Skip to main content

Quality Improvement Principles and Models

  • 190 Accesses

Abstract

Healthcare challenges include ever-increasing costs, integration of technological advancements, security threats, administrative and regulatory burdens, and provider shortages. Providing high quality, equitable care in this challenging environment remains a top priority. An understanding of the quality improvement principles and models can aid orthopedic surgeons, and their care teams provide the highest level of care for their patients.

Keywords

  • Quality improvement
  • Institute for Healthcare Improvement (IHI)
  • Six sigma
  • Lean management
  • TeamSTEPPS
  • Root cause analysis
  • 5-Whys
  • Pareto chart
  • Key driver diagram
  • Fishbone diagram

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-031-07105-8_1
  • Chapter length: 11 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   89.00
Price excludes VAT (USA)
  • ISBN: 978-3-031-07105-8
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Hardcover Book
USD   119.99
Price excludes VAT (USA)
Fig. 1.1
Fig. 1.2
Fig. 1.3
Fig. 1.4
Fig. 1.5

References

  1. Institute of Medicine Committee on quality of health Care in a. crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press (US); 2001.

    Google Scholar 

  2. Brilli RJ, Allen S, Davis JT. Revisiting the quality chasm. Pediatrics. 2014;133(5):763–5.

    CrossRef  Google Scholar 

  3. Daley U, Gandhi T, Mate K, Whittington J, Renton M, Huebner J. Framework for effective board governance of health system quality. White Paper Boston: Institute for Healthcare Improvement; 2018.

    Google Scholar 

  4. Ogrinc G, Headrick L, Moore S, Barton A, Dolansky M, Madigosky W. Fundamentals of healthcare improvement. A Guide to Improving Your Patients’ Care; 2012:2008.

    Google Scholar 

  5. Langley GJ, Nolan KM, Nolan TW. The foundation of improvement. Qual Prog. 1994;27(6):81–6.

    Google Scholar 

  6. Doran GT. There’s a SMART way to write management’s goals and objectives. Manag Rev. 1981;70(11):35–6.

    Google Scholar 

  7. Picarillo AP. Introduction to quality improvement tools for the clinician. J Perinatol. 2018;38(7):929–35.

    CrossRef  Google Scholar 

  8. Institute for Healthcare Improvement: Science of Improvement: Establishing Measures; 2021. http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementEstablishingMeasures.aspx.

  9. Lesson 3, PS 100: Introduction to Patient Safety. Open School, Institute for Healthcare Improvement (IHI). IHI. http://app.ihi.org/lms/lessondetailview.aspx?LessonGUID=0a152256-edd5-4edd-8e1a-f947a71f8f1e&CourseGUID=c67a038c-b021-43c3-b7b8-f74e4ec303f4&CatalogGUID=6cb1c614-884b-43ef-9abd-d90849f183d4.

  10. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491–9.

    CrossRef  CAS  Google Scholar 

  11. Berry JC, Davis JT, Bartman T, Hafer CC, Lieb LM, Khan N, et al. Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. J Patient Saf. 2020;16(2):130–6.

    CrossRef  Google Scholar 

  12. Nacioglu A. As a critical behavior to improve quality and patient safety in health care: speaking up! Safety Health. 2016;2(1):1–25.

    CrossRef  Google Scholar 

  13. Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis. JAMA Intern Med. 2018;178(10):1317–31.

    CrossRef  Google Scholar 

  14. Wald H, Shojania KG. Root cause analysis. Making health care safer: a critical analysis of patient safety practices; 2001:51.

    Google Scholar 

  15. Mallett R, Conroy M, Saslaw LZ, Moffatt-Bruce S. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21–9.

    CrossRef  Google Scholar 

  16. Santen SA, Grob KL, Monrad SU, Stalburg CM, Smith G, Hemphill RR, et al. Employing a root cause analysis process to improve examination quality. Acad Med. 2019;94(1):71–5.

    CrossRef  Google Scholar 

  17. Juran JM, Godfrey AB, Hoogstoel RE, Schilling EG. Juran’s quality handbook. 5th ed. New York: McGraw Hill; 1999.

    Google Scholar 

  18. Kudla AU, Brook OR. Quality and efficiency improvement tools for every radiologist. Acad Radiol. 2018;25(6):757–66.

    CrossRef  Google Scholar 

  19. Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142–50.

    CrossRef  Google Scholar 

  20. Cox M, Sandberg K. Modeling causal relationships in quality improvement. Curr Probl Pediatr Adolesc Health Care. 2018;48(7):182–5.

    CrossRef  Google Scholar 

  21. Langley GJ, Moen RD, Nolan KM, Nolan TW, Norman CL, Provost LP. The improvement guide: a practical approach to enhancing organizational performance. Hoboken, NJ: John Wiley & Sons; 2009.

    Google Scholar 

  22. Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572–7.

    CrossRef  Google Scholar 

  23. de Koning H, Verver JP, van den Heuvel J, Bisgaard S, Does RJ. Lean six sigma in healthcare. J Healthc Qual. 2006;28(2):4–11.

    CrossRef  Google Scholar 

  24. Shankar R. Process improvement using six sigma: a DMAIC guide. Wisconsin: ASQ Quality Press. 2009;

    Google Scholar 

  25. Sethi R, Yanamadala V, Burton DC, Bess RS. Using lean process improvement to enhance safety and value in orthopaedic surgery: the case of spine surgery. J Am Acad Orthop Surg. 2017;25(11):e244–e50.

    CrossRef  Google Scholar 

  26. Buchlak QD, Yanamadala V, Leveque JC, Sethi R. Complication avoidance with pre-operative screening: insights from the Seattle spine team. Curr Rev Musculoskelet Med. 2016;9(3):316–26.

    CrossRef  Google Scholar 

  27. Sethi RK, Pong RP, Leveque JC, Dean TC, Olivar SJ, Rupp SM. The Seattle spine team approach to adult deformity surgery: a systems-based approach to perioperative care and subsequent reduction in perioperative complication rates. Spine Deform. 2014;2(2):95–103.

    CrossRef  Google Scholar 

  28. King HB, Battles J, Baker DP, Alonso A, Salas E, Webster J, et al. Advances in patient safety - TeamSTEPPS(™): team strategies and tools to enhance performance and patient safety. In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in patient safety: new directions and alternative approaches (vol 3: performance and tools). Rockville, MD: Agency for Healthcare Research and Quality (US); 2008.

    Google Scholar 

  29. Bartman T, Brilli RJ. Quality improvement studies in pediatric critical care medicine. Pediatr Crit Care Med. 2021;22(7):662–8.

    CrossRef  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to James S. Lin .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Verify currency and authenticity via CrossMark

Cite this chapter

Lin, J.S., Samora, J.B. (2022). Quality Improvement Principles and Models. In: Samora, J.B., Shea, K.G. (eds) Quality Improvement and Patient Safety in Orthopaedic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-07105-8_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-07105-8_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-07104-1

  • Online ISBN: 978-3-031-07105-8

  • eBook Packages: MedicineMedicine (R0)