Accelerating quality improvement within your organization: Applying the Model for Improvement

Crowl, Ashley; Sharma, Anita; Sorge, Lindsay A.; Sorensen, Todd D.

doi:10.1331/japha.2015.15533

Cited by 53 publications

(46 citation statements)

References 7 publications

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“…Rapid-cycle process improvements or PDSA cycles combine a continuous process of small tests of change with a longitudinal measurement process. 5 This process offered our staff the ability to participate in solutions to problems they encountered in the field and to lead interventions to produce a positive impact. Although the PDSA cycles addressing process, equipment securing, and battery life issues did improve ventilator use on transport, it did not fully address all of the barriers that would have enabled our program to reach the benchmark for portable ventilator use during transport.…”

Section: Discussionmentioning

confidence: 99%

Ventilator Boot Camp Improves the Knowledge and Skills Associated With Mechanical Ventilator Use During Interfacility Transport of Intubated Pediatric Patients

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Ventilator Boot Camp Improves the Knowledge and Skills Associated With Mechanical Ventilator Use During Interfacility Transport of Intubated Pediatric Patients

et al. 2018

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“…To meet the expectations of delivering high-quality care to patients and ensuring a care model that supports QI, clinicians should be aware of how to use quality measurement tools. 39 Improvement involves a substantial shift in our idea of the work of health care, a challenging task that can benefit from the use of a wide variety of tools and methods. 23 The Model for Improvement has been identified as an important tool for driving quality initiatives and achieving quality goals (Figure 3).…”

Section: Applying the Model For Improvementmentioning

confidence: 99%

“…The Model for Improvement has been used to improve documentation, 24,34 education, 41,42 and clinical care. 43,44 Although this model is well known in hospitals and primary care settings, 39 it is less familiar to ATs working in various athletic health care systems.…”

Section: Applying the Model For Improvementmentioning

confidence: 99%

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Quality Improvement in Athletic Health Care

Sauers

Valier

2017

Journal of Athletic Training

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As the athletic training profession continues to grow, a widespread engagement in QI efforts is necessary to establish the value of athletic training services for the patients that we serve. A review of the importance of QI in health care, historical perspectives of QI, tools to drive QI efforts, and examples of common QI initiatives is presented to assist clinicians in better understanding the value of QI for advancing athletic health care and the profession. Clinical and Research Advantages: By engaging clinicians in strategies to measure outcomes and improve their patient care services, QI practice can help athletic trainers provide high-quality and affordable care to patients.

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“…Also, following the model for improvement, front-line practitioners and organisational leaders can quickly identify strategies that make a positive difference and result in a greater degree of success. By focusing on small tests to create and measure change, improvement is seen faster within an organisation, compared with the use of a typical research measurement, with minimal interruption in workflow 13…”

Section: Introductionmentioning

confidence: 99%

Quality improvement programme reduces errors in oral medication preparation and administration through feeding tubes

et al. 2020

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BackgroundPatients with nasogastric/nasoenteric tube (NGT/NET) are at increased risk of adverse outcomes due to errors occurring during oral medication preparation and administration.AimTo implement a quality improvement programme to reduce the proportion of errors in oral medication preparation and administration through NGT/NET in adult patients.MethodsAn observational study was carried out, comparing outcome measures before and after implementation of the integrated quality programme to improve oral medication preparation and administration through NGT/NET. A collaborative approach based on Plan-Do-Study-Act (PDSA) cycle was used and feedback was given during multidisciplinary meetings.InterventionsGood practice guidance for oral medication preparation and administration through NGT/NET was developed and implemented at the hospital sites; nurses were given formal training to use the good practice guidance; a printed list of oral medications that should never be crushed was provided to all members of the multidisciplinary team, and a printed table containing therapeutic alternatives for drugs that should never be crushed was provided to prescribers at the prescribing room.ResultsImprovement was observed in the following measures: crushing enteric-coated tablets and mixing drugs during medication preparation (from 54.9% in phase I to 26.2% in phase II; p 0.0010) and triturating pharmaceutical form of modified action or dragee (from 32.8 in phase I to 19.7 in phase II; p 0.0010). Worsening was observed though in the following measures: crush compressed to a fine and homogeneous powder (from 7.4%% in phase I to 95% phase II; p 0.0010) and feeding tube obstruction (from 41.8% in phase I to 52.5% phase II; p 0.0950).ConclusionOur results highlight how a collaborative quality improvement approach based on PDSA cycles can meet the challenge of reducing the proportion of errors in oral medication preparation and administration through NGT/NET in adult patients. Some changes may lead to unintended consequences though. Thus, continuous monitoring for these consequences will help caregivers to prevent poor patient outcomes.

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Accelerating quality improvement within your organization: Applying the Model for Improvement

Cited by 53 publications

References 7 publications

Ventilator Boot Camp Improves the Knowledge and Skills Associated With Mechanical Ventilator Use During Interfacility Transport of Intubated Pediatric Patients

Ventilator Boot Camp Improves the Knowledge and Skills Associated With Mechanical Ventilator Use During Interfacility Transport of Intubated Pediatric Patients

Quality Improvement in Athletic Health Care

Quality improvement programme reduces errors in oral medication preparation and administration through feeding tubes

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