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Triumphs on the Road to Quality Improvement Urology Service NRH

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.

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Triumphs on the Road to Quality Improvement Urology Service NRH

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  1. Triumphs on the Road to Quality Improvement Urology Service NRH Bernie Lee, Kelley Lennon & Eva Wallace

  2. The Team Risk Management Urology Consultant Urology Nurses Clinical Specialist Ultrasonographer Phlebotomy Xray Urology Administration

  3. 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

  4. Primary drivers Secondary drivers

  5. 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 Successes • Challenges: • Reduction in Nursing Staff Ratio • Delays in scheduling due to Admin training • Number of unexpected processes that needed improvement.

  6. Patient Registration - 78% of patients now go through registration on arrival at the clinic in comparison with pre QI of <33%

  7. ISBAR Communication Framework All documentation in urology is now completed using the ISBAR framework Introduction / identificationSituationBackgroundAssessmentRecommendations

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

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