1. Learning quality improvement
Phomolo Madome
Rachel Daffy
Calle Linden

2. Why learn quality improvement
• Improvement is a core aspect of all
professionalism
• Our patients depend on us to deliver quality
care every time
• Our reputation depends on quality
performance

3. How we learn quality improvement
• Benchmarking : the continuous process of
measuring products, services, and practices
against the company’s toughest competitors
or those companies known as leaders
(Nelson, Batalden & Lazar, 2007).
Internal benchmarking
Competitive or external benchmarking

4. • Being in a network: allows sharing of
information, expertise and resources related
to quality improvement.
• QI tools, such as the PDSA methods, are
feasible and acceptable techniques for
creating and initiating system improvements
aimed at enhancing patient education and
counselling. (Varkey et al., 2009)

5. • Nurse students that applied quality
improvement models could make an
improvement in their study habits or lifestyle
(Kyrkjebø & Hanestad, 2002).

6. What we need to know to learn QI
The science of improvement
• Appreciation of a system
• Understanding of variation
• Theory of knowledge
• psychology.

7. Domains of learning improvement
• Customer/ Beneficiary knowledge
• Health care as a process
• Variation and measurement
• Leading, following and making changes in health
care
• Collaboration
• Developing new, locally useful knowledge
• Social context and accountability
• Professional subject matter.

8. Sustaining change
• Engage every one
• Continually improve existing health systems and processes
• Celebrate Milestones and End Results : Build personnel
engagement for the continuous improvement process by
celebrating successes (Opitz, 2008).
• Teaching as many people (your organization, customers and
suppliers) as possible to do the same thing
• When residents are taught principles of sustainability and
spread and asked to complete multiple PDSA cycles, they
are able to identify common themes that may contribute to
success of Quality improvement projects over time
(Oyler, Vinci, Johnson & Arora, 2011).

9. References
• Batalden. P., Splaine. M., Baker. R., Bisognano. M., Headrick. L., et al. (1998). Eight
Domains for the Improvement of Health Care. Boston: Institute for Healthcare
Improvement. Retrieved from http://www.ihi.org/Pages/default.aspx
• Kyrkjebø, J. & Hanestad, B. (2002). Personal improvement project in nursing
education: learning methods and tools for continuous quality improvement in
nursing practice. Journal of Advanced Nursing, 41(1), 88–98
• Nelson E. C., Batalden P.B., Lazar J.S. (2007). Practice Based Learning and
Improvement: A Clinical Improvement Action Guide. 2nd edition. Joint Commission
resouces. USA
• Opitz B. (2008). How to Engage Employees, Improve Productivity & Sustain
Improvements Over the Long Haul.
• Oyler J., Vinci L., Johnson, J., Arora, V. (2011). Teaching Internal Medicine Residents
to Sustain Their Improvement Through the Quality Assessment and Improvement
Curriculum. Journal Gen Intern Med, 26(2), 221–225.
• Varkey, P., Sathananthan, A., Scheifer A., Bhagra, S., Fujiyoshi, A. (2009). Using
quality-improvement techniques to enhance patient education and counselling of
diagnosis and management. Quality in Primary Care, 17, 205–213.

10. methods
• We were unsure where to begin and look for
information for this topic. Kath Stevenson
gave us some ideas for where to start looking-
she advised us to look up the 8 knowledge
domains for quality improvement and also to
look up an article by Linda Headrick. We used
google scholar and pubmed to find the articles
and information we needed.