Protocol Development and Quality Improvement
What changes can we make that will result in improvement?
Broad, general ideas and thoughts about change (βchange conceptsβ)
ii.
Select the change.
| d. | Testing change |
|---|
Scientific method
Plan-do-study-act cycle: Use an A3, which is a visual management system to identify opportunities
for improvement to ensure they align with system goals. A3 was developed by Toyota to
communicate with as few words as possible.
Plan β Analyze the problem or opportunity and search for the root cause. Design the process
improvement and implementation plan.
| (a) | Questions are asked and predictions are made. |
|---|---|
| (b) | Details are described. |
| (c) | Who will make the test? |
| (d) | What exactly will they do? |
| (e) | When will they do it? |
| (f) | Where will they do it? |
| (g) | How long will they do it? |
| (h) | Predict what will happen. |
| (i) | Determine which data to collect. |
ii.
Do β try it out
| (a) | Change is tested following the βplan.β |
|---|---|
| (b) | Collect data on the change. |
| (c) | Unexpected problems and observations are documented. |
iii.
Study β analyze data, study results
| (a) | Study the effect of the test change on the single measure. |
|---|---|
| (b) | Compare data with predictions. |
| (c) | Summarize what was learned. |
iv.
Act β refine the change on the basis of what was learned
| (a) | Adapt, adopt, or abandon change idea for next cycle. |
|---|---|
| (b) | Develop an implementation plan. |
| (c) | Share final reflections. |
Benchmarking β Compares your performance with that of another health care system or a database of
collective health care system performance
Nursing reports/concerns
Patient concerns or comments: Reports from third-party payers and regulatory agencies
Incident reporting
Root-cause analysis reports
Medication error reports
Patient care evaluation studies
Patient satisfaction survey results
Include pump integration data reports if implemented