QIIS: A year in an hour: Quality Improvement through Interactive Simulation
The development of an organisational culture of improvement has been shown to be important for the successful implementation and sustainability of quality improvement (QI) initiatives. However, challenges in conducting QI projects and leading a QI organisation remain, including a lack of shared understanding about the practical reality of improvement initiatives.
A team at NIHR CLAHRC NWL (National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care North West London) has carried out research into the use of QI methods in health care, to understand the facilitators and barriers to instigating change.
The research found that most people don’t fully appreciate the complexity of delivering improvement in health care and therefore don’t plan appropriately to anticipate and mitigate risks. The consequences of change are often unexpected, taking improvement work in directions that haven’t previously been anticipated. It is only after people have had a ‘lived experience’ of delivering a successful QI project that they fully appreciate what is required, and how this should influence planning, implementation and evaluation of improvement attempts.
This Evidence into Practice project will take these research findings and develop resources to enable people to ‘live’ the reality of a QI project. They will develop ‘Quality Improvement through Interactive Simulation’ (QIIS), a resource that puts staff in the shoes of an improvement project and allows them to experience at an accelerated pace the project’s evolution over an 18-month period, compressed into a 60-minute interactive learning experience.
QIIS will promote learning and understanding of the complex reality of QI projects in a practical and effective manner. It will draw on real-life clinical scenarios and in-depth qualitative research studies. This virtual learning approach will include e-learning modules, videos, podcasts, discussion forums and webinars. There will also be downloadable materials to enable people to run their own teaching sessions.