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Quality Improvement Project. AIM OF PROJECT PLAN. What will the project accomplish (what variable will be improved)? What phase of the lab will this Improvement Plan target? Pre-Analytical Analytical Post –Analytical
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AIM OF PROJECT PLAN • What will the project accomplish (what variable will be improved)? • What phase of the lab will this Improvement Plan target? Pre-Analytical Analytical Post –Analytical • Why do you want to target this variable? (Provide background data / information)
PLAN: • How do you plan to organize this project? • How long do you estimate this project will take to complete? • What resources are required to organize and complete this project? • People: • Materials: • Monies: • Who will benefit from the success of this project?
PLAN: • Define the variable to be measured: • How will you measure progress of this plan? • Measurement Method / Tool: • How often will you measure progress? (weekly, monthly) • How long will you measure progress? • Define acceptable results you expect to achieve: • Who is responsible for conducting & monitoring the activities for this plan? • How will the results be evaluated at each review point?
DO: • How will you explain the IP to your lab staff? • Staff meeting? • What steps will you take to gain staff buy-in and assistance? • Show HOW their involvement will benefit ‘them’ and improve ‘patient care’ • What is the Corrective Action proposal (How will you implement your IP)? • Date for follow-up of Corrective Action?
CHECK: • This is when and where you review the “DO” that you established: • Do you see improvement from your baseline data? • Are you still on schedule to meet the acceptable results you defined in the PLAN section? Why or why not? • What obstacles have slowed progress? • What sped up progress? • Do you need to change part of the PLAN & DO? If so, list the changes and review date to measure new plan:
ACT: • Was your Corrective Action Effective? • Describe how (why) if answer is YES: • Describe how (why) if answer is NO: may need to go back and review / edit the DO section and then follow-up with CHECK to achieve expected results 2. If Improvement Project Plan/DO/CHECK achieved acceptable results: • Share results at a staff meeting • Share results at inter-departmental hospital meeting and tell how IP benefits hospital / patient care
TIPS for SUCCESS: • Involve your staff • It takes 21 consecutive days to effect any change of behavior • Offer praise to staff for assisting in project at appropriate times • Don’t get discouraged. Many times you will have to change your Corrective Action to achieve your Acceptable Results (if implementing change was easy- there would be little need for Improvement Projects!)