Bedside Care


Transforming Care at the Bedside

What is TCAB?

Transforming Care at the Bedside

Launched in 2003, Transforming Care at the Bedside (TCAB) is a national program of the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI).

One of the most promising aspects of TCAB is creating an ideal transition and positive experience for patients who are being discharged from medical and surgical units.

TCAB engages leaders at all levels of the health care organization and empowers front-line nurses and other team members to improve the quality and safety of patient care on medical-surgical units, increase the vitality and retention of nurses, engage patients and families and improve their experiences of care, and improve the effectiveness of the entire care team. These four themes – safe and reliable care, vitality and teamwork, patient-centered care, and value-added care – serve as the framework for positive results.

At its core, TCAB is a quality improvement initiative. However, several characteristics distinguish it from others. First, TCAB engages the hearts and minds of front-line staff in improving care. With TCAB, new ideas for transforming the way care is delivered don’t come solely from hospital leaders or the quality improvement department, but from front-line nurses and other care team members: the people who spend the most time with patients and their families.

Second, TCAB fosters change. Leaders and staff critically reflect upon their experiences, and develop new perspectives. For example, TCAB promotes viewing patients as partners when making decisions about their care, rather than viewing them simply as recipients of care.

Third, TCAB emphasizes continuous learning and discovery. Teams test new ideas and continually aim for process improvements; they learn their way to desired results. It guides teams to focus on three questions: What are we trying to accomplish? How will we know that a change is an improvement? What changes can we make that will result in improvement?

Oregon Hospitals Participating in TCAB

Contact Information

Diane Waldo, MBA, BSN, RN, CPHQ, CPHRM, LNCC
Oregon TCAB Regional Clinical Leader
E-mail: diane.waldo@oahhs.org
Office: 503-479-6016
Cell: 503-333-8577

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