H2O.ai CEO/Founder: Sri Ambati Keynote at Wells Fargo Day
Qi tools in wound infection care finale
1. QI tools in wound infection care
Rachel Duffy
Phomolo Madome
Eva van Swaaij
2. Fishbone-diagram
People Prevention
Nurses Knowledge
nurses
Assistants Lifestyle
Wound
infections
Time Education
material
Hand washing Dressings
Procedures Materials
3. Teach - back
• Asking patients to repeat in their own
words what they need to know or do.
• Provides a chance to check for
understanding and, if necessary, re-teach
the information.
5. Project Planning Form
• Useful tool for planning an entire improvement
project
• Includes:
o List of changes the team is testing
o All the PDSA cycles for each change
o Assigning individuals responsibility for each
change
7. Microsystems and Infection Control-
The Five P model
• Purpose
• Patients
• Professionals
• Processes
• ƒPatterns
8. • Purpose: Why does your practice exist?
• Culture, values, attitudes, beliefs and
aspirations of the people who comprise the
microsystem
9. • ƒ Patients: Who are your patients? What are
their characteristics and demographics? What
resources do they use? How do your patients
view their care experience? How can you
involve patients in your improvement work?
10. • Professionals: Who are the people on your
team and when do they work? Who does
what and when? Are roles optimized? How
satisfied are members of your care team?
11. • Processes: What are the processes that your
team uses every day? How long do these
processes take? Where do delays
occur? Where are you wasting time? Are
these processes effective? What are your
appointment types?
12. • Patterns: What are your typical
interruptions? Do patients often call with
similar concerns or questions? When do you
meet as a team? What are your outcomes?
13. References
• ASHP foundation. (2010). Clinical Microsystems-
Transformational Framework for Lean Thinking. Retrieved
from http://www.ashpfoundation.org/lean/CMS9.html
• Meister, S (2011). QI tools root cause analysis. Iowa
department of Public Health. Retrieved from:
http://www.idph.state.ia.us/mphi/common/pdf/root_caus
e_analysis.pdf
• Schillinger D, Piette J, Grumbach K, Wang F, Wilson C, Daher
C, Leong-Grotz K, Castro C, Bindman A. Closing the Loop
Physician Communication With Diabetic Patients Who Have
Low Health Literacy. Arch Intern Med/Vol 163, Jan 13, 2003
14. Search strategies
• Eva: I looked the fishbone diagram up on Google and read
through various sources. With the information I’d gathered, I
created the fishbone diagram of our problem.
• Phomolo: searched in Google scholar and Pub med using key
words PDSA tools and wound care
• Rachel: used the same search strategy as every week- typed
‘5Ps of microsystems’ in to google scholar.
15. collaboration
• We divided our selves according to the models
we looked at on the previous presentation.
Each of us did their part and we met an hour
before claas to finalize our presentation. We
choose who presents to the class looking at
the number of presentations each did.
Hinweis der Redaktion
Patients at the community clinic range greatly. Overall, they have poor health status, and a very large percentage have diabetes. There are many lifestyle factors that are contributing to them having ulcers. It can be said that they are generally of lower socio-economic status, and we know that lower socio-economic status contributes to poorer health status. They are not proactive about their health- they are mostly over weight and many with diabetes do not manage their disease properly. They generally don’t practice good infection control themselves (miss appointments to get their wounds dressed, take bandages off early/ leave them on too long/ get them wet etc). They are not particularly involved in their own care- some have had their wounds for a long time and display little interest in their wound dressing.
There is always one nurse in the community wounds clinic- two on Friday. They work normal working hours- 7-4.30, 7 days a week. The nurses primary role is to care for the clients by dressing their wounds. The nurse is also responsible for the running of the clinic- this includes all paperwork and reception work. There are also cleaning staff who come after hours.