Quality Improvement

Change Management Concept on the Gears

The Dynamics of Change Management

Change is difficult for most people. It often requires moving outside of one’s comfort zone, doing something different, or acquiring new skills. Understanding the dynamics of change management is another necessary leadership skill when implementing quality and safety initiatives. Though there are many different models of change, this article will be focusing on Kurt Lewin’s …

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Checklist

Starting with the End in Mind: Planning for Sustainability

Successful project planning involves starting with the end in mind, meaning planning for sustainability from the onset. Too often as new projects come in, attention shifts, and backsliding can occur. In the Institute for Healthcare Improvement’s white paper titled “Sustaining Improvement” (2016) key lessons are summarized from high-performing healthcare organizations known for their clinical excellence. …

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Threats to Integrating Quality and Safety Work and Planning for Success

Threats to Integrating Quality and Safety Work and Planning for Success

When integrating change into practice, it’s important to understand the threats to integrating quality and safety work and planning for success. This is the third article in a series describing challenges encountered in this area, and it highlights backsliding, knowledge degradation, and large-scale implementation without testing.  Backsliding Backsliding occurs when there is initial improvement noted …

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Project management

Challenges Involved with Quality and Safety Implementation and Sustainability

When integrating change into practice, it’s important to understand the challenges involved with quality and safety implementation and sustainability. This will allow for adequate planning and preparation.  This is the second article in a series describing challenges encountered in this area, and it highlights lack of upper-level support, project fatigue, inadequate personnel, and competing priorities. …

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Conflict between two women doctors

Common Barriers Encountered in Quality and Safety Implementation

When integrating change into practice, it’s important to understand the common barriers encountered in quality and safety implementation. This will allow for adequate planning and preparation.  Some of the challenges include a lack of team integrity and disruptive and hierarchical behavior. Unfortunately, these factors can contribute to medical errors and patient harm. Historically disruptive and …

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