Welcome to No Harm Done! – a podcast about improving, managing, monitoring and getting on with quality and safety in health and human services. In this episode we unpack more components of leading and managing quality improvement, including tips for working with doctors, reinforcing the key role of consumer input and partnerships, project management, a LEE-IT framework (who stole the ‘D’?), an awesome hack from Jones and much more – oh, and ‘getting rid of stupid stuff’ as a quality improvement strategy!
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0:00 QQ (Quality Quandary): Leading and Project Managing Improvement.
Ashton M, Getting Rid of Stupid Stuff
New England Journal of Medicine. 2018;379(19):1789-91.
Kate Hilton, Alex Anderson, How One Health System Overcame Resistance to a Surgical Checklist.
HBR MAY 20, 2019 https://hbr.org/2019/05/how-one-health-system-overcame-resistance-to-a-surgical-checklist utm_campaign=tw&utm_source=hs_email&utm_
Recording of Michael Rose, MD, talking about this project: http://www.ihi.org/resources/Pages/AudioandVideo/WIHI-how-to-make-change-happen-an-introduction-to-ihis-psychology-of-change-framework.aspx
Kotter on overcoming resistance to change:
16:00 FORMAL PROJECT MANAGEMENT TOOLS
PRINCE 2: https://www.projectmanager.com/blog/prince2-methodology
PMP : https://www.greycampus.com/opencampus/project-management-professional/what-is-pmp
22:30 NHS Quality, service improvement and redesign (QSIR) tools
30:05 THE POINT
Prang K-H, Canaway R, Bismark M, Dunt D, Kelaher M. Associations between patient experiences and clinical outcomes: a cross-sectional data linkage study of the Australian private healthcare sector.
BMJ Open Quality. 2019;8(3):e000637.
Engaging patients to improve quality of care: a systematic review.
Bombard, G. Ross Baker et al. Implementation Science 13, article number 98 (2018). https://implementationscience.biomedcentral.com/articles/10.1186/s13012-018-0784-z
35:45 TLDR (TOO LONG DIDN’T READ)
ACSQHC, 2019. The state of patient safety and quality in Australian hospitals. https://www.safetyandquality.gov.au/sites/default/files/2019-07/the-state-of-patient-safety-and-quality-in-australian-hospitals-2019.pdf
42:50 DRDR (Did Read, Do Read)
McNicholas C, Lennox L, Woodcock T, et al Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. BMJ Qual Saf 2019;28:356-365. https://qualitysafety.bmj.com/content/28/5/356.
Papanicolas, I Figueroa J. Preventable harm: getting the measure right. BMJ, 2019, 366:14611. https://doi.org/10.1136/bmj.I4611
40:50 Apps that read to you:
1 thought on “NHD Ep 19: Getting Rid of Stupid Stuff”
I find much of my time as a Quality Manager being taken up with document control. With no-one to delegate this to currently, can you suggest a way in which this does not become all-consuming? The internet is a minefield of document management systems which automate revision and approval, however I don’t know where to start and wondered if you had some suggestions. In addition, I strive to comply with ISO 9001 in this area however feel I may be over-complicating things. Any advice?