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Preventing Patient Falls: A Systematic Approach from the Joint Commission Center for Transforming Healthcare Project

October 6, 2016
Download: Preventing Patient Falls


Just published: “Preventing Patient Falls: A Systematic Approach from the Joint Commission Center for Transforming Healthcare Project” describes the types of risks that lead to patient falls, the root causes for those risks and the solutions designed to help reduce them. Case studies feature individual hospitals and their experiences preventing falls. Learn More.

Swiss Re Corporate Solutions and the Center team up to prioritize patient safety and quality

Monday May 9, 2016


In an effort to encourage consistent, effective health care, Swiss Re Corporate Solutions will offer preferential underwriting treatment to hospitals and health care organizations that use high reliability tools, like the ones created by the Center. This is the first collaboration between the Center and a healthcare liability insurer.  Read More

Oro 2.0

Using the Targeted Solutions Tool® to Improve Emergency Department Handoffs

Thursday March 3, 2016


Hospitals have struggled for a long time with the handoff process of communicating patient information from one health care professional to another. Communication was one of the top root causes of sentinel events that were reported to The Joint Commission from 2011 through 2013. Learn More

High Reliability: Zero Harm Is the Goal

Tuesday January 12, 2016


High Reliability: Zero Harm Is the Goal by Dr. Erin Dupree, Chief Medical Officer and Vice President, Joint Commission Center for Transforming Healthcare 

Sentinel Event Alert 55: Preventing falls and fall-related injuries in health care facilities

Thursday October 8, 2015


Falls resulting in injury are a prevalent patient safety problem. Elderly and frail patients with fall risk factors are not the only ones who are vulnerable to falling in health care facilities. Learn More.

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Updated: Patient Safety Systems Chapter for the Hospital Program

Friday October 9, 2015


The quality of care and the safety of patients are core values of The Joint Commission accreditation process. This is a commitment The Joint Commission has made to patients, families, health care practitioners, staff, and health care organization leaders. This chapter exemplifies that commitment.
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Venous Thromboembolism (VTE) Prevention

Venous Thromboembolism (VTE) Prevention


The Center for Transforming Healthcare announces its eleventh patient safety project, which aims to prevent rates of venous thromboembolism (VTE). VTE is a major cause of morbidity and mortality in the United States. It has been estimated that up to 900,000 VTE’s occur per year resulting in approximately 100,000 deaths. Learn More

Using the Targeted Solutions Tool® to Improve Hand Hygiene

Friday January 22, 2016


The January 2016 issue of The Joint Commission Journal on Quality and Patient Safety features an article on how Memorial Hermann Health System used the Center for Transforming Healthcare’s hand hygiene tool to reduce health care-associated infections. Learn More

High-Reliability Health Care: Getting There from Here 

High-Reliability Health Care: Getting There from Here


The article “High-Reliability Health Care: Getting There from Here,” written by Drs. Mark R. Chassin and Jerod M. Loeb, The Joint Commission, urges hospitals to make the substantial changes that will be needed to achieve the ultimate goal of zero patient harm by adapting lessons from high-risk. Learn More


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Mission Statement

To transform health care into a high-reliability industry by developing highly effective, durable solutions to health care’s most critical safety and quality problems in collaboration with health care organizations, by disseminating the solutions widely, and by facilitating their adoption.

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