Understanding whether a change is an improvement

6
Understanding whether a change is an improvement Example measurement scrap book

description

Understanding whether a change is an improvement . Example measurement scrap book. This is where the team Implemented Intentional Rounding – it doesn’t seem to have made a difference to the data. - PowerPoint PPT Presentation

Transcript of Understanding whether a change is an improvement

Page 1: Understanding whether a change is an improvement

Understanding whether a change is an improvement

Example measurement scrap book

Page 2: Understanding whether a change is an improvement

Jan-09

Feb-09

Mar-09

Apr-09

May-09

Jun-09Jul-0

9

Aug-09

Sep-09

Oct-09

Nov-09

Dec-09

Jan-10

Feb-10

Mar-10

Apr-10

May-10

Jun-10Jul-1

0

Aug-10

Sep-10

Oct-10

Nov-10

Dec-10

Jan-11

Feb-11

Mar-11

Apr-11

0

10

20

30

40

50

60Safety Thermometer: Patient's Worst New Pressure Ulcer

It is important to check you denominator – in this month the number of patients surveyed was only 10 – this explains the astronomical data point

Page 3: Understanding whether a change is an improvement

Jan-09

Feb-09

Mar-09

Apr-09

May-09

Jun-09Jul-0

9

Aug-09

Sep-09

Oct-09

Nov-09

Dec-09

Jan-10

Feb-10

Mar-10

Apr-10

May-10

Jun-10Jul-1

0

Aug-10

Sep-10

Oct-10

Nov-10

Dec-10

Jan-11

Feb-11

Mar-11

Apr-11

0

10

20

30

40

50

60

Safety Thermometer: Patient's Worst New Pressure UlcerThis is where the team

Implemented Intentional Rounding – it doesn’t seem to have made a difference to the

data

Why could this be?

The team had gone straight ahead with implementing

Intentional Rounding using a form taken from another trust

– this form was focussed on Falls. Work needed to be done to Improve the rounding form

through testing

Page 4: Understanding whether a change is an improvement

Jan-09

Feb-09

Mar-09

Apr-09

May-09

Jun-09Jul-0

9

Aug-09

Sep-09

Oct-09

Nov-09

Dec-09

Jan-10

Feb-10

Mar-10

Apr-10

May-10

Jun-10Jul-1

0

Aug-10

Sep-10

Oct-10

Nov-10

Dec-10

Jan-11

Feb-11

Mar-11

Apr-11

0

10

20

30

40

50

60

Safety Thermometer: Patient's Worst New Pressure Ulcer

The team carried out PDSA cycles with the form and Implemented Intentional Rounding this month

Page 5: Understanding whether a change is an improvement

Jan-09

Feb-09

Mar-09

Apr-09

May-09

Jun-09Jul-0

9

Aug-09

Sep-09

Oct-09

Nov-09

Dec-09

Jan-10

Feb-10

Mar-10

Apr-10

May-10

Jun-10Jul-1

0

Aug-10

Sep-10

Oct-10

Nov-10

Dec-10

Jan-11

Feb-11

Mar-11

Apr-11

0

10

20

30

40

50

60

Safety Thermometer: Patient's Worst New Pressure Ulcer

Here’s a shift!

What are the success factors? How can we ensure we replicate them?

This shift clearly shows that improvement work has had a positive effect as the percentage of patients with a new Pressure Ulcer is going down.

Page 6: Understanding whether a change is an improvement

What next?

Did your trouble shooting as a team bring you to the

conclusion that your outcomes are improving?

What were the success factors?

Are there any negative consequences?

Check your balancing measures

How can you ensure you continue to replicate success

factors?

Celebrate - stick your charts up and talk about

measurementContinue to analyse your

data