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Module #14
Patient Safety at a Glance:
Ch. 31
Planning an Improvement
Project
HCM520
Quality and Patient Safety
Introduction
►
Learn about quality improvement
►
Find a project
►
Form a team
►
Find a faculty advisor
►
Identify the key stakeholders
►
Develop an aim and measures
►
Identify changes
Course Code and Title
Planning Improvement Project:
A Visual
Finding a Project
►
►
Draw on experience as a student or with a patient
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Did something not work as well as it should have?
►
Did patients have a long wait time?
►
Lack of communication at bedside?
Talk to people in healthcare organizations
►
►
►
►
Ask them what is wrong
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Ask what they would improve
Routinely ask patients
►
►
Frontline staff
Ask enough and a theme will emerge
Identify those in charge of care quality
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These managers work on a number of projects
►
Join one of these projects
Start small
►
Do not try to improve entire organization
►
Start in one area
►
Use the model for improvement and scale up
Form a team
► Collaboration is essential
► Build a diverse team working toward a common goal
► Reach out to other disciplines
► Medicine
► Nursing
► Pharmacy
► Public health
► Multiple disciplines get various senses of the system
► Able to find bigger problems and solutions
Find a Faculty Advisor
► Find someone to advocate for you
► And improvement team
► May be leader of specific clinical team
► Or member of faculty
► Will provide active coaching throughout process
► Facilitate connections with local healthcare setting
Identify Key Stakeholders
► Consider these questions…
► Who will affect project?
► Who is going to be affected?
► Will you need to work with specific
physicians
► Nurse educators?
► Members of the pharmacy department?
► Important to figure out as soon as possible
► Contact appropriate stakeholders early and
often
Matrix for Stakeholder Analysis
Develop Aim and Measures
►
Two mistakes made when trying to improve care
process
►
Starting without a goal and measurement plan
►
Goal tells you where you’re going
►
Answers first question of Model for Improvement
►
What are we trying to accomplish?
►
Aim statement needs to be specific, measurable,
actionable
►
Without effective measurement plan, won’t know if
interventions are effective
►
Answers second question
►
►
How will we know a change is improvement?
Improvement projects include outcome, process,
balancing measures
Identify Changes
►
Last step is coming up with changes to test
►
Answer question what change can we make that results
in improvement?
►
Example: improving percentage of patients who take
medication after consultation
►
Try setting up a system to call two days after receiving
prescription and remind patient to take
Questions?
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