Monica Imms
Retired RN
Retired
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Thomas John Rose posted an update in the group Quality Management in Healthcare 2 days, 20 hours ago
What about SPC? did you know that there are some pre-requisites for its effective use? If your answer is ‘yes’ please list them in a reply.
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John Rasquinha joined the group Quality Management in Healthcare 3 days, 23 hours ago
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Craig White joined the group Quality Management in Healthcare 4 days, 16 hours ago
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Angela Rowe posted an update in the group Quality Management in Healthcare 1 week ago
I know you mentioned the ISO Standard (BS ISO 7101:2023) Healthcare organisation management – Management systems for quality in healthcare organisations – Requirements in the last few days on here Thomas. I’d be interested to develop an understanding of any healthcare organisations that are implementing the ISO standard please or are thinking…Read more
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I am working with one large Trust to help design and implement a QMS to this ISO Standard. I’m sure that some others may be but I don’t know which. I do no that several other Trusts are interested in the standard as you can see from comments in this SIG. This week I’ll be posting questions and answers from my last webinar. A number of questions…Read more
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I am very curious of the adoption of ISO 9001 standards within hospital settings currently, particularly at the ORGANISATION level rather than limited to individual departments or service lines. Having a clear picture helps us examining existing implementations in other UK hospitals, also help identify potential gaps and inform our own approach,…Read more
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I think that ISO 7101 is the standard that the NHS should use at the organisation level and for main Trust delivery of care. Other areas that have specific requirements like Labs, Pharmacy and Radiology should use a management system based on Annex SL, as is ISO 7101 (and ISO 9001). An Integrated Management System could then be used to manage…Read more
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It’s important that Trusts see the full picture rather than just look at individual Departments and Services. The full picture is looking at ‘performance’ right across the organisation.
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Thomas John Rose posted an update in the group Quality Management in Healthcare 1 week, 5 days ago
Let’s have a look at ‘complexity’. The NHS don’t have monopoly on complexity; what about space travel, nuclear submarines, power stations, missile systems, AI, IT, MRI scanners, etc. These are all examples of complexity – in specification, design, realisation, operation, and very importantly Quality Management. But guess what? They all have…Read more
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I believe referring to people as ‘complex’ e.g., in mental health care feels a bit like it says more about the practitioner’s willingness to listen and apply evidenced-based principles to helping the person than it does about the person in distress. All humans are complex. If we develop systems which continually try to improve health care throu…Read more
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I’m sure you could be right Alan but that’s not what Quality and Patient Safety Management is about. Also, the ‘complexity’ I’m referring to is the complexity of the ‘system’ and not the patient. Never-the-less co- production can play a part in healthcare improvement but the critical need if for people that understand system design and quality and…Read more
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With respect Tom, design professionals will need to work with clinicians, patients and carers to balance the health care economy. I expect quality and patient safety will require a person-centred approach to be effective. Co-production is imperative, as is asset-based community development, to support unpaid carers having to manage risk at home.…Read more
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I don’t disagree but my point is that most Service design activity is about ‘system’ design. Things like IT interface, record keeping, scheduling, data collection, Process Management, Juran’s trilogy, etc. All areas requiring Professional skills. Co-production with Service users comes later in the process, never-the-less it is still very important.
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Morning Tom. I appreciate your expertise. A coordinated approach to redesigning service delivery will need to consider local context, the views of service users and founding principles of the NHS.
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I do agree Alan. Local context etc should be part of the Service specification That is provided by the organisation commissioning the Service and is used in the design or re-design of the Service delivery system.
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Thomas John Rose posted an update in the group Quality Management in Healthcare 1 week, 5 days ago
Other standards used within HNS Trusts also use the Annex SL MIS Framework, standards for things like AI, IT Governance, Environment, etc. Trusts should conduct a survey across all areas to understand the extent they can take advantage of a well designed IMS.
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Thomas John Rose posted an update in the group Quality Management in Healthcare 1 week, 5 days ago
PAS 1616, ISO 15189, ISO 9001, and BS ISO 7101 can ALL be implemented with a Integrated Management System (IMS) using the Annex SL Framework. With the right design the following standards can also be included: The General Pharmaceutical Council’s Standards for pharmacy professionals May 2017 and The Royal College of Radiologists’ Standards. Oth…Read more
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I learnt this week that ISO15189 Quality and Competence in Medical Laboratories is not a classed as a management standard by ISO so doesn’t comply with Annex SL nor are there any plans for it to do so. However, it is based on ISO9001 and ISO17025 which apparently are management systems. All feels a bit odd.
Nigel
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Edel Otoole joined the group Quality Management in Healthcare 1 week, 5 days ago
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Hi Tom,
Many Trusts have adopted SPC at the Board level (~80%), and the Making Data Count team trained 40,000+ people if I remember the numbers correctly. There are thousands who have converted to using it. While it isn’t widely spread at all levels, it’s definitely the right direction when we discussed with MDC earlier today.
Have a look at thi…Read more
Thanks Isabel. I’ve had a look. Have you a view on the pre-requisites?
I’ve asked a friend of mine, ChatGTP, three questions:
1. Is SPC suitable for use in healthcare?
2. What are the requirements for SPC to be effective? and
3. Are these pre-requisites adhered to for healthcare processes?
I got some interesting answers; I do take ChatGPT’s views with a pinch of salt never-the-less they are broadly in agreement…Read more
Hi Tom,
SPC is definitely suitable, but the challenge lies in raising awareness. As the saying goes, we don’t know what we don’t know, which is exactly why the MDC program exists.
The question is, how can we spread the word using language that resonates with those we need to convert? Thinking about the diffusion of innovation, building a mov…Read more
Certainly good stuff Isabel but they miss the point. The point is that a pre-requisite to good Data Collection is Process Management. A pre-requisite to Process Management is Process Documentation and ‘performance in the Process. A pre-requisite to Process Documentation is understanding Process and System. The NHS do none of that.
Just for information see: https://aviationsafetyblog.asms-pro.com/blog/how-to-prepare-data-for-trend-analysis-in-risk-management-programs?utm_content=316532993&utm_medium=social&utm_source=twitter&hss_channel=tw-148868484