Quality Improvement In Health Care

810 Words4 Pages
You have a point Lisa, In addition, Simplification and standardization were found to be effective as a forcing function by decreasing reliance on individualized decision-making. Several initiatives standardized medication ordering and administration protocol. Four initiatives improved pain assessment and management by using standardized metrics and assessment tools. In all of these initiatives, simplification and standardization were effective strategies. It is the potential benefit of using information technology to implement checks, defaults, and automation to improve quality and reduce errors, in large part to embedding forcing functions to remove the possibility of errors. The effects of human error could be mitigated by using necessary…show more content…
Quality improvement requires five essential elements for success: fostering and sustaining a culture of change and safety, developing and clarifying an understanding of the problem, involving key stakeholders, testing change strategies, and continuous monitoring of performance and reporting of findings to sustain the change (Hughes, 2008). QI studies aimed for positive changes in health care processes. According to Hughes (2008) Plan-Do-Study-Act (PDSA) model has been widely used by the Institute for Healthcare Improvement for rapid cycle improvement. The PDSA analysis implement initiatives gradually, while improving them as needed. This is began with piloting a single new process, followed by examining results and responding to what was learned by problem-solving and making adjustments, after which the next PDSA cycle would be initiated. According to Hughes (2008), the majority of quality improvement efforts using PDSA found greater success using a series of small and rapid cycles to achieve the goals for the intervention. The aims of effectiveness and safety are targeted through process-of-care measures, assessing whether providers of health care perform processes that have been demonstrated to achieve the desired aims and avoid those processes that are predisposed toward harm (American Academy Of Physical Medicine And Rehabilitation, 2008). The…show more content…
The rapid-cycle aspect of PDSA began with piloting a single new process, followed by examining results and responding to what was learned by problem-solving and making adjustments, after which the next PDSA cycle would be initiated. The majority of quality improvement efforts using PDSA found greater success using a series of small and rapid cycles to achieve the goals for the intervention, because implementing the initiative gradually allowed the team to make changes early in the process80 and not get distracted or sidetracked by every detail and too many unknowns.87, 119, 122 The ability of the team to successfully use the PDSA process was improved by providing instruction and training on the use of PDSA cycles, using feedback on the results of the baseline measurements,118 meeting regularly,120 and increasing the team’s effectiveness by collaborating with others, including patients and families,80 to achieve a common goal.87 Conversely, some teams experienced difficulty in using rapid-cycle change, collecting data, and constructing run charts,86 and one team reported that applying simple rules in PDSA cycles may have been more successful in a complex
Open Document