What changes can we make that will result in an improvement Nottingham University Hospitals? Stop before you start. We often assume knowledge of the answer. Is this the root cause or only managing the symptoms? Pause, notice, observe what is really happening. Today we share tools that can help

Having answered the 3 questions for the Model for Improvement, it’s time to design & trial your changes using Plan Do Study Act (PDSA) cycles. This more efficient approach starts on a small scale to build confidence & reduce resistance Nottingham University Hospitals. It’s as easy as #123PDSA

PLAN Define the objective of your trial. Start with one change. Record your questions, predictions & data collection on your PDSA template. DO Carry out the plan & collect data. Record on the template if you followed the plan, problems & unexpected consequences. #123PDSA

STUDY Complete data analysis; compare to predictions. Update your run chart. Is there shift/trend? What worked well, what could be better? ACT Decide whether to: ADOPT: the change is an improvement. ADAPT: make tweaks & keep testing. ABANDON: test another idea. #123PDSA

At the end of each PDSA cycle ensure you have recorded all your findings in your PDSA document. Communicate the findings & outcome to stakeholders. Be transparent. Share what works well & what needs further work. It’s as easy as #123PDSA

It’s been a fabulous and productive year with Improvement & Transformation Team ending the year with me successfully becoming a QSIR Associate. Merry Christmas everyone

Looking for something fun after the festive season? Come along to NUH_Panto ‘Aladdin’ this month. Time is running out to get your tickets, don’t miss out and book here➡️eventbrite.com/cc/aladdin-285… 💙 NUH Patient Partnership Group (PPG) 💙 Nottingham University Hospitals Staff Wellbeing NUH

Proud to be part of this - tickets still available and lots of fun to be had

How will you be able to show others Nottingham University Hospitals that your change is an improvement? Develop some measures. How do you do this? A driver diagram is a visual strategy for tackling a complex problem. Meet with your key stakeholders & start with your SMART aim.

Next identify what needs to happen to enable your drivers. These are more specific & will be your change ideas. Use your driver diagram to identify your outcome, process & balancing measures. These will evidence that the changes are an improvement.

I love a bit of process mapping, always takes longer than I expect, but also always unlocks hidden opportunities / issues

Another great tool. This really helps bring out issues and identify areas to focus on. My stakeholders seem to really love this tool and it’s a great tool to facilitate.

CALLING ALL STAFF Nottingham University Hospitals Do you have an improvement idea for your area? Are you struggling to know how to take it forward? I&TT are here to help you use this simple methodology: 3 questions & test your hypothesis. It’s as easy as #123PDSA

The model for improvement is a starting point. I&TT can provide wraparound support to match your needs: search for I&TT in email I&[email protected] to enquire. We also deliver nationally developed Quality Service Improvement & Redesign training: email [email protected] to book.

Let’s break down what we mean when we talk about developing a SMART aim. SMART is an easy way to remember the things you need to include in your aim. By making your aim SMART you provide the clarity, focus & motivation needed to achieve your goals.

So important to develop a SMART aims statement - such a simple step but often overlooked

This is a get framework to support the development of your aims statement

Love being a part of this team

Another great day of QSIR training

Congratulations to our latest cohort of #QSIR Practitioners at Nottingham University Hospitals 🥳 Remember to contact us for any support you need throughout your projects 🙌