Transforming Care at the Bedside
Transforming Care at the Bedside (TCAB) is a framework for improving patient care on medical and surgical units. Initiated by the Robert Woods Johnson Foundation and the Institute for Healthcare Improvement in 2003, it encompasses four main elements:
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Safety and Reliability
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Care Team Vitality
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Patient-Centeredness
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Increased Value
Brainstorming helps staff members develop new ideas. Any staff member can initiate and lead a TCAB program. Using a process called "small tests of change," progress is assessed daily. After the assessment period, an idea is adopted, abandoned or adapted as needed. Projects that fail are reassessed later and sometimes tried again.