IHI QI 105
What are the four phases of an improvement project?
a) Plan-Do-Study-Act
b) Innovation-Pilot-Study-Act
c) Plan-Implement-Pilot-Spread
d) Innovation-Pilot-Implementation-Spread - answerd) Innovation-Pilot-Implementation-
Spread
How should Sandy and her improvement team try out the new process for improving
pain control?
a) Test the new process with one patient and closely review the results.
b) Bring together a group of stakeholders to develop an implementation plan.
c) Test the new process throughout the hospital to build a pool of data.
d) None of the above: There is no need to test this process because another hospital
has already proved it to be effective. - answera) Test the new process with one patient
and closely review the results.
After a successful pilot, which of the following should Sandy's improvement team
undertake as a next step?
a) Work on seeing that the change is widely adopted by the unit, such as by making it a
formal policy and training new staff on it.
b) Continue to run PDSA cycles.
c) Spread the change to other hospitals in the network.
d) A and B - answerd) A and B
Dr. Gonsalvez, the medical director of the medicine ward, wants to lower the 30-day
readmission rate of the patients on her unit (i.e., the percentage of patients readmitted
to the hospital within 30 days of discharge). She meets with the nurse manager and
other stakeholders, and, together, they develop a process to improve the way the ward
discharges patients and transfers care back to each patient's primary care provider. The
team tests the change on the ward and runs multiple PDSA cycles to improve the
process. The data look promising.What improvement project phase have Dr. Gonsalvez
and her team just completed?
(A) Spread
(B) Pilot
(C) Implementation
(D) Planning - answer(B) Pilot
What are the four phases of an improvement project?
a) Plan-Do-Study-Act
b) Innovation-Pilot-Study-Act
c) Plan-Implement-Pilot-Spread
d) Innovation-Pilot-Implementation-Spread - answerd) Innovation-Pilot-Implementation-
Spread
How should Sandy and her improvement team try out the new process for improving
pain control?
a) Test the new process with one patient and closely review the results.
b) Bring together a group of stakeholders to develop an implementation plan.
c) Test the new process throughout the hospital to build a pool of data.
d) None of the above: There is no need to test this process because another hospital
has already proved it to be effective. - answera) Test the new process with one patient
and closely review the results.
After a successful pilot, which of the following should Sandy's improvement team
undertake as a next step?
a) Work on seeing that the change is widely adopted by the unit, such as by making it a
formal policy and training new staff on it.
b) Continue to run PDSA cycles.
c) Spread the change to other hospitals in the network.
d) A and B - answerd) A and B
Dr. Gonsalvez, the medical director of the medicine ward, wants to lower the 30-day
readmission rate of the patients on her unit (i.e., the percentage of patients readmitted
to the hospital within 30 days of discharge). She meets with the nurse manager and
other stakeholders, and, together, they develop a process to improve the way the ward
discharges patients and transfers care back to each patient's primary care provider. The
team tests the change on the ward and runs multiple PDSA cycles to improve the
process. The data look promising.What improvement project phase have Dr. Gonsalvez
and her team just completed?
(A) Spread
(B) Pilot
(C) Implementation
(D) Planning - answer(B) Pilot
