Quality, service improvement and redesign (QSIR) tools by stage of the patient pathway
If you are looking to improve a particular part of your patient pathway you can explore the tools here that may be of most relevance to that stage of the pathway.
Referral
These tools and techniques can enable you to improve the processes and patient pathway at entry into the service.
- Clinical engagement
- Demand and capacity – an overview
- Flow – reduce unnecessary waits
- Glenday sieve – runners, repeaters, strangers
- Mapping the process – an overview
- Mapping: value stream
- Patient information
- Patient perspectives
- Role redesign
- Same day emergency care (ambulatory emergency care)
- Sustainability Model
Diagnosis
These tools and techniques can enable you to identify problems and generate and implement improvements to this part of the patient pathway.
- 6S (previously 5S)
- Clinical engagement
- Demand and capacity – an overview
- DNAs – reducing did not attends
- Flow – reduce unnecessary waits
- Glenday sieve – runners, repeaters, strangers
- Mapping the process – an overview
- Mapping: value stream
- Patient information
- Patient stories
- Role redesign
- Same day emergency care (ambulatory emergency care)
- Sustainability Model
First outpatient appointment
These tools and techniques can enable you to identify problems and generate and implement improvements to this part of the patient pathway.
- Clinical engagement
- Demand and capacity – an overview
- DNAs – reducing did not attends
- Flow – reduce unnecessary waits
- Glenday sieve – runners, repeaters, strangers
- Mapping the last ten patients
- Mapping the process – an overview
- Mapping: value stream
- Process templates
- Reducing cancelled operations
- Sustainability Model
Decision to treat
These tools and techniques can enable you to identify problems and generate and implement improvements to this part of the patient pathway.
- Clinical engagement
- Demand and capacity – an overview
- Discharge planning
- Enhanced recovery
- Flow – reduce unnecessary waits
- Glenday sieve – runner, repeaters, strangers
- Mapping the last 10 patients
- Mapping the process – an overview
- Mapping: value stream
- Patient information
- Patient stories
- Reducing cancelled operations
- Role redesign
- Same day elective care- treat day surgery as the norm
- Same day emergency care (ambulatory emergency care)
- Sustainability Model
- Theory of constraints
Treatment (admitted)
These tools and techniques can enable you to identify problems and generate and implement improvements to this part of the patient pathway.
- 6S (previously 5S)
- Clinical engagement
- Demand and capacity – an overview
- DNAs – reducing did not attends
- Enhanced recovery
- Flow – reduce unnecessary waits
- Glenday sieve – runners, repeaters, strangers
- Length of stay – reducing length of stay
- Mapping the last ten patients
- Mapping the process – an overview
- Mapping: value stream
- Patient information
- Patient stories
- Reducing cancelled operations
- Role redesign
- Same day elective care- treat day surgery as the norm
- SBAR communication tool- Situation – Background – Assessment – Recommendation
- Sustainability Model
- Theory of constraints
Treatment (non-admitted)
These tools and techniques can enable you to identify problems and generate and implement improvements to this part of the patient pathway.
- Clinical engagement
- Demand and capacity – an overview
- DNAs – reducing did not attends
- Enhanced recovery
- Flow – reduce unnecessary waits
- Glenday sieve – runners, repeaters, strangers
- Mapping the last ten patients
- Mapping the process – an overview
- Mapping: value stream
- Patient information
- Patient stories
- Role redesign
- Same day elective care- treat day surgery as the norm
- Sustainability Model
- Theory of constraints
Discharge
These tools and techniques can enable you to identify problems and generate and implement improvements to this part of the patient pathway.
- Clinical engagement
- Demand and capacity – an overview
- Discharge planning
- Enhanced recovery
- Flow – reduce unnecessary waits
- Glenday sieve – runners, repeaters, strangers
- Length of stay – reducing length of stay
- Mapping the last ten patients
- Mapping the process – an overview
- Mapping: value stream
- Patient information
- Patient stories
- Role redesign
- SBAR communication tool- Situation – Background – Assessment – Recommendation
- Sustainability Model
- Theory of constraints