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IHI.org has two types of Improvement Stories:
- IHI.org Stories that describe the changes and results in specific organizations.
- User-submitted Reports from IHI.org users that describe improvement projects in their organizations.
We all learn from others' experiences testing and implementing changes in real settings — who should be on the team; what measures were tracked; which changes worked best or didn't work at all; and what lessons were learned.
User-submitted Reports, submitted by IHI.org users, accelerate our learning. In the spirit of "all teach, all learn," we encourage you to share your Improvement Report with the IHI.org community. Please click the Submit an Improvement Report button below.
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Highly Reliable Surgical Teams (HRST): Improving Teamwork and Surgical Outcomes with Structured Briefings in a Large HMO – A Spread Project
Northern California Kaiser Permenente (San Francisco, California, USA) increases surgical reliability and reduces surgical harm in 16 surgical sites in Northern California.
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It’s Hip to Get the Antibiotic In
Jewish Hospital Downtown (Louisville, Kentucky, USA) implemented processes resulting in 479 days without hip prosthesis surgery wound infection.
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Developing a Reliable System to Improve Peri-Operative Antibiotic Administration
Baystate Medical Center (Springfield, Massachusetts, USA) has designed a reliable system using multi-pronged team interventions to administer and discontinue prophylactic antibiotics, leading to consistent national top decile performance.
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Tallahassee Memorial Hospital Increases the Number of Cases Between Surgical Site Infections to 185
Changing old habits is hard, but it’s easier when everyone understands the reasons. When Tallahassee Memorial Hospital in Tallahassee, FL, wanted to reduce surgical site infections, education was essential. “We thought we were doing everything right already,” says Anne White, RN, BSN, CNOR, Nurse Manager, main operating room. “You couldn’t get buy-in until everyone saw that we could do better.”
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Reducing Surgical Site Infections
Tallahassee Memorial Hospital (Tallahassee, Florida, USA) increased the number of cases between surgical site infections to 180.
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Improving Glycemic Control in Cardiothoracic Surgery Patients Using an Insulin Protocol
Increased compliance with a cardiothoracic surgery insulin protocol at Western Pennsylvania Hospital (Pittsburgh, Pennsylvania, USA) provided for better glycemic control, a 17.1 percent decrease in overall complications, and a 64.7 percent reduction in the number of surgical site infection cases.
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Charleston Area Medical Center: Sensible Antibiotic Use Saves Money
Clinicians at Charleston Area Medical Center (Charleston, West Virginia, USA), the largest health care system in West Virginia, are experts at infection control. They have proven that judicious administration of antibiotics to surgical patients pays off in three ways: reduced infection rates and lower readmission rates; reduced antibiotic resistance; and lower costs.
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Porter Hospital Reduces Surgical Site Infection Rate to Zero
Forty-five-bed Porter Hospital (Middlebury, Vermont, USA) has dropped its surgical site infection rate from almost three percent in October 2004 to zero — meaning 357 infection-free surgical cases, and counting — through September 2005.
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The Steps to Safer Surgery
As part of IHI’s 100,000 Lives Campaign almost 2,000 hospitals across the United States have committed to reducing surgical site infections (SSIs). Learn how organizations that have participated in various national initiatives are reducing their surgical site infection rates.
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Zero Tolerance for Nosocomial Infections
The North Shore-Long Island Jewish Health System (Great Neck, New York, USA) has brought together interdisciplinary teams of senior leaders, physicians, nurses, infection control practitioners and other health care professionals (both clinical and non-clinical) to create a culture of zero tolerance for nosocomial infections through the initiation of a new reporting structure to enhance accountability and allow for standardized implementation of best practices to prevent infections.
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