MaryCate MacLennan
Senior Improvement Adviser
Barts Healthcare NHS Trust
England - London (North, East and Essex)
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Thomas John Rose posted an update in the group Philosophy and ethics for health care improvement 1 week, 2 days ago
Did anyone read my comments on the ‘Keeping scepticism alive in health care improvement’ blog? I think that a really interesting and valuable (particularly in terms of ‘quality’) discussion regarding the difference between service (product) and process. In addition to these two aspects there is the input from the clinician. These three…Read more
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Thomas John Rose posted an update in the group Quality Management in Healthcare 2 weeks, 3 days ago
Do you know the difference between the two types of Quality Improvement (QI) and the difference between Quality Improvement (QI) and Continuous Improvement (CI)? Please reply with a yes or no to each question.
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Yes
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Thanks. I’ll just wait a bit to see if any of the other 217 members if the SIG reply then I’ll respond.
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To us, QI and CI are interchangeable so interesting to understand the difference. Not sure I was aware there were only two types of QI – although there are many different methods.
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I have found that it is common to see these terms used interchangeably in the NHS. I have also found it helpful to differentiate them, as it is often assumed that if you are using QI then you are doing CI, but that isn’t usually the case. CI requires a systematic approach to using QI methods as part of normal operational management, alongside…Read more
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I’ll let the questions run a bit longer and then I’ll explain the differences. QI and CI are most certainly very different.
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the difference between the two types of Quality Improvement (QI)? – NO – is there more than one?
the difference between Quality Improvement (QI) and Continuous Improvement (CI)? – in a way, QI is done just before every audit visit. CI is never finished.
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Thanks for your relies so far. Only another 214 members to reply!
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Great question – but not sure this is a yes/no question. In health there are so many projects on the go, with little control around methods and tools, with many clinicians taking on change projects without the support/expertise of project managers. Many tools may be useful in project planning and control, and common to QI, CI and service…Read more
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I think it’s a No but great answer with loads of points to address later. Thanks.
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No, but am very interested to understand the difference. My organisation is perhaps moving from QI to CI and a google search did not tell me much, but I found this Warwick Business School paper useful that *I think* tries to describe the differences (does this meet your definition?)…Read more
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I have a lot to say in reply to your great comment Nancy. I’ll wait to see if there are any more comments then reply to them all. Thanks.
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Thomas John Rose posted an update in the group Quality Management in Healthcare 2 weeks, 3 days ago
Do you know the difference between Quality Assurance, Quality Planning, Quality Control and Quality Improvement?
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Yes to all of those.
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Is that as defined by Juran or is it the NHS versions?
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NHS (Pathology), but probably not far off Juran – Quality Control is the check that our systems work as expected (Internal Quality Control e.g. statistical control charts) and will produce the correct results. Quality Assurance is the evaluation of our results to check that they met our expectations (we use the term External Quality Assurance or…Read more
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Thanks Lesley. Yes – not far off Juran. I’ll post outlining the differences when the remaining 217 SIG members have had a chance to respond to my post above. I’ve added a link so that members can see the standards/regulations that Pathology have to meet, not a easy task!…Read more
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Matthew Mezey posted an update in the group Q Special Interest Groups/Communities of Practice 2 weeks, 3 days ago
Q Groups/SIGs leads meet-up *midday today*
If you’re not signed up for today’s meet-up of Q SIG leads yet, please get in touch with Maria: mariadorthea@gmail.com
It’s a great opportunity to share experiences, get help and ideas etc.
See you later.
Matthew
(Q Community Manager) -
Thomas John Rose posted an update in the group Culture of Continuous Improvement 2 weeks, 4 days ago
Do you know the difference between Quality Improvement (QI) and Continuous Improvement (CI)? Do you know that there are two types of QI? Please comment.
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I don’t know the difference!
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Thanks Mary. I’ll just see if any of the other 373 members reply then I’ll post the answers.
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Thomas John Rose posted an update in the group Quality Management in Healthcare 2 weeks, 5 days ago
New report from HSSIB says that ‘Retained surgical swabs are classed as Never Events. However, data shows that there has been 11-23 retained swab incidents per year since 2015.’ This is why the NHS needs to start managing quality. NO Quality Control and NO Quality Assurance and Quality2024 with all the wonderful presentations will not make any…Read more
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Matthew Mezey posted an update in the group Improving Joy in Work 2 weeks, 6 days ago
Join the Q Community quick networking session at *midday today*
Info/register: https://q.health.org.uk/event/connect-with-the-community/
One recent participant said: “I really enjoyed it – three really great people! Glad I joined.”
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Matthew Mezey posted an update in the group Co-production 2 weeks, 6 days ago
Join the Q Community quick networking session at *midday today*
Info/register: https://q.health.org.uk/event/connect-with-the-community/
One recent participant said: “I really enjoyed it – three really great people! Glad I joined.”
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In terms of service VS process, I’d say in the NHS we operationally tend to think about all at the same time, the processes needed to deliver the care, the clinical decision points and the actual care, both for individual patients and as a system serving many patients. We do also look at just the experience of patients as ‘touchpoints’ often…Read more
As you stated above ‘in the NHS we operationally tend to think about all at the same time’, as a result there are NO good examples from the NHS that explain why I think the NHS would benefit from dissecting these further. But – after almost 50 years as an active member of the UKs Chartered Quality Institute (CQI) and a number of years as a Fellow…Read more