• Communication
– Problem: Staff don’t know what education has already been given
• Prioritization Process
– Problem: No education focus or priority
• Sequencing/Imbalance
– Problem: Majority of education given 10 minutes before discharge
It was great to see the human factors design embedded in the interventions. Teams focused on the development and testing of standard work. I noticed two new checklists- see the slides above. I was also pleased to see that in addition to clearly designing around the patients, there was also a clear focus on measurement!
Many thanks to the team and to all who came out to hear the results from this weeks Kaizen.
Anna
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