Danny Mou, MD
Resident, General Surgery, Brigham and Women’s Hospital
PGY-3
May 15, 2019
I attended the Institute for Healthcare Improvement Patient
Safety Congress in Houston. A theme I gathered from this conference involves
the importance of understanding the various stakeholders’ perspectives. Nearly
all initiatives in the health care systems requires the support and buy-in of
many parties. Engaging these stakeholders and understanding their perspectives
are critical to successful implementation. For example, developing patient
safety event report dashboards often cater to multiple different groups. The
clinicians may be interested in their performance in the last 6 months. The
nursing staff may require a live feed of events so that they can respond to these
events in more real time. The hospital management may require quarterly data to
assess long-term trends and decide whether institution-wide quality-improvement
initiatives are warranted. These are different types of information that need
to be delivered at different time points with different frequencies. Designing
a dashboard that displays the relevant data to the relevant party requires
talking to members of that party and closely understanding their needs. This
type of work was done effectively at the Walter Reed National Military Medical
Center, where tailored dashboards were designed to optimize signal and minimize
noise for the specified party. With effective end-user feedback, the research
group achieved a significant increase in use of the dashboard.
The conference had a number of examples like this in various
different settings. It definitely gave me some insight into the nuances of effective
implementations science, which is very relevant for all of my QI work.
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