Improving Health and Health
Changes for Improvement
While all changes do not lead to improvement, all improvement requires change. The
ability to develop, test, and implement changes is essential for any individual, group, or
organization that wants to continuously improve.
Selecting, testing, and implementing changes is a core element of the Model for
Improvement, a simple yet powerful tool for accelerating improvement that has been
widely used by the Institute for Healthcare
Improvement and hundreds of health care
organizations in many countries to improve
numerous health care processes and
After generating ideas for changes your team
might try, (PDSA)
cycles to test a change or group of changes
on a small scale to see if they result in
improvement. If they do, expand the tests and
gradually incorporate larger and larger
samples until you are confident that the
changes should be adopted more widely.
Of course, measurement is a key component
of testing and implementing changes. Establishing key measures will help your team
determine if the changes you are implementing are leading to improvement.
Home / Resources / Changes / Changes for Improvement
THE FUNDAMENTALS OF IMPROVEMENT
Using Change Concepts for Improvement
The ability to develop, test, and implement changes is essential for any individual,
group, or organization that wants to continuously improve.
CHANGES TO FOSTER A CULTURE OF SAFETY
1 2 3 > last
Appoint a Safety Champion for Every Unit
Conduct Patient Safety Leadership WalkRounds
Conduct Safety Briefings
Create a Reporting System
Create an Adverse Event Response Team
CHANGES TO IMPROVE MEDICATION SAFETY
Improve Core Processes for Administering Medications
Improve Core Processes for Dispensing Medications
Improve Core Processes for Ordering Medications
A Framework for Spread: From Local
Improvements to System-Wide Change
A key factor in closing the gap between best
practice and common practice is the ability of
and their organizations
to rapidly spread innovations and new ideas.
Plan-Do-Study-Act (PDSA) Worksheet
The Plan-Do-Study-Act (PDSA) Worksheet is a
useful tool for documenting a test of change;
developed by the Institute for Healthcare
Improvement (Cambridge, Massachusetts,
Project Planning Form
The Project Planning Form is a useful tool for
planning an entire improvement project,
including a listing of all of the changes that the
team is testing, all of the Plan-Do-Study-Act
(PDSA) cycles for each change, the person
responsible for each test of change, and the
timeframe for each test.
The Breakthrough Series: IHIs
Collaborative Model for Achieving
IHI developed the Breakthrough Series to help
health care organizations make breakthrough
improvements in quality while reducing costs.
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EVIDENCE-BASED CARE BUNDLES
What Is a Bundle?
IHI Vice President and patient safety expert, Carol Haraden, PhD, clarifies what a
“bundle” is and is not, and suggests tips for using bundles most effectively to get results
in improvement initiatives. While the allure of this tool is undeniable, says Haraden,
quality teams should resist the impulse to label any list of good changes a bundle.
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