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Institutional Design

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  • Topic: Institutional design
  • Topic: Shortage of medical or nursing personnel
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Addressing the Nurse Shortage to Improve the Quality of Patient Care

January 1, 2006 | Journal Article

Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff, according to an Institute of Medicine report. ...

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.

Transforming Care at the Bedside--New Jersey

August 9, 2011 | Program Result

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

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.

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