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Institutional Design

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  • Topic: Institutional design
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The Imperative to Improve Hospital Work Environments

December 18, 2011 | Story

Study suggests hospitals should pursue improved nurse education and staffing, but those investments do not significantly reduce patient mortality in the absence of a good work environment.

Preventing Bloodstream Infections

April 1, 2011 | Journal Article

Over the past decade, advances in the quality of care have been slow. One area of success, however, has been in combating central line–associated bloodstream infections.

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.

Transforming Care at the Bedside--New Jersey

August 9, 2011 | Program Result Report

Transforming Care at the Bedside-New Jersey is a state specific application of the nurse-driven TCAB process of hospital improvement. This is a look at the project's progress at the halfway mark.

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."

Learning Accountability for Patient Outcomes

July 14, 2010 | Commentary

In this commentary, Dr. Pronovost calls for greater accountability for patient safety within the U.S. health care system. He emphasizes the role of teamwork in reducing CLABSI and other preventable infections.

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.

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