Foundational Five
This quick communication tool should be completed near the beginning of each shift.
What is a brief?
Also known by it's acronym of PI.
What is Performance Improvement?
This tool asks a series of questions (usually around 5) to understand why something is occurring?
What is "Five Whys"?
This is the consistent excellence in quality and safety across all services maintained over long periods of time.
What is High Reliability?
This person oversees regulatory compliance
Who is Shilite Edwards?
This tool should be used when the department workload unexpectedly increases with a significance that it disrupts the normal workflow.
What is a huddle?
The first step of Performance Improvement after an opportunity has been identified.
This shows a graphic representation of data over time.
What is a trend graph?
This is a main goal of a High Reliability Organization
What is Zero Patient HARMS?
This person is the facility Ethics and Compliance Officer.
Who is Leah Vintila?
This tool involves leader rounding for engagement and communication about patient safety and defects.
What are Executive Patient Safety Rounds?
These letters form the process for managing PI.
What is PDCA?
This tool asks a series of specific questions about all aspects of a patient safety event to identify all of the possible causes of the event.
What is a Root Cause Analysis?
This starts the journey to a high reliability healthcare organization and zero harms
What is Leadership Commitment?
What is the name of the process you would want to model or replicate?
What is a Best Practice?
The following questions are asked in this F5 tool:
1.) What went well?
2.) What didn't go well?
3.) What can we do differently next time?
What is a debrief?
PDCA is short for this.
What is Plan, Do, Check, Act?
This tool compares a PRMC process to a best practice and looks for areas where PRMC is not following the best practice.
What is a gap analysis.
This empowers staff to report errors and near misses, and to recognize unsafe behaviors and conditions that can put patient's at risk, all of which drive improvement.
What is Safety Culture?
This is at the bottom of the Hierarchy of Sustainability.
What is telling people to "be more careful" (or foundational measures)?
When opportunities or defects are discovered during the brief, they should be placed here.
What is a Learning Board?
The number of times a PDCA cycle should be done for a single PI project.
What is it should be repeated as many times as necessary to reach the goal?
This tool breaks down a process into the tiniest steps, looks at possible failures for each step, and assigns a numerical score based upon how frequently a deviation occurs.
What is a Failure Mode and Effects Analysis (or FMEA)?
This helps you get to the root of the problem and discover the best solution.
What is Robust Process Improvement?
What is at the top of the Hierarchy of Sustainability?
What are Forcing Functions and Constraints (or Hardwired Performance Actions)?