Special Interest Group
Philosophy and ethics for health care improvement
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Latest group activity
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Thomas John Rose posted an update 3 weeks ago
The webinar wasn’t up to much anyway so you didn’t miss anything. Anyway here is a bit on the PACA (PDSA) cycle. It’s part of Continuous Improvement (CI) not QI. Not no mention of improvement science or a lengthy report. See:…Read more
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Thomas John Rose posted an update 3 weeks, 2 days ago
Join me for a webinar on Quality & Patient Safety Management on Wednesday lunch time. See: https://www.quality.org/events/2024/quality-management-system-design-healthcare-and-nhs?_gl=1*awuqu1*_up*MQ..*_ga*NDIyOTYwNDA5LjE3Mjg5ODM0OTQ.*_ga_PHZCFXV417*MTcyODk4MzQ5My4xLjAuMTcyODk4MzQ5My4wLjAuMA..
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Karishma Samir joined 1 month ago
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Hilda Campbell MBE posted an update 2 months, 1 week ago
Hi everyone
I was just wondering where members felt it would be helpful for this group to go next? The conversation we had recently promoted an interesting discussion, do we consider putting another date in the Q calendar to connect and debate and if so, what do you think would be something that interested you?
Kind regards
Hilda
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I know Alan and Vikki have some really good ideas for the future 🙂
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Yes, good idea. I’d like to debate Quality Improvement (QI) vs Continual Improvement (CI) in the NHS.
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Affra Al Shamsi joined 3 months ago
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Thomas John Rose posted an update 4 months ago
My reflections on yesterday’s excellent webinar discussion:
Not only the relationship between technical vs relational in the QI process important; the same relationship in ‘work in healthcare’ and the state of both in the healthcare system are also important and need consideration. So far we have:
· The QI process,
· …Read more
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Have a look at this: https://skybrary.aero/sites/default/files/bookshelf/32620.pdf
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Hi Tom
Interesting points. My organisation recently experienced technical issues resulting in moving to a new server, most of our work is recovered BUT we are locked out of our old email, this causes major issues in getting back into some systems as they insist on sending verification emails to an address you cannot access. Now with a 2 step…Read more
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Also, even more important now, DATA and DATA COLLECTION. Now we have 4!
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Hi Tom, Data yes but the right methodologies used when analysing data to help make sense of the process capability must come hand in hand, we need to understand what is variation in a complex adaptive system, what is “normal” variation and “not normal” is essential to support good decision making. I wonder what is our experience with how data are…Read more
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Hi Isabel. SPC is a bit of an art. It is normal (but not in the NHS) to collect data from a single process. That process MUST be standardised throughout the data collection period otherwise any variation source cannot be identified. You are right – lots to think about – but – the first step is to understand and define process and processes.
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Juran, in his Handbook, has a good section on SPC.
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Hi Tom, think BI is something we need to learn to support the relational piece…Read more
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A very interesting tool and certainly of value in a QI project. I think though that it may be too much for FLS to understand and implement in addition to their day job. FLS should be left to concentrate on CI rather than QI. QI should be the domain of a better trained and dedicated MDT design team. Of course in order for this to work first some…Read more
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Karen Jenkins joined 4 months ago
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Nigel Coles commented on the document An Integrated Quality and Patient Safety Management System – BS ISO 7101:2023 4 months, 2 weeks ago
Thanks Tom , this is an excellent diagram and thought promoting. Certainly a refresh of my understanding of QMSs and useful for auditing purposes. It will be useful for training people in healthcare quality management, although like Hilda I think I need to study the detail a bit more.
Could I have permission share the document within Pathology…Read more-
I have authorisation from BSI to publish the diagram so I’m sure it will be ok for you to share it. Most of the text is taken directly from the standard. I don’t think that any copyright protection is required. If you get any feedback from the people that you share it with I’d love to see it. I could add some more detail to the diagram. On Monday…Read more
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Hilda Campbell MBE commented on the document An Integrated Quality and Patient Safety Management System – BS ISO 7101:2023 4 months, 2 weeks ago
Thank you for creating this diagram, it offers many points for reflection, consideration and learning, I am going to take some time and have a read through properly. I wonder if there is learning here which could inform some kind of webinar and discussion? Happy to explore planning something together, maybe some other SIGs would also find helpful…Read more
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I did not mention the illustration I placed at the centre of my diagram. I think it is very important. I’ve added the paper (reference 2 from my illustration) to this SIGs documents.
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super thank you, I am not sure if I shared this before https://whatworksscotland.blogspot.com/2016/05/co-production-i-believe-in-unicorns.html may be of interest 🙂
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About this group
This group is for people who are interested in discussing the fundamental purposes of health care improvement and some of the ethical issues that arise in planning, conducting or researching improvement. It is meant for anyone who is interested in asking these ‘big questions’ but it assumes no previous knowledge of philosophy or ethics. Members who care about these questions will bring their own real world perspectives on managing these questions, their own various professional and disciplinary expertise, and a willingness to have a conversation about conceptual and ethical uncertainties.
The main vehicle for the Special Interest Group will be a series of online discussions on specific topics in this area, with recommended pre-reading, held roughly every two months.
