The Quality Improvement Challenge. Richard J. Banchs

THE CHALLENGE FOR QI TEAMS IN HEALTHCARE FRAMEWORK FOR BUILDING A HIGH‐PERFORMING TEAM THE FIRST STEP TO HIGH PERFORMANCE THE TEAM “BUILDING BLOCKS” HIGH LEVERAGE BEHAVIORS OF HIGH‐PERFORMING TEAMS FOCUS ON THESE SIX DRIVERS TO ACHIEVE HIGH PERFORMANCE HOW TO IMPROVE TEAM COMMUNICATION WORKING WITH TEAM CONFLICT: THE KEYS TO MANAGING IT CONFLICT RESOLUTION AND THE THOMAS KILMANN INSTRUMENT REFERENCES CHAPTER 28: Steps and Strategies for Effective Decision‐Making PROBLEM‐SOLVING VERSUS DECISION‐MAKING DECISIONS: TYPES & CONDITIONS SOURCES OF ERRORS AND BIASES IN PEOPLE’S DECISION‐MAKING PROCESS THE DECISION‐MAKING PROCESS FOUR WAYS QI TEAMS CAN MAKE DECISIONS IMPROVING THE EFFECTIVENESS OF A TEAM’S DECISION‐MAKING PROCESS REFERENCES CHAPTER 29: What Neurosciences Can Teach Us to Motivate People to Change STORIES FROM THE FRONT LINES OF HEALTHCARE: “MAKE IT HAPPEN” THERE IS NO IMPROVEMENT WITHOUT CHANGE WE THINK OF CHANGE IN TERMS OF OUR OWN INTEREST THE TRADITIONAL APPROACH TO MAKING CHANGE HAPPEN TO UNDERSTAND CHANGE, WE NEED TO UNDERSTAND THE DRIVERS OF HUMAN BEHAVIOR TO UNDERSTAND CHANGE WE NEED TO UNDERSTAND THE DRIVERS OF SOCIAL BEHAVIOR CHANGE IS PSYCHOLOGICALLY PAINFUL BASIC PRINCIPLES FOR LEADING A SUCCESSFUL CHANGE INITIATIVE THE WINNING CHANGE STRATEGY FIRST, MAKE IT SAFE: REMOVE UNCERTAINTY SECOND, CREATE THE RIGHT CONDITIONS TO SAFEGUARD STATUS AND AUTONOMY THIRD, MAKE IT STICK AND INTERNALIZE THE CHANGE REFERENCES CHAPTER 30: How Does it All Fit Together? The MRI Suite at St. Mary’s Hospital SIMULATION BACKGROUND THE FIRST “R”: THE RIGHT PROJECT THE SECOND “R”: THE RIGHT PEOPLE THE THIRD “R”: THE RIGHT PROBLEM THE FOURTH “R”: THE RIGHT CAUSE THE FIFTH “R”: THE RIGHT SOLUTION

      16  APPENDIX Appendix I: Common Improvement Tools and Techniques Appendix II: Glossary of Improvement Terms Additional Resources BOOKS ARTICLES WEBSITES

      17  Index

      18  End User License Agreement

      List of Tables

      1 Chapter 2TABLE 2‐1 THE QI PROJECT STEPS CHECKLIST

      2 Chapter 3TABLE 3‐1 Template for a Project Selection Matrix

      3 Chapter 6TABLE 6‐1 Heart Medical Center Hospital Roster

      4 Chapter 12TABLE 12‐1 Pros and Cons for Each Type of Data

      5 Chapter 13TABLE 13‐1 A Data Collection Planner Makes Our Data Collection Process Effect...

      6 Chapter 14TABLE 14‐1 Differences between research and quality improvement work.TABLE 14‐2 The Anscombe’s Quartet data set.TABLE 14‐3 The Anscombe’s Quartet summary statistics.TABLE 14‐4 Analysis of Variation: the bottom line.

      7 Chapter 15TABLE 15‐1 The Run Chart Table for Interpretation of the Number of RunsTABLE 15‐2 OTR Times for STAT ABGs at Mercy HospitalTABLE 15‐3 Number of Narcotic Discrepancies at Chicago MedTABLE 15‐4 C‐section Rates at London Memorial

      8 Chapter 16TABLE 16‐1 Door‐to‐Infusion Times for All Stroke Codes at Huron Medical Cente...TABLE 16‐2 Calculation of Moving Range for Door‐to‐Infusion Times at Huron Me...

      9 Chapter 17TABLE 17‐1 Roadmap to Assess a Process’s PerformanceTABLE 17‐2 Process Sigma Level Conversion TableTABLE 17‐3 DVT Prophylaxis Process Sigma Levels

      10 Chapter 18TABLE 18‐1 The Cause and Effect ContinuumTABLE 18‐2 The Cause and Effect Matrix

      11 Chapter 20TABLE 20‐1 Paired Comparison AnalysisTABLE 20‐2 Paired Comparison Analysis ResultsTABLE 20‐3 A Pugh MatrixTABLE 20‐4 Solution Desirability Matrix Assessment CriteriaTABLE 20‐5 Solution Desirability Matrix Rank Results

      12 Chapter 21TABLE 21‐1 The PDSA Cycle Template

      13 Chapter 22TABLE 22‐1 The Aim of the 5S StepsTABLE 22‐2 5S Audit ChecklistTABLE 22‐3 Mistake‐Proofing Techniques

      14 Chapter 23TABLE 23‐1 The Implementation Plan ChecklistTABLE 23‐2 The Impact Assessment ToolTABLE 23‐3 A Stakeholder Analysis TemplateTABLE 23‐4 Power & Influence Scores for Stakeholder Groups A to G

      15 Chapter 24TABLE 24‐1 First Tollgate Review ChecklistTABLE 24‐2 Second Tollgate Review ChecklistTABLE 24‐3 THIRD TOLLGATE REVIEW CHECKLISTTABLE 24‐4 Fourth Tollgate Review Checklist

      16 Chapter 25TABLE 25‐1 The Different Roles for CommunicationTABLE 25‐2 The Communication Planner

      17 Chapter 26TABLE 26‐1 The QI Team Meeting Organizer Template

      18 Chapter