Miscellany

Diffusion of Innovations

 

Usability

 

The Institute of Medicine's 6 Aims for a Better Healthcare System (Crossing the Quality Chasm (2001)

  • Safe - avoiding injuries to patients from the care that is intended to help them.
  • Effective - providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and overuse, respectively).
  • Patient-centered - providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.
  • Timely - reducing waits and sometimes harmful delays for both those who receive and those who give care.
  • Efficient - avoiding waste, including waste of equipment, supplies, ideas, and energy.
  • Equitable - providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.

 

SMARTER Goals (http://en.m.wikipedia.org/wiki/SMART_criteria)

  • Specific
  • Measurable
  • Attainable
  • Relevant
  • Timely
  • Evaluate
  • Reevaluate

 

PDSA, Shewhart Cycle (http://www.ihi.org/knowledge/Pages/Tools/PlanDoStudyActWorksheet.aspx)

  • Plan
  • Do
  • Study (formerly 'Check')
  • Act
 
Cause and Effect, Fishbone, Ishikawa Diagram (http://www.ihi.org/knowledge/Pages/Tools/CauseandEffectDiagram.aspx)

Five Fundamentals of Service - AIDET (http://www.studergroup.com/newsletter/Vol1_Issue3/vol1_i3_sec7.htm)
  • Acknowledge—Acknowledge the patient by name. Make eye contact.
  • Ask: "Is there anything I can do for you?"
  • Introduce yourself, your skill set, your professional certification,and experience.
  • Duration-Give an accurate time expectation for tests, physician arrival, and tray delivery.
  • Explanation-Explain step by step what will happen, answer questions, and leave a phone number where you can be reached.
  • Thank-Thank the patient for choosing your hospital, and for their communication and cooperation. Thank the family for assistance and being there to support the patient.

Favorite Management Books 
  • The Wisdom of the Crowds, c2004. By James Surowiecki
  • Execution: the Discipline of Getting Things Done, c2002. By Larry Bossidy & Ram Charan
  • The Checklist Manifesto: How to Get Things Right, c2009. By Atul Gawande
  • To Err is Human, c2000. By the Institute of Medicine
  • Crossing the Quality Chasm, c2001. By the Institute of Medicine

For the Heart & Soul