18 - Patient Safety 2 Flashcards
What is the definition of Quality Improvement?
Combined and unceasing efforts of everyone, e.g workers, patients, to make the changes that will lead to better patient outcomes, better system performan and better professional development
What are the four key groups in a QI project?
- Project lead (you)
- Project supervisor (senior staff with influence in department)
- QI team or improvement specialist (someone to provide expert advice)
- Wider team
What is the model for improvement?
- 3 questions followed by PDSA cycle
- Questions are following SMART aim
How does SMART aims relate to QI improvement?
What is the family measures in a QI project?
What does each step of the PDSA cycle involve?
End result of the cycle will be:
- Adopt the change
- Adapt the change and do another PDSA
- Abandon the change
Make small reversible changes and one at a time!!!
When collecting data during a QI project what are some factors you need to consider?
What should you do before starting a change in the PDSA cycle?
- Collect some baseline data to evaluate impacts of any interventions made
- 20-30 data points
What are some different types of charts you can use to represent the results of a QI project and what is the best?
- SPC is the best
What is common cause variation?
When all the data on an SPC chart lies in the control limits (2 SD from the mean). Would expect all additional data to lie in these limits
What is special cause variation?
- Data is no longer under control, measure of process control. Something has changed to make data behave this way
- Astronomical point
- 8 or more consective points above or below the mean line
- Six or more consective increasing or decreasing points
- 2/3 consecutive points within 1SD of the control limits
- 15 or more consecutive points within 1SD of the mean
When is special cause variation a good thing?
When testing a change on PDSA, can tell you if change has made an improvement
What are the differences between common cause and special cause variation?
