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Making the difference

Effective, efficient, patient-centred and safe healthcare is what we all want to see, and what the field of quality improvement is all about.In these podcasts, Harriet Vickers talks to doctors and other healthcare professionals about how they’ve gone about improving care for their patients, and explores the ideas and techniques behind making change happen.http://quality.bmj.com

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The science of improvement

Or, the one where Fiona Moss and Don Berwick tells us what they think quality improvement is.Fiona Moss is dean, Royal Society of Medicine, and Don Berwick is president emeritus and senior fellow, Institute for Healthcare Improvement.Don's talk and the interview with Fiona were both recorded at the International Forum on Quality and Safety in Healthcare, Gothenburg, April 2016. Watch out for the extended versions of these recordings, up next Friday.


6 May 2016

Rank #1

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Bad with names

It's bad practice to prescribe a brand name drug when a cheaper, viable and approved generic is available. But, particularly in the US, this happens too much, at major cost to the health system.The team behind Michigan State University's paediatric clinics set out to increase their prescribing of generics, and found that much of the problem was that whilst brand names lodged in staff and patient's minds, generic names were easily forgotten.Sath Sudhanthar, paediatrician and assistant professor in paediatrics, and Kari Chandler, nurse manager, tell Harriet Vickers how they overcame this and tripled the team's generic medication prescription rate.Read their full report: http://qir.bmj.com/content/4/1/u209517.w3931.full


22 Apr 2016

Rank #2

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Efficiency vs innovation and improvement

Is efficiency the enemy of innovation and improvement? Are efficiency programmes oppressive, leaving healthcare staff no time to be creative and piling on burdensome bureaucracy, or are efficiency, innovation and improvement positively correlated?These questions were debated at the International Forum on Quality and Safety in Healthcare, in Gothenburg in April, and here we dip into that debate and pick out the key arguments.Featuring contributions from: Jason Leitch, national clinical director, Healthcare Quality and Strategy, Scottish Government.Frank Federico, executive director, Institute of Healthcare Improvement.Mohsin Choudry, national medical director's clinical fellow, Royal College of Physicians.Robbert Huijsman, professor of management and organisation of elderly care, Erasmus University, Rotterdam.For more on the Forum, see http://internationalforum.bmj.com/.This episode is the last in the first series of the Making the difference podcast. We'll be back in a month with series two.


17 Jun 2016

Rank #3

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Tell me a story

How can asking patient to tell us their story improve healthcare? Helen Morant, content lead at BMJ, talks us through her project getting healthcare professionals to sit down with patients and record their conversations, and what on earth this has to do with quality improvement.We also hear some of the recordings she has gathered through the project.Here are links to the other podcasts and projects Helen mentions:Story Corps - https://storycorps.org/The Listening Project - http://goo.gl/3auSHX Beautiful stories from anonymous people - http://goo.gl/78QSjU


3 Jun 2016

Rank #4

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What are they on?

This week, we look at medication reconciliation.Joshua Pevnick, health services researcher and hospital physician at Cedars-Sinai Hospital, LA, US, talks us through what it is and why it can be so hard to get right. And Emma Iddles, a junior doctor in general surgery at Hairmyres Hospital, Lanarkshire, UK, explains how her project improved medicines reconciliation in the surgical admissions unit of the hospital.For more, read Joshua's full paper, http://goo.gl/O59BWo, and Emma's project write up http://goo.gl/znrNGQ.


20 May 2016

Rank #5