QI Hub: Next steps
Date Published:
16 November 2022
Last updated:
16 November 2022 This section provides detail on how to scale up and spread your project, considering both logistical and human factors.
Scale up and spread
Good work conducted as part of QI projects should be celebrated.
- Spread and Sustainability – NHS Modernisation Agency
This leaflet gives an overview of factors that contribute to successful spread of improvement work and research. It focuses on both organizational and human factors and displays influential factors in an eye-catching schematic diagram.
- Large Scale QI – NHS ELFT
This blog by East London NHS Foundation Trust describes large scale improvement. It has motivational tools on progressing your QI project.
- Human Factors in Change Management – NHS Improvement
Guidance on communication, training, managing resistance and getting people involved as the drivers for change.
- Spreading success - NHS Improving Quality
Look specifically at Chapter 13 which focuses on celebrating success and distributing the results and conclusions of the QI project, noting both internal and external publicity.
- Communications and spread – The Health Foundation
Topics involving communication and funding spread.
Patient safety
Safety is one of the six priority components of quality.
We all know that patients should always be treated in a safe environment and protected from avoidable harm, but sometimes errors and mistakes are made, and these can cause harm. Patient safety is the intentional focus on processes and practices which will improve the safety and reliability of care and reduce harm for all patients. Actions will be aimed at preventing or mitigating against, unintended or unexpected harm to patients.
There are a vast array of books and resources available under the heading of patient safety, ranging from the simple to the very technical. The resources listed below are limited to those which may be useful to beginners in the field and are only a snap-shot the materials available.
- Patient Safety Essentials Toolkit - IHI
Designed and tested by IHI’s renowned safety experts, the toolkit includes documents on improving teamwork and communication, tools to help you understand the underlying issues that can cause errors, and valuable guidance about how to create and maintain reliable systems. Each of the nine tools includes a short description, instructions, an example, and a blank template which can be downloaded for you to use in your projects.
- The Scottish Patient Safety Programme (SPSP) - ihub (Health and Social Care Improvement in Scotland)
Since the launch of SPSP in 2008, the programme has expanded to support improvements in safety across a wide range of care settings including Acute and Primary Care, Mental Health, Maternity, Neonatal, Paediatric services and medicines safety. Underpinned by the robust application of quality improvement methodology these improvement programmes have brought about significant change in outcomes for people across Scotland.
- Leading a Culture of Safety: A Blueprint for Success - IHI
Patient safety experts and researchers have increasingly pointed to the role of organisational culture in the success of patient and workforce safety initiatives. Creating an organisational culture of safety is challenging and this publication was developed to bridge this gap in knowledge and resources by providing health care leaders with a useful tool for assessing and advancing their organisation’s culture of safety. This guide can be used to help determine the current state of an organisation’s journey, inform dialogue with the board and leadership team, and help leaders set priorities.