Lesson 2 Quality Improvement

Question 1

What’s the Okes (2019) DO IT problem solving method?

Answer 1

Find it Diagnostic Phase
1. Define the problem
2. Understand the problem
3. Identify problem causes
4. Collect data
5. Analyse data

Fix It Solution Phase
6. Identify possible solutions
7. Select solutions to be implemented
8. Implement the solutions
9. Evaluate the effects
10. Institutionalise the change

Question 2

What is the quality improvement method?

Answer 2

• Identify the quality issue
• Understand the problem from A RANGE OF PERSPECTIVES
• Develop/ apply a theory of change
• Identifying/ test potential solutions (using data to measure the impact of each test and gradually refine the solution)
• Implement the solution, ensuring a sustainable intervention as the new standard of practice

Question 3

What is quality improvement?

Answer 3

• Making the changes that will lead to better patient outcomes (health), better system performance (care), and better professional development (learning).

Question 4

What should healthcare systems be?

Answer 4

• Well-lead (collective and compassionate leadership underpinned by a shared vision, inclusive culture)
• Sustainably resourced (focused on delivering optimum outcomes within available finances, reducing the negative impact on public health & the environment)
• Equitable (committed to understanding and reducing variation and inequality and ensuring everyone has access to quality care and outcomes)

Question 5

What is quality?

Answer 5

• Being safe (avoiding harm)
• Effective (providing informed services that’s consistent and up to date with current guidelines)
• Caring (providing compassion, dignity and mutual respect)
• Responsive and personalised (ensuring services are shaped by what matters and empowering them to make informed decisions to design their own care)

Question 6

What is the Pareto principal?

Answer 6

• also known as the 80/20 rule
• suggests that roughly 80% of outcomes or effects come from about 20% of the causes or inputs
• highlighting an unequal relationship between inputs and outputs.

E.G 80% of wealth is owned by 20% of the population

Question 7

What is PDSA

Answer 7

Plan-
Do
Study
Act