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QI implementation is complex as it often spans over multiple organisational levels requiring active participation of employees and managers, and involves improvements and modifications of underlying care processes.
Too often, seemingly simple improvement interventions are implemented without fully considering how the intervention might achieve the desired results, whether it can cause harm, or whether a different intervention should be considered. The tendency to favour rapid solutions and implementation over longer-term analysis and measurement represents a common pitfall in quality and safety studies.
Three short videos from Dr Cathy Balding about how to be a more effective quality improvement professional.
As part of their work to reduce healthcare variation, the Australian Commission on Safety and Quality in Healthcare provides a range of case studies that demonstrate how unwarranted clinical variation can be successfully addressed.
The public expects to receive care of the same quality whenever and wherever they receive it. Yet, research shows that care organisations do not function in the same way on each day of the week, or during the night compared with daytime hours. This ‘patterned organisation of time’, known as ‘temporal structuring’, has been explored in studies relating to seven-day-a-week services, with the ‘weekend effect’ impact on outcomes of those admitted on weekends, as one example.
This tool provides a ‘ready reckoner’ for boards wanting to test if they’re focused on the right things to support quality care.
The tools provide audits and information for assessing the quality of end-of-life care to support care process improvement.
The ELDAC PDSA cycle and tools provide a comprehensive guide to using the Plan-Do-Check-Act Improvement Cycle. It is designed to be applied to end-of-life process improvement.
Providers must have a written plan for continuous improvement that explains how the provider will meet its obligations in relation to the service and the standards.
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With the publication of STAR ratings, Australian aged care enters a new era of quality measurement and public reporting. What can we learn from other countries using similar systems about the potential for published ratings to effect improvement?
