Improving Patient Safety: Plan, Do, Study, and Act

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Table of Contents

Meaning of a Measurement Strategy
Outcome Measures
Step 1: Plan
Step 2: Do
Step 3: Study
Step 4: Act
Reference

Meaning of a Measurement Strategy

A measurement strategy is a model that is meant to improve the safety of patients. The model explains what we want to accomplish, how to monitor change and determine whether it is making any changes and the modifications that can be employed to ensure that improvements are made (Kilbourne et al., 2018). The model can be summarized through a PDSA cycle that involves a plan, do, study and act.

Outcome Measures

First, the outcome measures the Customers voice that entails a definition of how the system is performing its work through the different components that are specified by the system. Process measure is another which determines the work process of a system. Is the system performing the tasks as we expected it to do? Finally, the balancing measures that will give an explanation of what will happen to the system when improving the outcome and the process measures. It covers the consequences that were not anticipated and how the system will tackle them.

Chart showing how the surgical infection data will be collected and the corresponding balance measure

The corresponding balance measure

Step 1: Plan

A plan on how to take the measurement and the steps that could lead to a successful recording period.

When taking the measurement, the system should be specific about the methods and the equipment used.
Criteria for exclusions for the decision made are identified.
Data is clear and unambiguous.

In planning, the first step is to carry out research on the proposed system to record data for patients in the health center using the GP data system. The system mainly deals with the patients data to ensure that change is observed after its implementation. The data will be collected in hospital using the system during the implementation time. The main objective of the system is to ensure that data from patients is used to make a change in the health of the patients to ensure health living. Different types of fact-finding techniques are employed to ensure that all the data is recorded. This includes data collection forms, control charts, survey methods and run charts.

Measurement Strategy

Measure	Operational definition	Data collection Clinical search system	Summary reported frequency
Taking measurement of patients that are described as NSAID previously for the past 4 months and also prescribed as having gastro-intestinal protective drugs for 4 months. ( target 98%)	A number of more than 70 was diagnosed an oral NSAID for the last 4months and also were under gastrointestinal medication in the past 4	The GP data system Clinical search system	The data is analyzed on a monthly basis
Prescription of patients with a long-time history of ulcers and were under medication for the las 4 months.(target 98%)	Prescription of patients with a long history with peptic ulcers and were under oral NSAID for the past 4 months	GP data system Clinical search system	Daily basis
Describing the number of patients CkD 3-5 and are described to be under oral NSAID for the past 4 months. (target = 10%)	Description of patients who are discovered to be suffering from CKD 3-5 for the past 3months.	GP data system Clinical search system	Weekly basis
Patients prescribed to be suffering from amiodarone for the last 6months. (target = 95%)	Patients prescribed amiodarone for the last 4months and were discovered for the last 7 months.	GP data system	Monthly basis

Step 2: Do

This step is concerned with implementing the changes observed that was not part of the plan in implementing the data collection method. First, the system needs to be set to analyze data of the patients and record the status of the corresponding patient to determine whether there is an improvement or the different conditions are worsening (Kilbourne et al., 2018). Consequently, the data should be stored for a long period of time to ensure that the progress of the health facility is noted to be able to determine its state. There are some things that went wrong during data collection such as misinterpretation of data and hence a change was necessary for accurate reference in the future.

Step 3: Study

Mapping of measures

label	Measure	Collection	Source
O1	Result	Weight (kgs)	Everyday
P1	Progress	Calories intake measured	everyday
P2	Progress	Cardio minutes completed	Each week
P3	Progress	Lifting heavy weight	Each week
P4	Progress	The support meetings were attended	Each week
B1	Balancing	Satisfied with the lifestyle	Monthly

Analysis of data based on current knowledge

Comparison of data is made based on the current system that seeks to make a change in the patients health. First daily records are taken seriously and each patient will be required that data filled into the system. The measures taken are to ensure that any slight change in the health of the patient is recorded and that analyzing the change through the measurement of weight each day leads to a positive improvement. The balancing phase ensures the service user is satisfied with the changes being made and that the system is making a positive impact on their lives. It ensures that the patient is satisfied with the life he leads each day after every month.

Step 4: Act

The main objective of the system was to ensure that change is realized by the users of the system and is more useful than when it was not available. The people who will be affected by the system are mostly the ones living with the lifestyle diseases such as obesity. The system will enable them to overcome lifestyle dangers associated with the infections, such as high blood pressure. Over the recent months, there have been positive results recorded after employing the system. From the weight measurement taken daily, there was a record in reduction of weight. The dangers of some lifestyle diseases were greatly reduced due to the effect of exercise

However, there are some measures that need to be implemented to ensure that everyone adheres to the system rules strictly. Some changes that need to be made include, recording the outcomes of the different data more often. Majority of the data was taken on a weekly basis. To ensure that the system is more convenient, the data collection exercise will remind the users to be engaged in the system requirements. Consequently, the systems efficiency will be determined by applying it more often, and changes of its inefficiency will be determined. In the next phase of data collection, the system will include the resolution that was made from the current phase.

Reference

Kilbourne, A. M., Beck, K., SpaethRublee, B., Ramanuj, P., OBrien, R. W., Tomoyasu, N., & Pincus, H. A. (2018). Measuring and improving the quality of mental health care: A global perspective. World Psychiatry, 17(1), 30-38.

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