A bundle a small straightforward set of evidencebased practices generally three to five that when performed collectively and reliably have been proven to improve patient outcomes Eg Ventilator Associated Pneumonia VAP ID: 932765
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Slide1
Using Bundles to Rapidly Drive Improvement
A bundle a small, straightforward set of evidence-based practices — generally three to five — that, when performed collectively and reliably, have been proven to improve patient outcomes.E.g. Ventilator Associated Pneumonia (VAP)Elevation of the head of the bed Daily ―sedative interruption and assessment of readiness to extubate Peptic ulcer disease (PUD) prophylaxis. Deep venous thrombosis (DVT) prophylaxis Daily oral care with chlorhexidine.
Slide2Moving from Challenges to Action “Bundles”:
1. Effective Leadership and Management
Action Area
Key Challenges
Change Concepts
WC IDEAS for ACTION BUNDLES
Visible and Decisive Management
Consistent/fair application of decisions
Deeply understand staff needs
Strong Policy and Guidelines
Rapid, decisive action
Deeper understanding of improvement methods
Daily “walkabout”
Ask frontline staff every day “what matters to you”
Act daily on “just do it” quick fixes to improve frontline quality and experience.
Champion key QI projects
Effective Communications
Poor understanding of decisions
Key staff absences
Effective meetings
Teamwork
Promote frontline worker visibility
Continual formalized communication
Daily huddles with function units (e.g. ward)
Establish 2-way comms (e.g. WhatsApp)
Regularly broadcast policy, action, successes (WhatsApp, Listserve)
Start each meeting with a frontline HW story
Organised Labour relationships
Disconnect of expectations between labour and management
Trust through transparent, frequent communication
Shared responsibility for problem solving
Ensure regular huddles with Labour happen
Co-design improvement projects w Labour
Co-create SOPs for new labour processes
Establish one-on-one relationships with key labour rep