Why learn quality improvement• Improvement is a core aspect of all professionalism• Our patients depend on us to deliver quality care every time• Our reputation depends on quality performance
How we learn quality improvement• Benchmarking : the continuous process of measuring products, services, and practices against the company’s toughest competitors or those companies known as leaders (Nelson, Batalden & Lazar, 2007).Internal benchmarkingCompetitive or external benchmarking
• Being in a network: allows sharing of information, expertise and resources related to quality improvement.• QI tools, such as the PDSA methods, are feasible and acceptable techniques for creating and initiating system improvements aimed at enhancing patient education and counselling. (Varkey et al., 2009)
• Nurse students that applied quality improvement models could make an improvement in their study habits or lifestyle (Kyrkjebø & Hanestad, 2002).
What we need to know to learn QI The science of improvement• Appreciation of a system• Understanding of variation• Theory of knowledge• psychology.
Domains of learning improvement• Customer/ Beneficiary knowledge• Health care as a process• Variation and measurement• Leading, following and making changes in health care• Collaboration• Developing new, locally useful knowledge• Social context and accountability• Professional subject matter.
Sustaining change• Engage every one• Continually improve existing health systems and processes• Celebrate Milestones and End Results : Build personnel engagement for the continuous improvement process by celebrating successes (Opitz, 2008).• Teaching as many people (your organization, customers and suppliers) as possible to do the same thing• When residents are taught principles of sustainability and spread and asked to complete multiple PDSA cycles, they are able to identify common themes that may contribute to success of Quality improvement projects over time (Oyler, Vinci, Johnson & Arora, 2011).
References• Batalden. P., Splaine. M., Baker. R., Bisognano. M., Headrick. L., et al. (1998). Eight Domains for the Improvement of Health Care. Boston: Institute for Healthcare Improvement. Retrieved from http://www.ihi.org/Pages/default.aspx• Kyrkjebø, J. & Hanestad, B. (2002). Personal improvement project in nursing education: learning methods and tools for continuous quality improvement in nursing practice. Journal of Advanced Nursing, 41(1), 88–98• Nelson E. C., Batalden P.B., Lazar J.S. (2007). Practice Based Learning and Improvement: A Clinical Improvement Action Guide. 2nd edition. Joint Commission resouces. USA• Opitz B. (2008). How to Engage Employees, Improve Productivity & Sustain Improvements Over the Long Haul.• Oyler J., Vinci L., Johnson, J., Arora, V. (2011). Teaching Internal Medicine Residents to Sustain Their Improvement Through the Quality Assessment and Improvement Curriculum. Journal Gen Intern Med, 26(2), 221–225.• Varkey, P., Sathananthan, A., Scheifer A., Bhagra, S., Fujiyoshi, A. (2009). Using quality-improvement techniques to enhance patient education and counselling of diagnosis and management. Quality in Primary Care, 17, 205–213.
methods• We were unsure where to begin and look for information for this topic. Kath Stevenson gave us some ideas for where to start looking- she advised us to look up the 8 knowledge domains for quality improvement and also to look up an article by Linda Headrick. We used google scholar and pubmed to find the articles and information we needed.