Module 1 – Starting Your Quality Improvement Journey

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itemtype="http://schema.org/ListItem"> <a href="https://qicentral.rcpch.ac.uk/" class="breadcrumbs__link" itemprop="item"><span itemprop="name">Home</span></a> <span class="breadcrumbs__forward-arrow">»</span> </li><li class="breadcrumbs__list-item breadcrumbs__direct-parent" itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"> <span class="breadcrumbs__back-arrow">«</span> <a href="https://qicentral.rcpch.ac.uk/resources/" class="breadcrumbs__link" itemprop="item"><span itemprop="name">Resources</span></a> <span class="breadcrumbs__forward-arrow">»</span> </li><li class="breadcrumbs__list-item" itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"> <p aria-current="page" itemprop="name">Module 1 – Starting Your Quality Improvement Journey</p> </li> </ol> </div> </nav> <section class="section section--separated text--center introduction"> <div class="container"> <h1 class="large"> Module 1 – Starting Your Quality Improvement Journey </h1> <p class="standard"> In collaboration with QIClearn, the first of our micro-QI online modules introduces healthcare professionals to quality improvement methodology and shares how paediatric trainees have explored QI across different levels of the RCPCH Progress Curriculum. </p> </div> </section> <section class="section section--separated section--information-box"> <div class="container"> <div class="information-box in-page-menu"> <h2 class="in-page-menu__title"> On this page: </h2> <div class="in-page-menu__item"> <?xml version="1.0" encoding="UTF-8"?> <svg class="icon arrow-icon" width="33px" height="24px" viewBox="0 0 33 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Arrow</title> <desc>Created with Sketch.</desc> <g stroke-width="0" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M19.995,23.96625 C19.085575,23.9654501 18.2660527,23.4172648 17.9181391,22.5770205 C17.5702254,21.7367762 17.7623391,20.7697105 18.405,20.12625 L26.655,11.87625 L18.88875,4.11 C18.3129761,3.54283617 18.0856243,2.71043631 18.2931483,1.92933184 C18.5006723,1.14822738 19.1111868,0.538431984 19.8925353,0.331828709 C20.6738838,0.125225433 21.5060151,0.353558067 22.0725,0.93 L31.4475,10.28625 C32.3248601,11.1647026 32.3248601,12.5877974 31.4475,13.46625 L21.6,23.3175 C21.1729313,23.7391476 20.5951106,23.972706 19.995,23.96625 Z"></path> <path d="M28.4628594,13.875 L2.15214063,13.875 C0.976809642,13.875 0.024015625,12.922206 0.024015625,11.746875 C0.024015625,10.571544 0.976809642,9.61875 2.15214063,9.61875 L28.4628594,9.61875 C29.6381904,9.61875 30.5909844,10.571544 30.5909844,11.746875 C30.5909844,12.922206 29.6381904,13.875 28.4628594,13.875 Z"></path> </g> </g> </svg> <a href="#page-section-2" class="in-page-menu__link" > The Four Sciences </a> </div> <div class="in-page-menu__item"> <?xml version="1.0" encoding="UTF-8"?> <svg class="icon arrow-icon" width="33px" height="24px" viewBox="0 0 33 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Arrow</title> <desc>Created with Sketch.</desc> <g stroke-width="0" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M19.995,23.96625 C19.085575,23.9654501 18.2660527,23.4172648 17.9181391,22.5770205 C17.5702254,21.7367762 17.7623391,20.7697105 18.405,20.12625 L26.655,11.87625 L18.88875,4.11 C18.3129761,3.54283617 18.0856243,2.71043631 18.2931483,1.92933184 C18.5006723,1.14822738 19.1111868,0.538431984 19.8925353,0.331828709 C20.6738838,0.125225433 21.5060151,0.353558067 22.0725,0.93 L31.4475,10.28625 C32.3248601,11.1647026 32.3248601,12.5877974 31.4475,13.46625 L21.6,23.3175 C21.1729313,23.7391476 20.5951106,23.972706 19.995,23.96625 Z"></path> <path d="M28.4628594,13.875 L2.15214063,13.875 C0.976809642,13.875 0.024015625,12.922206 0.024015625,11.746875 C0.024015625,10.571544 0.976809642,9.61875 2.15214063,9.61875 L28.4628594,9.61875 C29.6381904,9.61875 30.5909844,10.571544 30.5909844,11.746875 C30.5909844,12.922206 29.6381904,13.875 28.4628594,13.875 Z"></path> </g> </g> </svg> <a href="#page-section-4" class="in-page-menu__link" > Improving quality in healthcare </a> </div> <div class="in-page-menu__item"> <?xml version="1.0" encoding="UTF-8"?> <svg class="icon arrow-icon" width="33px" height="24px" viewBox="0 0 33 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Arrow</title> <desc>Created with Sketch.</desc> <g stroke-width="0" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M19.995,23.96625 C19.085575,23.9654501 18.2660527,23.4172648 17.9181391,22.5770205 C17.5702254,21.7367762 17.7623391,20.7697105 18.405,20.12625 L26.655,11.87625 L18.88875,4.11 C18.3129761,3.54283617 18.0856243,2.71043631 18.2931483,1.92933184 C18.5006723,1.14822738 19.1111868,0.538431984 19.8925353,0.331828709 C20.6738838,0.125225433 21.5060151,0.353558067 22.0725,0.93 L31.4475,10.28625 C32.3248601,11.1647026 32.3248601,12.5877974 31.4475,13.46625 L21.6,23.3175 C21.1729313,23.7391476 20.5951106,23.972706 19.995,23.96625 Z"></path> <path d="M28.4628594,13.875 L2.15214063,13.875 C0.976809642,13.875 0.024015625,12.922206 0.024015625,11.746875 C0.024015625,10.571544 0.976809642,9.61875 2.15214063,9.61875 L28.4628594,9.61875 C29.6381904,9.61875 30.5909844,10.571544 30.5909844,11.746875 C30.5909844,12.922206 29.6381904,13.875 28.4628594,13.875 Z"></path> </g> </g> </svg> <a href="#page-section-15" class="in-page-menu__link" > How QI mirrors your clinical journey </a> </div> <div class="in-page-menu__item"> <?xml version="1.0" encoding="UTF-8"?> <svg class="icon arrow-icon" width="33px" height="24px" viewBox="0 0 33 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Arrow</title> <desc>Created with Sketch.</desc> <g stroke-width="0" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M19.995,23.96625 C19.085575,23.9654501 18.2660527,23.4172648 17.9181391,22.5770205 C17.5702254,21.7367762 17.7623391,20.7697105 18.405,20.12625 L26.655,11.87625 L18.88875,4.11 C18.3129761,3.54283617 18.0856243,2.71043631 18.2931483,1.92933184 C18.5006723,1.14822738 19.1111868,0.538431984 19.8925353,0.331828709 C20.6738838,0.125225433 21.5060151,0.353558067 22.0725,0.93 L31.4475,10.28625 C32.3248601,11.1647026 32.3248601,12.5877974 31.4475,13.46625 L21.6,23.3175 C21.1729313,23.7391476 20.5951106,23.972706 19.995,23.96625 Z"></path> <path d="M28.4628594,13.875 L2.15214063,13.875 C0.976809642,13.875 0.024015625,12.922206 0.024015625,11.746875 C0.024015625,10.571544 0.976809642,9.61875 2.15214063,9.61875 L28.4628594,9.61875 C29.6381904,9.61875 30.5909844,10.571544 30.5909844,11.746875 C30.5909844,12.922206 29.6381904,13.875 28.4628594,13.875 Z"></path> </g> </g> </svg> <a href="#page-section-17" class="in-page-menu__link" > Progress your QI </a> </div> <div class="in-page-menu__item"> <?xml version="1.0" encoding="UTF-8"?> <svg class="icon arrow-icon" width="33px" height="24px" viewBox="0 0 33 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Arrow</title> <desc>Created with Sketch.</desc> <g stroke-width="0" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M19.995,23.96625 C19.085575,23.9654501 18.2660527,23.4172648 17.9181391,22.5770205 C17.5702254,21.7367762 17.7623391,20.7697105 18.405,20.12625 L26.655,11.87625 L18.88875,4.11 C18.3129761,3.54283617 18.0856243,2.71043631 18.2931483,1.92933184 C18.5006723,1.14822738 19.1111868,0.538431984 19.8925353,0.331828709 C20.6738838,0.125225433 21.5060151,0.353558067 22.0725,0.93 L31.4475,10.28625 C32.3248601,11.1647026 32.3248601,12.5877974 31.4475,13.46625 L21.6,23.3175 C21.1729313,23.7391476 20.5951106,23.972706 19.995,23.96625 Z"></path> <path d="M28.4628594,13.875 L2.15214063,13.875 C0.976809642,13.875 0.024015625,12.922206 0.024015625,11.746875 C0.024015625,10.571544 0.976809642,9.61875 2.15214063,9.61875 L28.4628594,9.61875 C29.6381904,9.61875 30.5909844,10.571544 30.5909844,11.746875 C30.5909844,12.922206 29.6381904,13.875 28.4628594,13.875 Z"></path> </g> </g> </svg> <a href="#page-section-19" class="in-page-menu__link" > Developing an improvement mindset </a> </div> <div class="in-page-menu__item"> <?xml version="1.0" encoding="UTF-8"?> <svg class="icon arrow-icon" width="33px" height="24px" viewBox="0 0 33 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Arrow</title> <desc>Created with Sketch.</desc> <g stroke-width="0" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M19.995,23.96625 C19.085575,23.9654501 18.2660527,23.4172648 17.9181391,22.5770205 C17.5702254,21.7367762 17.7623391,20.7697105 18.405,20.12625 L26.655,11.87625 L18.88875,4.11 C18.3129761,3.54283617 18.0856243,2.71043631 18.2931483,1.92933184 C18.5006723,1.14822738 19.1111868,0.538431984 19.8925353,0.331828709 C20.6738838,0.125225433 21.5060151,0.353558067 22.0725,0.93 L31.4475,10.28625 C32.3248601,11.1647026 32.3248601,12.5877974 31.4475,13.46625 L21.6,23.3175 C21.1729313,23.7391476 20.5951106,23.972706 19.995,23.96625 Z"></path> <path d="M28.4628594,13.875 L2.15214063,13.875 C0.976809642,13.875 0.024015625,12.922206 0.024015625,11.746875 C0.024015625,10.571544 0.976809642,9.61875 2.15214063,9.61875 L28.4628594,9.61875 C29.6381904,9.61875 30.5909844,10.571544 30.5909844,11.746875 C30.5909844,12.922206 29.6381904,13.875 28.4628594,13.875 Z"></path> </g> </g> </svg> <a href="#page-section-23" class="in-page-menu__link" > Reflection </a> </div> <div class="in-page-menu__item"> <?xml version="1.0" encoding="UTF-8"?> <svg class="icon arrow-icon" width="33px" height="24px" viewBox="0 0 33 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Arrow</title> <desc>Created with Sketch.</desc> <g stroke-width="0" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M19.995,23.96625 C19.085575,23.9654501 18.2660527,23.4172648 17.9181391,22.5770205 C17.5702254,21.7367762 17.7623391,20.7697105 18.405,20.12625 L26.655,11.87625 L18.88875,4.11 C18.3129761,3.54283617 18.0856243,2.71043631 18.2931483,1.92933184 C18.5006723,1.14822738 19.1111868,0.538431984 19.8925353,0.331828709 C20.6738838,0.125225433 21.5060151,0.353558067 22.0725,0.93 L31.4475,10.28625 C32.3248601,11.1647026 32.3248601,12.5877974 31.4475,13.46625 L21.6,23.3175 C21.1729313,23.7391476 20.5951106,23.972706 19.995,23.96625 Z"></path> <path d="M28.4628594,13.875 L2.15214063,13.875 C0.976809642,13.875 0.024015625,12.922206 0.024015625,11.746875 C0.024015625,10.571544 0.976809642,9.61875 2.15214063,9.61875 L28.4628594,9.61875 C29.6381904,9.61875 30.5909844,10.571544 30.5909844,11.746875 C30.5909844,12.922206 29.6381904,13.875 28.4628594,13.875 Z"></path> </g> </g> </svg> <a href="#page-section-25" class="in-page-menu__link" > Next steps </a> </div> </div> </div> </section> <section class="section section--separated grouped"> <section class="section section--grouped" id="page-section-1"> <div class="container"> <div class="block wysiwyg text--long-form"> <h2>Welcome to Quality Improvement!</h2> <p>At QIClearn we support paediatricians as they take their first steps in quality improvement, and even more. In the past 4 years we have seen over a hundred paediatric trainees complete their first QI journey from start to finish. Most of these have recorded their journey in a poster and many have shared their work at international conferences.</p> <p>Learning how to improve using a robust change method is a skill we can take with us throughout our career. So starting small and growing these skills alongside our clinical training is a great investment for our future and that of our patients too.</p> <p>In this short module we will:</p> <ul> <li>Set the scene by considering the four sciences that we draw on in our day to day work</li> <li>Consider how quality improvement methods sit alongside other techniques that support quality and safety such as audit and research</li> <li>Look at how quality improvement processes mirror those of clinical processes</li> <li>See how paediatric trainees explore QI within different levels of the RCPCH Progress Curriculum</li> <li>Gain insight into acquiring an improvement mindset</li> </ul> <p>This module is led by Nikki Davey, a Quality Improvement Practitioner and Coach. Nikki has a long association of working with paediatricians through her work in patient safety over many years. She founded the Quality Improvement Clinic in 2013 and has designed and delivered training to 1000鈥檚 of people since then. Through QIClearn, her company offers digital, virtual and blended programmes. Nikki is also a Trustee and longstanding supporter of the Clinical Human Factors Group who campaign for the adoption of human factors principles to make healthcare a safer place.</p> </div> </div> </section> <section class="section section--grouped" id="page-section-2"> <div class="container"> <div class="block wysiwyg text--long-form"> <h2>The Four Sciences</h2> <p>In this video clip Nikki Davey considers what we can learn from science to make healthcare safer and more efficient.</p> <p>After you鈥檝e watched it you might want to think about your own journey through the sciences and which ones you want to enrich.</p> </div> </div> </section> <section class="section section--grouped" id="page-section-3"> <div class="container"> <div class="block video-with-caption"> <div class="video-with-caption__embed embed-container"> <iframe src="https://player.vimeo.com/video/560429433?h=875e955310&dnt=1&app_id=122963" width="640" height="360" frameborder="0" allow="autoplay; fullscreen; picture-in-picture; clipboard-write"></iframe> </div> </div> </div> </section> <section class="section section--grouped" id="page-section-4"> <div class="container"> <div class="block wysiwyg text--long-form"> <h2></h2> <h2>Improving quality in healthcare</h2> <p>Since the NHS was created, a range of approaches have been used to improve the care that is given. In the early days, audit and research were the most commonly used approaches. As the number of effective interventions developed and the ways in which they could be delivered increased, audit became more clinically focused, research informed evidence based medicine and service evaluation was added into the mix. More recently we have begun to explore disciplines developed and used successfully in other industries such as transformation and quality improvement.聽 The diagram below gives an overview of how <a href="https://www.bmj.com/content/368/bmj.m865.full"><u>Adam Backhouse and </u><u>Fatai</u><u> Ogunlayi</u></a> have described the relationships between these 5 approaches:</p> </div> </div> </section> <section class="section section--grouped" id="page-section-5"> <div class="container"> <figure class="block image-with-caption" > <img src="https://qicentral.rcpch.ac.uk/wp-content/uploads/sites/9/2021/06/QIv1.png" alt=""> </figure> </div> </section> <section class="section section--grouped" id="page-section-6"> <div class="container"> <div class="block wysiwyg text--long-form"> <p>Clinical audit provides assurance that people are adhering to an agreed standard of practice. It can usefully identify gaps between current practice and agreed best practice. However, audit reflects only what is happening at a particular point in time, and does not usually reflect the variation that occurs from week to week, day to day, or patient to patient. Furthermore there is a tendency for the audit cycle to end with recommendations for closing the gap by leaving a list of recommendations to be fulfilled by someone else who may not know or have been involved yet. This <strong>audit gap </strong>is one place you can start from when starting out on a quality improvement project:</p> </div> </div> </section> <section class="section section--grouped" id="page-section-7"> <div class="container"> <figure class="block image-with-caption" > <img src="https://qicentral.rcpch.ac.uk/wp-content/uploads/sites/9/2021/06/Clinical-auditv1.png" alt=""> </figure> </div> </section> <section class="section section--grouped" id="page-section-8"> <div class="container"> <div class="block wysiwyg text--long-form"> <p>Research underpins many modern day healthcare treatments. The gold standard is considered to be randomised controlled trials, and whilst this is a systematic and rigorous way to answer important questions about efficacy and effectiveness or treatments, such trials do not answer all of our questions. Controlling other variables in order to isolate the effect of the item under investigation, often means excluding large parts of the population and this means effects that are detected may not be universal, or may not be realised when conditions vary significantly from the study setting, population or health facility. Translational research is seen as one way that we can close the <strong>gap</strong> between <strong>research</strong> and <strong>practice</strong>.</p> </div> </div> </section> <section class="section section--grouped" id="page-section-9"> <div class="container"> <figure class="block image-with-caption" > <img src="https://qicentral.rcpch.ac.uk/wp-content/uploads/sites/9/2021/06/Artboard-11v1.png" alt=""> </figure> </div> </section> <section class="section section--grouped" id="page-section-10"> <div class="container"> <div class="block wysiwyg text--long-form"> <p>Service evaluation explores the effectiveness or efficiency of a service in order to inform local decisions about it. It considers issues that are broader than quality, but are often directly or indirectly linked to quality e.g. workforce, financial viability, demand, sustainability, demand. As with audit, it reflects a point in time and may not accurately represent the variation that is commonly present in most service provision, but it may identify risks associated with change and attitudes to change. In this way it may be a catalyst for change in its own right.</p> </div> </div> </section> <section class="section section--grouped" id="page-section-11"> <div class="container"> <figure class="block image-with-caption" > <img src="https://qicentral.rcpch.ac.uk/wp-content/uploads/sites/9/2021/06/service-evaluationv1.png" alt=""> </figure> </div> </section> <section class="section section--grouped" id="page-section-12"> <div class="container"> <div class="block wysiwyg text--long-form"> <p>Transformation is a deliberate and planned process that sets out to effect dramatic and irreversible change in the way a service is delivered. It usually occurs on a large scale. In our lives we鈥檝e seen this play out through transformational technologies such as the internet, mobile phones, and messaging apps. Clinically we鈥檝e seen this with non-invasive surgery and standardised monitoring for some clinical conditions. Whilst clinical transformation is often driven by technology, it is worth noting that it took a pandemic for healthcare to embrace technology that has been around for many years to make virtual consultations the new norm.</p> </div> </div> </section> <section class="section section--grouped" id="page-section-13"> <div class="container"> <div class="block wysiwyg text--long-form"> <p>Quality improvement is based on learning and continuous improvement. As a change method it is increasingly recognised as having something to offer healthcare. It works in the <strong>gaps</strong> that we often find in audit and in translating research into practice. The methods are both people and systems focused, appreciating the psychology of change and using data to help us understand what is happening in the system and whether changes have occurred. The many small changes that are required for a big change to occur are often within reach of the people who deliver care. Their expertise and insights of work as it is, rather than work as imagined allows the adaption required to spread good practice across systems that differ significantly.</p> </div> </div> </section> <section class="section section--grouped" id="page-section-14"> <div class="container"> <figure class="block image-with-caption" > <img src="https://qicentral.rcpch.ac.uk/wp-content/uploads/sites/9/2021/06/QI_1v1-1.png" alt=""> </figure> </div> </section> <section class="section section--grouped" id="page-section-15"> <div class="container"> <div class="block wysiwyg text--long-form"> <h2></h2> <h2>How QI mirrors your clinical journey</h2> <p>Most of us acquire new skills everyday and yet none of us become great at anything overnight. Instead we build from being a novice to becoming more accomplished over a period of time.</p> <p>This is the same whether we are considering clinical skills or improvement skills, and yet somehow the latter, with its novel language can seem more of a challenge.</p> <p>In this short video, Nikki Davey draws a parallel between the process of treating patients and the process of generating improvement:</p> </div> </div> </section> <section class="section section--grouped" id="page-section-16"> <div class="container"> <div class="block video-with-caption"> <div class="video-with-caption__embed embed-container"> <iframe title="How QI Mirrors clinical practice" src="https://player.vimeo.com/video/557517005?h=f9d7f8d8a0&dnt=1&app_id=122963" width="640" height="360" frameborder="0" allow="autoplay; fullscreen; picture-in-picture; clipboard-write"></iframe> </div> </div> </div> </section> <section class="section section--grouped" id="page-section-17"> <div class="container"> <div class="block wysiwyg text--long-form"> <h2>Progress your QI</h2> <p>As we鈥檝e suggested already, quality improvement is a mindset and a set of skills that you can develop and take with you throughout your career. This is increasingly recognised in clinical training and for paediatricians in particular in Domain 8 of the RCPCH Progress Curriculum.</p> <p>The ambition is that by progressing over time everyone <i>i</i><i>ndependently applies knowledge of quality improvement processes to undertake projects and audits to improve clinical effectiveness, patient safety and patient experience; Identifies quality improvement opportunities; Leads and facilitates reflective evaluation in relation to quality improvement interventions.</i></p> <p>And if you still need a little convincing, or want some inspiration, why not listen to some people who have come across QI at different times in their training, and hear what they have to say about it:</p> </div> </div> </section> <section class="section section--grouped" id="page-section-18"> <div class="container"> <div class="block accordion" role="tablist" aria-live="polite" data-close-other-items="1"> <div id="accordion-1" class="accordion__item"> <button class="accordion__header" tabindex="-1"> <h3 class="accordion__title">Dr Georgina Ndukwe </h3> <?xml version="1.0" encoding="UTF-8"?> <svg aria-hidden="true" class="icon accordion__icon accordion--plus" width="36px" height="36px" viewBox="0 0 36 36" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Plus</title> <desc>Created with Sketch.</desc> <g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M17.7456881,35.7886239 C16.6512522,35.7886239 15.7640367,34.9014083 15.7640367,33.8069725 L15.7640367,2.27889908 C15.7640367,1.18446325 16.6512522,0.297247706 17.7456881,0.297247706 C18.8401239,0.297247706 19.7273394,1.18446325 19.7273394,2.27889908 L19.7273394,33.8069725 C19.7273394,34.3325391 19.5185589,34.8365799 19.1469272,35.2082116 C18.7752955,35.5798433 18.2712547,35.7886239 17.7456881,35.7886239 Z"></path> <path d="M33.5097248,20.0245872 L1.98165138,20.0245872 C0.887215542,20.0245872 -1.42108547e-14,19.1373716 -1.42108547e-14,18.0429358 C-1.42108547e-14,16.9484999 0.887215542,16.0612844 1.98165138,16.0612844 L33.5097248,16.0612844 C34.6041606,16.0612844 35.4913761,16.9484999 35.4913761,18.0429358 C35.4913761,19.1373716 34.6041606,20.0245872 33.5097248,20.0245872 Z"></path> </g> </g> </svg> <?xml version="1.0" encoding="UTF-8"?> <svg aria-hidden="true" class="icon accordion__icon accordion--minus" width="36px" height="5px" viewBox="0 0 36 5" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Plus Copy</title> <desc>Created with Sketch.</desc> <g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M33.5097248,4.02458716 L1.98165138,4.02458716 C0.887215542,4.02458716 -1.42108547e-14,3.13737161 -1.42108547e-14,2.04293578 C-1.42108547e-14,0.948499945 0.887215542,0.0612844037 1.98165138,0.0612844037 L33.5097248,0.0612844037 C34.6041606,0.0612844037 35.4913761,0.948499945 35.4913761,2.04293578 C35.4913761,3.13737161 34.6041606,4.02458716 33.5097248,4.02458716 Z"></path> </g> </g> </svg> </button> <div class="accordion__content"> <p>Dr Georgina Ndukwe has just begun her specialist paediatric training, hear her talk about her experience as she begins her first steps on her QI journey:</p> <p><iframe src="https://player.vimeo.com/video/562667857?h=a753cea351&dnt=1&app_id=122963" width="500" height="281" frameborder="0" allow="autoplay; fullscreen; picture-in-picture; clipboard-write"></iframe></p> </div> </div> <div id="accordion-2" class="accordion__item"> <button class="accordion__header" tabindex="-1"> <h3 class="accordion__title">Dr Segn Nedd </h3> <?xml version="1.0" encoding="UTF-8"?> <svg aria-hidden="true" class="icon accordion__icon accordion--plus" width="36px" height="36px" viewBox="0 0 36 36" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Plus</title> <desc>Created with Sketch.</desc> <g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M17.7456881,35.7886239 C16.6512522,35.7886239 15.7640367,34.9014083 15.7640367,33.8069725 L15.7640367,2.27889908 C15.7640367,1.18446325 16.6512522,0.297247706 17.7456881,0.297247706 C18.8401239,0.297247706 19.7273394,1.18446325 19.7273394,2.27889908 L19.7273394,33.8069725 C19.7273394,34.3325391 19.5185589,34.8365799 19.1469272,35.2082116 C18.7752955,35.5798433 18.2712547,35.7886239 17.7456881,35.7886239 Z"></path> <path d="M33.5097248,20.0245872 L1.98165138,20.0245872 C0.887215542,20.0245872 -1.42108547e-14,19.1373716 -1.42108547e-14,18.0429358 C-1.42108547e-14,16.9484999 0.887215542,16.0612844 1.98165138,16.0612844 L33.5097248,16.0612844 C34.6041606,16.0612844 35.4913761,16.9484999 35.4913761,18.0429358 C35.4913761,19.1373716 34.6041606,20.0245872 33.5097248,20.0245872 Z"></path> </g> </g> </svg> <?xml version="1.0" encoding="UTF-8"?> <svg aria-hidden="true" class="icon accordion__icon accordion--minus" width="36px" height="5px" viewBox="0 0 36 5" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Plus Copy</title> <desc>Created with Sketch.</desc> <g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M33.5097248,4.02458716 L1.98165138,4.02458716 C0.887215542,4.02458716 -1.42108547e-14,3.13737161 -1.42108547e-14,2.04293578 C-1.42108547e-14,0.948499945 0.887215542,0.0612844037 1.98165138,0.0612844037 L33.5097248,0.0612844037 C34.6041606,0.0612844037 35.4913761,0.948499945 35.4913761,2.04293578 C35.4913761,3.13737161 34.6041606,4.02458716 33.5097248,4.02458716 Z"></path> </g> </g> </svg> </button> <div class="accordion__content"> <p>Dr Segn Nedd produced an accomplished piece of improvement work for her first full QI experience, for which she has won prizes! Segn now shares her work as often as she can and hopes that it will inspire others to learn about QI:</p> <p><iframe title="Gotta Lose the Baby Wait, Segn Nedd QI Project" src="https://player.vimeo.com/video/470244420?h=763245ae78&dnt=1&app_id=122963" width="500" height="281" frameborder="0" allow="autoplay; fullscreen; picture-in-picture; clipboard-write"></iframe></p> </div> </div> <div id="accordion-3" class="accordion__item"> <button class="accordion__header" tabindex="-1"> <h3 class="accordion__title">Dr Kiran Rahim</h3> <?xml version="1.0" encoding="UTF-8"?> <svg aria-hidden="true" class="icon accordion__icon accordion--plus" width="36px" height="36px" viewBox="0 0 36 36" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Plus</title> <desc>Created with Sketch.</desc> <g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M17.7456881,35.7886239 C16.6512522,35.7886239 15.7640367,34.9014083 15.7640367,33.8069725 L15.7640367,2.27889908 C15.7640367,1.18446325 16.6512522,0.297247706 17.7456881,0.297247706 C18.8401239,0.297247706 19.7273394,1.18446325 19.7273394,2.27889908 L19.7273394,33.8069725 C19.7273394,34.3325391 19.5185589,34.8365799 19.1469272,35.2082116 C18.7752955,35.5798433 18.2712547,35.7886239 17.7456881,35.7886239 Z"></path> <path d="M33.5097248,20.0245872 L1.98165138,20.0245872 C0.887215542,20.0245872 -1.42108547e-14,19.1373716 -1.42108547e-14,18.0429358 C-1.42108547e-14,16.9484999 0.887215542,16.0612844 1.98165138,16.0612844 L33.5097248,16.0612844 C34.6041606,16.0612844 35.4913761,16.9484999 35.4913761,18.0429358 C35.4913761,19.1373716 34.6041606,20.0245872 33.5097248,20.0245872 Z"></path> </g> </g> </svg> <?xml version="1.0" encoding="UTF-8"?> <svg aria-hidden="true" class="icon accordion__icon accordion--minus" width="36px" height="5px" viewBox="0 0 36 5" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <title>VisualV1 - Plus Copy</title> <desc>Created with Sketch.</desc> <g stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"> <g fill="currentColor" fill-rule="nonzero"> <path d="M33.5097248,4.02458716 L1.98165138,4.02458716 C0.887215542,4.02458716 -1.42108547e-14,3.13737161 -1.42108547e-14,2.04293578 C-1.42108547e-14,0.948499945 0.887215542,0.0612844037 1.98165138,0.0612844037 L33.5097248,0.0612844037 C34.6041606,0.0612844037 35.4913761,0.948499945 35.4913761,2.04293578 C35.4913761,3.13737161 34.6041606,4.02458716 33.5097248,4.02458716 Z"></path> </g> </g> </svg> </button> <div class="accordion__content"> <p>When Dr Kiran Rahim came to QI as an ST2 it was a revelation to discover that QI was not in fact the same as audit. Here she describes how this realisation helped her deliver an improvement that was sustained after she had moved on through several training rotations. Since then she has gone on to complete many more QI projects and is leading and teaching others to use QI to improve services for the patients they care for:</p> <p><iframe src="https://player.vimeo.com/video/560331830?h=9883aa70be&dnt=1&app_id=122963" width="500" height="281" frameborder="0" allow="autoplay; fullscreen; picture-in-picture; clipboard-write"></iframe></p> </div> </div> </div> </div> </section> <section class="section section--grouped" id="page-section-19"> <div class="container"> <div class="block wysiwyg text--long-form"> <h2></h2> <h2>Developing an improvement mindset</h2> <p>In this introductory module we鈥檝e given you some insights that we hope will be helpful to you, and whilst concepts and theories that underpin change and improvement are essential, you will gather from hearing from Georgina, Kiran and Segn that developing an improvement mindset goes far beyond the ability to memorise a model of change.</p> <p>When we talk about learning we are particularly interested in the time invested in action and experience, rather than your ability to memorise a model.</p> <p>The good news is that we have all had experience of an improvement mindset as children. If you want to know more about this, listen to Professor Don Berwick illustrating this through his stories at the International Forum on Quality and Safety in Healthcare in 2015 (3.46mins to 8.54mins):</p> </div> </div> </section> <section class="section section--grouped" id="page-section-20"> <div class="container"> <div class="block video-with-caption"> <div class="video-with-caption__embed embed-container"> <iframe title="2015 London Keynote - Donald Berwick - The New Simple Rules for Health Systems" width="640" height="360" src="https://www.youtube.com/embed/z1q0h1ZdYRY?feature=oembed" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe> </div> </div> </div> </section> <section class="section section--grouped" id="page-section-21"> <div class="container"> <div class="block wysiwyg text--long-form"> <hr /> <p> </p> </div> </div> </section> <section class="section section--grouped" id="page-section-22"> <div class="container"> <figure class="block image-with-caption" > <img src="https://qicentral.rcpch.ac.uk/wp-content/uploads/sites/9/2021/06/Module1_Image-1.png" alt=""> </figure> </div> </section> <section class="section section--grouped" id="page-section-23"> <div class="container"> <div class="block wysiwyg text--long-form"> <script type="text/javascript"></script> <div class='gf_browser_ie gf_browser_ie7 gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_11' > <div class='gform_heading'> <h2 class="gform_title">Module 1 reflection</h2> <p class='gform_description'></p> </div><form method='post' enctype='multipart/form-data' id='gform_11' action='/resources/starting-your-quality-improvement-journey/' data-formid='11' novalidate> <div class='gform-body gform_body'><div id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id="field_11_1" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_11_1" ><label class='gfield_label gform-field-label' for='input_11_1'>Profession</label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_11_1' type='text' value='' class='large' aria-invalid="false" /> </div></div><div id="field_11_2" class="gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_11_2" ><label class='gfield_label gform-field-label' for='input_11_2'>What memories do you have of yourself learning as a child?</label><div class='ginput_container ginput_container_textarea'><textarea name='input_2' id='input_11_2' class='textarea large' aria-invalid="false" rows='10' cols='50'></textarea></div></div><div id="field_11_3" class="gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_11_3" ><label class='gfield_label gform-field-label' for='input_11_3'>Which behaviours can you reconnect with to rekindle your improvement mindset?</label><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_11_3' class='textarea large' aria-invalid="false" rows='10' cols='50'></textarea></div></div><div id="field_11_4" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_11_4" ><label class='gfield_label gform-field-label' for='input_11_4'>Comments</label><div class='ginput_container'><input name='input_4' id='input_11_4' type='text' value='' autocomplete='new-password'/></div><div class='gfield_description' id='gfield_description_11_4'>This field is for validation purposes and should be left unchanged.</div></div></div></div> <div class='gform_footer top_label'> <input type="submit" id="gform_submit_button_11" class="gform_button button btn btn--primary" value="Submit" onclick='if(window["gf_submitting_11"]){return false;} if( !jQuery("#gform_11")[0].checkValidity || jQuery("#gform_11")[0].checkValidity()){window["gf_submitting_11"]=true;} ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_11"]){return false;} if( !jQuery("#gform_11")[0].checkValidity || jQuery("#gform_11")[0].checkValidity()){window["gf_submitting_11"]=true;} jQuery("#gform_11").trigger("submit",[true]); 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Quality improvement into practice. BMJ 2020; 368 :m865 <a href="https://www.bmj.com/content/368/bmj.m865.full">doi:10.1136/bmj.m865</a></p> <h3><b>QIClearn courses</b></h3> <p><b><a href="http://www.qiclearn.com/">www.qiclearn.com</a></b></p> </div> </div> </section> <section class="section section--grouped" id="page-section-25"> <div class="container"> <figure class="block image-with-caption" > <img src="https://qicentral.rcpch.ac.uk/wp-content/uploads/sites/9/2021/10/Module1_Next-Steps-Image.jpg" alt=""> </figure> </div> </section> <section class="section section--oversized-spacing text--center promotional-block promotional-block--dull-background" style="background-image: url('');" id="page-section-26"> <div class="container"> <div class="promotional-block__content"> <h1 class="large promotional-block__title text-on--primary"> Module 2 - An Introduction to Improvement Science </h1> <p class="standard promotional-block__excerpt text-on--primary"> Learning how to improve using a robust change method is a skill we can take with us throughout our career. 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Module 1 – Starting Your Quality Improvement Journey – QI Central