Lessons from the Frontlines CCS/CCHA NICU Improvement Community of Practice In collaboration with CPQCC Paul Kurtin, MD Our Reality!
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CCS/CCHA NICU Improvement Community of Practice
In collaboration with CPQCC
Paul Kurtin, MD
“When an ever increasing amount of information has to be squeezed into the relatively constant amount of time each of us has at our disposal, the span of attention necessarily decreases”
social anthropologist Thomas Eriksen
We are faced with an overwhelming amount of information
What we pay attention to filters and limits the information we have
We then use that limited information as the basis of our decision making and action
How do we maintain continuing alertness
We can forestall catastrophic outcomes through mindful attention to ongoing operations
There are always surprises, but we ignore or discount contradictory information
Continuing efforts to update actions and expectations by always checking if new information fits current expectations and plans
“Organizing for quality is about fallible people who keep going… Quality is human and organizational, not technical or mechanical.”
Qsystem = Q1 + Q2 + Q3…(the quality
within each microsystem +
the quality of the hand-offs
Generalisable scientific knowledge; organizational context; measurement; improvement modalities; execution
Be the best at getting better
Everyone in healthcare really has 2 jobs when they come to work everyday: to do their work and to improve it!
Paul Bataldan, MD