Quality improvement (QI) is all about using the right methods, tools and data to really get to the bottom of problems and come up with solutions that work. Training in QI is important for staff and patients to effectively use these tools and methods. But the path from QI training to making a difference in services isn’t always straightforward.
To address this, we created a theory of change for the QI training programme at King’s College Hospital. This theory of change is a diagram that lays out what activities and conditions are needed for the training to be successful. We built this diagram by using information from workshops and interviews with staff and patients. We tested and changed the diagram many times to make sure it reflected everyone’s views and experiences. Check out the theory of change diagram below.
Overall, the QI training was well-received and seen as crucial, but not enough on its own to sustainably improve care. Workshop and interview participants identified several other activities and conditions needed to make the training effective. Leaders understanding and actively supporting QI was one of the most frequently mentioned factors. Leaders play a key role in creating an environment where staff and patients feel safe, supported, and empowered to share ideas and make changes. They also oversee and protect staff time for QI work.
Other important activities and conditions mentioned in the workshops and interviews were:
• quality planning, assurance, control and improvement working well together
• engaging and plain language communications for QI
• making sure all voices are listened to and involved
• protected time for QI
• meaningfully involving patients and carers from the very start and keeping them updated about progress and changes
• sharing and collaborating on QI within and outside the hospital
• making the training as accessible as possible
• accessible data training and support
• other practical support and resources, such as coaching and a QI website or platform.
You can read more about the project and download the full report HERE
and download the one page summary HERE