New Resources - Supplemental Learning: Quality Improvement

  

                                     

Quality Improvement 

 

Section Contributor: Laura Noonan, MD 

 

Online resources 

 

  1. Institute for Healthcare Improvement  www.ihi.org 

 

The IHI is an international leader in health care improvement.  This not-for-profit organization provides educational resources for healthcare professionals in a variety of venues, including conferences, webinars, and online materials.  One of their programs is the Open School for Health Professions featuring online courses including tests and certificates on topics such as quality improvement and patient safety. (PBLI 1,2) 

 

  1. Clinical Microsystems  www.clinicalmicrosystem.org 

 

The Dartmouth-Hitchcock Medical Center and the Institute for Healthcare Improvement created this website to house information about improving clinical microsystems.  Microsystems are small interdependent groups who provide care for specific patient groups.  Improvement areas include understanding, developing, and evaluating clinical microsystems. (PBLI 1,2,3, SBP 3)) 

 

  1. National Initiative for Childrens Healthcare Quality (NICHQ) http://www.nichq.org/index.html 

 

NICHQ fosters advances in the quality of pediatric healthcare through quality improvement science and initiatives.  (PBLI 1,2) 

 

  1. Quality Tools  http://www.ahrq.gov/qual/qualix.htm 

 

The Agency for Healthcare Research and Quality is part of the U.S. Department of Health and Human Services dedicated to improving healthcare.  This website features a wide variety of tools and resources for quality improvement. (PBLI 1,2,3) 

 

References 

 

  1. Goldman D. Ten tips for incorporating scientific quality improvement into everyday work. BMJ Qual Saf. 2011;20:i69-i72 http://qualitysafety.bmj.com/content/20/Suppl_1/i69.full  

 

This article provides strategies for successfully implementing quality improvement efforts in daily work, including project management and data management techniques.  The article also discusses the publication of quality improvement efforts, including discussion of the Standards for Quality Improvement Reporting Excellence guidelines. (PBLI 1,2,3) 

 

  1. Nelson E, Splaine M, Plume S, Batalden E. Good measurement for good improvement work. Q Manage Health Care. 2004;13:1-16 

 

This article focuses on how to use measurement to drive quality improvement work, including eleven guiding principles.  (PBLI 1,2) 

 

  1. Perla R, Provost L. Judgment Sampling: A health care improvement perspective. Q Manage Health Care. 2012;21:169-175 http://journals.lww.com/qmhcjournal/Abstract/2012/07000/Judgment_Sampling___A_Health_Care_Improvement.6.aspx  

 

This article explores judgment sampling and its benefit for quality improvement work in the healthcare setting.  In many instances, quality improvement requires this distinctive measurement style rather than classical measurement theory. (PBLI 1,2) 

 

  1. Institute of Medicine. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000 

 

This groundbreaking report brought the topic of medical error into open conversation.  Recognizing that systems, not individuals, are to blame, and balancing regulatory with market priorities, areas identified as sources for improvement include leadership, data collection and analysis, and systems development.  This report issued a challenge to significantly reduce the incidence of medical error by fostering collaboration across many sectors of society. (PBLI 1,2) 

 

  1. Langley G, Moen R, Nolan K, Nolan K, Norman C, Provost L. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance, 2nd Edition. San Francisco: Jossey-Bass; 2009 

 

This volume is a core resource for quality improvement work.  Written by the creators of the Model for Improvement, it focuses on achieving results in a wide range of settings and features a method for accelerated improvement.  (PBLI 1,2