Quality improvement made simple

doi:10.37829/hf-2021-i05

Cited by 12 publications

(8 citation statements)

References 28 publications

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“…Policies, protocols and procedures underpin the delivery of care within the NHS. These and the discourse associated with developing and delivering them are fundamental to an organisational culture of safety [38]. To deliver safety to service users and staff, this culture must comprise of openness, leadership, support, communication and the integration of risk management, and continuously seek to minimise harm and optimise care [39].…”

Section: Discussionmentioning

confidence: 99%

“Running on goodwill and fairydust” - midwives’ experiences of facilitating and delivering local breastfeeding support via Facebook groups: a qualitative descriptive study

Morse

Brown

2022

Preprint

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Background The use of groups for providing and accessing breastfeeding support on Facebook (BSF) is now widespread, including groups aimed specifically at mothers in specific areas. Some of these groups are created and/or facilitated by midwives, but little is known about their motivations or experiences. Objective To examine how midwives involved in providing breastfeeding support via a local BSF group perceive the value of this provision and what are their experiences of creating these services and of engaging with mothers online. Methods Semi-structured interviews were conducted with midwives between July-September 2021, and thematically analysed. Results Three themes were identified in relation to the research question: (1) Imperatives and Value, (2) Goodwill & lack of resources, (3) Community of Practice. Theme 1 described that groups were seen as a necessary part of developing services to meet the needs and expectations of the current generation of mothers, and to improve dire breastfeeding rates. Theme 2 identified that BSF groups are reliant on both midwives and peer supporters working voluntarily, issues of sustainability and frustration at the lack of value placed on their time, skill and investment. Theme 3 highlighted the function of BSF groups as communities of practice, providing opportunities for social learning for all members and personal and professional benefits for midwives. Conclusions Findings have identified that midwives become involved in delivering online support motivated by a belief in the value of this provision, but feel unsupported by wider services in doing so. Midwives have concerns about the sustainability of this provision regardless of its value whilst it remains reliant on volunteers, and call for further support. Significant benefits for midwives derived from involvement were highlighted which should inform further research, guidance and investment.

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Section: Discussionmentioning

confidence: 99%

“Running on goodwill and fairydust” - midwives’ experiences of facilitating and delivering local breastfeeding support via Facebook groups: a qualitative descriptive study

Morse

Brown

2022

Preprint

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“…QI is a data-guided activity, requiring monitoring and evaluation to establish how the deliberate actions to improve a system have performed. 5 Patients are the endpoint of all endeavours to improve healthcare; hence, QI projects measure patient outcomes to reflect their impact. Cost-effectiveness, efficiency and staff behaviour and culture may underpin attempts at improving the patient experience and thus also feature in before-and-after measurements.…”

Section: What Is Quality Improvement?mentioning

confidence: 99%

“…For advanced trainees sitting in ACEM Fellowship Examinations, the BOX 1. Definitions in a quality management system 5 Quality planning: understanding the needs of a population to guide design of interventions, for example, through equity needs assessments.…”

Section: How To Improve Qualitymentioning

confidence: 99%

“…For the trainee interested in improving their QI skills and knowledge, Brichko 13 outlines how to incorporate QI into the revised ACEM training programme and a non-clinical FACEM portfolio, and McFarlane 14 discusses benefits of a QI special skills placement. Many open-access introductory online resources are available, including The Health Foundation's Quality Improvement Made Simple 5 and Institute for Healthcare Improvement's toolkits and courses. 8…”

Section: Learning Resourcesmentioning

confidence: 99%

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Introduction to quality improvement: From corridor conversation to system change

Matthews,

Hilbig

2023

Emerg Medicine Australasia

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“…[3] The quality of care delivered by the health care system rests on the smooth running of a complex network of processes and pathways that must be delivered by people working together harmoniously. [4] When health care processes and pathways do not function optimally, quality improvement (QI) methods and tools used systematically results in tangible, measurable improvements. [4] Physician engagement in QI has been linked to the success and sustainability of improvement initiatives [5][6][7] despite a variety of challenges to physician engagement in QI work.…”

Section: Introductionmentioning

confidence: 99%

Physician engagement in quality improvement: A cross-sectional study

Shea,

Perrier,

Prokopy

et al. 2023

JHA

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Objective: The positive impact of quality improvement (QI) on organizational and system outcomes has the potential to contribute to a high-performing health system. Physician engagement in QI has been linked to the success and sustainability of improvement initiatives. An informed overview of physicians’ interests in QI, opportunities to be involved in QI efforts, and insights into physicians’ experiences of participation, both in hospital and general practice is critical to understanding the challenges and opportunities for physician engagement in QI. The purpose of this study was to gain insight into both the number of physicians currently trained and participating in QI and identify key barriers preventing physicians from being trained and participating in QI.Methods: A cross-sectional online survey was used to evaluate physician engagement in QI. A total of 231 physicians across Ontario, Canada, participated in the study.Results: Results indicate that leadership should continue to make Quality Improvement (QI) training opportunities available to physicians.Conclusions: If more physicians are to be engaged in QI, there is a need to clearly identify and communicate opportunities for QI projects.

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Quality improvement made simple

Cited by 12 publications

References 28 publications

“Running on goodwill and fairydust” - midwives’ experiences of facilitating and delivering local breastfeeding support via Facebook groups: a qualitative descriptive study

“Running on goodwill and fairydust” - midwives’ experiences of facilitating and delivering local breastfeeding support via Facebook groups: a qualitative descriptive study

Introduction to quality improvement: From corridor conversation to system change

Physician engagement in quality improvement: A cross-sectional study

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