Tools and Techniques : Quality

Improvement
 Multiple factors usually involved
• Patient Factors
• Provider Factors
• Task Factors
• Technology And Tool Factors
• Team Factors
• Environmental Factors
• Organizational Factors
 Important
• Understand The Multiple Factors Involved In
Failures
• Avoid Blaming
• Practise Evidence-based Care
• Maintain Continuity Of Care For Patients
• Be Aware Of The Importance Of Self-care
• Act Ethically Everyday
 Importance
• So –
1. Avoid reliance on memory
2. Make things visible
3. Review and simplify processes
4. Standardize common processes and
procedures
5. Routinely use checklists
6. Decrease the reliance on vigilance
 Tools
• Increasing resources

• Large-scale reorganization or financial reform

• Strengthening management

• Standards and guidelines

• Patient empowerment and rights

 Tools
• Quality Management system

• Quality assessment and accreditation, internal

or external

• Total Quality Management (TQM) and

continuous Quality improvement (CQI) Quality
Collaborative
 Tools
• Re-engineering

• Quality Indicator comparison

• Benchmarking

• Risk Management and Safety

 Point of Debate
• Increasing personnel, equipment and training is the best
strategy
Vs
Applying Quality methods systematically within a strategy is more
cost-effective in the long term

• Individual
Vs
Organizational approach
• About incentives and a “climate” for quality.
• “police, punish and reward” approaches