Discussion – Quality and patient safety – 6304

I want the answer without similarity at all, and Conceptual and professional, they’re important.

Live Session
Module #14
Patient Safety at a Glance:
Ch. 31
Planning an Improvement
Project
HCM520
Quality and Patient Safety
Introduction
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Learn about quality improvement
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Find a project
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Form a team
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Find a faculty advisor
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Identify the key stakeholders
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Develop an aim and measures
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Identify changes
Course Code and Title
Planning Improvement Project:
A Visual
Finding a Project
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Draw on experience as a student or with a patient
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Did something not work as well as it should have?
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Did patients have a long wait time?
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Lack of communication at bedside?
Talk to people in healthcare organizations
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Ask them what is wrong
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Ask what they would improve
Routinely ask patients
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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
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Join one of these projects
Start small
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Do not try to improve entire organization
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Start in one area
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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
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Two mistakes made when trying to improve care
process
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Starting without a goal and measurement plan
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Goal tells you where you’re going
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Answers first question of Model for Improvement
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What are we trying to accomplish?
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Aim statement needs to be specific, measurable,
actionable
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Without effective measurement plan, won’t know if
interventions are effective
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Answers second question
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How will we know a change is improvement?
Improvement projects include outcome, process,
balancing measures
Identify Changes
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Last step is coming up with changes to test
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Answer question what change can we make that results
in improvement?
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Example: improving percentage of patients who take
medication after consultation
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Try setting up a system to call two days after receiving
prescription and remind patient to take
Questions?