IMPROVING OUTCOMES

30% Improvement in Pre-Operative VTE Prophylaxis Leading to Fewer VTE Events

IMPROVING OUTCOMES

7-day Reduction in LOS for Bone Marrow Transplant Patients

CREATING THE SCIENCE

Use of Psychological Principles Drives Hand Hygiene

Journal of Nursing Quality 2013

DEVELOPING LEADERS

Graduates Receive 2016 Hospital Excellence in Quality & Safety Award

IMPROVING OUTCOMES

39% Reduction in Post-Liver Transplant Patients Requiring ICU Care

CREATING THE SCIENCE

Team, Patient-Centered Outcomes and Professional Development Drive Participation in QI Projects

Journal of Interprofessional Education and Practice 2016

IHQSE Newsroom

The latest in quality and safety performance

Publications

  • Applying an Equity Lens to Hospital-based Diagnostic ErrorOpens in a new window

    Apr 15, 2024
    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.
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  • IHQSE Faculty Member Highlights Prevalence of Diagnostic Error in New StudyOpens in a new window

    Jan 8, 2024
    Diagnostic error is common, morbid, and mortal. IHQSE faculty member, Dr. Katie Raffel, along with Dr. Andrew Auerbach and other experts on diagnostic error, recently published findings from a multicenter retrospective cohort study in which 2500 hospitalized adults who experienced ICU escalation or death were evaluated for diagnostic error. This study adds to a body of literature highlighting the importance of diagnostic safety within hospital medicine.
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  • Redesigning the First Prenatal Visit: A Quality Improvement InitiativeOpens in a new window

    Dec 6, 2023
    Faced with rising maternal mortality, the first prenatal visit is essential but, in many cases, important topics are missed. An IHQSE small grant supported the redesign of the first visit, dividing it into a nurse-led telemedicine visit and an in-person visit with an obstetric clinician. Clinic no-shows dropped (9.9%-4.2%), the topics covered in the first prenatal visit increased (70.0%-95.6%), and improvements were observed for all key themes.
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  • IHQSE Team Develops Intervention to Reduce Unnecessary PT ConsultsOpens in a new window

    Dec 1, 2023
    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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IHQSE Highlights

  • 3Q's for QI | Q & A with Dr. Jeff Glasheen

    Apr 9, 2024
    The Institute for Healthcare Quality, Safety and Efficiency received a two-year grant from the Gordon and Betty Moore Foundation to develop a Diagnostic Excellence Capacity Building Program. As part of the Achieving Diagnostic Excellence through Prevention and Teamwork (ADEPT) collaborative, the IHQSE will use the grant funds to create a model for developing and implementing diagnostic excellence programs at 15 hospitals across the country. IHQSE Director, Dr. Jeff Glasheen, discussed the new grant and how it will support efforts to address and improve diagnostic accuracy across the country.
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  • Discharge Paperwork

    Diving Into Hospital Discharge Details Enhances Safety for Infectious Disease PatientsOpens in a new window

    Apr 9, 2024
    Orders for IV antimicrobials (OPAT) were being omitted or listed inaccurately in more than 50% of discharge summaries and were leading to near misses and patient harm events, according to a 2-year study led by Lorna Allen and funded by an IHQSE grant. To address the issue, she, with data assistance from IHQSE faculty Heather Hallman, MSHS, MHA, CSSGB, implemented a streamlined treatment order in the electronic health record that standardized the discharge process across units so that OPAT ordering occurs seamlessly on nearly 99% of after-visit summaries.
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  • Emily-Gottenborg-5

    3Q's for QI | Q & A with Dr. Emily Gottenborg

    Apr 5, 2024
    Physical therapy consultation in the hospital is a valuable, yet limited resource, and ordered for a large proportion of admitted patients. IHQSE faculty members, Dr. Emily Gottenborg and Dr. Moksha Patel, recently published their work to address inappropriate overuse of physical therapy consultation. Their team found that nearly 25% of all consultations were inappropriate, and by creating an EHR order integrating clinical decision-making support and restructuring nursing roles to empower them to assume PT – ordering responsibility, they decreased inappropriate ordering to <10%. This work highlights the value of eliminating inefficiencies in the inpatient setting to reduce waste and improve patient care!
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