Sustaining and spreading quality improvement: Decreasing intrapartum malpractice risk

Abstract

The multilevel integrated practice and coordinated communication model was successfully spread and sustained. Key elements contributing to this success included developing and maintaining evidence-based guidelines, ensuring leadership buy-in and support, collecting and reporting performance measures, holding teams accountable, providing training, and ensuring transparent communication.

Implementing a Robust Process Improvement Program in the Neonatal Intensive Care Unit to Reduce Harm

“…In addition, health care organizations continue to struggle with sustaining improvement gained through project work. 14–18 We found that implementing an RPI program not only addressed these gaps by providing the training to increase confidence and knowledge for improvement work but led to sustainable improvements.…”

“…Health care organizations also continue to have challenges sustaining improvements; this has had a detrimental effect on their ability to pursue high reliability. 14 , 15 A full third of quality improvement projects are not sustained after a year and almost 70% are not sustained over time. 16 , 17 Our understanding about what leads to sustainability is not yet well developed, but change management is likely a key factor.…”

“… 16 , 17 Our understanding about what leads to sustainability is not yet well developed, but change management is likely a key factor. 15 , 18 Managing the change for sustainability is specifically addressed by RPI through its blended approach of Lean, Six Sigma, and formal change mangement. 5 …”

“…16,17 Our understanding about what leads to sustainability is not yet well developed, but change management is likely a key factor. 15,18 Managing the change for sustainability is specifically addressed by RPI through its blended approach of Lean, Six Sigma, and formal change mangement. 5 In addition to building confidence and knowledge with RPI concepts and tools, other components such as leadership support, mentoring, and patient/ family engagement in improvement initiatives are necessary to implement a RPI program.…”

Suicide rates rise among health care support workers

“…The other articles in this issue present timely learning opportunities, including: A novel anesthesiologist‐led multidisciplinary model for evaluating high‐risk surgical patients at a comprehensive cancer center Sustaining and spreading quality improvement: Decreasing intrapartum malpractice risk Implementing safety hotlines: Stamford Health's experience and future opportunities …”