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IHI Kicks Off 2017 National Forum on Quality Improvement in Health Care

Institute for Healthcare Improvement -

When patients and their clinical teams work as partners, there’s a greater likelihood of better outcomes for patients and greater satisfaction for health care providers, many of whom have been suffering high rates of burnout in recent years. Institute for Healthcare Improvement President and CEO, Derek Feeley, chose this theme today to open up the 2017 IHI National Forum on Quality Improvement in Health Care. Feeley addressed nearly 5,500 health care professionals, health leaders, students, patient advocates, and community improvers.

Moral Choices for Today’s Physician

Institute for Healthcare Improvement -

In this essay, Don Berwick considers moral choices physicians face personally, organizationally, and globally and exhorts them to understand that the health of humanity depends on their speaking out against the social injustice of overpricing drugs and services, mass incarceration, and the lack of environmental responsibility.

A National Conversation About Patient Safety and Medical Errors

Institute for Healthcare Improvement -

The IHI/NPSF Lucian Leape Institute, in partnership with the independent research institution NORC at the University of Chicago, recently conducted a public opinion survey of 2,500 US adults representing a cross-section of the population. When asked about patient safety, 41 percent of adults in the United States have some experience with medical error, either directly or indirectly. What lessons does this information offer to our leaders in Washington?

Free from Harm: Accelerating Patient Safety Improvement Fifteen Years after To Err Is Human

Institute for Healthcare Improvement -

This report assesses the state of patient safety in health care, advocating for a total systems approach across the continuum of care and establishment of a culture of safety, and calling for action by government, regulators, health professionals, and others to place higher priority on patient safety improvement and implementation science.

Closing the Loop on Patient Referrals in Health Care

Institute for Healthcare Improvement -

The Institute for Healthcare Improvement (IHI) released guidelines to help standardize the ways in which primary care practitioners activate referrals to specialists and then keep track of the information over time. Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era is the work of an expert panel convened to examine current obstacles to a high quality, safe referral process and offer improvement strategies.

Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era

Institute for Healthcare Improvement -

The recommendations outlined in this publication are designed to help standardize the ways in which primary care practitioners activate referrals to specialists, and then keep track of the information over time. It describes a nine-step, closed-loop process in which all relevant patient information is communicated to the correct person through the appropriate channels and in a timely manner.

Framework for direct observation of performance and safety in healthcare

Quality and Safety in Health Care Journal -

Introduction

Non-participant direct observation of healthcare processes offers a rich method for understanding safety and performance improvement. As a prospective method for error prediction and modelling, observation can capture a broad range of performance issues that can be related to higher aspects of the system.1–5 It can help identify underlying and recurrent problems6 that may be antecedents to more serious situations.7 It is also a way to understand the complexity of healthcare work that might otherwise be poorly understood or ignored,8 9 how workarounds influence work practices and safety,10 and is of fundamental importance to practitioners wishing to understand resilience in the face of conflicting workplace pressures.11 12 In some cases it will lead to the direct observation of near-misses or precursor events that...

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