Transforming Care at the Bedside How-to Guide: Spreading Innovations to Improve Care on Medical and Surgical Units | Institute of Health Improvement

The full power of Transforming Care at the Bedside to empower front-line staff and bring about high-leverage changes to improve care at the bedside is fully realized only when effective and proven practices are spread across an entire hospital or health system. The capacity of an organization to spread new practices is closely linked to its ability to sustain gains achieved through the implementation of these new practices. “Sustaining the gains” requires that an organization ensures that new practices and behaviors become a permanent part of its “way of doing business.”

By describing the experience of TCAB hospitals within a larger conceptual framework for spread, this guide captures lessons learned to date about effective strategies for spreading TCAB practices, which may allow other organizations to spread effective and proven practices more easily.