QI is just making things better for patients. Quality Improvement is about making things better and nowadays there are so many more opportunities for doctors in practice
from all specialties to be able to improve the care they deliver
in a semi-structured way. The attraction for QI is it gets you to look at why things do work and start to generate data and pull in data that demonstrates that some things work better than others. And once you start identifying what’s working well
you can do more of it. Reassuring ourselves we’ve got it right by measuring again and never stopping doing that so it’s a continuous process of trying to do things better. It’s about measuring what we’re doing and using simple measures to work out what’s working well and what’s working badly. You think about what the problems are and then you think about a solution
that will work in your environment. Data in a manner that people can interpret and doing it in a constructive way
and not in a destructive way I think is fundamental to the whole QI process. Find what works but then keep the
momentum for that going once you’ve established that it works. For patients, it’s knowing that every interaction I have I’m always thinking about “How am I making it better?” So making it better in terms of their outcomes
and their safety of course, but actually making it really patient-centred for them. It is applying common-sense, but it’s
taking common sense and using that in a structured way to make care better. The best changes that I’ve seen have really been the ones that have become so embedded that then people look back and think “Oh, we
used to do it that way – how bizzare.” Ensuring the best outcomes for patients; they should have the best outcomes, they should get quality treatment. Patients come in and they trust you.
If you can’t deliver them the best you feel you can offer, why are you there in the first place?