Quality Improvement
by
Paul de Roos
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Quality Improvement
the global source for improvement solutions that achieve superior quality and sustainable results.
Theories
Six Sigma
Quality improvement model
To err is human
Gap Analysis (IHI)
IOM Reports
Analysing the Problem
Nolan's 3 Question Model
Determine the source
Healthcare: Incident Reports
Clinical Quality Problems
Tools
Process Model
Flow charts
Paretochart
Objective data
Self Report
Brainstorm
Methods
PDSA
Kaizen
TQM
Cause and Effect / Fishbone
Practice specific models
Related Associations
National Association for Healthcare Quality
Juran Institute
Agency for Healthcare Research and Quality
IHI
Evaluation - how do we know the method is working?
Formative
Process
Outcome
Quality Improvement tool/cycle
evidencebased
Desired outcome
What is quality?
Measuring quality is the first step towards improving quality and thus value in health care
History
1914: Surgeon Ernest Codman began data collection pertaining to surgeries
•1960s: Donabedian Model
Challenges
Technology
Structure
Psychological Climate
Leadership
Culture
Legal Issues
New node
