Welcome to Episode Three of “No Harm Done”, hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. Includes the usual segments Quality Quandary, The Point, TLDR and DrDr, as well as a couple of new ones: Wrangling Quality and Cracking Quality. What would you like us to talk about next? Send us a message below!
0:00 – 26:10 Intro & Quality Quandary: The QQ is a big issue we unpack, explore and maybe even argue about. Our quandary this episode is the Quality Manager role: a job that is challenging, quirky, stressful and rewarding all rolled up into one. What is a Quality Manager, really?
26:10 – 34:20 Wrangling Quality: A new segment where we introduce a quality tool. There are some practical techniques you should have in your quality kit bag. Some tools help you investigate problems and others help you solve them. We’ll cover a few in coming episodes, and here we outline the ‘5-whys’ as a simple tool for root cause analysis, or just getting past ‘we can’t do that’ when discussing change.
Link to IHI website for one-page tool: http://www.ihi.org/resources/Pages/Tools/5-Whys-Finding-the-Root-Cause.aspx
34:20 – 41:00 Did Read, Do Read (DrDr): This is an article we’ve read recently (or one from the vault) that we highly recommend you look up and read yourself. This one discusses the effectiveness of root cause analysis recommendations and flows nicely from the ‘5 whys’ conversation.
Are root cause analyses recommendations effective and sustainable? An observational study. Peter D Hibbert Matthew J W Thomas Anita Deakin William B Runciman Jeffrey Braithwaite et al International Journal for Quality in Health Care,https://doi.org/10.1093/intqhc/mzx181 Published:16 January 2018
Strength of Action Hierarchy https://www.patientsafety.va.gov/docs/joe/rca_step_by_step_guide_2_15.pdf
41:00 – 44:50 The Point!: Here we focus on patients/consumers and their perspectives. Yes, this is the entire point of what we do! In this episode we look at a large Australian patient survey. What do 20,000 patients think that healthcare should improve?
Hospitalization from the patient perspective: a data linkage study of adults in Australia. Harrison R, Walton M, Kelly P, Manias E, Jorm C, Smith-Merry J, et al, International Journal for Quality in Health Care. 2018 [epub].https://doi.org/10.1093/intqhc/mzy024
44:50 – 53:15 Yoo Long Didn’t Read (TLDR): We read this loooong publication, so you don’t have to. What do some of the biggest names in safety and quality internationally think about the road to high quality care?
Ham, C., Berwick, D., and Dixon, J. (2016). Improving quality in the English NHS: A strategy for action. The Kings Fund, UK. https://www.kingsfund.org.uk/publications/quality-improvement
53:15 – 58:40 Cracking Quality: A new segment that tells the good news about improvement and celebrates the things that go right! Here we unpack the leadership required to achieve 525 days without a new pressure injury in a subactue ward. How did they crack the problem?
Interview with Mel Wityk: http://cathybalding.podbean.com/
- Interview with Ambulance Victoria about their state-wide strategic quality system: http://cathybalding.podbean.com/
- www.cathybalding.com : Balding’s website
- www.Hitchpodonline.com : for those that want to check out Jones’ podcast about Hitchcock
- https://omny.fm/shows/the-cant-bowl-cant-throw-cricket-show : Jones’ podcast about cricket