NUR 455 IHI QI 105: Leading Quality Improvement questions with complete solutions

Lesson 1: The Four Phases of a Quality Improvement Project What are the four phases of an improvement project? correct answer: Innovation-Pilot-Implementation-Spread The four phases of an improvement project are "Innovation-Pilot-Implementation-Spread." Plan-Do-Study-Act (PDSA) cycles are tests of change that improvers conduct during different phases of their improvement projects. How should Sandy and her improvement team try out the new process for improving pain control? correct answer: Test the new process with one patient and closely review the results. The best answer is "test the new process with one patient on and closely review the results." Sandy and her team have an innovation and are ready to conduct a pilot. (Every organization is different, so just because the idea worked at another hospital does not mean it will work here.) Piloting involves starting small, such as with one patient, and carefully refining the change to make sure it works. After a successful pilot, which of the following should Sandy's improvement team undertake as a next step? correct answer: A and B The best answer is "A and B." After a successful pilot, they should move on to the implementation phase. This phase includes actions to "hardwire" the change, such as making it standard policy and training new staff on it. In implementing the change, the team will continue to run PDSAs: making predictions, carrying out th