The Quality Improvement Challenge. Richard J. Banchs
of Stories, Examples, Exercises and Case Studies
Stories from the Front Lines of Healthcare
Martha Sanchez, the Head of Housekeeping (Chapter 4)
Turn‐Around Time for X‐rays in the ED (Chapter 5)
Andrea, the QI Project Manager (Chapter 10)
Wait Time in the Orthopedic Outpatient Clinic (Chapter 18)
The Early Discharge QI Project at Memorial Hospital (Chapter 23)
The NICU Team at St. Agnes Hospital (Chapter 25)
Brandon, the Ambulatory Clinic manager (Chapter 26)
“Make It Happen” (Chapter 29)
Examples
First‐Case On‐Time‐Start Accuracy at Fond‐du‐Lac Medical Center (Chapter 4)
Patient Arrival‐to‐Departure Time at the PCP Clinic (Chapter 4)
A SIPOC diagram for St. Barnabas Preoperative Evaluation Clinic (Chapter 7)
The “Customer” of a STAT Arterial Blood Gas (ABG) (Chapter 8)
Supply Chain Management for Patient Care Units (Chapter 8)
Patient Satisfaction with UI Health Outpatient Care Center (Chapter 8)
Improving the Organization of Medical Supplies in the EDRR (Chapter 8)
Improving MRI Patient Throughput (Chapter 9)
Improving STAT Chest X‐Rays in the ICU (Chapter 12)
Temperature Management on Arrival to the ED (Chapter 13)
Stratification Factors for “Time from Order to Arrival of TPN Bag” (Chapter 13)
Order‐to‐Result Time at Mercy Hospital (Chapter 15)
Narcotic Discrepancies at Chicago Med (Chapter 15)
C‐section Rate at London Memorial (Chapter 15)
The Individuals and Moving Range (I‐mR) Chart of a Patient’s SBP (Chapter 16)
Door‐to‐Infusion Time at Huron Medical Center (Chapter 16)
Improving DVT Prophylaxis (Chapter 17)
Medication Error before Initiating CPB (Chapter 18)
Patient Satisfaction with the ED Visit (Chapter 18)
Exercises
A Problem Statement and Project Charter for Your QI project (Chapter 4)
The QI team at Heart Medical Center (Chapter 6)
CTQs for the New Women’s Center (Chapter 8)
Mapping “Ordering Blood from the Blood Bank” (Chapter 10)
Identifying “Waste” in the Pediatric Unit (Chapter 11)
In‐training Examination at Mass General Hospital (Chapter 18)
Case Studies
Improving RTA Time at St. Michaels Hospital (Chapter 14)
Door‐to‐Infusion Time at Huron Medical Center (Chapter 16)
The New Balloon Angioplasty Catheter at UIC (Chapter 17)
Decreasing Unplanned Readmissions after Tonsillectomy (Chapter 20)
About the Companion Website
This book is accompanied by a companion website:
www.wiley.com/go/banchs/quality
The website includes:
Powerpoints of supplementary material of project templates and forms.
Scan this QR code to visit the companion website.
CHAPTER 1 The Problem with Healthcare
SO, WHAT’S THE PROBLEM?
In the last 20 years, science has made a number of transformational changes that have impacted the way we think about healthcare. Targeted cancer therapy, drug‐eluting cardiac stents, 3D printing, and the human genome project are but a few of the advances that have revolutionized medicine. Yet how we deliver care and the healthcare experience have not improved at the same rate. Despite significant efforts, regulatory mandates, and the sacrifice of many in the front line we have not achieved our goals of providing safe, efficient, and cost‐effective care for all. Standards and benchmarks often lag or fail to be followed, best‐practices have been slow to spread, and quality differences have persisted