Antibiotic Stewardship: Quick Wins for Improving Duration of Therapy Change Pathway

Change Pathway: Antibiotic Stewardship

The Core Elements for Antibiotic Stewardship in Action Change Pathway

The change pathway tool is a topic-specific, step-by-step guide to quality improvement. The change pathway is created using evidence-based practice resources and guidelines. Key quality improvement activities such as formulating an aim statement, conducting a root cause analysis and identifying interventions are included in each guide. Interventions are outlined as beginner, intermediate and expert so that you may explore opportunities for improvement that meet your needs. Download to get started!

Thromboprophylaxis of Hospitalized Patients Change Pathway

The change pathway tool is a topic-specific, step-by-step guide to quality improvement. The change pathway is created using evidence-based practice resources and guidelines. Key quality improvement activities such as formulating an aim statement, conducting a root cause analysis and identifying interventions are included in each guide. Interventions are outlined as beginner, intermediate and expert so that you may explore opportunities for improvement that meet your needs. Download to get started!

The use of “triggers,” or clues, to identify adverse drug events (ADEs) is an effective method for measuring the overall level of harm from medications in a healthcare organization. The Trigger Tool for Measuring Adverse Drug Events and the Adapted Trigger Tools provide instructions for conducting a retrospective review of patient records using a known list of ADE triggers and instructions for measuring the degree of harmful medication events to guide quality improvement efforts. Download the Adapted IHI Trigger Tool for Measuring Anticoagulant Related Adverse Drug Events.

The use of “triggers,” or clues, to identify adverse drug events (ADEs) is an effective method for measuring the overall level of harm from medications in a healthcare organization. The Trigger Tool for Measuring Adverse Drug Events and the Adapted Trigger Tools provide instructions for conducting a retrospective review of patient records using a known list of ADE triggers and instructions for measuring the degree of harmful medication events to guide quality improvement efforts.

Download the Adapted IHI Trigger Tool for Measuring Antidiabetic Related Adverse Drug Events.

The Fall Prevention Organizational Assessment will assist you in conducting a gap assessment of your organization’s fall prevention policies and processes. This tool helps you determine the implementation status of several evidence-based practice interventions in your facility.

Change Pathway
Enhancing Capacity: Reengineering Fall and Fall Injury Programs: Subject Matter Expert, Pat Quigley, discussed essential elements and guidelines for fall and injury prevention programs, integrated program evaluation and implementation science, and identified opportunities to enhance program infrastructure, capacity and how to sustain improvements. Now, it is time to act!

Exploring Strategies to Prevent Hypoglycemic Events in Hospitalized Patients Change Pathway

The change pathway tool is a topic-specific, step-by-step guide to quality improvement. The change pathway is created using evidence-based practice resources and guidelines. Key quality improvement activities such as formulating an aim statement, conducting a root cause analysis and identifying interventions are included in each guide. Interventions are outlined as beginner, intermediate and expert so that you may explore opportunities for improvement that meet your needs. Download to get started!

Keep Calm and Prevent CAUTI and CLABSI Change Path

The change pathway tool is a topic-specific, step-by-step guide to quality improvement. The change pathway is created using evidence-based practice resources and guidelines. Key quality improvement activities such as formulating an aim statement, conducting a root cause analysis and identifying interventions are included in each guide. Interventions are outlined as beginner, intermediate and expert so that you may explore opportunities for improvement that meet your needs. Download to get started!

Change Pathway: Central Line-Associated Bloodstream Infections

Moving Forward Using Lessons Learned to Prevent Central Line-Associated Bloodstream Infections and webinar recording.

The change pathway tool is a topic-specific, step-by-step guide to quality improvement. The change pathway is created using evidence-based practice resources and guidelines. Key quality improvement activities such as formulating an aim statement, conducting a root cause analysis and identifying interventions are included in each guide. Interventions are outlined as beginner, intermediate and expert so that you may explore opportunities for improvement that meet your needs. Download to get started!

Clostridioides Difficile Infection (CDI) Root Cause Analysis Tool

Use this tool to complete a root-cause analysis (RCA) of a recent CDI case on your unit or in your facility. Answer the questions using information from chart review, discussions with staff, and infection prevention rounds. Review your responses with your team and/or staff to identify opportunities for preventing future CDI cases. Consider performing an RCA on each CDI case moving forward so that you may identify trends in infection prevention practices.

Guide to Strengthening Your Hospital Surgical Care Framework

Use this comprehensive educational guide which focuses on the surgical continuum of care: pre-, intra- and post-operative processes. This guide assists hospitals and surgical care teams in examining surgical workflows, identifying practice gaps, and implementing best practices to prevent surgical site infections (SSIs), post-operative pulmonary embolism (PE) and/or deep-vein thrombosis (DVTs). Additionally, this guide provides quality improvement recommendations that support the safety and efficacy of pain management for patients within all phases of surgical care.

This checklist has been developed for hospital infection preventionists. Download here.

Learn more about the Centers for Disease Control and Prevention’s Project Firstline National Training Collaborative for Healthcare Infection Control.

I Want To, I Just Don’t Know How: A Practical Guide for Advancing Health Equity

The change pathway tool is a topic-specific, step-by-step guide to quality improvement. The change pathway is created using evidence-based practice resources and guidelines. Key quality improvement activities such as formulating an aim statement, conducting a root cause analysis and identifying interventions are included in each guide. Interventions are outlined as beginner, intermediate and expert so that you may explore opportunities for improvement that meet your needs. Download to get started!

Addressing Health Disparities Resource Guide

Health disparities are differences in health outcomes closely linked with social, economic and environmental disadvantage. These are often driven by the social conditions in which individuals live, learn, work and play. These disparities negatively impact the individual goal of achieving and maintaining good health, as well as the collective goal of providing quality care and achieving optimal population health. Learn about recommendations to increase understanding and awareness of disparities. Download to get started!

Patient and Family Engagement Implementation Resource Guide

This resource provides you with evidence-based resources, implementation strategies and general guidance to assist your organization’s efforts in establishing a successful PFE committee and meeting all five of the PFE measures.

• PFE 1 – Implementation of a planning checklist for patients known to have a planned admission to the hospital (e.g., for elective surgery), and PFE 2 – Implementation of a discharge planning checklist.
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• PFE3 – Conducting shift change huddles and bedside reporting with patients and families.
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• PFE4 – Designation of an accountable leader in the hospital who is responsible for patient and family engagement.
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• PFE5 – Hospitals having an active Patient & Family Engagement Committee/Advisory Council (PFAC) or other committees where patients are represented and report to the board.
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• PFE and Sepsis
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Find rural-specific healthcare statistics, data, evidence-based interventions, case studies and toolkits that support rural and critical access hospitals in quality improvement efforts from the Centers for Medicare & Medicaid Services here.

Telligen created a series of bite-sized learning videos to help strengthen skills for healthcare quality improvement professionals. Gain valuable insights, learn practical tools and discover best practices to drive continuous improvement.

Whether you’re new to quality improvement or looking to sharpen your expertise, these bite-sized videos fit into your busy schedule. Start improving today!

Watch now.

Watch all 10 videos:

• Introduction to Quality Improvement
• Building a Quality Improvement Team
• Team Roles and Responsibilities
• The 5 Ws of Effective Team Communication
• Setting SMART Goals
• Leveraging Process Mapping
• Plan-Do-Study-Act (PDSA) Cycle
• Root Cause Analysis and the 5 Whys
• The Fishbone Diagram
• A Plan for Sustaining Change

Check out IHI’s QI Essentials Toolkit which includes the tools and templates you need to launch a successful quality improvement project and manage performance improvement. 

The tools and resources in these resource packages have been thoughtfully curated to support healthcare professionals in addressing the most pressing patient safety issues and improvement opportunities that challenge our current healthcare industry. By identifying and addressing root causes, providers can develop targeted, impactful strategies to reduce risks and enhance patient safety. Implementing evidence-based guidelines, strengthening patient monitoring systems and fostering continuous education for healthcare teams are essential steps to minimize these incidents and deliver safer, more effective care. These best practices can be used to create robust quality improvement action plans that drive meaningful, sustained change.

• Age-Friendly Health Systems
• Behavioral Health: Addressing Depression, Suicide and Opioids, Alcohol and Substance Use Disorder
• Building a Strong Quality Improvement Case: Financial Acumen and Return on Investment (ROI) Essentials
• Continuity of Care
• Implementing an Antibiotic Stewardship Program
• Preventing Adverse Drug Events
• Preventing Healthcare-Acquired Infections
• Preventing Workplace Violence
• Safety Events: Preventing Patient Harm
• Sepsis: Essential Resources for Prevention and Care

Pan View Working Tool Template

• This organizational tool is aimed to provide you with a comprehensive – or panoramic – view of your Plan-Do-Study-Act (PDSA) work.

PDSA Pathway Guide

• This PDSA Guide outlines the steps to navigate this structured improvement process.

PDSA Worksheet

• A tool to guide you through the steps to conduct a Plan-Do-Study-Act process or cycle.

Turtle Diagram and Process Approach

• Use this to help visualize all elements of a process. This tool not only helps you have a more comprehensive view of how a process is carried out but can help understand the process itself.