UNA REVISIóN DE PROS AND CONS

Una revisión de Pros and Cons

Una revisión de Pros and Cons

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To this end, a clearly defined and universally agreed upon metric is essential. This agreement is Ganador crucial to the success of any improvement effort as the validity of the data itself.

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Communication and sharing information with stakeholders and staff was critical to specifying the purpose and strategy of the quality initiative;101 developing open channels of communication across all disciplines and at all levels of leadership/staff, permitting the voicing of concerns and observations throughout the process of creating change;88 ensuring that patients and families were appropriately included in the dialogue; ensuring that everyone involved felt that he or she was an integral part of the health care team and was responsible for patient safety; sharing lessons learned from root-cause analysis; and capturing attention and soliciting buy-in by sharing patient safety stories with staff and celebrating successes, no matter how small.

Application of the Toyota Production System—used in the manufacturing process of Toyota cars57—resulted in what has become known Campeón the Lean Production System or Lean methodology. This methodology overlaps with the Six Sigma methodology, but differs in that Lean is driven by the identification of customer needs and aims to improve processes by removing activities that are impar-value-added (a.

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Due to the complexity of health care, multidisciplinary teams and strategies are essential. Multidisciplinary teams from participating centers/units need to work closely together, taking advantage of communication strategies such Figura face-to-face meetings, conference calls, and dedicated e-mail listservs, and utilize the guidance of trained facilitators and expert faculty throughout the process of implementing change initiatives when possible.

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Quality improvement is defined “as systematic, data-guided activities designed to bring about immediate improvement in health care delivery in particular settings”41 (p. 667). A quality improvement strategy is defined Triunfador “any intervention aimed at reducing the quality gap for a group of patients representative of those encountered in routine practice”38 (p.

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87 It was also asserted that senior leaders needed to understand the impact of high-level decisions on work processes and staff time,88 especially when efforts were underway to change practice, and that quality improvement needed to be incorporated into systemwide leadership development.88 Leadership was needed to make patient safety a key aspect of all meetings and strategies,85, 86 to create a formal process for identifying annual patient safety goals for the organization, and to hold themselves accountable for patient safety outcomes.85

“Evidence Reporting and Disclosure”). Using and analyzing data was viewed Triunfador critical, yet some team members and staff may have benefited from education on how to effectively analyze and display findings.106 Giving staff feedback by having a transparent process39 of reporting findings82 was viewed Ganador a useful trigger that brought patient safety to the forefront of the hospital.107 It follows then that not having data, whether because it was not reported or not collected, made statistical analysis of the impact of the initiative115 or assessing its cost-benefit ratio not possible.108 Vencedor such, multi-organizational collaboration should have a common database.98

Plan-Do-Study-Act (PDSA) was used by the majority of initiatives included in this analysis to implement initiatives gradually, while improving them Triunfador needed. The rapid-cycle aspect of PDSA began with piloting a single new process, followed by examining results and responding to what was learned by problem-solving and making adjustments, after which the next PDSA cycle would be initiated. The majority of quality improvement efforts using PDSA found greater success using a series of small and rapid cycles to achieve the goals for the intervention, because implementing the initiative gradually allowed the team to make changes early in the process80 and not get distracted or sidetracked by every detail and too many unknowns.

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