[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-169954-en":3,"doc-seo-169954-105":31,"detail-sidebar-cat-1-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":21,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":15,"update_tm":29,"read_time":30},169954,7971461740909,"Levi","https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d",1,11,"Presentations","Thinking about quality in healthcare - Quality Improvement Project Guide","Step-by-step guidance for planning a quality improvement project in healthcare, using the “Thinking about quality in healthcare” framework. Explains key concepts of quality and patient safety, including the six STEEEP dimensions, and helps teams evaluate structure, process, and outcome measures. Provides ways to use local and wider feedback sources, explore improvement models such as the Model for Improvement and PDSA, and frame project aims by clarifying scope and measurable change.","Quality Improvement Project Guide\nWelcome to the step-by-step workbook which is designed to guide you through a quality improvement project.\nBefore you start\nSome of you will be familiar with the concepts of quality improvement and patient safety as applied to healthcare, others may be less confident.\nThis \u0013 HYPERLINK \"http://qualitysafety.bmj.com/content/16/1/2.full\" \\h \u0014paper on quality improvement in healthcare by Paul Batalden and Frank Davidoff\u0015 gives an overview of the benefits of quality improvement and what is needed to produce system change. Using this workbook will help you to think about your particular contexts, ensuring that you undertake measured improvement and that you consider what you need to know to “make things happen”. We expect that most of you will be working on improving your microsystem (ie care provided by your team or department) but this may lead onto bigger changes in future.\nYou can watch this \u0013 HYPERLINK \"https://www.youtube.com/watch?v=NyHxRJLM-0s\" \\h \u0014BMJ video on quality improvement\u0015 to get an overview.\nGetting started\nYou may already be clear about the focus of your improvement project - if you are not then this step is for you.\nThinking about quality in healthcare\nYou might find it useful to think about what good quality care looks like and where your care could be better. The \u0013 HYPERLINK \"http://iom.nationalacademies.org/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf\" \\h \u0014Institute of Medicine in the US published a report back in 2001\u0015 which identified six dimensions of quality care - that it is safe, timely, effective, efficient, equitable, and patient centred (STEEEP). How does the care your team provide measures up?\nAlternatively think about what works well and what frustrates you during your work. You can then brainstorm with your team whether this is related to:\nStructures - infrastructure that impacts on quality or outcomes of care, eg staffing ratios on a labour ward\nProcess - activity which occurs for patients or populations, eg every patient with a stroke has a brain scan within 24 hours or every patient with diabetes in a population receives structured diabetes education\nOutcomes - the end result of healthcare, eg mortality from sepsis. Patient related outcome measures (PROMS) and patient experience are important outcomes to consider.\nThe local context: Alternatively, use sources of feedback to identify where care could be improved. Look at recent adverse events or complaints or review positive feedback from patients and see how that could be applied to other aspects of your care. Consider having brainstorming sessions with your team to help get them engaged in the process and to ensure making the improvement is important to them.\nYour organisation is very likely to have its own transformation programme focussing on key local priorities, reducing pressure ulcers for example. Linking in with the clinical governance and quality improvement teams will help align your work to these wider goals which will make it easier to get support and to sustain your change.\nThe wider context: \u0013 HYPERLINK \"http://qir.bmj.com/\" \\h \u0014BMJ Quality Improvement Reports\u0015 provides a fully searchable open access repository of quality improvement projects. Why not read what others have done and learn from their experiences? Our \u0013 HYPERLINK \"http://blogs.bmj.com/quality/\" \\h \u0014blogs\u0015 and \u0013 HYPERLINK \"https://www.youtube.com/user/QualityBMJ\" \\h \u0014videos\u0015 are also a great place to get ideas.\nThere are many \u0013 HYPERLINK \"https://www.patientstories.org.uk/\" \\h \u0014patient stories\u0015 which provoke ideas on change and can provide a powerful tool for engaging people with your project. The \u0013 HYPERLINK \"https://www.nice.org.uk/Standards-and-Indicators/Developing-NICE-quality-standards-/Quality-standards-topic-library\" \\h \u0014National Institute for Clinical and Healthcare Excellence in the UK publishes Quality Standards for structures\u0015, process and outcomes across differ","cbCailtsett2NE9e","https://ap.wps.com/l/cbCailtsett2NE9e","docx",31376,2,12,"English","en",105,"# Before you start\n## Thinking about quality in healthcare\n## Getting started\n# Improvement models\n## Model for Improvement\n## Plan-Do-Study-Act (PDSA)\n# Problem\n## Defining scope and aims","[{\"question\":\"What are the six dimensions of quality care used in this guide?\",\"answer\":\"The guide uses STEEEP: safe, timely, effective, efficient, equitable, and patient-centred care.\"},{\"question\":\"How should teams decide what to improve in their microsystem?\",\"answer\":\"Teams can assess how their care measures against STEEEP or brainstorm frustrations and what works well, mapping issues to structures, processes, and outcomes.\"},{\"question\":\"What are the three questions in the Model for Improvement?\",\"answer\":\"The model asks: What are we trying to accomplish? 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