IMPROVING OUTCOMES

42% Reduction in Readmission Rate in Medical Patients

IMPROVING OUTCOMES

Reduced no-show rate from 37% to 16% amongst high-risk patients living with HIV.

CREATING THE SCIENCE

Handshake Stewardship Program becomes National Standard for Antimicrobial Stewardship Programs

The Joint Commission

IMPROVING OUTCOMES

48% Reduction in 1-year Mortality in Hip Fracture Patients

IMPROVING OUTCOMES

$2 Million Annual Reduction in Antibiotic Costs

IMPROVING OUTCOMES

$3 Million Annual Savings with Earlier Palliative Care Intervention

The mission of the Institute for Healthcare Quality, Safety & Efficiency is to create healthcare systems that ensure every patient receives the highest quality of care while avoiding harm, minimizing inefficiencies, and developing leaders in quality and safety.


Transformation, Not Just Education

At IHQSE our overarching goal is to fundamentally improve the care provided to patients by developing people, improving care processes and building higher-achieving organizations. 



In other words, our goal is to transform:

to transform

INDIVIDUALS

We develop the capacity of frontline clinicians to drive change.

to transform

PROCESSES

We drive improvements in clinical care processes, leading to better outcomes.

to transform

ORGANIZATIONS

 We help build higher-performing systems through sustained changes.



Results that Matter

Our formula for transformation combines expert training, intensive, tailored coaching, a deep catalog of successful projects to tap into, and a relentless drive for outcomes.

500+ qi/ps projects completed
$200 million in reduced inefficiencies
200K patients impacted
150+ Graduates in Quality or Health System Leadership Positions
2 to 5 improvement in CMS star rating

*IHQSE supported improvement at the University of Colorado Hospital


IHQSE Newsroom


For over a decade, our dedicated faculty have built an integrated set of programs aimed at developing programmatic leaders in quality, creating high-quality, safe and efficient clinical care processes and, ultimately, driving profound organization-level improvements.  Here are just a few of our recent successes. 

For more, please see our
newsroom.

AHRQ Logo

IHQSE Faculty Members Address Connection Between Cognitive Load and Diagnostic Errors

Diagnostic error may result in serious harm for more than 500,000 patients and contribute to an estimated 10% of all patient deaths. Understanding diagnostic accuracy is crucial for improving patient outcomes and ensuring effective healthcare delivery. IHQSE Faculty, Drs. Michelle Knees and Katie Raffel, along with colleagues from the University of Colorado Division of Hospital Medicine, recently published an AHRQ Issue Brief aimed at furthering efforts to enhance diagnostic accuracy. The brief reviews a substantial body of literature on the impact of cognitive load on diagnostic accuracy, identifies areas for future research, and provides recommendations for integrating existing knowledge into current practice.

Applying an Equity Lens to Hospital-based Diagnostic Error

IHQSE faculty member, Dr. Katie Raffel, along with Dr. Katie Brooks and the UPSIDE research team, recently published findings from a multicenter retrospective cohort study evaluating the association between use of stigmatizing language and diagnostic error. The prevalence of stigmatizing language was higher among patients with diagnostic errors than those without. Use of this language was associated with delays in care at presentation and errors in communication with patients and caregivers. This raises the question of whether stigmatizing language may be indicative of clinician biases that interfere with data gathering, communication, and clinical reasoning.
Journal of Hosp medicine

Early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study

Diagnostic errors (DE) are a critical but understudied cause of preventable patient harm. While much work has focused on examining the incidence and factors contributing to DEs in ambulatory and emergency room settings, fewer studies have examined the incidence of DEs in hospitals or how they contribute to adverse events during the hospital encounter. IHQSE Faculty, Dr. Katie Raffel, along with other experts on diagnostic error, led an AHRQ-funded study at 31 US hospitals aimed at defining the prevalence and underlying causes of DEs in patients who die in the hospital or are transferred to the ICU after the first 48 hours.

IHQSE Team Develops Intervention to Reduce Unnecessary PT Consults

Physical therapy (PT) in inpatient settings is a limited and valuable resource. Inappropriate PT consultation is costly and can lead to delays in care and discharge planning. A team of IHQSE alumni, including faculty members, Dr. Emily Gottenborg and Dr. Moksha Patel, dug into the root causes of unnecessary PT consultations and deployed an intervention that reduced the rate of inappropriate PT consults to less than 10%.
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Institute for Healthcare Quality, Safety and Efficiency (IHQSE)

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