variability in Case-Mix Adjusted ln-Hospital Cardiac Arrest Rates
February 1, 2012 | Journal Article
After adjustment for a hospital’s case-mix, the rates of in-hospital cardiac arrest (IHCA) vary considerably. Urban hospitals and those that treat more Blacks have higher rates, while larger hospitals have lower rates, raising troubling equity conce ...
Global Trigger Tool' Shows that Adverse Events in Hospitals May be Ten Times Greater Than Previously Measured
April 1, 2011 | Journal Article
Reliance on voluntary reporting and the Patient Safety Indicators could produce misleading conclusions about the current safety of care in the U.S. health care system and misdirect efforts to improve patient safety.
Supporting Regional Response Team Learning Networks
June 3, 2010 | Program Result Report
In December 2005 RWJF funded nine hospital associations and health care systems with grants of up to $150,000 apiece for each to work with at least 25 of their member hospitals to establish rapid response teams.
Prevention of Hospital Falls
May 27, 2010 | Program Result Report
IHI published on its Web site a guide with four "promising" approaches to help hospital staff identify patients at risk for serious injury from a fall and to implement interventions to prevent or mitigate fall-related injuries.
Iowa Health System: Implementing Fall Prevention in Pilot Units in Three Hospitals
May 27, 2010 | Program Result Report
Iowa Health System - an integrated system operating in Iowa and western Illinois - implemented fall prevention in pilot units at three of its hospitals.
Allina Health System: Creating and Testing A Best Practices Bundle of Interventions to Reduce Harmful Falls
May 27, 2010 | Program Result Report
United Hospital in St. Paul - a part of the Allina network of hospitals and other health services - developed and tested multiple steps to reduce harmful falls.
Characteristics Associated with Pediatric Inpatient Death
June 1, 2010 | Journal Article
By analyzing data on pediatric inpatient deaths at academic children’s hospitals, researchers can determine conditions and circumstance to improve mortality rates.