The Quality Improvement hub supporting you to develop skills and understanding of QI.
Why are you here?
www.qihub.scot.nhs.uk
NHSScotland Quality Improvement Hub website
Improving Practice and Outcomes for Safer, More Effective, Person-Centred, Efficient Care
ImplementationSupport
Education and
Learning
Your one-stop shop of free resources to support youand your team deliver quality improvement
NetworksAnd
Resources
MeasurementFor QI
Develop a national Scottish Curriculum Framework for Quality Improvement
NES Quality Improvement Education Programme
Supporting the delivery of high quality care
Identify gaps in education provision across
NHS Scotland
Deliver a range of targeted educational solutions
Identify and develop different cohorts of QI
practitioners across NHS Scotland
Support healthcare teams to build capacity in QI knowledge and skills
Support the implementation of a
knowledge management strategy which enables
quality care
Crossing the Quality Chasm
Knowledge-Practice Gap
• 45% defect rate in US healthcare system – patients not receiving care as recommended in the evidence base. (McGlynn et al,2003)
• 17 years to get research
recommendations into practice (Balas et al 2000)
Aims of Knowledge into Action
Define a new knowledge management approach which builds on local and international best practice to:
- Help practitioners to apply knowledge to practice
- Integrate better use of knowledge in quality improvement work
- Support practitioners to translate knowledge to deliver safe, effective, person-centred care
Emerging vision
An integrated network of knowledge brokers working in close partnership with improvement teams and clinicians to translate knowledge into action through services for : – enquiry and problem definition – expert search and synthesis of evidence from
research and experience– delivering knowledge in actionable formats, e.g.
decision support. – exchange and dissemination of knowledge
Knowledge into Action Support for Sepsis and VTE Collaborative
Territorial Board and Special Board partnership
Sourcing and Synthesising
Know-what and Know-how
Community of Practice
Latest evidence
• Involving Clinical Librarians at the Point of Care: Results of a Controlled Intervention Academic Medicine 86(12), December 2011, pp 1508-1512
“….30 of 34 medical residents (88%) reported having changed a treatment plan based on skills taught by the clinical librarian, and 27 of 34 (79%) changed a treatment plan based on the librarian's mediated search support. “
SPSP Fellowship – The Fellows
General Ward
Critical Care
Pharmacy
Primary Care
Acute Receiving Units
A&EOperatin
g Theatres
Chronic Pain
Service
Psychiatry
Renal Unit
Cardiology
Nursing MedicalPharmacists
SPSP Fellowship - Learning• A One Year program
Daily Goals
Reducing VAP in ICU
Reducing CRBSIs in ICU
Medicines Reconciliation
Training in QI
Reducing Cardiac Arrest Rate
Heart Failure Bundle
Sepsis
Medicines ReconciliationSurgical Safety Checklist
Patient Centred Rounds
Reducing SSI
SBAR
Handovers
Safe
Effective
Patient Centred
SPSP Fellowship – Back to Work
SPSP Fellows
Improvement Work
Leadership
TeachingStrategic
Advisory
Improvement AdvisorProfessional Development Programme
Hear about a journey which started like this……..
Improvement AdvisorProfessional Development Programme
Learn about the skills and techniques used by an IA
Improvement AdvisorProfessional Development Programme
Discuss how you can get involved in quality improvement…. ‘Ten Top Tips’
NHS Scotland Building a Network of Networks
Purpose :• Increase pace and momentum of networks to support NHS
Scotland to deliver sustainable quality and achieve 2020 vision
• Provide coherent linkages between a range of existing clinical and non-clinical networks and communities
• Increase capacity and capability in QI knowledge and skills an leadership for QI
• Inform and support spread, delivery of NHS Scotland leadership and workforce strategies through spread of best practice in clinical engagement, leadership and QI development
• Maximise value through collaboration with other networks and resources
Building a network of networks
The Quality Strategy
Courtesy of Dr I Roberts
Format
• Zone 1 Hub• Zone 2 Knowledge
into Action• Zone 3 SPSP Fellows• Zone 4 Improvement
Advisor’s
• Rotate every 10 minutes (whistle will blow for you to move on– Explore Questions that
Matter– Encourage Everyone’s
Contribution– Listen for Insights and
Share Discoveries
• 15 minutes for Questions at the end
Top Related