Acute care


Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient 10/26/11

Health care providers can use this toolkit during hospital discharge to help patients leave the hospital with confidence. It includes the tools and information patients need to make a smooth transition to their next destination.

Elements of the toolkit are:

  • Staying Safe When You Leave the Hospital: A journal-like bifold booklet that guides patients and family members to collect their thoughts and ask the right questions.
  • Talking to...
Vaginal Birth After Cesarean (VBAC) Risk Calculator 10/25/11

This calculator predicts the probability of a successful vaginal birth after cesarean (VBAC). It is based on the equation published in the article, “Does information available at admission for delivery improve prediction of vaginal birth after cesarean?” The objective of this study was to construct a predictive model for VBAC that combines factors that can be ascertained only as the pregnancy progresses with those known at initiation of prenatal care.

The calculator is designed...

Guide to the Elimination of Catheter-Related Bloodstream Infections 09/26/11

This guide, for use by infection preventionists and quality improvement teams, provides step-by-step guidance to facilitate the bedside implementation of relevant clinical evidence and best practices for eliminating catheter-related bloodstream infections (CRBSIs). It presents simple, practical implementation strategies, tools, and resources to prevent infections, and strategies for process improvement.

Topics covered include:

  • Background
  • Purpose and objectives...
Health Care–Associated Infections: Prevention Toolkits 09/26/11

These toolkits were designed to reduce health care–associated infections (HAIs) that patients acquire during the course of receiving treatment for other conditions within a health care setting. The toolkits provide information on improvements in clinical practice, medical procedures, and the ongoing development of evidence-based infection control guidance and prevention successes to detect infections and develop new strategies to prevent health care–associated infections.


Improving Quality and Achieving Equity: A Guide for Hospital Leaders 09/01/11

This guide for hospital leaders presents the evidence for racial and ethnic disparities in health care and provides the rationale for addressing them with a focus on quality, cost, risk management, and accreditation. The guide also highlights case studies and model practices, and recommends activities and resources that can help hospitals identify and address disparities in order to achieve equity for patients.

The guide is divided into the following sections:

  • ...
Health Care Leader Action Guide to Reduce Avoidable Readmissions 08/04/11

This guide for hospital leaders and administrators provides strategies to assess, prioritize, implement, and monitor efforts to reduce avoidable readmissions and reduce costs in the health care system. A four-step approach is presented as an approach to follow at different stages of the care. The four steps are:

  1. Examine your hospital’s current rate of readmissions
  2. Assess and prioritize your improvement opportunities
  3. Develop an action plan of strategies to implement...
STate Action on Avoidable Rehospitalizations (STAAR) Materials 08/03/11

The STate Action on Avoidable Rehospitalizations (STAAR) Initiative of the Institute for Healthcare Improvement and The Commonwealth Fund aims to reduce avoidable rehospitalizations and is focused on two components:

  • A multistate learning community to improve transitions of care
  • Targeted technical assistance to address systemic barriers to reducing avoidable rehospitalizations

The project Web site includes the following materials:

  • STAAR...
NKEplus 05/24/11

NKEplus is a build on the original Nurse Knowledge Exchange (NKE) designed in 2004. This communication system for nursing units in hospitals supports better care and safety for patients and staff. The tools incorporate strategies to manage bedside care, shift change, and distractions to increase quality of care for all parties. The system, used by the project manager/improvement adviser and unit staff, is adaptable to various stages of care and used when needed within the unit.


Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care 04/21/11

This toolkit for health care professionals in hospitals provides ways to implement effective pressure ulcer prevention practices through an interdisciplinary approach to care. The document includes an implementation guide with tools and resources, organized under six major questions to be used by a team leading the effort to plan and put the strategies into practice. The tools and resources are designed to be used by multiple audiences and for different purposes.

The six...

Performance Measurement Network Q&A Forum 03/31/11

The Performance Measurement Network Q &A Forum is a Joint Commission Web site that offers users the ability to browse and search Frequently Asked Questions (FAQs) and to pose new questions regarding The Joint Commission's ORYX ® initiative, performance measurement requirements, and measure specifications. It also provides links to measure specifications manuals for the National Quality Core Measures and National Hospital Quality Measures.

Users can search the...


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