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AICG Articles: Understand Change and Improvement Methods

Access a range of articles and resources written by clinical governance experts and search our carefully curated list of safety and quality journal articles and reports.

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AICG Articles

Showing 1–10 of 43 articles
Learning from failure in healthcare
Learning from failure in healthcare

In this episode of ‘Listen to THIS’,  podcast from the THIS Institute at Cambridge University, the hosts discuss learning from failure as essential for improvement,  to better understand what doesn’t work and why. 

Adverse events
Clinical care
Clinical leadership
Psychological Safety
Unleashing the Potential of our Health Workforce (Scope of Practice Review)
Unleashing the Potential of our Health Workforce (Scope of Practice Review)

Unleashing the Potential of our Health Workforce, led by Professor Mark Cormack, looked at the available evidence about health professionals’ ability to deliver on their full scope of practice in primary care. The review identified opportunities to remove the barriers stopping health professionals from working to their full scope of practice. It also drew on examples of multi-disciplinary teams where members are working to their full scope of practice to deliver best-practice primary care. Here, Mark presented some barriers and opportunities for health professionals to work at their full scope of practice.

Clinical care
Clinical governance
Primary & Community Care
Public
A Pragmatic Approach to Clinical Governance
A Pragmatic Approach to Clinical Governance

Building a clinical governance framework is challenging, especially for health services that are used or provided across more than one state or territory. This webinar discussed some key components for building a practical clinical governance framework to enhance uptake amongst users of the system. 

Clinical governance
Frameworks
Systems Thinking
Lightbulb Moments: My ah-ha! moment on making one shift for greater system impact
Lightbulb Moments: My "ah-ha!" moment on making one shift for greater system impact

In 2024, Kelly decided she wanted to dive deeper into quality improvement so she could help her clients make a real difference in care quality. What she learned there completely changed how she thinks and works with organisations to improve care. We can’t all attend Oxford, but we can benefit from Kelly’s new knowledge and how she’s applied it, particularly from this one lightbulb moment.

Quality improvement
How to make improvement spread stick
How to make improvement spread stick

Spreading, scaling up, and sustaining improvements in human services is a complex challenge that many countries, including the UK, USA, and Australia, have been tackling. Despite significant efforts, the sustainability of scaling up local improvements remains low. One reason for this is the traditional, linear approach to spreading improvements, which often overlooks the complexity and evolving nature of healthcare systems.

Change management
Clinical governance
Complex adaptive systems
Continuous improvement
Improvement
Systems Thinking
Calculating the correct ‘dose’ of QI skills required for quality care
Calculating the correct ‘dose’ of QI skills required for quality care

The Institute for Healthcare Improvement (IHI) has introduced the concept of Quality Improvement (QI) ‘dosing’, where different staff roles receive tailored levels of improvement science (SOI) training based on their responsibilities. 

Clinical governance
Improvement
Leadership
Training
Workforce
The implementation playbook
The implementation playbook

Implementation is often a weak link in improvement efforts to meet targets. Yet the success and sustainability of change depends on it. The Implementation Playbook is a quick reference guide developed by the World Health Organization (WHO) to facilitate effective health-related implementation efforts.

Change management
Clinical governance
Improvement
Making things happen
Start small to solve big problems
Start small to solve big problems

Trying to improve care in human services can be overwhelming. We start out with great aspirations to fix a care quality issue. But as we get closer to the problem it appears to loom ever larger, and we wonder what we’ve got ourselves into. Most care quality issues are entrenched and multifaceted and can’t be solved by a single solution or big-bang change. Often our initial enthusiasm wanes and we default to revising the procedure and running training because everything else seems too hard. Essentially, we’ve wasted time and effort on maintaining the problem, rather than finding the solution.

Clinical care
Clinical leadership
Improvement
Restrictive practices
Making compassion a core ingredient of improvement systems
Making compassion a core ingredient of improvement systems

Engagement surveys show a never-before-seen level of fatigue and burn-out. The last results of the National Health Service (NHS) national staff survey showed 46.8% of staff have felt unwell as a result of work-related stress in the previous 12 months. Attrition and turnover are at near all-time highs.

Quality improvement
Staff satisfaction
Lightbulb Moments: Quality and efficiency - symbiotic or siloed?
Lightbulb Moments: Quality and efficiency - symbiotic or siloed?

In this Lightbulb Moment webinar, Dr Cathy Balding interviewed Allison Patchett to discuss her "ah-ha!" moment about quality and efficiency - symbiotic or siloed?

Efficiency
Quality
Showing 1–10 of 43 articles

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