NHD Ep 19: Getting Rid of Stupid Stuff

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!

ALSO! Let us know the most unusual place you have listened to our podcast – which country, city, suburb? at work/home/school? in the bath? up a tree? Let us know on Twitter or via our website.

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.
https://doi.org/10.1056/NEJMp1809698

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:
https://www.youtube.com/watch?v=q9FbCsVe5So

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

GANTT Charts:
https://www.projectmanager.com/gantt-chart

22:30 NHS Quality, service improvement and redesign (QSIR) tools 

https://improvement.nhs.uk/resources/quality-service-improvement-and-redesign-qsir-tools/#task

https://improvement.nhs.uk/resources/quality-service-improvement-and-redesign-qsir-tools-stage-project/

https://www.england.nhs.uk/sustainableimprovement/improvement-fundamentals/

https://www.england.nhs.uk/sustainableimprovement/improvement-fundamentals-in-a-day/

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

http://dx.doi.org/10.1136/bmjoq-2019-000637

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:

Pocket Support:
https://help.getpocket.com/article/1081-listening-to-articles-in-pocket-with-text-to-speech

https://www.techrepublic.com/article/4-text-to-speech-apps-that-will-read-online-articles-to-you/