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![Page 1: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/1.jpg)
Paula Peyrani, MDMedical/Project Director, HIV Program at the 550 ClinicAssistant Director, Research Design and Development
Clinical and Translational Research Support CenterDivision of Infectious Diseases
University of [email protected]
Strategies to Facilitate Performance Monitoring
![Page 2: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/2.jpg)
Outline
• Quality improvement
• Model for improvement
• What can go wrong?
![Page 3: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/3.jpg)
Outline
• Quality improvement
• Model for improvement
• What can go wrong?
![Page 4: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/4.jpg)
• Essential component of 21st century medicine.
QUALITY IMPROVEMENT
![Page 5: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/5.jpg)
• Essential component of 21st century medicine.• Used to create safer systems and implement safer
practices.
QUALITY IMPROVEMENT
![Page 6: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/6.jpg)
• Essential component of 21st century medicine.• Used to create safer systems and implement safer
practices.
QUALITY IMPROVEMENT
![Page 7: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/7.jpg)
• Essential component of 21st century medicine.• Used to create safer systems and implement safer
practices.• Process measure quantifies compliance with the
practices being implemented as part of an initiative.
QUALITY IMPROVEMENT
![Page 8: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/8.jpg)
• Essential component of 21st century medicine.• Used to create safer systems and implement safer
practices.• Process measure quantifies compliance with the
practices being implemented as part of an initiative.• An outcome measure assess the impact of the initiative
on a patient population or health-care system
QUALITY IMPROVEMENT
![Page 9: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/9.jpg)
Process
QUALITY IMPROVEMENT
Outcome
![Page 10: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/10.jpg)
Outline
• Quality improvement
• Model for improvement
• What can go wrong?
![Page 11: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/11.jpg)
MODEL FOR IMPROVEMENT
![Page 12: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/12.jpg)
MODEL FOR IMPROVEMENT
![Page 13: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/13.jpg)
MODEL FOR IMPROVEMENT
The aim has to be:
Consistent with national goals and relevant to the length of the project
![Page 14: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/14.jpg)
MODEL FOR IMPROVEMENT
The aim has to be:
Consistent with national goals and relevant to the length of the project
Bold in its aspirations
![Page 15: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/15.jpg)
MODEL FOR IMPROVEMENT
The aim has to be:
Consistent with national goals and relevant to the length of the project
Bold in its aspirations Clear with measurable targets
![Page 16: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/16.jpg)
MODEL FOR IMPROVEMENT
The aim has to be:
Consistent with national goals and relevant to the length of the project
Bold in its aspirations Clear with measurable targets
Outcome measure: To reduce the incidence of infections due to CRE
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MODEL FOR IMPROVEMENT
The aim has to be:
Consistent with national goals and relevant to the length of the project
Bold in its aspirations Clear with measurable targets
Outcome: To reduce the incidence of infections due to CRE
Process: timing of swabbing upon admission to the hospital
![Page 18: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/18.jpg)
MODEL FOR IMPROVEMENT
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MODEL FOR IMPROVEMENT
Collect data to demonstrate whether changes result in improvement
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MODEL FOR IMPROVEMENT
Collect data to demonstrate whether changes result in improvement
Graphs: “run charts” or statistical process control charts
![Page 21: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/21.jpg)
MODEL FOR IMPROVEMENT
Collect data to demonstrate whether changes result in improvement
Graphs: “run charts” or statistical process control charts
Measures are tools for learning and demonstarting improvement, not for judgment.
![Page 22: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/22.jpg)
MODEL FOR IMPROVEMENT
![Page 23: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/23.jpg)
MODEL FOR IMPROVEMENT
There are many potential changes that a team can make
![Page 24: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/24.jpg)
MODEL FOR IMPROVEMENT
There are many potential changes that a team can make
There are a small number of changes that are most likely to result in improvement
![Page 25: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/25.jpg)
http://www.birdville.k.12.tx.us/staffdev/continuos_imprvmn.htmlt
MODEL FOR IMPROVEMENT
![Page 26: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/26.jpg)
MODEL FOR IMPROVEMENT
WHY IS IMPORTANT TO ASSESS?
![Page 27: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/27.jpg)
MODEL FOR IMPROVEMENT
WHY IS IMPORTANT TO ASSESS?
Evaluate how much improvement can be expected from the change
![Page 28: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/28.jpg)
MODEL FOR IMPROVEMENT
WHY IS IMPORTANT TO ASSESS?
Evaluate how much improvement can be expected from the change
Decide whether the change will work in the actual setting
![Page 29: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/29.jpg)
MODEL FOR IMPROVEMENT
WHY IS IMPORTANT TO ASSESS?
Evaluate how much improvement can be expected from the change
Decide whether the change will work in the actual setting
Evaluate costs, social impact, and side effects from a proposed change
![Page 30: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/30.jpg)
MODEL FOR IMPROVEMENT
WHY IS IMPORTANT TO ASSESS?
Evaluate how much improvement can be expected from the change
Decide whether the change will work in the actual setting
Evaluate costs, social impact, and side effects from a proposed change
Minimize resistance upon implementation
![Page 31: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/31.jpg)
http://www.birdville.k.12.tx.us/staffdev/continuos_imprvmn.htmlt
MODEL FOR IMPROVEMENT
![Page 32: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/32.jpg)
MODEL FOR IMPROVEMENT
Plan
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MODEL FOR IMPROVEMENT
PlanPlan the test or observation, including a plan for collecting data
![Page 34: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/34.jpg)
MODEL FOR IMPROVEMENT
PlanPlan the test or observation, including a plan for collecting data• State the objective of the test• Make predictions about what
will happen and why• Develop a plan to test the
change (Who? What? When? Where? What data need to be collected?)
![Page 35: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/35.jpg)
MODEL FOR IMPROVEMENT
Do (test)
![Page 36: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/36.jpg)
MODEL FOR IMPROVEMENT
Do (test)Try out the test on a small scale
![Page 37: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/37.jpg)
MODEL FOR IMPROVEMENT
Do (test)Try out the test on a small scale• Carry out the test• Document problems and
unexpected observations• Begin analysis of the data
![Page 38: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/38.jpg)
MODEL FOR IMPROVEMENT
Study
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MODEL FOR IMPROVEMENT
StudySet aside time to analyze the data and study the results.
![Page 40: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/40.jpg)
MODEL FOR IMPROVEMENT
StudySet aside time to analyze the data and study the results.• Complete the analysis of the
data• Compare the data to your
predictions• Summarize and reflect on what
was learned.
![Page 41: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/41.jpg)
MODEL FOR IMPROVEMENT
Act
![Page 42: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/42.jpg)
MODEL FOR IMPROVEMENT
ActRefine the change, based on what was learned from the test.
![Page 43: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/43.jpg)
MODEL FOR IMPROVEMENT
StudyRefine the change, based on what was learned from the test.• Determine what modifications
should be made• Prepare a plan for the next test
![Page 44: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/44.jpg)
Outline
• Quality improvement
• Model for improvement
• What can go wrong?
![Page 45: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/45.jpg)
WHAT CAN GO WRONG?
![Page 46: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/46.jpg)
Palmetto Health Family Medicine Center (FMC), the teaching practice for the Department of Family and Preventive Medicine at the University of South Carolina School of Medicine
WHAT CAN GO WRONG?
![Page 47: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/47.jpg)
Palmetto Health Family Medicine Center (FMC), the teaching practice for the Department of Family and Preventive Medicine at the University of South Carolina School of Medicine
Period of transformation by integrating QI principles into its clinical, educational, and research missions
WHAT CAN GO WRONG?
![Page 48: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/48.jpg)
Palmetto Health Family Medicine Center (FMC), the teaching practice for the Department of Family and Preventive Medicine at the University of South Carolina School of Medicine
Period of transformation by integrating QI principles into its clinical, educational, and research missions
Teams began working on PDSA cycles targeted at clinical and operational problems
WHAT CAN GO WRONG?
![Page 49: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/49.jpg)
Palmetto Health Family Medicine Center (FMC), the teaching practice for the Department of Family and Preventive Medicine at the University of South Carolina School of Medicine
Period of transformation by integrating QI principles into its clinical, educational, and research missions
Teams began working on PDSA cycles targeted at clinical and operational problems
Began looking for multiple ways to change previously well-established ways of working
WHAT CAN GO WRONG?
![Page 50: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/50.jpg)
Signs of impairment after 18 months
WHAT CAN GO WRONG?
![Page 51: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/51.jpg)
Signs of impairment after 18 months
Multitasking on various PDSA cycles
WHAT CAN GO WRONG?
![Page 52: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/52.jpg)
Signs of impairment after 18 months
Multitasking on various PDSA cycles Not completing cycles
WHAT CAN GO WRONG?
![Page 53: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/53.jpg)
Signs of impairment after 18 months
Multitasking on various PDSA cycles Not completing cycles Fatigue
WHAT CAN GO WRONG?
![Page 54: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/54.jpg)
Signs of impairment after 18 months
Multitasking on various PDSA cycles Not completing cycles Fatigue Lack of commitment to sustainability
WHAT CAN GO WRONG?
![Page 55: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/55.jpg)
to sustainability
WHAT CAN GO WRONG?
Planning wasmuch easier than Doing
![Page 56: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/56.jpg)
WHAT CAN GO WRONG?
![Page 57: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/57.jpg)
Treatment
WHAT CAN GO WRONG?
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TreatmentBecause we cannot advocate for systematic education of organizational members, a focus on behavioral therapy is offered.
WHAT CAN GO WRONG?
![Page 59: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/59.jpg)
TreatmentBecause we cannot advocate for systematic education of organizational members, a focus on behavioral therapy is offered.
Ensure proper motivation and buy-in among PDSA cycle participants (e.g. QI champion)
WHAT CAN GO WRONG?
![Page 60: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/60.jpg)
TreatmentBecause we cannot advocate for systematic education of organizational members, a focus on behavioral therapy is offered.
Ensure proper motivation and buy-in among PDSA cycle participants (e.g. QI champion)
Group accountability
WHAT CAN GO WRONG?
![Page 61: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/61.jpg)
TreatmentBecause we cannot advocate for systematic education of organizational members, a focus on behavioral therapy is offered.
Ensure proper motivation and buy-in among PDSA cycle participants (e.g. QI champion)
Group accountability Redirection of group members when they become
distracted
WHAT CAN GO WRONG?
![Page 62: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/62.jpg)
TreatmentBecause we cannot advocate for systematic education of organizational members, a focus on behavioral therapy is offered.
Ensure proper motivation and buy-in among PDSA cycle participants (e.g. QI champion)
Group accountability Redirection of group members when they become
distracted Planning itself needs to be conducted in a
purposeful manner to insure movement to the Do phase
WHAT CAN GO WRONG?
![Page 63: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/63.jpg)
Outline
• Quality improvement
• Model for improvement
• What can go wrong?
![Page 64: Paula Peyrani, MD Medical/Project Director, HIV Program at the 550 Clinic Assistant Director, Research Design and Development Clinical and Translational.](https://reader036.fdocuments.in/reader036/viewer/2022062421/56649e025503460f94aecf9d/html5/thumbnails/64.jpg)
References
• Schriefer J, Leonard MS. Patient Safety and Quality Improvement: An Overview of QI. Pediatrics in Review 2012;33;353.
• http://www.institute.nhs.uk/quality_and_service_improvement_tools/quality_and_service_improvement_tools/plan_do_study_act.html.Accessed on July 31, 2013.
• http://www.ihi.org/knowledge/Pages/HowtoImprove/ScienceofImprovementHowtoImprove.aspx Accessed on August 3, 2013.