Quality Improvement

Question 1

The common thread:

Answer 1

Compliance and concordance

Medicines Safety

Evidence Based Practice

Shared Decision Making

Question 2

Why have Quality Improvement in Healthcare?

Answer 2

Healthcare is not always safe and can lead to poor patient experience and outcomes
Financial pressures are challenging healthcare services

Options?
Indiscriminate cuts; or
Design services to improve efficiency & reduce levels of harm
The people best placed to make those improvements are those who work in those areas day in day out, and know what needs to change. This is why Improving Quality Together is for everyone.

Question 3

What is Quality in Healthcare?

Answer 3

W. Edwards Deming (1900-1993)Deming says that

“Quality is meeting and exceeding the customer’s needs and expectations and then continuing to improve”.

Question 4

Quality in healthcare
core skills- Six domains

Answer 4

Identified by Institute of Medicine as quality in healthcare and these encompass person centred care.

These have been adopted by NHS Wales.

Question 5

Acronym S.T.E.E.E.P :

Answer 5

1) Safety
2) Timely
3) Effective
4) Efficient
5) Equitable
6) Person centered

Question 6

Safety

Answer 6

is avoiding harm to staff and patients from the care that is intended to help them

{keep record of near misses}

Question 7

Timely

Answer 7

care reducing waits and harmful delays for both those who receive and those who give care

{can u access care you need when you need it?}

Question 8

Effective

Answer 8

care based on scientific knowledge to all who could benefit and refraining from actions to those not likely to benefit

{drug A could be better than Drug B for some types of diabetes}

Question 9

Efficiency

Answer 9

avoids waste, of equipment, supplies, ideas, and energy

{Best treatment in the quickest way possible}

Question 10

Equitable

Answer 10

care that does not vary in quality because of personal characteristic such as gender, ethnicity, geographic location, and socio-economic status

{ Ensure that all people have equal access to the NHS service }

Question 11

Person-centered

Answer 11

care that is respectful of and responsive to individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions

{ shared decision making }

Question 12

How long did the NIH take to recommend the treatment of ulcer as suggested by Marshall in his 1984 Lancet Article?

Answer 12

10 years