{"id":500,"date":"2024-04-04T08:47:12","date_gmt":"2024-04-04T12:47:12","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/?post_type=chapter&#038;p=500"},"modified":"2024-04-04T08:51:13","modified_gmt":"2024-04-04T12:51:13","slug":"4-2-4","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/chapter\/4-2-4\/","title":{"raw":"4.2.4 Quality Improvement Steps","rendered":"4.2.4 Quality Improvement Steps"},"content":{"raw":"<strong>Step 1<\/strong>: Get Started\r\n<ul>\r\n \t<li>Identify the problem<\/li>\r\n \t<li>Ask - who can help me with this?<\/li>\r\n \t<li>Decide how big the change will be \u2013 one area or whole home?<\/li>\r\n<\/ul>\r\n<strong>Step 2<\/strong>: Get People on Board\r\n<ul>\r\n \t<li>Determine who will be project lead (clinical and\/or administrative)<\/li>\r\n \t<li>Build your project team<\/li>\r\n \t<li>Talk to your stakeholders (staff, residents, family members)<\/li>\r\n \t<li>Build awareness of your project in the home<\/li>\r\n<\/ul>\r\n<strong>Step 3<\/strong>: Take a Deeper Dive\r\n<ul>\r\n \t<li>Identify the root causes of the problem (Ask the 5 Whys)<\/li>\r\n \t<li>Ask \u2013 Are we ready to make a change?<\/li>\r\n \t<li>Ask \u2013 What can help us? What can block us?<\/li>\r\n<\/ul>\r\n<strong>Step 4<\/strong>: Prepare for the Change\r\n<ul>\r\n \t<li>Aim: What are we trying to accomplish?\r\n<ul>\r\n \t<li>Pick an issue that is important to those involved<\/li>\r\n \t<li>Make your aim specific, measurable, actionable, relevant, time-limited (SMART)<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li>Measures: How will we know a change is an improvement?\r\n<ul>\r\n \t<li>Process Measures = Are we doing the right things to get there?<\/li>\r\n \t<li>Outcome Measures = Where are we ultimately trying to go?<\/li>\r\n \t<li>Balancing Measures = Has the change led to any unintended consequences (whether good or bad)?<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li>Changes: What changes can we make that will result in improvement?\r\n<ul>\r\n \t<li>Improve patient\/provider interaction<\/li>\r\n \t<li>Eliminate waste<\/li>\r\n \t<li>Improve workflow<\/li>\r\n \t<li>Change the work environment<\/li>\r\n \t<li>Manage time<\/li>\r\n \t<li>Reduce errors<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n<strong>Step 5<\/strong>: Plan, Do, Study, Act\r\n<ul>\r\n \t<li>A Plan-Do-Study-Act (PDSA) Cycle is a useful tool for documenting &amp;\u00a0 testing out change ideas.\r\n<ol>\r\n \t<li>Plan: Start by planning how to test a change.<\/li>\r\n \t<li>Do: Implement your plan and pilot the change. Collect data \u2014 keep it simple, this is not research!<\/li>\r\n \t<li>Study: Analyze what happened when the change was implemented. Summarize what you learned.<\/li>\r\n \t<li>Act: Determine whether this is a change worth maintaining or if modifications are needed (adopt, adapt or abandon).<\/li>\r\n<\/ol>\r\n<\/li>\r\n<\/ul>\r\n<strong>Step 6<\/strong>: Celebrate, Sustain, and Spread","rendered":"<p><strong>Step 1<\/strong>: Get Started<\/p>\n<ul>\n<li>Identify the problem<\/li>\n<li>Ask &#8211; who can help me with this?<\/li>\n<li>Decide how big the change will be \u2013 one area or whole home?<\/li>\n<\/ul>\n<p><strong>Step 2<\/strong>: Get People on Board<\/p>\n<ul>\n<li>Determine who will be project lead (clinical and\/or administrative)<\/li>\n<li>Build your project team<\/li>\n<li>Talk to your stakeholders (staff, residents, family members)<\/li>\n<li>Build awareness of your project in the home<\/li>\n<\/ul>\n<p><strong>Step 3<\/strong>: Take a Deeper Dive<\/p>\n<ul>\n<li>Identify the root causes of the problem (Ask the 5 Whys)<\/li>\n<li>Ask \u2013 Are we ready to make a change?<\/li>\n<li>Ask \u2013 What can help us? What can block us?<\/li>\n<\/ul>\n<p><strong>Step 4<\/strong>: Prepare for the Change<\/p>\n<ul>\n<li>Aim: What are we trying to accomplish?\n<ul>\n<li>Pick an issue that is important to those involved<\/li>\n<li>Make your aim specific, measurable, actionable, relevant, time-limited (SMART)<\/li>\n<\/ul>\n<\/li>\n<li>Measures: How will we know a change is an improvement?\n<ul>\n<li>Process Measures = Are we doing the right things to get there?<\/li>\n<li>Outcome Measures = Where are we ultimately trying to go?<\/li>\n<li>Balancing Measures = Has the change led to any unintended consequences (whether good or bad)?<\/li>\n<\/ul>\n<\/li>\n<li>Changes: What changes can we make that will result in improvement?\n<ul>\n<li>Improve patient\/provider interaction<\/li>\n<li>Eliminate waste<\/li>\n<li>Improve workflow<\/li>\n<li>Change the work environment<\/li>\n<li>Manage time<\/li>\n<li>Reduce errors<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Step 5<\/strong>: Plan, Do, Study, Act<\/p>\n<ul>\n<li>A Plan-Do-Study-Act (PDSA) Cycle is a useful tool for documenting &amp;\u00a0 testing out change ideas.\n<ol>\n<li>Plan: Start by planning how to test a change.<\/li>\n<li>Do: Implement your plan and pilot the change. Collect data \u2014 keep it simple, this is not research!<\/li>\n<li>Study: Analyze what happened when the change was implemented. Summarize what you learned.<\/li>\n<li>Act: Determine whether this is a change worth maintaining or if modifications are needed (adopt, adapt or abandon).<\/li>\n<\/ol>\n<\/li>\n<\/ul>\n<p><strong>Step 6<\/strong>: Celebrate, Sustain, and Spread<\/p>\n","protected":false},"author":517,"menu_order":13,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-500","chapter","type-chapter","status-publish","hentry"],"part":57,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/500","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/users\/517"}],"version-history":[{"count":3,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/500\/revisions"}],"predecessor-version":[{"id":503,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/500\/revisions\/503"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/parts\/57"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/500\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/media?parent=500"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapter-type?post=500"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/contributor?post=500"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/license?post=500"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}