QI News and Trends: Bonus Content

QI News Updated Banner.png

Beyond Clinical Engagement: a Pragmatic Model for Quality Improvement Interventions
BMJ Quality and Safety (09/01/2016) Vol. 25, No. 9, P. 716; Pannick, Samuel; Sevdalis, Nick; Athanasiou, Thanos

In this study, researchers in the United Kingdom sought to explore the role of managerial staff in quality improvement (QI) implementation. They outlined a "model for alignment" highlighting key factors of practical importance for successful QI using observations from the Hospital Event Analysis Describing Significant Unanticipated Problems (HEADS-UP) study. Through structured discussion, clinical staff sought to identify risks to the delivery of high quality care on a daily basis, addressing them promptly through facilitated communication with senior clinicians and managers before patient harm occurred. Multidisciplinary tools systematically collect data relevant to front-line care delivery problems, and teams would then assess and rank the apparent safety threats. Interventions are co-designed or adapted with clinicians, with a focus on quality strategies having the strongest evidence for effectiveness and implementation. Clinicians' participation is to be supported, recognized, and rewarded, perhaps as part of a formal performance management process. Middle managers coordinate alignment of the improvement efforts with organizational goals, and are themselves heavily incentivized to see QI facilitation as a core role of their own. Middle managers' interest in quality is further reinforced by protected board time for quality issues, and board-level use of quality metrics. The researchers conclude that next generation of guidelines for QI reporting will emphasize narrative understanding, while addressing the alignment of clinical and managerial priorities.

Read More

Recent Stories
Q&A with a CHCP

Q&A with Healthcare CPD Associates

Q&A with a Healthcare CPD Associate