Identification of problems in Quality Improvement Step-1
- Introduction...
- 1. Steps in QI...
- 2. Session I...
- 3. How to identify...
- 4. How to review d...
- 5. Make a List of ...
- 6. Choosing a Prob...
- 7. Prioritize the ...
- 8. Planning...
- 9. Select Your Tea...
- 10. Select Your T...
- 11. Why Teamwork i...
- 12. Aim statement...
- 13. Aim statement...
- 14. SMART Aim...
- 15. Aim statement...
- 16. Aim statement ...
- 17. Aim statement...
Introduction
DR. SEEMA SINGHAL
MS, FACS, FICOG, FCLS, MNAMS
Assistant Professor
Department of Obstetrics and Gynaecology
All India Institute of Medical Sciences, New Delhi
1. Steps in QI
Step 1: Identifying a problem, forming a team and writing
an aim statement
Step 2: Analyzing the problem and measuring quality
of care
Step 3: Developing and testing changes
Step 4: Sustaining improvement
2. Session I
► You will learn
♦ How to review data to identify problems
♦ How to prioritize which problems to work on
♦ How to form a team to work on that problem
♦ How to write a clear ‘aim statement’
3. How to identify a Problem
4. How to review data
5. Make a List of what you don’t like
6. Choosing a Problem
► Simple , easy to fix & amenable to change
► Value for patient ( impact )
► Dose not need much resources
► Short turn about time - early results
► Avoid - Long term projects
♦ Mortality as outcome e.g. 12 in a year ,
difficult to document
♦ Hemorhagic disease in newborn
(vitamin K related) – Follow up required
Early success motivates Team
7. Prioritize the Problem
8. Planning
9. Select Your Team
► Are involved-they are already doing the work that needs
change
► Look for volunteers
♦ Are enthusiastic – they want to make changes
♦ Are influential - others people listen to them and
they can get things done
10. Select Your Team Members
► Identify who need to be in Team
♦ at every level
♦ from all department
♦ from administrators to cleaners
♦ pick – Leader ,Recorder ,Communicator
11. Why Teamwork is important for improvement ?
► Healthcare setting = Range of people
► Given the opportunity ,staff can identify problems and
generate ideas to resolve them
► Participation improves ideas , increases buying-in , and
reduces resistance to change
► Accomplishing things together increases the confidence
of each member
12. Aim statement
► Description of a team's desired outcome
► Expressed in a measurable and time-specific way
13. Aim statement
► Characteristics of Good Aim Statement
► States a clear specific aim
► Linked to specific patient population
► Should include a goal
♦ Neither too difficult nor too long to achieve
Includes a solution
♦ Do not include possible, yet unproven solutions
14. SMART Aim
15. Aim statement
► Problem: Central line associated blood stream infections
in Medical ICU
► To reduce the incidence of Central line associated blood
stream infections in Medicine ICU of AIIMS New Delhi
from 30% to 10% in next 6 weeks.
► Who (which patients )- Patients admitted in Medicine
ICU of AIIMS New Delhi
► What (the outcome)-Central line associated blood
stream infections
► How much (the amount of desired improvement )-
from baseline rate of 30% to <10%
► By when (time over which change will occur)- within
6 weeks