Support changes and sustains improvement (57438) (Microsystem (combination…
Support changes and sustains improvement
(combination of a small team of people who work together)
1. Engagement of others
Continual support and regular evaluation to see whether people willing to change
People should be aware the reason to changes for better outcome
The organizational should provides support to the staff in order to sustain the quality improvement (Health quality Ontario, 2013)
Important to support changes and sustain quality improvement (Bernstein, Hou, Weizman, Mosko, Bollegala, Brahmania et al., 2016)
The staff nurse will share their knowledge on how to support the changes, they will build trust and take part on the project to change and sustain the improvement (Health quality Ontario, 2013)
Communication also will help to strengthen the bond between the team member, so that the outcome of change will be achieve.
The communication can be through reports, email or web
(integrated care needs of a particular group or population and provides support for individual microsystem)
(Health quality Ontario, 2013)
It is an ongoing process to implement the change
The trained nurse would help in maintaining the changes while improving the current change to be better in future
It can be obtain through the feedback of the changes
The feedback can be through staff meeting (Silver, McQuillan, Harel, Weizman, Thomas, Nesrallah et al., 2016; Health Quality Ontario, 2013) and formal reports
The organizational and leaders should know who are suitable to support the change and sustain the quality improvement
1. Formalize and standardize the changes
Monitoring the changes is important to ensure that the change and the improvement is performed so that expected outcome will be confirmed.
Visual management (Silver, McQuillan, Harel, Weizman, Thomas, Nesrallah et al., 2016; Health Quality Ontario, 2013) is to identified the error/problem during the process of changes
Error proofing is one of the way to monitor the changes and sustain the improvement
2. Sustainaibility plans
It comes when the outcome of the change are completely achieved in which it become the norm of the organization.
Bernstein, M., Hou, J. K., Weizman, A. V., Mosko, J., Bollegala, N., Brahmania, M… Bell, C. M. (2016). Quality Imrpvement Primer Series: How to sustain a quality improvement effort. Clinical Gastroenterology and Hepatology Journal, 14, 1371-1375.
Silver, S. A., McQuillan, R., Harel, Z, Weizman, A. V, Thomas, A., Nesrallah, G…. Chertow, G. M. (2016). How to sustain change and support continuous Quality improvement. Clin J Am Soc Nephrol, 11, 916-924. Doi: 10.2215/CJN.11501015