1) The document describes a simulation activity designed to improve the turnaround time for laboratory tests in an emergency department. Participants form groups to pass a tennis ball representing a lab test between steps in the testing process.
2) The goal is to cut the time in half through testing changes using Plan-Do-Study-Act cycles. Participants identify potential changes, test them on a small scale, and analyze the results to plan further improvements.
3) The document discusses using rapid PDSA cycles to test changes, collecting data to learn what works and adapt the changes to the local environment with the goal of accelerating improvement.
Test as it stands in many organisations is increasingly unfit for purpose. It is often seen as a cost centre not a value add service. Why? Because having separate Test groups leads to the abdication of quality responsibility by everyone else in the lifecycle. With changes in processes, increase maturity and availability of tools to optimise delivery Test is in danger of becoming obsolete. And so it should! Test is dying but we need more testing than ever before.
Introduction to Lean Principles
Planning of your work processes to improve flow
Amy Hodgkinson and Trevor Taylor
National Improvement Leads, NHS IQ
Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX
This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.
The PPT presents the results of an evaluation of the ACC Better at Work intervention, which aimed to change General Medical Practitioners prescribing practices for time off work for injury. A range of perspectives about the invention are presented. Lessons are presented and conclusions drawn about the value and merit of the intervention. Lessons include issues to do with with the evaluation design.
Test as it stands in many organisations is increasingly unfit for purpose. It is often seen as a cost centre not a value add service. Why? Because having separate Test groups leads to the abdication of quality responsibility by everyone else in the lifecycle. With changes in processes, increase maturity and availability of tools to optimise delivery Test is in danger of becoming obsolete. And so it should! Test is dying but we need more testing than ever before.
Introduction to Lean Principles
Planning of your work processes to improve flow
Amy Hodgkinson and Trevor Taylor
National Improvement Leads, NHS IQ
Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX
This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.
The PPT presents the results of an evaluation of the ACC Better at Work intervention, which aimed to change General Medical Practitioners prescribing practices for time off work for injury. A range of perspectives about the invention are presented. Lessons are presented and conclusions drawn about the value and merit of the intervention. Lessons include issues to do with with the evaluation design.
Retrospectives Workshop
Are you struggling with retrospectives? Do you find it hard to get value out of them? Are you looking for tricks to make them amazing all the time?
Come join us for a Retrospective workshop!
The twelfth principle of the Agile manifesto says:
At regular intervals, the team reflects on how to become more effective, then tunes and adjusts its behavior accordingly.
We cannot understate the importance of this practice; if you only use one Agile practice, use Retrospectives. Retrospectives enable your team to inspect and adapt by looking at your results, and altering your plans to match reality. If you do not allow time for improvements, your team will always be in 'firefighting' mode.
In this meetup, Dag will elaborate on a few facilitation concepts, and invite the group to participate in a workshop. The workshop will teach you additional tips and tricks to make your retrospectives GREAT!
Agile 101 - Transitioning to Agile
Simon will facilitate a discussion how to run a successful transition to Agile from total chaos, or total waterfall.
#ATAGTR2018 Presentation "The Subtle Influence of Cognitive Biases on Testing...Agile Testing Alliance
Prabhakar Panditi who is an enterprise Agile Coach, Executive Coach Lean Agile and Product Development Consult has conducted a Game session on "The Subtle Influence of Cognitive Biases on Testing Professional."
please refer our linkedin post for session details
https://www.linkedin.com/pulse/game-session-prabhaker-panditi-subtle-influence-biases-alliance/
Collecting real-time qualitative data to understand health behaviourmruk
Summary of our ethnographic research on experience of using a pedometer to increase physical activity given to the Social Research Association Conference
Production for indies: management rules and mistakes / Alina Brazdeikene (MET...DevGAMM Conference
Great teams make great products. But what makes a great team?
This is a set of best practices for small/middle-sized teams regarding how to self-manage in a most efficient way, By controlling how the product is developed you control the final quality. As an indie publisher we've noticed there is a clear set of rules to follow and mistakes to avoid if you want to succeed in game development and moreover - enjoy the game development process.
‘Document Delivery Reimagined: Law Firm Librarians Lead the Way’ is a Reprints Desk e-book that details the market insights behind the 2014 service re-launch, after acquiring California-based 4 Research Solutions, Inc. in late 2012.
4C Associates has the insight, technology and experience to drive rapid profit improvement.
We offer specialist consulting, technology and managed services to transform your costs. We apply industry and functional expertise to deliver exceptional benefits.
Product Management And Service Delivery Process - FlackVentures ExampleKate Pynn
A lifecycle methodology enforces some very important processes that deliver critical value to Service Delivery. Some key contributions are:
Business driven goals (e.g. profit, performance, credible schedules, resource effectiveness….)
Roles and responsibility clarification (e.g. delegation, decision making, optimization….)
Organizational effectiveness (e.g. resource structure for task, enable cross functional efforts….)
Planning enforcement at the beginning before major resources committed
Continuous learning enabled that builds core competency in credible delivery plans.
Retrospectives Workshop
Are you struggling with retrospectives? Do you find it hard to get value out of them? Are you looking for tricks to make them amazing all the time?
Come join us for a Retrospective workshop!
The twelfth principle of the Agile manifesto says:
At regular intervals, the team reflects on how to become more effective, then tunes and adjusts its behavior accordingly.
We cannot understate the importance of this practice; if you only use one Agile practice, use Retrospectives. Retrospectives enable your team to inspect and adapt by looking at your results, and altering your plans to match reality. If you do not allow time for improvements, your team will always be in 'firefighting' mode.
In this meetup, Dag will elaborate on a few facilitation concepts, and invite the group to participate in a workshop. The workshop will teach you additional tips and tricks to make your retrospectives GREAT!
Agile 101 - Transitioning to Agile
Simon will facilitate a discussion how to run a successful transition to Agile from total chaos, or total waterfall.
#ATAGTR2018 Presentation "The Subtle Influence of Cognitive Biases on Testing...Agile Testing Alliance
Prabhakar Panditi who is an enterprise Agile Coach, Executive Coach Lean Agile and Product Development Consult has conducted a Game session on "The Subtle Influence of Cognitive Biases on Testing Professional."
please refer our linkedin post for session details
https://www.linkedin.com/pulse/game-session-prabhaker-panditi-subtle-influence-biases-alliance/
Collecting real-time qualitative data to understand health behaviourmruk
Summary of our ethnographic research on experience of using a pedometer to increase physical activity given to the Social Research Association Conference
Production for indies: management rules and mistakes / Alina Brazdeikene (MET...DevGAMM Conference
Great teams make great products. But what makes a great team?
This is a set of best practices for small/middle-sized teams regarding how to self-manage in a most efficient way, By controlling how the product is developed you control the final quality. As an indie publisher we've noticed there is a clear set of rules to follow and mistakes to avoid if you want to succeed in game development and moreover - enjoy the game development process.
‘Document Delivery Reimagined: Law Firm Librarians Lead the Way’ is a Reprints Desk e-book that details the market insights behind the 2014 service re-launch, after acquiring California-based 4 Research Solutions, Inc. in late 2012.
4C Associates has the insight, technology and experience to drive rapid profit improvement.
We offer specialist consulting, technology and managed services to transform your costs. We apply industry and functional expertise to deliver exceptional benefits.
Product Management And Service Delivery Process - FlackVentures ExampleKate Pynn
A lifecycle methodology enforces some very important processes that deliver critical value to Service Delivery. Some key contributions are:
Business driven goals (e.g. profit, performance, credible schedules, resource effectiveness….)
Roles and responsibility clarification (e.g. delegation, decision making, optimization….)
Organizational effectiveness (e.g. resource structure for task, enable cross functional efforts….)
Planning enforcement at the beginning before major resources committed
Continuous learning enabled that builds core competency in credible delivery plans.
Improving services, leading change – implementing change in rapid cyclesNHS England
Presentation from the Practice Manager Development Conference: Implementing change in rapid cycles. The benefits and practicalities of PDSA.
Sue Collis
Improvement training - Presentation from the Winterbourne Medicines Programme Launch held in London on 10 September 2014
Ensuring safe, appropriate and optimised use of medication for people with learning disabilities who demonstrate behaviour that can challenge
Purpose of the Call:
Change is challenging and getting staff clinicians and physicians to participate in quality improvement initiatives is often a struggle. Understanding the clinical perspective and developing effective change strategies can help.
By the end of this session participants will:
•understand why it is often difficult to engage with clinicians and physicians
•learn how to assess their change strategies for adoptability
•gain experience with the Highly Adoptable Improvement Model and Toolkit
Watch the webinar http://bit.ly/1A0mxOR
Quality Improvement. What Is it and How Can It Help Me?
Rapid Cycle Improvement 2009
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7. Not good enough! Patients are waiting and getting angry Need to cut the time in half! What changes can we make that will lead to improvement?
8. Debrief: What did we learn? Teamness Aim, Goals & Measures PDSA Cycles
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12. Cycles Have Been Going on for Years “ Negative results on the fish… Let’s try rubbing two sticks together.”
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14. Rapid Cycle Change Repeated Use of The Cycle Hunches Theories Ideas Changes which result in Improvement After cycles have demonstrated that the change CAN work, use more cycles to help you figure out how the change WILL work, every day Use of Multiple PDSA cycles Adapted from The Improvement Guide P A D S P A D S P A D S P A D S
15. Aim: Improve HCAHPS score “% of patients who reported their nurses always communicated well”. Use of scripting Improved Score A P S D A P S D A P S D D S P A DATA D S P A Cycle 1A:Develop a script and have one nurse test with one patient. Cycle 1B:Revise script and test with three more patients. Cycle 1C: Revise and have nurses on one shift test script with all patients for one week Cycle 1E: Implement and monitor the feedback
20. Change and Information change denial anger bargaining depression acceptance renewal FACTS SUPPORT ENCOURAGEMENT Source: E. Kubler Ross
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23. When do we implement? Staff/Physician Readiness to Make Change Copyright 2008 Institute for Healthcare Improvement and R.C. Lloyd & Associates Current Situation Resistant Indifferent Ready Low Confidence that current change idea will lead to Improvement Cost of failure large Very Small Scale Test Very Small Scale Test Very Small Scale Test Cost of failure small Very Small Scale Test Very Small Scale Test Small Scale Test High Confidence that current change idea will lead to Improvement Cost of failure large Very Small Scale Test Small Scale Test Large Scale Test Cost of failure small Small Scale Test Large Scale Test Implement
26. If you always do what you have always done; You always will get what you always got!!!
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Editor's Notes
Any one who has done this activity before must be a quality officer
Any one who has done this activity before must be a quality officer
17 Do trial run – enough orientation – you know we need to conserve cost – so we only hire smart people so if you didn’t get it you must not be smart and perhaps need to look somewhere else where pressure is less…
Remember what I said about just do it and not just doing it – forget that with
Lots of small changes, tests and experiments create improvement. Each cycle can be either the same experiment under different conditions, or different tests like ICU rounding, followed by a cycle of controlling linen distribution, followed by a cycle of substituting less costly drugs.
Analysis paralysis
Why improve… read .. Or perhaps its counterpart is more true