Team K: Safe Injection Practices: One Syringe/One Drug: Review Nevada health District 2008 Lawsuit

plan a rapid cycle improvement project using the IHI improvement model.

conduct a 4-day rapid cycle improvement project for the following problem: Food in the refrigerator is often not eaten by the "best before" date and has to be thrown out. Students must start the project by answering the three questions:

What am I trying to accomplish?
How will I know the change is an improvement?
What change can I make that will result in improvement?
Differentiate how, when, and why to use different improvement models.

Full Answer Section

         

Rapid Cycle Improvement Project: Reducing Food Waste in the Refrigerator

Problem: Food in the refrigerator is often not eaten by the "best before" date and has to be thrown out. IHI Improvement Model: This project will utilize the IHI Model for Improvement, a structured approach to problem-solving and process improvement. Step 1: Define the Aim What am I trying to accomplish?
  • Aim: To reduce food waste in the refrigerator by ensuring more food is consumed before its "best before" date.
Step 2: Establish Measures How will I know the change is an improvement?
  • Measure: Track the amount of food discarded from the refrigerator each week for the next month.
  • Target: Reduce food waste by 20% within the next month.
Step 3: Identify Changes What change can I make that will result in improvement?
  • Change 1: Implement a "First In, First Out" (FIFO) system for food storage. This means placing newer items behind older items to ensure older food is consumed first.
  • Change 2: Introduce a weekly "refrigerator clean-out" day where all items are reviewed and discarded if necessary.
  • Change 3: Develop and post a visible "Refrigerator Inventory" chart where everyone can record the food items stored, their best-before dates, and who is responsible for consuming them.
Step 4: Rapid Cycle Testing
  • Day 1: Introduce the FIFO system. Monitor the food waste for the day.
  • Day 2: Introduce the "refrigerator clean-out" day. Monitor the food waste and gather feedback from participants.
  • Day 3: Implement the "Refrigerator Inventory" chart. Monitor the food waste and gather feedback.
  • Day 4: Analyze the data collected during the testing phase. Discuss the effectiveness of each change and identify areas for improvement. Make adjustments to the changes or introduce new ones.
Step 5: Refine and Standardize
  • Based on the results of the rapid cycle testing, refine the changes and standardize the implemented processes for ongoing implementation.
Differentiating Improvement Models: Use When:Why:
Model: Description:
IHI Model for Improvement: Focuses on continuous improvement through rapid cycles of testing and adaptation. Suitable for addressing specific problems with a clear objective and a defined target. Effective for quick results and learning through iterative process.
Plan-Do-Study-Act (PDSA) Cycle: A similar model to IHI, but with a stronger emphasis on data analysis and reflection. Ideal for complex problems that require ongoing refinement and analysis. Allows for deeper understanding and adjustments based on robust data.
Lean Methodology: Focuses on eliminating waste and maximizing value in a process. Suitable for improving efficiency and effectiveness of workflows. Leads to streamlining processes, reducing unnecessary steps, and optimizing resources.
Six Sigma: Uses a structured approach to define, measure, analyze, improve, and control (DMAIC) processes. Best suited for addressing problems with a clear statistical impact. Provides a rigorous framework for quantifying improvement and reducing variability.
Choosing the right model: The choice of improvement model depends on the complexity of the problem, the desired level of detail, and the resources available.
  • Rapid Cycle Improvement (IHI or PDSA): For quick wins and addressing relatively straightforward problems.
  • Lean or Six Sigma: For more complex issues with a significant impact on efficiency and resource utilization.
Conclusion: This rapid cycle improvement project, utilizing the IHI model, is a structured and effective way to address the problem of food waste in the refrigerator. By testing changes quickly and adapting based on the results, the project aims to achieve a significant reduction in food waste and enhance the efficiency of the refrigerator usage.  

Sample Answer