implementation Your group has flow charted the processes related to diabetes mellitus foot complications in your General Medicine Clinic. Your group has many ideas but remains uncertain about which ideas should be implemented first. Even more concerning is the resistance of physicians and staff to any extra work to collect data. The challenges are to optimize the data set for collection and to embed the data collection process into the workflow as much as possible. To help with these tasks, you call a follow-up meeting of all the key potential players (those seated in your group). Time Task Who 20 min Select a recorder to document the deliberations Each breakout group Select a reporter to summarize your conclusions at the end group’s of the workshop List the essential/irreducible outcome measure(s) and process measure(s) Consider how the data collection can take place at baseline and after changes are implemented in the clinical process Identify the probable sources of opposition and plan manoeuvres to minimize resistance Summarize how the data collection process has been embedded in the workflow Enumerate the things you learned from the exercise 20 min Small group reporting Selected breakout groups Summary of workshop QI Workshop 4 Interpreting the PDSA Cycle — Time Who 10 min Orientation to the workshop Interpret the PDSA cycle and determine whether change occurred; if so, whether it is an improvement; and whether the gains have been held Your QI project relates to diabetes mellitus foot complications in your General Medicine Clinic. On the basis of input from the residents, the clinic implemented the following interventions over months 3 to 6: Special coloured stickers are now used on the chart to identify the patient as having diabetes. Posters have been placed in the examination rooms asking patients with diabetes to remove their shoes and socks. Your QI team has performed a medical record audit. The data are shown on the following page.
implementation Your group has flow charted the processes related to diabetes mellitus foot complications in your General Medicine Clinic. Your group has many ideas but remains uncertain about which ideas should be implemented first. Even more concerning is the resistance of physicians and staff to any extra work to collect data. The challenges are to optimize the data set for collection and to embed the data collection process into the workflow as much as possible. To help with these tasks, you call a follow-up meeting of all the key potential players (those seated in your group). Time Task Who 20 min Select a recorder to document the deliberations Select a reporter to summarize your group’s conclusions at the end of the workshop List the essential/irreducible outcome measure(s) and process measure(s) Consider how the data collection can take place at baseline and after changes are implemented in the clinical process Identify the probable sources of opposition and plan manoeuvres to minimize resistance Summarize how the data collection process has been embedded in the workflow Enumerate the things you learned from the exercise Each breakout group 20 min Small group reporting Summary of workshop Selected breakout groups QI Workshop 4 — Interpreting the PDSA Cycle Time Who 10 min Orientation to the workshop Interpret the PDSA cycle and determine whether change occurred; if so, whether it is an improvement; and whether the gains have been held Your QI project relates to diabetes mellitus foot complications in your General Medicine Clinic. On the basis of input from the residents, the clinic implemented the following interventions over months 3 to 6: Special coloured stickers are now used on the chart to identify the patient as having diabetes. Posters have been placed in the examination rooms asking patients with diabetes to remove their shoes and socks. Your QI team has performed a medical record audit. The data are shown on the following page.
QI_T3%20QI%20Workshops.docx