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Plan-Do-Study-Act

Plan-Do-Study-Act. Clinical Systems Improvement. Is our patient journey wasteful?. Does every step add value to our patient?. Waste that does not add value. Unnecessary movement of patients Unnecessary motion (equipment and consumables not to hand) Waiting

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Plan-Do-Study-Act

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  1. Plan-Do-Study-Act Clinical Systems Improvement

  2. Is our patient journey wasteful? Does every step add value to our patient?

  3. Waste that does not add value • Unnecessary movement of patients • Unnecessary motion (equipment and consumables not to hand) • Waiting • Unnecessary tests and investigations • Over processing (repeated history taking, examinations etc) • Errors • Overdurdenof staff

  4. Can you improve the patient’s journey? • Yes you can! • But it requires commitment and a more scientific approach from everyone in the team, and be open to new ideas. • You need to use data and involve all stakeholders to improve the patient’s journey • Plan-Do-Study-Act (PDSA) cycles • Small incremental improvements

  5. Modify then make standard practice Trial new process with all patients Modify then re-test with more patients Change part of a system with a small group of patients

  6. VSM patient journey summary • Patient focused • Sequential procedure steps • Time based • Uses simple tools: pen, paper, sticky tape • Map out current state using all stakeholders in the journey • Ideal states only uses steps that add value to patient journey • Use PDSA to experiment with improvements and remove waste • Maintain focus on the patient • Involve all stakeholders • Use your leadership qualities to lead the process

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