Category Archives: Systems Improvements

Health system management, health policy, health economics and financing, and health care delivery system structure.

Quality Improvement Project Charter

Watch the module from the IHI Online Open School “ QI Project Charter”

  1. Review the purpose of the QI project charter and the steps involved in completing the document.
  2. This module will guide you through the completion of the IHI project charter.

Watch the Ted Talk “Got a Wicked Problem? First tell me how you make toast.

  1. Discover how making steps in a process visible and tangible can lead to improvement by clarifying problems.
  2. This short Ted Talk describes the process map, a critical thinking tool used in quality improvement work to identify steps in a process for possible improvement changes.

IHI Online Open School courses in Quality Improvement and Patient Safety and Certificate program are available for additional support and review.

  1. Utilize the resources from the IHI online open school to provide additional support for project creation.  Interested students may wish to complete any final modules to obtain the IHI Certificate in Quality Improvement and Patient Safety.
  2. The IHI modules will provide a review or additional context regarding the model for improvement and the steps in the quality improvement process.      

 

SOAP-Q

Complete:

SOAP-Q is a communication tool designed to encourage providers to address health care quality effectively within oral case presentations and in note writing. This summary handout covers the basics of the SOAP-Q approach. 

This video demonstrates a third-year medical student modeling the case presentation in SOAP-Q format and this clinical note demonstrates SOAP-Q in note writing.

In both examples, the student implements strategies to advocate for quality patient careoptimal patient care systems, and safety culture within the context of a patient encounter while maintaining psychological safety in the setting of academic hierarchy.   

Additional resources:

Patient Safety and Systems Engineering

OPTIONAL:

IHI Online Open School Modules – http://app.ihi.org/lms/home.aspx

These IHI modules are optional – IHI online open school.  Supplementary activity to provide greater detail and context for the material covered in class.  Recommended for students pursing a certificate in quality and safety.

  • PS 101
    • This module provides additional detail regarding organization culture, safety culture, high reliability organizations, and reporting systems.
  • PS 102 Lessons 1- 3
    • This module provides additional discussion of the Swiss Cheese Model, active and latent failures, unsafe acts, and harm.
  • PS 103 Lesson 1
    • This module describes human factors contributing to error and distinguishes between internal and external human factors.

These modules are intended for students working to complete the certificate program.

Creating A Culture of Safety

1) Watch the video: “Building a psychologically safe workplace” (TED talk by Amy Edmonson).

GOAL: Develop awareness of psychological safety and its importance in teamwork.

In high-functioning teams, every member feels able to disclose errors, near-misses, or unsafe situations without fear of punishment or retaliation. Creating this culture of safety requires openness, trust, and leadership. As you watch this video, consider situations that you have witnessed in your clinical experiences. How would you characterize the psychological safety in these environments?

Systems Engineering

IHI online open school. Optional assignment: Students complete the online curriculum and assessment for certificate program.  To provide greater detail and context for the material covered in class.  Recommended for students pursing a certificate in quality and safety.

IHI Online Open School Modules – http://app.ihi.org/lms/home.aspx

  • Define principles of human factors design. Understand how technology can help mitigate against medical error.
    • PS 103 lessons 2-3

Applying Systems Improvement to Patient Safety

IHI online open school optional assignment: Students complete the online curriculum and assessment for certificate program.  To provide greater detail and context for the material covered in class.  Recommended for students pursing a certificate in quality and safety.

IHI Online Open School Modules – http://app.ihi.org/lms/home.aspx

  • Additional depth and detail regarding organizational culture, safety culture, high reliability organizations and reporting systems.
    • PS 101 (Lesson 1-3)
  • Discussion of Swiss cheese model, active and latent failures, unsafe acts and harm
    • PS 102 lesson 1-2
  • Discussion of human factors contributing to error and internal and external factors
    • PS 103 lesson 1

Institute for Healthcare Improvement

The Ecology of Health and Medicine course will introduce students to the field of health care improvement.  Students will become acquainted with key concepts of improvement science including quality measurement, improvement methodology, patient safety, population health, and health care leadership throughout the remainder of the course.

The EHM course has been designed to parallel the Institute for Health Care Improvement (IHI) Open School online certification course in quality improvement and patient safety.  This educational resource provides additional depth and detail to augment the EHM course material.  Several individual lessons from the online course will be used as required prework for the EHM course.  This prework will enable us to utilize classroom time for practical application of the material to health care situations and systems.

Interested students are encouraged to take advantage of this opportunity to obtain the IHI Open School Basic Certificate in Quality and Safety.   Modules that relate to the coursework will be identified as required or optional out of class work.   Students who complete the IHI optional modules as listed will successfully complete the online certification by the conclusion of the EHM course.  Certification offers the advantage of acquiring the skills and knowledge required to productively participate in quality improvement work.  Students who are certified are attractive to their clinical faculty not only because certification demonstrates commitment to health care excellence, but also because these students are well prepared to contribute to projects and research.  Residency programs are emphasizing health care quality and patient safety as key domains in providing an ideal learning environment for trainees.  Students who demonstrate understanding and skills in improvement science are well positioned to be leaders in this program process.

This document describes how to register and access IHI modules.

Improvement Methodology

Activity

These IHI modules are optional – IHI online open school.  Supplementary activity to provide greater detail and context for the material covered in lecture.  Recommended for students pursing a certificate in quality and safety. Improve understanding of aim statement by providing additional examples.

IHI Online Open School Modules – http://app.ihi.org/lms/home.aspx

  • QI 102 Lessons 3, 4, and 5 (optional) – Identify steps in the model of improvement framework for choosing measures, developing changes, and testing changes.
    • These lessons will introduce the steps in the model of improvement framework by providing knowledge regarding types of quality measures, change concept tools for developing changes, and methodology for testing changes.
  • QI 103 Lesson 2 (optional) –  Discover how to use data to learn about the impact of changes.
    • These lessons will inform the student on the purpose of data and how data may be organized, examined, and presented using a run chart.
  • QI 103 Lesson 1 and 3 (optional) – Determine how to collect quality measurement data and how to learn from data.
    • These lessons describe the planning process, data sampling, scale, and scope in data management.
  • QI 104 Lessons 1-3 (optional) – Recognize the use of charting tools for interpretation of data.
    • These lessons expand on interpretation of data using run charts, control charts, and other measurements.

Introduction to Systems Improvements (AIM Statements)

Activity

These IHI modules are optional – IHI online open school.  Supplementary activity to provide greater detail and context for the material covered in lecture.  Recommended for students pursing a certificate in quality and safety. Improve understanding of aim statement by providing additional examples.

IHI Online Open School Modules – http://app.ihi.org/lms/home.aspx

  • QI 101 Lessons 1- 3 (optional) – Examine the six aims of quality health care and the principles of improvement science.
    • This supplementary activity will describe the aims of quality health care and the principles of improvement science.
  • QI 102 Lessons 1- 2 (optional) – Identify the steps in the model for improvement and the components of a quality improvement aim statement.
    • This supplementary activity will provide greater detail and context regarding setting an aim statement for quality improvement work.