A Practical Guide to Quality Improvement for Burn Care


The picture below is the checklist used by Olive and Ziphilly to record their data.

Questions highlighted in yellow are those which were added after baseline data collection to ensure that subsequent data was specific enough to help identify the root of the problem.

After collecting baseline data Olive and Ziphilly noted that the information they had was not specific enough to identify the root of the problem. For example, if fluid input was recorded at any point on the patient chart this scored a “Yes” in the audit. However, it was noted by the project team that the fluid input was not always recorded consistently. To solve this, they added the question “Has fluid input been recorded every two hours?”. After further investigation Olive and Ziphilly were able to identify that there were certain hours of the day where the fluid recordings were consistently missed. This then allowed the team to investigate what was happening during these hours and further assist in their ideas for change so as to specifically target the root of the issue.mple, if fluid input was recorded at any point on the patient chart this scored a “Yes” in the

TOP TIP Consistent and regular measurement is key – without measurement it is difficult to identify if the change that has been made has had an impact on the problem. Once you have collected your measurements it is important that time is made to reflect on the changes and start to pinpoint where additional improvements could be made or identify areas which, despite your efforts, have seen no change.


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