pqcnc banner
 
Upcoming important dates, next steps for the SIVB Phase II Initiative...

(The Support for Birth initiative's weekly email newsletter comes out every Tuesday.)

 
December 4, 2012
Revised C-section review tool

tools
The C-Section review tool has been revised to include the elements that Forsyth presented on in the November webinar and is now available on the extranet.  Please continue to review your C-Sections utilizing this tool focusing on any trends that you could determine and what changes you could make.  Bring the results to the January Webinar for a group discussion.  

 

In the literature...

news

 

Do primigravidae and their carers have a realistic expectation of   uncomplicated labour and delivery?   A survey of primigravidae in late pregnancy, obstetric staff and medical students.

 

Alexis SHUB,1,2* Karen WILLIAMSON,1 Lauren SAUNDERS1 and

Elizabeth A. MCCARTHY1,2* Australian and New Zealand Journal of Obstetrics and Gynaecology 2012; 52: 73-77.

 

Aims: To determine whether primigravidae and their carers have a realistic expectation of uncomplicated labour and birth.

 

Conclusion: Primigravidae in late pregnancy and maternity staff do not have a realistic expectation of a labour and birth that is free from medical intervention. This may impact on choices women make about care in pregnancy and labour  
Culture:  Receiving the Boon

patients voice

The boon is the realization of the goal of the journey.  There is a recognition that all the previous steps served to prepare the organization for this benefit.  As new habits and identities begin to take root, the new culture moves from legitimacy to authenticity.  The change is palpable.  A culture of authenticity is first being true to one's own self and being what you say you are to others.  When a critical mass holds a shared identity, language and accountability, the result is nothing less than a social epidemic-it has reached a tipping point.  Epidemics are strongly influenced by the circumstances and conditions of the environment in which they operate, and human behavior is no exception.  Not only do behaviors become contagious, but the collective accountability factor kicks onto autopilot:  a self-correcting mechanism to adapt to a changing world 

 

(Kimball, 2005)

 

QI Tips: 

Creative Thinking   

   


PDSA

To develop changes that result in improvement, we often need to change our normal thought patterns. To do this, several methods can be useful: challenge the boundaries, rearrange the order of the steps, look for ways to smooth the flow of work, evaluate the purpose and challenge why you are doing something, visualize the ideal, and remove the current way of doing things as an option.

 

Challenge the Boundaries: People can be limited in their thinking by the boundaries they impose in a particular situation. To challenge these boundaries, begin by listing the boundaries within which a change must occur. Many times, the boundaries define the current system or how people view it. Real changes to the system are often outside the original constraints. Once the boundaries are listed, think  about how they can be expanded, or even eliminated.

 

Rearrange the Order of the Steps: List the activities involved in a process in order, and then move them around. Seeing the steps in another  order can provoke ideas for change that the regular order prevents. This idea is really a subset of the first idea, because the order in which things are done is a boundary. It is worth mentioning separately because it is so simple to do and often produces new ideas.

 

Look for Ways to Smooth the Flow of Work: Fluctuation in flow of work causes a ripple effect in all other aspects of the system. When flow is smoothed, things can get done more predictably.

 

Evaluate the Purpose, and Challenge Why You Are Doing Something: Take a close look at the reason activities are being performed. This approach often produces ideas for change such as eliminating steps that are not vital to the purpose. When people have been involved in an activity for a long time, it is found that steps often have been added to the process or system that were needed at one time but are no longer necessary. 

 

Visualize the Ideal: Describing aspects of the situation in an ideal state can generate new ideas for change. The phrase "Wouldn't it be nice if . . ." is an example of a visualization that can start the formation of ideas.

 

Remove the Current Way of Doing Things as an Option: New ideas for change are needed if the current system is not an alternative. Begin by understanding the current system. Then declare that a part or all of the current way of doing things can no longer be used. Let people explore the possible alternatives. 

 

It is helpful, when using the approaches suggested here or others to develop a change, that people are optimistic in first exploring the possibilities. There will be time to express critical thinking as the ideas for change are further developed.

 

 Langley, Gerald J.; Moen, Ronald D.; Nolan, Kevin M.; Nolan, Thomas W.; Norman, Clifford L.; Provost, Lloyd P. (2009-06-03). The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (JOSSEY-BASS BUSINESS & MANAGEMENT SERIES) (Kindle Locations 1029-1031). Wiley Publishing. Kindle Edition.

 

 

SIVB December Webinar

conference call The next webinar is Tuesday, January 22nd, 7:30 - 8:30 AM.  Please plan to have at least one person from your team on the call so we can hear your 'voice'.         

Click here for webinar information.

 

Contact


Tammy Haithcox  

 

Tammy Haithcox

 

PQCNC Clinical Initiative Manager

 

Tammy.Haithcox@pqcnc.org

 

 

 

 

 

 

 



KMC