THE TIPSQI GUIDE

Our step-by-step on building your own quality improvement project

Welcome!

As clinicians we always strive to deliver the best care possible to our patients. Unfortunately, this is often made challenging by the busy and complex nature of the modern NHS within which we work. Going about improving an aspect of care can seem daunting, especially for ‘junior’ members of staff who perhaps feel they don’t have the experience or authority to actually make changes to clinical practice. Yet it is precisely us, working directly with patients daily, who are best placed to identify problems and subsequently generate ideas to improve care. All that is needed is to feel empowered and be given the right tools…

Welcome to the TIPS QI Guide. It is aimed at Foundation and Core Trainee level doctors in the NHS, but we hope other healthcare professionals will find it useful, especially if you have limited experience of quality improvement projects. Step by step we will walk you through how to go about improving an aspect of care in your clinical area of work. The methods we will use are internationally proven and effective, as long are they are applied correctly and consistently. An ideal situation is to have a trained improvement adviser or coach working alongside your team, but this is rare. Our goal is for this guide to be the next best thing.

The guide is laid out in a logical fashion, and if you are new to QI we suggest you read each step in order. You will be able to work through each step using the navigation links at the bottom of each page.

There’s a good chance you will discover doing QI work to be incredibly fun. Our usual clinical work is fast-paced and is most settings patient turnover is rapid. Many people find there is something very satisfying in applying weeks or months to a project, and having results at the end they can be proud of. In fact one project often leads to another, upon the realisation we actually can make a large difference to patient care and feeling empowered to do so. We hope that person will be you.

The TIPSQI Team

Contents

Introduction to QI

Finding a Project

The Psychology of Change

THE MODEL FOR IMPROVEMENT

WHAT ARE WE TRYING TO ACOMPLISH?

Breaking Down the Problem

Where Does the Problem Lie? - Process Mapping

Defining the Problem - SMART Aims

HOW WILL WE KNOW A CHANGE IS AN IMPROVEMENT?

Data Over Time - Run Charts

Collecting Data

WHAT CHANGES CAN WE MAKE THAT WILL RESULT IN AN IMPROVEMENT?

What Influences Your Outcome? - Driver Diagrams

Testing Ideas - PDSA Cycles

What Has Been Learned? (It's OK To Not See Improvement!)

Understanding QI vs Audit

What Next? + Final Thoughts

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