Development of a respiratory quality improvement faculty in an acute hospital using QI methodology
National Health Service (NHS) clinical staff are required to demonstrate involvement in quality improvement (QI) and patient safety. Clinicians are often best placed to identify problems and design solutions for their own clinical environments, yet the rotational nature of training can impact on the...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-12-01
|
| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/11/4/e001990.full |
| _version_ | 1797787175357513728 |
|---|---|
| author | Aklak Choudhury Lucy Anne Boast Judith Anne Hampson Rachel Louise Saville Emma Toplis Abdulla Baguneid Daniel Alexander Williams |
| author_facet | Aklak Choudhury Lucy Anne Boast Judith Anne Hampson Rachel Louise Saville Emma Toplis Abdulla Baguneid Daniel Alexander Williams |
| author_sort | Aklak Choudhury |
| collection | DOAJ |
| description | National Health Service (NHS) clinical staff are required to demonstrate involvement in quality improvement (QI) and patient safety. Clinicians are often best placed to identify problems and design solutions for their own clinical environments, yet the rotational nature of training can impact on the design, implementation and sustainability of projects.The In-hospital Quality Improvement for Respiratory team was created in August 2020 within a busy respiratory department to inspire a culture of continuous improvement and provide a sustainable infrastructure to support and progress QI projects (QIPs).The trust uses the LifeQI platform which provides a change score from 0.5 (intention to participate) to 5.0 (outstanding sustainable results) as a representation of a QIP’s progress.We aimed to increase the number of QIPs in the respiratory department registered on the LifeQI platform from 1 to at least 10 projects by September 2021.A QI framework was used to identify and address four primary improvement drivers: (1) QI understanding/training, (2) QI faculty communication, (3) QI participation, and (4) QIP completion using multiple Plan-Do-Study-Act cycles. Data were collected on the number of active respiratory projects registered within the LifeQI platform, mean LifeQI change score and the number of projects with a change score ≤1.Twenty-four new QIPs were initiated in the first 12 months, with a number of projects leading to sustainable change. The largest improvements were seen in autumn 2020 as the faculty’s multidisciplinary membership expanded.We achieved our aim of increasing the number of registered QIPs, sustaining the QI faculty throughout the COVID-19 pandemic. Our multidisciplinary membership continues to increase and the faculty has improved access, organisation and project progression across a large department with an established process for rotating staff to join existing QIPs. Our model has the potential to be replicated in other clinical departments within NHS organisations. |
| first_indexed | 2024-03-13T01:18:14Z |
| format | Article |
| id | doaj.art-2ddc7671a38745ffa8f7ed2626388ea1 |
| institution | Directory Open Access Journal |
| issn | 2399-6641 |
| language | English |
| last_indexed | 2024-03-13T01:18:14Z |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj.art-2ddc7671a38745ffa8f7ed2626388ea12023-07-05T06:30:06ZengBMJ Publishing GroupBMJ Open Quality2399-66412022-12-0111410.1136/bmjoq-2022-001990Development of a respiratory quality improvement faculty in an acute hospital using QI methodologyAklak Choudhury0Lucy Anne Boast1Judith Anne Hampson2Rachel Louise Saville3Emma Toplis4Abdulla Baguneid5Daniel Alexander Williams6Department of Respiratory Medicine, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UKDepartment of Respiratory Medicine, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UKDepartment of Respiratory Medicine, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UKDepartment of Respiratory Medicine, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UKDepartment of Respiratory Medicine, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UKDepartment of Respiratory Medicine, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UKDepartment of Respiratory Medicine, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UKNational Health Service (NHS) clinical staff are required to demonstrate involvement in quality improvement (QI) and patient safety. Clinicians are often best placed to identify problems and design solutions for their own clinical environments, yet the rotational nature of training can impact on the design, implementation and sustainability of projects.The In-hospital Quality Improvement for Respiratory team was created in August 2020 within a busy respiratory department to inspire a culture of continuous improvement and provide a sustainable infrastructure to support and progress QI projects (QIPs).The trust uses the LifeQI platform which provides a change score from 0.5 (intention to participate) to 5.0 (outstanding sustainable results) as a representation of a QIP’s progress.We aimed to increase the number of QIPs in the respiratory department registered on the LifeQI platform from 1 to at least 10 projects by September 2021.A QI framework was used to identify and address four primary improvement drivers: (1) QI understanding/training, (2) QI faculty communication, (3) QI participation, and (4) QIP completion using multiple Plan-Do-Study-Act cycles. Data were collected on the number of active respiratory projects registered within the LifeQI platform, mean LifeQI change score and the number of projects with a change score ≤1.Twenty-four new QIPs were initiated in the first 12 months, with a number of projects leading to sustainable change. The largest improvements were seen in autumn 2020 as the faculty’s multidisciplinary membership expanded.We achieved our aim of increasing the number of registered QIPs, sustaining the QI faculty throughout the COVID-19 pandemic. Our multidisciplinary membership continues to increase and the faculty has improved access, organisation and project progression across a large department with an established process for rotating staff to join existing QIPs. Our model has the potential to be replicated in other clinical departments within NHS organisations.https://bmjopenquality.bmj.com/content/11/4/e001990.full |
| spellingShingle | Aklak Choudhury Lucy Anne Boast Judith Anne Hampson Rachel Louise Saville Emma Toplis Abdulla Baguneid Daniel Alexander Williams Development of a respiratory quality improvement faculty in an acute hospital using QI methodology BMJ Open Quality |
| title | Development of a respiratory quality improvement faculty in an acute hospital using QI methodology |
| title_full | Development of a respiratory quality improvement faculty in an acute hospital using QI methodology |
| title_fullStr | Development of a respiratory quality improvement faculty in an acute hospital using QI methodology |
| title_full_unstemmed | Development of a respiratory quality improvement faculty in an acute hospital using QI methodology |
| title_short | Development of a respiratory quality improvement faculty in an acute hospital using QI methodology |
| title_sort | development of a respiratory quality improvement faculty in an acute hospital using qi methodology |
| url | https://bmjopenquality.bmj.com/content/11/4/e001990.full |
| work_keys_str_mv | AT aklakchoudhury developmentofarespiratoryqualityimprovementfacultyinanacutehospitalusingqimethodology AT lucyanneboast developmentofarespiratoryqualityimprovementfacultyinanacutehospitalusingqimethodology AT judithannehampson developmentofarespiratoryqualityimprovementfacultyinanacutehospitalusingqimethodology AT rachellouisesaville developmentofarespiratoryqualityimprovementfacultyinanacutehospitalusingqimethodology AT emmatoplis developmentofarespiratoryqualityimprovementfacultyinanacutehospitalusingqimethodology AT abdullabaguneid developmentofarespiratoryqualityimprovementfacultyinanacutehospitalusingqimethodology AT danielalexanderwilliams developmentofarespiratoryqualityimprovementfacultyinanacutehospitalusingqimethodology |