Читать книгу Quality and Safety in Nursing - Группа авторов - Страница 75

Founded in 1991, the Institute for Healthcare Improvement (IHI) has been a major driver of quality care and health care change, based on the philosophy that almost any product or service, including health care, can be improved. The IHI encouraged systems thinking with implementation of a systems idea: if one can change the way things are done, one can get better results. IHI aims to improve the lives of patients, the health of communities, and the joy of the health care workforce by focusing on the IOM’s six improvement aims for the health care system: safety, effectiveness, patient‐centeredness, timeliness, efficiency, and equity (Institute of Medicine, 2001). IHI may be best known for its campaigns to Save 100,000 Lives, later to Save Five Million Lives, and currently the Triple Aim initiatives of better care, better health, at lower cost. IHI provides a variety of services and educational programs and tools to assist hospitals and other stakeholders to achieve these aims. Its structure and campaigns have enabled institutions and individual providers of care, including nurses, to share their “near misses” and successes in instructive ways. Nursing organizations have participated in IHI to contribute to discussions and to influence actions that have global and national consequences. Today, not only is IHI an influential force in health and health care improvement in the United States, it has expanded its footprint to many countries around the world, including Canada, England, Scotland, Denmark, Sweden, Singapore, Latin America, New Zealand, Ghana, Malawi, South Africa, the Middle East, and elsewhere.

In 2018 IHI convened the National Steering Committee (NSC) for Patient Safety (within which several nurse leaders participate), resulting in 2020 in the release of Safer Together: A National Action Plan to Advance Patient Safety (IHI, 2020), described in Textbox 2.2. The Steering Committee, in developing this plan and its companion components, dedicated itself to reducing preventable harm in every setting, whether acute, long‐term, or home‐based care, and for patients, caregivers, and health care workers alike.

NSC members also identified three cross‐cutting themes that are integral to the four foundational areas and recommendations in the National Action Plan, as described in Textbox 2.3.

As part of the IHI initiative, it released two supplementary resources to provide detailed guidance: a Self‐Assessment Tool to assist leaders and organizations in deciding where to start, and an Implementation Resource Guide detailing tactics and supporting resources for implementing the National Action Plan recommendations (http://www.ihi.org/Engage/Initiatives/National‐Steering‐Committee‐Patient‐Safety/Pages/default.aspx).