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- ISQUA - September 2024
ISQUA - September 2024
International Society for Quality in Health Care Conference – Istanbul. September 2024
The following quality and safety resources should be of interest to Primary Care teams and organisations internationally.
QUALITY IMPROVEMENT
Improving quality is about making health care safe, effective, patient-centred, timely, efficient and equitable. It's about giving the people closest to problems affecting care quality the time, permission, skills and resources they need to solve them.
This guidance outlines a series of Quality & Safety Improvement concepts and methods for Primary Care teams.
Quality Improvement in Primary Care: What to do and how to do it
Ensuring patients receive care that is safe and of high quality is an essential part of modern healthcare. To help with this, there are growing numbers of evidence-based Quality Improvement (QI) methods that can help practitioners to assess and improve the care they provide. QI involves adopting a systematic approach that uses specific techniques to reflect, evaluate and improve care quality. Please select below to download.
SYSTEMS THINKING
Systems Thinking for Everyday Work (STEW)
The STEW principles help teams to explore why people work the way they do. In complex systems people often have to adapt how they work based on demand/ capacity issues, availability of resources, interactions with other components and competing goals (such as efficiency thoroughness). Please select the link below to download.
Care System Analysis Tool (CSAT)
The Care System Analysis Tool (CSAT) is based on the Systems Engineering Initiative for Patient Safety (SEIPS) framework which is the most applied entry-level Human Factors tool in healthcare settings. The attached CSAT worksheet can be used by anyone in healthcare for a whole range of issues including how to problem-solve everyday work hassles and frustrations. Please select the link below to download the tool and view a pre recorded webinar on the SEIPS framework.
In-Situ System Observation Guide (ISOG)
The ISOG tool can be applied by anyone interested in exploring and better understanding how people perform work in their natural work setting (e.g. clinicians, managers and administrators, safety, risk, improvement, research specialists, educators). Please select the link below to download.
- In-Situ System Observation Guide (ISOG) ( Download, 171 KB)
SAFETY CULTURE
Safety Culture discussion cards
Safety Culture has been shown to be a key predictor of safety performance in several industries. It is the difference between a safe organisation and an accident waiting to happen. Thinking and talking about our safety culture is essential for us to understand what we do well, and where we need to improve. Please select the link below to download a set of Safety Culture discussion cards for Primary Care teams.
- Safety Culture Discussion Cards ( Download, 687 KB)
HUMAN FACTORS
Human Factors Online Hub
The NHS Education for Scotland online Human Factors (HF) Hub contains a host of practical learning resources to support the integration of HF thinking and approaches at all levels of Healthcare policy, practice, education and research to enhance organisational performance and the wellbeing of people. To learn more, please select this link to view the Human Factors hub.
Facts about Human Factors
In this brief guidance, a series of Ten Facts about the ‘true’ purpose and approach of Human Factors in Healthcare is outlined and a few unfortunate but common misunderstandings are corrected. Please select the link below to download.
- Facts about Human Factors ( Download, 216 KB)
Human Factors in Primary Care
This published journal article contains a brief overview of the scientific discipline of human factors and ergonomics (HFE). Traditionally the HFE focus in healthcare has been in acute hospital settings which are perceived to exhibit characteristics more similar to other high-risk industries already applying related principles and methods. Please select the link below to download.
User-centred design of work procedures
Work procedures such as protocols, guideline and checklists are often cited as being problematic when patient safety instances occur. Good practice in the design and implementation of work procedures is described in this short recorded webinar and in the guidance below.
LEARNING FROM EVENTS AND EVERYDAY WORK
Enhanced Significant Event Analysis (SEA)
SEA involves a structured team meeting, where participants reflect on and analyse identified significant events to understand what happened, the impact and contributing factors. This leads to reflection and learning to direct improvements to systems. To learn more, please select this link.
Capturing organisational learning
This guidance outlines key concepts and approaches for capturing learning from everyday work success and when things go wrong . Please select the link below to view the webinar.
Team Learning Reviews - A guide for facilitators
This checklist guide contains basic principles to be followed by facilitators when reflecting on and analysing significant events as part of team primary care learning reviews.
Learning Response Review and Improvement Tool
Development of this tool was informed by a research study which identified ‘traps to avoid’ in patient safety reviews and report writing. Please select the link below to download.
