This page collates some of the most useful quality improvement resources for ED staff, including trainees and supervisors preparing for exams.
This page collates some of the most useful quality improvement resources for ED staff, including trainees and supervisors preparing for exams.
“The conception of improvement finally reached as a result of the review was to define improvement as better patient experience and outcomes achieved through changing provider behaviour and organisation through using a systematic change method and strategies.” (Dr John Øvretveit, Does Improving Quality Save Money? Sept 2009).
The Institute of Medicine (IoM) defines quality care as: safe, effective, patient-centered, timely, efficient and equitable. Read more about these six domains of quality in Crossing the Quality Chasm (IoM, March 2001).
It can be a little daunting and confusing trying to decide what problem needs a quality improvement project. The following principles should guide the choice of a QIP:
Effective projects start with very focused problems, it is tempting to be overly ambitious at the start of a project. Truly effective change starts incrementally with small, achievable goals.
Trainees are encouraged to begin their QIP early in their HST training such as ST3/4 to reduce pressures later on.
Sample QIPS – The following anonymised QIPs are published with the kind permission of the candidates:
Please check the FRCEM final examination page for further information.
Whilst a good knowledge of QI is useful for all ED staff, below are specific resources you will need to supervise trainees in choosing projects and completing a high quality QIP.
Trainees should be encouraged to practice small QI projects during foundation and core training, either as collaborators or project leads. It is generally accepted that trainees do better if they choose their own subject areas as this helps maintain interest. Regular review of a trainee’s project is important.
Introduction to QI principles and methods
Data and analysis
Courses, further learning and local initiatives
Journals
If you would like to suggest a resource to be featured on this page, please contact sam.mcintyre@rcem.ac.uk.