Empowering millennials in the workplace: A quality improvement (QI) project to develop an efficient educational programme

Physiotherapy ◽  
2021 ◽  
Vol 113 ◽  
pp. e129-e130
Author(s):  
A.S. Greenwell ◽  
S.K. Mansell
Keyword(s):  
Quality Improvement ◽  
Educational Programme

scholarly journals Closing the gap: a transatlantic collaboration to foster quality improvement training in graduate entry medical students using applications of QI methodologies to medical education

2019 ◽  
Vol 8 (3) ◽  
pp. e000610 ◽  
Author(s):  
Allison Brown ◽  
Seamus Sreenan ◽  
Alice McGarvey
Keyword(s):  
Quality Improvement ◽  
Medical Student ◽  
Medical Students ◽  
Medical School ◽  
Educational Programme ◽  
Small Scale ◽  
Educational Approach ◽  
Clinical Exposure ◽  
Canadian Medical School ◽  
International Partnership

The alarming prevalence of medical error and adverse events in the health system raises a call to action to ensure that doctors in training receive adequate training in quality improvement (QI). Training medical students in QI remains a challenge given time constraints, lack of clinical exposure, and already saturated curricula. In some instances, QI training may be delivered during clerkship through didactic, and in some instances, and experiential learning. Preclinical years of medical school remain focused on introducing students to scientific and clinical concepts, rarely do they learn about QI. The Program for Innovation in Scholarship and Medicine (PRISM) is a programme that introduces first-year medical students to the fundamentals of QI using their experience as a medical student as the context. PRISM is a condensed QI curriculum that is delivered through an international partnership, based on a previously piloted programme at a Canadian medical school. Following an introductory workshop, medical students work in teams to develop QI proposals (project charters) which detail how QI principles and tools can generate small-scale improvements within their educational programme. Project charters are assessed by a team of faculty and upper year students, who have previously participated. On completion of the programme, students demonstrated increased knowledge, skills, and attitudes towards QI. Programme participants were satisfied with the structure and expectations of PRISM and expressed a newfound interest in QI. Nearly all participants would recommend PRISM to another medical student. In conclusion, PRISM serves as a resourceful, efficient educational approach for preclerkship students that provides an introduction to the concepts of QI in order for early trainees to build on baseline knowledge and skills throughout their training.

scholarly journals 107 Quality Improvement in Action! The Development of a Delirium Bay

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Elaine Loughlin ◽  
Miriam Conry ◽  
Catherine Gavin ◽  
Orla Sheil ◽  
Martina O'Connor ◽  
...  
Keyword(s):  
Older Adults ◽  
Quality Improvement ◽  
Clinical Outcomes ◽  
Ad Hoc ◽  
Environmental Changes ◽  
Stakeholder Analysis ◽  
Family Satisfaction ◽  
Educational Programme ◽  
Morbidity And Mortality ◽  
Cross Sectional

Abstract Background As illustrated in a cross-sectional study at a Galway hospital, delirium is common with a 29% incidence in hospitalised older adults. This is associated with adverse clinical outcomes. Guidelines support specialised environments in the management of delirium to reduce morbidity and mortality. A delirium bay is a specialised unit with a standardised approach to comprehensive geriatric assessment for older adults with delirium. Methods We aimed to improve the care of the delirious older adult within our existing framework by creating a ‘Delirium Bay’ utilising the principles of quality improvement. An interdisciplinary team completed ‘Quality Improvement in Action’ training run by the Royal College of Physicians of Ireland from October 2018-March 2019. This involved defining our problem statement and ‘SMART’ aim (Specific, Measurable, Achievable, Realistic, Timely). Measures for improvement included the rate of adverse events, the duration of episodes, patient/family satisfaction, and the use of one-to-one supervision of patients. Results Stakeholder analysis included nursing, catering, multidisciplinary and healthcare assistance staff. We liaised with hospital management regarding restructuring staffing and maintenance regarding environmental changes. An educational programme on delirium was delivered.. We collected baseline data utilising the ‘Plan, Do, Study, Act’ Model and utilised this to guide our changes. A Standard Operating Procedures document was drafted. We opened our four-bedded delirium bay on 11th March 2019. Preliminary data indicates improved management of delirium with preserved continence, reduced risk of falls and high patient and family satisfaction levels. Interventions have been implemented with minimal funding and infrastructural changes. Staffing reconfiguration involved standardised planning replacing a pre-existing ad-hoc system. Conclusion Delirium in hospitalised older adults is common and associated with increased morbidity and mortality, yet amenable to interventions. We demonstrate that a delirium bay can be set up with a quality improvement approach. Pilot data suggests improved management of these patients within the framework of existing resources. Further collection of data on clinical outcomes is ongoing.

scholarly journals Description of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 66
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo
Keyword(s):  
Quality Improvement ◽  
Conceptual Framework ◽  
Social Services ◽  
Health Professionals ◽  
Training Programme ◽  
Research Process ◽  
Educational Programme ◽  
Successful Implementation ◽  
Ministry Of Health ◽  
Health And Social Services

The aim of this paper is to describe the quality improvement training programme for health professionals in the Ministry of Health and Social Services in Namibia. The Practice Oriented Theory of Dickoff (1968) was used as practical guidelines to develop the conceptual framework. This framework was employed during the research and the educational programme development process. During the research process, the agent was the researcher; recipients (Managers/leadership and health professionals); the context (MoHSS head office and healthcare facilities); dynamics (findings for objective one and two); Procedure (research process) and terminus (foundations for development of educational programme). For the educational programme developing process, agent (quality specialist), recipients (health professional), context (health facilities), procedure (training programme for health professionals), dynamics, (challenges hampering successful implementation of the programme) and the terminus (knowledge, skills and abilities acquired through the training programme). During the development of the quality improvement training programme, two main theories were adapted. The most prominent one was a model by Meyer and Van Niekerk (2008), which was adapted to guide the process of developing the training programme. Kolb’s experiential learning theory was used to explain the learning process and styles of developing knowledge through experiences.The content of the training programme was derived from five main themes, 17 sub-themes and the conceptual framework based on the situation analysis about challenges faced by the health care facilities. The five themes were lack of implementation of policies and guidelines; inadequate resources; lack of interpersonal relationships; inadequate understanding of quality assurance and quality improvement; and inadequate research to provide evidence-based information during treatment and patient care.The educational programme consisted of the purpose / aim, objectives, structure / design, facilitation process, implementation process, and evaluation of the programme.

scholarly journals Engaging medical students in leadership and quality improvement through a formal educational programme

MedEdPublish ◽  
2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Mohammed Al-Talib ◽  
Danny McLernon-Billows ◽  
Sophie Poore ◽  
David Bloomfield
Keyword(s):  
Quality Improvement ◽  
Medical Students ◽  
Educational Programme

From accreditation to quality improvement—The Danish National Quality Programme

2021 ◽  
Vol 33 (2) ◽  
Author(s):  
Christian Uggerby ◽  
Solvejg Kristensen ◽  
Julie Mackenhauer ◽  
Søren Valgreen Knudsen ◽  
Paul Bartels ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Public Management ◽  
Educational Programme ◽  
Public Hospitals ◽  
Public Governance ◽  
Quality Healthcare ◽  
Continuous Quality ◽  
New Public ◽  
National Quality ◽  
Quality Improvement Collaboratives

Abstract The Danish government launched a new National Quality Programme (NQP) in healthcare in 2015. It has changed the focus from old public management in terms of accreditation, regulation, rules and standards to new public governance focusing on delivering high quality healthcare and outcomes of value for the patients, health professionals and the Danish healthcare system. The NQP aims to strengthen the focus on continuous quality improvement and the launch of the programme was accompanied by a decision to phase out accreditation of public hospitals. The NQP includes 1) eight specific national quality goals, 2) a national educational programme for quality management, and 3) establishment of quality improvement collaboratives. Since the establishment of the NQP the indicator results have improved in several important clinical areas. However, causal conclusions related to the effect of the NQP cannot yet be made. This perspective on quality paper aims to give a short introduction to the NQP and documented outcomes.

Systematic Scientific Quality Improvement in Surgical Specialities. The AQS Mode

Swiss Surgery ◽  
1999 ◽  
Vol 5 (2) ◽  
pp. 62-72 ◽  
Author(s):  
Rageth ◽  
Häner ◽  
Hess ◽  
Laffer ◽  
Inderbitzi
Keyword(s):  
Quality Improvement ◽  
Scientific Quality ◽  
System 2 ◽  
Operative Eingriffe

Fragestellung: Wie lassen sich die neuen gesetzlichen Anforderungen (Statistikgesetz 1992 und Verordnungen dazu von 1993: Minimaldatensatz des Bundesamtes für Statistik [BFS] mit ICD-Codierungen sowie Krankenversicherungsgesetz 1995 mit Verordnungen dazu von 1996: Notwendigkeit der Dokumentation von Qualität und Wirtschaftlichkeit) mit sinnvollem Aufwand in den Klinikalltag integrieren? Methodik: Es wurde eine Synthese des BFS-Minimaldatensatzes mit zusätzlichen Informationen zur Qualitätssicherung in einem einzigen Fragenkatalog durchgeführt. Die Chirurgischen Kliniken des Spitals Limmattal in Schlieren und des Regionalspitals Biel haben 1995 die Arbeitsgemeinschaft für Qualitätssicherung in der Chirurgie (AQC) gegründet und das AQC-System 2 Jahre lang getestet. Resultate: Bis Ende 1997 wurden in der AQC-Statistik 15'115 operative Eingriffe dokumentiert. Der zeitliche Zusatzaufwand (zusätzlich zur obligatorischen BFS-Statistik, welche 3-10 Minuten in Anspruch nimmt) beläuft sich beim Ausfüllen der Fragebögen auf 1-3 Minuten. Diskussion: Zeitliche und finanzielle Aufwendungen steigen als Folge der gesetzlichen Anforderungen. Der Aufwand kann aber in praktikablen Grenzen gehalten werden, wenn ein einziger Fragebogen mehreren Zwecken gleichzeitig dient. So erfüllt das AQC-System nicht nur die gesetzlichen Anforderungen bezüglich systematischer Qualitätssicherung und BFS-Statistik sondern auch den Zweck der Klinik-Jahresstatistik, der individuellen operateurbezogenen Statistik und kann, wenn weitere Kliniken daran teilnehmen auch zum Vergleich der Kliniken untereinander herangezogen werden. Es fehlt noch an Standards, Referenzbereichen und Indikatoren. Diese können jedoch aufgrund des AQC-Systems nun leichter entwickelt werden, weil auf umfangreiches Zahlenmaterial abgestellt werden kann. Schlussfolgerungen: Das AQC-System hat sich im Alltag als praktikabel erwiesen und könnte als flächendeckendes System sowohl zur systematischen Qualitätssicherung als auch zur Abdeckung der übrigen Statistikbedürfnisse verwendet werden.

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