Brainstorming virtually or remotely to create your Affinity Diagram (which then flips - PowerPoint Presentation

1. Brainstorming virtually or remotely to create your Affinity Diagram (which then flips around to be a Driver Diagram) If you are not able to physically sit around a table and brainstorm together, there is an option to do it virtually Steps to brainstorm virtually BRAINSTORM: Type all your Brainstorming thoughts into the yellow virtual sticky notes (see template next Power Point Slide). CATEGORISE: Arrange the virtual sticky notes into categories / themes (in a column) and give each category a title (use the purple sticky notes for your category titles). This is an Affinity Diagram. EMAIL: Email your finalised Affinity Diagram to your QI Project team leader (or other designated team member). MERGING: The team leaders can then merge your ideas with the ideas from the other team members into the master Affinity Diagram (remembering to remove duplicate ideas/virtual sticky notes). Driver Diagram The Affinity Diagram converts (flips around) to form a Driver Diagram ie: the Category headings become the Primary Drivers and the sticky notes are the Secondary Drivers REMINDER: Tips on BrainstormingBrain Storming in silence with sticky notes is an effective way of quickly generating ideas from all team members. TASK: Participants write (in silence, to cut through the authority gradient) on sticky notes (or use the virtual sticky note sheet) all the reasons / causes they can think of that contribute to the problem (do NOT brainstorm solutions / Change Ideas. This is the time to focus purely on the causes of the problem ie the Diagnostic Phase): Use one idea per sticky noteUse as many sticky notes as needed ideas need to be specific (phrases) e.g. “Education” although a good idea, is not specific enough. It needs to be “education not available to staff”, “education not available to patients”, “materials provided for education inadequate” etc. To assist with brainstorming think of issues around: Environment, People/staff, Materials, Machines / Equipment, Methods, Measures, Communication, Patient, Policies/ Procedures, process, Education, Documentation, Supplies etc EVALUATION: For feedback on this document and ideas for improvement, please email the CEC QI Academy staff at cec-clp@health,nsw.gov.au VERSION: 14th May, 2020 - Wendy Jamieson

2. Category Heading(Primary driver) Instructions – Virtual sticky notes formBRAINSTORM: Type all your Brainstorming thoughts into the yellow virtual post it notes. CATEGORISE: Arrange the post notes into categories / themes (in a column) and give each category a title (use purple post it). This is an Affinity Diagram. EMAIL: Send your finalised Affinity Diagram to the team leader who can then merge your ideas with the others. Brainstorm topic / problem: Virtual Brainstorm TemplateEVALUATION: For feedback on this document and ideas for improvement, please email the CEC QI Academy staff at cec-clp@health,nsw.gov.au VERSION: 14th May, 2020 - Wendy Jamieson

3. Category Heading(Primary driver) Patient has poor mobilityPatient on night sedation Delirium screen not doneNo post fall huddlePatient / Carers not involved in care planningPatient unable to transfer from bed to chair on their ownMedication reconciliation not doneIssues with toiletingNo safety huddle to identify people at riskLack of communication between Jnr Medical Officers (Drs), Nurses & Allied HealthToo much clutter on the wardBlood pressure not doneNo multi-disciplinary team care planSenior Doctors not involved in care planning Patient has poor balanceCognitive screen tool not usedEquipment not availableNo revision of plan after patient fall Staff don’t have skills to mobilise patient Instructions – Virtual sticky notes formBRAINSTORM: Type all your Brainstorming thoughts into the yellow virtual post it notes. CATEGORISE: Arrange the post notes into categories / themes (in a column) and give each category a title (use purple post it). This is an Affinity Diagram. EMAIL: Send your finalised Affinity Diagram to the team leader who can then merge your ideas with the others. TOPIC / PROBLEM: Causes of Patients falling on the aged care wardExample only – Step 1

4. Patient has poor mobilityPatient on night sedation Delirium screen not doneNo post fall huddlePatient / Carers not involved in care planningRisk IdentificationPatient unable to transfer from bed to chair on their ownMedication reconciliation not doneIssues with toiletingNo safety huddle to identify people at riskLack of communication between Jnr Medical Officers (Drs), Nurses & Allied HealthMedication managementToo much clutter on the wardBlood pressure not doneNo multi-disciplinary team care planSenior Doctors not involved in care planning Safe Mobilisation Patient has poor balanceCognitive screen tool not usedTeamworkEquipment not availableNo revision of plan after patient fall Staff don’t have skills to mobilise patient Communication Instructions – Virtual sticky notes formBRAINSTORM: Type all your Brainstorming thoughts into the yellow virtual post it notes. CATEGORISE: Arrange the post notes into categories / themes (in a column) and give each category a title (use purple post it). This is an Affinity Diagram. EMAIL: Send your finalised Affinity Diagram to the team leader who can then merge your ideas with the others. Example onlyStep 2 TOPIC / PROBLEM: Causes of Patients falling on the aged care ward