40 Questions
What is one of the conditions for effective QI applications identified in the study?
Application of QI to focus on areas of priority with carefully designed interventions
What percentage of US hospitals reported being at a mature hospital-wide stage of implementation?
12%
What did a study of 15 healthcare organisations in England report about those with high maturity in quality improvement (QI)?
They balanced short-term priorities with long-term investment in QI
What did the small sample of NHS hospitals use to understand what constitutes a systems approach in improving healthcare services?
'The Quality and Safety in Europe by Research' (QUASER) guide
What did the 'Quality and Safety in Europe by Research' (QUASER) guide build on?
'The Organising for Quality Study'
What are the core responsibilities of the management or executive boards of hospitals?
Defining and setting strategy, advising on management, evaluating performance, and providing oversight and control
What was the aim of the study mentioned in the text?
To investigate how hospitals implement, spread, and sustain quality improvement
Which challenge does the QUASER guide define as providing clear, strategic direction?
'Leadership' challenge
What does the 'Educational' challenge refer to according to the QUASER guide?
Creating and nurturing a learning process that supports continuous improvement
What is the 'Emotional' challenge defined as according to the QUASER guide?
Inspiring people for the quality improvement effort
How many trusts in England were in special measures for both quality and financial reasons in 2018?
5
Which type of trust was not included in the eight cases selected for analysis?
Community trust
How many trusts were placed into the new 'recovery support programme'?
16
How many trusts improved by two ratings according to the text?
5
What type of analysis was conducted on the case narrative using NVivo 12?
Thematic analysis
What was the population served by Case 7 organization?
78,000 from metro area and 5.4 million from surrounding community
How many external stakeholders were interviewed for the published cases according to the text?
Patient representatives and a range of external stakeholders
What is QUASER intended to be used as?
A reflective tool for analysis
What is the main purpose of employing the QUASER framework according to the text?
To retrospectively consider improvements made by case organisations
What are the common themes of improvement identified in the text?
Reaction to initial inspection report/rating; leadership; cultural change; vision and values; governance; improving safety; public and patient involvement; looking outwards; and CQC engagement.
What has been gathering increased attention since the first half of the 20th century?
The need for a better approach to improving healthcare quality
What did the reports published in the USA and the UK challenge?
The status quo in healthcare
What do the reports in the USA and the UK recognize about healthcare organizations?
They are complex, adaptive systems
What did the recognition of healthcare organizations as complex, adaptive systems lead to in the UK?
The first review of design and systems practice within healthcare
What is the importance highlighted by many reports in the USA and the UK regarding healthcare improvement?
Using a systems approach
What do several studies inform us about to support a whole hospital or systems approach to improve healthcare?
What needs to be in place
What was assessed by one of the early studies by Shortell et al.?
The evidence relating to the impact of continuous quality improvement on clinical practice
What persist despite key reports advocating for change in the delivery of care?
Quality and safety issues
What do high-profile reports published in the USA and the UK recognize about healthcare delivery systems?
The need for a better approach for improvement
What has been highlighted as an important factor for hospitals boards to consider?
The importance of quality improvement
What is the purpose of the Model for Understanding Success in Quality (MUSIQ)?
To establish 25 key contextual factors impacting QI success
What is the role of the CQC in England?
To oversee and monitor the quality of healthcare services
What are the fundamental questions asked by the CQC during inspections?
Is it caring? Is it responsive?
What consequences could NHS trusts face based on CQC ratings?
Placement into special measures or awarded for excellent practice
What was the purpose of introducing 'special measures' for NHS trusts?
To investigate high mortality rates in NHS trusts
How does QUASER differ from other models such as MUSIQ and PARiHS?
QUASER is based on input from senior management teams and managers
What is the aim of the Recovery Support Programme introduced by NHS England and NHS Improvement?
To provide financial support to failing NHS trusts
In the context of the text, what does 'special measures' refer to?
An intervention for struggling NHS trusts to improve quality of care
What was the outcome of the investigation into 14 NHS trusts as per the Keogh report?
There was significant scope for improvement
What is a key function of the CQC ratings for NHS trusts?
To determine whether trusts require extra support
Test your knowledge of conceptual models and frameworks used by organizations to prepare for and assess the success of their improvement efforts. Explore topics such as designing physical systems, coordinating quality efforts, and responding to broader social and contextual factors.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
