A PRACTICAL GUIDE TO QUALITY IMPROVEMENT FOR BURN CARE in Low-Resourced Settings
The below example from Olive & Ziphilly’s project tries to incorporate the above points to create a strategy for change. You can see how they spell out the concrete steps to achieve their aim (see example in Step 4).
STRATEGY FOR CHANGE:
• • Involving stakeholders to provide monitoring equipment such as table and pen, pulse oximetry, buret, and wall clock were put in HDU. • • A motto was made and stuck on the wall. • • Progress of change was communicated through face-to-face, meetings, and notice boards to all the burns team and all stakeholders. • • Supportive supervision by project leaders and champion. • • Visible display of ‘best monthly documenter’. • • Allocation of 2 nurses in HDU per shift. • • Data collection and feedback meeting was done every 2 weeks. • • Reorientation on vital signs and fluid balance monitoring and documentation were held for nursing staff and student nurses working in Burns Unit. • • Change tested by PDSA cycle (see Step 7 below).
Olive and Ziphilly’s equipment
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