Case Studies Quality and Safety


Saving lives, eliminating defects and improving processes The problem Venous thromboembolism (VTE) is the third most common cardiovascular illness1 — and the most common preventable cause of hospital-related death.2 In the United States alone, approximately 1 million patients experience VTE events. Nearly two-thirds of these events occur because of hospitalization, resulting in approximately 300,000 deaths.3 In just one year, a...
Case Study: Achieving Zero Preventable...
Recent Case Studies
Case Study | Building a New Outpatient Surgery...

At a Glance The Organization The Orthopedic Outpatient Center is a state-of-the-art facility in southwest Oregon, operated by the Southern Oregon Orthopedics group....

Case Study | Medication Error Sparks Innovation

In many hospital pharmacies today, the pace is hurried. Staff rush to fulfill complex orders for waiting providers with patients’ health dependent on their...

Case Study | Delivering Change and Developing...

Embark on a journey of transformative success in healthcare as we delve into inspiring achievements from our partners worldwide. Witness the strides made by...

Case Study | 36-Clinic Federally Qualified Health...

The organization Nestled in California’s San Joaquin Valley, Clinica Sierra Vista had humble beginnings. Formed in 1971 to address the specific needs of the...

Case Study | Embedding a System to Protect...

Patient Safety Survey Participation Sharply Increases Overall staff participation in Virginia Mason’s Culture of Patient Safety survey grew from 16% in 2004 to 88%...

Selected Resources

Healthcare Improvement Insights

Explore articles, case studies, and research that help healthcare leaders drive sustainable improvement.

Mistake Proofing in Ambulatory, Procedural, and ...

Mistake Proofing in Ambulatory, Procedural, and ...

Welcome to our blog miniseries: Transforming Healthcare, featuring some of the biggest takeaways ...

Mistake Proofing in Ambulatory, Procedural, and Inpatient Care

Welcome to our blog miniseries: Transforming Healthcare, featuring some of the biggest takeaways ...

Culture of Care

Culture of Care

Explore how equity-focused improvement, coaching and lived experience can strengthen staff ...

Culture of Care

Explore how equity-focused improvement, coaching and lived experience can strengthen staff ...

Bridge to Excellence with Three Rivers Hospital

Bridge to Excellence with Three Rivers Hospital

Join host Brenda McLeod in conversation with Jamie Boyer, German Meza, and Karen Gifford about ...

Bridge to Excellence with Three Rivers Hospital

Join host Brenda McLeod in conversation with Jamie Boyer, German Meza, and Karen Gifford about ...