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Events
 International Forum on Quality and Safety in Health Care 2010
Organisations Health Foundation
ISQua, The International Society for Quality in Health Care
Institute for Healthcare Improvement
Improvement Foundation
National Leadership Innovation Agency for Healthcare in Wales
NHS Quality Improvement Scotland
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Publications
'Engaging Physicians in a Shared Quality Agenda' - IHI Innovation Series white paper
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Other resources
A3 Process
This site describes a structured problem solving process used by Toyota World leaders in Quality Improvement.
The Business Case for Quality: A Unified Field Theory Applied to Health Care
The site describes Unified Field Theory
British Geriatrics Society (BGS): Standards of Medical Care for Older People. Expectations and Recommendations
This document describes the
British Geriatrics Society's recommendations for standards of care for specialist services for older people and those with whom they work.
Disruptive Innovations in Health and Health Care: Solutions People Want
This site describes a ‘mosaic’ of disruptive innovations in healthcare and includes some really interesting examples from across the world
The Ethics of Improving Health Care Quality & Safety (The Hasting Center Project)
Improvement Tip: Find "Muda" and Root it Out (Institute for Healthcare Improvement)
NHS Scotland Clinical Governance Educational Resources
Queue Fever, Part 1, by David Ollier Weber
This is the first part in a two-part series on handling patient flow.
Queue Fever, Part 2, by David Ollier Weber
This is the 2nd part in a two-part series on handling patient flow.
Significant Event Audit/Analysis - 'Changing the Culture in Primary Care'
Powerpoint presentation by Dr Jonathan Stead,
Exeter University
Significant Event Audit/Analysis - NHS Clinical Governance Support Team
Significant Event Audit/Analysis - NHS Eastern Post Graduate Medical Education
Significant Event Audit/Analysis - NHS Education for Scotland
Significant Event Audit/Analysis -
NHS Lothian
Significant Event Audit/Analysis -
Patient Plus
Significant Event Audit/Analysis -
The Pharmaceutical Journal: Guide to Significant Event Audit (August 2006)
Significant Event Audit/Analysis -
University of Exeter SEA
Paper 'Effectiveness of Teaching Quality Improvement to Clinicians'
Transforming Care at the Bedside
A unique innovation initiative of IHI and The Robert Wood Johnson Foundation that aims to create, test, and implement changes that will dramatically improve care on medical/surgical wards/units.
Trip - Healthcare Quality
This site will search both the core TRIP content plus 11 of the leading healthcare quality journals.
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Clinical Microsystems (SIG)
Clinical Microsystems Festival 2010
Clinical Microsystems : AN EVALUATION
An evaluation of Clinical Microsystems as an approach to health services improvement
Dartmouth Clinical Microsystems Site
Joint Commission Journal of Quality Improvement Microsystems in Healthcare Series (part 1 - 9)
Joint Commission Journal of Quality Improvement 'Clinical Microsystems, Part 1.
The Building Blocks of Health Systems' (CHAIN member log-in is required)
Joint Commission Journal on Quality and Patient Safety 'Clinical Microsystems, Part 3. Transformation of Two Hospitals Using Microsystem, Mesosystem, and Macrosystem Strategies' (CHAIN member log-in is required)
Joint Commission Journal on Quality and Patient Safety 'Clinical Microsystems, Part 4. Building Innovative
Population-Specific Mesosystems' (CHAIN member log-in is required)
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Health & Wellbeing (x-cutting thematic sub-group)
Alberta Centre for Active Living
Healthy Living Alliance Obesity (SIG)
Article 'Effectiveness Evaluation Of Nutritional Counselling:
The Experience Of Azienda Sanitaria Locale 12 Of Viareggio'
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Health Analysts (SIG)
Organisations Ireland and Northern Ireland's Population Health Observatory
INIsPHO is housed within the Institute of Public Health in Ireland . INIsPHO aims to support those working to improve health and reduce health inequalities by producing and disseminating health intelligence, and strengthening the research and information infrastructure on the island of Ireland
Association of Public Health Observatories (APHO)
APHO represents a network of 12 public health observatories (PHOs) working across the five nations of England , Scotland , Wales , Northern Ireland and the Republic of Ireland . APHO produces information, data and intelligence on people's health and health care for practitioners, policy makers and the wider community. APHO's expertise lies in turning information and data into meaningful health intelligence.
East Midlands Public Health Observatory Health Intelligence Network
The East Midlands Public Health Observatory (EMPHO) is one of nine regional Public Health Observatories funded by the Department of Health in England . EMPHO is the regional health intelligence organisation providing information and analysis to support those working to improve health and reduce health inequalities in the East Midlands . The EMPHO Intelligence Network is a Forum for Public Health People who are happy to share their expertise, interests and questions with colleagues.
Northern Ireland Clinical Research Support Centre
To encourage high quality research for patients' benefit within the healthcare setting.
Health Intelligence
Health Intelligence is part of Population Health service within the Health Service Executive (HSE)
Radical Statistics
The Radical Statistics Group, usually abbreviated to Radstats, was formed in 1975 as part of the radical science movement associated with the establishment of the British Society for Social Responsibility in Science (BSSRS). RadStats is now independent of any other organisation. Members are 'radical' in being committed to helping build a more free, democratic and egalitarian society. Members of Radstats are concerned at the extent to which official statistics reflect governmental rather than social purposes.
Welsh Health Analysts Network (WHAN)
The Welsh Health Analysts Network (WHAN) was established during Spring of 2006 following the demise of the PIE (Public Health Information & Epidemiology) group, which gathered every quarter to discuss and share good practice amongst the Welsh analyst community. The WHAN provides an opportunity to share knowledge in the health information and intelligence community across Wales . The network is comprised of the leaders of teams across different organisations in Wales . Its aim is similar to the former PIE group, but with a CPD element, where specialists are invited to present to the Network on their areas of expertise.
Irish data sources
Central Statistics Office Ireland (CSO)
The CSO is the Government body responsible for compiling Irish official statistics. It provides data and information on methodology.
Northern Ireland Statistics and Research Agency (NISRA)
NISRA p rovides basic economic and demographic information for Northern Ireland . The agency also maintains the civil registry.
Irish Social Science Data Archive (ISSDA)
ISSDA aims to ensure a wider access to both Irish and international datasets. It holds an ever-increasing quantity of machine-readable data from surveys and official statistics (such as the Census) and makes them readily available to users in the academic, public and commercial sectors.
INIsPHO eData
The INIsPHO eData system is designed to meet a wide variety of user needs by providing access to aggregated data and the tools to analyse it. The INIsPHO eData system contains tables of pre-calculated information as well as datasets in which users can create their own population subgroups by as well as defining what indicators they want and calculate these for their chosen population subgroups
Other APHO Technical Briefing 3: Commonly Used Public Health Statistics and their Confidence Intervals
This document describes the calculation of common types of statistics used within public health intelligence, specifically: rates, proportions, means and age-standardised rates and ratios.
Presentations from HAISG Seminars
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Lean Thinking in Healthcare (SIG)
BBC Radio Programme: From the production line to the NHS
Peter Day finds out how some NHS pioneers are trying to apply the mysteries of "lean" operating systems to hospitals and doctors' practices.
Curious Cat Management Improvement library
Dan Jones' UK-based Lean consultancy
Gemba Panta Rei
Specialist lean consultancy
Going Lean in the NHS
A short introductory guide explaining how lean thinking can be used to improve productivity, reduce waste and lower NHS costs.
Lean Enterprise Institute
The Lean Enterprise Institute (LEI) is a nonprofit education and research organization founded in 1997 to promote and advance the principles of lean thinking in every aspect of business and across a wide range of industries.
Lean Thinking in the NHS and healthcare - Toyota principles
A short introductory video on Lean Thinking produced by the NHS Institute for Innovation & Improvement
Lean Thinking in Practice - Useful Links and Resources
Short introduction to Lean for NHS Trusts
Superfactory - lean consultancy
White Paper 'Leadership, Communications, Workforce Engagement: essential elements in the successful application of Lean in the NHS'
A White Paper outlining strategy regarding the application of Lean in the NHS.
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Patient Safety (SIG)
Learning from Error - video and booklet
National Patient Safety Foundation Resources for Healthcare Professionals
National Patient Safety Agency - Incident Decision Tree
Open Disclosure - The National Open Disclosure Standard
The Open Disclosure Standard is an initiative of the Australian Council for Safety and Quality in Health Care.
Open Disclosure: A Review of the Literature
This provides an overview of recent Australian and international publications on Open Disclosure.
Patient Safety and Quality - An Evidence-Based Handbook for Nurses
Presentation 'Patient Safety: The Quality Imperative'
This link provide access to a free presentation developed by Peter Provonost which provides an overview of the sciences used to improve patient safety and of the Comprehensive Unit-based Safety Program (CUSP), and it presents several case studies that illustrate how to improve patient safety.
Queensland Government, Safety Centre: Human Error and Patient Safety (HEAPS)
Root Cause Analysis - Canadian Patient Safety Institute (2006) Canadian Root Cause Analysis Framework, A Tool for Identifying and Addressing the Root Causes of Critical Incidents in Healthcare
Root Cause Analysis - Improving Safety, A Guide to Root Cause Analysis (National Patient Safety Agency)
An interactive e-learning package supported by tools.
Root Cause Analysis - New South Wales Health, Clinical Excellence Commission, Checklist Flip Chart for Root Cause Analysis Teams (Reprinted 2005)
A very clearly written guide to conducting root cause analysis, providing detailed questions.
Root Cause Analysis - The Essential Elements of Root Cause Analysis
A presentation by by Robert Latino, Senior Vice-President of Strategic Development, Reliability Center Inc Root Cause Analysis - United States Department of Veteran Affairs, National Centre for Patient Safety
Root Cause Analysis - University of Michigan Hospitals and Health Centers
Root Cause Analysis - Department of Health, Government of Western Australia, Root Cause Analysis Form
Root Cause Analysis - State Government of Victoria, Australia, Dept. of Human Services: Powerpoint Presentation: Root Cause Analysis Education
Root Cause Analysis - State Government of Victoria, Australia, Dept. of Human Services: Root Cause Analysis Reduction Action Plan Summaries Root Cause Analysis - NHS Institute for Innovation & Improvement: Identifying problems - Root Cause Analysis using 5 Whys
Root Cause Analysis - Department of Health, Healthcare Associated Infection Root Cause Analysis Training Package
Root Cause Analysis - GP risk Management Tutorials, Root Cause Analysis
An excellent on-line tutorial by Geraint Lewis, Primary Care Risk Adviser, National Public Health Service for Wales
Root Cause Analysis -
North Dakota Health Care Review Inc., Center for Rural Health, UND School of Medicine.
Copy of slides which provide an overview of how to conduct an RCA The Joint Commission
WHO Collaborating Centre for Patient Safety Solutions
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