Jul 072016
 

Dr Gethin Pugh, Consultant in Anaesthesia & Intensive Care Medicine, Welsh School of Anaesthesia

What is Quality Improvement?Welsh Anaesthesia Seminar

Quality Improvement (QI), or Improvement Science, uses a systematic approach to design and implement changes in healthcare.  Knowledge of the methodology of QI is essential when considering improvements to the modern complex healthcare environment.  QI is also included as part of many postgraduate training curricula.

In March 2016, the AoMRC published its report: Quality Improvement – training for better outcomes, which sets out recommendations for quality improvement education and training.  The report has drawn together a wide range of organizations to align efforts to implement quality improvement training as a core competence in modern clinical practice, from undergraduate curricula through specialist curricula and beyond into Consultant practice.

The report represents a starting point for future development and aims to provide a structured framework to embed improvement methodology as a core competence for all doctors.

It is recognized that significant barriers remain, with a lack of parity in access to QI training and resources across organizations and specialties.  For many senior doctors and other members of the multi-professional team, the concept of QI remains a new idea.

The rotational nature of medical training means that doctors in training, working within multi-professional teams, are well placed to share areas of good practice and support QI development.

QI Training in Anaesthesia and Intensive Care Medicine in Wales

The Welsh School of Anaesthesia working in partnership with 1000 Lives Improvement have developed a QI Training programme for both doctors in training and trainers, to provide high quality training in the principles of QI and access to QI training resources to support innovation and excellence in healthcare.

This programme aims to provide high quality QI Training through the use of interactive workshops for trainees and support the development of QI networks of both trainers and trainees across Wales.  Furthermore, it is hoped that as part of the programme, access to high quality QI projects will be enhanced and individuals will be well supported in developing their own projects.  The programme includes the courses outlined below:

Quality Improvement in Anaesthetics – a 2 Day Interactive Workshop for Specialty Trainees

The Welsh School of Anaesthesia working in partnership with 1000 Lives Improvement offers an interactive workshop for trainees in Anaesthesia & Intensive Care Medicine in Wales.

The course provides the opportunity to learn from experts in quality improvement, who have experience of successful QI projects, to advance your own knowledge and skills in this area.

Candidates have the opportunity to develop their own QI project as part of the workshop, working in small groups to gain valuable hands on practical guidance.  Attendance at both days of the workshop and submission of a successfully completed project results in the award of IQT Silver Level Accreditation.

Feedback from delegates who attended the last workshop in 2015/2016:

‘Credible faculty full of useful information’

‘Really enthused me to do QI work’

‘Great reframing and moving on from audit, good interactive style’

Bronze Level Accreditation was completed via an e-learning package prior to attending the 2-day workshop.

As part of this programme, a further QI Training Workshop for specialty trainees in anaesthesia will be held this autumn.  Dates will be confirmed shortly and will be published on the Welsh School of Anaesthesia website.

Quality Improvement in Anaesthesia:  Introduction for Trainers (1 Day Course)

This 1-day introductory course for trainers focuses on the principles of Quality Improvement.

The course provides the opportunity for trainers in Anaesthesia in Wales to build on their knowledge of QI and its role as part of training in Anaesthesia and Intensive Care Medicine.

The course enables trainers to gain an understanding of the methodology and framework that underpins QI and its role in improving healthcare.  Participants will also have access to contacts with experience in this area that will be able to provide further support for QI initiatives locally.

Future areas for development:

As part of the ongoing development of the educational programme to support QI Training in Wales, there will be a number of new opportunities for trainers and trainees this autumn:

  • Welsh School of Anaesthesia Educational Supervisors Study Day, October 2016

The workshop will provide some background of the present scope of QI Training and provide the opportunity for trainers in Wales to gain an understanding of the methodology and framework of this developing area of postgraduate training, as part of an interactive workshop.

Society of Anaesthetists of Wales, Autumn Meeting, October 2016 will also include a presentation on QI Training in Anaesthesia in Wales by a member of the QI development programme, Dr. Katy Beard.

  • Working in partnership with other Specialty Schools to support QI Training in Wales

At present, members of the programme development team are working with the All Wales School of Emergency Medicine to develop a QI Training programme for Specialty trainees in Emergency Medicine.  This includes supporting trainers to develop a QI training network as well as mapping QI training areas against the requirements of postgraduate curricula.

Jun 102015
 
Stephanie Morris

Stephanie Morris

Here we have a blog written by Stephanie Morris, student Adult Nurse at Bangor University about why she is proud to be part of the 1000 Lives Improvement Student and Educator Community. Have you got thoughts to add? Leave them in the comments below after reading this post.

Where it all began…

#HelloMyNameIsSteph and I am studying Adult Nursing at Bangor University. I became familiar with 1000 Lives Improvement following a teaching session at our university in one of our first modules on quality improvement. Soon after, we were lucky to attend the 1000 Lives Improvement National Learning Event at Llandudno. The day brought a wealth of knowledge on prudent healthcare and we met and listened to an inspirational talk by Dr Kate Granger. Learning about the #HelloMyNameIs campaign, I became instantly compelled to learn more about quality improvement and to take what I had learned into my practice as a student nurse. It wasn’t long before I learned about the 1000 Lives Improvement student chapters through our lecturer Angela Williams. Me and my fellow students were keen to get involved, so we re-established the chapter in 2014.

Continue reading »

May 132015
 
Frances Samuel

Frances Samuel

From Wednesday 22nd April to Friday 24th April I was lucky enough to attend the 20th International Forum on Quality and Safety in Healthcare at the ExCel in London, all thanks to 1000 Lives Improvement. The event is promoted as a unique opportunity to learn from, and network with key figures and organisations in the world of quality improvement. It did not disappoint! With 3,000 delegates from 80 different countries it was a very inspirational and professionally organised event. I shared my experience with three nursing students from other universities across Wales, who were all equally enthusiastic about quality and safety improvement.

Continue reading »

May 122015
 
Paul Gimson

Paul Gimson

It was a real privilege to be able to represent 1000 Lives Improvement and Public Health Wales at the 2015 Quality Forum this year.

I expected many things when I went along to but learning a new word was not one of them. The word was ‘Exnovate’ and it was used by Maureen Bisognano, the CEO of the Institute for Healthcare Improvement (IHI), to highlight the real need for healthcare systems across the word to do less of what isn’t important or needed. It chimed with those of us there from Wales because of its similarities with our own prudent healthcare principle of ‘Do Only What is Needed and Do no Harm.’ The issue of over diagnosis and overtreatment was a theme of many of the sessions within the conference and so it was nice to be able to feedback to Wales that the work we are doing here on prudency is not only ground breaking but it is of international significance.

Continue reading »

May 112015
 
Iain Roberts

Iain Roberts

This year I attended the 20th International Forum on Quality and Safety in Healthcare (#Quality2015) with colleagues from NHS Wales. It was a forum packed full of learning and here are some of my thoughts and highlights.

You find lots of wisdom and learning at the International Forum on Quality and Safety in Healthcare.  Whether you want to learn about the Ebola outbreak in West Africa, the challenges of restraint and patient safety on a mental health unit, or the process of reporting serious untoward incidents in different health systems, then there is a lot to consider on a wide range of healthcare topics, some I’ve really enjoyed about the forum each time I have been.

Continue reading »

May 082015
 
Claire Roche

Claire Roche

Two weeks have passed since I attended the International Forum on Quality and Safety in Healthcare (#Quality2015) with colleagues from NHS Wales. It was a Forum packed full of learning and here are some of my highlights from across the three days.

 

Continue reading »

Apr 292015
 
Danny Antebi

Danny Antebi

In the wake of the Francis Report in England and Trusted to Care here in Wales, getting improvement and patient safety messages across to all healthcare staff is essential.

We need to communicate these both as national priorities and within individual health organisations. But doing it is a challenge.

Exploring the role of communications in quality improvement is a new paper from colleagues who were involved in the 1000 Lives Campaign. It describes the importance of large campaigns (in this case, a national campaign) and a framework for communications to support those initiatives.

Continue reading »

Apr 152015
 
Jean White

Jean White

It takes just a moment for a healthcare professional to introduce themselves to a patient, yet often this simple act can be forgotten in the busyness of providing care.

However, the omission of this common courtesy can – and does – have a huge impact on a patient’s experience. It can leave them feeling less valued and isolated in an already strange and vulnerable situation.

A friendly introduction is about making a connection, beginning a patient-staff relationship and building trust.

It’s about putting the patient at the centre of the care being provided and reassuring them.

That’s why I’m delighted to see that healthcare students across Wales are pledging to introduce themselves to patients properly by supporting the ‘Hello my name is’ campaign.

Continue reading »

Feb 042015
 
Lisa Howells

Lisa Howells

As a first time blogger I was told to avoid “puns and oblique references” in the title. That’s a shame because dental publications are full of them – Routes to Reform, Bridges to the Future, Designed to Smile to name a few. But nothing daunted here’s something for dental teams to brush up their skills and really get their teeth into with the publication of the Quality Improvement Guide for Dental Teams (that’s enough already… !)

Continue reading »

Jan 082015
 
Dominique Bird

Dominique Bird

We have passed a significant milestone in Improving Quality Together (IQT). Over 10,000 NHS Wales staff have completed IQT Bronze, the introductory level of the training programme.

The total is actually 10,168 staff – which is around one in seven of the approximately 70,000 staff working in NHS Wales as a whole – who have completed the programme online, with more doing the training in local session organised by health boards.

This means IQT has become a common language of improvement spoken right across Wales, by staff in all disciplines and departments.

Continue reading »