Improvement steps at Children's Hospital of Wisconsin
| Initial intervention | Subsequent PDSA cycles | |
|---|---|---|
| Multidisciplinary team | ▸ Examined and mapped workflow ▸ Evaluated baseline timeliness ▸ Created written handoff tool ▸ Revised tool for format and usefulness | ▸ Monitored measures and adherence ▸ Revised tool for usability based on feedback ▸ Created electronic version of tool |
| Patients and families | ▸ Voiced initial concerns ▸ Participated in focus groups on patient experience, concerns and barriers | ▸ Provided general feedback ▸ Participated in focus groups on new process |
| CF centre staff | ▸ Trialled tool ▸ Identified barriers ▸ Attended educational sessions | ▸ Actively initiated tool usage ▸ Created and regularly updated ‘CF Admission Board’ with pending admits ▸ Reviewed improvements at weekly meetings |
| Pulmonary physicians | ▸ Participated in focus groups on workflow ▸ Attended educational sessions | ▸ Participated in focus groups on new processes ▸ Followed regular updates on improvement ▸ Attended educational sessions on new interventions |
| Fellows | ▸ Participated in focus group on QI and proposed processes ▸ Attended educational session | ▸ Participated in focus group on new process ▸ Attended educational session on new improvements |
| Residents | ▸ Participated in focus groups ▸ Attended educational sessions | ▸ Actively used the tool ▸ Attended ongoing educational sessions, for new teams and new improvements ▸ Participated in focus groups on new process |
| Nurses | ▸ Attended educational sessions | ▸ Participated in focus groups on resultant process |
CF, cystic fibrosis; QI, quality improvement; PDSA, plan-do-study-act.