Triumphs on the Road to Quality Improvement Urology Service NRH Bernie Lee, Kelley Lennon & Eva...
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Transcript of Triumphs on the Road to Quality Improvement Urology Service NRH Bernie Lee, Kelley Lennon & Eva...
Triumphs on the Road to Quality Improvement
Urology Service NRH
Bernie Lee, Kelley Lennon & Eva Wallace
The Team
• Risk Management• Urology Consultant• Urology Nurses• Clinical Specialist
Ultrasonographer• Phlebotomy• Xray• Urology Administration
IHI Model for Improvement• What are we trying to accomplish
• How will we know that a change is an improvement
• What changes can we make that will result in an improvement
Challenges and Successes• Baseline Data Collection • Swim Lane – Process Map – Patient Flow
at the Clinic• Use of Rapid PDSA Cycles, displayed
using Run Charts• Digital Dictation – “just do it”• Communication Frameworks ISBAR
Challenges:– Reduction in Nursing Staff Ratio – Delays in scheduling due to Admin
training – Number of unexpected processes
that needed improvement.
Successes
Patient Registration - 78% of patients now go through registration on arrival at the clinic in
comparison with pre QI of <33%
ISBAR Communication Framework
All documentation in urology is now completed using the ISBAR frameworkIntroduction / identificationSituationBackgroundAssessmentRecommendations