Determining Root Causes and Designing Change Ideas in a Quality Improvement Project

Ilana J Halperin; Julie A Gilmour; Phillip Segal; Lori Sutton; Rene Wong; Leigh Caplan; Dana Whitham; Geetha Mukerji

doi:10.1016/j.jcjd.2019.03.001

Determining Root Causes and Designing Change Ideas in a Quality Improvement Project

Can J Diabetes. 2019 Jun;43(4):241-248. doi: 10.1016/j.jcjd.2019.03.001. Epub 2019 Mar 12.

Authors

Ilana J Halperin¹, Julie A Gilmour², Phillip Segal³, Lori Sutton⁴, Rene Wong³, Leigh Caplan⁵, Dana Whitham⁶, Geetha Mukerji⁷

Affiliations

¹ Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Division of Endocrinology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Electronic address: Ilana.halperin@sunnybrook.ca.
² Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Division of Endocrinology, St. Michael's Hospital, Toronto, Ontario, Canada.
³ Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Division of Endocrinology, University Health Network, Toronto, Ontario, Canada.
⁴ Toronto Diabetes Care Connect, South Riverdale Community Health Centre, Toronto, Ontario, Canada.
⁵ Sunnybrook Academic Family Health Team, Department of Family and Community Medicine, University of Toronto, Ontario, Canada.
⁶ Division of Endocrinology, St. Michael's Hospital, Toronto, Ontario, Canada.
⁷ Department of Medicine, Division of Endocrinology & Metabolism, University of Toronto, Toronto, Ontario, Canada; Women's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada; Division of Endocrinology, Women's College Hospital, Toronto, Ontario, Canada.

PMID: 31153406
DOI: 10.1016/j.jcjd.2019.03.001

Abstract

In this second article of our diabetes quality improvement primer series, readers will become familiar with various diagnostic tools used to understand the root causes of a quality problem. We discuss change concepts, and specific change ideas are developed to match the root causes. We review the application of a plan-do-study-act cycle from the Model for Improvement quality improvement framework to test 1 change idea and measure for the intended improvements.

Keywords: amélioration de la qualité; diabetes; diabète; dépistage du pied; foot screening; quality improvement.

Publication types

Review

MeSH terms

Delivery of Health Care / standards*
Diabetes Mellitus / therapy*
Humans
Patient Care Team / organization & administration*
Patient Education as Topic*
Quality Assurance, Health Care / standards*
Quality Improvement*