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The Transforming Care at the Bedside Toolkit


This toolkit provides information for hospital units interested in adopting the "Transforming Care at the Bedside" (TCAB) model of nurse-initiated quality improvements. TCAB is a national program developed and managed by the Robert Wood Johnson Foundation and the Institute for Healthcare Improvement. Its goal is to engage front-line hospital nurses and leaders at all levels of the organization to:

  • Improve the quality and safety of patient care on medical and surgical units
  • Increase the vitality and retention of nurses
  • Engage and improve the patient's and family members' experience of care
  • Improve the effectiveness of the entire care team

The toolkit contains the following information:

  • About TCAB
  • Getting started
  • Testing ideas
    • How to select ideas to test
    • How to establish measurements
    • How to test changes
    • Analyzing data
  • Implementing change
    • How to hardwire change
    • Innovations that work
    • When and how to spread
  • Additional resources
Links to the Tool:
This tool is available at:


Institute for Healthcare Improvement; Robert Wood Johnson Foundation

Funding Sources

Robert Wood Johnson Foundation; Institute for Healthcare Improvement

QualityTool Topic



  • Release Date: 06/2008
  • Original Summary: 09/2008
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.

Last updated: February 16, 2009.