Quality Improvement Activity
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The 3 fundamental questions for Quality Improvement
We need a structured approach to Quality Improvement. Why? Let’s examine what has gone before…
So – neither of these have helped that much in the past. We need something that does not result in chaos – i.e. is structured, and something which is not too theoretical, and results in action! Welcome to the world of PDSA cycles.
What is a PDSA cycle?
It’s a really simple yet structured way of identifying what will improve quality and of course, implementing them. Look at this example.
- Practice Manager to get list of 10 patients with a bad HBA1C by 24th May
- Receptionists to contact patients to see Dr Sans for review
- Dr Sans to do a Diabetic review and find possible reasons for poor HBA1C (for example: medication concordance, weight, exercise, diet).
- Receptionists to contact the 8 patients to see Dr Sans for review
- Dr Sans to do a Diabetic to find out why they didn’t go.
Can you see the simplicity of this model?
Of course if you can pick an area where the PDSA has to be completed in no more than 2 weeks – even better! It will make you want to do it.
The GP World of PDSA cycles
Once you get into the hang of doing PDSA cycles, you will see how easy yet powerful they are. And they do not take a lifetime of study to do and implement.
And that’s when you’ll find yourself doing them again and again and again – the world of PDSA cycles – doing another cycle as you spot new things in your clinical practice that you think could do with improving.
- Improvement requires change to systems
- PDSAs are a tool that help you bring about change in a practical, useful, manageable and managed way
- Starting points: remember the three fundamental questions to guide change
- Remember that you will never know whether the change is better unless you measure
- Keep up the momentum and don’t forget to record what happens