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​Welcome to Transforming Care at the Bedside (TCAB)


Transforming Care at the Bedside, or TCAB, is an initiative to empower frontline staff nurses as key change agents for their local units. TCAB aims to improve the safety and reliability of care, improve nurses’ and other health care workers’ enthusiasm for their work, enhance patient and family satisfaction with care, and develop ways to add value to the care provided (such as increasing the amount of time nurses spend in direct contact with patients).

The initiative was developed with funding from the Robert Wood Johnson Foundation for the Institute for Healthcare Improvement to develop the model and tools for this empowerment. After being tested with 13 hospitals, TCAB is now being spread through a larger initiative by the American Organization of Nurse Executives and the availability of a virtual TCAB site for health care organizations that want to begin the “TCAB journey.”



Transforming Care at the Bedside: Paving the Way for Change, a special AJN report funded by the Robert Wood Johnson Foundation. This report describes why TCAB is needed if we’re to improve care, what it is, what impact it is having, and how various TCAB sites have made changes that support the TCAB aims.


TCAB at Massachusetts General Hospital. Under the “Collections” tab of, you’ll find a compilation of a series of 12 articles by Amanda Stefancyk, nurse director of 10 White at Massachusetts General Hospital. The series describes her unit’s experiences starting TCAB, the challenges the staff confronted, and some of the changes they have developed that have led to improvements in care and team vitality.


The virtual TCAB Web site has a toolkit for implementing TCAB.