Today, Nicky Davey, Jane Runnacles and Becky Hewitson gave a brilliant super-compressed insight into Quality Improvement (QI) at the London School of Paediatrics (LSP) Plenary meeting for trainers and trainees. These were some of the headlines for me….
Early on we had a reminder that doctors like to ‘fix’ things. Mostly the fixes work …until the doctor moves on. If those doctors glance back, which often they don’t, they will see that the fix unravels once they are gone. The QI programme of the LSP aims to change that for paediatricians.
We heard about two easy, simple tools in the Model for Improvement
1. Aim, Measure, Idea
2. Plan, Do, Study, Act (PDSA)
On a quick show of hands in the room, we saw that there was a substantial knowledge gap in the paediatric community. Not many had used the first part of the Model for Improvement, although a few more had a working knowledge of PDSA; and 60% of trainees find they know more about PDSA than their educational supervisors.
In the process of describing the tools, the team artfully demonstrated a) quick methods for data collection (goodbye to hours sifting through notes) and b) cycles of improvement**
We then heard from trainees who had been on the QI programme. Yet another lesson: the power of peer to peer influence. When we heard a trainee telling us the programme was brilliant, the feedback felt very authentic.
The hand-made infographic describes it in one picture – nice for us ‘visual learners’. And to cap it all, we heard that the pilot LSP QI programme had a patient participant too – wow!
As we move into an NHS where every pound has to go further, it is gratifying to know that the paediatricians of the future will be QI savvy. Lots to do, lots of good people to do it!
** A show of hands gave a very quick answer but it looked like the audience might be holding back. So a pack of post-it notes were passed round, yielding a more accurate data set