QI Advocate

Question 1

What are the 5 points of the CVS QI cultural framework?

Answer 1

Just culture
Accountability
Inclusive leadership
Teamwork
Sytems Thinking

Question 2

What is meant by having a just culture?

Answer 2

• Allowing all members of the team to speak up when they have a concern.
• Focussing on what and why things went wrong rather than on individuals
• Tolerating mistakes but not willfull negligence

Question 3

What is meant by accountability? How does it differ to responsibility?

Answer 3

Accountability focusses on the process of reaching an outcome rather than completion of the outcome (responsibility). There is a need to balance accountability with psychological safety.

Question 4

What are the ways to demonstrate inclusive leadership?

Answer 4

• Seek to understand people rather than to correct people
• Demonstrate vulnerabiltiy yourself

Question 5

What are the ways in which you can encourage teamwork?

Answer 5

• Respect the diversity of your team?
• Be optimistic about your team’s capability?
• Consider whether you are contributing or dominating (are you allowing other voices?)
• Are you willing to challenge dogma?
• Does your team feel safe with you?

Question 6

What is meant by psychological safety?

Answer 6

The shared commitment of all memberships of the team and leadership to promote clinical improvement and learn from mistakes in a culture that does not penalise the individual

Question 7

What are the 6 pillars of the clinical government framework?

Answer 7

1. Clinical Effectiveness
2. Research and Development
3. Ethical Integrity and Sustainability
4. Information Sharing and Collaboration
5. Education and Training
6. QI and Patient Safety

Question 8

What are the situations in which a clinical learning review may be beneficial?

Answer 8

• Cases that have gone well
• Cases with unwanted/unexpected outcomes
• Adverse events and near misses
• VetSafe data trends
• Review QI projects and proposals