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A Practical Guide to Quality Improvement for Burn Care

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A Practical Guide to Quality Improvement for Burn Care

IDENTIFY THE PROBLEM

A PRACTICAL GUIDE TO QUALITY

IMPROVEMENT FOR BURN CARE in Low-Resourced Settings

PAGE 1

A PRACTICAL GUIDE TO QUALITY IMPROVEMENT FOR BURN CARE in Low-Resourced Settings

CONTENTS

3

Introduction and background

Introduction to the participants and their QI projects

5 7

8 Steps to carrying out quality improvement

8

STEP 1: Identify the problem

10

STEP 2: Build a team

13

STEP 3: Understand the problem

22

STEP 4: Create a SMART aim

25

STEP 5: Strategies for change

33

STEP 6: Measuring throughout

36

STEP 7: Analyse and respond

39

STEP 8: Building on success

43

Overcoming challenges

47

Summary

Links to further information

49

Acknowledgements

49

PAGE 2

A PRACTICAL GUIDE TO QUALITY IMPROVEMENT FOR BURN CARE in Low-Resourced Settings

INTRODUCTION AND BACKGROUND

Why is quality improvement important? Quality improvement (QI) in healthcare is crucial in order to improve treatment outcomes and patient experience. Quality improvement projects work to make care safer, more effective and economical, to ensure equity and access to care, and simply to ensure that patients get the best care possible. In low-resource settings, the focus is often solely on service delivery, i.e., managing high patient demand with limited human resources, equipment and general logistical infrastructure. However, providing care without questioning if it can be improved eventually results in poor care. Whilst there can be many barriers to focusing on quality improvement in these settings, it is important to try and overcome these obstacles and work on improving systems and patient care through evidence-informed, focused interventions.

Hiba , a nurse on a burns unit in Palestine, explains why nurses and other front line staff are so important for QI projects

This document is a learning resource providing a structured overview of quality improvement implementation, aimed specifically at healthcare professionals working in low-resource settings who are committed to improving their workplace.

A practical guide to quality improvement

This guide provides a step-by-step process to creating a quality improvement project in a low-resource healthcare setting, from identification of the problem to collecting >Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32 Page 33 Page 34 Page 35 Page 36 Page 37 Page 38 Page 39 Page 40 Page 41 Page 42 Page 43 Page 44 Page 45 Page 46 Page 47 Page 48 Page 49 Page 50

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