title: Transforming care at the bedside: implementation and spread model for single-hospital and multihospital systems.
abstract: Institute of Medicine reports provide evidence of the failings of the healthcare system in the United States and a vision of the required transformation. The Institute for Healthcare Improvement and the Robert Wood Johnson Foundation created the Transforming Care at the Bedside initiative in 2003 to develop and validate a process for transforming care in hospital medical-surgical units. The authors describe Transforming Care at the Bedside as implemented by one of Institute for Healthcare Improvement/Robert Wood Johnson's initial pilot hospitals, including promising outcomes and a model for spreading the initiative.
authors.affiliation: Center for Quality Improvement and Innovation, University of Pittsburgh Medical Center, 4601 Baum Boulevard, Pittsburgh, PA 15213, USA.
authors.forename: Susan Christie
authors.initials: SC
authors.lastname: Martin
authors.forename: Pamela K
authors.initials: PK
authors.lastname: Greenhouse
authors.forename: Tamra
authors.initials: T
authors.lastname: Merryman
authors.forename: Judith
authors.initials: J
authors.lastname: Shovel
authors.forename: Cindy A
authors.initials: CA
authors.lastname: Liberi
authors.forename: Jeannine
authors.initials: J
authors.lastname: Konzier
mesh_terms: D004059:Diffusion of Innovation; D017598:Efficiency, Organizational; D006754:Hospital Restructuring / Q000458:organization & administration*; D006757:Hospital Units / Q000458:organization & administration*; D006761:Hospitals / Q000592:standards; D006801:Humans; D017146:Models, Organizational; D009096:Multi-Institutional Systems / Q000458:organization & administration; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D015401:Nursing Administration Research; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D018802:Patient-Centered Care / Q000458:organization & administration*; D010414:Pennsylvania; D010865:Pilot Projects; D016730:Program Development; D017751:Safety Management / Q000458:organization & administration*; D013597:Systems Analysis; D017749:Total Quality Management / Q000458:organization & administration*; D014481:United States