Triumphs on the Road to Quality Improvement

Urology Service NRH

Bernie Lee, Kelley Lennon & Eva Wallace

The Team

• Risk Management• Urology Consultant• Urology Nurses• Clinical Specialist

Ultrasonographer• Phlebotomy• Xray• Urology Administration

IHI Model for Improvement• What are we trying to accomplish

• How will we know that a change is an improvement

• What changes can we make that will result in an improvement

Primary drivers Secondary drivers

Challenges and Successes• Baseline Data Collection • Swim Lane – Process Map – Patient Flow

at the Clinic• Use of Rapid PDSA Cycles, displayed

using Run Charts• Digital Dictation – “just do it”• Communication Frameworks ISBAR

Challenges:– Reduction in Nursing Staff Ratio – Delays in scheduling due to Admin

training – Number of unexpected processes

that needed improvement.

Successes

Patient Registration - 78% of patients now go through registration on arrival at the clinic in

comparison with pre QI of <33%

ISBAR Communication Framework

All documentation in urology is now completed using the ISBAR frameworkIntroduction / identificationSituationBackgroundAssessmentRecommendations

• No matter how good you get you can always get better and that’s the exciting part Tiger Woods