Barriers to an Effective QI Effort, Questionnaire Example

To define a problem as outlined in the text managers must do three things. The first is to recognize the problem. The ED was getting 3 less admissions per day for three whole years. ED complaints about wait times and services were becoming more frequent. Nurses were losing moral because physicians were not involving them enough in treating patients. Physicians refused to train EMTs, and there was position of director of the department had been vacant. The second thing a manager must do to define a problem is to describe the problem. It seems there is a lack of professional leadership in ED. The third is to research it. The information in the case study is all we really have to go on. A solution should include team building efforts on part of management. The core physician’s staff has been working at the hospital three years. Measures should be taken to create and nurture team cohesiveness. At that time, the physicians and nurses themselves can help select a director either internally or externally. As team meetings progress, you expect to see greater cooperation between members which will implicitly reduce stress and improve service.

The more complaints and the fewer patents come to the ED. The less revenue there is for growth which would include opportunities for advancement and higher pay for the ED. As part of the team building-leadership selection efforts, management may underscore the financial importance of improving quality performance among team members.

Having found a process to improve. We have organized our team to clarify the specifics of the operation that could stand improvement. As team cohesiveness increase individual strengths and weaknesses will become salient. From there, job specializations may be organized and assigned accordingly. Because the overall operation needs improvement, such changes would be planned and implemented by consensus of the group. If these procedures help, self reports from team members will be tell. Successes and failures alike should be held collectively.

EMTs are important to the ED. EMTs often decide where a patient is taken in an emergency. As such, because of the financial opportunity alone, ED physicians should work out a method of dividing up training sessions between them for the EMTs. Certainly, it may not be their preferred mode of work, but it is necessary in the interest of the hospital and the ED team at large. Presenting the matter in starkly economic ways may produce some professional conflict of interest.

Some control measure to use to see if any of this is working are”

1. 1. Peer reviews
   2. Consumer surveys
   3. Patient flow
   4. Revenue
   5. Self-reports