suggestions for setting up qi training scheme
DESCRIPTION
Workshop given at RCoA on ideas around setting up a QI training scheme in anaesthesiaTRANSCRIPT
Delivering QI training
John Colvin, Carolyn Johnston
In 45 mins…
• What should be ‘delivered’
• Vehicles to deliver content
• How it feels to be in/ run a scheme
In 45 mins…
• What should be ‘delivered’
• Anatomy of a scheme
• Physiology of a scheme
College QI curriculum
• Development of new QI module
• 3 levels (optional, not mandatory)
• Nothing new– Compliments & completes– Familiar tools just different names
College QI curriculum
College QI curriculum
College QI curriculum
College QI curriculum
QI training is a practical endeavor
underpinned by improvement knowledge
Knowledge resources
Wide range of sources- detailed in handouts
Some ‘top picks’:
Knowledge resources
• Raising the Standard: A compendium of audit recipes for continuous quality improvement in anaesthesia; Royal College of Anaesthetists
Knowledge resources
• Improvement science in anaesthesia. Phillips J Rooney KD. RCoA Bulletin, July 2013; 80;29-32
• www.ihi.org- open school modules & videos
Structures of QI training
Structures of QI training
Intrinsic motivationSpirit of continuous improvement
Rewards individual effort
Ideas flow up- self generated
Structures of QI training
Fits with departmental/ hospital strategyLikely to get greater management
supportMay fit with shorter rotation timescale
Ideas flow down- provided by
scheme
Structures of QI training
• Support structures depend on resources
Structures of QI training
• Support structures depend on resources• Action learning sets:
• Meet as a group • Retell experiences for others• Learn from each others
experience & reflection
• Facilitated- could be outside specialty
Structures of QI training
• Support structures depend on resources• Mentoring:
Structures of QI training
• Support structures depend on resources• Mentoring:
• Form semi autonomous groups with mentor
• Mentor can be matched with subject area
• Interested, senior mentor can ‘unblock’ sticking points
• Infrequent catch up with lead to check progress
Structures of QI training
• Support structures depend on resources• Mentoring plus- ‘paired learning’:
• Paired with manager/ non clinician
• Learning for both parties• Good to form contacts in
organization• Complimentary skills to help
project work
What do you have to work with?
• Hospital wide improvement programmes• Pan specialty training- e.g. RCP initiative• Multidisciplinary working• Deanery facilitated networks
How a QI training scheme functions
• Initial energy- but change is attritional!• Concentrate efforts on keeping momentum• Seek help from all over the hospital• Project completion takes longer than you think-
esp if multiple PDSA cycles
• Rewards are multiple- papers, case reports, posters
