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Armstrong Institute for Patient Safety and Quality

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Improvement and Research Projects in Patient Safety and Quality

The Armstrong Institute leads regional, national and international projects that reduce preventable harm, improve patient and clinical outcomes and decrease health care costs. We apply a scientific approach to improvement, employing robust measures and rigorous data-collection methods that can be broadly disseminated and sustained. Our solutions focus not only on technical changes, such as using checklists, but also on fostering a culture of safety in which clinicians take ownership of tackling hazards. Join our email list to receive updates about improvement projects that your health care organization may be able to join.

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Free Training Course for Health Care Leaders

Certificate in Fundamentals of Leadership for Patient Safety and Quality begins May 1st. Join the project.

Project Emerge tablet app

Project Emerge

Groundbreaking initiative creates safer ICU through redesigning technology, workflow and culture.

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Stop BSI

Browse tools and resources from this pioneering national project to reduce bloodstream infections. Learn more.

Results to Date

Institute-led improvement efforts are among the rare examples of widespread, lasting reductions in preventable harm to patients. Our researchers led a project that reduced central line-associated bloodstream infections to a median of zero in more than 100 intensive care units in Michigan. Building on that success, they guided On the CUSP: Stop BSI, a four-year, 44-state project that led to a 40 percent reduction in these bloodstream infections. We have since received funding to conduct other large-scale collaborative projects targeting such complications as ventilator-associated pneumonia, surgical site infections and bloodstream infections in dialysis clinics. The results of our work have been published in high-impact journals, have informed public health policy and have been put into practice in hundreds of hospitals nationally and internationally.

We are currently leading several large-scale improvement projects that seek similar results.

Funding Sources

Our projects are supported by government grants and contracts, as well as by philanthropic organizations and industry.

Support for some of these projects comes through ACTION II, a public-private partnership funded by Agency for Healthcare Research and Quality that seeks to accelerate the dissemination of evidence-based improvements into routine practice. As one of 17 prime partners in ACTION II, the institute has created a network of health care organizations with a proven ability to conduct large-scale improvement efforts. The institute's role is to lead program design, implementation and evaluation for its network; it reports progress and results to AHRQ.

Learn More

Read about our projects, including how your hospital or health system may be able to participate in some of them. You can find additional resources -- such as tools, clinical protocols and educational modules -- for several of these projects on the institute's improvement projects portal.