Issue 7: September 2010

Getting clinicians involved in improvement
The following documents may be useful:
How do you get clinicians involved in quality improvement? An evaluation report from the Health Foundation.
Clinical Engagement from the NHS Institute for Innovation and Improvement.
Clinical Engagement in an Acute Setting from No Delays Scotland
The NHS QIPP challenge: an introduction for clinicians
Quality Improvement from the Royal College of Nursing

eQIPP website
NHS Improvement’s website dedicated to the QIPP agenda. Featured this month: Heart
Read September’s Heart Improvement bulletin
Transforming cardiac rehabilitation: celebrating achievements and sharing the learning from the national projects
End of life care in heart failure - A framework for implementation
Cardiac Imaging - A Report from the National Imaging Board

Safer Care: Improving Patient Safety
Inadequate communication is recognised as a being the most common root cause of serious clinical and organisational errors. SBAR is a structured method for communicating critical information that requires immediate attention and action. This contributes to effective escalation and increased patient safety.
See the NHS Institute’s website for:

SBAR escalation films
SBAR handover films
SBAR implementation and training guide
SBAR prompt cards

The Institute for Healthcare Improvement has background information and an SBAR tool.

This month’s tool: Rapid improvement event/DeepDive technique
Rapid improvement events are part of the Lean toolkit and provide a mechanism for making radical changes to current processes and activities within very short timescales. The DeepDive, a similar technique pioneered by Deloitte that utilises brainstorming, prototyping and feedback loops.

The rapid improvement event technique is described in more detail at:
NHS Institute for Innovation and Improvement and NHS Improvement Scotland.

Practical examples of the use made of this technique can be found in the
NHS Evidence Innovation and Improvement Collection.


This bulletin is brought to you by Library and Knowledge Services. It aims to keep you up-to-date with clinical governance issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover,
please let us know.



This bulletin is brought to you by Library and Knowledge Services. It aims to keep you up-to-date with improvement and QIPP issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover, please let us know.