Fishbone diaphragm: root cause analysis identifying barriers to acceptance of OSA screening. OSA, obstructive sleep apnoea; STOP-BANG, loud Snoring, Tiredness,

Slides:

Advertisements

Similar presentations

Graph comparing baseline data with data collected following PDSA cycle 1 (initial introduction of the checklist). PDSA, plan do study act; IV, intravenous.

Advertisements

Implementing Microstream End-Tidal CO2 in the PACU

Percentage of patients attending for GP steroid review following steroid letter. GP, general practitioner; LTOC, long-term oral corticosteroids. Percentage.

Weekly statistical process control (SPC) chart showing percentage of patients with hypertension screened using STOP-BANG questionnaire. Weekly statistical.

Summary of project team improvement efforts

Implementing Microstream End-Tidal CO2 in the PACU

Effect of interventions on % appointments not attended

Run chart showing outcomes of interventions expressed as percentage of cases with active implantable cardioverter defibrillator (ICD) in situ postmortem. PDSA, Plan-Do-Study-Act.

The poster displayed across the wards and on our Trust intranet

Percentage of newborns admitted to neonatal intensive care unit with axillary temperature over 36.5°C on arrival (July 2016–April 2017). Percentage of.

Cumulative colorectal cancer mortality and all-cause mortality in persons in Vejle and Copenhagen counties invited to screening and in persons in the rest.

Percentage of newborns admitted to neonatal intensive care unit with axillary temperature below 36°C on arrival (July 2016–April 2017). Percentage of newborns.

Photograph to show surface anatomy identified by Braunstein et al.

This a Pareto chart showing the data obtained from auditing the steps in the discharge process. This a Pareto chart showing the data obtained from auditing.

Flow chart of the study recruitment of the participants

Mortality from CHD and stroke in women and men, by country and year.

Fishbone diagram of the cause-and-effect analysis

Burden of sepsis estimated from administrative data using ICD-10AM code preimplementation and postimplementation of sepsis pathway. ICD-10, International

Figure 4. Run chart for medication dosage as per national asthma care guideline. Figure 4. Run chart for medication dosage as per national asthma care.

Diagnoses of CD per 1000 of the population for 2410 patients by biopsy (1689) and serology (721) in Derby hospitals by gender and age bands. Diagnoses.

Schematic representation of referral process (1a) and suggested areas to improve the referral process of the Emergency clinic (1b). Schematic representation.

(A) Intraoperative imaging demonstrating the metallic pipe intracranially (black arrow) lateral to the temporal lobe. (A) Intraoperative imaging demonstrating.

A chest X-ray revealing proper placement of chest tubes with a moderate amount of retained hemothorax on the right and a large retained hemothorax on the.

Age-specific mortality rates from CHD and stroke in women and men in 2010 in selected countries. Age-specific mortality rates from CHD and stroke in women.

Results: P-Chart of All GIM patients receiving unnecessary testing during intervention period, August 2014-March Results: P-Chart of All GIM patients.

A statistical process control chart illustrating the handover scores observed for each handover before and after implementation of the standardised handover.

Center 1 Time (min) to Antibiotic Administration SPC Chart.

Chart showing project sustainability over 34 months with a steady increase in number of points correctly documented. Chart showing project sustainability.

Stepwise improvement in hepatitis C virus (HCV) screening rates with each subsequent quality improvement intervention. Stepwise improvement in hepatitis.

Barriers along the diagnostics value chain, based on the GHDonline Expert Panel discussion analysis. Barriers along the diagnostics value chain, based.

Annotated sample ‘Competency Dictionary’ entry.

Monitoring for diabetic complications in home care baseline data

(A) Target 1 vs Target 2 - % of those diagnosed vs % of those diagnosed receiving ART. (B) Target 2 vs Target 3 - % of those diagnosed on ART vs % of those.

Per cent of inpatient warfarin recipients with low international normalised ratio (INR) (

Ishikawa diagram showing the main contributory factors to the number of unacknowledged results including medical record office-related, software-related.

Dana Dykes et al. BMJ Qual Improv Report 2016;5:u w3675

Run chart of monthly median time for administration of pain medication for ED patients diagnosed with long bone fractures. Run chart of monthly median.

A process map of the post-take surgical ward round

Percentage of patients who had their pre-evening capillary blood glucose monitored at least once during their steroid therapy. Percentage of patients who.

Healthcare workers’ knowledge of monitoring of diabetic parameters

Per cent of inpatient warfarin recipients with international normalised ratio (INR) greater than 5 (high INR) from preimplementation to postimplementation.

Existing workflow process—consent taking to operation theatre—three consent checks on D −1 and D0 of surgery (Plan-Do-Study-Act (PDSA) cycle 2 reflected.

Figure 3. Run chart for use of standardized instrument to assess level of control. Figure 3. Run chart for use of standardized instrument to assess level.

Final best possible medication history (BPMH) protocol design after multiple plan–do–study–act at an academic urban safety net hospital. EHR, electronic.

Center 2 Time (min) to Antibiotic Administration Baseline to Final Analysis. Center 2 Time (min) to Antibiotic Administration Baseline to Final Analysis.

Discharge profile explaining the reasons for discharges in the afternoon during April and May 2014, total discharges observed 109. Discharge profile explaining.

System-wide statistical process control chart.

Patient satisfaction comparing patients receiving primary care from clinics with scribes versus patients receiving primary care from clinics without scribes.

Improved monitoring of diabetic parameters outcome data

Systematic review: Perinatally HIV-infected infants in South Africa, total HIV-infected children aged 0–14 and the approaching wave of HIV-infected adolescents.

Change in healthcare workers’ knowledge after checklist implementation

Graph showing the percentage compliance of documentation of the baseline measures on the ward round using the template for each PSDA cycle. PDSA, plan–do–study–act;

The percentage of patients in the baseline audit that had each measure of the antipsychotic monitoring over the previous 12 months. The percentage of patients.

Variation in the completeness of reporting between EWARS and EWARN from week 43, 2014 through week 44, Variation in the completeness of reporting.

Percentage of patients with oxygen prescriptions and documented target saturations at subsequent PDSA cycles. Percentage of patients with oxygen prescriptions.

PDSA cycle 3 breakdown into intervention and non-intervention groups.

Statistical Process Chart (SPC) comparing monthly and mean contaminated BC rate for the pre-study period compared with the study period. Statistical Process.

Mean number of problems across the PPE-15 domains for each month of the program (pooled data across all 15 PPE-15 domains). Mean number of problems across.

Driver diagram outlining the changes implemented during the initiative

Run charts of behavioural change over the quality improvement initiative for (A) birth companion present at delivery and (B) immediate initiation of breast.

Staff knowledge about self-management pre-education and post education intervention. RRRT, Richmond Response and Rehabilitation Team. Staff knowledge about.

Age-standardised rate (ASR) of smoking among men aged 15 to 69 years by product, and by two levels of education: 1998–2010. Age-standardised rate (ASR)

Average score for each PDSA

A fishbone diagram summarising factors contributing to urology inpatients not having a 24-hour Electronic Patient Records venous thromboembolism (EPR VTE)

Relationship between gross national income and number of medicines that are included both in the WHO and national Model Lists of Essential Medicines (EMLs)

Elevated blood glucose vs time.

Histogram of number of colony forming units (CFUs) after 24 hours of incubation between group 1 and group 2. Histogram of number of colony forming units.

Line chart of monthly antibiotic usage rate (AUR) (overall and that in infants with negative blood culture) in relation to the frequency of blood culture-positive.

Smoking prevalence by decade of birth cohort and gender: 1998–2010.

Key driver diagram for hepatitis B screening

Presentation transcript:

Fishbone diaphragm: root cause analysis identifying barriers to acceptance of OSA screening. OSA, obstructive sleep apnoea; STOP-BANG, loud Snoring, Tiredness, Observed apnea, high blood Pressure-Body mass index, Age, Neck circumference, and Gender. Fishbone diaphragm: root cause analysis identifying barriers to acceptance of OSA screening. OSA, obstructive sleep apnoea; STOP-BANG, loud Snoring, Tiredness, Observed apnea, high blood Pressure-Body mass index, Age, Neck circumference, and Gender. Smita Y Bakhai et al. BMJ Open Qual 2017;6:e000105 © Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/