RT Journal Article
SR Electronic
T1 Quality Improvement on the Acute Inpatient Psychiatry Unit Using the Model for Improvement
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 380
OP 384
VO 13
IS 3
A1 Kuldeep Singh
A1 Joshua Sanderson
A1 David Galarneau
A1 Thomas Keister
A1 Dean Hickman
YR 2013
UL http://www.ochsnerjournal.org/content/13/3/380.abstract
AB Background A need exists for constant evaluation and modification of processes within healthcare systems to achieve quality improvement. One common approach is the Model for Improvement that can be used to clearly define aims, measures, and changes that are then implemented through a plan-do-study-act (PDSA) cycle. This approach is a commonly used method for improving quality in a wide range of fields. The Model for Improvement allows for a systematic process that can be revised at set time intervals to achieve a desired result.Methods We used the Model for Improvement in an acute psychiatry unit (APU) to improve the screening incidence of abnormal involuntary movements in eligible patients—those starting or continuing on standing neuroleptics—with the Abnormal Involuntary Movement Scale (AIMS).Results After 8 weeks of using the Model for Improvement, both of the participating inpatient services in the APU showed substantial overall improvement in screening for abnormal involuntary movements using the AIMS.Conclusion Crucial aspects of a successful quality improvement initiative based on the Model for Improvement are well-defined goals, process measures, and structured PDSA cycles. Success also requires communication, organization, and participation of the entire team.