The Institutional Improvement Measures for Revitalization of Small-Scale Housing Improvement Project

2020 ◽  
Vol 90 ◽  
pp. 95-120
Author(s):  
Hyung-Goo Shin ◽  
Sang-Kyum Kim
Keyword(s):  
Small Scale ◽  
Improvement Project ◽  
Housing Improvement ◽  
Institutional Improvement ◽  
Improvement Measures

Interdisciplinary Patient Tracers: Routine, Systematic Safety Surveillance

2020 ◽  
pp. 106286062092930
Author(s):  
Merranda Logan ◽  
Claire Seguin ◽  
Colleen Snydeman ◽  
Jana Deen ◽  
Xiu Liu ◽  
...  
Keyword(s):  
Peer To Peer ◽  
Health Care Facilities ◽  
Improvement Project ◽  
Safety Issues ◽  
Institutional Improvement ◽  
Safety Surveillance ◽  
Care Facilities ◽  
National Patient ◽  
Level 1 ◽  
Integrated Program

Patient tracers and leadership WalkRounds proactively identify quality and safety issues. However, these programs have been inconsistent in application, results, and sustainability. The goal was to identify a more consistent and efficient approach to survey health care facilities. The authors developed a Peer-to-Peer Interdisciplinary Patient Tracer program to assess compliance with National Patient Safety Goals and to proactively identify areas of inpatient, ambulatory, and procedural risk. The program has been operational for more than 5 years, with continued expansion annually. In all, 96% of frontline leadership reported satisfaction; 100% reported that they would recommend the program to others (Kirkpatrick level 1 results). Mean absolute change in performance scores from 2014 to 2018 was 15%. All survey findings triggered the development of an improvement project. This novel integrated program advanced institutional improvement by strengthening internal peer-to-peer surveillance, engaging leadership, and creating an accountability structure for internal improvement efforts.

Effect of Ambient Temperature during Small Scale Co-Composting of Human Faecal Matter

2012 ◽  
Vol 518-523 ◽  
pp. 3316-3320
Author(s):  
Xuan Liu ◽  
Zi Fu Li ◽  
Eric Bosc ◽  
Heinz Peter Mang
Keyword(s):  
Ambient Temperature ◽  
Experimental Results ◽  
Wood Chips ◽  
Small Scale ◽  
Human Faeces ◽  
Composting Process ◽  
High Efficient ◽  
Temperature Ranges ◽  
Improvement Measures ◽  
Reactor Temperature

To find a suitable and affordable technology for the composting of human faeces in the Ger Areas of Ulaanbaatar, Mongolia, new composting system was developed and several trials have been conducted. Under controlled conditions with pH, temperature and moisture, three different mixtures were tested: human faeces plus sawdust, human faeces plus straw and human faeces plus wood chips. Based on the experimental results it can be concluded that the composting process, if started under controlled and appropriate conditions, could start and last about 32 days. Meanwhile, when ambient temperature drops sharply, the reactor temperature correspondingly drops sharply, but shows different results in the different temperature ranges. For stable and high efficient composting under such condition, further improvement measures and more trials should be done in next stages.

scholarly journals Using e-health tools and PROMs to support self-management in patients with inflammatory bowel disease

2021 ◽  
Vol 30 (7) ◽  
pp. 394-402
Author(s):  
Pearl Avery
Keyword(s):  
Disease Activity ◽  
Positive Impact ◽  
Activity Index ◽  
Digital Health ◽  
Outpatient Setting ◽  
Self Management ◽  
Small Scale ◽  
Service Improvement ◽  
Improvement Project ◽  
Patient Reported

Background: The use of digital health or e-health is growing. The potential positive impact on IBD care from supported self-management using these tools emerged from a literature review carried out in preparation for a service improvement project. A patient-reported outcomes measure (PROM) with validation across IBD sub-types was already available for use. This internationally recognised tool has potential for use with existing or new e-health systems. Aims: In order to test the concept of using PROMs to support practice and follow up a small-scale pilot study was designed. The aim of the study was to understand if empowering patients to undertake supported self-management could lead in turn to improved flow through outpatient services. Methods: An audit was carried out of PROMs looking at quality of life (QoL) as well as disease activity using an electronic platform in real time at the point of patient contact. The disease activity indices used were the Harvey Bradshaw Index and the Simple Clinical Colitis Activity Index, due to the author's familiarity with these tools. Results: Of the 15 participants, 10 reported themselves as ‘well’ or ‘well with questions’ all participants reported an acceptance of supported remote self-management using e-health. Conclusion: This evaluation led to PROMs being captured on a tablet in the outpatient setting in the pre-pandemic period. Allowing patients to use the PROM as a tool in the outpatient setting has led to longitudinal data being added to the e-health system for each individual. Well patients could be managed remotely, freeing capacity in outpatient clinics.

scholarly journals Unions and industrial improvement projects: Building a common momentum

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Lars Harald Lied
Keyword(s):  
Potential Role ◽  
Work Life ◽  
Organisational Performance ◽  
Improvement Project ◽  
Facilitative Role ◽  
Improvement Measures ◽  
Workplace Innovation ◽  
Industrial Company ◽  
Made In

The purpose of this article is to define the potential role unions can play in a general quest for improved practice in an industrial company. Workplace innovation (WPI) is one example of such a measure. Lean is another. The article outlines important elements when implementing improvement tools like Workplace Innovation and Lean practice. The efforts are focused at company level, and experiences from a Norwegian industrial company highlight the areas of importance. The amplifying role a union can play in an improvement process is discussed, and motives and processes are clarified, in order to show the role of unions in a broader sense. The “Nordic” tradition of organising work-life frames the considerations made in this paper, but elements of experience can also be valuable in other work-life traditions. Practical improvement is the ultimate goal in an improvement project, and this article shows how unions can play an active part and amplify the results when it comes to enhancing organisational performance. Theories and experiences are supported by interviews with experienced leaders and employee representatives. Changes are often met with resistance, and the article shows that unions, under certain circumstances, can play a facilitative role when it comes to the implementation of improved practice. Joint motives provide a unique opportunity to succeed, and Workplace Innovation and other improvement measures can represent a “win – win” formula in that sense. A democratic and dialogical approach towards Work Life design contributes to both efficiency and stimulating workplaces through Workplace Innovation and Lean Management.

scholarly journals Redesigning community care for safer staff and patient experiences: quality improvement project to improve safety and reduce incidents of violence and aggression in a community mental health team

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S217-S218
Author(s):  
Sarah Saxena ◽  
Alberto Gutierrez Vozmediano ◽  
Katrina Walsh ◽  
Sarah Moodie ◽  
Rumbi Mapfumo
Keyword(s):  
Quality Improvement ◽  
Focus Groups ◽  
Multidisciplinary Approach ◽  
Care Pathway ◽  
Patient Discharge ◽  
Community Services ◽  
Small Scale ◽  
Discharge Process ◽  
Contributing Factors ◽  
Improvement Project

AimsViolent or aggressive incidents can be relatively common in community settings, and perhaps more difficult to manage than at inpatient wards due to the relative isolation and peripatetic delivery model, which can put staff at higher risk during incidents. Carshalton and Wallington Recovery Support team was identified as an outlier in the Trust and was invited to partake in a Safety Collaborative across South London Partnership.Stakeholders agreed on the aim of reducing incidents by 20% over 1 year by the end of 2020.MethodData about incidents were analysed and staff surveys conducted to evaluate violent events. Patient discharge was highlighted as a particular time of increased aggression. Involvement of patients and carers through patient focus groups and co-production was essential to elicit areas of improvement. These included staff confidence and awareness of existing guidelines. Additional secondary drivers were communication with patients, care pathway development, discharge process and multidisciplinary approach, which each had associated change ideas.The team identified change ideas that have been tested over one year using the Quality Improvement methodology of small-scale testing and PDSA. Example ideas tested include multidisciplinary Risk meetings, Safety huddle tool, Staff Safety training, co-produced Welcome and Discharge Packs with informed care pathways.ResultThere has been a 30% reduction in incidents by December 2020 across a total of 280 patients. Surveys have shown an increase in staff confidence and safety protocol awareness from 40% to 70% by October 2020. 100% of patients in focus groups found the Welcome and Discharge Packs helpful.ConclusionA structured improvement approach focused on staff safety and minimisation of known and potential contributing factors can lead to a reduction in incidents. Safety huddles and risk meetings allow a formal multidisciplinary approach to management of violence and aggression. Staff feel more reassured about safety policies in the trust, with better communication between senior management and colleagues to highlight risk and provide support. A culture of open discussion and transparency was implemented through provision of Welcome Packs including Care and Discharge Pathways details at point of entry to the service. Support was provided to patients with Discharge Packs including information about community services. This enabled a meaningful support model at the end of their recovery journey and an improved discharge process.The team is now working with additional teams and administrative and clerical staff to improve safety. We hope to replicate this approach in our Trust.

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