IHI Releases White Paper – “Sustaining Improvement”

January 24, 2017    |   By: Eunice Halverson, MA, CPPS

IHI recently released a white paper called “Sustaining Improvement”.  A great case study is included in the Appendix from Saskatchewan Health Quality Council, who uses a tool called SAFER to help front-line staff consistently improve patient safety:

Stop: Stop if staff see anything unsafe.

Assess: Assess the situation. Ask for support from other staff, supervisors, or leaders.

Fix: Fix the unsafe situation if they can.

Escalate: If they cannot fix the situation, escalate the concern to the next person in the chain of command.

Report: Report unsafe situations, environments, and practices, including “near misses” and incidents resulting in harm to patients or staff.

Download white paper here.


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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.